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HomeMy WebLinkAboutBuilding Permit # 1/11/2017 BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#:-7s--(O-- a-§I Date ReceivedrE-D 1,7,' ACHUS Date Issued. EVIPORTA-NT: Applic=f must complete all items on this page f,L 'Tr 10 1,0CA N Fruit- ._ Punt' `i DDYear Structure v, PKOSPITYI-OWN Yes MAP, es r. ZONING ONID 8 1 @-T-,i, ®istnet yes VIM n tP7E a1= I M P F� (CV:E-:M:E�NT ------------- Residential Non- Residential 11 New Building Y"One family DAddition El Two or more family F1 Industrial 0 Alteration No. of units: El Commercial Ceaair, replacement F-1 Assessory Bldg E Others: 0 Demolition El Other ------------ isth 6A Flp-bd aih Ifl DESCRIPTION OF WORK TO BE PERFORMED: &T-P 0.ztp-i (IE- te,o Z L-1W/,2 G AJ 1ea Pf,9V_4 .... 7�- A A/1122 1-6 e4 71e) Identification- Please Type or Print Clearly' OWNER: Name: 'S 7C(-1e- Phone: 7el Address: r--o tZF-- Cadntractor'Name:ti., , 7- 4-� Address 6 visc)r`-SC ion I-Iom 0--ons-frubt --liceps DaterARCH ITECTIE NGINEER Phone. Reg. No.. FEE SCHEDULE. BULDING3 PERMIT:$'12.00 PEP$1000.00 OF THF T07-AL ESTIMATED COSTBASED ON$125-00 PER S.F. 1'60 ProJeGt Cost: FEE: Check No.: NOY'E': Persons eantreteting with unregistered contractors clo not have access to the gzzwrantyfund Enter construction cost for fee cal- North Andover Fee Calculation Construction Cost 8,400-00 m $ - $ 100.80 Plumbing Fee $ 12.60 Gas Fee 100 comm. $ 100.00 Electrical Fee- $ 1'2,60 Total fees collected $ 226.00 716 Forest Street Bath Remodel 706-2017 on 1/10/2017 "°RTHq over Town of :ti - q 46 0 . No. �i h ver, Mass, ��rQ [OC NICMEwfCK�v1• p00ATEo S U rFinal OARD OF HEALTH MIT T LD PER ® ILDING INSPECTOR THIS CERTIFIES THAT ..�...•, • ..� .�,.....,.���.��•�• .�� buildings on ... ,..... has permission to erect.........................��. ` ��► Chimney to be occupied as ......................... ...... ...........,... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and PLUMBING INSPECTOR Construction of Buildings in the Town of North Andover. Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final ELECTRICAL INSPECTOR. PERMIT EXPIRES I 6 MONTHS LESS C T CT STA Rough Service ......W.. Final BUILDING INSPECTOR GAS INSPECTOR occupancy Permit Required to occu BuildingRough Final Display in a Conspicuous Place on the Premises - Do Not Remove FIRE DEPARTMENT No Lathing or Dry Wall To Be Done Burner Until Inspected and Approved by the Building Inspector. Street No. Smoke Det. C OATS (µMIDOlYYYYI 0110912017 �►coR�` CERTIFICATE OF LIABILITY RS NNSIURANOGEECERTiFkCATE HOLDER.THIS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND EXTEND ORAGE AUTHORIZED ALTER THE CO CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AME TE CONTRACT BETWEEN THE FISSUING INSURER(S), AU POL1ClE BELOW. THIS CERTIF{GATE OF INSURANCE DOES NOT CO les must be endorsed. If SUBROGATION IS WA)VED, subject to REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: It the certificate holder is an ADDITIONAL INSURED, the odor l ? the terms and conditions ei the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights tote — — certificate holder in Ileu of such endorsement(s). CONTACT Journeay Insurance Agency Inc" _, Fax 978-346-9620 NAME_— --�--' -- PRODUCER Phone: 978-346.8761 Fax: 976-346.9620 PHONE 978.346-8761 -- LNc' — — _— JOURNEAY INSURANCE AGENCY INC - _—— , _. E-MAIL NAIL it 8 WEST MAIN STREETAaOREss;__ — INgURER(S)AFFORDING COVERAGE MERRIMAC MA 01860 — — J—,— 24198—r---- INSURERA : Liberty Mutual Insurance INSURERS : The Travelers lnsurance Company INSURED GREEN STAR CONSTRUCTION,LLC NSURERG CIO MICHAEL CURTIN INSURERM 7 FOREST STREET INSURER MERRIMAC MA 01860 NSURERF REVISION NUMBER: COVERAGES CEOID RTIFICATE NUMBER: 12275 OR COND€T€ON OF ANY CONTRACT OR OTHEnOH REN S CUMENT WITH UBJECT TO ALLOTHE ITERMSS THIS is TO CERTIFY THAT THE POLICIES OF INSURANCE tL�iSTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERI INDICATED. NOTWITHSTANDING ANY REQUIREMENT, T IE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE. INSURANCE AFFORDED BY THE POLICIES DE LIMITS POLICY EFF PoLICYExP — $ 1,000,ODO MAY"Alu AOD'L SUER — MW70DIYYYYI-. ------ EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHO Pd POLICY NUMBER REDUDDBAID CLAIMS, — NSR TYPE OF INSURANCE i1JSR wvD ------ 1QJ30116 10130!17 EACH OCCURRENCE _ _ — LTR --��` BKS(17)56339670 nAdnncETOR�NT�o —.— .$ — 300,000 A GENERAL�LIABILI'IV PREMISE_5{Eaoccurenco) —. 15,QOC MED.EXP(Any one person) $ — 1,0�O,OOf X COMMERCIAL GENERAL LIABILITY PERSONAL&ADV INJURY $ ____ CLAIMS-MADE I7OCCLIR ___ —. 