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HomeMy WebLinkAboutBuilding Permit # 2/16/2016 EKING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR FLAN EXAMINATION ° .. �- d Permit NO: � Date Receiver.) Date Issued: -- awo vr1A1 t:Applicant must r;ornl7lctr all items on thrs Fags -- ; LcATur �AI�NO 1`�A1`~�C.Et ,�C7N(Nt�O(�TRIC`1": hir�Cprlc,lr)rstYPct yap Z; Morhrrrtsfs.\a((n yds TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential I New Building ne family -I Addition Two or more family I Industrial Alteration No.of units: I Commercial -i Repair„replacement r Assessory Bldg I Others: I Demolition Cather _.. 7777 DO ,50}trr "I Weil ' '!"f lonc3lalrti !'ttVfGl�r7d W�fctFg>h� d ffsfnr# &'*�" _SUV, F � _ "� �°� ✓� � �'*'�' ..'�'� *' t&4v ohs Iderrptic: 'on i�'lea5e'Cytrc.or•f�'rint Ole.zrly) � �"" ,„ �.rz OWNER: Name: Phone: Address: _ f t"�1N#'1At�1`Of� Name �'hoYra,. � Ad�#rea� Sujacruis<�t�s Carrsfitur#ttari Licana� ; � fv�{� S��tke H�irra ln7�ro�fa,t`nont Llcc�rtst � G,xp 1~7a#� ' ARCI-IITECT/ENGINEER Phone: Address: �� ---Reg. No. FEE SCHEDULE,BULDING PERMIT:$92.00 PER 41000.00 OF THE TOT L E (MATED COST BASED ON$12.5.00 PER S.F. CheclProl Noject Ori#: $ t .,._._._..FEEL r ) r �_ � — _ Receipt No.: NOTE: Peeswis contow xi cera glsie.:rcrl cnrlte^rectnws eCcr reit hnve eacccs5 e tt9e�1 eels ea ��� d Signofure of Argernf/OvtI t a Signature of contractor awowi F NORTH ® of ''' Andover Q y t+C No. WIN Eli pol I# C, R�.a-. '0 h A ver, Mass, 482,45P O1-111, COCNICN[w... x.95 RATED HP��!(5 U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System `e� BUILDING INSPECTOR THIS CERTIFIES THAT ..............'......... ........ ......................t�............................................................... - Foundation has permission to erect.......................... buildings on . 1.... �.................................. • � Rough p w1 aJ — ,. y to be OCCU pied as ...... .............. ................. ............................. ........................................... 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 CONSTRUCT T Rough Service ............... ............................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Islay 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. mfwta NaehtremrnhuRhh at/nr. %G ProposalSubutlnedTo: Will and Jemt Rogers HIC L ic.# 153165 �ji ,1�' Construction Super,Lic.#100212 457 Boston Road P' North Andover,MA 01845 Medics,Home C:857-991-7272 Est imate/Agreement#:2794 EM: s%ilh,ini Date:November I0,2015 �f Job Location: / 457 Boston Road North Andover,MA 01845 1{�"A ;, Cost Lvstnune/Agreement for Services full Bathroom Renovation - ----- — - . .. (CarpentryConstruction it the full bathroom,we will: 8320 Administration Remove all bathroom fixtures and materials to the existing studs,subflooring and strapping,window and closet to remain Replace subflooring as necessary Remove closet and bathroom doors;replace with 6-panel solid pine doors Insudate exterior wall where necessary Install tile backer board over bathroom floor and on tub walls Install file over bathroom floor and on tub walls; grout and seal all new the(with pre-mixed sealant) Install bead board,chair rail and new baseboards around bathroom htstall new window/door casings -Install new vanity,medicine cabinet or mirror,towel/paper/curtain bars and other bathroom wail accessories hover tiling to include(2)corner soap shelves.Subject to final tile layout and selections. nclusive olpraactve ronuntaticatiwt hvith clients andsuppliers,as well asPel in uhhg,coordination cou sr�ervision of enth•ie rojec1. --. ---- -- -- Plumbing Plumbing work in full bathroom to: 3650 Disconnect existing fixtures for demo Drain down boiler;remove/replace approx 5'baseboard heat strip;purge/restart boiler Supply and install new tub,tub drain assembly,tub/shower valve and standard shower head with hand held Replace(3)shun off valves at toilet and vanity Install new drain,sink and fixture for vanity Install new toilet onto existing flange and new wax ring Provide all necessary permit and inspections;test all work for proper operation Includes I Boots thiniron white iodic arrd(i)brushed nickel Symmons Altura tab/shower valve ------------ -- ----- ----- ---- -- Electr9cal electrical work in full bathroom to: -875 Remove and replace(2)existing vanity sconces on existing switch and new are fault breaker per code Remove existing exhaust fan(vented to exterior);connect new exhaust fart/light combo on existing switch Replace(1)GFI with new GFI with dedicated circuit per code Provide all necessary permit and inspection;test all work for proper operation. of iticluditng wwork on existingpanel if necessary,Homeowners will surppl nisi li rt fixtures.Farr/IighC combo is included in building materials _ Hang_&Plaster - 1-lang new blueboard on bathroom walls,ceiling;plaster new blueboard smooth -- — - - -- 1485 Skin over existing walls and ceiling inside linen closet to smooth out existfng�texi re Prep,Prime&Paint Prep,prime and paint bathroom walls,ceiling,trhn,(2)new doors and linen closet;two coat finish. '980 Building Materials file backer,insulation,subflooring,thin set,exhaust fatt/light kit($200 allowance),(2)6-panel solid pine doors/casings($225 allowance per '2565 including lockset),headboard,chair rail,baseboard,window/door casings,fasteners,adhesive and other mise.materials necessary. Homeowners will supply tile,grout,vanity/top/sink,coed cabinet or mirror,finish electrical and plumbing fixtures and other bathroom accessories >ut AHM will assist with suppliers,pies and deliveries. DisposalOn-site disposal container for removal of old building materials and related debris -- -- 550 Building Permit Allowance for building permit fee;based on$12/$1000 of total project cost plus$75 for dumpster permit — Tatal: 187 8 leans and Conditions:I'3 due span start;N due upon rough IrrspecHons;l,'6 due upon plastering completion;balance due upon conhpletion Prices are based on standard removal& installation.Additional work uray be required due to conditions that sve cannot see or predict,changes to the scope of work or to the finalization or niot#ficaiion of specifications.Any work over and above that described here will be billed accordingly.Proposal is valid for 30 dtahs.file ahay take pictures a/our work./jyou do not want these pictures shared,please initial here Hello IVIII and Jean, Thank you very notch for the opportunity to work atyour home. We are very grateful and we hope to be able to provideyou with our services. When