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Building Permit # 3/28/2016
...........NW BUILDING PERMIT �� m � TOWN OF NORTH ANDOVER 0 APPLICATION FOR FLAN EXAMINATION Permit NO: � �� � Cate Received q�4rmo s Gate Issued: sCHU I ORTANTa Applicant must complete all items on this page r / /� , IOCA101 ;, r / r » r r �w � w /i / J r ,;,;r,r r r/ r r//////i iii% r % l //i„i/ / /r.r/i //%✓/r//j////r��//i/i/i ii../J r r // ,,, ,ppp; ,,};'q ,;,/r/ ,.. ;„, %' / ' / ,:'r, ,G�.Cr'[/� /rill/err/�,,j�t r� 1 �l ;/ / %//i���✓ r / � ,/ / r �IYI�41'” 1�, / v,' riw.� � MMI�`In ��' i /�d � � �I���'+I"Yr✓�r r/ r/� il'IAt ��;+u✓�Iyv'rii// r/�//%/ r���ii ri/i/ / TYPE OF IMPROVEMENT PROPOSED USE .. Residential , Non- Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial ...eTAlteration No. of units: ❑ Commercial ,,IMS_rRepair, replacement [=1 Assessory Bldg C] Others: ❑' ►emolition [.:7 Other ptN ❑:I1/elI ❑ Fl+ odplip UUtlanls ( Wtershd �itn r„ 2 r, 47 Identification Please'Type or Print Clearly) OWNER: Name: �� ,.� �m "�'. d Phone: `a , " � Z/ 4/.a Address: F r / %MA �' � ,,,,; / rr r/� r/ r r r / � / /r /� � ,ri%///fir r � %/ / rrr/:✓ // r' . Ad n r�/r� r ,,,, r/j//r %�//� r r / /i r/�/i/%� /i Ir �,i✓/ � ., /ir/r /fir/i r /� r r // ,�/� / c/L,r�/// %r. ///err �,u plrlor's Cons#ruction L�cn �/ ,; I ARCHITECT/ENGINEER Phone: Address: Reg. No. $Y000.00 OF T �' .... FEE: � �9z�.00�E�S.F. FEE SCHEDULE:EULDiNG Rll�ll" $92.40 PER$1000.00 7o7AL ESTIMATED cfJST BASED ON Total Project Coat: .... Check No.: �. _. Receipt No.: Aw ""° NOTE: Persons contractingy th u registered contractors do not have access",to the gay arty unci ignattare of Agent/OWne6" � Signature of contract r ,,, -... .. .. ,m ttORTown ofAndover T1� q 2 O '- `" 0 ® - AorL ?1? 7-hlln ��K! h Ver, ass, COCMICNl WICK y1. x,95 RRTED P,12 Ll BOARD OF HEALTH Food/Kitchen T T L1111111111111IF Septic System THIS CERTIFIES THAT ...................... .... .. .......... . .... .................................... .................... BUILDING INSPECTOR Foundation has permission to erect ................... ...... buildings on . .... ... ... Rough 11 1 kw 14 .to be occupied as ....... TAII ... . ...... ChimneyyV 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- PERMITEXPIRESI MONTHS ELECTRICAL INSPECTOR UNLESS CTI ART Rough Service .......... ...... ... ... .. .. ... ..., 1 . .............. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Reguired 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. f' Wednesday, March 16, 2016 Naga & Shoba Donti 48 Huckleberry Lane N.Andover, Ma. rJ� - '" Addendum .,.,, 8 . We at Marlowe Building & Design, Inc. are pleased to submit a proposal for the following: REMODEL SECOND FLOOR MASTER BATH ATA ®VE ADDRESS, AS PER PLANS AND AS FOLLOWS: PLANS Nr) PERMITS • All building permits supplied by Marlowe Building & Design, Inc. ® All construction drawings supplied by Marlowe Building & Design, Inc. TEAR OUT • Ex6stJrl g do s4 t zn'id (:,;i-')set door to r edTlari 8l"6t.an:'::t • Remove existing Toilet, Vanities, Shower and Bath tub • Remove existing bi-fold bath entrance door • Remove existing bi-fold toilet room entrance door • Remove existing flooring • Gut all interior walls in the bathroom • Remove ceiling (unless blown in insulation exists) ® Remove existing window in bath FLU ( hi,te and chrouie fixtures°ures s,tandard) (SEE OP i;1'0,J) Tai • Install one new Acryline Nirvana soaking tub left hand drain W i:,,- A ® Install one new Kohler K-438K deck mount valve with integral diverter • Install one new Kohler K-T102929-4 Forte deck mount high flow valve trim with sculpted lever handles • Install one new Kohler K-368 Forte deck mount hand shower holder • Install one new Kohler K-72414 Awaken G90 hand shower Shower • Install one new Kohler 48"shower receptor Model K9488 Memoirs Drain right ® Install one new Kohler K-304K pressure balance shower valve Maftwa Building&Design I Office&Showroom 404 Middlesex Rd.,Suite 1 "yngsborcr,Massachusetts 0 1876 978-649-8570 1 FAX 978-649-8572 h 4° Alif Install one new Kohler K-T10276-4 Forte shower trim with sculpted lever handles Install one new Kohler K-728K Mastershower transfer valve