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Building Permit # 2/17/2017
0ORT11 BUILDING PERMIT 0 TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: 1'7 Are i CHU IMPORTANT: Applicant must complete all items on this page rr /r/ 'g rr g TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 0 New Building One family El Addition D Two or more family 11 Industrial LkAlteration ` No. of units: n Commercial El Repair, replacement 11 Assessory Bldg 11 Others: D Demolition El Other ta �c oll Identification Please Type or Print Clearly) OWNER: Name: _7bx-)�"' Phone:, J Address: glf"- 0/31/1/ ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:SULDING PERMIT:$12.00 PER$1000.00 OFTHE TOTAL ESTIMATED COST BASED ON$125.00PER S.F. Total Project Cost- $ ,11)(",/ '�?)o FEE: $ '31 Check Na.; to Receipt No.: 3 NOTE: Persons contracts wit unregistered contractors do not have access to the guaranty fund ,co ctor, wne �Sigrtature,of, Sio,hatorp ,fA91140""Q ntra Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Pians ❑ TYPE•OR SEWERAGE DISTanning�lVlassageBady Art P. Public Sewer Swimmiug Pools ❑ ❑ Well ❑ Tobacco Sales ❑ PoodPaekaging/Sales ❑ Private(septic tank,etc, ❑ Permanent Dempster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Si nature COMMENTS HEALTH Reviewed on� Si�nature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decisionlreceipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Nater &Seer ConnOG'tiOH1 1 nature date Drivewa Permit D_FW`I'owj Engineer: Signature: Located 384 Osgood Street FIDE'CEPA'RTME-WT` �-Temp Dumpster on site y .s* no Lbcated at-124 Fair,`Street- Fire Deli rfimer'if sighature1date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A-F and G min.$1O0-$1000 fine DOTES and DATA- (For department use -46 i E B Notified for pickup - Date c.Bitildiug Pormit Revised 20 1 0 F Town of �®K r" over _ hof ver, Mass C. 4C. � �d RAYED 7 U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT .T0 ... 14 �... . ,.. ................ Foundation has permission to erect.......... Rough (b .....buildings on . ItO....A.Mlb,. APL..,•• .. A��°°'''� I .,i.�....,./ ...... � .. Chimney to be occupied as .. po ... .,...15s. .. At v® .. 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 PLUMBING INSPECTOR Construction of Buildings in the Town of North Andover. 46-1 T01bjU s 1fI> Yr S s��� rp t Zl y n S "0' Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN T S ELECTRICAL INSPECTOR UNLESS CONSTRUCT Rough Service ..... .... ...... ........................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancv Permit Required to Occupy Puildin Rough 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. Ted Grab Interior Renovations Advanced Basement Finishing 1029 Humphrey Street Swampscott,Massachusetts 01907 781-430-0415 781-454-5609 M18}.1,-g54y5p4-560yy9'e/(gcfelgly)y q6 J.9. ���p ypi Y�o 1n�Ym Exp 140 —Ex 12/17/2018 � MA Home Improvement Contractors Registration 838 stration# Construction Supervisor License#89566—Exp 11/24/17 Proposal To Renovate Basement 1/28/17 HOME OWNER: Iroso & Tunji Onamade 1.80 Amberville Road. North Andover,Massachusetts 01845 PROJECT DESCRIPTION 1. Areas to be created in unfrni__ basement CONTRACTOR SHALL supply all new materials needed to erect, according to State and Local Building Codes, build all walls along walls to create and finish areas as designated on scale drawing. The areas are as follows. Family Room/Home Entertainment Area Work-out/Exercise Room Y Office Y %Bathroom Utility/Furnace/Storage Room c ` ➢ Under Stair Pantry ➢ Sprinkler Room/Hot Water Closet ➢ Electrical /Plumbing/Storage Room 2. Ceilke and So rt Pre aration ❑ 1" x 3" spruce strapping shall be installed (as needed) on ceiling joist 16" on center to support weight of new drywall ceiling. 3. Wall Structure ➢ Contractor shall make wall aa�l estructuretions sshaliibeted buil(approximately s c according to st to needed) as on scale drawing. All w &local building requirements. 