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Home My WebLink AboutBuilding Permit # 3/25/2016 1 V%OR H DING PER rr f � TOWN OF NORTH ANDOVER 0 � ,w ry' APPLICATION FOR PLAN EXAMIN�;T ON Permit NO: r'�i 4 � Date Received gawp're 0• ` A(�+ ✓ 'qtlAUS�� Date Issued: 11M OIRTANT: Apelicant must complete all items on this page — L ►CATION 4 ��,P,rint PROPERTY OWNER w Gt Print MAP NO PARCEL`. � �° ZONING DISTRICT: Historic District yes no Machine Shop Village . ..yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building IOne family C1 Addition ❑Two or more family CI Industrial Alteration No. of units: ❑ Commercial f.1 Repair, replacement ❑Assessory Bldg I::1 Others: f:I Demolition " Other 1 w k° i R AJ�i . I1 Septic [.-.I Well El Floodplain [I Wetlands I:l Watershed District 1.1 Water/Sewer Identification Please Type or Print Clearly) OWNER: Name: keoa C 1� Phone: 2'2 /- 26 Address: /0 U// R CONTRACTOR Name" 4791 fir'-.:S° d Phone: Address; , zael X LHome or's Construction License: Exp. Date: Jt provement License: Exp. Date: w 66 61 6 0 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDINO PERMIT.$92.00 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 contracting w' u gistered contractors do not have access to the guaranty fund Sig ure of Agent/Ow Signature of contractor Plans Submitted_❑ Plans Waived ❑ Cer-Gied Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑ Swiunming Pools ❑ Well Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. Permanent Durapster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING & DEVELOPMENT Reviewed On ti�\�� Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS ��` h1EALTW . Reviewed on-2 � � Si nature �/� � LktA�'- C0 MR}VTS ( Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit �(PW Town Engineer: Signature: Located 384 Osgood Street r `��k ry,a'� -� s rr,�✓C �.. f�r� r 'N f s f -: ' :i r� � .,f.��G �.!,� ,, a F �,{i��Y✓ � r, v" j i �. r � a� h r r xs;r�.rly� �A `i �y�,tl i•"�� k l NORTH -'Town of 2 Andover 0- 0 No. 7AI _-T WT If , ;;�h �e�' Mass, a5 a. ' �•9 A�`��iTED P�a �(� S U % BOARD OF HEALTH Food/Kitchen PERMIT NEW L D Septic System THIS CERTIFIES THAT BUILDING INSPECTOR ............. ................................. .......................................................................... &J 0► Foundation has permission to ere ......................... buildings on . . ..... ... ....... ............ .................. s ®` Rough to be occupied as ...........r` ......... ........ .................. ..... ......:.....� ..... ...6%.M. 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. zsle PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMITEXPIRES6 MONTHS ELECTRICAL INSPECTOR UNLESS TION T RTS Rough Service ................... ... . .. ..... ...................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy BuiidinRough 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 Approvedthe Building Inspector. Burner Street No. Smoke Det. ATTN: Inspector of Buildings Town of North Andover, MA RE: 103 Fuller Road, North Andover, MA CONTRACTOR: Theodore Grab 1029 Humphrey St. Swampscott, MA 01907 781-454-5609 Significant Notes: ❑ Wall Structure: 2 x 4 kiln dried members, bottom plate shall be pressure treated. ❑ Finished Ceiling Height: In all areas will be 80 inches or greater. ❑ Soffits and Duct/Beam Enclosures: In all case shall be 76 inches or greater. ❑ Insulation: R-13 Fiberglass with Kraft Paper Vapor barrier along concrete walls. ❑ Insulation: R-20 Fiberglass with Kraft Paper Vapor barrier along framed walls ❑ Lighting: Entire living space will be fitted with recessed lighting ❑ Doors: All doors shall be a minimum of 32 inches wide and 78 inches tall. ❑ Finished Walls: All finished walls and ceiling shall be Y2 Blue Board treated with a veneer plaster. Kev' Ke Accepted by: Date Ted Grab Project Investment $ 19867.14 ➢ Payment Due with Agreement $ 1000.00 ➢ Payment Due when Project begins $ 5000.00 ➢ Payment Due when Wall Board is $ 5000.00 installed ➢ Balance upon completion Final Payment shall be made within 2 calendar days of the contractor's declaration that the project is complete, not including the cabinet doors which shall be installed at a