Install one new Kohler K-T10290-4 Forte transfer valve trim Install one new Kohler K-355 Forte supply elbow - ® Install one new Kohler K-98361 ,Awaken G90 hand shower kit Install existing main bath toilet and toilet seat Install new Staron vanity top and back splash in customers choice of Medium colors, with two Staron oval undermount sink bowls . Install two (2) new Kohler K-10215 Forte single control faucet Install all necessary pipes and fittings to accommodate new floor plan ® Installation of Owner Supplied accessories Example: towel ring/bar, robe hook, toilet paper holder etc. i.ECTR : AL Install wiring, switches and outlets where necessary as per code Install 2 GFI outlets at vanity ® Install Panasonic FV-15VQL6 exhaust fan and vent to outside Install Three new LED recessed light fixtures above vanity as per plan INTERIORALL Install new cement backer board to walls surrounding Shower &, Tub prepping for new tile Install new wall the and grout in shower in customer's choice of select tiles.($2.50/ sq' the allowance / Design in shower to be discussed) Deco tile not included in this proposal ® Install R-13 Insulation in party walls Install 1/2" blue board to interior bathroom walls Skim coat plaster interior walls CEILINGCOVERING • Install 1/2" blue board to interior ceiling • Skim coat plaster new smooth ceiling MILLWORK AND TRIM Install new AWT European vanity base and soffit with supplied LED lights as per plans to be in a full overlay door style Door. style Slant Raise/Elite Bead/C2 lip maaowe Builnjing&Design C Office&Showroorn 404 Middlesex Rd.,Suite I,' yngsboro,Massadiuseft 0187'9 978-649-8570 0 FAX 978-649-8572 U Finish: Matador White Hinges to be soft closing. Draws to be wood with full ext. soft close ® Install baseboard moldings and trim similar to style of rest of house Install custom shower door system with 12" return wall Install new window with tempered glass in tub area Install 2 Medicine Cabinets as per plan FLOOR COVERING • Install new cement board underlayment to bathroom floor • Install new floor the and grout in customer's choice of select tiles.($3.50/ sq' the allowance) Deco Tile additional cost. PAINTING Interior painting to be completed using Sherwin Williams or Benjamin Moore materials CLEAN UP Removal of debris and cleanup of space to be completed by Marlowe building and design, REMODEL ,ST: $26,000.00 000 A, �o 1f OPTIONS: Nickel Finish Frosted sliding pocket door ( ex) Not included in this Proposal is o Frameless Shower door please bud.get 2200 to $2500. Than you for allowingres o quote your wort . r Sincerel , Marlowe Marlowe Bldg. &Desi n, nc. Acceptance Date Marlowe Building Design t Office&Showroom 404 Middlesex Rd.,Suite 1,Tyngsboro,Massachusetts 01879 k Manufacturing A—AY G I ACKNOWLEDGEMENT SUI ING DUCTS Harvey tries,I 1400 Main Sheet. tham, }. 02451-1689 (781)899-3 hary cornDealer Quote Summary BILL TO: SHIP TO: Nashua 90 Northeastern Boulevard NASHUA,NH 03062 Phone:6038800003 Fax:6038804003 MARLOWE BUILDING&DESIGN INC MARLOWE BUILDING&DESIGN INC III III �� ��II���I�I�II�I�IIII 258 WEST MANCHESTER ST 258 WEST MANCHESTER ST LOWELL,MA 01852-0000 LOWELL,MA 01852-0000 Phone: 978-649-8570 Fax: 9789371990 Phone: 978-649-8570 Fax: (978)937-1990 3959769 1019123 3/18/2016 Quote Not Ordered Charge ORDE13ED STATUS r * 8 ._ , ,r DELIYERS( tE ` peter None Whs NASHyUA WHSE kOg bnd -Brendon Douglas donti TINE# = E5CRYF I'IOL `r r ( X7TITC'E ''+NI�FaI?i 10000-1 Vinyl Casement,Unit Size 48 x 48,RO 48.5 x 48.5 1 $766.98 $766.98 Fiberglass Mesh,Screen Shipping Separate=No Window Label=Harvey,Sash Limit Devices=None,Standard Overall Glass Thickness=11/16",Double Glazed,Double Low-E RS, Argon Filled,DSB,Tempered,Custom Annealed IG=No,Custom Temp IG,IG MFG=CL Base Color=White \ Performance Packages=E Star 6.0 2015 North=Yes,North-Central=Yes I� Unit 1:U-Factor=0.26,SHGC=0.22,VT=0.40,NFRC CPD Number= �-21111 Y1315 HII-M-38-01622-00002,Custom/Call Size Option=Custom Size,New de , RO•JB.S Construction,Hinge Left,Venting Pattern Configuration=LR Unit 1 Glass,2 Glass:NFRC CPD Number=HII-M-38=01622-00002 Unit 2:U-Factor=0.26,SHGC�0.22,VT=0.40,NFRC CPD Number= HII-M-38-01622-00002,Custom/Call Size Option=Custom Size,New Construction,Hinge Right,Venting Pattern Configuration=LR Contour In-Glass,Colonial,Match Frame,2W4H Vertical Common Frame 0"thick,48"length Overall Rough Opening Width=48.5,Overall Rough Opening Height= 48.5 Integral L Fin Adaptor,Receiver Pocket Room Location: None Assigned Last Update:3/18/2016 1:30 PM Page 1 Of 2 Printed:3/18/2016 1:31 PM e ENTRANCE DOOR TO � TEAR OUT BE MOVED AND REPL 4CE17 Existing closet and closet door to remain intact to Remove existing Toilet,vanities,Shower and Bath tub NEW DOU$LE l�.dNITT` O Remove existing bl-fold bath entrance door USING OVAL SINK$ 0 Remove existing bi-fold toilet room entrance door 2'-C�" Remove existing flooring Gb —a SEE S�PEfc'4TF -CZ �0_, Gut all iriterlor walls in the athroom Remove ceiling (unless blown in insulation exists) VAN17-r PLAN Remove existing window In bath Q PLbUM51NG (White and chrome fixtures standard) It Install one new Acryline Nervana soaking tub left hand drain Cz Install one new Kohler K-439K deck mount valve with integral diverter Install one new Kohler K-Ti02923-�4 Forte deck mount high flow valve t trim with sculpted lever handles Nfi W TJ LE P LocVEX Install one new Kohler K-368 Forte deck mount hand shower holder _ iv R1 Install one new Kohler K-12414 Awaken G90 hand shower /$ppNr»$jam Shower �} j C14Ld 00OR TO BE s— Install one new Kohler K-9488 Memoirs shower receptor right hand drainRERa-"CS::)IMMI-1 Install one new Kohler K-304K pressure balance shower valve Slope— i-QC<Er 000R L- Install one new Kohler K-TI0216-4 Forte shower trim with sculpted lever handles Install one new Kohler K-128K Mastershower transfer valve ` TOILET TCJ BE Install one new Kohler K-T102SO-4 Forte transfer valve trim \ REPL.4CEP UIM4 Install one new Kohler K-365 Forte supply elbow a !°\ TOfLET FROM _ �3 Install one new Kohler K-98361 Awaken G-90 hand shower kit ! �- Install existing main bath toilet and toilet seat MAIN B�3Ti{J r Install new Staron vanity top and back splash in customers choice of _ �— Medium colors,with two (2)Staron oval undermount sink bowls iild Install two(2)new Kohler K-10216-4 Forte single control faucet NEW 4S"MEMOIRS ACR?'ZIC � —J W Install all necessary pipes and fittings to accommodate new floor planSFIO)tUER u#774 BUILT JN SEAT +� < F- Installation of Owner Supplied accessories Example, towel ring/bar, $ T/LID WALL.5r. O U robe hook,toilet paper holder etc. ACR4'1JNE NIRVANA ® C/) ELECTRICAL Install wiring,switches and outlets where necessary as per code SOAKING W s install 2 C--Fl outlets at vanity a 0 Install Panasonic FV-I5VQL6 exhaust fan and vent to outside WIN00W TO SE REPLACEi;) Install three new LED recessed light fixtures above vanity as per plan USING TEMPERED GLASS INTERIOR WALLS ) install new cement backer board to walls surrounding Shower 4 Tub prepping for new tile p Install new wall the and grout in shower in customer's choice of select tiles. (52.50/ sq' tile allowance t Design In shower to be discussed) Install R-13 Insulation in party walls Install 'h" blue board to interior bathroom walls gi Skim coat plaster interior wallsMastdc,:V Bath PIT Q CEILING COVERING Install lit"blue board to interior telling qi ti I U Skim coat plaster new smooth telling SCALE: 114 = V -C� MILLWORK AND TRIM Install new AWT European vanity base and soffit with supplied LED lights as per plans to be In a full overlay door style Door style Finish hinges to be soft closing. Draws to be wood with full ext. soft close FLOOR COVERING M Install baseboard moldings and trim similar to style of rest of house Install new cement board underlayment to bathroom floor Install custom shower door system with 12"return wall install new floor the and grout in customer's choice of select tiles. install new window with tempered glass in tub area 03.50! sqthe allowance) Install two Medicine cabinets FAINTING Interior painting to be completed using Sherwin Williams or Benjamin Moore materials MEN Pi 2 � ® �, V45D � 0� - LIO 41t t'f1 LO � W -1 = cps 5/4�� LO 'P(� `-fir 1/411 tD .. Marlowe Ciwfidfng 8 Design Gland Baths PAGE: 258 West Manchester St. SCALE: 1/4" = V-0° Lowell, MA 0I852 DATE:Thursday, February 25, 2016 TEAR OUT Existing closet and closet door to remain intact BOOR TO v �� Remove extattng Toilet,Yan(ttes,Shower and Esath tub $ f°lOY� ANO REPLAjCE27 �' Remove existing bf-fold bath entrance Boar CU Remove exfsttng b(-Fold toilet roam entrance Boar NEZ11 pOUBLE 4��ENIT1` CO Remove existing Flooring USING OV4L S1N/G5 Gut all interior walls in the bathroom NJ Remove cetltng (unless blown in insulation exists) — Remove extstfng window in bath � ° 5EE SEPE�4TE a' PLUMBING (White and chrome fixtures standard) VAV/7r PLAN Tub install one new AcrylMe Nervana soaking tub left hand drain !