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HomeMy WebLinkAboutBuilding Permit #17-13 - 235 OLD CART WAY 7/10/2012 BUILDING PERMIT o* p10RT1i ttOR qti TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: I / Date Received Date Issued. 0 / I?MPOORTANT:Applicant must complete all items on this page LOCATION �J J V 6,197 ---�� Print .� PROPERTY OWNER �l lj'1 �-�- 4�R�/l� Print MAP NO: 0 '?AARCEL: ZONING DISTRICT: Historic District yes ?no2 Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: i Jient7ition Please Type or Print Clearly) OWNER: Name:___ �J apn,Q"�/,oL�' Phone: zf_Z 2� Address: ,' OLD 144tT- CONTRACTOR Name: ��� 141 F Phone: Q?�`�v2�5 Address: o�02 1_11A�re/Z l• X ko W �/i/U�j/�/Z, / Supervisor's Construction License: 4'/Z/�72 Exp. Date: Home Improvement License: /Y g9h©2 Exp. Date: g 1- ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED $125.00 PER S.F. Total Project Cost: $ 3�d� O FEE: $ Y �— Check No.: I ' S k Receipt No.: a `6 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty bund Signature of Agent/Owner x Signature of contractoi 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 COMMENTS 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 DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street 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 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) ❑ 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 NOTE: 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 Q �;— 0 No. — JJ Date ! c) • - TOWN OF NORTH ANDOVER • r : Certificate of Occupancy $ " r Building/Frame Permit Fee $ r Foundation Permit Fee $ - _ Other Permit Fee $ TOTAL $ Check 41`s `s s 25491 Building Inspector NORT11� n over Town of No. _ I Z __- n % h ver, Mass, ` COCHIC.1W1c. �d A�4AIrE0 S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT, ..�. ........ �,� !�!. ..... BUILDING INSPECTOR ..................... ...... . . . has permission to erect ..... ....... ........... buildings on r(�f�........Old.......C ... . Foundation. ... .......� ..... Rough tobe occupied as ....... ........ ........... ............f .*.. .. . ..... .............................................. 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 CONSTRUCT S S Rough Service ............. ..... ....................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Recruited to Occupy 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. SEE REVERSE SIDE The Comfnonwe¢Ith of Massachusetts �_E_� Department of Industrial Accidents Office of f Invesiigaiions 600 Washington Street Boston, 112,4 02111 WW '-M4ZsS.b oV/ala Workers' Compensation insurance Affidav t: Builders/Contractors/Eleetriciazis/plumbers 4lanlicant Luformation �j� PIease Print Legibly Name (Business/Or-_eaniration/Individual): Address: City/State/ZiP:�1c� �j'/'./UOv� Phone Are you an employer?Check the appropriate box: i-❑ I am a employer with a. ❑ I am a Qv Type of project(required): love es(full and/or part-time).* ="n contractor and I construe 2. have hired sub-contractors 6 ❑Neu= tion I am a sole proprietor or partner- listed on the atrached sheet t �• Remodeling ship and have no employees These sub-condors have worl�ng for me in any capacity. workers' com . ' s ❑Demolition p insurance.No workers' coma.insurance �. ❑ We are a e�PoraZlon and its 9. ❑Buildins addition �.❑ required.] officers have exercised their 1 Q.0 Electrical repairs I am a homeowner doing all work right of Aor additions "rMGL 11.❑Plumbing repairs or additions myself[No workers'comp• c. I�3, 14 py - in insurance required. t ( ),and we have no �. employees_ rNo workers' 1-❑Roof repairs comp.insurance reaaired,] 1� ❑Other i'-^-;,�:lica^.i*h t ch�>.;.�boy-��'M St=Si=r art i �s_.. ...,:.o IIomeownets wbo submit thisindicating `�--- `tv^o`'nia.^ affidavit A ar:Ws come^°�ce Mho•r. .. Lc;•are mine all wat'l Y ., 'Conuacto,fhat�n ;:t is box must attached an additional she_t showing n �true ouu��Coaaact nn;�submit a new affidavit indicating such. � same or the sub-contra,••tots and their workers'come.noiicy. I am an employer that is providing workers'com ensauor. ` mrormaoon• information, P insurance for MY employees. ,below is the polio,and job site Insurance Company Name: ' Poiicy 7 or SeLf ins.Lic. �7 ' ✓ �� 7--/ /Expiration Date: Job Site Address: ,3 01-19 ewer _ 1 1/ Attach a copy of the workers'compensation po declaraiion page f City/State/Zip: I J, '4,1 ip: pW page ,showing;the policy number and expiration date), Failure to se^ure coverage as required under Section'SA of* MGL c. 1;2 _ One up to S1.500-00 y d/oragar one-year imprisonment,as well as civil penaltiesin the imposition STOP RLORK ORDER and Of up to 5250.00 a day Penalties of a 3 against the violator. Be advised that a copy o f this statement may be forwarded to the Office of a�y Investigations of the DLA for insurance coverase veriOcation I do hereby cerafj= er eai P Penalises of perjury that the in or f mazion.provided above is a and correct Simtature: Date: Phone Offtczal use only. Do not write zn this area, to be compieied by cirl,or town official City or Town: Issuing Authority(circle one): Permit/Ltcense r I.Board of Health Z.Building Department 3. Ciiy/To,4% 4.Eiecmi;aClerkr>soector =.Plumbing 6 Other Clerk b Iuasaector Contac;Terson: Phone ? j Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen-isor License: CS-072173 t� , CHRISTOPHERF-kIVET_.— �s 207 WINTER ST�f !: N ANDOVER MR 01845 i Expiration Commissioner 06/02/2014 _. ✓lie -�omirz�.zusea,���.�aoaaclu..aelta'1 Office o:Consumer Affairs&Bdsiness Reguiatioa HOME='.AF°ROVEMENTCONTRACTOR Zegistraiion: 139962 Type: expi ration: 9/8/2013 Individual R STOPHER F.RIVET. ::--`- CHf2ISTOPHER RIVET. : = 4 2C7 WINTER ST. N.;ANDOVER,MA 01845.` Undersecretary` 4 702/07/12 (MM/DD/YYYY) ACS E® CERTIFICATE OF LIABILITY INSURANCE OP ID NEMA THIS CERTIFICATE 1S 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 NAME: Macdonald & Pangione Insurance PHONE P.O. BOX 428 (AIC,No,Ext): I (AIC,No): 104 Main Street _ADDRESS: North Andover MA 01845 CUSTOMERID#: CHRIS-5 Phone:978-688-6921 Fax:978-688-5350 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA: Preferred Mutual Ins Co 115024 Christopher Rivet INSURER B: 207 Winter St. North Andover MA 01845 INSURERC: INSURER D: 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 CONTRACTOR 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. IRTYPE OF INSURANCE JINSRiWVDI POLICY NUMBER I(MM/DD tYYYY)I(MM/DD/YYYY) LIMITS GENERAL LIABILITY 4 I EACH OCCURRENCE S 1,000,000 A ;X I COMMERCIAL GENERAL LIABILITY CPP 0180 57 01 05 09/26/11 09/26/12 # PREMISES(Ea occurrence) I S 100,000 CLAIMS-MAGE Al OCCUR i MED EXP(Any one person) S 5,000 PERSONAL&ADV INJURY I S 1,000,0 0 0 _ GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I I ' ` PRODUCTS-COMP/OP AGG S 2,000,000 j X j POLICY' i PRO- OECT I i LOC I I S t j AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT i S I ANY AUTO I (Ea accident) BODILY INJURY(Per person) S ALL OWNED AUTOS BODILY INJURY(Per accident) S SCHEDULED AUTOS I (PROPERTY DAMAGE I HIREDAUTOSi (Per accident) 1 S { I� NON-OWNED AUTOS � I I I S 1 a 5 J UMBRELLA LIAB i OCCUR ' EACH OCCURRENCE 15 EXCESS LIAB( I AGGREGATE CLAIMS-MADE I � I i DEDUCTIBLE 5 F7, RETENTION S I I 15 I j WORKERS COMPENSATION � I W STATU- OTH- {AND EMPLOYERS'LIABILITY I ' _ TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIV Y/N,N + +E.L_EACH ACCIDENT I is OFFICER/MEMBER EXCLUDED? I I A + ' 1 {(Mandatory in NH) I I i E.L.DISEASE-EA EMPLOYEE!5 If yes.describe under DESCRIPTION OF OPERATIONS below + ! j I E.L.DISEASE-POLICY LIMIT j S I i I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Certificate holder as listed below CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1 Town of North Andover AUTHORIZED REPRESENTATIVE Osgood St No Andover MA 01845 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD PROPOSAL Jim&Debbie Carnevale 235 Old Cart Way North Andover,MA 01845 (C)Deb 617-548-6424 (C)Jim 617-797-3275 j i.mcanevale@comcast.net Kitchen Remodel July 8,2012 Work to be completed includes: • Building Permit $ 920.00 • Dumpster $ 600.00 • Demo Kitchen—To include removal of all appliances,cabinets and ceiling.Remove blueboard from rear exterior wall and right end wall. $ 2,400.00 • Electrical—Install new recessed lighting.Run new circuits where needed. • Install new switches and receptacles.Install under cabinet lighting. Relocate Three pendent boxes above island.Relocate box above table. $ 3,850.00 • Hang new Blueboard and plaster. $ 3000.00 • Install new Andersen 3'-0"x6'-8"Full Light Exterior Door with 1Ft. Sidelight. Reframing required. $ 3,200.00 • Install new Andersen C 235 twin casement window.New Int.&Ext.trim. Window to be bumped out.Install new siding where needed. $ 2,800.00 • Install base and wall cabinets. Install crown moulding around cabinets. $ 6,500.00 • All necessary plumbing including new kick heater. $ 2,400.00 • Sand and finish floor with three coats of poly. $ 2,000.00 • I.nstall all appliances,including duct for range hood. $ 800.00 • Install new baseboard where needed.Install new Oak Floor Register. $ 900.00 TOTAL LABOR AND MATERIAL $ 29,370.00 Terms: $9,790.00 to start Cabinet cost-est. $ 30,000.00 $9,790.00 after plastering Granite cost-est. $ 6,000.00 $9,790.00 when complete Total project cost $ 65,370.00 Note: This quote does not include the cost of plumbing fixtures,Pendents. Submitted By: Chris Rivet MA Lic#CS072173 BIC#139962 207 Winter Street (C)508-265-3115 (H)978-794-1165 North Andover,MA 01845 All Home Improvement Contractors shall be registered. Inquiries about a contractor relating to a registration should be directed to; Registration Division,Program Coordinator One Ashburton Place Room 1301 Boston, MA 02108 Tel: 617-727-3200 ext.25239 All building permits required will be the obtained by the contractor.Homeowners who obtain their own permits are excluded from access to the Guarantee Fund. ACCEPTANCE OF PROPOSAL The above prices,specifications and conditions are satisfactory and are hereby accepted. You arre�a thorized to do the work as specified.Payments will be�deouin a ove. Date r 7161 r2 Signature Date /G� /� Sign ur