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Home My WebLink AboutBuilding Permit # 10/24/2016 NORT}{ BUILDING PERMIT oF� •a�'�o TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION � 2 a Permit No#: s" '� Date Received ! �, ��R�rEv �ssac Hus�� pate lssued: r IMPORTANT: Applicant must complete all items on this page OCATION L Prm# PROPERTY OWNER. Pant DD Yeartructure yes n MAP 'fiRCEL 70IV3NG T715TRiCT Historic Disfnct yes -�.--- Maclme S>?op VEllage . yes no. W TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ane family ❑Ad ition ❑Two or more family ❑ Industrial Iteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic„ 0 we I F. Ll Floodplain. .._ ❑Wetlands ❑ Watershed Distnct D V1l6terlSewe DESCRIPTION OF WORK TO BE PERFORMED: T,denti icatio Please Ty e or Print Clearly „ OWNER: Name: f � �.� Phone: Address- l Contractor Name. Phone: ! . Email Address73' :' < supervisor's Construction'License. _Exp !Date: / Home lmprovemer�t License: ESR ARCHITECT/ENGINEER Z4 _ Phone: Address: c=° - ._ Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ �� ' _ FEE. $ Check No.: 4f qsla Receipt No.: ¢� NOTE: Persons contracting h unregistered contractors do not have access to the_ uallantyflyu4 t S�gna�ure o Agent/Owner � � ignature of contractor t4O Thy .q own o s �� 6Andover OA No. yy : ;oil T h *' o ,- h ver, Mass, �Q � � • �Q,� COC NI[riE otK 4ORATEo 1►P��S � U BOARD OF HEALTH Food/Kitchen PERMIT . T LD Septic System THIS CERTIFIES THAT ............ .. . A.VIA—A.................... ...................................................... BUILDING INSPECTOR has permission to erect .......................... buildings on ...... .7... 1.. 0V.............................. Foundation Rough . to be Occupied as ...... e.mout�...... . . .........��e..&........! �r" r 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR LESS CONSTRUCT19YSTART Q* Rough Service .......... .. ... .... ....................... Final BUILDING INSPECTOR GAS INSPECTOR 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. ..___.... __ r I ��... BEDROOM 3 2 BAik a E i F S ,I l�7y r t f BEDROOM 4 -2'_0_ :ter i4 LF M. BEDROOM i .... ....... f S General Contracting Agreement This agreement("Agreement") is made as of the 1' 7 day of October 2016, between Sherwood Reality Trust/Ed Rauseo(the "Contractor")and James Keshian ("Owner"). Contractor and Owner agree to the following: Section 1.The Work The Contractor and Owner agree that the following bathroom remodel work will be done on Owner's 2"d floor bathroom as set forth on Attachment A. Section 2:Timeline The Contractor and Owner agree that the work detailed above on Attachment A will be completed according within approximately 30 days.Any delays that arise during the course of the work must be promptly discussed with Owner. Section 3: Payment Owner agrees to pay the Contractor a total of$16,500 payable upon completion. s Section 4: Changes 0 Any changes made to plans, materials used,time needed,or any other portion of the work must be discussed with Owner prior to any decisions. Section 5: Permits Contractor agrees to secure any permits necessary so that this work will be done within the parameters of the laws and ordinances of Massachusetts and N.Andover.Contractor agrees that any fees for these permits are already included in the total amount charged to the Owner. Section 6: Workers i Contractor agrees that any laborer,subcontractor and/or employee that he/she hires for the purposes of this job is legally permitted to work in this function in this country. Section 7: Subcontractors Owner agrees that the Contractor may hire subcontractors at his/her discretion, provided that Contractor agrees that the payment for said subcontractors is entirely the Contractor's responsibility. Owner is not in any way liable for a subcontractor's missed payment. Section 8: Insurance Owner agrees to maintain the reasonable levels of home insurance on the home.Contractor agrees to maintain reasonable level or liability insurance covering himself,any employees or subcontractors, his/her equipment, and any damage caused by the work.Contractor shall maintain required levels of Worker's Compensation insurance. 1 Section 9: Cleanup Contractor agrees that any debris, equipment,etc.will be removed from Owner's house and property upon completion of the job. Section 10: Miscellaneous Invalidity or unenforceability of one or more provisions of this Agreement shall not affect any other provision of this Agreement.Contractor and Owner acknowledge that this Agreement is subject to the laws and regulations of the Commonwealth of Massachusetts. 