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HomeMy WebLinkAboutMiscellaneous - 79 VEST WAY 4/30/2018Location � � WA Cf I No. O� Date—� NaRTti TOWN OF NORTH ANDOVER 3?� "O0L � 9 Certificate of Occupancy $ '��s'•n° •'t� s�cNuse Building/Frame /Frame Permit Fee $ 9 Foundation Permit Fee $ Other Permit Fee $ .'" TOTAL $ 0 # 1 Check 10360 `� Building Inspector FM W r� TOWN OF NORTH ANDOVER WILDING DEPARTMENT APPLICATION TO CONSTRUCT' REP RENOVAT OR DIMOLISH A ONE OR TWO FAM€I,Y DWEUJNG BMDING PERMTNUNMER. (` 1'r iDAlE jsSLED. Zoo .SIGNATURE: BuildingCommisei'sla __ ai Btuldln Oats �M SECTION I- SITE INFORMATION 1.1 Adds s: 1.2 Amewn Agt and Faired Number: �Pttgxdy Msp' Paroel Number umber 1:3 7.aning fidbin aticn: 1.4 Pmperty Dimmsioaz 2.anin District Use IAA=N Fronta fl 1.6 BMDING SETBACKS ft Front Yard .Sick Yard RM Yard °rcd Pcutr de LJW PxW&d Requized Pravi&d L7 W SapplyM t#L C dO. 54 1.51 Flood Zoo tofousui a: t E ' Sewa�geDisposal5ysrem Peblic a Ptivrro ® Z 000 ZMA Q h WlWprl D Ort Sita Dhporsl -Systear. SECTION 2 - PROPERTY Off' NERSHIPIAUTHORIM AUNT , 2.1 Omar of Record Name (Print) Address for Service ^r Ll�7 W (�,� _i Signsturs Telephone 22 Owner ofRocord: Name Print Address for Service: Si stare Te ac SECTION 3 - CONSTRUCTION SERVICES _ 3.1 Licosed Construction Supervisor: Not Applicable 13 Lkenaed Construction Supervisor LiceuseNumber Address Expiration I}ate Signature Telephenc, 3.2 Registered Home Im eatt Contrados (1 4_ Nat Applicable i3 Company Nsme Registration Number Add Y-70 Z ccs Ev' s Tcie ti O vs M Z V 0 z M r 0 r z 0 4 I SECTION 4 - WOMRS COMPENSATION (KG.L C 151 J 2506) 1 C A/ Wofkas Composalion losurance affidavit must be completed ood, submitted Wh,Ns applicatiort, failure to provide this affidavit Will result in the denial of the issuanot ofthe building it. Signed affidavit Attached Yes ....... 0 No 11 SECTIONS D6criptiara o Mposed Work cheetcattq0table) New Construction' 0 Existing 8161&g 0 Repairs) Alterations(s) 0 1 Addition 0 Accessory Bldg. , 0 Demolition 0 Mer 0 SPceify-fCA"e-,e-�,kr, '-15 Brief Description ofPmposed Work: C" SECTION 6 - ESTIMATED CONSTRUCTTON COSTS itm Estimated cost (Dollar) to be CMgLded 1. Building -0(, 07- (a) Building Pertnit Fee Multi lien 2 Electrical (b) Estimated Total Cost of, 'Construction 3 E!!!!!±in1. Building Permitfee (,I (b) Mmhanical LHVACI T Firekotection C((4 6 Total (1+2+3+4+5) Check Number SECTION 79 OWNER AUTHORIYATION TO BE CONMTED WHEN owNERs AGENT OR coNmcrm APPLIES FOR wnDim Pip -NUT as Owner/Authorized Agent of subject property Herdby,authorize M4'-VV, 1&U)OC'2mC Y l to act on Myb6balf,inallmaftw M wAotiZedby.thisbuild*p_;rmitapplication. I 111--4 01,4 -4 Signatue of Owner: ",X- v I to SFCTT0N 7b OWNMAUMOIUZED AGENT Dl, TION as OwnedAuthorized Agent of subject propinty Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge: and belief Itore ol= =Ient Date Nth. OF STORMS Sim BASS ENT ORSLAB... . ...... SM OF FLOOR TIMBERS V1 31W Spfis MEWSIONS OF SW DRAMSIONS OF POSTS DZENSIONS OF GIRDERS HEM"T OF FOUNDATION TMCKNESS SIZE OF FOOTING x —aM—UAL Of CHlNMY l;$ BUILDING ON SOLID OR FILLED LAM IS BUIDINTO COMECTO TO NAT Al., GAS LWE Marvin Window & Door Showcase by GLC 100-B Newbury Street Route l South Danvers, MA 01923 ---- ff I/ i Installation Quote 978-762-0007 978-762-0008 fax CUSTOMER Steve Manning REVISION DATE 05/13/05 ADDRESS 79 Vest Way PROJECT NAME CITY, STATE, ZIP