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HomeMy WebLinkAboutBuilding Permit # 3/18/2015 I O� BUILDING PERMIT �oRTH ,q.ED Z. TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION _ Permit No#: Date Received �,q"oR` ""PP��y areo P Date Issued: I.l 11 SSAC HUSE IMPORTANT: Applicant must complete all items on this page - LOCATION � H; Print p PROPERTY OWNER;�I �l / Print„; „100 Year"Structure ye "s a PARCEL: :; ZONING DISTRICT. Historictstricf ye„ ) Machine ShopVillage ' ye TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building /'One family ❑Addition ❑ Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other pater/Sewer Well ❑ Floodplain [],Wetlands []''Watershed District C Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: 9f, .moi gt Identification- Please Type or Print Clearly OWNER: Name: C�t3i'%��/� � Phone: 7 ' . Address: _ Contractor Name:. ",,0hone: ,Add r6ss/: f Supervisors Construction License: C C ` Exp. Date J 3� Ho►ne;lmprovement License: Exp. Date; .; ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ ” Check No.: 1 t Receipt No.: � NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner, Signature of contract t%®RTH �. FTown of 1-ladover 0 0% • � HAA-VI ass �� ver, M , - 4 O LAKE A. COCMIC HE WICK V �®AERATED pP�`�,�5 S U BOARD OF HEALTH PER IT T LD Food/Kitchen Septic System BUILDING INSPECTOR % THIS CERTIFIES THAT . ............'r. ... ....... ® !�Sa�•1.................... .............................. ..... .. .... ..... .... ... Foundation has permission to erect .......................... buildings on .... ....... ••••••••••••••• •............•• Rough � 1 tobe occupied as ..... ................ ....... ;,r!AO `.................................................................. 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES 16 MONTHS ELECTRICAL INSPECTOR UNLESS COSTR O ARTS Rough Service .... ... ............................. 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. �? Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-105086 ;. THEODORE M KE'•LLE 214 SUTTON HILL RUQ ° NORTH ANDOVER m0 4 r Expiration Commissioner 10/08/2015 &Ze�oa�r��zoazcueal�o�C�laeaac�aae ffice of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR gistration: 765887 Type: xpiration: 4/5/20'f6 DBA TMK REMODELING THEODORE KELLEY 214 SUTTON HILL RD. g NORTHANDOVER, MA 01845 i Undersecretary I License or registration valid for individul use only f found before the expiration date.of Consumer Affairs jand Business Regulation Office Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 ✓ Not valid w[thout signature The Commonwealth of Massachusetts Department oflndustrialAccidents N 1 Congress Street, Suite 100 Boston,MA 021142017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual):��� �/ 0G fi�i/ Address: Z/� 5'&/1/7Z4t/ ZI City/State/Zip: & �PU VtC— ',- Phone 9z 655—'- Are you an employer?Check the appropriate box: Type of project(required): 1.,EJ11`am a employer with 3�employees(full and/or part-time).* 7. ❑New construction 2.❑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.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 0 Building addition 4.❑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 1.1.❑Electrical repairs or additions proprietors with no employees. 12.E]Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.$ 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#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. #Contractors 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. I am an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site information. Insurance CompanyName: Policy#or Self ins, Lie.#: � '� U /?Z-- Expiration Date: / Job Site Address:- 66 S% City/State/Zip: /X'/ 4NDOVcr— Attach a copy of the workers' compensation policy declaration page(showing the 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 cer•ti enderthe pains and penalties ofper' ry za e information provided above is tare and correct. Si nature! Date: 61 . Phone#: 7 �� Official use only. Do not write in this area,to be completed by city 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#: OP ID: MH acoRL?§ CERTIFICATE OF LIABILITY INSURANCE 703/18/15 E(M YYY) 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 confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 978-975-1300 CONTACT Segreve&Hall Insur.Assoc.Inc PHONE FAX 305 North Main St. 978-975-7596 H No Ext: (AC' AC No): Andover,MA 01810 E-MAIL Lawrence J.Hall ADDRESS: PRODUCER TMKRE-1 CUSTOMER ID#: INSURER(S)AFFORDING COVERAGE NAIC# '.. INSURED TMK Remodeling INSURERA:Arbella Protection Ins.Co. 41360 214 Sutton Hill Rd INSURER B:ASIC 11104 North Andover,MA 01845 INSURER C: 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 BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSLTR TYPE OF INSURANCE DDL UBR POLICY NUMBER MM%POLEFF POLICY MMIDD� LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY DAMAGE T RE TED 100 00 PREMISES Ea occurrence $ � CLAIMS-MADE FIOCCUR MED EXP(Any one person) $ 5,00 8500058513 03/08/15 03/08/16 –PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 '.. GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM P/OPAGG $ 2,000,000 1-1 POLICYLI PRO- JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ '.. ALL OWNED AUTOS BODILY INJURY(Per accident) $ '.. SCHEDULEDAUTOS PROPERTY DAMAGE $ '.. HIRED AUTOS (Per accident) NON-OWNED AUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATIONWC STATU- 0TH- AND EMPLOYERS'LIABILITY TORY LIMITS ER B ANY PROPRIETOR/PARTNER/EXECUTIVE YIN5R 04/01/14 04/01/15 E.L.EACH ACCIDENT $ OF EXCLUDED? N/A (Mandatory in NH) 5005011872 04/01/15 04/01/16 E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cit of Newton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City ACCORDANCE WITH THE POLICY PROVISIONS. 1000 Commonwealth Avenue Newton,MA 02459 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD TMK Remodeling 214 Sutton Hill Rd Contract CSL 105086 North Andover MA 01845 Robinson-66—Lacy—St R2 HIC 165887 9788524491 RRP LR000106 www.tmkremodeling.com CONTRACTOR AGREEMENT THIS AGREEMENT made this 20Yby and between Theodore Kelley dba TMK Remodeling, Construction Supervisor License#105086,214 Sutton Hill Rd, North Andover MA 01845 hereinafter called the Contractor, and Craig and Susannah Robinson hereinafter called the Owner. WITNESSETH,that the Contractor and the Owner for the consideration named herein agree as follows: ARTICLE 1.SCOPE OF THE WORK The Contractor shall perform all of the work described in the specifications entitled Exhibit A—Statement of Work, as annexed hereto as it pertains to work to be performed on property located at 66 Lacy St North Andover MA 01845. ARTICLE 2.TIME OF COMPLETION The work to be performed under this Contract shall be commenced on or before February 02, 2015 and shall be substantially completed on or before March 27, 2015 ARTICLE 3.THE CONTRACT PRICE The owner shall pay the Contractor for the labor and materials to be performed and supplied under the Contract the estimated sum of Twenty Eight Thousand Two Hundred Dollars and No Cents ($28,200.00), subject to additions and deductions pursuant to authorized change orders. The contract price includes two Fixed cost of Twenty Seven Thousand One Hundred Ninety Four Dollars and No Cents($27,194.00)for the building materials and construction labor as specified in Exhibits A and B. Variable cost of One Thousand Six Dollars and No Cents($1,006.00)for the allowance items listed in Exhibit B Allowances Schedule and will be 110%of the actual invoice price paid by the Contractor to his suppliers. Exhibit B lists the allowance items and budget costs the Contractor will purchase for the Owner. Sales tax and freight are not inlcuded in allowance budget. Contractor will furnish and install all building materials,fixtures and finish items unless noted otherwise. Items supplied by Owners: Cabinets and all cabinet accessories and trims; countertops ARTICLE 4. PROGRESS PAYMENTS Payments of the Contract price shall be paid in the following manner from the Owner to the Contractor: 33% upon contract acceptance and signature; $9,400.00 33% upon rough building inspection;$9,400.00 33% upon final building inspection and owner sign-off;$8,394.00 plus the actual contract price for allowance items as defined in Article 3. The contract cost for mutually agreed to change orders will be paid 50%at time of change order signature and 50%after completion and owner sign-off. ARTICLE 5.GENERAL PROVISIONS 1.All