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HomeMy WebLinkAboutBuilding Permit # 3/26/2015 - Ili NORTH BUILDING PERMIT ®�<"•° ��~� TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received �9SSAC HU`����y Date Issued: I PORTANT: Applicant must complete all items on this page LOCATION 328 Main St Print PROPERTY OWNER 'Eugene Beliveau&Maryann Beliveau Print MAP NO:43/0035 PARCEL:210 ZONING DISTRICT: R4 Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 1� One family ❑ Addition ❑ Two or more family ❑ Industrial 13 Alteration No. of units: ❑ Commercial x Repair, replacement ❑ Assessory Bldg ❑ Others: 1?5 Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer Repair structure from recent tree damage. Remove roof and wall down to sub-floor. Rebuild to existing footprint. Open wall to kitchen. Replace floor in kitchen. Supplement--- Remove and replace existing kitchen cabinets. Relocate dishwasher. Move sink. Identification Please Type or Print Clearly) OWNER: Name: Eugene & Maryann Beliveau Phone: 978-828-4393 Address: 328 Main St North Andover, Ma CONTRACTOR Name: Restoration Management, LLQ Phone: 603-264-1127 Address: 100 Carl Dr, Unit 11B Manchester, NH Supervisor's Construction License: Exp. Date: cs-106038' 9/26/2015 Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Team Engineering Phone: 603-497-3137 Address: 67B North Mast St, Goffstown, NH Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST ASED ON$125.00 PER S.F. Total Project Cost: 31,115.59 FEE: Check No.: Receipt No.. NOTE: Persons co cting with unregistered contractors do not have ac ;TrtY the 1 anty fu d Signature ofAgent/Owner Signature of'contracto jAORT#j Town of E ndover 0 No. - l15 * �� h ver, Mass, COCNICHtWICK 1' 7�A0R'�TED �S V BOARD OF HEALTH P E Food/Kitchen RMIT T LD Septic System THIS CERTIFIES THAT ......... ... ,,50, 1111100 �,,,,,,,,, ,�(��„y,.L,d!.................. BUILDING INSPECTOR . has permission to erect y',� ,, S Foundation .......................... buildi son ......�. .......... l.i!4R.........�.r....... 110 Rough tobe occupied as .... 1..... ....... ...... ...... ................ .............................................. 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 PERMIT PERMIT EXPIRES c IN V MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO6VARX Rough Service Final �r 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. mar - Smoke Det. RESTORATION MANAGEMENT,LLC 100 Carl Dr,Unit 11B Manchester,NH 03103 OFFICE: 603-413-5883/888-743-0245 FAX: 603-379-3323 PROPOSAL; Submitted To: Mary Beliveau Project Location: 328 Main St North Andover MA Prepared By: Tom Kaloyanides Restoration Management,LLC 100 Carl Dr,Unit 1113 Manchester,NH 03103 603-264-1127(m) 603-782-0766(o) 603-379-3323 (f) tkaloyanides@rm-nb.com March 25,2015 Attached is a revised estimate that reflects recent changes and additions from the original. Changes include: 1)New cabinets and granite tops 2)Plumbing and heat changes in the kitchen 3)Baseboard heat in the living room 4)Electrical for kitchen remodel Incremental cost: $31,115.59 Signature Date Proposal valid for 30 days from this date: 3/25/2015 Contract Total: 132,635.84 3/25/2015 We,the owners of said property and policy,herein-after referred to as OWNER,authorize Restoration Management,LLC, herein-after referred to as CONTRACTOR,to make repairs to our property located at: .� RESTORATION MANAGEMENT,LLC 100 Carl Dr,Unit 11B Manchester,NH 03103 OFFICE: 603-413-5883/888-743-0245 FAX: 603-379-3323 OWNER(s)Printed Name: Mary Beliveau Phone: (978) 828-4393 Loss Address:328 Main St North Andover MA The date and approximate time of damage: OWNER agrees that the total scope and cost of remedy will be supported in accordance with the original and approved estimate. Any changes to the work as originally estimated and approved will require a supplemental estimate to be prepared by CONTRACTOR and approved by the adjuster of the insurance company. Any order that extends beyond the scope of remedy requires a change order estimate and must be approved by the OWNER and CONTRACTOR. This work authorization, along with the original and approved estimate,supplemental estimates and change order estimates as applicable,constitutes the contractual obligations of the OWNER and CONTRACTOR OWNER understands and agrees with the following: CONTRACTOR has no connection with the insurance company or its adjuster. OWNER has the authority to authorize CONTRACTOR to make said repairs. Any deductibles owed are the responsibility of the OWNER. Any work not covered by the Insurance Company,including any change orders,must be paid by the OWNER. Terms and Conditions: 1. The repairs,replacement,or additions authorized herein relate to the specifications on the front page of this contract of those attached hereto and do not cover pre-existing deficiencies unless specifically stated. 