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HomeMy WebLinkAboutBuilding Permit # 8/16/2016 ........... 1 BUILDING PERMIT NORTH Q�iYLE� TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION Permit No#; 41 Ll- .07c1-7 Date Received Sys RITED �Pa��S Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION -7I 64j �c Print PROPERTY OWNER V G `'' P 4J_ Print 100 Year Structure yes no MAP 1 PARCEL: ��_ . ZONING DISTRICT-Historic District ye na Machine Shop Village ye no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ARepair, replacement - ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other f„ ..Se tIC ❑NWIIy' .u. ® IO'O( plairt ©:WetlaTldSr � 11�atfleClDlS1rICf d-: ,�"''"'2. �y '��' a ,,. T..">� '' :?.:.7�r.,,-.,"���::. ,�,..sTM�`�:,�Y�:�",��.�"`wr`�`� ��i.�f,..�'"i'r ti, ,=:,'' �'� '�*,. �Al.a. "�� ..�`a..,;�:.,.,�_t`��.✓,��.'..^: DESCRIPTION OF WORK TO BE PERFORMED: Iden ilication- Please Type or Print Clearly OWNER: Name:_ �' °GrY� Z Phone: 7X � Address: � �'g Contractor ame: Phone: ) Email: GIti6 s'-e r-i Eren r Address: _ 13 Supervisor's Construction License: d FJ_/C Exp. Date: Home Improvement License: 7 12 Exp. Date: 24 2t 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: $ % FEE: $ Check No.: N1, Receipt No.: NOTE; Persons contracting with unregistered contractors do not have access to a fund NO€dT1y '9 Town of 2 �� 6 ndover No. �_ 2.1011 n h ver, 9 Mass 1/ C Gwrc[ q, coc.ucnew�cR ti �RATIE P I4p,`'45 S U BOARD OF HEALTH Food/Kitchen PER I�� �� LD Septic System 0f THIS CERTIFIES THAT +/ �*O"i BUILDING INSPECTOR has permission to erect .........................buildings on ..� ,.,. .V " M ...._. `................. AOP Foundation + Rough to be occupied as ....a./............. .��...40&t!,!(„�I !, ............................... 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' UNLESS CON S CTI® Rough Service ..,... . ...... ... ... Fina[ BUILDING I PEC R GAS INSPECTOR Occupancy Permit Required to ®ccupE RuildinRough 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. TWOMEY& LEGARE CONTRACTING INC. HOME IMPROVEMENT CONTRACT TERMS AND CONDITIONS M.G.L.142A 1.WORK:Provided the Homeowner performs under this agreement,the Contractor shall perform the work on the Property as specified Proposal,attached incorporated herein.The work does not include extraordinary conditions of which the Contractor could not reasonably be aware.If such conditions are encountered,this shall be an additional cost to the Homeowner, Materials selected by Homeowner may have to be ordered or'custom made,which items are specified in the Proposal.The Contractor is not obligated to agree to any modifications,extras or change orders unless such items are agreed to in writing by the Contractor.All extras and changes shall be at an additional cost to the Homeowner.Contractor shall perform the work in 1 good and workmanlike manner using materials consistent with this contract. Lawn or Driveway may be damaged by dumpster or equipment. Due to material shortages Contractor may substitute materials of equivalent grade.Contractor to leave site Broom Clean,any additional cleaning by owner. I 2. PERMITS: If a building permit is required for the work,the Contractor shall obtain same as Homeowner's agent.Contractor is not responsible for any other permits that may be required for the Work,and Homeowner is responsible to determine whether any zoning,planning or wetland related permits or approvals are necessary.Homeowners who secure their own permits ordeal with unregistered contractors will not have access to the Guaranty Fund. 3. COMMENCEMENT AND COMPLETION:Homeowner acknowledges