later date. Homeowner's agree to examine the project's work each day work is performed and report to the contractors of any errors and/or omissions that may come to their attention. This reporting shall be done in writing by email so that the contractor has a record of it and shall either explain or remedy such error and/or omission as it happens. This is done to help mitigate any financial damages to the contractor. When, at the completion of the project, the home will; present the contractor with a "punch list" of corrections needed, in any, with 24 hours. If there are items to be corrected, the homeowner shall make final payment"due within 48 hours of the declaration of completion by the contractor less 20% of Payment Due. If the homeowner has no items on his/her punch list then they shall make total final payment within 48 hours of the declaration of completion. Commencement Date Project shall begin within the week of April 3, 2016 and shall be completed within the week of May 15, 2016. These dates are approximate. Accepted by: Liv--- G./o Date: Andrea Keyo Accepted by: 16.Per mits All permit fees shall be reimbursed to the contractor by the homeowner. Homeowners acknowledge that 2 permits are required: Building, and Electrical. There will be a Plumbing permit also required but this permit shall be implemented by the plumber doing the new heating system hand hot water heating baseboard units. 17.Scale Drawin ➢ Scale drawing attach shall be construed as an integral part of the proposal and agreement. All measurement are approximate and homeowners acknowledge the changes may be required due to building codes and obstacles in the unfinished basement. 18.Pro visions ➢ Homeowner acknowledges the following and hereby agrees to abide by these provisions: 1) Reasonable access must be made to the premises during working hours. 2) Working hours are from 6:30 AM through 5 PM on weekdays (Monday through Thursday). Contractor may request the option of working on Friday and/or Saturday with homeowner's approval. Said approval shall not be unreasonably withheld. 3) The basement area is a construction site, therefore, children and pets should not be allowed in this area. 4) All personal property must be removed from construction site and contractor shall not be held responsible for this property. 5) Quite often, communications concerning the project and questions regarding the project will be done via "E-Mail". Homeowner agrees to reply immediately and acknowledges that these communications shall become a part or a change to this agreement. 6) Homeowner acknowledges that this is the entire agreement and no other agreement exists unless it is memorialized in writing or by email. 7) Homeowner authorizes the reasonable use of bathroom facilities. shall house a TV with open shelving on both sides. Cabinet shall include power outlet and cable outlet. Cabinet shall resemble cabinet shown in picture number 232 supplied to home owner. Cabinet doors are charged individually based on the homeowners choice A similar cabinet is included on the opposite side of the room for storage. So long as the design similar to the above, there is no additional charge (except for doors). It is understood that the cabinet doors will take 2 to 3 weeks to receive, after the project is completed. It is agreed by the parties that final payment will be made prior to the installation of cabinet doors. Contractor is aware that one of these cabinets will hide some plumbing pipes near electrical closet/ 12.Deh umififie� Contractor shall whatever is reasonably necessary to facilitate the use and draining of existing or new purchased dehumidifier(s) purchased and / or supplied by the homeowner 13.Plumbin Contractor has referred a plumber to the homeowners to install a new heating system for the whole house. Plumber is an independent contractor. The contractor has no financial or legal responsibility with the installation or suppling of this heating system. However, the contractor agrees to work closely with the plumber to encourage smooth installion. 14.Flooring ➢ This proposal allows for no flooring. 