2. All materials used will be standard stock materials,unless otherwise specified and will match existing materials within reasonable tolerance as to color,texture,design,etc. 3. All painting of existing surfaces is estimate to return existing paint surfaces to same color;any changes in color or type of material will be done at extra cost to owner. 4. The contract price is based on completion during normal working hours and owners agree to provide access to the job site as required for completion of the work. Owners electricity,water,and toilet are to be made available to the contractors personnel during the course of the work. 5. Any work deleted from the work authorization must be agreed to by both the owner and contractor in writing,and the owner will be reimbursed for the work in an amount equal to the contractors projected cost on said work. 6. The Contractor will take reasonable steps to prevent the theft,disappearance of or damage to jewel y, art objects,silver,gold antiques or personal items in the OWNER's home by ensuring that all company personnel or sub-contractors have been thoroughly screened and the all personnel and sub-contractors only access areas within the OWNER's home,where work is being conducted. The OWNER will take reasonable steps to ensure that all valuables are stored in locked rooms,to which the CONTRACTOR's personnel have no access. 7. The contractor guarantees all workmanship covered by this authorization for a period of two years from date of use by owner. All materials used are covered by the normal guarantees,if any,provided by the manufacturers or suppliers. 8. The CONTRACTOR agrees to make all repairs in accordance with this written estimate for the total price of: $101,520.25. The OWNER is not responsible for any charges in excess of the agreed amount of the contract,unless both parties agree in writing to any modifications or changes. 9. ARBITRATION AND CHOICE OF LAW- All disputes,controversies,claims or differences,which arise between the parties out of or in connection to this agreement,including the scope and applicability of this arbitration clause,shall be finally settled under the rules of the American Arbitration Association by one arbitrator appointed in accordance with said rules. The RM1007_BELIVEAU_XO-3 3/25/2015 Page:2 RESTORATION MANAGEMENT,LLC �s s 100 Carl Dr,Unit LIB Manchester,NH 03103 OFFICE: 603-413-5883/888-743-0245 FAX: 603-379-3323 place of the arbitration shall be Manchester,New Hampshire. The interpretation,construction and legal order: (i)the language of the Agreement;(ii)the intention of the parties to the Agreement;and(iii)by reference to the laws of the State of New Hampshire. The loosing party will be responsible for the total cost of arbitration as well as expenses associated with the dispute. All overdue and unpaid balances are subject to a 1.5%per month compound rate of interest. 10. Warranty work will not be paid for by CONTRACTOR when performed by others unless agreed to in advance. 11.Restoration Management,LLC may photograph and or record the repair process throughout its various stages.I understand that this material may be used in various publications,public affairs releases,or advertising related endeavors in print,on television and online. OWNER authorizes Mortgage Company to cooperate with CONTRACTOR in the handling of all matters associated with this insurance loss and grants approval for CONTRACTOR to discuss all such matters with the mortgage servicer. Mortgage Company: m\X Account#: Insurance Company: Home Owner Policy#: OWNER authorizes the Insurance Company to make payment due to CONTRACTOR directly to CONTRACTOR. Where applicable,the owner further authorizes the Mortgage Company to make payments due to the CONTRACTOR directly to CONTRACTOR. If OWNER is named on the payment,OWNER agrees to promptly endorse said payment authorizing Mortgage Company to disburse payments to CONTRACTOR. If payment is made to the OWNER,OWNER will deposit payment into an escrow account in a bank acceptable to CONTRACTOR and disburse payment to CONTRACTOR as due. Disbursement of said funds will be according to the following milestones: 50% upon acceptance. 