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Home My WebLink AboutBuilding Permit # 10/20/2015 NonrH BUILDING IT o��Eo TOWN OFN RT VE ® � - APPLICATION FOR PLAN EXAMINATION 4 Permit No#: ° 1 a Date ReceivedTE �R97Eo PPa,c 5 CHU Date Issued: � IMPORTANT: Applicant must complete all items on this page ✓ / r r r r / / / // /,r,,, r r r %, r r / .vr r r r rii r ri r ,r..r"rrr rir r it r r r,� / / / / / r r l r, / ,/ r / r /r•, / r /,/ �� / r/ r , r/ / r r ,. r r r. r / G/ r.. ,c ✓, r.r r.r, r /i ,. ,,,/,a,%,riw/�//�/%�/,/,��.ar�/�,r,/.,�/Dii�i/,v/.., //,,,,tri/r%�/o,� /�/.ori/„l/iririiic ...i rr,.<,o,,:ro„ %l„ ,� o,a,U �rici,,r p/ , ,�g�,�✓/,,,�r, /:://r,,,r TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family ❑Addition ❑ Two or more family ❑ Industrial tfAlteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other r/ir /rr r r ra r o/i ❑ Septicr ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District r / ,r, /% .. // 1lVater/Sewer r o /i r / i//ii ��;///�1,.,,,./Oli%,,, „/l/„�,�/,i r.,...�,�r ,w,,,, i,,,,,�, a/„/,r�Gr.,,/%%//r//,r�,,,.>,,,�<//i/l,�,,��r 2r,l�/fL✓rr r�•tic, DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: 1.'Vc Phone: �` Address: w / ;//,��/��/// / / j/ // /i<... � %...�r,,// r,,,;�rr,/�'r„s r of/ri/r”. /r i„ r/ r, „a: //„ rr / '; % r ✓ / r r r / r r / r / r / r, .,..a„� r„ „r , : ,e, r ,r.✓„ / r //,.r. ,,,../. r %i. // ,../i/ ///l :,• ro g ,r /. /../ r. r r iii / / ,r r r / ro. / / , r // / a %. I ,. ✓ ,._ ;./ / // i r, r. /�i�.��/%/� / ,,,, ,.,/ to „�/ -, / /. r � /// /". „r r ,,/ / �, / / ,i +rmo r ✓rrr //r ,r,.o .i r o �r � /r ��/ ,✓.r r,///. ,,,/,,,r.ri/.�,,.,i�///>r,,,ri,�/ r ,r r r a,. �, r, ,., /...//, r,a,�,////,,,, / ,,./, I rr. .rr. // ,,.. 1, ,, ,,., ':,, r..o /,/ ..,/ /� //, �,. ./. ///G/�r/.,G/F/%; ..,l�i/.,, ,"r / / /, r/ ,./, /• ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$92,00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ `" - 0 Check No.: ) Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner_ Signature of contractor thORTH Town of _E _ 1, Andover 0 1, ® y ` Y C% h T ver, Mass,0 LAK* COC KICMl WICK �• A- 7.®S RATE D U BOARD OF HEALTH Food/Kitchen rER T LD Septic System THIS CERTIFIES THAT ................ ..... A ... r,,k , , , ,,,,, BUILDING INSPECTOR 9-rov&.1 . ...... . ... .................. has permission to erect ........ ,. .. Foundation p ............. buildings on o.. MR.ro ... Rough to be occupied as ...I,....'� .. %V ... 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,Altration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough �A Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR LESS CONSTRUCTION,$TARTS Rough Service Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Reguired 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 Approved by the Building Inspector. Burner Street No. Smoke Det. 098 Forest Street Kevin Murphy • North Andover,MA 01845 • PH:978-688-5335 Building Contractor • FAX:978-688-7207 Proposal To: Paul&Mary Alice Rock 70 Greenhill Road 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 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 02108.(617x7278598 CC: Date: 9/29/2015 Job: Kitchen/windows 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 10/10/15. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 11/25/15.