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HomeMy WebLinkAboutBuilding Permit # 6/16/2016 %AORT#-,! BUILDING PERMIT 0 ",,ED TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION Permit No#: f A .0 P' Date Received Date Issued: s6, 2 'Z IMPORTANT: Applicant must complete all items on this page LOCATION > Print PROPERTY OWNER �,P-473, Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Res Non- Residential ❑ New Building One family [I Addition Ll Two or more family 0 Industrial El Alteration No. of units: 1-1 Commercial WRepair, replacement H Assessory Bldg Li Others: El Demolition 11 Other .......... "AR, vxml b Weil on DESCRIPTION OF WORK TO BE PERFORMED: A, J1 I C Idlentification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: Phone: CD 91 Email: Address: AT—] A) A,-Fo v a, Supervisor's Construction License: CS _Exp. Date: Home Improvement License: Exp. Date: 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: $ C FEE: $ .............. Check No.: Receipt No. o, tz/ NOTE: Persons eontracting with unregistered contractors do not has veii7ccess to the guararty fi1nd Sign gejaffl ture of con Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m N FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS l CONSERVATION Reviewed on Co d C0 Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Seger Connection/S.Ignature & pate Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE 13EPAR`fN1EGVT -;Temp. Dumpster on site .yes rio . :, Leeated of 12,4 MainStreet Fire Departraiavntsi�ra� uoe/date COMMENTS r tkoRTH Town ofPAndover ,.' •'t r �AKa ver, Mass, 10tv _Z6 cocrucn.wico< y1. 4ArE® ll BOARD OF HEALTH Food/Kitchen PEFXMIT T LD Septic System THIS CERTIFIES THAT BUILDING INSPECTOR has permission to erect .......... g Foundation ................ buildings .. ........ ............ Rough to 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS ION Rough Service .. .. . .. .. ......... Final BUILDIN CTO GAS INSPECTOR ccuEancy Permit Required t® Occupy Buildln 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. AGREEMENT FOR SERVICES This CONTRACT satisfies all basic requirements of the State's Home Improvement Contractor Law(M.G.L.c.142A),but does not preclude parties from adding language to protect their specific interests. Seek legal advice if necessary.Before agreeing to any home improvement work on your residence you should obtain a free copy of"Consumer Guide to Home Improvement Contractor Law"by calling the Office of Consumer Affairs and Business Regulation's Information Hotline at 617-973-8787. You may cancel this Agreement if is has been signed by a party thereto at a place other than an address of K&R Contractors,Inc.,which may be its main office or branch thereof,provided you notify K &R Contractors,Inc.,in writing at its main office or branch by ordinary mail posted,by Telegram sent or by delivery,not later than midnight of the third business dayfollowing the signing of the Agreement. See Attached Notice Of Cancellation For An Explanation Of This Right. Homeowner Information Contractor/Owner Name: Loik or Jennifer Henderson Kenneth Roy,President 33 Herrick Rd Business Street Address North Andover,Ma 01845 K&R Contractors,Inc. 1 Campbell Road North Andover,MA 01845 Business Phone:978.726.5062 Federal Employer ID:000961723 Salesperson(s): Kenneth Roy,President Contractor Registration: 80721 Exp.Date: 4/29/15 MA Sup.license: 137557 WORK TO BE PERFORMED AND MATERIALS TO BE USED Contractor Agrees To Do The Following Work For Homeowner: Replace landing on Herrick st.side Work to include: Remove old landing while supporting existing roof.Install 2 footings.Build new landing to same size with PVC grey decking,new Radience railings in white,and lattice around deck and stairs and frame wrapped in PCV white board. The following schedule will be adhered to unless circumstances beyond the contractor's control arise* Work Scheduled To Begin:6/15/16 Expected Date Of Completion: 6/30/16 TOTAL CONTRACT PRICE AND PAYMENT SCHEDULE The Contractor agrees to perform the work,furnish the material and labor specified above for the SUM OF$4350 Payments will be made to the following SCHEDULE: $2350 due upon signing this contract $2000 due upon completion of project as outlined here 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*)No final payment shall be demanded until the contract is completed to the satisfaction of the parties thereto. OTHER IMPORTANT PROVISIONS You are dealing with a Registered Home Improvement Contractor and are entided to certain rights under the provisions of 780 CMR R6 and M.G.L.c. 142A. Payments: If payment is not received as per the Contract,then the Owner shall be responsible for all attorneys' fees,court costs,and other costs incurred by the Contractor and enforcing Contractor's rights hereunder. Pets: Homeowner agrees to keep all pets out of the work area and take whatever steps are necessary to safeguard them from any harm that may come to them as a result of the work being performed under this Contract,including but not linited to injury on or outside the Premises or ingestion or inhalation of,or contact with,hazardous substances. Company assumes no responsibility for any harm to the pets as a result of the work performed