the,commencernen€date of the work is fluid,and is subject to numerous factors such as scheduling other contractors,delivery of materials and weather.Contractor and Homeowner shall determine the comlrIencement date of the Work when a more definite determination can be made and shall execute a written acknowledgment of same.The Work shall be substantially completed within_ days of commencement,except for longer periods as may apply to particular projects as Contractor shall notify Homeowner irj the Proposal,and subject to delays for circumstances beyond Contractor's control.Notwithstanding,the commencement date and substantial completion date may be extended,and the Contractor will not be liable for delays caused by,labor or material shortages,delays in delivery of items selected by the Homeowner,governmental action, and unforeseen events beyond the Contractor's control,including but not limited to weather,strikes,war,the acts of third persons or the acts of the Homeowner.The Homeowner recognizes that the commencement date may be delayed due to scheduling or the completion of Contractor's other jobs. 4. PAYMENTS:Contractor agrees to perform the Work and to furnish the materials and labor specified in the Proposal for the amount as stated in the Proposal.Thirty percent(30%)of the total is to be paid as a deposit with the signing of this contract.Upon cancellation prior to commencement of the Work,any remaining deposit will be returned less the costs for materials ordered for which Contractor was unable to cancel.Final payment shall be due upon completion of the Work and Homeowner agrees it may not hold any retainage.Late fees may be applied for late payments.Homeowner shall pay Contractor's reasonable costs of collection,including attorney's fees and costs.Time is of the essence hereof. 5. WARRANTY:For a period of 2 years after substantial completion of the Work the roof will be free of leaks caused by defects in workmanship, but not those caused by ice backing-up or extraordinary weather events,including blizzards,tornadoes,hurricanes or storms of greater than a twenty-five year duration or intensity.Contractor gives no warranties with reference to any materials or equipment installed in the Premises,passes any such warranties directly to Homeowner,and Homeowner agrees to look only to the manufacturer with reference thereto.This limited warranty extends to the Homeowner only and is not transferable to succeeding Homeowners.This Limited Warranty specifically excludes(i)all consequential and 'incidental damages;(ii) damage due to ordinary wear and tear,abusive use,misuse,or lack of proper maintenance; rrr defects which are the result of characteristics common to materials used;(iv)defects in items installed or supplied by anyone other than Contractor;(v)work done by anyone other than by Contractor;and(vi)loss or injury due to the elements.There are no other expressed or implied warranties or representations made or given. 6. ENTIRE AGREEMENT:This contract and all documents referenced herein constitute the complete and final agreement between the parties.In the event that any of the provisions of this contract shall be held to be invalid,the remainder of the provisions of this contract shall remain in full force and effect.Two identical copies of this contract have been completed and signed.Homeowner acknowledges receipt of a completed contract signed by the Contactor. i 7. HOME IMPROVEMENT REGISTRATION:In accordance with M.G.L.c. 142 A,§9,Contactor is registered with the Bureau of Building Regulations and Standards RelZistration No: 136779.Homeowner may verify by contacting the Director