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HomeMy WebLinkAboutBuilding Permit #210-14 - 18 Edmands Street 8/27/2014 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: � J Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION ,r� %� ..e r.�l.:_ `)Zia► Print. a PROPERTY OWNER ,..�"� Print 100 Year Old Structure yes MAP NO:b�D PARCEL:UAI--'ZONING DISTRICT: Historic District yes Machine Shop Village yes a TYPE OF IMPROVEMENT" PROPOSED USE Residential Non- Residential ❑ New Building 250ne family ❑Addition ❑Two or more family ❑ Industrial V,Alteration No. of units: 0 Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑ ater/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: �� ,.ter. 1VLv+ ��1e.,r Phone: q�4� -"129 • Z63° Address: V46 VLeX CONTRACTOR Name: Phone: 3 Address: °t Fz�-�1 Ste— tu4 . �+.,.�1�...._� �^ x.._. U1�`1 Supervisor's Construction License: US3 U g.`\ Exp. Date. 6 LZS l l s Home Improvement License: LO l S'i-1 Exp. Date: &t LL ARCHITECT/ENGINEER -NA Ni4_ Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ SSS k'�10 0 FEE: $ �10L(cOO _ Check No.: `2 , Receipt No.: 7 '7 NOTE: Persons contracting with unregistered contractors do not have ac ess to the guaranty fund Signature of Agent/Owner Signature of contracto Plans Submitted LJ Plans Waived Certified Plot Plan ❑ Stamped Plan Location No. Q Date . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 4 /7 7 �B biding Inspector - ....Plans-Submitted ❑ : Plans'Waived .-Certified.Plot Plan ❑ . Stamped Plans ❑ _- TI'•P,E:OF:SEWRACEDiSPOSAL CC// Public Sewer ❑ Tanning/Massage/Body Art ❑- . . Swimming Pools ❑ Well ElTobacco.Sales E] .,Food Packaging/Sales ElPrivate{septic tank,etc__ permanentbampster on Site El THE.FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN.OFF - U FORM v.. DATE REJECTED: - DATE:APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS .,CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature . i COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes . Planning Board Decision: Comments Conservation Decision: :Comments Nater& Sewer Con nectionisignature& Date Driveway Permit DPW Tow;2 Engineer: Signature: Located 38 Os ood Street FIRE DEPARTiI ;I:iVT: =:Temp Dumpster on site yes no Located7bt:124.Main Street- Fire Departure►°ifsignatu`r"e/date COMMENTS �' . . Number of Stories: Total square feet of floor area, based on Exterior dimensions._ Total land-area, sq. ft.; ELECTRICAL: Movement of Meter Iocati.on, mast-or service drop requires approval of Electrical Inspector Yes No DANGER.Z®NE LITERATURE: Yes No MGL-.Chapter--166.Section 21A._F and G min.$100=$1000.fine NOTES and DATA— (For department use Ll Notified for pickup - Date I Doc.Building Permit Revised 2010 Building Department -` The fol owing' a list of•the required forms to be-filled out for.:the appropriate-permit to`be obtained. Roofifag, Siding, Interior Rehabilitation Permits ❑ B.uilding Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.1.C. And/Or=C.S.*L Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster-permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) Engineering Affidavits for Engineered_products_ _ ___ NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application o Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apn•�al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Doc.Building Permit Revised 2012 Enter construction cost for fee cal- North Andover Fee Calculation Construction Cost $ 58,700.00 m $ - $ 704.40 Plumbing Fee $ 88.05 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 88.05 Total fees collected $ 980.50 18 Edmands Road 210-15 on 9/9/14 Remodel Kitchen Enter construction cost for fee cal - North Andover F@@ Calculation Construction Cost $ 5'58,700.00 m $ - $ 704.40 Plumbing Fee $ 88.05 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 88.05 Total fees collected $ 980.50 18 Edmands Road 210-15 on 8/272014 Kitchen Remodel r 1 - NORTH - Jc - " ve' . o ; � - �► No, p� h X. h ver, Mass, efa 7 A/ 'Q COCHIC Nt WICK y1' - j I"P�,�S I S 11 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT .....Xil;:! ................. ..................................................................................... BUILDING INSPECTOR has permission to erect .......................... buildings onFoundation �/ Rough to be occupied as A/ 7 / p ................................... ......l...f. ��'!E!