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Home My WebLink AboutBuilding Permit # 2/17/2016 ----------------- ORTN BUILDING PERMIT �k TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received rc D CHUS Date Issued: PORTANT: Applicant must complete all items on this page NAMES)),(, 1/0 $T TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building [I One family [I Addition [I Two or more family El Industrial EAlteration No. of units: Eq<ommercial Repair, replacement El Assessory Bldg El Others: [I Demolition El Other Wetibn Flood" ri p//,Iain 0 ` ' DESCRIPTION OF WORK TO BE PERFORMED: I Yt 0 r1a AJ 71AI 7A XeOp�-, ky/ 4elle / Identification Please Type or Print Clearly' OWNER: Name: L ovs,, 4 1-A fv �V A Phone: 177Y - 360 - dFd Address: C "A U I A 4 P ........ ..................................... ........................I 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: $ .b FEE: '12 Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty and urewf _��ngpwner Sigqiatqq of cqntrqqtp Plans Submitted Plans Waived.El Certified Plot Plan [I Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/13 ody Ai t ❑ Swimming Pools 11 Well ❑ Tobacco Sales ❑ Food Packaging/Sales El Private(septic tank,etc, ❑ Permanent D Lunpster on Site ❑ TIME FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM CQ PLANNING & DEVELOPMENT Reviewed On Signatur6_ L"Lilw r/1 COMMENTS 4jL'VF"fc_e_ hAJ0 //t/�/4,J( CONSERVATION Reviewed on --Signature COMMENTS HEALTH Reviewed on- -Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Declsioh: Comments Conservation Decision: Comments Water& Sewer Connection/Sic Lnature &Date Driveway Permit D,PW Town Engineer: Signature:- Located 384 Osgood Street FIRE-- DEPARTMIENT' -,Temp,Dumpsteron site yes 0 L161C-:qt'b4at;1,24 Main Strbet Fire,,be partment tignaiture/Oate COMMENTS Alb NORTH Arlo t ()k ,w. , qd)AAlLautpVul E ...•4' 0 L_ ai �- `K ® ® lip _ T C, LAKE Vel ' Mass, COC NIC NE WICK �� BRAT E D 4p,i�y S V BOARD OF HEALTH Food/Kitchen PER I T ]�F� L Septic System THIS CERTIFIES THAT ...... .. ,,.. ,h, .,,,,,,, BUILDING INSPECTOR .............. . ............. . has permission to erect buildings on Foundation .......................... ...... /�.�. ...... ............. Rough (/ to be occupied as ................� ... ?s-.�.. ...............................� ...�. ............f................................. Chimney provided that the person acce 'ng 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 PERMITI E IN 6 MONTHS ELECTRICAL INSPECTOR LESS CONSTRUCTI ST S Rough Service ................ .......... ....................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Reguired 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 Approvedthe Building Inspector. Burner Street No. Smoke Det. Massachusetts Home Improvemenj This firrin satisfies all basic requirements of the state's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard language to protect homeowners. Seek legal advice if necessary. Any person planning]ionic improvements should first obtain a copy of"A Massachusetts Consumer Guide to Florne Improvement"before agreeing to any work on your residence.You may obtain a free copy by calling the Office of Consumer Affairs and Business Regulation's Consumer Information I lotfine at 617-973-8787 or 1-888-283-3757 or on our website. Homeowner Information Contractor Information Name Company Name L o u IV we n- /-/VT C 14f" 's Kte �-ahiEC- iiii Street Address(do not use a Post Office Box address) Contractor/Salesperson/Owner Name 39_ C', r C ,4 x-------------- CityrFo%vn State Zip Code Business Address(must include a street address) M&-gooi— 41DWfA PH 14 0/ r4yv Of S— $7 7.1 C y �A, Daytime Phone Evening Phone City/Toven Slate Zip Code q7g - 3( 0 - pap (o M,4-7-A /4A,,&,,,tA hoo?l A 0/ fej Mailing Address(11 different from above) Business Phone Federal Employer ID or S.S.Number C,—A C R" T�,puwi-6w 7—�Y ,7 0/f, -lid reghrrall-...b,�, The Contractor agrees to do the following work for tire Homeowner: (Describe in detail the Nvork to completed,specifying the type,brand,and grade of materials to be used,use additional streets ifn c s a X� Required Permits-The following building permits are required Proposed Start and Completion Schedule-The following schedule Not and will be secured by the contractor as the homeowner's agent: be adhered to unless circumstances beyond the contractor's Control arise (Owners who secure their own permits will be excluded from the Guaranty Fund provisions of Date when contractor will begin contracted work. MGL chapter 142A.) �/JWAO*Date when contracted work will be substantially completed. Total Contract Price and Payment Schedule The Contractor agrees to perform the work,tarnish the material and labor specified above for the total sum of: Payments will be made according to the following schedule: W 0 upon signing contract(not to exceed 1/3 of the total contract price or the cost of special order items,whichever is greater) 6 Cr by or upon completion of .5'fO v fJ by or upon completion of $ t d f upon completion of the contract. (Law,forbids demanding full payment until contract is completed to both party's satisfaction) "llic following material/equipment must be special $_to be paid for ordered before the contracted work begins in order to meet the completion schedule.(**) to be paid for NOTES:(*)Including all finance charges('*)Law requires that any deposit or dorm-payment required by the contractor before work begins may not exceed tire greater of(a)one-third of the total contract price or(b)the actual cost of any special equipment or custom made material which must be special ordered in advance to meet the completion schedule. — -------------—--------—----------------------------- —------------------ Exuress Warranty-Is an express warranty being provided by the contractor? No 11 Yes(all terms of the warrinotv must be attached to the contract) Subcontractors-The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third party/subcontractor utilized by the contractor. The contractor further agrees to be solely responsible for all payments to all subcontractors for materials and labor under this agreement Contract Acceptance-Upon signing,this document becomes a binding contract under law. Unless otherwise noted vvithin this document,the contract shall not imply that any]tell or other security interest has been placed on the residence. Review the following cautious and notices carefully before signing this contract. • Don't be pressured into signing the contract.Take time to read and fully understand it. Ask questions if'soillething is unclear, • Make sure the contractor has a valid Home Improvement Contractor Registration. The law requires most home improvement contractors and subcontractors to be registered with the Director of oine Improvement Contractor Registration, You may inquire about contractor registration by writing to the Director at 10 Park Phwa,Room 5170,Boston,MA 02116 or by calling 617-973-8787 or 888-283-3757, • Does the contractor have insurance? Ask the Contractor for his insurance company information so that you can confinn coverage,or ask to see a copy of a"proof of insurance"document. • Know your rights and responsibilities. Read the Important Information on the reverse side of this firarn and get a copy ofthe Consumer Guide to the Florne Improvement Contractor Low, You may cancel this agreement if it has been signed at a place other than the contractor's normal place ol'business,provided you notify tile contractor in writing at]iis/liQi-main office or branch office by ordinary mail posted,by telegram seat or by delivery,not later than midnight of the third business(Jay following the signing of this agreement, See the attached notice of cancellation fill-lin for an explanation of this right. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES!!! rwo identical copies of the contract must be completed mal signed.One cop),should go to die homeowner,The other cop),should In kept by the contractor. 41� Homeowner's Signature Contractor's Signature ---- /I ' / Date t Date Contractor Arbitration The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as all alternative to court action)if they have a dispute with a contractor. The same right is not automatically afforded to a contractor,however. The contractor would have to resolve any dispute lie/she has with a homeowner in court unless both parties agree to the optional clause provided below. This clause would give the contractor the same right to arbitration as is afforded to the horneowner by the Home Improvement Contractor Law. The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract,the contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required to sub it to such arbitration as provided In Massachusetts General Laws,chapter 142A. PaG44 Homeowner's Signature Contractor's Signature NOTICE:The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Rights A homeowner's rights tinder the Home Improvement Contractor Law(MGL chapter 142A)and other consumer protection laws(i.e.MGL chapter 93A)may not be waived in any way,even by agreement. However,homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law. Florneowners who secure their own building permits are autoniatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law. The contractor is responsible for completing the work as described,in a timely and workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides all express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor,all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about your consumer/homeowner rights,contact the Consumer Information Hotline(listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached. Parties are also advised not to sign the document until all blank sections have been filled in or marked as void,deleted,or not applicable. One original signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor. Any modification to the original contract must be in writing and agreed to by both parties.Contracted work may not begin until both pat-ties have received a filly executed copy of the contract,and the three day rescission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure. However,in instances where it contractor deems him/herself to be financially insecure,the contractor may require that the balance of funds not yet due be placed in ajoint escrow account as a prerequisite to continuing the contracted work. Withdrawal of funds from said account would require the signatures of both parties. Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or other Consumer lights,or if you wish to obtain a free copy of "A Massachusetts Consumer Guide to Home Improvement" contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8787,888-283-3757 or visit the OCABR website at If you want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law,contact: Director of Home Improvement Contractor Registration Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8787,888-283-3757 or visit the HIC website at Go online to view the status of a Florae Improvement Contractor's Registration: For assistance with informal mediation of disputes or to register formal complaints against a business,call: Consumer Complaint Section Office of the Attorney General 617-727-8400 AND/OR Better Business Bureau 508-652-4800,508-755-2548 or 413-734-3114 Version 2.1-11/22/2010 qk s . Fri c i ® p jtt E 3 9 J 7 L3 OFF tr—C �F it d`d@ 1 i 4 i k 14C6,e f4d t d dl 9 P ✓ a NO • fil Qa �qpa 0 �� North Andover MIMAP February 17, 2016 039.0-0003 039.0-aais al�g 039.0-aai� 039.0—Oa16 I .................. o h�N uuuuuuuuuuu, ', u VVVuVVdVVVVVVVV 039.0-aa�4 R4 ,111111 8.2� uiuuuuuui�uuuuuui i 000ip'i 039.0-0013 uuuuuuuuuuuuuuuuuu � "' '' ��'uuuuuuuuuuVVVVV a4a.aaaaz 0 MVPC Bo Zoning Overlay Zoning L")Municipal Boundary 0 Adult Entertainment Distric Busine s t District G,'{Machine Shop Village Ove =I>I Busine s 2 District Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, Line Rail Lin +.)Watershed Protection Dist M Busine s3 District Meters Data Sources:The data for this map was produced by Merrimack Interstates Historic Mill Area 0 Busine s 4 District NORTH Valley Planning Commission(MVPC)using data provided by the T=n of _..I I �'�; Medical MadJuana M Genera Business District QQ t 4a q r q� North Andover.Additional data provided by the Executive Office of .—SR Downtown Overlay District 0, Planne Commercial Dev �.< 6 rb 4 Environmental Afraim/MassGIS.The Information depicted on this map is Roads n Historic District Corrode Development Dist ,.} a' OL for planning purposes only.It may not be adequate for legal boundary Osgood Smart Grovdh(40 f Cordite Development Dist Q "` M definilion or regulatory interpretation.THE TOWN OF NORTH ANDOVER 0...m Easements ',. Hydrographic Features cl Cornea Development Dist F- p MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING Industri I 1 District - THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY El Parcels Streams Industri+I 2 District * s o OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT Wetlands 6,7 Industri it3 District M ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF M Industri I S District 4A` . ' THIS INFORMATION Exempt Lands Reside ce I District �Y„� °aAroq Reside ce 2 District S'pCHtlS�' Reside ce 3 District de ce 4 District ce 5 District Y ode ce 6 District maga esidential District North Andover MIMAP February 17, 2016 . 1� CPiAR�G T I 039 0-0019 1 t, °" � 039.0-Oats i 039.0-0017 „�r " I `�� 242 SUTTCMPd,ST I � r 238 9U"I"�TOPd 5T X38 SIJ'i"TGI'(9 �T t��;r,� til l�� I Vtuiuuui °' 039.0-001,3 i I n i iii,t q I X040 0-0002 C3 MVPC Be Interstates I Horizontal Daturn:MA Stateplane Coordinate System,Datum NAD83, --SR Meters Dala Sources:The data for this map was produced by Merrimack NORT#4 Valley Planning Commission(MVPC)using data provided by(he Tovm of Roads p'f ,,go r qA, North Andover.Additional data provided by the Executive Office of k r Easements } b64Y a y+O0 Environmental AffairslMassGIS.The information depicted on(his map is Parcels ' L for planning purposes only.It may not be adequate for legal boundary O *— to definition or regulatory interpretation,THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING 41 >< THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY M t OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT o,Ep � ro * ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF —c' THIS INFORMATION �s ACNUS 1"=35 ft The Commonwealth of IVXassachUs'etts z. .Department of Xno?astrzalAccidents M X Congress Street,Suite 100 -Boston,NIA 02-114-2017 www.mass�s.gov/dza Workers'Compensation xO�E�ED'WZZTHAffidavit: THEP RM7[T�IN�'-A-UTJ�OE7TX txScxans/PXuxnlbexs. A hcantZufoxmation Please Print Legibly Namo(Businessforganization&dividual): �� City/State/Zip: ff0 4�y®OJ e_ VO APhone#: q7 Are you an employer?Checkt&appropriate box: Type of project );equired): 1,[]I am a employerwith employees(fan andlor part tune).` I. [I NeW construction 2. I am a sole proprietor or partnership and have no employees Working forme in 8. EI Remodelhig any capacity.[No workers'comp.insurance required.] 9. [(Demolition. 3.,❑I am ahomeowner doing allworkmyself;[No workers'comp.insurance required.]t 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 11.[l Electrical repairs ox additions ensure that all contractors either have workers'compensation insurance or are sole ; pzopzre ors wi no employe —�-,------ —---f-2-.E]-Plumbing-repairs-or-additions- 5.F] ]gXumbingxepairs-ar-addztzonsT5.F]I am a general contractor and I have hired the sub-contractors listed onthe attached sheet. 13.0 Roof repairs These sub-contractors have employees and have workers'comp.insurance. 14.❑Other 6.0 We are a corporation and its officrers have exercised their right of exemption per MGI.G. 152,§1(4),and we have nQ employees.[No workers'comp,insurance required.] *Any applicant thatchecks Eox#I must also fill outthe section below showing their workers'compensation policy information i Homeowners wfio suliriiit llris affidavit indicating they are doing all work andthen hire outside contractors must submit a new affidavit indicating such. zContractors that checkthis 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-contractors have employees,they must provide their workers'comp.policy number. compensation insurance for my employees.'Below is the policy and job site jam an erriployer Mat is pr ovidirzg workers' information. Insurance Company Name: Policy#or S elf-ins,Lic.0- Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration elate). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fate up to$1,500.00 and/or one-year secure imprisonment,as well as civil penalties in the form.of a STOP WORK ORDER and a fine of up to$250.00 a be forwarded to the Office of Investigations of the DIA for insurance day against the violator.A copy of this statement may coverage verification. polo Baer eby cert y e er thepain ndpenalties ofpeif ay ti,(it the information provided above is true andcorrect . Date: / e l� Si nature: Phone#: l G'� (� — 333 7 `� Official use only. Do notwrite in this area,to be completed by city or town Official City or Town: Perwit/License# Issuing.A.uthorfty(circle one): 1.Board of Health 2.BuildingDepaxtment 3.CitylZown Clerk 4.JElectzicaX inspect-or 5.Plwmtbinglnspector 6.Other Contact Person: Phone#t; Construction Supen-isor License: CS-059105 .r,t Is .,��. PAUL G.-IfUTCH UkS 121 FARNUM STS North Andover WA 01845 AA Expiration Commissioner 05/05/2016 tae 'a�wn �tua��a Office of Consumer Affairsaoc&eBusi>fe,ss Regulation ME IMPROVEMENT CONTRACTOR eg►stration: 179313 xOration ,7/17/2016-. Type: DBA HUT INS HOME IMPROVEMENT; PAUL HUTCHINS 121 FARNUM STREET NORTH ANDOVER,MA 01845 —'� Undersecretary