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HomeMy WebLinkAboutBuilding Permit # 11/17/2016 BUILDING PERMIT TOWN OF NORTH ANDOVER 0� h��,•:l. ,s.xb APPLICATION FOR,PLAN EXAMINATION ', Permit No#: i Date ReceivedArED ACHusEC Date Issued: It "" / , 16 -EVITOh2TAINT:Applicant must complete alJ items on this page L06ATI 0N ., M .: . w PROPERTY OWNER_, Fnnt 9 oD year Structure yes a MAP . _ . PARCEL: : . ZC)NIN DISTRICT:� a Nistortc District ye.s no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ ne family ❑Addition ❑ wo or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: Ll Demolition ❑ Other U Septic 0 Well ❑ Floodplain o Wetly As 1, Wetershecf District DESCRIPTION OF WORK TO BE PERFORMED:, � y, w � �� �. Id tafacatioat- Please Type or Print C:learly _. . _..__._- .._-. � e_ OWNER: Dame: r Irjr. Phone: ,:k J _ 9 Address: Co tractor 1` aime: _ Phcrrre . _ . m' ✓ r Address: 6, pervisor's Construction License:,.. . _ Exp. Pate: are Improvement License: Exp. Date. ARCHITECT/ENGINEER Phone: Address: Reg. Ro. FEF SCHEDULE.BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost- $� 3 FEE: $ M r ti w Check No.: �.•� -p „P• � 10 � ,�� m e.�s�to the��zcctz�czax�y�r�nc� NOT Person lraeting wz iot z zve� e t z te�z^e zst��ec�c�ntr�ctor, a� 8ign re cif c ntractor 'T tAOR H own E : �: Andover ® h ver, Mass, coc.ucnewkeK �- 4OAVATED P►Pa��.(y U BOARD OF HEALTH PERMLIT T Food/Kitchen Septic System THIS CERTIFIES THAT . CW 141M BUILDING INSPECTOR ........a..o1lN............................................................................................... has permission to erect.......................... buildings on ..........3.1..... Foundation to be occupied as ...........l�lJ......�. .............!® `.... ` ......... Rough provided that the person accepting this permit shall in every respect conform to the terms of the application chimney on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Final 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 CONSTRUCTIOA S Rough Service ................ BUILDING�INSPECTOR. Final GAS INSPECTOR Occu anc Permit Re wired to Occupv 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 pet. J.J. MCNALL CONSTRUCTION ANDREW D.CRAIG/ PATRICIA A. DONNELLY JOHN J. MCNALL 31 MILL POND 84 MARBLEHEAD STREET NORTH ANDOVER,MASS. 01845 NORTH READING ,MASS. 01864 PROPOSAL SCOPE OF WORK: * REMOVE EXISTING CABINETS AND COUNTER TOPS . * REMOVE EXISTING FLOORING IN KITCHEN. * REMOVE A SMALL PORTION OF HALLWAY WALL BETWEEN EXISTING KITCHEN DOOR WAY AND OPENING TO DINING AREA. ( NON BEARING WALL,SEE PLAN PROVIDED) * REPAIR ANY WALL BOARD AND PATCHING PRIOR TO HANGING OF NEW CABINETS. * INSTALL NEW CABINETS PROVIDED BY OWNERS. * NEW STONE COUNTER TOPS TO BE SUPPLIED AND INSTALLED BY OTHERS. * INSTALLATION OF NEW STONE FLOORING TO BE INSTALLED BY US. * ANY PLUMBING OR ELECTRICAL WORK NEEDED WILL BE PERFORMED BY LICENCED PROFFESIONALS. *THIS DOES NOT INCLUDE PAINTING. * ALL DEBRIS SHALL BE REMOVED BY US. WE HERE BY PROPOSE TO FURNISH THE LABOR AND ANY MATERIALS,OTHER THAN PRODUCTS SUPPLIED BY OTHERS,TO COMPLETE THIS KITCHEN REMODEL. ALL WORK IS TO BE DONE AS 1 MENTIONED ABOVE WITH ACCORDANCE WITH ANY SPECIFICATION OR DRAWINGS SUPPLIED. ALL WORK TO BE COMPLETED INA WORKMANLIKE MANNER FOR THE SUM OF : $ 6804.00 SIX THOUSAND EIGHT HUNDRED AND ZERO CENTS.WITH PAYMENTS AS FOLLOWS: FIRST PAYMENT 40%,SECOND PAYMENT AFTER CABINETS ARE HUNG IS 30%AND THE REMAINDER APON COMPLETION. (2720.00, 2040.00, 2040.00) NOTE : ANY ALTERATIONS OR DEVEATION FROM THE WORK EXPLAINED ABOVE WILL COST ADDITIONAL MONEY.THIS WORK WILL BE APPROVED BY OWNERS AND PUT FORTH IN THE FORM OF CHANGE ORDER PRIOR TO WORK BEING PERFORMED. RESPECTFULLY SUBMITTED: ACCEPTANCE OF THE PROPOSAL: DATE: NOTE:THIS PROPOSAL MAY BE WITH DRAWN IN 30 DAYS IF NOT ACCEPTED. SIGNATURE OF PROPOSAL IS AUTHORIZING US TO PERFORM THE WORK AS MENTIONED ABOVE VIA DRAWINGS AND SPECIFICATIONS PROVIDED. THANKYOU FOR THIS OPPERTUNITY 1 2 e .. ri v 4 � ....,,._» S � ` R � ° f r , k J Nv 1 § A a r� a r 4 e w i 7V¢ FFk �r t ppb }=e c $ w � , M w b, c G J r r� r ii ,it eJ _, Fra 'i, f 106" V1 830L W3630BUTT W2724 W1 230R v4_a yr r 0 tY0 0 4 r U DISHW24 r m T m 0 W 0) W C?)' CO 0o© Q N D � 'n 0 43$, All dimensions _size designations y `This is an original design and must Designed: 1012!2016 given are subject to verification on = not be released or copied unless Printed: 10/2/2016 job site and adjustment to fit job tea _applicable fee has been paid or job conditions. order placed. a02O2664.kit Notes Drawing 4. 1 No Scale. oe Commonwealth of.M`assachusetts x Department offadustrialAceidents Z Congress Street, S�Ite 100 Sosto.n,.IIIA.02114-2017 www.rna,ss.gov/dia We'kers,Commpensationbsuranc6 Affidavit:Builders/Cont acto:rsli lectrxaxansl Xnxnbexs. TO BE FILED WUR'TER PERNMTIl`TC-c�TJ`J'f�OTtI�- please Print La •bi A Besot wormatioxi G Name (EusinesslOrganiza ionl�divadual}: �� Address: -711 City/State/Zip: ' ' Are yeti an employexYhecl the appraprlata box: Type o�projeet(required.); em to ees ILI andlor part time)." 7. Q l uT'ciinstrirciio l,�I am a employer with P y 2-NI am a sole propzietor or partnership andhave no employees Wotkang forme in 8. Rerxtodelstig any capacity.[Novrorkers'comp,insurance required.? 9- ❑Demolitin 3.EjI am s homeowraez doing ail work myself.[No workers'comp,insurance requimd.l; 10❑$ading addition q.❑I am ahanaemuz}er andwill be hirings to conduct all work on my property. I will 11.F]Fleetrical xppairs or additions ensur,that all contractors either have workers'campensation insurance or are sale P��imbSxzg repairs or additions proprietors with noempl8yees. ��-L��-1 • listed onthe attached sheet. 13%[]Raofr0airs 5,[]I am a general contractor and IbELYe hired the sub-contractors These sub-contractors have employees and have workers'comp.iuPxance i 14.'Q Other 6.❑We are acorporatio-.and its•oMc6rs hays exercis ed their right of exemptionper MOL c. 152,ry a c and iNe hate rAo employees.[No wozkers'camp.insurance required.I npolivY atioir � YaPPheantthat cheeks hbk 4l d v t dr img th ysare d ringlall�voaol amadthaen laze outside sontractocoropensoli-rs must submit new a£�davitindieatirag such T I3omeowners who subunit this a1• . #Coutrantors that checkthis box must attaclred'sn additional sheet shawiugthe name o£the sub-coxtractors and statewhether oFnotthose entities, avo employees. if the sub-conL4ca s have employees,they must provide their workers'comp.policy number. X am an errtployer tlzat is pro idingworlceis'compen,sation insurance for my er�aployees, Belaw is t/aepo�icy aridlob rife information. Insurance Company Name: Expiration Date; Policy#or Self sits.LiG.#:. olexl Of `L City/State/Zip: lob Site,Address: Attack a copy' tr.e^�volrkers' eanxpensatiort Po l%cy declaration page(showing the policy numb and e�tpiratio�.date). Failure to secure coverage as requited undeylti M en o-1 ,§he f zm of a STOP WORK.ORDER and �of up to $250.0 0 a and/or one year h�rtprisonrnent,as well as z p be foxq day against the violator.A copy o�tlus statement may +'at'ded to the Office of l�nn'trestigatians ofthe DIA for insuxa2tce coverage-veri-floationn fdo Here y cerci un es'tliep its andpenatiies ofperjury t7iaf the inforrnr�tianprovrdedaliat+ sine and correct Date: l Si atuxe: p Shane#: in trzis area,to be corrrpleted byy city or to Official use only. Do r2ot7vr ifert+n official Permit/License# City or T'own- IssuingA.uthoritY(circle one): J-Board of E(eaith 2.Building Department 3.CitylTo�vu Clerk 4•.Electrrical Inspector 5.Plumbing hspeetor 6.Other Phone#: Contact Bersan• o: PAUL HUTCHINS Page 2 of 2 2016-11-16 15;25:37(GMT) 17817230355 From: J.J. Ruddy ACC>Ra CERTIFICATE OF LIABILITY INSURANCE DATE(ItMT)D YYYY) 11/16/zOAs THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE GOES 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 po)iuy(les)must Us endorsed, if SUBROGATION IS WAIVED,subject(o' the terms and Conditions of the policy,certain policies may require an endorsement. A statement an this certificate does not confer rights to the certificate holder in Heu o1 such endorseman!(s). PRODUCER NAME. Gala Fanciullo J.J, Ruddy insurance Agency Inc. PHONe (761}396-4900 N�jj(7611391-7597 153 Main St. A6CHIE5s•gEannlulln@jjruddyinsuranco.com INSURERS AFFOROINGCOVERAGE _ NAECN_ Medford MA 02155 INSVRERA:Vermont Mutual lnsuranoe CO, 26019 INSURED INSURERe.I,7.bexty Mutual Insurance JOHN MCNALL INSURERC: 64 MARBLEHEAD ST INSURERD _-__--- . — INSURER E _. t .—... ......-.- 1TORTH RRADYNG KA 01864.1527 INs Renr: COVERAGES CERTIFICATE NUMB ER:CL16112601242 REVISION NUMBER. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE{NSURED NAMED ABOVE FOR THE POMP PERIOD INDFCATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONOMON OF ANY CONTRACT OH OTHER DOCUMENT WITH HESPECT TO WHICH THIS CERTIFICATE MAY 13E ISSUCD OR MAY PERTAIN.THE INSURANCE.AFFORDED BY THE POLICIES DESCRIBE)HEREIN IS 9USJFCT TO ALL THE TERMS, EXCLURIONS AND CONNTnNS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, W TYPE OF INSURANCE POUDY EFF POLICY E POLICY HUALBER Y € X COMMERCIAL GENERAL Ll"IUTY I I EACH OCCURREWCES 1,000,000 i❑ A.�c�5 RE71`}ir]--_... _ ...........-- A Q AIMS-ADE X OCCOR € FR, Fl4SE5(Ee ormlrlF'€cel 3 f BP1t012495 5/9/2014 5/9/2017 €MEO DCP' one so45_. 3,000 _ _ ! �PERSUNLLKAI?v ltlJllRY S 1,000,000 AGOREGAiE S 2,000,000 GER'LAGGREGATE UMITAP?LIES PER: I j_C;£kEAAt XDQ 1-1 LOC tPRLX)UOT6-COMINOP AGO 5 2.000,000 POIJGY ElJP_CT i OTHER: €Prcpay 5 250 AVTOALOBILIS LIASAJTY 1`O 5rNED5I-NGLELIfdn $ I ANYAUTO i I RDDILY INJURY(Per Person) AUTOS AUTOS 1 i BOUIL"INJURY(Pa•acc;di of 9 -_ NON-OWNED j IPAO.ER'F1'OA4IAGE y R:HEn AUiUS AUTOS Per a UTABRELLA L1AB HOCCLFR :EACH O(::.URRENCE, r EXCESS 1-1411 CL YMS MA.O£ i AGGREGATE .�•$ _ CEO 1 •FIETPNRONI WORKERS COMPENSATIONO H - ANDEMPLOYERS,UASIIITY i ! STATUTE ER YIN LNY PliO(H11ETtl(rypANTNERlExECl1TEVE j IE,L.EFCH ACCip_EN'F F 100 000 OPrICEWM6moat EXtLUO8b1 NIA B {aiandalory in NR) I7C5315S979e50Y5 x12/9/2015 12/9/2016 fYS:hSE•EA EFAPLOYE $ 1600310 if yy Sd AeECFr l llndU DESCR;PTtGN OF OPERATIONS i- i E.L.OIScASE•POLICY OMIT $ 500 000 .Toho McNall is excluded ; i DESCRIPTION OF OPERATMRSILOCATIONS r'1EHICLES{ACORO tel,Addlyoda(Remarks 9eh0dUI6,may he attached amore space Is legUlred) Project € 31 Mill Pond, North Andover, MA 01845 CERTIFICATE HOLDER CANCELLATION (978)588-9542 SHOULD ANY Or THC ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover T}tE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, 31 Mill Pond North Andover, MA 01845 AUTHORIZED AEPREBENYATIVE J HacketL, jr-, CIC/3 0198B•2014 ACORD CORPORATION. All Tights reserved. ACORD 25(2014101) The ACORD name and logo are registered marke of ACORD INSD25 IPP14M1 Massachusetts Department of public Safety r�lc �aiirurc�rrrru�/�r/r'llr.t�rir•�r%;r.�/i1 N Board of Building Regulations and Standards r� -Office of Consumer Affairs&business Regulation \ " — = License: CS-057560 SOME IMPROVEMENT CONTRACTOR 1 l egistration: 113241 " Type: Cons:ru is Sucery sor _ piration " 51271.2017 Individyal" � JOHN JL MCNALL JOHN J.MCNALL 84 MARBLEHEAD STREET { NORTH READING MA 01864 JOHN Mc NALL 84 MARBLEHEAD ST . N.READING, MA 01864 L`redcrsecrea ,4 �n = t X G nissioner 10117/20/7