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Home My WebLink AboutBuilding Permit # 4/22/2016 BUILDIING PERMIT "ORTH 46 TOWN OF NORTH ANDOVER ab WK APPLICATION FOR PLAN EXAMINATION 0 Permit NCB : Date Received US Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER MAP PARCEL: ZONING Priftf 100 Year Structure yes nDISTRICT: Hiso toric District yes 4--1 Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE ResideopI Non- Residential ❑ New Building ii-O'ne family Li Addition [I Two or more family 11 Industrial 0 Alteration No. of units: 11 Commercial El Repair, replacement Li Assessory Bldg 11 Others: [I Demolition D Other i6d`bisfn'6 DESCRIPTION OF WORK TO BE PERFORMED: e Please T Clearly ......Ontification pe or Print C Pho —'75"'ZI OWNER: Name: ne: Address: Contractor Name: H-4- (',�61)Y-5 Phone: 21A 61 1)1J (1 111` Email: Address: Jvd, 1,77k -7 Supervisor's Construction License: Exp. Date: Home Improvement License: tl —Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEESCHEDULE. BULDING PE�F.'02.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: FEE: X Check No.: -3 Receipt No.: ��6 ,2 7 NOTE: Persons contracting with unregistered contractors do not have access to the guarant ,,yfund .......... C P t%ORTJI A"SLAh Ar%&'W 7 Af.% -='M Town of 11dUVVF O �.�• y+. 7 -p Ibb. d D1 T �O LMNE h , ver, Mass, ' :z NIC�I2— �ACOCo U MIN- BOARD OF HEALTH Food/Kitchen Pc; RMIT T L D� Septic System CTHIS CERTIFIES THAT BUILDING INSPECTOR .......... ................. ..... / .............................................................. has permission to erect .......................... .. .. ��.�...s� ........................................ Foundation. buildings on Rough tobe occupied as ............. .... '. :.✓a ................................................................... Chimney provided that the person accepting this ermit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES ELECTRICAL INSPECTOR UNLESS CONSTRUCTI TARTS Rough Service ......... .... ... . .. ... �..+..� ............................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy By Rough Display in a Conspicuous Place on the remises — ®o Not Remove Final No Lathing or T Wall 1 o Be ®one FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Propool Page# of pages NN CS # 022660 978-688-6737 HIC# 103358 A. r 159A Waverly Road 1-978-912-2853 North Andover, NIA 01845 v Proposal Submitted p� �' 1` Jab Name Address ob L ao�tig(t ate ate of Plans Phone# gyp,„s �° Fax# Architect We hereby submit specificatio s and estimates forPT-7 d, p ./��°� �w,��"c�.. � d�"��'��$"'°��' °�'�;ld,� V1"�"dr°�miJd�'�.,,`'�" ��,�/r��„Nds�'�,✓� A�I�Y�,6" �rol� ilP' �� ,� � audN,t4a, da �P r° �,+�rT ��+ �, "�^+u G;v� a7 �A"' ;,, a„p�`,r 6?� ifF�fF ,„�W�kir §�<d(,'r"n .r,,:,�u"a,//4,k �r % ,,a"`✓.'%,✓q+,�&' io,n''tld �"'( u T " �.�+e amam”,rrP r?ll � P t ''�`� 0"'� ,rY ads w�� rea We propose hereby t6f�u+.m� isrh material and labor com lete in accordance with the above specifications,�o the sum of; Ufa $ g Dollars w u Rolla a� with payments to be made as follows; Any alteration or deviation from above specifications Involving extra costs will be Respectfully � X a � executed only upon written order,and will become an extra charge over and submitted above the estimate.All agreements contingent upon strikes,accidents,or delays beyond our cohtrol. Note—this proposal may be withdrawn by us R not accepted within days. The above rices, rY � n s ecnticabons and conditions pp yard satistaa#o and are -'Signature hereby accepted.You are authors erYt they” o�as specified. "1 Payments wlll be made as outlined "e. ,' Date of Acceptance ., � Signature MASSACHUSETTS HOME IMPROVEMENT CONTRACT This form satisfics all basic requirements of the state's Home Improvement Contractor Law(MOI:,chapter 142A),but does not include standard language to protect homeowners. Seek•legai advice if necessary. Any porsonplenning hon5e iftnprovcments Should first bbtsin a copy of"a Massschusetts'.consumer guideto home,improvement"before agreeing to any work on your residence.You may obtain a fi�copy by'calling tie Office of Consumer:Af&tirs and Business Rogulation's Consumer lnfonnadon Hotline at617-973 8787 ar 1+88M83-3751, Homeowner Information Contractor Iriforknotion epic pany u ( � � address) ntractor/ meson/ wnerNamep . Str ddress don A/ Post Office Box Cr /fo State Zi Code usiness Address(must include a atrect ) . Phone Evenin Phone itynown Stato Zip Code N71113-7/ / s �- MailingAddress(it different from above) upness Phone uleral 'player or S.S.Ntunber lnaraq«traatL�Imonlw ue.l Hama skmml Ctmn.t�ar tleg Ham6ar HxP'natianAeit� . pov�ml aonoeeion lawn ,/' y' ✓'�' . rad �^ The Contractor agrees to do the following work for the Homeo per: reavtnnaam®bo' ff [M)LOC WQrK TO COMpTen5T'9PnqfyMrMc may, r. 4,1 Required Permits-The following building pionits are required Proposed Start and Completion Schedule-The fdllowing schedule will and will be secured by the contractor'as the'holneowner's agent be adhered to'uiiless circumstances Beyond the contractoercontrol arise (Owners who,secure their own permits will be excluded1from,the:Guaranty