5. Insulation & Wall Wrap ➢ All exterior walls shall be insulated so that all living areas and spaces are insulated according to code(as needed). The insulation value is R 13. ➢ To control moisture on partition walls that are directly adjacent to concrete wall, contractor install house wrap material on the back of partition walls 6. Steps ➢ Contractor shall open an angled wall on stairway to create an open feeling 7. Electrical Work )0- A Massachusetts Licensed Master Electrician shall perform all electrical work.This project shall include the following. ❑ Up to 16-6 inch recessed lights in living areas. ❑ Up to 5 switches to control all recessed lights. ❑ Light fixtures for all unfinished areas separately switched. ❑ Up to 2 cable/broadband wall connections. ❑ Electrical outlets through living area per code. These outlets are controlled by a GFI(ground fault)breaker. ❑ Sufficient electric baseboard a eashall thermostat tocontrol heat and installed. Each finished room shall have separate individually. ❑ A separate and additional charge will be assessed in the event an additional sub panel is required to accomplish this electrical work properly. 2 n The cost of electrical breakers cannot be determined until the electrician is on site. This cost will be allocated and billed when electrician has com leted his work. 8. Finished Walls Ceilin s & soffits ➢ All walls, ceiling and soffit of finished areas shall be enclosed with % inch "blue board". ➢ All blue board shall be veneer plastered to a smooth finish on walls and ceiling. 9. Doors ➢ All hinged doors shall be"b PANEL" ➢ All doors shall include standard hardware and doorknobs. ➢ All doors to be installed with casing similar to existing casing an the first floor. IO.Baseboard Door/Window Casin ➢ Contractor will supply and install new baseboard,doorlwindow casing for all finished areas. II.Plumbin ➢ Contractor shall install and supplied macerator toilet and create new pumping and draining system. ➢ Contractor shall create new water supply line for toilet. � Contractor shall create proper drainagenf water upp line for sink. ➢ Contractor shall create new hot a ➢ Contractor shall move hot water heater as indicated on scale drawing. 12.Fire S dffklers ➢ Contractor will engage a licensed Fire Sprinkler Contractor to provide the necessary fire protection tasks.These tasked will include changing all 3 sprinkler heads in newly finished areas and installing new heads as needed. The contractor shall provide an estimate to the homeowner and this sub-contractor shall be paid directly by the homeowner. 13.Materials Su lied 6p Contractor ➢ Contractor will supply and install all materials and fixtures. However the fixture listed below shall be supplied by homeowner and installed by contractor. u Bathroom sink and faucet o Toilet and Toilet seat R Shower base and Shower Walls Bathroom Tiles,grout,marble threshold,the adhesive 14.Eloorin ➢ Thos proposal allows for no flooring. ➢ Contractor shall install ceramic tiles supplied by homeowner for bathroom floor. 1 S.Paintin ➢ This proposal allows for no painting. 16.Permits ➢ All permit fees shall be reimbursed to the contractor by the homeowner. Homeowners acknowledge that 3 permits are required: Building, Plumbing and Electrical. 17.Scale DrawiMg ➢ Scale drawing attach shall be construed as an integral part a and the proposal homeowners and agreement. All measurement are approximate acknowledge the changes may be required due to building codes and obstacles in the unfinished basement. 4 I8.Provisions ➢ Homeowner acknowledges the following and hereby agrees to abide by these provisions: 1) Reasonable access must be made to the premises during working hours. 2) Working hours are from 7:30 AM through 5 PM on weekdays. Contractor may request the option of working on Saturday with homeowner's approval. Said approval shall not be unreasonably withheld. 3) The basement area is a construction site,therefore, children and pets should not be allowed in this area. 4) All personal property must be removed from construction site and contractor shall not be held responsible for this property. 5) Quite often, communications concerning the project and questions regarding the project will be done via "E-Mail". Homeowner agrees to reply immediately and acknowledges that these communications shall become a part or a change to this agreement. 