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HomeMy WebLinkAboutKITCHEN REMODEL BUILDING IT NORrH h� .:, <.. .46 c TOWN F T V :<.:.. APPLICATION FOR PLAN EXAMINATION 00- - y» ono o R Permit No#. � Date Received � AArEa Date Issued: IMPOR ANT:Applicant must complete all items on.this page i t c � a a n# d �id,:1 ✓®, � �, r,y uumi I� uo�uJ� S, �� O r TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family El Addition P-fwo or more family ❑ Industrial ❑Alt ration No. of units: ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Q n��>'? ���� �h, � M sv,,,,,f � 4,�Y�„ �r J ^�c� H��r�.•�n�y � ,1 ,vii�vu✓ieln dlrrr rill/ �f j �i �e rn�N� u�v o�� �� ^ ria 6a err �;�r°r r%� DESCRIPTION OF WORKTO O BE PERFORM Identification Please Type or Print Clearly , OWNER: Name: Phone: ' ' -C Address: r 0 r ARCHITECT/ENGINEER Phone; Address: Reg. No. FEE SCHEDULE.BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COSTBASED ON$925.00 PER S_F_ Total Project Cost: $ Q9) 3 OZ ' FEE: $_ Check No.: Receipt .N t.N ' -NOTE:---Persons contracting-witli unregistered contractors donotha e,,a# s-to-theguaran —un _,.�, � ✓ z.. /D�.ri .r.. ! ri/ rr 7%"" rrrc/�; /ir/r/vi it�,..rir,. r.7�., rr/r// n, /, /� r � ;. 1, I' � .%//a�ui�al o,ia �Oa<,%,""��ir7„i,%rte/, r�T,,.via,����i//r/ %r ro,//rl///ir e///r// y/, - ///r r. r ✓ .p//,/% ;/Jl., ! !�%r�� .. ,✓ i r.. nl"—° r a7r „c r /rf,✓r///// i r % //,rl/ ///yr / ,,, �'�l///, �f//'i. /y r�, NORTH Town of Andover O 115 �/ ,T - 2 Z a h ver, Mass, COG NIC hl WICK �1' AERATE O S V BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ........ .....��` e —� 0/1"l ^�® .. . BUILDING INSPECTOR ..... .................................................................................................... fFoundation has permission to erect .......................... buildings on .. ... ....< 1, � ......................................... . Rough /// :+ �..... :f�........... .......... . ....................................................... Chimney to be Occupied as ......:....... 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. J PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough nA Final PERMIT EXPIRES I 6 MONTHS ELECTRICAL INSPECTOR LESS CONSTRUCTIO STARTS Rough Service ........... ...... ............................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit required to Occupy Building Rough Islay 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. FROM :2685-Kitchens FAX NO. :9789466421 Feb. 21 2015 07:39PM1 P1 Fob 21 1510;55a Richard I Aadiso n 9782770685 KITCHEN ;INI T TION ESTIMATE WORKSHEET ptq; 6+rvkrliwvhMw „Innes: m nrta: Garlono ludiaiani,9 78-687-0200 2/2012018 )omo and Haul Avw�y FF .177.OD ✓ 0 r S s 7 r$ :iectrical $1,984.011 WrD 46 x,545 7t 9"1 'luatbir►g $4,740.00 ✓- ro A,,f $jq.r,j t 8 5 .aminate Flooring �1,Q4{l,40 4/=-(��i�� resq S ?rywall _.$820.01D � �phinetrylAppiian�ae $3.322.b0 V'"` p ! ' W4 s ! l of ldditional Charges/Permits $575,00✓-P� rUstomer Signature, r1+ ... L104tl: R Wsocisto Slgnature: Iota: D 1t 'PC Signature: .. 4- z' Z4 ., "� [7►4te+:—,_ / f ._ 13,4 y k FROM :2685-Kitchens FAX NO. :9789466421 Feb. 21 2015 07:39PM P2 DETAIL STARTS HERE FAX PURCHASE ORDERS Date: 02/21/2015 Page: 2 FROM: THE HOME DEPOT FAX: (978) 946W-6417 STORE 2685: MErHUEN PHONE: (978) 989-9025 Xt. 420 72 PLEASANT VA._LEY ST METHUEN, MA 01344 =======--===(else this number to .invoice The Home Depot) P.O. Nbr 85457185======= For customer: IUDICIANI CARLENE 0000-2.82-627 KITCHEN POINT-NAT FROM MEASURE: 228050MOI MEASURE PO#: 85457029 INSTALLATION SITE: IUDICIANI, CARLENE PHONE: (978) 687-0200 Ext. 7 MILLPOND NORTH ANDOVER, MA 01845 TRIP CHARGE: . CUSTOMER NAME: CARLEVE IUDICIANI PHONE: (978) 687-0200 WORK (508) 380-7580 Ext ORDER: 227039 REF #: 03 No merchandise selected. MERCHANDISE WILL ARRCVE AT SITE VIA THE FOLLOWING: KITCHEN POINT—NAT CUSTOM WORK: 01 PO I OF 5; D MO AND HAUL AWAY OF EXISTING ITEMS AND CONSTRUCTION DEBRIS FROM 3ROJECT. Quantity; 1.00 .1M: MR Price Ea. : $2, 177.00 Extension; $2, 177.00 SPECIAL INSTRUCTIONS: PO 1 OF S; DEMO AND HALL AWAY OF EXISTING ITEMS AND CONSTRUCTION DEBRIS FROM PROJECT. I IIining Raom.- Carlene&Mario IUD1CL?NI _ 978.687,6200-hwne NSoffits on theses.walls 508.380.7580--mobile I, n onzy SIVE:7 Millpond THOMASV LLE Cabinetiv F33 F336N Andover,NA 01845 Door Style:Plaza Maple 5q v =Ff 9 Door Const:Fu]]-OverlaT B2717243421'x- tti} Site Analysis PO 8S4S7029 Solid-Wood Raised Panel �+ 5123€1STSB 3 1:! Q � r � txt �_ -._ 5-Piece larav�er Front upgrade 421SP- , { 4 - ` " EuxConst Standard 1 2"bIDF xv#e�v plywood upgrades Closet i R1 -� r, �_•4�,; �, - r,�=��-;—. w o Ceiling Height;9o" Finish Baltic Bay[painew(glaze]-P�itehen SofftHeigh 84"AFF J+inish:AmarettoCreme[painter/glaze]-Dining Home Depot Site Analysis B�: B21RT11 ---� :I --- --- F330 � . _ _ Iapprove thel (the �Ec n. , • �.H r i'. "*I have been adl,-ised o[the est 4-6 weei:lead time N _ =� .1�- _ _ or caiaine � the f e deliver4 agent%%]contact WE c3 N "Fi j: _I.I directly to scheduiethe deliver��date and time. r" OG — `1 have also beer,advised that cabinetry is CIiSTON€Wade as -- -- m _ ar MY Project-it is 6--r-efDree NOT Retikmable-I do have 96 days from receiptto reportANY missing and/or - a TEP2487� F33C _ ;damaged item c replacetnetst L SB24 BEPFI.5FP� 4 a; } ` , CE IV301824 ° INSTALLATION NOTES:: -Bid Complete Demo I Haut Awa}of e_3istmg Kitchen -Remave Halt between Kitchen f Dining room r.�fn -Fix Soffits as needed"SEE SOFFIT Plans For requests ""`z - - "tiFce ia}r vcu reGu�c�s&2Cc�ioic P��Ltl cyB i'4 Mii[f)€LIi7FVe t3llUt e] 49 i 2q."--�� ��29 ,E -- -LNSTAi.LAR[vM �CaYnets/Appliances asspedgedonElevations ELECT-Updercabinetlibhtingrequested.Ughtingin Pass Thru area co ' 22" - 49." :' 36 - -PLUMB:Asneeded[t4atcrlinetofridgerequestec� C -Additional items per dientas requested at apppointment. U 147 12„ ,411 dimensions_size designations 'This is an original design and must i Designed:2:20i2i i given are subject to verification on not be released or copied anless !!Printed-2.'20120 1: 00 jb site and adjustment to fit job applicable fee has been paid or job -- conditions. order placed. 0 o< --- 'All Dra-vvinng 4 1 sc� r)-&P `frr3 .°t h l.st7irC r��ega�l,a2perr'�arty;�t�r�c�a� s atanSupi rJ CS-03000b I' RICO-AWWI!iyr 3}VB4DTON hVE ' i GRpVELy�►iJ�� 0183 � - , 07/2 /2015 ��e�poattntoaacaeu��a���a4eu�uoe Office of Consumer Affairs&Business Regulation License or registration valid for iridividul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:. egistration: 18509 Type: Office of Consumer"Affairs and Business Regulation ;expiration: 3/29/2017' DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 r R.J.CONSTRUCTION ; i - ' RICHARD MADISON f 3 MADISON AVE GROVELAND, MA 01834 Undersecretary Not Vali thout signature ' i i - AC4® CERTIFICATE ��I�' /t,A p p �+ DATE(MM/DD/YYYY) �✓ G ®F LIABILITY INSURANCE 1 4/6/2015 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 CONTACT NAME: A & K Fowler Insurance PHONE . (978)664-0366 FAA/C No: (978)664-2209 200 Park St EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# North Reading MA 01864 INSURERA:Hartford Insurance Co. INSURED INSURER B: R J Construction INSURERC: 3 Madison Ave INSURER D: INSURER E Groveland MA 01834 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1451505466 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCEWVD POLICY NUMBER MM/DD/YYYY MM/DDNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 A CLAIMS-MADE FxI OCCUR 08SBANF7078 /28/2014 /28/2015 MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X PRO POLICY LOC $ AUTOMOBILE LIABILITY Ee accident) SINGLE LIMIT 1 000 000 A ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 8SBANF7078 /28/2014 /28/2015 ( ) AUTOS AUTOS BODILY INJURY Per accident $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE - AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATIONSTATU- OTH- AND EMPLOYERS'LIABILITY YIN TWC Y LI I' I I FIR ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ ],00,001 ❑ (Mandatory in NH) SWECGQ0160 /30/2014 /30/2015 E.L.DISEASE-EA EMPLOYE $ ]00.0001 If yes,descbe under �._ - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 5001000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Insurance verification - Please refer to actual policy for all other terms, conditions and exclusions. 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. 120 Main St. North Andover, MA 01845 AUTHORIZED REPRESENTATIVE Nicole Orlanzo/NMO ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD