HomeMy WebLinkAboutBuilding Permit # 6/10/2015 r '
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BOARD OF HEALTH
Food/Kitchen
PERMIT T %j L Septic System
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THIS CERTIFIES THAT .......... . . , ,® �v ................... ......... BUILDING INSPECTOR
....... .. .
Rhas permission to erect ......... buildings on .. VFoundation
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to be occupied as ............. �.................... ......... ............�. !!.'...'....... .. MC.7r......,......# 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 EXPIRESS ELECTRICAL INSPECTOR
-UNLESS CONSTRUCTIO TARTS Rough
/ Service
............. ...... :....1................................ 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 Approvedthe Building Inspector. Burner
Street No.
Smoke Det.
COPERAT
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bi1,tyRenovations
Operation Independence, LLC Tel./Fax 617-923-4545
325 School Street - Watertown, MA 02472 operation!ndependence.net
May 6, 2015
Daniel & Lori Hooley
216 Rea Street
North Andover, MA
Operation Independence is pleased to submit the following proposal for
Accessible modifications to your home.
Renovation of an existing 2"d floor bathroom for wheelchair accessibility.
The proposal for work inludes:
SHOWER
Install the ClearPath threshold-free shower pan system in the shower area, Blocking in walls for grab
bar and fold down bench installation (bench optional) Approximate size of wet area is estimated to be
32" deep by 59"wide.
• Supply and install a new Symmons 96-500... series shower valve with mounted/adjustable
handheld sprayer and a traditional fixed shower head.
• Walls will be built with sufficient blocking so to accommodate grab bar installations and
mounted fold-down bench.
• Includes installation of white/biscuit porcelain corner shelves
• 2 grab bars in shower
• Shower Light (6" Recessed can)
TOILET - Install new Kohler Cimarron Toilet . Recommended round bowl to maximize open sapce in
bathroom
DOORS
Reuse the existing 27" entry door--converting it to a pocket door.
WALLS
Shower walls will be finished with tile (allowance $4.50 per square foot with approximaely 85 sf area)
from floor to an approximate height of 84", walls above file and outside shower are will be blue board
and piaster finish above to ceiling.
FLOORING
The existing floor will be removed and new cement board substrate, and tile will be installed in both
the shower area and throughout the bathroom. (The floor tile allowance is 4.50 per SF) The estimated
plus contingency tile area is 48 sf.
• TILE ALLOWANCE
This proposal was calculated based on the installation cost of uniform 4"x4" or 6"x6"
wall tiles and 2"x2"floor tiles (inside shower) and tile size TBD outside shower.
American Olean or comparable type 1 or 2. Alternate sizes and brands may require
additional charge.
COPERAilON INDEPENDENCE
Accessibility Renovations
Operation Independence, LLC Tel./Fax 617-923-4545
CEILING s will be a smooth plaster finish (tile ceiling option is at an additional charge)
Install 1 recessed 6" shower light
Install 1 NuTone Qu 7 CFM Exhaust fan/light install –new duct work required to vent exhaust outside,
The heat option for the exhaust fan is included in this proposal.
Install 1 GFCI Outlet near existing sink
Configure switching for room per the homeowner's needs.
GRAB BARS
Includes up to three standard (stainless steel or gloss white finish) grab bars 18", 24" and 36"
Locations: 1, near toilet, based on user's needs and 2 in shower (located based on the user's needs)
FINISH DETAILS
Patch, Blue board and plaster all affected areas as needed realeted to work before painting.
Prime & Paint (2 coats) bathroom walls, ceiling, trim, and door. Colorfinish TBD
Paint may include primer
This bid includes municpal building permit fees, inspections , and a thorough, broom-cleaing of areas
affected by our work.
Operation Independence is fully licensed and insured.
Total Cost of Bathroom Project as described $ 18,000
Terms
Deposit to begin project $ 6000
Milestone 1: Rough Plumbing Inspection $ 6000
Milestone 2: Final Municpal Inspection $ 6000
Scheduling
This job is expected to take three consecutive weeks from start to finish but is dependent on timely
municipal inspections for electrical, plumbing and building. (a total of 6 inspections)
Accep ce of Terms /
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Homeowner o' besigpfite Date Operation Independence, C a
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Bill Macrnillari
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2015-04-02 16:23
PAGE NO:1
The Commonwealth of Massachusetts
F Department of IndustrialAccidents
I Congress Street,Suite 100
tl Boston,HA 02114-2017
�< www.mass•gov/dia
Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY. Please Print Le ilg
A licant Information
N2TT18(Business/Organization/Individual):
ld 4 uo
Address: 921- _5col
yYA City/State/Zip:
"�[-J� 44�' Phone#: 417 �2
Type of project(required):
Are you an employer?Cheelc the appropriate box:
full and/or part time).* 7. ❑New'construotion
1.�maemployerwithy -employees
2.Q I am a sole proprietor or partnership and have no employees working for me,in $, remodeling
any capacity.[No workers'comp.insurance required.] 9, ❑Demolition
3.Q I am a homeowner doing all work myself[No workers'comp.insurance required.]t
10 []Building addition
4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 11.❑Electrical repairs or additions
ensure that all contractors either have workers'compensation insurance or are sole 12.[]Plumbing repairs or additions
proprietors with no employees.