2, 60,06( GENERALAGGREGATE $ 2,000,001 PRODUCTS-COMPIOPAGG $ — — —,,—_ GEN'L AGGREGATE LIMIT APPLIES PER: —. --— coMBINEO SINGLE LIMIT $ PRO- —_ .: (Ea occident) ICY ..�_�JECT .� ,—LOC _ .—_—,—.__,_.--, .—�—..—_ —�— POL $ BODILY INJURY(Per person) AUTOMOBILE LIABILITY -- _ BODILY INJURY(Pei Occident) ANY AUTO SCHEDULED — PROPERTY OAMAG� ALL OWNED $--, AUTOS (per accident)—,,—,_ .—.� � AUTOS NON-OWNED — HIRED AUTOS AUTOS H $ EACH OCCURRENCE OCCUR J — AGGREGATE`) $�_-` -.- UMBRELLA LIAR J $ Bxctsss LIAR CLAIMS-MADE — — __ WC STATU- ER $ DED —RETENTION$—��— — 6KU84838P52-8-16 11/03116 11!43117 —�oRY LIMIT _ 1001C _ E,L.EACH ACCIDENT $ — B WORKERS COMPENSATION —�—� -- — 100,( AND EMPLOYERS' LIABILITY YIN E.L.DISEASE-EA EMPLOYEE $—ANY PROPRIETORUPARTNERIE%ECUTIVE rY� NIA J J J SOO,t OFFICERIMEMBER EXCLUDED? 1 E.L.DISEASE-POLICY t.IMIT $ _ (Mandatory in Nii) — If yes,dowibe under DESCRtPTION OF OPERATIONS DESCRIPTION OF OPERATIONS!LOCATIONS 1 VEHICLES(Attach AC 101,Additional Remare rks Schedule,it more space is quired} has elected to be excluded from coverage. Executive Officer,Michael Curtin, CANCELLATION CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFO' Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town Hall — — —�— North Andover,Ma. AUTHOR!— REPRESENTATIVE (� Derek)Journeay Attention: Paul Hutchins Fax:978-688-9542 ©1988-2010 ACORD CORPORATION. All rights resery ogo are registered marks of ACORD ACORD 25(2010105) The ACORD name and l GREEN STAR CONS,fRUCTION, LLC Lic.# CS089677 f Mike Curtin HIC # 154178 7Forest St. Merrimac,MA 01860 mi.curtin comeast.net pro osal and Contract Job Location: Client= 716 Forest St. 41$45 Steve &Judy Roy North AndoVei 715 Forest St. North Andover,MA 01845 Pro osed work: " fete the currently gutted bathroom off the master bedroom.Work This proposal is to com p to be done will include the following: 't will be taken for this job.Please note the cost of the Per will be added 1) A perms on. astic sheeting as needed. 2) The area being worked on will be isolatedform with PI rm a level plane in preparation for 3) The wall studs will be trimmed or built out to sheet rock and the being installed• 4} Blocking will be installed inside the walls for mounting towel bars or safety grab ceiling and ed bars. 5) Sheetrock and cement board will be o installed the the that was opened up for smooth.This will include a section the pocket door. joists will be trimmed or built up to d will be removed,The floor j 6) The existing plywoo form a level plane.New%inch plywood will be installed. 7) A new vanity will be installed. g) Anew medicine cabinet or mirror will be installed. plumbing, Please note this proposal does not include any c{also doestnut include the cost of any 9) tiling,or finish carpentry.l electrical,painting, of the plumbing fixtures. 10)This contractor will coordinate all work between subs. Additional Notes: All work will be done in a clean,courteous,and professional manner.Any refuse produced during the project will be removed and disposed of and the work site will be left broom clean. clis possible that conditions may arise that will require additional unforeseen work.Any it extra unforeseen work will be billed on a time and materials basis and will be discussed with and approved by the homeowner prior to work proceeding.If additional work is -at$40.00 per hour and materials will be at cost. necessary labor will be billed V X Job ricin and terms: We propose to supply labor and materials in accordance with the specifications listed above for$3,900.00 payable as follows: $1,$00.00 payable at the start of work. $2,100.00 payable at job completion. Acgoted: The price,specifications, and conditions listed above are satisfactory and are onstruction is authorized to do the work. hereby accepted.Green Star C Acce ted b Date: Pro osal submitted b Mike Curtin,Green Star owner Note:This proposal may be withdrawn if not accepted within 30 days. Addendum: r p i ,.: '') ! i � f g Massachusetts Department of Public Safety Y Board of Building Regulations and Standards License: CS-089670 Construction Supervisor MICHAEL B CURTIN 7 FOREST ST MERRIMAC MA 01860 -�� CA— expiration: Commissioner 0312712018 i. C�/e�or�ui�aocuuercCC�z cr�Ul/�ira�ac�rc�etta.': Office of Consumer Affairs.&Business Regulation 'OME IMPROVEMENT CONTRACTOR Type: egistration: 154178 9 /Expiration 1113/2017 Private Gorpor3tia GREEN STAR CONSTRUCTION LLC. MICHAEL CURTIN 7 FOREST ST. MERRIMAC,NIA 01860 . 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