under this Contract. Further,Homeowner shall take all steps necessary to protect Contractor,its agents,servants,contractors and employees,from any harm as a result of contact with said pets. Characteristics of wood: Wood is a hygroscopic material. Wood swells and/or shrinks in relation to the humidity,temperature and environmental conditions of its surrounding. Generally,wood flooring is expected to shrink in any conditions and expand when exposed to moist conditions. Natural wood also contains variations of graining,texture,hardness and/or knots,depending on the wood chosen.Contractor cannot be responsible for the natural features of the wood chosen. Contractor is not responsible for shrinkage,checking,swelling,or other conditions which are the normal condition of wood or the result of household or environmental humidity,heat,cold,or other conditions. Colors: You may choose colors and finishes for the parts being used in your remodeling project. It is important to remember that a color or finish you see at the store or in a showroom may not look the same in your home,especially after all of the different colors and finishes are brought together upon the completion of a project. In addition,one manufacturer's named color is not the same as another manufacturer's named color.The Contractor cannot be responsible for the appearance or lack of coverage from Homeowner/chosen paints and/or stains and finishes. Building Officials: Any additional costs incurred by Contractor as a result of decisions made by Building Officials will be the responsibility of the Homeowner.The costs of additional work will be calculated as follows: cost of materials plus an hourly rate of$45 per man hour. Liens: In the event of non-justifiable non-payment,Homeowner's residence or property may be subject to a Mechanic's lien as a consequence of signing this Contract. Utilities: The Contractor will use reasonable efforts to notify the Homeowner in advance of any interruption of utility services. However,there maybe instances where the Contractor must shutdown these services without advanced notice. Homeowner must arrange for emergency backup service for any utility critical equipment such as medical devices and computers. The Homeowner must also notify the Contractor at the start of the work day if you will be engaged in any utility critical activities in that the Contractor makes a notification in wrifing in the daily log book or otherwise. Additional work Any additional work requested by the Homeowner which is beyond the scope of the work to be performed as set forth in this Agreement,shall be the subject of a separate agreement,and/or if not,subject to the same terms and conditions as set forth in this Agreement and billed on a time plus cost of materials basis at Contractor's normal hourly rate. Contractor's normal hourly rate per man hour is$45. In the event that additional work is to be performed on an hourly plus cost of materials basis,the Homeowner shall be required to execute a Change Order which shall include Contractor's best estimate as to the time required,together with the cost of labor as well as the type and cost of materials necessary. Delays: Contractor is not responsible for delays attributable to Homeowner initiated modifications or additions,or for delays incurred due to the actions or inactions of city/town officials,strikes,acts of God,unfulfilled customer obligations,vendor delays,interference by other tradesperson,customer supplied items or other delays beyond Contractor's reasonable control. Contractor will use reasonable efforts to stay on each j ob until substantial completion by allotting specific time periods to each Homeowner to complete each job in as timely a manner as possible. In the event that Homeowner does not allow Contractor and/or his employees or sub-contractors access to the residence or property so as to allow Contractor to perform his obligation and/or to complete the scope of work in as timely a manner as possible,other than for reason of safety or other reasons mutually agreed to between Homeowner and Contractor,then the Homeowner shall be responsible to pay Contractor the sum of $500.00 per day,on a pro rata basis,to cover the costs of delay. Contractor reserves the right to suspend work and/or delivery of materials in the event of unjustified non-payment. In such event,the Contractor shall have no liability to the Homeowner for alleged delays or damages due to said suspension. Punch-list Items: The Homeowner agrees that routine"punch-list"or repair items after substantial completion are outside the agreed scope of services,and covered by Contractor's warranty obligation and will be completed as soon as practicable and according to Contractor's and Homeowner's mutual availability. Homeowner agrees that it shall use his/her best efforts to make himself/herself available to observe and/or sign off on the completion of any such punch-list Items,and that the approval of one Homeowner regarding the completion of any such punch-list items,as well as change orders shall be binding upon all Homeowners. Unforeseen Conditions/Circumstances: Contractor shall not be responsible for any changes at the request of the Building Inspector. Contractor