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Home My WebLink AboutBuilding Permit # 12/21/2015 BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION " Permit No#:_/ Date Received a��ssgcE Date Issued: PORTANT:Applicant must complete all items on this page LOCATION E-71 Print PROPERTY OWNER DQN Print 1ooYearstruuture yes MAP/ PARCEL: _ZONING DISTRICT: Historic District yes n Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building ❑One family ❑Addition ❑Two or more family ❑Industrial ❑Alteration No.of units: ❑Commercial epair,,replacement ❑Assessory Bldg ❑ Others: Demolition ❑Other Sept c'��Well�� Flood lath Wetlands' - Wafe shed�D�Stnet�� DESCRIPTION OF WORK TO BE PERFORMED: Lz Identification-Please Type or Print Clearly OWNER: Name: L t?77VY Phone: Address: c!�7, l v9 11 T '�T'- N"- Contractor ntractor Name: wz Email: ZIrz Ja r r�;jzer rte® Address: •--zL; —t—gry 61. P4, /w Supervisor's Construction License: C5—r=5--ZZ; Exp. Date: 3(Tl zvt c. H p. r HomelmprovementLicense:_ ttEor _. Ex Date: tl ��Za':� ARCHITECT/ENGINEER Phone: Address: Reg.No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost:$ ?$ U 0 FEE:$ / n Check No.., 4I1 Receipt No.:�aE�-i NOTE: Persohs contracting with unregistered contractors do not have access to the'guaranty fund T® � NORYfy Town LAndover h * ver,Mass, s,9 p�RniE� P .(5 s �u PER IT BOARD OF HEALTH Tu I L mumh' Faod/Kitchen Septic System THIS CERTIFIES THAT...............1.... .Bti.44t................. ........................ BUILDING INSPECTOR . . .................................... F...dation has permission to erect..........................buildings on......8�.�.�.: ...... .. .. �............................. ay � Raugh to be occupied as......... L ............. .... ®......®...�.Wl !1NrA®....................... ch nooy 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI ST Rough ser ce .............. ... ...... .................. Fnal BUILDING INSPECTOR GAS INSPECTOR occupancy Permit Required to Occuny 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. Quinlan&Rand Builders 34 Trinity Court North Andover,MA 01845 Proposal: Kitchen Renovation Dan&Cathy Ryan 871 Forest Street North Andover,MA 01845 Permit 700.00 Dumpster 625:00 Plumbing&Heating Materials&Labor 6000.00 -Replace 4'baseboard in hall bath -Add 2 toe kick heaters in kitchen -New gas piping to range -Allowances: Kitchen&Island sink$600.00 2 Faucets 500.00 Electrical Materials&Labor 10,000.00 -12 Recessed cans -Under cabinet lighting Cabinets&Appliances(including range hood) by others Granite Materials&Labor 5,000.00 -100 sq.ft.@$50/sq.ft. Hardwood Flooring Material&Labor 2,700.00 -270 sq.ft.@$10/sq.ft. -1 coat sealer,2 coats polyurethane Plaster 2,000.00 -Smooth ceiling Paint 1,500.00 -Primer,2 top coats Building Materials 2,500.00 Q&R Labor and General Contracting 24,000.00 -Removal of cabinets,counters,flooring,walls,&ceiling in kitchen -Removal of hallway ceiling -Removal of 3 windows -Removal of non-bearing wall -Close in existing 4'opening as specified in plans -Frame 2 new casement windows as tight to corner as structurally possible -Install new insulation to exterior walls -Install blueboard -Install finish trim to match existing trim -Add wood blocking for upper and lower cabinets -Install cabinets -Install range hood This proposal does not include unseen structural problems or mechanical upgrades. TOTAL $55,025.00 Massachusetts Home ImpB•ovement Sample Contract This foonsuisfies 116 gmreinente of thestat Hasoo i p' -1 COntooll,I,e (MGL despIt,142A),h td es not include are lord 1 g tap t t h ers.Seen legal atl if y A,I p pl g h pro ta h Id ftrato6mm a copy of'e M husctrs gu d to I,ome,mpr.ve t b f gm n g y k y d ol-Y it., 6tofree copy by colli.,dre OfF Co.