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HomeMy WebLinkAboutCUT OUT INSCRIBED PANELS FROM BACK OF SCHOOL FOR FUTURE USE BUILDING PERMIT TOWN OF NORTH APPLICATION FOR PLAN EXAMINATION -„ Permit NO: Date Received Date Issued: cwus��a`a WPORTANT:Applicant must complete all items on this page ii 'Ti ,i,.,. ;„ ,,, � ;„ l,. ,„ � „ ; � ;. / �i����,�%//,� err� ��j���ir✓/i��i��j�/�������/i /�� // i��i//� ai�i i M�P,N����;��r'A� �i �„„�„,,,�,,,�Ohl►����� T�'lC�'S „r �d�tw�c�� to�%�l '� es '�%tno TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: Htommercial ❑repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other [ ' tl ; iii ❑ Fip� �n ❑ etlndW, ir~r1 O� tn .l Identification Please Type or Print Clearly) OWNER: Name: a , ,ry .. Phone: ` c E ­ .. ( F Address: I i r r i ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST SED ON$125.00 PER S.F. Total Project Cost: $1_LL2L, el. FEE: Check No.: ` Receipt No.: t2.1775— NOTE Persons c ntrarcting Wilt unregistered contractors do not Have access to tine guaranty find Signature of Ageht/Owner ignature of contractor _221 w - . tAOF3TH Town of E t' Andover ® �� �' to O Il �O LAKE h h ver, Mass, Is COCHICNEWICK A°RATED PP���� U BOARD OF HEALTH PERMIT TFood/Kitchen 111 Septic System THIS CERTIFIES THAT .� :... ................. X5...... ......1 . ... �... f BUILDING INSPECTOR . .. � a� Foundation has permission to erect .......................... buildings on -7A...... ... ,1 .. ................................. Rough to be occupied as ....9zMwJ.'e ...... .. ... ...... .. .. .BJ. . .... .t:. .t'!°1.............L ...... • chimney provided that the person accepting this permit shall in every respect conform to the terms of the applic i n 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 PERMITI IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO T S Rough Service ...................... .... ............................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required t® Occupy BullddnRough 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 Approvedthe Building Inspector. Burner Street No. Smoke Det. MASONRY&MORE CORP. (978)594-1138 MurrayMasonry.com COAITAACTVVG AGREEAMAiT Real this,agreement and make suit you understand it before si-g .ug it This agreement has legal force and effect and binds those who sign it. Notice: All home improvement contractors and subcontractors engaged in home improvement contracting,unless specifically exempt from registration by provisions of Chapter 142a of the general laws,must be registered with the Commonwealth of Massachusetts. Inquiries about registration anal status should be made to the Director of-Home Improvement Contract Registrab on, Office of ConsumorAffairs andBusiness Regulation,Ten Park Plaza, Suite 5170,Boston,MA 02116, Designated Registrant's Name: Brendan Murray,President Murray Masonry&More,Corporation Registration Number: IRC License# 169898 This agreement is made on(date) 4(X'111<'-<'- between Murray Masonry&More, Com. hereinafter called"Contractor." 100 Rear Lynn St. Suite 1 Peabody,Massachusetts 01960 Telephone- (978)594-1138 and Name: C/O Stan:Limpert,North Andover historical Society hereinafter called"0Vmer.?' Address: 153 Academy Road North Andover,MA 01945 Street City,State Zip Code Te1eph-vim-e: director.nahistory@gmail.com (978, 68�6-4035 "%u)Mobik (978) 852-3817(Stan) Page 1 Mailing Address:P.O_Box 8454 Salem,MA 01971 Murray Masonry&More,Corp. Office Address: 100 Rear Lynn St. #1 Peabody,MA 01960 L DETA LLED DESCRIPTION OF WORK TO BE P:ERFORI D Bradstreet School 70 Main St, North Andover,MA 01845 Remove inscribed panels from back of school,preserve for-future use 1.) Approximately 18 panels{not all inscribed)varying widths and heights a. Bottom"course+/- 17"tall, middle course+/-- 15"tall,top course+I- 17"tall, width ofpaneiing is+/ 18.5' b. Because of inset,panels are assumed to be 4 thick but may be as mucb as 8" thick 2.)