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HomeMy WebLinkAboutBuilding Permit # 2/17/2017 ... pbRTli BUILDING PERMIT Al „ ,6 C. I6�w° TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 7 �%�i Date Received 1 ' i ,q<o�,aM.�. 4SSRCIU`'E� Date Issued: IMPORTANT: A licant must cpm lete all items on this a e a Fill! ,�a�.,i..'�”���m,r�za•,?�.", ��,s,mK-.,.,�'+r..;,r�,����y>z.s'�.:.�s,�e✓:?,,��°rn�;.J',�',�,,;��o�.,�%'�-r"s��''�,,�.N,'t�,�G„¢5�t",qT',;e^y:"'.Y�9`,�_��'�'a,,+*��f�Y�3,'r�,,,°,.�,,.�'.:y�'�x�'-�ewC..'"''-<.a,.r,r. ,,..�.✓gi��"`�d-,',,,:�`����«�".r,."v,�^�B r^:��ewK,,.;,�y��''�..��',w�,�'?�'r�:ry�,..�-.�":.°'„n''��;"�^'�”����'ar'3:'='�',°�''.,�.s,..r�..:i:`^�5.��s?,'.'�,:,f�;�'�;.y.�9�,:�.�,�r%n�r.`a�^.,r'''r.,��.f�.rr��J�`�"'�rr":.""�„.s`=�-.��"c�2`ia,���3�c$.',.fir�,t,"�,..�..r'r:��'�F�a...yak;J�°�.���%/'„�?;:.'w",`-^",`-�^�y.��,�,,,.'�r'.''�;J�"�-,srte+��"f'c�a'.7��-�,.•'a:'c�"���-�^�,:,:�d����"��,�,�'.`R""r�s^�qa5�"s�r,'"�r'^.""Su�.,,✓✓,;�,cf;,,.�r+',"����✓a�.,.�.��%G.":.�2C%"aFa�?"�f�,:��!u�'''�`,MC,,,✓.,ar6'te'�,,��-,'��i',�:�"'";,Yf.�'.,,?�.`;'R,rw%��r'rt'.�.,'�'�^3,',��'`r���.-�✓�.��./,",.1��ir�,',."'�,�;r-�,'sJ,!1,','r""4.���,lw„5rcr��,u.�.�r�,✓�'�r�'•hrc,,')s<..r�,rrc !G;_ s'•ar-r CORE w, TYPE OF IMPROVEMENT PROPOSED USE Reside al Non- Residential ❑ New Building ne family [IAOtion El Two or more family ❑ Industrial kAlteration No. of units: ❑ Commercial [,--., Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other w�u,„ ,z �, �,,.,, �„F?,t. ✓'� :. :�' :� '�"u �:�,r xT.✓,� �rr r.,- .,.r r;�^- ,vim�' y!�s'� e � " ,� z �'" .=, �lr,:t."r� ✓ F.s�?.��^. G �s"' ,,���i.-' x ��v�"'� �M �4�Fi� •r'"" ''n r' �"�� .,; .^;,s""': :Y.w � ��p",:.��^,�,v����n�t`��N�^�f�,'�`r,r".^.^c's'a�''�� �?"';✓rr. �J��� ,i�� a,� r .. 2r".',r� �'p".M"�"%�,`�,� y r�,a �'r. rr�� z ', �``�"a ^a.r ��.>'tcr��"����� �..,����� r.b �,,"...r�n ���.ra„4�w2��r✓'���arr.�.�7.��� �" :��' a ti',JYf,�r s v,+-"�;:�'�'�h✓�=;Y�R� �.�:�/,,,✓� ✓�: 'r' ,k Identification Please Type or Print Clearly) OWNER: Name: d r Phone: Address �,,.�r ��„ �� ."'rC �� ����� ��' '0����'cv'�', ✓ 3"�,%.,:;�„rLr �� �. :"c" cam' �%Y''��� ..sem �a ', '," �"" �:�,.,-.�rM < -, 44..�= i ,-"�.� �s C p �'' �,, �S�.� �'` �' rte,,ti '�.� "�� l yt'�� :,�,'�..,,'.n�� � � �.a� r.,� .� `•.,.., �':;�r �' .r ;� f �, � n .. .s v '�'�'r'. .,f �"•�w .� a��..."u�.r' -,.v"�, �.m r"'�'r^ r�''� �� °c`m+€^�w 4�.,.,:•:3r�. a�,r- :✓�.��",R�r �`."`''.,F ,:: t• l� F �✓� 'A "�`'���� �� o-�` � -� i�,,;'.� �ee� �€ ��,°"Y��`�,�: 9�' m`�.,���gc'�u w'��' .�-�'' '"`��`*� ,'1p?L�, .,,�� � F, r,. ;✓ °�;-., ,r :,,,�✓'�c�r��r;;'��.�.?�if "e".�yw '�;�'^a��-'`' 9�',.'�;;1�"a '�'a��� „uF� s`',,-G��„ a r � �^.,� " ��� j (.�,.�^ „w�,, .,'xa,,.. --:rnG��.� =^�' �' Gb.�i��: k'�Fi/r ?w� .-.. ,r.% s� �?u::� y ,tee+:: ." ,. �.,.," .s�v' �-• �'°� � ,, � .. %,...C�.zr�:�`„�r�'1 v�., rn,.,�.:�:�, .�>• �rr�.e>�s. r�c� �'�"�.�.'r'/� ,�'"'- ���"' y:�,my��.,��?Y.��Q�,� .k"'2"r.��'� �,c�., c c F -r-�:.,,^��.Lw, ''�x���:.'.,�� � �z;'.r � xN'J`v l� '�' ,! ...,f",w,, ,,. ��. ,: �t.'�.-,, : ,.- •ru �an 9�s� �y �"��f �v.r .� ,. „ �»,.,-,.'sem r r:s <r�t s xK: ARCH ITECTIENGINEER��� Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST qASED ON$125.00 PER S.F. Total Project Cos : FEE: $ Check No.: `- �' f y Receipt No.: �i�° NOTE: Persons contraciin it nregistered contractors do not have access the guara ty fu t1ORT#jTown of i at, 6 Andover ® — wY 0 No. Mass O LAKE .t 9 Loc"Re KRWICh ver, 40RaTED P� C-7 S U BOARD OF HEALTH PERMmmlT T LD Food/Kitchen Septic System THIS CERTIFIES THAT f"#U0. . BUILDING INSPECTOR ' has permission to erect ............................ . buildings on ... V�!., .� . . .. ....C-Al.... Foundation � Rough to be occupied as .........� ,�......C.fq;;��.....�i!I�.Ai,,�a�1�..�...mA..�.... 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 �s Final PERMIT EXPIRES I MONTHS ELECTRICAL INSPECTOR. LESCTI T Rough Service .......... .... .. ..... ...... .. ...... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to.Occupy 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. r February 16, 2016 Naga & Shoba Donti 48 Huckleberry Lane N. Andover, Ma. (5reYb Addendum - A We at Marlowe Building & Design, Inc. are pleased to submit a proposal for the following: REMODEL SECOND FLOOR GUEST BEDROOM AT ABOVE ADDRESS, AS PER PLANS AND AS FOLLOWS: PLANS AND PERMITS • All building permits supplied by Marlowe Building & Design, Inc. • All construction drawings supplied by Marlowe Building & Design, Inc. TEAR OUT • Remove Existing closet and closet door • Remove existing flooring • Remove ceiling (unless blown in insulation exists) • Remove existing window rear window and relocate to owners preference FRAMING • Frame new closet as per plan • Frame new window opening as per home owner using existing window ELECTRICAL • Install wiring, switches and outlets where necessary as per code • Install one new ceiling light fixtures (owner to supply fixture) INTERIOR WALLS • Install R-13 Insulation at remodeled window area • Install 1/2" drywall to interior disturbed wails • Tape 3 coat's & sand interior walls Marlowe Building&Design I Office&Showroom 404 Middlesex Rd.,Suite 1,Tyngsboro,Massachusetts 01879 978-649-85701 FAX 978-649-8572 CEILING COVERING • Install 1/2" drywall to interior disturbed walls • Tape 3 coat's & sand interior walls MILLWORK AND TRIM • Install new Bi-parting solid core smooth Masonite door • Install baseboard moldings and trim similar to style of rest of house • Trim moved window on exterior of home FLOOR COVERING • By owner PAINTING • Interior painting to be completed using Sherwin Williams or Benjamin Moore materials • Paint all doors,trim,ceiling & walls • Paint exterior window area CLEAN UP • Removal of debris and cleanup of space to be completed by Marlowe building and design. SPECIALTY • Relocation of fire sprinkler is not Included in this quote wall we will need to be opened to-view this area REMODEL COST: $7,500.00 PLEASE LET ME KNO WHAT ARD ARE FINISH YOU WOULD LIKE t� L- - Thank you for allowing us. to quote your work Sincere , eter D riowe Marlowe Bldg.& Design,I C. Acceptance Date P � 1 0 — / I Marlowe Building&Design!office&Showroom 404 Middlesex Rd.,Suite 1,Tyngsboro,Massachusetts 01879 978-649-8570/FAX 978-649-8572 a� N m u� LU tDrn n 1 r -U - � � r zt -4m - 7,1 W � -� 1 2 tttid , © z -y kp 60 W 4 k - M _ m 101" r a lie oy, c� i Marlowe Buuding a DesignDonti Bedroom Remodel PAGE: 258 West Manchester St. SCALE: 1/4" = 1'-0" A- Lowell, MA 01852 DATE:Wednesday, January 25, 201 (P m tf� t* C4- 11 tn l V � �3"" �5" 3�a " 241 1 Q 2"r 7$12 a C4- 6 m = F - f z 1 , r qC I � LW f f 20)/ ` Marlowe i3ulldinq R G®sG n Donti Bedroom Remodel PAGE: 258 West Manchester 6t, SCALE: 1/4" = V-0° !