HomeMy WebLinkAboutBuilding Permit # 12/1/2016 BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit No#: m "" 1.' Date Received
Date Issued: Lm r a --- _ -- -
O TANT-Applicant must complete all items o-n this page
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building � El One family
❑Addition ❑Two or more family ❑ Industrial
Alteration No. of units: ❑ Commercial
----- -- - - ----- _ --
Cl Repair, replacement ❑Assessory Bldg El
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hers,
[IDemolition ❑ Other a
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Septic Well C� Floodplain El et tiar d Ll Water8hed to- et
U,Water/Sewer _
DESCRIPTIONOF WORK T BE PE�FqRMED:
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Phone:Name:
Address: ' �
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_ L Phone:'_ ''
Ccintractor Nam ' `,�.e � � �"�
Address.! � -
Supervisor's Construction License: �` , Exp. Date:. 7 ; �I
Horne Improvernenf License . . Epp. Date .
ARCHITECT/ENGINEERPhone:
Address: - Reg. No,.
FEE SCHEDULE.BULDIN&PERMIT.'$92.00 PER$1000.00 OF THE TO ESTIMATED COST BASED ON$125.00 PER S.F.
Fotal Project Oust. $ �" FEE. $ �
Check No.: _ �P Receipt No.: 3 "
NOTE: Persons contractinq with unregistered cafatrrcr t10 no ha ccess to the gucal^an f Ind
Sc gn. at
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ureof.A en_oher Sr a8
contractor __ .,....__. . .
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Town of a ndover
No. ;L6
Za LAKE h ver, Mass,
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U BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
THIS CERTIFIES THAT ......f...0 AM....�-.10 c 1k0k.k........... . ................. wr rl s BUILDING INSPECTORo.
has permission to erect.......................... buildings on ........y .... .r/c.+ I�Mr�! .......CI Cot_ Foundation
c a-r ...................................moo[t ./.,g..+.... ....J.� t Rough
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-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
UNLESS CONSTRUCTIO TT Rough
Service
........
•......
.... .... � .......BUILDING.INSPECTOR. Final
GAS INSPECTOR
Occupancy Permit required t® ®ccup_y Byildin 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.
CONTRACT
Phil Lacroix & Sons, Inc.
BUILDER 1 CONTRACTOR
For Over 63Years
157 Shore Dr.
Salem, NH 03079
(603) 890-3998 — (603) 893-8915
mandllacroix@comcast.net
Submitted to: Mr. Mike Thomas+Ms Caroline Seymour
Date: 8129116
Home Phone:
Street:46 Weyland circle
City, State,Zip: North Andover, Ma.
.lob Name: Kitchen Remodel
We hereby submit pricing for the following work: We will remove existing
cabinets. We will install new cabinets based on the design by Cyr lumber. We
will give an allowance for granite as the countertop as per Cyr lumber.
We will rework the gas line for the new cook top. We will run a new gas line for
the oven or electrical line (not sure). We will move and install a new line to the
refrigerator.
Electric will consist of under counter lights (type to be determined) I we bring
outlets and electric up to code where needed. We will allocate for 4 new recess
lights and change the old trims to led to match new ones.
Note: There will be some electric that might be need to the panel. Arch fault
breakers are needed. Price to be determined. Also they might make you update
the smoke detectors in your home. This includes every bedroom 1 one in each
hall (cot and smoke combo) / maybe one basement! garage. Depends on the
inspector. Usually an additional $ 800.00 to $ 1,000.00. They all have to be hard
wired and all have to be the same brand. This could come up; I want to make
you aware that is at the inspector's discretion.
Plumbing will include hooking up sink and waterlines 1 moving waterline for
fridge. Customer will be responsible for buying there faucet 1 garbage disposal 1
sink.
Note: any additional plumbing needed that I cannot see will be brought to your
attention with a remedy to fix and an additional cost.
Carpentry will include installing new cabinets 1 misc. trim where needed.
Flooring will consist of removing bad flooring and replacing from that point to the
outside wall. l am not sure how much has to be taken up but the majority of floor
will remain. We will sand entire floor and coat 3 separate times with clear poly.
The other rooms I will figure separately in case you want to do at a later date. if
so, we would remove the old carpet and make ready for new 2 '/ unfinished oak
(red or white TBD). We will sand 1 apply 3 coats of clear poly. You will be without
your kitchen for at least 3 solid days.Also if the laundry is upstairs we need to
move them out to sand the floor. I couldn't remember if they were in the room off
the kitchen.
Compound will consist of patching walls 1 ceiling etc. Note: if you moose existng
s ao!es need to heatcta the ea ;e ceiling ghz hare. _ ,:�
because the design will not match. It will always show different. This is not a
major price increase. If smooth ceiling is there now then it is a mute point. ,
Painting will consist of ceiling 1 walls and any affected trim to match existing. Let
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me know if you want to paint more. We can do while painter is there. This would
be an extra cost above this quote.
All debris will be taken away from job per day. We will leave the job broom clean
every night. It will be rustic for you at times but you will always have a sink 1
- fridge I stove.
Total for above work: $43,158.15
Additional cost for molding under the top cabinets to hide the under cabinet
lights $ 375.00
Hardware for cabinets (not sure if these are the handles) Jeff sent me this on the
last email. $ 375.00 let me know if this is correct. I didn't know about
any hardware. We will install for you.
Labor for above: $ 150.00
Permit cost: $ 500.00
Patch in floor from water damage (depends on the amount to replace). I already
included price to sand floor in the above bottom line. Not sure how much has to
be replaced. Price to be determined.
Note: I think we would start the process the end of October first week of
November. We would order the cabinets beginning of October. Any questions
give me a call.
TERMS AND CONDITIONS
We propose to furnish material and labor-complete in accordance with above specifications,for the sum of:
$44558.75
Note: ALL PERMITS AND ENGINEERING COST ARE THE RESPONSIBILITY OF THE PROPERTY
OWNER.
Payment to be made as follows: 15%to order cabinets 120% when start the job 120%
after rough inspection 115% at start of cabinet install 115% at floor sanding 110% at
painting l Balance on completion.
All material is guaranteed to be as specified. All work to be completed in a workman like manner according to
standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only
upon written orders,and will become an extra charge over and above the estimate. All agreements are contingent
upon strikes,accidents or delays beyond our control. Owner will carry fire,tomado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance.
Marie Lacroix 5129/161
Authorized Signature Date
ACCEPTANCE OF Contract
The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as
specified. P ent a ade as outlined above,
/� rr
Signature Date
Signature Date
s
Information and Instructions
Massachusetts GencralLaws chapter 152requires all employers to provideworkors'compensation for theirempoyses,
Pursuant to this statute,an employee is defined as",..every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is'dcffned as"an indiAdnaL partnership,association,corporation or other legal entity,or any two or more
of the foxegoing engaged in a joint enterprise,and including the legal xapresentatives of a deceased employer,or the
receivoForir'l�ee Qfan individual,partnership,association or otharlegal entity,employing emplayeeg .$oweverthe
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
ox on the grounds or building appurtenant thereto shall not-because of sarh employment ba deemed to be an employer."
MGL chapter 152,§25C(6)also states that"every state or to cal Ticersiug ngeu.cy shall withhold the issuance or
jcanewal of a.license or permit to operate a business or to construct buildings in the commonwealth for any
applicantwhci has not prod-aced-acceptable evidence of compHancewith.the insurance coverage r'equired:'
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract fox the performance of public work until-acceptable evidence of compliance withthe insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill,out the work rs'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessaxy,supply sub=contractox(s)name(s),addresses)and phone number(s) along vuitb their certificate{s)of
insurance. LimitedUabilityCompanies(LLC)orLiniltedLiability Partnerships (LLP)withno employees-other than the
members or partners,are not required to early workers'compensation insurance. Sf an LLC or LL1'does have
ermloyaes, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confwmation ofimin-anco covexage. Also be sate to sign and date the affidavit. Thr aWavit should
be retumed to the city or town that the application for the permit or license is being requested,not the Department of
ludustrial.<Accidenfs_ Should you have any questions regarding the law or if you are required to obtain a workers'
compensatioApolicy,please call the Departme,nt atihenuniberEstedbelow. SelRiz cured cotapanies should enter their
self insurance license number on the appropriate line.
City or Tow.u-Officials
Please be sure that the affidavit is complete and printed legibly. Thu Dopartm.ezat has provided a space at the bottom
of the affidavit.for you to fill out in the event the Office of Investigations has to contact you regardhrg the applicant.
Please be sure to Min the permit/license number which will be used as a xefcrencc number. In addition,an applicant
that must submit:m ltiplepennit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write•"all locations in (city or
town)-"A copy of tho aff davit that has been,officially staxap ed or marled by the city ortown may be provided to the
applicant m proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be Mod out each
year.Where a home owner or citizen is obtalaiug a license or permit notrelated to any business or commercial ventwe,
(i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete tills aFtidavit.
The Department's address,telephone and f number--
The Commonwealth of Mamachusetts
Depa tmeat of ludustrial.Accidmits
1 Congress Street, ,Suite 100
Boston,MA 02114-2017
TeX_# 617-727--4900 ext.7406 or 1•-$77 MASSAFE
Fax##617•-7277749
3 Revised 02-2315 www.mags.gov/dia
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M Office of Consumer Affairs and Business Regulation
10 Park Plaza. - Suite 5170
I
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration. 103014
Type: Private Corporation
Expiration: 7/8/2018 Tr# 419291
PHIL LACROIX & SONS INC.
