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Home My WebLink AboutBuilding Permit # 2/17/2017 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN. EXAMINATION Permit Nd: ..' I Date Received pate Issued: PORTANT:Applicant must complete all items on this page LbOATION Print PROPERTY CI)WNER. Pant _19U 'er old Stru Ye afore` � s . 4o ,,.MAP N(J: PARCEL: ZOl`�dINC DISTRICT Historic L�istnct MaGh�ne Shop Villeigg Y110_ nod" TYPE OF IMPROVEMENT PROPOSED USE R sidential Non-,-Residential ❑ New Building _.._ ne family 11 Addition [I Two or more family F1 Industrial iteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0 Septic q Well Cl Floodplain Li Wetlands ❑ Watershed District 0 Water/,Sewer o - DESCRIPTION OF WORK TO BE PERFORMED d _...__ Identification Please Type or Print Clearly) OWNER: Name: Aq Address: / 1 ee- 42g,_,V- 1 �v W GONTRAC-TOR Name,.. 9°n _- Ah am Address: r .n,0 Cees/ c � Supervisor's Construction License-. 550 Exp. Date- 9 `✓ Home lmp ovement License- a 710 Exp_ Date ` _" ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST"BASED OIV$125:00 PER S.F. p , (C - Total Project Ccs : $ FEE: $ Oheck. Na.: _ Receipt No..- NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund l . Si nature.of cohtrfi'actor Ss nature ofA i~ntlCJrnrner 9... g Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped' fans .......................................... ............... ...................................... T tAORTohi own o n over 0 to No. 17 W"q OWV4 h O LAKW ver, Mass, coc"Ic"awic It BOARD OF HEALTH Food/Kitchen PERMIT T%j LU Septic System THIS CERTIFIES THAT .......tMN.......a.Ard.SSLBUILDING INSPECTOR .... ................................. Foundation vshas permission to erect .......................... buildings on .... .... ....I ....... ....... .............. to be occupied as ..... 41�4 DA Rough .444..........73.41.1.a".0.......................................... '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 CONSTRUCTI STA Rough Service ........ ...9&7A ...... ...... Final 400 BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Rauired t® Oceupy .$ulldln 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. . . � � / w* ~� naouro^seov office 978-6e+4759 pobox aos fax e/*6641748 North Reading,maozno« uw@bmsseavcu^stmou"o.o,m proposal proposal submitted to- aumo date Aaron and Sacha Cote 149berry street North Andover, K4a 12/13/2016 2nd floor master bathroom remodel obtain building permits and pay fees demo work remove toilet, sinks and countertop remove shower stall and sheetnockaround unit including ceiling above treat any framing members with mold cleaner and sealer as needed remove rear wall studs nfshower remove sections ofceiling for new lighting/venting ofnew fans remove tile flooring down tosubf[oor framing work build onew stud wall inshower area making shower 12" deeper new size toba4'xS' build wall down approx. 