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HomeMy WebLinkAboutBuilding Permit # 8/19/2015 BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#' Q Date Received ,� ,t /yy- sacwus�t Date Issued:y�;�L{ is' IMMRTANT:A plicant must complete all items on flus page LOCATION ;v 6"—C- Ki<+it I .Fi �d71✓/i%� Pri t PROPERTY OWNER h 51 it Print 100Y—St—tun, yes Ao MAP _PARCEL_0ZONING DISTRICT: Historic District yes Eno Machine Shop Village yes o TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building )eOne family ❑Addition ❑Two or more family ElIndustrial ,,'Alteration No.of units: ❑Commercial Repair,replacement ❑Assessory Bldg ❑Others: ❑Demolition ❑Other ti '`yti t1 �"or`7i_ « - .� 1101 �L= tees eI'snct`�,t. _ D SCRIP ION OF WORK TO BE PERFORMED: -'YJ"Oh�f 79 a(lLfaG yli'� ,i '��.� k.Jl IIS j✓� r���r��- i Identification-Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: t1 Phone: Email: - ce) ,vr Address A fJu&� %1/3ir7 ei� f1e �s2P BJP ��5 f Supervisor's Construction License:6S—D%9f h3 Exp. Date: '., Home Improvement License: / Exp. Date: ARCHITECT/ENGINEER az Phone: Address: Reg.No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost:$ e 0 FEE:$ t Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund r1rTH -town of Andover No. to ver,Mass, BOARD OF HEALTH P F­d ­� l KhskERMIT T ILD SeptiSystem THIS CERTIFIES THAT BUILDING INSPECTOR ,p Foundat°n has permission to erect ............buildings on X................. to be occupied as M.R# ................................................. Rough h,mney 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. 3 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. R..gh pi-I e, PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION SS j�T F°agh —1...... ........................................ 1 BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildina R-gh 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 St—N,. Smoke I "S SONt 1KCW A 0 E R Rr" hodding and Deverlopm elt Co Specializing in Tog Quality Kitchen&Bath Remodeling Russell&Marie Stephens 110 Blue Ridge Road March 25,2015 North Andover,Ma Dear Russ&Marie, Thank you for allowing us the opportunity to quote on remodeling the master bathroom at your home. We would like to assure you that the work will be completed in a timely and professional manner.Please review the following factors we discussed with you,that would apply to the work being done. SCOPE OF WORK: Remove and dispose of the vanity,sinks,faucets and toilet. Remove and dispose of the existing tub. Remove and dispose of the existing shower enclosure,valve and trim. Remove and dispose of the existing tile flooring and sub-floor. Remove and dispose of all walls and ceiling as necessary. Remove and save toilet for reuse. lnstall batt insulation to all exterior walls. Install new cement board sub-floor for tile. Install new floor Tile(homeowner). Install new plaster skim coat walls and ceiling(smooth finish). Install cement board in tub area to be tiled. Install vinyl shower pan. Install new cement board to walls in shower area. Install file on walls in shower area(Homeowner). Install new base and tile floor in the shower area(homeowner). Install new vanity,top,sinks and faucets(Homeowner). Install new free standing tub(homeowner). Install new Toilet(Homeowner). Install new shower mixing valve and trim(homeowner). Install new 3/8"frameless glass shower enclosure with chrome trim. Install new medicine chest or mirror(homeowner). Removal of linen closet for new cabinet will be at extra cost Install new base trim Install new window casing One coat of primer and