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Home My WebLink AboutBuilding Permit #785-2017 - 48 HUCKLEBERRY LANE 5/1/2018 h 46F a� n -P'Mej BUILDING PERMIT A, ~° TOWN OF NORTH ANDOVER fi�rr_ APPLICATION FOR PLAN EXAMINATI N Permit NO: �w - a 0 Date Received IN7 ,3,e l • Date Issued: �9SSACHu IMP�O,JRTANT:Applicant must complete all items on this page LOCATION Print PROPERTY OWNER 11�A`� `!- /�l Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes �no7 Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Reside 'al Non- Residential o ❑ New Building 4-16ne family ❑Aition [I Two or more family ❑ Industrial Iteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other G Septic D Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer Identification Please Type or Print Clearly) i OWNER: Name: Phone: q�rll�-- Address: CONTRACTOR Name: Ph e: t z*- 7Z6 Address: C�z /ylfi (Cal St LaGc: �� i� G 2 Supervisor's Construction License: �`{SCoZ� Exp. Date: Home Improvement License: e Exp. Date: ARCHITECT/ENGINEER & 4 - Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST RASED ON$125.00 PER S.F. Total Project Cost: 15— FEE: $ (((O/f Check No.: Receipt No.: f NOTE: Persons contractin R reregistered contractors do not have access the guara tyfu Signature of Agent/OwneY Signature of contractor a Building Department Tine following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑: BlJilding 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 o 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 o Of Proposed Work With Sprinkler Plan And Floor/Crossection/Elevation Plan Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products 40TE: 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 o Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products TOTE: 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 appal 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.Buhding Permit Revised 2012 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 B Notified for pickup - Date E Doc.Building Permit Revised 2010 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 Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes . Planning Board Decision: Comments Conservation Decision: Comments 'Water & Seger Connection/Signature &Date Driveway Permit DPW Tows -, Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENIT' - Temp Dumpster on site yes no Located at,124 Mair.,;Street Fire Departmerit signature/date COMMENTS Location VL � ��`? `- y. t No.-7,?,! Date . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# Uo 41, VBuilding Inspector Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 7,5'500.00 m $ - $ 90.00 Plumbing Fee $ 11.25 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 11.25 Total fees collected $ 212.50 48 Huckleberry 785-2017 on 2/17/2017 bedroom remodel NORTFj t Town of :. _ s ndover O h ver, Mass o I ! 7 d 7 C0CMIC"1WICK p0'VATEO s U BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System � .. ,,,. BUILDING INSPECTOR THIS CERTIFIES THAT ... ........... 24.1L 044... ....... /....................... has permission to erect ........................:. buildings on ... ..&.- ......4M..... Foundation � Rough to be occupied as .........�eyiw......0 IOa.4b...../_60t.o.""O...�,'"..�.... 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 CONSTRUCTIO TART Rough Service .......... ... .. ..... . ...... .. "" Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. WF MARLOW . .. BUILDIN & DESIGN, INC. February 16, 2016 Naga &Shoba Donti 48 Huckleberry Lane N. Andover, Ma. cr>3Y5-� Addendum - A We at Marlowe Building & Design, Inc. are pleased to submit a proposal for the following: REMODEL SECOND FLOOR GUEST BEDROOM AT ABOVE ADDRESS, AS PER PLANS AND AS FOLLOWS: PLANS AND PERMITS • All building permits supplied by Marlowe Building & Design, Inc. All construction drawings supplied by Marlowe Building & Design, Inc. TEAR OUT • Remove Existing closet and closet door • Remove existing flooring • Remove ceiling (unless blown in insulation exists) • Remove existing window rear window and relocate to owners preference FRAMING • Frame new closet as per plan • Frame new window opening as per home owner using existing window ELECTRICAL • Install wiring, switches and outlets where necessary as per code • Install one new ceiling light fixtures (owner to supply fixture) INTERIOR WALLS • Install R-13 Insulation at remodeled window area • Install 1/2" drywall to interior disturbed walls • Tape 3 coat's & sand interior walls Marlowe Building&Design/Office&Showroom 404 Middlesex Rd.,Suite 1,Tyngsboro,Massachusetts 01879 978-649-85701 FAX 978-649-8572 MARLOWEI BUILDING DESIGN, CEILING COVERING e Install 1/2" drywall to interior disturbed walls e Tape 3 coat's & sand interior walls MILLWORK AND TRIM • Install new Bi-parting solid core smooth Masonite door e Install baseboard moldings and trim similar to style of rest of house e Trim moved window on exterior of home FLOOR COVERING e By owner PAINTING • Interior painting to be completed using Sherwin Williams or Benjamin Moore materials e Paint all doors,trim,ceiling & walls • Paint exterior window area CLEAN UP Removal of debris and cleanup of space to be completed by Marlowe building and design. SPECIALTY Relocation of fire sprinkler is not included in this quote wall we will need to be.opened to view this area REMODEL COST: $7,500.00 PLEASE LET ME KNO WHAT LiARDWARE FINISH YOU WOULD LIKE Thank you. for allowing us to quote your work. Sincere , eter D. rlowe Marlowe Bldg. &Design,I C. Acceptance Date i 3L 1 0 Marlowe Building&Design/Office&Showroom 404 Middlesex Rd.,Suite 1,Tyngsboro,Massachusetts 01879 978-649-8570/FAX 978-649-8572 wd' -------------NEW LOCATE EXISTING WINDOW C'3 5211 CLOSET VERIFY LOCATIONCL B'-0o WITH HOME OWNER T O N PATCH t TAPE ALL L DRYWALL,PAINT WALLS , N CEILIINGs t TRIM L>-+ c+s N :3 V LOWER CEILING TO SOMEWHEREp a AROUND 8' TO ELIMINAT TUNNEL cit WHERE SLOPES MERGE 0 C > T 'v FLAT.CEILING AREA f E II co 00 - C SLOPEI I SLOPE T a) � 11 I 10 t" I m � w - - - - - - - - I 33" o L rn�: SLOPEID- v m m O .Q cn 212 Z91/2' m m m a &Z 111M � 3 � • Guest 5edroom Proposed 111111 WE; N SCALE: 1/411 - 11-011 N n r M tP _� rn+- ��- W a = ca FRI o 01, o c� 3 M 63 65" 35'1" 24.. x. 2.. tP C4_ i 1021 " � r I D m IT W 10 D (1 � ;U ► � A D O U I tip N r I I LID W $ I I 62 130" Marlowe Bullding t Design Donti Bedroom Remodel PAGE: • t 258 West Manchester 6t, i Lowell,MA 01852 SCALE: 1/4u = 1 -0s 3/ 4 DATE:Wednesday, January 25, 201 The Commonwealth of Massachusetts Department of lndustrialAccidents b X Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Mylicant Information / Please Pri Name(Business/Organization/Individual): Address: City/State/Zip: �,t9 C �, �-- ��%Si_Phone#: Are you an employer?Check the appropriate box: Type of project(required): IQ I am a employer with employees(full and/or part-time).* 7. ❑Ne onstruction 2.F-1 I am a sole proprietor or partnership and have no employees working for me in 8, emodeling any capacity.[No workers'comp.insurance required.] 3.Q I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 10 Building addition 4.Q I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.EJ Plumbing repairs or additions 5.❑I am a gene ontractor and I have hired the sub-contractors listed on the attached sheet. 13.[]Roof repairs �eare contractors have employees and have workers'comp.insurance.t 6. orporation and its officers have exercised their right of exemption per MGL C. 14. Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *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 tContractors 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 I am an employer that is providing ivorkers'compensation insurancefor my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). j Failure to secure coverage as required under MGL c.152,§25A is a criminal violation punishable by 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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage veri on. I do hereh Kcerttfy under the ains n enalties of perjury that tire information provided above is true and correct Si na Date: 49;�ZZ-Z Phone#: ��j JT Official use only. Do not sprite its this area,to be completed by city or tolvn official City or Town: Permit/License# Issuing Authority(circle one): ; 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ��.,...a� MARLO-1 OP ID:KN 'ACOIRI�' CERTIFICATE OF LIABILITY INSURANCE DATE(MMMMYYYY) 05/1912016 THI$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((es).must be endorsed. If SUBROGATION IS WANED,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 endorsemen s. PRODUCER NAME T Stephen J.Szczepanik Ins. PHONE978454-3106 No):978.454.9378 471 Aiken Avenue ° Dracut,MA 01826 ADDRESS' INSURER(S)AFFORDING COVERAGE NAIL 9 INSURERA:Commerce Ins 34754 INSURED Marlowe Building S Design,Inc INsuRERs:Harleysville Insurance Company 23787H 258 W Manchester St INSURERC: Lowell,MA 01852 INSURERD: 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. INR LTRTYPE OF INSURANCE POLICY NUrMBER MIDD Y LIMITS 13 X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,00 01 CLAIMS-MADE ❑OCCUR SPPS5300J 04/08/2016 04/0812011 pR MISESIE8o0ourren00 $ 100,00 MED EXP one paman S 5,00 PERSONAL 8 ADV INJURY S 1,000,00 GEN'L AGGREGATE LIMITAPPLIES PER; GENERAL AGGREGATE S 2,000,00 POLICYD j_T LOC PRODUCTS-COMPIOPAGG S 2,000,00 $ OTHER: CO INMED 11NGLE LIMIT $ AUTOMOBILE LIABILITY a a A ANYAuro BBQZVR 0412712018 04/27/2017 BODILY INJURY(Par peroon) S 600,0 AUTOVSVNED )( SCHEDULED BODLYINJURY(Per eoddent) S 600,00 AUTOS PROP DAMAGE $ 100,00 X NON-OWNED Peraeddent HIRED AUTOS X AUTOS $ UMBRELLA UAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLANS-MADE AGGREGATE $ $ DED REfE"ON SER . WORKERS COMPENSATION AND EMPLOYERS'UABIUTYYE.L EACH ACCIDENT S ANY PROPRIETORIPARTNERVMUTNE �NIA OFRCEWM MBER EXCLUDED? E.L.DISEASE-EA EMPLOYE S (Mandatory In NH) If yyes describe under E.L.DISEASE-POLICY LIMIT $ DESt;RI ON OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Ramada Schedule,may be 9020h9d tt mora space Is required) CERTIFICATE HOLDER CANCELLATION MARLOWE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Marlowe Building Assoc.Inc. Peter Marlowe AUTHo REPRESENTATIVE 258 W Manchester St Lowell,MA 01852 kA;6k- 1��' -1 ®19 014 XbRD CORP N. All rights reserved. ACORD 25(2014101) The ACORD name and logo are rered marks of ACORD gia 06.27.2016 21:28:27 8H Insurance 0HC ID 17647865 1/1 A60R& CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYIYQ 06/27/2016 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 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 Ileu of such endorsement(s). PRODUCER NAME: BATES FULLAM INSURANCE AGENCY,INC. PHONE e t Nc No: 975 Elm Street E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC t West Springfleld MA 01089 INSURERA: AmGUARD Insurance Company 2390 INSURED INSURER B: Accuservice Corporation INSURERC: 2336 Briarwood St INSURER D: INSURER E: Port Charlotte FL 33980 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. TR POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE POLICY NUMBER tdIDO MIDD GENERAL LIABILITY EACH OCCURRENCE $ -UTgAGETO-MMED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE D OCCUR MED EXP(Any one person) $ PERSONAL BADV INJURY $ GENERAL AGGREGATE $ GEN'LAGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $ POLICY PRO LOC COMBINED $ AUTOMOBILE LIABILITY Ea accident SINGLE IMI $ ANYAUTO BODILY INJURY(Per person) $ ALL OWNEDSCHEDULED BODILY INJURY(Peraccident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA UAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ OED RETENTION$ $ WORKERS COMPENSATION R2WC762775 6/14/2016 /14/2017 X.] VJCSTLIMITS ER ATU- OTH- A AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE a YIN NIA E.LEACHACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EAEMPLOYE $ 100,000 If yes,describe under E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OFOPERATIONSbelow DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CERTIFICATE HOLDER CANCELLATION Marlowe Building&Design SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Peter Marlow ACCORDANCE WITH THE POLICY PROVISIONS. 258 West Manchester St Lowell,MA 01852 A1o111 O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation r� �t 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration = Registration: 122415 -- , Type: Private Corporation - Expiration: 8/30/2018 Tr# 291496 MARLOWE BUILDING & DESIGN INC: PETER MARLOWE 258 W. MANCHESTER ST LOWELL, MA 01852 Update Address and return card.Mark reason for change. Address ❑ Renewal F-] Employment E] Lost Card SCA I C, 20(0-05(11 �, r/�r �runnroxrnca�f�c�Cl�n tar•�rr�effi - — _ _ .. .. Office of Consumer Affairs&Business Regulation License or registration valid for individual use only before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR r Office of Consumer Affairs and Business Regulation Registration: 122415 Type: g t 10 Park - 5170 e Expiration: 8/30/2018 Private Corporation - - Bos ,MA 02116 MARLOWE BUILDING&•DESIGN INC PETER MARLOWE 258 W.MANCHESTER ST LOWELL,MA 01852 Undersecretary Not valid without signature Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-048623 Construction SuperVisar DAVID G DEGAN 268 WEST MANACHESTER STREET LOWELL MA 01852 l./_ Expiration: Commissioner 06106/2018