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HomeMy WebLinkAboutBuilding Permit #374-14 - 245 BOXFORD STREET 12/13/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: — 4- Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page r LOCATION - YS gnx rt Print PROPERTY OWNER(�Nzok_ Print 100 Year Old Structure yesrMAP NO: PARCEL ZONING DISTRICT: Historic DistrictyeMachine Shop Village ye 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 PERFORMED: 2 �31�7`I-1 FLc�y2� tZ r-_ fin®�D�� Identification Please Type or Print Clearly) OWNER: Name: C AMOL. (1-n C.E=_rz-s Phone: (M (;91 ..yW 49' Address: 2.Y1!� B9Fc?z `!G' CONTRACTOR Name: C&xsiR QcIr c.,d.! Phone: ?' O q�u ;L V2- I Address: ,d Q-Zr>br_-" 51— F_v E1a (3 Supervisor's Construction License: CS GCo3D( Exp. Date: 201 Home Improvement License. 1763&G Exp. Date: _ 1 �(5 ARCHITECT/ENGINEER 6--- Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED CO T BASED ON$125.00 PER S.F. Total Project Cost: $ "1 I . u FEE: $ J Check No.: � CQai Receipt No.: 2—q62-2, NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Sig-lafure of contractor Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped la s ❑ N Location [[� 1 en� No. av, Ff Date jvA 7 ,.a • • TOWN OF NORTH ANDOVER • ��,"S'����146,' • Certificate of Occupancy $ Building/Frame Permit Fee $� •�"' Foundation Permit Fee Other Permit Fee $ o' a TOTAL $ Check# '7k2- 7022 7 ` 2- 7022 Building Inspector Plans Submitted-0 Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ f TYPE OF=:S EWERAGE:DISP-OSAL Public Sewer ❑ Tannin Swimming Pools ❑ Tanning/Massage/Body eBod Art ❑ � g Y Well ❑ ..Tobacco.Sales ❑ Food Packaging/Sales ❑ i Private(septic tank,etc. Permanent- Permanent Dum ster on Site ❑ p _ I 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 I � COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes C Planning Board Decision: Comments '\:Donservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW'Tote;! Engineer: Signature: Located 384 Osgood Street 'FIRE DEPARTMENT - Temp Dum ster on site yes no Located at 124,Mair, Street Fire Departme►it signature/date`' = 4 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 El Notified for pickup - Date f t Doc.Building Permit Revised 2010 J Building Department The fol,,owing is---a list of the required.forms to be filled outfor 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 cas<s if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apo.-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm.tted with the building application Doc: Doc.Building permit Revised 2012 Enter construction cost for fee cal- North Andover Fee Calculation Construction Cost $ 39,110.00 m $ - $ 469.32 Plumbing Fee $ 58.67 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 58.67 Total fees collected $ 686.65 245 Boxford Street 374-14 on 12/13/2013 2 Bathroom Remodel NORTH own of EAndover 0 No. _ LAKE h .h ver, Mass, Q COC NICK WICK 1 U BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System THIS CERTIFIES THAT ................. 4.1. .,.,......... ...�. . ABUILDING INSPECTOR S , has permission to erect .......................... buildings on ..... Foundation .. ....... � ,. . .r ..... �. ...�......... Rough to be occupied as ......\r/► ..'..'....... � i. �........ �. ... ................ 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 CONSTRUCTION AR Rough Service ...................... . ............... ................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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 r DESIGN&REMODELING SOLUTIONS It 978.M215a ****ADDENDUM**** PROPOSAL SUBMITTED TO: Addendum to PROPOSAL#ROGERSAV.06.27.2013 Carol Rogers Date: October 17, 2013 245 Boxford Street North Andover, Ma 01845 (617) 691- 4448 Page: 1 of 3 Dear Carol: We respectfully submit our Addendum for the remodeling of the two second floor bathrooms to the existing proposal (#Rogers.RV.06.27.2013). At 245 Boxford Street, No. Andover MA. As per the design rendering provided by the Owners and the description herein. The permit fees for the ptoject have not been included. Demolition: We will remove and properly dispose of the