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HomeMy WebLinkAboutBuilding Permit # 10/1/2015 a 11 star BUILDING PERMIT TOWN OF NORTH ANDOVER ; APPLICATION FOR PLAN EXAMINATION x m "� Permit NO: Date Received .me«,er10 M. Date Issued: "AC14US IMPORTANT: Applicant must complete all items on this 2age i Jjlt i MANS F�AELCGIIT,4l+ THfsEotct7� tnct yep TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building ❑One family ❑Addition Owo or more family ❑Industrial Ll Alteration No. of units: ` ❑Commercial VIRepair, replacement [:I Assessory Bldg ❑ Others: ❑Demolition C1 Other ? ptic ❑`1l1!' ll [ Fl ndplai 11 Wetlarlds '❑ W6ter hed District CSI Water/ Diner a Ins— Identification Please Type or Print Clearly) OWNER: Name: Phone �� / � Address: In honk, A06' am41 Home Imprpumer�t kine = � ante, ,. 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: $— � ';3 FEE: $ Check No.: �i Receipt No.: NOTE: Persons contracting with unregistered co ractors do not have ac ss o e guaranty fund Signature of Agent/Owner, u ' nature of contractor �I AM FORTH 11clu V ell 0 W!. ' * )*l . o I - tfN- h o 'a.'. h ve�9 `��Sy COCMIC"t-CK �®A°RATED )kV' �(9 lS U BOARD OF HEALTH Food/Kitchen PER LD Septic System MiT BUILDING INSPECTOR THIS CERTIFIES THAT .......... ........ .. . . .... .. .. ................ Foundation has permission to erect .......................... buildings n .. . ........... . .�. 0i!. .... ................ i Rough tobe occupied as ............ .. t.. .. .................... ........................®........................................................ 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 ® UNLESS C TIO T S Rough VI 04* Service ................. ... ........ .. .................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. B dp, A da°l n�� V Blur !'air'Your flbme Kevin and Wendy Renick Jim Freve 14 First Sheet Contractor/Carpenter Amesbury,Ma.01913 sf GG WHitehall Road Amesbury.Ma.01913 License 88727 Kitchen Renovation, 18 Dartmouth Street Scope of work to include: 1. Obtain approval and permit for indicated work 2. Remove old cabinets 3. Remove sheetrock in kitchen and dining room 4. Remove non-load bearing partition wall 5. Removed 2 double hung windows, install header and prep wall for patio door 6. Install patio door, including exterior finish 7. Oversee and direct rough electrical and plumbing work by others 8. Insulate, prep walls for sheetrock 9. Install 3/8"sheetrock over existing ceiling in kitchen and dining room 10. Reinstall sheetrock on interior walls 11. Tape and fill and sand ceiling and walls 12. Prime all new drywall 13. Install kitchen cabinets/Cabinet crown and trim not included 14. Apply finish paint 15. Lay cement board as subfloor for tile in kitchen 16. Tile And Grout 17. Install appliances 18. Dispose of all debris 19. Schedule and conduct final inspection Note: • Additional charges may be incurred after demolition if unknown conditions exist • Permitting for plumbing and electrical to be completed by others • Cabinets to be furnished by others • Patio door and the to be purchased by homeowner Labor and Material $10,053.00 Page 1 of 4 Total contract price and payment schedule The following schedule will be adhered to unless circumstances beyond the contractors control arise Work scheduled to begin after permit approval Expected date of comp/etion 10/30/15 The contractor agrees to perform the work, furnish the material and labor specified above for the sum of: $10,053.00 Payments as follows: Payment Schedule Contract Signing 20% $2,010.60 Completion of demolition and rough framing 20% $2,010.60 Interior work brought to prime 20% $2,010.60 Completion of work specified in contract 30% $3,015.90 Approval of final inspection 10% $1,005.30 Total $10,053.00 DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Ide tical copies of the contract should go to the homeowner and the contractor. ZZ-9za�� ® � Homeowner's Signature/ Date Contractor's signature/ Date Homeowner's Signature/ Date Page 2 of 4 You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller, which may be his main office or branch thereof, provided you notify the seller in writing at his main office or branch