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HomeMy WebLinkAboutBuilding Permit # 8/31/2016 BUILDING PERMIT �70 R�T TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION Permit No#-. 1 Date Received Date Issued: --- I PORTANT: Applicant must complete all items on this page LOCATION 121 CA'Aslen%k SkIr,49-Ir-Print PROPERTY OWNER TAAi<� Print 100 Year Structure y e s—(Lno MAP PARCEL: — ZONING,DISTRICT: , Historic District yes no Machine Shop Village ye no ...................................................................................... TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential El New Building F One family 0 Industrial El Addition 0 Two or more family El AlterationNo. of units: 0 Commercial "Repair, replacement 0 Assessory Bldg 0 Others: 0 Demolition 0 Other Q s ll rk­ uFl ,''nWetan, J "i'a i, gii DESCRIPTION OF WORK TO BE PERFORMED: vwi Identification- Please Type or Print Clearly OWNER: Mame: Phone: Address: kTvxk MA A Contractor Name: A!cAa-LX 'So,4 Phone- 382- Zo,91 Email: 14blp Doak 6J"R&JAKOe4. I - - Address: 1b so-K (owl KAk44-, N)A Gstot Supervisor's Construction License: 10l®0 35 —Exp. Date: i zo(I Home Improvement License: IbZ,717. .......--- Exp. Date: z-7 L zo vi ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE. BULDING PERMIT.`$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 41- FEE: $ 1 Check No.: Receipt No.:--Nb&1J/— NOTE: Persons contracting with unregistered contractors do not have access to the uar ntyfiald ¢ tA®RTH lu Town ofndover - _ T6 O 0 No. h % �,M, h ver, Mass, �l Coc"ac"tW.CN V - A U BOARD OF HEALTH Food/Kitchen PER I L D Septic System THIS CERTIFIES THAT ..,.. 1xrBUILDING INSPECTOR . Foundation has permission to erect .......................... buildings on .... ..�.. $....... .... .. .........,......,... i . Rough to be occupied as .... Y.. .. t... 11... livo 1!�!=►... ..�. ,� � �. C chimney provided that the person accepting.this pel it shall in every re�r ect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relting 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 16 MONTHS ELECTRICAL INSPECTOR LESS Q=.. Rough Service..... ...........' Final INS ECTOR GAS[NSPECTOR 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. Federal 111#0&=629 RISE Engineering Pi Contractor Registration No etas VAContractor Registration No IWM Adivisioe of7Itielslh Engineering RISE60 Shawmut knit i/2,Canton,NA 0202E CONTRACTENGINFERING339.506335 PAX339-502-6349 Page 1 L PROGRAM _ CMAL-HES sitmneatttaor aveattwea �tura via surtit�rase wesot as cnvwm ; pww a out': Cuomo wow Peter Ayer r' C (,978)682-3467 06/02/2016 435811 00002 awroca swarr ':3 r c' 4 sa>UNS ttsutaer 127 Chestnut Street ;:;.:ire f t 127 Chestnut Street i S&WEa iny'srotti„ap { mtuxa crtv,smte.pP North Andover,MA 01845 r ~� North Andover,MA 01$45 JOB DESCRWnON Alit S$ALING:Provide labor and materials to seal areas of your home against%astelitl,excess air leakage. Thls work will be performed in eoncert with the use of special tools and diagnostic tests to assure that your home will be iatt with a healthful level of air exohange and indoor air quality.Materials to be used to zd your home can include caulks,foams and other products. Primary areas for scaling include air leakage to attics,basements,attached garages and other unhcattd at ens(windows are not Vnerally addressed) This will regain(I3),m)"g hours.A reduction in cubic feet per minute(efm)ofair infiltration WI occur,bid the aottial numbor of cfm is not guaranteed. At the completion of the wratherization%ork,and at no additional cost to the homeowner,a final blower door and/or combustion safety analysis will be conducted by the sub-contractor to ensure the safety of the Indoor air quality. $1,020.00 