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Home My WebLink AboutBuilding Permit # 8/31/2015 -1 �ORTy BUILDING PERMIT o� l,@O 10, T NORTH V 46 0� APPLICATION FOR PLAN EXAMINATION -0c _ 4 _ h / O L µ 0y Permit No#: "l ��` Date Received gYEO�PPy�cj �Ss aCHUS�K Date Issued: cy IMPORTANT:Applicant must complete all items on this page rr r rr r r, r r r r r r /r r / / re ✓ r c /i/i6, ,,, /rrr, :•ov, .,, i /i/ /,.,L,//� ��/ /;r 1/,,�////��j, //i r ',;,, r / / ., rr r , ✓ c ..:or%..,,, /%oi, ,r'� �/rr %/ �,� ,„ /i %/,;(,r/,/r ,/, .///!,%/,./�� ,l%//r%�//,r/:...,/ ri /.nr%!%%/.a„ A r�, rr rr r � r r r rrr „ r r 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 ' Septic',❑Well ❑ F(oodplam ❑Wetlands ❑ Watershed Distract J //� // / / / / / / r / / i'% DESCRIPTION OF WORK TO BE PERFORMED: dentification- Please Type or Print Clearly OWNER: Name: . Phone: U° € Address: / // r/ // r////rri r/ �/ Gontractor,�Name " �" ,/ r//„//� ...// ,/dr c�/�,r„v ,r..r�, /�%rrr,,.., ,,r ,,./,r ,,,.i i/, / ✓,,..rrir, /%%/,,,Q/, r,ri/ ,., ,./% r r /.,.,./ /,r/,/r„/ /�„ e// � ✓Pr%/ q. ,r//�r, �r��;r.//�� f/r;, %,. �ww�r ,, / o r � ,,,, / � //�.. /// „r/i / ;: /Address,,,,,/��.rs%%,�G/rff��/��/�/ ,,r��///,� // „ �'kl ,o„�,,,,///” or ,,;,,,,,, r„ / / ,.rrr/// // //%%// ✓� / r r r 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: $ 2-""\ Tj ;J FEE: $ 1 0 11 Check No.: 'eMLi "- Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranj�pfidihd 00 Signature of Agent/Owner� Signature of contracto t%ORTH IE t w n o i An clover • ® Z' T , LAKE h ver ass' COC MCME W.CK RaD BOARD OF HEALTH R All Food/Kitchen P E mrox"k M I T T LD Septic System THIS CERTIFIES THAT .......... BUILDING INSPECTOR has permission to erect .......................... buildings on ........ . . ........ .. .. .... .... ....... Foundation 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 jcq . LES I T S Rough Service .................. ... ..... ..............................................Oe Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required t® Occupy Buildin Rough Display in a Conspicuous Place.on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be ®one FIRE DEPARTMENT Until Inspected and Approvedthe Building Inspector. Burner Street No. Smoke Det. 98 Forest Street North Andover,MA 01845 MU.rp1,,iy ® PH:978-688-5335 Building Contractor 0 FAX:978-688-7207 . Proposal To: John&Julie Cox 115 Olympic Lane 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 Commormeafth 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' 8/30/2015 Job. Basement Date of plans: None Architect' None' Location: Same Section I—Work Schedule Contractor will begin the work or order the materials before the third day following the signing of this agreement, unless specified here in writing contractor will begin work on or about 9/1/15. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 10/30/15.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 fumished 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 III—Scope of Work Page 1 of 4 Kevirk Page ofBuilding Contractr 98 Forvst Street � North Andover,MA 01 M m*978ZW7207 � General Proposal iabnfinish portion of existing basement area. Finished section ofbasement bo be approximately 28'x28'. Building permit will be obtained by contractor. No mUovmanoa has been made for conservation or � ��^ � board ofhealth approvals ifrequired bvtown. � Building All framing material required toframe basement will ba provided. Basement walls will he2x#. Bottom plate will be pressure treated. Three Harvey all vinyl replacement windows will be supplied and installed in existing | openings inbasement. Existing exterior door unit inbasement toremain. Electrical Beddma|work required to wire basement to code will be provided. Twelve naoeneed lights have been included � for basement. General layout to be approved by owner prior to rough. Any surface mounted fixtures to be � � supplied by mwner, installed by contractor. Any high