HomeMy WebLinkAboutBuilding Permit # 11/18/2015 FORTH
UIL IN PERMIT ®���LMD , -
TOWN OF NORTH ANDOVER 0� h °e ®�
APPLICATION FOR PLAN EXAMINATION M
Permit No#: r Date ReceivedS ATED
Date Issued:
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition ❑ Two or more family ❑ Industrial
teration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition
❑ Other
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DESCRIPTION pF WORK TO BE PERFORMED:
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dentilication- Please Type or Print Clearly
OWNER: Name: ;e Phone :...
Address:
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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: $ _ FEE: $
Check No.: Receipt No.: ( „
NOTE: Persons contr ding with unregistered contractors do not have access to the guar d
Signature of Agent/Owner ` Signature of°contractor '
FORTH
own
? _E. ._'Al.,
Andover
® 1, t
No.
o L„KE h ver, Mass, a
COCMIC.1c.
S U
BOARD OF HEALTH
0 10
P E M %j L D
Food/Kitchen
Septic Systerq
THIS CERTIFIES THATBUILDING INSPECTOR
.................................Vgx&.0qr
.... ....
.. Foundation
has permission to erect .......................... bui ings on .... . ..... 1.j`. ......
Rough
tobe occupied as ... .. ... ... ......... .........................®........ is . ..... ....� .�....14R..... Chimney
provided that the person acceptingthis permit shall in eve respect conforlll to the t ms of the application p �/ p ppl cation 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
LESS CONSTRUCTI T S Rough
Service
.... .... ........................................ Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required t® 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.
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Proposed Basement:
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51 Thistle Rd. �
N.Andover MA �
9/1G115 �
1. Aaron K8. Scarpel|oHome Improvements LLC. (The"Cunbado/lagrees bmprovide all labor and
materials required tuperform �
the following work:
" Obtain permit(fees included
) �
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= Frame in partition walls as seen in plans(bath area to be slightly larger to make �
room for tub/shower unit)
= Frame ceiling and soffits as needed
" Install 2new construction windows intheatre area
° Insulate all walls with r-15insulation
• Insulate ceiling cavities mmneeded
° Install new hardwood flooring and treads to stairways,white pine fisers installed
also
" Install Gnew solid core pine doors
° Install 3sets ofsolid core bi-foWdoors
�
Install Qdecorative columns
"
Tile e4'u8'area cdthe bottom ofthe stairs leading uphothe house
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Tile n5'x8'area inthe new bathroom
°
Install new%2"blue board and plaster toceiling(smooth texture)
"
Install new 1/2"b| board and plaster to walls(smooth n)
Ilk [WAC Reg�sters to be lowered to new
heiWit
�� L��� ttFi-tiryk- 1, '' �
" E�ohidonto�a�UmUd�nbk�/compone�a|k�ed1nho�@cwvn0mspoo�h�ef '~°
plus two 8' |mog e�ecWobaseboard&eaterm(@eor/aUve fight fixtmremnot hmulm6ed) Wen �
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Plumber to install all rough plumbing, pipes drains and vents needed to add full
bathroom. Price includes �
o Ejector pump system �
n All materials toplumb infixtures �
o - excavating needed tolay drains and pump under concrete �
floor �
o Installation ofall plumbing fixtures included(fixture cost extra)
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" Prime*paint all ceilings flat white �
• Prime+Paint all walls 1color
• Prime+paint all doors,windows,columns and baseboards semi-gloss white �
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. �
Total costs $48,500.00 �
Not included hnthe above estimate: �
|
Plumbing �
uuvuaove electrical fixtures
Carpet(estimated 6000.00-7000.00)
Tile(estimated 900.00)
Repairs needed for unforeseen damage that are due bmnmfault ufthe contractor orhis support �
staff, including all mmb-oontraotonm.
Unknown work required to meet current code(carpentryiplumbing/electdcal upgrades)
The above is an estimate only and is subject to change based on the customers final choice of
materials and any changes to the work order brought on by homeowner requests or the need to meet
current building code.
2. The Owner hereby agrees to pay the contractor,for the aforesaid estimated materials and labor,
the sum of$48.5O@.0O
~ 2DO0.0Odown payment
* 15`OUO.ODStart date
° 15.00O.00rough inspections
° 1O.ODD.00upon completion oyinsulation,plaster and paint
w 6.00O.00onproject completion
`
Finish Materials approx. $(This amountiosubject tochange based onactual choices offinished
materials made bythe homeowner)
100%due at time of order(finished materials will be ordered and purchased at various times during
the duration ofthe job)
Some finished materials may not be able to be returned or cancelled once the order is placed and
some may besubject hmn20%restocking fee. These charges will bathe responsibility o[the
homeowner ifitimthe homeowner requests the exchange orreturn.
