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HomeMy WebLinkAboutBuilding Permit # 4/21/2015 i BUILDINGIT o&�,or 6 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION ® ' �i " 1. Permit No#: Date ReceivedArev ��SSaCHus���5 Date Issued: IMPORTANT Applicant must pp u complete all items on this page ; r ror or, riir;r rias /, ✓(/ / / r, r, .. � frucue 11"Z7,r; „, ?,� ?� ri/r/��// fONING D ST I I RCT r r,rr/ r � � r / TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ( ,One family ❑Addition 0 Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial Repair, replacement ❑Assessory Bldg ❑ Others: 0 Demolition ❑ Other /;,;❑ S'eptic',/Or;Well „ ❑ Floo. pain 0 Wetlands 0 Watershed Distract . .,,�� �.,�,,,,,,,,a,.�„ ,�,,,, ,_,a,i/%ri,;,,�ir �,�!,/,��,�i�rd.///J��ir/✓tea„ !�/ {%,;, rrrc,r,�,,;,�;,,,,, „�r,,,rucra„o/,r%r,li//„rp/,,fil //r ,//,,,! /, DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: t .c ` e Phone Address:_ „ a , ,J— NJk' . a ii�iirr/�%// rr ///�%✓% r% ,, /ir / r./. r -.!/i //Iii///r /// / / •// /. ./' ,r /rr„. ri rn%i,.//i-,,,,� /il„�%// ��✓. / ,// r r r a / ,... / /, ,. -.r .. / ,r. r ,fir/ .. /c<. /i,..r ,r ri,/,. r / / / r /i/// ..rrr, r ✓ / i, ✓r /., / %, / /, // ,l rrrr, r,, r / / rr ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: . 1 $ FEE: Check No.: ��/ � Receipt No.: CP NOTE: Persons eontracti with unregistered contractors do not have acces to the guaranty fund Signature of Agent/Owne M1)AAm__,' Signature of contracto C Town of tE ndover No. ^�E h ver, Mass, Z� COC NIC Nl WICK �d A0 R4T E D P'? %_ 1S U BOARD OF HEALTH rERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT ..... ��'.(.r:,rr�... � ssr::.......................................................................... BUILDING INSPECTOR has permission to erect .......................... buildings on ..3 ? r.t...S ................................. Foundation .//.. ;?n?eqf ' .....� G `:J.' Rough tobe occupied as ........... ....................................................................... 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 CONSTRUCTIO STARTS Rough ................................. Service ........ ...... .. ....`__"_" ... BUILDING INSPECTOR Final GAS INSPECTOR Occupancy Permit Required to Occupy Buildink 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 Kevin '.Murp 0 I North Andover,MA 01845 I'lly 0PH:978-688-5335 Building Contractor • FAX:978-688-7207 Proposal To: John&Regina Jesser 37 Court 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: 4/20/2015 Job: Bath 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 4/13/15. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 5/30/15.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 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. Section 111-Scope of Work Page 1 of 4 Kevin Murphy Page of muilding Contractor 98 Forest Street North Andover,MA 01 W PH:978-68&5335 FAX 97B6W7207 General Proposal is to renovate existing main bathroom. Permits will be obtained by contractor. Demolition Existing bathroom will becompletely gutted. Building All home and siding materials will be supplied by contractor. Existing window will be removed. New Harvey all vinyl awning window will be supplied and installed. Siding/exterior trim to match existing. Plumbing Plumbing required to renovate bath will be provided. Bathroom layout to remain the some. Fixtures to be supplied byowner, installed bvcontractor. Electrical E|edhoe| work required to wire bathroom to node will be provided. New Panasonic bath fan/ light will be � | supplied and installed. Surface mounted fixtures to be supplied by owner, installed by contractor. General layout hobeapproved byowner prior b)rough. � � Hmatmg/AirComditk»ming Existing heating unit will bereplaced with new baseboard. � Insulation Fiberglass insulation will be supplied and installed. � Plaster Bathroom will be blueboarded and skimcoat plastered. Walls and ceilings will be smooth. 8nteriorTrim/Doons Pne'phnnad interior trim will be supplied and inobm||od to match existing. Interior doors to remain. Bath vanity/ counter tobasupplied bvowner, installed bvcontractor. Painting All interior and exterior painting will be provided. One coat of primer, and two coats of finish will be applied to all painted surfaces. Flooring Tile floor will be supplied and installed. Walls around new tub, will also be tiled. An allowance of$7 per square foot has been included for file material. Kevin Murphy Page 3 of 4 iwilding,Coraxactor 98 Forest Street North Ardover,MA 01845 PH-978688,5335 FAX 97868&7207 Waste Removal All demolition/construction debris will be disposed of by contractor. Items Not Included No allowance has been made for a closet organizer. Kevin 11 : )i� ' Page of 4 Building tont radx)r 98 Forest Street North Pndover,MA 01845 PH:97&6885335 FAX 9787207 Section IV-Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ... ... ...... ... ...... ... ... ... ....