construction related debris as follows: We will demo the two second floor bathrooms completely down to the existing framing and sub-floor. We will alter the existing ceiling joist framing to allow for vaulted ceilings in the bathrooms and alter the master bath walls to allow for the stand alone tub. We will alter the master bathroom partition wall to allow for the installation of a pocket door. We have estimated for one (1) 20 yard container. Waste Allowance: $ 450.00. Framing: We will provide the materials and labor for the framing of the two Bathrooms: We will frame the bathroom ceilings using 2x10 KD rafters intersecting with a 2x6 KD wall extending into the attic (at the interior perimeter walls) to allow for a vaulted ceiling. We will frame the interior bathroom walls using 2x4 KD studs. We will alter the framing in the master bath to allow for the stand alone tub. We will provide 1x3 spruce strapping to the ceilings We will install a pocket door frame for the master bathroom. We will frame the guest bath to allow for the 34' x 60' shower. Window Schedule: The existing windows will remain in place and be reused. Electrical: We will provide the materials and labor for the electrical (tying into the existing service & feeds) as follows: Bathrooms: one (1) GFIC receptacle in each bathroom, one each, Panasonic "whisper quiet" 240 CFM fan light combo unit, one (1) recessed light in the shower, one (1) general purpose light in each bath and the required switching. Electrical Allowance: $ 1,840.00. Y 1 ~ Page 2 Plumbing: We will provide the materials and labor for the plumbing of the two bathrooms as follows: We will cut and cap the existing waste and water lines. We will tie into the existing PVC waste lines for the shower, vanity and toilet in the guest bath, tying into the exiting stack. We will tie into the existing waste lines for the toilet, stand alone tub and vanity for the master bath, tying into the existing stack. We will provide new water shut offs for the toilets and vanities in both bathrooms and shower valve in the guest bath. We will remove the baseboard heat and replace with a new element in both baths. We will provide a mixing valve in the master bath for the hand held tub device. We will provide a Schluter- Kirdi shower kit http://www.schluter.com/8 4 kerdi shower kit.aspx for the shower in the guest bath. Plumbing Allowance: $4,475.00. Fixtures Allowance: $8,420.31. See attached fixture list. Heat Allowance: $200.00. Insulation: We will insulate the bathroom ceilings (R-38) and walls (R-21) using fiberglass Batt insulation, if required. Walls and Ceilings: We will install 1/2° blue board with skim coat of UNI-KAL plaster to walls and ceilings with a smooth finish in the two bathrooms. Interior Trim: We will provide the materials and labor for the installation of the interior trim to the two bathrooms. We will install B-400 "speed base" pre-primed baseboard. Painting: We will provide the materials and labor for the painting of the interior bath rooms. We will fill all nail holes with a one-time spackle and caulk all trim with latex caulking. We will apply one coat of latex primer to the walls, ceiling and trim that is not pre-primed. We will apply one coat of latex ceiling paint to the ceilings. We will apply two coats of latex egg shell to the walls and two coats of latex semi-gloss interior trim paint to the trim. We will use a Sherwin Williams paint or equal. The colors are to be selected by the owners. Shower Tile & Flooring: We will use a Schluter— Ditra polyethylene membrane set to the substrate with thin set mortar for all flooring tile. There is approximately 55 square feet of tile for the master bathroom floor. We will install approximately 35 square feet of floor tile to the guest bath. We will install a mosaic floor tile to the guest bath shower floor approximately 15 square feet and we will install approximately 77 square feet of wall tile to the guest bath shower walls. We will use a Schluter — Kirdi shower kit http://www.schluter.com/8 4 kerdi shower kit.aspx We have estimated $8.00 per square foot allowance for the the and grout materials. Bathroom