Philip, Jr. Lacroix
151 SHORE DR.
SALEM, NH 03079
Update Address and return card.Mark reason for change.
SCA 1 sa 20M-05!11 F7,1
Address ❑ Renewal :1 ] Employment Lost Card
lJ fLG Cf GflL77LbJt,CtJCfY��t7G��--���J:ifLGlttliJ�'�;S_ i
_ Office of Consumer Affairs&Business Regulation License or registration valid for individual use only
'HOME IMPROVEMENT CONTRACTOR before the expiration date R found return to:
Registration 103014 Type. Office of Consumer Affairs and Business Regulation
Expiration 7/k6tS Private Corporation 10 Park Plaza-Suite 5170
Boston,MA 02116
PHIL LACROIX&SON&1NG
Philip,Jr. Lacroix = `
151 SHORE DR.
SALEM,NH 03079 _
Undersecretary Not valid without signature,a
1
PHILL-1 OP ID: NB
CERTIFICATE OF LIABILITY INSURANCE DATE(MMI1113012016
Y,
o16
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 certlflcate holder Is an ADDITIONAL INSURED, the pollcy(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 cerflficate does not confer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER CONTACT
Planrlghtlnsurance Salam NAME: Jason M Mlocek
224 Main Street Suite 2A LAIc No EM :603-890-6439 (AIC,No): 603-890-6521
Salem,NH 03079 EMAIL
Jason M Mlocek AbtlRESS:jason santoinsurance.Com
INSURER(s)AFFORDING COVERAGENAIL It
INSURERA:Acadia Insurance 31325
INSURED Phil Lacroix&Sons Inc INsuRER B:American Zurich Insurance
151 Shore Drive
Salem,NH 03079 INSURER C:
INSURER D:
INSURER E
INSURER F
COVERAGES CERTIFICATE NUM BER: 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,
EXCLUSIONSAND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR TYPE OF INSURANCEJ=WVD POLICY NUMBER MMIL1OPMY MMIDDIYYYY LIMITS
A COMMERCIAL GENERAL LIABILITY EACH OCCURR3 NCE $ 1,000,000
CLAM&MAD= OCCUR BOA5130023-13 11129/2016 11/2912017 PREMISES Eaoccur�nce $ 60,000
X Business Owners
MED EXP(Any one person) $ 5,00
--- PERSONAL&ADV INJURY $
GEN'_AGGREGATE LIh11T APPLIES PER: GENERAL AGGREGATE $ 2,000,00
POLICY❑PRO ❑
JECT LOC PRODUCTS-COMPIOPAGG S 2,000,00
OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
Ea accident $ 1,000,000
A ANY ALTO CAA5130033.13 11129/2016 11/2912017 BODILY INJURY(Perpe•son) $
ALL G4lNEJ � SCHEDULED BODILY INJURY Per accident $
AUTOS AUTOS � i
X -1IRED AUTOS X NON-OWNED PROPERTY DAMAGE
AUTOS Per occident)$
UMBRELLA LIAB OCCUR FAC:H OCOIRR MCI` $
EXCESS LIAB CLAWS-MADE. AGGREGATE $
�tLl Rt1Ev110NS $
WORKERS COMPENSATION
APD EMPLOYERS`LIABILITYX I SeATl1TE ER H
B MY FROPRIETORI?ARTNERIEWCUTIVE YIN 6ZZUB0457M16019 10/2412016 10/2412017 EL EACH ACCIDENT $ 1,000,000
OLFICERIMEMBER EXCLUDED? Y N I A
If es.d9ryIn baur 3A NH E.L.DISEASE-EA EMPLOYEE $ 1,000,000
If vas.describe order
DESCRIPTION 0=OPERATIONS below EL DISEASE-POLICY LIMIT $ 1,000,00
PROPERTY 11,249
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Addi tonal Remarks Schedule,maybe attached Ir more space Is required)
Phil Lacroix Jr, Mark Lacroix and Phil Lacroix are excluded from work com p.
RE:46 Weyland Circle
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, MA ACCORDANCE WITH THE POLICY PROVISIONS.
120 Main Street
North Andover, MA 01845 AUTHORIZED REPRESENTATIVE
@ 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
i
fa assachusetts Department of Public Safety
f Board of Building Regulations and Standards
License: CS-058.730
Construct-`
MARK A LACROIX isl
16 THERESA AVE
SALEM NH 0307,,S
Expiration:
D911
112017
Commissioner
_ UIA t
65111
'-DoE 09/11/19165 i
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