No. Andover, Ma. 01845 ADDRESS DAY TIME TEL 978-685-4277 CITY, STATE, ZIP SALESPERSON MAtt Tiffany DAY TIME TEL REV 08/04 ( I / off— LABEL QUANTITY DESCRIPTION Ve PRICE 11 TOTAL The following insert windows are Made To Order from Marvin. The general specifications are as follows. Exterior: stone white aluminum clad Interior: primed pine Glass: Low E II w/argon Grills: 7/8" simulated divided lites w/spacer bar Hardware: Satin Taupe H SATIN NICKEL Screen: full 10 Interior opening 315/8" x 58 5/8" 6/6 759.79 7,597.90 8 1.0.31 5/8" X 58 5/8" 6/6 Satin Nick ( 7*.1y 7-9919 6,393.52 2 GARAGE 315/8" X 58 5/8" Primed 745.49 1,490.98 3 1.0. 30 5/8" x 36 3/4" 6/6 satin taupe 622.79 1,868.37 1 Building Permit Fee 446.00 446.00 1 Installation Flat Labor Charge 4,000.00 4,000.00 1 Miscellaneous Materials 173.00 173.00 23 White Insert Frame Expanders - If Applicable 23.09 531.07 1 Rubbish Removal Fee 230.00 230.00 All installations will be left broom clean at t e end of the day. All painting is by others. Gcve Lumber warrantees the installation labor only. All materials are covered under the Manufacturers warranty. Any rot found or extra work not specifically mentioned in this work order will be billed at an hourly rate plus the cost of materials. Customer will supply electrical power and water when necessary. Customer will prepare the work area by removing all furnishings and provide easy access to area. Massachusetts Home Improvement Contractor Registration #129170 (p abo .m0 TERMS DEPOSIT OF $1A,44.55 REQUIRED PRIOR TO PLACING ORDER SUB TOTAL $9,624.54 DUE WHEN MATERIALS TO BE INSTALLED ARE DELIVERED. DELV CHARGE $4,000.00 FINAL BALANCE DUE ON THE LAST DAY OF INSTALLATION. 5% MA TAX MAKE ALL CHECKS PAYABLE TO GOVE LUMBER CO., INC. TOTAL 22,730.84 50.00 914.25 $23,695.09 ORDER ACCEPTED AS WRITTEN X NO RETURNS ARE LLOWED ON WNDOWS, DOORS, AND SPECIAL ORDER MILLWORK. IF YOU HAVE ANY QUESTIONS REGARDING YOUR INSTALLATION PLEASE CALL BARRY GOVE AT 978-922.0921 -EN _62Board of Building Regula Ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Gove Lumber Company, Inc. Bruce Gove 80 Colon Street Beverly, MA 01915 ✓�ie 1°iommaiarueal�iz a� i��uae•Cta Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 129170 Expiration: 7/19/2005 Type: Private Corporation Gove Lumber Company; Inc. Bruce Gove 80 Colon Street Beverly, MA 01915 Administrator Registration: 129170 Type: Private Corporation Expiration: 7/19/2005 Update Address and return card. Mark reason for change. Address ❑ Renewal ❑ Employment Lost Card License or registration valid for individul use only before the expiration date. If found return to: Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston, Ma. 02108 Not valid without signature SELF INSURED LUMBER BUSINESSES ASSOCIATION NCCI CARRIER CODE NO. WC 00 00 01A WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE 1. The Insured: Gove Lumber Company Mailing address: P. 0. Box 12 Beverly, MA 01915 Other workplaces not shown above: See Schedule Policy No. WC 000806-5 Renewal of: WC 000806-4 Individual Partnership X Corporation or Federal Employers I.D.# 04-1382050 Inter/Intrastate Risk I.D. # 012217 Other I.D. # 2. The policy period is from 01/01/2005 12:01 a.m. to 01/01/2006 12:01 a.m. standard time at the Insured's mailing address. 