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HomeMy WebLinkAboutBuilding Permit # 9/11/2015 i �ORTp1 BUILDING PERMIT 01 V TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received �pDaA7ED rQa,R� , caaus�4 Date Issued: I ,® PORTANT:Applicant must complete all items on this page �,r r , r r rr r /r ✓ rr // r r / v / ,, r ,/ r r »r r / / / r/ / dr r r r .l /. „ ,..r r , , .r ei yr/iv r,✓ii r ri ,r'ii r „,,, r ✓ ,r r,, r rrur,.. r ,r,,,, //rr / ./y / 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: 1 Demolition ❑ Other epticr/ ell / r ❑ Flaodplain et an' s ❑ Watershed D�stnct r��///,�%i// / rr DESCRIPTION OF WORK TO BE PERFORMED: OWNER: Name: �m Identification- Please Type or Print Clearly � �� � "�t Phone' ci"(' Vm Address: / r Contractor Narne r / rrr Phone r r rrr r r / r rr / / r r r r rr r rr rr,,r rr / r r , � // ✓ rr / d, r / / r/,, ,, /o yr / / / /i/// //,/ // / r r ,. r.. r ./� � 1, ,. /i/ r ,. .r/,�/� /�r,•r,,./{ ,,.. ;/. r r//.,/ i/.. ,,, r�%//. /lr�i/%%///�..,.,/r,r // %/>, /;,..,// r, �/„ r �,/ .r � %� / r � rrr / r,.../ / � .✓ , rr � a �r// , //l..,,,/, fr,//�r/,,,,✓r ,f,/r�„ � ///, r ri , r/ G,,r,r,r „r/ „///,i// a/r ,r i/ ./ s /,r:.r, , /�rrrr o ARCHITECT/ENGINEERPhone: 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: $ O Check No.: r 4 Receipt No.: NOTE: Persons contractingwithunregis eyed contractors do not have a cess to the guaranty fund Si nature of A ent/Owner g g signature of contract I ofORTI, Town ndover jo 1� .„- 0% ® ®� �. '4 Ism i h ver, ass 0 LAKE 7 9 tlw' COC MICNEWICK QDRRTED S u BOARD OF HEALTH Food/Kitchen PERMIT T now Septic System THIS CERTIFIES THAT ......... .,,.. , ,. BUILDING INSPECTOR .. .. . ....... .... .. ..... .. .., ... Foundation has permission to erect .......................... buildings on ..... ........ ..... .... . ........................ Rough #11 to be occupied as p� .......... ....... . .... .... .. .. .... .. . . ........................ 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 I MO ELECTRICAL INSPECTOR LESS CONSTRU ST T Rough Service ................................................................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required t® Occupy Building 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. 998 Forest Street Keviri r ® North Andover,MA 01845 ® PH:978-888-5335 Building Contract®r ® FAX:978-688-7207 Proposal To: Tom&Wendy Venti 425 Boxford Street All Hare improvement Contractors and Subcontractors engaged in home improvement contracting,unless North Andover, Ma. 01845 specificaliyexempt fromregistration byProvisions ofChapter 142A of the general laws,must be registered with the Commonwealth 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 021108.(617)•727 8598 cc: Date: 9/10/2015 Job: Replace existing deck Date of plans: None Architect: None Location: Same Section 1-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 9/14/15. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 9/25/15.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-Warmnty 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 111-Scope Page 1 of 4 Kevin Mur,plky Page 2of4 Building Contractor 98 Forest Street wmm Andover,MA o`1wm FAX 978-688-7207 General Proposal is to replace existing deck. Building permit will be provided by contractor. Demolition � � Existing deck will becompletely removed and disposed of. Foundation Exia8ngfootings toremain. Building New floor joists will be M. Decking will be 5/4x6. Railings will be 2x4 /2x2 to match existing. Lattice will be installed around entire deck.All materials vvi||bapressure treated. Painting There has been no allowance made for any painting/staining/sealing of deck. Waste Removal All demolition/construction debris will badisposed ofbvcontractor. | � � � � � � � Kevin Mu.rphy Page 4 of 4 Building 0xitractor 98 Forrest Street Nath Andover,MA 01845 PH:9786885335 FAX 978888-7207 Section IV-Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ... ...... ... ...... .. .. ... .......$ 8400 Payment to be made as follows: Percentage/Item Description Amount 1 Existing deck removed $2400 2 Job complete $6000 i i t Total 2 $8,400.00 "Notice:No agreement for Home improvement contracting work shall requre a down payment(advance deposit)of more that orrattyrd of the total contract price of the total amount of all deposits or payments which the contractor must make,in advance,to order andlor otherwise obtain delivery of special order materiats 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—I have read this document and accept the prices, specifications, and conditions stated. 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 DatejI U I Signature Date The Commonwealth of Hassachusetts Department of Industrial Accidents X Congress Street,Suite 100 Boston,MA 02114-2017 www.snass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Lclectricions/Plumbers. TO BU FILED WITH THE PE,I:NlSTTING AUTHORITY. Applicant Information Please Print Letribly Name(Business/Organization/Individual): ° Address: 'It �_ City/State/Zip: QV .�Phone##: 4, .... 6TV" , " Are you an employer?Cbecic the appropriate box: Type of project(required): 1. I am a employer with J�employees(full and/or part-time).* 7. ❑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.] 9. Demolition 3.C]I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 4.F-1I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 E]Building addition ensure that all contractors either have workers'compensation insurance or are sole i l.❑Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.❑I am a general contractor and 1 have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance.t p 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[]Other 152,§1(4),and we have no employees.tNo workers'comp.insurance required.] *Any applicant that checks box 01 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all workand then hire outside contractors must submit a new affidavit indicating such. tContractors that eheckthis 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 arrr air enrployer'that is providing iporlcers'compensation insurance for my employees. Reloiv is the policy acrd job site information. Insurance Company Name: ( , ,r Policy#or Self-ins.Lie.#: �C.. "" `. Expiration Date: Job Site Address: ,I - -_. 1 v t • a _ City/State/Zip: µ q 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. I do here y certify under thepains andpenalfiejqfperjury that the information provided above is true and correct. Sian Date: . Phone#• *.5571' 5 , Official use only. Do not sprite in this area,to be completed by city or toivrr official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: =72. CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMA710NONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEHOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELYOR NEGATIVELYAMEND, 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 REPRESENTATIVIMR PRODUCER,AND THE CERTIFICATEHOLDER. IMPORTANT:H the cortificateholder is an ADDITIONALINSURED,the policy(les)must be endorsed.If SUBROGATIONS WAIVED,subject to the termsandcondidonsofthe policypertaln policieanayrequlronandorsement.A statementon thiscertificatedoesnot conferrights to the certifieateholder In lieu of such endorsement(s). PRODUCER AME.CONTACT NAME Sandi Munroe N P ROBERTS INS AGCY INC PHONE FA" (919)693-3141 A/C.N,.Ext: (978)683®5073 .No: ]060 Q c ood S t t 2DRESS: sand1@mprobertsin uranc .coin 'North Andover/ MA 01845 INSURER(s)AFFORDING COVERAGE NAICB INSURERA: MERCHANTS INSURANCE INSURED KEVIN MURPHY BUILDING & ODELIN INSURER B: GUARD INSURANCE 169 BOXFORD STREET INSURERC: NORTH ANDOVER, MA 01845 INSURERD: INSURER E NSURERF: 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, EXCLUSIONSANDCONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVEBEEN REDUCED BYPAID CLAIMS. We a POLICY EFF POUCYEXP im TYPEOFINSURANCE POLICY_NUMBER LIMITS COMMERMALGENERAL LIABILITY EACH OCCURRENCE $ 1 000,000 LJ...EOCCURPREMISES oaurrerra $ 50-0,OQO BOP1068945 1/22/14 11/22/15 MEDEXP(Anyanepersen) $ 15,000 A PERSONAL$ADV INJURY $ INCLUDED GEN%AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 q,,..- 70- Loc PRooucrs-coMProPacG $ 2 000,000 1E.T F1 OTHER: $ AUTOMOBILE LIABILITY COM81�SINGLELIMIT $ 1,000,000 ANYAUTO S C1 BODILYINJURY(Perperson) $ ALL OWNED SCHEDULED MCA7013608 1/23/1. 1/23/16 BODILY INJURY(P.—W.rt) $ A AUTOS AUTOS NON-OWNED PROPERTY DAMAGE § HIRED AUTOS AUTOS Peraaidont § UMBRELLA UAB EACH OCCURRENCE § 1,000,000 A EXCESS UAB :MS-MADE AGGREGATE $ 1,000,000 CC7P9145304 1122/14 11/22/15 . DED RETENTION $ $ WORKERS COMPENSATION PER OTF4 WORKERS COMPENSATION STATUTE ER AND _ _ YIN r 500 000 oucumre E.L.EACH ACCIDENT $ omeswucr+aasn sxnweo� NIA (Mandatoyn NH) 4WC633734 1/01/15 1/01/16 E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OFOPERATIONS below E.L DISEASE-POLICY LIMIT $ DESCRIPTION OFOPERATIONS/LOCATIONS IVEHICLES(ACORD 101,Additfo rai RemarkaSchedde,may be alta had a moe space Ie r q ked) CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH OSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. NORTH ANDOVER MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD25(2014/01) The ACORD name and logo are registered marks of ACORD h; Massachusetts - Department of Public Safety Board of Building Regulations and Standards iConstruction Superjisor- License: CS-053099 i KEVIN W MURPOY 98 FOREST ST IN North Andover NFA 018 :f �c )1177 Expiration Commissioner 06/29/2015 f ��e�pa���iaa�acueccl��oll'bldceaccc/mieM Office of Consumer Affairs&Busi ess Regulatio❑ OME IMPROVEMENT CONTRACTOR egistration: 101874 Type: :y xpiration: .,6/29/2016 Individual KEVIN MURPHY Kevin Murphy pY 98 FOREST ST. g N.ANDOVER, MA 01845 Undersecretary 2 9/10/2015 Fwd:Department of Public Safety Authorized Payment Confirmation-michellerochel4@gmail.com-Gmail Click h Gmail COMPOSE Fwd: Department of Public Safety Authorized Payment Col Inbox(2,079) Kevin Murphy Starred to me - Important --------Forwarded message--------- Sent Mail From: <ConveniencePayClientSupport(a)-hp.com> Drafts (4) Date:Wed, .Jun 10, 2015 at 5:42 AM Facebook Subject: Department of Public Safety Authorized Payment Confirmation To: kevinmurphhybuilding(camail.com Notes Personal This is an electronically generated acknowledgement of your payment to Recipes Department of Public Safety Payment. Please print this message or Travel save it on your computer for future reference. More Here is your payment information: License Number: CS-053099 Payment Date/Time: 6/1012015 5:37:19 AM (ET) Payment Amount: $100.00 Convenience Fee Amount: $2.49 Method of Payment: Visa Card Number: ****3909 Confirmation Number: 02365A