HomeMy WebLinkAboutBuilding Permit # 4/26/2016 BUILDING IT � .:. w ...
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION � -
Permit NCS; � � �)
Date Deceived
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Date Issued: � tt & ACIu
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑ Addition ❑ Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Aesory Bldg ❑ Others.-
0
thers:❑ Demolition ❑ Other
+ II ❑ ' p ,r ❑ eft
U1110101IN
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Identification. Please Type or Print Clearly)
OWNER: Name:
Addre
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ARCH ITECT/EGINNER Phone:
Address: —Reg. No.----.---
FEE
la._ _ –.-FEESCHEDULE'BULDING PERMIT.-$1Z00 PER$1000.00 OF THE TOTAL.Ld IMAT D COST BASFD ON$125.00 PER S.F.
Total Project Oast:
Check No.: l
Receipt hle. �
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty
Signature f Agent/Owner Signat re of contra tr r ._._..
00Th
Town ol Andover
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COCMIC M(WICK
NEEL
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BOARD OF HEALTH
Food/Kitchen
Septic System
IkeTHIS CERTIFIES THAT ..�... ke �, q.... ............... BUILDING INSPECTOR
.... .......... ..... c. ............
. . ........ . ..
Foundation
has permission to erect ...................... buildings on .... ... I .. .. . ........ .............ti.
Rough
to be occupied as . . .......... ............... Chimney
provided that the person accepting this permit steal ' 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
MONTHS
PERMITEXPIRESMONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTIONYARTS Rough
Service
................ ... ..
jrplub........................
Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to 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.
25 Indian Rock Rd,Suite 18
Windham, NH 03087
603-437-3739
CUSTOMER: Jim and Kerna Pettorel i
PHONE NUMBER: 978-208-7198
DEL IVERYADDRESS: 5 Skywew Terrace,North Andover,MA
1, The Seller agrees to furnish the
materialscons-
Te Customer agrees to make paymnce plan
and
materials
payment listing
dated
iodanung the e of
as follows:
Total price: � 56170
Deposit on signing agreement_half of
cabinet cost and half of co mterto cost
RE ER OF PAYMENT SCHEDULE TO BE PLACED IN ADD
This contract includes the terms listed below—please ENDUM
read and sign where indicated.
2. The standard form of
other warranty shall apply to the service and
warranties of purchased products a I equipment furbished(except where
the Seller and delivered to the Customer.apply), The warrantY shall become effective when
3' The delivery date,when given, warranty is for one year on materials. signed by
caused b strikes, ct° will be deemed approximate and performance is sub
pe fires,acts of God or other reasons,not under the control of the Seller,as w
availability of the product at the time of delivery. J�to delays
4. The Customer agrees to accept delivery well as the
destruction,shall be u on the ry of the Product when ready_ The risk of loss,as to
Customer be unable to ecce t delry mer upon die delive and rec damage or
all
costs related to such P r3'and the product needs to be�warehou Product.
d for an Should the
will be the responsibility of the Customer. The second a y time,
time of storage and must be paid or it will become subject to interest ch
5• The Customer understands that the products described are s payment will be due at
the Seller takes ' charges
immediate steps upon execution of this A pecifically designed and custom built and
is Agreement is not subject to cancellation by die Customer
ust mer foes t t order those items;therefore,
6. Possession of the item sold in dus
the product is p Agreement shall not pass to the Customer omer until the full price of
P aid to the Seller.
7' Delays in payment shall be subject to interest charges of 18%per ann and
than the interest rate provided by , If the Seller is required
in no event higher
agency or attorney,the Cusomer agrees to reimb to
engage the services of a collection
expended in order to collect an reimburse the Seller for an r
y uirpaid balance. Y easonable amounts
{
AIPP, p .