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 500,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 500, 000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: See End WC 20 03 06 A D. This policy includes -these endorsements and schedules: See Schedule 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Premium Basis Rate Per Code Total Estimated $100 of Estimated Classification No. Annual Remuneration Remuneration Annual Premium See Item 4. Extension WC 00 00 01A Total Estimated Annual Premium $ Deposit Premium $ 10,242 Minimum Premium $ 500 (MA) 5645 MA - DIA Assessment Premium Adjustment Period: Annual Countersigned by: Servicing Office: SELF INSURED LUMBER BUSINESSES ASSOCIATION Producer: Copyright 1987 National Council on Compensation Insurance. Original Expense Constant $ 0.049 40, 946 264 2, 085.00 Date: 10/05/2004 CM •1A►�4� ._ NIARVIN - NFRC Windows and Doors Clad Ult Insert DbilSgl HUPO - Aluminum—Clad Wood National Fenestration Rating Council 11116" 10 LoE II Argon Vertical Slider ENERGY PERFORMANCE RATINGS U — Factor (U.S./I — P) Solar Heat Gain Coefficient 0.33 Ow27- ADDITIONAL PERFORMANCE RATINGS Visible Transmittance 0.46 Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product energy performance. NFRC ratings are determined for a fixed set of environmental conditions ands specific product size. Consult manufacturers literature for other product performance information. www.nfrc.org Meets or exceeds C.E.C. air Infiltration Standards WINDOW AND DOOR HALLMARKMANUFACTURERS ' ASSOCIATION www.wdma.com WDMA License #407-H- 7'.�1 Manufacturer stipulates conformance to the applicable standards CLAD ULTIMATE INSERT..IJduMU op +�bT- TESTED TO ANSIIAAMAINWWDA 10111.S.2-97 & 10111.0NAFS-14 H - LC30 45X78 I Z w O O EM4 ERS 0 W W w Of � z� :T cm ccQ s mm 0 CD LM m O � O O O d M ca o�c O 0 CD ca C Z tsO 0 CL V CO) O C c— '— C c eaCos W 0 ra U) 19 W W ce LLIW U) C4 a a w ) � a U w a io ao O Of � z� :T cm ccQ s mm 0 CD LM m O � O O O d M ca o�c O 0 CD ca C Z tsO 0 CL V CO) O C c— '— C c eaCos W 0 ra U) 19 W W ce LLIW U) Location�9 I/ e 4 t W 2 u No. 341 Date 01; NORTH TOWN OF NORTH ANDOVER Certificate of Occupancy $ ;� s;^° • E<�' Building/Frame Permit Fee $ 1301 CHUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 1 3o 1190 Check # QL 1— i G Ci ; 2 /(., M 41, Ot G -u Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING SIS- fe U5Q BUILDING PERMIT NUMBER: 341 DATE ISSUED: I 3c-0 � SIGNATURE: A (G-A— Building Commissioner/1for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 7 9 Vezru m -q 1.2 Assessors Map and Parcel Number: 1011/ a l in / Map Number Parcel Number \ AM 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Area (sf) Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided R red Provided 4- 1 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public ❑ Private ❑ -Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSIIIP/AUTHORIZED AGENT L2.1 Qwner of Record J DS4.A 9 ✓es?'wr�-�j ,Nam ri ) Address for Service r Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES r: 3.1 Li sed onstruction S714f /)--I Licensed Construction Supervisor: q / / (M � � � � % Address Y4 U i I In 4 Sign' � Telephone �% s 7 7r,3 Y3o3r Not Applicable ❑ �( License Number ? o -3 Expiration Date 3.2 Registered Home Improvement Con or fq j L �So�c� Not Applicable 0 (Il©7q Company 14ame Y•' ` cJ (+ T Registration Number � /_ � �� O Address Expiration Date Si nature Telephone Ma M Z O v n m O Z M 90 O mn ic r v M rMr ^Z Y/ SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 4 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... 