AIR.SEALINCr.Provide tabor and materials to Install Q-Ion weatherstripping and a doorsweep to(2)door(s)to restrict air leakage. $150.00 ATTIC FLAT:Provide labor and materials to install a 4"layer of R-14 Class I Cellulose added to(280)square feet of floored attic space. $473.20 DAMMING:Provide tabor and materials to install a 124 layer of R-38 utafaced fiberglass baits to(100)square feet for chumming purposes. $205.00 ATTIC FLAT;Provide labor and materials to install a 10"layer of R 3S Class I Celluuloso added to(860)square Ecol of aped attic space. $1,264.20 STORAGE BARRIER.Homeowner is responsible for the removal of the stored items blocking the installation of woollit ization work in the attic. Removal mast occur prior to the scheduled work siert. CONSOLIDATE STORAGE TO DESIGNATED 14x20 AREA.IN ALL OTHER AREAS REMOVE FLOORING AND STORAGE (NOTE;FLOORBOARDS CAN BE STACKED 1N T HE STORAGE AREA) $0.00 KNEEWALLS Provide labor and materials to install R.B faced fberp]ass to(70)square feet of kneewail. Then inaall 2"rigid board insulation.Scat ail seams with FSK tape. $255.50 KNEEWALL FLOOR Provide labor and materials to install a 12"layer of R 4Z Class 1 CollWose added to(40)square feet of open knoowall floor. $58.40 WHOLE HOUSE FAN:Provide labor and materials to fabricate and Install a rigid foam insdatingcover for the%hofs hot=fan. $209.21 ATTIC ACCESS Provide labor and materials to install(1) easily move4 insulating cover for the attic access folding stair. A small Oat surface of plywood will be created around the opening vdthin the attic. This will allow the cover's integral weather-stripping to restrict air leakage. $237.65 PaderalID#054M 529 RISE Engineering Rt Contractor Registration No 6188 Mkcgntraetor Registration No 17A979 A division or'lblelseh Fa itineering ROSE60 Shawmut Unit 42,Canton,MA 02021ENGINpl q. g p�� 339-502.6335 M339-502.6345 CONTRACT RA Page 2 PROGRAM rnRsCMA- FS j2=6 6&MOU"MOwn ea WWFt PH= MAIN cuaws Wo"onam peterAyer (978)682-3467 OUO2/2016 435811 00002 sumce eT&OT elt"s sweer 127 Chestnut Street 127 Chestnut Stmt Samoa emr.aTAR.aP 944"cfw.SAW-)P North Andover,MA 01845 North Andover,MA 01845 JOB DESMON ATTIC ACCESS:Provide labor and msterialstomake(I) temporary access to an attic am. The opening W11 be closed with materials similar to those existing. Finish sandtngand painting i4 not included. $85.00 VENTILATION:Provide labor and materials to install ventilation chutes in(60)ratter bays to maintain air flow. $120.00 BASEMENT CEILING: Provide labor and materials to install(43)square fust of R-14 faced fiberglass insulation to the basement ceiling. $68.80 INCENTIVE:RISE Engineering will apply all applicable,di®ble incentives to this contract. You Wll only be tolled tha Net amount. Currently,for eligible measures,Columbia Gas offers an incentiveof 75'/a,not to exceed$2,000 per calendar year,and an incentive of 100%for the Air Sealing measures up to the first$680 and an additional$340 if savings are Justified by the auditor. FOR A LIMITED TIME:Columbia Gas will also offer an additional 5100 incentive tow"the►4eatherimtion►cork outlined in this proposal.This special.Summer incentive is available to homeowners vAo.have had their Columbia Gas home energy audit before Ady 31,2016. A signed proposal for weatherization needs to be submitted by Auguat 8,2016 and-Sark muss be completed by September 30,2016. For the safety and health of your home's indoor air quality,we will be Conducting a blower door diagnostic of the available air flow in your home both before the uork is bogm,and after the Kcatherization work is complete.We will also conduct a fall assessment of the combustion safety of your heating system and water heater.This has a value of$90 and is at no cost to you. The maximum allovmble incentive for all meeamars,Including air sealing,is 53,210 $90.00 Federal ID#054408829 RISE Enginleeft RI Contradar Regletration No 8188 WAContractor Registration No 12GST9 A division orlbielseb Engineering ROSE60ShawwutUultN2,Granton,AIA02021 33F-542-b335 l'A]i.339-5U1.6345 CONTRACT ACp.