HomeMy WebLinkAboutBuilding Permit # 9/9/2015 NORT#1 '9
BUILDING PERMIT -do m
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION -
Permit NO: Date Received � : m"
Date Issued: ° �9SSACHUs���y
IMPORTANT: A licant must complete all items on this a e
LOCATION
Print
PROPERTY OWNER r'1X I C,(Z
Print
MAP NO: PARCEL: "-.,ZONING DISTRICT: Historic Districtyes
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
T] New Building 'One family
❑Addition ❑ Two or more family ❑ Industrial
'KAlteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
q Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
11 Water/Sewer
Identification Please Type or Print Clearly)
OWNER: Name: Phone: Cil 2 IG
Address: S,A� cc
CONTRACTOR Name:/1 Phone: 0-46
Address:
Supervisors Construction License: Exp. Date:
S'/ F
Home Improvement License: czi57 Exp. Date:
ARCHITECT/ENGINEER 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: $ I 2-i
Check No.:
- ! FEE: $
Receipt No.:
NOTE: Persons contracting with unregistered contractors do not
g have a
c ss tJ t e guara ty fund
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Signature of Agent/Owner Si nature
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g of contractor
VkORTH
Town of ndover
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No.
, t.K* ver, Mass,
COC MICHEW/CK
Q°RATE®PIN
S U
DBOARD OF HEALTH
PER M IT Food/Kitchen
Septic System
THIS CERTIFIES THAT6BUILDING INSPECTOR
. . .. . .. .. ....... .. .
. Foundation
has permission to erect. ...... .................. buildings on .. .... .......S.�... .� ...... .... ............ ... . .
Rough
tobe occupied as .......: ....�.. . ........ . . ..... ..... ... ... ..................................................................... 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
c Final
PERMIT EXPIRES I 6 ®NTS ELECTRICAL INSPECTOR
UNLESS CTI® TA Rough
Service
................ .. ..... ... ........................................ Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required t® 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.
Contractors
��
Glenn Gary Generai
dors . �. ,'-
50 Island Streef Builders L.ic. # 056233
Lawrence, MA 01340 Horne improvement L.ic. #105065
Telephone 1- 978®557-5981
Toll Free 1-800-928-5981
Fax 978-557-5439
Over 20'rr.s e_Y)er•Ience
rvtivtiv.�1enjigaryge.corer
CONTRACT PROPOSAL FORM
Prepared For: Mrs.Pamela Porrier of 24 SaltandStall Rd North Andover,MA 01845
Date: 08/11/15
Phone: 781-929-9641
Kitchen Renovation
I
Apply and obtain local building permit
Demo and dispose of kitchen cabinets
Demo kitchen walls and ceiling to expose stud framing and dispose of debris
Remove and dispose of wall insulation
Insulate exterior walls as per required code
Supply and install %" sheetrock to walls and ceiling
Remove and dispose of sliding glass door and install new Andersen Slider color white
Remove and replace double hung window at kitchen sink area
Remove and replace side entry door with knob and deadbolt loci:
Mud and tape kitchen walls and ceiling to level 3 finish (ready for paint)
Supply and install Merrilat Cabinets Maple as per sample and drawings provided by
Contractor.
Supply and install Laminated counter-tops
Supply and install Inlayed Vinyl Flooring to kitchen floor
Supply and install Stainless steel sink and faucet
Supply and install baseboard trim along with window and door casings
Wire Kitchen for electrical to match existing wiring
Paint kitchen walls and ceiling color TBD.
Install owner-supplied appliances
Paint wails and ceiling in kitchen area color TBD.
Cost does not include: kitchen appliances. Updating existing Electrical wiring and
Plumbing to meet existing codes, this cost will be added to cost given on this proposal and
will be paid by home owner with-in 14 business days of dated invoice.
I
Total Cost Estimate Acceptance of Proposal Atter Demo Complete Upon Completion
$21,300.00 $ 7000.00 $7,000,00 $7,200.00
All material is guaranteed to be as specified.All work to be completed in a workmanlike manner according to standard
practices.Any alteration or deviation from above specifications involving extra costs will be executed only upon written
orders,and will become an extra charge over and above the estimate.All agreements are contingent upon strikes,
accidents or delays beyond our control.Owner to carry all required insurance on the property being worked by the
contractor,Contractor will provide full Workmen's Compensation Insurance for the employees used at the site.
Please review this Proposal and it acceptable please sign both copies and retain one for your files. If there are
any changes please modify this Proposal by marking the changes and providing us with the document for review
and preparation of a final Proposal.This proposal may be withdrawn if not accepted within 30 days.
By:
Accepted:ecce < .
p Bate: _. --
' Date O8/12/15
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ar'
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C ent#:2231 GARY2
ACORM CERTIFICATEOF LIABILITY INSURANCE 91091GVDO/YYY})
09/09/2015
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Doherty insurance Agency,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P.O.Box 1985 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
21 Elm Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Andover,MA 01810 INSURERS AFFORDING COVERAGE NAIC q
INSURED INSURERA: Travelers
Glenn Gary General Contractors LLC INSURERS:
60 Island Street
Lawrence,MA 01840 INSURERC:
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.
LMOM TYPE OFINSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
A GENERAL LIABILITY 680844H56231542 07/06/15 07/06/16 EACH OCCURRENCE s1 000 000
nco"M
ERCIAL GENERAL LIABILITY DAMAGE TO Sr
RENTED $300,000
irrmwl
CLAIMS MADE OCCUR MED EXP( re owsm) S5400
PERSONAL 8 ADV INJURY 31.000,000
GENERAL AGGREGATE s2.000.000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S2 OOO 000
PRO. L00
7 POLICY
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT 3
ANY AUTO (Fa ace dent(
ALL OWNED AUTOS
BODILY IWURY 3
SCHEOULED AUTOS (Per Parson)
HIRED AUTOS
BODILY INJURY S
NOWOWNEO AUTOS (Per accidoni)
PROPERTY DAMAGE S
(Per accideni)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S
ANY AUTO OTHER THAN EA ACC S
AUTO ONLY: AGG $
EXCESSAIMBRELLALIABILITY EACH OCCURRENCE S
OCCUR ED CLAIMS MADE AGGREGATE S
S
DEDUCTIBLE S
RETENTION S S
WORKERS COMPENSATION AND WC STAW DTH•
EMPLOYERS'LIABILITY
E.L.EACH ACCIDENT S
ANY PROPRIETORIPARTNERIEXECUTNE
OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEEI S
6 PECyes,IALPp0 ISIAosuibo uWor
SON S below E.L.DISEASE-POLICY LIMIT I S
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Covering operations usual to Glen Gary General Contractors LLC...
CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment
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 I_ DAYS WRITTEN
1600 Osgood St. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO oO SO SHALL
North Andover,MA 01845 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPR ENT I
ACORO 25(2001/08)1 of 2 #S32616/M32615 DML ACORD CORPORATION 1988
CS-058238
GLENN M GAILY
507 W LOWELL AVE
Haverhill MA 01832
09/15/201
OPticc�f don�uu�f-;O,Fta�rs�; t3utinuas R<< rluE>ai�
POf'1 E IMPROVEMENT CONTRACTOR
�2egistration: 105965 Via:
Expiration: 7/21/2016 DBA
GLENN GARY GENERAL CONTRACTORS
Glenn Gary
60 ISLAND ST.
LAWRENCE,MA 01840
Undersecreh;r