HomeMy WebLinkAboutBuilding Permit # 8/2/2016 tSUILIJINU tlt:KMI I
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit Na- Date Received
Date Issued: i 1- k U
IMPORTANT:A licant must complete all items on this a e
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non-Residential
New Building One family
0.Addition E Two or more family 0 Industrial
Y'Alteraticin No.of units: 0 Commercial
71 Repair,replacement Assessory Bldg Others:
Demolition Other
Identification Please Type or Print Clearly)
OWNER: Name: t -ateaLJPhone: —?,WtJ
Address:
ARCHITECT/ENGINEER Phone:
Address: Reg.No.
FEE SCHEDULE:SULDINGPERWT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00PER SF.
Total Project Cost-$ i FEE:$
Check No.: 1-1--�) Receipt No.:
NOTE: Persons contracting Oil unregistered contractors do not have access to the guaranty fund
V% TFt R
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Town of Andover
0 . - 0
No. 'I"T�! -
b Z-20 11 0 ver, Mass, lu
to
BOARD OF HEALTH
Food/Kitchen
PER ' T ILD Septic System
THIS CERTIFIES THAT................... BUILDING INSPECTOR
MgV.0..................... .................
Foundation
has permission to erect..........................buildipgson
....................................
Rough
to be occupied as..rc-m"Ak. ....W6. 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 relati to the Ins ection,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 CONSiBUI
Rough
Service
. ....... ...... Final
N SPEC R
GAS INSPECTOR
Occupancy Permit Required 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.
CBA WOODWORKS Estimate
90 Boston St
North Andover,Ma 01E MA 01845
(978)305-2547 Date: 06/14/16
cbawoodworksPgmail.com Estimate# 0737-1
Salesperson Job Payment Terms
1/3 deposit : 2/3 completion
Brian Sue Hurley Kitchen Revisedl
Item Description Line Total
1 Kitchen Remove cabinets,counters,appliances,flooring and $14,400.00
underlayment.Demo curved wall,patch plaster ceiling,walls.
Remove and modify electric at wall demoed.Update
electric for counter receptacles,appliances,island as needed
to code.Supply&install recessed lights kitchen only and
island pendants.
Update plumbing for and connect sink,faucet,dishwasher.
Remove radiator heat and add kickspace heater.
Update drain piping in basement,
install cabinets,molding,hardware,appliances,wood
base molding.
Contract/coordinate stone counters template&InstaB.
Remove ceiling exhaust fan.Install ductwork for microwave
to exhaust to outside.
Install tile floor with cement board underlayment.
Contract/coordinate all trades,permit,disposal.
Total $14,400.00
Quote prepared by: Brian Beasley MT1b
This is a qoutation on the goods named,subject to th_ t n 'ti gs noted ei
To accept this quotation,sign here and return:
Thank you for your Buisne
CBA WOODWORKS Estimate
90 Boston St
North Andover,Ma 01E MA 01845
(978)305-2547 Date: 06/14/16
cbawoodworksOgmail.com Estimate# 0736-2
Revisedl
Salesperson Job Payment Terms
1/3 deposit 2/3 completion
Brian Sue Hurley Bath Revisedl
Item Description Line Total
1-Bath Demo tub/shower to studs and subfloor.Remove vanity, $12,300.00
toilet,flooring with plywood underlayment,misc.fixtures.
Remove partition wall left of vanity.
Prep for and tile walk in shower with cement board
substrate&floor membrane.Install tile floor with cement
board underlayment.
Plumb for and install shower floor drain and valve/fixtures.
Install vanity sink&faucet,toilet.Replace 1.5 drain
piping in basement with 2"to code.
Supply&install ceiling exhaust fan,2 vanity sconces.Verify
gfci receptacle.Install owner supplied vanity sconces.
Install vanity,wood base molding,misc wall fixtures.
Paint ceiling,wails&trim.
Supply&install 1/4"-3/8"glass shower doors.Design tbd
Included allowance$1300
Install new 3/8 sheetrock ceiling.
Patch plaster walls where needed.
Contract/coordinate all trades,permit,disposal.
Total $12,300.00
Quote prepared by: Brian Beasley 2li tj
This is a qoutation on the goods named,subject to ttft-
Thank
To accept this quotation,sign here and return: you for your Buisness!
CBA WOODWORKS Estimate
90 Boston St
North Andover,Ma 0184.MA 01845
(978)305-2547 Date: 05/29/16
cbawoodworks@email.com Estimate# 0744
Salesperson Job Payment Terms
1/3 deposit : 2/3 completion
Brian
Item Description Line Total
1-Entrance Doors Replace rear&front entrance doors with Harvey Smooth $1,325.00 each $2,650.00
Star(fiberglass)similar styles as existing.Replace
interior&exterior trim.Exterior trim to be Azek pvc.
Install hardware-purchase is additional if needed.
Includes door allowance of$525 each.
2-Fireplace Woodwork Replace face frame of fireplace bookshelves with flat/square 300.00
edge face frame ready for paint.
3-Prefinished door Option to have door factory prefinished both sides. $250 each 500.00
option
Total $3,450.00
44���Quote prepared by: Brian Beasley L L
This is a goutation on the goods named,subject to the c di'ons n to b o
To accept this quotation,sign here and return:
i
i
Thank you for your Buisness!
- (.BA wowworKs
90 Boston St.No.Andover,MA 0I845
Tel:978-305-2547
Fax:978-208-8333
Email:cbawoodworks@gmail.com
www.cbawoodworks.com
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90 Boston St.No,Andover,MA 01845
Tel:978-305-2547
Fax:978-208-8333
Email:cbawoodworks@gmaiLcom
www.cbawoodworks.com
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90 Boston St. North Andover,MA 01845 Tel:978-305-2547 Fax:978-208-8333 Email:cbawoodworks@cbawoodworks.com
TheCommontvealth of Massachusetts
Department oflndustrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
wwn,.mass got/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/OrgmizatiDiVIndividual): On"On
Address: eY12 (3D5 i rJn �! {# �rh RY,�iuu r� �ytrfi
City/State/Zi Phone#: tX?Z-1 k _a��t
Are you an employer?Cheek the appropriate box: 'Type of project(required):
1.Q I am a employer with 4.Q I am a general contractor and I 6. Q New construction
�raployees(full and/or part-time).* have hired the sub-contractors
2.U2 I am a sole proprietor or partner- listed on the attached shout. 7. Q Remodeling
ship and have no employees These sub-contractors have g, Q Demolition
working for me in any capacity. employees and have workers' 9 Q Building addition
[No workers'comp.insurance comp.insurance.'
required.] 5•Q We are a corporation and its 10.Q Electrical repairs or additions
3.Q I am a homeowner doing all work officers have exercised their 11[3 Plumbing repairs or additions
myself.[No workers'comp. right of exemption per MGL 12.M Roaf repairs
insurance required.]t c.152,§i(4),and we have no 13.[]Other
employees.[No workers'
camp,insurance required.]
•Any applicant that checks box ki mast also fill out ate section below showing their workers'compensation policy information
t Homeowners who submit this rdlidavit indicating they are doing all work and then lire outside contractors must submit a new affidavit indicating such.
fComructors that check this box mast attached an additional sheet shoving the name of the subcontractors and state whether or not those entities Lave
employees.If the sub-coatractors trove employees,they must provide their workers'camp.policy number.
I ant ata employer ilial is protiditig workers'contpensatiort insurance for my employees.Below is the policy and lob 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 Section 25A of MGL c.152 can lead to the imposition of criminal penalties ofis
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 5250.00 a day against die violator. Be advised that a copy of this statement maybe forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains/and penalties of perjury that the inforntati in provided above is true and correct.
Sienantre l�ti/ttite�ck�t2 Date• t�iF t®i 1 Lf
Phone
FQfflcialuseonlyonly Do riot write in this area,to be completedbycity or town official
n• Permit/Licensehority(circle one):Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
smc Phone#:
l Board of Building?gulations and Sung 3.
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68 RUSSELL STREET _
Nerffi Andm--er bOk W,845
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