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HomeMy WebLinkAboutBuilding Permit #887-2016 - 457 BOSTON STREET 2/16/2016C A Permit NO:� % BUILDING PERMIT �� .*.`cP.`• •:• °o� TOWN OF NORTH ANDOVER PPLICATION FOR PLAN EXAMINATION X 41 Date Received l�4SSICNUSEt NIP0 TANT: Applicant must complete all items on this page TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential J New Buildingne family -1 Addition F Two or more family J Industrial )qAlteration No. of units: -1 Commercial -1 Repair, replacement F Assessory Bldg 7 Others: J Demolition L Other lap� 7"IffioI iTW2W " ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TQT�I L �S,IIMATED COST BASED ON $125.00 PER S.F. Total Project CQ�t: $ � ' 1 -- 1FEE�E: $ QLa t ' Check No.: L71 Receipt No.: I oe t`'{ NOTE: Persons contrack _ un eistered contractors do not have accessi he mr n ki 8 Location4 No. Check#291-3 Date 2-- 1 k kP � i )o TOWN OF NORTH ANDOVER Certificate of Occupancy $- Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL �� 4,�-,- Building Inspector Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost 8,400.00 m $ - $ 220.80 Plumbing Fee $ 27.60 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 27.60 Total fees collected $ 376.00 457 Boston Road 887-2016 on 2/16/16 Bath Reno Z m O 0 m Ec --I X 55 cn z O D z O CD (C O C. CD 0 0 E U) B rt 00-0 p � _ mos N M" cn CD Qo 0 O . (D., CL 3 m 3c M C -n O O M W � D N O —I MCD cD D i Q C � � cc m N qj O L O O � n O 3 ID ID own* O O • 0=N:� - t -� CL �- ' '• CL o :A c� o CD O CD ��? �� C;D ''F O ea CD (=D c <D y n f: O �+ CD O "O 9 O O O O O C. L O (gyp O' L N z W > CD m m m T W 04 =r H m n O T d N !D C S m n Z N m T G1 W a 3- W Z H m T N n 3 � N .Z7 QO S T O O 0 W C_ Z M_ z m 0 N m V1 ro 3 T O Q S m ' C O M O n m D 2 Is ,qm ow-., IA ma0i'acehomemed ics. co m w w-A.acehomemedics.com HIC Lie. # 153165 Construction Super. Lie. #100212 Estimate/Agreement #: 2794 Date: November 10, 2015 BBB l d � Home Medics, LLC REMODEL BUILD REPAIR Cost Estimate/Agreement far Services Full Rnthrnnm Rpnnvatinn Proposal Submitted To: Will and Jenn Rogers 457 Boston Road North Andover, MA 01845 C: 857-991-7272 EM: �ailliarnxoeers'dbiogen com Job Location: 457 Boston Road North Andover, MA 01845 Carpentry, Construction In the full bathroom, we will: 8320 Administration Remove all bathroom fixtures and materials to the existing studs, subflooring and strapping; window and closet to remain Replace subflooring as necessary Remove closet and bathroom doors; replace with 6 -panel solid pine doors Insulate exterior wall where necessary Install tile backer board over bathroom floor and on tub walls Install file over bathroom floor and on tub walls; grout and seal all new tile (with pre -mixed sealant) Install bead board, chair rail and new baseboards around bathroom Install new window/door casings Install new vanity, medicine cabinet or mirror, towel/paper/curtain bars and other bathroom wall accessories Shower tiling to include (2) corner soap shelves. Subject to final the layout and selections. Inclusive ofproactive communication with clients and suppliers, as well as permitting, coordination and supervision o entire project. Plumbing Plumbing work in full bathroom to: 3650 Disconnect existing fixtures for demo Drain down boiler; remove/replace approx 5' baseboard heat strip; purgelrestart boiler Supply and install new tub, tub drain assembly, tub/shower valve and standard shower head with hand held Replace (3) shut off valves at toilet and vanity Install new drain, sink and fixture for vanity Install new toilet onto existing flange and new wax ring Provide all necessary permit and inspections; test all work for proper operation Includes 1 Bootz thiniren white tube and 1 brushed nickel S mmons Allura tub/shower valve Electrical Electrical work in full bathroom to: 875 Remove and replace (2) existing vanity sconces on existing switch and new are fault breaker per code Remove existing exhaust fan (vented to exterior); connect new exhaust fanlight combo on existing switch Replace (1) GFI with new GFI with dedicated circuit per code Provide all necessary permit and inspection; test all work for proper operation. Not including work on existing panel ifnecessary. Homeowners will supply finish light fixtures. FanAight combo is included in building materials Hang & Plaster Hang new blueboard on bathroom walls, ceiling; plaster new blueboard smooth 1485 Skim over existing walls and ceiling inside linen closet to smooth out existing texture Prep, Prime & Paint Prep, prime and paint bathroom walls, ceiling, trim, (2) new doors and linen closet; two coat finish. 980 Building Materials Tile backer, insulation, subflooring, thin set, exhaust fanAight kit ($200 allowance), (2) 6 -panel solid pine doors/casings ($225 allowance per 2565 including lockset), beadboard, chair rail, baseboard, window/door casings, fasteners, adhesive and other misc. materials necessary. Homeowners will supply tile, grout, vanity/top/sink, med cabinet or mirror, finish electrical and plumbing fixtures and other bathroom accessories but AHM will assist with suppliers, pickups and deliveries. Disposal -site disposal container for removal of old building materials and related debris 550 uilding Permit Ilowance for building permit fee; based on $12/$1000 of total project cost plus $75 for dumpster permit Total: 18728 Terms and Conditions: 1,13 due upon start; 113 due upon rough inspections: 1/6 due upon plastering completion; balance due upon completion. Prices are based on standard removal & installation. Additional work may be required due to conditions that we cannot see or predict, changes to the scope of work or to the f nalization or modification of specifications. Any work over and above that described here will be billed accordingly. Proposal is valid for 30 days. We may take pictures of our work. If you do not want these pictures shared, please initial here Hello Will and Jenn, Thank you very much for the opportunity to work at your home We are very grateful and we hope to be able to provide you with our services. When you have a chance to review the information, please let me know your thoughts and how you would like to proceed Thank you very much. h would be our privilege to serve you. Sincerely, Mathew Previte Ace Home Medics, LLC Thank you very much for your consideration. We greatly appreciate your business and look' and o providing you with exceptional quality, ' a professional, neat, timely and efficient manner. Our number one goal is your complete satisfaction. � Accepted: The above prices, specifications and conditions are satisfactory and are hereby accepted. Ace Home Medics, LLC is authorized to do the work as specified. Payment will be made as outlined above. Signature Date Date The Ctrnnnon)peatth of Massachusetts Department oflndustria/Accidents I Congress Street, Suite 100 $oston, MA 02114-2017 www,ntass.govIdia Workers' Compensation Insurance Affidavit: Snilders(ContractorslFIectricians/i'lumbers. TO BE FILED V4'ITIt 114E PEIMITTING AUTHORITY, 1'cantlnfor ration oePlease Print Legibly Nattle 03usinessh?rgani7.aaottflndividuel): Address:3 City/State/7irs: y! hone #: Ara you an employer? Chick the appropriate box- t Type Of project (required): 1 am a employer with _employees (full andtor part-time).' 4" 7. Q New construction t am a sole proprietor at partnemhip and have no employees working for me in any capacity. (No workers' comp, insurance nutuired] S. Reinodeling 9. Q Demolition In 1 am a hs)rnercustar doing n11 rood: myself [No workers' camp, insurance required.] r 4.Q f am n hrnmtcon'nar and will be hiring contractors to conduct all work on my pmPerry. 1 trill 10 Q Buildfngaddition cusuac that all contrartoo either have NvAers, compensation insurance, or am sole ILC] Electrical repairs oradditions proprietors with no employees. 12. [J Plumbing repairs or additions 5.Q 1 am a general contractor and I have hitcd the sat)-COntractnla listed on the attached sheet, 'these 13 E] .Roof repairs sub-marroctets have employees rind have workers' Comp. insurimce.i 4.Q We are a corporation and its officers have exorcised their tight of exemption per M01, a 14. Q Other 152, $1(4), and we have no employees, [No workem' comp, inavance required.] 'Any applicantihat ehacka box R 1 must also ftil nut tha section helnw showing their workers' campurmiion policy information. '• 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 tnpioyecs, if the sub -contractors have employees, they must provide their workers' comp. policy number. I ant an eraplayer that A prm'id lig ivarkerv' caarpensnllaa lastrranre far u0' employees. $elanp is the policy' acrd Joh site hrfarinardom insurance Company Name: Policy it or Self' Ins. Lic. 9: � 2 � _ Expiration Date: lob Site Address: City/State/2ip:a!�C� v�� Attach a copy of the workers' compensation policy declaration page (shovving the Policy number and expiration date). Failure to secure coverage as required under Mtxi, c. 152, §25A is a criminal violation punishable by a fine up to $1,500.00 andlor One-year imprisonment, as we i as civil penalties in the form of a STOP WORK ORDER and it line of up to $250.00a day against the violator. A copy hi siattgknt may be forwarded to the Office of investigations of the DIA for insurance ,to hereby cejr/altfes oJperjary thrt/ the frrfartnnlinn pmvidedpbot a fjtrue and correct. Official use only, Do not )trite in tins arca, to be completed by city or town official. City Or Town: �. Permit/lAcense # Issuing Authority (circle one): 1. Hoard of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector G. Other Contact Person: Phone #: OP ID: BR ,a4CCit"CERTIFICATE OF LIABILITY INSURANCE DA—.1— 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(SJ 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 Durso & Jankowski Ins Agcy LLC 11 Saunders Street North Andover, MA 01845 Durso & Jankowski I ns. Agcy. CONTACT NAME' FA% ac Np E:1:978-688-7000 rc Noy 978 688-7001 EMAIL ADDRESS: PRODUCER PREVIA CUSTOMER ID t: INSURERS) AFFORDING COVERAGE NAIC i GENERAL LIABILITY INSURED Ce Home ICS C 57 Harold Parker Road NSURERA: INSURER B: Andover, MA 01810 INSURERC: Utica Mutual Insurance Company INSURER D : C INSURER E : INSURER F ; 4687243 COVERAGES CERTIFICATE NUMBFR• DMA—M unMoco. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWTHSTANDING 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBRI POLICY NUMBER OLICY EFF MM/DDNYY POLICY EX M/DD/YYYY LIMITS AUTHORIZED REPRESENTATIVE GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 C X COMMERCIAL GENE RALLIABILITY CLAIMS -MADE ❑X OCCUR 4687243 09/27/2015 09/27/2016 pREMISEs Ea occurrence $ 500,00 MED EXP tAM one person) $ 10,OO PERSONAL 8 ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER'. PRODUCTS -COMP,OP AGG $ 2,000,000 POLICY PRO LOC $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (En accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per aecldenf) If SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (PER ACCIDENT) $ NON-ONMED AUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESSLIAB CLAIMS�MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ C WORKERS COMPENSATIONWC AND EMPLOYERS' UABIUTY ANYPROPRIETOP/PARTNER/EXECUTIVEV/N OFFICERMIEMDER EXCLUDED? ❑ NIA 4687246 09/27/2015 09/27/2016 STATUS TH- X TORY IM TS ER E. L. EACH ACCIDENT $ 1,000,00 EL. DISEASE - EA EMPLOYEE If 1,000,00 (Mandatory In NH) If yes, d9511,be UMer EI DISEASE -POLICY LfM1T $ 1,000,00 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addifional Remark, SchedWa, If mon apace 1, raqutred) carpentry - CERTIFICATE HOLDER CANCFI I ATInfJ NORTH13 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 384 Osgood Street ACCORDANCE WITH THE POLICY PROVISIONS. North Andover, MA 01845 AUTHORIZED REPRESENTATIVE © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD tti # Massachusetts - Department of Public Safety Board of Building Regulations and Standards iun'tr>tctinn Superckor License: CS -100212 MATHEW S PREVgTE ._.. •' - ~% 57 HAROLD PARKER4D, D ANDOVER MA 01810. ,i ��- Expiration Commissioner 03/23/2016 --OfficeorconsumerAriairs ` t�rJ r"'�`r •11 Oegi E IMPROV Business Regulation I �tegistrIMPR IMPROVEMENT CONTRACTOR .153165 Expiration: 11/6/2016 Type: MAT PREVITE DBA HOME MEDIC MATTHEW PREVITE 57 HAROLD PARKER ROAD ANDOVER, MA 01810 Undersecretary