�p�p. gp^T ON a !" Page 3 PROGRAM I"CONW.Vyla IN CNIA HMS Gl1a'ia3 N VIC aMWs amlown plim RAW CLIENT!! waft wR PeterAyer (918)68�2-3467 06102/2016 435811 W002 aaauton sateen ww"stag 127 Chestnut Street 127 Chestnut Street 4MV 102 MV.Svk%XP BULWO Wt.Gulls,nP North,Andover,MA 01845 North Andover,MA 01845 JOB IDESCR"ON Total: $4,238.88 Program Incentive: $3,110.00 CustolnerTotal: $1,126.68 W GAGRW N5RMYTO FURNISH SIatY[CW-COMPLErE IN ACCORDANCE W fM ABOVESPBC(MA110N8.FOR TNB GUM OF �,p p�p'One Thousand One Hundred Twenty4iun�8 881100 Dollars $9,126.96 UtW�R ARIDR AY&aGERBY E 1 FfO.CUalOI AGRUSIDRaNrI' RIGFIWCFRaCIBIG6l ax0F1Y. ARO0R 41Ac"Aw DO NOT SIGN TNi8CONTti11CTIF ARE AN"t.ANK "'Im .R19G F.ndaaarica ACCtiFpSE ItG'1&: CCNyiA0iig0.YBa Y/111ieRAWN SY Ua 1F NQfAIMCUIHOM" DA130PAOCEREM RM"$ UC60FOCH➢IADT*MA9C111aPS1C@S 9.,%X1 SAle7 ARa QAYS. iAVal'Ai:FRr A►US ANe A1fSI�WA008A'�6Y AU S{dn®W9091fi41[9ftN AS 9PaMMM PAYGSNMUCUR MOO AS CMIMAEM 60 Shawrnut Road, Unit 21 Canton,MA 020211339-502-6335 ENGINEER1W www•RiSEengineering.com OWNER AUTHORIZATION FORM 1, G' (Ownb6 Name) owner of the property located at: (Property Address) (Property ddress) hereby authorize KA (Subcontract r) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property.This form is only valid with a signed contract. J—:�. 164 a 11 A Owner's Signature Date 01, The ;"canunommlth qJ'Alavachusau els I C'4°atrtlwC`hs A`reel,Suik ,100 BosJoit, AIA 0,21,14-2017 ,r p�,D t'tY a't?w t`1 9t,t ppb n a".r&D,FI.t It Workers' CAnutpensaalion Insnramee Affidavit:General 1411swuns. TO HE IsIt.m y"WI'I`Il'I"i ,lIFUdwUFf"ING A.'UTII(I'IUT 1'. Rmslana,sly>/Or°gani7afion Kn ur RMH City FrmeMy ('a`it y'J 1:Ixt(l ;ila: hartr lta plc r, ------ NH 03108 _ 11 603-391 1923 M , Are you aan employer?I("beck the nitprop'rriaats box- Ruane ss lype Qegathvd):. anu ea enapalcryer wMh 12 emplcayees(Cuip uan(t/ ";1. E j.Retaail eYr pa64r4 trrracr)."r 6, IZa a,rartrrarrt/1�Sanit katlrr I stt(rlislarrrc^nt. t aura ra.sob par°crlarNcw or partnomitip°r and We no A El C)f"ike aaa<"W s liar - retinal cmmq aznw,a") crrrlalraya cs ww�4ral<iras i'or tire, in any capacity. [No workers' comp. inaurarrrcke ra:x1on-e l [ � ?wdr:atr-p�arcal�it. 3. We arra;as twprcrr<mon;nti its u9 Cic ers lave exacise d Sr. El k=,rrrc;r r<uirrrrresr7i. their°rjhlof exemption para•c. 152,2,§I(i),and we have 10Lj 1vlaanutaactwing no enapYloye-os.[No workers'curnpr insorairce required]"]" IQ � p.Ic,�litr("'are1.E 1 we an4 rr rrcarr picas cwrq�u omion �taf rI 4 vcrluntcc;rs,, ���/y whir no enaployces, [No wcrle'e.rs' cac.rnalr, insurancerccl.] 11• ` r Other .on ._,civ aurnwe�a arrrhnpolicyano r\ttYasrpilia,:aarr rlr tl i ht c c�„k�cYx 9r I rrrr+,a akar rt1C ural the e;+�hr7ta brrleccw wli4ac^dhr2 ilia ru wwa»rr � p �'gar iUrwrY Br"tli arararlvrs c ar[ucors ha ar cxa:rnrrtcrrl 111orrxa•,Ires,barn 010 collimation rartion lGis otho erne k yc s,ra wua9,a.rti coollwn transit rwa>kc v;r'cBrrurrC6 aaoO vc ch seas ul'rranrr;raiw a,mold Wk bm H I. tries rest rarrplaY �e:r td'ataPtw rr°aaacdarta, roeurlar.r°.c c°arrrrraxa�.wrafaaea nes. -_�.._ � ttr aarterc'!"�r rrapA�PrrdtCr€a�ar�.w. liaaraar,rw dFte!trills p tr,fizs rtaatt"dtatt. Insurance C.ocrr atty'Nmn _.._._ m to ar a Mrr'�rtaw� Ins°nurcr's Aelclress:011e SUndial Aventre Suite 302N C`1tal�/�etarre ',ilr: Isanclr:74c�r, 1 °I031-02 Volic,y Y or c;,ar1G iris.1,r,..id_ 111aIG791896 Expairaaricrn t:rd. 4(a W2M'✓ Ula c.11 as ccrlry oft1�te wartice:rs.w c�4raaulacrmsntir,wr (aeslia.y eGec �aaa taaatr pa,ap�=e(etre>ww�tng the lanIiey nmulter am d a;xp�aa�t°.ally n alulo� I°"arilrare w sec.nre c;4.rvcrpa e as required under Sei trema 255 of MCH,e,. 