at(617)727-3200,ext.25205.A Homeowner's rights under the Home Improvement Law(M.G.L.c. 142A)and other consumer protection laws may not be waived in any way.Homeownerjacknowledges receipt of a copy of 780 CMR R6 and Massachusetts General Laws chapter 142A,and which are available online at www.mass.gov.Questions may be directed to the Consumer Information Hotline,(617)727-7780- 8. ARBITRATION: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 such dispute to a private arbitration service which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulations and the consumer shall be required to submit to such arbitration as provided in M.G.L.c. 142A.No li do or security interest is imposed on the Property as a consequence of this contract,but Contractor has the light to record this contract or a notice of this contract,or seek a lien if the i Homeowner breaches this Contract, i 9. HOMEOWNER COVENANTS:The Homeowner agrees,represents and warrants that(a)the Homeowner grants permission)to the Contractor to enter the Property to perform the work as covered by this contract;(b)the Homeowner has funds available to make full payment under this contract to the Contractor E upon completion;(c)the Homeowner understands that construction as contemplated by this agreement creates a dangerous condition,and agrees not to enter portions of the Property under construction until the Contractor advises the Homeowner that the construction is completed;(d)Contractor may need use landscaped areas of the yard during the Work and Homeowner is responsible to provide protection for landscaping and(e)that code requirements may result in roofing nails penetrating through roof decking and will be visible on the underside of some surfaces.The Homeowner indemnifies,exonerates and holds harmless the Contractor from any loss,damage,claim,liability or expense(including reasonable attorney's fees,deposition costs and court costs)resulting from a breach of this provision. Contractor is not responsible for damage to landscaping that will grow back during the next growing season. I0.CANCELLATIDN:Homeowner may cancel this agreement provided Homeowner ratifies the Contractor in writing at the address listed in the Proposal not F than midnight of the third business day following the signing of this agreement. '. HOMEOWNER: r DATE: 't.f(1—+ lL , Job Description: ! : DEPOSIT: / V 0 C . t The Comt ionweaZth of Alizssdchusetts Depari vitt of "radustrial 4cciderits M Of o f rrzvssiigaiions 600 Ffashingtoll Street Bostojz, .I�.-4 03111 �irrvsv_m.rxS.��avOdiri . ' Workers' Compensation insurance kf ida-N> L: r }derslCo actorsl Iec rieia s/P bars _4v�iZcat Inoz-maaon Pleasertzt Leis= �T3IT;►�f$usTnass/Organi�,ation/lnei��dual.}: ,�� ��? Address: 4.7": if_JJ, c City/State/dip: - ' Pbone Are yy�u an ebaployer? Check:the appropriate box: Type of project(required): 1. I I am a employer with _ - 1 am a�e�eral cont=Or and I 6- [E New constTucuon employees{full and/or pari_tim).T have hued the suh-contractors ?.❑ 1 am a sole proprietor or Part=-' listed on t1e attached sheet 7- VRemodchE ' ship and have no employees These sub--contractors have S. ❑Demolition working for me in any capacity. 1,1_ orkers'camp.msuance. 9. �Building addition. [No workers comp. insLu-ante 5. �Vi e are a corporation and its ragUired) acers have exercised their 10 ❑Electrical repairs or additions .3-11 1 am a homeowner doing all work right or exexnpti0n per MGL 11.[1 Plumbing repairs or additions myseli.No workers'Comp. C.iJ�=§1(4),and we have no I ZE Roof repairs insurance required.] t employees_ [No v.Forkers' 7 comp:insLiran;e raquired,] I.3.❑ OEhsr *xtBy nett ghee,-�3i_'—'�7 if�if6.a60 ..�,=t Ehc 5.. ' - __ a'"e=C'.'C'Ctl .a�:".^��..^.w:WLfv"*..: .^.C" C»t:,.0 Ilomeown=who suumir this affidavit indicating they z.=doing of .7toi# auci mea hire nn sidei co taeta a r„rLc�submit a nevi affidavit indi mina such. :iGonumctors that dutch this hex must aisaeaed an addid-oval siae't showing the nam-_or fne sub-conhacuirs and their warlceTs'cohiF,gaiiay miartu?iian. am an employ7er that is providing-workers'compensation i ZEM-ance for my emPlovecs. Belaiv is the policy wid joh site i7tfArrrzatinn. - Insurance Company'acrze:� policy `or Sol. ins.Liu.s- F_xpirationDate: /� —1 `Job She Address: �"-t' I�'� CitylState/Zits: Attach a copy of the workers' compensation policy declaration nage(showiug the poUcy number and expiration date). Failureto secur coverage as required unci ; section"5A oL MGL c. 153 can lead to the imposition of crriminal-pef,alti:s of a hnu up to 51-500.00 and/or one-year imprisonment,as W--U as civil penalties in the fame of a STOP WORK ORDER and a bsae o7 rap to 5750.00 a day against the violator. Be advised that a cape of this statement,may be forwarded to the Once of lavestigatiow of the DTA for insurance-coverage veri-cation. .I do hersbj,cernfy3zinder the pains and penaldes of perjun.,-Fiat the information providedabove is True and correct Signature; Da 14 2,@i Phony s ©fj"i�cial use on4j,-Do not ivrite in this area, to bs compiei~d bJ eit;r or torirri of�icurL City or Town: Permit/License )~sluing Authority(circle one): 1.Board of Health ?Building DeparT__ment S. CiiylTmvn Clerk- 4.Eiecirical IM]) ecxor 5.l'1tTmbieb Lnspe for 5. Oder Contact nersor: Pnon=:. Aug 16 16 03:26p Twomey& Legare 978-685-7446 p.2 a 0 PATE(MW0DM'Yn�JoCERTIFICATE OF LIABILITY INSURANCE 06127/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE C�RTWICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AF ORD® BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUINGJINSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER. IMPORTANT, if the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require on endorsement. A statement on this certificate oes not confer rights to the certificate holder In Ilou of such andorsement(s), IRODUCER N% E;C Diane LeBlanc . DOHERTY INSURANCE AGENCY INC PRONE l (978)475-0260 ZMAILEgy; dieblancQdoherlyinsurance.oam _ P.0 BOX 1M INSURERS APFORDINGCOVERA014 �- NAICx ANDOVER MA 01810 INSURER A: TRAVELERS INDEMNITY CO OF 41MERICA i 25666 NSUREO INSURER B: TWOMEY&LEGARE CONTRACTING INC INSURI RC: — INSURER D: -- 97 BELMONT STREET INSURERE:NORTH ANDOVER MA 01845 INSURER F, � :DVERAGt"s3 CERTIFICATE NUMBER: 64822 REVISION NUMSER: THIS IS TO CERTIFY THAT ii>E POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ISR TYPEOFIN59RANCJI POLICYNUMBER MPMf0DPfy PDL[CYE%? - lmmmoryyyyl COMMERCIAL GENERAL LIABILITY eACHOCCLMUNCE CLA1MSAVWk 0 OCCUR PRE ISSES(Eaoecurreruc]_ MED EXP(An o nu parson♦ S } N/A PERSONAL aAdV INJURY S G'''EN'LAGGREGATE LIMIT APPLIES PER: I GENERALAGa4EGATE�_qq S I I POLICY 171 JECT L_J LOC I PRODUCTS-C My/oP AGC 1 s 1I OTHER. —�5 AUTOMOBILE LIABILITY CO B1NE0 SINGLELIMIT S ANYAUTO BODiLYiNJURY Perpersm) AA�SOWNED SAU��ULED NlA BODILY iNJURY�PeracupeN) s HIRED AUTOS AAUUTOS NE4 PROPERTYOA6V+GE Par P ERT nl 5 UMBRELLAUAD OCCUR FACHOCCURRI NCE S EXCESS UAB CLAIMS•MADE, NIA AGGREGATE OMD I RETENTION 5 I S WORKERSCOMPENSATtON ATA ATUETEJ R AND EMPLOYERS'LIABILITY - - ANYPROPRlETOH1PARTNEWE%ECL3rIVE YJNE.t.EACH ACC:DENT S 500.000 A OFFtCERIMEMUEREXCLUDED? N1A,J NIA N/A 6HUBOMM99415 09/18/2015 0911W016 JJ -- jNkmdMMIn NH) E.L.DISEASE-EAEMPLOYEI 3 5500.000 _ II NyS.dosabo under 10 SCRiPT1ONaF OPERATIONS b t&w I E