6) Homeowner authorizes the reasonable use of bathroom facilities. 7) Homeowner is responsible to remove snow so that contractor shall have ['. reasonable and safe access to work site, for entry and delivery of tools and materials. 5 Project Investment $�0 ➢ Payment Due with Agreement $ 1000.00 ➢ Payment Due when Project begins $7000.00 ➢ Payment Due when rough Electrical Work begins $ 7000.00 ➢ Payment Due when Blue Board $ 7000.00 Installation begins ➢ Balance upon completion Commencement Date 4w) Project shall begin on or about and shall be completed on or about �S� .These dates are approximate. ccept by: Date: Iroso Onamade Accepted by: -- Date: Ad Tun'i Onamade Accepted by: Oil Date Ted Grab 6 _.-- .42'5— —.�. —.. 18 rn bo UNFINISHED FURNACE/ STORAGE AREA smoke detector —--�—�— — d M -T10 �r cn D �. 127– UNFfNISHED HOT WATER/ SPRINKLER SYSTEM CLOSET d' FAMILY ROOM s- O WORKOUT ROOM d' smoke detector _ ti O UP C0 smoke detector'--- etector existing do r OFFICE ao —electrical pane! -- 42'5-- ---.. —. _— — dimensions are approximate 42'6—.. .—._ —. —. —_�—. 2'- rn ro UNFINISHED FURNACE! STORAGE AREA cl) .1'10 v m -- -�,—127— UNFINISHED HOT WATER/ SPRINKLER SYSTEM CLOSET rn FAMILY ROOM v i` woRKour IxooM a Zn LEP --5'9exisfin�c�daor OFFICE T 15'11--- -� 42'5---- —.—. dimensions are approximate -2' m co UNFINISHED FURNACE/ STORAGE AREA smoke detector — —�� m E v o� rn ,... 127-- UNFINISHED HOT WATERT SPRINKLER SYSTEM CLOSET a FAMILY ROOM d WORKOUT ROOM ODOD smoke detector O OFn P 6'- —^ smoke detector existing do r CQ OFFICE electrical panel —.. _ dimensions are approximate Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Swimming Pools LlPublic Sewer Tanning/Massage/Body Art Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private{septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED F PLANNING & DEVELOPMENT ❑ s w COMENTS CONSERVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH F] COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer ConnectionlSi nature&Date privewa Permit Located at 384 Osgood Street 77 FIRE DEPARTMENT Temp Dempster on safe yes no i orated at�24 Matt St+rat IF. treldate r✓OMI+p�NTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$10041000 fine NOTES and DATA-(For department use) p Notified for pickup - Date Doc.Building permit Revised 2012 The Commonwealth of Massachusetts Department of IndustrialAccidents tl1 Congress Street,Suite 100 Boston,MA 02114-2017 ,r Iww{v.rnass,gav/ilia Workers'Compensation Insurance Affidavit:Builders/Contractdrs/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. A' licant InformationPlease Print Y e ibt Theodore Grab Narne (Btisiness/Ot•ganizatien/Individuat): --- Acldress: 1029 Humphrey Street City/State/Zip. Swampcott, MA Phone#: 781-454-5609 Are you an employer?Check the appropriate box! Type of project(required): I.--]tarry a employer with _employees(full anchor part-tune).* 7. New construCtiOl, 2.�Am a sole proprietor or partnership and have no employees working for ole in 8. remodeling any capacity.[No workers'c'imp.insurance required.] 9. ❑Demolition 3.n I am a homeowner doing all tvork thyself.[No workers'cornp.insurance required.]t 10 r-1 Building addition, 4.F_11 am a homeowner and will hiring contractors to conduct all work on my property. twill 11 1❑�Electrical repairs U1`additions that all contractors either have workers'compensation insurance or are sole proprietors witirno employees. 12.[]Plumbing repairs or additions 5,❑I rill a general contractor and]have hired the sub-contractors listed on the attached sheet. 1.3.❑roof repairs "I'hese subcontractors have employees and have workers'comp.insurance.t 14.©OtItCC £r:n we are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no erhployces.(No workers`colnp,insurance required.) *Any applicant that checks hal N l must also lilt aur the seetian beloev shaving their workers"compensation policy information. } fi t{at71CaW11CrS Wha Sa{7'mt this aflldltvt(111dICar111g dldy arG({41'lg all Wtlrk and!➢It'n lure onis'de contractors must Submit it new affidavit indicating such. tC.a[1lraCttlfS plat CIICCk,Ills t>aX'ittlSt atttlGllC({an additlnnal Sheet Slla441ng the nAlnl:of the sub-contractors and state whether or'lot these entities have employees. If the subcantrnetotx have employees,they trust provide their walkers"comp,policy number. I artl an estlrloyer that is providirtg workers'corrrperrsativrl insurancefor my employees. Be/ory is the policy andjob site inforinatlon. insurance Company Narne:__--_ _ —� Policy#or Self-ins.Lie:#:_ __.-----.—_._—_ --_._ Expiration Date: ---.— Job Site Address: City/State/Zip: .__T__ Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration bate). Failure to secure coverage as required tinder MGI.,c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a clay against the violator.A copy of this statement may be forwarded to the office of Investigations of the DIA for insurance coverage verification. V ( r 1 M ie f p f provided mlee adei correct. ersr f l 4/ Get Date: �' l I dv hereby ,tr r rider rite an �ra l ten /t er rrr that the rn orrnatronabove ve r r " y�_ p Official use on y. Do not ivrite ill this arca,to be completed by city ar WWI 09f icial. City or'Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person:_ Phone#: ATTN: Inspector of Buildings Town of North Andover , MA RE: 180 Amberville Road CONTRACTOR: Theodore Grab 1029 Humphrey St. Swampscott, MA 01907 781-454-5609 Significant Notes: ❑ Wall Structure: 2 x 4 kiln dried members, bottom plate shall be pressure treated. ❑ Finished Ceiling Height: In all areas will be 80 inches or greater. D Soffits and Duct/Beam Enclosures: In all case shall be 76 inches or greater. ❑ Insulation: R-13 Fiberglass with Kraft Paper Vapor barrier. ❑ Lighting: Entire living space will be fitted with recessed lighting ❑ Doors: All doors shall be a minimum of 30 inches wide and 78 inches tall. ❑ Finished Walls: All finished walls and ceiling shall be 1/2 Blue Board treated E with a veneer plaster. ❑ Fire blocking around perimeter joist and horizontally every 10 feet on 2 x 4 studs. I Owner Authorization As the owner or authorized agent of 180 Amberville Road North Andover MA, I hereby give permission to the following:Theodore Grab to perform work at aforementioned property. Said permission includes, but not limited to, acquiring all required permits and performing all work required to complete the project. i i _V ~- -- � January 29, 2017 AhTunji Onamade Mailing Address: 180 Amberville Road North Andover, MA 923745 Theodore Grab Certificate of Insurance (page 1 of 1) 021131201712:21:08 PM DATE(MMIDDIYYYY) A o CERTIFICATE OF LIABILITY INSURANCE 2113/2017 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 endorsement(s). CONT CT PRODUCER NAME: Insureon(BIN insurance Holdings LLC.) PHONE Ext 800-688-1984 No No). (877)826-9067 1101 Central Expy,South,Suite 250 E-MAIL insure�n Allen,TX 75013 ADDRESS: INSURERS AFFORDING COVERAGE MAIC N INSURERA: SecuritV National insurance Cam an 1 879 INSURED INSURER B.- Theodore rTheodore Grab INSURER C: 1029 Humphrey St INSURER D: — Swampscott,MA 01907 INSURER E: W 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. ADDL POLICY EFF POLICY EXP LTg TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDDlYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000'000 CLAIMS-MADE 171 OCCUR PREM SES Ea occurrence $10D,000 MED EXP(Anyone person) $-5-000 A NA106833002 101712016 10!712017 PERSONAL&ADV INJURY $1'000'000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2'000'000 PRO- PRODUCTS-COMPIOP AGG $2.000,000 ✓ POLICY❑JECT LOC $ OTHER: AUTOMOBILE LIABILITY Ea acBcilden 31NGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per aWdenl) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Per a0 ent 5 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ _ $ STATUT WORKERS COMPENSATION E FRH AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE ❑NIA E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? E,L.DISEASE-EA EMPLOYEE $ (Mandatory In NH) If yes,describe under DESCRIPTION OF OPERATIONS below P.L.DkSEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 1111,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover,MA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Building Inspector 1600 Osgood$t. North Andover,MA AUTHORIZED REPRESENTATIVE �( ©1988-201,4 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD