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Home My WebLink AboutBuilding Permit #025 - 975 FOREST STREET 7/20/2006 O, NORTH 1M p TOWN OF NORTH ANDOVER "•�, . ,>•.' APPLICATION FOR PLAN EXAMINATION �ss�cNustt PermitNO: C>Z Date Received: Date Issued: -ZO IMPORTANT: Applicant must complete all items on this page LOCATION '725' /qzger7 S I _ Print PROPERTY OWNER h Qa-IYo, s Print MAP NO.: (�� PARCEL.: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building L One family Addition G Two or more family L- Industrial .,30A Iteration No. of units:__ _ G Repair, replacement Assessory Bldg J Commercial Demolition Moving(relocation) 0 Other -L Others: Foundation onlv DESCRIPTION OF WORK TO BE PREFORMED Cjg,,d --,e7-'! /(leky DUH%P✓� S LGdOl1�.�� /1f c"�lr (..��T i c-T W,'nrXdw l2C/-�/,��co.ri.T Ales 4Ya*41"/E Cyj/G.nFe Identification Please Tyne or Print Clearly) OWNER: Name: /)a,.. 0, 2,'f Phone:�f Signature Address: 977 CONTRACTOR Name: �Giv�',�l' �,?�'�-JAr1 s Phone•y;7--• Address: -'211d fna,.,j S i -ecx Qi a- Supervisor's Construction License: t�J' 4� ,23,!5- Exp. Date: -/v�-G�.` Home Improvement License: / LU x/ '79' Exp. Date: /1.- •20- vlZ .kRC}1lTECT/ENGINFFR Name: Phone: ;address: Reg. No. FEE SCHEDULE:BULDIVG PERMIT.%10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON 4125.00 PER.S.F. Total Project Cost :$ �2 !� 000 x-1-�. -FEES 900 Check No.: Receipt No.: I OlZo(t I Location , 3 � �y'�Z f� 1 No. Oz 5r Date -7 7-a o e:;. HGRTh TOWN OF NORTH ANDOVER 41 9 } ° Certificate of Occupancy $ Building/Frame Permit Fee $ sAcqusa Foundation Permit Fee $ Other Permit Fee $ ___ ` k , TOTAL $ Check # ` Building Inspector TYPE OF SUN ERAGE DISPOSAL — ` Tanning,Massage Bodv :\rt Swimming Pools Public Sewer Tobacco Sales Food Packaging Sales Permanent Dempster on Site ! Private(septic tank. etc. -- Electric Nleter location to project .No rE: Persvons coulrac hig with wiregimer d e•unlradors du nol have acres,lu 1he;;ur n1101f'11hd Signature of Agent Owler Signature of contract( Plans submitted Plans A'aixed _ Certified Plot Plan _ Stamped Plans THE FOLLO"ING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- L FORM DA TE REJECTED DATE APPROVED PLANNING & DEVELOPMENT Water Shed Special Permit '—' Site Plan Special Permit _ Other CONMIMENTS DATE REJECTED DATE APPROVED CONSERVATION —' CONINIENTS DATE REJECTED DATE APPROVED HEALTH - -- COMMENTs Loning Board of.Appeals: �ariance. Petition \o: nni� L'_rr• ,,.1 :�._ip[:u'-nu[t,�d •s I;innin-,: 13rarLI [)ccisi,)n: ;cr.,ti .>�.�erc_nrecriun.: ' nature& Bate .T'P ;u;np .cr .n site nu ;'ire Jud,rnnent_i ,,l„tL;rc LILL:: > %h ��•'�1� BUildinv Setback (ft.) FrontE'ard Side Yard Rear YardRecluired ; ided Ric uired ProN ides R L uirt_d Provided Dimension Numbcr of Stories: Total square feet of floor area, based on Exterior dimensions. l otal land area, )q. ft.: ,No'rr:s and DA f.%—(For department use) i I Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application u Debris Removal Form u Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract o Floor Plan Or Proposed Interior Work Addition Or Decks ❑ Building Permit Application ❑ Form U ❑ Surveyed Plot Plan u Debris Removal Form ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) o Building Permit Application u Form U ❑ Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) u Copy of Contract j Mass check Energy Compliance Report In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERN'ICES DF.PARTME\T:B11FOR.NI05 NORT#q Town of t RAndover No. ° o o dover, Mass., �` ' COCMICM:W ICK y�. A0RATE0 `s BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....... ........ ! .... � �.#40N&left ...... �........................ Foundation has permission to erect........................................ buildings on ...- ........ ... ... . .. ................ Rough J. to be occupied as......... Chimney provided that the ersoff acceptin this permit shall in every respect conform to the terms of the application on file in his office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final 3000z;:P PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTR.UCTI AR S Rough ................... ............... ...... ...... .. ......... Service . .. ... ... ............... . . BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Designing Kitchens Inc. CONTRACT All home improvement contractors and g g subcontractors engaged in home improvement 246 Main Street contracting, unless specifically exempt from No. Reading, MA. 01864 registration by Provisions of Chapter 142A of the TEL(978)276-3230 Date: 4/12/06 general laws, must be registered with the Commonwealth of Massachusetts. Inquiries about FAX(978)276-3240 registration and status should be made to the Director, Home Improvement Contract Registration, One Ashburton Place, Room 1301, Boston,MA.02108. 61 727-8598. Submitted to: Job Name&Location: MR. & MRS. DUBOIS SAME 975 FOREST ST ANDOVER, MA 01810 978-683-8912 We hereby submit specifications and estimates for work to be performed and materials to be used: PLEASE SEE ADDENDUM *any tile installed with borders or on a diagonal will be an additional charge PAYMENT SCHEDULE A-'W $5,000.00 DUE TO SIGN AND ORDER CABINETS��77 s��`' Please initial payment schedule $5,000.00 DUE TO START REMODELING $6,000.00 DUE UPON CABINET DELIVERY $5,000.00 DUE UPON CABINET INSTALL $2,076.00 DUE UPON FLOOR INSTALL $2,000.00 THE DAY OF JOB COMPLETION WORK SCHEDULE Contractor will not begin the work or order the materials belpree the third day following the signing of this Agreement, unless specified here in writing. Contractor will begin the work on or about6 ' .v6(date). Barring delay caused by circumstances beyond Contractor's control, the work will be completed ��1l..,,__f r W .(date . The Owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays thal�ftfe 'a3Jiii 6le by the Contractor shall not be considered as violations of this Agreement. WARRANTY The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of one year following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials, or damage caused by the Contractor, his subcontractors,employees or agents, is discovered within one year after completion of any job, including cleanup, the Contractor shall, at his own expense, forthwith remedy, con-ect, replace, or cause to be remedied, repaired, or replaced, such damage or such defect in materials or workmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. WE PROPOSE hereby to fumish material and labor-complete in accordance with these specifications,for the sum of: $25,076.00 Payable as follows: see above NOTICE: No agreement for home improvement contracting work shall AuthorizedLicense#048236 require a down payment(advance deposit)of more than one-third of Signature Registration the total contract price or the total amount of all deposits or payments #11D479 which the contractor must make, in advance, in order and/or Note:This proposal may be withdrawn by us if not accepted otherwise obtain delivery of special order materials and equipment, wittin 3 days. _. whichever amount is areater. ACCEPTANCE OF PROPOSAL- I have read both sides of this document and accept the prices, specifications and conditions stated. I understand that upon signing, this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above. You,the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction.Cancellation must be done in writing. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES: SignatureT"f..V�,,(I) (r)i 1 Date I 04 _Signature Date All work done under this contract will be covered by compensation and liability insurance. All work to be done in a workmanlike manner. Owner(s) and/or consignor(s) agrees to execute credit applications and to supply all information for the proper establishment of credit, immediately upon request of the contractor; and to execute any notes, completion certificates or documents necessary. Owner agrees that the property will not be sold of title transferred until arrangements satisfactory to the contractor, or its assignees, for the payment of this contract have been made. This agreement becomes effective and binding upon the contractor only when accepted by the contractor, by signature in space provided for acceptance. The owner(s) and/or consignor agrees that in the event of any breach of this contact by him (them) at any time, the contractor, or its assignees, may, at its option collect 20% of the total consideration herein named as liquidated damages for the breach of said contract, plus reasonable attorney's fees, or sue at law for such damages as the contractor, or its assignees, may establish plus reasonable attorney's fees. Merchandise delivered and/or labor performed shall be billed to buyer and shall be paid for forthwith upon completion. So much of the balance at the first of each month as remains unpaid at the end of the succeeding month shall then become subject to a charge of $0.01 per $1.00 of such remainder. In addition to any sums due hereunder, the buyer shall pay all costs and expenses of collection including a reasonable attorney's fee. In the case of excess materials being supplied to the site for installation by the contractor, such excess material will be picked up by the contractor upon completion of the job and are in no way to be considered the property of the buyer. In the case where this contract covers only the delivery of materials to the buyer without the performance of labor, any excess merchandise in condition to go back into stock and be sold as new may, subject to a 10% handling charge, be returned for credit; excepting that (a) merchandise especially procured and not regularly stocked by the contractor may be so returned only to the extent of acceptance for return and allowance by its supplier to the contractor; and (b) setup window and door units, cut pieces, opened packages, shorts, are not returnable. It is understood and agreed that the buyer hereby constitutes any person engaged in the performance of labor upon the premises where delivery is to be made, his agent to accept delivery of and receipt for all material delivered under this contract. The contractor will be in no way responsible for the disposition of building materials after their delivery to the premises except in such case where the contractor will perform installation labor under this contract. In the event of disagreement as to manner, method of work, meaning of specifications or material, the customary usual practice in the industry shall prevail. Performance of this agreement is made subject to labor strikes, fires, wars, acts of God, and contractor's ability to obtain material. Work to commence within reasonable time, refusal to allow work to commence or proceed shall constitute breach of contract by owner. Access to the premises will be given at all normal working hours for work and/or repairs and failure shall constitute breach. The undersigned Home Owner(s) and/or cosigner(s) certifies that he has (they have) read each and every part of this contract and that this contract constitutes the entire agreement between the contractor and the undersigned Home Owner(s) and/or cosigner(s) and no agreements, promises or warranties, except those herein expressly set forth, have been made by the contractor or its salesman to the undersigned Home Owner(s) and/or cosigner(s), and no modifications thereof shall be claimed by the undersigned Home Owner(s) and/or cosigner(s). In the event upon start of construction it is discovered there is imperfection, rotting or decay or other damage caused by termites or other insects or due to any other cause necessitating replacement or reconstruction, then and in that event, there shall be no obligation or responsibility on the part of the contractor to supply any labor or material nor to reconstruct the damage. The owner shall pay any additional sums required for the labor, material or supplies to replace or rebuild said area. This sum shall be in addition to the price set forth in this agreement. Similarly, if it is discovered upon start of construction that certain existing conditions are in violation of local building codes and good practice dictates that these conditions must be corrected before work can proceed, such labor and materials involved in the work will be for the owners account and will be charges over and above the amount of this contract. The owner's written consent will be obtained prior to performance of such extra remedial work. The owner represents that there are no restrictions of record, easements or covenants prohibiting or restricting or requiring the consent of any other party of the work to be performed in this agreement; that, in the event it shall be subsequently ascertained that despite this representation there are restrictions, easements or covenants regarding this work or that consent is required, then and in that event, the owner shall at his own cost and expense satisfy such requirements and shall hold the contractor herein free and harmless, and shall not be any defense or set-off against the contractor's performance of this agreement, nor shall the owner delay the closing or final payment upon this agreement, due to said requirements. All home improvement contractors and subcontractors Designing Kitchens, Inc. ADDENDUM engaged in home improvement contracting, unless 246 Main Street specifically exempt from registration by Provisions of No. Reading, MA. 01864 Chapter 142A of the general laws, must be registered TEL(978)276-3230 Date: 7/27/05 with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the FAX(978)276-3240 Director, Home Improvement Contract Registration, One Ashburton Place, Room 1301, Boston, MA. 02108. 617 727-8598. Submitted to: Job Name& Location: DANA DUBOIS SAME 975 FOREST ST PAGE 1 ANDOVER, MA 978-683-8912 We hereby submit specifications and estimates for work to be performed and materials to be used: 1.REMOVE EXISTING KITCHEN CABINETS AND COUNTERS. 2.REMOVE FLOORING TO SUB FLOOR. 3.SUPPLY AND INSTALL NEW UNDERLAYMENT TO SUB FLOOR. 4.SUPPLY AND INSTALL NEW TEDD WOOD LUXURY LINE KITCHEN CABINETS (SEE ATTACHED FOR KITCHEN SPECS) 5.SUPPLY AND INSTALL LAMINATE BEVEL EDGE COUNTERS, COLOR TO BE CHOSEN, COUNTER WILL HAVE 4" LOOSE BACKSPLASH TO BE INSTALL ON JOB SITE. 6.INSTALL OWNER SUPPLIED DOOR AND DRAWER HANDLES. 7.SUPPLY AND INSTALL NEW LAMINATE WILSONART LAMINATE FLOORING ( $9.85 SQ. FT. ALLOWANCE ON FLOORING AND INSTALLATION OF 228 SQ. FT.) &ELECTRICAL- -SUPPLY AND INSTALL 7 RECESS LIGHTS (ADDITIONAL LIGHTS$185.00 EACH) -HANGING LIGHT OR SURFACE MOUNT LIGHTING NEEDS TO BE SUPPLIED BY OWNER AND COUNT AS ONE LIGHT INSTALLED. -SUPPLY AND INSTALL ONE OUTLET IN ISLAND -INSTALL NEW RANGE WIRE -INSTALL WIRING FOR MICROWAVE OVER RANGE -INSTALL ADEQUATE OUTLETS NEEDED PER CODE -RECONNECT OWNER SUPPLIED APPLIANCES 9.PLUMBING- -SUPPLY AND INSTALL ONE SINGLE BOWL STAINLESS STEEL SINK, $300.00 ALLOWANCE ON SINK -SUPPLY AND INSTALL ONE GROHE SINGLE POLE PULL OUT SPRAY FAUCET, $350.00 ALLOWANCE -RECONNECT OWNER SUPPLIED DISHWASHER -INSTALL ICEMAKER LINE IF NEEDED 10.DISPOSE OF ALL BUILDING DEBRIS. ACCEPTANCE OF PROPOSAL- I have read both sides of this document and accept the prices, specifications and conditions stated. I understand that upon signing, this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above. You,the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. Cancellation must be done in writing. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Signature Date Signature Date_ Designing Kitchens Inc. ADDENDUM All home improvement contractors and subcontractors engaged in home improvement contracting, unless 246 Main Street specifically exempt from registration by Provisions of No. Reading, MA. 01864 Chapter 142A of the general laws, must be registered TEL(978)276-3230 Date: 4/12/06 with the Commonwealth of Massachusetts. Inquiries FAX(978)276-3240 about registration and status should be made to the Director, Home Improvement Contract Registration, One Ashburton Place, Room 1301, Boston, MA. 02108. 