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HomeMy WebLinkAboutBuilding Permit # 8/18/2016 BUILDING PERMIT of �oRrN q �s t.eo A es �O TOWN OF NORTH ANDOVER o k . APPLICATION FOR PLAN EXAMINATION _ 2. Permit No#. * Date Received ��'°R�1TEv)IT""�5 �SsaC►�us�� Date Issued: �- M ORTANT: Applicant must complete all items on this page LOCATI O Print PROPERTY OWNER AV3M> /7\05hA7-7 Print 100 Year Structure yes no MAP PARCEL: --ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 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 - ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other aershe , f isicT' ';`' �❑,�;W � d t , f. L r, DESCRIPTION OF WORK TO BE P AFORMED: IZ �IrPr� 12�a�e 2vo>F `€K��c.�r Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractpr Name:A If hs-, Phone- 32— � Email: /,F/7"17 Address: 92ZfK> Loi` � H /2- 1 /1 -7 Supervisor's Construction License: U87 Exp. Date:, Home Improvement License: �j 1 Exp. Date- ARCH ITECT/ENGI NEER ate-ARCHITECTIENGINEER Phone: F.J;. 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: $ Ze- FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund - N0RTFHj '9 Town oz 6 ndover 0 " No. ' - �� L�K, h ver, Mass, !` & ..1 -1161 r COCOICHew.[ft W 9-0 4 �.p Q�RATED p'p�,�'C� S V BOARD OF HEALTH Food/Kitchen P E R T LD Septic System THIS CERTIFIES THAT 14%&A BUILDING INSPECTOR ................. , ` ..... ........... .. .............................. has permission to erect ..................... buildings on .....( ...... .. ............... ... Foundation • 6F. Rough to be occupied as ..... eYv tRi. ....RAWrf .,., �. .. Chimney provided that the person acceptingthis ermi ship all in eve respect conform to tfle terms of the rcatlon p p p Final on file in this office, and to the provisions of the Codes and By-Laws relating the spect' n,Alteration and a Construction of Buildings in the Town of North Andover. Q4V (' PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST I 0Rough Service ... .. .... . .. ...... ................ Final Blll ING INSPECTOR GAS INSPECTOR Occupancy Fermat Required t® Occupy Buildan 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. 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: David Mushaty Phone: Address: 168 High Street,North Andover,IVVi 08145 Contractor Information. Apple Wood Construction Inc,64 Noyes Rd,Londonderry,NH 03053 FED ID#45-2837711 HIC#181805 Contractor ID#CS87691 Part I Description Apple Wood Construction,Inc.,will: See attached estimate dated: 5/17/2016 For the above or attached specifications the undersigned agrees to pay the sum of $10,945.00 The Customer agrees to make payment in accordance with the schedule of payment as follows: Deposit on signing agreement $500.00D�h t q;) bi 1 x'p Start of work $2000,00 Delivery of materials $2500.00 Start of roof $3000.00 Start of decking and railing $1000.00 Upon substantial completion of project $1945.00 Part 11 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 theca. INITIALS: Londonderry,New Hampshire 603432-8599 www.appiewoodconstruction.net ppl Constrttictran 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.6"igning of this-agreement-in-accordance with _..-......_....._ MGL c 93 s 48;MGI.c 140D s-1-0-oz MGI c 255D s. Dart W The contractor will do all such work in a workman-a-e manner. In the event of discover*of Bidden 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(251/1o)of the contract price plus any material that may have been ordered as it's stipulated damages. Parr 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(18%)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'%71 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,IIhA 02116 617-973-8700 Part V11 All work is warrantied for one year after completion date_ Me contractor reserves the rights to take before and after pictures of the project for use on contractors own website for informational purposes only. hNITIAI.S:- (L& 14_ Londonderry,New Hampshire 603-432-8599 www.applewoodconstruction.net Cotistrzi on Part VIII PERMIT NOTICE: a. Any and all necessary construction related permits are the contractors obligation to obtain. b. If an owner secures their own construction related permit or deals with unregistered contractors they shall be excluded from access to the Guarantee Fund. c. Owner inust wait for all inspections. If contractor waits for inspections additional charges of$55.00 per hour will apply. Part VIIII This contract is subject to the approval of the General Nfanager. In Wim ss whereof,die parties have here unto placed their hands and seal this '7 ` day of ►� 2016. DO NOT SIGN THIS CONTPUCT IF THERE ARE ANY BLANK SPICES. David Mushaty Leona 5antosuosso 111,General Manager Date: Dat Londonderry,New Hampshire 603-432-8599 ........... ple. construction May 17,2016 David Mushaty 168 High Street North Andover, MA 08145 ESTIMATE DECK RENOVATION 1. Draw plans needed for approvals. NOTE: If stamped plans are required additional charges will apply. 2. An allowance of$1.50.00 is included to obtain town permits. 3. Removal of existing: a. Railing b. Decking c. Posts d. Roofing 4. Inspect area—if rot or damage is found additional charges will apply. S. Supply and Install five new pressure treated posts. 6. Supply and install 4"pressure treated decking under roof 7. Supply and install new rubber roofing to roof and flash as best we can. 8. Supply pressure treated materials and build deck frame 9. Supply and install Azek standard color decking to new frame 10. Supply and install white vinyl sleeves over pasts with caps 11. Supply and install white vinyl railing 12. Supply and install white synthetic boards(triangles)where missing on existing stairs. 13. Removal of all trash due to construction project. TOTAL: $10,550.00 NOTES: 1. If inspector makes us go up and over what is listed above additional charges will apply. 2. If lead paint Is present additional charges will apply to remove. IEPag ple mod. 1A, Consfaruction ESTIMATE SIDE DECK RENOVATION 1. Supply and install new joists behind stair supports 2. Supply and install new support if needed 3. Supply and install joist hangers where needed TOTAL: $395.00 QUOTE VALID FOR 30 DAYS 2 Y g ENTIRE FIRST FLOOR: • BIG BEAD OF CAULKING BETWEEN CEILING AND WALL WHERE NEEDED-CUT IN WITH BROWN PAINT • SAND ALL PATCHES AND TOUCH UP WALL PAINT KITCHEN: • FINISH FLOOR • BASEBOARD-NAIL/CAULK/PAINT • ELECTRIC FOR STOVE-SCREW DOWN AND INSTALL-MAKE SURE THERE IS 1%" BETWEEN BOTTOM OF GLASS AND TOP OF CABINETS • INSTALL TOE KICK • IF YOU FEEL CONFIDENT INSTALL REFRIGERATOR PANEL AND CROWN MOLDING • HANDLES/KNOBS: o DOORS-KNOBS-3" UP OR DOWN-CENTERED IN STILE o DRAWERS-HANDLES-CENTER IN MIDDLE OF DRAWER • ADJUST DOORS • INSTALL THRESHOLD IN HALLWAY BETWEEN KITCHEN/FAMILY ROOM FAMILY ROOM: • PAINT BASEBOARD • TOUCH-UP TRIM PAINT WHERE NEEDED • PAINT BIFOLD DOORS FIRST FLOOR BATHROOM: • SECOND COAT WALLS • PAINT BASEBOARD • PAINT DOOR • INSTALL LOCKING HANDLE ON DOOR ENTIRE SECOND FLOOR: • BIG BEAD OF CAULKING BETWEEN CEILING AND WALL WHERE NEEDED-CUT IN WITH BROWN PAINT • SAND ALL PATCHES AND TOUCH UP WALL PAINT SECOND FLOOR BATHROOM: • PUT SHELVES IN CLOSET BEHIND TUB MASTER: • SAND/PAINT LAUNDRY ROOM • LEVELASTIC FLOOR-BOTH SIDES IF NEEDED IN HALLWAY • DUMMY KNOB ON STORAGE AREA MASTER BATHROOM: • SAND/PAINT TOUCH UP AS NEEDED • RE-INSTALL COUNTER-DON'T HOOK-UP PLUMBING BASEMENT: • PAINT DRYWALL IN STAIRWAY • TRY TO CLEAN SOOT • FIX CEILING TILES BASEMENT BATHROOM: • DRILL OUT DUCTWORK AND DUCT OUTSIDE • REPLACE CEILING TILES The commonwealth ofHasw-husetts . x Depait;sazent oflndastrialAccidents Z Congress Street, Suite 100 Boston,MA. 02114-2017 , wwtr.mass.gopfdia Workers'CompensatioulmilranceAfrLdavit:)3uUders/Con-tractors)EXectxicians[Plu-ynbers. TO BE MRD WITH TE PERWTTING AUTRORTTY, A Ticant7aifar�natian. Pleasel'rint Le 'lel Namo{Business/C3xgani7atiaafndiv%dual): Address: i 1 City/State-/Zip: Phone#: Axeyarr au employer? Checktlia a4ropriafehox: Type of project(Tegti i3 1.�I am a employerwifh�employees(full and/or part-time).* 7. [ Now consflnetion 2.E]I am a sole proprietos.orparinecship andhave no employees working forme in 8. emodelitig ally capacity.[No wpzkers'comp.insurance required? 9 [�Demolition 3-E]I am a homeowner doing atl work myseH;[No workers'comp..iusuraueo required.]t 1.0 rJ Building addition 4.[J I am a homeowner and will.be hiring contractors to conduct all work—MY property. I will 11_ Eleetrical rep airs or additions ensure that all conixactors either have workers'compansatianinsuramo orare sole I' I�! proprietors withno employees. 12; Plumbing repairs or add Mons 5.❑Iamagmeralconfractorand Ihavohired th@sub-coniractazslisted antheattached sheet. A3. q- Roffxepairs Those sub-eonizaetorsliave employees and have workers'camp.insrrance.J A .❑C)the7' 6.C[We are a corporatign and*officershave exercisedIheirright of exemption.Per MOL c. �nployees.[No workers'comp.insuranoerequiredj 1521,§I(4),andwehave n4e Any applicautthat checlubox41 roust also out the seotion b *Any showingtheirworkers'compensationpolicy information, t homeowners who mbmit tWff aLddavitindioatingthey are doing all work and thenhise outside contractors must submit a r#evr affidavrtindioating such- Contraetars that chcckthis box mus�-at�ached an additional sheat showing the name of the sub-contractors and state whether ozpot those entities have employees. 'the sub-cnntra.c�ors have employees, Tiey must provide their workeis'comp.poHcy number. I ain an employer tliat k provzdizg-workers'compensation irzsur'ance far my exnplayees 'Below is thepalicy aricl job site infor�natioxt. � :insurance Company Name: ` VeReydeclaration E pirationDate'Policy#ox Self ins.Zic. �Sob Site Address: City/State/Zip..�.ttach a copy of the7vo�rkexs' coa�TeN tionpage(showing the Polley>3.unrber and expiraiiotL date). Failure to secure coverage as xegtxixed under MGL e. 152,§25A is a oximinal violation punishable by a fine up to$1,500.00 and/or one-year hnPrisonment,as well as civil penalties in the foxes of a S'T'OP WORK ORDI R and a tae of up to$250.00 a. day against the violator.A.copy of this statement may be forwarded to the Offico of Invostigations of the DTA for insurance coverage verlfLoation. Y do hereby cer iffy under tliepaires'and penalties afperjr�ry tlzat the infarrrcation prolfided a7ao've is Prue arGd correct. Si afore: Date• Shone#: Official use only. Do not-write in this area,io lie completed by city or tolVrz of ciai< City or Town• �'ex`xnziTf�icexxse# Issuing Authority(Oxcle one): 1.$oard of Health. 2.Bu dingpeparbuent 3.City/Tom Clerk 4.EZectrical Inspector 5.Plumbingfuspector 6.Other Contact Person: Rhone#: =rom;Sandy Gargano FaxID:Santo lnsruance Page 2 of 2 Date:8/17/2016 07:53 AM Page:2 of 2 APPLE-2 OP ID: SG ACQR�" FDAT18(MMtDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE e/17/2o1s THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(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 an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Jason M Mlocek _ Planright Insurance-Salem PHONE 603-890-5439 arc No): 603-890-6529 224 Main Street Suite 3C sArc,rlo.e_: _._....... Salem,NH 03079 aalaREss:-ason santoinsurance.com Jason M Mlocek INSURER($)AFFORDING COVERAGE NAIL N IN$URERA:Ohio Security Insurance Co 24082 INSURED Apple Wood Construction Inc INSURER B:Peerless Insurance Company 24198 Leonard Santosuosso INSURER C: 64 Noyes Road Londonderry, NH 03053 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR WVD POLICY NUMBER MMlDOIYYYY MMIDWYYYY A X COMMERCIAL GENERAL LIABILITYEACH OCCURRENCE $ 1,000,000 CLAIMS.MADE OCCUR BKS56069602 07/24/2016 07/24/2017 MMMAI,ES0 a:NIEDence $ 300,000 MED EXP(Anyone person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GFN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY M jR.. a LOC PRODUCTS-COMP10FASG $ 2,000,000 OTHER. $ AUTOMOBILE LIAR€LITYCOMBINED SINGLE LIMIT $ 5500 000 Ea accident r B ANY AUTO BA7025198 07/24/2016 07/24/2017 BODILY INJURY(Pet person) $ ALL OWNED X SCHEDULEDAUTOS BODILY INJURY(Per accident) $ AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS Pet accident UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESSLIA6 HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X TTTH- AND EMPLOYERS'LIABILITY STATUTE ER g ANY PROPRIELORIPARTNEWEXECUTIVE Y!N C7025199 07/2412016 07/24/2017 EL.EACH ACCIDENT $ 100,000 OFFICERIMEMSER EXCLUDED? N!A {Mandatory In NH) 3A: MA NH E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Leonard Santosuosso&Lisa Santosuosso are excluded from work comp coverage RE: 168 High St, North Andover, MA 01845 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 120 Main Street North Andover, MA 01845 AUTHORIZED REPRESENTATIVE ©1968-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD r,�Fnr/rr:i�ff� Massachusetts Department of Public Safety C��c n�� �iaa�rruealf�r�P/ll Offireof:ConsumerAffairs&Business Regulation i board of Building I�� ulatiors and Standards ptVlE IMOROVEMENT CONTRACTOR License; C5-087891 egistfatian 181805 Type' I Construction Supervisor 1IZ017 �i on a~r Or�Corporati xpiratEan. LEONARD SANTOSUOSSIInI '• APPLE WOOL]CONSTRUCTION INC. � 64 NOYES ROAD% LONDONDERRY-NN =: LEONARD SANTOSIJSSO () I err 64 NOYES RD LONDONDERRY NH 03053 Undersceretary p Ex r i ration. 1; Commissioner 09121120V } te ,. a