The URL can be used to link to this page

Home My WebLink AboutBuilding Permit # 4/14/2016 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: , �� ;' Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page r / LCJCATI ON / r/ ,%/i' r �' //ri/r ,//////i//ri r/ii '✓ ��:'% �^`/ ,., , /r r / / r PROPERTY/OWNER rr /,ff MAP NO ` PARCEL / 'ZONING DISTRICT 'r �' Historic®�stnct yes ro "I�aclliine Shop Village yes` rio TYPE OF IMPROVEMENT, PROPOSED USE Residential Non- Residential ❑ New Building U,One family ❑ clition 0 Two or more family El Industrial a- Alteration No. of units: ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: CI Demolition ❑ Other ❑ Septic '°❑Well D Floodplain Eb;Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: p �-CKOAIr OWNER: Name:�h 0 l rlr�jLaL �� Phone: 01 Identification Plee Type or Print Clear Address: �U�410) 1C4,6(ey .oac � 11-v o)-a", 01 0 r �1 ti ,. f1� � �� ,m I P3 ,CONTRACTOR,, Narr)e: , Address rr Supervis®r's Constrdctibn License �� exp `Date i Norrie improvement Licen e EXP. ;,,ate: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 1 ,', FEE: $ ®.® Check No.: ._ Receipt No.: r."°' ' NOTE: Persons contracting with unregistered contractors do not have access ar to fond g wne � ��"R�a� Signature of contractor Signature of A en O u_ � Plans Submitted LJ Plans Waived ❑ Certified Plot Plan ❑ 'Stamped Plans ❑ - Plans Submitted ❑ Plans Waived U = Certified Plot Plan ❑ Stamped Plans ❑ TYPE-OF:;SE WERAGEDiSPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ To Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc.- ❑ - Permarient Pbrapster on=Site ❑ 1T !E.FOLLOWING SECTIONS FOR-OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM -DATE REJECTED DATEAPPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS -CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewed'ConnectionDriveway Permit _ DPW Tow2 Engineer: Signature: -- Located 384 Osgood Street FIRE D'EPAf TM,ENT Temp Dumpster on site yes. no Located at 124 Mair, Street -Fire ®epartmerit signature/date' COMMENTS NORTH Town of �! E I , Anc"Mlover ? ,,, ® �''• til ® ® z _. $o K11 h ver, Mass, C cocw1c.J..C. ORATED U BOARD OF HEALTH Food/Kitchen PERMIT 11 LD Septic System �/ THIS CERTIFIES THAT G ....................................... �..�c��°.. BUILDING INSPECTOR ........................` ..................................... ... . .........�..... ................................... / .. Foundation has permission to erect ........................../buildings on ............................................................................ 6 l / / ' Rough to be occupied as <<m G.. 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. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC ST RTS Rough Service ........................�........................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises— Do Not Remove Final No Lathing r Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approvedthe Building Inspector. Burner Street No. Smoke Det. Cell:978-604-5243 143 Maim Street //'° ,,/ North Reading,MA Office:978 207-0326 �� Fax 978-207-0329 �o/ . ��„ llmdmt am�mt.t,,luamnum mmp.ctum mmrmim �ta Proposal Submitted To: (Nor Cathy and Alan Greene wwW aam;�homrmeni 4 i l N i as jd re W AVN I� ICNor 62 Willow Ridge Road H1C Luc, # 1531.65 Home M li LLC North Andover,MA 01845 Construction Super.Lic.#100212 C:617-538-0503 1`N.E�� .�la�°h r�ijli ;m l,r�os�ii( EM -!l mlh��rira.roB�aurrrl, Estimate/Agreement#:2812P EM 1 b as@,rastiutni.r:ernm,l, Date:December 23,2015. Jab Location: 62 Willow Ridge Road aW` ' ' Cost EsthnatelAgreeinetn for ServicesBBB North Andover,MA 01845 _ " Kitchen/Laundry Room Renovation Carpentry, - --------- --------- arpentry,Construction I{itchen: $15020 Administration Remove all existing cabinetry,counters,appliances and flooring Install louan over existing subfloor and vinyl self-adhesive flooring tile over louan layer Install all cabinetry per plan Install tile over backsplash areas;grout and seal backsplash tile(with premix sealant) Re-install hood vent;add venting to the exterior if necessary Replace side kitchen door to garage with new fire rated door Install interior finish millwork and baseboards where necessary Subject to final kitchen design /2 Bath/Laundry: Remove existing vanity,mirror,toilet and flooring Install floating style,self-adhesive vinyl flooring,new vanity and mirror,new baseboards Inclusive of roactive conmmnication with clients and suppliers as well as permitting;coordination and supervision of entire project. __— Plumbing Disconnect existing sink and dishwasher,bathroom