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HomeMy WebLinkAboutBuilding Permit # 11/15/2016 ttORTH TOVVIN OF ANDOVER N FOR APPL.;CAT, io: Date R Per mt mecAved— Date Issued: TAN T: Applicant mast cniplete j�21 .items on this page X %g� gVE 'nfR21 31 61 NUM-11, ..x TYPE OF IMPROVEMENT PROPOSED USE Residential on- Residential New Building AOne farriiy Addition D Two or more family Indusidal 71 Alteration No. of units: Commercial X Repair, replacement I Assesso ry Bldg Others. E-1 Demolition D Other 2– Identification Please Type oi, Prim'Clearly) OWNER- Narne- Daniel Donovan —Phone'. 978 - 685 - 9082 Address: 25 Elrncrest Road North Andover 01845 ............. RHO�NIOMIM, NIP zM. x ARCHIT ECT/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, $ $10,342.16 FEE: $ 0_4 Check No.: )"C', o 2 .. –Receipt No.: #icl I NOTE: Persons contracting with unregistered contraetm-s do not have access to the giiarantyfund Plans Submitted ❑ Plans Waived Certified Plot Pian ❑ Stamped Plans ❑ °'I"YPE bF SEWERAGE DISPOSAL .Public Sewer TanningWassage/B o dy Art ❑ Swmaumg POols ❑ WOE ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF v U FORM LANNING & DEVELOPMENT Reviewed On SignatureV � ✓ COMMENTS rONSERVATI®N Reviewed an <'' (P Si nature .o�u COMMENTS HEALTH Reviewed on Si nature COMMENTS , Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Wafer &Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT' Temp Dempster on site yes no Located at 124 Main Street Fire Depx> it signatureldate COMMENT te®RTk own of z _ Andover No. ver, Mass, 11 ` d 1 COC NICN.WICN 00RTED U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT �+ X� A.#t.k..................... � �......... BUILDING INSPECTOR ................. ...... .. .�.. ......�.� ...�. .� .... Foundation has permission to erect .......................... buildings on ................... bf! Rough to be occupied as ......... ........................I.......... ...... ' s .. ......... Chimney provided that the person accepting this permit shall in every respect conform to the to 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 INSPECTOR UNLESS C®NSTRUC STAR Rough .... Service .. ..... . ....... .... ................... Final BUILDING INSPECTOR 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. MASSACHUSETTS HOME IMPROVEMENT CONTRACT Home.Improvement Contract(MGL chapter 142A), This contract entered in this 6"'day of September,2416, by and between Joseph M. Rizzari of 54 Hemlock Street,Dracut MA 41826 as contractor and Dan Donovan, 25 Elmcrest Road, North Andover, MA 01845, as Homeowner or Homeowner's representative. It is expressly understood that this contract shall supersede any and all other contracts,writings, memoranda, estimates or understandings, and specifically the any estimates previously rendered insofar all the parties hereto agree that the nature and contemplated scope. The following information is supplied by the parties hereto, in compliance with the requirements of M.G.L. C. 142A. The total contract price shall be TEN THOUSAND THREE HUNDRED AND FORTY TWO DOLLARS, AND 161100 ($10,342.16) , payable as scheduled below. Any addition,modification, or substitutions shall be done at additional costs by the parties hereto,and shall be reduced to a signed writing,Except that any change orders sent via writing,text or e-mail,and not rejected within 48 hours shall be deemed accepted by the Homeowner. CONTRACTOR INFORMATION AND LICENSURE JOSEPH M. RIZZARI Ma,construction supervisor#CS 107575 Ma}come improvement contractor# 152134 Lead Abatement:09130- OM Pest Control: 39407 Lead Safe Renovator Contractor's License: LROO1513 Real Estate Salesperson's License: S111823 54 Hemlock Avenue Dracut MA 01826 e-mail: edrrb@aol.com Office(978)454—2856 (781)-799—6342 Fax(978) 218 -0214 HOMEOWNER INFORMATION Dan.Donovan 25 Elmcrest Road, North Andover MA 01845, Daytime Phone { ) livening Phone,; ) Cell Phone( } fax( } Contractor's initials Homeowner's initials i.""e 1 0f.17 LOCATION OF WORK TO BE I'1'`:]<.F ORMED 25 Elrncrest Road, North Andover MA 018#5, CONTRACT RECITALS WHEREAS, Joseph Rizzari hereinafter"Contractor"and Owner, Dan Donovan, hereinafter"Owner" desires that Contractor to perform work herein described and more fully described in the scope of work attached hereto. WHEREAS,Contractor shall obtain all necessary permits for construction and occupancy as the agent for Owner. WHEREAS,Contractor leas made the 0�,ner rand Agent aware that tl..e staked propefty lines and lot lines are of unknown origin,and accordingly, Olnier accepts he tisiis tI;„reto that they are true and accurate, and agrees to indemnify, release and hold Contractor harrmless I'or a_-:y:ia:bili.ty surrou iding location property lines, confon-pity'witin zoning requirements, mad encroactlintlits, WORK TO BE:PERFORMED AND MATERIALS TO RE USED,` Contractor Agrees to Do the Following Work For Homeowner: (1) Replace existing deck with a 17' 6” x 21' (approximate) composite deck - demolish old deck and remove all debris from yard that is currently existing; dig minimum of six footings,:or sufficient number of footing in accordance with the 2012 International Building,Code(IBC) and 2012 International Residential Code(LRC)to accommodate the deck; Install footings to 48"below undisturbed earth; Build. 176"x 21"0'" deck with composite decking and vinyl railings; Deck shall have one set of stairs without a landing; All fasteners shall be zinc coated and the fastening schedule shall comport with R317.3. Re-route downspout or build around dovrnspoat. Bing decking to edge of the Douse and past the box window. All work to be performed in accordance wi{uz the specifications within the attached scope of wo.rkb Materials.Expected To Be Used: Contractor's initials Homeowner's initials Page 2 of 17 ! (1)UltraShield Naturale Voyager Series I in, x 6 in.x 16 ft. .Brazilian Ipe Hollow Composite Decking Board Model UH02-16-N-IP-49 Internet#300374360 (Home Depot); (2) Simpson Strong Ties (or functional equivalent); with galvanized screws and nails and rust resistant fasteners and hangers; NOTE: Unless otherwise specified herein,all materials shall be contractor grade materials. Allowances Not Ej2licable Not applicable The following;schedule will be adhered to unless circumstances beyond the contractor's control arise: Work Scheduled to Begin: Within a reasonable time after approval TOTAL CONTRACT PRICE AND PAYMENT SCHEDULE The Contractor an ees to perform the work; furnish the material and labor specified above for the SUM of. ($10,342.16 ) ("Include all finance charges in this amount*) TEN THOUSAND THREE HUNDRED AND FORTY TWO DOLLARS, AND 16{100 ($10,342.1.6) Payments will be made according to the following SCHEDULE: $5,317.16 Payment# I - Upon signing contract(*Not to exceed 113 of the total contract price OR the cost of Special order items,whichever is greater*) and the following interim payments. $1,500.00 Payment#2 -Upon completion of all footings and footing inspections ; $1,000.00 Payment#3 =Upon completion of all framing and framing inspection; $2,000.00 Payment#4- Upon completion of all decking and stairs; $525.00 Payment#5 -Retainage amount-Upon completion of any and all punch list items to customer satisfaction and removal of all debris; 18 _ _ 0 Contractor's initials Homeowner's initials Page 3 of 17 10 342.1 Being the total of all amounts due under this contract ($10,342.16), and upon the above mentioned work being performed in a workmanlike manner and subject to the punch list completion, if any. NOTE: the work schedule enumerated above may be performed out of sequence depending upon material availability,permit issuance dates, etc. CHANGE ORDERS Joseph M. Rizzari agrees not to make any changes in the schedule of work, design,or of the specifications without written notification and oral or written authorization by the Owner. However, change orders shall be deemed accepted and approved by Owner if Contractor notifies the proposed change order,the dollar amount of the change order,the reason for the change order, and the amount of days added to the contract as a result of the change order. If Owner does not respond within 24 hours of receipt of the proposed change order,the change shall be deemed accepted and any objection to it waived. All change orders accepted shall be due and payable upon presentment of an invoice by the contractor. Any additions, changes,or modifications shall be done in writing,referencing the original contract price, unless this agreement is modified in writing, including text, or e-mail. Contractor shall submit any proposed change orders to the Homeowner in writing stating (1)the proposed change; (2)the amount of the change; and (3)the purpose of the change order. Any change orders sent via writing,text or e-mail,and not rejected within 24 hours shall be accepted. (*Massachusetts Law forbids demanding full payment until contract is Completed to both parties' satisfaction*) In order to meet the completion schedule, thefollowing material/equipment must he special ordered. UtraShield Naturale Voyager Series l in.x 6 in.x.16 ft. Brazilian 1pe Hollow Composite.Decking Board Before the contracted work begins (*Law requires that any deposit or down-payment required by the Contractor befor;wore begins may'not exceed the