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Home My WebLink AboutBuilding Permit # 9/9/2016 OORTH BUILDING PERMIT ,,LED TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION 4 Permit No#: Date Received Date Issued- Ap. I pOHTANT plicant must complete all items on this pac LOCATION rint PROPERTY OWNER 100 Year Structure yes n�o Print n MAP PARCEL: '5/ ZONING DISTRICT: Historic District yes Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential [JNew Building E One family [.1 Add ion F1 Two or more family F Industrial EIA6 No. of units: Cl Commercial �ratiorn ............... ........ eDair epair, replacement Cl Assessory Bldg D Others: 11 Demolition [I Other 77 AN// Z�LM� 11. ............. DESCRIPTION OF WORK TO BE PERFORMED: Identific on- neascrype or Print Clearly Phone: OWNER: Name: Address: iz, . ....... contractor Name: Phone: CT? Email: C C) f-NC_ \,�V'�, N A ()C,) =.. 6 (: 7, CR Address: , (:�oc rs'. L , (") Supervisor's Construction License 4 Exp. Date_4�(_) �01"' Home Improvement License: 9 Exp. Date: ,-,i ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 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 with unregistered contractors do not have ac ess guar tj�fund "If�Z7 �S natura-of..con __._._Sig,nature....of_A gengOwner �g ®RTIy - own of 2 �� 6 ndover O :': Tft No. -7� I*I LAK. h ver, Mas1. 2 [ LOtNsq" �tNCWKK �' ,q A�RATEP t'P��,t'`5 S U BOARD OF HEALTH Food/Kitchen PERMIT LD 1 Septic System THIS CERTIFIES THAT Sfl ... ..........! BUILDING INSPECTOR has permission to erect....................... buildings oJ.. `5. ..4�.1�. Foundation Rough )DA11::N.. �. .....to be occupied as ....... ......,. ...... .. ............................................................. 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-taws 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 TION Rough Service ... ................. .,.. ...... Final BUILDIN NSPE TOR 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. Ronald Finocchiaro 187 Old Gage Hill Road Pelham, N.H 03076 Fred Russo 15 Wright Ave. No.Andover, Ma.01845 Bathroom Remodel Ron Finocchiaro is responsible for the following bathroom remodel at the address of 15 Wright.Ave No.Andover Ma. The remodel consists of full demolition with no structural changes.The following is a job description of all work to be performed. Job Description A. Full demolition of bathroom walls and ceiling, flooring and fixtures. B. Bath tub stays with refinish at the end of job. By the homeowner. C. Bathroom existing window unit stays with new trim. a. A Insulate exterior wall E. Install 1/z"blue board with plaster finish smooth ready for paint. F. Install 1/2" cement board to floor area for tile install. G. Install %11 cement board to tub area wails with rubber membrane. H. Install floor tile supplied by home owner and grout floor. I. Install (2) arched shelves into tub area for soap products. J. Install stone tile to tub walls with border glass tile. K. Seal stone tile with sealer. E. install tub glass door unit supplied by home owner. Continue M. Install new vanity and top supplied by home owner. N. Install vanity mirror and cabinet supplied by home owner. O. Install new closet door unit supplied by home owner. P. No work inside closet. Q. Install new base board along wall area 4-1.12" colonial. R. Install new 2-0 x6'8" masonite 6 panel RHswing door unit. S. Install towel bars and TT holder supplied by homeowner. Plumbing Segment P1. Disconnect existing plumbing fixtures. P2. Remove 5' section of heat unit. P3. Install new water supplies to vanity and toilet fixtures. P4. Install new tub valve. P5. Install new 51section of heat unit with cover. P6. Install vanity fixtures and hook up existing toilet unit. Electrical segment E1. Remove existing fan/light unit. E2. Move GFI outlet and relocate. E3. Install vanity light supplied by homeowner. E4. Install new fan/light unit vented. E5. Install new light fixture supplied by home owner. All items listed above are in the total construction cost