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Home My WebLink AboutBuilding Permit #648 - 110 FARNUM STREET 4/13/2016 10RT1{ �61t 1t° 611•� TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 9SSCMUSEtt Permit NO: Date Received: f U Date Issued: y IMPORTANT: Applicant must complete all items on this page LOCATION tint PROPERTY OWNER �1 S Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building ❑ One family ❑Addition ❑ Two or more family ❑Industrial ' ❑Alteration No. of units: t ❑ Repair, replacement ❑Assesso Bldg Cg ❑Demolition rY g ❑ Commercial a ❑Moving(relocation) ❑ Other ❑ Foundation only T-11 Others: DESCRIPTION OF WORK TO BE PREFORMED C Identification Please Type or Print Clearly) OWNER: Name:_ Phone 7 y Signature _ Address: II O �rnr►- ,� -� CONTRACTOR Name:_ v ti �%� �U1/ � j, sPhone Address: Supervisor's Construction License:_ n-5—-EZ�7 '/6 Exp. Date: Q Home Improvement License: /(S^7�� Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.•$10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 Total Project Cost :$C PER S.F.gao x10.00=FEE:$ ! Check No.: A (�`j Receipt No.: ' Page 1 of 4 Location:(Mz'ovr" Jrr' No. 6 Ye Date 4ORTH TOWN OF NORTH ANDOVER Of ..•e �y G � � 9 r + Certificate of Occupancy $ r,: ♦ i � # �s3gCHUSEt� Building/Frame Permit Fee $ O F; Foundation Permit Fee $ n; Other Permit Fee $ TOTAL $ Check # 1 � k' r 19 -14 Building Inspector y . TYPE OF SEWARGE DISPOSAL Swimming Pools ❑ Tanning/Massage/Body Art ❑ Public Sewer ❑ Tobacco Sales 11 Food Packaging/Sales L1Well ❑ 11Permanent Dumpster on Site Private(septic tank,etc. Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund 1 � Signature of Agent/Owner Signature of Contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ p ❑Water Shed Special Permit i ❑ Site Plan Special Permit Y ❑ Other COMMENTS 1 DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS `r DATE REJECTED DATE APPROVED HEALTH ❑ El- COMMENTS 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 Temp Dumpster on site yes no Fire Department signature/date Building Permit Approved and Issued by: Page 2 of 4 Building Setback(ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided DIMENSION Number of Stories: Total square feet of floor area,based on Exterior dimensions. f Total land area, sq.ft.: NOTES and DATA—(For department use) I I i Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. i Roofing, Siding, Interior Rehabilitation Permits i ❑ 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 Addition Or Decks ❑ Building Permit Application ❑ 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) 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 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:BPFORM05 1 Page 4 of 4 LAWRENCE H. OGDEN,PE. 198 EAST MAIN STREET GEORGETOWN,MA 01833 978-352-8318 fax 978—352-2858 cell 978-502-5921 April 18, 2006 Mr. Eric Dubois fax: 603-362-8449 Nova Kitchens 7 Island Pond Rd. Atkinson NH. 03811 RE:_110-Farnum-Road-North-Andover_.,.- Dear Mr. Dubois As you requested I visited the above site to review the 2-1.75*7.25 LVL header used over the opening in the Kitchen. This header is installed properly and is of sufficient size to support the superimposed loads upon it. Should you require any additional information,please do not hesitate to call. Yours truly, LaSH OF e H. O den P.E. ��' ss90 g LAWRENCE G o RO G N ti -o A 27765 p /STE1��k`� 510+1AL V�� ¢ NORTH TONM Of Andover No. & - E dover, Mass., 0 COC M I C MEWICK y�. ADRATED P, `S BOARD OF HEALTH PERMIT T D • Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... ..................r ...5............................... ............................ ................................ Foundation has permission to erect........................................ buildings on ...l.(.b........... ....... fr..h.14I.M►........rr......... Rough to be occupied as....... ..... h ............a�............ �........ Chimneyy Provided that the erson6clepting this Permit shall in every respect conformhte�sof 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 NI�ESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR LJ Rough -"' Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. PROPOSAL Eric DuBois, Owner Phone: (603) 362-6480 Date: 3/14/06 NOVA KITCHENS LLC. Fax: (603) 362-8449 GENERAL CONTRACTING 7 Island Pond Road Atkinson, NH 03811-2129 Massachusetts Construction Proposal Submitted to: License#052746 Mr. & Mrs. John Burns Home Improvement 110 Farnum St. License# 115786 North Andover,. Ma. 978-682-3374 We hereby submit this proposal for the following: Kitchen. Prep job with zip wall plastic barriers to control dust. Remove and dispose of all existing cabinets, counters, lights, sink and appliances. Remove and dispose of all sheet rock on kitchen ceilings and two walls. Supply and install (1)Andersen casement window unit, boxed out approx. 8" Cost to box out window, $375.00 is included in total. Exterior of box will be trimmed out with primed pine. j Interior of box will be insulated and finished with paint grade wood and moulding. Install new gas line to accommodate customer supplied range. Supply and install large toe space heater. Install customer supplied sink, dishwasher, icemaker. Supply and install duct work for down draft range. Update electric to code and to accommodate new kitchen plan. Supply and install (6) 5 inch recessed lights, (4) under cab lights, (4) in cab lights. Install customer supplied pendant lights. All lights gill on dimmer switches. Lighting and switching plan to be discussed with customer. Supply and install draft stop and insulation in outside kitchen wall. Install blue board and plaster for walls and ceilings in dining room and kitchen. Install half wall to accommodate kitchen plan. Refinish existing hardwood flooring in kitchen and family room with three coats of urethane. _Install customer supplied cabinets, mouldings, end panels and hardware-"'' Install customer supplied tile and grout on backsplash area..,. $2500 electrical allowance and $2500 plumbing allowance has been included in total, _ Any unused electrical or plumbing allowance will be credited back to customer. Int. and ext. painting is not included at this time. Provide dumpstet for all job site debris. Supply all job permits as required. Job to start 4/10/06 Job completion date approx. 5/26/08 Total $15,600.00 All Material is guaranteed to be as specked and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner. Drop cloths to be used in all traffic areas. Job area to be kept as neat and clean as possible at all times. Job to be completed in a timely manner. Payments to be made as follows: $1000.00 Deposit payable upon acceptance of proposal. $7,000.00 to be paid at start of job, $7600.00 balance, due in full, upon job completion. Respectfully submitted by:_� Eric DuBois Any alteration or deviation from above specifications involving extra costs will be executed only upon written order and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Signature4��„r�� Date l Z - Signature 04/06/2006 THU 08:58 FAX Z001 AC_ORIZ - CERTIFICATE OF LIABILITY INSURANCE 04%06%z6' PRODUCER (603)898-6320 FAX (603)898-8269 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Foy Insurance Group - Salem ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 130 Main St - Suite 103 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED SY THE POLICIES BELOW. Salem, NH 03079 Terri Truhn INSURERS AFFORDING COVERAGE MAIC# msuacD Nova Kitchens, LLC INSURER A: Concord General Mutual Ins Co 20672 7 Island Pond Road INSURER Atkinson, NH NH 03811 INSURCHC INSUHLH I) INSURER E. COVERAGES THE POLICIES OF INSURANCE LIS-rED BELOW IIAVG BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTI IER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT-r0 ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCI I POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. lN9R DO' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY E880015-8 04/01/2006 04/01/2007 F,ACH OCCVRRENCe s 1,000,000 X COMMrRCIAI GFNERAI_0Afw nY DANIAG[TO RCMIT:D S 50,000 P.RENIISESJtanc cumnc CLAIMS MADE rXj OCCUR MED EXP(Any ono porzcn) S 51000 A - -- PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE S 210001000 GC NY.AGGRCGn i F.LIMB'APMI IKS PF.N' PHODUC I S-COMIvOP AGG S 2,000 1000 POLICY F NRo WC ------•— JECT AUYOMO811FIJAOIL17Y C844790-3 04/01/2006 04/01/2007 COMBINED SINGLE LIMIT S ANY AUTO (Ca accidlmQ 1,000,000 ALI.OWNEUAUiOS ROOII.YINJURY - X SCHEUULEUAUIOS (Par person) 3 X I IIRCD AUTOS BOUILY INJURY x NON-OWNFDAUTOS (Pm uctIjwd) 5 PROPERTY nAMACF S (Ynr art.IRnnt) GARAGE LIABILITY AUTO ONLY CA ACCIDENT S ANY AU I O OT HFR THAN CA ACC S AUTO ONLY* AGG 6 EXCESSR)M8RELLA LIABILITY EACH OCCURRENCE 5 OCCUR a CLAIMS MADE AGGRFGATF S � E DEDUCTIBLE S RETENTION It 8-- ... .. _._. WC SIATU- I UIH- WORKERS COMPENSATION AND TORYLUNT's EMPLOYERS-LIABILITY i ANY PROPRIETOR/DAR7NERlEXECUTfVC 1.TACH ACGIOk MI $_, OFFICEJLMEMBER EXCLUOF.D7 E.L.DISEASE-EA EMPLOYEEI S n Ed dB8HIDe under SPECIAL PROVISIONS below C.L.DISEASE-POLICY LIMIT S OYHCH DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDEO BY ENDORSEMENT 1 SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE - EXPIRATION OATS fHkREOF,THE ISSUING INSURER WILL ENDEAVOR YO MAIL 10 DAY5 WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Town Of North Andover, Mass. BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBUOxnON OR LIABILITY Z7 Charles Street of ANY KINDPPW4jH_EjNGURER,ITS AGENTS OR REPRESENTATIVES. North Andover, MA 01845 AUTHORIZED P ATIVE ACORD 25(2001/08) ®ACORD CORPORATION 1888 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street ti Boston, AM 02111 WWW.maSS.gUV/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information \Please Print Legibly Nan1e113usine„/()rganii.atit,n/Inclivikluitll: Address: `7 T__S �," ,City/State/Zip: s '\ y Phone #: 12. re you an employer?Check the appropriate box: Type of project(required): ❑ alrt a employer with 4. ❑ I am a general contractor and 1 6. New construction employees(full and/or part-tune).* have hired the sub-contractors 1 am a sole proprietor or partner- listed on the attached sheet. = 7. Remodeling ship and have no employees These sub-contractors have 3. Demolition working for me in any capacity. workers' comp. insurance. y, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL I I.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' 13.❑Other comp. insurance required.] ":any applicant that checks box(111 must:iso till out the section below showing their workers'compensation policy information. +Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating Such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am un employer that is providing workers'compensation insurance fur my employees. Below is the policy and job site information. Insurance Company Name:V 1i G- tl----- --- ---- Policy '?or Self-ins. Lic. 4: £��aofS'�' Expiration Date:_,� �Lcna — Job Site Address: ��d V �✓`^Yt.tc��M, CityiState/Zip: itN - Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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 tine Of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance co%erage verification. I du hereby cerci y under the sins and petit ties of that the igformation provided above is true and correct. Si�m,tture: Date: _— !)lficiul use only. Du not write in this arca,to he completed h),c•it)!or town uJ icial. City or Town: Permit/License Issuing Authority(circle one): I. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone##: . � ✓fie �amirreanureal/�z n�✓�,tzasacl u6elt6 � Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 115786 Expiration: '4/13/2008 Type: .DBA ERIC DUBOIS/NOVA KITCHENS ERIC DUBOIS 7 ISLAND POND RD �� ATKINSON, NH 03811 Administrator ��e �omvnzolncvea,/,l�i iPi BOARD OF BUILDING REGULATIONS t License:,CONSTRUCTION SUPERVISOR ! Number C 052746 ! s � Birthdite 02/04/1965 t � : 7944.0E0h02/04%2007 Tr.no i Re`stric£ed'��00 �` E' ERIC F DUBOIS 7 ISLAND POND RW� ATKINSON, NH 03811 4 Commissioner Cbesigns Am 973-333-1229 www.dpkitchens.com 5234 2868 BLW3136 W3036 0 N _ �+ ` 7.0""r, �1 t7 _. _� N O (°-S ice -z7> x c� lYk BDR15360 BDR0336m I m x v DNV m m Dual Tilt o E waste tray (6 N C, o bins q O NO O CO Knife m m � " ID i? block a m Proposed kitchen xzt Burns residence ° Final plans CO ° Feb. 15, 2006 m o i m 0 BD3636 x12-0 i— - . . . . . BD3636 J WL1854 W3636 WL1854 2668j x12-0 j