1 S.Painting ➢ This proposal allows for no painting. ✓ Additional Electrical Work ❑ The cost of electrical breakers cannot be determined until the electrician is on site. This cost will be allocated and billed when electrician has completed his work. 8. Finished Walls, Ceilings & Soffits All walls, ceiling and soffit of finished areas shall be enclosed with 1/2 inch "blue board". All blue board shall be veneer plastered to a smooth finish on walls and ceiling. 9. Doors ➢ All hinged doors shall be "6 PANEL" Jen — Weld Bostonian molded doors. ➢ Bi—Fold door to match other doors All doors shall include standard hardware and doorknobs. All doors to be installed with colonial casing 2 1/4 inch wide. IO.Baseboard, Door° Contractor will supply and install new baseboard, door casing for all finished areas. II.Home Entertainment Center Home entertainment center shall have an enclosed lower section, which includes 6 doors. Dimensions are approximately 16 inches deep, 92 inches wide and 30 inches high. Upper section shall be approx 12 inches deep and ➢ Play Area ➢ Furnace Room/Storage Room (unfinished interior) ➢ Under Stairs Closet (unfinished-interior) ➢ Electrical Closet (unfinished interior) 2. Ceiling and Soffit Preparation ❑ 1" x 3" spruce strapping shall be installed (as needed) on ceiling joist 16" on center to support weight of new drywall ceiling. 3. Wall Structure ➢ Contractor shall make wall alterations as indicated (approximately, as needed) on scale drawing. All wall structure shall be built according to state & local building requirements. 4. Insulation ➢ All exterior walls shall be insulated so that all living areas and spaces are insulated according to code (as needed). The insulation value is R-13. Homeowner has agreed that the ceiling need not be insulated. 6. Steps & Step Areta ➢ No work shall be performed on steps or stair well. However, left side wall of lower stair case will be opened to create an opened angled wall rail. 7. Electrical Work ➢ A Massachusetts Licensed Master Electrician shall perform all electrical work. This project shall include the following. ❑ Up to 15-6 inch recessed lights in living areas. ❑ Up to 7 switches to control all lighting for all areas including unfinished spaces and closets. ❑ Light fixtures for all unfinished areas are separately switched. ❑ Up to 2 cable/broadband wall connections. ❑ Electrical outlets through living area per code. These outlets are "tamper — resistant" and are controlled by a GFI (ground fault) breaker. Ted Grab — Interior Renovations Advanced Basement Finishing 1029 Humphrey Street Swampscott, Massachusetts 01907 781-430-0415 office 781-454-5609 cell advaneedbasement2cyahoo.com MA Home Improvement Contractors Registration # 140838—Exp 12/16/17 Construction Supervisor License # 89566—Exp 11/24/15 Fully Insured Better Business Bureau Accredited—A+Rated Proposal To Renovate Basement February 21, 2016 HOME OWNER: Andrea & Kevin Keyo 103 Fuller Rd North Andover, Massachusetts PROJECT DESCRIPTION 1. Areas to be created in unfinished basement CONTRACTOR SHALL supply all new materials needed to erect, according to State and Local Building Codes, build all walls along walls to create and finish areas as designated on scale drawing. The areas are as follows. ➢ Family Room /Home Entertainment Area y Office Area New Ex-tenor S on- Al v RDOM L a SDa-e mn N N I S H E-D S A E CD\ �0/�,�t/ Up eiectin-'--ai doses ----------------------- ------- t LE oy Rl OD eo rl Up e � _ ------ -- - 7-1 7'lie C'arrtnranwealth of Massachusetts x ry Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 .` wivW mass.gav/dia s„ orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers, TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): bC—(fJc Address: � �� Z,�yLldl/T�C"✓ t ) 1 City/State/Zip: L,v ► .SC ! b" Phone#: � v Are,you an employer?Check the appropriate box: Type of project(required): 1.F1 I am a employer with__ employees(full and/or part-time).* 7. E]New construction 2.[-I am a sole proprietor or partnership and have no employees working forme in $, R Remodeling any capacity.[No workers'comp.insurance required.] 9, El Demolition 3.❑I am a homeowner doing all work myself.[No workers'camp.insurance required.]t 10 R Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I I.