18" across front nfshower toaccommodate shower door build a 3" curb at front of shower ventilation work replace existing exhaust fan intoilet room with Panasonic 110cfnn exhaust fan � install new insulated 4'' ductwork with inline backdraftdamper replace existing fan outside ofshower area with anew Panasonic [an 190ufm/ install 6" insulated ductwork with inline backdreftdamnper vented tnexterior, change existing 4"vent toe6" vent cover Vnexterior insu|atimnnxmrk- install new unfaced r 15 insulation with a plastic vapor barrior on shower walls add any insulation |nceiling asneeded tile preparation -f|oor-screw down existing plywood subf|oor install }6" duromkcement board undedayment cemented and screwed down and seams cemented shower area - - install arubber membrane onfloor and turned upwalls and over curb install plastic onall walls ofshower lapped over rubber install)6durockcement board nnwalls and ceiling ofshower install 1 pre made tile niche apply cement onall seams and corners tile - , install tile on bathroom floor with electric heat mat , 1 install tile on shower walls and ceiling ,tile wall niche(shelf) shower floor- install concrete with a tapered floor to drain, install tiles on floor install tiles around top of Jacuzzi all tiles to be owner supplied plaster work walls- install new%" blueboard on walls where needed and skim coat plaster ceiling—install new blueboard and skim coat with new plaster smooth finish to include toilet room plumbing work- disconnect toilet and reinstall after new floor disconnect two sinks , install new faucets and drains to sinks owner supplied sink, and faucets disconnect shower drain and valve, install new shower valve, new drain owner supplied valve drain and shower head relocate existing vent pipe in rear wall of shower electrical work replace two fans as noted above install 4" recessed light with led trim in shower area with switch install 4- 4" recessed lights with led trims replace 2 owner supplied vanity light fixtures install 20 amp 220 volt circuit and wall thermostat for floor heat supply custom floor heat mat from nutone ( cost estimate based on standard mat pricing price could vary once rep from company comes out to measure ] price we have is $1100 carpentry work- install vanity top, towel racks and accessories all owner supplied install base board trims where needed install raised panel woodwork on face of Jacuzzi tub install wood shiplap on walls around Jacuzzi tub and vanity wall install crown moldings around perimeter of bathroom paint work- apply primer coat on all new plaster walls ,ceiling ,any new trim and shiplap wood apply 2 coats of white ceiling paint , paint walls 2 coats , paint existing woodwork and doors 1 coat, paint any new trim and shiplap 2 coats of paint shower door—install glass shower door enclosure 5'wide and approx.77" high total cost for this work$ 24680 owner supplied items - the materials - floor need 110 square feet shower floor need 22 square feet, shower walls 125 square feet, shower ceiling 25 sq.ft countertop, sinks,faucets mirror/medicine cabinet , any light fixtures ,towel racks and accessories shower valve,shower head , shower drain i i Total cost $ 24680 all of the above work to be completed in a substantial and workmanlike manner according to the job specification s for the sum of-- Contract Price Twenty four thousand six hundred eighty dollars $ 24680 Payments of contract Price shall be made as follows- Deposit upon acceptance of this proposal $ 5000 When rough inspections are completed $5000 When durock work completed $5000 Upon completion of tile work $5000 Upon completion of work$4680 ACCEPTANCE OF PROPOSAL- The above prices, specifications and conditions are satisfactory and are hereby accepted .you are authorized to do the work as specified .payment will be made as outlined owner Contractor Total cost $ 24680 all of the above work to be completed in a substantial