HomeMy WebLinkAboutBuilding Permit #876-13 - 32 FURBER AVENUE 6/14/2013TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: , Date Received
Date Issued: �' i . J
IMPORTANT: Applicant must complete all items on this tape
LOCATION_
Print
PROPERTY OWNER
Print 100 Year Old Structure yes no
MAP NO: TPARCEL: ,TONING DISTRICT: Historic District yes no
Machine Shop Villaqe yes 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 ❑ Well
❑ Floodplain ❑ Wetlands
❑ Watershed District
❑ Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
Identification Please Type or Print Clearly)
OWNER: Name:
Ar9rirPcc-
Phone:
CONTRACTOR Name: =Ow,i4 eh Phone: 6()-5�4 5 !
Address:d���-i�;��'
Supervisor's Construction License: �''`� 2 Exp. Date:
Home Improvement License: 1� e%� Exp. Date:
ARCHITECT/ENGINEER Phone:
Address:
Reg. No.
FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASUN $125.00 PER S.F.
Total Project Cost: FEE: $
Check No.: I Receipt No.: -
NOTE: Persons contracting with unregistered contractors do not have access to the gua qty fund
Signature of Agent/Owner Signature of contractor
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan 11 StampedPlans ❑
Location 32
No. Date
Check #
110
TOWN OF NORTH ANDOVER
Certificate of Occupancy
Building/Frame Permit Fee
Foundation Permit Fee
Other Permit Fee
TOTAL $
[ding tnspector
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
PLANNING & DEVELOPMENT ❑
COMMENTS
CONSERVATION
COMMENTS
HEALTH
COMMENTS
DATE APPROVED
❑
Reviewed on Signature
Reviewed on Signature
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes_..
Planning Board Decision:
Conservation Decision:
Comments
Commen
'Water & Sewer Connection/Signature & Date Driveway Permit
,DPW T ovv a ]Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT - Temp Dumpster on site yes no
Located at'l24 Mair Street
Fire Departmefit 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 Dieter 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
Doc.Building Permit Revised 2010
Building Department
Tine folio -wing is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofh,g, 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 app -,al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must he submitted with the building application
Doc: Doc.Building Permit Revised 2012
Enter construction cost for fee cal -
North Andover Fee Cakulatlon
Construction Cost
$ 35,700.00
m
$ -
$
428.40
Plumbing Fee
$
53.55
Gas Fee 100 comm.
$
100.00
Electrical Fee
$
53.55
Total fees collected
$
635.50
32 Furber Avenue
876-13 on 6/14/2013
Remodel Kitchen
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TPM CONSTRUCTION LLC
20 WHEELER AVE
fft SALEM, NH 03079
(603) 898-0864
PROPOSAL SUBMITTED TO: PHONE:) 7C r ,Z (� 9 9
Franz Hoher
32 Furber Ave PAGE: 1 OF 2
North Andover Ma
Date: April 12, 2013 Target Start Date June 3, 2013
We hereby submit specifications and estimates for: New Kitchen Remodel
Demolition Work
• Remove existing floor in kitchen 10'x20'
• Remove existing kitchen cabinets / counter tops
• Remove wall board to studs
• Remove existing sliding door unit
New Construction
• Install 1/z" wall board skim coat finish on walls and ceiling
• Install insulation to code on outside walls
• Install new kitchen cabinets / finish trim / kitchen hardware pr drawing
designer Paula Foley - Labor allowance $2,200.00
• Install new baseboard in kitchen
• Install Harvey 6' vinyl sliding door unit
• Install 200 sq ft Labor only kitchen floor tile 12"x 12" / cement board
included $1550.00
Painting Allowance $1,250.00
• Prime new ceilings and walls
• Paint 2 coat finish on new ceiling in kitchen area
• Paint 2 coats finish on walls in kitchen area
Plumbing Allowance $1,750.00
• Install finish - kitchen faucet / kitchen sink drain to code / garbage disposal
/ ice maker
9 Snake drain in basement laundry
A Eft TPM CONSTRUCTION LLC
20 WHEELER AVE
ti SALEM, NH 03079
(603)898-0864
Electrical allowances $3,950.00
• Install new 100 amp Panel in basement 24 circuit
• Install 7 - 5" Recess light units
• Install 2 Pendent lights
• Install under cabinet lighting
• Install outlet for micro wave oven
• Install DW, stove, fridge circuits to code
• Install outlets to code
Homeowner to supply — Floor Tile / kitchen cabinets / plumbing fixtures /
Appliances
• Allowances need to be approved by subcontractors for plumbing /
electrical before contract is signed
We propose hereby to furnish material and labor complete in accordance with above specifications for the
sum of:
Fifteen Thousand Seven Hundred Dollars _ 590 0" -zz�-~-
Payment to be made as follows;
At Start of Job: $5,233.00 Job Half Done: $5,233.00 Upon Completion $5,233.00
All material is guaranteed to be as specified. All work to be completed in a
workmanlike manner according standard practices. Any alteration or deviation from
above specifications involving extra costs will be executed only upon written orders,
and will become an extra charge over and above the estimate. All agreements
contingent upon strikes, accidents or delays beyond our control. Owner to carry fire,
tornado and other necessary insurance. Our workers are fully covered by Workman's
Compensation Insurance.
Acceptance of Proposal— The above price(s) specifications and
conditions are satisfactory and are hereby accepted. You are authorized to do the
work as specified. Payment will be made as outlined above. Any additions to the scope
of work as outlined above after acceptance of this proposal will be billable at
$110.00/hour 2 men.
Date of Acceptance: rill
Authorized
Signature _
NOTE: This proposal may be withdrawn by us if not
accepted within 10 days.
Signature:
Signature:
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[71s—cEEIRTIFICATE
N-03-2013 11:26 PANASONIC P.001/001
1 o DATE (MMIDDIYYYY)
Ra CERTIFICATE OF LIABILITY INSURANCE 6/3/2013
IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CATE 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 i5 an ADDITIONAL INSURED, the policy(iea) must be endorsed. If SUBROGATION IS WAIVED, subjoct to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this cortificate does not confer rights to the
Certificate holder in lieu of such endorsemen s .
PRODUCER"TACT Linda BOQdanourigz
INSURANCE SOLUTIONS CORPORATION PHONE -(603)382-4600 ^ (603»62-2094
60 Westville Rd E-MAIL ,lindab@iscinsures-COM
INSURER(SI AFFORDING COVERAGE NAIC t
Plaistow NH 03865 INSURERA:Continental Western Insurance
INSURED INSURERS:Union Insurance COID an
TPM Construction LLC INSURERC:
20 Wheeler Avenue I INSURER D,'
Salem NH 03079 IINSURERF: I I
(7/►Vr-DARPC CFRTIFICATF N1IMRFR-CL1331109936 RFVISI>ON 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.
JaL
TYPE OF INSURANCE
ICY N MGER
POLI Y EFF
POLICY EXP
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENGRAL LIABILITY
CLAIMS -MAGE Fx-1 OCCUR
OA5074929-10
12/11/2012
2/11/2013
EACH OCCURRENCE S 1,000,000
PR MI $ 500,000
MED EXP (Any one person $ 10,000
PERSONAL & AOV INJURY S IncludA
GENERAL AGGREGATE 1 2,000,000
r'LAGCREGATELIMIT APPLIES PER:
POLICY PRO LOC
PRODUCTS - COMPIOPAGG $ 2,000,000
$
AUTOMOBILE LIABILITY
ANY AUTO
AALL
UTOS IED AUTOSSCHEDULEO
NON -OWNED
HIRED AUTOS AUTOS
MHI S LIMIT
BODILY INJURY (Per person) $
BODILY INJURY (Per ecodent) $
PROPERTY DAMA I $
(per
8
UMBRELLA LIAR
EXCESS LIAR
OCCUR
CLAIMS -MADE
EACH OCCURRENCE $
ACCREOATE $
DED I I RETENTION
9
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
PROPRIETORMARTNER/EXECUTIVE
OFFICER(MEMBEREXCLUDED?
(Mandatory In NH)
Ifyea, deWAbe under
DflSCRIPTION OF OPFRATIONS below
NIA
5074930-10
12/11/2012
2/11/2013
WC STATU- 10T11-
DRYm
ITS1ANY
E.L. EACH ACCIDENT 8 100,000
E.L. DISEASE . EA EMPLOYE $ 100,000
E.L. DISEASE •POLICY LIMIT S 500 000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Addltlonal Remarks Schedule. If more apace Is required)
1(978)688-9542
Town of North Andover Imo.
Building Dept
1600 Osgood St.,
Bldg 20, S%xite 2-36
N Andover, NA 01845
ACORD 25 (2010/05)
INS025 (2oims).o1
IIUN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRE9ENTATIYE
®1988-2010 ACORD CORPORATION. All rights roserved.
The ACORD name and logo are registered marks of ACORD
TOTAL P.001