0 SECTION 5 Description of Proposed Work check all licable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: MPISTS,?— g,P�-t�+eyo-nti � Z l`!�P`0. c fG i4 C.l `t�L-Um 8 t+.1 �- f=1 �K ru FLES. l.(F �� t- c o ct S /L-0-%> o, 3G X 60 LOK% (L\ P o a L Tix-A SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY . 1. Building c Y 3 (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing / SD O . U Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection �- ]Check 6 Total 1+2+3+4+5 a i'° Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I'JG S e ro c v► t c! /"( as Owner/Authorized Agent of subject property Hereby authorize �, C.,�g ��� a` to act on M b a in all matters relative to work authorized by this building permit application. !2-lf� Date i nature of Owne�IAIUJTHOIZED SECTION 7b OAGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TEVIBERS 1ST2 ND3 RD SPAN DIMENSIONS OF SILLS DIIv1ENSIONS OF POSTS DIW-NSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM U LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT PHONE��% LOCATION: Assessor's Map Number_ SUBDIVISION j STREET 4-4- PARCEL e! l LOT (S) ST. NUMBER '7 FFICIAL USE ONLY*********************************** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR TOWN PLANNER COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH DATE APPROVED _ DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED COMMENTS &16 N C(,� �—O0 ^^S — () K, PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR Revised 9\97 Im DATE The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Name Please Print Location: `7 9 VP sr w 8*—% cu I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: Address City: Phone # Insurance. Co. Building Dept p Policv # / Company name: eot c/ ` r e— (vt 0 e- ti l Address S iO — A Q o rr- S CI Ro fJ -. f v ` t ` ( 1 �� Phone # i U J CS2,9985' Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to $1,500.00 and/or one years' imprisonment_as_well_as_civil.penattiesin.tbe%rmnf-a_STOP.W. ORK_ORDERaad..a.fine.ct.($1110.DA)�day.againstme, I understand that a copy of this statement may be forwarded to the Office of Investigations of the DLA for coverage verification. I do hereby certify under-)theRains and penalties of perjury that the information provided above is true and correct. Signatu Print name [f r, v SdV )ate_ l 2- l0 0 2- Ibone. # 9 7 Y--? a 3 Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing ❑Check if immediate response is required Contact person: - phone #. Building Dept p Licensing Board E] Selectman's Office D Health Department O Other -` 61-7 a .�: Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR { Registration }11079 3cp��atton 1 `!25/2002 _yFre__tjJDIVIDUAL PAUL M SOUCY ;'; PAUL SOUCY 36A BALTIMORE ST'` HAVERHILL, MA 01830 Administrator North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: M 7-j&cA<, p e-- t v- ,r Q- 4 ro tel. elff1 11A. (Location of Facility) Signature of Pe it Applicant 12 �4 ?r l2 m, z-- ate NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector Papia Design Remodeling 3 Adams Ave. Methuen, MA 1-800-851-4427 Mr. Joe & Nancy Margi November 11, 2002 79Vest Way No. Andover, MA. 01845 Home (978) 686-4037 The following is an estimate for work to be performed at 79 Vest Way, No. Andover, MA. TOTAL MASTER BATHROOM REMODELING DEMOLITION: Remove all the existing bathroom fixtures, cabinets, floor & wall covering as necessary. Once existing tile floor is remove an area of the Subflooring will be removed to expose floor joists and gain access to run Water & Drain lines to install new Whirlpool tub, Shower Stall, & Toilet. The closet wall will be cut open to gain access into the master closet for the new 36" x 36" fiberglass Shower stall. Also it will be necessary to remove some of the Hardwood flooring in the closet under the shower to install the new shower drain. INTERIOR FRAMING: INTERIOR WALL: Construct walls around the new 36" x 36" shower stall in the master closet. Install a 18" x 46" access panel in the back of the closet to service whirlpool pump & motor. All new walls constructed with 2" x 4" wood framed 16" o.c., Single top & bottom plate. as per plans. INSTALL NEW WHIRLPOOL TUB UNIT & VALVE SET INTO A RAISD PLATFORM PLUMBING: Construct a 67" long x 22" high wood framed base for the 5' Cielo Whirlpool Tub. The base will be constructed with 2" x 4" wood framed 16" o.c., Single top & bottom plate and covered with 3/4" plywood deck. Prep area for ceramic tile to be installed under and around the perimeter of the deck. Install new Acrylic 5' Cielo Whirlpool Tub. Install new Delta Victorian Satin Nickel bath tub mixer w/filler Spout. Install new ''/2" copper Hot & Cold lines to new tub. Install new 1 '/2"" PVC drain lines to new tub. Install new Satin Nickel waste drain kit. as per plans. Allowance for 5' Cielo Whirlpool Tub $1034.00 Allowance for Delta Victorian Satin Nickel Mixer $ 334.00 Allowance for Trip & Waste $ 45.00 WHIRLPOOL BASE & BACKSPLASH PREP: Cover plywood base with'/4"" Wonder Board (water proof board) Lay a bed of thin set adhesive over the old plywood base. Install new 1/4" Concrete Wonder Board directly over thin set over the entire whirlpool base. Fasten Wonder Board to base with screws. Hang new Y2" Concrete Wonder Board 16" - 18" high from the top of the deck around the perimeter of tub. Apply tape and one coats of joint compound as necessary. ' sl WHIRLPOOL BASE & BACKSPLASH CERAMIC TILES: Install 48 square feet of ceramic wall tiles directly over new Wonder Board face, & deck of the entire whirlpool base. Hang wall & boarder tile from the top of the deck around the perimeter of tub 16"-18" high around the perimeter of tub. (Lay tile in square pattern) Apply grout to new tiles as necessary. (Base 24 Sq. Ft., Back Splash 24 Sq. Ft.) @ 5.00 per Sq. Ft ELECTRICAL: Allowance for base, wall tiles, border tiles, mastic adhesive & grout $266.00 Rough in wiring for a new switch to operate whirlpool pump & motor. Rough in wiring for heater for the whirlpool. Install new GFI protected power supply to whirlpool. INSTALL NEW SHOWER STALL UNIT & SHOWER VALVE Install new 2 Piece 3' x 3' Aker Fiberglas Shower Unit. Install new Delta Victorian Satin Nickel Shower Valve w/ shower Head. Install new %2" copper Hot & Cold lines to new shower. Install new 2" PVC drain lines to new tub. Install new chrome waste drain kit. Allowance for Aker 36" x 36" Shower Unit $ 325.00 Allowance for Delta Victorian Satin Nickel Mixer $ 334.00 ACCESSORIES: Allowance for Trip & Waste $ 45.00 Install formless 36" glass shower door to Shower unit by Showerrite. Allowance for glass shower door of $428.00 INSTALL NEW GYPSUM BOARD TO THE BATHROOM WALLS: Hang Y2" Gypsum board to the exposed walls, including the back and sides of the new shower stall. Apply tape and (3) three coats of joist compound, & prime area. CEILING Hang 3/8" Gypsum board directly over existing sheet rock ceiling in the bathroom. Apply tape and (3) three coats of joist compound, & prime area. NEW BATHROOM FLOORING: SUB FLOORING: Remove and reinstall %" CDX Plywood Sub flooring over the floor joists. CERAMIC FLOORING TILES: Lay a bed of thin set adhesive over the new Plywood Sub flooring. Install new 1/4" Concrete Wonder Board subfloor directly over thin set over the entire floor. Fasten Wonder Board to sub floor with screws. Install 45 square feet of ceramic floor tiles directly over new Wonder Board subfloor. (Lay tile in square pattern) @ 6.00 per Sq ft. Apply grout to new tiles as necessary. Install new 1/2" thick x 30" long Marble threshold to the Bathroom door Allowance for threshold, flooring, mastic adhesive, wonder board of $ 290.00 THRESHOLD: Install new 1/2" thick x 30" long Oak / Marble threshold to the Bathroom door. CONSTRUCT A TILE KNEE WALL NEXT TO TOILET: DURA ROCK/TAPE: Construct a half wall approx. 30" wide x 30" tall. Hang %"Gypsum board on the new knee wall next to the toilet. INSTALLATION OF A NEW BATHROOM TOILET REMOVAL: Relocate the existing bathroom toilet next to the entrance door. PLUMBING: prep area for new 12" rough toilet install new 4" PVC pipe and vent as per code. Install one (i) Kohler Memoirs (12" rough, toilet). Install one (1) Kohler Seat plastic Seat Cover to the new toilet. Install one new stainless steel flex water line to the new toilet. Allowance for toilet $239.00 Allowance for seat $15.00 INSTALL NEW WAINSCOTING TO THE BATHROOM WALLS WALL COVERING: Install prefinshed White wainscoting wall panels to the lower half of the entire bathroom walls. Install a wooden chair rail to the top edge of the wainscoting. WALL PAPER: Strip the upper half of the wall paper and prep walls for paint/ paper. BASEBOARD: Install new 3 1/2" Colonial base molding to the inside of the bathroom. INSTALLATION OF A NEW BATHROOM PEDESTAL LAVATORY REMOVAL: SINK: FAUCET: Remove existing sink, vanity & faucet, prep area for new pedestal lavatory. Install one (1) Kohler Memories Pedestal Lavatory, white porcelain sink. Allowance for pedestal lavatory of $285.00 Install one (1) Delta Victorian Satin Nickel lavatory faucet, chrome 4" whole spread to new sink. Allowance for Delta Victorian Satin Nickel Faucet $ 255.00 PLUMBING: Relocate Water feeds & drain for pedestal sink. Install new 11/2" PVC drain pipes, & trap for new sink. INSTALLATION OF A NEW MIRROR MEDICINE CABINET REMOVAL: Remove existing bathroom medicine cabinet & light. MEDICINE CABINET: Install one (1) new 24"x 30" Minor Medicine Cabinet over new pedestal sink. Allowance for Cabinet of $175.00 RADIATOR: Remove old Forced Hot Water radiator housing for wall under window. Install (1) new electric fan / Forced Hot Water toe kick radiator under the whirlpool base. TRASH REMOVAL: PRD will be responsible to remove debris from job site. TOTAL LABOR & MATERIALS $12,841.00 (I 4" o O'� G4 w° cn a cn 0 H w A o C-0to w° a�' G U G w" o R a cd a a�' w x U W W w°' cn Cd�, w x z to �2 w z � W a w rA 2° cn v Q o cn f R' CD O w Z O D y co .y L CL CD O CD ci _cc w CO3 _ 0 Q. (A O C.3 O L 0 C3 co CLCOD C O OM C CD O .0 D � m m 0 CD c 3� CD G O C. Q *"cc 9 O O 4.0 Z � CLy C 0 U) CO w W ErW LLI U) C3 • :00 O vV ACL a O RC c sa 3 om L 0 a r= -C Dm to �2 •:�v� m c : N A mm,a N > 3 .... N C _ cc O D = C O C domb s: m Amo Im CLC -3 m La m O aCD a +"' •+ 0 C t I CLO f m v N O Z O dcoo C: c -C O N m C =... p m dm o F" m m ca z e •N .. CD O �. �E a= C ca .0 m as Z O CD ®: va a m.5 ��L' CD z .-aim a f R' CD O w Z O D y co .y L CL CD O CD ci _cc w CO3 _ 0 Q. (A O C.3 O L 0 C3 co CLCOD C O OM C CD O .0 D � m m 0 CD c 3� CD G O C. Q *"cc 9 O O 4.0 Z � CLy C 0 U) CO w W ErW LLI U) .w Date ...... 3. . 10 ..... TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ..'...�/% : w' ........................ has permission to perfor1 : /,f .. `" ....�.! ............... . plumbing in the buildings of.. .':" `Y�................... at .�..... ..°...... ..... ,North Andover, Mass. Fee. �%,7. . Lic. No.: .) -�.�/t........... . PLUMBING IJV�PECTOR t C Check # ��7. 54-69 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING ,(Print or Type) /y • /7"�D6liG� , Mass. Date % 200.3 Permit # Building Location %% y rJ�''4rf Owner's Name_ _ JU6- ZAQ New ❑ Renovation el" B.P. # Type of Occupancy S"Vo " M�Zfi Replacement ❑ Plans Submitted:. Yes ❑ No 0 FIXTURES SEWER # SFPTtC #r Installing Company Name �M �i(( L�j�/ Aeddress - 7y9 Business Telephone tc93__ Q _ Name of Licensed Plumber or Gas Fitter Check one: Certificate ❑ Corporation ❑ Partnership &-flrm/Co. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGLCh. 142. Yes ❑ No ❑ _ If you have checked Yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy ❑ Other type of Indemnity ❑ Bond 0 'OWNER'S INSURNACE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter -1142 of -the Mass: General ws, and that my signature on this permit application waives this requirement. anatifre of Owner oyOwner's Agent I -- Check one: Owner 0 Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the Gener aws. By Signature 61flicensed Plum er Title City/Town Type of License: ['Master ❑Journeyman APPROVED (OFFICE USE ON License Number 75-o7 • • - �MMMMMMMMMMMMMMMM 1 00. 0 000MMMMMMMMMMMMM • g • • • MMMMMMMMMMMMMMMMMMM�® • • • mmmmm5MMMMMMMMMMMMMMM • • • mmmmmmmmmmmm�MMMMMM •• mmmMMMMMMMMMMMMMMM� • ••• MMMMMMMMMMMMMMMMMMM • • • � mmmmmmm� mmmmmmm Installing Company Name �M �i(( L�j�/ Aeddress - 7y9 Business Telephone tc93__ Q _ Name of Licensed Plumber or Gas Fitter Check one: Certificate ❑ Corporation ❑ Partnership &-flrm/Co. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGLCh. 142. Yes ❑ No ❑ _ If you have checked Yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy ❑ Other type of Indemnity ❑ Bond 0 'OWNER'S INSURNACE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter -1142 of -the Mass: General ws, and that my signature on this permit application waives this requirement. anatifre of Owner oyOwner's Agent I -- Check one: Owner 0 Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the Gener aws. By Signature 61flicensed Plum er Title City/Town Type of License: ['Master ❑Journeyman APPROVED (OFFICE USE ON License Number 75-o7 Date...//:, . �.. 7 A......... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ......... ..................................................................... .has permission to perform ...... ?�I.q ... //? ... .................................... .. ..... ... .. .. . .... 0 wiring in the building of ..........v!:Kfi ................................................... C .... 1�v , * at ......... 