61 727-8598. Submitted to: Job Name& Location: MR. & MRS. DUBOIS SAME 975 FOREST ST. PAGE 2 ANDOVER, MA 01810 978-683-8912 We hereby submit specifications and estimates for work to be performed and materials to be used: OPTION 1 - REPLACE KITCHEN WINDOW WITH NEW PVXOW CASEMENT ADD $ 600 ,/�,4 V�D OPTION 2- INSTALL OWNER SUPPLIED TILE BACKSPLASH ADD$750.00 OPTION 3- INSTALL 3/4"WHITE OAK FLOORING SANDED AND FINISHED WITH 3 COATS OF POLY ADD$400.00 OPTION 4- REPAIR EXISTING CEILING ADD $475.00 OPTION 5 INSTALL 3/8 PLASTER BOARD OVER EXISTING CEILING, SKIM COAT WITH NEW PLASTER SMOOTH FINISH ADD $2,000.00 CABINETS-TEDD WOOD FRAMELESS DOOR STYLE-CRP- 10751 DRAWER STYLE -CRP- 10751 WOOD SPECIE -CHERRY FINISH - C l 41)dLM0,1 R./1. HINGE - FULL OVERLAY WALL CABINETS-36" HIGH REDUCED TO 33++ HIGH TO FIT CROWN BASE CABINETS-34 1/2 HIGH WITHOUT COUNTER CROWN -2 3/8" CROWN SOFFIT-3/4"THICK X 3" 1.WALL 36"X 16 1/2 " H X 24" DEEP-2 TRAY DIVIDERS 2.WALL 33"W X 33"H &WALL CORNER LAZY SUSAN 24"W X 33"H -FINISH SIDE FIGHT 4.WALL 24"W X 33" H-FINISH SIDE LEFT 5.WALL 24"W X 33 H-FINISH SIDE RIGHT ACCEPTANCE OF PROPOSAL - I have read both sides of this document and accept the prices, specifications and conditions stated. I understand that upon signing, this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above. You,the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. Cancellation must be done in writing. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BL AC Signature &t�t<—., —Date�"Zto Signature Date_ Designing Kitchens Inc. ADDENDUM All home improvement contractors and subcontractors engaged in home improvement contracting, unless 246 Main Street specifically exempt from registration by Provisions of No. Reading, MA. 01864 Chapter 142A of the general laws, must be registered TEL(978)276-3230 Date: 4/12/06 with the Commonwealth of Massachusetts. Inquiries FAX(978)276-3240 about registration and status should be made to the Director, Home Improvement Contract Registration, One Ashburton Place, Room 1301, Boston, MA. 02108. 61 727-8598. Submitted to: Job Name&Location: MR. & MRS. DUBOIS SAME 975 FOREST STREET PAGE 3 ANDOVER, MA 01810 978-683-8912 We hereby submit specifications and estimates for work to be performed and materials to be used: 6.WALL 30"X 16 1/2" H 7.WALL 24"W X 33" H - FINISH SIDE RIGHT, FINISH SIDE LEFT 8.DRAWER BASE 24"W WITH 3 DRAWERS-BREAD BOX MIDDLE DRAWER 9.BASE CORNER LAZY SUSAN 33"W 10.SINK BASE 27"W-TILT OUT SOAP TRAY, FINISH SIDE RIGHT 11.BASE 33"WIDE - FINSIH SIDE RIGHT, FINISH SIDE LEFT 12.13ASE 24"W-FINISH SIDE RIGHT, FINISH SIDE LEFT 13.BASE 33"W-FINISH SIDE RIGHT, FINISH SIDE LEFT 14.BASE 33"W-FINISH SIDE RIGHT, FINISH SIDE LEFT 15-TWO FRIDGE SIDE PANELS 16.ISLAND BACK PANEL 17.SOFFIT BOARD TO ATTACH CROWN TO CC, 18.CROWN 19.TOE KICK- 1/4"MATCHING WOOD VENEER PLY ACCEPTANCE OF PROPOSAL - I have read both sides of this document and accept the prices, specifications and conditions stated. I understand that upon signing, this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above. You,the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction.Cancellation must be done in writing. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Signature Date Signature Date Alk NOTICE N NOTICE T ' TO Oa EMPLOYEES ` EMPLOYEES 1 M 14'b The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 6t10 Washington Street, Boston, Massachusetts 021 11 617-727-4900 — http://www.mass.gov/dia As required by Massachusetts General Law,Chapter 152, Sections 21,22&30, this will give you notice that I(we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: THE TRAVELERS INSURANCE COMPANIES NAME OF INSURANCE COMPANY ONE TOWER SQUARE HARTFORD CT 06183 ADDRESS OF INSURANCE COMPANY (IEUB-7191W24-3-06) 07-27-06 TO 07-27-07 POLICY NUMBER EFFECTIVE DATES HUB INTERNATIONAL LLC 299 BALLARDVALE STREET WILMINGTON MA 01887 NAME OF INSURANCE AGENT ADDRESS PHONE# 0— 246 MAIN ST. DESIGNING KITCHENS INC. o� NORTH READING o� MA 01864 "_-- EMPLOYER ADDRESS 00 '— EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE o= MEDICAL TREATMENT i The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services �--- provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NAME OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER 00000e W20NG02 I WD W62436 WB2436 WB3018 W62436 2436 B -------------------------------- -------------ii L-LS SBB27 ; DISH. 24" ; BB33 O O BB24 WB 3336 bD24:1 3 36" 6633 (COMP; BB33ICT I-fill W63619217 Design:dubois Scale:ma)amum 04/07/06- 4/0 Dwg no. All dimensions&size designations This is an original design and must Date : 05/18/0/0 6 6 given are subject to verification on not be released or copied unless job site and adjustment to fd job applicable fee has been paid or job conditions. order placed. Designer