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HomeMy WebLinkAboutBuilding Permit #818-13 - 386 SHARPNERS POND ROAD 5/29/2013TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: gl0 ~ J Date Received Date Issued: SZgL1_9 IMPORTANT: Applicant must complete all items on this LOCATION' �.S 2S c5 `` /vi��a%��V �J . « __ _ - , _ 411- �. P,rint� PROPERTY OWNER_.a rQ nd Print 100 Year Old Structure MA -'NO` / 6 _ PARCEL ZONING DISTRICT Historic ;District, Machine Shop!Villa es yeses e yes: 6 TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ,rAlteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic; ❑Well ❑ Floodplain o Wetlands ❑Watershed District 0 Water/Sewer DESCKIN I IUN UI- VVL)Mrt I v DC rcr%rvRinw. ,-6 -7-Zh A -AJ 1e,;*'0d)9_Z_ Identification Please Type or Print Clearly) OWNER: Name: 46iff ZLJ f Address: ,.a�'PN>3'j CONTRACTOR, Name://'</ v�7Y�' Address: t424-02 S l" /(10 j-21 Supervisor' s.C.onstructlon'License: Do?/' % Exp.. Date: Home improvement1icense: -/ Exp. Dater ARCHITECT/ENGINEE 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: $ / FEE: Check No.: /60;6z' Receipt No.: -26Z7�_ NOTE: Persons contracting with unregistered contractors do not have access tote uaranty un ,Signature=of Agent/Owner Signature of contracto - Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan Stampe Plans i 1 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 COMMENTS Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comme Conservation Decision: Comments f Water & Sewer Connection/Signature � Date Driveway Permit .,Q DPW Town ]Engineer: Signature: FIRE DEPARTMENT = Temp Dumpster onsite yes Located at 124.Main Street Fire bepartine'nt-signatueeldate COMMENTS Located 384 Osgood Street no Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, roast or service chop requires approval of Electrical Inspector Yes No DANCER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine NOTES and DATA — (For cele ® Notified for pickup - Date Doe.Building Permit Revised 2010 ent use 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 o Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses Li 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 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: Doc.Building Permit Revised 2012 Location .ono 6-1 10 No. ! a Date 5 f 9 /3 TOWN OF NORTH ANDOVER". Certificate of Occupancy $ e g Building/Frame Permit Fee $iia • b Foundation Permit Fee $ WA �y Other Permit Fee $ TOTAL $ Check # 26452 fldirig Inspector Enter construction cost for fee cal - North Andover Fee Cakulation Construction Cost 41,100.00 m $ - $ 493.20 Plumbing Fee $ 61.65 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 61.65 Total fees collected $ 716.50 386 Shar ners Pond Road 818-13 on 5/29/13 Kitchen Remodel (ilwa cowalz�w PROPOSAL Bob & Allison Naftal 386 Sharpners Pond Road North Andover, MA 01845 (H) 978-794-4306 (C) Bob 978-771-5482 Allison 978-621-9632 naftal@comcast.net Kitchen Remodel May 20, 2013 Work to be completed includes: • Building Permit • Dumpster ( additional dumpsters will be extra) • Demo Kitchen — To include removal of all appliances, cabinets and ceiling. Remove kitchen and dining room floor. Remove dining room wall. • Electrical — Install nine, 5 inch recessed lights. Two, four inch recessed lights. Run 5 new circuits. Install new switches and receptacles. Wire for two pendants over island. Install outlet in island. • Install under cabinet lighting. • Hang new ceiling and two walls and plaster. Skim coat family room ceiling smooth. (any additional extra) • Relocate and install new Andersen Casement window. (CN 235) • Install base and wall cabinets. Install crown moulding around cabinets. • All necessary plumbing. (this could change depending on heat.) • Install new 2 '/4 oak flooring in dining/kitchen area. Sand and finish. Sand and finish living room floor. • Install new baseboard where needed. Trim out new windows. • Install appliances. TOTAL LABOR AND MATERIAL Terms: $ 7,200.00 to start Cabinet cost -est. $ 7,200.00 after plastering Granite cost -est. $ 7,200.00 when complete Total project cost $ 500:00 $ 500.00 $ 2,400.00 $ 3,400.00 $ 500.00 $ 2,400.00 $ 1,950.00 $ 2,600.00 $ 2,600.00 (est.) $ 3750.00 $ 500.00 $ 500.00 $ 21,600.00 $ 15,000.00 $ 4,500.00 $ 41,100.00 Submitted By: Chris Rivet MA Lic #CS072173 HIC #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 are authorized to do the work as specified. Payments�4yl be made as ou lined abo e. Date Signat e i Date J 3 Signature ,Massachusetts - Depai—rinient of," Pubiic Board ol Building Reguiations and Standards C-1structillin Supervisor -cense: CS -072173 CEIRISTOPHER F -RIVET. 207 WINTER ST . --- N ANDOVER Xk- 01845 Jam...- 1E.z c. i ir at I on corn,missioner 06/0212014 92. ---1 Off -ice o='Consumer Affairs & Business Regulatirs: HOME '-;l P ROVEM ENT CONTRACTOR - Registration: 139962 Type: 918/2013 expiration: r Individual OPHER F. RIVET - CHRISTOPHER RIVET 2L-:'- WINTER ST. N. ANDOVER, MA 01845 PA, Undersecretary The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 UV-. www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers T,■ - --- r—ewe.T Name (Business/Organization/Individual): Address: C�l 0/ z" /S City/State/Zip: /J. 11 Cq 7K Phone #: Are you an employer? Check the appropriate box: 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors listed the attached sheet. t 2.2rI am a sole proprietor or partner- on ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. 5• ❑ We are a corporation and its [No workers' comp. insurance officers have exercised their required.] 3. ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. [remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Other, *Any applicant that checks box # 1 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 their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information.; Insurance Company Name://_,,4.-�,§-,o AP Policy # or Self --ins. Lic. #: I - ins. ` "7� 3 / "' Expiration Date: Job Site Address: 3V( ��� <A_ 4/ 04j0 � City/State/Zip: Aba APOVK 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 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. T do hereby cert zcnr. r tr pains and pe/nj ties of perja�ry that the information provided�aab�ov is tru and correct. Date: 4r_ � J 3 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): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone Oo 0 J LU LL 0 0C7 a m L Y O LL E aU+ ? O_ N W a N z Z o m O O 7 LL � T C E U LL O W y z Z 2 co J d t : bo LL cc 0 W a N z Q U F2 J W t : K U N m L. O H U a CA z IA < -C 3 K LL W oc W a � 41 aC.. CO O z `J + N 0 ) 0 N I�1 a MA :2 U) _ a) w tm m O _ O N d t O Z O O cn z m CD Z W w CLX LUH LU CL O U W :a O 0 m H Q U) O V c . O U) W Z 0 y U) W W OG W U) �. O cc 2 V •Q �� L VVV . CL w Z� E cL Ecn o = 0 L V V N ul- 43 cc o ��•-• CD > 0-0 a QCnz o N 0 L Q Q. cp d D L Ri •a N CD m _ •a w O O y N C Mm :E O v v Q O -0 d �+ y O c CL0U h= � a MA :2 U) _ a) w tm m O _ O N d t O Z O O cn z m CD Z W w CLX LUH LU CL O U W :a O 0 m H Q U) O V c . O U) W Z 0 y U) W W OG W U) OP ID: SHHE j? 6ERTIFICATE OF LIABILITY INSURANCE YY) 710112/12 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 978-688-6921 Macdonald & Pangione Insurance 978-688-5350 P.O. BOX 428 '104 Main Street North Andover, MA 01845 Michael Pangione CONTACT NAME, PHONE FAX _(Pic. No. Ext): (AIC, No), E.MA1L ADDRESS: PRODUCER CHRIS -5 CUSTOMER ID#: _ INSURER(S) AFFORDING COVERAGE j NAIC M 100,000 114SURED Christopher Rivet _ 114_SURER A: Preferred Mutual Ins Co 115024 207 Winter St. North Andover. MA 01845 114SURER B: ---" '- - -'- 5,000 INSURER C: ! D: I _INSURER INSURER E: GENERAL AGGREGATE 1 S INSURER F: I ! GE_N'L AGGREGATE LIMIT APP_L_IES PER: 'I 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. _.T ItJSFi' !ADDLISUBR LTR TYPE OF INSURANCE t N i WV POLICY NUMBER POLICY EFF I POLICY EXP t LIMITS MMIDD/YYYY MM/DD/YYYY °GENERAL LIABILITY 1, EACH OCCURRENCE S 1,000,000 A X ! COMMERCIAL GENERAL LIABILITY ;CPP 0180 57 01 05 AMAGE TO 09/26/12 09/26/13 { 100,000 -- - i p°REM SES occurRENTErence) I s 1 i CLAIMS -MADE `. X ;OCCUR MED EXP (Any one person) { S 5,000 FPERSONAL & ADV INJURY I S 1,000,000 i GENERAL AGGREGATE 1 S 2,000,000 ! GE_N'L AGGREGATE LIMIT APP_L_IES PER: 'I j i PRODUCTS - COMP/OP AGG lt S 2,000,000 I. X POLICY P� O I LOC j I --- I S :AUTOMOBILE LIABILITY I i COMBINED SINGLE LIMIT , • S ; 1 (Ea accident) ' ANY AUTO ` 1 BODILY INJURY (Per person) i S ! j ALLOWNED FlIIfOS I BODILY INJURY (Per accident) S SCHEDULED AUTOS PROPERTY DAMAGE j S f HIRED AUTOS 1 (Per accident) 1 NON -OWNED AUTOS S 4 I , IMFIBRELLA LIAB OCCUR ! } EACH OCCURRENCE I S _EXCESS LIAR CLAIMS-101ADE! - AGGREGATE ' S _ ! DEDUCTIBLE I i j ! RETENTION S jjS WORKERS COMPENSATION WC STATU- 1 OTH-� 1 AND EMPLOYERS' LIABILITY Y ( 14 1 - I ! I TORY LIMITS I ER --',N PROPRIETOWPARTNER/EXECUTIVE OFFICERIiviEAFBER EXCLUDED? � !NIA; I E.L. EACH ACCIDENT 3 S I (Mandatory in NH)�1 ' E.L. DISEASE - EA EMPLOYEE( S I If yes. doscribe under ! DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 S t DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if more space is required) i I s CERTIFICATE HOLDER CANCELLATION Town of North Andover 1600 Osgood St No Andover, MA 01845 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 REPRESENTATIVE Michael Pangione © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD