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HomeMy WebLinkAboutBuilding Permit # 11/3/2016 p* VX .qtib BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION � � n Permit NO: " Date Received /11 x � S �craUS`�tR� Date Issued: IMPORTANT: A licant mList complete all iteans on this page i 1,11111-111�1F � �r O �� "AI „ CNI[ Ca �ITFIT H lylA f lstpr�c ristlict . yes no , Machr� :SnapiNlage yes no TYPE O IMPROVEMENT _ PROPOSED USE Residential Non- Residential L� New Building i:=1 One family i Addition Two or more family Industrial D Alteration No. of units: J Commercial _. ._.— Repair, replacement t] Assessory Bldg I Others: LI Demolition U Other mm Flsitpla�n I J Ilti�efilands C V�latershdistrict � a a > u --,et4<,k bd /V r Identification Please Type or Print Clearly) 4779-- T OWNER: Name: Phone: 46 FS Address T777= �ir COTRCT err+ } I on .. % „ e aurilar" Construction'Licns Exp Date �. fitij4 y ff a F1-7 Date „ Horne �iTtp�;o�orna�t Ll��lr►�er� ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL.ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ =2-510FEE: $ C) Check No.: 1p�"` — Receipt No.: '3 r'r N©TE: Persons contracting wit un r red contractors do not have access to the guaranty fiend gnafiure of g nature of 6ontractor ¢ NORT#1 '9 own of _ aF 6Andover O No. _ * ver, Mass A-0/ 6 o h � 4 cOCMICHlwICK V S U BOARD OF HEALTH Food/Kitchen PERMIT .T LD Septic System LAD � '�s `` c BUILDING INSPECTOR THISCERTIFIES THAT .......Cr.'..9.N.19.3f......................................................................................... ,1" S � Foundation has permission to erect .......................... buildings on .....13......M............................,................. Rough to be occupied as ..k�*�CSa-vv.....�`.+ Nl. .... ..coM�!� A�. ...e�i AritM chimney p provided that the person accepting this permit shall in every respect conform to the terms heapplication 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC STI. ..... Rough Service ... .... .14 .......I....................... i"ina! BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Qccupy Buildingg Rough Display in a Conspicuous Place on the Premises — Do Not Remove Fina' No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector, Burner Street No. Smoke Det. Genesis Builders LLC Thomas A. Gioseffi P.O. Box 1016 • Salem,NH 03079 Phone: (603) 231-5009 - Fax: (603) 894.5732 November 2, 2016 Dr. John Rizza 7 First Street No. Andover, Ma 01845 RE: Renovation of 2nd Floor Apartment Contract a Dear John, 9 Here is a proposal for the work at the above address. The following items represent the scope of work as I understand it to be; Included in this bid: 1. Apartment Renovation: • Scope of Work: Includes estimates for materials and labor for renovating this 4- room apartment. This will include the following: • Remove existing kitchen and replace with new cabinets, new counters, paint and new flooring. • Remove existing bath fixtures and replace with new tub/shower combo, new toilet, new vanity,paint and new flooring. + Upgrade electrical and plumbing as needed. • Purchase and install new interior doors and knobs, a new fire code entrance door and other trim as needed. • Prime and paint all ceilings, walls and woodwork. • Install new appliances purchased by homeowner. II.Miscellaneous: • Cleaning: General cleanup of site daily to maintain a safe environment. • Rubbish removal: Genesis Builders LLC will provide daily rubbish removal with the use of an onsite dumpster. 0 Permits: Permit will be pulled by Genesis Builders LLC III. Not included in this bid: • Does not include any fire alarm or sprinkler work. Schedule: This project should be complete 45-60 days after start date. Time & Material Contract: This contract will be a cost-plus contract where invoices will be submitted as actual costs and a fee of 1.2.5% paid to Genesis Builders LLC. Any material purchased by the customer will be the responsibility of the customer and not warranted by Genesis Builders LLC. The estimated cost for the above work is $25,000.00 Deposit due at signing of contract will be$5,000.00 Invoices will be submitted every two weeks. u ti If this contract meets with your approval, please sign below, returning an original and keeping a copy for your records. 3 Thank you for giving us the opportunity to perform this work, and we look forward to working with you. Sincerely, Thomas A. Gioseffi Date John Rizza Dat Genesis Builders LLC First Street Seven, Inc GENES-4 OP ID: NB CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDflYYY) 1110212016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVE=LY 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(les) 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). NTACT PRODUCER NAME: James A Santo Planright Insurance-SalemPHONE 603_g90-6439 arc No: 603-890-5521 AK 224 Main Street Suite 2A Arc No Ext Salem,NH 03079 ADDRESS:'am ie santoinsurance.com James A Santo INSURER(S)AFFORDING COVERAGE MAIC N INSURERA;Tudor Insurance Company INSURED Genesis Builders LLC,GIO INSURER B:Peerless Insurance