HomeMy WebLinkAboutBuilding Permit # 6/24/2015 i
BUILDING PERMIT 00 taoEDry
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION o A
Permit No#: Date Received
�SSACHUSE�
Date Issued: ` �
IMPORTANT: Applicant must complete all items on this page
LOCATION J/`/ )?
WA • 6S7-
Print
PROPERTY OWNER Amr CxAyC.rAgu%-,
Print 100 Year Structure yes no
MAP PARCEL: Q/ ZONING DISTRICT: Historic District yes no
- 10131
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building N-One family
❑Addition ❑Two or more family ❑ Industrial
[41Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic ❑1Nell ❑ Floodplain Wetlands ❑ Watershed Distract
DESCRIPTION OF WORK TO BE PERFORMED:
L&LA ve AMC- WXU. 5F Fbrj�P69ZD AND MOF OU70 A
Identification- Please Type or Print Clearly
OWNER: Name: At4y CZAtVC7'Ag4,S0 Phone:
Address: 3/q 9,54 -SP Aa Ay&yrg AiA
Contractor Name: ICE, A S,.Hu4 Phone: 4,61 -(�,:7o - o5rg
Email: ka=N,�F- Kms a)AM1dx7z&vu c-. Col;
Address: Go foaEsf- V wAkeFzELv MA di8rro
Supervisor's Construction License: CS - Exp. Date: CY, �
Home Improvement License: /964/;Z?- Exp. Date:
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: $ -64 913.so FEE: $ 3t0.
Check No.: Receipt No.:
NOTE: Persons con tractinitlz un istered contractors do not have access to the guaranty fund
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑
Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑
Private(septic tank,etc. ❑ Permanent Durapster on Site ❑
THE FOLLOWING SECTI®NIS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF ® U FORM
PLANNING & DEVELOPMENT Reviewed On Signature_
COMMENTS
CONSERVATION Reviewed on Signature
COMMENT'S
HEALTH Reviewed on r Signature f
f
C MMENTS a - a yt '
e
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water& Sewer Connection/Signature & Date Driveway Permit
]DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE ®EPARTMENT Temp,Dumpster an site yes
n o,
Located at-124 Mam Street '
D�parkren �i
gra turb/Mte
c„
COMMENTS
r1Er1q AM t4O R H
' irown ofAndover
¢. :_'.1,
to
D91),- 115
�IA h ver, Mass, oZ fir
COCHICHEW/CK
RATE®P msmmft�
BOARD OF HEALTH
ff in
It E Rmm� I I T %O L snow Food/Kitchen
Septic System
THIS CERTIFIES THAT . .... .. . ,! .��r! ��, ................................ BUILDING INSPECTOR
............ .. ........... t
>-"' Foundation
has permission to erect . ........................ buildin son ...... (. .......R .............. .........................
NNW
Rough
tobe occupied as ...... .............................. ..... . L ............................................................................. 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
PERMITI ® S ELECTRICAL INSPECTOR
UNLESSCTI Rough
Service
..................t............................................... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Reguired to Occupy Buildin 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.
KMS Construction,LLC
Kevin Schuh
(781) 670-0517
Kevingkmsconstuctionllc.com
60 Forest St. Wakefield,MA
Proposal For:
Amy Cianciaruso
314 Rea St.
North Andover,MA
Attic Work
Project Scope:
i
Project Preparation:
• All belongings will be moved to alternative location.
• Objects that cannot be moved (duct work, etc.)will be covered with plastic
for protection.
Construction:
• Sister all floor joists with true(2x8) lumber to meet the floor joist
requirement for a live load occupancy.
• Replace collar ties so they are able to support drywall ceiling. Frame knee-
walls for room. Finished room will be approximately 384 sq. ft.
All walls and ceiling will be insulate with spray foam insulation which will
provide sufficient insulation and air sealant rating to reach code.
• Larger window will be installed on both gable-end walls for secondary egress
requirements.
• Baseboard will be installed on finished walls and trim will be installed
around windows.
• Electrical work is included for outlets installed to meet code and for one
TV/XBOX hookup with necessary cables.
• Painting of entire area is included as well.
• Items not included: material needed for stair treads/risers/handrail (however
labor is included), cost of cork flooring, and HVAC vents for air
conditioning.
Estimate:
MATERIAL LABOR TOTAL
$16,270.50 $9,573 $25,843.50
Terms:
50% Payment upon project start Project start to finish: 22 Days
50% Payment upon project completion
'
'
`
'
C o m s r p v c ` . o m 1, t c
Article 6—Subcontracts
10.1 A Subcontractor is a person who has a contract to perform any of the Work at the site.
10.2 Contracts between the Contractor and the Subcontractor shall be in accordance with the terms
of this Agreement and shall include the General Conditions of this Agreement insofar as
applicable.
Article 11—Payments
11.1 Payments shall bemade asprovided inArticle 3ofthis Contract.
11.2 Final payment shall not be due or paid until:the Contractor has finished the Work; the
Homeowner has inspected and approved the Work aacomplying with the Contract; any
manufacturer or supplier warranties, equipment literature, and any as-built plans required are
deliver to Homeowner; Contractor has complied with all requirements for Final Settlement.
11.3 Payment offinal settlement isacceptance ofWork inAgreement.
Homeowner:
By Date:
�
Printed Name: o"
Contractor:
By: Data: Rol 2,01
Printed Name:
Page
^
'
`-
^
Kws .) NSTRUCTION L c o
Article 4—Contract Documents
4.1 The Contract Documents Include:
* Construction Contract
• Project Estimate
m Blueprints provided byContractor and any applicable drawings
* Notice to Proceed
• Project Special Provisions, if applicable
w Change Orders, ifapplicable
4.2 The aforementioned documents form the Contract.The intention of the Contract Documents is
to include all labor, materials, equipment and other items necessary for the proper execution
and completion of the Work and the terms and conditions of payments therefore.
4.3 Contract shall be signed byboth the Homeowner and the Contractor. 8yexecuting the Contract,
the Contractor represents that he has visited the site and familiarized himself with the local
conditions under which the work iytobeperformed.
4.4 The term Work as used in the Contract Documents includes all labor necessary to produce the
construction required by the Construction Documents,and all materials and equipment
incorporated ortobeincorporated insuch construction.
Article 5—The Contractor
5.1 The Contractor shall perform the work as a General Contractor pursuant to this agreement.
5.2 The Contractor shall supervise and direct the Work, using Contractor's best skill and attention.
The Contractor shall be solely responsible for all construction means, methods, and techniques
for coordinating all portions ofthe Work under the Contract.
5.3 The Contractor warrants to the Homeowner that all materials and equipment incorporated in
the Work will be new unless otherwise specified,and that all Work will be of good quality, free
from faults and defects and in conformance with the Contract Documents.All Work not so
conforming tothese standards may beconsidered defective.
5.4 The Contractor at all times shall keep the premises free from accumulation of waste materials
and debris caused by Contractor's operations.This provision is imperative. At the completion of
the Work, Contractor shall leave the Project aiteinaneetondordur|ycnndibon.
Page
C' C P! °,', T €2 U CC T I 0 N
THIS AGREEMENT is made and entered into this I jAday of 2015, by and between KMS
Construction, LLC(hereinafter called "Contractor") and
(hereinafter called "Client"or"Homeowner").
The Homeowner and Contractor agree as follows:
Article 1—The Work
The contractor shall complete all of the work on the TNp Fcpo,Qirtr as specified in the
Scope of Work on the included estimate,which is incorporated herein.The Work is generally described
as *2w oaw PO Y ftm AW
I
Article 2—Time of Commencement and Completion
2.1 The Work performed under this Contract shall be scheduled to commence upon receipt of
acceptance of attached estimate.Start date is anticipated to be on or about JyN-
Barring any delay or additional work requested, project work is expected to have a duration of
3 days.
2.2 Except as otherwise required for the safety or protection of persons or the Work or property at
the Work Site or adjacent thereto, all Work at the Site shall be performed between the hours of
7 AM and 5:30 PM, Monday through Friday, unless otherwise provided in writing by
Homeowner,such consent not to be unreasonably withheld.
I
Article 3—Contract Amount and Basis
3.1 The Homeowner shall pay the Contractor the amount of$ �5�8,13,S'® for the
performance of the Work,subject to additions and deductions by change orders to the provided
estimate.
3.2 The terms for payment are as outlined on the attached estimate. Upon project completion the
remaining balance is due to the contractor, which is inclusive of any and all change orders
generated.
Page 1
A °` �
r _ _
f
'2,N/1
1 f
s,
d
.. ..�. _
Iq
f —
1 1
j !
f _
f
f �
—
f �
f
Py yI
i
r f J � � � ..., _ wwmux•�uwuwuwwm
i f 1 f
f r f t
a t i
f � �ww�m� �i. ^^.�m�.m�mwww•q^ �, i u ^�,W+w ..,..���
w�.gawm
l — -
� f I
� � 1 ee*4umi�mi�o a ��mm remwixumwum �m umu�auw�wwwx � ��w��m�� ���wm opo i^ilii �m��'.w milli w r
mmm �wwm mm�mmo�mw*M'uu� m� mm
b
r
f .^mmlvnm'm�m�mm�m�m -
_ � �• Q
ACL A k,-ClAIRM
a���e�
Aliq
Eau oY�_ �'C 2 >J �act Anal
r
Kevin Schuh
From: Cianciaruso, Amy <Amy.Cianciaruso@crl.com>
Sent: Sunday, May 31, 2015 9:34 PM
To: Kevin Schuh
Subject: RE: Updated square footage
AWESOME-- let's do it. Please keep this moving along. Once you are ready to start, let's discuss getting the dumpster
so I can clear that area. So excited--thank you! Are you still thinking second week of June?
Thanks.
-----Original Message-----
From: Kevin Schuh [mailto:Kevin@kmsconstructionllc.com]
Sent: Sunday, May 31, 2015 2:40 PM
To: Cianciaruso,Amy
Subject: RE: Updated square footage
Hi Amy,
I have attached the estimate for finishing the attic.You will notice an increase over the most recent basement quote of
about$2,500.The reason for the increase in price is due to the larger finished area, since this room will be over twice
the size of the basement there are more materials needed. We will also need to put down additional plywood on the
floor in order to make the subfloor adequate for the cork flooring.
I have included the cost of replacing one of the gable-end windows to meet egress requirements and planned to leave
the other window as is,so we do not increase the price any further.The costs for painting and electrical work have been
included with this figure as well.
The only things that have not been included are the cork flooring, material for stair treads and risers(since we have not
discussed), and HVAC vents for AC.
Please let me know if you have any questions or concerns. Once we decide to go ahead with this, I will meet with the
building inspector to go over the construction plans and to obtain the building permit. Once we have this we will be able
to start as soon as possible.
Hope you are enjoying your weekend.
Thanks,
Kevin
Kevin Schuh
781.670.0517
Kevin@KMSConstructionllc.com
-----Original Message-----
From: Cianciaruso,Amy [mailto:Amy.Cianciaruso@crl.com]
Sent:Thursday, May 28, 2015 8:37 PM
i
The Commonwealth of Massachusetts
F Department of Industrial Accidents
h 1 Congress Street,Suite 100
Boston,MA 02114-2017
www.mass.gov/dia
a 'O^M SY•y
Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY. Please Print Ledb-
APPlicant Information
Name(Business/Organization/Individual): I(►�$ Gav
L.t_L
Address: G f
City/State/Zip: �IArCEf1�
Phone#: N1 6,-70 - 05/!?-
Type of project(required);
Are you an employer?Check the appropriate box:
Ion
em f
to ees ull and/or part-time.).* 7. F1New'construct'
1.[]I am a employer with P Y (
2.[ZI am a sole proprietor or partnership and have no employees working for me in 8. M Remodeling
any capacity.[No workers'comp.insurance required.] 9, ❑Demolition
3.F]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 11.E]Electrical repairs or additions
ensure that all contractors either have workers'compensation insurance or are sole 12.0 plumbing repairs or additions
proprietors with no employees.
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.$ 14.❑Other
6.0 We are a corporation and its,officers have exercised their right of exemption per MGL c.
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.
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.
oe
Insurance Company Name: A( ru
q..
Policy#or Self-ins.Lic.#: is) Expiration Date: nn
�t SP 2UR Z E�a8�`
Job Site Address:
31Y 9RA 5k City/State/Zip: NoA &—Jaw
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date .
on punishable by a fine up to$1,500-00
Failure to secure coverage as required
as civil ivier l penalties in the form of STOP25A is a criminal rWO1RK ORDER and a fine of up to$250.00 a
and/or one-year imprisonment,a
ent may be forwarded to the Office of Investigations of the DIA for insurance
day against the violator.A copy of this statem
coverage verification.
I do hereby certify under the pains and penalties of per jury that the information provided above is true and.correct.
• 6�/• Date: b(o .2t -20/5
Si ature:
Phone#:
e only. Do not write in this area,to be completed by city or town official.
L[Board
wn:
Permit/License#
uthority(circle one):
f Health 2.Building Department 3.City/TownClerk 4.Electrical Inspector 5.Plumbing Inspector
Phone#•
erson:
VDAC
E2.
acegroup
WORKERS COMPENSATION
AND
EMPLOYERS LIABILITY POLICY
TYPE AR INFORMATION PAGE WC 00 00 Ot ( A}
POLICY NUMBER: (6S62UB-2E72805-9-15)
NEW-15
INSURER: ACE AMERICAN INSURANCE COMPANY
1. NCCI CO CODE: 12165
INSURED: PRODUCER:
KMS CONSTRUCTION LLC RSC INSURANCE BROKERAGE
60 FOREST STREET 15 PACELLA PARK DR
WAKEFIELD MA 01880 RANDOLPH MA 02368
Insured Is A LIMITED LIABILITY COMPANY
Other work places and identification numbers are shown in the schedule(s) attached.
2. The policy period is from 02-13-15 to 02-13-16 12:01 A.M. at the Insured's mailing address.
3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers
Compensation Law of the state(s) listed here:
MA
B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work In each state listed In
�.,,. item 3.A. The limits of our liability under Part Two are:
Bodily Injury by Accident: $ 100000 Each Accident
Bodily Injury by Disease:' $ 500000 Policy Limit
Bodily Injury by Disease: $ 100000 Each Employee
C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here:
COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06A
D. This policy includes these endorsements and schedules:
o� SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE
o�
—" 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating
Plans. All required information is subject to verification and change by audit to be made ANNUALLY.
DATE OF ISSUE: 03-05-15 PD ST ASSIGN: MA
OFFICE: ORLANDO DA ACE 24M
PRODUCER: RSC INSURANCE BROKERAGE 27K4T
014131
Office of Consumer Affairs&Business Regulation License or registration valid for individul use only
�l�OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
egistration: 180427 Type: Office of Consumer Affairs and Business Regulation
xpiration: 11/17/2016 LLC 10 Park Plaza-Suite 5170
Boston,MA 02116
KMS CONSTRUCTION,LLC,
KEVIN SCHUH
60 FOREST ST
WAKEFIELD,MA 01880 Undersecretary Not valid without signature
Board of Btsildinq Regulafiorks and Standards
bcerme�� CS-108016
KEVIN SCHUH
60 FOREST STREET'
MA
Wakefield M80 1,
06/0612018
Unrestricted-Buildings ¢fany use group which
contain less than 35,00Ocubic feet(99lnma�uf
enclosed space,
Failure topossess acurrent edition o[the Massachusetts
State Building Code 1scause for revocation of this license.
For DPS Licensing Information visit: www.mass.mu,/opa .
~