Furid pirovisions of Data when contractor will begin contracted work MGL chapter 142A.) Date when contracted .work will be'substantially completed..' Total Contract Price and Payment Schedule V dos Tho Conpactor.aries to dma erfothe work furnishspecified the materiel and labor above for the fatal sumo}; ( } Payments will0- ide according to the following schedule: s F upon signing contract(not.tb exceed 1/3 of the total.contract price,91 the cost;of special order items,whichever is greater) $ by or upon completion of 7 AY _ or upon completion of ' $ Gr' upon completion of the contract. (Law forbids demanding full payment until.contract is completed to both party's satisfaction) The following material/equipment must be special $ turbo paid for ordered before the'contracted'workbegins in order Seta ba Patd for to meet tlie,eomipldion schedule,(+«) p NOTES:(«)Including all finance charges(")Law requires that any depositor 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 equipment or custom made material which must be special ordered in advance to meet the completion schedule. Express Warranty-Is an exvresswarranty bin e orovlded by thacontraetor2 No Yes (nL1 t+ of tr+e warranty must be attar read,to tba contract) Subcontractors The contractor agrees to be solely responsible for completion of the work descnbed regardless of the acdons'ofari tfiird 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 atmement Contract Acceptance-Upon signing,this document becomes a binding.contract underlaw. 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 cautions and notices carefully before signing this contract. + Don't be pressured into signing the contract.Take time to read'and fullyunderstand iL Ask'questions itserrid"i is unclear, « Make sure the contractor has a valid Home r ,•,roveme t Con mclor Realstratim The hiiv requires most home improvement contractors and. subcontractors to be registered with the Director ofHonre Improvement Contractor Registration. You may inquire abouteontractor registration by writing to the Director atone Ashburton Place,Room 1301,Boston,MA 02108 or.by calling 617-727.3200 or 1-800.223-0933, • Does the contractor have insurance? Check to see that yourcontractor is properly insured • Know your rights and responsibilities. Rood the important information on the reverse side of this foim and get a copy of the Consumer Guide to the Home Irhprovement Contractor Law: You may cancel this agreement if it has been signed at a place other than the contractor's'normal place of business,provi=than!mnidnjght contractor in writing at his/her main office or branch office by ordinary mail pasted by telegram sent or by delivery,not third business day following the signing of this agreement,See the attached notice of cancellation form for an explanatio DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACESM Two ideeliral cop'i of the contract mist be completed and signed.One eopy aLould go to the ho ;The other copy should be kept by the contractor. " HomeownersContractor's Signature Stgnatu t gna > ' w '? Date , S. - ,,Date WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE A.I.M. Mutual Insurance Company 54 Third Avenue, Burlington, Massachusetts 01803-0970 (800) 876-2765 NCCI NO 26158 POLICY NO. AWC-400-7014648-2015A PRIOR NO. I AWC-400-7014648-2014A ITEM 1. The Insured: Arthur Walsh DBA: A J Walsh &Sons Mailing address: 159A Waverly Road FEIN:`*-`*"6792 North Andover, MA 01845 Legal Entity Type: Sole Proprietor Other workplaces not shown above: See Location 2. The policy period is from I111/14/2015 to 11/14/2016 12:01 a.m.standard time at the insured's mailing address. 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers'Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of liability under Part Two are: Bodily Injury by Accident $ 100,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 100,000 each employee C. Other States Insurance: Coverage Replaced by Endorsement WC 20 03 06 B D. This Policy includes these Endorsements and Schedules: SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals of Rules,Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Classifications Premium Basis Rates Code Estimated Per$100 Estimated No. Total Annual Of Annual Remuneration Remuneration Premium INTRA 40579 INTER SEE CLASS CODE SCHEDU E GOV GOV STATE CLASS MA 5403 State Assessments/Surcharges $.00 x 5.7500% $ This policy, including all endorsements, is hereby countersigned by ^'r `-- 1" - 11/05/2015 Authorized Signature Date Service Office: Durso&Jankowski Insurance Agency LLC 54 Third Avenue 11 Saunders Street Burlington MA 01803 North Andover,MA 01845 WC 00 00 01 A(7-11) Includes copyrighted material of the National Council on Compensation Insurance, used with its permission. Err!neo 1 )i Board.DfBu's� Construction sllper+kor License: CS-022680 ARTHUR J WALSH JR 159A WAVERLY.MD N ANDOVER MA 01845 Corrunissioner 0610912016 Office of Consumer Affairs&Business Regulation ,) ?OME IMPROVEMENT CONTRACTOR -,lAegistration: 103358 Type: All xpiration: 717/2016 Private Corporatio• A.J.WALSH&SONSJNC. Arthur Walsh 55 Pleasant St N Andover,MA 01845 Undersecretary