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Home My WebLink AboutMiscellaneous - 48 PHILLIPS COURT 8/4/2015 TOWN OF NORTH N V APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: " ° I 1 IMPORTANT Applicant must complete all items on this page rr r / �/r r / r L%OCAS ION r r/ X MAP//NO //PAFCELJ , ;�/�,; ZONING/DtS� FICT ,', �,,% Hstor� rstrrct" s; r �/o%/�/rr rfr,✓fj r � r �/r // /l/ �i�. ri, „rr %Ir%llr/ii I✓r/i/rG rr�ir i////// �/rr A"�..^—,/„ //ri0 f;,,i/// ril,,� r,,; i,'c: / /! „ ;. r (�a r„ ,I�achrne'Shr�p V�Ilage %yes �ro 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 rSe trc /�W�illrrr// /0// /%r/irirr // / /rp dpl an atershed/Drs 00 am r e rC „ DESCRIPTION OF WORK TO BE PERFORMED: Identificatin Please Type or Print Clearly) OWNER: " Name. �,° ��.�� ..�?�^� �� "" Phone' � �7 .. Address: ' r rrr i � rri � /rij ✓r r r/ji// r r. , Sdper�rsor,s'Construcfiror�,L�cense r o > //r�/�%/////orii�//Vii//i�r iii / ,. r/„i„ : � ,,, �� rE�p D+�te /i✓i / /i,,ir r � � r..,.... /,... //.� r ,� ,✓c4/ .r ",'.. ,,,� /r". _,� % r//. r rr.✓a, r o rr,, ,, r fi�4rne,/►xaprouement,License..,.., >Exp D' to 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 Pro " jest Cost: $ �., °"" °" "� ,�"�'"^��` FEE: $ Check No.: Receipt No.: i i NOTE: Persons contracting with unregistered contractors do not have access to guaranty and Signature of Agent/Owner Signature of contract o U ,°'' rwl tAORTH I own Of ®ver ® 2 g h , LAOSE h ver, Mass, _A, COC MIC N@w�CK ��' V�VmaU BOARD OF HEALTH PERMIT L I�D Food/Kitchen Septic System THIS CERTIFIES THAT O ® � BUILDING INSPECTOR ............... .................... .................. ........ .............................................. . Foundation has permission to erect ... ............ ....... buildings on ......... Plos.tr V:..... ..... .... .................... Rough to be 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 IT EXPIRES IN OTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIOTARTS Rough Service ..................... ................ . �6 ................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required t® Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Fjnal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. - Burner Street No. Smoke Det. ewi j?iV4,>t eom „f, ian. PROPOSAL Erin Canty 48 Phillips Court North Andover,MA 01845 etineatity tu) naitco (C) 978-395-5285 March 29, 2015 Bathroom Remodel Work to be included includes: • Acquire Building Permit • Demo of Bathroom. • Complete all required plumbing. • Complete all electrical. • Bump out wall to accommodate vanity. • Insulate exterior wall. • Hang new blueboard and plaster, • Install window above tub. • Install vanity. • Install new tub. • Install DenseShield Tile board on tub walls. • Install tile on tub walls. • Install DenseShield tile board on floor. • Install new tile floor. • Install Pocket door. • Install new baseboard. • Install new toilet paper holder,towel bars. • Removal of all debris. TOTAL LABOR AND MATERIAL $ 9,000.00 Note: This quote does not include any plumbing fixtures,vanity,tiles, grout,granite, or paint. Terms: $3000.00 upon signing of contract(not to exceed 113 of contract price) $6,000.00 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 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 conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified.Payments will be made as outlined above. Date ° % Homeowner Signature / F Date 5 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 of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided in Mass chusetts General Laws,Chapter 142A. Homeowner's Signature Contractor'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 Cosnmonivealth of Massachusetts Department ofIndustt•ial Accidents Office of Investigations UT. 600 Washington,street Boston,M4 02111 zvivzt.tzzass govldia Workers' Compensation Insurance Affidavit:builders/Contractors/Electricians/Plumbe-rs Applicant Information Please Print 1Le0blN- Name (Business/Organization/Individual): Address: C 4 v Cit /State/Zip: � _ .. Phone . . Are you an employer?Check.the appropriate box: type of project(required): I.