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 -Warranty 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 III -Scope of Work Page 1 of 4 Kevin y Page 2 of 4 Building Contractor 98 Forest Street North Andover,MA 01 B45 PH:978-68&5335 FAX 978688-7207 General Proposal is to partially renovate existing kitchen, and replace five window units. Permit will be obtained by contractor. Demolition Existing kitchen wall will be removed. Ceiling in family room will be removed. No allowance has been made to completely gut kitchen or family room. Building All materials required to remove wall, and replace windows will be provided. Five Harvey all vinyl replacement windows will be supplied/installed in existing openings. Minor exterior rot at front entry will be repaired. Plumbing Plumbing required to replace kitchen sink/faucet will be provided. Sink/faucet to be supplied by owner. Electrical Electrical work required to remove wall, add lights in family room/kitchen, and upgrade service to 200 amps will be provided. Any surface mounted fixtures( pendants) to be supplied by owner, installed by contractor. Heating/Air Conditioning No allowance has been made for any heating or air conditioning. Insulation Existing insulation to remain. Plaster Plastering/patching required for removing wall and replacing family room ceiling will be provided. Interior Trim/Doors Interior trim will be supplied / installed to match existing. New island in kitchen will be installed. Existing cabinets will be relocated as required. Island cabinets/countertops to be supplied by owner. Painting Interior painting for kitchen and family room will be provided. Kitchen cabinets will be painted. One coat of primer, and two coats of finish will be applied. Flooring No allowance has been made for any flooring. Kevin V Page 3 of 4 Building Contractor 98 Forest Street North Andover,MA 01845 PH:978-688-5335 FAX:97&688-7207 Waste Removal All demolition/construction debris will be disposed of by contractor. Kevin Murphy Page 4 of 4 Building Contractor 98 Forest Street North Andover,MA 01845 PH:978-8&5335 FAX:97& a&7207 Section IV-Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ... ... ... ... ... ... ... ... ... ... ... .$ 29,850 Payment to be made as follows: Percentage/Item Description Amount 1 Permit obtained / deposit $2850 2 Demolition complete $5000 3 Windows ionstalled $10,000 4 Cabinets installed $8000 5 Job complete $4000 Total 5 1 $29,850.00 "Notice:No agreement for Home improvement contracting 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 ardor 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. 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 SIGN THIS CONTTHERE ARE ANY BLANK SPACES ,,... Signature ///', � Date Signature 9, .A ) t'. "�" Date 7// S-- The Commonwealth ofHassachusetts .Department oflndustrialACCitlents - a X Congress Street,Suite 100 Boston,MA 02114-2017 wwrvmass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERiVRTTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: _., ..� .; . City/State/Zip: ^_ , Q�XL<Vhone##: -Y-I w 71" Areyou 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 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 3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 4.❑I am a homeowner and will be hiring contractors to conduct alt work on my property. I will 10 Q Building addition ensure that all contractors either have workers'compensation insurance or arc 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. Roof repairs These sub-contractors have employees and have workers'comp.insurance.t p 6.Q We are a corporation and its officers have exercised theirright of exemption per MGL c. 14.Q Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box##1 must also fill out the section below showing theirworkers'compensation policy information. i Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that checkthis 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 ant art etttployer that is providing ipor'Ireis'coyiipettsatioit ittsur'artce for itty employees. Below is the policy and job site information, en Insurance Company Name, w " Policy#or Self-ins.Lie.#: - '" Expiration Date: l _ Job Site Address: i . City/State/Zip: "t "��, � • �'�a� 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$250.00 a day against the violator.A copy of this statement may be,forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido Iter by certify under the pants and penatties of petymy that the information provided above is true and correct. I Si nahtre. _ Date: Phone#' .Y Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: DATE(MMOONYYY) 100 IE�JR_bl CERT'IFICAT'E OF LIABILITY INSURANCE 7/15/20.5 THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATIONONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEHOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELYOR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVEDR PRODUCER,AND THE CERTIFICATEHOLDER. IMPORTANT:if the cerUNcateholder is an ADDITIONAUNSURED,the policy(les)must be endorsed.If SUBROGATION$WAIVED,subject to the terms and conditions ofthe policypertalnpoliciasrnayrequireanandomement.Astatementon lhlscertHlcatedoasnot conferdghtstothe '.. certificatsholder In)leu of such endorsement(s). PRODUCER CONTACT Sandi. Munroe NAME P ROBERTS INS AGCY INC PHONEFAx No,Ext: (97S)683m-807.3 AK Ne: (976)663-3147 1060 Cyst acsfi S ray A DRESS: sande.@m robere in suranc .caarl North Andover, HA 01845 INSURER(S)AFFORDING COVERAGE NAICe INSURERA: MERCHANTS INSURANCE INSURED KEVIN MURPHY BUILDING & REMODELING INSURER 8: GUARD INSURANCE 169 BOXFORD STREET INSURERC: NORTH ANDOVER, MA 01845 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,TEAM 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 SUCHPOUC.IES.UMITS SHOWN MAY HAVEBEEN REDUCED BYPAID CLAIMS. u�an wen POUCY EFF POLICY EXP TYPE OFINSURANCE POLICY NUMBER LIMITS }[ COMMERCWLGENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 _MSRMDE }C OCCUR h r^[C7a�et c PREMISES(F.—ence $ t,I �A^It ADO f7 IO6r1945 ��/22/� �/22/�5 MEDEXP(Any—ponos) $ 15,000 PERSONALB ADV INJURY $ IE3CI,CJ00 GEN AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 y r CI C�r C)CI O POLICY JECT LOC PRODUCTS•COMPAWAGG $ 2 O O O O O O OTHER $ AUTOMOBILE LIABILITY COrABINEDnlSINGLEUMiT $ 1r 000r 000 Ea ecdde ANYAUTO BODILYINJURY(Per Person)m� $ ALL OWNED rl SCHEDULED MCA7 O 13 CTU O 8 01/23/15 01/23/16 BODILY INJURY(Per acddenl) $ A AUTOS AUTOS NON0O NED PROPERTY DAMAGE § HIRED AUTOS AUTOS Per acddent $ UMBRELLA LIAR OCCUR EACH OCCURRENCE § 1,000,000 EXCESS LIAR 1 CIAIMS.MADE AGGREGATE $ 1,000,000 CUP 145304 1/22/14 11/22/15 DEO RETENTION $ $ WORKERS COMPENSATION PER AND EMPLOYERVIJABILnY STATUTE ER vaova.Erorvvoanrene�wrrf YIN E.L.EACH ACCIDENT $ r 500 000 � � excwoeav I$ NIA ,r.^ 3 7/01 (MandatoNn NH) �7CV33734 /15 07/01/1f7 E.L.DISEASE-EA EMPLOYEE $ 500,000 If"..describe order 500 000 DESCRIPTION OFOPERATIONS below EL DISEASE-POLICY LIMIT $ r DESCRIPTION OFOPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Addfda,al Remadts Sdredde,may be anadied N mae apace is rich d) '.. CERTIFICATE HOLDER CANCELLATION '..... TOWN OF NORTH ANDOVER SHOULD 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 01545 AUTHORIZED REPRESENTATIVE 001988-2014 ACORD CORPORATION. All rights reserved. ACORD25(2014/01) The ACORD name and logo are registered marks of ACORD LJ 1L1ZryJLCLtBCGG��.Q��//l-CCJJCGC'JZCGJ2 Office of Conss umermer AAffairs&Busihess Regulation OM E IMPROVEMENT CONTRACTOR egistration: 109874 ,7 xpiration: 6/29/2016Type: Individual KEVIN MURPHY Kevin Murphy 98 FOREST ST. N.ANDOVER, MA 01845 -- - i Undersecreta-ry I Of Public Safety Massadhusetts O Regulat,ons and Standards of Buiiding Board I 099' x License: CS-053 I Supervisor construction KEVIN W MURPHY n ,: 98 FOREST ST OVER �-. M i NORTH pN'D , EXPirabon. 0612912017 COm sm sioner