/'.................................................................. 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 CONSTRUCTION STARTS Rough Service .......... ...... .. .re,,._............................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to 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. T^ • 98 Forest Street Ke �/ n. ul"p y • North Andover,MA 01845 • PH:97"88-335 Building Contractor • FAX:978-688-7207 Proposal To: Kevin&Kacie Boutilier 18 Edmands Road All Hone improvement Contractors and subcontractors engaged in hone 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 tothe Director,Home Improvement Contract Registration,One Ashburton Place, From: Kevin Murphy Room 1301,Boston,MA 02108-(617'}727 8598 CC: Date: 8/27/2014 Job: Kitchen Renovation Date of plans: None to date Architect None Location: Same Section I-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 8/1/14. Barring Delay caused by circumstances beyond Contactors control,the work will be completed by 10/15/14.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 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 of Work Page 1 of 4 Kevin Murphy Page 2 of 4 Building Contractor 98 Forest Sheet North Ardover,MA 01845 PH:978-688-5335 FAX 97a6W7207 General This is a preliminary estimate that will be reviewed /confirmed when a kitchen plan is drawn. Proposal is to renovate existing kitchen, entry, laundry areas. No allowance has been made for any footprint change to existing house. Building permit will be provided by contractor. Demolition Existing kitchen and entry area will be completely gutted. Laundry room ceiling and walls to remain. Building Framing materials required to enlarge openings to kitchen , and recess refrigerator will be provided. New insulated fiberglass entry door will be supplied and installed. Existing kitchen window to remain. Plumbing Plumbing required to renovate kitchen/install appliances will be provided. Sink to remain in same location. An allowance of$1500 has been included for sink/faucet. i Electrical Electrical work required to wire kitchen to current codes will be provided. Eight recessed lights have been included. Any surface mounted fixtures to be supplied by owner. General layout to be approved by owner, prior to rough. Heating/Air Conditioning Existing steam radiator will be replaced with a new recessed, in wall unit. No allowance has been made for any air conditioning. Insulation Exterior walls will have fiberglass insulation installed to meet code. Plaster All renovated/disturbed areas will be blueboarded and skimcoat plastered. Walls and ceilings will be smooth. Interior Trim/Doors Pre-primed interior trim will be supplied and installed to match existing. Painting All interior painting will be provided. One coat of primer, and two coats of finish, will be applied to all painted surfaces. Other disturbed rooms(dining room)would be painted to the nearest comer. Flooring Kitchen, entry,and laundry room floors will be tiled. Back splash will also be tiled.An allowance of$6 per square foot has been included for tile materials. Kevin Murphy Page 3 of 4 Building Conhactor 98 Forest street North Ardover,MA 01845 PH:9788885335 FAX 978888-7207 Waste Removal All demolition/construction debris will be disposed of. Other Allowances An allowance of$20,000 has been included to supply kitchen cabinets and countertops. Items Not Included No allowance has been made to supply any appliances. r: • • � it Kevin Murphy Page 4 of 4 Building Contractor 98 Forest Street North Andover,MA 01845 PH:9784688-5335 FAX 978688-7207 Section IV-Price Schedule We hereby propose to furnish material and labor—complete in Accordance with above specifications for the sum of... ... ... ... ... ... ... ...... ...... ....