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HomeMy WebLinkAboutBuilding Permit # 7/22/2016 BUILDING PERMIT tyORry,m�,yo TOWN OF NORTH ANDOVER 0a 5� APPLICATION FOR PENN EXAMINATION r " Permit Vo#: Date Received .o t - ssactauSEt Date Issued: IMPORTANT:Applicant must complete all items cn this page LOCATION it Pr t PROPERTY OWNER _k -'c 9r e Print 100 Year Structure yes (NAP VQ � PARCEL: � � ZONING DISTRICT: Historic District yes Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential i Non-Residential New Building E One family Addition E Two or more familyE Industrial Alteration No.of units: _Commercial •Repair.replacement C Assessory Bldg r Others_ •Demolition C Other DESCRIPTION OF WORE{TO BE PERFORMED: i CL n I Identification- Please Tve or Print Oleariv OWNER: Name: Phone: Address: i Contractor Name: �4 c4,ece,t Phone: 7 - 7 s` A Email Rk4keliK 0 a ia,' c -) C$�-te? 1 Address: 3 iV14-i r 5 Supervisor's Construction Construction License: 0't 41 3 7-7 Exp. Date: Wt'r Home Improvement License: 14 1 (3 9 Exp. Date: It t ARCHITECT/ENGINEER c v Phone: 1-70 `e&i-- c- Address: 7l? 1jC Jv #< €° c�_. Reg.No. 3-7-12T FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED S125.00 PER S.F. __--`—. Total Project Cost:$ E '- FEE: Check No.: Receipt No.: NOTE: Persons eoutraLung with unregistered eontraetors do not have ace ss to the guaranty fund _ Sjna#tt�of AgenflOwnPr `� � `��� t4ORTH Town of Andover 01 ":.:�_ . No. h- ver, Mass,o�� Sn' zyz& 0- U BOARD OF HEALTH F od/Kitchen PERMIT T ILD S o ptic System e BUILDING INSPECTOR THIS CERTIFIES THAT11W.......4... ........ has permission to erect........................,,,uildingson... ......... Foundation Rough r"to to be occupied ............... Chimney s Final provided that the person accepting this permi shall I.e ry respect confo In the terms of the application 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 CONST, Rough Service Final D GASINSPECTOR Occupancy Permit Required to Occupy Buildin 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. MASSACHUSETTS HOME IMPROVEMENT CONTRACT HOMEOWNER INFORMATION CONTRACTOR INFORMATION Name Company Name Mark and Simone Kokavec RNA Remodeling Street Address(no post office box) Contractor/Owner Name 115 Campion Rd Raymond D'Auteuil Jr. City/Town,State,Zip Business Street Address North Andover Ma 01845 3 Main Street Daytime Phone Evening Phone City/Town,State,Zip Sandown NH 03873 Mailing Address,if different from above Business Phone 478-372-7547 E-Mail Address,if available E-Mail Address RNAremodeling@comcast.net Contractor Registration#:149139 expiration date: 28 Nov 2017 Construction su ervisor#:043377 ex iration date 10 Oct 2017 WORK TO BE PERFORMED AND MATERIALS TO BE USED Contractor Agrees to do the Following Work for Homeowner: Remove 3 existing walls adjoining the existing kitchen.2 structural and 1 non structural,install LVL beams spec by Gelinas engineering and lower existing foyer floor to match existing kitchen Including;prep for flooring install framing to specs provided in plans provided by Gelinas engineering.This project is expected to cast between 15,000 and 20,000.Homeowners are going to do as much prep,damage control,and demo as possible to expedite the project and to keep costs down. RNAremodeling is a cost plus company.This is an estimate based on 60.00 on hr for 3 skilled carpenters and 40,00 an hour for a skilled laborer Electrical by others HVAC by others WORK SCHEDULE The following schedule will be adhered to unless circumstances beyond the contractor's control arise: Work Scheduled to Begin:August 20`"2016 Expected Date of Completion: 1.5 to 2 weeks page I of 3 TOTAL CONTRACT PRICE AND PAYMENT SCHEDULE The Contractor agrees to perform the work,furnish the material and labor specified above for the SUM of: $ see above + permitting costs Payments will be made according to the following SCHEDULE: $5000.00 upon signing contract $5000.00 at start of project Balance upon completion of project *In order to meet the completion schedule,the following material/equipment must be special ordered before the contracted work begins: Required plans and permits and possibly special structural LVL hangers required. SIGNATURES DO NOT SIGN THIS CONTRACT it THERE ARE ANY Ri..NK SPACES. Homeowner's Signature Contractor's Sign ure .