7..K,/:n-./­ ...... . .................. " orth�,Awnd.o .... r, Mass. Fee.3i.�!:;e�... Lic. No. ...... ..... ..... ....... .............. ............. 4,,,,,,Lrt . .... .... ELECTRICAL NSPECTOR Check # TRECOMMONWEALTHOFMASSACHUSEYTS Office Use only DEPARTAffiVOFPUXJCSAFEIY Permit No. BOARDOFFIREPREVEMONREGUT4770NS527CMR12 00 Occupancy & Fees Checked APPLICAHONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date A"U37 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 7f tt2i wx�� Owner or Tenant :Tae Owner's Address Is this permit in conjunction with a buildin permit: Yes M1 No r7 (Check Appropriate Box) Purpose of Building �/� �GF = Utility Authorization No. Existing Service Amps / Volts Overhead a Underground No. of Meters New Service Amps / Volts Overhead r --J Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 8ARI AW &1?6Qfi'1f C11 No. of Lighting Outlets /_ No. of Hot Tubs No. of Transformers Total KVA No. sf Lighting Fixtures Swimming Pool Above Below Generators KVA ground ❑ ground No. of Receptacle Outlets / No. o Switch Outlets No. of Ranges No. of Disposals No. of Dishwashers No. of Dryers No. of Oil Burners i No. of Emergency Lighting Battery Units No. of Gas Burners No. of Air Cond. Total FIRE ALARMS Tons No. of Heat Total Pumps Tons Space Area Heating Heating Devices No. of Water Heaters KW I No. of No. of No. Massage Tubs No. of Motors Total HP Total No. of Detection and KW Initiating Devices KW No. of Sounding Devices No. of Self Contained Detection/Sounding Devices KW LocalMunicipal Connections No. of Zones Other h>Suta =CoWrage. Ptusti"tDthera4amiffZofMmxhjseMG=!dl ams Ibawaam ilLiab>7it ba==Pbli:.ynrkxlmg(oDrq e CovfrageorZwbsutalegmvalat YES NO E Ihavesubr u mdvalidptoo(ofsametotheOli ce. YES .. � l;zl F If}ouhavedrekodYES, pleasehtmetbetypeofooveWby � box ..�� INSURANCE BOND MTIIER ftweSPsL*) 0C14&bC-n yEstim"VahrofBmtocalWolk$ WolktoStart o �3 kgxrhmDa*Rapesed Rough ` �V> Final SignedunderTreFtofperjt>ry. FIIRMNAME r✓ `eG''7 rL LioaseNo. Signature ` LicenseNo ,,/��`�/A� I �[ BtisirmTel.No. Artrt ess � /'"t/ I-9-3 Mull d407 �'�G/ 0 G ->':r AIL Tel. No. OWNER'SINSURANCEWANIIR;IamawarethattheLicensedoesnotbavetheins m-iceec)mngeoritssu�tialapvalerrtasregtmedbyMa%achu etlsC,enetWLaws arxl that my signatiue on this pmnt application waives this mg mmlent Please check one) Owner = Agent 3 s f a Telephone No. PERMIT FEE $ CJ rgna ure ot Uwn—e—r or gent The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02911 Workers' Compensation Insurance Affidavit Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity 1 am an employer providing workers' compensation for my employees working on this job. Company name: Address h City: Phone #: Insurance. Co. Policv # V Company name: i Address City: Phone * Insurance Co. Policy # 'i, Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of.a fine up to $1,500.00 and/or one years' imprisonment_as_vtell_as_ch il.penaltiesjnlbefmn-ofa_STOP W-ORK_ORDFR_and_a fine_of.($111.0.DD)-aAay igainsi_me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. l do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature Print name Pbone # Official use only do not write in this area to be completed by city or town officiar City or Town Permk/Licensing El Building Dept ❑Check if immediate response is required Licensing Board E] Selectman's Office Contact person: Phone #: E] Health Department El Other