$ 18,500 Payment to be made as follows: Percentage/Item Description Amount 1 Deposit/ permit obtained $2500 ? 2 New window installed $9000 3 Trim /the complete $4000 4 Job 100% complete $3000 Total 4 $18,500.00 -Notice:No agreement for Home improvement contracting work shall require a dawn 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 C, e Signature .. Date ( / Signature Date The Commonwealth of Massachusetts Department of Industrial Accidents a I Congress Street,Suite 100 Boston,MA 02119-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE TILED WITH THE PERiVHTTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Irrdividual): Address: 'Z 'y S:µr_ City/State/Zip: , , tl t t8 4;S' Phone##: - Are you an employer?Clreck the appropriate box: Type of project(required): 1. I am a employer with employees(full and/or part-time).* 7. E]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. M Demolition 3.Q I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 F1 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 arc sole 11.❑Electrical repairs or additions proprietors with no employees. 12.F1 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.$ p 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. 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. I anz an employer ilzat is providing iporlrets'conipertsation irtsur'auce for rtry employees. Belolp is the policy and job site information. Insurance Company Name: ' Policy#or Self-ins.Lic.#:. t ik.,C, t t'k. " Expiration Date: Job Site Address: , " City/State/Zip: � aA Attach it 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 WORD 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 her y certify uttder the pains and penalties ofpetjuty that the information provided above is true atzd correct. Si nate e: - Date: Phone Official use only. Do not sprite in this area,to be completed by city or toipzt official. City or Town: Permit/License# Issuing Authority(circle one): i 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: !::"" �R CERTIFICATE ®F LIABILITY INSURANCE 6/25/04DYYYY) . 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 CONTACT NAME: Sande Munroe M P ROBERTS INS AGCY INC PHONE (978) 683-8073 aC N0.(978) 683-3147 1060 Osgood Street E DfiESS:San ?@mprobertsinstarance.com North Andover, NIA 01845 INSURERS AFFORDING COVERAGE NAIC# INSURERA: MERCHANTS INSURANCE INSURED KEVIN MURPHY BUILDING & REMODELING INSURERB: 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 PEROD '... 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 CONDITONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAID CLAIMS. SR WUL JWUK POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD D POLICYNUMBER (MM/D1yYYYY1MM !Y LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000 ,000 CLAIMS-MADE ®OCCUR PREMISES Ea occurrence $ 500,000 BOPI068945 11/22/13 1/22/14 MED EXP one person) $ 15,000 A PERSONAL&ADVINJURY $ INCLUDED GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICYE]JECT PRO- ®LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER, $ AUTOMOBILE LIABILITY + I tlt--DnISINGLE OMIT $ 1, , O O ANYALITO MCA7O13608 01/23/14 1/23/15 xd BODILYINJURY(Perperson) $ I_ A AUTOSALLOWNED X SAUCT ULED BODILY INJURY(Per accident) $ OS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per 'd t $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS UAB CLAIMS-MADE AGGREGATE $ 1,000,0 O CUP9145304 11/22/1311/22/14 DED RETENTION WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY STA UTE OER B ANY OFFICEROPR1ErEMBER t LUDEDIXECUTIVE YIN N/A E.L.EACH ACCIDENT $ 500,000 (Mandatory In NH) KEWC527844 07/01/14)7/01/15 E.L.DISEASE-EA EMPLOYEE $ 00,0 U Ifyes,descrbeunder 500 000 DESCRIPTION OF OPERATIONS m E.L.DISEASE-PO ICY LIMIT $ r DESCRIPTION OF OPERATIONS/LOCATIONS/VEHCLES (ACORD 101,Adkfiticnal Remarks Schedule,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 REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Massachusetts - Department of Pudic Safety Board of Building Regulations ana Standards Construction Supers isorr License: CS-053099 KEVIN W MURP#V 98 FOREST ST North Andover MA- 0184q tx p;ration Commissioner 06/29/2015 r ulatioa'//; ��ie �Payrz.nw-rz-cueuBuesihes,Reg office of Con pVEMENTrCot4v OR Type: - _ __ OME IMPR egistration: 101874 Individual Xpiration: 612912016 KEVIN MURPHY Kevin Murphy gni y 98 FOREST ST. Undersecretary N.ANDOVER,MA 01845 i