by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of the agreement. See attached notice of cancellation for an explanation of this right. Required Permits The following building permits are required. It is the obligation of the contractor to secure such permits as the homeowner's agent: Building Permit NOTE: Owners who secure their own permits or deal with unregistered contractors are excluded from the Guaranty Fund provisions of MGL c. 142A. NOTE: All home improvement contractors and subcontractors shall be registered and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director, Home Improvement Contractor Registration One Ashburton Place, Room 1301 Boston, Ma. 02108 (617) 727-8598 ARBITRATION 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 such dispute to a private arbitration service which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulations and the consumer shall be required t9 submit to such arbitration as provided in M.G.L. c.142A. I Contractor: LYU19 4A4� Date: . i Q G f Homeowner: Date: Ail Homeowner: Date: NOTICE: THE SIGNATURES OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETTLEMENT INITIATED BY THE CONTRACTOR. THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES. Page 3 of 4 NOTICE OF CANCELLATION YOU MAY CANCEL THIS TRANSACTION, WITHOUT PENALTY OR OBLIGATION, WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. IF YOU CANCEL, ANY PROPERTY TRADED IN, ANYPAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE, AND ANY NEGOTIABLE INSTRUMENTS EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELLATION NOTICE, AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED. IF YOU CANCEL,YOU MUST MAKE AVAILABLE TO THE SELLER AT YOUR RESIDENCE, IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED, ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR SALE; OR YOU MAY, IF YOU WISH, COMPLY WITH THE INSTRUCTIONS OF THE SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE SELLER'S EXPENSE AND RISK. IF YOU DO MAKE THE GOODS AVAILABLE TO THE SELLER AND THE SELLER DOES NOT PICK THEM UP WITHIN TWENTY DAYS OF THE DATE OF CANCELLATION, YOU MAY RETAIN OR DESPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO THE SELLER, OR IF YOU AGREE TO RETURN THE GOODS TO THE SELLER AND FAIL TO DO 50, THEN YOU REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT. TO CANCEL THIS TRANSACTION, MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE, OR SEND A TELEGRAM TO: James Freve Equity Builders 56 Whitehall Road Amesbury, Ma. 01913 NOT LATER THAN MIDNIGHT OF September, 16, 2015. I HEREBY CANCEL THIS TRANSACTION. Date: Buyer's Signature: Date: Buyer's Signature: Page 4 of 4 I 5., Pan'ry Base Dravvr--r 24" Base i 24` Base 321.30 I iBase s2?7,75 227.75 j 22 Bas- urger s227.75 5215.= �s=50.43 Refidgerator 90` 36wx33dx70h Hier I I 153 1/2' 113' 9/16` 20 1/2, '3` case Stove 3 f s1 5 18 �'�.[c ,er 36` 51��< Bass Dishwasher 8 a Ser 37 9/ >26 .33 223.97 ; „ j °x269.33 I � 'i i 59' 18` 82' Office of Consumer Affairs&Business Regulation-Mass.Gov https://services.oca.state.ma.us/hic/licdetaiIs.aspx?txtSearchLN=85321 The Official Website ofthe Office of Consumer Affairs&Business Regulation(OCABR) Consumer Affairs and Business Regulation Home Consumer Rights and Resources Home Improvement Contracting HIC Registration Complaints Registration# 183297 I; Registrant EQUILTY BUILDERS Name JAMES FREVE Home Improvement Contractor Registration Home Page Address 56 WHITEHALL RD City, State Zip AMESBURY, MA 01913 Expiration Date 09/28/2017 Complaints Details No complaints found for this registrant. You can also view arbitration and Guaranty Fund history Back To Search ©2012 Commonwealth of Massachusetts. Mass.GoAD is a registered service mark of the Commonwealth of Massachusetts. 1 of 1 10/1/2015 8:39 AM The Commonwealth of Massahusefls Department ofIndlustrial.Aceldents ;a : -W` .d 1 Congress Street,Suite 100 �= Boston,Mit.02114-2017 www.rnassgo v/dia sy, VVOkers'Compensation Insurance Affidavit:BuildersfContractors/Electrieians/Plumbers. TO BE MRD MITH THE PERMITTING AUTHORITY. A.milicant Information Please Print Legibly Name(Business/Organization/l'ndividual):�U Address: City/State/Zip: yn1 e4vyy Phone#: I`�� (;G q qq.