you have a chance to review the information,please let pre know your thoughts and how you would like to proceed Thank you very much.It would be our privilege to serve you. Sincerely, Mathew Previte Ace Home llfedics,LCC Thank you very much for your consideration We greatly appreciate your business and look r4artd o provitling you with exceptional quality, `n a professional,neat, timely and efficient mariner.Our number one goal is your complete satisfaction. Accepted.:The above prices, specifications and Nu- conditions are satisfactory and are hereby accepted.Ace ❑ tIe Date Home Medics,LLC is authorized to do the work as specified.Payment will be made as outlined above. Signature Date The(,'rrmmonivevtltlr(t 111trssuchit,sr!/s "� �_ (.� J)<:p/rrturcrnt of JurittsNvnl 9rzrPdattts J C'migar as s S tt c c*t,.5 ttuc�,llTO 9 Roston,!lJA 02114-2017 s Crvn^Ita Moss'.Awlfrlln Wovkers"C''ampensiWoo insurance Affldavit.Builders/C'elit rlrcill r;/Fleetr9cinlusil'Ill mbers. TO IIE'PIL ED NVITUI TII1:I'IutthLl 1 1"I.`v'<.r#t1"1`Lt0121'1`1'. A,111ihe Int 1;11fllin,hienIci,sc 1`rint 1 y.ila y, Name(Btu.uu /t7 r/nntrntitalJCndiwulu ll). ? 8 ,e� �� '��' "p� .. ....Address: I r Art p",ern<nnpl iytr Y r'hcc1,Ilre 6irx: 1"ygrc.crtproject(required). I ma evdr.. cwpl 1ccr((,it( n 'lpmt-tmw)° 7. �,�!`il im comll ndioll E �launn;hl i�tpnrl+rrcrp anal lute+wliiav nrernpi yit+euiirkm{;fnrrncin f,. Itclttcrelclrnlr =I nnp:una (7 ea.nd e ounr mrll�na Inqufr i1 Detni,litum I am a Ina Inner dcdnl dl t ark mri i 11 IC'da,rryl4 ri,'ctnmp.irr nnmccr required.)t 10 Buiicl,Itf rddiurau ti..r mrd111 I hinnt; u6 a tr�r;r to h Lull reg¢c4 ri an,I""p,r[y.I evil/ n'.urGOhtt all omn,,ct, ivilkr fim,t 0mr�,'ctnmpui.ilun ire;ur+n..ad,uc5(,I" Ii.�-J Nechic I r epairs 01 addiiiolls prerpeiaKlrs w�itlt no employe"u. 17,.( ]fr.Itnnbhal(IY7pairlY Of additian, S� �Inntss;'tmd, llhn;hlr dill utra�tlnrt r lislcd onlh :rlfjchal tike Cl. l;➢,�_]Idaclf dt�Ia;Y11"s tae s¢uul e r tr,adom 1,we,,nq layer.end h:ut a:,:o16,0,comp.im"mi—.a 144,an^.v sirperrnt iom iia/6±offcuria b.'-.'wocd itch riphl of,RmrfioTv pcl NIM, 1 S2,y 1(4),and eec Im"no mnplo,yess.Iflo w"'I:crs'u mita,jimm"wo rcquiwd,I "Anti yr,u6e ual. 0"ll tarn llI'mm rrl'o 611 wit th,'swoon in,trry^.hoaamp th"ir vs:nl" at nyo uli'w larl ky inrurrn croon. P ltnme avm:a.:calla 'ubr i(lh'i.,d Yidav'ir urdienling th"'y nrn do"j,ill walk nn I den/rite out'H's cnlurnr brie waist sW"A(a my arild tvn tndiralinit sort,. 1/')tugo"'/hal 0'.'A'llata hnx urea tt slla:'1A art ad htimsul h"t'Imwiny,t1w n inn nl"th+.,nhItrattna.,is I:O..rtc evlertlier nr not thow,tr,tilirn h;rve nu pluy-.r. 11'ttu u.b'onl7i ow9 lcrvc.eingtlr y tea,Ilwy n"a,l gnuve&their vv¢Lars`comp,p.dl-y wn lwt .Calm an e^nr,rhr�a r till//is providing workers"cromlicus✓ittaa lrrs-nrnttre for ruC ntrrtrtnl rev, Relow ry the lruf ey mndjoh situ / Cnformilholl. to mtiu,cc f'am e nr fV;uart w Policy U or Self-ins,L ic,4:, f.xpil tu,u I,>atc,:el fab Site/Addie vs _ 'XAV74 ABach it copy of ilte Nvorke^rs'compcnsrdion policy dcclnrtstinn pnge(nlunvini;the policy nutuller and rvpirntinn little). LTnduto to sernue eovarage as tegLIitV i mid cr T IGIl e,152,$E5A is a rafit niitaI violatitnl pruuHiatt lo by a Ihae tall to$1^500,00 and/or one-year nnprirrnnt I i I,as the II aq civil Ire nattier in Ole Ittrrnt of a STOP\{!ORK OPD1;It curd a Ime of illy It)'P.5(1,00 a day rl nn 1(lio violator,A co ip c �111fair Icon ur y bt fermi ids I hs tho Office rrf into li actor, of Ihu DIA liar in m ince cuvul u e ve,ihcsilq 1110 he r bl ver ! p4lialtir s of pr rjrtr b that the information prrrrlrle^d tun r i bile and rorree t Ojf r lid rr.v onl(s t)a/tat mri/cin Aix arca,to br ruurpl+lilt Cal^cit!or/nru rr ojJtclal. City or Town: ------------------------ _L''Lmil7Lirclrsu/{_. Issuing Authority(circle one): 1.Baird of flealth 2,Buildiog Department 3.City/`FoNill Clerk 4.h,luetricnl Inspector :r.Plumbing Iuspeam. 6.Other Coutnct Porsont Phone d: OP ID:BR CERTIFICATE OF LIABILITY INSURANCE100/13/113120115 DATD05 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 C014TACT Durso&Jankowski Ins Agcy LLCPRO NAEIEE FAx 11 Saunders Street AIC 1E Ea:978-688-7000 x,No 978-688-7001 North Andover,MA 01845 Edd AIL Durso&Jankowski Ins.A c ADDRESS: 9 y PRODUCER PREV14 CUSTOMER ID R: INSURER(.)AFFORDING COVERAGE NAIC 3 INSURED Ace Ome a ICSLLC INSURERA: 57 Harold Parker Road Andover,MA01810 INSURER IS INSURERC:Utica Mutual Insurance Company 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. NOTVMTHSTAN DING ANY REQUIREMENT,TERM OR CONDITION OF ANY C014TRACT 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 POLIC.SIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR TYPE OF INSURANCE OD=j R POLICY NUMBER I,111LICY EFF POLICY EXP /DO/YYYY W1fDD/YYYY LIIAR. LTR GENERAL LIABILITY EACH CICCURREIJCE i 1,009,00 C X COMMERCIALGENER AL UABLrry 687243 09/27/2015 09/27/2016 DANA TO REI500,00 REI,tISES(Ev occurrence) _ cLnnn�-nADE�X OCCUR MEDE19III—IeTs ) 10,00 PERSONAL e ADV NUR 1 1,000,00 GENERAL AGGREGATE s 2,000,00 GEN L AGGREGATE Ltd IT APPLIES PER PRODUCTS-COMP/CPAC0 ') 2,000,00 OUCY PRO I� Loc AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea a,cidan[} Ali,f AJJTO BODILY IN JLIR'1(Par Ger_on} PLL OYF l ED AUT OS -- BODILY INJUR'! SCHEDULED AUTOS PROPERTY D4M11AGE HIRED AUTOS (PER ACCIDEIT} NON-ON.TlEDAUTOS > I UMBRELLA UAB CCCUR EACH OCCURRENCE EXCESS LIAB IIIMS�IADE AGGREGATE 3 DEDUCTIBLE RETENTION MRKERS COMPENSATION X WGSTF,TU- J Alto EMPLOYERS'UABINTV TOR'!LI?,11TS El C AIIVPR PRIETCRIPARTNERrxEcurr/EY/N 697246 09/27/2015 09/2712016 EL EACH AcaDEIT 5 1,000,00 OFFICER/MP.IBER E:! LULEE"? ❑N/A (Mandat.ryh,NH) ELDISEASE-EAEMPLOYE $ 1,000,00 Itvas.d. De order DESCRiPT10NOFOPERAT1orlShamlr ELDISEASE-POLC,L},f1T 5 1,000,00 '.. DESCMPTIONOFOPERATIONS/LOCATONSIVEHICLES(Attach AC ORD 101,Additional Remarls Schedule,if m ore space is required) carpentry- CERTIFICATE HOLDER CANCELLATION NORTH13 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 384 Osgood Street North Andover,MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD f Massachusetts - Department of Public Safety Board of Building Regulations and Standards En174h-tlChnil 3GlDCi'C isni' License: CS-100212 MATHEW S PREVITE 57 HAROLD PARKER RD" ANDOVER MA 01810 954— Expiration Commissioner 03/23/2016 �/," .�,., Office of Consumer Affairs „ lLrc #TOME IMPROV Business Regulation yiRe istration: EMENT CONTRACTOR ='' 9 153165 Expiration: 11/6/2016 Type: MAT PREVITE HOMEDBA MEDIC MATTHEW PREVITE 57 HAROLD PARKER ROAD ANDOVER, MA 01810 Undersecretary