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HomeMy WebLinkAboutBuilding Permit # 3/9/2016 LAORTH BUILDING PERMIT 0 11'tro,1"6 C ro TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 1. Permit N® Date Received ELI Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Y-7 CIW,- Q-4 FA W (\-t KD Print PROPERTY OWNER JG 14,AJ _13 C__1/\J V La M"Fro Print 100 Year Structure yes rio MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes 0 TYPE OF IMPROVEMENT PROPOSED PSE Residential Non- Residential 11 New Building 0 One family [I Addition El Two or more family 11 Industrial teration No. of units: [I Commercial [I Repair, replacement [I Assessory Bldg 0 Others: El Demolition El Other 0, RK g OUT, DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: °03014&J -T;EAJiL�/,JQ-13 Phone: Address: L4 -7 RLL/ki(W FAV RQ Contractor Name: '0A WC-AJ WWI /Aj 6 Phone: -lee, �L&3-S e'Cl Email: j2-(tC-A3 H Ajb-vSv L�A,1 CAS—i N k; Address: A-bj)jfj,, Au e Supervisor's Construction License: 6 3 —Exp. Date: ��,A V7 Home Improvement License: /J(( 1''61 —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: $ qA_ - FEE: $ Check No.: �90 Receipt No.: ,- Mp NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund -77 /her', Siqnatura'of C lown o C' Mh ver, Mass, O LAKE COC NICKS WICK ` O RATEo U BOARD OF HEALTH Food/Kitchen ERMIT LU Septic System THIS CERTIFIES THAT BUILDING INSPECTOR ....... ! . ........ .... .............................................. t Foundation has permission to erect.......................... buildings on .... ............... Rough t®be occupied as .... .. .0................................ ... °.......... ................................................................. 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. g ' Final PERMIT EXPIRES IN 6 rMTHS ELECTRICAL INSPECTOR UNLESS C® STRUCTI® RRough Service ................. ................................................ Final BUILDING INSPECTOR GAS INSPECTOR ` Occupancy Permit Required to Occupy Puildin Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final I' No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. I _ T DM Construction ,, Building with the C JALI'T5t and Cb acterof yesterye= 44 Addison Ave Ext .Methuen,MA 01844 (978) 685 3037 Estimate Submitted To: John& „ ryn' envennto Construction SuperWsors License 00342 147 French Farn► d, Rome In proven ent tration 124961 N.Andover') We hereby Purpose to fiunish the materials indicated and perform the labor necessary for the completion of Renovate Idtchen hnd relocate laundry room.(See specifications sheet) All material is guaranteed to be as specified;and the above work to be performed in accordance with the drawings and specifications sup Ited for above work and cu"Iel, n in a substantial worldnanlike manner m the sum of Payments to be made'as follows: ` S 000001Tp on execution of cgntract. $15,00 0.00 When work begins. Remaining payments'ag work progresses. Respectfully submitted:Darren 1Vlartino` Any alteration or deviation from the above specifications involving extra costs will be executed only upon written order,and will become an extra charge over and above the estimate. All agreements contingent upon accidents,or delays beyond our control: Note-This proposal may be withdrawn if not accepted within 14 days, Proposal Date 10/07/15 ACCEPTANCE OF PROPOSAL The above prices,specifications,and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified Payments will be made as outlined above. Date: Signature: Date: l Signature: DtD`iVOT SIGN THIS CONTRACT tF THERE ARE AlYY BLANK SPACES chic` ens Sheet GENEkIL SCOPE OF,WORK, Expansion and renovation of kitchen including, but not limited to,''new cabinets, counters, appliances, windows, etc. Relocate laundry room to upstairs;closet. P ERM771ING DMConstmetion will file all necessary paper work to obtain the following permits. building electrical,plumbing, and debris removal. The cost of all hermits and fees necessa�y is not included in,this estimate'and will be billed se aratel SITE PREP 71 un effort to limit the dust generated from the renovation process Doorways and openings to other areas of the house will be sealed off,withinreason withplastic or,drip clothes. ISE S`"M6 V DMConstructon is responsible for all debris generated A container will be placed on site to ensure,a clean work site. The container is for debris generated by DMConstruction only, itis not intended for homeowner use. DEMOP:dTION Kitchen=demolition of fixtures, cabinets, drywall, appliances, insulation,flooring, etc. Demo laundry closet and take down the wall between the kitchen and bathroom. �TdAI G. Frame anew wall between the bathroom and the kitchen. 