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HomeMy WebLinkAboutBuilding Permit # 6/24/2015 NORTH Town of a'. Andover h " * ver, Mass, (A,,J L 241-ZaT COCKicAW/CK 1' 9 �9A RATEO PP S U BOARD OF HEALTH ERMIT T LD Food/K,itchen I Septic System TMIS CERTIFIES THAT .................. -� !`�..... I�'r,.. ..D . ..� .. BUILDING INSPECTOR Foundation r has permission to erect ....... ....... .... buildin ons. . .., t bAVt p ..... ... ........ ..................A.... Rough tobe occupied as ................ .. , C ...KeyAoAel ................................................... chimne provided that the person accepting this permit shall in every respect conform to the terms of the application Final in file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and onstruction of Buildings in the Town of North Andover. PLUMBING INSPECTOR I � VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough li f Final PERMIT EXPIRES IN 6 MONTH ELECTRICAL INSPECTOR UNLESS CONSTRUCTI ST S Rough ' Service L ... ..... ............................................. Final BUILDING INSPECTOR N" GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Burner Until Inspected and Approved by the Building Inspector. I \ Street IVo. Smoke IDet. k" c 1 f s CA KTM Properties,LLC 25 Spaulding Rd Suite 17-2 Fremont, 1NI,l 03044 �)r° �lie—� 1 Phone: (603) 895-0400 ,45erulcePraulderfc►r!�A�,`Lc Fax: (6t)3) 253-2600 "' Company Representative: Customer Info: Dana Cook Job#:N/A (80406176 Maccorkle) (603) 921-1507 3480 -Maccorkle, Brian& Barbara Dana@,,ktmpropertics.com 3 Village Green Dr, North Andover,MA,01845 (978) 270-1798-mobile Demo Description Permit Cost of permit, plans and fees Lead Test Lead 'fest for homes built prior to 1978. Interior protection protection of floors,walls and doors, and dust abatement and clean up. Debris Removal Construction debris removal and haul away Appliance Removal Remove Range, Microwave flood, Dishwasher and Refrigerator. Relocate from space. Removal of Countertops Remove laminate, countertops. Removal of Cabinetry Remove walls, base and tall cabinets, Cardboard Removal Remove cardboard and cabinetry debris. Demo total: $2,250.00 Plurnbin Description Temp Sink Install/hookup temporary sink,faucet: includes 48" temporary top, sink, faucet, strainer baskets Connect to undermount Connect to under mount or integral bowl sink w/faucet,disposal:within 3"orexisting location,(Installer provides braided supply lines,shut off valves,piping and traps as needed) Cut/Cap Cut& Cap plumbing for new cabinet installation Dishwasher plumb in dishwasher next to sink Permits Pull permit, rough&final inspections- includes permit cost Gas Appliance Prep Install basic gas stove without conversion {pit. (Existing stove natural gas to new natural gas stove) Plumbing total: $2,040.00 Electrical Description Receptacle/switch replacement Replace existing receptacle/switch-includes upgrade to G CJ (h taller provides) Outlet tied to existing New outlet tied to existing circuit(installer provides components) Appliance Prep Electric appliance preparation (installer provides components) Dishwasher Wire dishwasher with existing power present add cord and box with outlette Microwave Wire microwave and install box with outlet on existing power Arch Fault Breakers Supply and install arch fault breakers as required by code Electrical Permit Supply electrical permit and ir�spcctions Electrical total: 51,920.00 Cabinets Description Design Dated 6-10-15 Installation based on design dated 6-10-15 Wall Cabinets Install Wall Cabinets Base Cabinets Install Base Cabinets Tall Cabinets Install Tall Cabinets Wall/Base Fillers Install wallibase fillers Knobs/Pulls Knobs/Pulls Installation Base End Panel Install base end panel Crown Molding Install one piece crown molding not to ceiling. Adjust Base Cabinets Adjust Base Cabinets-shim,scribe, raise, block, install ply vood to accommodate flooring. Scribe Molding Install scribe molding. Cutlery Divider Install cutlery divider Cabinets total: $1,668.00 Appliances Description Dishwasher Install Dishwasher Gas Mange Install free standing gas range Microwave Install over the range microwave Refrigerator install refrigerator Appliances total: $1,100.00 Total for all.sections: $8,978.00 - Total: $8,978,00 qt 0zz c The above signature does not commit either party to the sale of the above listed items.The signature represents a full understanding of the price and scope of labor for the categories listed only. Prices are subject to change based on the final desigun,layout of the kitchen and unforeseen conditions. We CANNOT start the work at your job until the necessary permits have been procured and a signed"What to Fvpect Sheet"on file, Please contact us should you need a copy of this, REMINDERS:this installation quote is based an normal working hours 7am-4pm,unless other arrangements have been made prior with KIM. Plumbing&Electrical work is based lin 2 trips-one rough and one finish;finish will occur after countertops. Code or local inspector requirements not mentioned in this estimate will be ail additional cost. Cabinets roust be delivered in kitchen area or adjacent space on same level,which must have heat. If cabinets have to be moved by KTM, additional fees will be charged, Countertop templates require you to be onsite,no exceptions! .��i 7 f i1 % /J -Co a ut rMe&Si nature —irate - ustome i nature -- at - p g g Customer Signature Date This estimate was last edited by Dana Cook((603)921-1507, Dana@ktmproperties,com) on June 10, 2015.'rhe estimate may be withdrawn if not accepted within days. 137;' C, _ 58— _ r 5 5 F W2130L Vt12130L VV3012 BUTT € 3,, Built: 1t2'/2'42317 off `. � floor d to cmate a base can-not rix t3L 2t.45L tPt 1 Any measurement provided by 2T 3" KTM properties are for n — design purposes only. if any 4 Ceiiing Height 09 Stt3` installation is to to completed ` a by anyone other than KTM properties, Vinyl Tile Floor a (including the homeowner)verification of measurements and ft of design are the responsibility of that Installer — KTM Properties will not be responsive for any labor or i m material costs Incurred it install is not done by KTM properties- M ' o c 0 Customer takang?rash Cabinet CUSTOMER NAME: Briant MacCorkfe because its Eras CUSTOMER PHONE: 978-270-1798 STORE 3480 8uyt3Tt8-2 �t ORDER: 513066 c! MEASURE TYPE: Horne Depot CEILING HEIGHT: 89 5!8" SOFFIT HEIGHT: NONE TOP CABINET ALIGN: 85 114" CABINET MANUFACTURER: American Woodmark DOOR NAME 1 OVERLAY: Portland Maple Square WOOD: Maple FINISH:Spice BOX CONSTRUCTION: Standard TOP MOLDING: Crown Molding BOTTOM MOLDING_ NONE EXPOSED END APPLICATION_Plywood Ends HARDWARE: KNOBS: Customer to Select PULLS: Customer to Select C a OP MATERIALl Conan COLOR Sandstone SOFT:23 EDGE PROFILE:Roundover LN FT EDGE 13.75 All dimensions sire designations This is an original design and trust Designed: 61112°2015 given are subject to verification on not be released car copied unless Printed: fill?/X315 fob site and acijusttnent to fit_job ` applicable fee has been paid,or job conditions. _ order placed. f } 6 _t 5{12 All Drawin` 1 No Scale. The Commonwealth of Massachusetts .Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.gov/dia ` ance Affidavit:Builders/Contractors/Electricians/Plumbers Workers' Compensation Insur . TO BE FLLED wTTH THE PERMTT'MG AUTHORITY. please Print Le ibly Applicant Information c/ Name(Business/OrgaaizatiamUdividual): i Address: t� 6J171 City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): employees full and/or art-time).°` 7. ❑New construction 1.7 I am a employer with ( p 2.7 I am a sole proprietor or partnership and have no employees wor}king for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9, ❑Demolition 3.7 I am a homeowner doing all work myself.[TIO workers'comp.insurance requ red.]t 10 ❑Building addition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will entire that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions pr rietors with no employees. 12.❑Plumbing repairs or additions 5. I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13,� of repairs These sub-contractors have employees and have workers'comp.instuance.:. 14 Other i 'A) 6.[—]we are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employees.[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 aididavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors drat chec}:this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. Lf 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 mid job site information. A �) � 6 G Insurance Company Name: ���VVV G/VV ,F W� D Q 522— Expiration Date. Policy n or Self-ins.Lie.rr. / "G . • , ' •,. City/State/Zip:Job Site - �..,.._ w: ✓ Attach a copy the workers' compensation policy declaration page(showing the policy number and expiration date). PY 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 nt may be forwarded to the Office of Investigations of the DIA.for insurance day against the violator.A copy of this stateme coverage verification. I do hereby certt art naltie erjury that the inforrnatiat provided above is true andel ti gna Date: Si f Phone : iOfficial 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 p 6.Other Phone Contact Person: " #: i +t 1 l ,r. ® MMDAED -Y" Drz4D, ACGWDCERTIFICATE F LIABILITY INSURANCE D CONFERS NO GHTS UPON THE TION AN 'THIS CERTIFICATE IS ISSUED AS AFFIRMATIVELY OR NEGATI ELY AMOND(EXTEND OR ALTER TIHE COVERAGE AFFORDEDABY THE POLICIES 4:^ CERTIFICATE DOES N 'gELOµ/, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTATII: If�e certificate holder Is an ADDITIONAL INSURED, the policy(tes) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and condtdons of the policy,certain t spolicies may require an endorsement. A statement on this certificate does not confer rights to the certlflcate holder In lieu of such endors CONT CT !. PRODUCER NAME: S({USA,INC. PHONE A1C No): TWO AWANCE CENTER E4AAJL 3550 L ENOX ROAD,SUITE 2400 ADDRESS: NAIc x ATLANTA,GA 30320 INSURERIS)AFFORDING COVERAGE 26387 INSURER A:SLadfast Insurance Company 1004922-Home4GAW-15-16 16535 INSURER B:Zuridl Americen Insurance Co INSURED 23B41 THD AT•HO!dE SERVICES,INC. INSURER c:Kew Hampshire Ins CO DBA THE H0tdE DEPOT AT-HONE SERVICES Illinois National Insurance Company 23817 2690 CWBERLAND PARKWAY,SUITE 300 INSURER D: ATLANTA,GA 30339 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-0032426B5-09 REVISION NUMBER:7 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA'LED. NOTWiTHSTAN DING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT WHICH II TTHIS CERTIFZI TE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLLL FIE `cRf:'.S, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIfJS. uhttrs INSR ADDL SUBR POLICY NUMBER IdM DD EFF POLICY EXP LTR TYPE OF INSURANCE 9,000,ODQ A GENERAL LIABILITY GLO4657714-05 03101x015 03101x016 EACH OCCURRENCE S PREMISES Ea o�nenco S X cOl,,1,!ERCIAL GENERAL LIABILITY EXCLUDED LlfdiTS OF POLICY XSMno p°�° ED EXP(Any on) S cJ IMs�:,ADE OCCUR 9,003,000 Or SIR:S'[Id PEP.OCC PERSONAL E ADV INJURY S GENERAL AGGREGATE S 9,003,000 PRODUCTS-C011�PlOP AGG S 9,O�,ODO GEN'L AGGREGATE UMIT APPLIES PER: S X POUCY n PRO_ n LOC BAP 2-938863-12 03101x015 0310112016 COtdBINEDSINGLEUtAIT s 1,000,000 B AUTOMOBILE LIABILITY Ea ecddenl BODILY INJURY(Per person) S X ANY AUTO ALL OWNED SCHEDULED SELF INSURED AUTO PHY DMG BODILY INJURY(Per arcideS nq AUTOS AUTOS PROPERTY DAIAAGE S NON-OWNED Per a^ enl HIRED AUTOS AUTOS S EACH OCCURRENCE S UMBRELLA LIAB OCCUR AGGREGATE S '. EXCESS LfAB CLAIMS-MADE 5 DED I RETENTION S V%aI7731493 (AOS) 03/0112015 03101/2016 X WC,STATU- 0TH C WORKERS COMPENSATION 1 ,D3D C AND EMPLOYERS'LIABILITY a IN WC017731495(AK,KY,NH,NJ,V-0 03/0112015 03101x016 E.L EACH ACCIDENT s ANYPROPRIETORPARTNER/EY.ECUTIV E N 171A D OFFICERJMFWBER EXCLUDED? WMI7731494(FL) 03/01/2015 03/0112016 E.L DISEASE-EA EMPLOYE S (Mandatory In NH) 1,0D3,0W If yos.doscnbe under Conitnued on Additional Page El DISEASE-POLICY LIMIT S D=SCRI'TION OF OPERATIONS bel— DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Add)IJonel Remarxs Schedule,if more space Is requlrod) EVIDENCE OF INSURANCE CERTIFICATE HOLDER CANCELLATION THD AT-HOV,E SERVICES,INC. TAC:CORDANCE LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE DBr+THE HWE:DEPOT AT-HOME SERVICES EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2455 PACES FERRY ROAD WITH THE POLICY PROVISIONS. ATLANTA,GA 30339 HORIT D REPRESENTATIVE of hlamh USA Inc. _ I Manashi Mukherjee ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD: 4��%i`Y� S.YIftF 6f CL:::aRsi ,iUia.�J... 8.'r titBn::dr,'�r .i4 0511fi12016 ............ . . F ormit Jervices / 4U1 L40'LtSbt3 P•'2 �� U t'L2 �C/t?��1Y"LQ/�Z•i'�l-P�„��t�� t���Gt'�.sJCI•,�.-�LGG;yG�• ' Office of Consumer Affairs and Business Regulation ' 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement'Contractor Registration Registration: 126893 Type: Supplement Card THD AT HOME SERVICES, INC. Expiration: 8/3/2016 RICHARD TROIA ------ 2690 CUMBERLAND PARKWAY SUITE 300 . -- ATLANTA, GA 30339 -- Update Address and return card,R'lark reason for change. SCAT 0 2014�-111 - Address FJ Renewal ..mployr.:cr:; :,;/stLnrc, - Otticc orCunsurucr Aft-Airs&Business Regulation License or red stration valid for ind'tvidul use only before the expiration date. If found return to: l-{OP.4E IMPROVEMENT CONTRACTOR C .g Office of Consumer Affairs and Business Regulation "i Registration: .126893 Type 10 Park Plaza-Suite 5170 Expiration:.8/3/2016 Supplement Card PPI Boston,A'IA 02E16 THD AT HOME SERVICES,INC. THE HOME DEPOT AT'kOME SERVICES RICHARD TROIA 2690 CUMBERLAND PARKWAYS ! A`l',tMGA30339 Undersccret2ry !lotvalidwi outsignature