two coats of premium latex finish paint to be applied to all walls and ceilings(paint supplied by contractor color selected by homeowner). All plumbing work to be done in accordance with local and state building codes. Install new ceiling fan/light vented to the exterior(contractor). Install new wall light or 2 wall sconces at same location(Ilomeowner). All electrical work to be done in accordance with local and state building codes Any electrical code issues hidden behind existing walls will be addressed at extra cost. Any plumbing code issues hidden behind existing walls will be addressed at extra cost Any wall framing that is rotted or undersized will be replaced to code at extra cost. PRICING: We propose to provide labor and certain materials to complete this project for: $29,260.00 TERMS: 30%at contract,30%after plumbing and electric,balance on completion. We are registered,and in compliance with the MA Rome Improvement Contractor Law(MGL chapter 142A)our registration number is 292968. Insurance certificates and references are available upon request.If you have any questions feel free to contact us www.sngerandL Lt)M Sincerely, Ed Sager Alan Sager CUSTOMER NAME:Russel&Marie Stephens DATE 3/16/2015 DESCRIPTION:Master bath remodel 110 Blue Ridge Rd.Andover Planning&Initialization Permit 531.25 Disposal 650.00 Daily Cleaning 312.50 Final Cleaning 525.00 Temporary Protection 312.50 Rough Carpentry/Framing 3,900.00 Demolition 1,300.00 Project Management 3,125.00 Finish Materials Base Molding 125.00 Door Casing 218.75 Window Casing 218.75 Insulation Bats 525.00 Plaster Skim-Coat 937.50 Wall Covering Paint Latex 130.00 Paint Labor 812.50 Tile 1.25 Tile Labor 937.50 wall prep for tile 562.50 Floor Covering Tile 1.25 Bath Floor Tile Labor 2,000.00 Shower Base 325.00 Shower Floor Tile Labor 618.75 Plumbing Rough 3,500.00 Finish 1,250.00 Glass Enclosure 2,125.00 Linnear Drain 1.25 Electrical _Rough 2,125.00 Finish 1,750.00 Bath Fan/Light/Vent 437.50 Hard Surfaces/Countertops Granite 1.25 Total Price: 29,260.00 DELMUFORBUSINESS I-BOD-888-632> a,i.xo.a i,oz zoo, Reincdding and 7evelop:nen Co. Specializing in Top QuaVy Kitchen&Bath Remodeling 37A Dustable Road,North Chelmsford,NA,01863 (978)250-2322 This form satisfies all basic requirements of the state's Home Improvement Contractor Law(MGL chapter 142A).Any person planning home improvements should first obtain a copy"A Cons er Guide to the Home Improv nt Colo-1 Law"before agreeing to any work on your residence.The guide will rm infoyou of your rian ghts d responsibilities as well as provide you with important information It— ht to it do if a dispute arises.You may obtain a flee copy by etimg the Executive Office of Consumer Affairs information Hotline at 61]-]2]-]]80. Homeowner Information Contractor Information uSS O� 'ize o ra sy�� p :N �R or o�t navtlmeeho�e ne �ty,r�� d,—bf m wu a��rho� rmy 1 g7% Tice Contractor agrees to do the followingworHr for,the Homeowner: �e��,ewoa,f��f A�Gl)G��da g ofmam�l.�ofie� �- � ,&,]I b Yi P by e c of , the ho p is r q ed^Lfid T' P ed 5fari a pT I ch d le d.Atr.frill rtg hetlm d b Wdl:Ge secured by Y1i wntractor as-the homeowne[s agent Ctwiiers adheretl to unless I—— beyond te Idinettl.s controhxnse = who sa ure the r Own perm is will be excluded:From the Guaranty Fund proves ons of MGL chapter 142A Data c Tactor win begin work /6 4 J1[�[w G °'7[2�[�L oatawhancm iranad rkw,u e. . r,yeompleted. Total Contract Pike and Paymom Schedmle The contractor agrees to perform the work,furnish the material and labor specified above For the total sum of:$ �, �II Paym(�ents will be made according to the following schedule: , � � �' F 05 Yt $%upon signing contract Inot exceed 1/3 It—total—M&pric or,the cost ofspeoiai order items,—al,ve is greatef°) $ pori comp A GQ OPC y�Lyio�3.'r,'G. bY—/—/_oru letionof- $ 11 upon completion of $�upon wmpletion of the contract.(Law forbids demanding final payment until contract Is completetl to both party's saY faction) 'The following material/equipment must be special $ Co be paid for ordered before the contracted work begins in order to meet the completion schetlule.c $ Mbe paid for Notes:(I)Induding all finance Burges 1�1 Law requkes that avy deposit or down-payment required by the wnttacrorbefore work begins may not excred Ne greater of(alone-Mird of the or fb)the actual cost of any speaal equipment or custom made material whicb must 6e specizl ordered in advance ro meeP the completion scdedule. lier tWao ty-lean express warranty being provided by the contractor? No Yes(all terms of the warranty must be attzched to the contract) 5mb¢oeetra¢tmrs-The contractor Agrees ro be solely responsible for complMion of the work described regaMless of the actions of any third party/subconlracCor utilized by the contracror.The contractor further agrees to be solely responsible for all payments to all subcontractors for materials and labor under this agreement. contract Accepfaveco-Upon signing,Nis d«ument becomes z binding contract under law.Unless otherwise noted within this document this contract shall not imply thzt any lien or other security interest haz been placed on the residence.Review the following cautions and notices carefully before signing this contract. Don't be pressured into signing the contract,Take time to read and fully understand it Make re the contractor as a valid Home Improv ent Cont—,,Registfae—The law requires all home improvement wntraaors and subcontractors to be ieglsfe ed with the Director of Home Improvement Contractor Registration.You may inquire about contractor registration by writing to the director at One Ashburton Place,Room 1301,Boston,MA 02108 or by calling 617-]2] 598 or 617-727-3200. Does the contractor have insurance?While not required by law,it is z good idea and an additional protection. Know your rights and responsibilities.Read the important information on the reverse side of this form and get a copy of the Consumer Guide. You may cancel this agreement if it has been signed at a place other than the co ractor's normal puce of business,provided you—brya the contractor in writing It his/her m office or branch office by ordinary mail pasted,by telegram sent or by delivery,net We,than midnight of the third business day Inllowin igning of this agreement See attached notice mf cancellation form for an explanation of this right. D NOT SIGN THIS CON 77/�pC<IF THERE //y/„I/iE ANY BLANK SPAC / j to eowner's lig—e //T-=H/ Coutraktor's Signature Date w a r � u� n V The Commonwealth ofMassachuselts Department oflndustrialAccidents I Congress Street,Suite 100. Boston,AfA0017 www.mamassgovIdigov/die Workers'Compensation Insmams,Affidavit:Builders/Contractors/E lectricinnsiplumbers. TO BEFILED WITH THE PERNAWINGADTIIOAITY. Ar licantfnforreation Please Print Le'bl Name(Basi nass/Organfzatimr7ladividnat): S 1-- City/State/Zip: al#;160—) l��r�- Phone#: ti'si`5 AregonanernpI.,,?CMei¢Ift—1pinpdam � box. o .; •Pypeofprojwt(pagrdred): L[JIanaemployerwifi__ 7,❑Newcormoiction 2.QIam sole gopriamrorpartnership end have no employees working firmem S.-%R modeling any capacity.lNo wodrers'camp.insurance reguired,] 9.Li Demolition 3.