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HomeMy WebLinkAboutBuilding Permit #611-15 - 31 FOXHILL ROAD 1/20/2015BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic ❑ UVell °� ' T ❑'F,loodplaim Wetlands -� VVatersiaed Distkidt TS d Water/Sewer % 4� rx/ S� OWNER: Name: i/ /!/Ol 0%. Cc;lvrin /GT Identification Please Type or Print Clearly) M- 6R5 - 51,, WE ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ `9 6,0 e , ©d FEE: $_.. Check No.:a L. Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access tb't4 guaranty fund Permit No#: Date Issued: _ 'F* BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION `::•::: Date Received IMPORTANT: Applicant must complete all items on this page PROPERTY OWNERS z _ - .r Pant' 100 Year�Sf�ucture yes Not - 'MAR �: P`ARCEL; ZONfNG QISTRIGT: _. HstoncOistyes _ _ - - Machine Shop' Village yes p �gI.ED Iby�N` PROPOSED USE Residential 2 D co .1-e h / ,no no. 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 Welli. '!Floodplain: ❑4UVetlands A i. p WatershedDisticf ❑ Water/Sewer_ __ _ _ - - - - -- _ - - - DESGKIPTIUN UI- VVUKK I U tit rtKr'UK1V1Cu: Identification- Please Type or Print Clearly OWNER: Name: Pho Contractor:1Name: Phone Address Sup ervisor's cConstructon License:_ _ _ Exp cLJ s..•.sr:.`I rvi:?: r"ia�iorrioni'+�'`I r?GnC'G' - sEXo.+Dat,:.- ARCHITECT/ENGINEER Phone: _ -,.I,., Reg. -No Address: ,_':v FEE SCHEDULE. BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COSTWSED ON $125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt. No.: ... NOTE: Persons contracting with unregistered contractors do not have-acc�_,.. �4 s Signature Signature of Agent/Owner,. -__ w-- n. of contactor �..__ Location No. Date 112-- r 1�e . . I )�-10 Check # k 28429 TOWN OF NORTH ANDOVER Certificate of Occupancy Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee TOTAL 0 -,� ii-�- ; Building Inspector Plans Submitted Ll 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 PLANNING & DEVELOPMENT Reviewed On COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS, Signature_ Reviewed on Signature Reviewed on Signature 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 IFIRE DEPARTMENT "= Temp IDurnpster om sit-. yes x r#nog_ T ri - - !Locatedlat 124;�MamtS+r"``� -- — - _ _ � -� � � • _ �_. ,Fire ID op -tture/date a — - COMMENT:S: ` ' . 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.$10041000 fine NOTES and DATA — (For ❑ Notified for pickup Call_ Date Time Doc.Building Pen -nit Revised 2014 nt use Email Contact Name 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/Cross Section/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) o Building Permit Application o 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: Building Permit Revised 2014 Enter construction cost for fee cal - North Andover Fee Cakulatlon Construction Cost $ 1%500.00 m $ - $ 234.00 Plumbing Fee $ 29.25 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 29.25 Total fees collected $ 392.50 31 Foxhill Road 611-15 on 1/20/2015 Remodel Master Bath I I' ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE(MMiDONYYY)` 1/20/2015 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 WANED, subject to the terns and conditions of the policy, certain' policies may require an endorsement A statement on this certificate does'not confer tights to the certificate holder In lieu of such endorsement(s), - .. PRODUCERCON M P ROBERTS, INS AGCY INC 1060 'Osgood Street North Andover, MA 01845 NTACT NAME: PHONE (978) 683-8073 (MCNO3 (978),683-3147 : IL AODREss: aula@ robertsinsurance.com LIMITS - INSURER($). AFFORDING COVERAGE_ _ _ - NAIC/ INSURER A . NORFOLK & DEDHAM INSURED MICHAEL GOODWIN DBA INSURER e;AIM MUTUAL MF GOODWIN 7 HOLT ROAD INSURER C INSURER D EPPING, NH : 03042 irlsuRER E INSURER F; 'THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 'INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERMOR CONDITION OF ANY CONTRACT OR OTHER. DOCUMENT WITH RESPECT TO WHICH THIS 'CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE ADL NSD WV0 D POLICY NUMBER ` MMIDD/YYYY) (MMIDD/YYYYJ LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR EACH OCCURRENCE -$ 1,000,000 DAMAGE JU HE PREMISES Ea occurrence $ 50,000 MED EXP Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1, O 0.O 000 A R0714141 04/27/14 04/27/15 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY E]JECT PRO. Q LOC �I ROTHER: ., GENERAL AGGREGATE - $ 2,000,000 PRODUCTS -COMPIOPAGO $ 2j000,000 $ , AUTOMOBILE LIABILITY IGEE EIPIT$ Ea accident ANYAUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) ,$ NON-OWNEDR HIRED AUTOS AUTOS AMA $ Per accident UMBRELLA LIAR OCCUR EACHOCCURRENCE$ EXCESS LIAB CLAIMS -MADE AGGREGATE $ ED RETENTIONS $ - B WORK ERS COMPENSATION1 AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandetwy In NH) If.yyeess, describe under DESCRIPTION OF OPERATIONS'below . NIA - VWC10060151752014 02/15/14 02/15/15 6TH. X STATUTE ER . E.L. EACH ACCIDENT - - .. $ X500 X000 E.L. DIs.EASE.