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HomeMy WebLinkAboutBuilding Permit # 1/25/2017 t1ORTH BUILDING PERMIT p�sT�en 6��0 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NQ• T / 0 Date eceived Date Issued: l / A)4 Acwu IMPORTANT:Applicant must complete all items on this are F Wt.,ATIOW F 9 r . lxt r SAP NtlClt�I�G 11TIT Rr�c I � tr� ' lc TYPE OF IMPROVEMENT PROPOSED U5L Residential Non- Residential ❑ New Building *One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial P"Repair, replacement E.Assessory Bldg D Others: ❑ Demolition Ei Other �[peptic I�1fVel1 �Fload�l�ittt �I Vit;�t�a�c�s l ����d 7 'st�c`f t fie. C� t' C:c : $�� l� '1 C: C C� ��V k C, V , [..�%C�. �_ li� ���� c�a��t d�tiC �h.� e U)c a ice, , Identification Please Type or Print Clearly) OWNER: Name: Lkc + i G� - X I ' Ck Phone: Address: e- MITA T Ni^ � h { 15 ddr ;s' S°t� erus�r' t� lrwtrr�rl' IEirllt __. � +dni 4+ii M 2 ARCH ITECTIENGINEER_ A/ 4 _ Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $_5 "� _. __-FEE: $ S0 . Check No.: `'�_1.77 -Receipt No.: 314/'?_ ,_ NOTE: Persons contracting with unregister d contractors do not have access to the guaranty fund lgrr til ,of:Rg�nt'!�r 66ir [)1!c'��ure a�c�r�tr�le�or �- Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost 1 $ 529500.00 m $ - $ 630.00 Plumbing Fee $ 78.75 Gas Fee 100 comm. 100,00 Electrical Fee $ 78.75 Total fees collected $ 887.50 18 Equestrian Wayj 7737-2017 on 1/25/2017 j Kitchen Remodel j I 1 i 1 1 NORTk own of � :TAndover No. - LAtSE h ver, Mass, • 7 COC KIc"t WI C K x.45'VA E C, U BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System �� ,��� 1 t !9 !,010j,tv So* R 9 BUILDING INSPECTOR THISCERTIFIES THAT ...lX= ...........:... ............. .w�►...... ....... ��..,..............................I................ Foundation has permission to erect .......................... buildings on ....�. .....00.0ov.1..�!..^. ....... ......�........ .�. ® Rough to be occupied as ....Ivt 1�.... .a. C f .. ....... t!!�!^'.! ��!+� ..I....Al" 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Fina] PERMIT EXPIRES 16 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION XTS Rough Service .. ..I........ ..... ........................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Qccugy 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. ,`I7ae Common'Wealth of 1"s8achusetts Deqva-Vt ent of IlIdustrialAceldents Street,.�`r ite 100 - k 1 �`ang�e�� Bostov. AM 02114.20X7 cwwo.mmss.go•ptdia eazsa•f,�o•�t7ns`�x'a�.ce.A,�cla�.t:�3��ex�/�on�actoxsll+xec�tacia�sl�'I�n7�ers. Wovirers= Coxae , TIM:P-H 1Y�-C'xt NG.A�(3�`foxt WY TGB��I7DWXZ`� AMeasekxiaxt :L 'bI. '•licant:fxafaxxxxatioxx ' a v ((t3usxnasslOx'garia�'atioz�lIvcli�ic'ival):__�� Name .-----,---- . C1 /,State%2i�: ��1°3�.e� � �..;x�., n vec3. , _ e T"B otpxojec (vel )_ ,Are yo u an employer?C,*fieck t ie appraprlate bGx: , ons" 7. El 'ev cd— on LEIT am a empiayer with,______�roPZayees(full and/or part-�ime).�* , $. emodeliiag 2y ama1100 n'IMP" soleprapzietozozpartaersh%fiance zeuuyoes�rarkiugazmein dj 9 �opTtTOZi any capacity.LAGvaarkers'camp. rla9ng atl�warlcznysell;:i�Gworkers'comp,insurancexGquired.]x 10 F]Building addition 3.L—]1 am alrameavrnez contxaetozsto conductaltwork onrnypropezty_ xvritl i FieC jc i� s o7 dclrlitl.9�ls 4.11 am ahazneownar arrdvritl be hiring !_J ensure that all contrarkois eitherhave workers'compensation.insisrauo or are sole 12_ ;1?1=1)ing xepaixs o:-additions pzolActom vith- o' ,-,Vv6yees, 13,� ioofreiiairs 5.[—:]I am a genorat canttaotox an(i f laavo hirecdth©snb cantzactors listed on the attached sheet. ^ ghesesub-aantraGtozshave employees andhaveworkers'caznp,insnrance 1�. ]MOIL �,�We aro aaozpar boli audxts:nffic(-,,-m ,rve e,,Wisedtheh:1i91`t ofexeraptiaRperlvlCzL G- tci ees NGvrorkers'romp.3nsuGancerequired_-1 _ _ ---- 152,§1(4),,and�va�ava no y . .L _ theirworkGrs'compensatianpolicyinfolmatiom Y$Pphca�.t 4 P ;bbk*l must ilso fill out ft section bala r showing i fomeawaers who snbzait this aEtrdav%t indiGatingthey are doing all.wGrk audth"hire outside cantractazs must submit a new affidavit indicating such. autraGtazs that cheekfihi bf the sub �fcziause attached.an additionalsheat vide their wo-wig t1lo x er�b azaP•P licy-conawnb�Gtois�d statdv✓hatlaer ornatfihasc emit es have employees. Iftho sub-contractors hav eznP1ayee, c3' _ =— o�t7zat zsp�`avzc�zr�g-�vax-7cP)'s'carnpe�csattcrr'insrZx'(cnc-,�ar any employees. .C3e�aw is t1a�,paliey aradjobszte x am�n erne y :fnsxxrsnao Comparay' 7ame�_--------_ Expiratio:nD to-- _ pc cy#ox — __ y/StateMp:_. -- Iob SiteAddxess: -- the olicyxtxxxnber axial expiratioxa date)- Atta.ch a Copy`of thevsxaxlxexs' eo peosatxon cltcs 152CY cS LSA is a3 c ixr naly aatior�.punishablo by a fifie up tO$1.5500.00 kailuxe to secure cov'erai;e as xeciuuircd undex IytG7 ,§ S IOt'WORD t7 'U R.aUd amine ofui to $2,50„00 a and/017 one-yea Ixxisorunent,as'well.as ci-VIIpenalties infhO toxin Oda tlx a violator.A COPY oftbis stateraen:t may bo forwaa:ded to the Qfl tce of fnvestigatiO7as ofthO DIA:dor insurance day-against _ — coverage 70fificatlOn- '�� � that the,zn at on Wdedabove is tru.and correct crr�der A aims r� �ca�ties of�ex;1��y I cjo heura�y ce ti y ----- ___ �— CJfficicaZase axary Tia ot-WIlte In 11,b area,to he completed by city ax{to wXi official. Fermff/Mcense#f.._� - - City or Town, Xssxxixig atlzoxity(circle oris): y < i ector 5.Plxunbixxg XxtsFectax 1.Board ofliealth 2.$xxi(ding:f)epartozezzt 3,C.xty!Cowxz Clerl �.BlecEx3eallnssp 6.Offier Coxrta Proposal Noreast t3ifilder5 To.-Hiroko and Yuzo Shida 37 Ashlawn Farm Rd 18 Equestrian Drive New Ipswich, NH North Andover, MA 603-554-7,92 7 Furnish the following for kitchen renovation Permit. Dumpster 1,000- Demolition, cabinets, counters, pantry, flooring 3.500. Larger 2 Andersen casement windows above sink. new header 3,500. New triple Andersen casements at dining area 5.000. Patch walls and ceiling where affected by demo 3,000. Paint walls and ceiling 1.500. New 3 1/4" hardwood flooring. Maple, oak. bamboo, or hickory, kitchen dining, hall leading to deck 8,500- Build corner wall at stove 1.000. Install chimney hood with vent hookup 1,500. Plumbing and gas work. Owner supplies sinks and faucets 5,500. Electrical work, supply 14 recessed can lights, move light at table, islands outlets, 2-puck lights, labor for under cabinet. (Per Dream Kit. layout) Owner supplies under cabinet lights 7,500. Cabinet and hardware install only 3,500_ Contractor's fee, travel, overhead 4.000 H'40ro 1VOV F/00-< fbA fRolvr 'V0,0jr '4"e-f-'A 4,2:r a 0 Forty Nine Thousand Dollars $49,000. # 572,, 5-&0 'Y3� To demo arid lay new hardwood in entry room and closet, add 3,500. Payment as follows:$5,000. deposit, then weekly progress draws Authorized signature Dafe �/-- i 7 Accepted by clients Dare 12 Accepted by Dare clients �� �. . .. ....,r .. f� �. . ........ 01/0312017 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 certificate holder is an ADDITIONAL INSURED,the policy(ies) 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 endorsements). PRODUCER CONTACT Trust One Insurance Agy,LLC Margaret Saari FAX PO Box 123 talc.No.Extt:603-899-9990 (AIC,No): 603-899-2338 PHDNE Rindge,NH 03461 E-MAIL ESS:psaari@trustlinsurance.com Margaret Saari INSURER(S)AFFORDING COVERAGE NAIL# INSURER A.Concord Group Insurance INSURED Charles Saari,DBA INSURER e Noreast Builders wsuRERc: 37 Ashlawn Farm Rd New Ipswich,NH 03077 INsuRE1i 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. INSR TYPE OF INSURANCE ADDL SUB POLICY EFF POLICY EXP LIMITS LTR D POLICY NUMBER MMIDDPfYYY YY MMfDDfYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 71 CLAIMS-MADE OCCUR 20005333 08107/2016 06/0712017 5()000 PREMISES Ea occurrence $ f X Business Owners MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- PRO PIOP AGG ❑LOC PRODUCTS-COM $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 300,000 A ANYAUTO 20005323 06104/2016 08/04/2017 BODILY INJURY(Per person) $ ALLOWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Peraccdent) $ XHIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $_. UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAWS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION I PEROTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETORIPARTNERIEXECLMVE ❑ NIA E.L-EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? --°---- (Mandatary in NH) E,L,DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ PROPERTY 3,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE YuZo and Hiroko Shida THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 18 Equestrian Drive North Andover, MA 01845 AUTHORIZED REPRESENTATIVE Margaret Saari I i 1�1J[f if if nl�J• •An�n�►Af1!'1AP9ATIA\i Aft_.-LLQ --�-�.-J I I I om -an L �rd n , � r � 2 CHARLES E'SAARI � � f 17 AS# LAWN FARM R NEW IPSWICH:NH � 3 Y W office of consumer Affairs & Business'Regulation 9- 15 HOME IMPROVEMENT CONTRACTOR.:. #SRegtratien 184818 Type ExporatMan 3/1M0.18 ind�u�d CHA -ESAAR1 CHARARI D AS.HLA IN FARM R z FEV1! i,F'SV�IICH, �nc�e�r�ec��t�ry