HomeMy WebLinkAboutBuilding Permit # 2/27/2017 BUILDING PERMIT of 40 RT" 4 TOWN OF NORTH ANDOVER � APPLICATION FOR.PLAN EXAMINATION ', q Permit No##: Date Received �SSACHuS�K Date Issued: ''+ IMPORTANT:Applicant must complete all items on this page 777777777777777777 LOCATION O '` p r[nf PROPERTY OWNER -W _._ �'nnt � 1�0 Year Structure - yes ' MAP�_PARCEL. .. ZONING DISTRICT Hrstor�c District .. yes. . . . ._:; . . . . ..;_ Ma hap Village .-...Y� chine Shop n. TYPE OF IMPROVEMENT PROPOSED USE Resi tial Non- Residential ❑ New Building [9,,6ne family [I °dition El Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑ Well ❑ Floodpfain Il Wetlands I] Watershed District El Water]-SevVer DESCRIPTION OF WORK TO BE PERFORMED: o Identification._ Please Type or Print Clearly OWNER: Name: / f Phone: �•�/ Address: s'c'S i �„� 57— wvle, P&V6 Ix"'d Contractor Name: iu Phone: M_;"6 d Address � _, 1_4UA, _ �dL Supervisor's Constructlor< License .. �-- _ 1 _ Exp.` Dates Horne lmproYerrrnent.License: Exp:' Date: ` . .... ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE'SCHEDULE:SULDING PERMIT.$12-00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASE25.00 PER S.F. € dotal Project Cost: $ C FEE: $ ' Check No.: 3 7? Receipt No.._ l NOTE: Persons contracting with unregistered contractors do not have.access to the guaranty fund S�gratur ofAgentlOwner Signature of contractor' Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ IYPE'�p SEWERAGE DISPOSAL Public Sever ElTanning/Massage/Body Art ❑ Swin g Pools Ll well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private{septic tank, etc. 1 Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS IALTH Reviewed on 2 S iq natur AO COMMENTS lUa _45 40 CUM [j24 Q_ S e,�` ( S )` cn fI N . Zoning Board of Appeals: Variance, Petition No: Zoning Decisionlreceiptsubmitted yes Manning Board Decision: Comments Conservation Decision: Comments Water &Sewer Connection/signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -- Temp Dumpster on site yes no located at 124 Main Street Fire Department signature/date COMMENTS ........... ................................... -------- ----------------------------------------------------------------------------------------------- OORTH Town ofli_At, -- ve'kr du V 0 0 No. a_ 0"Lo" ver, Mass, 0 1 0 BOARD OF HEALTH Food/Kitchen PERMIT T L10F Septic System ................... THIS CERTIFIES THAT ....M.kf......kovicM.............S.................... ...I .... BUILDING INSPECTOR SO4 ........ has permission to erect.......................... buildings on ......... OV Foundation 00ft Rough It �,AfAl to be occupied as .......F!1 1.11k .W. .......... A.1.x..... .A4.0....... r..Pr;T-:;.4 Chimney provided that the person accepting this permit shall in every respec 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 PER EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR,: UNLESS, CONSTRUCT] AR Rough Service .............. woo..................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Rgquired t® Occui2j: Building 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. GMELCH INDUSTRIES INC PO.Box 193 Merrimac,MA 41860 February 11,2017,. Rick&Nathasha Vance 325 Boston Street North Andover,MA Pa meat Schedule i. Deposit $21,000 2: Rough Inspection $14,000. 3. Plastered $18,950 4. Completion $16,900 TOTAL $70,850 ? *Building permit not included.Permit fees due upon issue of perrnit. Gmelch Industries Inc. Home Owners Michaelouioheras Rick&Natasha Vance. CS 79450. HIC169157 211Gs2�'k7 : Gmai)-Third FloOr Third Floor. Michael Kouloheras <mkoulie@grnaii.corn> Tue, Jun 28, 2016 at 1:52 PM To: Natasha Vance <natashavance1105@gmail.com> Vance 325 Boston St North Andover. MA . I'm pleased submit the following bid for your review. Pricing is based on site visits on May 6, 2016 and June 15, 2016. And as well as attached floor plan approved by Natasha at 6115. The scope of work to include the following Third Floor -all labor and materials to construct new walls and ceiling per layout -foam insulation in walls and ceiling(deduct$5526 for fiberglass) . 41 3rd floor interior finish to match existing -oak capped wall an family roorn side of stairwell -gas keted access door to area over master bedroom -new oak handrail and stairway skirt boards -windows seats at 2 front windows -paint walls and ceiling customers choice of color -all labor, install materials, and prep for bath and shower the , the and grout supplied.by homeowner -$1200 bath vanity allowance »$1500 shower door allowance 41500 carpet allowance. -3rd floor wired to code -six.6" sloped led cans in family room and fan in conter fan supplied by homeowner install smoke detectors where:needed by code.for new addition wire customer supplied fan/light in study -wire bathroom light over vanity,shower can, GFI outlet and fan/light wire customer supplied sconces at 2 window seats relocate 2nd floor heat return and ductwork as needed a -install.new duct work for third floor and balance system. -tough and finish plumbing for new bath completed per code . -math fixture allowance$825 ii Misc supply and install new keyless lock on master closet .-relocate garage door controlstv;; -add light in master hedroomLa&ata linen closet -add three outlets in the master.closet above the dressers '.rcr,••rer-i�ir"--�i s luii�„ �t��s+l��ia��ztitt-�f�t�ar��r,pith-awautot-�te - � �� t�s� �-eta•le�ih-;m.e,r.�-in�ta�ao�ac�'- Total$74 8- `f . . "` x building permit not included Natasha Vance<natashavance11a5@gmali.com> Mon, Jul 11, 2016.at 9:.17 AM To: Michael Kouloheras <mkouiie@grnail.com> Cc: "Vance, Rick L" <Rick,L.Vanc;e@ehi.com> https:llmaiLaaoale.coml�naillu/t)/?ui=2&ik=B2ecb4<3cle&view=nt&seamh=inbox&th=155BMa�Ad27715&siW=1559323dp02da0aF3t sIm1=158�243tiit10kG 3&s... 1!G f 156'/<in 345 1a in - -- - 0 276 in ro � � I IN unfinished Storage Area Existing Finished Garage 644.58 ft= - Lu7 w 2 550.94 ft' IWO. M. jll � m�. CL 113.76 ft' LnY j H2O Y Meter_1 x 225 in _._..._ —---—----------------------------------------------------------- 648 in 238 in 76 nn 52 in 57 in Kitchen Island 61-19 ft2 Family room I-P Alk wi 00 12.24 ft 1026.18 ft, cn co 179.55 ft' Living Room in 167 in 167'A in 119%a in F"L) IBM 1110 910.69 ftz r "" Cathedral Ceiling from Chimney Cathedral - Master Bedroom Passage J LL! a 47^ 47" VOID 186 in VOID - angled roofline VOID i' VOID 311 1 € i i r r, fir' ,A-­1 7".f,, ��y/� � �� �� � ,�.- .F U � �� � � �r 1 ��� �� `� �, , �� � �� �% �' � �` r__._ ��� t�, 3 i The Commonwealth of Massachusetts Department of IndustrialAccidents I Congress Meet ,5r�ite 100 ! M �2017 Boston,MA 02 www rnass.gav1dia 13Workers' Coiaperasation.bsurantceTSTavit- �TrTTNG AUTHOsSt��Y triciansll'Iwbbers. T073EFZLED�4'I r ease Print LgdbI A Iicant wormation dividual . ( • i 1 G` Name(BusinesaloigariizatianlIu )' Address: City/Statc/Zip: Are you an emploper?Checkthe appropriate box: Type of pxo�ect(-Tecluired): 7. employees(fu11 andlor part bine).* ❑ dw construe on 1,01 am a employer with g Ramodeliug 2,0 Z Saar a sale proprietor or partnership hand have no employees working for me in 4. El DeIl1011tio7 any capacity.[No workers'comp.insurance required.] doing all work mysel€[Na workers'comp_insurance regaired.j i 10❑Building addition 3,E]S am a homeowner contractors to conduct all work on any property- S wrll ❑Electrioal repairs or a dditiop s 4.❑I am.a homeowner and will bo hiring -, ensum that all contractors either baveworkers'compensation insurance or are sole 2.j,?kfflUDing re airs or additiozl� proprietors with no emglbye6s. 5_❑I ant a general contractor an Z have hixedthe sub-contractors listed onthe attached sheet. 13•.❑E.bo£repaixs hese sub-contractors have employees and have workers'eourp.inmraace# 14. Other 6.[]We area corporatiogand its,Officers,have eXeroisedtheir right of exemption per1V1GL c. 152,§1(4),and We have no employees.[No workers'comp.insurance required.] 