-Remove 2 wythes of brick from roof Line down to Limestone panels- 3.) Remove Limestone panels and transport to location TBD 4-) Dispose of red brick .All materials acid installation procedures shall comply with all current local and national building code requirements. All materials meet or exceed ASTM standards/Code. H. PMCE Contractor agrees to do all work described in Section I for the total price of: $5600 HL PAYMENT Deposit due at contract signing=$1900 Balance due at completion of project=$3700 Terms: Service charge of 1.5%per month on past due accounts. Returned-cheeks: A ww-cheek m—ust be sent-and a-service-charge-of 8-.5:110 Must-be added to balance. Notice: No agreement for home improvement contracting work shall require a down payment(advanced deposit) of more than ooze-third of the total contract price or 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 amount is greater. Any progress payment(s)made by Owner shall automatically constitute a representation, agreement,and acknowledgment by Owner,that all work and material represented by thatpx"ogxess payment-has been completed,parf"omied-or supplied by-Contractor in compliance with the.contract terms and to Owner's satisfaction. The foregoing agreement shall be,conclusively binding:upon Owner,unless Owner provides Contractor, at the time said progress payment is tendered,with a written list of those items or matters whieh Owner deems in plete or tnfini"shed pmrs"uant to the-contract terms. Page 2 Mailing Address: P.O. Box 8454 Salem,MA 01971 Murray Masonry&More,Corp. Office Address: 100 Rear Lynn St. #1 Peabody,MA 01960 recital.No conversation or representation made by either party which is not included herein is part of this Contract Agreement. RIGHTS TO CANCEL The Owner nay-cancel this agreement--if it has-been-signed by the Owner ata place-other than an address of the Contractor which may be his main office or branch thereof provided that the Owner notifies the Contractor In writing at his main office or branch by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of this agreement. The-Owner may cancel this agreement without any penalty or obligation_ See attached Noticeof Cancellation. If the Owner cancels this Agreement,the Contractor shall within ten business days of receipt of the written Notice of Cancellation: 1)refund all payments made,including any down payment made under the Agreements 2)cancel and return any copies of the Agreement and any negotiable instrument signed by the Owner with a notation indicating that it has been-cancelled,.and 3)tale-any-action necessary-or apprapri ate-to=ter-m ..ate promptly any security interest created in connection with this Agreement. A CANCELLATION NOTICE IS ENCLOSED WITH THIS CONTRACT. 28VN ER: DO NOT SIGN THS CONTRACT IF TEW"ARE ANY R ANK SPACES OR YOU HAVE NOT RECEIVED TWO COPIES OF THE NOTICE OF CANCELLATION. 4/2 7/ bWNER.'S A IGNAT4TRE` DATE-SIGNE 0MIPWR'S VIGNAT DATE-SIGNED 1t URAI'1tgA,SON-RY&.MORE, Corp. SIGNAT110RD E DATE SIGNED Page 9 Mailing Address:P.O. Pox 8454 Salem,MA 01971 Murray Masonry&More, Corp. Office Address: 100 Rear Lynn St. #1 Peabody,MA 01960 The Commonwealth ofMassachusetts i"epartment of IndushitalAccidents w Office of Investigations X a 1 Congress Street,Suite 1,00 Boston, MA 02114-2017 www mau_gov1ilia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le0bly Name (Business/Organization/Individual): Murray Masonry and More, Corp. Address: P. 0. Box 8454 City/State/Zip:Salem, MA 01971 Phone #: 978-594-1138 Are you an employer? Check the appropriate box: Type of project(required): 1.X I am a-employer with 4. Q I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. Q New construction 2.Q I am a sole proprietor or partner- listed on the attached sheet. 7. Q Remodeling ship and have no employees These sub-contractors have 8. ® Demolition workingfor me in an capacity. employees and have workers' Y P tY• 4. Q Building addition [No workers' comp. insurance comp, msurance.t required.] 