D. f1'6mmammode|iomohadu|edtmbegin (Noveomber2Q15)
4^The Contractor agrees toprovide and pay for all materials,tools and equipment
required for the prosecution andtimely completion ufthe work. Unless otherwise specified �
All materials shall banew and ofgood quality. There ieoone year warranty onmaterials and �
craftsmanship,ifmanufactures warranty does not apply. �
5. In the prosecution of the work,the Contractor shall employ a sufficient number |
ofworkers skilled intheir trades tosuitably perform the work. �
�
6.All changes and deviations in the work ordered by the Owner should be presented to the �
Contractor,by the homeowner inwriting,the contract sum being increased nrdecreased �
accordingly bythe Contractor. |
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7.The Owner,Owner's representative and public authorities shall at all times have �
access tothe work.
�
B. Construction and Jobsite Details: �
Existing lawn&driveway may suffer some damage due hmconstruction trucking;every attempt is �
made to minimize the damage, however the homeowner shall not hold the contractors liable for the �
extra cost ifdamage situations appear.
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Any unforeseen discoveries that may affect the construction costs are the responsibilities of the
homeowner,providing the discoveries are not a part of the Contractors original work for the Owner.
For example:asbestos,lead paint, mold, ledge,high water table etc. |
9. In the event the Contractor is delayed in the prosecution of the work by acts of
God,fire,flood urm .' other unavoidable casualties; bylabor strikes, late delivery of
�
materials;mbyneglect ofthe Owner;the time for completion of the work shall Le extended �
for the same period as the delay occasioned by any of the aforementioned causes. �
/
10.The Contractor agrees to obtain insurance to protect himself, his workers and subcontractors |
against claims for property damage,bodily injury or death due to his performance of this �
agreement.
11.This agreement shall be interpreted under laws of the State of Massachusetts. |
12.Attorney's court costs shall bepaid bythe defendant inthe event that judgment must
be, and is,obtained\oenforce this agreement urany breach thereof.
13. Certifications
Massachusetts Construction Supervisor License#SG462
Massachusetts Home Improvement Contractor Registration#153QbQ
14. Insurance: Liability Insurance certificate available upon request.
IN WITNESS WHEREOF,the parties hereto set their hands and seals the day and
year written above.
NER'S NAME INEIR'S SIGNATURE
OWNER'S NAME 'S SIGNATURE DATE
OWNER'S ADDRESS
Aaron Scarpello
ZONTRACTOR'S NAME CONTRACTOR'S SIGNATURE DATE
2 Magnolia Ave Salem NH 03079
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CONTRACTOR'S ADDRESS
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LIVING AREA-2016 SQ FT
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The Commonwealth of Massa.chusetts
Department of IndustrialAceldents
a Q = I Congress Street,Suite 100
Boston,MA 02114-2017
www mass.gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/E lectricians/Plumbers.
TO BE TILED WITH THE PEIZWTTING AUTHORITY.
Applicant Information Please Print Legib
Name usmess/Or amzation/Indrvidual
Address:
City/State/Zip: 1W 1 > e''307,7 hone#: 6) 3 3yZ 0,3✓
Are you an employer?Check the appropriate box: Type of project(required):
La I amp employer with employees(full and/or part-time).* 7. 0 New construction
2, am a sole proprietor or partnership and have no employees working forme in $• n 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
�]
4.F-1I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition
ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions
proprietors with no employees.
12.F1 Plumbing repairs or additions
5. I am a general contractor and I have hired the sub-contractors listed on the attached sheet.
❑ 13.0 Roof repairs
These sub-contractors have employees and have workers'comp.insurance•
6.❑We are a corporation and its officers have exercised their right 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 41 must also fill out the section below showing their workers'compensation policy information
1 Homeowners who submif this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contractors 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-corrtraciors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for•my employees.'Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lie.#: Expiration Date:
Job Site Address: 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 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 herehy certifyun r tlie�ains and penalties of per jury that the information provided above is true and correct.
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Si natu ., Date:
r
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.Plumbing Inspector
6.Other
Contact Person: Phone#:
Massachusetts _
Board of Buildin department of Public
Construction Supe Ro�1 motions and Standardsay
j License.CSEA-096462ami13`
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commissioner Expiration
�:'--- - - 07/07/2016
Office
of Co� 'ro�eure�z�
HOME iMp nsumerAffairs&_u.9.1
1 Regi aho OV'EMENTCONTRAC7pRegWation
Expita`tion n 1 P153859 ;
1/18%2017 �Yp-e- '
;'f' AA ON M.SCgRPELLO DBA f
ff ME iM
BARON �tJ� i '.IROVEWENT
2 M SCARPELlO
SALAONOLiA AVE,
EM,MA 0307 �`' !
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Undersecretary
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