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Home My WebLink AboutBuilding Permit # 6/25/2015 OORTH BUILDING PERMIT TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION PermitNo#: Date Received (P ED C US Date Issued: L U IMPORTANT:Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Y//2/,� Print 100 Year Structure yes no MAP 107 PARCEL: 00 'q?- ZONING DISTRICT: Historic District yes no Machine Shop Village yes no I C TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 11 One family El Addition El Two or more family El Industrial ,KAlteration No. of units: [I Commercial El Repair, replacement El Assessory Bldg El Others: Demolition 11 Other El i i DESCRIPTION OF WORK TO BE PERFORMED: O/C 7(1-rf 4,L011le", /PL/ A, Identification- Please Type or Print Clearly OWNER: Name: Phone: 0.7- Address: 'K'01 69 '10 4,_S C)A-/ 16-d,27-11 Contractor Name: Phone: Email: � Address: 1/ Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: �� ARCHITECT/ENGINEER-,/,zWA/' Phone: 9 - Address: 197 Reg. No. FEE SCHEDULE:B ULDING PERMIT.•$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered ontractprs-0 n h ace to the guaranty fund U inna P r, tkoRT H Town of ndovier ® '," to i No. h ver, Mass, CvJ6 P05 O COC NIC lwKK 1' �,9 ADR�ITED pP��,�5 S u BOARD OF HEALTH Food�Kitchen PER.MIT T Septic System c� BUILDING INSPECTOR THIS CERTIFIES THAT ............ .�. .. ...... ............. ... ....... ....................................................... Foundation has permission to erect .......................... buildin 1:5k son ... �-A�.. �. �,..................... 1 16 Rough Ak to be occupied as itr .... ....... ..........!!1� �� `�.� 1�4 . Q I .. Chimney .................... ..... ..... .... ...... .... ..... provided that the person accepting this permit shall In every respect conform to the terms of the app (cation Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Iteration and Construction of Buildings in the Town of North Andover. V,,, PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR LESS CONSTRU S S Rough Service .......... ...... ........... .............................................. Finan 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. Page: 1 Scott LeMay Contracting Estimate� 11 Allen Rd. Windham NH. 03087 Number: E101 978-815-7876 Date: May 26, 2015 Bill To: Chris & Kelly Welch 890 Johnson St. North Andover, Ma. Project Remodel Description Amount Scott LeMay Contracting proposes the following. lst. floor bathroom: Demo entire bathroom to the studs. Install Panasonic fan only on a new switch and vent outside. Install (2) 4" LED recessed cans and switching. Install new vanity light and switching. Relocate dryer plug. Wire and install (2) LED undercabinet lights. Relocate dryer exhaust. Relocate plumbing for washer machine inside one of the cabinets. Reframe closet inoder to accomodate hidden washer/ dryer configuration. Insulate exterior wall if needed. Blue board and plaster bathroom. Prep. floor for tile install. Paint walls 1 color and 1 color ceiling. (owner to choose colors) Page: 2 Scott LeMay Contracting Estimate11 Allen Rd. toWindham NH. 03087 Number: E101 978-815-7876 Date: May 26, 2015 Bill To: Chris & Kelly Welch 890 Johnson St. North Andover, Ma. Project Remodel Description Amount Install Beadboard on walls with 1" chair rail. Install the on floor, per owner stock list. (owner to supply tile and grout) Install new toilet and pedestal sink with new faucet. (owner to supply) Install custom made byfold style doors to hide washer dryer. Install granite top. ( allowance $1050 owner to choose color) Install (3) cabinets above granite top. (2) full lenght cabinets and (1) shorter lenght, with a decorative crown molding. (allowance $2200) Install hamper system. TBD Install new trim. Living room load bearing wall. Remove approximately 11' 3" of wall to install (2) 1 3/4" LVLs. Inorder to accomplish this task, sections of both the living room and dining room ceilings will need to be removed and then patched back in. New crown molding will be installed in the dining room. Entire ceiling will be painted in the dining room. (2) sections of the living room will be repainted. Page: 5 Scott LeMay Contracting Estimate11 Allen Rd. Windham NH. 03087 Number: E101 978-815-7876 Date: May 26, 2015 Bill To: Chris & Kelly Welch 890 Johnson St. North Andover, Ma. Project Remodel Description Amount Floor tile to be installed per owners stock list. (owner to supply tile and grout) A new 200 Amp service will be installed to handle all the electrical upgrades. All work in occordance with the Ma. Building Code, in a workmans like 55,300. 00 fashion for the total sum of. Minus Ditra Matting (750.00) Minus wiring for Ditra Matting (150.00) Minus the labor to install matting. (100.00) Revisions to extisting quote: When living room wall is removed, floor will be patched in, as best as possible, with a close matching floor material. Living room opening will be finish framed to match sunroom opening, as best as possible. Breakfast bar will be finished off with moulding and toe-kick moulding on lower base cabinets. Mudroom windows will be removed and opening will be windened on 1 side and opened up on the other. If possible. Opening will then be finished off with decorative mouldings. Scott LeMay Contracting 11 Alien Rd. Estt Windham NH, 03087 Number: B101 978-815-7876 date: May 26,2015 Bill To: Chris & Kelly Welch _- 1890 Johnson St. North Andover, Ma. -- _ Project it--- -- —---- Remodel - - ------------- _ Amount Description 0o Mudroom/diningroom window will be removed and patched in on dining room side. 1 wall to be painted. Scott LeMay Contracting will not charge aHyl labor cost, but will charge for patch band paint materials only. I I. I i i 'I I Quote includes all materials and labor stated. j Quote does not include any unforseens,such as water or insect damage. l Quote does not include the cost of the permit. Any changes,to said agreement,will be agreed and signed upon by both parties Work to be completed,from start date to completioon in an 8 week span,unless there are change orders,additional request from Building Officials or homeowners. I Total $54,45 0.00 v,st v,f_z e io r'. 0�0 ST FMAOUL LJW AT It QW1 E Oki ivy T t, pc A Lawrence H, Ogden RE ........ 198 East Main St Getiqletomm, AAA 01833 ........ ti*t9 law mum";� OuPOWS AMW Lot,', C":'! UJ pppp I pTow QED V AJ T H4T jkeumr we nonp, as apauju lie Commonwealth of Massachusetts Department of IndustrralAceldents r I Congress Street,Suite 100 a tl02174 2017 Boston,AfA ,,•� �� tet: www.mass.gov/dna °•ty sy*�q Walkers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/�lumbers. TO BE FILED WITH THE PERNUTT]NG AUTHORI'TY. Please Print Le 'bl A licant Information 7 t Name (Business/Organizationffndividual): . Address: C ' City/State/Zip: ts �, / Phone#: Are you an employer•?Cbeckthe appropriate box: Type of project(required): eto ees fu ❑T'll and/or 7. uw'construCtion 1.❑I am a employer with m P 2. I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required] 9, 0 Demolition 3.❑I am a homeowner doing all work myself [No workers'comp.insurance required.]t 10❑Building addition 4.Q lam a homeowner and will.be hiring contractors to conduct all work on my property. I will 11.❑Electrical repaits 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. 11 Q Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 14.' Other 6.❑We are a corporation and its,of have exercised their right of exemption per MGL c. ` 152,§1(4),and we have no employees.[No workers'comp.insurance required.] kAny box41 must also fill.out the section below showing theirworkers'compensation policy information: applicant that checks i homeowners who submit,this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. f! mectors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether qr not those;entities,have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. wor°ken'compensation insurancefor°my employees. Below is the X am an employes'tliatis providing policy afadjob site information. Insurance Company Name: Expiration Date: Policy#or Self-ins.Lic.#: /Z ip: City/State/Z Job Site Address- (showing the onumber and expiration date), Attach a copy of the workers' compensation policy declaration page( g policy olation punishable by a fhib up to$1,500-00 Failure to secure coverage as requir well as civer il enalties in the form of criminal25A is a TOPtWORK ORDER and a fine f up to$250.00 a and/or one-year imprisonment,as w p day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. X do hereby ter° ' antler tine pains ndpenalties ofper jury that the information provided shove is true and cor'r'ect. Date "" 3' !` Signature: Phone#' Official use only. Da not write in this area,to he completed by city or•town off tial. 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: ■ 6/25/2015 11:03 FAX 0 0001 LEMASC1 OP ID: LG ■ �LJI�LJ CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)06/25/2015 ■ HIS 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). CONTACT PRODUCER NAME: Linda Gallant Gallant Insurance Inc PHONE FAX 1364 Route 3A Arc No Ext):603-224-0993 (AIC,No): 603-224-7710 Bow, NH 03304 ADDRESS: linda@gallant-insurance.com Linda T Gallant INSURERS)AFFORDING COVERAGE NAIC# INSURERA:MMG Insurance 15997 INSURED Scott Lemay INSURER B: 11 Allen Road INSURER C: Windham, NH 03087 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSADDLSUBR TR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 OCCUR SC12108044 09/08/2014 09/08/2015 DAMAGE To RENTED 250,000 CLAIMS-MADE PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 X POLICY ❑PRO ❑LOC PRODUCTS-COMP/OP AGG $ 2,000,00 JECT OTHER: $ '.. AUTOMOBILE LIABILITY CO(Ea aMBINEDccident)SINGLE LIMIT $ 500,000 A ANY AUTO KA12108044 03/12/2015 09/08/2015 BODILY INJURY(Per person) $ ALL OWNEDX SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YSTATUTE ER U ANY PROPRIETOR/PARTNER/EXECTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ PROPERTY 5,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Carpentry (No Rooding) CERTIFICATE HOLDER CANCELLATION NORTHAN - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN North Andover ACCORDANCE WITH THE POLICY PROVISIONS. Building Department AUTHORIZED REPRESENTATIVE Brian 1600 Osgood St Building 20 fi North Andover MA 01845 .- 0 1QRR_7nlA Ar r)pr)r r)PPr)PATIr1M 611 rinhf.rnccn,nfl n��a anz�irnnrae�i�f�n�)C-W/Ki1Jmc/11r eff `. 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: r(+;I Office of Consumer Affairs and Business Regulation egistration155556 Type:4/2312017 DBA 10 Park Plaza-Suite 5170 Expiration Boston,MA 02116 SCOTT LEMAY CON7rRACT, ' SCOTT LEMAY 11 ALLEN ROAD s _f _-- WINDHAM,NH 03087 Undersecretary Not valid without signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards COnStI"IiCtiOii Superi'isor License: CS-085235 SCOTT D LEMAY-` 11 ALLEN RD Windham NH 03087 P� Si-�1� � Expiration Commissioner 01/21/2017