and workmanlike manner according to the job specification s for the sum of-- Contract Price Twenty four thousand six hundred eighty dollars $ 24680 Payments of contract Price shall be made as follows- Deposit upon acceptance of this proposal $ 5000 When rough inspections are completed $5000 When durock work completed $5000 Upon completion of tile work $5000 Upon completion of work$4680 ACCEPTANCE OF PROPOSAL- The above prices,specifications and conditions are satisfactory and are hereby accepted .you are authorized to do the work as specified .payment will be made as outlined owners C Contractor i a y d- I L � < s 4 1 VI el 1:61D V t � r l t f I R ] C PwoJf, y )�"5 f^"6,,(1 j f 1 1 l IF r eO { f —41 4_ �v k6 writ l5h-�� `u�� •to l��vi ( S S�r.--cry Guru l( •� �Lo(/� / � �r� Ate . y'he Commouivealth of-M'assachusetts Department offuldustriai Accidents I Congress Sfteet,S`uw; .100 $osjow,MA 02114-2017 wwpv.rnass.go-vfd!a Compensation A>r6'idavit:BuiJ�exs/Cary a oxsl 7ecEriczansl"i�€mhexs. -wavkerb,Comp G TO73F,Fff"�W�TUE�'�TTV P,]easepx t Z,e 'TaZ A licant Formation "i- aaizatioBli%dividual): 'Namo(BusivesslOig A.dd�ess: " Nona CitylStatelp; p 2 ,� CDI �` Type o9projeet(rec�nzxed) Arepou an eznplapex?Cheep Elis appxopriafe box: Cfio71 employees(full andlor part ftme). 7. El Nem cow Mlmaaeinploya-'�'Vl . g, emo delitilamasalepxnpa�vorkersa'rca p�irsnrance required.1eesvrorkng oxmsin 9. Dol lo�Itlp�? any capacity.[N 10 F]Building additi�a� 3.�IamahomeomnerBeingallvvorkmyse T.ovroAcrs'camp.3nsuzancezeg#u�zed3 ��x am a l�orneowraer aa 'vdUbb baring conizacfozsto corrdnci all tivurk onany pzoperLy I dv�111 i❑E]eGy'i]cai Sepata s o �d�ii of ,,urethat all eoatracfots eitherhavc Vorkere cozup�ation vasu[azrce or are sale 12�.Y1i%mb�g xepa�xs OS additions propltorswitb.no Wr)yees. f_ 1 general conuacfpr acid Sl?avehuedthesub-conizacfors lisfad ort fhe attached sheet . Ro 73' na repairs i �'pbesesub-contactorshave.;QoyeesaadhaVBw-kers'comp.insurma � pOhex 5 q1e aze a corpozaiian.and.its, ofl7cens kava exeroisefi ftir dght oi:b -mption per MQ c. ISS§1(4),and*elaav6 310employees.PNo Storkers'comp.insuzance zecluixed alreantthatehecks6bie#liuusfatsnfl4outfbasectianbelowsho'vingthurwoxkers'rompensafronpolicy�fozmaticn * Y pP affidai*itindicstingtheyaredaingallworlcandihenhireonfsideeoniiactersastustssibmitanewr8aaaitiudicadrif snch i I3omeowriers v�ho strbmit•tlus.. Contractazs that clreckhis b1"kfa attached'an �nnelS pr y ho their Workers policy nwabbel and s atewhether oz otfhosa,ewes ave nploy,es. Ifthe sub-couJrnctara e npl�3' am rxr2 errz layer`t7iatisp ovidzr�g�vor7cers'cornpenscagorl i1LSi, allcefa3 N'Y errzployee . Bela is ttiepolxcy anjo a safe S P information. Stsutauae Gom�anyName: ��L"e cr S jrg2 16 rr ExpiratioDate' I`� 7 �o3iay#ox ige�ins.Lie.#-. ^ �� la.j Cityl�tatel�ip: lU,..,�- .�^?�.___�,�✓�� fyi'/� cy«fit lob Site,Addxess: thepolitya�.n�nTaex and expsratzan.dale). A,ttachacopyoffheyvuRers' coznpensationpoucydecl25A acgximizial�vioationp habieiya eupto$ ,500.00 Failure to SrCT7ro aavexage as xequii-ed der MGL c,x52,§ aflao-Of4 to $250.0 andlor one yeaximprisonment as We11 as civil penalties inthe£ to th Off'i a 0 fn�RDaEA o the DSA air3rzszrra ca a day against iho violator.A copy ofthis Aatomert may Tie forwarded coverago-Ver7.icati"L- x do liexe�iy certify rxrx�er tliepuins arzdper�aZt. ofpexjufy taut the irzforrnatlor�,�rol �abate rs true an �caxrecr Date: � r 7` �i afore: n-✓ Phone offaeW rase arzZy. Do nat-Wr rte irx t7srs cerea,to be corr�pleted by city ar'to7vrz of�cral �'.erm�/S�icerxse� City or ToYsuY SssuingAufhoxity(circle orae): ' S.S,I h xnspectox Z.Board o kTealih 2. 3x clingDeparbael", 3.CztY1To Clerk .EZecixzca Suspeetox 6.Other 1'hon.e#~ Coxa#aet kexson. METRE 12. GROUP FAX:T99703 Feb 17 H17 1M P00RU 7 DATE(MMIDDIYYYY) ,4caRt7 CERTIFICATE OF LIABILITY INSURANCE 0211712017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INI"ORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDEN. IMPORTANT: If the certificate holder Is an ADDITIONAL,INSURED,the policy(fes)must Ire endorsed. 1f SU13IR00AYION IS WAIVED, subject to the kerma and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer ri9ht9 to the CBrtificata holder in lieu of such endorsement(s). PRODUCER CONTACT Tura Susan T.F WARD INSURANCE AGENCY INC. PH°NE . (781)665-2990 FA7C E-MAIL AODrtEss:_ sue melroselns.com I 403 FRANKLIN ST, _ INSURERS APFORDINGCOVERAGE NAIC0 MELROSE MA 0.2176 INSURERAt TRAVELERS INDEMNITY CO OF AMERICA 25666_ INSURED INSURER 0, _ BROSSF-AU DANIEL J DBA BROSSEAU CONSTRUCTION INUURERC: INSURER O• __- 23 WESTWOOD CIRCLE INSURER E: NORTH READING MA 01864 1 INSURERF: COVERAGES CERTIFICATE NUMBER: 127846 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 DOGUMBNT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE IS$UE4 OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSION$AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY I•IAVE BEEN REDUCED BY PAID CLAIMS. :LTA TYPEOF INSURANCE IIeR POLICY NUMBER MM 68 EFP POLICY EXP LIMITS LTR COMMERCIAL G,ENERALLIA01LrrY EACH OCCURRENCE $ DAMAGE CLAIMS-MADE ❑OCCUR PREMISES Ea occurrence)•_ $ MED E7Lr'(An .na ar^an $ '.. NIA PERSONAL&ADV INJURY S QEN'LAGGRWAYELIMIT APPLIESP2R: IGENERALAGGREGATE 5 PRO- LOC 40 POLICY❑JECT ❑ PRODUCTS-COMplOPRSS OTHER: AUTOMORILE LIAMILITY 04MFIIN Coldefill LE LIMIT $ ANY AUTO u001LYIWURY(Par parson) $ ALL OWNl=O SCHEDULED WA BODILY INJURY(Par aeddenl) $ AUTOS NON OWNED OS PRO PERN DAMAGE $ HIREDAUTOS AUTOS Poro.1donl UM1111FLLALIA8 HOCCUR EACH OCCURRENCE _,__ S EXCESS LIAO CLAIMS-MADE NIA AOGf GATE $ DED RETENTIPN S _ $ WORKERS GOIdPENSATION /� STATUTER E ER" _ AHD EMPLOYERS'LIABILITY Y I N ANYPROPRIHTORIPARTNERIEXECUTIVE E,L,EACH ACCIDENT $ 100,000_ A OFFICE-WMEMSEREXCLUDED7 NIA NIA NIA 6HUB04061821B OB/1B12010 0811$12417 EL DISEASE-FAEMPLOYEEI$ 100,000 (Mandatary in NH) Ify56 daeer:ba under C.L.DISEASE-POLICY LIMIT S 500,040 DESCR(FRON OF OPERATION$bnlaw NIA DESCRIPTION OF OPERATIONS I LOCATIONS I V9441CLES (ACORD 101,AQ(IIIonal Ramarka Schadula,may ba attached if more opape Is require.) Workam'COmpCnooNan bono5to will bo paid to MrieCaChue4ns omployean only.Pursuont to Nndonoment WL.20 03 GA R,nn mithnrbplinn in giuRn In ony dalmR for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificatt.of Insurance shows the policy in force on the date that this certiflosto was issued(unless the expiration date on the above policy precedes the issue date Of IN$ certificate of Insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search 1001 at www.mass.govAwdlwotkom-compensationhnveatigatitinaV_ Sole proprietor has not efected Coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OP THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS, 120 Main 5lreet AUTHORIZEDREpRCUeNTATIVE ° MA 01845 'o North Andover Daniel M.Crc y,CPCU,Vice President—Residual Market-WCRIBMA a ®1908-2014 ACORD CORPORATION. All rights reserved. 