HomeMy WebLinkAboutBuilding Permit # 5/10/2016 F£ESC/uEDx/LE.00cumxs "~".~~~~~. ~~~^~ ~.,_-_--P_'_ .
NORTH
Town of
Andover
1.
No. _-
v C C
T 0 LAKE h �• ♦ er� ass, MrI14 Ion 216110
COC NIC NE WIC. 1�
R�9TiED PP�\��5
U BOARD OF HEALTH
Food/Kitchen
PER T T LD Septic System
THIS CERTIFIES THAT ..... . BUILDING INSPECTOR
... ............... ............ ........................................
oo
has permission to erect .......................... buildings on ...1.. ... ..... ..... ... ... ...... Foundation
Rough
to be occupied as ........�accepiin(17�1
®.. .......... .... .. .................................................................... Chimney
provided that the persos 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
UNLESS CONSTRUCTION ARTS Rough
� / Service
................ .... .. . .........................
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.
MASSACHUSETTS HOME IMPROVEMENT CONTRACT
This form satisfies--all basic requirements of the state's Home lmprovement Contractor Law(MGC,chapter 142A),but does not include Standard
language to protect homeowners. Seek legal advice if necessary. Any person planning hotite irinprovements Should fii�af obtain a copy of"a
Massachusetm consumer guide to home,improvetnent"before agreeing to any work on yourrrstdence.You may obtain-a free copy by'calling'the
Office of Consumer;Affairs and Business Regulation's Consumer Information Hotline U617-9714787-or 1..888:283-375.7.
Homeowner Information Contractor Information
Name
pray a:.
Street A7n useat'a�0 ceBo address
/J f ) ntrador/ n/.0 erName
City/rown Stapt Zip Code Uriness Address hst include a street address)
Daytin Pyne Bven ifft 'e ity/Iown State Code
Mailing Address(h tfifftxmt from above) usiness one ederWF.mpl6yer 1D ors.$.Number '
liv etquiro ILl moll Lomeim•I Aome l CtmmCor Sea;Number EtPaslion-0elt
fm�al eoatrsaon haves / � '
' alld vai,mdoammber
The Contractor agrees to do the following work for the Homeo ner:
Required`Perntlts-The following building permits aro rcguired Proposed Start and'Completion Schedule•The fdlloviing schedule will
and will be secured:by the cbntractor'ss the'homeownor's agent be adhered to iulless circumstances beyond,the conttaetar's'control arise
(Owners who;secure their own permits will be
excluded from the:Guaranty Fiind'provisionsof Date when contractor will begin contracted work.
MGL chapter 142A:)
Date when contracted .work will-besubstantially rompleted..
c •
Total Contract Price and PaymentSchedule
The Contractor.agrees to perform the work,famish the material and labor specified above for the'to tal sum of. � (s)
Payments will be made according to the followm' ' schedule:
S
upon signing contract(notao ekaeed 1/3 of the total.'contract price,2r the coscof special order items,whichever is greater
SY / or upon completion of
S —by or or upon completion of
upon completion of the contract (IAw forbids demanding full payment until.contract is completed to-both party s satisfaction)
U JV'C The following material/equipment must be special S paid for
ordered before the contracted Work liegins in order S . to be paid for
to meet the coinpletion schedule.(**)
NOTES:(•)Including all£mance charges(••)Law requires that any deposit or down-Payment required by the contractor before work begins m
not exceed the greater of(a)ono-third of the total contract price or(b)the actual cost of an er
whfcb must be Y special o. eat or custom made material
Special ordered in advance to meet the completion schedule.
Exvrns Warranty As an expresswarranty beim provided by the contracw—
In•of the warranty mist be attached to the covtraett
Subcontractors The contractor agrees to be solely responsible for completion of the work described regardless of thc:cb s ofany third
party/subcontractorutilized by the contractor, The contractor further agrees to be solely responsible for all payments to all subcontractors for
materials and laborundcrthis aereement
Contract Acceptance Upon signing,this document becomes a brndmg.contract under-law. Unless otherwise noted within this document,the
contract Shall not imply that any lion or other security interest leas been placed on the residence. Review the following cautions and notices
ca efidly before signing this contract
• Don't be pressured into signing the contract Take time to raad and fully understand it'Ask-questions if sometbing is umcl
Makeear.
• sure the contrac+�*h•e a ar.i v _r , r n i tration. The Iaa requires most home improvement contractors and.
subcontractors to be registered with the Director ofHome Improvement Contractor Registration, You may in
rc stmtion Y 9 about.contractor,
gi by writing to the Director it:One Ashburton Place,Room 1301,Boston,MA 02108 orby.calling 617-727-3200 or
1-800.223-0933.
• Does the contractor have insurance? Check to see that your contractor is properly insured
• Know your rights and responsibilities. Read the important information on the ieverse side of this ft
Guide get a copy of the Consumer
Guide to the Home Iibprovement Contractor Law:
You may rsncel this agreement if it has been signed at a place other than the contractdr's-normal place of business,provided you notify the
'contractor in writing et hia/hermaiv offi"oe or branch office by ordinary trail posted,by telegram sent or by delivery,not later than midnight ofthe.
third business day followinglhe signing of this agreement.See the attached notice of cancellation form for an explanation of.this right
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACESM
Two idmtiol copies of th contract vial be completed and sinned One copyabould ao to the bo er The other copy should be kept by the conn aor.
7/1
Ho t �
wCvn is Signature Contractor's Signa
Dau
�
,Date
Page# of pages
022630 Propool 978-688-6737
HIC# 1033.58 or
159A Waverly Road 1-978-912-2853
North Andover, MA 01945
Proposal u
F�"b itted To:, Job Name
Pob4
�'�r ,v��v, 4 �' rr �'�lr`� "'d�'°m� ��,P�.� m�,� r�,.«v',�v"''"` ��'��s✓'�A'2a�uYp,��°'" 4 � iRr��a�k ��.�""`"�
Addresso- Job Locatiory'
�� al� ,r
<` f Gate `, � pate of Plans
Phone# ,od ro,,,,t ''ax# Architect
We hereby submit specifications and estimates for. R
r''r ry R r a w e
�+R
4 P B !�
��9rI �u�d,,.�
��� 'RR�''�„mak i� I��l„�,�”� �.�, �N j��"l �v ��� R��(r �� er,,,,'8 4� �s G �`q',^��„�`� „'u Y, d,-0",�'��A�6 p✓'� � „✓� Mo9� r k.� ,a"� ,,fur �C`,�dy'�,m'� '..
�Y
y'!
d
r" f
4,14c", "'A
..u, ,,,,,,,, A, yr .r.� ✓v „
r r
�R s
n r
(/e" t,vP 4 �rA;,z.. w. S v'�R�°P �' d, ,,µ��"�a,n��/!r����a ✓ v�� � ><�a..m ,
We propose hereby to furnish material and labor—complete in accordance with the above specifications for the sum of:
Dollars
with payments to be made as follows: 1/7
Any alteration or deviation from above specifications involving extra costs will be Respectfully Fm
executed only'upon written order,and will become an extra charge over and submitted i� r' �" I' '°��
above the estimate.All agreements contingent upon strikes,accidents,or delays
beyond our cohirol, Note—this proposal may be withdrawn by us H not accepted within days.
acceptance (i opo
ure
The above prices,specifications and conditions are satisfactory and are ���nat :" ��"•�� °�°�
hereby accepted.You are authorized to do the work as specified. °' g
Payments will be made as outlined above.
Date of Acceptance Signature
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 11/14/2015 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
Minimum Premium $500 Total Estimated Annual Premium $500
GOV GOV Deposit Premium $500
STATE CLASS
MA 5403 State Assessments/Surcharges
$.00 x 5.7500% f% $
This policy, including all endorsements, is hereby countersigned by -— , � V_ 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.
Board, idfln.g
License: CS-022680
ARTHUR J WAI,SH JR
159A WAVERLYRD
N ANDOVER Mk- 01845
06/09/2016
tz Office of Consumer Affairs&Business Regulation
'HOME IMPROVEMENT CONTRACTOR
6 2=i;teqistratlon: 103358 Type:
f-:ft------ -
fgg�-,r
1-W- We :expiration: 7t7/2016 Private Corporatio.
A.J.WALSH&SONS,INC.
Arthur Walsh
55 Pleasant St
N Andover,MA 01845 Undersecretary