152 can lead to the irnywit.ion of cAnkal penal of a 1 y p pu v and:a tIr e nal�uptoFal`itf).lt()laarclnyrc�H&rvathe wrtia4aatcYr. Be�%ally.aerawt0r'raa allyy�atttn�Kl:swen�ptis �r�aayCb rtcrrw�rd cl�l,tlac(f11flc,c.,I Kvetsai«srrieans Woo DIA fur Wswaance contsige rsr,rHWaaticsn. !elle!ta volr,p, es rlflrea'oq a'ltret!lacy drt,/rrtttaattarvtt provided erSxrave k trite and correct, �xiapayrllai.�'.l!...55.... t 114 Cie drtd ttwr arrtX1,, lira meat rorrrtar in this arrerar,dal drat c°rant rlr„tatC lCl,r.itrr or town t4 ,kcal C,',ily uarTown:_..__._..._ ._ I"e^a°rn1Qll icetrsm.d1. ._._ ..__. Issning,Authority itp lc n•c.le,erne). 1. Board of Health W, Ilrnilcling Deportment nt .I.CRY/Town CNN t I_Acot,ng 11caird S.Sole ctanell's Office A CltMI, C'artataact Nrson: d'lauwna°It www l;,w.guwitri r i MILLCITY-1 AGOULD DATE(MMIODIYYYY) CERTIFICATE OF LIABILITY INSURANCE 711912016 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(ies)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). ACT PRODUCER License#A(31181150 CONT Clark Insurance -2655 _._........._..___. FAX (603)622-2854 One Sundial Ave Suite 302N ( ) AIC No): Manchester,NH 03102 ADD ADD- agould@clarkinsurance.com INSURERS)AFFORDING COVERAGE NALC ff wsURERA:Arbella Mutual Insurance Co 17000 INSURED INSURERS.ArnGuard Ins co 43290 Mill City Energy INSURERC: 106 Joseph St PO Box 6411 INSURER°' Manchester,NH 03102 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR _.._..,..__..---- ADDL$Uar POLICY EFF POLICY EXP ---------------------------__----------- LTR TYPE OF INSURANCE IN ❑ WV0 POLICY NUMBER MMIDD MMIDD LIMITS A X COMMERCIAL.GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE L J OCCUR 8500065735 04129/2016 0412912017 INA 15 PREMISES Es occurrences $ _ 3_00,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 - — ...._................................ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑ PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,0()0,000 Ea accident A �_ ANY AUTO 1020050919 0412912016 04/29/2017 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS „-...,. AUTOS X �( NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident J( UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE 4600065736 04129/2016 0412912017 AGGREGATE 1,000,000 DIED I X I RETENTION$ 10,000 $ - WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY _,_,__�$TATk�TE ER B ANY PROPRIETORJPARTNERJEXECUTIVE YIN MIWC791896 04/29/2016 04/29120/7 E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? ® NIA -- ­"-"--"— (Mandatory In NH) E.L.DISEASE»EA EMPLOYE $ 500,000 If ea,describe under D SGRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIF $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover MA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1600 Osgood St. ACCORDANCE WITH THE POLICY PROVISIONS. North Andover,MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CSSL-106035 Construction Supervisor Specialty MICHAEL.JOY 106 JOSEPH STREET ' f MANCHESTER NH 03 CA,_ Expiration: Commissioner 08/07/2018 If`nliLJxoxl/('r��l� Office of Cons���ncr Affairs&llusihrss Regulation License or registration valid for individul use only I; rI before the expiration date. 1f found return to: OME IMPROVEMENT CONTRACTOR � egistrat�on: •!$2792 Type: Office of Consumer Affairs and Business Regulation .� � xpiration71271201.7.. LLC 10 Park Plaza-Suite 5170 Boston,MA 02116 MILL CITY ENERGY LLC:. MICHAEL JOY 706 JOSEPH STREET F�� _.� /70 ,a MANCHESTER, NH 03102 ` ._ Uniicrseerctary N vat i#bout si tore