� Q M Install one new Kohler K-438K deck mount valve with integral dfverter CL Install one new Kohler K-TIO?929 4 poke deck mount high flow valve 1 trim with sculpted lever handles Install ane new Kohler K-368 Forte deck mount hand shower holder N TI O Install ane new Kohler K-12414 Awaken G90 hand shower 9 tl} Shower Install ane new Kohler K-9488 Memoirs shower receptor Y o j Q N N right hand drain EX15TlNG$1FO Install one new Kohler K-304K pressure balance shower valve DOOR TO BE L install one new Kehler K-710216-4 Forte shower trim with sculpted REPLAC r lever handles ED(!f/Tfd � Install one new Kohler K-128K Mastershower transfer valve 510�� POCKET DOOR C) i Install one new Kohler K-Ti0290-4 Forte transfer valve trim CU Install ane new Kohler K-358 Forte �� Install ane new Kohler K-98361 Awaken G190Ihand shower kit �az ow TOILET TO BE o �- install exlsting main bath toilet and toilet seat �� EPL 10Et?llllTFi Install new Staron vanity top and back splash in customers cCU hoice of TOILET FRO!'9 'CU Medium colors,with two (2)Staron oval undermount sink bowls MAIN EAr41 co Install two (?)new Kohler K-10318-4 Forte afngle control Faucet Install all necessary pipes and fittings to accommodate new floor plan r Installation of Owner Supplied accessories Example; towel r(nglbar, A(aV ire ©l 5 ACR?21C M � robe hoods,toilet paper holder etc. 5f101VER 4111714 8t11L.T!N 6E4 7- Uj ELECTRICAL p {�} F- Install wiring,switches and outlets where necess as � TlL�ll1.4LL5 Install 2 GF[ outlets at vanity per code C YLINE NIRVANAS C/o 0 Install Panasonic FV-i8VQL6 exhaust Fan and vent to outside 50.4KlNC- 7718 Install three new LED recessed light Fixtures above vanity as per plan U INTERIOR WALLS &11Nr->0W TO EE REPLACE Install new cement backer board to walls surrounding Shower €Tub Z SING TEMPERED GLA55 `s z a) install new waft file and grout In shower In customer's choice or sept ttletag for new tile Cs2,80t sq' the allowance/Design to shower to be diecusaed) ffi Install R-13 Insuiat(on in party walls 071 Install 1f" blue board to interior bathroom walls 7U Skim coat piaster Interior walls CEILING COVERING- Install 112" blue board to Interior ce(1(ngM t(gs.r ath 40=wk 0 � 6 Skim coat plaster new smooth cetltng O 8 MILLWORK AND TRIM -� L Install new AWT European vanity base and soffit with supplied LED itghts a9 per SCALE. 114 Door style II Plans to be In a full overlay door style V Finish n Hinges to be soft closing. Draws to be wood with full ext, sort close install baseboard moldings and trim similar to at Install custom shower door ayle of rest of house FLOOR CO/1=RING yatem with 12"return wall Install new cement board underlayment to bathroom floor install new window with tempered glass in tub area Install new Floor the and grout to customer"s chatce of select toes, a Install two Medicine cabinets 03.50/sq,tile allowance) PAINTING Interior painting to be completed using Sherwin Williams or Benjamin Moore materials V4aD LQ - O - U) CSA o ILO f 5�4' VV` 45DDLD L°../ 10 (i1 Marlowe ButiclIng s Design Dontl Baths PAGE: 255 West Manchester &t. SCALE: 1/4" = 1'-0" Lowell, MA 071852 DATE:Thursday, February 25, 2016 3/ 4 iu !gym f v February 1 , 2016 Nagy & Shoba Dont! 48 Huckleberry Lane N. Andover, Ma. , dendusi ... A We at Marlowe Building & Design, Inc. are pleased to submit a proposal for the following: REMODEL SECOND FLOOR MAIN BATH AT ABOVEA ESB, AS PER FLAT AND AS FOLLOWS: PLANS I PERMITS All building permits supplied by Marlowe Building &. Design, Inc. All construction drawings supplied by Marlowe Building & Design, Inc. ITAR OUT ,"n. �ue.t., to ,dull „E{InLI.o.I (:`,(,J Remove existing Vanity, Bath tub and Toilet. Remove existing flooring Gut all interior walls in the bathroom ® Remove ceiling (unless blown in insulation exists) "CHECK VENTING IN ATTIC” "BLOCK FOR CURVED SHOWER ROD" PLUMBING hie and chronie ix,l,ur es s udar,d Install one new Kohler K-1184 Devonshire bath with right hand drain Install one new Kohler K-304K pressure balance shower valve Install one new Kohler K-T10274-4 Forte tub & shower trim with sculpted lever handles Install one new Kohler K-728K Mastershower transfer valve Install one new Kohler K-T102904 Forte transfer valve trim Install one new Kohler K-355 Forte supply elbow Install one new Kohler K-98361 Awaken G90 3 function hand shower kit i % ✓ /P i, Install baseboard moldings and trim similar to style of rest of house FCOVERING Install new cement board underlayment to bathroom floor Install new 12" ® 18" floor the and grout in customer's choice of select tiles.($3.50/ sq' file allowance) IiI 7 Iw Interior painting to be completed using Sherwin Williams or Benjamin Moore materials CLEAN P, Removal of debris and cleanup of space to be completed by Marlowe building and design. REMODEL COST: $18,000.0,0 ( a ,00 Y'56' OPTIONAL: Double Medicine Cabinet i h crown $1000.00 ushe i Nickel Finish $550.00 ;/Z !L-- IV"e-�l ,�y, -6:;r- Thanko for allowing us to quote your work. Si rely, eter D. Marlowe Marlowe Bldg. & Design, Inc. .Acceptance late Marlowe MjHd ww7&71uw!.sqn P C:'ffiG>.& Showvrcrmn 404 Mcddcise F::1d.,Suite 1, W9 Tyargmyw��y��sboro, a,.r!u¢wBmaw°eQS G) 978-649-8570 9 FAX 978..649,8572 TEAR OUT Toilet to be reinstalled in Master Bath ]IOD Existing door and threshold to remain Remove existing vanity,Bath tub and Toilet, Remove existing flooring �'Cut ail interior walls in the bathroomRemove ceiling (unless blown in insulation exists) PLUMBING (White and chrome fixtures standard)Install ane new Kohler K-1184 Devonshire bath with right 0 hand drain Install one new Kohler K-304K pressure balance shower valve Install one new Kohler K-TIC214-4 Forte tub s shower trim with sculpted lever handles Install one new Kohler K-128K Mastershower transfer valve (� Install one new Kohler K-TIO21304 Forte transfer valve trim r Install one new Kohler K-355 Forte supply elbow REPLACE TUB QSEE PROPOSAL FOR C\1Install one new Kohler K-98361 Awaken GSO 3 function MODEL.. hand shower kit TILE IN WALLS L6 Install one new Kohler K-3831 Devonshire comfort height 4— toilet with matching seat DOUBLE MEDICINE ULAN Install new Staran vanity tap and back splash in customers CABINET SEE PL choice of Medium colors,with 1 new Kohler K-2355 ,Archer sink bowl Install one new Kohler K-10212-4 Forte widespread faucet L - wt sculpted lever handles — — — �I Install all necessary pipes and fittings to accommodate new J(LOEE floor plan _ �Installation of Owner Supplied accessories Example: VANITY DESI CO � towel ringlbar,robe hook,toilet paper holder etc. {�y ELECTRICAL RS A-- Install wiring,switches and outlets where necessary as m c per code _ Q LU LU Install one new GFCi outlet at vanity 12" O 1&"TILE FL 'C EXISTING-DOOR d Install one new Panasonic FY-05YQL6 exhaust fan and ER 1f2" CEMENT BOAR 6-QEC—TO REMAIN f� c vent to outside C14Install new owner supplied light fixture as per plan ISAVE c INTERIOR WALLS THRESHOLD Ut"' `m t63 Install new cement backer board to walls surrounding tub Q) C'4 prepping for new tile Q) Ln Install new wall the and grout around tub In customer's , 0 choice of select tiles.02.SOl sq' the allowance) ) CJ Deco the not included in this proposal ti < Install R-I3 Insulation to party walls Install �" blue board to interior bathroom walls = Skim coat plaster interior walls CEILING COVERING p Install 'h" blue board to Interior ceiling ` � J Skim coat plaster new smooth ceiling SCALE: 3�8„ _ 11f�„ Ln MILLWORK AND TRIM Install new AWT Framed furniture vanity base as per plans Door style Finish Install baseboard moldings and trim similar to style of rest of house FLOOR COVERING Install new cement board underlayment to bathroom floor Install new 12" 18" floor the and grout in customer's choice of select tlles,(s3,5Ot sq' tile allowance) a PAINTING- Interior painting to be completed using Sherwin Williams or Benjamin Moore materials l v c('n p 0 a -4 O U3mp C1 dam r- m mr rz Uj0 O 0 z m O V 2r- 11— M .7 Marlowe Building d Design Dont) Caths PAGE: 258 West Manchester 5t. SCALE: 1/21, = 1'-0" Lowell, MA 01852 ®ATE:Thursday, February 25, 2016 1/ TEAR OUT Toilet to be reinstalled in Master Bath Q} Existing door and threshold to remain O Remove existing Vanity, Bath tub and Toilet. Remove existing Flooring Gut all interior walls in the bathroom s. Remove ceiling (unless blown in insulation exists) Ilk- PLUMBING PLUMBING (White and chrome Fixtures standard) Install one new Kohler K-1184 Devonshire bath with right hand drain Q Install one new Kohler K-304K pressure balance shower valve Install one new Kohler K-TIO214-4 Forte tub s shower trim with sculpted lever handles Install one new Kohler K-125K Mastershower transfer valve install one new Kohler K-TI02SO4 Forte transfer valve trim install one new Kohler K-355 Forte supply elbow REPLACE TUB r Install one new Kohler K-98361 Awaken C90 3 Function SEE PROPOSAL FOR hand shower kit MODEL.. Install one new Kohler K-383'1 Devonshire comfort height TILE IN WALLS L0 toliet with matching seat s" Install new Staron vanity DOUBLE MEDICINE tap and back splash in customers CABINET SEE PLAN choice OF Medium colors,with i new Kohler K-2355 y Archer sink bowl _ (ri Install one new Kohler K-10212-4 Forte widespread Faucet 9 W/ sculpted lever handles — — — - install all necessary pipes and fittings to accommodate new Floor plan Installation of Owner Supplied accessories Example: EE VANITY DESI t!? towel ringtbar,robe hook,toilet paper holder etc. ELECTRICAL CY? Install wiring,switches and outlets where necessary as per code LUL Install one new GF,--1 outlet at vanity Install one new Panasonic FV-08YQL&exhaust fan and 12" O 18"TI E FL EXiSTiNG-DOOR 0 vent to outside ER 112" £MENT BOAR TO REMAIN u) install new owner supplied light Fixture as per plan INTERIOR WALLS SAVE c install new cement backer board to walls surrounding tub THRESHOLD e prepping for new iiia ` C,4 Install new wall the and grout around tub In customer's LS 41 M choice of select tiles,02,50/sq' the allowance) "' d} Deco the not included In this proposal a1- Install R-IB insulation in party walls Install 1'2" blue board to interior bathroom walls a Skim coat plaster interior walls CEILING COVERINGMain Bath 3 install IS° blue board to Interior ceiling a Skim coat plaster new smooth ceiling ` } MILLWORK AND TRIM ca Install new AWT Framed Furniture vanity base as per plans SCALE: 318" Door style Finish Install baseboard moldings and trim similar to style of rest of house FLOOR COVERING- Install new cement board underlayment to bathroom floor Install new 12" 18" floor tile and grout in customer's choice of select tiles-03-50/sq'the allowance) PAINTiNC- nn t is+t, Interior painting to be completed using Sherwin Williams or Benfamtn Moore materials to I>, z 0 0 M ma U3 k- U m U) m r 1" r- M m i= r LO 70 (4) 6 re- z m x U<C) 1 2 1-411 Marlowe 150cline 4 Desi_qn Donti Baths 258 West Manchester St, SCALE: 1/2" V-0" PAGE. Lowell, MA 01852 DATE:Thursday, February 25, 2016 Exammmmmmmommm The Commonwealth of Massachusetts Department of IndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 021142017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/E lectricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Le 'bl Name (Business/Organization/Individual):Xi ;,v r °✓ ' Y Address: Z 5 City/State/Zip: ' e /4/il leq o ss S'v Phone#: ,5 () `,56Z_ _5z- 5 Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with Z,... : employees(full and/or part-time).* 7. ❑New construction 2.Q I am a sole proprietor or partnership and have no employees working for me in 8.„Remodelirig any capacity.[No workers'comp.insurance required.] 9. ,Demolition 3.❑I am a homeowner doing all work myself.[No workers'comp..insurance required.], 10 Q Building addition 4.Q 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 11.Q Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.Q 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.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other 152,§1(4),and we have no.employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 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-confraclors have employees,they must provide their workeis'comp.policy number. I am an employer drat is providing workers'compensation insurancefor my employees.'Beloty is the policy and jab site information. Insurance Company Name: Policy#or Self-ins.Lie.#: 5/:9 5 6 Expiration Date: `1V / fob Site Address: "'G `� �P d��G C City/State/ZipNo1�� 1✓/�o�P/ /1!� 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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby�under the pains and penalties of erjtuy that the information provided7,11s" true and correct: Si nature Date: Phone#: 6-1 J v �" Official use only. Do not write in this area,to be completed by city or town official.. City or Town: PermitAl icense# Issuing Authority(circle one): ; 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ,M.ARLO-1 OP Ip SR �, d ' :: _ nAT�tI�IDDnrYY'•i CERTIFICATE OF LIABILITY' INSURANCE • ,var��tzo�� THIS CERTIFICATE fS iS9(l b-AS AWATTER t3P It1F0itNiAT[ON DNf..I':AND£OCIFERSitiC3 lii+aH:'3 URON"tfi�C�R��i F�t�TE`1{t3Li3tR. TN15 CI=E IIFICATE DOES NOT AFFIRNIRTIVELY OR NECArIVE�Y AMEND, 1~3CTEND t}iZ AtTEft THE:GOi%ERAeE AFFORDED 8Y THE PQ41GiE5 BPLOW. 1HIS CERTIFICATE OF INSURANCE DOES ►VbT CONSTITUTE A GONTRAGT BI<TWf�i N T191;'t"sSUiNG:.i, , J (Sb At1T1{E�RIZEb RF-P,kESENTA7IVE"OCt PRQpUG R,AM1CD THS GEkiTI ICAT>=HOLpER, IMPORTANT. if 4Ne certificate holder is;an AtlOTTiOI�ALAN 3U121*t3,the ACi�(cyj(esj-.rrlSlsE be eridorsed. If.5t)i�r{Qt3i4T1�7)+1 i$ lliAIV ;st�bjeci #a. the term's;and conditions of.the policy;cerEatn;poticies may reggire an_ riddrsement. d stafemant on this cer#iflcate,#ioes not_Conger r{ghts Lobe eettlficat .ho}iter,in Iie :otsuef endiaririent s PRODUCER E' Stephen 1,Skaeparilk Ins. pnc Ta.EXR 978454310- 41 Aiken Avenues,ko:.SF$454x937& E> IQ Dracut,;MA 01826 AMAS' _ — IN5URERS APFOlIbING'COVERAGE NAIL.#. INSURERA:Harleysville lnsurar ew Company 23787H INSURED Marlowe Building and -INSURER 13.COMMerCe I"S 34,754 DE=SIGN ING INSURER C: 258 W Manchester St Lowell,MA 01852 INSURER D. IN$URERE:., . �1NSURER�. - GC}VERA6 S GERTI jrATEit1UMB>rR: t3E11ISIGN j+IFJffIEET : TPII5.15 TO CERTIFY THAT'THE PQ'UOIES OF INSTJRANCE�LISTEO BELOW,HAyk'BEEN ISSUED,To THE I�15tJiil;b NAhti_EI}A13t3 Fp1t THE POI ICY PERIOD iND1GRTED• NQIU/lIH9TANDING:ANY RE j',IFR+i,�?i2 CONDITION OF'ANY Ci NTRgGT OR MIER,DOCUtvi>f�T tPIC[!i R1;:3P>Gi TO Wi-IICH THIS CERTIFICATE MAY BE ISSUED QR MQY P,ERAtN, fh1F iNSUttAtiGE AFfiC)Ri)E£;BY THE P15LIOIES bESExtIbED HEi2EIN 18 St1gJEGT^TO ALL THE PERMS. EXCi*USIONSJAND,CONDITIONS OF,SUCH P(7ll.IES.tIMi75'SF�OWN MEtl'HAVE,l 7 EN RE BYPAID CLAIMS. ILTR _ P011ICY EFFPOIdCY EXP LIt�1TS _, TYPE OFINSURANCE -�D, H -POLICY- BER MMIDDP/YY MRIlADPIY.YY A X COMMERCIALGEN®RA[:LIABIOV EAGNOCbUit ENCS $ 1,000;00, eutIMSMADa �:oacu+z SPP3536PJ, 0410131201$ 0410$1201$ p i Mls 'Eabcoir s 140,00 MED:Os(P(Asr_arenersoo)._..&. 5j0t1. P IYSaNAL�1u?";1Nali v;,, s. 11 0000. GEN'LAGGREGATELINI[7Ar,PLIEB#PER GENEttALAC�GR r�Ar� �y 4i�4 ❑PRO• FLOC PRObv"4o<COMPlOP AGO: 2,000;00 POLICY -aI:CT - 5 OTHER GOM6I ED SINGLE CIMIT AUTOMOBILU LIABILITY sate ent $ 13 ANY AUTO B[�QZVR 0412712095, 04/2712016 BODILY INJURY(per person)', s 500o0 ALL AUTOS OWNED .._X .AUTCSULED BODILY INJURY(For accident) $ - 800,00 AUTO$ ED Pe�arAE}Zrdenl�C'€ S 90D,006 HIREDAUTOS, X AUTOS � $ UM13RELLd4,Ul1$ =00r�UREXCESS 001 -. AGtREGATF, %S .. IDEE) ETENTTON3- - W,OkknpS cbmPENSATjbN ANDEMPLOYERS'WAbIL1TY E.L EACHACCIDENT S ANYPROPRIEtQR+PARTNB XEGUTIVE Y(� NIA (FFjoEkMEMBER EXCLU N? LTJ 6.L,61SEA$E-E[� NIRLOYE• 5 (Mandatory lif NH) E,L:DISI ASE PQt ICY LI AIT S ILyeS descdbeunder 1) RIPTION:CF.OPERATIONS.below' DES-11 CRiPTIONOFQPERAT1013S1LDCAT[ON&/'CHICLES{ACORn70a,Adtlllloh�tActrlaili9&Chadule;Ndyboa4faFh4dlfmOtq'spacol§:requlrotij Carpentry CERTiPICATE:HOLDER G NCELLA ION MARLOWE SHOULD ANY QFTHEABOVE DE5'QRIBED PQLI;C,IE8 BE,CANCELLE0 08FORE THE EXPIRATION DAiE THEREQP, NOTICE WILD BE .DEL1i1a:RED IN ACCQRbANdt,WITH THEPOLIGY PROVISIONS. I Olowe Bulldhig Assoc.lne. 40 Mjdolesex-AoRd Unit 1 AUTNOIiIZ R6PRl S NtAlm 1ytigS-bord,MAOI$79 ' r�d9g8�Z014 AC©t�CI CQRPQF2ATIC?bI. !j[rights r2serve[1_ AGORA 26(2014101) 'The AC.ORD name and logo aro registared maetcs of ACORD 07/22/2015 16:29 4137318255 BATESFULLAM WEST SPF PAGE 01/01 7 sy DATE(MWJ?PfYYYY) �'► Q CERTIFICATE OF LIABILITY INSURANCE 7/22/2015 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(105)must be endorsed. If SUBROGATIC IS WAVED,subject to the terms and conditions of the Policy,certain policies may require an endorsement, A statement on this certificate does not cdnfer rights to the certificate holder in lieu of Such endomement(s). L L PRODUCER NAME CT Glori7 AZl na.tos rullam Inaurarine Agency, TnC PHONE (41.5)737-3539 FAx A1 (413)931-s2s5 C Na 975 Elm Stroat ADDRIESS:glxnzy@bat�sfuliam.�r�m INSURERS AFFORDING COVERAOE NA14# West Springfield NA 01099 INSURERA;AerkahiYe Hathawey Guard Insurance INSURED INSURER ft: _ • i ACCUSERVICE CORP INSURER C: _ 19 Lei Sure Dr INSURER D: _ INSURER F.; , Holland DTA 01521 INSURER F: COVERAGES CERTIFICATE NUMBER:15-16 we REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE),ISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER1017 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSROLIOV EFF POLICY FxP LIMITS LTR TY PE OF INSURANCE POLICYNUMBER MM/DD MM/DD rOMMERCIAL GENERAL LIASILm I EACH OCCURRENCE $.-DATAGE TO I CLAIMS-MADE 7 OCCUR P E .E_6(Ee occurranue) S -" MED EXP(Arty one persan) $ —"' PERSONAL&ADV INJURY !$ GEML AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ POLICY __JEt° I _._-I LOC PRODUCTS COMPfOPAOOG 8 OTHER :S AUTOMOBILE LIABILITY coident) ANY AUTO UODILY INJURY(Per Person) S -ALL OWNED AUT BODILY INJURY(Per ex{deM) $ ' NON•OWNED I PROPERTY DAMAG $ �J HIRED AUTOS _AUTOS I Peraccaent � l iS UMj3f(ELIA LIA6 OCCUR I EACH OCCURRENCE $ EXCESS LIAB CLAIM&MADE I AGGREGATE s DED RETENTION$ $ WORKERS COMPENSATION X `STATUTE I irR AND EMPLOYERS'LIABILITY YIN I I E.L.EACH ACCIDENT S 2.00,000__ ;ANY PROPIkIETOWPARTNERlEXECUTIVE 'NIA' OFFICERJUVAO6R FXGLUDED? I R2p7C63675D 6/14/2015 . 6/14/2018 E.L.DISEASE-EA EMPLOYE $ 100,000 A ,(Mand,TtoryIn NH) If yob,dbsunba under E.L.DISEASE-POLICY LIMIT $ 5001000 i DESCRIPTION OF OPERATIONS belay 'T DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES(ACORO 707,Additional Remarks Schaduiq may be attached if more SpaCa 18 rOyUifad) , Temporary Agency CERTIFICATE HOLDER CANCELLATION (978)937-1990 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Marla Huil$irig & Design THE EVIRATION DATE THEREOF, NOTICE WILT. BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Peter Mario 258 West Mancheater St AUTnaRIZEOREPRESENTATIVE Lowell, MA 01852 E Bates, Jr. A,Cc Exe/ 0)78$8-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014109) The ACORD name and logo are registamd marks of ACORD IN5025(tot 401) -al -ion of Ccnsurer Aft 10 Park Plaza- Suite 5170 Boston, Mass achusetts,02116 HQme hn -ovornent C'ont�i�aq-tor,P,,eg-zstratton fx Registration. 1.22415 Expiration: 813W016 Trl# 256522 MARLOINE BUILDING & DESIGN'l PETER MARLOWF_ -- 404 MIDDLESEX RD. #1 TYNGBBORO, MA 01`87J, 3 ' - } 11pdatcrAddress td return c�srd.lV[ntTt resison,>or cltttrtge n Address L�] Renewal p Employ meat M Lost Card SCAT C: 20IM-0111 _ Office of Consumes iifGlirs&Business Regulation License or registration valid for individul use only + before ttie expiration hate. If found return to: r OME IMPROVEMENT CONTRACTOR a �� Office of Consumer Affairs and Business Regulation egistration 122415 Type: �A Expiration 8130/1016 Private Corporation 10 Part[Ptazti,Suite$170 _ - 13ostbn,M 11G MARLOWE BUILDIN &t ESt >c11Nc PETER MARLQ�fE 404 MIDDLESEX RD #1 TYNOSBORO,MA 01875 Lintlersecretary Not y t#id witttoiitstgtititgre }bra-Zi= 11wat iE DJpa,"tmenf of PLc btir,Saf M.S`S Ctlt35t tt t elS t tt @i1Y' t GbtfFP.3'8it y Boaro of Bufld4, g�&&tjoObAh ?t ridere€s �y}}�� d ti+}S iLOv tl ='Ffis�- ? 22 FHf'Bc f i�iJT__.. Cr773�`3'23�`tum,�yr'lY-{+� 'TFk� -- G DF toans CS-048623 # kwhs_e C�?0146##rs 4041tED DLESL X25twestmanchaasler rK b `t YNGSBORO'Y' 41i AV-ti Lovve]I MA�f 5 Z": "Z3,"" i' ! ' )a•a41CX P iraii0n 061061201 Caamrni loner 0611912016 i NN