�r1 " 1(g Date Date 7-/ -�2 REQUIRED PERMITS The following building permits are required.It is the obligation of the contractor to secure such permits as the homeowner's agent:List any and all necessary=construction-related permits: Building permit NOTE:Owners who secure their own permits or deal with unregistered contractors are excluded roue the Guaran Fund provisions of MGL c.142A. page 2 of 3 The Commonwealth of&fassnellasetis Department of 111dustrialAceldents I Congress Street,Suite 100 _Boston,NL4 02114-2017 www.mass.gov/dia NAVorlcers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FMED WITH TAE PERM[TT1NG AUTHORITY. Applicant Information /� 1 PleasePriut Leeibly Name(Businesslorganization/individual): iC 0. +✓i'� t J ' Address: 3 M Q r o 1 5 7 •^ e�� SC.,Sowr^ All, 92975 Phone 4: �713 "37�=75"y`7 CitylStatefZip: , Areyon an employer•2 Check ilia appi'apriate box: Type of project(1'equired): I.�Zam aomployerwiflremplmfoes(full a�/ar part-time).° 7. Q New construction 2.Q Zamasole propriotor.oc parfcrorsh(p and lraeno employees woikir�g fame in 8. ®Remodeli DATE(MMR)DfYYYY) ,a<>Ra CERTIFICATE OF LIABILITY INSURANCE 7/15/2016 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). cak'rAO PRODUCER NAME: Natasha RUfe PHONE (603)898-6320 &MK No:1603)898-6269 Foy Insurance - Salem E-MAII _ "Llio-AL 163 Main St - suite 102 A a,LNatasha.RuIe@foyinsit—Ice.com INSURERS AFFORDING COVERAGE NAIC# Salem NA 03079 INSURERA.Merchants Mutual Insurance 3329 INSURED IkSURERB: Ray D'auteuil INSURERC: Dba Rna Remodeling INSURER D: 3 Main street INSURER E: Sandown NH 03873-2602 INSURERf: REVISION NUMBER: COVERAGES CERTIFICATE NUMBER:CL16295312A THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD CEDRT FICATE MAYBEISSUED OR MAYEPERTAIN,IHE INSURANCE AFFORDED BY THE PORLIICIES DESCRIBED HERECT OR OTHER IN IS NT SUB ECT TO ALO WHICHTH RESPECT T HETERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REEDUOED BY PPAIIDCCL XIP S. LIMITS 'NSR TYPE INSURANCE POLICY NUMBER MMIDDYIYYV MMIDDIVYYY I,DDD,OOO LTR EACH OCCURRENCE S GENERAL LIABILITY DAM A ET RE TED SOD,DDD PREMISES Ea occurrence S X COMMERCIAL GENERAL L ABILITY 1(27(2015 1(27(2016 MED EXP(Any one person) S 15,000 A GLAIM$-MADE'j X�OCCUR OPIU76173 PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMPIOP AG G $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: s X POLICY PRO LOC COMBINED SINGLE LIMIT Ea a dd nt AUTOMOBILE LIABILITY BODILY INJURY(Per person) 4 ANY AUTO BODILY I N.iURY(Per acddeni) S ALL OWNED SCHEDULED PROPERTY DAMAGE AUTOS AUTOS 9 NON,OWNED HIRED AUTOS AUTOS $ EACH OCCURRENCE S UMBRELLA LIAB OCCUR _ AGGREGATE EXCESS LIAB CLAIMS-MADE '. 5 DED ,RETENTIONS WC STATU. OTH- WORKERS COMPENSATION AND YIN E.L.EACH ACCIDENT $ ANY PROPRIETOWPARTNERfc`.XECUT—0 IA OFFICERIMEMBER EXCLUDED'! (_� El DISEASE-EA EMPLOYE S (Mandatory in NH) If res descrba u�Mer EL DISEASE-POLICY LIhiiT $ DESCRIPTION OF OPERATIONS bel— DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remoras Schedule,If more space ES requited) CERTIFICATE HOLDER CANCELLATION mdeems@northandoverma.gov SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of North Andover 1600 Osgood St Bldg 20 AUTHORIZED REPRESENTATIVE Ste 2035 North Andover, MA 01895 Michael Foy/SBARBR `f ©1988-2010 ACORD CORPORATION.All rights reserved. Massachusetts Department of Public Safety Board of Building Regulations and Standards License:CS-093377 - Construction Supervisor RAYMOND J DAUTEUIL JR 3 MAIN ST SANDOWN NH 03873 'Ex 0 ration.: Commissioner 1011012017: (C �'\ Office of � so�ns»u �.ff/�`��✓vc/rr OMEIMAROVE '1f1airs&business Regutafione� 9ag[strallon: 74339 CONTRACTOR ---i afion; 11/28120;17 Type.- RNA ype:RNA REMODELING- - DBA RAYMOND D'AUTEUjL 3 MAIN STREET - SAND, OWN,NH 02387 - Undcrseeretaiy Massachusetts Department of Public Safety - - Board of Building Regulations and Standards License:CS-093377 Construction Supervisor RAYMOND J DAUTEUIL JR r 3 MAIN ST SANDOWN NH 03873 C ;( .. s.ommrssioner .1011012017: cry 1 , — orsReRreR nsRrn r Affairs ROV &RASIRESS RegLIa SfOR OMEtMP EMENTCONTRACTOR ,egistratfon: 149138 Expiration::- 11128{017 DBA Type: RNA-REMODELING `- RAYMOND D'AUTEUtL 3 MAIN STREET - SANOoWN NH 02387 coo Go A-1 F-- ro BRWFAST EXISTING IT ROOM ,I JKITCHENI z�= �m ung L iii WALL 111VAT101(TBD lY OWNER ----------- ­T'EXISTING EXISTING L, FAMILY RM, 0 DINING RM. FnPiH E 1—M—MMI&M— Ii in EXISTING LIVING 0 (D EXISTING MUDRM. EXISTING 7-7 EXISTING GRAGE FOYER ----------------- - ------ --------- A-1 (tn ST 16117 FIRST FLOOR PLAN SG-1 / AV aIMMOW ca I I 4� ;P l �µ�T axx ; s';a W7uF+ f i 1 � I BATH ROOM HALL W.I.C. mmrau BATH,R"', HALL 44.CC. ` 2 -----------------------------_____ Lt�`Px -------------------- -- ee__ _e__>.__` �t u ro v ENTRY ENTRY BATH R+�ht _ &RST Rv�M - m I BATHROOM SFAS fiODM - i N BA'aiENT ` BASEMENT Q PROPOSED BUILDING SECTION, AJ1 EXISTING BUILDING SECTION A/1 o �_- — a ` U0 tiz j I( \ � . Ne'LOFT r Ija E�oE �w r a 'M Np. s-�iR'�`FY' SNEEf tFJ. NEW LOFT STAIR SECTION B/1