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Building Permit #854 - 1060 OSGOOD STREET 6/4/2012
BUILDING UILDING PERMIT0 14ORTH .T%.FD 06 TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page VA Y N,E 7' 0,k'05 I E--' _i R Z. A. RT� YV P.nnti 'MAP_'N_U-.*- PARCEL.�ZONINGQISTRICT � ye,. no4!1-. M h Vill �Z 'ine, op,.,-iagd- S no ,yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial CA�Iterafio No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other � ' Septic. e FIoodO ain Wetlands dtersh6d is DESCRIPTION OF WORK TO BE PREFORMED: ip L& 1)�e mt, Q i K %AaA4, (n U _V r- its Identification Please Type or Print Clearly) OWNER: Name: Phone: (40- CPIL� Address: (D N TF R-A Rr P hbhb:_k §j0er!AS" §'�Q bnstwction'1ib&nse, t, 7 ate. Home71MDrovemenfioicensbal ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT.-$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ -12. .11h- 00 —FEE: Check No.: � 3 () aj Receipt No.: NOTE: Persons contracting with unregistered contractors do not have�ccess_to the fun - ----- Signature of Agent/Owner Signature of contract. Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools 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 PLANNING & DEVELOPMENT fAy be�� �611— COMMENTS-1� 'YI CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE:D.EPARTMENT -Tem Du ster on s` yes - ono Locatedat 124�MamSfreet _ � ���� - •� Fire Department'signature/date •= 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 21 A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) 0 Notified for pickup - Date Doc.Building Permit Revised 2008 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products (VOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 Location No. Date C)- ` TOWN OF NORTH ANDOVER Certificate of Occupancy $_� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# � � 25348 Building Inspector NORTH ov�m of � To No. _ � o , '� dover, Mass., Q - LAKE COCMICMEWICK A°^greo S U BOARD OF HEALTH PER IT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........ U �i''��..IZZ.�....'�................ ..... 'rf �....... .. ............................................................. Foundation u dation has permission to ere ................................... buildings on ...IOAO......u� '1a�. . '. ....... N�T Cw •Rough to be occupied as..... .................. ......./ .Q.!!�......... . .�.1. . .......W.LA....... ,�Mr.............. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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 CONSTRUCRough ................ .............. ........................................... Service BUILDING IINSPEC OR Final Occupancy Permit Required to Ocatpy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To BeDone FIRE-DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Office to remain Remove non-bearing Remove non-beating4 b walls walls Remove half wall -- -- 1z•-alne• .. ro'a•---moi 6•aane-� r� °`•< remove closet Relocate water heater All electrical to be brought I a s back to origin And code. 3'-61r 4-p g•.67,8• Utility&bathrooms a i Open wall :._ ,•�• to remains open No eating walls V � new water existing { - 1':11.11--3' 6' heater location ! __water-heate Massachusetts - Dcpart►ncn[ of Public Safco Board of Building-, Rc�,ulations and Standards Construction Supervisor License License: CS 94579 DANIEL J MCGONIGLE . 28 MEADOW LANE WESTFORD, MA 01886 Expiration: 10/23/2013 ( mm�i�.i nur Tr#: 6831 Office of on�m rpt airs lu -esfi*&M& HOME IMPROVEMENT CONTRACTOR _ Registration: 167038 Type: ; Expiration: 812/2012 DBA I QUALITY BUrLDERS- DANIEL MCGONIGLE - 69 ARNOLD AVE. LOWELL,MA 01852 Undersecretary •yr INLAQUA-01 SWHITEHURST CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYY1� 5/30/2012 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). PRODUCER CONTACT NAME: Knapp,Schenck&Company Insurance Agency,Inc. PHONE FAX 137 Lewis Wharf A/C No Ext):(617)742-3366 A/C,No):(617)742-2832 Boston,MA 02110 EMAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Hermitage Insurance Co INSURED INSURER 8: Inland Quality Builders,LCC INSURER C: 69 Arnold Ave Lowell,MA 01852 INSURER D: Westford,MA 01886 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 LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDDYICEFF EXP /YYYY M/D (MD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY HGL56802211 9/1/2011 9/1/2012 PREMISES K occurrence $ 100,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO- $ JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ $ UMBRELLA LIAB _H OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATIONWC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETORIPARTNER/EXECUTNE OFFICER/MEMBER EXCLUDED? ❑ N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Paul Cervizzi THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1060 Osgood Street ACCORDANCE WITH THE POLICY PROVISIONS. North Andover,MA 01845 AUTHORMED REPRESENTATIVE -, ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD RightFax N1-1 5/31/2012 7: 12 :36 AM PAGE 2/002 Fax Server CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDD/YYYY) TIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. S 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 and endorsement. A statement on this certificate does not confer rights to he certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NABS: KNAPP SCHENCK&COMPANY PHONE FAX (A1C, Ext): 137 LEWIS WHARF IG AnnRFvq- PRODUCER BOSTON,MA 02110 CUSTOMER ID#: 265KW INSURER(S)AFFORDING COVERAGE NAIC q INSURED INSURER A: ACE AMERICAN INSURANCE COMPANY INLAND QUALITY BUILDERS LLC INSURER B: INSURER C: INSURER D: 28 MEADOW LANE INSURER E: WESTFORD,MA 01886 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTIISSUED TO THEINSURED 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, MSRADD SU8 POLICY E7F DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MMDDWYYY) (M1TDDIYYYY) LINTS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE OCCUR_ :'REMISES(Ea occurrence) ED EXP(Arty one person) $ GEN'L AGGREGATE LIMIT APPLIES PER. �IERSONAL&ADV INJURY $ ENERALAGGREGATE $ POLICY PROJECT LOG RODUCTS-COMPIOP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS rPer accident) PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKER'S COMPENSATION AND X WC STATUTORY OTFER EMPLOYER'S LIABILITY YIN UB-470JP898-11 06/1512011 08/15/2012 ITS ANY PROPER BERIEXCLUDE/EXECUiIVE E L EACH ACCIDENT $ 100,000 OFFICER/MEMBER F�CClWED9 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATION SILOCATIONSIVEHICLESIRESTMCTIONSISPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS CO,Mp COVERAGE. CERTIFICATE HOLDER CANCELLATION PAUL CERVIZZI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 1060 OSGOOD ST BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL Pp DDELIVE,9ED 1N ACCORDANCE WITH THE POLICY PROM .i�'' AUTHORIZED REPRESENTATIVE NORTH ANDOVER,MA 01845 ACORD 25(2009109) 1988-2009 ACORD CORPO rights ieserved. I O ^, Inland Quality Builders Date Estimate# ' 28 meadow Ln Westford, MA 01886 INLAND 5/30/2012 281 QUALITY BUILDERS 11C Phone# 617-839-2659 GENERAL CONTRACTOR NEW CONSTRUCTION/REMODELING Dan@InlandQualityBuilders.com �inlw.Ltilaud(,Zu�ilityl3uiltlers.com Proposal For: Name/Address Paul Cervizzi 1060 Osgood,St North Andover,MA Project 1060 Osgood St Description IQB proposes the following scope of work listed below: -IQB will demo all none bearing interior walls and half walls through out the first floor.IQB will not be deeming the utility room,bathrooms and front office.IQB will make one big open area. -Plumbing,IQB will remove and cap and existing plumbing from previous saloon.IQB will also relocate hot water heater to the back of building,in the utility room. -Electrical,IQB will demo all outlets and switches on the walls that will be coming down which includes existing hair stations.IQB will also put back outlets and switches to code.IQB will also wire up hot water heater.Lights to remain in existing location. -Ceilings,IQB will replace ceiling patches with pine or ceiling tiles depending on the best situation,because of three different ceiling heights. IQB will do the areas that are disturbed from demoing walls. -Walls,IQB will patch with mud and tape any areas that were disturbed during demoing.IQB will apply two coats and bring to a smooth finish. IQB will also patch any existing wholes around the new open area before painting. -Painting,IQB will paint all walls only with two coats of Benjamin Moore paint.Owner to choose one neutral color. - IQB to install owner supplied pergo floating floor in the foyer only and also install rolled rubber mats through out the studio.IQB will supply labor only. -Plans and Permits,IQB will provide a sketched plan of layout,and supply all necessary permits to complete job. -IQB will provide all dumpsters. r=1tio r w i,1 5e 9w+t,4a A-o maKe earG� - ,{ rv1�5e�c-Flno{tny, Thank you for giving IQB the opportunity to provide this quote for you! Total This proposal expires one month from the date written All work is warranted for materials and labor for a minimum of one year.This proposal is valid for one month from the date above.The total listed above is the total cost of your project as outlined above.Change Orders will be written for all changes in the scope of the work.Each change order must be approved by you before work begins.Payment for all change orders is expected at the time they are signed.If this proposal is accepted please sign one copy and return it to Inland Quality Builders.We also understand that Inland Quality Builders reserves the right to delay completion of the rk for nonpayment of any invoices.Signature below acknowledges receipt of two Rights of Rescission forms included Signature to C/' D /2012 Customer G Signatureate / Com/ /2012 Inland Quality Builders Represenitive Page 1 i Inland Quality Builders Date Estimate# 28 meadow Ln Westford, MA 01886 INLAND 5/30/2012 281 QUALITY BUILDERS LLC Phone# 617-839-2659 GENERAL CONTRACTOR Daii@lnlaiidQualityBuilders.com CONSTRUCTION/REMODELING yBuilders.com t«a�v.Luland(,Zu�ilityBuildcrs.cx>m Proposal For: Name/Address Paul Cervizzi 1060 Osgood,St North Andover,MA Project 1060 Osgood St Description Note: -IQB will leave job site clean and free of debris on a daily basis. -Landlord has to provide dumpster location. -IQB is not responsible for three different ceiling heights,we will do are best to blend in ceilings. -IQB is not responsible for any updating of sprinkle heads or alarm systems and smoke detectors. -Emergency exist signs to remain in existing locations. Payments: Deposit-$6000.00 1 st payment upon completion of demoing.-$5000.00 2nd payment upon completion of wiring and plumbing-$5000.00 3rd payment upon completion of patching and painting-$5000.00 4th payment upon completion of project-$ 1728.00 Thank you for giving IQB the opportunity to provide this quote for you! Total $22,728.00 This proposal expires one month from the date written All work is warranted for materials and labor for a minimum of one year.This proposal is valid for one month from the date above.The total listed above is the total cost of your project as outlined above.Change Orders will be written for all changes in the scope of the work.Each change order must be approved by you before work begins.Payment for all change orders is expected at the time they are signed.If this proposal is accepted please sign one copy and return it to Inland Quality Builders.We also understand that Inland Quality Builders reserves the right to delay completion of the k for nonpayment of any invoices.Signature below acknowledges receipt of two Rights of Rescission forms included L..,..--- Signature 30 /2012 Customer Signature nate / /2012 Inland Quality Builders Represenitive Page 2