HomeMy WebLinkAboutBuilding Permit # 12/30/2015 OORTH
BUILDING PERMIT
TOWN OF NORTH ANDOVER �� � "` :..,, 6
APPLICATION FOR PLAN EXAMINATION
ryy p .,(¢ R �/. Date Received J,14-12,5 ,/y_ ������� I ,
Permit No#: � � W 7q ppRATED PIS',
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Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION 50 Jay Road
Print
PROPERTY OWNER Allan M & Lori Marcie
Print 100 Year Structure yes tion
MAP 098.A PARCEL: ZONING DISTRICT: R3 Historic District yes ;r10
Machine Shop Village yeso)
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑X One family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
X1 Repair, replacement ❑Assessory Bldg 11 Others:
❑ Other
El Demolition
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DESCRIPTION OF WORK TO BE PERFORMED:
Remove existing fixtures and tiles surfaces in ser-end floor hath area ,
install new blueboard and skimcoat plaster , new plumbing fixtures to be
installed-- locations remain unchanged . Install new ceramic the to
a s ower area an ponce ain ti le to floor No structural changes
to take place ® Install new baseboard trim and casings (door & window) .
Identification- Please Type or Print Clearly ( p l ease s e e attached contract)
OWNER: Name: Allan M Marcus & Lori Marvus Phone: ( 97R) 685-5955
Address: 50 Jay Road Nort
Contractor Name: Robert C Bailey Phone: (q7R) 815-5103
Email: attentionrobert@aol .com
Address: 1071 Methuen Street , Dracut , Mass . 01826
Supervisor's Construction License: 025620 Exp. Date: 3/ l0_/2o t h
Home Improvement License: 171905 Exp. Date: 4/ 0 o] &_
ARCHITECTIENGINEER 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: $ 17.:.504.00 FEE: $
r� Receipt Check No.: t No.p
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty find
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-Town of
n.dover
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coc.ac..ew.c.c 1• C/
RATED
11Nook BOARD OF HEALTH
MRM T T IL IN U P F %0
Food/Kitchen
Septic System
THIS CERTIFIES THAT .........1. � i .. C�!`;�r; BUILDING INSPECTOR
..... .................................................................................
has permission to erect .......................... buildings on Foundation
/ / N y� Rough
to be occupied as .............. .... l �Cl....l....��'�s;;7CL r^.Ila ............. ..........................
Chimney
y respect the terms o
provided that the person accepting this permit shall in evert conform to f 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 I TRTS Rough
Service
""""""" Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building Rough
Display in a Conspicuous Place the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approvedthe Building Inspector. Burner
Street No.
Smoke Det.
Bailey
Finish Work a Specialty
Robert C. Quality Workmanship
Building remodeling Inc. Free Estimates
P.O. Box 638 Builders License#025620 a, t
North Andover,MA 01845 Home Improvement ;
Telephone(978) 682-7087 Contractor#171905
TO JOB LOCATION
Mr. & Mrs . Allan Marcus
50 Jay Road
North Andover , Mass . 01845 same
L L
DATE DATE COMPLETED TERMS CONTRACT PROPOSAL BILLING PAGE NO. 3
__10/11/15 X X X OF 3 PAGES
JOBDESCRIPTION: Main Bath Remodeling
The contractor shall install porcelain tile on the flooring substrate. Overall
installation pattern shall be determined by the stock to be used . There is
no provision in this quote for any diagonal pattern or the use of decorativ
inserts and/or borders . All flooring tile shall be supplied by the owner
and iestalled by the contractor. Grouting stock shall be supplied by the
owner and installed by the contractor. Thinset mortar shall be used to
secure the flooring tile to its plywood substrate.
The contractor shall construct a two-door cabinet with an overall height of
approximately 24" and width of 30" to be mounted in the proposed closet
area . The doors shall be a poplar face frame with the an MDF insert (Shake
style) . Overall cabinet depth shall . be 14" . The unit shall be equipped wit
two adjustable shelves along with an attached 6" drawer (full extension ) .
In addition:, the contractor shall provide and install a laminated counter surface
in the closet. The counter shall be 24" in overall front to back length
and 30" in overall length . Counter height shall be determined by the
owner. All cabinet interior surfaces shall be prefinished melamine
material (white) . Cabinet hardware (.knobs ). to be selected by the owner
and installed by the contractor. Door hardware shall be European style
concealed;, soft close hinges and three-way adjustments . Knobs shall be
selected from the standard Amerock collection or similar.
