HomeMy WebLinkAboutBuilding Permit # 8/22/2016 µoRTy
BUILDING PERMIT of , Eo'aq�o
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit No#: ` ' Date Received �,4^�R,Eo P asps
SSACt,U
Date Issued: `
IMPORTANT:Applicant must complete all items on this page
LOCATION � I
int
PROPEZTY OWNERr ' � a
Print100 Year Structure yes n
MAP - PARCEL: #/ ZONING DISTRICT:Zr---'�HistoricDistrict yes =no
Machine Shop Village yes o
TYPE OF IMPROVEMENT PROPOSED.USE
Residential Non-Residential
71 New Building One family
Addition )(Two or more famiF "° ` ' Clrtdustri6l
Alteration No.of units: 11 Commercial
Repair;replacement G Assessory Bldg - Others:
Demolition _Other
Septic �-D Well P F1oodpla3n Wetlands Nlatershed[3istnct� y I
DESCRIPTION OF WORK TO BE PERFORMED:
I
zjkt
Identification-Please Type or Print Clearly
OWNER: Name: IA
c Phone:
Address: r }
Contractor Name: esu"t Phone'
Email: I 2M 11f Cja,&
Address: -17
Supervisor's Construction License:-/61730 Exp. Date: M—/
i
Home Improvement License: Exp. Date: h
ARCHITECT/ENGINEER - Phone:
t
Address: Reg.No. `
FEE SCHEDULE:BULDING PERMIT:51200 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Call:$ r���- FEE:�
E i
Check No.: g Receipt No.:
NOTE: Persons contracting with a nregistered eontractors do not have access to the g uaranty fiind E
Ainnatiim of A .ntl caner _ zif�natLre of Pr}ntran#o � �
Plans Submitted Plans Waived❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF.SEWERAGE DISPOSAL
Public Sewer � TanningfmassageBodyArt ❑ Swine"ingPools
well ❑ Tobacco Sales ❑ Food Packaging/Sales
Private{septic tank,etc. ❑ Permanent Duulpster on Site Q
1#1 :FC$L''IQVIIIN1= TINS F�R` PC1k+ �ILY
INTERDEPARTMENTAL SIGN OFF-U FbRM
PLANNING&DEVELOPMENT Reviewed On �� Signature_
COMMENTS 1 TVA e 601
CONSERVATION Reviewed on Signature
COMMENTS. r
HEALTfi,--'- Rev(ew�St otY Si€>_rrturc a.,
COMMENTS
�•,�t it •��-� ,..
Zoning Board of Appeal's:Variance,Petition No: 'Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
ConsiivQ tfdnDeeisio)i%-c Comments
Water&Sewer C66ioctlon/sicinature&Date' Driveway Permit
DPW Town EngineQrt S"ta re:
Located'384 Osgood Street
FIRE DEPARTMENT -Temp Dumpster on site yes no
Located at 124;Main Street
Fire Department signature/date
Town of r "°fir" s Andover
0 �^
No. -
* ? h ver, Mass
A°ro1..,z.w
7.e p�AATED
s u
BOARD Of HEALTH
PER ILD Food/Kitchen
Septic System
THIS CERTIFIES THAT „�„Q ,; ! 1.-� BUILDING INSPECTOR
.....Wrr!R...... .......... .....� ....,.. .. ............. � foundation
.....
has permission to erect buildings on..
(j/''� Q� � Rough
to be occupied asit� .....1�...�.... T�+*fu...aa/17+r .... ....................... Chimney
provided that the person accepting this permits all in everyrespect confocs/l 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 INSPECT OR .
UNLESS CONST `T ”"'`le
Rough
r.., — Service
... ............ ......
TOR
.............. Final
BUI G INSPEC
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.
