Loading...
HomeMy WebLinkAboutBuilding Permit # 4/2/2015Permit No#: Date Issued: BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received IMPORTANT: Applicant must complete all items on this page TYPE OF IMPROVEMENT PROPOSED USE \� R Residential Non- Residential ❑ New Building ❑ Addition ❑ Alteration p Cne family ❑ Two or more family No. of units: ❑ Industrial ❑ Commercial ❑ Repair, replacement ❑ Demolition ❑ Assessory Bldg ❑ Others: ❑ Other d' p +,'�^r�TMSf `i'F "z'e` .-` A t✓3 "..o F ,.�,,,'3tr�f(f'r , .% r: y Li Syeptic„s ell Ir ❑Flood lain ❑Wetlands ��� ��;�p � .., 1r r ,f a+£fb-.rr:.^f� : M E� vtybb: .{ :ra�.'c; f rick%'. y� fr J fY%j /,'fJ� ✓ f `, r ` . .,n'/� I .n..'.. _ t: ,..,' —il.. ,�/. ,� �.ti.: f ;y.3,�'.. t.�"'.l fzN ?,C rj YC'�,f !e✓t/jl Z:.-1 Y'�6'lK< - 4 ?: �. „i ,,, i ? ,✓ „ l t ,.art ❑ Wa ers ' r t hed District. ,- " 1l " rtf`ffL lf(i'.NGF<'I :e�" r�:11 '"tl'�'.:r.$ �..:;� �rli �''' II/�-H Y fC' N.: . >'�G"`': ,----, DESCRIPTION OF WORK TO BE PERFORMED: \,Y\.c.9 �? trCZC,5 O S) e- UZu� C- C`7 (AL (, e_i ✓t, toca " 1. 0,0 e- - �>n ��� v‘\-- n Ve r: c Address: Identificat- Pie se Type or Print Clearly OWNER: Name: mod'— (r,'So 36- .6eAcv ,- i ''vo k /ea • tir t� 4►giavc. ARCHITECT/ENGINEER ` ie311\ Phone: Phone: 77 5— 2022- 529g 01PiS 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: $ 1, { ,3 ` FEE: $ (D1491 Check No.: Receipt No.: NOTE: Persons contracting with unregis ered contractors o not cc e 'to the guaranty fund ure of Agent/Owner i nature of co trac co 137 Cn 0 0 Cp 0 C `3 m o CD CD CCDD 0 03 W = CD -• 0 C. = C CD - 0 Cn o 0 o CD 3 0 CD naa p 07 pa.lmn tit 2IOi3 dSNIONlaling VIOLATION of the Zoning or Building Regulations Voids this Permit. 3 ;oeae o} uolssgued seq a c. CO N 0 rb c_ O 771 Salem Street ,P1 Fully Licensed & Insured Phone: 978-994-3452 Groveland, Ma 01834 www.Berubeconstruction.com Proposal Submitted to: Andrew & Shannon Parisotto Phone #: 775-636-0162 Job Address: 36 Beaver Brook Rd. North Andover Ma. 01845 We hereby submit specifications and estimates for: Water Damage Repairs Master bathroom Demolition of ceiling, tile floor and tub surround. Removal of the lay sinks and cap off the plumbing pipes, Removal of granite top and backsplash. Remove all vanitys and baseboards, Install new insulation in ceiling then install 1/2" blue board and plaster and patch all walls as needed. Install new vanitys, granite top and backsplash then drop in the sinks and re -hook up the plumbing. Install new tile backer and ceramic floor aliso tile the top of the tub surround then grout all joints. Install all new baseboards then we can paint entire bathroom on the ceiling, walls and trim work. Install new lights, towel bars, mirrors, toilet and hardware. Master bedroom and closet Removal of all baseboards thru out bedroom and closet, then removal of all of the hardwood flooring, Screw down all of the sub floor, Install new hardwood flooring and finish, Install new baseboards thru out bedroom and closet, paint the ceiling, walls and trim work, Reinstall closet shelves. 2nd Floor Hallway and closet Removal of all baseboards thru out hallway and closet, Removal of all hardwood flooring and screw down sub floor, Patch all walls and ceiling as needed, Install new hardwood flooring then sand and finish floor, Install new baseboards thru out hallway and closet, Paint ceiling,walls, and trim work, Install new recessed light trims and bulbs. We Propose hereby to furnish materials and labor --complete in accordance with above specifications, for the sum of: $101,460 Respectfully Submitted by: Scott Berub Acceptance Signature: Date of Acceptance: 3/Il.0115 NOTE: This proposal may be withdrawn by us if not accepted within 30 DAYS. 2nd Floor Bedrooms The hardwood flooring will be re -finished thru out all bedrooms and closets, then we will touch up walls and trim