[]I am ahomeownerdoiug all—e—yself IN.workers'camp.vuvmncerzqu¢cd.]f hQI am ahomeewner and will ba hhing contactors to conduct sllwork on my property.IvnII 10 Q Building addition retbatau connectors either havowaders'compensation fi,—ncoorare sole 11.F-1 Rkettricalrepairs or additions proe'usstmwifhnoomployees. 12. Plumbing repairs a additions S.l�lam agcueml contactor end I have hhedlhe sub-confractorsnstrdonihe aitachedsheet' 13.0 Roofrlmoa Thos's sub-cehtraat.,bee employees and hmewmkers'comp.innnance,Y 6.QWoa e acorpom4gn pad it acus have axcrcised their right afexempfice p.,MGL c. 14.Q Other _ 15),§S(4),andwe hwengr plgyees.iNa workers'comp.holoe—gmrM.] *Any pplicmrtthat checks fioxNl mustalsofill outthe sectionbelgw showingtheirworimrs'compensationpolicyinfonnatien. Y Homeowners who submit flvsat5davit indicatiugtbey aze doivg ap workandthenhve outside coniractorsmust submftanow affidavit indicating such. YContractrns Nat checkthi}box mvskvt�chedan additional sheetshowing th©name oftbe svbconhactma and state whether or not thoseavtitics have empleyees.Ifthe sob-conlmdorsfiaveemployees,d;ey mustprovidetheir workeis'comp.poiicy mnnber. Ism an employer tliatzspTovidingwor/rens'compensation insurance jar my employees.'73elaw is thepoliey andjob site infarmatlon. 7 Insurance CompanyN t Policy 11 or Self-ins.L # � y C r`�' l ty�. t`,S_E gd,ationDrdc/�,:� lob site Address: ✓yL,L/ ,2 - eity7state/zp: ,�[N/.�G/✓�s,11.. Attach a copy ofthe workers'campepsationpolicy doclarat(onpage(showing the polioy number and expiration date). Failure to secure coverage me required ander MGL a.152,§25A is a criminal violation parol hable by a f e up to$1,500.00 and/or one-year imprisomnent,as well as civil penalties in the form of a STOP WORK ORDER and a fine ofup to$250.00 a day against the violator,A copy of this statement may he forwarded to the Of11ce oflovestigatibns ofthe DIA for insurance coverage verification. _ do hereby cerk"y/y'ander•the pa indp ooeso rojary that fheim'rmad,aia—idedabave is true andemr..G C m (_-„/ "-r° thi6//d".Q Date '- Phone#- _ official ase only.Do notlmite in this area,to be completed by city m-town off elm, City or Town: __Pernrit/Lic-4t ._,._ .._..._ IssuingAuthority(circle enc): 1.Board of Health 2.11nildingDepartment 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector G.Other' Contact Person: Phone 4: __ -�� SAGE&SO-01 BBOYER s1 2® CERTIFICATE OF LIABILITY INSURANCE DAT113/20 Y 8/13/205 15 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 holtler is an ADDITIONAL INSURED,the pDlicy(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 net confer rights to the certificate holtler in lieu of such endor RIMM(s). Paoou.ER T Welsh 8 Parker Insurance Aggency,Inc I Hutlson OHice E„I),(978)562-5652 .ac xm(978)562-7120 131 Coolldpe Street Suite 100 Hudson,MA 01]49DaAILE Ao ss. RERIS)AFFORDING CO _ Ixsu COVERAGE xAlcx INSUPPI A Merchants Mutual 23329 INBUN.a. Sager&Son Inc INSUNENC: 37ANor DunstableRoad IxsuRER o: North Chelmsford, MA 01863 -- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME.ABOVE FOR THE POLICYPERIOD INDICATED. NOTWITHSTANOI NO ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO NMICH 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 50.1 . -.... _ __... LTR ANCE .Be NND NUMBER vOL CYEFF POutY ExP P __ MMIDOnV`n MMI°prcYYY uMITs A X commeRC AL OENERAI unelurr - - EACNDCCUT. RRRBE J cuIMSMADE o cuR BOPI071262 03/1912015 0311912016 p° 4 500,000 c REMISES Ea occurrence MEO 1(A---) s 16,000 BERsoxALsnovmJUBY s Included GEN-AGGREGATE HILL ABPHES PER: cervERAL AGCRECATB 8 2,000,000 FD.CY❑IM I j LOG PRODUCX-CGMPIGPAGG $ 2,000,0.00 orNER. _.. N AUTOMOBILE UAaI DY COMBINSO sNc�EeIM1T _ 1,00_0_.60 Ea a�xne�I a A ABI Auro MCA0000015 02/17/2015 02117/2016 eomLV lwURr leer person) s AST,, X ALTosULED l BODILY INJURY(P.racdd-)S AUTos NONaWNED PROPERrY DAMAGE —- ----- X H EDAUTo X A% n LLA L Ae X -...... _-.. -. 