def wiring for television /eunnund sound to be done by others. Heating/Air Conditioning Noallowance has been made for any heating orair conditioning inbasement. Insulation Finished basement area will have fiberglass insulation supplied and installed. P|ea*mr Walls|nbasement will bab|uebomrdedand ohinn000tplastered. Basement ceiling will basuspended type. Two bvtwo revealed edge tile/grid will baused. Sample will baprovided prior toinstallation. Interior Trim/Doors Pre-primed interior trim and doors will be supplied and installed to match existing. Painting Interior painting for basement area will beprovided. One coat ofprimer and two coats offinish will boapplied tm all painted surfaces. � Flooring � Laminte floor will be supplied and installed in basement.An a|kmvonoe of$4 per square foot has been included for flooring materials in basement. Waste Removal All construction debris will bedisposed ofbvcontractor. � � Kevin Murphy Page 4 of 4 Building Contractor 98 Forest Stmt North Andover,NIA 01845 PH:9786BB6335 FAX 978688-7207 Section IV-Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ... ...... ... ... ... ... ... ..........$ 29,500 Payment to be made as follows: PercentagelItem Description Amount 1 Deposit/ Permit obtained $2500 2 Walls framed /windows installed $101000 3 Plastering complete $8000 4 Painting /flooring complete $5000 5 Job 100% complete $4000 Total 5 $29,500.00 "Notice:No agreement for Hare improvement oontractim work shall require a down 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 ardlor 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. 1 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 Signature Date L Signature Date The Commonwealth of Massachusetts Department of XndustrialAccUents 1 Congress Street,Suite 100 Boston,MA 02114--2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/PIumbers. TO BE FILED NN rH THE PE%NRTTING AUTHOM Y. Annlicant Information Please Print Legibly Name(Business/Organization/Individual): ,,. , ' • ( w, I Address: .... .. . , City/State/Zip: j � _ �� .w �� . '��phone#: � � t `J .. 3 Are you an employer?Check the appropriate box: Type of project(required): 1. 1 am a employer with k employees(full and/or part-time).* 7. F�New construction 2.®I am a sole proprietor or partnership and have no employees working for me in & Remodeling any capacity.[No workers'comp.insurance required.] IF]I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. Demolition 10 Q 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 are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.Q I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.Q Roof repairs These sub-contractors have employees and have workers'comp.insurance) 6.0 We are a corporation and its officers have exercised their right of'exemption per MGL e. 14.Q Other 152,§1(4),and we have no employees.[No workers'camp,insurance required.] *Any applicant that checks box##1 must also fill out the section below showing their workers'compensation policy information. I Homeowners tvho 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 am art enrployer'that is providirigivorlrers'compensation irrsurarice for rtiy eniployees. Beloly is the policy acrd job site information. lei Insurance Company Name: (,m, r m,.t Policy#or Self-ins.Lic.#I: i,L "= °" Expiration Date: `") Job Site Address: 4....a 0 k0-3 C City/State/Zip: Attach a 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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido Icer by certify under thepains andpena/ties ofpetjury that the informationprovided above is true andcor'�'eet. Si nature. M Date: " Phone#: S Official use only. Do not 1prite in this area,to be completed by city or tolon official City or Town: Permit/License# Issuing Authority(circle one): i 1.