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Home My WebLink AboutBuilding Permit # 9/25/2015 ga0RTH BUILDING PERMIT ® .14�ED �o T NORTH �*�' �: 6 0 APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received rep � CHUS�� SSA ,( Date Issued: lIC r IMPORTANT Applicant must complete all items on this page / ✓ //, /r, i r �/ rrr r / / ✓ ,, a,r ✓ r r r rr / / l ,,r r /.. ,. r �// //. // �� ;r. r / ✓ ,r / rrr �; r; , ,;, ;., i „r ✓,. / ,,, ,i. r <./i ., / //; / it / / //. / rr r r. ✓ r r / ori , �/�r�r r//� rl/r ✓ .o /r�/ ,, � ,/// ,,r,ti /�/ �✓ ,,,. r02E/ , TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 'One family ❑Addition ❑ Two or more family ❑ Industrial Iteration No. of units: ❑ Commercial -CRepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other / e flc ' ❑;Well /r r Flo /// r „ /r, p, r r "/,; ❑ od Iain / ❑Wetlands / r p r .;, ❑.,:Watershed District,.,. /rrr// c/rio /ri .w�„ �/ r / /: /'r . / r rr r r oo / r r r r/ ,r; ,,,, , / �// r .../ ///r rr/i.: r r/r. .r. .. _✓.. ,,,i ,////a/,✓/,/�/�1r��,1!/✓ /,,,c �/!�i�/��/✓ �c'✓//i ;,. di,�/iL�,��/ii�/rr/lir DESCRIPTION OF WORK TO BE PERFORMED: Location "� • � ,� � a� a �� : � � G� � " �,,� P Identif� �, .0 OWNER: Name: Noy °,� �:°�� date 2 � j� Address: T F T E I� ,Contractor,,Name � rr � ��# ° ✓ / �// ��, /I >/ ;rrr;,,,. Certificate of Occupancy $ /�/r%//✓J�ii i/oil/i� r m �, � p,.., Building/Frame Permit Fee $ ,S,tape„MsohS'%Or1sIrUC[lo ice Foundation Permit Fee l%/ Other Permit Fee $ or �efljipro�ement aceh'sej TOTAL $ of/,al�ri ../,i✓rrl w%.,�ma ilmrn!/rr r,,,v,% ARCH ITECTJENGINEER Address: � check# , FEE SCHEDULE:BULDING PERMwilding Inspector Total Project Cost: $ Check No. �Receipt ..,.No NOTE: Persons contracng w th ungit red contractors Flo not have ac ss to the guaranty r�nc� Signature.of Agent/Owne ��- P gnature of contracto �� oORTH Town of ndover ® '... ® is — �.KE h ver, ass, l COC"jCMEWICK y1' ATEo U BOARD OF HEALTH Food/Kitchen PEK 11 T D Septic System THIS CERTIFIES THAT I BUILDING INSPECTOR ............. . ...... .............. .............................................................................. C_ Foundation has permission to erect .......................... buildings on ............. ...... ...................................... ..Ac Rough to be occupied as ....... Jam.. .......... ..... ......L .. weeN¢ ..(�0,2 ...................... 1 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 MONTHSPERMIT EXPIRES IN 6 ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO TAR Rough Service .::`— .................. ....... rl�l ..... ............................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required t® OccuQV Bulldln 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 Approvedthe Building Inspector. Burner Street No. Smoke Det. „ 98 Forest Street Kevin � . . �h. ' 0North Andover,PAA 01845 ® PH:978-688-5335 Building Cor t r ® FAX:978-688-7207 Proposal To: Mary Ellen Madden 336 Candlestick Road All Home improvement Contractors and Subcontractors engaged in Forme improvement contracting,unless North Andover, Ma. 01845 specifically exempt from registration by Provisions of Chapter 142A of the general lam,must be registered with the Cornmomveatth 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.(617x727 8598 Date: 9/25/2015 Job: Renovate porch Date of plam None None Locaflon: 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 9/21/15. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 11/15/15.