--. kflat.and Business Regulehovs Cous-merb" H I fi17973 8 87 188 7 Homeowner 1,17 ti" Contractor lnforme, on e p 5 eel Address(d nut use aPost Offire Box address) C .:t[nr/8alespas dOwn¢N c� . C:tyRovm son,- Zip Code Address(m Iudda strmt ddr s) ➢aybme Phone E Pb— tyfr wn State Zvp Code Mailing Addr_ss Ht differwtfinm above) ass Pho.e ede.l Employ¢IDmS.S.Numbe, - The Cmntractmr agreesm dm the Tollowiog wmrk for the Home. v m ew r wins sP g em m m e RegrilredPermits-The iollowingLuildingpermits amre,eired Proposed Start and CompletionSchedule-The fee—iag sebedule will and rill be secured by an,...one- the homeowner§agent, be adh�eredtin-des es b,.ed the. emt's co 1arise (Owners who secure their own permits will be a m.nmamn. ..a Zcihded from the Guaranty Fund provisions of nam worn c..tm.m ul b.g,n o.oaacma work. GL chapter 142A,}' ` Dam when--.—d w.rk will be subsmndall y comple[M. Total Cnutraet Price and Payment Schedule _ Th.c......agrees In pew ne the work,fdmisb the material and labor specified above for the total..of. (`) P-re-6 will be made stcon ivg to the following schedule: - $ -Port signing (n.1 mexeed l/3 ofth—.I coon-act price or thecosf ofapecial order hems,whichever is greater) $ bY_/_/ rupon completianvf {Cj? $ by_/_/_ar-pon cvmpieeon of - i i rYj 3 F; upon..pled...ftbec c(Ln,,bobids demandiaa full paymev cl contract complemd to boopan"sstisf,,emo) The roll—n le—Ili—no must be spedal $ tin be slid fur ordered bet the contracted wod'begit,in.tier S to be paid for NOTES:(")N`lydbg ser dnavice charges("+)Law regv'vea that any deposit w doew-peymevlrequ'vw by,6e wntracfmr bef.m w.rk begins may caw the gmm¢of(a>one-thw mime mml wmmaPdce nr m)the actual mat mfany.speaal equipment err m,slmm maaemmo;al - width mart be spade)otderediv advance tin mee[Wer�pmdw schw-le,. _ E W. I h' id dhvth efmP No Y ra ff6vwvrrnvW muat6 ti g-bebn t.rs_Tbec ragr.e mbe solely respoosbiefor rnmpintimnof the woh desen6ed regnrdicss of the actions of_third salty/subwn�cmr udle,fl, 6ec tracmr.The contractor"t"''sgees m be solely responsible for a 11 paymeon to ell sab.onasemrs far ed i d l b d h' not C..hnet Acceptance-Upon signing,this document becomes a Mading toomet under law.Unless otherwise..ted within mia document,the e.-nectshsll notimpiy thatany lien or tob—oeurity iMerertbas beeoph—d on the residrncc.Review the Following.audons end notices —11Y before signing this tonbac, Don't be pressured into sigNag the con cr Tak:t read and 111,undemmv4 it Ask quadom ifsomething is mcleer. uo-a-rcen metro Tn.mw ragntrea moat homeimprorep,cnt rnnrm.mrs and bconaamrsm be registered with the D"cono ofHomci` t Gostollr Registration.You may ingoirc ebovt conhacmr kgisnad.n b rr:pmvom,1 y.wridvgto the Direcmr at One Ashbnrt.n Place,Room 1301,B.amq MA 02108 or by celliof 617-727-3200 or 1--800-223-0933. - • D.cs the—eecmr have insurance?Check to sec the[yom covhacmr is properly ins—. • Know yourrighlsebapoo,e—lines.Reedthc Important lnf rvmdononthe reyemesidcot'this form and gets copy of We C.vs.mer - Guidemthe H.me-Improvement Coao-amor You may cancel this egree.ent if it las beta si..d ate plate.tberthan the contractors.normal place ofb.,iucss,provided you nodfy the contractor in wridng at his/hermein office or bmrmh affio.by.Wi..,.n posted,6y telegsnm ant orby delivery,not later then midnight of Ore Yh'vd busi.ess day fnllowiag.the signing oftble agreemrn,See the attached notice of c eellmio.form£.r ea eapl¢:adon ofdus rich, DO NOT SIGN THIS� CONTRACT IP THERE ARE ANY !!!BLANK SPACES muzebe uy nedm ngovd ao m W a-a W,a �oemrcw . H..e.wners Sgna re con sg m a�Jp !S", c,t p, -- t I v 9 i r Ji Note:This drawing is an artistic Copyright 2015 rl2/17/2015 intretation of the general Pridecraft,Inc17/2015appearance o£the design.It is All Rights Reserved _ not meant to be an exact rendition. Cathy Ryan Design2A All Drawing#:1 {I 47 36 3fi 36 - - 24,. 100 21 _ 11 � W1130.M.M M I W .... 