Certificates of insurance shall be furnished upon requesV�and prior to work
commencement. All parts of this quote are based upon standard construction
practices .
Hereby Propose to furnish labor and materials complete in accordance with the above specifications for the sum of
$ 9804.88 (Ninety-eight Hundred Four and - --------88/100 Dollars )
With payment to be made as follows: $2500 due upon obtaining permit, dumpster delivery, and
removal of wall and ceiling surfaces ; due—upon completion o—f re- raming o
e
upon completion of plastering., installation of closet cabinet & counter,, wall
te upon completion of contract.
I material is guarantee to WAS'specifi . work is 6e com pee in a o man i e
manner according to standard practices. Any alteration or deviation from above Authorized
specifications involving extra costs w'I be executed only upon written orders and will
become an extra charge over and above the estimate.All agreements contingent upon SlgnatUre
strikes,accidents or delays beyound our control.Owner to carry fire,tornado and other Note:This proposal may3 be withdrawn by us if,not
necessary insurance. accepted within days.
Acceptance of Proposal -The above proces, specifications and
conditions are satisfactory and are hereby accepted. You are
authorized to do the work as specified. Payment will be made Signature
as outlined above.
/ Signature
Date Accepted 1 Z % �'
Robert C. ® Finish Work a Specialty
Bailey Quality Workmanship f n
.4
Building_�E Remodeling Inc. Free Estimates = �� � , p '•
P.O.Box 638 Builders License#025620
North Andover,MA 01845 Home Improvement
Telephone(978)682-7087 Contractor#171905
TO JOB LOCATION
Mr. & Mrs . Al.lan Marcus
50 Jay Road
North Andovert, Mass . 01845 same
L L
DATE EDATECOMPLETED TERMS CONTRACT PROPOSAL BILLING PAGE NO. 2
0/11/ X X X OF 3 PAGES
JOB DESCRIPTION: Main Bath Remodeling
Upon completion of the insulating work as outlined , the contractor shall instal
'/z" gypsum blueboard to all wall and ceiling surfaces with the exception of
the three walls surrounding the shower area . Around the shower area , '/2"
Denshield tile underlayment shall be installed and secured to studded
surfaces through the use of manufacturer recommended fasteners .
There is no provision in this quote for the r.eplacement and/or repair of any
subflooring found to be rotted or otherwise compromised . The contractor
shall install 3/8" fir AC plywood underLayment over the existing sub-
flooring to act as a proper substrate for the installation of porcelain
flooring tile. Newly installed plywood shall be secured to existing
subflooring through the use of 2" galvanized drywall screws at 8" on
center intervals along the length and width of the entire bath flooring
area.
Newly blueboarded wall and ceiling surfaces shall be skimcoat plastered with
a smooth finish . There is no provision . in this quotec�for the priming
and/or finish painting of wall and cei,l`ing. surfaces . Such work shall be
performed by others and is not part of this quote.
The existing wood trim around the bath window shall be removed during the
remodeling process and replaced with-, new stock to match existing trim
around door and window units of the second floor. There is no provision
in this quote for the replacement of the existing bathroom entry door.
A new vanity unit and countertop shall be supplied and installed by others
and is not part of this quote.
Any electrical work!, fixtures, and wiring shall be completed by others and
is not part of this quote.
Required electrical and plumbing permits shall be obtained by and fees assumed
by others . Such work and the subsequent fees are not part of this quote.
The contractor shall be responsible for the installation of wall the around
the three interfacing shower walls . There is no provision for any tile
work required on the shower base since th.is unit will be an acrylic pan .
There is no provision in this quote for the installation of ceiling tile
in the shower area . All wall tile and grouting stock shall be supplied
by the owner and installed by the contractor. Tile adhesive shall be
supplied by the contractor. There is no provision in this quote for the
installation of tile in a diagonal pattern or with separate borders and
decorative inlays . Any areas set aside in the shower for recessed
niches shall be apprgpriately framed bef re til ' commen es . . Such niches
shall be either acrylic or ceramic in na� n ure an �e a ca( sunit.
Robert Finish Work a Specialty
C. BaileyQuality Workmanship
Building & Remodeling Inc.
Free Estimates 5,
P.O. Box 638 Builders License#025620 "
E .,.
