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HomeMy WebLinkAboutBuilding Permit # 3/17/2015 i BUILDING PERMIT ®� NoaTFI � TOWN F NORTHANDOVER �av� APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received a °-Ar.o SSACHLl Date Issued: mr IMPORTANT: Applicant must complete all items on this page ,.r/,LOC (,. arr/(lG�,//ri., ,%/�/�./�r ,,.,, ,r1 �i/, r r.. , c,i//r/,����//i.//./i✓r�fr.,.r,,,,,r//%/1�.✓�l%i L./,� ,/� // /// r ..............r/, i / r / / / / /„ ,rrr, ✓/ //.,, r /i ////r/�i TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building V One family ❑Addition ❑Two or more family ❑ Industrial I Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Floodplain r/ .' ❑//i / r Septic Well / ' We ❑ Watershed Distract ' "` /i��Oi//i/j� i, ,� r�/r / r f;./i, !r !/i%r////%//�j//r /r�/ r,-,,,,✓//, /r ,,, %,;/ r�//r/�y�/ ��/ r/r// �.-o / J,,, ,/a DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: rt,. Phone: Address: i ,. - v //./ /,/,/rr ,rri ,///r/ ///rii r / „/, „r,� `// r /r r r, / „, r // % / „/,,,,✓i ;;, / p ///�;,,�;,r< ;,,,, r// /�.,// / - � r,r r, r of r, ./ /,/rl/, /✓ r / �Adr.�r rr,r^,�//ir�' ����// ,i„r_ r,/�/� r, r„r ���/l/%�, /i, � r�r'��r ✓iicoi� /11, r„iv ,,/���/��%///��/ir/i/ ,r i / r ri r r / / rir / /ri ! ✓ ri„ r r / r rrr / r� ii r.✓J ,, � ,,, /; r ��// i1,/ Jia/ r// /ia �;,,,, ,..r/r,. �/ � /r / r /,,, /rinr o,.✓iro rGi/inp„ ,,, ///%%rG/„�,,, ,/ int/,/,r�„r,%i// ,cE //i� �� %�f�%✓��i��G//,�,,//�ci/;, ARCHITECT/ENGINEER t�Jc Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 2 72, ”1 20 FEE: $ Check No.: , I Receipt No.: NOTE: Persons contract' ith registered contractors do not have access to the guaranty fiend Signature of Agent/Owner _ __ Signature of contractor _ w ; NORTH Town of 71 - `^ h Ver, Mass, COCHICH@WICK , AD�'`tED O'4 '`y S U, BOARD OF HEALTH Food/Kitchen rERMIT T LU Septic System THIS CERTIFIES THAT r%1. '/he. .��G�14-�! BUILDING INSPECTOR ...... n/....... .... .. ............ ..................................................... has permission to erect buildings on-.� ...Y..1 �-. Foundation p Rough to be occupied as ...............A�.�.�.4...glrn"�,!/. ................................................................... chimney provided that the person accepting this permit shall in every respect 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 UNLESS CONSTRUCTION STARTS Rough .�_ Service . ...................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Islay 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. 098 Forest Street ..in. Murphy • North Andover,MA 01845 • PH:978-688-5335 Building Contractor • FAX:978-688-7207 i Proposal To: Brian &Alison Trundy 344 Rea Street All Home improvement Contractors and Subcontractors engaged in home 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 about registration and Status should be made to the Director,Home Improvement Contract Registration,One Ashburton Place, From: Kevin Murphy Room 1301,Boston,MA 02108.(617)-727 8598 CC: Date: 3/17/2015 Job: Master Bath Date of plans: 1/15 C Architect- Steve Foster Location: Same Section I-Work Schedule Contractor will begin the work or order the materials before the third day following the signing of this agreement, unless specified here in writing contractor will begin work on or about 2/23/15. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 4/15/15.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 II-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. Section III-Scope of Work Page 1 of 4 Kevin Mur.phy Page of Building Contractor 98 Forest Street North Andover,MA 01845 FAX,97&688-7207 General Proposal is to renovate expand existing master bath as shown on plans. Permit to be obtained by contractor. Plans provided byowner Demolition Existing master bath area will becompletely gutted Building Framing materials required to relocate interior petitions will be provided. Two new Harvey doublehung windows, and one awning unit will besupplied/installed ooshown onplans. Plumbing Plumbing required bnrelocate fixtures according b)plan will be provided. Copper pan for shower will baprovided bvcontractor.All other plumbing fixtures tobesupplied byowner. Electrical Electrical work required to wire bath to code will be provided. Panasonic fan/light will be supplied and installed. Surface mounted fixtures ( wall sconces/vanity lights ) to be supplied by owner/installed by contractor. Five recessed lights will be supplied and installed. Existing timer will be reused. Plugs /ewvthes to match existing. Cable will be relocated as required. General layout to be approved by owner prior to rough. Heatimg/AirComditimmiug Heating/air conditioning boberelocated aerequired. |msm|w8on Bathroom will have fiberglass insulation supplied/installed. Plaster Bathroom/closet area will be blueboarded and skimcoat plastered. lntmMorTrim/0onme Pna-phmedinbahorbinn/dooravviUbeoupp|iedandinstoUadtometchexioUng. � � Bathroom vanity/counter to be supplied by owner, installed by contractor. � Painting Noallowance has been made hmprovide any interior orexterior painting. Flooring Keviri =^~=p=ky Page of uuflding;Contnwtot� 98 Forest Street FAX,97B-6W7207 Tile floor and shower will be provided in bathroom.An allowance of$6 per square foot has been included for tile materials. Hardwood floors will be supplied and installed in master bedroom to match existing. Three coats of oil booed finish will beapplied. Waste Removal All demolition/construction debris will bedisposed ofbvcontractor. � � Kevin Murphy Page 4 of 4 ��fueIding Ccaaat�°mAx.)r g 98 Forest Street North Andover,MA 01845 PH:9786885335 FAX 978-68&7207 Section IV-Price Schedule i We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ... ...... ... ......... ... ... .......