2405HW1R 3oB24111V o' R CMI - - 00 LL M N �m 0 oM We2 oa —. W J , m 112111-- m _ � m m x424 815' 33��5 2P 53f; 33" 18' 36 '. All dimensions moi—desrgnations job- sL Copyright 2015 This is an original design and must Designed:12/17/2015 gwen are subject to verification on Pridecraft,Inc not be released or copied unless Printed:12/17/2015 j to and adjustment to fit job All Rights Reserved applicable fee has been paid or job - conditions. order placed. Cathy Ryan Design2A All Drawing#:1 No Scalc ./- 47,6 i 36" y 36" 36". 36 f __-. _._- -134 a" -42" ------- 191'," � 74"�22" N m RW361224WCM ,a W3630WCM W3630WCM T W363OWCM REP3JED 284VR38[412I SS � ��,, 36REF 3D 9 - Tlx 888 SB30IWICM ,B18L [21 DISHW B21RP3. ' L --------- IU --23""- 21., -- 18' 213 .' 21 ,Y-__-24 yY-_-24 1Mr _-.--3¢" 33" "0a° 20" �24-" 3"- 100�" 1520" All dimensions size designations Copyright 2015 This is an original design and must Designed: 12/1 7/201 5 1 given are subject to verification on Prideeraft,Inc not be released or copied unless Printed:12/17/2015 jobsite and adjustment to fit job All Rights Reserved applicable fee has been paid or job conditions. order placed. Cathy Ryan Design2A �EI 8 Drawing#:1 No Scale. 12" 39" v 42" �- 18 � - 47z„— 42„ „ B5836SS _._. �i� in m WBC3330R) W3�9�30 _ - 1 7 �fl o 'jam--- _ --... QEG366SCH/LPp 4M, M m jig, CSB36SUPSR B21L RTDB3628 B21R SB30WCM N e e 36" 21" 3 21r 21;" 23z” „ �2„ 24,6 All dimensions-size designations Copyright 2015 This is an original design and must Designed:12/17/2015 given are subject to verification on Pridecraft,Inc not be released or copied unless Printed:12/_1.7_/2015 job site and adjustment to fit job All Rights Reserved applicable fee has been paid or job conditions. order placed. Cathy Ryan Design2A EL 6 Drawing#:1 No Scale. ---- 1841'." 133,." 5316' 2"--- 898" Mim 0 0 0 N1 530 WBC3330R o0 U248412 U248412 DO338424 oo v BT15L CSE36SUPSR M X 24"—�-24" 52,6" 33" - 15" 36" All dimensions size designations Copyright 2015 This is an original design and must Designed 12/17/2015 given are subject to verification on Pridecraft,Hie not be released or copied unless Printed:12/17/2.015 job site and adjustment to fit job ALl Rights Reserved applicable fee has been paid or job -- conditions. order placed. Cathy Ryan Design2A - -- El I I - Drawing#:1 No Scale. E=l 0 d 3DB27 SB21 L B18WB2 BM 30- c� c� 102,6°° All dimensions-size designations Copyright 2015 This is an original design mud must Designed: 12/17/2015 given are subject to verification on Pridecraft,Ine not be released or copied unless Printed:12/17/2015 job site and adjustment to fit job All Rights Reserved applicable fee has been paid or job -- -- conditions. order placed. Cathy Ryan Design2A El 5Drawing#.] No Scale. 708 o 0� �0 B30SSWCM B30SSWCM c� 30" -30° 1� _. ms� All dimensions maize designations Copyright 2015 This is an original design and must Designed 12/17/2015 given are subject to verification on Pridecraft,Inc not be rcicased or copied unless Printed.12/17/2015 'job site and adjustment to fit job All Rights Reserved applicable fee has been paid or job -- conditions. ,order placed_ �athy Ryan Design2A---- --- _ --�- -- _ -- -_.Dl 7 -.-._ Drawing#:1 No Scale. The Commonwealth oftMlassachnsetts •- - Department of In dastrial Aeeidents Offiee Of Investigations 600 Washington SYreet / Boston,MA 02111uffi ' www.massgov/dia Workers'Compensation Insurance Affidavit:Builders(Contractors/Electriciam/Plumbers Applicant Information Please Print Le2lbly Name(snsicoeforganizaaeninaividnaty. ul uL 17v K r/J fJt�Gfl<'/GS Address: .3LJ i 2(W7-X Wil. City/State/Zip: A" r/Nt)&,L ? lfij OjEJ` one Are you an employer?Cheekthe appropriate box: Type of project(required): 1.0 Iama employerwith 4.❑Iamageneralcontractorandl 6.❑Newcanernction 01 ployees(full and/orpart-time).* have hired the sob-card—ors 2.Lr am a sole proprietor orparms, listed on the attached sheet.I 7•❑Remodeling ship and'have no employees These sub-contractors have 8.❑Demolition working for me in any capacity. workers'comp.insurance. 9.❑Building addition We workers'comp.insurance I.❑We are a corporation and its required.] officers have exercised their 10.