5 X UMeRE ..CR UREENCE g 5,000,000 A Excess CUP9145613 03/19/2015 0311912016 A_ g 51000,000 CUIMs�MAOE ccREGATE Oso X RETERTIaxs 10,000 s----- Ano EmPLoreasunmuTY STATUTE ER -YHP—T.—N-1B'-�" E�.EACH Acaoervr s ....ICB EMrER ze LFEDa �.. NI Rves DescRIPT 11TIeeON OF 1 01 EL.DISEASE-EAEMPLov OPEanr oNs 1.1— I ELDSFASE POLICY LIMI r $ DescRlPnoN of oPRannoxs I Locnnoxs I VBxmLEs IADORD 1e{,samemnal Rerea,x.smeewa rear ne anamee Ir Is a1—d) Workers Compensation Certificate to be,at directly from the company. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Russ Stevens THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 110 Blue Ridge Rd. ACCORDANCE WITH THE POLICY PROVISIONS. North Andover,MA 01845 AUTE.NDE.ROPRRAENrA/ZE• 0 1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE IMM/DDIYYYYI TkLW�ERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 CER TIFICATE 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 and endorsement Astatemenl on this ABOHiCBte does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT NAME: WELSH&PARKER rNS PHONE FAX 131 COOLIDGE STREET S"1'E IOU (AIC,No,ENQ: (AIC,No): E-MAIL HUDSON,MA 01749 ADDRESS: 73L2H INSURERS)AFFORDING COVERAGE NAICM INSURED INSURERA:HAR'IFORDUNDERWRITERSINSURANCECOMPANY SAGER&SON INC INSURER B: INSURER C: RE : 37A DUNSTABLE ROAD NSUNSURERR OE: NORTH CHELMSFORD,MA 01863 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: APIIIIII 11 INE PILIIIES DESCRIBED HIENSI 11 SUIOECT 10 All III TERM'.EXCLUSIONS All COlIUKNS 11 SUCH I—IIES. 11CANNI MAY HAAE BEEN REIIIEI 11 ADD SUI PII" CIV-71 ' P R NSlMmoorvY1A" N GENERALLIABILITYCH OCCURRENCE IT IS COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED '.,$ CLAIMS MADE OCCUR. PREMISES(Eapcwrrence) MEDEXP(Myope person) $ PERSONALE GRADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER' '.5 POLICY PROJECT❑ ENERAL AGEGATE LOC RODUCTS-COMWOP AGG iS AUTOMOBILELMBIUTY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accihenq ALL OWNEDAUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY '$ (Per axideni) NONOWNEO AUTOS PROPERTY DAMAGE $ LAN` OCCUR EACH OCCURRENCE $ EXCE NAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION$ $ A WORKER'S COMPENSATION AND X iD —En EMPLOYER'S LIABILITY YIN UB-55952565-15 04/02/2015 04MV2016 I. 11 cwOEO? UT VE NIA E.L.EACH ACCIDENT $ 100,000 as—.,lR NH) E.L.DISEASE-EA EMPLOYEE$ 100,000 DESEL DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION ­I&ERATEN1 11. IOF OPERATONSILOCATONSNEHICLESIRESTRICTIONSISPECIAL ITEMS THIS RLNACES ANY PRIOR CP.RTIIRCATR ISSUFU TO'I'HH CBRIIFlCXFh HOLDER A FECrING WORKERS LOMP COVERAGE CERTIFICATE HOLDER CANCELLATION RUSS STEVENS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 110 Hi.Uki RIDGE AD BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISI01)16.„� NORTH ANDOVER,MA 01845 AUTHORIZED REPRESENTATIVE _ ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORP RATION AffAbhes reserved. Massachusetts-Department of Public Safety E—rd of Building Regulations and Standards __ t __,y _ LI M079613 } a FDMDND L SAG i 37A Dunstable R6ad� North Chelmsforvil � = Expiration commissioner 05/18/2017 m 00' rC su Afr &Bus '( dire// * OME IMPROVEMENT CONT x g t 0 0 9 t t n' 1652E6 RACiOR P ton..127/2016- TYPO: SAGER&SO Corporation N INC.. EDMUND SAGER 37 A DUNSTABLE RD, NORTH CHELMSFORD,MA 01863 – < ^e,2