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HomeMy WebLinkAboutBuilding Permit # 10/13/2016 tkO R TH BUILDING PERMIT �&K�`E° TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION � Cp on Permit No#: � [ .� Date Received I' b ! � 0),%4, �yssaYp ApE��S Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION = Print PROPERTY OWNER Rzz` .4 Print 1 oo Year Structure yes MAP _PARCEL:_,. ZONING DISTRICT: _ ..__.Historic District yes 63, Machine Shop Village yes n TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other a ❑ Vllatershed Djstrict _. .4 W�eII .peFloodpl �n ' ❑Wetlands DESCRIPTION OF WORK TD BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: �� ' Address: Contractor Name: Phone: Email: Address- r Supervisor's Construction License: 07�V Exp. Date: Home Improvement License: Exp. Date: ARCH ITECTIENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDINC PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ � -ems PEE: $_ 97 . 2NOTECheck No.: Receipt No.: i032- NOTE: : Persons contracting with unregistered contractors do not have access to the guaranty gad taoRT� Town o =� :.. 6Andover p - to No. — anh * � - ver. Mass �nM■ 10 t 3 a o A_ COC MIC ML�wKR 41. wreo S V BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System /► THIS CERTIFIES THAT .......!.�..r R%.s........kvqz. ......................................................... BUILDING INSPECTOR has permission to erectbuildings � .a ., L, Foundation .......................... on ... ...,, ........ . Rough to be occupied as .h! ..,.., f..... 0 k�4. .., .......a0fro,t.l!94.................................... 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR LESS CONSTRUC ION STA TS Rough ,,,.,,.. Service .... ... .... ...�.... ..... ,,......,,.........................., Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildin 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. ............... PROPOSAL Marie Daw 29 Maple Ave. North Andover, MA 01845 (11) 978-683-3408 (C) 978-387-0848 tnaried,.tw(t,,t,),Vt,,tizoil.net ........... Porch Decking and Railings September 14,2016 Work to be completed includes: 0 Building Permit 0 Removal of all decking and railings on side porch. a Replace decking with Azek Slate Gray Composite Decking, Replace Railing with White Radiance Railings. Wrap exiting posts with PVC. Install new PVC lattice around porch 0 Removal of all debris TOTAL LABOR AND MATERIAL $ 7,322.00 Terms: $2,400.00 to start $4,922.00 when complete Submitted By: Chris Rivet MA Lic#CS072173 HIC#139962 207 Winter Street (C)508-265-3115 (H)978-794-1165 North Andover,MA 01845 All Horne Improvement Contractors shall be registered.Inquiries about a contractor relating to a registration should be directed to; Registration Division,Program Coordinator One Ashburton Place Room 1301 Boston, MA 02108 Tel:617-727-3200 ext.25239 All building permits required will be the obtained by the contractor.Homeowners who obtain their own permits are excluded from access to the Guarantee Fund. ACCEPTANCE OF PROPOSAL The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified.Payments will be made as outlined above. Date "-k / Homeowner Signature Date—_Z��� Contractor Signature tractor Arbitration .c Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as an alternative to court action)if1hey ,ave a dispute with a contractor.The same right is not automatically afforded to a contractor,however.The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below.This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. 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 the dispute to a private arbitration firm 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 in Massachusetts General Laws,Chapter 142A. 11101 Homeowner's Signature Contractor's Signature NOTICE:The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. 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. Accelerated Payments A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herselfto be financially insecure.However,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 ajoint escrow account as a prerequisite to continuing the contracted work.Withdrawal of funds from said account would require the signatures of both parties. Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights,or if you wish to obtain a free copy of"A Consumer Guide to the Home Improvement Contractor Law",contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 (617)973-8787 or(888)283-3757 Sales: 800.448.3636 ACM, F Phone: 804.271.2363 NJAI' GENERATION Fax: 804.743.7779 A3MMMMTJ=. acfenvironmental.com LET'S GET IT DONE STORMWATT,R MANAGEMEN'r SOLU'"FIONS Site Development and Retrofit e Low Impact Development a Green Infrastructure FOCALPOINT(high flow biofiltradon) rt,."I'ANI<(rTiodul,irsi.ibstirface storage) PAVE DRAIN 1-.AB('O(d(eceiitralize(itreF4ti-nent) aimiwimsurmwiauumumiemuuuuuaammamauu �X i . Awn, � jX�,,00,,471al e�elry NorCh Andover MIMAP October 13, 2016 ��'oas.a-gaa5 �� MAPLE AUE ,� a�a.q-oaa,x qs�.o-goo3 ' m � ,�% q 19 gt7Lq i✓ ' 019.q-ggpr7 � r i�i�� q19.q-gag5 I 15 NlAPLE AGUE � µ r „y� q19 a Og23,f �U2 WAUEFtLY fYGM MAPLE E �/��p19«a-Oa17 �� epi����ir�/gym 019.q-ggg6 ", q,19.0-gq•18 �/�� f 27 MAPLE Avr f ,��,. aaa.o-aq�a .roaa 75 SEGt74dp 5T g1,9.a-q q19.q-gg28 � a].9.a-ag30 I /��,� 019,a-aa2%J %% r�%/' tl�%/ 43�. SECt7P9t7 5T �4�J MAPLE E 99f95ECf,�F+8C1'I"aTr 'C, 1g3ECt?iVD T ii''' % SECC7IVD sT tem X. 019.0-8034 i g19.q-aq3� w� 55 MAPLE AifE �J t �� 019.a-aa39 a19A-aU35 B90 1,11R.9- 019«CI=8032 a19 q-gg4q 0 MVPC Bo Waist Les Hodzomal Datum:MA StalepYane Coordinate System,Datum NABSS, Me[ers Data Saumos:The data for this map was produced by Merrimack --SIR NORT4 Valley Planning Commeafon(MVPC)using data provided by the Town of f p North Andover.Additional data provided by the Executive Office of Reads O �ti�ee rb '1'6 Environmental AffelrsfMassGIS.The information depicted on this map Is imrEa a—Is } ,ue �e OL for planning purPosos only..It may not he adeq-t.far loyal boundary Parcels .-. M deenidon or regulatory Interpretation.THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING « y THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY OF THESE DATA,THE TOWN OF NORTH ANDOVER DOES NOT K hoP • # ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF THIS INFORMATION ', M�SSAf Hlls�'�A� �, =61 ft �r North Andover MIMAP October 13, 2016 FIVE 019.0-0015 ���/ i /i % / 18 MAF LE AVE 819.0-0001 019.0-0003 jj019.0-0064019.0-0008 ,� ��j%��%t� 13 MAPLE,AVE I/ ' 98'WAVERLY RD I 22 MAPLE AVE 019.0-0016 .S` 019.0-0007 15 MAPLE AVE � 19.0-0005 019.0-0023 102 WAVERLY RD 019,0-0017 \30 MAPLE A / �ql \, 019.0-0024 21 MAPLE AVE,;' G 0 019.0-0006 019.0-0018 36 MAPLE AVE 27 MAPLE AVE// A19.0-0065 019110-0019 65 SECOND ST 31 MAPLE AVE 019.0-0025 R4 019.0-0020 019.0-0021 019,0.0026 75 SECOND ST 019.0-000 019.0-0028 019.0-0029 019.0-0030 014.0-0027 019.0-.0055 91 SECUL"JL7 ST ^' 49 MAPLE AVE 10SECONDST99 SECOND ST SECOND 5'N Y2K 019.4-0034 a`l" )(k" 'ICY �Co 019.0-0038 55 MAPLE AV 019.0-0435 019.0.003~1 019:0=0032 019.0-0040 019.0-0039 []MVPC Be Zoning Overlay Zoning C Munisi aGSoundel Adull Entertainment Oliure Busln¢se 1 District Horizontal Datum:MA Slateplane Coordinate System,Dalum NAU83, P y Ni Shop Village Give Buslno s 2 District Maters Data Sources:The deta for this map was produced by MaMmack — Rait Line [ Watershed Protection Dist M Busine s 3 District Valley Planning Cammiss[an(MVPC)using dela provided by the Town of Interstates ( Hisiadc Mill Area M Besm s4 District AORTM North Andover.Additional data provided by the Executive Ofi,of Medical MadJuana M Gene. Business District df �atr per [,�Downtown Ov¢riay Disiricl q't Planno Commercial Uav b44T r•+¢OO Environmental Alfa,afMassGIS.The Information depicted on this map is —SR ra Historic District Cordia Development Dist ,�,+ L for planning purposes only,It may not be adequate for legal boundary Roads Osgood Smart Growth(46 Carrido Development Dist 6 definition or regulatory tlnlerpit Meon.THE TOWN OF NORTH ANDOVER 7P'. Condo Qev¢lopm¢nt Ulst I" MAKES NO WARRANTIES EXPRESSED OR IMPLIED,CONCERNING Easements Hydrographic Features Industri I 1 Ulsldel ♦< y THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY [1 Parcels Streams Indust!il2 District y y i OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT r: Wetlands r'.-, Industri 13Disldet y no s�+ • ASSUME ANY LIABILITY ASSOCIATED WITTITHE USE OR MISUSE OF @li Indashi 1 S Dlslrict pw`"""'"'"`e THIS INFORMATION Exempt Lands Reside co 1 Dlstrial ,�A Has 10 ce 2 Dlsldct pSSACH4Jse� .."da Ice 3 Disldci d¢c¢4 Dismal 1 n=61 ft de ee 6 District w Y "de w 6 District ,,,,a tosldentlal District The Commonwealth of Massachusetts Department of industrial Accidents tT Office of Investigations { f 600 Washington Street ". Boston,MA.021.11 •wwiv.m{rss gavldia roa tractors/IlPLis Workers' Compensation Insurance Affidavit:Builders/C Anficant nformation Please Prat Legibly Name (Business/organization/Individual). Address: 207 A ,�f CztylState/Zip: , . r t�C,� f fir' pfd Phoiae#: t9r Are you an employer"Check the appropriate box; Trpe'ofpfroject(required): 4. ❑ 1 am a general contractor,and I I.❑ I am a employer with 6. ❑ ew construction employees(full and/or part-time) have hired the sub-contractors 2. am a sole proprietor or partner- listed on the attached sheet 7. Remodeling ship and have no employees These sob-contractors have 8. ❑Demolition employees and have workers' working for me in any capacity. 9. E]Building addition o workers'com insurance comp.insitrance.x (N p• 10.❑Electrical repairs or additions required.] 5. 0 We are a corporation and its 3.❑ I tun a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers'comp. rightofexemption per lVlGL 12.[J Roof repairs C. 152,§1(4),and we have no insurance required.]t employees.[Na workers' 13.❑Other camp.insurance required.] *Arty applicant that checks box#1 mustalso fill out the section below showmgtheirworkars'compensation policy information t Homeowners who submit this afflda*indicating they are doing allwork and then hire outside cwntmotors most submit a new affidavit indicating such. 'Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. 1f the sub-contraoters have employees,they must provide their workers'comp,policy number. . I aan employer that is providing workers'compensation insurance for m rra y employees. Below is the policy and Job site information. Insurance Company Name: s � af' ' f a, d Expiration Date: l � Policy#or Self-ins.Lie.i#' �� 6 �• � rob Sife Address:_ V ply 4-0' City/State/Zip: ,- 41y'ZId'a M Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGI,c.152 can lead fo the imposition of criminal penalties of a fine up to$1,5oo.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine o€up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for inmr ance coverage verification. I do hereby Certify u der p 'ns apdpenalues eperjury that the information provided abpve is gine and correct r _ Date: Phone Official use only. Do not write in this area,to be completed by city or towit official City or Lown: Permit/License# Issuing Authority(circle one): 1.Board of Ilealth-2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.0ther Phone Contact Person: # OP ID:GOGL DATE(MMIDOJYYYY) CERTIFICATE OF LIABILITY INSURANCE 09/15/2016 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(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 Phone:978-688-6921 NAME: CT Kim Landry Macdonald&Pangiane insurance Fax:978-688-5350 A"c"o 104 Main Street E .978-688-6921 AAic No;97B-688-5350 North Andover,MA 01845 MAI s..KIMQmpins•net Michael Pangione PRODUCER CUSTOMER ,:CHRIS-5 INSURER(S)AFFORDING COVERAGE NAIC s INSURED Christopher Rivet INSURER A!Preferred Mutual Ins Co 15024 207 Winter St. North Andover,MA 01845 INSURER B .INSURER C INSURER D; INSURER - 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. OL [NSR TYPE OF INSURANCE U8 POLICY NUMBER PO ICY EFF MMMD EXP LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X 11 COMMERCIAL GENERAL LIABILITY BOP 0100719749 09/26/2016 09/26/2017 PREMISES its occurrence $ 100,000 CLAMS-MADE FX1 OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&AOV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 [GEWLAGGREGATEL€MITAPPLIESPER: PRODUCTS-COMPIOPAGG $ 2,000,000 POLICY PROJFC- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ W ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (PeraWdent) $ NON-OWNED AUTOS $ $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIABCLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATIONVVC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N ORY LIM TS ER E ANY PROPRIETORIPARTNERIEXECUTIVE❑ E.L.EACH ACCIDENT $ .OFRCER(MEMMR EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE•EA EMPLOYE $ F yes,desaibe under R DESCRIPTION OF OPERATIONS below E.L.DISEASE.-POLICY LIMIT $ E$C IPTION OF PE ATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more spew Is required) vlt�ence OT insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Osgood St e No Andover,MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. Ali rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD Massachusetts Department of Public Safety Hoard of Building Regulations and Standards License: CS-072173 C'onstruc ion Supervisor CHRISTOPHER F RIVET , 207 WINTER ST N ANDOVER MA 01845 "!� 4-✓�--® Expiration: Commissioner 46/02/2018 dry, " :% r l r.irrii ,oroaerrlrff r� lr,t.prrr�rr,trf('t Office of Consumer Affairs&BusinesslReguiatfon w „ r1HOME IMPROVEMENT CONTRACTOR Registration: 139962 Type: Expiration: 9/8/2017 Individual CHRISTOPHER F.RIVET CHRISTOPHER RIVET 207 WINTER ST. N.ANDOVER,MA 01845 Undersecretary i