vanity and toilet;cut and cap supply and drains for demo 2850 Install new waste and supply lines with new shutoffs for sink Install new dishwasher in same location as existing Install new kitchen sink,drain and faucet in same location as existing Install new bath vanity sink,faucet and toilet onto existing flange Disposal is not to be installed.Homeowners will supply fixtures. Provide all necessew r ermit and inspections;test all workfor proper operation__ Electrical Install new wiring for(2)GFS receptacles and(2)duplex receptacles in the kitchen counter area 2750 Relocate wiring for the electric stove one foot;install new range receptacle to the existing wiring elate-the4is,,..s^a^w er wk4ag connect new dishwasher in sante location as existing Remove hanging chandelier in the eat in area;replace with(4)old work recessed lights;standard five inch 120 volt standard trims and lamps Install(6)old work recessed lights in the kitchen and hallway area standard 1.20 volt five inch standard trims and lamps Install-one-single-pele� k-under-thecaiiinet-tights;eanneet undeF eabinat;91AS Remove and replace bathroom laundry room sconce and flush mounted ceiling light Install two arc fault circuit breakers Install one dual function GFI arc fault circuit breaker for the dishwasher Not including fixtures except for recessed lights,LEDs,dimmers and work on existing panel/service if necessary. Provide all necessary permit and inspections_test all work for proper operation Hang&Plaster Approximate cost of installing new blueboard and plastering for patching on kitchen ceiling and walls and on bathroom ceiling 1200 Prep,Prime&Paint In kitchen and h bath/laundry room;remove wallpaper;prep/prime/paint walls ceiling,doors and trim;two coat finish 1900 Prep,prime and paint(3)existing poly doors/trim and other poly openings in kitchen(not including fire door);two coat finish Building Materials 1)Fire rated door($620 allowance;homeowners have lockset),lotion,baseboard,finished millwork,fasteners,adhesive&other misc.materials. 1938 Homeowners will supply cabinetry,counters,fixtures,appliances,file and flooring but AHM will assist with suppliers,pickups&deliveries. Disposal 1)on-site container for the disposal of old building materials and related debris(per container necessary;one should be sufficient) 550 -- ---- Subtotal: 26208 Building Permit Allowance for building permit fee;based on$12/$1000 of total project cost plus$75 for disposal permit. 399 --------- ---- ------ Total: 26607 Tenn,and Conditions:Cost of materials orders due upon order placement.113 due upon start;113 due upon rough inspections; 116due upon completion oj'plastering;balance due upon completion.Prices are based oft starhdard removal and installation.Additional work stay be required due to conditions that we cannot see or predict,changes to the scope oj'ivork or to the finalization or rnodljicatiorn of specij'ications.Any work over and above that described here will be billed accordingly,Proposal is valid far 30 days.0'e may take pictures of our work.ff you do not ivant these pictures shared,please initial!Jere. Thank you very much for your consideration. We greatly appreciate your business and look forward to providing you with exceptional quality,in a professional,neat,timely and efficient inanner; Our number one goal is your complete satisfaction. Accepted:The above prices,specifications and conditions arei ' satisfactory and are hereby accepted.Ace Home Medics,LLC is Sig "° e ate authorized to do the work as specified.Payment will be made as outlined above. Sigh Date pcq I 441,2 E , W2733 W1R3S12 I CRVAI4R P3I612-4 11 r' Bl 33 S-S-1 w - (if t _ h:f!{z k( 31 � A � J WfI.,JSCoh( Fn eN,� IA IG t33RLI-2U B18-3 IB21t f HDII T ILA Z , a 600 WashizttanStreet Boston,.1KA 02111 ?,4m inass.•a ov%d1a Workers' Compensation Insurance Affidavit: Builders/C;41st°ra:e orslElectriaans/PIumbe :.. :;...::, - lieant Informatiou Please P-0tltidbly Tame. (Business/Orpnizauowlndividual): 4co- C `? :i /S tatelZip: naG Iv�{. Phone #: 919 Z G re v tt an Employer?:Check the,appropriate box: Type of project (regidred): asn a emp.loycr with 4. C] 1.4111.1 1 geneial.contractor and I 6. ❑.NePr construction e�ployccs(fuIl:and/or part-time .i` have hired the sub-contracmon .. LJ I a: n a sole proprietor or parmer= liked ori the attached sheet x 7: cmodeling ship and have no employees ltiescsub-conuactoi5•haye. 9. ❑ Demolition worldng for me in ariy capacity. *0rkCrS' cgmg,..itstuance. :. .L. 9, [] Building addition. [No workers' comp. iTtcttranCe. 5. We.are a corporation and its required. % officers have exercised their 10.