Company 24198 Realty LLC, GIO MO Properties INSURER 0: 40 Lowell Road Salem,NH 03079 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. AUDLPOLICY EF POLICY EXP INSR TYPE OF INSURANCE LIMITS LTR I S D POLICY NUMBER MMIDDIYYYY MMIDDIYYYY A X COMMERCIAL GENERAL LIABILITY i EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCURNPP8274856 0110812016 0110812017 PREMISES Ea T7 IT rence $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑JEC EILOC PRODUCTS-COMP/OP AGG $ 2,000,000 CTHER', $ ' AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT y is Ea accident ANY AUTO BODILY INJURY{Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS H1REpAUTOS NON-OWNED PROPERTY DAMAGE $ AUTOSPer accident UMBRELLA LIABOCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ H_ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY STATUTE ER IN ANY PROPRIETORlPARTNERIEXECUTIVE Y❑ NIA E.L.EACH ACCIDENT $ OFRCERIMEM8ER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1 yes,describe under DESCRIPTION OF OPERATIONS below___, E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS)VEHICLES (ACORD 161,Additional Remaeks Schedule,maybe attached If more space Is required) re: 93-95 Main St, North Andover, MA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of North Andover 120 Main Street North Andover,MA 01845 AUTHORIZED REPRESENTATIVE a 1968-2014 ACORD CORPORATION. All rights reserved, ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Oe CarnMonwearth of Massachusetts Depar tment offndustrialAccidents deet ,5`uite T 00 r I Congress S , 9 a $gsion,AfA 0.2114 2017 - Fo .r• y �9r �'ilwl'l�x?'lass.g' ldra� �"" 5' ez satlon xan�e A zdaBu dexs/ContractoxslE ectxzcxansll°X �e s- wa i ears Comp TO BE-FIL>un WITH TM PERM TT��o.A UTVOR[�- , f .. '.lease int ba 'bl A ' licant<�ormaiaon E� `S u Name(Business!Organization/individual)` . Address: S �,� City/Statdzip: e uiTar1 - Axe you an FM13Ioper?C tecktlie appxopriate box: 1 Ndyi'coT strirctioxt employees(full and/or part tune)." L, am a employer vires__—:-- $, �{R emo deliig 'j andhaveno employees working forme in 2, X ain a sola proprietor,or partnership 9. Deplolitiot any c,parity.jNaworkers'eomp.insurance xequized.] all rvozkmyself LN,workers'eomp.insmaarr nqu3red.1� 10 n Building addition 3,n I am a homeowner doing rn e I will aorrtraotars to conduct RI W ozlc on mY P Py- i ern EIBCTiCal epairs or a dditiOs 4.n I am a-homeowner and will be hiring bht re a*,q o37 additions ensure that all aontractozs eitherhava workers'compensation insurance or are sole 12.4 '' prapriatorswithno employees. 3,�Roofrepairs 5❑I=a general contractor end I p vo hired the sub contractors Listed on the attached sheet. These suh-cnntzactors have e61?loyeas sndhavoworkers'eomp.insurance 14.n Other fi.❑We are a corparatioa and its officers Kaye exercised the right of t xeruption per MCsI c. IS2,§1(4),and We,have na employees.(iIo workers'camp.insurance rerluized] a eantthat chew.I...#I mu—� 1.o fill outth,Sectionbelow shawingtheirworkers'compes�sationpo3it submrmation.' SUDIL all wnrk andthera hire outside contractors must submit a now affidavit indica vo i II meownars vrho submit this Mdavit indicating they are doing the name of the sub-contractors and state whether a not those entiii tContraotars that check this Boa-3husti attaclied as additional shee#showing olio number. employees. Tf the sub confraotozs have employees,they must ptoyide their wor �aCe of my etproyees Belo7V is tli e policy and j oi5 site Mat is providing-Wor�lrels'coynpensatian rns f X am an eraaployer information. -as Inanc(3 Company Name: Fxpi rationDate. )?alicy#or Self i-os.Me-#:. City/State/Zip: Tab Site ddress: z. a e sb o ruing the policy nun�bex artd epirat�°n date}- Attach a copy'of the�ygrkexs' campezrsaStan policy decl 25A n a criminal violation.punishable by a fuia up to$ ,500.00 Failure to 00-Ure coverage as regui�ed uzrder MGT.c.X52, vesti FP,a of the VA fox i-osuxance ' � eat'im xisonrrzent,as well as civil penalties in the form.of a STOIC�TORz�ORDER and a fate ofup to $250.00 a and/or one y P oft statement may be forwarded to the Office ofDa g day against the violator.A cop3' aovarago verification.. Ha 1 do li ereby cern or tliepairas andpe a ties ofper` at the inforYnation provided alcove is true and correct- pe Date: Si ato re: r� Phone pffcial rise only. Do not ter ire ire dais area,to he completed by city OF toren official • pexmiitll,icaztso# City or TO'V4n.: ssuintg vthoxity(circle on �' Inspector 5.Plumbing xnspectox 1.Board oEfealtb 2.l3V cling BepartMent 3.Cit ipo�vn ClexJr d.Electxitcal b.Other Phone#: Contact Berson: 3 Massachusetts Department.of Public Safety Board of Building Regulations and Standards License: CS-077258 Construction Supervisor THOMAS A GIOSEFFI P.O.BOX#1016 SALEM NH 03079 Expiration: Commissioner 03113/2018 r . .. � Ri79/l72D42LlIP [�vC»�4ac,�LtG6 Office of iftOiOmer Affairs c4z$us�nessRegulation pM;�[hIIPROV,., ENCONTRACTOR egfstratinn 4f40 Type: l;zpirat�on. 2�Q Individual -rH&OAl s A c[o a 7HWAS GIOSEFFI 0 dL011f/ELL Ria UNIT Ylndersecrefary I i i' i i '