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HomeMy WebLinkAboutBuilding Permit # 2/26/2015 %AORTFI 01 BUILDING PERMIT ,ED -4. TOWN OF NORTH ANDOVER to , APPLICATION FOR PLAN EXAMINATION Permit No#: I Date Received V2 " ArEv Ss US Date Issued: ] � IMPORTANT: Applicant must complete all items on this page TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building fg One family [I Addition [I Two or more family [I Industrial % Iteration No. of units: 11 Commercial Repair, replacement [I Assessory Bldg D Others: [I Demolition 11 Other ate h L 4 "'2519 . Distract 4s,r"! t a 'M DESCRIPTION OF WORK TO BE PERFORMED: 0 k Identification- Please Type or Print Clearly OWNER: Name:— Po"9,5-tT Phone: -1 - IM3 k -tct-1-1 Address: (urCMf_ Ro'�� t,/u I 'M 46 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.•MOO PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ \ V6 , 00 Check No.: 2_.(p� 7 '01 Receint No.: NOTE: Persons contracti with un ontr ctors do not have access to the guaranty fund Signature of Agent/bwner nature of contractor'\'� tAORTli Town of ndover O n' "A ' — h h a61AA 2�2oic o v e>r, ss, COCKIC Hl WI[K �• X11,4 °R�teo �P���S S U BOARD OF HEALTH Food/Kitchen PER IT ......... L D Septic System Ak5h P ................ BUILDING INSPECTOR THIS CERTIFIES THAT ................. .... . .. .. . .. . ...... .... . has permission to erect ......... buildin on Foundation �. Rough to be occupied as .... QA� .,�..... .... it. �,V ................................................ Chimney provided that the person accepting this permit shall in every re pect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR 1 e- UNLESS CONSTRUCS TS Rough Service . ............. ........... ... .......- ---- --rs ......... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. 98 Forest Street Kevir'i, Murphy 0North Andover,MA 01845 PH:978-688-5335 Building Contractor • FAX:978-688-7207 Proposal To: Marshall Abbott 89 Bridle Path All Home improvement Contractors and Subcontractors engaged in hone improvement contracting,unless North Andover, Ma. 01845 specifically exempt from registration by Provisions of Chapter 142A of the general laws,must be registered with the Commonwealth of Massachusetts.Inquiries abort registration and Status should be made to the Director,Home Improvement Contract Registration,One Ashburton Place, From: Kevin Murphy Room 1301,Boston,MA 02108.(6117}727 8598 CC: Date: 2/25/2015 .lob: Family room renovation Date of plans: None Architect: None Location: Same Section 1-Work Schedule Contractor will begin the work or order the materials before the third day following the signing of this agreement, unless specked here in writing contractor will begin work on or about 2/25/15. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 3/2015.The owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall no be considered as violations of this agreement. Section 11-Warranty The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of 1 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,repair correct, 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. i Section 111-Scope of Work Page 1 of 4 Kevin Mi wp4y Page of lidding Contractor 98 Forest Street North Andover,MA 01845PH:978-C�35 | nAK"97mW7207 Geummm| Proposal ietorenovate existing family room. Permit will beobtained bvcontractor. Demolition All cabinets and raised panels will be removed. Flooring and sub floor will be removed. Existing walls and ceilings toremain. Fireplace hearth will becut back tomeet code. HeatimmNkrComditiomimg Existing heat will borelocated/replaced aarequired. Nnallowance has been made for any air conditioning. |m&eriorTrim/0omrs Any interior trim required will besupplied and installed tomatch existing. Noallowance has been made for any door units. Painting Walls will be patched and painted. Ceiling and trim will also be painted. One coat ofprimer, and two coats of finish will beapplied. Flooring Hardwood floors will be supplied, installed and finished to match existing. Three coats of oil based finish will be applied. Waste Removal All demolition/construction debhowill bedisposed ofbvcontractor. Items Not Included There has been no allowance made to oonop|abe\y gut the room` provide any masonry work, insulation, � p|mabahng. orelectrical work. Kevin : :� .: Page 4 of 4 Buflding Curntt°ayAor 98 Forest Street North Andover,MA 01845 PH:97888&5335 FAX 978-688-7207 Section IV—Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ... ... ... ... ... ... ... ... ... ... ....$ 9850 Payment to be made as follows: Percentage/item Description Amount 1 Deposit / permit obtained $1850 2 Painting complete $5000 3 Floors finished /job complete $3000 Total 3 1 $9,850.00 "Notice:No agreement for Home improvement contracting work shall require a down payment(advance deposit)of more that one-third of the total contract price of the total amount of all deposits or payments which the contractor must make,in advance,to order and/or otherwise obtain delivery of special order materials and equipment,whichever is greater Contractor: Kevin Murphy 98 Forest Street No.Andover, MA 01845 Registration No: 101874 Section V—Acceptance Acceptance of Proposal—I have read 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 on the third business day after the date of this transaction cancellation must be done in writing ADO NOT SI N THIS CONTRACT IF THERE ARE ANY BLANK SPACES mow. Signatur Date Signature Date i ��e tpd��a��2o�zcaealt�o�C�/�iva�aJe� Office of Consumer Affairs&Business Regulation OME IMPROVEMENT CONTRACTOR egistration: 101874 Type: xpi ration: 6/29/2016 Individual KEVIN MURPHY 1 I i I Kevin Murphy 98 FOREST ST. 4 N.ANDOVER, MA 01845 Undersecretary Massachusetts -Department of Public.Safety i 'Board of Building Regulations and Standards Construction Supervisor License: CS-053099 %.i r.5 n KEVIN W MMOV 98 FOREST ST North Andover NfA 0�8 • ' c � � Expiration .754, 06/29/2015 Commissioner i &NX The Commonwealth of Massachusetts Department ofJndusfrialAccWnits Office of Investigations 600 Washington Street Boston.,MA 02111 Uf www.mass.gov1d1a Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/OrganizatiorAndividual): Address: c0F1 City/State/Zip: v-/.v, , , wpAs-Phone#: crK Are you an employer?Check the appropriate box: Type of project(required): li&_g I am a employer with 4. F1 I am a general contractor and 1 6. El New construction employees(fall and/or part-time).* have hired the sub-contractors 7. Remodeling 2. El I am a sole proprietor or partner listed on the attached sheet. ship and'haveno employees These sub-contractors have 8. E]Demolition working for me in any capacity. workers' comp.insurance. [No workers' comp.insurance 5. El We are a corporation and its 9. E]Building addition required.] officers have exercised their 10.n Electrical repairs or additions 3.El I am a homeowner doing all work right of exemption per MGL 11.El Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.Q Roofrepairs insurance required.]t employees.[No workers' 13.0 other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy anti job site information. Insurance Company Name:. Policy#or Self-ins.Lie.#: 5171 Expiration Dat.e: -1 `I Job Site Address: ?,Ci —,City/State/Zip: P, Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL o. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP.WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under th e pains an dp en alties ofperjuiy that the information provided above is true and correct Simature: Date: Phone#: lob 9) Official use only. Do not write in this area,to he completed by c4 or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ID CERTIFICATE OF LIABILITY INSURANCE 6/25/2014 p ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACTAME: Sandi Munroe '........ M P ROBERTS TNS AGCY INC PHONE978 683-8073 F c No:( 78) 683-3147 1060 Osgood Street -MAIL sa17 y %ttpro ertslZlstxC tlCe.COrit North Andover, 01845 INSURERS AFFORDING COVERAGE NPJC# INSU ERA: MERCHANTS INSURANCE INSURED KEVIN MURPHY BUILDING & REMODELING INSURER B: GUARD INSURANCE 169 BOXFORD STREET NSURERC: NORTH ANDOVER, MA 01845 INSURER D: INSURER E: INSURE F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TR TYPE OF INSURANCE POLICY EFF POLICY EXP I S OLIC U /D UMITS X COMMERCIAL GENERAL LIABILrrY EACH OCCURRENCE $ 1,000,000 DAMAGE 10 RLN 1 1=15 CLAIMS-MADE ®OCCUR PREMISES Ea occurre $11 500 1 000 BOPI068945 11/22/1311/22/14 NED EXP oneperson) $ 15,000 Al— PERSONAL&ADVINJURY $ INCLUDED GEN'LAGGREGATE UMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY[3 JET [D LOG PRODUCTS-COMP/OP AGG $ 2f000'000 li OTHER: $ AUTOMOBILE LIABILITY COMB NED S NGLE LIMIT $ r '.......... Ea accident BODILY INJURY(Per ALLOWN MCA7013608 01/23/14 )1/23!15 PROPERTY DAMAGE $"," ,,,,, ''.................. ALLOSAUT SCHEDULED BODILY INJURY(Per accident) $ A AUTOS AUTOS NON-OWNED $ 000,000 HIRED AUTOS AUTOS P accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 A, EXCESS UAB CLAIMS-MADE AGGREGATE $ + CUP9145304 11/22/1311/22/14 RETENTION $ WORKERS COMPENSATTON AND EMPLOYERS'LIABILITY STA UTE (ER"' C 00 ANY PROPRIE(OR/PARTNER/EXECUTIVE Y N ry p E.L.EACH ACCIDENT '$�'"r Jay f�/wu� E O andath1EMBER EXCLUDED? N/A WC527844 07/01/14 )7/01/15 *�'"✓,0 (Mandakoryin NH) E.L.DISEASE-EA EMPLOYEE $ Ifyes,describeunder 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 110 1,Addition at Remarlis Sched Lie,maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1600 OSGOOD STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. NORTH ANDOVER MA 01845 AUTHORIZED REPRESENTATIIm VE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACO RD name and logo are registered marks ofACO RD