25% at 50% complete. Balance due at completion. The CONTRACTOR agrees to accept all payments as they are released by the Mortgage Company or the Insurance Company, including the Recoverable Depreciation without penalty to the OWNER if the CONTRACTOR is also named as a payee on the check. ,7 44 OWNER(s)Signature: t�".G. * ft`i :' ' Dater Statement of Satisfaction& Comp tion I have thoroughly reviewed all of the work performed and completed by Restoration Management,LLC.. I certify that all work performed and materials supplied by the contractor are in accordance with the work authorization and estimate. OWNER(s)Signature: Date: RM1007_BELIVEAU_XO-3 3/25/2015 Page:3 Lower Level 17' 161411 o Garage/Under N N n `n Laundry Room o � 28' 5" Lower Level RM1007_BELIVEAU_XO-3 3/25/2015 Page:4 Main Level 16'10"- 16'8" 10, —16 4„ — — 9,10„ 0 0 Deckl 11'6" CV N [V-3'4" 62" Living Room Kitchen o 1 N N ,4„� Paj 0 t 11' 11” N 12'2" i '. MaIn ev�- RM1007_BELIVEAU_XO-3 3/25/2015 Page:5 Roof 19' ` 9.6,. + 9.6" CV FA�,B) 11'9" Roo (1) ,y Cyr, 00 1' 1 - �c Y2° - CV C11 N F2 B) O- y N� IF - -- - — ------- ^�� 18'8" 12-7" Roo RM1007_BELIVEAU_XO-3 3/25/2015 Page: 6 From:Jessica Thamm FaxID:603-673-7290 Page 2 of 4 Date:3/26/2015 10:43 AM Page:2 of 4 RESTO-1 OP ID:JT ACORO" ' bATE�( MIDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 03/26/2015 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 lieu of such endorsement(s). PRODUCER CONTACT NAME: Boyd&Boufford, LLCPHONE 603-673-7228 arc No: 603-673-7290 8 Main Street Arc No Ell: Amherst, NH 03031 E-MAILD INSURER(S)AFFORDING COVERAGE NAIC q INSURERA:Acadia Insurance 31325 INSURED Restoration Management LLC INSURER B: dba Legacy Flooring 100 Carl Drive INSURER C: Manchester, NH 03103 INSURER D: 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMSMADE OCCUR CPA5081564-12 01/17/2015 01/17/2016 DAMAGE TO RENTED PREMISES Ea occurrence $ 250,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ❑PRO-JECT [:]LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER:. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 Ea accident) r , A X ANY AUTO CAA5135505-11 01/17/2015 01/17/2016 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS APer accident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE CUA5081565-12 01/17/2015 01/17/2016 AGGREGATE $ 1,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION PER 0TH- ANDEMPLOYERS'LIABILITY STATUTE ER A ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ NIA WCA5081566-12 01/17/2015 01/17/2016 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 566 Main St North Andover, MA 01845 AUTHORIZED REPRESENTATIVE LX ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 0( The Commonwealth of Massachusetts Department of IndustrialAccidents -- I 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. Applicant Information Please Print Lezibly Name(Business/Organization/Individual): "e y f o r a -h oin M rAna q ra m e n 4- Lc— Address:I(O C) j,r 1 City/State/Zip: MC nC"�e_42k,41 � �( Phone#: (p0� Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am a employer with employees(full and/or part-time).* 7. E]New construction 2.F1 I am a sole proprietor or partnership and have no employees working for me in 8. [ARemodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 0 Building addition 4-❑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.[J Electrical repairs or additions proprietors with no employees. 12.E]Plumbing repairs or additions 5. I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.Q Roof repairs These sub-contractors have employees and have workers'comp.insurance.$ 6.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] IL *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. i 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 insurancefor my employees.'Below is the policy and job site information. Insurance Company Name: a is , _�.�ji �,{� �r)� e. Policy#or Self-ins.Lic.#: �� 7 Expiration Date: to Job Site Address: 32 m(x I t1 ,_�' IV[� A� rt' a City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). 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 verification. I do herebycert* erthe dins a d penalties of per jury that the information provided above is true and correct. Si nature: Date: 5 "96 ' Phone#: 8f Official 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 Penson: Phone#: Massachusetts -Department of Public SafetY '-, Board of Building Regulations and Standards Construction Super%isor License: CS-106038 ��� THOMAS S KAOYANIDES 458 E HIGH 5'17REET,. Manchester OR 03104 r Expiration Commissioner 09/26/2015 nes Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 180580 Type: Individual Expiration: 12/4/2016 Tr# 260880 THOMAS KALOYANIDES THOMAS KALOYANIDES - 100 CARL DR. UNIT 11 B MANCHESTER, NH 03103 Update Address and return card.Mark reason for change. Address 7 Renewal F] Employment Lost Card SCA 1 C; 20M-05/11 ��ie�poar�nwnu�ecc��i o�C�/�/�i,�aac�ivaeCla, Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 1 egistration: .180580 Type: Office of Consumer Affairs and Business Regulation ,•'Expiration ___12/41201-6 Individual 10 Park Plaza-Suite 5170 _- Boston,MA 02116 THOMAS KALOYANIDES"' THOMAS KALOYANIDb 100 CARL DR.UNIT 11,131 MANCHESTER, NH 03103 ' Undersecretary Not vah�wit"Ct hoitrtsignature