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HomeMy WebLinkAboutBuilding Permit # 7/1/2015 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: o l Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY t t .,Print MAP NO PARCEL ZONING DISTRICT H�storrc Dtstnct yesQ r . I�lachne Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial teration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic; 1Nell Floodplain Wetlands `Watershed Distnct ' DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: Amle //�' Vie/ Phone: Address: / .7 'CONTRACTOR" Phone: ' Superursor's Construction License - Ex Date Home improuerpent License..:,,.,, of Ex 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: $ FEE: $ 1 Check No.: Receipt No.: �Qcl CO NOTE: Persons contracting with unregistered contractors do not have access t gua>, nd Signature of Agent/Owner Signature of contra r ttORTH Town of2 t E .. .1, Andover 0i ?.®O�L�K. h ver, ass, COCMICKKWICK y1. A°Ramo ►'Qa5 S 11 BOARD OF HEALTH Food/Kitchen PERMIT LD Septic System THIS CERTIFIES THATM ..,.�.�r '� BUILDING INSPECTOR ....................... ............ ...................................................... ............ Foundation has permission to erect .......... buildings on .� ..... ki;:t0 .... . ...�. . Rough tobe occupied as .cD ._......... .. ... ... r_. .......... .r..................................................................... 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 16 MONTHS ELECTRICAL INSPECTOR a IUNLESS CONSTRUCTIONRTS Rough tk. .... Service ................... ..... .... .............................................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy BulldinRough 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 y the Building Inspector. Burner Street No. Smoke Det. -40et eX-WtUW64"t e&b 3 PROPOSAL REVISED Mark&Kali Girardi 127 Hickory Hill Road North Andover,MA 01845 kngLr grd�) rrzcL1st. k4 (H) 978-689-9164 (C) 978-204-9651 April 15,2015 Master Bath Remodel Work to be included includes: • Acquire Building Permit • Removal of existing tub,toilet,tile floor. • Complete all required plumbing. • Complete all electrical. • Install Custom 36 x 60 inch shower. • Install new Custom Shower Enclosure. • Plaster patch where needed. • Install DenseShield tile board on floor. • Install new tile floor. • Install new baseboard heat cover and baseboard. • Install new toilet paper holder,towel bars. • Removal of all debris. TOTAL LABOR AND MATERIAL $ 10,300.00 Install pocket door. $ 1,500.00 Additional the labor charge. $ 650.00 Install electric heat in floor. $ 1,200.00 Install new Panisonic Vent Unit. $ 250.00 TOTAL $ 13,900.00 Note: This quote does not include any plumbing fixtures,vanity,tiles,grout,granite, or paint. Terms: �1 P 4,600.00 upon signing of contract(not to exceed 1/3 of contract price) 1I $ $9,300.00 when job complete Submitted By: Chris Rivet MA Lic#CS072173 HIC#139962 207 Winter Street (C)508-265-3115 (H)978-794-1165 North Andover,MA 01845 All Home Improvement Contractors shall be registered.Inquiries about a contractor relating to a registration should be directed to; Registration Division,Program Coordinator One Ashburton Place Roam 1301 Boston, MA 02108 Tel: 617-727-3200 ext.25239 All building permits required will be the obtained by the contractor.Homeowners who obtain their own permits are excluded from access to the Guarantee Fund. a ACCEPTANCE OF PROPOSAL The above prices,specifications and conditions are satisf�ctory..an are hereby accepted. You area than ed to do the work as specified.Paym pts will e, d,as o tlined above. Date .� ��� Homeowner Signature a " Date Contractor Signature Contractor Arbitration The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as an alternative to court action)if they have a dispute with a contractor.The same right is not automatically afforded to a contractor,however.The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below.This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract,the contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office f Consumer Affairs and Business Regulation and the consume shall be requir to submit to such arbitration as proyidezl m ssahusetts General Laws,Chapter 142A. t, Homeowner's Signature ontractor Signature NOTICE:The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Rights A homeowner's rights under the Home Improvement Contractor Law(MGL Chapter 142A)and other consumer protection laws(i.e. MGL Chapter 93A)may not be waived in any way,even by agreement.However,homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law.Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law.The contractor is responsible for completing the work as described,in a timely and workmanlike manner.Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials.In addition to guarantees or warranties provided by the contractor,all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose.An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights.If you have questions about your consumer/homeowner rights,contact the Consumer Information Hotline(listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached.Parties are also advised not to sign the document until all blank sections have been filled in or marked as void,deleted,or not applicable.One original signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor.Any modification to the original contract must be in writing and agreed to by both parties.Contracted work may not begin until both parties have received a fully executed copy of the contract,and the three day rescission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure.However,in instances where a contractor deems him/herself to be financially insecure, the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work.Withdrawal of funds from said account would require the signatures of both parties. Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights,or if you wish to obtain a free copy of"A Consumer Guide to the Home Improvement Contractor Law",contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 (617)973-8787 or(888)283-3757 l Ri6a cj4w tutctim PROPOSAL ROP O REVISED Mark&Kali Girardi 127 Hickory Hill Road North Andover, MA 01845 Imi ardi iLcQttcast.not (H) 978-689-9164 (C) 978-204-9651 April 27, 2015 Kids Bathroom Remodel Work to be included includes: • Acquire Building Permit • Removal of existing tub,toilet, vanity,the floor. • Complete all required plumbing. • Complete all electrical. • Install vanity. • Install new tub. • Install DenseShield Tile board on tub walls. • Install the on tub walls. • Remove existing beadboard. • Plaster patch where needed. • Install DenseShield tile board on floor. • Install new the floor.. • Install new baseboard heat cover and baseboard. • Install new toilet paper holder,towel bars. • Removal of all debris. LABOR AND MATERIAL $ 9,000.00 Install Panisonic vent unit in kids bath and downstairs bath. $ .,*500.00 TOTAL LABOR AND MATERIALS $ 9,500.00 Note: This quote does not include any plumbing Fixtures,vanity, tiles,grout, granite, or paint. Custom Enclosure would be an additional$ 1,700.00 � t3 Terms:� ,150.00 upon signing of contract(not to exceed 1/3 of contract price) S 6,350.00 when job complete Submitted By: Chris Rivet MA Lic 4CS072173 HIC#139962 207 Winter Street (C)508-265-3115 (H)978-794-1165 North Andover,MA 01845 All Home Improvement Contractors shall be registered.Inquiries about a contractor relating to a registration should be directed to; Registration Division,Program Coordinator One Ashburton Place Room 1301 Boston, MA 02108 Tel: 617-727-3200 ext.25239 All building permits required will be the obtained by the contractor.Homeowners who obtain their own permits are excluded from access to the Guarantee Fund. ACCEPTANCE OF PROPOSAL The above prices,specifications and conditionsZsaltctoiy`"and ar -h reby accepted. You are authorized to do the work as specified. woutlined above. Date Homeowner Signa Date S-* / Contractor Signature - ,� ;y Contractor Arbitration The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as an alternative to court action)if they have a dispute with a contractor.The same right is not automatically afforded to a contractor,however.The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below.This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract,the contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office o-Consumer Affairs and Business Regulation and the consu er shall be re 'red to submit to such arbitration as provided la,M shusetts General Laws,Chapter 142A. Homeowner's Si atureontractor's Signature NOTICE:The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Rights A homeowner's rights under the Home Improvement Contractor Law(MGL Chapter 142A)and other consumer protection laws(i.e. MGL Chapter 93A)may not be waived in any way,even by agreement.However,homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law.Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law.The contractor is responsible for completing the work as described,in a timely and workmanlike manner.Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials.In addition to guarantees or warranties provided by the contractor,all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose.An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights.If you have questions about your consumer/homeowner rights,contact the Consumer Information Hotline(listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached.Parties are also advised not to sign the document until all blank sections have been filled in or marked as void,deleted,or not applicable.One original signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor.Any modification to the original contract must be in writing and agreed to by both parties.Contracted work may not begin until both parties have received a fully executed copy of the contract,and the three day rescission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure.However,in instances where a contractor deems him/herself to be financially insecure, the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work.Withdrawal of funds from said account would require the signatures of both parties. Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights,or if you wish to obtain a free copy of"A Consumer Guide to the Home Improvement Contractor Law",contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 (617)973-8787 or(888)283-3757 The Cominonivealth of Massachusetts Department of Industrial Accidents Office of Investigations uv� 600 Washington Street Boston,PM 02111 wiptv.imass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print 1Leeibiy Naluleusinessl0reanization/Indiv idual): Address: c:�x 0 % ,f_A1_/17__/_, 4 -� City/State/Zip:/Lt, IV Phone T: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with ='.- ❑ I am a general contractor and I 6. ❑New construction _employees(full and/or part-time).* have hired the sub-contractors 2.Q I am a sole proprietor or partner- listed on the attached sheet._ 7. B Remodeling ship and have no employees These sub-contractors have S. ❑Demolition worldng for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their . 10.El Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[I�To workers'comp. c. 152,§1(4),and we have no L.❑Roof repairs insurance required]T employees. [No workers' 13.[]Other comp.insurance required.] Any applicant that checks box ri 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 indicatins such_ Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.. "crrn atm ettrployertltat is providirrgivorkets'cortrpensation insitrancefornzy employees. Beloly is tlrepolicy arzd job site information. nsurance Company Name: ;c 'olicy 4 or Self-ins.Lie. Expiration Date: �r/� � ob Site Address: �. fi�ff' ?��� zz City/State/Zip: o, 'V6^a/ sttach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). 'ailure to secure coverage as required under Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a he 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 f up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of avestigations of the DIA for insurance coverage verification. ado hereby cert f/p rtrtler Jie pains mzd p fialties ofperjrcr��that the information provided above is ince arzd correct. / � ,s iQnature: /'�. �.�•/�� Date: hone �; � Official rise only. Do not 3yrite in this area,to be completer)vy city or tome official. City or Town: Permit/License Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone E: OP ID:SHHE CERTIFICATE F LIABILITY INSURANCE DAT 09130D/YYYY, 09/30/13 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 Phone:978-688-6921 CONTACT Macdonald&Pangione Insurance NAME: P.O.Box 428 Fax: 978-688-5350 PHONE `` FAX _(AIC Noxt E : 1 A/C,No): 104 Main Street E-MAIL North Andover, MA 01845 ADDRESS: Michael Pan Ione PRODUCER g cUST ME,ID#:CH RIS-5 INSURER(S)AFFORDING COVERAGE NAIC# INSURED Christopher Rivet 207 Winter St. INSURER A:Preferred Mutual Ins Co 15024 North Andover, MA 01845 INSURER B: 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. INSR I iADDL SUBRi POLICY EFF POLICY EXP LTR TYPE OF INSURANCE !lus' I POLICY NUMBER MM/DD/YYYY i MM/DD/YYYY LIMITS GENERAL LIABILITY j EACH OCCURRENCE I S 1,000,000 A X COMMERCIAL GENERAL LIABILITY !CPP 0180 57 01 05 09/26/13 09/26/1 DAMAGE TO RENTED PREMISES Ea occurrence S 100,000 CLAIMS-MADE OCCUR MED EXP(Any one person) S 5,000 j- I PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2,000,000 POLICY PRO- I I I - LOC S AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT l I ANY AUTO (Ea accident) S BODILY INJURY(Per person) $ ALL OWNED AUTOS ' SCHEDULED AUTOS } BODILY INJURY(Per accident)I S PROPERTY DAMAGE HIRED AUTOS !� (Peraccident) S J NON-OWNED AUTOS S ! UMBRELLA LIAB I _1 OCCUR j I EACH OCCURRENCE S 1 EXCESS LIAB CLAIMS-MADE AGGREGATE I S DEDUCTIBLE I RETENTION S I S WORKERS COMPENSATION TWO TOERTH-� AND EMPLOYERS'LIABILITY ' Y U II TOR -STALIMITS I ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.EACH ACCIDENT ;SIf DESCRIPTION ES describe under DESI f CRIPTION OF OPERATIONS beloE.L.DISEASE-EA EMPLOYEE!S w E.L.DISEASE-POLICY LIMIT I S j � I ! I 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 Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1600 Osgood St ACCORDANCE WITH THE POLICY PROVISIONS. No Andover, MA 01845 AUTHORIZED REPRESENTATlv Michael Pangio I ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD S Massachusetts -Department of C ubkc Safety Board of Et Hdl ng I eguiitlons and standards Cmiit$'uedon suupfl.k•tu°ds'rofl L. cense: CS-072173 fa CMUSTOPHER F RIVEI r 207 WINTER ST N ANIDOVER Al 01845 �54r'' Explraticn Cepu nmisssoner 06/02/2016 . hz. �/f/f' 1!(•JI//JtrJJ(!/(f(1���(��'�(OJi((c//lGirrtP!:t Office of Consinvier Affairs&Business Regulation ;1��j_-="e OME IMPROVEMENT CONTRACTOR egistrtionc 139962 Tyne; "-&piration: 9!8/2015 Individual CHRISTOPHER F.RIVET ; CHRISTOPHER RIVET 207 WINTER ST. �—' N.ANDOVER,MA 01845 Undersecretnry {