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HomeMy WebLinkAboutBuilding Permit # 7/29/2015 .........I......... FORTH B111 0 ,UILDING PERMIT 0 . '.'0 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received yea Date Issued: US ------------ IMPORTANT: Applicant must complete all iterns on this page LOCATION 415,8 Jo Ltaw 5-0Zf6f' P , t PROPERTY OWNER Mb9:LzPk f fAiT + Print MAP NO:—QPARCEL: ZONING DISTRICT: Historicb,istrict yes no Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential F-New Building 7 One family �Addition il Two or more family Li Industrial I-,Alteration No. of units: 1:.1 Commercial Repair, replacement Assessory Bldg 11 Others: 1-1 Demolition Other I Septic n Well F1 Floodplain F Wetlands P Watershed District Water/Sewer I ICYgleAlkCLWMI& 4T�CA I / ,F7- Identification Please Type or Print Clearly) Phone: OWNER: Name: Address: CONTRACTOR Name: Phone: -7I Cal't�q -q400 Address: 59 Supervisor's Construction License: OS2,46!8 Exp. Date: Ms I I to Home Improvement License: 141448 Exp. Date: 4 la-Zff (f ARCH ITECT/ENGI NEERPhone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATE COVT BASED ON$125.00 PER S.F. Total Project Cost: $ q020 FEE: Check No.: Receipt No.: NOTE: Persons contracti with teredcot4pw tors do not have aec�,;, J&Te graa tsrztyfiund Signature of Agent/Owner jo6ture of contractor NORTH Town of t E ..", ndover No. — 6 * � Z oh ver, Mass, co«Mic..t— 1. ADRATED s u BOARD OF HEALTH Food/Kitchen PERMI T T LD Septic System THIS CERTIFIES THATfP..ft..r.r' PhnA) BUILDING INSPECTOR has permission to erect .......................... buildings on - Foundation .... .. . ............. ... ... ..M.No ... . Q Rough to be occupied as(].� ...�'."%..010....... ....(.�7. ........ r.�.L f.... ............................ Chimney provided that the person cce tin this permit shall in eve res ect conform to the termY of the application p p p g p rY pp 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 ft PERMIT EXPIRES IN 6 MOLARTS ELECTRICAL INSPECTOR UNLESS CONSTRU N Rough Service ................ ............................................. 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 Approved by the Building Inspector. Burner Street No. Smoke Det. ® 0 wovannucci Brothers!) Inc. CUSTOM CARPENTRY &REMODELING SERVICES 59 Atlantic Avenue Marblehead,MA 01945 P: 781-639-4400 --F: 781-639-4401 Massachusetts Construction Supervisor License #082453 Home Improvement Contractor License #141448 PROPOSAL PROPOSAL SUBMPITED TO: DATE PROPOSAL Matt Carpenter 7/27/2015 repairs ADDRESS HOME PHONE 458 Johnston street CITY',STATE v ZIP WORK PHONE North Andover, MA 01845 YVORIC TO BE PERFORMED AT.- MOBILE PHONE ARCHITECT/DESIGNER DATE OF PLANS PHONE ADDRESS FAX Giovannucci Brothers, Inc. CUSTOM CARPENTRY & REMODELING SERVICES PROJECT START DATE: to be discussed PROJECT DESCRIPTION Ceiling repairs Strip and remove selective ceiling strapping and install new joists in existing ceiling to pass framing inspection of all joists at a minimum of 16" on center. Install new joist hangers as needed on all joists if possible. Install strapping as needed for new blue board installation. Insulate around all exterior surfaces with fiberglass insulation. Install fire stopping foam on all wires and penetrations. Install new blue board on living room, dining room ceiling and kitchen ceiling Skim coat all new blue board walls and ceilings blend into existing plaster as needed. Laundry room walls not to be plastered. Wainscoting installed by others. wovannucci Brottlersi Inc. CUSTOM CARPENTRY &REMODELING SERVICES LABOR &MATERIALS NEEDED TOTAL DEMOLITION all demolition done by matt TRASH REMOVAL all to be removed by matt EXCAVATION&CONCRETE WORK none FRAMING Repair ceiling framing 2,600.00 INSULATION _ insulate around all exterior surfaces and fire foam all penetrations 420.00 BLUE BOARD &PLASTER Blue board all ceilings exposed and some walls as discussed. 2,800.00 Plaster all ceilings and blend into existing plaster.Plaster walls as discussed 3,200.00 FLOORING none TILE INSTALLATION none WINDOW&DOOR INSTALLATION SIDING&EXTERIOR TRIM ROOFING&GUTI~ERS none PLUMBING&HEATING ALLOWANCE none ELECTRICAL ALLOWANCE PAINTING ALLOWANCE none BUILDING PERMIT FEE to be assessed by building department 0.00 TOTAL LABOR&MATERIALS 9,020.00 wovannucci BrOffienxs, Inc. CUSTOM CARPENTRY & REMODELING SERVICES WEPROPOSE TO FURATI.SHAMTERLIT AND LABOR,COMPLETE 17\TACCOIZDANG-'TWTHABOVF,SPF.CIFICATION.S FOR THE SUM 01-:. Nine thousand twenty dollars $9,020.00 PATMENT I.S TO BF,MADE A.S FOLLOTV.S: Amount Due Total 500.00 deposit-with signed proposal 500.00 2,000.00 start date 2,500.00 2,000.00 completion framing 4,500.00 3,000.00 completion blue board 7,500.00 1,520.00 upon completion of project 9,020.00 9,020.00 9,020.00 Please Mike all Checks Payable to Brian G%ovannucci FINANCE CHARGF.AFTF,R.30 DAYS ON UNPAID BALANCF 1112%n PER MONTH Olt ISoo ANATUAL PERCENTAGF RATE. ALL MATERIAL IS GUARANTEED TO BE AS SPECIFIED. All, TVORIC TO BE COMPLFTED IN A bVORKMANLIKE MAATNER ACCORDING TO STANDARD PRACTICES AND TO STATE BUILDING C'ODFS. ANY ALTERATION OR DEVIATION FROM ABOVE SPECIFICATIONS INT OLVING EXTRA COSTS WIIJ BE F.XCUTF.D ONLY UPON TVRI17EN ORDERS,AND WILL BECOAM AND F.XTIZA COVER CH4RGF.OVER AND ABOVE,THE FSTIMATF,. ALI,AGREFAIENT.S CONTINGENT UPON ACCIDENTS OR DELAYS BEYOND OUR CONTROL. OWNER TO CARRY FRZF.AND ANr OTHER NECFSSARY1`ROPERTT INSURANCE. BRIAN GIOVANNUCCI or RICA GIOVANNUCCI DATE P POSl,Ai T'II'ABOVE PRICES,SPF,CLFICATIONS AND CONDITIONS ARF,SATISFACTORY ANI)AIZF HFR1iBT ACCl3'TED. GIOVANNUCCI BROTHERS,INC IS AUTHOIU7-b'D TO DO THF,NrORKAS SPF'CIFIED. PAl MFNT IAILL 13F.lYfADF,A.S OUTLINED ABOVE. ,c SIGNATURE .DATE SIGI14TURE DATE THIS PROPOSAL lAI AY BE'TT,7THDRAT+'iY IF NOI'ACCEI'TED TVITHIN 3o DAYS. The Commonwealth of Massachusetts Department oflradustrialAceidents 1 Congress Street, Suite 100 4-- ' Boston,MA-021142017 ,' m 4•�t www ass.gov/dia sV• Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERNIITTIl�IG AUTHORITY. Applicant Information Please Print Legibly el Name (Business/Organization/fndividual): 6 f e)a4,^at L"C s City/State/Zip: '.:;_� Phone#: ' Are •a yo n employer?Check the appropriate box: Type of project(required): � 1. �I am a employer with b employees(full and/or part-time).* 7. E]Nqw,construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. [n emodeling 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 10E]Building addition 4.❑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 11.❑Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.FJ I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.0 Roof repairs These sub-contractors have employees and have workers'comp,insurance.1 ' 14.(]Other 6,E]We are a corporation and its officers have exercised their right of exemption per MGI,c. 152,§1(4),and we have ne employees.[No workers'comp.insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information t 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-coniraciors have employees,they must provide their workers'comp.policy number. X am an employer that is providing workerscompensation insurance for my employees.'Below is the policy and,lob site information. g Insurance Company Pdame: � t C . Policy#or Self-ins.Lie.#: µ —b iration Date: Job Site Address: City/State/Zip: r a . Attach a copy of the workers' compep§ationpolicy 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 WORD 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. X do h ereby certify un ornationprovi e above is true-and correct.pena eferJ ry that the if Signature: L/I 414-1 Phone#: 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#: CERTIFICATE OF LIABILITY ��... - DATE(MMMIDDfYYYY) 07/28/2015 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Blackstone Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.O. BOX 3144 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Worcester, MAO 1613 INSURERS AFFORDING COVERAGE MAIC# INSURED INSURER&. Guard Insurance GiovBnnucci Brothers Inc. INSURER 0 59 Atlantic Avenue INSURER C. Marblehead, MA 01945 INSURER D INSURER E COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INS" TYPE OF INSURANCE POLICY NUMBER DATE( MlDD1Y DATE M 1DDIYY) LIMITS GENERAL LfA81UTy EACH OCCURRENCE $ 1,OOQODO COMMERCIAL GENERAL LIABILITY DMAAGET RE TED 50,000 PREMISES Ea eccurence $ A ❑ CLAIMS MADE R OCCUR GIBP505716 02/20/2015 2/20/2016 MEDEXP(Anyoneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,000 GEMLAGGRF.GATE LIMITAPPLIES PER PRODUCTS-COMPIOPAGG $ 2,000,000 POLICY PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) a _ ALL OWNED AUTOS BODILY INJURY (Per person) S SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) NON-OWNEDAUTOS PROPERTY DAMAGE 5 ----'� (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANYAUTO OTHER THAN EAACC $ AUTO ONLY. AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION S S WORKERS COMPENSATION AND TORY LIMITS ER IA ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? El DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1$ OTHER CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of North Andover DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 15 DAYS WRITTEN 1600 Osgood Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Building 20, Suite 2035 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR North Andover, MA 01845 REPRESENTATIVES. AUTHOR„geaj- EPRESENTATIVE„_- � ACORD 26(2001108) ©ACO D CORPORATION 1988 AC" CERTIFICATE LI U1 LIABILITY IN ANC DATE(MM/DD/YY„Y) 7/28/2015 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). PRODUCERPETER BEATRIC INS AGENCY NAME CT 286 HUMPHREY ST PHONE FAX SWAMPSCOTT, MA 01907 c Arc "° EMAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Liberty Mutual Fire insurance 23035 INSURED INSURER 8: GIOVANNUCCI BROTHERS CONSTRUCTION INC — 59 ATLANTIC AVE INSURERC: _ MARBLEHEAD MA 01945 INSURER D: INSURER E; INSURER F: COVERAGES CERTIFICATE NUMBER: 25740935 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR D D POLICY NUMBER MWDDIYYYY MMIDDIYYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE u OCCUR PREM SES Ea occRENu ence $ _ MED EXP(Any one person) ($ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PROECT LOC PRODUCTS-COMPIOP AGG $ J OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea acc dent ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADEI AGGREGATE $ DED I I RETENTION$ 1 $ A 'WORKERSCOMPENSATION WC2-31S-361316-045 4/3/2015 10/3/2015STATUTE ORH AND EMPLOYERS'LIABILITY ',ANY PROPRIETOR/PARTNERIEXECUTIVE Y N E.L.EACH ACCIDENT $ 100000 :OFFICERIMEMBER EXCLUDED? �NIA (Mandatory in NH) I E.L.DISEASE-EA EMPLOYE $ 100000 If yes describe under I DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) WORKERS COMPENSATION INSURANCE COVERAGE APPLIES ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE OF MA This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1600 OSGOOD STREET, BUILDING 20, SUITE 2035 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN NORTH ANDOVER MA 01845 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE _4'. _ C I Liberty Mutual Fire Insurance ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 25740935 1 1-361316 1 15-15 NC I Kartik Wali 1 7/28/2015 10:27:07 AN (EDT) I Page 1 of 1 uj H License or registration valid for individul use only _Office of Consumer Affairs&Business Regulation ., ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ec9istration: 141448 Type: Office of Consumer Affairs and Business Regulation / uplration: 4/22/2016 Partnership 10 Park Plaza Suite 5170 >� Boston,MA 02116 GIOVANNUCCI BROTHERS BRIAN GIOVANNUCCI 59 ATLANTIC AVENUE MARBLEHEAD,MA 01945 Lrnderseerega r3' of valid without signature xy " 111�Ss?C1?:5 -;`' e'eFrs:,ieii ? ;Ma i r Restricted-One-and two- ily dwellings or any " 0�su,i ding 'Reg-ula, accessory building thereto, irrespective of size. CeCtY. OFA-082453 BRIAN P, GIOVA 59 ATLANnC AVE. "• Marblehead MA ;01945 • r Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. M. 1s u n a 05128/ 016 For DPS licensing Information visit: www.Mass.Gov/DP5