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- rrn The Contractor warrants that the work furnished 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 of Work Page 1 of 4 Kevhi ="~=»��y Page of Building Covitraxtor 98 Forest Street North Andover,MA 01M PH:97&688-53M FAX,978-6W7207 General Proposal is to nanm/aha existing screened porch. Building permit will be obtained by contractor. Footprint of porch toremain the same. Demolition Existing flooring, decking, and post will be removed. Footings,floor frame, and roof structure to remain. Building New sub floor,and wonder board will beinstalled on floor. New posts will be wrapped with Azek Brosco storm panels(with removable screen and glass sashes)will be supplied and installed. Exterior landing will have new Azek decking supplied and installed. New lattice will be installed around existing porch. Painting Interior and exterior painting will beprovided. One coat of primer, and two coats offinish will beapplied toall painted surfaces. Flooring New floor in porch will be tile.An allowance of$6 per square foot has been included for tile materials. Waste Removal All demolition/construction debris will badisposed ofbvcontractor. Kevin Ma i pi Page 4 of 4 Building t:e ntnador 98 Forest Street North Andover,MA 01845 PH:9786885335 FAX 97868&7207 Section I -Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ... ... ...... ......... ... ... .......$ 24,200 Payment to be made as follows: Percentage/Item Description Amount 1 Permit obtained / demolition complete $5000 2 Storm panels installed /trim complete $10,000 3 Flooring / paint complete $5000 4 Job complete $4200 ET—otal 4 1 $24,200.00 "Notioe:No ageement for Home improvement oontrac"work shall require a dorm 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 and/or otherwise obtain delivery of special order materials and equipment,whichever is Beater 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. I 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 SIG,N�THIS CONTRACT IF THERE ARE ANY BLANK SPACES r ° s f Signature '� �u ��; �� ° r �, �._ Date � I Signature Date CIX The Commonwealth of Massachusetts Department of IndustrialAccidents - y X Congress Street,Suite 100 Boston,MA 02114-2017 wivmmass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/EtE leetricians/Plumbers. TORE FILL'D WITH'rHE PERMITTING AUTHORITY. Applicant Information Please Print Le'bly Name (Business/Organizafionlfndividual): Address: City/State/Zip: jig .. .a � �� ° %one#: .. " `3 , ' Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with _employees(full and/or part-time).* 7. ❑New construction 2.®1 am a sole proprietor or partnership and have no employees working for me in 8." Remodeling any capacity.[No workers'comp.insurance required] 9. Demolition 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 Q Building addition 4.❑I am a homeowner and will be hiring contractors to conduct att work on my property. I will ensure that all contractors either have workers'compensation insurance or arc sole II.[:]Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 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.$ p 6.Q We are a corporation and its officers have exercised their right of exemption per MGL a 14.Q Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box III must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. iContractors that eheekthis 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 anz an employer that is providing ivorkers'compensation insurance for my employees. Below is the policy and job site information. insurance Company Name:_ t 0 Policy#or Self-ins.Lie.#: " tea w.+C , Expiration Date: Job Site Address: '_3 4k V, City/State/Zip: %'JV 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 WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA.for insurance coverage verification. My naIdohereb :. ce"r fy under thepains ar�p e.ra ties a rJ Jthat the it orrratiar raveled above s true�and.. correct Date: .e Phone#: Official use only. Do not write in this area,to be completed by city or town offrciaL City or Town: Permit/License# Issuing Authority(circle one): i 1.