Aug 18 2016 03.17PM HP Fax page 2
Aug 02 2016 OT.21PM W Fax page 2
MEMORANDUM OF UNDERSTANDING
Memorandum of understanding made between
"Property ManagerlAgenr and the managed�management company herein defined as
business or person herein defined as-Contractor WtY rein defined as 'Owner and the
Date of Agreement:May 24,2016
Revised-August 2,2016
Owner: Condominium
Property Address:
Mailing Address:Care of Agent at Agenrs Address,
Property Manager/Agent Affinity Really A Property Management,LLC
03 Atlantic Avenue
Boston,Massachusetts 02110
Phone:(617)227-0893,X670
Fax:(617)227-2995
Emall:stephenGef8nityreatty.com
Contractor.Building Restoration Services
Contractgr's Representative:doth Childs
Contractor Address:371 O01d'Ster Avenue,Boston,MA
Phone:781-492-4355
Fax:617-484-4160 Pager.
Tax ID:NA Other
Email:chdbuildingresiorationservices.com
The Work:pack Replacement 38.41 8103-105 Farrwood Avenue
Specs provided to ORS
Wessling Architects Proied#15075 for Heritage Green Condominium Balcony Replacement.
Proposal from Building Restoration Services Corporation CondominiumBRS)dated Balco 015 P acement.
herein inoorporated into and made a part of this agreement.
C:{UfmWuita�tDq►7�laRS CONrNAC7'6A MEMORATJpUM OFUNOfiRSTANDtNOAx Aagust2,2616
Aug 18 2016 03:17PM HP Fax page 3
Aug 02 2016 0721FM W Fax Page 3
Whelea
A. LICENSES AND FSRWTS
i. Coatraclor confit[.,the[be has all Deceasaty licenses and stendud operating Permits to pe+lona
2. Contractor mgnessly warrants t os�him b�a+iblc ib,abjdwg by WI applicablecoda,regulations,
ataadmtc.
ocat
aute sad
ds,e ,which m be required
mFecata
agencies,Oftek bureaw and otba admiRisttasy All��w,/tegrd{stoty.sndties fedtxal jwisdictions and tboir
@. INSURANCE
i. Contractor.bail aerate,pay the prOmdums for sad koV umoce id to m foo[toll the exg{rstioe of this contra[,adequate
bumance as provided below. Such itis
this contract. All coverage is to be 5PQ`p scally include liability annumed by the Coahac ad under
Owner. Fury of any apps{cabk coverage earned by Pmpetty MamWiAgent or
a App(19.00ta bodily aide insuraRRee with 1{er{ts of Ren It"than SI,000,000 for each Person and
52,000.000 for each accident,
Cb.
Workers co"Penua[ton b auraoce as y
local e. Frapeny damage liability insurance with a limit ofnot irass $1,000.000 foc
d. General 114111 y insurance with a limit of no less than 51,000,000. for each accident,
e. if automotive equipment is wed m the oPeaat{on automobile bodily injury/property damage with
combined single lirtdt of not leas dRae 1,000,000.
f, All policies for insumboo shall include Affm{ry Realty&
atiditiona(nrorA insured as respecyy operations under this memoQ1° LLC and Oaner as
Affinity Really&property Maaagamant.LLC
63 Atlantic Avenue
11000n.MA 02110
2. Evidence ofeomyge via standard Cettificue shall be provided to the property manager.
3. Thirty-*Retia of eenceiialiota nm.renewal,or material change in coverage must be given.
C. INDEMNIFICATION
Contactor agrees to indemalk hold hffiRolens and defend the owner,the
agent,the roperty me
management fit",theirs a d employees.subcmhactars,heirs and assigwte tom
Regor the property
rusubing Som the Co negligent performance of its {rat all claims
negt{gapt acts or onrissiaRta of the Ctlmmxtca's oifioets,em but only to the extent cawed by the
h{� pkryces,guests,invhOm and those doing business with
OTHER CONDITIONS
The use ofsub.concectors without the prior written concent of the owner is not allowed.
which 6ecemesfs yeawhich may aff,m,the warProp rt hism�lAgent of any and air conditions or changes of
with the provisions of this memeeendum, t4tJeement. Contractor agrees to tasintain
compliance
No work of any sort may be performed in the common atone
equipment or tools
in the rnRnmon greys is prohibited without advance storage of mnterials,debris,supplies,
The work may not interfere peimissim.