5. Q We are a corporation and its 10.Q Electrical repairs or additions 3.Q I am a homeowner doing all work officers have exercised their 11.Q Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.Q Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.Q Other comp.insurance required.] *Any applicant that checks box 41 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. $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 Company Name:Acadia Insurance Company Policy#or Self-ins. Lic. #:WCA 5171612-10 Expiration Date: 10/03/2015 Job site Address: 70 Main Street City/State/Zip: North Andover, MA 01845 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 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 the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#: 978578-0940 Official use only. Do not write in this area,to be completed by city or town official. City or Town: PermitlLicense# 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#: DATE(MM/DD/Y A� ) ® CERTIFICATE OF LIABILmI LIABILITY IIS SU NCE 4/30/2015 THIS CERTIFICATE 1S 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 MISURER(S} AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pofioy(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 cNOANTACT Joan Street SOUCY INSURANCE AGENCY PHONE (976) ]44-7110 NC No:(978)791-2059 P. 0. Box 4467 nE-MAIL ou ss souc surancec o m .DDREss.� -- y LY in . - ---— - 85 Lafayette Street INSURER(S)AFFORDING COVERAGE NAIC# Salem MA 01970 iNSURERA-Acadia Insurance Company 1325 INSURED INSURERB:Union Insurance Company Murray Masonry & More, Inc. INSURERC: P.O. Box 8454 INSURER INSURER E: Salem MA 0-1971 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1492402129 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. INSR- TYPE POLICYEFF POLICYEXP LIMITS LTR POLICY NUMBER MMIDDPNW MMIDD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY �ETSR 50,000 PREMISES Ea occurrence) $ A I CLAIMS�MADE FOOCCUR - OA5171609 - /31/2014 - /31/2015 - MED EXP(Any one person) $ 5000 PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'LAGGREGATE LIMIT APPLIES PF,R: PRODUCTS-COMWOP AGG $ 2000000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT accident , 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED X SCHEDULED 171609 /31/2014 /31/2015 BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS er.accident X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED I I RETENTION A5171614 /31/2014 /31/2015 $ WORKERS COMPENSATIONWC STATU- OTH- AND EMPLOYERS'LIABiLfTY X T R LI TSI I ER _ ANY PROPRIETOR/PARTNEWEXECUTIVE YIN NCA5171612-10 0/3/2014 0/3/2015 E.L.EACH ACCIDENT $ 500,000 A OFFICER/MEMBER EXCLUDED? nI NIA '...... (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION-OF OPERATIONS below E.L_DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS f LOCATIONS f 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 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 120 Main Street North Andover, MA 01845 AUTHORIZED REPRESENTATIVE Paul Soucy/HAL ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025rgtHnnsi n1 Tho aroRn name anel Innn aro ronicfarori marL-c of ar-npn ! '\ N. KIC4 Office of Consumer Affairs and Business Regulation 10 Dark Plaza - Suite 5170 Boston, Massachusetts 02116 Horne Improvement Contractor Registration Registration: 169898 Type: Corporation Expiration: 8/1612016 Tr# 242998 MURRAY MASONRY & MORE, CORPORAT BRENDAN MURRAY P.O. SOX 345 __. ---- — ---- -- SALEM, MA 01971 - Update Address and return card.Mark reason for change. Address Renewal ❑ Employment ❑ Lost Card >cA t 020M•05/11 L-j ` .. Office of Consumer ritfa9rs aic nosiness Regntation License or registration valid for individul use oniv +#TOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: $e9istration. 169898 Type: Office of Consumer Affairs and Business Regulation a Expiration: 8/16/2015 Corporation 10 Park Plaza-Suite 3190 Boston,MA 02116 MURRAY MASONRY&MORE,CORPORATION BRENDAN MURRAY a � 10 REAR JEFFERSON STREET S � „ WItM,MA 01970 Undersecretary Not valid without Wature 9 Massachusetts - Department of Public Safety Board of Building (regulations and Standards Construction SuperAisor License: CS-106988 BRYAN BORRELL-I 2 WATER STREET - Danvers NIA 019,23 Expiration Commissioner 02/01/2017