HomeMy WebLinkAboutBuilding Permit # 2/24/2016 ff V%OF TFI eq
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TOWN OF NORTH ANDOVER ti ;.. ..,
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.. , APPLICATION FOR PLAN EXAMINATION y
Permit NO: � ° Date Received
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Date Issued: "�
IM ORTANTs A22ficant must com fete all items on this page
LOQATION 11-3 P _, i-
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PROPERTY OWNER
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TAP NO: PARCEL: ZONING DISTRICT: � Historic District yes a
Machine Shop Village yes d-
TYPE OF IMPROVEMENT PROPOSED USE
Res' ntial Non- Residential
❑ New Building One family
❑ clition ElTwo or more family F1Industrial
C�Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑ Assessory Bldg ❑ Others:
❑ Qemolition ❑ Other
Jptic 11 Well El Floodplain El Wetlands ❑ Watershed District
AeW ,ater/Sewer
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Identification Please Type or Print Clearly)
OWNER Name:
h'AA-L6LIJ LA Y,. Phone:
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Address: ..r ..
CO 'TRACTOR Name: r1c�� phone: ��
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Ac tlress: rA� .
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avpervisor.'s Constru0iorl License: Exp. Date: .
Herne Improvement License: Exp. Date:
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: $ 454 � 000 FEE: $
Check No.. Receipt No.: �L� ("Le
NOTE: Persons contracting with tinreglsteied contractors da not have access to the guaranty fund
Signature o Agent/Owner. " Signature of contractor
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BOARD OF HEALTH
Food/Kitchen
Septic System
THIS CERTIFIES THAT . Gi7ERMV
vi BUILDING INSPECTOR
........... ... ............ ...•• . ...... .... .... ................
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has permission to erect ,.. . �. Foundation
.......................... ulldin son ..... ....... ....yCr.. � ........ r...............
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tobe occupied as ....... ... ..... . ............ .................... .C................................................... 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 1 ES IN 6 MONTHS ELECTRICAL INSPECTOR
LESS T CTI TARTS Rough
Service
.......... .
.. .r!::::�':............................ Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occup
y RuRough
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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ol®tas Brow Inc
515 Lowell StreetPeabody, MA01960
T 978.535.4035 F 978.535.4032
zolotasbros@aoj.com
Project Title:
Master Bathroom
Job Location:
Matthew & Nicole Drury
93 Rocky Brook Road
N.Andover, MA
T 978.258.0191
drur 18 hotrnail�cor�
drug rn . or
Date: March 7,2016
Michael G. Zolotas # 9809
Theodore E.Eliopoulos # 13065
Contract
Carpentry:
*
Existing window to Tremain.
* Remove existing vanity base &dispose.
* Remove existing shower&dispose,
* Remove existing bath frame &dispose.
* Remove any tile on the walls of the bathroom &dispose.
* Board & plaster where necessary, ceiling to have a smooth finish.
* Remove acrylic shower unit&dispose.
® Frame for custom shower(48"x 38").
* Frame for shampoo niche on the right wall of the shower to go from one end of the shower to the
other(36"x 18" high x 4"deep).
* Add support to the shower back wall to accept future grab bar installation.
* Add support to the right wall of the shower to accept fold down shower seat.
* Install clients fold down shower seat.
* Install cement board on the floor of the bathroom to prepare for tile installation.
* Install cement board on the walls of the shower to prepare for tile installation.
* Install clients vanity base 58"x 21"x 34 Y2"w. four doors w. three drawers with a floor mount roll
out in each of the sink bases,
* Install clients shower door—clear glass, chrome hardware (Weaver Glass)
* Install clients recessed medicine cabinets w. electrical inside above each sink. (medicine cabinet
size to be determined after bathroom demo).
* Install clients white large crown molding on the ceiling perimeter of the bathroom.
® Install clients accessories (towel bar, toilet tissue holder, cabinet hardware),
Electrical:
* All electrical work will follow Massachusefts Code,
* Remove clients speaker systern, he Would like to send it back once it is down.
® All electrical receptacles and switches are to be decora white.
* Remove clients speaker and speaker control as carefully as possible, he would like to return the
unit.
• Relocate the electrical outlets to the left of the vanity area, either to be placed higher up on the wall
or in a completely different location.
* Add electrical inside of the vanity area.
* Remove the electrical for the existing jacuzzi bath.
® Supply& install one five inch recessed light in the shower area.
* Install clients two three bulb light fixtures over each sink in the vanity base.
® Supply& install two five inch recessed lights over the free standing tub area.
• Supply& install electric heat on the floor of the bathroom w. separate thermostat.
® Install clients heat fan light in the ceiling of the bathroom w. timer switch,
* Install clients hardwired towel warmer w. timer switch.
Painting:
• One prime coat, one finish coat of pastel color paint on the walls of the bathroom.
• One coat white paint on the ceiling of the bathroom.
• One coat white paint on trim of the bathroom.
Plumbing:
• All plumbing work will follow Massachusetts Code.
• Existing toilet to remain.
• Cap off hot&cold water lines to prepare for bathroom remodel.
• Install new shut offs for the hot&cold water lines and the toilet supply.
• Remove existing toilet to prepare for the installation.
• Supply& install custom copper pan.
• Install clients shower drain w. chrome trim.
• Install clients shower valve w. two functions w. chrome trim.
• Install clients shower head &shower arm (to be placed at a higher location).
• Install clients hand held shower w. hose& holder.
• Install clients freestanding tub.
• Install clients floor mount tub filler w. hand held.
• Install clients two lavatory faucets w. drain assembly.
• Reinstall clients toilet set&seat.
Tile:
• 'File quote is based on a standard the installation. Intricate patterns are higher in price for installation.
Marble/Granite like the is a higher price for,installation,
• Install clients 4"x 12"the &grout on the walls of the shower(subway pattern) to the ceiling.
• Install clients bull nose tile&grout on the right and left walls of the shower.
• Install clients pebble tile &grout on the floor of the shower.
• Install clients 12"x 24"tile&grout on the floor of the bathroom (to be cut in half at tony's tile to make
them 6"x 24")
• Install clients tile &grout in the shampoo niche.
Granite:
• Template & install granite vanity top with a four inch backsplash.
• Install granite shelf at the base of the shampoo niche.
• Install granite threshold at the entrance of the shower.
Permit:
• Permit price not included in this estimate,
• Building permit, electrical permit& plumbing permit to be obtained& invoiced after obtained
from the city or town work is being done.
Debris:
• All debris created by Zolotas Bros, will be rernoved by Zolotas Bros,
Note:
* All work is fully insured,
* "I"his contract will only be altered if there are unforeseen plumbing, electrical or structural issues of
the existing dwelling. Client will be notified before any further construction continues.
* Any work requested by the client on site, which was not discussed before the job had been started
and is not included in this contract, will be billed to the client at an hourly rate.
Signature of Client:
,
The above names client is authorizing Zolotas bros, Inc to proceed with the project outlined in this contract.
Unforeseen plumbing, electrical or structure issues of the existing dwelling will be brought to the clients
immedoti iffb�Llibn and discussed before any work proceeds forward.
Signature of Zolotas Bros. Inc
Contract Total
Permit to be submitted to client for payment after obtain from city/town.
Any alterations or deviation from above specifications involving extra costs will be executed only
upon written order, and will become an extra charge over and above this estimate. All agreements
contingent upon strikes, accidents, or delays beyond our control.
We may withdraw this proposal if not accepted within -25-days.
Total Labor Cost: $ 20,000.00
Contract Alteration Reguest Form
Must be signed by client before any alterations to the contract will go into effect.
Alterations to the original contract will be billed separately to the client.
Billing will be at Zolotas Bros. Inc hourly rate in addition with all materials used to complete the alteration of
the original contract.
Client Name:
Client Address:
Change Requested:
1.
2.
3.
4,
5.
6.
Client Signature
Signature of Zolotas Bros. Inc.
Date
---------------- ------ ----------- -------------
792"'
23< 33 7 22 31,
8 48"
-+UJO 4 -----�-39"'-'F24"-f-24'--//
03 16
----- --
...............
CIJShower Floor-18 sq ft
boo
—79V Shower Walls- 100 sq ft Co Shower Boarder Tile-12 running feet for the border tile
Bathroom Floor-go sq ft
tBATRIFIREE.01VALS SH B SE.SQ,EXP .1,
---------------I......... Bull Nose-25 pieces
00
............. ---- 0)
Please add grout and thin set
0
p aim 4
96"calling height Nj
6 aim
N)
----------------- --------------------------
TOIL.STD
._OCx2 x3 5 DC-3
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........................
....... ............
..............
4" 58..
19 3"
31'
3 A 4
35'4 35-L .............. --6 03.1
132"
A.11 dimensions-size designations This is an original design and must Designed: 1/6/2016
given are subject to verification on not be released or copied unless Printed:2/23/2016
job site and adjustment to fit job applicable fee has been paid or job
conditions. t order placed.
Drury Bathroom AllNo Scale.
.......___LDrawing It: 11
The Commonwealth of Massachusetts
Department.oflndttstrialAccidents
w
0 1 Congress Street,Suite 100
Boston,MA 02114-2017
4, s.•''`p www mass.govldia
Workers'Compensation Insurance Affidavit:.Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name (Business/Organization/Individual):�� �(� .� t21� _o
Address: f S LC-Iii—e-, I .S
City/State/Zip: � �csc CJ 17 6 Cl Phone#:
Are you an employer?Check the appropriate box: Type of project(required):
1.❑Iain a employer with employees(full and/or part-time).' 7. Ne COriStrUCtiori
2.❑1 am a sole proprietor or partnership and have no employees working for me in $, emodeling
any capacity.[No workers'comp.insurance required.]
3.Q I am a homeowner doing all work myself.[No workers'comp. insurance required.]t 9. El Demolition
10 Q Building addition
4.511i.r.a homeowner and will be hiring contractors to conduct all work on myproperty. I will
ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions
proprietors with no employees.
12.Q Plumbing repairs or additions
5.O I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.a Roof repairs
These sub-contractors have employees and have workers'comp.insurance,;
6.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14.EJ Other
152,§1(4),and we have no employees.[No workers'comp.insurance required.] .
*Any applicant that checks box#I 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.
#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-contractors have employees,they must provide their workers'comp.policy number.
I ant an employer that isproviding workers'compensation insurance for my employees Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: 2(t/„/ /C C/ Expiration Date:
Job Site Address:_ City/State/Zip: �U ,k t11�
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 hereby certify under the pants andpenalties ofperjury that the information provided abov is tr and correct.
Signature: Date:
Phone#: 7 716 — / 3 `/ d
Official use ottly. 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#:
- IV: ` °".~,_ __
OW'2-23`16
C40A Vbp CERTIFICATE OF LIABILITY INSURANCE DAT9(MINDTHIS OEF=;UTIFIOATE IS 1$$UE5 AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE C813TIFICATE HOLDER. THIS
'7
CERTIFIc:;-,-ATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICI�E�S
BELOW. THIS CERTIFICATE OF INSURANOE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESg��_NTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER,
ImpORTX,V4T: If the Certificate holder Is an ADDITIONAL INI��Iill!li'111ItSUBROGATIONISWAI ED,subjectto
thetarms; ,and conditions of the Polley,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certlfIcatc—_,, holder In lieu of such endorsement(s).
PRODUCER T
F-,hil Rfchard Insurance, Inc. AME; Joyce M Ke
g�-7 Garden Street PHONE
SURER($)AFFORDING COVERAGE
INSURER A: Arbella Protection
INSURE Z,�Ololas Brothers,Inc. 41360
INSUAEA a, Arbella Indemnity
1001-/
-15 Lowell St. INSURER C:
p,,e�abocly,MA 01960
INSURER D;
INSURER E;
COVERAGe�S CERTIFICATE NUMBER: IN$URER F:
C;LH I 11-Y THAT THE POLICIES OF INSURANCE LISTEO BELOW HTVI5 BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLIEY PERIOD
THIS 13 TO REVISION NUMBER:
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION Or ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
OERTIFICA-rIEE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED.BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIOI,j6 AND CONDITIONS OF SUCH POLICIES.LIMITS;SHOWN MAY HAVE BEEN REDUCED 13Y PAID CLAIMS,
CoMp4ERCIAL GENERAL LIABILITY 8500027854 04/09/2015 4/ 2016 EACH OCCURRENCE $ 1,000,000
MEOEXP(AnyonspersW 61000
1 AGrFIEGATE LIMIT APPLIES PER: PER60NAL&ADV 1NjuAY 11000,000
PRO- GENERAL AGGREGATE 2,000,000
WHE
— ANY A010 mt) 1,000,000
AUT09 AUTOS
ON, NED BODILY INJURY(Por acddent) s
HIRED AUTOS UT 8 PA PER DAMAGE
UMj)Fj9LLAL1I 0 OCCUR 4600027855 04/09/2015 04/09/2016 $
CXCESS LIAO CLAIMS-MADE EACH OCCURRENCE $ 2,000,000
AND EMPLOY]EAS'LIABILITY V/N YE ER
ANY pRoppjE�I`O"ARTNERIEXECUTIVE
oFFicrRtmqM9ER rXCLUDrD? E-1 N/A E.L.EACH ACCID
or5MPTjoN OF OPERATIONS Wow F.L.DISEASE-PO ICY LIMIT $
Proof of Insurance FaXed to;978-688-9542
CERTIFICATE HOLDEn CANCELLATION
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SHOULD ANY OF THE ABOVE DESCRIBEO POLICIES BE CANCELLED BEFORE
Town of North Andover THE EXPIFIATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
1600 Osgood Street ACCORDANCE WITH THE POLICY PROVISIONS, _
North Andover,MA 01845
AUTHORIZED nrpnff$�NTATIVE
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registered0 1908-2014 ACORD CORPORATION. All rights reserved,
AconD 25(2014/01) The ACORD name and logo are
marks—'_~..~ �
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Massachusetts Department of Public Safety
Board of Building Regulations and Standards
U ense: CS-108955
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Const:°ucvon Supt rvisr r ;
GEORGE ZOLOTAS 1
515 LOWELL STREET
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PEABODY MA 0196p
f,
Expiration:
Commissioner p111612019
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Offiee of Consumer Affairs&Business Reguia,€>i
I+ OME IMPROVEMENT CONTRACTOR
tegistration: 172995
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xpiration: 8/21/2016 /d�t
r CorPorathgi
ZOLOTAS BROS INC.
MICHAEL ZOLOTAS
13 PALEOLOSOS ST
PEABODY. MA 01966
Undersecretnq