9 j ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD 3. i 3� Y VB/17/2017/FRI 10; 23 Ahs FAX No, P, 001/001 DATE(MMIDDlYYYY) �'a CERTIFICATE OF LIABILITY INSURANCE 2/17/2017 THIS CE=RTIFICATE 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($), 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 Andorsoment S . PRODUCER CONTACT gouge NA Pin.�a.ey-Linnane Insurance Agency Ps1oNE (976) 664_2000 (AlC.Nu1; (97t31g64-63A0 280 Main St. #101 AnnRF PRanuCER A0004366 North Rea.da.nq _ MA 01864 ----INSUREBffiFFORDINGCOVERAG�___.----............- .!!,, IC#. ... INSURED INSURERA:Stat;G AUtO — ------- 4923_--.-.-- INSUR9119: BROSSEALT CONSTRUCTION, DBA: BROSSEXXJ, DAN= INBUREROI PO $QX 266 INSURER D: INSURER E: North l7eada.>zg MA 01864 INsuRFR> COVERAGES CERTIFICATE NUMBERCL1011100511 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CON'YRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHEE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER MMIDUIYnY76oY Exp — uM1T5 LTR GENERALLIQBILITY ' EACH OCCURNFNCE S 1,000,000 7C I COGE TO RENTED MMERCIAL O!•NERAL LIABILITY I Pp MISE9 Ea OCCUrrence _$ -50,000 A I ! CLAWS•MAD6 Fx] OCCUR POR2749275 /1/2016 /1/2617 MED EXP(Aj)y one eraoR $ — 5,000 PERSONAL$,ADV INJURY $ 50,no GENERAL AGGREGATE $ 2,000,000 GEN'I,AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ AOi tGY F-1 PRO- LOC I I$ ,I AUTOMOBILE LIAB]LITY COMBINED SINGLE LIMIT c '—� (Ea acudent) - ANY AUTO BODILY INJURY(PO(pereonl ALL OWNED AUTOS E BODILY INJURY(par accident) $ SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUT05 I (Par accident) $ NON-OWNED AUTO8 I I 13 I I$ J UMBRELLA LIAR OCCUR i I EACH OCCURRENCE-_,---.13 I EXCE&8 LIA13 H _ —J-- CLAIMS-MADE € AGGREGATE DEDUCTIBLE II 145$ w .• _ RETENTION $ I I $ ,WORKERS COMPENSATION WC STATU-'AND EMPLOYERS'LFABILITY Y I N ANY PROPRIF-TOR/PARTNERIEXECUTtVEE.L.EACH ACCIDENT $ OFFIC2RIMEM9QR EXCLUDEO7 EllN I A [Mandatory In NH} F3.61 DISEASE-L&EMPLOYEE S Ir yea,rlaeoribo under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY uMi I $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (AUR411 ACORD 391,Additional RernerKa Schedule,if more apace Id required) Certificate Holder named. as Additional I=nsured only as respects work perrprm6a on their behalf by the named insured. CERTIFICATE HOLDER CANCELLATION (978) 688-9542 SHOULD ANY OF THE ABOVE PI=SCR161=b P01-}CIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE;: WILL BE DELIVERED IN Town of Nor Uh Auxdover ACCORDANCE WITH THE POLICY PROVISIONS- niiilding Dept. AUTHORIZED RtPRE$ENTATIVE M Linna.ane/LTNMSI 3 ACORD 26(2009/09) 0 1988.2009 ACORD CORPORATION. All rights reserved. INS025 f2OOOO9) The ACORD name and logo are registered marks of ACORD OfTice of Consumer Affairs&Business Regulation Lieense or registration valid for individull use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return ta- gistration- :154710 Type: Office of Consumer Affairs and Business Regulation 10 Park Plaza�-Suite 5170. Expiration::_ 412i2t11T': DBA Boston,MA 02114 BROSSEAU CONTRIJGTION. DANIEL BROSSEAU 240 PARK ST NORTH READING,MA 01864 � IInderseeretary 1�T t valid without signature Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-055058 Cottruction Supervisor DANIEL J BROSSEAU 23 WESTWARD CIRCLE N READING MA 01864 CA-- Expiration; Commissioner 08113/2018