work as needed. Staircase in foya Sand and re -finish treads and landing, Then we will paint all skirt boards, risers and ballisters. Open foya Removal of all baseboards, hardwood flooring thru out foya and closet, Screw down sub floor and install new hardwood flooring then sand and finish Install new baseboards and patch any walls and ceilings as needed, Completely paint ceiling, walls and trim work, Install new recessed trims and bulbs. Front office Removal of all baseboards and hardwood flooring then screw down sub floor Install new hardwood flooring then sand and finish, Install new baseboards patch all ceiling and walls as needed, Completely paint ceiling, walls and trim work, Install new recessed light trims and bulbs. Dinning Room Removal of all baseboards and hardwood flooring then screw down sub floor Install new hardwood flooring then sand and finish, Install new baseboards paint baseboards and touch up walls and trim work. 1st floor bathroom Remove pedistal sink, toilet, towel barsand lights, Patch all walls and ceiling as needed, completely paint ceiling, walls and trim work, Then we will install pedistal sink,mirror,toilet, towel bars, light and hardware. Hallway and closet Removal of all baseboards, closet shelves,light fixture and hardwood floors Then screw down sub floor and install new hardwood flooring then sand and finish, Install new baseboards and patch ceiling and walls as needed completely paint ceilings, walls and trim work, Reinstall closet shelves and new ceiling light. Kitchen Removal of all appliances, sink and granite tops and backsplash, Removal of all kitchen cabinets except the island that is staying, Removal of ceiling lights and crown moldings, Demolition of ceiling and remove all baseboards and hardwood flooring, Then screw down the sub floor, Install new blue board and plaster on the ceiling and install new crown moldings, Install new hardwood flooring then sand and finish, Install new kithchen cabinets and granite tops, reinstall sink and appliances, Fix back door trim and install new baseboards,Patch all walls as needed then paint entire kitchen on ceiling, walls and trim work,lnstall new recessed trims and bulbs and re hang lights fixtures,Install all new hardware on cabinets. Living room Removal of all baseboards and hardwood flooring then screw down sub floor Install new hardwood flooring then sand and finish, Install new baseboards thru out room and completely paint ceiling, walls,and trim work, Install new recessed light trims and bulbs. Rear office Removal of all baseboards and hardwood flooring then screw down sub floor Install new hardwood flooring then sand and finish, Install new baseboards thru out room and patch ceiling, walls as needed,Completely paint ceiling walls and trim work, Install new recessed light trims and bulbs. Basement Living room and stairway Demolition of entire ceiling and remove insulation, Install new insulation then blue board and plaster ceiling, patch all walls as needed, Install new french patio doors with new exterior and interior trim, Completely paint ceilings, walls and trim work in the entire basement, Install new recessed light trims and bulbs. Not included in this estimate is the cost of the kitchen cabinets and vanitys Granite tops if they break when removing, Any new hardware, Light fixtures Plumbing fixtures, new towel bars, new mirrors, appliances,Ceramic tiles grout, Basement pad and carpets also the cost to install. Tile backsplash in the kitchen, Anything with the center island in the kitchen. All construction debri will be removed by dumpster. This entire job will be done in a clean and professional manor. Payment will be 1/3 upon starting, 1/3 when hardwood floors are installed and one coated and balance upon completion. Any extra's that may occur during construction will be addressed at that time and will have a sign invoice on how we will be payed for the extra work over and above the original contract price. Total contract price for work describe above is $101,460.00 The Commonwealth of Massachusetts Department of Industrial Accidents 1 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 Legibly Name (Business/Organization/Individual): CG i� ��`'``��`"' Ccc-,(Nsk-c0 $, 00 Address: 71 SC\QX City/State/Zip: 0vpV,A k Q. (a 39- Phone #: Q 7e— 99ef -3 vs—e Are you an employer? Check the appropriate box: 1. ❑ I am a employer with employees (full and/or part-time).