114I Own r Name Contractor Name and HIC License# l u is Owner Signature Contractor Signature i is 2 MASTER BATH REMODEL: ATTACHMENT A—Description of Work 1. Demo master bath 2. f=rame shower walls 3. Install rough plumbing to shower and vanity 4. Install new fan light,vanity light, light in shower 5. Install insulation as necessary—and sound barrier for bedrooms and outside walls 6. Install%inch blue-board and apply skim coat veneer plaster to walls and ceiling 7. Window and baseboard trim 8. Install rubber membrane, concrete mud floor for shower. Install'/" dense shield on walls 9. Install 2X2 shower floor tile 13. Install shower wall. Install main bath floor and grout. 10. Install sink,toilet and all finish plumbing 11. Install mirror, paper holders and towel rings. 12, Install vanity and countertop 13. Replace electric baseboard h The commonwealth ofMassacliusetts _ Depa„tment offndustrialAccldents e;�s St�^e ,t,Saito 100 i conn-r ' ' d ooston,-v o2114-2017 www mass.gov/dia Txxsurauce Affidavit'Braidders/CoAtx'actoxsl��ectrzczansl�'Xumbexs. Kol�kers,compensation TO BE MED WITH please j'ER11�1 x TTNO AU�OrR�T��' please krjut. Le l�a7T]-E(BusinesslOiga�iizaizon/Iudiv3dual}: . A.d&ess: -V' Phone#: / 7c City/Statelzip: /"'� r [�g ype nfLprojeat(7recluized); Areyou an employer?Cbeclithe appxopriatebox: 7. ey�'constr6ction 1.❑S am a employer with employees{full and/or part time)- emode�. Ia�n a sole proprietor or partnership and have no emplyees r irorkingfon me]rr 9. ❑Demolition any capacity.tNoworkers'comp.insurance required.] oworkers'comp.insuraneezequired.]i 10❑Building addition 7. 3,�I arrE a ho;rraownez doing all work myself L�' contractors to condud u work on my property” I w611 11.�E1eG ica1 rep Cs ox additions ei-.❑I am a homeowner andwili be hiring Te airs or additions ensure that all contractors eider have workers'compensation insurance oz aro sola 12� T.r -bbg t. proprietors with no employees. 5.E]I am a general contractor and Ihave hired the sub-contaactors listed ontha attached sheeE. 13'.E]Roofrepairs These sub-contractors have eunployees andha�e workers'comp.insurauce. 14 Other b.Q We ane a aorpozatian and its.officers have exercised the, right of'exeraption per MCrI c. 152,§1(4),and we 3save no employees. [No workers'comp.insurance required.] a plicant�hatchecksbbx#1 must also fill outtl�esectionbeiewshowingtheisb oxkers'compensationPolicyibmit a tion. �` p omit this affida�rit indicatiug they are doing all work andthen bixe outside contractors must submit a new affidavit indicating such At Homeowners who su the name of tlae subcontractors and state whether of 12ot fhose entities havo TContractors that checkthis lioxinuse attached an addita ng musth roside their workers'comp.policy number, employees. lfthe sub-contractors have omployees,they p f y p e83 '.�alow is t1le policy andyeti site ram are employer tlittt is providing�vorkersy co mpensation insuranceft"m em loy information. Insurance CDmpan-yName: t[ Expiration I'Dltcy tr ax S a1C rus.LfG.i�'. - %er statel2ip: 7GbSiteAddress: the nlic nrtmberandexpiratiiandate}- Attach acopy Of the ypoakers' coxnpepsation policy declaration page(slxowing p �` to as re wired under MGL o_152,§25A is a criminal violation pRDERpunishabland a dna De,by a ffib f p to $250.00 a pailure to secuxo coverageenalties zn the farm of a STC)1'WORD and/or one-year Xtnpxisanment,as well as civil p t the violator.A copy of this statement may be forwarded to the office of Tavestigation s of the DTA for ixIsux anon day against coverage verification" r' e rr dpenalties ofperjury tliat the infoYrnatian provided above is true ar?d correct. Ido Hereby certith fy .--� Date: Si atur e: phone#: official use . Do not write ire this area,to be ct7mpleted by city Or tolvrz official. off only. permit/License# City or Town: Issuing A.,uthoxity(circle one): F o ClexTt 4.L+lect�rical Inspector 5.l'lutxtbing Inspector 1.Board of Health 2.BuildingAepartxnent 3.CitylX wx� 6.Other phonte#- Contact persons: fito Office of Consumer Affairs and Business Regulation 10 Park Plaza M Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration .:: Registration: 159658 } Type: Individual Expiration: 5/19/2018 Tr# 419291 EDWARD RAUSEO EDWARD RAUSEO r I a: 62 WASHINGTON ST METHUEN, MA 01844 Update Address and return card.Mark reason for change. ❑ Address ❑ Renewal F-] Employment ❑ Lost Card SCA 1 0 2OM-05111 c��e rna»ra�aaerracrrlt�a�C/l/Craaarrc�uleCt� Office of Consumer Affairs&Business Regulation License or registration valid for individual use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: _ Re istration:' Type: Office of Consumer Affairs and Business Regulation g 159658 10 Park Plaza-Suite 5170 Expiratiolt 5 9I2p78 Individual Boston,MA 0211 �. . EDWARD RAUSEO rt`, a EDWARD RAUSEO 62 WASHINGTON ST —.— METHUEN,MA 01844 !Undersecretary Not valid without signature I Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CSFA-074883 Construction Supervisor 1 & 2 Family EDWARD J RAUSEO 62 WASHINGTON STREET METHUEN MA 01844 Expiration: Commissioner 10/30/2018 i