0.t the Section sh-Wing their workers' m � ma heksit cabelow outside n#ractosustsubm� newaffidavit indieatingsuch *Anyapplicantthatb # dtdalwnrkandthenhire i 1jera,owzers who submit.thisof .aviindihng#heyaraouag ontractors tContractors that check this bOi f uuava tachcdemployn additional they t provide thein workeme comp SPolicy number. d state whether of not those entities ave employees. Ifthe sub-contrz Z am an employer that is pr'ovcding-Workers'compensation insurancefol'ray employees. Below is the porky and)0h site information. Insurance CompaayName: ��• ExpixationD4.tel Policy#ox Self-ins.Lic.#:. ry .r U. City/State/zip:_14 rob Site Address: thopoticY number and expiratiou date). Attach a copy o£ttte^vvoxi�exs'compe?rsatian poiiey declaration page(shoving Failure to secure coverage as requiredurrderMOL o.152,§25A is a criminal.violationpuuisbable by a e UP to$1,500.00 one ear im rlson�nent,as vPell as civil penalties in the form of a STOP e O ORDfnVestigations of the DIA for insurance, a andlar rk Y p of this statement may be forwarded to the Off€ Of day against the violator.A copy coverage verification. do rzereliy cerfify under tliepains andpenalties ofperjury that the information provided above is true arra correct Date: Si ature: Al Phone : Official use only. Do riot write in this area,to be completed by city or town official. PerzuictlLicense# City or Town: issuing Autho YRY(circle One): ` ector 5.plumbing Insp ector ].Board.offfealth 2.EuildingPepaxtment 3.CitylTovu Clerk d•.ElectxicaZXnsp 6.Other Phone#- Contact Person: i I DATE(MMIODNYYY) ACCOR" CERTIFICATE OF LIABILITY INSURANCE 2/21/2017 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(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 . PRODUCER NAME:C Peter Bevelaqua Norwood Insurance Agency, Inc. PNONE (978)372-5921 1 LFA Exth VCX N 1:(978)521-0242 L L 293 Main E-M Street ADDRAIESS,peterbevelaqu0comeast.net INSURERS)AFFORDING COVERAGE NAIC# Groveland MA 01834 A:Safety Insurance Comm 39454 INSURED -INSURER B;Hartford Underwriters Ins.-ARWC 80411 Gmelch Industries, Inc. INSURER C; 61 Lamoile Ave INSURER D: INSURER--- E --- ---- lBradford MA 01835 1 INSURER F COVERAGES CERTIFICATE NUMBER:CLI722102703 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. rINS-R POLIC;�—'FF 1­0-6-L—ICY-EXP L'TRI TYPE OF INSURANCE I LIMITS TR ......POLICY NUMBERMMIDR tMMIDDNYYYI X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 -UAMWG-97U1ff ERTF'6-'-' 50,000 _ A CLAJMS-MADE OCCUR f�RE _NtSES_LE�4_occurrenc9J-- $ — BMA0022238 6/10/2016 6/10/2017 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER� _�ENERAL±99REGATE 2,000,000 POLICYF PRO- 2,000,000 JECT LOC PRODUCTS-COMPIOP AGG $ OTHER: C Birqffr)910 LMIT­ $ AUTOMOBILE LIABILITY Ea ac dent 'E $ ------ P-'O'-cu� YL;;.c kieml ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ r_pt__I AUTOS AUTOS PROPERTY 7 '0 NOWOWNED PROPERTY DAMAGE $ HTY HIRED AUTOS AUTOS (Par accident) UMBRELLA LIAR HICCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED 1---FRETENTION§ $ WORKERS COMPENSATION T OTH- AND EMPLOYERS'LIABU,ITY YIN STATUTELEE--- ANY PROPRIETOR/PARTNERIFXECUTIVE E.L.EAC�AC(CIDENT $ 100,000 OFFICER/MEMSER EXCLUDED? NIA (M 0 100-x,000 B andatory In NH) 0814ECCM1743 1/11/2017 1/11/2018 E.L.DISEASE-EA EMPLOYEE $ if Les,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS IVFHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION mjkphoenixhomes@comcast.ne SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Inspector ACCORDANCE WITH THE POLICY PROVISIONS. North Andover, NA 01945 AUTHORIZED REPRESENTATIVE Peter Bevelaqua/PB @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) s Massachusetts Department of Public Safety i Board of Building Regulations and Standards License: CS-079454 y` Construction Supervisor2. a MICHAEL J KOULOHERAS 77 PLEASANT VALLEY RD AMESBURY MA 01913, 1 i i Expiration: 1 Commissioner 08/0812018 61;itfirclxurrr1/�1. o� Lf Office of Consumer Affairs&Business Regulation 'F� r OIVIE iIVIPROVEMEI�T CONTRACTOR egistration 169157 Type: Expiration 5l2012Q17 Individual MICHAEI,KQULOHE'RAS , J. MICHAEL KOULOHERAS ' 77 PLEASNT VALLEY RD ; I AMESBUR ; MA 01913 j Undersecretary I 3