The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #1070-16 - 62 WILLOW RIDGE ROAD 5/1/2018 YTOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit IVO: O 7,12-1,61 Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION Lim 9660Lkmo PROPERTY OWNER . i1 Print 100 Year Old structure yes no MAP NO: _ PARCEL 1_ ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT, PROPOSED USE Residential Non- Residential ❑ New Building ane family ❑PSddition ❑Two or more family ❑ Industrial j ter'A'Iteration No. of units: ❑ Commercial V*I`Zepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District 11 Water/Sewer 4 n DESCRIPTION OF WORK TO BE PERFORMED: �D S'Nc LtVcd Wb\X Identification PlZra-AL a Type or Print Clearly) OWNER: Name: O, ' A t iq I0 n Phone: to(7-S3 �- b')"3 Address: �P Z LUQ ��-1 G� Oehl � YIC�U1TCl%� �°V16� r✓l�'l f CONTRACTOR Name: iCt,�I�W. � 'yl Phone: �1g Z©�. 03 � Address: l+u,l/U1d k,v `tD.V' U A V1elq,'4Vr 11 0 1?10 Supervisor's Construction License: CS_ 100 z4 Z Exp. Date: 3 )Z31)8 Home Improvement License: 1''S 3 1 L0 Exp. Date: I Ao I I to 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: $ Z(P.Z FEE: $ Check No.: !�2 Receipt No.: �� yQ NOTE: Persons contracting with unregistered contractors do not have access t ta�Vfu'nd Signature of Agen Owne Sign _@ture of contractor , Plans Submitted Li Plans Waived ❑ Certified Plot Plan ❑ `Stamped Plans ❑ i Plans Submitted ❑ Plans=Waived ❑.: ..-_Certified Plot Plan ❑ Stamped Plans ❑ . :TYPE Ol ;SEWERAC�EDiSI?OSAL" Public Sewer ❑ Tanning/Massage/BodyArt ❑. . Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Pood Packaging/Sales El Private-,(septic ta.* etc._ - =P _ ❑ � ermanent Diinpster on=Site _ =THE,FOLLOWING SECTIONS FOROFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM I - -DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS I _CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS oning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes 'Planning Board Decision: Comments Conservation Decision: :Comments Water.& Sewer Connectionisignature&Date Driveway Permit DPW Tovv,_ Engineer. Signature: Located 384 Osgood Street FIRE DEPARTw'NT Ternp Dumpster on site yes.. .. : no Locate&bt-124 Mair Street Fire Departineri{.signatu`re/date'' '.COMM.ENTS . Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. :_Total land area; sq. ft.; ELECTRICAL: -Movement of Meter.locatfon,•niast or service drop requires approval of .:Electrical Inspector Yes No DANGERZ®NE LITERATURE: . =Yes No MGL-Chapter-166.Section 21A.=F and G min.$100=$1000.fin.e NOTES and DATA— For department use Ll Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department :—The fol;owing,is'a list of-the required.forms to be filled outfor the.appropriate.permit to.be obtained. Roofing, Siding, Interior Rehabilitation Permits L Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or G.S.LLicenses ❑ 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 fromTire 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 apw-gal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm.tted with the building application Doc: Doc.Building Permit Revised 2012 Location No./076 -�` Date • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ t, Other Permit Fee $ U TOTAL $ p Check Building Inspector Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost Q is 16,200.0,4• m $ - $ 314.50 Plumbing Fee $ 39.31 Gas Fee 100 comm. $; 1:00:00, Electrical Fee $ 39.31 Total fees collected $ 493.12 62 Willow Ridge Road 1070-2016 on 4/28/2016 Kitchen and Bath Remodel r -I . w JA0T ver 0 No. 6 �...2jA * - - AKI h ver, Mass, c/�t/rd c OC MI1-1111, C.I..c. �qs RATED V BOARD OF HEALTH Food/Kitchen PERMIT T L D Septic System Y/ THIS CERTIFIES THAT ..... ��cf`vE BUILDING INSPECTOR .................. .................................... .. ........ ..... ................................... j Foundation has permission to erect buildings on ..J Rough to be occupied as y 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 CONSTRUCT STARTS 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. Cell:978-604-5243 143 Main Street Office:978-207-0326 North Reading,MA Fax:978-207-0329 matAacehomemedics.com Proposal Submitted To: www.acehomemedics.com �_ Cathy and Alan Greene HIC Lie.# 153165 �+ 62 Willow Ridge Road Home Medics LLC North Andover,MA 01845 Construction Super.Lie.#100212 � C:617-538-0503 REMODEL • BUILD • REPAIR EM:nacath@aol.com Estimate/Agreement#:2812P EM:lsladgoaol.com Date:December 23,2015 Job Location: 62 Willow Ridge Road BBB Cost Estimate/Agreementfoc Services North Andover,MA 01845 Kitchen/Laundry Room Renovation Carpentry,Construction tchen: 15020 Administration Remove all existing cabinetry,counters,appliances and flooring Install louan over existing subfloor and vinyl self-adhesive flooring tile over louan layer Install all cabinetry per plan Install tile over backsplash areas;grout and seal backsplash tile(with premix sealant) Re-install hood vent;add venting to the exterior if necessary Replace side kitchen door to garage with new fire rated door Install interior finish millwork and baseboards where necessary Subject to final kitchen design /2 Bath/Laundry: Remove existing vanity,mirror,toilet and flooring Install floating style,self-adhesive vinyl flooring,new vanity and mirror,new baseboards Inclusive ofproactive communication with clients and suppliers as well as permitting,coordination and supervision of entire project. Plumbing Disconnect existing sink and dishwasher,bathroom vanity and toilet;cut and cap supply and drains for demo 2850 Install new waste and supply lines with new shutoffs for sink Install new dishwasher in same location as existing Install new kitchen sink,drain and faucet in same location as existing Install new bath vanity sink,faucet and toilet onto existing flange Disposal is not to be installed.Homeowners will supply fixtures. Provide all necessarypermit and inspections;test all work or ro er operation Electrical Install new wiring for(2)GFI receptacles and(2)duplex receptacles in the kitchen counter area 2750 Relocate wiring for the electric stove one foot;install new range receptacle to the existing wiring Releeate the f wiring;connect new dishwasher in same location as existing Remove hanging chandelier in the eat in area;replace with(4)old work recessed lights;standard five inch 120 volt standard trims and lamps Install(6)old work recessed lights in the kitchen and hallway area standard 120 volt five inch standard trims and lamps iiistall one single pole switch and wiFiag ealy fbr five 11-0 valtuRddef the caabinet lights;eenaer4 tinder eabinet lights Remove and replace bathroom laundry room sconce acrd flush mounted ceiling light Install two arc fault circuit breakers Install one dual function GFI arc fault circuit breaker for the dishwasher Not including fixtures except for recessed lights,LEDs,dimmers and work on existing panel/service if necessary. Provide all necessary permit and inspections;test all work for proper operation Hang&Plaster Approximate cost of installing new blueboard and plastering for patching on kitchen ceiling and walls and on bathroom ceiling 1200 Prep,Prime&Paint In kitchen and%2 bath/laundry room;remove wallpaper;prep/prime/paint walls ceiling,doors and trim;two coat finish $1900 -Prep,prime and paint 3 existing of doors/trim and other poly openinE in kitchen not including fire door);two coat finish Building Materials 1)Fire rated door($620 allowance;homeowners have lockset),louan,baseboard,finished millwork,fasteners,adhesive&other misc.materials. 1938 Homeowners will supply cabinetry,counters,fixtures,appliances,tile and flooring but AHM will assist with suppliers,pickups&deliveries. Disposal 1)on-site container for the disposal of old building materials and related debris(per container necessary;one should be sufficient) 550 Subtotal: 26208 uilding Permit llowance for building permit fee;based on$12/$1000 of total project cost plus$75 for disposal permit. 399 Total: 26607 Terms and Conditions:Cost of materials orders due upon orderplacement.1/3 due upon start;1/3 due upon rough inspections;1/6 due upon completion of plastering;balance due upon completion.Prices are based on standard removal and installation.Additional work may be required due to conditions that we cannot see or predict,changes to the scope of work or to the finalization 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. Thank you very much for your consideration. We greatly appreciate your business and look forward to providing you with exceptional quality,in 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 Signa to authorized to do the work as specified.Payment will be made as outlined above. Si Date i IuI W2733 I) i } 1I W1R3312I• F3�1312--4, S u&�er 3 f1�tlk� MIaFl� 1 m , tiJA L:,at3 1-14� �-_ � -1110, v v fie`, I 33RL1 7.,D H18-3 I_5211 I'h1O I /VORRI OyOovk-o ""'14- W3953 JU�4 ti p nP !bi-out - v � �tl,tti t-� �Iz`C�vG3-C "� Ptnt t i�a7 ,. 41-V-I a - a 600 Washizitgn Streef ; Boston,.A4 02111 www,mass.gov%fila .Workers' Compensation Insurance.Affidavit: BuddelCgmtra:etorslEledriaans/Pf�� 3e ,;.;.:.::, .pplieantInformation __ Please Print Leg blv usiness/Or ation/lndividual ' 4C-O— �dd_re5s:. iame� CB nim )• :ity/s-ta*zip: • I '� (�'� I�'Io I{. Phone re v u an employer? Check the appropriate bar: Type of project(required): asn a cutployer withCC 4. ❑ I,am i gtneial.contactor and I 6 ❑ ,constrnction clnrployecs (f n.and/or part-time i Have hired the sub-contraemrs .. U I a3n a sole proprietor or parmer= listed on the.attacbcd 3hcet t 7: remodeling Slop and have no eutployecs Thae,sub-comractois.haye, S: ❑ Demolition working for me in any capacity. ;workers' eQrap.-ittnuance. :. 9, ❑ Building addition Pro workers' comp. insurance. . 5. ❑ Weare a corporation and its . required l oi� Ye � � 10.0'Electrical repairs or- additions' ❑ I ain a hotncowner.doing all work th eir right df exempaoA per MQL 11.❑ Plumbing repairs or additions myself.(No workers'.comp. c. 151,$1(4),.and.we have no.' 12.❑ Roof repairs insurance Tcquired.] t employees..(No w_ orkers' cnop, msurance requited.] 1 other ny applicant that checks box. 1 must also fill ou'fthe section bclow'showin;their wotictti'eompeaaatioa policy.infonnauon: iomeo-nen who iubmit this affidavit indicating they are daimg ap work sad then hoe outside cons wwn must subiait a at*affidavit indicating sucb. ontmctors that cbmk this bcx must atsadhed ah-additionaL shm show t5e tkmcif the sub-caotti<ctors and their,;;iYdcas'-g.,rM.polity iitfvr rrigud n.: . am .an.employer that is providing w&kers'cornpenr adomirtsur en�r fprr.ety Imployen. B.'rlow is tics polfcy:and,Tob site formariom% , isurance.CoTnPanyName:..JlT IMf .6liydY.) . (,b olicy R or.Self-ins. Lir. #: I Z��u Expiration Dau: }Z7l IlR :)b,Site Address: (PZ �/U1,U I)Ll)�(�G12 Jl City/StatmU: ,ttach a copy of the workers' compensation:policy declaration page (showing the policy number and ezpirtxtian date). `allure to secure.coverage as requited under Secdo* u 25A:af MGL'c. 152 can lead to the itttpositian of et>minai:peaalties of a inc up to 51,500.00 and/or one-year impriSongneat,.as.wt:llas,civil penalties in the form of a STOP WORK ORDER and a:•.fmc ,f u[pto SZ50.00 a day against the violater: Be.advised dist a 0' -ofthis stat:emmt:may-be f wr iarded.to the Office.of nvcstigations of the DIS. for insur�,ce.covctage verification.;.. . .; , r do hereby ce h pa' enaltiu of pvjury d the information:pmvidtd above u true and correct.- Si ature: Date: I Phone-* F l use only.. Do'not writein thit:area,:fo be aompldsdby city.ortown gfjicicL rToww" Permitfllcense# g authority (circle one): rd of Health L Building Department 3. Cityrrown.Clerk d:Electrical Inspector 5.Plumbing Inspector er-F.trson: Phone : OP ID:BR ,acoRc>° CERTIFICATE OF LIABILITY INSURANCE DATE10/113/20151312015 I 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 COMACT Durso&Jankowski Ins Agcy LLC NAME,PHONE FAx 11 Saunders Street A/c Np Ext:978-688-7000 �,N„978 688-7001 North Andover,MA 01845 SAM Durso&Jankowski Ins.Agcy. ADDRESS: PRODUCER CUSTOMER ID i.PREVI-4 INSURER(S)AFFORDING COVERAGE NAIL t INSURED Ce Home IGS INSURERA: 57 Harold Parker Road Andover,MA 01810 INSURER B INSURER c:Utica Mutual Insurance Company INSURER D INSURER E F—INSURERF: 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LTR POLICY NUMBER MIDDAYYYV M/DDIYYW LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 C X COMMERCIAL GENERAL LIABILITY 4687243 09/27/2015 09/27/2016 pRFM ISES(Ea occ $ 500,00 CLAIMS-MADE❑X OCCUR MED EXP(Arty pne person) $ 10,00 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,00 POLICY PRO- IPCT F-1 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Perpemon) $ ALL OWNED AUTOS BODILY INJURY(Peraccidenl) $ SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (PER ACCIDENT) $ NON-OWNED AUTOS $ $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMSWADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION X WC STATU- DTH- AND EMPLOYERS'UABIUTY TORY LLM S Eft C ANY PROPRIETORIPARTNERIEXECUTIVEY1N 687246 09/27/2015 09/27/2016 E.L.EACH ACCIDENT $ 1,000,00 OFFICE'MEMBER EXCLUDED? ❑NIA IMandatoryln NH) E.L.DISEASE-EA EMPLOYE $ 1,000,00 I ye s,de,cnbe under DESCRIPTION OF OPERATIONS beI- E.L.DISEASE-POLICY LMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Addltlonal R—I*,Schedule,if more space is required) carpentry- CERTIFICATE HOLDER CANCELLATION 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(2009109) The ACORD name and logo are registered marks of ACORD Ili s ��/r,r�iGu�trrt�iritn.<r�/f r \ Oflice of Consumer Affairs&Business Regulation BIOME IMPROVEMENT CONTRACTOR TYPe .- egistration: 153165 piratlori: w91/8fi016 DBA Ex MAT PREVITE HOME MEDIC MATTHEW PREVITE 57 HAROLD PARKER ROAD ANDOVER,MA 01810 Undersecretary Public Safety Massachusetts Department of Board of Building Regulations and Standards 9"'' License: CS-100212v construction Supervisor MATHEW S PREVITE � a ST HAROLD PARKER . ANDOVER MA Expiration: 0312312018 Commissioner