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Home My WebLink AboutBuilding Permit # 3/25/2016 1 c 'l �� -1 BUILDING PERMIT � Hca , � TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 4 4 � O� cociil[�ewicN 1 Permit EeA��d �� "� �JT_ Date Deceived cHus�� Date Issued: �IORTANT: Applicant must complete all items on this page r l ✓, r, ✓ r r/ r / r / �/r /// /, / /�� rr v r, „ , ( „< I Tr;, (! �//r,///i////., / %//r // r /iJ/ii�,r,rL,,,.,��,,,.ec ✓. r 1/rr/ri�///,��,r % ,�r/i r/ ,,,, / /// r / r l ✓ /i / r / ✓ / // / �,r� / / r J � / 1 1 / ear r , / / TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑A ition ❑ Two or more family ❑ Industrial Alteration No. of units: 11 commercial ❑ Repair, replacement ❑ Assessory Bldg _ ❑ Others: ❑ Demolition ❑ Other ❑ Se tic ❑Wellk 0 Floodplain ❑Wetlands ❑ a t pct /// d / p / 1114 DESCRIPTION OF WORK TO BE PERFORMED: AhEw k xche"V c w4 owe -f g Identification- Please'Type or Print Cleanly OWNER: Name: k/ h4 V; --% Phone: (p( 7 Address: Corifractor N me. P� f Pho.np: Erna1l r ;, ' A, n'see. /ii�r rl /�r j //j %r %/// //� r/ / 6r r rl�/,�,///oi� :/i Gll, ^„r;@ i,,”' r r ale` / /// r/ Home /Improvement License E xp r, G r 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: $_3 2 , FEE: $ Check No.: Receipt No.: 3 i NOTE: Persons contracting with unregistered contractors coo not have access to the guarantyfund �gnature of Agent/C7wner - _ Cignattare o_F cantractor. NORTH UW11 utE � 2 ••1''. nc10"'%' v?C11loop No. h verass O LAKE 7 1 - A- COCMICNEWICK S U BOARD OF HEALTH MK! Food/Kitchen ,7ER T T L �D Septic System Ec THIS CERTIFIES THAT too BUILDING INSPECTOR .......................... ............... ................... . . .. ....................... ......................... has permission to erect . buildings on �� Foundation � Rough t® be 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESSI STARTS Rough Service .............:....' . ...... .�. .................... BUILDING INSPECTOR Final GAS INSPECTOR Occupancy Permit Requiredto 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. Massachusetts H vement Sample Contract ']'his form satisfies all basic requirements of the state's Horne Improvement Contractor Law(MGL chapter 142A),but does not include standard language toprotertlioiiieownei,,s. Seek legal advice if necessary. Any person planning lionne improvements should first obtain a copy of"A Massachusetts Consumer Guide to Home Improvement"before agreeing to any work oil your residence.You may obtain a free copy by calling the Office of Consumer Affurs and Business Regulation's Consumer Inforination Hotline at 617-973-8787 or 1-888-283-3757 or on our website. Homeowner Information Contractor Information Name Company Name 'Z C- -------------- Street Address(do not use a Post Office Box address) Contractor/Salesperson/Owner Name 3 v`w 4 rm R_/N Pum v L A/11 T—r— ------ City/Town State Zip Code _E,sim.Zd�d,. (m------us----------------------------in- dle a street address) ArV -A v4ove, km A- I cy 6 Daytime Phone Evening Phone City/Town State Zip Code NO-4"Doveot Mo 01 Mailing Address(It different from above) Business Phone Federal Employer ID or S.S.Number L111 11imp � E�T ii c 1 s '05-7 ,9r The Conti-actor agrees to do the following work for the Homeowner: (Describe in detail the work to completed,specifying the type,brand,and grade of materials to be used,use additional sheets if necessary.) V C. I*I-/-C,%1 4& 11-1 4- L L_5 12-e do 1$ 1& c- a-I /1 47 / 1^111 M_c- oL D I< 1 4-C,4 e k�, C 14 61 F- if..dv— / pluilb"Ll AS't 19 LA Ne W G.-4 e- /k-,, Required Permits-The following building permits are required Proposed Start and Completion Schedule-The following schedule will and will be secured by the contractor as the horneowner'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 ):5 64ate when contractor will begin contracted work. MGL chapter 142A.) 61 D� ate when contracted work will be substantially completed. Total Contract Price and Payment Schedule The Contractor agrees to perform the work,famish the material and labor specified above for the total sum of: --77Y Payments will be made according to the following schedule: $ OV upon signing contract(not to exceed 1/3 of the total contract price or file cost of special order items,whichever is greater) 40 by -7-1 _or upon completion of )v ej C) ry S "Oby or upon completion of C I_h/A/-e )�n upon completion of the contract. (Law forbids demanding fall payment until contract is completed to both party's satisfaction) The 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:(1)Including all finance charges(11)Law requires that any deposit or down-payment required by the contractor before work begins may not exceed the greater of(a)one-third of the total contract price or(b)the actual cost of any special eqUiPTuCut or custom made material winch must be special ordered in advance to meet the completion schedule. —-------------------- Exuress Warrantv-Is air express warranty being provided by the contractor? LI<f No 1:1 Yes(all terms of the warranty nors(lie 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 within this document,the contract shall not imply that any lien 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.'rake time to read and fully understand it. Ask questions if something is nuclear, • Make sure the contractor has a valid[ionic Improvement Contractor Registration. The law requires most home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration. You may inquire about contractor registration by writing to the Director at 10 Park Plaza,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 confirm coverage,or ask to see a copy of a"proof of insurance"document. • Know your rights and responsibilities. Read the Important Inforniation on the reverse side of this form and get a copy of the Consumer Guide to the Home Improvement Contractor Law, You may cancel this agreement if it has been signed at a place other than the contractors normal place of business,provided you notify the contractor in writing at his/her main office or branch office by ordinary mail posted,by telegram seat or by delivery,not later than midnight of the third business day following the signing of this agreement. See the attached notice of cancellation form for air explanation of this light. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES!!! T,coidentical copies ofalio contract mar. beconipletcdand sigiwd.Oric cop.),should go to die horacowacr,I'lle other cop),should be kept 1)),(lie contractor.-a, ---- ------ Lim eo er's Sig ature Co ctor's Signature Date Data Contractor Arbitration The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as an alternative to court action)iftlicy have a dispute with a contractor. The same right is[lot automatically afforded to a contractor,however. The contractor would have to resolve any dispute fie/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 homeowner 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 sub7 it to such arbitrati n as provide In Massachusetts General Laws,cha er 142A - 1 A ),// Fldrnet—i�e7g-L 'r tile s�i alo, COJAFAo�s Signature N01 I T:The sig ir of )arties 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 homeowners rights under 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. Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law. The contractor is responsible for completing the work as described,in a thriely and workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor,all goods sold in Massachusetts carry all implied warranty of merchantability and fitness for a particular purpose. Ali 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 Conti-act 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 fully 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 a contractor deems him/herself to be financially insecure,the contractor may require that the balance of funds not yet due be placed in a joint 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 Conti-actor Law or other consumer rights,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 617-973-9787,888-283-3757 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 Home Improvement Contractors 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 509-652-4800,508-755-2548 or 413-734-3114 Version 2.1-11/22/2010 8 commonwealth OfMassaOusetts De parfi2efil o�X�tdr st ��Acc cue tt� x. f I Congress Street,Suite 100 Boston,MA 02114-2017 www.mmss:go vldia �To�:kers'Coanpen�o 73D�'JZED WZTH�THE�E�1YlJLTrTINC AJ[1TJ�ORXT�Si'.tricianslJ�lumber . s Please Print Tae 'bl A licant InformatiO3x Namo(Srtsiness/Oxganizatzoaftdividual): .Addxess: 3 1 spv*)") 4 M ' City/statelzip: N v q ®o./ MA Phone#: � , � � �& 3 3 .37 Are-you an employer?ChecRtlie appi'opxiafo box: Type of project(xejuixed): emp y to ees full,andlorpart tune).* 7. EINOW eonsfr ctzon l.p I am a employerwith • •.. - 2, m a sole proprietor Orparfu"81.4andhavenoempoloyeesVorkingformein 8, YXlo�alkig any capacity.(Noworlcers comp•insurance require .] 9, ]emoi:ition 3,[]I am a homeowner doing allwozkmysel [No workers'comp.insuraneerequired.]t 10E]Building addition 4.QI am a homeowner and will be hiring contractors to conduct all work on my property. I will 1 Eleotxical repairs or additions ensuze that all confractozs either have workers'compensation insurance or aro sole ; �=�ltarnliz}grepaixs-or-additions—_ _ 5.E]I am a general contractor and I have hired the sub-contractors listed onthe attached sheet. 11 L_l Ro of repairs These sub-contractors Bade employees and have workers'comp.insurance 14•El Othax 6.Q We area corporation audits ofggershave exeroisedtheirright o£exempfion perMGl,c. 152,§1(4),and we have no,employees.�No workers'comp.insurance required.] xAny applicantthat checks Boit#1 must also fill outthe sectionbelow showingtheirworkers'compensationpolicy information i homeowners who sul3riiit taus affidavit indicating they are doing all work andthea hire outside contractors must submit anew affidavitindicating such. xContractors that check flus boxmust attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. Ifthe sub contraefozs Have employees,they innst provide their workers'comp.policy number. et tlaatrsp 6vidingiVoxlce�s'compensation insuraneefor my emVloyees.'BeloW is theIVolicy andjoh site am an enipploy information. Tnsuxanco CompaayName: Expiratioxx Date: . Policy#or Self-ins,tic.#: - Citi/State/Zig: Sob Site Address: Attach a copy of the Workers' compensation policy declax anon page(showing the policy s:unaiOer and expiration date)- Failuxe to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1.,500.00 and/or one Year i�npxisonment,as well as civil penalties etxorwho aoded to the Off e TOP WORK In tions oi:th.e DTA.for xusman o a day against the violator.A.copy of this statement may b forwarded coverage veri�tcatioxz" da lae�ey certy nn t;2e pains a dp nalties ofPerjurr�that the informationprovided ovidecl above is true and correct _ Date: Si afore- Phone# 1'7 Official use only. _7o notxvrite in this area,to lie completed by city or town official City or Povrn• J�ernxit/> icezxse# IssuingA.uthority(circle one): 1.Board of ECealth 2.Building Department 3.Cityffown Clerk 4.BlectAical Inspector �.Pluxnbinglnspector 6.Other Rhone#: Contact Verson: u Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen•isor License: CS-059105 PAUL G.-HUTCHjXS 121 FARNUM ST - North Andover M-A 01845 �S �J °% «� • A m Expiration Commissioner 05/05/2016 C�aa,, ��e (Oaow�izo�uaea�f a�C�/f �\ Office of Consumer Affairs&Busi ess Regulation ME IMPROVEMENT CONTRACTOR egistration: 179313 xpiration . -7/1712016-, DBA Type. HUTCHINS HOME IMPROVEMENT' PAUL HUTCHINS 121 FARNUM STREET NORTH ANDOVER,MA —rte Undersecretary