❑Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance? 6.El We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] L LO 611-r / Ivtj-4 0 *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. r t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional slieet 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, Iain an employer that is provitlitig workers'compensation insurance far my employees. Below is thepolicy and jab site information. Insurance Company Name: Policy#or Self-ins.Lic.#: 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 v ' tcation. I do he ruder the pains and penalties of perjury that the information provided above is true and correct. Si nature: /Clt;�e ,8c7/L� �! Date: 7 Phone#: �' �- Official use onl . 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#: 923745 Theodore Grab Certificate of Insurance; (page 1 of 1) 03/18/2016 02:34:42 PM MMID AC"R" CERTIFICATE OF LIABILITY DATE( D/YYYY) INSURANCE 3/18/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVEI-Y OR NEGATIVELY AMEND, EXTEND OR At-TER 'THE COVERAGE AFFORDED BY THE POL,ICIES BELOK "I"HIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE FIOI.DER. FftfF_'OF4TANT: D--D-I,T,,10-1"q",A"—L-I-N"-,S—(.),"R",-ED,—the pO, l_icy_(1"es") nous—tbe'eiidorsed. If SUBROGATION IS WAIVED, subject to tire terms and conditions Of tile I)OliGy,Cei-tain policies may require an endorspunent. A staternent on this ceitificato does not confer rights to the certificate holder in hen of such endorsement(s). PRODUCER CONTACT NAME: InSUreon(BIN InSUrance Holdings L.I.-C.) PHONE 800-688-1984 FAX, (877)826-9067 (A/C,No Ext): (AIC No): .......... - 1301 Central Expy.Soutl I,Suite'115 E-MAIL insureon Allen, I'X 75013 ADDRESS: ------------- INSUREFO(S_)AFFORDING COVERAGE NAICM ............... INSURENA_: Security Company 1 19879 INSURED INSURER B Theodore Grab INSURER C: 1029 Humphrey St INSURER D: Swampscott,MA 01907 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: FIT IS-1-0 CER I'IFY THAT"FIE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION 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.LIM[IS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ADDLSLJGI POLICYEFF POLICYEXP LIMPS 'TYPE OF INSURANCE POLICY NUMBER IMIDI) Yy)_JWPMDQLYYYY]LI, V/ E COMMERCIAL GNERAL LIABILITY _EA HOCCURRENCE vmtvlAtUE I(,) S CLAWS MADE OCCUR .......... MED EXP(Any one refson) 1$ . ............. ....... A NA106833002 10102015 10102016 P�FRSONAI &AL)V INJURY S POLICY HS PETR� 0,ENDERALAGGREGATE $2000,000 GENT AGGREGATE LIMIT APPHI V PRO LLOG PkO2,000 000 ' UCTS-COMP�OPAGG JECT OTHER .. ............................... AUTOMOBILE LIABILITY ry 1,(Eaaccident� ................ ANY AN 10 BODRY LIATRY(Puf peison) 5 ---____---- ALL OWNED i SCHEDULED j BODILY INJURY(Pei acudeno S AUTOS ANTOS --- -------- NON-OWNED i PROPERTY DAMAGE HIRED An I OS L_ji AUTOS j _Ld _j 'fit) _.(Peracc L UMBRELLA LIAR I OcCUIR EACH OCCURRENCE EXCESS LIARAGGREGATE CLAIMS-MADE E_T�ILL12 it DEDj_LjL_.± tl_lllfl��s COMPENSATION PER OTH. AND EMPLOYERSLIABILITY fATuTF_j__ 1 ER Y N E1,EACTI ACCIDEN f ANY PROPRIE1 OR)PAR I FIER EXECU FIVE -—- OFFICER/MEMBER EXCLUDE/D? E_J NIA E,L DISEASE-FA EMPLOYI-Tj S (Mandatory in NH) If yos,describe undei D SCRIP rioN OF OPERATIONS below F,t DISEASF l 1 Po (.-Y LIMIT 1 S ........... DESCRIPTION or OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Rernaft Schedule,may Lae attached if more space is required) CERTIFICATE HOLDER W. CANCELLATION S1 IOULD ANY OE THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover, Iv1A ACCORDANCE WITH THE POLICY PROVISIONS. 1301ding Inspector 1600 Osgood St. ...... ------ North Andover,MA AUTHORIZED REPRESENTATIVE 1988-2014,AC ORD CORPORATION. Ail rights reserved. AGORD 25(2014/01) The ACORD narne and logo are registered marks of AGORD Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-089566 THEODORE B GRAB 1029 HUMPHREY ST SWAMPSCOTT MA 01907 - Expiration: Commissioner 11/24/2017 t office of Consumer Affairs&Business Regulation -� HOME IMPROVEMENT CONTRACTOR Type. M Registration: 180660 Expiration-y-12/1112W6 Individual THEODORE B.GRAB THEODORE GRAB 1029 HUMPHREY ST g SWAMPSCOTT,MA 01907 Undersecretary K - i