-await, MA 01852 IDATE:Wednesday, January 25, 201 %3/ i The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 0.2.1.14-2017 www.mass.gov/dia Workers I Compensation Insurance Affidavit:Builders/Contractors/E,lectricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY, Aimlicant Information / Please Pri ibi Name (Business/organizadonllndividual), Address City/State/Zip: is�.t l_ in P2_Phono#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am a employer with emplayecs(Rill and/or part-time).* 7. ❑�A�emodeling onstruction 2Q am a sole proprietor or partnership and have no employees working for me in $, any capacity.[No workers'comp.insurance required.] In I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. El Demolition 10❑Building addition 4.E]I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12,E]Plumbing repairs or additions 5.Q I am a gene ontractor and I have hired the sub-contractors listed on the attached sheet. 13.Q Roof repairs �Thascontractorshave employees and have workers'comp.insurance? �1fi. rporation and its officers havo exercised their right of exemption perMQL c. 14.�I Othet' 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#I must also till out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that checkthis box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have j employees. If the sub-contractors have employees,they must provide their workers'camp,policy number. I am art employer that is p•ovidirtg tvolhers'conrpeitsation iiisuraisce for'rrty employees. Belaiv is the policy and jab site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL 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 j day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance E coverage verif on. I do l:er'eb certify urtd'er•the atns n erralties�ofpeiyuliyy tat the information providedabove is true and correct. --- Si Hato ate, Phone J z otf Official use only. Do not iyr•ite in this area,to be completed by city or town official. 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#: MARL04 OP ID:KN CERTIFICATE OF LIABILITY INSURANCE DATt:1191YI ���• 05[99f201609ti THIJ 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 certlflcate doers not confer rights to the certificate holder in lieu of such endorsemen s. c NTAc PRODUCER NAME' Stephen J.Szozepanik iris. (PX ot1E 8=8-4343906 .978464-93T6 479 Aiken Avenue ° Dracut,MA 04826 AOORe : INSURERS AFFORD)NOCOVERAGE NAIL# INSURER A.Commerce Ins 34754 IN&URUD Marlowe Building&Design,Inc 1NSURBRB:Harle evllle Insurance Company 237$7H 258 W Manchester St INBU C; Lowell,MA 09 852 tlasURER a INSURER E: INSURER P COVERAQES CERTIFICATE NUMBER: REVISION NUMBER, THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TWE 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. rM—199R— TYPE OFINSURANGE POLIOYNUIdaeft MMiDD 0 1iMlT6 gC0MldERCUS QENERI4L LUU9ILITY SACH OCCURRENCE $ 9.000,00 DAM CLAIMS-MADE D OCCUR SPP35300J 0410812046 041D812047 ER {lei=s Ee° - $ 400,00 MED EXP An one eraon $ 5,40 PERSONA!&ADV INJURY S 4,DDD,DO GENERAL AGGREGATE $ 2,000,00 GEN'L A'GREGATE LIMITAPPLIES PER: ©00 DO PRD- LtlC PRODUCTS-COMPIOP AGG $ , POItoY d>CT S PYRE coiBI de0n S NGLE LiMfT $ AUTOM0131LE UABIUIY A � ANY AUTO BB4ZIIR 04/2712076 0412712047 BODILY INJURY(Per palson) $ ti00,00 AU74$NED x At1TOSULED BODILYINJURY(Par acd,leM) S t10,UC x NDN-OWNED perraccidanp MAGE $ 101},00 X HIREOAUTOS AUTOS $ EACH OCCURRENCE $ UMBRULLAU OCCUR AGGREf3ATE $ kXCESS UA9 CLA1M5-MADE DED R EN ON P R EOTH WORKERS COMPENSATION AND EMPLOYERS'LIABILITY E.L.EACHACCIDENT $ OF�FIORRRdEEFrOER�� SER CUTNd Y❑NIA E.L.1318FASE-EA EMPLOYEE S iMandatory In NHi E L.DISFASE-POLICY LIMIT $ !#yas dasarlba under 0�e �R N O OPE T70N5 ba1°w DS:SCAIP7ION OF OFE1tATItlH3!LOCATIONS I VEHICLES(ACORD 101,Addlit°nal Rama*s Schedule,may be athched H more space ts>Bq+dr�) CERTIFICATE HOLDER CANCELLATION MARLUW SHOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE gXpIRA71ON ACCORDANCE WI H THE ODATE L CY PROViSIONS.E WI41, BE OEIR IN Marlowe Sullding Assoc.Inc. Peter Marlowe AUTHD REPRE88HTATNE 268 W Manchester St Lowell,MA 09852 486 04d RD CORP ON. All rights reserved:. ACOR[?25{2094104} The ACORD name and logo are reg[s erect marks ofAGORD 06.27,2016 21:28:27 Bit Insurance 0190 ID 17647865 1/1 CERTIFICATE OF LIABILITY INSURANCE DATE(MMiDD1YYYY) .a�(7RD 06/27/2016 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(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). PRODUCER NAME: ? BATES FULLAM INSURANCE AGENCY, INC. D IL PHONE e € a c Nn: 975 Elm Street AADDRESS: INSURER($)AFFORDING COVERAGE NAIC 0 West Springfield MA 01089 INSURERA: AmGUARD Insurance Company 2390 INSURED INSURER B: Accuservice Corporation INSURERC: 2336 Brlarwood St INSURERD: INSURERS: Port Charlotte FL 33980 INSURER F; COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFYTHAT 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. !NSRKIMPOLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER t lll0 MIDD} GENERAL LIABILRY EACH OCCURRENCE $ 07NA Iota COMMERCIAL GENERAL LIABILITY PRE M€SES Ea occurrence $ CLAIMS-MADE OCCUR MED EX'(Any one person) $ PERSONAL3ADVINJJRY $ GENERAL AGGREGATE $ GEN'LAGGREGATE LIMIT APPLIES PER'. PRODUCTS-COMPlOPAGG POLICY I I PRO- xCT LOC $ COMBINED SINGLE LIMIT AUTOMOB€LE t[ABILnY Ee accident BODILY INJURY(Per person) $ ANY AUTO AUTOS AUTOSEULED BODILY INJURY(Per acadenll $ NON-OMED PeracadenDAMAGE $ HIRED AUTOS AUTOS $ UMBRELLA LIAO OCCUR EACH OCCURRENCE $ EXCESSLIAS CLAIMS-MADE AGGREGATE $ $ REp RETENTION$ K VJCSTAT�- OTR- WORKERscOMPENSATION R2WC762775 6/14/2016 /14/2017 A AND EMPLOYERS'LIABILITY EL,EACH ACCIDENT $ 100,000 ANY PROPRIETOR)PARTNERIEXECUTIVE Y f N NIA OFF€C:ERIMEMBEREXCLUDED7 E.L-DISEASE-EAEMPLOYE $ 1001000 (Mandatary in NK) it yes,describe under E.L.DISEASE-POLICYLIMIT $500,000 DESCRIPTION OF OPERAT€ONS below DESCRIPTION OF OPERATIONS!LOCATIONS 1 VEHICLES (Attach ACORD 7011,Additional Remarks Schedule,If more apace Is requlred) CERTIFICATE HOLDER CANCELLATION Marlowe Building &Resign SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL SE DELIVERED IN Attn: Peter Marlow ACCORDANCE WITH THE POLICY PROVISIONS, 258 West Manchester St Lowell,NIA 01852. I AUTHOR€2E0 *,,, 9988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD —4= Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration - Registration: 122415 Type: Private Corporation Expiration: 8/30/2018 Tr# 291496 MARLOWE BUILDING & DESIGN INC PETER MARLOWE e 258 W. MANCHESTER ST LOWELL, MA 04852 Update Address and return card.Maris reason for change. Address Renewal ❑ Employment 0 Lost Card SCA a Office of Consumer Affairs&Business Regulation License or registration valid for individual use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: T B; Office of Consumer Affairs and Business Regulation i Registration: 122415 YP j... 10 Park . - 5174 Expiration: 8/30/2018 Private Corporation Bos ,MA 02116 =� MARLOWE BUILDING&DESIGN INC PETER MARLOWE 258 W.MANCHESTER ST LOWELL,MA 01852 undersecretary Not valid without signature Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-048623 Constr:iciion Supervisor DAVID G DEGAN 258 WEST MANACHESTER STREET LOWELL MA 01852 Expiration: Commissioner 0610612018