L.DISEASE-RIOLECYuuir I s 500.000 iI E NIA I 3 DE:SCRIPTWN OF OPERATIONS!LOCATIONS i VEHICLES(ACORD 101.Additional Roma*u Stbadulo,may bo stlartwd trmarm apato Is ruqulledl Workers'Compensation benefits will be paid t0 Massachusetts ernpioyees only.Pursuant to E=ndorsement WC 20 03 06 8,no uthorization is given to pay claims for benorlts to employees in stales other than Massachusetts if the insured hires.or has hired those employees outside cf Massachusetts. This certificate Of insurance shows the policy in force an the date that this certiticale was issued(unless the expiration date on the above policy precedes the issue date of this cenirtcate of Insurance). The status of this coverage can be monitored daily by accessing the Proof of Cover go-Coverage Verification Search tool at www.mass,gov4wdlworkers-compensalioMnvestigationsl. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WELL HE DEUVERM IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISION . 1840 Osgood Street AUT14OR1190 REPRESENTATIVE o North Andnvar Iu1A 01a45 DanielM.C.,4- y,CPCU,Vice President—Residual Market—WCRIBMA 'a O 1988.2014 ACORO CORPORATIOW All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD i. I Client#: 13298 rMA i� CERTIFICATE 4F LIABILITY I TWOMfY6 INS U RAMC E DATE(MMIDDNVVY) 07/08!2016 Insurance Agency, Inc, THIS CERTIFICATE IS ISSUED AS A MATTER OF fIIIFOFiMATION P.O. 85 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AMEND,EXTEND OR t ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 01810 i INSURERS AFFORDING COVERAGE womey&Legare Contracting,Inc. INSURER AArbel€a Protection Ins CompanylVAIC7 Belmont Streetorth AndOVer,MA 01845 INSURER C INSURER D: COVERAGES fNSVREA E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE lNSUAED NAMED ABOVE FOR THE POLICY PERIOD INDICATI=(].fy07Wl7FfSTANDING ANY PERTAIN.TIENT,TERM NC AFFORDED OF ANY CONTRACTOR pTyEp pOCUM€ENT WITH RESPECT TO WHICH THIS CERTIFICATE MlAY BE ISSUED TA MAY PER.AG R Eff OR AFFORDED 8Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, IS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMEYS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. OR LTR NS TYPE OP INSURANCE POLICY NUMBER POLICY EFFECTIVE POLIF Y EXApARATION A GENERAL LIABILITY 9520040230 LIMITS X COMMERCIAL GENERAL LIABILITY 06/22/16 06/22/17 EACH OCCURRENCE AAIAOO RENTED $1000000 CLAIA4SAIACFE ®OCCUR DE T $100000 MED EXP(Any one Person) S5000 PERSONAL 6 ADV 1NjURY Si 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGPRO- GREGATE S2 OLIO 000 X POLICY ECT LtiG PRODUCTS-COMP/OP AGG AUTOMOBILE LIABILITY s2 OOO 00O ANY AUTO COMB3f tlED SINGLE LIMIT 5 ALL OWNED AUTOS ) SCHEDLILEO AUTOS HIRED AUTOS BODILY INJURY (Pederson) S NON•OWNED AUTOS BODILY ODden ILYURY ; r PROPERTY DAMAGE GARAGE LIABILITY (Peracndera) S ANY AUTO AUTO ONLY•EA ACCIDENT 5 OTHER THAN EA ACC S EXCESSNAIBRELLA LIABILITY AUTO ONLY: OCCUR CLAIMSMAOE EACH OCCURRENCE GG S S 0EDUCT181E AGGREGATE S S RETENTION S WOAKERS COMPENSATION AND S EMPLOYERS,LIABILITY WC STATU• S ANY PROPRIETORIPARTNERIEXECUTIVE OTH• OFFICERrAIEMBER EXCLUDED? E.L.EACH ACCIDENT 11 y0$.dc3cnC0 under S. SPECIAL PROVISIONS b0tow OTHER E.L.DISEASE•EA EMPLOYEES ~� E.L.DISEASE•POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS Covering operations usual to TwOmey& Legare Contracting,Inc... ,ERTWICATE HOLDER CANCELLATION 10 Da S for Non-Pa meat SHOULD ANY OF THE ABOVE DESCRfBED POLICIES BE CANCELLED D SE q rHE EXPIRATION DATE THEREOF,THE ISSUING INSURER WALL ENDEAVOR TO MAIL NOTICE Tp THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES, AUTHORIZED AEPR TIVE —. CORD 25(2001!08)1 of 2 #S33888/M33740 DML O Cn