North Andover,MA 01845 Home Improvement 4u -
Telephone(978)682-7087 Contractor#171905 '
F
TO JOB LOCATION
I F
Mr. & Mrs . Allan Marcus
50 Jay Road
North Andover., Mass . 01845 same
L L
DATE DATE COMPLETED TERMS CONTRACT PROPOSAL BILLING
�PAGE NO. 1
10/11/15 X X X F 3 PAGES
JOB DESCRIPTION: Main Bath Remodeling
All parts,.of this quotation are based upon field measurements and preliminary
discussion with the homeowners regarding the overall scope of work and
materials to be used .
The contractor shall obtain the necessary building permit prior to any work
commencing on the bathroom remodeling as outlined. The permit fee shall
be paid for by the contractor and is part of the quoted contract price.
An on-site dumpster shall be maintained during the course of remodeling to
dispose of associated construction debris .
The existing bathroom fixtures (both plumbing and electrical ) shall be disposed
of during the remodeling process . All plumbing drain piping and hot and
cold water connections shall be capped prior to any-.demolition work begin-
ning. Such capping and disconnecting work shall be completed by others
and are not part of this quote.
The existing cast iron tub shall be removed by others once the contractor has
removed existing ceramic tile and wall surfaces from around the tub area .
All existing plastered wall and ceiling surfaces in the bath shall be removed
by the contractor. Existing ceramic/porcela.in tile flooring and its
underlayment shall also be removed during the demolition process .
In addition!, the existing vanity unit and countertop shall also be removed and
disposed of by the contractor.
The present closet wall that interfaces with the tub/shower wall shall be
moved to share a common piping wall with the tub/shower area . Existing
piping for the forced hot water heating shall be concealed beneath the
present closet floor rather than running alongside the exterior wall in the
closet. Such plumbing work shall be completed by others and is not part of
this quote. . The re-configuration of this plumbing chase shall increase
the overall width of the new closet area .
The overall length of the new shower area shall remain at 60" (the same as the
existing cast iron tub. The overall depth shall also remain the same
In place of a new tub/shower unit, an acrylic based shower pan shall be installe .
The acrylic shower pan shall be supplied by others and installed by the
plumbing contractor. The overall location of plumbing fixtures shall not
change. All plumbing fixtures, facuets , necessary drainage and water
connections shall be supplied and installed by others . Such work is not
part of this quote.
Once the bath wall and ceiling surfaces have been removedy the contractor shall
insulate the exterior rear wall with R-15 fiberglass k ,.aft-=faced insulation.
Ceiling areas shall be insulated with R-32 fiberglass raft-faced insulatio
in the flat ceiling portion of the bath . In the clipped ceiling area, it
will be necessary to install fiberglass insulating material and proper
venting stock as dictated by overall rafter depth.
I
The Commonwealth ofHassaehusetts
Department of IndlustrialAceldents
° 1 Congress Street,Suite 100
Boston,MA.02114 2017
e www.mass.gov/dia
Workere Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE I"ERMTTING AUT110R1`y.
A ')licaut Information Please Print I,e�ibly
Name(Business/Orgariization/Tndividual): Robert
Address: 1071 Methuen Street ,
City/State/Zip: Dracut Mass 0-1826 Phone#: 9 7 8 ) 815-5103 ry ° _
Are you an employer?Checlithe appropriate box: 'Type of project(required):
l.❑I am a employer with employees(hill and/or part time). 7. El Nb V d 5 str6 tion
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, ❑Demolition
3.Q I am a homeowner doing all work myself:[No workers'comp.insurance required.]t 10❑Building addition.
4.FJI 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 l l.❑Electrical reaixs or additiogs•, 1?
proprietors with no employees. l2.Q Pri mbing repairs or additions
5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. J 3,.[JRb6f repairs
These sub-contractors have employees and have workers'comp.insuranco.t 4.n Other
6. We are a corporation and its,officers,have exercised their right of exemption per MGL c.
152,§1(4),and we have no empldyees.[No workers'comp.insurance required.]
xAny applicantthat checks box#1 mnist also i?ll out the section below showingtheirworkers'compensation policy information:
i Homeowners who submit this affidavit indicatingthey are doing all work andthenhire outside contractors must submit a new affidavit indicating such.
tContractors that check this box musE attaclied'an additional sheet showing the name of the sub-contractors and state whether of not(hose entities,have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. .. ` „ . ...,
X am an employer that is providingworkers'compensation insurance for°my employees. .Below is the policy androti site
information.