Constracti'an
I/We,the owner(s)of the premises mentioned below,hereby contract with and authorize as contractor,to furnish all
necessary materials and labor,to install,construct and place the improvements according to the following specifications,
terms and conditions,on the premises described below:
Owners: Jim&Kema Pettorelli Phone: 978-208-7198
Address:5 Skyview Terrace,North Andover,MA
Contractor Information: ripple Wood Construction Inc,64 Noyes Rd,Londonderry,NH 03053
FED ID#45-2837711
IIIC#181805
Contractor ID#CS87691
Part I
Description
Apple Wood Construction,Inc.,will: See attached estimate dated: 3/30/2016
For the above or attached specifications the undersigned agrees to pay the sum of: $52,830.00
The Customer agrees to make payment in accordance with the schedule of payment as follows:
Deposit on signing agreement $500.00
REMAINDER OF PAYMENT SCHEDULE TO BE PLACED IN ADDENDUM
Part R
Proposed start date:Approximately two weeks after issuance of town permits.
Proposed end date:Approximately 3-6 months after start of work.
Contractor is not responsible for delay,damage or inability to carry on the work caused by or resulting from strikes,
blackouts,fires,accidents,lack of material or any other cause beyond the control of the contractor either before or after
the delivery of the material and equipment at the said premises.
The contractor is to be permitted to proceed with the specified work without interruption and hereby authorized to do
such work as in his opinion is necessary to complete this contract.Plans may need to be altered slightly during
construction phase at the contractors discretion.
The contractor and/or subcontractors will not enter the house if there are minors present without someone over 18
present with them.
Part III
This agreement shall become binding only upon the contractor's written acceptance here of or upon the contractor's
commencing performance. You may cancel this agreement if it has been consummated by a party there to at a place
other than the address of the seller,which may be his main office or branch office by ordinary mail,by telegram or by
delivery,not later than midnight of the third business day following the signing of this agreement in accordance with
MGL c 93 s 48;MGL c 140D s 10 or MGL c 255D s.
Londonderry,New Hampshire
603-432-8599
www.applewoodconstruction.net
pple,
-A
Construction
Part IV
The contractor will do all such work in a workman-like manner. In the event of discovery of hidden damage,it will be
charged in a cost plus manner,labor,plus material,plus twenty percent(20%). This amount is due immediately upon
completion.
The owner(s)agree that in the event of cancellation of this contract before work is started,the owner(s)shall pay to the
contractor,on demand,twenty-five(25%)of the contract price plus any material that may have been ordered as it's
stipulated damages.
Part V
The owner(s)will bear the burden of any penalties or fees associated with delays or litigation necessary to complete this
contract and collection of all monies due. Delay in payment of any portion of this contract shall be subject to interest
charges of eighteen percent(189/6)per annum.
There are no other agreements,understandings,representation or warranties,verbal or otherwise,expressed or implied,
which are not contained herein.
All additional work and/or materials requested by the owner(s)must be paid immediately.
Part VI
All home improvement contractors and subcontractors shall be registered and that any inquiries about a contractor or
subcontractor relating to a registration should be directed to:
Office of Consumer Affairs and Business Regulation
10 Park Plaza Suite 5170
Boston,MA 02116
617-973-8700
Part VII
All work is warrantied for one year after completion date.
The contractor reserves the rights to take before and after pictures of the project for use on contractors own website for
informational purposes only.
Londonderry,New Hampshire
603-432-8599
www.applewoodconstruction.net
A 11
V%v-%
FFle Wood
Construction
6. Foyer/upstairs hallway:
a. Remove bottom tread(due to being rounded)
b. Set up for new stairs/newel posts and wainscoting.
7. Rough plumbing allowance of$2500.00 is given to include the following work to be completed
by a licensed plumber:
a. Re-work water,drain and vent as needed
b. Re-work gas
s. HVAC:
a. Supply and install vent and make-up air for hood.
NOTE: Any other HVAC work would be an additional charge. After seeing exterior of house
in daylight we may not be able to run duct work out due to existing roof lines. If not, re-
circulating kit will be needed for hood and you could deduct$1500.00 from total.
9. Any sprinkler work is not included and would bean additional charge.
10. Electrical allowance of$9500.00 is given to include the following work to be completed by a
licensed electrician:
a. Supply and install 4-6 LED recessed lights in living room
b. Supply and install 4-6 LED recessed lights in dining room
c. Supply and install 14-16 LED recessed lights in kitchen on 2-3 dimmer switches
d. Re-work existing lights as needed
e. Re-work for new kitchen design(still to be determined)
f. Supply and install 5-6 LED under cabinet lights in kitchen
g. Supply and install 5-6 LED lights in glass cabinets
h. Supply and install 4-6 LED under cabinet lights in study
i. Re-work outlets for study(still to be determined)
j. Add outlet in cabinet in study for charging station and for tower.
k. Move light and install new customer supplied fixture over new table location.
NOTE: If another panel is required additional charges will apply
NOTE: We may have to make some holes in basement and additional charges would apply
to repair
11. Wallboard as follows:
a. Repair all holes made on first floor
b. Supply and install blueboard to any new construction areas
c. Plaster smooth as needed tying into existing
d. Match ceiling as close as possible as needed
2Pi e
The Commonwealth of Massachusetts
Department oJ'JudustrialAceidents
I Congress Street,Suite 100
Boston,AL4 02114-2017
www.mass.gov1dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/El lectricians/Plumbers.
TO BE FILE D WITH TELE PE RNMITING AUTHORITY.
Name03usiness/Organization/Iiidividual): a.'')
c
Address:.!�6
City/State/Zip: .'.- _ i, A Phone#:
Are you an employer?Check the appropriate box: Type of project(required):
1.[Sfl am a employer with Q_ employees(full ad/.,part-time).* 7. ONew construction
2.E]I am a sole proprietor or partnership and have no employees working for me in 8. Ellemodeling
any capacity.[No workers'comp.insurance required.] 9. ElDemolition
3.FJ I am a homeowner doing all work myself.[No workers'comp.insurance required.]t
4.F]I am a homeowner and will be hiring contractors to conduct all work on my property. I will IOE]Building addition
ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions
proprietors with no employees. 12, Plumbing repairs or additions
S. I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.[J Roof repairs
These sub-contractors have employees and have workers'comp.insurance.1
6.Q We are a corporation and its officers have exercised their right of'exemption per MGL c. 14.[:]Other
152,§1(4),and we have no employees.[No workers'comp.insurance required]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a now affidavit indicating such.
tContractors that check this 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.
lattiaiteiiiployei-titatisproviditigipoilcers'conipeiisationi),isuraticeforiiiyettiployee.9. Belon,is the policy andjoh site
information.
Insurance Company Name:
Policy#or Self-ins.Lie. Expiration Date:'
Job Site Address: cyLxJ2 City/State/Zip: NA\k,�c Cog"
Attach a copy of the-workers'c�Apcnsation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine tip to$1,500.00
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK 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.
I do ItereGycertify tattler t sins and
penalties of pea; that the inforinationpropided above is trite and correct.
Si afore: Date:
7
Phone#: A
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one): i
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone M
Massachusetts Department of Public Safety
Board of Building Rr. ulations and Standards
License: CS4)87691
Construction Supervisor
-, ' ,. _
LEONARD SANTOSUOSSQ Ill
64 NOYES
ROAD'- ff
LONDQNDERRy:NH.
..m
1�=/►`"'� `-"— Expiration:
Commissioner 09121/2017
`/IlJrz;IC i'If!'P[CCIJI
Office of Consumer Affairs&Business Regulation
Ni
«W-
egistration
�OME"IMPROVEMENT CONTRACTOR`
989805
Type:
�Expiratlon 5f512U17s Corporation
APPLE WOOD CONSTRUCTION INC.
*LEONARD SANTOSUSSO
1 64 NOYES RD
LONDONDERRY,NH 03053
Undersecretary