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: DATE(Mt,WD/YYYry CERTIFICATE OF LIABILITY INSURANCE 7/15/2015 THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATIONDNLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEHOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELYOR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVBDR PRODUCER,AND THE CERTIFICATEHOLDER, IMPORTANT:If the cert)Rcateholder is an ADDITIONAUNSURED,the poilcy(tea)nust be endorsed.If SUBROGATIOMS WAIVED,sublect to the termsandconditionsof the policypertain policiesmayrequireanendorsement A statementon thisceruficatedoesnot conferrights to the certiicateholder In lieu of such endorsoment(s). PRODUCER CONTACT Sandi Munroe NAME M P ROBERTS INS AGCY INC PHONE FAX No.Ext: (979)683-9073 ,No: (978)683-3147 1060 Osgood aad Street ADO ESS: Sandi@mprobertsxnsurance.com North Andover, MA 01945 INSURER(S)AFFORDING COVERAGE NAICC RISURERA: MERCHANTS INSURANCE INSURED KEVIN MURPHY BUILDING & REMODELING INSURER B: GUARD INSURANCE 169 RO FORD STREET INSURERC: NORTH ANDOVER, MA 01.945 INSURERD: INSURER E I—..RF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTNATHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERRRCATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSANDCONDITIONS OF SUCHPOUCIES.UMrTS SHOWNMAY HAVEBEENREDUCED BYPAID CLAIMS. rasa a POLICY EFF POUCY EXP TYPE OFINSURANCE POLICY NUMBER LIMITS X COMMERCIALGEHERAL LIABILITY EACH OCCURRENCE s 1 000,000 OM C.MSAIl DE OCCUR PREMISES Ea-ocaarence_ $ 500 000 BOPI068945 11/22/14 11/22/15 MEDEXP(A"_pes") $ 15,000 PERSONAL&ADVINJURY s INCLUDED GENL AGGREGATE UNIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 [qPOUCY J�EOaT LOC PRODUCTS-COMPKX'AGG $ 2,000,000 OTHER S AUTOMOBILE LIABILITY COMBINED SINGLEUMIT $ 1r 000r 000 Ea aaAdent ANYAUTO BODILYINJURY(Per person) $� �;..... ALL OWNED SCHEDULED MCA7013608 01/23/15 1/23/16 BODILY INJURY(Per accident) s A AUTOS AUTOS NOWOMED PROPERTY DAMAGE $ HIRID AUTOS AUTOS er acddent S UMBRELLA UAB OCCUR EACH OCCURRENCE $ 1,000,000 �...........!. El EXCESS I- CW MS-hNDE AGGREGATE S 1,000,000 CLiP9145304 11/22/14 11/22/15 DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS'LIABIUTY STATUTE ER YIN 500 000 R' unraroaerauvaarnrxvscume EL.EACH ACCIDENT S / cowewaeh szauoeor NIA (Mandator)n NH) KE 0633734 7/01/15 7/01/16 E.L.DISEASE-EA EMPLOYEE S 500,000 hM.daammaaa,der 500 000 OESCRIPRON OFOPERATIONS Der- E.L.DISEASE-POLICY LIMIT $ r DESCRIPTION OFOPERARONS/LOCATIONS/VEHICLES(ACORD 101,Addifional RemwM Sd*dde,may be attached it mare apace Is mq*ed) CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICES SE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN j ACCORDANCE WITH THE POLICY PROVISIONS. NORTH ANDOVER MA 01945 AUTHORIZED REPRESENTATIVE ®1988-2014 ACORD CORPORATION. All rights reserved, AGORD25(2014/01) The ACORD name and logo are registered marks of ACORD 7/20/2015 Gmail-Fwd:Department of Public Safety Authorized Payment Confirmation Michelle Roche<michelleroche14@gmail.com> Fwd: Department of Public Safety Authorized Payment Confirmation Kevin Murphy <kevinmurphybuilding@gmail.com> Mon, Jul 20, 2015 at 6:57 AM To: Michelle Roche <michelleroche14@gmail.com> Can you print this for me?Thanks !!!!f!!!!!!!!!!!!! ---------- Forwarded message---------- From: <ConveniencePayClientSupport@hp.com> Date: Wed, Jun 10, 2015 at 5:42 AM Subject: Department of Public Safety Authorized Payment Confirmation To: kevinmurphybuilding@gmail.com This is an electronically generated acknowledgement of your payment to Department of Public Safety Payment. Please print this message or save it on your computer for future reference. Here is your payment information: License Number: CS-053099 Payment Date/Time: 6/10/2015 5:37:19 AM (ET) Payment Amount: -$100.00 Convenience Fee Amount: $2.49 Method of Payment: Visa Card Number: ****3909 Confirmation Number: 02365A aauolsslwwOO I 960Zf6Z190 ` s � uolJeaidx9 STO �a3AOPU V N - ZS ZS3210386 id2Illyli M NIA 'r � � .�" ` •asuaoi� 660£90 S� e,&kjadn5 uotaan.ilsu�� iuip►in9 10 P)eO suol��ln6e�f spanpuexS pu� sdaa- Silas nuot?sseW r� I fka��S oilgnd 10 }uaua