Insurance Company Name:
Policy#or Self ins.Lie.#: Expiration Date
Job Site Address: City/State/Zip:
Attach a copy of the Workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL e. 152,§25A is a criminal violation punishable by a fide 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$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
Xdo herehy cert under tliepains andpe alts ofperjury that the information provided above is tare and correct.
a
• A�% � Date•
Si ature: , ° (.; o
12 129 115
Phone#: ( 9 7 8 ) 815-5103
official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/Mcenso#
Issuing.A.uthority(circle one): i
1.Board of Health 2.Building Department 3.City/Town Clerk d•.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
' 2?�, [� CERTIFICATE OF LIABILITY INSURANCE, DAT
` E(MMfDD/YYYY)
.+^ 12/29/2015
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING IN$URER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the polley(las)must be endorsed. If SUBROGATION IS WAIVED,subject to
the tarrins 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).
PRODUCER CO RAcT Laurin Kibildi.g
MW 7naurance AssoCi&tes PH�NN (978)681-5700 FAX
No:We)661-5777
1320 Osgood Street &MAILDORES lau>rink@mtminaure.com
A
'NQ''URJ' S AFFORDING COVERAGE NAIC it
North Andover MA 01845 INSURERA:Preferred Mutual Ins Co 15024
INSURED INSURERB;Aggwiabad Sndustrj,es Of Ma Mut Ing
ROBERT BATLEY REMODELING INSURPR C
PO BOX 6313 INSURER D:
INSURER E
NORTH ANDOVER MA 01845 INSUReRF;
COVERAGES CERTIFICATE NUMBER-15-16 Master 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.
EXP
LTR TYPE OF INSURANCE POLICY NUMBER POLICY RR POLICY
LIMITS
X COMMERCIAL GENERALLIABWTY
� EACH OCCURRENCE S 1,000,000
A CLAIMS1utADE I X]OCCUR RENTED 100,000
3 Es Qccurtencc S
POPo100716219 3/11/2015 3/11/2016 MEDEXP(Any one eraon) 10,000
PER80NAL&ADV INJURY § 1,000,000
GEN'LAGGREGATE LIMIT APPLIES PER: OENERAL AGGREGATE § 2,000,000
PRO-
K POLICY El JET F�LOC PRODUCTS-COMP/OPAGG S 2,000,000
OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT §
(Ea&cciden
ANY AUTO BODILY INJURY(Perperaon) $
ALL S
AUTOS
AUTOS BODILY BODILY INJURY(Peraccidimt) 3
HIRED AUTOS NON•OWNEO PROPERTY DAMAGE 3
AUTOS Per 3caidim
S
UMBRELLA LIAR OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION g
WORKERS COMPENSATION Robert C. Bailey ]; PER TH
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE I� N/A is oxaluded, E,L.EACH ACCIDENT $ 1,000,000
OFFIC(NdlandgtoryInNH)EMBER EXCLUDED? I � VNC-100-6011323-2015A 12/27/2015 12/27/2016
E.L.DISEASE-EA EMPLOYE $ 1 000 000
IPyea,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may N attached if more space Is required)
This certificate of insurance rapresents coveraga currently in ®fMet and may Or may not be in Compliance
with any written contract.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DF$0111BED POLICIES BE CANCELLED BEFORE
Town of North Andover THE EXPIRATION DATE THEfiEOF, NOTICE WILL BE DELIVERED IN
Building Department ACCORVANCE WITH THE POLICY PROVISIONS.
1600 Osgood St. Building 20
S1,1.1,t% 2035 AUTHORIZED REPRESENTATIVE
North Andover, MA, 01845 ,
L Mancinelli„ CIC/CHA c� GA�r�
41988-2014 ACORD CORPORATION. All rights reserved.
ACORID 25(2014101) The ACORD name and logo are registered marks of ACORD
INS025(201401)
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
Construction Supen-isor
License: CS-025620
ROBERT C BAILgV
P.O.BOX 638
North Andover MA 0'.
r
Expiration r
Commissioner 03/10/2016
i
..__.._ ,f—� /2e Tpa�)t�n249ztllell,�Cf2 a�6%(/lccQdae�LLGJeb
�\ Office of Consumer Affairs&Business Regulation
WMEIMPROVEMENTCONTRACTOR
gisxe tration: 1.71905 Type!
piration: A/30/2016; Private Corporation
ROBERT C. BAILEY BUILDING&REMODELING INC
ROBERT BAILEY
1071 METHUEN STREET
DRACUT,MA 01826 a
Undersecretary