❑'Electrical repairs or additions ❑ I am a homeowner doing all work right df.exemptiop per'NIGI: 11.❑ Plumbing rcpaizs or additions myself. [No workers'.comp. C. 152,§1(4),.and-we have no. 12.❑ Roof repay insurance required.] t cmployees..INo w_ ork . MR. insurance requited.] 13❑ Other My applicant that checks box.#t must also fill oufthe section below;,3�ovdng theirworictrs'eatnp=wdtm polity. ar on: informati iomeo wnen who Submit this of "d it indicating they.are dcbz all cad theta his.outside conn�actm mustsubtnit a neaffidavit indicaxing such. ontractors that check this b6x must atEachtion ed sa-addial`sheet3ho**' tht ii ma gtth.e sub-conzzetots mdtheir cmmV policy infatzzsndon.:_. zm an employer that is providing workers':'compent ation;inaurz nti► fgi.- ty'employecs~. B.dow is the poltry.:ar:d Job site formatrorL- tsar-ancc.Company Name: Inisii° - i C T.. olicy tt or.Self=ins..Lic. #: nn Exp'n ation Da • 91271 :)b.Sim Addressi CiryrStatrJZip: attach a copy of the workers' Ornpensation:p+olicy declaration page (showing the policy number and expiration tizte). `ailure to secure.coverage as required under 5ectiolt 25Agf NIGL'c. 152 can lead to the iaipositioa of criminal:peaalties of a inc up to 51,500.00 and/or one-year imprisor=ent.as.wo Las1ciyq penalties in the fvtm of a STOP WORK ORDER and a:frne E up to S40.00 a day against the viglasgr $e.adviscd tliat a rpp;ofthis statm=t:may be fvrvvardcd-m the Office.of avestigatious of the DLA for; nn-j ce.coverage verifitadbm-,, . T do hereby ct -th Pa' :penaltitJ of pvjurY 0 or;the.informatton:providtd above u-true and correct.- Si aturc: Date: 13 J Phonc T: Com' 3 560tb 'i se only.. Do•not wrixe ire rNT.'area,:io be ocnepktsd by eity.or town ofjteiai rTownt PermitlLiceuse-9 g.•authority (cirde-one): rd of Health- Z Building.Department 3. City Towuclerk 4: Electrical Inspector 5. Plumbing Inspector erct"Person: Phase #; OP ID:BR CERTIFICATE OF LIABILITY INSURANCE DATD 10 0/1 1131 3120 0 1 15 5 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 CONTACT Durso&Jankowski Ins Agcy LLC NAME, PAx 11 Saunders Street PHONE E=n:978 888-7000 �,Ne.978-688-7001 North Andover,MA 01845 EMAIL Durso&Jankowski Ins.Agcy. ADDRESS, CUSTOMER ID f:PREV 111 INSURER(S)AFFORDING COVERAGE NAIC 3 INSURED Ace Home Medics LLC INSURERA: 57 Harold Parker Road Andover,MA 01810 INSURER B: INSURER C:Utica Mutual Insurance Company INSURER D t INSURER E: NSURER 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. NOTVtATHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT HATH 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR rypE OF INSURANCE LTREFF POLICY NUMBER pM/LDIDf/YYY PMJOOmYY LIMITS GENERAL LIABILITY EACH OCCURRENCE 1,000,00 C X C01.MERCIALGENER PL LIABILITY 687243 09/27/2015 09/27/2016 PREMISES (Ea occurrence) $ 500,00 CLAI!4S44ADE lxl"I", MED ESP(Am/one p—n) 10,00 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE 2,000,00 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS-CO"P/OP AGO S 2,000,00 POLICY PRD LOC 8 AUTOMOBILE LIABILITY COM1IBINED SINGLE LIMIT (Ea a ,d?Lt) PITY AUTO BODILY INJURY(Perp,-,) ALL OV.91ED AUTOS BODILY IN,IUR'!(Pararc'der.H 5 SCHEDULED AUTOS PROPERTY 0-MAGE HIRED AUTOS (PER ACCIDENT) NON-GI JED AUTOS $ UMBRELLA HAS OCCUR EACH OCCURRENCE ¢ JE C111UA1CLACAS44ADE AGGREGATE DEDUCTIBLE $ RETENTION 'AORKERSCOMPENSATON X VVCSTATU- )TH- ANDEMPLOYERS'UABIUTY TORY LIMITS ERC Priv PRGPRIErORlPARTttER/EXECvrIVE YIN 687246 09/27/2015 09/27/2016 E L.EACH ACCIDENT S 1,000,00 OFFICERRME1ABER EXCLUDEDC N/A (Mandatory In NH) EL.DISEASE-EA EMPLOYE $ 1,000,00 It yes descnba and ar DESCRIPTION OF OPERATIOtlB bel- DESCRIPTION EL DISEASE-POLICY Lt,17 $ 1,000,00 OESCRIPTON OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,ACEltia..I Remarks Schedule,ITmore apace Ie required) Carpentry- CERTIFICATE HOLDER CANCELLATION I.. NORTH13 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE '.. Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 384 Osgood Street ACCORDANCE WITH THE POLICY PROVISIONS. North Andover,MA 01845 AUTHORIZED REPRESENTATIVE I O 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD OfTice of Consumer Affairs&Business Regulation t3 OME IMPROVEMENT CONTRACTOR Type: . . egistration: .153165 DBA Expiration: 11/6/2016 MAT PREVITE HOME MEDIC MATTHEW PREVITE 57 HAROLD PARKER ROAD ANDOVER,MA 01810 Undersecretary Massachusetts Department of Public Safety Board of Building Regulations and Standards! License: GS-10er2v sor Construction Supt MATHEW S PREVITE 67 HAROLD PARKER RD ANDOVER MA 01810 . , Expiration: 0312312018 commissioner