Tile Allowance $4,325.00. f Page 3 Clean up: We will provide daily clean up and we will remove and properly dispose of all construction related waste leaving the home broom clean at the completion of the project. We have estimated for mold remediation to the existing basement, first and second floor. Pre-Completion Checklist: Homeowner and Contractor will review all work performed to insure that the project has been completed as specified. Any remaining details will be part of this checklist. On completion of these checklist items, the contract will be complete and final payment will be due. Any issue that arises that is not listed in the pre-completion checklist will be treated as warranty work and will not impact the final payment. TOTAL COSTS FOR ALL ITEMS LISTED ABOVE $ 39,110.00. PAYMENT SCHEDULE: WITH ACCEPTANCE OF CONSTRUCTION AGREEMENT (Received) $ 3,500.00 PRIOR TO COMMENCEMENT OF DEMOLITION $ 5,341.00 PRIOR TO COMMENCEMENT OF ROUGH PLUMBING $ 7,122.00 PRIOR TO COMMENCEMENT OF PLASTERING $ 6,341.00 PRIOR TO COMMENCEMENT OF INTERIOR PAINTING $ 6,341.00 PRIOR TO COMMENCEMENT OF TILE $ 7,122.00 WITH ACCEPETANCE OF PRE-COMPLETION CHECKLIST $ 1,672.00 AT COMPLETION OF CHECK-LIST $ 1,671.00 ACCEPTANCE OF PROPOSAL: The enclosed prices, specifications and conditions are satisfactory and hereby accepted. J.L. Ward and Company are authorized to do the work as specified. Payment will be made as outlined above. Signed and Sealed: Date: President Signed and Sealed: � s�.t ;� ,sm, Date:_ ,ill -*All material is guaranteed to be as specified. All work to be completed in accordance to Mass State Building Code. Any alteration or deviation from submitted specifications,involving extra cost will be executed only upon written orders; and will become an extra charge over and above this estimate. Owner to carry fire,tornado and other necessary insurance. Our workers are fully covered by Workman's Compensation Insurance. L ~ 1 r - -00 : 00 7a"CLOSETZA I w� I co F',N y S 7i,1 � � 1 � k j -DN !.,I HALL �. J �4'-0" X 15'-3" i MASTER 5DRM 12 -5 x 1 F>,-3" 0 0 Carol Ro ero -t7G 315 245 Boxford Street _ S061 N. Andover, MA /Yjic� O+ q rs o FD 9197 Date..� — Nowr�, TOWN OF NORTH ANDOVER RECEIPT C A/ 803 ~�SgCH17 ~� This certifies fMet.. ........................ rt ........ �J.t' t�. haspaid. .......................................,.. ..........,........�'.� -:...\.. for....c2.7�...... . ' .(f " --—'rJ.......................... .... Receivedby..,...,,....c ...... ............................................... Department .......................... WHITE: Applicant CA'NA'RY;Department PINI:Treasurer t rr Massachusetts •Department of Public Safety .+.� �1fe (�r�utrrxarnre°rc !(�rsX1c/trrsr.41 Massachusetts Office of Consumer Afrairs&adsiness Regulation Boarti of Building Regulations and Standards t �;HOMEIMPROVEMENTCONTRACTOR (++ri.t ru;H111)tiitl,r n r;+r Registration: 170366 Type: License CS-0631321 ,` �:+ Expiration: 10/13/2013 Corporation .IFF!"REY L WARD � J.L WARD CONSTRUCTION INC. 50 GLIDDEN STREET~ BEVERLY AIIA 0191.5 JEFFREY WARD 50 GLIDDEN STexpiration { '• BEVERLY,MA 01915 Underserretnry Commisvoner 09/1612014 I t /1:,. ,tr./�.,, Y„rr,rr,,.rrrr..rr /� f( License or registration�'alitl dor indi�'idut use only :,n--, Ofriee of(:onsurner Affairs S Business'Regutation before the expiration date. if found return to: ,OME IMPROVEMENT CONTRACTOR Office of Consttmcr Affairs and lDusincts Regulation Type' ]p Park Playa-Suite 5170 t.'I tegistration: 170366 Corporation Expiration: 10/1312015 Boston,`+1A 02116 J.'L.WARD CONSTRUCTION INC. r JEFFREY WARD 50 GLIDDEN ST ""� — � ��{va d wythout signature BEVERLY,.MA 01913 lindersecrelary I � JLWAR-1 OP ID: KS1 A -ORO° CERTIFICATE OF LIABILITY INSURANCE DATE(M18/1YYY) �--'� 10/18/13 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 781-914-1000 CONTACT TGA Cross Insurance,Inc. NAME: Kelly Sturtevant 401 Edgewater Place,Suite 220 PHONE N Ext):781-914-1000 F(,C, No): 781-224-9490 Wakefield, 01880 AD E-MAIL Chris Hawthorne SS:ksturtevant@tgacross.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Main St America Assurance 29939 INSURED J. L.Ward Construction, Inc. INSURERB:AIM Mutual Ins.Co 50 Glidden Street Beverly, MA 01915 INSURER C:NGM Insurance Co. 14788 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 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. ILICY EXP TR TYPE OF INSURANCE NR LualL DDL UBR POLICY NUMBER MM/D/YYLICY FYY MMLDDfYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 DAMAGE ToRENTED A X COMMERCIAL GENERAL LIABILITY MPP8989B 06/18/13 06/18/14 PREMISES Ea occurrence $ 500,00 CLAIMS-MADE Fx—1 OCCUR MED EXP(Any one person) $ 10,00 PERSONAL&ADV INJURY $ 2,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 X POLICY PRO- JECT 7 LOC $ AUTOMOBILE LIABILITY EOMaBINEDtSINGLE LIMIT $ 1,000,00 C ANY AUTO M8P8989B 06/18/13 06/18/14 BODILY INJURY(Per person) $ ALL OWNEDX SCHEDULED BODILY INJURY(Per accident AUTOS AUTOS P ( ) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATIONWC STATU- OTH- AND EMPLOYERS'LIABILITY X TORY LIMITS ER B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N TBD/BOUND 10/13/13 10/13/14 E.L.EACH ACCIDENT $ 500,00 OFFICER/MEMBER EXCLUDED? a N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 500,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION TOWNNAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fax: 978-688-9542 ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Osgood Street AUTHORIZED REPRESENTATIVE North Andover, MA 01845 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD i .c� The C.ox wonweattra ciwassachusetty Depardnwst of Industrial Accidents orke.of Investigations • 1100 66'asOtittgtmot Sired Boston,MA 02111 www nws&gov/dies Workers' Compensation Insurance Affidavit:BoRdeas/Cootmcton/Electrickas/Plumben A licant Information i 1 Please Print_L wOly Name(Business/organizationllndividual): - L-- kb�/'d5�/'Gt G fro lit .�h L ,_ Address: 50 �1 0 dzo S•tr-c at Ci /State/Zi : (l /S Phone#/: 8 9�t pf ,o? Are u an employer?Check the appropriate 1101: Type of project(requiems: 4. ❑ 6•1 am a general contractor and l ❑ 1, I am a employer with _ have hiredthesub-contractors New cotistructi0n employees(full and/or part-time).* listed on the attached sheet. 7. (lemodeling 2.❑ 1 am a sole proprietor or partner- ship and have no employees ��sub-contractors;have S. []'Demolition employees and have workers' working for me in any capacity comp. nom: 9. [1 Building addition [No work'c=P.insmance S.❑ We are a corporation and its 10.0 Electrical repairs or additions officers have exercised their. 11.0-Plumbing ' 3,❑ 1 am a horite;bwner doing all work. repiirs or additions mY selfi[No worerks'comp. right of omption per MGL 12.0 Roof repairs c.152,§1(4�and we have no t employees.[No workers' 13.0 Other comp.insurance required.] spay"Ucaot that chucks box 111 amu also fat out me sodion below Aovft their woshars'MW=W600 PAY infommtiou. t Hou wwmn who submit this af1•iiwk mdkdbg thry iio dotag all vn k and thee hire wnWk ooaaaetms=d submit a new sflsdavlt iad6aft aitch. tCr,V dW du*thio box aaat atWdW an additional dWd s 9W M of the=b-W&AdM and trete whedw or not tl m entities have ,,Mom =rP•Mft I am an atVik7er drat is priovidlrtg workers'corgp&s&f0n tnsumWWe for NW tmrployees. Bdow is the poppy a nd}ob site 6,f rrmWOJL ItwuUce CompanyName: . f whr rrl .'lit 5• Le. Policy#or Sel�ites.Lic. Expiration Date: f c'/t 3/24/S/ job site Address: S ��cLSt- �/��h A,�ofd�c/ (xtylStatelZ'p:� 7� f/ 6/8'ys" Attncb*capy oftbe workars'compensation policy declaration page(showing the policy number and expiration dat* baWn to secs coverage as required wXW Section 25A of MOL a 152 can lead to the imposition of criminal penalties of a fine up to S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to=0A0 a day agalnst the violater. Be advised that a copy of this statetneat may be forwarded to the office of u, tions of the DTA for insurance coverage verification. I do hereby cOO the paths andpena lda of pilary than the Infonnaden provided above is tare and coned S Dace a 2 2 24/ l . F only. Do not write In dds areay to•be compldedby city or town q ""M wn• Permit/IAceuse# thority(circle Otte): Health 2.Building pepartment 3.Cityfrown Clark 4.Electrical Inspector 5.Plumbing Inspector rson• Phone#•