of$10,550.00 Any unforeseen or additional work is subject to a change order agreed by both the contractor and the home owner. Building permit cost is not in the contract and is additional charge. Payment schedule Bathroom remodel $109550.00 Deposit to start work $59375.00 Payment plastering segment $39175.00 Final payment on final inspection $ 2,000.00 9 h u 'r Y6 eawner Ran Fina hiaro Tf.B.A .. __.... E 1 r F`l ------------ TO 41 ppp € E iJl �3 E , 1 ti aA The CoY m?'EfJnreaNt of Mgxs"s'ahus'etts° _Departtnnt off X Congress Street,,Suite 100 n r a - os�ton,MA 02114-20-17 w✓GWS wiviv asrs.govIdia Wb?i Skoxs'Coxxpensatloxxf'ns`tranceAffidavit:Buildens/Coxatxac�axs/ELeet�aczaxv�/��u boxs. TO j3r,, �Crm WI' EUME,+'e KRmff"TING A:UT:E{":LT`. AW Hi�,n -,, rmataoxa �mt C is " fnuat7on _Name cit lStatelzlp`.— Phoney Axeyou an employex?GFfeclrftfie ap'Wlaie box: e of Project{TeC('[r)z'ed}: LEIIam �,4loyervaitl�.—',_:,. ! employees(falland/orparttizaG)'* 7. �N aoz! tXtict7azt a eno earl to eeswordvgr formein 8, emodelirig 2, am a sole propmetoxnr laarfne��zp and b v � any capacity.pTe,woikers'comp.insurance reeluired.1 E.Demolition ioIarnahomeownexdoiagallworlcmysel;�lQownxkars'comp.Wfusuranceraquired.]' Z0 i !R.�dingaddit on 4.�lam a homeownex and wiLl be}fixing confraetors fn condnot alt wozk onmy property. Iwill L :L7. }?ieetricalx:cpryixsor.additions ensure that an corafra,0ors either have wozdcers'compensation insurance oz are sole ,; pr6ba iotorswifffnoesnplcYces• i2:E]PI- mbingrepairs or additions 5.Mama.generalconfractorandIhavehkedthesub-coutractorslistedontheattachedsheet, 1 Ro&Tel)ails Thaw snb-contraobr-a iaye einplayecs andbaveworkers'comp.insurance. 14. Outer _ 6-0 We are a corporation.Pd#s Rfficers have oxerelsedtheirright of exemption perMCrZ n. ees Ilnworlrers"comp.insxarancoxegniredl x52,§1(d),andwc�haivenn.,e�plaY_E •L . `AuyappLicantflaaicheplcsbcx ?Imust:also,:Moutthesactionbexowshosviugtheirworkers'cnmpeazsafinnpnlicyisaformatinn f;f3omeowners-whosnbn itw:�E Taf�gavitiaxdica�ngfheyarodoingallworkandtherrizire outside cnniracforsmustsziw1 ther rafi7the andicatsh such tCoxtfractors that nheckfhi F p must a faclto an additional sheet showing the name ofthe sub-contractors and slats wlzeffzea oro at iltnse entities have , employees.'Iftho sr b-cnitra.cfnrs7�aYe Employees,ilieymnatprnyldeflTeirydorkeis'comp.poJicynuzubez'. _. Irre aan employe'&at kprovid ngvvoj*ers l compensation MSUrayicef?MY employes:']3e10-•,zs thepalzcy an(ljo�r szte rn.faar�zatian. • Jh,,;uxauce Company — policy#orSelf^ins.:VG.4: : xpixation-pato: r. e.[axa�an page Ci:,/State/Lip:. C i lob Site A,ddz'ess: ) " : _ �' sbawar the olzc naxn.Saex axxd e xxatioit date). Attach,a copy oftheYorkers coxxx us4ationpolxc de k' g � g p y p :Fai r ATE(MMIDDIYYYY) A�Ro CERTIFICATE OF LIABILITY INSURANCE 09/08/2016 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 poticy(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 NAME: Kim Landry MACDONALD & PANGIONET INSURANCE AGENCY AHON� Ext. (978)688-6921 � — FAX No: E-MAIL _ @ pm Kim ins.net ADDREss: 104 MAIN ST. INSURER(S)AFFORDING COVERAGE MAIC# NORTH ANDOVER MA 01845 INSURER : AIM MUTUAL INS CO 33758 INSURED INSURER B: RONALD FINOCCHIARO INSURER C: INSURER D: 187 OLD GAGE HILL ROAD INSURER E; PELHAM NH 03076 INSURER F; COVERAGES CERTIFICATE NUMBER: 83328 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, 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. I{JSR TYPE OF INSURANCE lNgDTDoL WVD POLICYNUMBER POLICY EFF MMIDIWYYYY LIMITS LTR COMMERCIAL GENERAL.LIABILITY EACHOCCURRENCE 5 _ CLAIMS-MADE E]OCCUR PREMISES Ea occu ence 5 MED EXP(Any one person) $ — NIA PERSONAL&ADV INJURY GEN'L AGGREGATE LIM€T APPLIES PER: GENERAL AGGREGATE 5 PPRO- OLICY JO- ❑LOC PRODUCTS-COMP/OP AGG 5 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S Eo acc€dent ANYAUTO BODILY INJURY tPerperson) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE 5 HIRED AUTOS AUTOS Per acdclent _ 5 UMBRELLALIAB OCCUR - EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE 5 DEO RETENTION 5 $ WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY PER ORTH- ANYPROPRIETORIPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT Is 100,000 A OFFICERIMEMBER EXCLUDED7 N!A NIA N!A gWC40070343902016A 04!08/2016 04/08!2017 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 I IFyes.describe under DESCRIPTION OF OPFRAVONS below E.L.DISEASE-POLICY LIMIT 5 500,000 N/A DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. Sole proprietor has not elected coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. Osgood St AUTHORIZEDREPRESENTATIVE North Andover MA 01845 Daniel M.Croy ey,CPCU,Vice President—Residual Market—WCRIBMA O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD OP ID: LANK ,4�coRo° CERTIFICATE OF LIABILITY INSURANCE DATE 9/0812(MMID01 YY} 09/08/207 6 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 Phone: 978-688-6921 NAME:CONTACT Macdonald&Pangione InsuranceFax: 978-688-5350 PHONE FAX 104 Main Street Arc No Extl: Arc Na: North Andover,MA 01845 EMAIL ADDRESS: Michael Pangione PRODUCER RONAL-6 CUSTOMER ID p: INSURER SI AFFORDING COVERAGE NAIC# INSURED Ronald Finocchiaro mmm INSURER A:Preferred Mutual Ins Co 15024 295 Merrimack St INSURER 13:Safety Insurance Company Lawrence, MA 01843 INSURER C INSURER D: INSURER E: INSURER 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. 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, IN5R TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY LTR MIDDIYYYY) IMMIDDIYYYYL LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY BOP 0100 71 5914 11/1512815 11/15/2016 DAMAGE TO RENTS PREMISES Ea occurrence $ 100,000 CLAIMS-MADE E X I OCCUR MED EXP(Any one person) $ 55,000 PERSONAL&ADV INJURY $ 1,000,000 _ GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 PRO X POLICY - LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS fPer accident) NON-OWNED AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LLAB CLAIMS-MADE AGGREGATE .._,_,._... $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- DTH- AND EMPLOYERS'LIABILITY YIN _ _. L ITS TR ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICEWMEMBER EXCLUDED? N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under "— DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 141,Additional Remarks Schedule,It more space Is required) Evidence Of Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Osgood St North Andover, MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD Massachusetts -Department,' Public.Safefy B and of.Building Regulations and standards '. [on4rueti€un S1rlreY-%h101* 3 License: CS-077344 RONALD.E F7NCfC 295 WRR"dA CK ST .Lawrence MA 01$43 . - "Expiration :Commissioner.. 0712312016' r 1�c €ro»r:rN.o)rrr1Bcrtf�o C (l«JJac�rr3eCl License or registration valid for individual use only _ Office of Consumer Affairs&Business Regulation before the expiration dateif found return to: @HOME IMPROVEMENT CONTRACTORpe pff;ce of Consumer Affairs and Business Regulation — Registration'. 171995 10 Park-Plaza-Suite 5170 LT' Expiration 5I101�018 Individual Boston,MA 02116 RONALD FINOCCHIARO Jft. RONALD FINOCCHIARO 187 OLD CAGE HILL RD. a ;• - nx. i Not valid without signature PELHAM. NH 03075 Undersecretary I I I 918/2016 Details I ho Offidf of 9.1Executivo Olkco rA 4 (A Ac,5,&Ay nod 51oow[ly(Iwo)ISIS"") tiemotgraphie Information Full Name: RONALD E FINOCCHIARO, JR PMer Name: N on LicenseAddress InTormation City: Pelham State: NH Zipcode: 03076 Countrv: Un'ted ktates License InTormation License No: CS-077344 License Type: Construction Supervisor Profession: Building Licenses Date of Last Renewal: 7/26/2016 Issue Date: Expiration Date: 7/23/2018 License Status: Active Today's Date: 9/8/2016 Secondary License Type: Doing Business As:Change Rvas tuLicense R�riewal s, a do Prerequisite normation No PrereQuisite Information Close Window C 2011 Commonwealth of Massachusetts Site Policies Contact Us tittp://elicense.chs.state.ma.usNerification/Details.aspx?agency_id=l&license—id=266294& 1/1