�Electrical repairs or additions 3.El I am a homeowner doing all work right ofexcmptionperMGL IL[I Pinching repairs or additions myself.[No workers'eocip. c.152,§1(4),and we have no 12.QRoofmpais resmancerequired.]i employees.[No workers' 13.0 Other comp,insurance required] ?!yapplaeatdat Goes box#I mustatso5ll outthe sectionbelaws5owingthe'vworkers'compwsationpolicyinfomauon r Hom s who mbmitthis affidavftindicatingf[ley aie deingallworkandthen6ire eutside conhnetors mnstsubmit anew affidavitivdicating such tContmetom that chelcttis box must ahached an addiNaval sheet showivgthename offhe sub-contractors andtheirworker'eomp.polieyinfi®atiov. l am an employer that isprovidwg workers'compensa#on hmaranceformy employees.Below is diepolicy astdjob site information. r f Insurance Company Name:. �i�r�e,+ Policy#or Self-ins.Lic.#: Expirsti-Date: Sob Site Address: City/State/Zip: Attach a copy of the workers'compensation palley declaration page(showing the policy number and expiration date). Failure to secure coverage as requireduuder Section,25A ofMGL c.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as wellas civil penalties in the foam of a STOP.WORK ORDER and a fine ofup to$250.00 a day againetthe violator.Be advised that a copy oftlds statement maybe forwarded to the Office of Investigations ofthe DLA forinsurance coverage verification. Ido he rebyeeerttt! �ep us msdpe ties ofperjury that the infomzofionprovid ab vei true andcorrect S'�atur• l �rY �y/-i—�.� Date, L•,Jl�1t 1) phone 9: t te—�(T7—o�-Za - Offtelal use only.Do not write in this area,to be coo pleted by city ortown official. City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.Chy/Town Clark 4.Electrical hapector 5.Plumbing Inspector 6.Other - - - Contact Person: Phone P. ,i�� CERTIFICATE OF LIABILITY INSURANCE 9/11/2015 I 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 ceHlfi-ft,holder is an ADDITIONAL INSURED,the pollcy(les)mus!lte andorsetl.If SUBROGATION IS WANED,Subject to No terms and conditions of the policy.Certain policies may require an endorsement.A St....on this certificate does net confer righle W the certificate holder in Ile.of such endorsement(.). Ere"y COSI e110 COSTELLO INSURANCE AGENCY PxaNE ,878.3]9.6352 2 South t mhall St, ostmllo@costslloinsuranon...ei PO Boz 5248 INsuRSR APFDaowGcoveRwes Bradford MA 01835 _.X_Chants Mutual 33290 Quinlan S Rand Contractors wsuRFkgATM Insurance Co. 337.58 34 a,rinity Court No Andover, NA 01845-4248 aER E: COVERAGES CERTIFICATE NUMBER:2015–2016aU� REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE L18TED BELOW HAVE SEEN IE6UED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTMTHSTANDINO 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 I$SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LLwRaRY pT06ap]4 CY M12/2015 03/12/2016 MH OCCURRENCE N 6 1,000,000 XNc onERCIAL GCNRRAL Lnealry g 500,000 A OMCWM6-MgOE OCCUR EYP IArydne�Pl 6 15,ODD I—,a—SxRY CeRt ,AGGREGATE 2,000,000 LAGGREGATE LIMB AP uES PEP- PRODUCTS-00—P AGO a 2,000,000 %NPOLIcr Loc Iom aODILY uJURY IPcrpm.ml 5 UroST GDs O BODILY INduRl leer AUiO P0109�O PROPERTYONdAGE¢ eaEACH OCCURRENCE 6 GtAIM6NA0E AGGREGATE DEO RETENnONE H C1006015Z]92019A 3/Oa/2oi5 g/oe/2o'i6 TATU- 0 ANYwM�U1e0wEXci OR,EccECUnvE N 3 100,00 Ina mr IYtlar F.L.OI6EAbECFAEMPLOYf a 100 000 D 6ZRIPTION OF OPERATIONS SaIw� E.L.DI6EISR-POLICY UMIT 3 See 000 LE lento ACORD111,gddit1—RomaMsec1gM,,,rtmorespacelCeaukeal azinerao guinlana sL Rand crave e1—d to be excluded Ecom elk—, ompensation coverage. CERTIFICATE HOLDER CANCELLATION (976)688-9542 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of H—th Andover ACCORDANCE WITH THE POLICY PROVISIONS. 120 Main Straet NQ=th Ando—, MA 01845 AUTHOC IREPREGENYATNE Emily Costello/EOVECl ACORD 26(2010105) ®1988-2010 ACORD CORPORATION.All rights reserved. INS025.1.101 The ACORD name and logo are registered mark.of ACORO . . /\{f � � , / � rill \}\�� M. . �