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: DATE(M1WMDNYYY) CERTIFICATE OF LIABILITY INSURANCE °7/15/2015 THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATIONONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEHOLDER.THIS CERTIFICATE DOES NOT AFFIRMATTVELYOR NEGATIVELYAMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTAT'WWR PRODUCER,AND THE CERTIFICATEHOLDER. IMPORTANT:N the certificateholder Is an ADDITIONAUNSURED,the policy(les)must be endorsed.N SUBROGATIONIS WAIVED,subject to the terms andconditionsof the policypertain pollclesmayrequireanendorsementA statementon thlscertlficatedoes not conferdghts lathe certiflcateholder In lieu of such endorsement(s). PRODUCER CONTEACT Sandi Munro NAM Ped P ROBERTS INS AGCY INC PHONEFAX ArC,Na.Ezt: (978)683-8073 Arc,Ne: (978)683-3147 1060 Osgood Street Aoo ess: Sandi@�n�robr tsinstirance.com North Andover, 01845 INSURE S)AFFORDING COVERAGE NAIC9 INSURERA: MERCHANTS INSURANCE INSURED KEVIN MURPHY BUILDING & REMODELING INSURERS: GUARD INSURANCE 169 BOXFORD STREET INSURERC: NORTH ANDOVER, MA 01545 INSURERD: INSURER E INSURERF: 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, EXCLUSIONSANDCONDIFIONSOF SUCHPOLIUES.UMIfS SHOWNMAY HAVEBEENREDUCED BYPAID CLAIMS. wesTYPE OFINSURANCE POLICY EFF POLICY EXP e� POLICY NUMBER LIMITS X COMMERCIALGENERALLIABILRV EACH OCCURRENCE $ T 000,000 CLAIMSAWDE OCCUR PREMISES Ea sccurterue $ O OO MED EXP(AnY—Parsar) $ 15 000 , OPI068945 �..1/22/la 11/22/15 PERSONAL&ADV INJURY $ INCLUDED GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 }C POLICY1:1 LOG PRObUCTS-COMP OPAGG $ 000,000 OTHER $ AUTOMOBILE LIABILITY GOMBINEDSINGLELIMiT $ 1,000,000 Ea eccklenl ANYAUTO W �y BODILYINJURY(Perperson) $ ALL OWNED SCHEDULED MC.A,7013605 1/23/15 01/23/3.6 ,'} BODILY INJURY(Per—Idenf) $ A AUTOS AUTOS NON40WNED PROPERTY DPMAGE $ HIRED AUTOS AUTOS Per acddent $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS UAB GLAIMSlSAOE AGGREGATE $ 1,000,000 CLtP9T45304 1/22/14 11/22/15 DED RETENTION $ $ ORKERS.COMPENSATIONY/N PER OTH AND EMPLOYER&LIABILRY STATUTE ER L—IITroercrwnmr.ewr anrve El NIA +^r*� +� E.L.EACH ACCIDENT $ 500,000 (Mamlatoryln NH) wr WC633734 7/01/1 7/01/16 E.L.DISEASE•EA EMPLOYEE $ 500!000 If yes,descrRm under 500,000 DESCRIPTION OFOPERATIONS bel— EL DISEASE-POLICY LIMIT $ I I DESCRIPTION OFOPERATIONS/LOCATIONS/VEHICLES(AOORD I01,AddWousl RemsrksSchedrse,may beauadxd H mne space is required) CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER R. SHOULD ANY OF THE ABOVE DESCRISED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN '...... ACCORDANCEATTH THE POLICY PROVISIONS. NORTH ANDOVER MA 01845 AUTHORIZED REPRESENTATIVE 01988-2014 ACORD CORPORATION. All rights reserved. ACORD25(2014/01) The ACORD name and logo are registered marks of ACORD 9/10/2015 Fwd:Department of Public Safety Authorized Payment Confirmation-michellerochel4@gmaii.com-Gmail Click h Gmai) COMPOSE Fwd: Department of Public Safety Authorized Payment Col Inbox(2,079) Kevin Murphy Starred to me Important ----------Forwarded message---------- Sent Mail From: <ConveniencePayClientSupport hp.com> Drafts (4) Date:Wed, Jun 10, 2015 at 5:42 AM Subject: Department of Public Safety Authorized Payment Confirmation Facebook To: kevinmurDhhybuilding(5)amail.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: 6/10/2015 5:37:19 AM (ET) Payment Amount: $100.00 Convenience Fee Amount: $2.49 Method of Payment: Visa Card Number: ****3909 Confirmation Number: 02365A Click here to Reply or Forward 1.17 GS 17%)of 15 GB used Search people... Manage Brvan pJdcicl,(ei aa�r��aa�zcaectlwt.a�,P/�� } office of Consumer Affairs&Busibess Regulation OME IMPROVEMENT CONTRACTOR Type: egistration: 1`01874 Axp i rati o n: 6/29/2016 Individual KEVIN MURPHY Kevin Murphy 98 FOREST ST. N.ANDOVER,MA 01845 Undersecretary Massachusetts -De Board o Partment of Public safety f Building Regulations and Standards Construction Supervisor License: CS-053099 KE VIN r r MURP y 98 FOREST ST NorthAnd over 01$ K rQmmissioner Expiration 06/29/2015