work shall be completed in a workmanship like manner and in compliance with all building codes and other applicable laws. 2.To the extent required by law all work shall be performed by individuals duly licensed and authorized by law to perform said work. 3. Contractor may at its discretion engage subcontractors to perform work hereunder, provided Contractor shall fully pay said subcontractor and in all instances remain responsible for the proper completion of this Contract. Copyright TMK Remodeling 2014 Initials - All Rights Reserved Page 1 TMK Remodeling 214 Sutton Hill Rd Contract CSL 105086 North Andover MA 01845 Robinson_66_Lacy_St_R2 HIC 165887 9788524491 RRP LR000106 www.tmkremodeling.com 4. Contractor shall furnish Owner appropriate releases or waivers of lien for all work performed or materials provided at the time the next periodic payment shall be due. 5.All change orders shall be in writing and signed by both Owner and Contractor. The cost for mutually agreed to additional work, required due to unknown conditions or substantive change orders, will based on the current bill rates for the actual time used.Additional materials will be billed at contractor cost.All change orders subject to 10% markup for overhead. 6. Contractor warrants it is adequately insured for injury to its employees and others incurring loss or injury as a result of the acts of Contractor or its employees and subcontractors. 7. Contractor shall at its own expense obtain all permits necessary for the work to be performed. 8. Contractor agrees to place all debris in an on-site trash receptacle(dumpster)and leave the premises in broom clean condition. 9. In the event Owner shall fail to pay any periodic or installment payment due hereunder, Contractor may cease work without breach pending payment or resolution of any dispute. 10. The Contractor and the Owner hereby mutually agree in advance that in the event that the Contractor and Owner have a dispute concerning this contract,the Contractor may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and the Contractor and Owner shall be required to submit to such arbitration as provided in MGL c 142A. 11. Contractor shall not be liable for any delay due to circumstances beyond its control including strikes, casualty or general unavailability of materials, or inclement weather. 12. Contractor warrants all work for a period of 12 months following completion_ 13. Contractor may post small signage(18x24")on property advertising services during the duration of the project. 14. The Contractor and subcontractors shall be registered and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Office of Consumer Affairs and Business Regulation Ten Park Plaza, Suite 5170 Boston, MA 02116 Phone: (617) 973-8700 15. The Contractor or Owner may terminate this contract at any time for any reason by giving 3 days notice in writing to the other party. If the Owner terminates the contract as provided herein, the contractor will be paid a fair payment for work (labor and materials) completed as of the date of termination plus any materials or equipment that are backordered and not delivered. Fair payment is defined as actual job costs for the project plus 10%overhead charge. The contractor will provide a written report detailing actual job costs plus overhead for payment. If the Contractor terminates the contract as provided herein,then the Contractor will refund any funds paid by the Owner that are a remaining balance for the labor and materials used as of the date of termination plus any materials or equipment that are backordered and not delivered. The Contractor will make arrangements for the backordered items to be delivered to the Owner. Copyright TMK Remodeling 2014 InitialslIV,- Xse — All Rights Reserved Page 2 1 /VtO TMK Remodeling 214 Sutton Hill Rd Contract CSL 105086 North Andover MA 01845 Robinson-66-Lacy-St-R2 HIC 165887 978 852-4491 RRP LR000106 www.tmkremodeling.com ARTICLE 6.OTHER TERMS ARTICLE 7.ACCEPTANCE Signed this,Lday of 20 IV Owner Co tractor NOTICE: The signatures of the partie above apply only to the agreement of the parties to alternate dispute resolution initiated by the contractor. he owner may initiate alternative dispute resolution even where this section is not signed the by t e parties. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Copyright TMK Remodeling 2014 Initials All Rights Reserved Page 3 Licenses: TMK Remodeling Exhibit A-Statement of Work CSL 105086 214 Sutton Hili Rd Robinson-66-Lacy-St-R2 HIC 165887 North Andover MA 01845 RRP LR000106 978 852-4491 www.tmkremodeling.com A B C D E F I G 1 49 Furnish and install 8 under cabinet fixtures-Juno Halogen type on 2 switches. 8 $0 $0 50 Furnish and install counter outlets to code compliant. 6 $0 $0 51 Furnish and install power for the following appliances:dishwasher,refrigerator,disposal,electric stove,vent hood. 5 $0 $0 52 Install pendant fixture,over sink with switch(customer to supply fixture) 1 $0 $0 53 Provide demo as needed for removal of wail and changes in appliances. 1 $0 $0 54 Total cost for electrical 1 $8,665 $8,665 55 17 Insulation 104 $312 $312 56 Wall Insulation R-15 104 $312 $312 57 18 Interior Walls 47 $2,119 $2,119 56 1 side wall finish:1/2"piasterbase,plaster skim coat,3 coats paint,wood baseboard 47 $2,119 $2,119 59 19 Ceilings&Cover 170 $972 $972 60 Ceiling-1/2"plasterbase,plaster skim,2 coats paint on 1x2 strapping 170 $972 $972 61 20 Millwork&Trim 186 $784 $784 62 Install 31/4 crown molding,painted 86 $409 $409 63 Install and finish custom millwork+materials 100 '$375 $375 64 21 Cabinets&Vanities 17 $1,237 4 $300 $1,537 65 Install cabinets provided by Owner 17 $1,237 $1,237 66 Supervise template and installation of countertops 4 $300 $300 67 22 Specialty 33 $446 $446 68 Wall Backsplash+the allowance 33 $446 $446 69 23 Floor Coverings 437 $1,980 $1,980 70 Install 31/4"Oak Strip flooring,unfinished 167 $1,170 $1,170 71 Sand and Refinish floor,stain,2 coats poly 270 $810 $810 72 32 Allowances 2 $775 33 $231 $1,006 73 Pendant fixtures 1 $125 $125 74 Sink'and faucet 1 $650 $650 75 Tile for backsplash 33 $231 $231 76 Overhead 1 $2,565 $2,565 77 31 Overhead&Expenses 1 $2,565 $2,565 78 Overhead 1 $2,565 $2,565 79 Grand Total 91 $18,664 233 $2,903 2291 $6,743 $28:200 Copyright©TMK Remodeling /� dry p� All Rights Reserved Page 5 Unlawful to distribute without permission l9 /y.9 .ze Licenses: TMK Remodeling Exhibit B-Allowance Schedule CSL 105086 214 Sutton Hill Rd Robinson 66 Lacy_St R2 HIC 165887 North Andover MA 01845 RRP LR000106 978 852-4491 www.tmkremodeling.com Sink and faucet 1 650 650 Tile for backsplash 33 7 231 Pendant fixtures 1 125 125 Sales tax and freight not included in allowance budget Copyright @ TMK Remodeling All Rights Reserved Page 6 Unlawful to distribute without permission -283" 4 Q rLDOOK qlllNDOIV 166 LJ" G 5316" �24 2 4 7GJ-' 106 " 438° 318" WC.31 J'X30; 0 2)W 915'D; WC31 x30; EPB-LI';FL.FIN-L; I=",UR,W-ID; EPB-RI';FL.FIN-R, ('34 W-W5R V, MULL.-6 LIGHT- W-W5L 1. 3/16'AQUATDf — I l 12I 3AD24; PCBC36;PC55; BC4Q 5-IW I'- FIN-P -IN-P;CUTI DW I xvmi:9 X%To�- —————— re 52,5L' IS 1 CORBEL QTY.2 Bf3 I rL rIN-R. CORG-MP -W-IF51-I ROBINSON KITCHEN78i' HAGER5TOWN CUSTOM CABINETRY �O (WC30 15 DOOR5 t DEEP DRW5.:HRP-300 ARCH-UPPER :HRP-100 5QUAPE-LOWER C.H.90 0 PA15E,EDGE: 5LANT RA15E,EDGE G I Z 5HALLOW DRAWER5: HRP-100,5/4 W 7 FINISH: PAINT-FGG5HffH wcj I 17 rL r1w 35' CABINET5 TO 84 J-PLU5 fA5CIA AND IN E-5?,I TDWW_i�; CEILING HEIGHT PW" CROWN TO 90 W. _I Doe 3 HINGE FIN15h: CONCEALED DOOR HARDWARE: 53003G 10 FILL DRAWER HARDWARE: 53003GIOPULL 50LID 19 18d COUNTERTOP5: GRANITE 5TOCK DEP-A; 18REP 30" COLOR: T51) X 5"H-72'; TRIM EDGE: EA5ED fIN15H ONE ON-51rr: CB-10 BA51EBOARO t FA5CIA 0 13ACK5PLA5H: NONE 5PECIfIED PACE 1 UC36FLWP-5 I CROWN 50' ;,' PANEL M ROT-4;2G' FIN R. WREF3G 14 X 32' 3O'D;W-ID G, B I I LIGHTRAIL 21" DEP-A. T-ID-G'; TKO 5/4 TOE KICK TRIMWC+05,27' -t T-IH?; O TOUCH-UP M ON-SITE 9-D�,VAL B; T-EPEBP-V HARDWARE-QTY.5 EXTRA MMMA W-EP51-11': A5ffMENT 1-248" 75' 1043" J, -351' ' 2401UGAAVRMMW wa mum.mw4 enQr APPROVAL DATE Copyright C)2014 Design Delights,L.L.C. KI I cr 3 2834" v`av^TMi„�PmaoTMno�v 4DOOR CtWMDOW 63° 66 6" 53 6" 244"—� 762° 1062 438" 3 18° II x 521° u � 788° REMOVE WALL IX15TING KITCHEN d 0 ZZZ 1378° 35° 30," W N 2 =Z '1 U t� OR II II 3716° -3 I _, 62 50 FAMILY ROOM 2k < < � 1514° —'F nneermW BASEMENT 248°�' —75" 104"° — 2404" Gb11AYRErl,AI®D once e�ueo�tstrw r APPROVAL DATE Copyright2014 DesignDelights,L.L.C.