* 2. /Yam a sole proprietor or partnership and have no employees working for me in any capacity. [No workers' comp. insurance required.] 3.0 I am a homeowner doing all work myself. [No workers' comp. insurance required.] 4.0 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 proprietors with no employees. 5. ❑ I am a general contractor and I have hired the sub -contractors listed on the attached sheet. These sub -contractors have employees and have workers' comp. insurance.t 6. We are a corporation and its officers have exercised their right of exemption per MGL G. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 7. ❑ New construction 8. (t; emodeling 9. ❑ Demolition 10 Building addition 11.0 Electrical repairs or additions 12.0 Plumbing repairs or additions 13. Roof repairs 14.0 Other *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. 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 am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy # or Self -ins, Lic. #: 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). 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 hereby certify under the pains and aides of pediny that the information provided above is true and correct. Signature: Phone #: C rn-- Q l y— 3/ S 2 Date: 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 Person: Phone #: ACORO® CERTIFICATE OF LIABILITY INSURANCE ‘....---' DATE(MM/DD/YYYY) 4/1/2015 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(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 Insurance Solutions Corporation 60 Westville Rd Plaistow NH 03865 CONTACT Cynthia St. Amand NAME: IacoNI, Ext): (603) 382-4600 FaC. No): (603)382-2034 E-MAIL cstamand@isc-insurance.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Liberty Mutual 24198 INSURED Berube Construction 771 Salem St Groveland MA 01834 INSURER B : INSURERC: INSURERD: INSURER E : INSURERF: CERTIFICATE NUMBER:CL154120978 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF IMM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CCP9571262 5/22/2015 5/22/2016 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 50,000 MED EXP (Any one person) $ 5,000 CLAIMS -MADE X OCCUR PERSONAL&ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 GEN'L AGGREGATE —X—I POLICY LIMIT APPLIES PO-$ ,IIF T PER: LOC AUTOMOBILE LIABILITY SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedu e, If more space is required) Job location: 36 Beaver Brook Rd N Andover MA. The Parisotto residence CANCELLATION (978) 688-9542 Town of N Andover Building Department 1600 Osgood Street N Andover, MA 01845 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Keith Maglia/CLS T-�j`f ©1988-2010 ACORD CORPORATION. All rights reserved. Thn Arnpn nomn ,nri Innn ,rn rcnictnrart mnrkc of AfflRrl ACORD 25 (2010/05) INS025 r,ntnnsr m g 1Massachusetts - Department of Public Safety Board of Building Regulations and Standards ( ntitructiun `upra-,o r License: CS-065246 SCOTT A BERUBE` 771 SALEM ST GROVELAND NIA 01834 Commissioner Expiration 12/16/2015 -7/A, irrurr.//(/ ////: r j /ii,; ri/u;.//; Office of Consumer Affairs & Business Regulation �ME IMPROVEMENT CONTRACTOR istration: 119555 Type: Expiration: 7/26/2015 BERUBE CONSTRUCTION SCOTT BERUBE 771 SALEM ST GROVELAND, MA 01834 DBA Undersecretary