$ 27,750 Payment to be made as follows: Percentage/Item Description Amount 1 Deposit / permit obtained $1750 2 Windows installed $8000 3 Rough plumbing / electric complete $5000 4 Plastering complete $4000 5 Tile /flooring complete $6000 6 Job 100% complete $3000 Total 6 $27,750.00 `Notice:No agreement for Home improvement contracting work shall require a dam 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 DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Signature - Date Signature Date ��e�pooua�zrnacueal�o��/j�aet�ac�uae� ' Office of Consumer Affairs&Busibess Regulation rOME IMPROVEMENT CONTRACTOR egistration: 101874 Type: ration:pi6/29/2016 Individual KEVIN MURPHY - Kevin Murphy ! 98 FOREST ST. g i N.ANDOVER, MA 01845 Undersecretary i Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-053099 KEVIN W MURPO 98 FOREST ST I North Andover WA 011111 Expiration Commissioner 06/29/2015 The Commonwealth of Massachusetts Department oflndustrialAccidents a I Congress Street,Suite 100 Boston,NIA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/PIumbers. TORE FILED WITH THE PERNIITTING AUTHORITY. Amlicant Information Please Print Lesibly Name(Business/Organization/Individual): Address: b City/State/Zip: or,, c iy,4r Phone#: 1 5",73 Are you an employer?Check the appropriate box: Type of project(required)' 1.W I am a employer-with_��employees(frill and/or part-time).* 7. ❑New construction 2.Q I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. Demolition 3.Q I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10❑Building addition 4.Q I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.Q Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.Q I am a general contractor and I have hired the sub-contractors listed on the attached sheet 13.. Roof airs These sub-contractors have employees and have workers'comp.insurance.$ Q rep 6.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14,.Q Other 152,§1(4),and we have no employees.[No workers'comp.insurance required] *Any applicant that checks box t/1 must also fill out the section below showing their workers'compensation policy information. t 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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. f I ant an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site { information. Insurance Company Name; Policy#or Self ins.Lie. Expiration Date: I Job Site Address: t 1 --a— City/State/Zip: t,'t,, CJ Attach a copy of the workers'compensation policy declaration page(sho-vingthe policy number and expiration date), Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.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 the pains and penalties of pelywy that the information provided aboveistrue and correct. Si nature. X Date: � l 0 Phone#: 1b S3'b .. Official use only. Do not sprite in this area,to be completed by city or town official. I City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: DATE CERTIFICATE OF LIABILITY INSURANCE 6/25/2014 arn 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(les)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 conferrights to the certificate holder in lieu of such endorsements. PRODUCER FNAMEE, andi Munroe M P ROBERTS INS AGCYINC (978) 683-8073 ac No:(978) 683-3147 1060 Osgood Street an i mpro ertsinsurance.com North Andover, MA 01845 INSURERS AFFORDING COVERAGE NAIC# INSURERA: MERCHANTS INSURANCE INSURED KEVIN MURPHY BUILDING & REMODELING INSURER,. GUARD INSURANCE 169 BOXFORD STREET INSURER C: NORTH ANDOVER, MA 01845 INSURER D: INSURER E: INSURER 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 13Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAYHAVE BEEN REDUCED BYPAID CLAIMS. '.. LTR TYPE OF INSURANCE INSD MVD POLICY NUMBER AAUfDdY FBF POLICY EXP LIMITS 'I X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE_ $ 1,000,000 CLAIMS-MADE ®OCCUR PREMISES occurrence) $ 500 ,000 '.,. BOPI068945 11/22/1311/22/14 MED EXP An one person) $ 15,000 A PERSONAL&ADVINJURY $ INCLUDED GEN'L AGGREGATE LIMITAPPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY®PO- JET ®LOC PRODUCTS-COMP/OP AGG $ 2,000,000 '.. OTHER: $ '.''.. AUTOMOBILE LIABILITYOaBINEn SINGLE LIMIT $ 1,000,000ANYAUTO A AUTOS ALLOWNED X �T�SCHEDULED MCA7013608 01/23/14 1/23/15 BODILY INJURY(Per person) $ BODILYINJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ '... UMBRELLA UABOCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS UAB HCLAIM!'3-MADE CUP9145304 11/22/1311/22/14 AGGREGATE $ 1,000,000 DED I I RETENTION WORKERS COMPENSATION X AND EMPLOYERS'UABILrfY YIN STA UTE OER ANY PROPRIEr0R/PARTNER1EXECUTIVE E.L.EACH ACCIDENT $ 500,000 B oFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) KEWC527844 07/01/1437/01/15 E.L.DISEASE-EA EMPLOYEE $ 500,000 '... DESCRIPTION yes,descrbeunder E.L.DISEASE-POLICY LIMITESC PT ON OF OPvS 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHCLES (ACORD 101,Additional Rema`ks Schedule,maybe attached if more space's 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 NORTH ANDOVER MA 01845 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Im ©1988 2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD