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HomeMy WebLinkAboutBuilding Permit # 10/5/2016 OORTM 9 BUILDING PERMIT + TOWN OF NORTH ANDOVER APPLICATION FOR ` PLAN VN ,�^ YP�y Ie Receive NO: 0AT_m®n�aa Date Issued: �IPClIiT ANT: Applicant must complete all items on this page LCvTIC A4 Fir' yes 1A :PrF ' ECIt ;' til a"iFCT °ti �srat Nlaoh ;� opa elleeri TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential rt i:1 New Building I-1 One family I Addition Two or more family ml Industrial Alteration No. of units: Commercial )(Repair, replacement €-:1 Assessory Bldg [i Others: 1 Demolition l Other ell114 1Iaidilin :i :tlad A 1; Ctersh Iiia 1 1f�' tc�rl,�ewer; . h h Identification Please Type or print Clearly) OWNER: Name: �; Phone: : m�, ID � ��� ,�w- ���. . , � u . m. Va � Address C � � R ile ... 'itori 5 u ri + r' 'contrc1an re :: .� P� F Opt 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.:Persons cont acts ith nr ist CO oars do not have access to , Receipt o.: NOTE: the guarantyfund Signature of A ent/ wn r �' ' na�fure o cont a fior' %40RT# own. of 2 t_ yt d ndover Roh `' ver, Klass, � � � s- � 0/ (0 COCMiC KE WIC,f L ,4 A�RATEO r? C3 S V BOARD OF HEALTH Food/Kitchen PERMIT T LD Q Y.M.#V SepticSystem THIS CERTIFIES THAT ......... .R ......... .� ......................................... ....... BUILDING INSPECTOR has permission to erect .......................... buildings on ....... 97...... ..?76- J....................... Foundation .IoM O/Oft �•yr Rough tohe 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES 16 MONTHS ELECTRICAL INSPECTOR UNLESS C® STRUCTI® STAR Rough ♦_ Service ........... ...........�./..... ....................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy .Permit Required to Occupy By 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 Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 966 Section 21A—F and G min.$900-$1000 fine NOTES and DATA -- (For department use) ❑ Notified for pickup Call Email Date Time Contact Name Doc.Buiding Permit Revised 2014 i Plans Submitted ❑ Pians 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 - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT El ❑ (; to � . --=f, COMENTS CONSERVATION ❑ ❑ �3 t� U, ' 6 COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connectlon/Signature& Date Driveway Permit Located at 384 Osgood Street rFIRE DEPARTM l Ternp Dumpster on alta yes �D T 7 l,ocatec# at 124 MainStreet x ' `' I��Se bepartmen�s�gnatureldate y rY f r��" s'�rf� ��.rw✓�1 ;- a ya � i �'�Q-�M�s�T� ` ✓ x .,y �JrY ,yam T" �'a � r� ', r Y ,� r�Y Via,,2� IY r,y. x r �.,., s >✓ , ,Y` _ MASSACHUSETTS HOMKIMPROXEME NT CONTRA-Cl Homeowner Information First United Methodist Church 57 Peters St. N. Andover,MA 01845 978-994-3631 Contractor Information Turner Carpentry CSL## 108738 EXP 10/17/2018 Ryan Turner HIC # 178626 EXP 5/5/2018 17 Baypoint Ln. Tax ID 464976419 Haverhill, MA 01835 978-478-7756 WORK TO BE PERFORMED AND MATERIALS TO BE USED Work to be done by contractor: Remove Decking on rear deck, demo concrete steps under deck. Repair framing of deck. Reducing the size of the deck from a 17x14 to a 12x17. This will require pouring footings and adding a beam to the underside of the deck. Removing and replacing railings and railing posts. Removing and replacing deck stairs. Replace lattice and trim. Remove and dispose of all Debris Materials to be used by contractor. Builders tube, concrete, pressure treated 2x10 triple beam., all pressure treated 5/4x 6 decking, all pressure treated framing and railings. Pvc lattice and trim. Work Scheduled To Begin 9/26/2016 on or around Expected Date of Completion: 10/7/2016 TOTAL CONTRACT PRICE AND PAYMENT SCHEDULE The Contractor agrees to provide the work, furnish the material and labor specified above for the sum of$5,583.78 Payments will be made according to the following SCHEDULE: 1 $1,842.65 Deposit before work is started. Balance of$3,741.13 due upon completion of the contract. In order to meet the completion schedule,the following material/equipment must be special ordered before the contracted work begins: D�UON(;T ' GNA. .,S CONTRACT IF THERE ARE ANY BLANK SPACES Customer Signature Contractor's Signature Paul arlotto Ryan Turner 9ZM� ----- // / Date 0 bate' You may cancel this agreement if it has been signed by a party thereto at a place other than at the 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, not later than midnight of the third business day following the signing of the agreement. See attached notice of cancellation for an explanation of this right. REQUIRED PERMITS The following building permits are required: Town of North Andover, MA Building permit. It is the obligation of the contractor to secure such permits as the homeowner's agent and any costs which contractor will incur in doing so are included in the price for this job as set forth above. Please note that homeowners who secure their own permits or deal with unregistered contractors are excluded from the Guaranty Fund provisions of MGL C. 142A. Is an EXPRESS WARRANTY being provided by the contractor? No Yes X The following warranty will be provided by the contractor under this contract: 1 Year Workmanship and material warranty any materials under warranty will be through manufacturer of such materials. Please note that all home improvement contractors and subcontractor shall be registered and any inquiries about a contractor or subcontractor relating to registration should be directed to: Director, Home Improvement Contractor Registration, One As Place,Room 1310li Boston, MA 02108, 617-727-8598. 2 Unless otherwise noted within this document, the contract shall not imply that any lien or other security interest has been placed on the residence. Homeowner's Rights A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A) and other consumer protection laws (i.e. MGL chapter 93A)may not be waived in any way, even by agreement. However, homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law. Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law. The contractor is responsible for completing the work as described, in a timely and workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor, all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about your consumer/homeowner rights, contact the Consumer Information Hotline (listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached. Parties are also advised not to sign the document until all blank sections have been filled in or marked as void, deleted, or not applicable. One original signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor. Any modification to the original contract must be in writing and agreed to by both parties. Contracted work may not begin until both parties have received a fully executed copy of the contract, and the three day rescission period has expired. ARBITRATION The 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 Regulation and the consumer shall be required to submit to such arbitration as provided for in MGL C. 142A. - Contractor: Iomeowner: Date: Date: 16 NOTICE: the signatures of the parties above apply only to the agreement of the parties to alternative dispute settlement initiated by the contractor. The owner may initiate alternative dispute resolution even where this section is not separately signed by the parties. ACCELERATION OF PAYMENT 3 Homeowner's Financial Insecurity. A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure. Contractor's Financial Insecurity. In instances where a contractor deems him/herself to be financially insecure,the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work. Withdrawal from said account would require the signatures of both parties. Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza, Room 5170, Boston, MA 02116 617-973-8787,888-283-3757 or visit the OCABR website at http://www.mass.gov/ocabr/If you want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law, contact: Director of Home Improvement Contractor Registration Office of Consumer Affairs and Business Regulation 10 Park Plaza, Room 5170, Boston, MA 02116 617973-8787, 888-283- 3757 or visit the HIC website at http://www.wass.gov/ocabr/Go online to view the status of a Home Improvement Contractor's Registration: http://db.state.ma.us/homeimprovement/licenseelist.asp For assistance with informal mediation of disputes or to register formal complaints against a business, call: Consumer Complaint Section Office of the Attorney General 617-727-8400 AND/OR Better Business Bureau 508-652-4800, 508-755-2548 or 413-734-3114 OTHER CONTRACTUAL DOCUMENTS This contract includes as contract documents the following additional enumerated documents: 4 i. i. NOTICE OF CANCELLATION YOU MAY CANCEL THIS TRANSACTION, WITHOUT PENALTY OR OBLIGATION, WITHIN THREE 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 BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER 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 SELLER AT YOUR RESIDENCE, IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED, ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR SALE; OR YOU MAY, IF YOU WISH, COMPLY WITH THE INSTRUCTIONS OF THE SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE SELLER'S EXPENSE AND RISK. IF YOU DO MAKE THE GOODS AVAILABLE TO THE SELLER AND THE SELLER DOES NOT PICK THEM UP WITHIN TWENTY 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 SELLER 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 A DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE, OR SEND A TELEGRAM TO (Name of Seller), AT(Address of Seller's Place of Business)NOT LATER THAN MIDNIGHT OF (date). I HEREBY CANCEL THIS TRANSACTION. Date: Buyer's Signature: 5 S _ e Ali, to � s A i _ = F _ _ 5_ _ _ rn sP { l —7 i a; j I s '` s � — — s i b � 1 > i z The Commonwealth of Massachusetts Department of IndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PI;RMI i iNG AUTHORITY. Agpilefint Information Please Print Le ibl Name (Business/Organization/individual): Y Y �Y Address: \ ' �_ � Qc%� \-.%VN - City/State/Zip:'CcQ.��11r:,��l�i1 01 '3 Phone#: C9 `0 Are you an employer?Check the appropriate box: Type of project(required): 10 I am a employer with employees(full and/or part-time),* 7. ❑New construction 2. 1 am a sole proprietor or partnership and have no employees working for me in g. E]Remodeling ny capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3-❑I am a homeowner doing all work myself.[No workers'camp.insurance required.]t 10 F1 Building addition 4.E]I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.rl Plumbing repairs or additions S f j I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.0 Roof repairs These sub-contractors have employees and have workers'comp.instuanec.t 6.E]We are a corporation and its officers have exercised their right of exemption per WL c. 14.�Other f 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing theirworkers'compensation policy information, t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a now affidavit indicating such. #Contractors that check#his box must attached an additional sheet showing the Heine of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. f ani ari employer•that is pi-ovidlrig 1por•lrers'eonipeissation ilisurarice for itiy employees. Belmp is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie,#: Expiration Date: b Site Address: City/State/Zip: Atte h a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL e, 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 WORD ORDER and a fine of up to$254.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify and • lie pains and enaldes of pei jury that the information provided above is true and correct. Si nature: Date: Phone#: Of,lcial use only. Do not sprite in this area,to be completed by city or tmpn official City or Town: Permit/License# Issuing Authority(circle one): i 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector 6.Other Contact Person: Phone#: DATE(MMIDDIYYYY) A�R� CERTIFICATE OF LIABILITY INSURANCE 7/11/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Kimberly Savage Sullivan Insurance & Financial, Inc. Vin.Exfl: (978)372-2790 IV o:(978)373-2281 487 Groveland Street ADDREs$ ksavage@sullivanlF.Com INSURERS)AFFORDING COVERAGE NAIL#.-- Haverhill WHaverhill MA 01830 INSURER A:Harle sviIle Worcester 26182 INSURED INSURERS: Ryan Turner, DBA: Turner Carpentry INSURERC: 17 Baypoint Lane INSURER D INSURER E: Haverhill MA 01835 INSURER F COVERAGES CERTIFICATE NUMBER:CL1671102904 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 TYPE OF INSURANCE ADD_.SUER POLICY EFF POLECY EXP LIMITS LTR INSD WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY X COMMERCIAL GENERAL LIABILITY FACH OCCURRENCE $ 1,000,000 DAMAGETORENTED $ 300,000 A CLAIMS-MADE I X OCCUR MICFS IEa rxtai rence]._ SPP00000027152Y 7/1/2016 7/1/2017 MEUEXP{Anycneperson $ 15,000 PERSONAL&ADV INJURY $ 1,0001000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- {j II LOC PRODUCTS-COMPIOP AGG $ 2,000,000 X POLICY u JECT 1 J $ OTHER: AUTOMOBILE LIABILITY Ea accid $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ Al1TOR NON--OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (P $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION PIATH TUTE Er... AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICERIMEMSER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEF $ I€ves.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 161,Additional Remarks Schedule,may he attached If more space Is requiredl Construction Operations CERTIFICATE HOLDER CANCELLATION North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Building Department ACCORDANCE WITH THE POLICY PROVISIONATE THEREOF, S. E WILL 8E DELIVERED IN 1600 Osgood St. suite 2035 AUTHORIZED REPRESENTATIVE N. Andover, MA 01845 � — Rayt Holland/KSIaV OO 1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD _F Board of Bu latrroraq pia 91W afion.r arvi Standards Umwi ructinrr Sup erOwl, I._ucense CS-108738 , RYAN TURNER � 17 BAY POINT LANE Haverhill MA 0'1835 Expiraflon ;d,rcwrxreraaarua,ur 10/1712018 'r �`r�F `f:a��rrrtcrrr�aarlf���/r''�f�r�rr�r�rrrrClr � '", yOffice of Consumer Affairs c"t Business Regulation 11HOME IMPROVEMENT CONTRACTOR Registration: 178625 Typo: } Expiration: 5/512018 DBA TURNER CARPENTRY RYAN TURNER t 17 BAY POINT L.N d FIAVERHILL,MA 01835 Undersecretary