5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13,0 Ro6f repairs
These sub-contractors have employees and have workers'comp.insurance.$ 14.Q Other
6.❑We are a corporation and its.officers have exercised their right of exemption per MGL c.
152,§1(4),and wemployees.
e have no [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 codicating they are ed an additional sheegshowing the nall work and thame of theen hire sub-contrtside actors and state whether or rs must submit a new�those entities have
h
#Contractors that check o box must attach
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. -
I am an employer that is pr ovidingwor kers'compensation insurancefor my employees. Below is the policy and job site
information.
Insurance Company Name: �y
Expiration Date:
Policy#or Self-ins.Lie.#: PbdG7:
City/State/Zip:/ '��I✓�� M
47,
Job Site Address:
SI compensation policy declaration page(showing the policy number and expiration date).
Attach a copy of the worker
Failure to secure coverage as required under MGL c.,15 int
and/or one-year imprisonment,as well as civil Penalties form of a STOP violationis a criminal 0
ORK 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 her eby certify and r tlz pains andpenalties of perjury that the information provided above is true and correct.
Date: 0
Si nature:
Phone#:
Official use only. Do not write in this area,to be completed by city or town official.
Permit/License#
City or Town:
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Phone#•
Contact Person:
lty
orkers' Com ensal�+n anclm ei �n
f ° �4iA'THA AY NorGUARDInsurance Company A ompa
IN CE - - Policy Number OPWC51661
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RUlw1# NIS .eneWaI of t'�PWC41.371
NCCI No.[258411
Policy information Page
FM,,nt�,tl al is T�+lailing Address Agency CO
depneLl4C AiiLiATi C� AGENCY OPSt Post Offiee Box A-11A0,2472Y+lilkeS Barre, PA 187(}3
Agency Code: PAAAQCIO
lcyr's ICInsur :+d is Limited LiaE�ility orc !a.L ;
: fiuimtar t1278g7
'17rt"m)u1y U 4 t July 1.4, D15, 12:b1 ANI, standard turas �t the irrsured's moiling �ticlres,,
OVersg+e
A WQi`kers° iµompensatrori 1r�surance - l� r ane aFt is policy applies to the Vlorkers' Cornperssat r,_
La +t+ of the- fbIlowing-state,s; Massachusetts
lwrnpigyer's; i bilikY Insurance Part,T'vvo of this policy applies,tO work in each of the states bste�-
rh e C She lirr�its,o our>Ilabilit + under Part Two are;
of .ily Iv ry' by`Accident - each accident 1Bf3 f300
oxiilynuryfy;6lee each employee
B SISI hj rya Y`Disea.se - policy lam t $500,bC30
�Jther States insurance Part=Three of this policy applies to a[l states,except �r:
ate in [3�; anti the tfates.pf Ncirth Dakota, Qhio, Washington, and 11�yornirtg,
C This pollcy<includes Hess epdorsmen.ts and schedules';
dee xttens�on of�InformOlon:Pa9e Schedule of Porrns -
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Thi (�rtitrr�nas�s incl,ti�er+�f�►re, the premiurra wi1C be'dett*rrnined by oar Manual of'�ulesP;
IaSIGatlons� Rt$ and Rating Plans All tequlred 4r�format�or� is subject to a�erifictit�n and change
�y audtpnt�nu :rl on another page.
-
® 10 2015 11;57 OPERATION INDEPENDENCE 6179234545 page 1
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
Construction Supervisor 1 & 2 FamiIv l
License: CSFA-067965
RICHARD J CASM
325 SCHOOL ST,' m i
WATERTOWN
VIA
Expiration
Commissioner 0612512016
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1 — Office of Consumer Affairs&Business Regulation
I ME IMPROVEMENT CONTRACTOR
y — gistration: 123619 Type;
xpiration: 3/1812017 DBA
OPERATION INDEPENDENCE, s. t
Richard Castino
325 SCHOOL ST.
WATERTOWN,MA 02472 1
Undersecretary
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