Y ere with the comfort and convenience of the occupants of any unit
occupant complain about any activity related to the renovation;the contr Should any
actor or sub contractor will be
C:1URas*i"n`9ADrnayp1gyS CONTRACTOR MEMORANDt1M OF UNDERSTAND WO.dar Augur 2,2016 -
Aug 18 2016 03:17PM HP Fax page &
Aug 02 2616 07:21PM Ftp Fax page 4
to
eattend�int o die tmsag�mem ituse,Ow This provision shall asK apply to tatt+ln+etioa mlated solea
Every
lead amort meat be made o Costals construction deMa,dust and diff to the unit anterior. Doors
m8 common meas must ruin closed. 't"'M must be placed an all commot areas to protect
same. The ase Of the Trost s d"sew for removal of construction matoials and debris is prohibited.
11W storage of dtanptsta watairlers of any met is the
Prohibited without advance permission. pwking
°Tn m any othtx commou area is
AU common areas,interior and exterior,including but not limited to hallways,4lsaweUs waUtways on
elevator must be Cleaned at the cad ofCveay orkday, Tits servtcn of a
MY be reguaed at the sole dimratiot of Hen Truax. P Saloaai Cleaning company
D PAYM$D17'S—See atfaebed PT*P"W for psptnent sod ,
i. 'n DCOMMOW ges gat in im%mwv lite Con rsnar is psefmm4 services of providing materiels
ti ry PmP"Manaaftwol.LLC. The Cao
Payatertr for any twrviees pertormad m axy materials povided in rba sok °s1°r sgaas eret amp and all
Y s Property Maosgemset LLC ar nes eayd°Ye:s,tubsOsaeaclon,ae q a y of 0+mV WA act of
E. PLAC&ww a rvwr
This memptaadum and the aaeebed proposal ambody the emene
understartdeag between rye pestes:there ate ao
oMomonmdum by their duty audLorized ral agreemenh a rpuascumum in COenagioe hembb.In witness whereof ttxi Ponies hereto bare signed this
aoragmt10 isSpeemearon fea� Who represent lertbaybe-
By. N-was v
Scgrhea DiwoCco _
as Agent _ ..
Date:
Contract � ',..
8y. Autboriad Signae,
Date:
C:U)"*4"k'I41)e` O"as COW"CrOR&UMORANDUM OF ONDMTANDMG.dac AW.Z Zola '...........
{gI
371 Dorchester Ave
Boston,MA 02127
Phone:617-464-4260
Fax617-464-4160
Email:lcypress@buildingrestorationservices.com
Building Restoration Services Gorp.
PROPOSAL(Revised):
Date:07-26-2016
Affinity Realty&Property Management LLC
63 Atlantic Avenue
Boston,MA 02110
PROJECT LOCATION: Heritage Green Condominiums
BRS proposes to furnish all material,labor,and supervision to complete the following
scope of work provided by Elements Management:
ONE BUILDING BALCONY REPLACEMENT
General Conditions
Demolition
Site Work
Concrete&Masonry
Metal Connector
Rough Carpentry
Finish Carpentry
TOTAL COST BUILDING 1............................................................................. $158,820.00
1,�,p/ DEDUCT OFF SITE FABRICATION Wf STEEL COLUMN DESIGN............... ($10,000.00)
'f�i-( Nt NEW TOTAL........................ . . . $148,820.00
ADDITIONAL BUILDING 2-2016............................................ ............... $ 158,820.00
f DEDUCT QTY DISCOUNT.....................................--..................................... ($12,500.00)
NEW TOTAL.... .....--......— ........................................................ $146,320.00
ADDITIONAL BUILDING 3—2016........................--........-......................... $ 158,820.00
DEDUCT OFF SITE FABRICATION W/STEEL COLUMN DESIGN.................. ($15,000.00)
NEWTOTAL.......--..................................................................................... $143,320.00
ADDITIONAL BUILDING 4-2016.......................................................--" $ 158,820.00
DEDUCT OFF SITE FABRICATION WI STEEL COLUMN DESIGN.................. ($20,000.00)
NEWTOTAL...-.............................................................................................. $138,320.00
ADDITIONAL BUILDING 5-2016................................................................. $ 158,820.00
DEDUCT OFF SITE FABRICATION WJ STEEL COLUMN DESIGN.................. ($25,000.00)
NEWTOTAL................................................................................................... $133,320.00
***Additional discounts can be discussed for additional buildings
�5
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The Coinmonwealth of nxs�chusetts
Department ofXild istrialAccidents
_ - - X Congress Street,Suite 100
_ goston,MA 02114 ZdY7
tvww mass.govtdia
y Workers,Compeasaiaou insurance Affidavit:Builders/ContractorslElectrieians Tlwnbers.
TO BE k'H.ED WIT If`SHE PEPdVRTTING:IUTHORTTY.
Please Print L
Izcaut Information gz
egibly
Name(BusinessloanizatianlZnaiviaaal): ( tl, TiffcOr
ilirift
Address: 57; `r
CityfState/Zip:
rF I Phone#•
Areyou an employer?Checktlie appiroprlate hex: Type of project(.pduired):
i.[ I am a empIoyervrifh employees(fiill end/arpaY-ti"ne).s 7..Q New construction
2.,(�- Eamasola pmpriabrorpar+firstdpandbave no employees 4vork;ng ferns io &. C]Remodeling
y capacity.ipso 1'to�s ss'comp.iastaaace require fl 9• ❑Demolition
3.Q Eamafiamecwnerdoing all wnrkmysel£.[No vror'sars'conp..ius*sanee squired.]' 10❑Budding addition
$.❑Iamahemaovmarand4vilF be hiring con±rsetora tonondua*.aII wo'u:oamyP F`hl.Iwill 1q.JElectrica1repairs oradditions
ensile that aII canfractnrs ei±her have vror�rs°aompensafion insurance or azo sole
proprio±ors withno amgIoyes. 12:[Z Plumbing repairs or additions
5.❑Z am ageneral conBe-cfor and lfiave hired the suh-conhzetors SisEed onthe attached sheat 13:�Q-�R.atiSTepaii'S � '..
These sub-contrac±orsliav;employees andhavawarkais'camT�.insiu'ance.'- 14 Other `
6,QV{e azo acoipo-xafien�edifsafficecsfiave exemisediheizrighf e£'exempt<cn pezMGL e. `Y ` ,
152,§3(4),andwehaea xla..amplayazrs.[Nowarkara'comp.insuranceraquhedi
Any applical*tthat aheetcs oaz:lS must also$1 ou[the sec,7'onhelaw showingthesKor}ors'compensaHonpolicy inioatian.
Y Aameawnars who sutasifibis Adavitindica".they se,doing all workandthenhire outside contractors mustsiibmitaneYl afSdav$iedicat*ng s^ich
(Contractors that check si5 boxsv-f iachedasaddif;,onal shcetshowingthename of the smh-cant—tors and sfate whcffier orgotthos�antitieshave
employees.EfLha suh-a�nhacior Flava employees:}lieymustp<vvidethoir xrorkecs'camp.policy number.
.I ant an employer that ispiovidingworkers'compensation ynSUPancef l-my employeeS. Beloa,ZS thepoliey a32dJD sTie
infarrn¢t8an. '..
Insurance Company Name:�
policy#orSelf-ins.Iic.#: f a Expiration Date: '
Sob Site Address: a "� l —City,/StatelZip: ss $�•
Attach a copy of the wozkers'compeusat on policy declare Ion page{show ng the policy cumber and cap z'af on date}.
Failure to secure coverage as required underMGL a.152,§25A is a criminal violation punisha62a by a fmo un fol500.00
and/or one-year imprisonment,as wallas civil penalties in the corm of a STflP 1i,'ORK ORDER and a fine of up to X250.00 a
day against flee violator.A,cagy of this statement may be forwarded to the Office of Investigations of the DIA for iasuzance
coverage verification.
Ido hereby eeriify under'thepalns andpenalites ofpezyury t/zai the inforination provided above is:r-r e and correct
Date-
i4-71 ®r+
Si afore- -
Phone#-
of tial use Only. Do not write in this area,to he completed by city ar town OffzeiaL.
City or Town: PerndtUcense#
Issuing Authority"(circle one): �.Electrical Inspector S.Plumbing Ins ester .
1.Board of TdealtTr 2.BuildiugDepartuent 3.Ci IPowa Clerk P P
6.Other
Contact Persau: Phone#:
A�d$ CERTIFICATE OF LIABILITY INSURANCE BJzZi2o16
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 NAMEACT Marjorie Sullivan
Eastern Insurance Group LLC PHONE .508-923-2205 112,No:
500 Forest Avenue Ep AILssmsuilivanteastarninsurance.com
INSURERS AFFORDING COVERAGE NAIC#
Brockton MA 02301 INSURER A.Em l0 ers Mutual Casualt
INSURED INSURERB ABSCC Industries Mass Mutual
Building Restoration Services INSURER C:
371 Dorchester Ave, Suite 160 INSURER D:
INSURER E:
South Boston MA 02127-2454 INSURER F:
COVERAGES CERTIFICATE NUMBER:CL1682282201 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS.
iNSR I AIJTYPEOFINSURANCE D BR POLICYNUMBER NUVOG 'VYO E MDLICYFV LIMITS
LT
GENERAL LIABILITY EACH OCCURRENCE $ 1,00_0,000
X COMMERCIAL GENERAL LIABILITY EMI - ED S 50,000
A CLAIMS�MADE®OCCUR D52212 /22/2016 /22/2017 PIED EXP(Nlyore $ 10,000
PERSONAL A ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000
POLICYX PR4 COC S
AUTOMOBILE LIABILITY CE BIKED SINGLE MIT $ 1 000 000
i 11',
A X ANY AUTO BODILY INJURY(Perp—,) $
ALL OWNED SCHEDULED 852212 /22/2026 /22/2017 BODILY INJURY(Peraccidw) S
AUTOS NOON--OWNED PROAUTOS DAMAGE $
X HIRED AUTOS X AUTOS Peracadent
PIP-Base S
X UMBflELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,0Q0
A EXCESS.AB CLAIMS-. AGGREGATE $ 5,000,000
DED X RETENTIONS 10,00J52212 /2212016 /22/2017 S
B WORKERS COMPENSATION X ORYUMIT 0TH-
AND EMPLOYERS'LIABILITY YIN
MY PROPRIETORRARTNERIEXECUDVE N/A E.L.EACH ACCIDENT $ 1,000,000
OFFICEIVMEMBER EXCLUCED7 E.L.DISEASE-EA EMPLOY $ 1000 000
8008006422012016A !22/2016 /22/2017
(Mendetory In HM) E
Dyes,dascdbe under
DESCRIPTK)NOFOPERATIONSbe E.L.DISEASE-POLICY LIMIT $ 1,000,000
A Equipment policy C52212 /22/2016 /22/2017 Laa:e nitd 300,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES{Atlacb ACORD 101,Atltli0anel flemerks SCAedele,B mom space v required)
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,
Town Ball AUTHORIZED REPRESENTATIVE
NO Andover, MA
John Roegel/14SULL2
ACORD 25(201OMS) Q 1988-2010 ACORD CORPORATION.All rights reserved.
INSn9fi roAtnnsl n, Tl ar•.npn.,o..,<>..A inrtn Ar-non '.......
Board of Building Regulations and Standards
License:CS-103045
Construction Supervisor
'.MARStiAtL J MII.L`lal
467 MAINSTREE?"'
GROVEL SAND M#0 ""�"r-
(�.�n Expiration:
Commissioner 0713012017
Building Rol—ien Servicer
R&�
Roome m Civarrncino LLC
r"i:C nwil�al"ittzti
J96mc St Y.Sannr7lc MA
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STRUCTURAL • • AU Rights Reserved.
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SHEET TITLE:
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REFERENCE:
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SHEET NUMBER:
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