• EA EMPLOYEI.: .500,,, 000 E.L. DISEASE -POLICY LIMIT $ 500 000 DESCRIPTION OF OPERATIONS /;LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attai,'hed if more space is required) FAX: 978=688-9542 NORTH ANDOVER BUILDING DEPT SHOULD ANY OF THE ABOVE DESCRIBED POIiCIES;'SE CANCELLED BEFORE 1600 OSGOOD ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. NORTH ANDOVER MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2014ACORD CORPORATION, Ail rights reserved. The ACORD name and logo are registered. marks Of AC ORD 0 O0.. WO O = N' O .n.• ..� Q. C ;mu • Z p _3 �� N –i 0LA. N T_ rt 0 o CD cn CD 0 NCOC ■ �■ —• - CD �D 2 �su2. v U) n to v,• c �, CD p oo c P Z U) Q c CD -a cD O� Z-0 C LO ���• rrn to * y' -I- . _E O b N m ° y CL — _ � c Z C (Q N as O _.,, Cr C7 �. ,� c -0 � prn ° =r CL Q -0 O 0 Z� < =o= �. O Cl) ° Q = v`° -�� CD O �. �rn N 7.fum Q o C � n m • Cr S Cwt ooCD Nor : CD m CD CD O v, CD rz C o CD _ c N b cn O cn O oo c N C . Z c� m U' 0 70 c Z D CD :. cl)m -0 O CD � 3 0: a) o � • CL N (D(D ID O LnW (D c T 70 O 3 .T 7 Ln 0 (D Po O _T O .Z1 O T < O s O a fD n - O * -n m a Im m C z O O C O 3 n N W v A —I Vzi to m m z M 0 0 2 ft [ON h J WO . 41 ' 0 3 V 130 Centre St. Box C-1 Danvers, Ma. 01923 Steve & Denise Frick 31 Fox hill rd. North Andover, Ma. Project Description This estimate is for the following work. Bathroom remodel Proposal 978-423-8463 Scope of work; We will apply for the necessary town permits. The existing bathroom fixtures will be disconnected and removed. We will demo the alcove where the shower sits. The flooring will be pulled up down to the subfloor. The vanity and mirror will be taken out. The sheetrock behind the vanity will be opened up so that the plumber can access the piping. The subfloor will be taken up so that the plumber can relocate the heat pipes for the toe -kick heater and then patched. We will frame for larger shower so that it comes out approx 5' from the back wall. We will install new fiberglass insulation in the walls of the shower. The shower walls and the bathroom floor will be covered with Durock tile underlayment to prep for tiles. Our tile installer will set a bed of mortar on the base of the shower followed by tiles and grout. Signature mfgoodwincompany@gmail.com Page 1 Mass.CSL #081670 Mass. HIC #105029 Total 1/15/2015 Total 17,500.00 130 Centre St. Box C-1 Danvers, Ma. 01923 Steve & Denise Frick 31 Fox hill rd. North Andover, Ma. Project Description The shower walls will be tiles and grouted. A bench seat will be incorporated at the back of the shower. A recess niche will be built into the shower valve wall to accommodate for shampoo an soap. The bathroom floor will be tiled and grouted. New pine baseboard will be installed We will install the new vanity, mirror and bathroom accessories The new bathroom exhaust fan will be vented to the exterior. Proposal 978-423-8463 The ceiling will be skimmed to a smooth finish and the walls prepped for painting. The walls, ceiling and trim will be primed and painted with Sherwin Williams Bath paint. Our glass company will measure for a frameless glass door enclosure and install it when the order come in. Electrical; Our electrician will replace and relocate the exhaust fan. A shower light will be installed in the ceiling above the shower. The new vanity light above the mirror will be installed. Two 5" recess lights will be installed in the ceiling and put on a dimmable switch. Another GFI receptacle will be installed over the vanity. Total Signature mfgoodwincompany@gmail.com Page 2 Mass.CSL #081670 Mass. HIC #105029 1/15/2015 Total 130 Centre St. Box C-1 Danvers, Ma. 01923 Steve & Denise Frick 31 Fox hill rd. North Andover, Ma. Project Description The toe -kick heater will be wired. Plumbing; Our plumber will disconnect the fixtures. Proposal 978-423-8463 water and drain piping for the shower will be reworked for the new location. A single control shower valve, EPDM shower liner and floor drain will be installed. The heating system will be drained and the baseboard heat removed and re -piped for a toe -kick heater. A toe -kick heater will be piped under the new vanity. The heating system will be filled back up and a the system bled. The piping for a second sink will be disconnected and capped off. The new sink, faucet, shower valve, shower head and toilet will all be installed. All rubbish will be removed from the premises. References are proudly given upon request. Town permit fees are additional and will be billed separately. An allowance of $1700.00 is given for the shower glass. The homeowner will provide the plumbing fixtures, tiles, grout, cabinetry, vanity light, exhaust fan, accessories. The work will take approx 4 weeks to complete. Total Signature mfgoodwincompany@gmail.com Page 3 Mass.CSL #081670 Mass. HIC #105029 1/15/2015 Total 130 Centre St. Box C-1 Danvers, Ma. 01923 Steve & Denise Frick 31 Fox hill rd. North Andover, Ma. Project Description All work shall be completed in a workmanlike manner according to standard business practices. Any deviation from the above specifications involving additional labor and/or materials shall be executed upon written authorization and may be an additional charge. Total estimate: $ 17,500.00 Payment schedule; A deposit of $ 5,833.00 upon starting. A payment of $ 5,833.00 upon starting the tile work. Balance of $ 5,834.00 upon completion. Proposal 978-423-8463 Additional; To install electric radiant floor heating with thermostat under the tile floor is an additional $ 1650.00 Acceptance of Proposal: Contractor: Date: /-/9/,5 Homeowner: Date: Total Signature mfgoodwincompany@gmail.com Page 4 Mass.CSL #081670 Mass. HIC #105029 1/15/2015 Total 130 Centre St. Box C-1 Danvers, Ma. 01923 Steve & Denise Frick 31 Fox hill rd. North Andover, Ma. Project Description NOTE: This proposal may be withdrawn by either party within 72 hours of signing. Signature mfgoodwincompany@gmail.com Page 5 Mass.CSL #081670 Mass. HIC #105029 Proposal 978-423-8463 Total 1/15/2015 Total 130 Centre St. Box C-1 Danvers, Ma. 01923 Steve & Denise Frick 31 Fox hill rd. North Andover, Ma. Project Description Signature mfgoodwincompany@gmail.com Page 6 Mass.CSL #081670 Mass. MC #105029 Proposal 978-423-8463 1/15/2015 Total Total $17,500.00 1 Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supen•isor License: CS -081670 NUCHAELF GOOpWIN , 7 HOLT RD Epping NH 03041 Expiration I Commissioner 08/08/2015 f � P�/e �r��zo�zn�zcaeall,/r. a��il��r�:,ac/zcrae 3 ni, Office of Consumer Affairs & Busibess Regulation I OME IMPROVEMENT CONTRACTOR egistration 105029 Type: xpiration 7/1:6/2016 Individual MICHAEL F. GOODWIN JR" Michael Goodwin 7 HOLT RD. EPPING, NH 03042 - Undersecretary License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, MA 02116 Not valid without signature The Commonweaalth of Massaachaasetts DepaFtment aa�f Indust���lAicc� e���s r Office of Investigations 1 Congress Street, Suite 100 Boston, Ids 02114-2017 wwwomaass.gov/dia Workers' Compensation Insurance Affidavit: BulIlldelrs/Contiractors/Electrricians/Pflnnit beer§ AgpUcant Information Please Plaint Legi Name (Business/Orgmization/Individual): '�` Goodwin Co Address: 7 Holt Rd ip): Epping NH 03042 Phone #: 978-423-8463 Are you an employer? Check the appropriate box: 1. E I am a employer with 3 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ 1 am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. employees and have workers' (No workers' comp. insurance comp. insurance .+' required.] 3. ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] , S. F1 We are a corporation and its officers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' comp. insurance reouired.l Type of project (required): 6. ❑ New construction 7. 0 Remodeling 8. ❑ Demolition 9. Building addition 10.0 Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.n Roof repairs 13.❑ Other 'Any applicant that checks box 41 must also fill out the section below showing their workers' compensation policy information. t 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 state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I area an employer that isproviding workers= compensation insurance for nay employees. Below is thepolicy andjob site information. Insurance Company Name: AIM Mutual Ins. Policv # or Self -ins. Lic. #: VWC 601517501 Job Site Address: 3/ fox !'l�/✓ !/4 Expiration Date: 2-15-15 City/State/Zip: /Y 4s ojoy� W-1, Attach a copy of tate 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 u to $1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK P Y p O ORDER and a fine 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 coverage verification. I do hereby certify under the pains andpenalties ofperjury that the information provided above is true and correct. Phone #: 978-423-846 Official use only. Do not write in this area, to be completed by city Or town official. 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: Picone #• Existing bathroom remodel N Denise Frick 31 Fox Hill Rd. N. Andover Ma. 978-685-9539 2668 LIVING AREA 78 sq ft