shall also not be responsible for any unforeseen bedrock/ledge or latent defects such as structural and/or dry rotor insect damage to the existing structure,or for preexisting faulty or inadequate wiring or plumbing. Contractor shall also not be responsible for any pre-existing code violations or responsible for correcting contiguous work completed by others not under the Contractor's authority. Insurance: Homeowner agrees to carry fire,theft,vandalism,liability and all other necessary insurances to protect their personal property while construction is in progress. Contractor will carry all required and necessary insurances including worker's compensation insurance. Contractor will ensure that all personnel including sub-contractors will be covered by all required and necessary insurance including worker's compensation insurance. Homeowner's Cancellation Rights: In addition to the rights the Homeowner has,asset forth in the attached Notice of Cancellation,the Homeowner may have rights under other Massachusetts Statutes, including M.G.L.c.93 §48,M.G.L.c.140D,§10 and M.G.L.c.255D§ 14. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Identical copies of the contract shoul d go to the homeowner and the contractor. dodverified dodoop verified 1 PM EDT /V3-oap3ZR2-KSDS-GJ6 8:56PM D3H I/ PVB8-LWOMT 06/13/16 ? TB XAFZ-W8C Homeowner's Signature: r R Cnntrartorc Tn dodoop verified 06/15/167:58AM EDT k�-V� SJDW-XCFV-NPZ5-%D By. Kenneth Roy Its: President You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller,which may be his main office or branch thereof,provided you notify the seller in writing at his main office or branch by ordinary mail posted,by telegram sent or by delivery,notlater than midnight of the third business day following the signing of the agreement. See attached notice of cancellationfor an explanation of this right. NO WORK WILL BEGIN UNTIL BOTH PARTIES SIGN THE CONTRACT AND THE OWNER RECEIVES A COPY REQUIRED PERMITS The following building permits are required.It is the obli gation of the contractor to secure such as the homeowners agent Electrical rough and finish Plumbing rough and finish Insulation Framing insp. Finish and occupancy NOTE: Owners who secure their own permits or deal with unregistered contractors are excluded from the Guaranty Fund provisions of MGL c. 142A. EXPRESS WARRANTY All workmanship and materials to be free of material defect for a period of one(1)year. During the Warranty period,the Company may,at its option,either repair or replace products or workmanship which prove to be defective. This Warranty shall not apply to defects or damage arising from improper or inadequate maintenance by the customer,customer's applied products,unauthorized modification or misuse,damage incurred as a result of acts of God or civil strife,or normal characteristics of the materials such as wood shrinking,expanding and otherwise reacting to moisture or environmental conditions. The Company's liability is limited to the repair or replacement,at its option,set forth herein and Company shall not be Rable for any consequential,sequential,incidental or other damages not set forth herein.The Warranty set forth hereinis exclusive,and no other Warranty,whether wri tten or oral,is expressed or implied. Company specifically disclaims the implied Warranties of Merchantability and Fitness for a Particular Purpose. NOTE:All home improvement contractors and subcontractors shall be registered and any inquires about a contractor subcontractor relating to a registration should he directed to: Director,Home Improvement Contractor Registration One Ashburton Place,Room 1301 Boston,MA 02108 617-727-8598 Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence, ARBITRATION The contractor and the homeowner hereby mutually agree in advance that in the even the contractor has a dispute concerning this contract,the contractor may submit such dispute to a private arbitration service which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation' eg ation ve dotloop ch arbitration as provided in MGL.c.142A. rified 06/15/167:58AM EDT Contractor: P'wo;puf KU7G-VFPJ-8AFKUYE dotloop verified dotloop verified HOmeOWner:�64 v 0 6113/168:56PM EDT 0611311610:21PM EDT VRG2-PE29-LYNN-2HR5 LB8E-HNTX-EU05-6MEF NOTICE:THE SIGNATURES OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SErFLEMENT INITIATED BY THE CONTRACTOR. THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOTSEPARATELY SIGNED BY THE PARTIES. ACCELERATION OF PAYMENT Homeowner's Financial Insecuri ty-A Contractor may not demand payments in advance of the dates specified on the payment schedule in cases Where the homeowner deerns lint/herself to be financially insecure. Contractor's Financial Insecurity-In instances where a contractor deems himself/herself to be financially insecure,the contractor may require that the balance of funds not yet due be placed in a jointescrow account as a prerequisite to continuing the contracted work. Withdrawal from said account would require the signatures of both parties. Homeowner agrees to allow reasonable access to allow Contractor to reasonably attempt to remedy any outstanding uncompleted,disputed or non-satisfactory item. If you have general questions or need additional information about The Home Improvement Contractor Law,contact: Consumer Information Hotline Commonwealth of Massachusetts Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170 Boston,MA 02116 617-973-8787 If you have questions about Contractor Registration,contact: Director of Home Improvement Contractor Registration Board of Building Regulations and Standards One Ashburton Place,Room 1301 Boston,MA 02108 617-727-3700,x25205 NOTICE OF CANCELLATION YOU MAY CANCEL THIS TRANSACTION,WITHOUT PENALTY OR OBLIGATION,WITHIN THREE (3)BUSINESS DAYS FROM THE ABOVE DATE. IF YOU CANCEL,ANY PROPERTY TRADED IN,ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE,AND ANY NEGOTIABLE INSTRUMENTS EXECUTED BY YOU WILL BE RETURNED WITHIN TEN(10)BUSINESS DAYS FOLLOWING RECEIPT BY THE CONTRACTOR OF YOUR CANCELLATION NOTICE,AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED. IF YOU CANCEL,YOU MUST MAKE AVAILABLE TO THE CONTRACTOR AT YOUR RESIDENCE,IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED,ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT;OR YOU MAY,IF YOU WISH,COMPLY WITH THE INSTRUCTIONS OF THE CONTRACTOR REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE SELLER'S EXPENSE AND RISK. IF YOU DO MAKE THE GOODS AVAILABLE TO THE CONTRACTOR AND THE CONTRACTOR DOES NOT PICK THEM UP WITHIN TWENTY(20)DAYS OF THE DATE OF CANCELLATION, YOU MAY RETAIN OR DISPOSE OF THE GOODS WITHOUT'ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO THE SELLER,OR IF YOU AGREE TO RETURN THE GOODS TO THE CONTRACTOR AND FAIL TO DO SO,THEN YOU REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT. TO CANCEL THIS TRANSACTION,MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE,OR SEND A TELEGRAM TO K&R Contractors,Inc. 1 Campbell Road,North Andover,MA 01845 NOT LATER THAN MIDNIGHT OF TBD. I HEREBY CANCEL THIS TRANSACTION. Date: Buyer's Signature: Received: I� ' r MR I, l IJ % / ` 1 �, r ,r lr � ✓ PI/ I!�II�II�I6il r r / i w d i � III II , r r�, r/ I . ............... a '' � r fir. <...., c:,,. :., ,. tmm. The Commonwealth ofMassqchusettv Department ofindusirladAceldents I Congress Street,Suite 100 Boston,MA 02114-2,017 wjvw.mass.gov1d1a Wovkersl Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH TEE PR PMTTJNG A-UTHORITY. Applicant Information Please Print Ledb NaMe (Btisiness/OrganizationUdi-vidtial) Address: J City/State/Zip: Phone,#: Areyouan employer?Che�'ktfte appir�oprjate box; Type of project 1,F1 I am a employer with -.employees(full and/or part-time)." 7. E]Now consti action 2.[A I am a sole proprietor or partnership and have no employees worldrYg for me.in 8. F1 Remodeling any capacity.[No workers'comp.insurance required.] 9. U Demolition 3.F1 I am a homeowner doing all work myself[No workers'comp.insurance required.]t 4.[]I am a homeowner and will be hiring contractors to conduct all work on my property. I Will 10 F1 Building addition ensure that all contractors either have workers'compensation insurance or are solo l�W IElectrical repairs or additions * rzators with no employees. 12.FJ Plumbing repairs or additions 5.E]I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 1�.F1 Roof repairs Thesb sub-contractors 1�*0�plpyoc's and have workers'comp.insurance. 6.E]We are a corporation and its office.rs have exercised their right of'exemption per MGL 0. 14.El'Other 152,§I(4),andtiye have -employees.[go workers'comp.insurance required.] 7. *Any applicant that cheeks Box 41 must als6 fill out the section below showing their workers'compensation policy information. Homeowners who stlinlif•this a6davit indicating they are doing all-work and then hire outside contractors AWst submit anew affidavit indicating such. fContractois Jbat check this box mustattached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the's avoempoyees;. ymuft provide their workeis'comp,policy number. I'M— an employer that ispidvidiiig itorkers'compensation insurance for my enpl6yees, -nelolp is the policy and,/oh site information. Insurance Company Name: Policy##or 8 elf-ins,Lic.#: Expiration Date: e. fob Site Address: City/State/Zip: Attach a copy of the workers'6ompepation 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 up to$1,500.00 and/or-one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and aflne of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Offico of Investigations of tho):)IA for insurance coverage verification. Idohereby cerqy,,,tindei-the paiiisani e'nalfles of1miyaq that the inforination provided alcove is true and covivet, sign o Date: Phone#: Z, Official use only. Do not ipfite in this area,to he completed by city or town ofjlcial City or Town: Permit/License# Issuing Authority(circle one): 1.Boar.of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone 4: Massachusetts - Department of Public Safety Board of Building Regulations and Standards Lonstr uction ;-- License: CS-080721 KENNEM R ROS` moo,. 1 CAMPBELL RIS North Andover M-AA of �y Fr Expiration Commissioner 04/29/2017 �. ✓�ze �o�ry»zo�zureaLf�i ��aaaac��aseCts office of Consumer Affairs&B smess Regulation HOME IMPROVEMENT CONTRACTOR Registration: 162123 Type: Expiration: 1/20/2017 Private Corporatio, K&R CONTRACTORS, INC. KENNETH ROY 1 CAMPBELL RD.N.ANDOVER, MA 01845 Undersecretary J