1Jnlarge'the opening to the dining room Enlarge the opening 6:440:&ing room. Framing as necessary for relocation of the laundry into the upstairs hallway closet, To ensure proper fastening, solid'blocktng will be _ install behind all cabinetry. WVVDO,WS�T1Vl�'S Frame acid install new kitchen windows The cost of all the windows, screens, hardware, grills, etc is covered under an allowance. The kitchen windows will be framed to the countertop height sand bumped out approximately 4 %"to allow for the granite countertop to form its sill. The exterior will be trimmed with pvc trim boards and crown molding. A flat lead to wall be installed on top of the window units. MStILAY161V The exterior kitchen wall will receive new insulation. DW FWALL Installation of a blue'board on all walls, ceilings, or other areas where drywall has been removed or disturbed. A skim coat of plaster will he installed on all new blue board All new ceilings will receive a smooth finish. BENYEAWTORESIDENCE The following allowances are included in this estimate.'' The allowances exist to cover the purchase of materials only, unless otherwise specified. Any amount spent in excess of an allowance will incur extra cost; Any amount less than the allowance will warrant a credit. Upon completion of the project any extra cost or credits will be issued, CABVVETRk!..$3 This allowance covers the'cost,of all cabinetry and their associated moldings, glass, shelving, Accessories, and hardware. COUMT ERTOPS®$10,000.00 This allowance covers the cost of all countertops and theirassociated template and installation :casts. — PLUMBING - 2,000.00 This allowance covers the cosi,ofall plumbingfixtures including but not limited to: sinks, faucets, soap dispensers, accessories, etc. LIGHT FIXTM3-X2,500,00 This allowance covers the cart of all light fixtures. This allowancec"overs the cost of labor and maierials for recess lighting, under cabinet lighting, in-cabinet lighting, and any specialtyfixtures, including timers, dimmers, etc. Example,,J' LED Recess dight w/air tight trite, white bi0q, and LED bu16-$200.(10 complete Example: S"Recess light w%air tight trim, while baffle, and Halvgertbulb-$160.00 Complete W17VDONS UNIT`-$2,000.00 This allowance covers the cost ofall window units and their associated grills, hardware; screens, and extension jambs. T E 4 WS'PLASH-$2 000 00 This allowance covers the cost of all tile, materials, and labor associated with installing, grouting, and sealing a tile backsplash. &ENVENUTOALSIDENCE AMiCELLAIVEOUS, This corttracl is subject t®rcv' upo�a receipt of the net cabinet plan ands appliance sc l�D Corpst on reserves the right to adjust the price of the co act after rev%wing theses Cost could increase rf any changes had ani Wact on plumbing, venting, structural work,change offs i�g nta ,more cabi `do c�PPliances,etc. lltote, to the re of w a the drastic rature and hamiddy changes in our region,you may notice the movement and shrinking of the flooring and exterior and interior tiibe. is typical of the region ,,ant. is a to defective installation. Change�r any changed frorra the ew Ag plans or increased scope of work involving extra costs will become an extra charge over and above the contract prick Chtcnge order ague his t be signed before any work co nceL The following schedule will be adhered to, unless circustarpces beyond our control arise: Tine frame for,completdora: b�henteoltion be�irs iii conietion .._z *Subject to delays beyond our control, (ice delays associated with'deiivery of products, customer change orders,ar..) All work to be florae b�crnduy-p'riday.between the hours of 7:Qll a�n--6:QO prt� if eery to work arty other threes,the,homeowner wild be co tetd,firs AgMBER OF E BE77ER MTS SS BU A 9'® ROVE NT CON CTOR: 124961 CONSTRUCTIONSIIPERTfISOR CENSE: �'S 1166342 All bonze iproveraaent contractors and subcontractors shall be registered Any inquiries about a contractor or subcontractor relating to registration shall be directed to: �fce of`Co r and Eusiraess acdation Fera Park R Suite 5'17U � Bvsdon,4VA 02113 ' Phone;(617) 9734700 j S Client#: 968806 DARREMAR2 T E DIYYYY) ACOid CERTIFICATE OF LIABILITYINSURANCE6 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 AO A Terri Younes AME: USI Insurance Services LLC-SCL PHONE 855 874-Q123 877-775-0110 103 Main Street E-M(AIAIL Ext: ac No: ADDRESS: terri.younes@usi.biY South Glens Falls, NY 12803 855 874-0123 INSURER(S)AFFORDING COVERAGE MAIC# INSURERA:Nautilus Insurance Company 17370 INSURED INSURER 8: Darren Martino dba D M Construction -INSURER-C: 44 Adison Ave Ext INSURER D: Methuen,MA 01844 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. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TR TYPE OF INSURANCE ADDL UBR POLICY EFF POLICY EXP INSR WVD POLICY NUMBER M14UDDIYYYY NWI/DD LIMITS A X COMMERCIAL GENERAL LIABILITY NN610631 9/21/2015 09/21/2016 EACH OCCURRENCE $1000000 CLAIMS-MADE ®OCCUR PREMISE50 aoaYdne,. $100 OQO X BI/PD Ded:500 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000,000 JECTRO- LOC PRODUCTS-COMP/OPAGO $2,000,000 POLICY[:] El OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea ridden ANY AUTO BODILY INJURY(Per person) $ ALL OWNEDSCHEDULED AUTOS AUTOS BODILY INJURY eracctlenl) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per.cddent $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER AND EMPLOYERS'EMPLOYERS'LIABILITY 'TA LITE ANY PROPRIETOR/PARTNERIEXECUTIVEYlN E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? ❑ NIA $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ Msdescribe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES(ACORD 1(1,Additional Remarks Schedule,may be attached it more apace Is required) CERTIFICATE HOLDER CANCELLATION John Benvenuto SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 147 French Farm Rd ACCORDANCE WITH THE POLICY PROVISIONS, North Andover, MA 01845 AUTHORIZEDREPRESENTATIVE r$r Irl aw ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) 1 of 1 The ACORD name and logo are registered marks of ACORD #S17289892/M16306571 TXYCX is&wvemvm M Owxer FWCO FARM TID ntr tuck del ovens into 49.75" broom closest? fridge " f , knee ° .��, 4 . ' micro bev fsq s 36" r 5.0 .r_.rum m r cook op 101.7 0 bookcase or d '_ 7.t cabinet to sink counter? The Commonwealth of Massachusetts Department oflu,4astrialAceldents r` 1 Congress Street,Snits 100 d 02TZ4 2017 Boston,MA www.mass.gov/dia •ODM - 5yt Woikers'CompensationTnsuxaneeAffidavit:Builders/Contractors/llectricians/Plumbexs. TOBEFILED WITHTHEPERMITTR�TG AUTI{ORTTX• Please Print Legib A .•licaut xnformation I—Itip NaMe(BusinessMiganizati�ondadivtdual): Z Address: City/state/Zip:lL 'I(ic1�' �l� j tl Phone#: 7 F ... . , r Type of project( ecuixed); _Axe you an employer?Check the alipr-vlatebox, em to ees frill and/or part time).` 7. (New constriictlon 1.E]I am a employer with p y 2 am a sole proprietor or partnership and have no employees Working for me in 8. Rean o deliiig any capacity.[Noworkers'comp.insurance required.] 9. Demolition 3,❑Xamahomeownerdoingall.workmyseli [No workers'comp.insurance required.] JOE]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will l l❑Electrical xepaixs or additions ensure that all contractors either have workers'compensation insurance or are sole 12U•Ptumbing repairs or additions proprietors with no employee's. 5-0 I am a general contractor and I have hizedthe sub-contractors listed onthe attached sheet. 13'.[�Rbofxepairs These sub-contractors have employees andhave workers'comp.insurance 14.Q Other 11 6.Q We area corporafion and its,officers have exercised their right o£exemption per MGL o. 152,§1(4),and�Ne have nb employees: NO workers'comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation information:' fi Ilomeowners who submrt th�s,afftda.it indicating they are doing all work andthen hize outside contractors must submit anew affidavit indicating such. tCo rneowrs that o subheck Wsbox must attached an additional sheet showing the name of the sub-contractors and state whether or not(hose entities have employees. Ifthe sub-con6ctozs have employees,they must provide their workers'comp.policy number. X am an employer'that is pr ovidingworkers'compensation insur ante for my employees. Below is theporicy andyo�site information. Insurance CoMpanyName- Expiration Date' Policy##or Self-ins.Lic.#: City/State/Zip: Job Site Address: �cvorkexs' compensation policy declaration page(showing the policy number and expiration date). Attach a copy of the Failure to secure coverage as recluir:ed under MGL e. es i the£is criminal violation ORK ORDER.and a fine of up to$250.00 a and(or one-year imprisonment,as vtell as civil penalties m the day against the violator.A copy of this statement may be foivtarded to the Office of Investigations of the DIA for insurance coverage verification. X do Iter eh cerd under'tliepains and penalties ofperjury that the information provided above is true and correct r j Date: 3'�r1 Si ature: - f� Phone Official use only. Do not-write in this area,to he completed by city or•town official Permit/License# City or Town' Issuing Authority(circle one): i 1.Board of ldealth 2.Building Department 3.city/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Phone#• Contact Person: Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-066342 Construction Supervisor DARREN MARTINO 44 ADDISON AVE METHUEN MA 01844 Expiration: Commissioner 08/15/2017 ax office of Consumer Affairs&Business Regulation l j #TOME IMPROVEMENT CONTRACTOR 4tegistration: 124961 Type:101 Expiration: 9/17/2017 Individual DARREN MARTINO Darren MARTINO 44 ADDISON AVE.EXT. 'Z�e METHUEN,MA 01844 Undersecretary