❑ I am a employer with 4. ❑ 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. ['Remodeling ship and have no employees These sub-contractors have S. ❑Demolition working 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 ILE]Plumbing repairs or additions myself[No workers'comp. c.152,§1(4),and we have no 12.❑Roof repairs insurance required]i employees. [No workers' 13.❑Other comp.insurance required.] Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. Homeowners Nvho 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 their workers'comp.policy information. am an employer that is providhzgivorkes'compensation insurancefor my employees. Beloly is the policy and job site aforination. assurance Company Name: /%/crFi_�4: 'olicy=or Self-ins.Lic.- Expiration Date: j ob Site Address: Ci /State/Zi : ►Atach 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 Jo the imposition of criminal penalties of a he up to S 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 ofthis statement maybe fonvarded to the Office of nvestigations of the DIA for insurance coverage verification. Edo hereby cei•iifv zgzcler Irepains aiulp fialties ofperjzzry that the izzfornzation provided abov is trice and correct. j.2nati • � Date: 1g' 'hone N:6 Official use only. Do not write in this area,to be completed by city or town official. i City or Town: Permit/License r 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 OF LIA ILI` Y INSURANCE DAT 09130DIYYYY) 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 1S 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 PHONE FAX P.O.Box 428 Fax:978-688-5350 (vc No.Ext: I AIC,No): 104 Main Street E-MAIL North Andover,MA 01845 -ADDRESS: PRODUCER Michael Pangione CUSTOMERIDK:CHRIS-5 INSURER(S)AFFORDING COVERAGE NAIC# INSURED Christopher Rivet INSURER A:Preferred Mutual Ins Co 15024 207 Winter St. INSURERS: I North Andover, MA 01845 INSURER C. INSURER D: INSURER - 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 :ADDLISUBR; POLICY EFF POLICY EXP LTR TYPE OF INSURANCE I POLICY NUMBER LIMITS ' :fMM/DD/YYYY MM/DDfYYYY `GENERAL LIABILITY LEACH OCCURRENCE S 1,000,000 A X COMMERCIAL GENERAL LIABILITY ;CPP 0180 57 01 05 09/26/13 `: 0912611 I DAMAGE TO RENT D iI PREMISES(Ea occurrence) i S 100,000 i CLAtIv15•tviADE {X !OCCUR I_HIED EXP(Any one person) S 5,000 PERSONAL&ADV INJURY f S 1,000,000 t -- .__J GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG I S 2,000,000 X f POLICY PRO- 'LOC i i S AUTOMOBILE LIABILITY ! j I j COMBINED SINGLE LIMIT ANY AUTO f (Ea accident) i S j BODILY INJURY(Per person) ;S ALL OWNED AUTOS II !BODILY INJURY(Per accident)I S SCHEDULED AUTOS PROPERTY DAMAGE i S HIRED AUTOS (Per accident) i NON-OWNED AUTOS S S i UMBRELLA LIAB I i _ 1 OCCUR I i i EACH OCCURRENCE 5 I EXCESS LIAR CLAIMS-MADE i ( AGGREGATE !S .� DEDUCTIBLEf ;s RETENTION S ! i I S WORKERS COMPENSATION I WC STA j j OTH-1 AND EMPLOYERS'LIABILITY I TORY LIP ITS ER ANY PP.OPRIETORIPARTNERIEXECUTIVE Y/N E.L.EACH ACCIDENT 5 OFFICER/MEMBER EXCLUDED? IN I A (Mandatory in NH) E.L.DISEASE-EAEMPLOYEEj S ( If yes,describe under DESCRIPTION OF OPERATIONS below I E.L DISEASE-POLICY LIMIT S i j DESCRIPTION OF OPERATIONS I LOCATIONS I 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 REPRESENTATIVE` % Michael Pangion � j�� I O 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD Massachusetts -F)epartment of Publsc Sate-ty Board of F uUding RegUt aflons and Standard License: CS-072173 ' CEMSTOPHER F RIVET 207 WINTER ST N ANDOVER 01845 Expiratoon rr°t tquissae:g 06/0212016 . � �l�lI�tJlt/JIr,J!tlfCtl�f�`t�r''t(llJrt[t.fttl.rr,J�'5 Office of Consumer Affairs&Business Regulzttion 61 _ OME IMPROVEMENT CONTRACTOR tit= egistration: 139962 Type: expi ration: 9/8/2015 Individual CHRISTOPHER F.RIVET CHRISTOPHER RIVET 207 WINTER ST. g=ter 7t N.ANDOVER,MA 01845 Undersecretary 1 /f