-o? Areyou an employer?Clheck&e aplii•oprlate box: Type of project(required): 1.C]l am a employerwith employees(full and/or part-time).* 7. []New construction 2.jS am a sole proprietor or partnership and have no employees working for me in 8. k<emo delirig any capacity.No workers'comp.insurance required.] 9. El Demolition 3.Q l am a homeowner doing all work myself[No workers'comp.insurance required.]t 10[]Building addition 4.C]l am a homeowner and will be hiring contractors to conduct all work on my property. 1-will ensure that all contractors either have workers'compensation insurance or are sole 11.[]Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.❑l am a general contractor and l have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance. 6.C]We are a corporation and its officers have exercised their right of exemption perMGL a 14.[]Other 152,§1(4),and we have nq employees.[No workers'comp.insurance required.] *Any applicantthat checks liox#1 must also fill out the section below showingtheir workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work andthen hire outside contractors must submit anew affidavit indicating such. YContractors 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-c6n6d&s have employees,rliep must provide their workers'comp.policy number. I am an employer that isp/•oviding workers'compensation insurance for my employees.'Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins,Lic.#: 11 Expiration Date: AA� Job Site Address: I S �cw�r I M u�'V` City/State/Zip:� '• tl i/* tAck, 0- Attach •Attach a copy of the workers'compensation-policy declaration page(showing the policy number and expiration(late). Failure to secure coverage as required under MGL o.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. I do hereby e rte under lie ins andpenatties ofpeijuiy that the information provided above/is true and correct. Signature: /I�nr-�"—� Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: _ Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.PIumbingbaspector - 6.Other Contact Person: Phone#: �.--� EQUIT-2 OP ID: CA ,4coR® DDNYY CERTIFICATE OF LIABILITY INSURANCE DATE 09/23/2015Y) 09/23/2015 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(ies) 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: 978-388-2354 CONTACT Christine Amenta _ Gould Insurance Agency,Inc. PHONE FAX 7 Market Square Fax: 978-388-5578 A/c No, _978-388-2354- A/c No): 978-388-5578 Amesbury, MA 01913-2494 E-MAIL ADDRESS:christinea gouldinsurance.com INSURERfS)AFFORDING COVERAGE NAIC p INSURER A:Merchants Insurance Group -_ INSURED Equity Builders INSURER B: James Freve DBA INSURER C: 56 Whitehall Road Amesbury, MA 01913 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. — -- - POLICY EFF POLICY EXP LTR - INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM DD/YYYY MM/DD/Y YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED A X1 COMMERCIAL GENERA_L LIABILITY BOP1086672 08/14/2015 08/14/2016 PREMISES(Ea occurrence) _ $ _ 500,000 CLAIMS-MADE [� OCCUR MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY_ $ 1,000,000 -" GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000 000 POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT �Ea accident ______ $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNEDSCHEDULED ! AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident _ - $ UMBRELLA LIAB i OCCUR EACH OCCURRENCE $ EXCESS LIAB L CLAIMS-MADEI -AGGREGATE $ - ---- __$--- ---- -..._ DED RETENTION$ WORKERS COMPENSATION WC STATU- 0TH- '.. j AND EMPLOYERS'LIABILITY Y/N _ T LIMITS _ E ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT _ _$ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) '.. Location:18 Dartmouth St, No Andover Mass CERTIFICATE HOLDER CANCELLATION TOWNNOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Osgood Street North Andover, MA 01845 AUTHORIZED REPRESENTATIVE cavziot-e—Ala�clt_ ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Massachusetts -Department of PublicSafety Board of Building Regulations and Standards Constfuction Supervisor License: CS-088727 JAMES FREW IWO W, 56 WMTEFIALLJ2D r AMESBURY MAI_01913 >n Expiration commissioner 05/22/2016