$ 58,700 Payment to be made as follows: Percentagentem Description Amount 1 Permit obtained $2700 2 Demoliton complete $5000 3 Rough plumbing / electric complete $10,000 4 Plastering complete $8000 5 Cabinets/trim installed $20,000 6 Floors/ paint complete $8000 7 Job 100% complete $5000 Total 17 1 1 $58,700.00 "'Notice:No ageement for Home improvement contracting work shall require a down payment(advance deposit)of more that oneahird of the total contract price of the total amount of all deposits or payments which the contractor must make,in advance,to order arKVor 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 CONTRACT IF THERE ARE ANY BLANK SPACES Signature iti _� Date _ Signature Date DATE(-/DIYYYYY) �'► CERTIFICATE OF LIABILITY INSURANCE 6/25/2014 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 POLICES 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 NONTACT Sandi Munroe M P ROBERTS INS AGCY INC PHONE g78 683-8073 FAX (978) 683-3147 1060 Osgood Street E-MAIL san i mpro ertss nsurance Ncom North Andover, MA 01845 INSURERS AFFORDING COVERAGE NAIC# INsu : MERCHANTS INSURANCE INSURED KEVIN MURPHY BUILDING & REMODELING INSURERB: GUARD INSURANCE 169 BOXFORD STREET INSURER C, NORTH ANDOVER, MA 01845 INSURER D: INSURER E, INSURER 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 CONDMON 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.UMITS SHOWN MAY HAVE BEEN REDUCED BYPAID CLAIMS. s POLICY EFF POLICY EXP LTR TYPE OF INSURANCE I s LI Y MBER LIMITS X COMMERCIAL GENERAL LIABII-rrY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE "OCCUR ISE hence $ 500,000 BOPI068945 11/22/1311/22/14 MED EXP one person) $ 15,000 A PERSONAL&ADV INJURY $ INCLUDED GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY JECT [D LOC PRODUCTS-COMP/OP AGG $ 21000,000 AUTOMOBILE UABILrrY COMBINED SINGLE LIMIT $ 1,0001,000 ANYAUTO BODILY INJURY(Per person) $ A ALLOWNED X SCHEDULED MCA7013608 01/23/1431/23/15 AIJTOS BODILY INJURY(Per acddent) $ HIRED AUTOS NON-OWNED PROPERTY AUTOS t DAMAGE $ $ A BRELLA UAB OCCUR EACH OCCURRENCE $ 1,000,000 CESS UAB CLAIMS-MADE AGGREGATE $ / / CUP9145304 11/22/1311/22/14 D RETENTION WORKERSCOMPENSATION X SER ER- AND EMPLOYERS'LIHBILFTY ANY PROPRIErOR/PARTNER/D(ECUTIVE N 500,000 B OFFICERIMEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $ / (Mandatory in NH) KEWC527844 07/01/14 7/01/15 E.L.DISEASE-EA EMPLOYEE 500,000 If yes,descrbeunder 500,000 DESION OF ERATIONS below EL.DISEASE;.POLICY WMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Addifimal Remarks Schedule,maybe attached if more space is requred) CERTIFICATE O DER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1600 OSGOOD STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. NORTH ANDOVER MA 01845 AUTHORVED REPRESENTATIm N IVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts - Department of Industrial Accidents Office of Investigations IV 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): v� M .r Address: S y, W�.s S�t'r�•--`� City/State/Zip: V,4,. t- - �� '� Phone#: g'1 t- 573 Are you an employer?Check the appropriate box: Type of project(required): 1.16 I am a employer with 1 - 4. ❑ I am a general contractor and I 6. ❑New construction employees(fall and/or part-time).* have Hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7• Remodeling ship and'have no employees These sub-contractors have 8. Demolition workingfor mein an capacity. workers'comp.insurance. 9. y p ty Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its i required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.F1 Plumbing repairs or additions myself.[No workers' comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees. [No workers' 13.❑Other comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. A Homeowners who submit this affidavit indicating they aie 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 their workers'comp.policy information. Yam an employer that 1sproviding workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name:. GU./r tr�- .✓! Policy#or Self-ins.Lie.#: SGC . Z� �L L[`� . Expiration Date. `� 1 0 1 Job Site Address: City/State/Zip:t,4 c^,. L:!!tA 61 yto Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL c.152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. X do I by cert under the pains and penaltles of perjury that the information providedd�above is tree and correct. Si ature. Date: O ��/�l l V Phone#: 6n ` 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.EIectrical Inspector 5.Plumbing Inspector 6.Other - - - Contact Person: Phone#: