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Home My WebLink AboutBuilding Permit #393 - 95 LEANNE DRIVE 11/9/2012 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 3h3 Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION 17 5 e,�v7/I/1e Ve- / Print PROPERTY OWNER ��' I I'10—erM&I Print 100 Year Old Structure yes MAP NO PARCEI�.2L ZONING DISTRICT: Historic District yes (no o Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building XOne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ARepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District El Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: ._-Identiifcation Please Type or Print Clearly) OWNER: Name: �� i�m�� /Yl F�1/ Phone: Address: 4kic✓ CONTRACTOR Name: r -CAPA6 aS ✓t/ Phone: 7/ 7 Address ✓�C��l�(.f//s�1 � �1 Supervisor's Construction LicensCS Z S�� Exp. Date:1� Home Improvement License: �� l S� Exp. Date: 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: $ /4 7535, FEE: $ Check No.: o�`��S Receipt No.: f NOTE: Persons contracting with unregistered contractors do not have access to the an nd Signature of Agent/Ow_ner Signature of contractor Plans Submitted E11-111, Plans Waived ❑ Certified Plot Plan ❑ /tam:,'-'e ns ❑ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ j i 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 Siqnature COMMENTS `z-IEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town ]Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Departinedt 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 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 I El Notified for pickup - Date Doc.Building Permit Revised 2010 I Building Department The fohowing is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, 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 appeal 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 ! I Location J /g��"G No. _ Date#— �--- • - TOWN OF NORTH ANDOVER • Certificate of Occupancy $_!� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check#� l 25938uilding Inspector t&ORTy Town -ondover 0 No. "K, h ver, Mass, • coc«Ic"IMCK V1 �d A�R�TEU P' (5 U BOARD OF HEALTH PERM :11T D Food/Kitchen Septic System1 THIS CERTIFIES THAT �,�, BUILDING INSPECTOR , ...................... .......... ...... �. .......... ... ....... has permission to erect .......................... buildings on ........ .V,......... .[erwr, Foundation �---R't3"ugh ''' �:,�'��•-' ,da'�-�e'�e�-�- to be occupied as ........ ... ..�... ...... ......." .........g�,.�............�,�.,�-.!!�!-� c Irn� provided that the person accepting this permit shall In every respect conform to the terms of the application 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, . z.io1t-1 Rough i VIOLATION of the Zoning or Building Regulations Voids this Permit. Final � PERMIT EXPIRES IN 6 MONTHS �� ELECTRICAL INSPECTOR UNLESS CONSTRUC 0 TS ki -CR Service ............ .......................................................... BUILDING INSPECTOR 9 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. SEE REVERSE SIDE Enter construction cost for fee cal- North Andover Fee Calculation Construction Cost $ 107,833.00 m $ - $ 1,294.00 Plumbing Fee $ 161.75 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 161.75 Total fees collected $ 1,717.50 95 Leanne Road 393-13 on 11/9/2012 Remodel Kitchen Remodel Bath 11/09/20: 12 10:23 9782234038 Consoles-Insurance :2396 P. 001/001 R® CERTIFICATE OF LIABILITY INSURANCE 11/9/201 Y' HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFFRS NO RIGHTS UPON T 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 CONSTITUTF A CONTRACT BETWFFN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(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 Ilau of such endorsement(s). PRODUCER c4 A T porxy King Nicholas A Coneolea Insurance Agency Inc o` (978)223_4037 153 Andover Street Unit 208 A IN5URER S AFFORDING COVERAGE NAIC Danvers x& 01923 INSURERA:Sa et Yneurance 3954 INSURED iNsuRF_pa:Tochuolo2Z insurance Cm an Kitchens By Haatings,Inc INS c: � fNS 36 Broadway, Route 1 INSURE Saugus MA 01906 INSURER COVERAGES CERTIFICATE NUMSER:Dsastex 12-13 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED OF-LOW 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. INSQ TYPE OF INSURANCE L 5 BR POLICY PO ICY EGF POLICY LIMITS GENERAL LIABILITY EACH OCCURRENCE E 1,000,000 -DAMAGE TO TO X COMMERCIAL GENERAL LIASILITV PREMISES iFs n.N n 500 000 c � $ A CLAIMS-MADE ®OCCUR DMAOQ09051 /15/2012 0/15/2013 MED EXP(Any ono pamQ0 $ 3.01000 PERSONAL.BADV INJURY 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATELIMITAPPLIES PER; PRODUCTS-COMPIOPAGG $ 1,000,000 7C POLICY F PRO- LOC $ AUTOMOBILE LIABILITYI D SINGLE LIMIT ANY AUTO 9OOILY INJURY(Per person) S AUTOS OWNED SCHEDULE=D BOOILY INJURY(Per accident) $ NON-OWNED PROPERTY AMA E $ HIRED AUTOS AUTOS rc e UMBRELLA LIAII H OCCUR EACH OCCURRENCE _ $ EXCESS LIAO CLAIMS-MADE AGGREGATE $ DIED RETENTION $ B WORKERS COMPENSATION WYneyIIMU- OTti- T"; R AND EMPLOYERS'LIABILITY ANY OF YIN ECUTIVE a NIA E.L EACH ACCIDENT $ 100,000 IfandaloryinNH) C3307660 3/13/2012 /13/2013 E.L.DISEASE-EA EMPLOYE $ 100,000 Yyea,dcribe under DESCRI esIO OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(AIWch ACORD 101,Addldonal Romarko Sahafule.If mate Spica IS r"ulred► CERTIFICATE HOLDER CANCE LAY ON (978)688-9542 SHOULD ANY OF THE ABOVE POSCRIOED POLICIES BE CANCELLED BEFORE THE EXPIRATION PATE THEREOF, NOTICE WILL BE DELIVERED IN No,rth Andover Building Department ACCORDANCE WITH THE POLICY PROVISIONS. Attu: Brian Loathe AUTHORIZEDRRPRESeNTATIVE 1600 Osgood street North Andover, DIA 01845 A Consoles/DKING ACORD 25(2010105) ®1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD ---------- � NORTIy Town of 2 tAndover 0 No. t _ i+0 h ver, Mass, • COCNICHlw.C. ADR�ITED S U BOARD OF HEALTH Food/Kitchen PERM ..1 Septic System THIS CERTIFIES THAT ,, BUILDING INSPECTOR L......................� .......... ...... �. .............................ti. ......... MWFoundation has permission to erect .......................... buildings on ....... .e�............ ...9. .,.. Rough to be occupied as ......... ... ..�... ...... ...:..." .........10 �4..�. ..4...........��Il. � 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 CONSTRUC0 TS 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. t Smoke Det. SEE REVERSE SIDE Kitchens By Hastings 36 Broadway Saugus MA 01906 781233 7171 Pagel Contract for Kitchen and Bath remodel Customer Lisa and Jeff Zimmerman Address 95 Leanne Drive North Andover MA 01845 Kitchen Cabinets: Kraftmaid Door Style Lyndale Door Color Peppercorn Wood Specie Cherry 24826.89 Master bath Cabinets: Kraftmaid Door style Avery Door Color Peppercorn Wood specie Cherry 1625.77 Laundry Room Cabinets: Kraftmaid Door Style Amhurst Door Color Natural Wood specie Maple - 1459.63 Countertops Granite p 9,5 8'' 13421.44 �I Demo: Remove existing kitchen.cabinets, countertops and appliances. Remove ceiling in`kitchen area as needed for new kitchen lighting layout Remove closet walls including framing in Kitchen. Remove built in window seats in family room and master bedroom, Remove existing sink, toilet, base molding and tile floor in 1St floor half bath Remove existing staircase balusters' and railing balusters on second floor Demo master bath to studs Remove existing bath door and 1 foot of wall framing Remove existing utility sink in laundry room Electrical: Family Room Remove 4- 6inch recessed lights in family room and wire and install 6- 5 inch recessed lights. Wire and install outlet for flat screen TV i I Mllssachusctts - Department of Pulbiic SatctN Board of Building Rea,ulations and Standards Construction Supervisor License License: cs 98052 JOHN HASTINGS III , 67 BAINBRIDGE ST � MALDEN, MA 02148 Expiration: 10/23/201-3 ('ununisiuncr Tr#: 4792 off, of Con mea��r�yn�? HOME IMPROVEMENT &BXsinzu�� Regulation MPROVEMENT CONTRgCTOR _ - Registration: s�158 � Expiration: ,:`1%1.7/2014 TYpe: KITCHENS BY Private Corporatior. H/,�STINGINC -- JOHN HASTINGSi 36BROADWAy SAUGUS, MA 01906 Undersecretary Kitchens By Hastings 36 Broadway Saugus MA 01906 781233 7171 Paget Wire and install cable TV outlet for flat screen TV Kitchen: Demo existing devices on counter Disconnect existing appliances Relocate switches in closet walls being demoed Wire and install outlets at new locations for counter top. Wire and install 2 outlets in new island. Wire and install Customer supplied lights over island. Wire cook top at new location. Wire hood fan over cook top. Wire new double oven at new location. Wire and install outlet for fridge at new location. Wire and install 10- 5 inch recessed lights. Wire and install customer supplied light over new table area. Master Bath room: Demo existing switches, outlets, and lights. Disconnect existing Jacuzzi tub. Wire and install new Panasonic exhaust fan light. Wire and install new outlet for vanity. Wire and install new customer supplied light in tub area. Wire and install rope light under vanity supplied by customer Wire and install 2-5 inch recessed lights over shower area. Plumbing: Disconnect existing sink and gas cooktop Disconnect all fixtures in Master bath Remove existing utility sink in laundry room and cap off plumbing. Hook up owner supplied kitchen sink, Faucet and disposal. Run water line to new ref location Rough plumbing for new Master bath to include double sink hookup Custom Shower stall with 1 temp control and 3 diverters. Run new 2 inch drain for shower Run drain and water lines for new Soaking tub Supply copper pan for shower stall k Kitchens By Hastings 36 Broadway Saugus MA 01906 781233 7171 Page3 Hook up owner supplied fixtures per plan Carpentry: Patch blue board and plaster ceiling in kitchen,wall and ceiling at closet area. Patch blue board and plaster window seat areas in bedroom and living room Sand and refinish hardwood floors on 1St floor, staircase, second floor hall. Patch floors in kitchen at closet in front of dining room entry door raised piece only. Master Bath: Frame half wall for shower/toilet and vanity partition with curb. Install % inch cement board in shower area Install mud floor for tile floor in shower area Install % inch cement board for tile wall at soaking tub (back wall) Install cement board on floor in master bath Install % blue board and plaster for remaining walls and ceiling in master bath Install owner supplied the on master bath shower walls, floor and back wall at soaking tub. f, Install Granite caps and thresholds supplied by owner at shower'-% walls and curb 66500.00 :V l c7l�f Total cost of items listed on this contract 107,833.73 Glass shower door and walls Allowance 4000.00 _ _ I 90 �ti�� r Kitchens By Hastings 36 Broadway Saugus Ma 01906 781233 7171 Page 4 This contract does not include permits or running fees, painting, electrical fixtures, Plumbing fixtures, , faucets, shower valves, cabinet hardware. Any additions or change orders must be approved and agreed upon with Kitchens by Hastings and paid for at the time of work to be performed. Payment Schedule: Payment 1 of 35000.00 is due at time of ordering cabinets. Payment 2 of 15000.00 is due after demo is finished Payment 3 of 40000.00 is due after cabinets are installed Payment 4 of 16000.00 is due at time of Granite install Payment 5 of 1833.73 is due at the completion of the job All other items purchased from Kitchens By Hastings must be paid at time of order. The Commonwealth of Massachusetts Print Form Department of Industrial Accidents Office of Investigations kvi 1 Congress Street, Suite 100 Boston, MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Kitchens By Hastings,Inc. Please Print Legibly Name (Business/Organization/Individual): Address:36 Broadway City/State/Zip:Saugus, MA 01906 Phone #:781-233-7171 Are you an employer?Check the appropriate box: Type of project(required): 1.❑✓ I am a employer with 5 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. E]New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑✓ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. o workers comp. right of exemption per MGL Y � p 12.❑ Roof repairs P insurance required.]t c. 152, §1(4),and we have no 13.❑ Other 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. :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 employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Technology Insurance Company Policy#or Self-ins.Lic.#:TWC3307660 Expiration Date:3/13/2013 Job Site Address:95 Leanne Dr City/State/Zip:North Andover MA 0184 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. I do hereby nder the sins and penalties of perjury that the information provided above is true and correct Sianature: Date 11/8/2012 Phone#: -233-7171 Oficial 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 M 0 i ro r IL KDIJ I LL ODI N m N L MC N N m a FICA 25.5 inches 25.5 in f K4848 o m O I v N 16.5 (13 It CD N G) m1 t7 mI i1C�V W A CO M fit O U m to to 0It = U 39 inches U U a) _3 MI 03 a0 00 c a) 0()—� M N 0 I � L]d fh w L�8LR4212 WR4212 Of i i E Mike price out exotic stone Orion with eased edge Maribito Zimmerman All dimensions_size designations This is an original design and must Designed: 10/15/2012 given are subject to verification on not be released or copied unless Printed: 11/8/2012 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. jpm zimmerman kitchen3 All(no dims)I Drawing#: 1 1132" 212" 24" 27" 16 2" 30" 7" 2 2" 24" 27" E N W2436BUTTW2436BUTT N J J� cNn AIW 24-M.WSHER 24-M.WSHER B24BUTT B24BUTT C w All dimensions size designations This is an original design and must Designed:3/31/2012 given are subject to verification on not be released or copied unless Printed: 11/8/2012 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. jpm zimm laundryI All Drawing#: 1 85" 15 a" 53;a' 16" 59;" 3 29;" 298" olw I WR3018 WR30t N � FD242406 a N 00 Cn alp alp mla 85 inches 517" N Mike please add in granite seat for shower and two thresholds finished on both sides 60-SkiWR 372 148" 0-BATH - — 22" ml� Tj CA 91, 308" 148" 202 a" All dimensions size designations This is an original design and must Designed:3/31/2012 given are subject to verification on not be released or copied unless Printed: 11/8/2012 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. jpm master bathl All Drawing#: 1