greater of(a)one-third of the total contract price or(b) the Actual cost of any special equipment or custom made material that must be special ordered in advance to. Meet the completion schedule*)-. PERMITS,it shall be the obligation of the contractor to obtain such permits as the owner's agent,at the contractor's sole cost and expense. Dumpsters and disposal costs shall be the sole expense and responsibility of Contractor The following permits are required Building ❑ plumbing[] electrical F� conservation ❑ both ❑ other Contractor's initials Homeowner's initials Page 4 of 17 25 Elmcrest Road North Andover MA 01845 Building size and deck layout 421'0"1 -� Proposed deck to be built ........................................... 140 is 21' vide x 11' 7" deep. Proposed width does not extend beyond Douse �T 24' 0"x 49`0" -Q N CV Exterior dimensions - 25 Eimcrest Road, North Andover 49'0" 25 Elmcrest North Andover Joist, footing and dimensional lumber ' z1'0^ CO CID � Ka ZI M1 r-M _ w Nnlanding orturn around needed as the double 2x 10 12 top ufdeck is 87^ in accordance With x�� wm�--'-------'---------- fmmground 8 Table R602.3(1)]. N Footings 12^ width and 48inches deep Sono tube [R403) 0�v Joists ~ 2 10 x 11' 7" spaced 16^ O.C. Based unthe 2OzZ International Residential Code Posts shall be 6" x8" Joist hangars shall conform to table lA and dnaV be sufficient to carry 000 lbs of pressure. Decks shall bepositively anchored tothe primary structure [ n507.1]. Lag screw installation: Each lag screw shall have pilot holes drilled as follows: 1) n z/z" diameter ho|e |nthe [edger board, Z) Drill a5/16" diamete, ho!einto the band board ofthe house. The Ct7rnmonivealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 021-11 www.mass.g ovIdia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/indiN,idual): Joseph M. Rizzari Address: 54 Hemlock Street City/State/Zip: Dracut MA 01826 Phone #: 781-799-6342 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ 1 am a gen6ral contractor and 1 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.[3 1 am a sole proprietor or partner- listed on the attached sheet. ¢ 7. ❑Remodeling ship and have no employees `rhese sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' 131-1 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. r Itofneowuers who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such, 3Conlraclors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy inibrmation. 1 am an employer that is providing workers'compensation insurance for rrry employees. Belo1V i1 the policj,lend job Site information. Insurance Company Name:_ ._ I Policy#or Self-ins,Lic. Expiration Date:___.__ Job Site Address: City/State1Zip:____ 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 MGL c. 152 can lead to the imposition ofcriannal penalties of a tine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the inforinotion provided shove is true and correct. ?it N. a� October 23 2016 Signature: Date: Phone#: 781-799-6342 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. tither Contact Person: Phone M E 3 WCA-1 OP ID:BW CERTIFICATE OF LIABILITY INSURANCE AAT1012 DMYYYI 10x22116 THIS CERTtfICATE tS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDFR, THIS CERTIFICATE HOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW' THIS CERTIFICATE OF INSURANCE DOLES NOT CONSTITUTE'A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE BOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(ias)must be endorsed, If SUBROGATION ES WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement an this certificate does not confer rights to the certificate holder in lieu of such endorsements,- PRODUCER Phone.,978-A59:i—r NAN?acT Francis Provencher insurance PHONE w FAX Aqgqency,Inc. Fax:978-464-9343 Alc_NdI:_ BSO Roggars Street E..AIL 118S& LowRO INA G .62 INSURER 5 AfF-PAMNG COVERAGE NAIC! INsuRER A:Covington Specialty Ins.CO. _ IxsuREe Lancaster OaksDevelepment ;NSURSR5: Joe Rimari INSURER C: 54 Hem lock St Dracut,MA 01826 INSt3RER b: INSURER$: iNSURER 1" COVERAGES C ttTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIFS CSF 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 PO:.ICIES OESCRIBED HEREIN I5 SUBJECT TO ALL THE TERMS, b EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID GLIUMS, WSRiYYE OSINBURANCE UB C �� - OLtC EFF LICY XP LIMITS JJLGENI:UIUABILITY EACHOCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY � RA404125 10186/16 14100/17 PREM€SES E aaur,ence s 100,00 CUUMS-4ARE Q OCCUR 1 - - - MED EXP IAnYmc Pcnonl S 5,00 PERSONAL&AMMURY S 1,800,08 GENERALAGGREGATE S 2,000,08 GSN'L AGGREGATE LIMrr APPLIES PER: PRODUCTS-COMPIOP AGO S 2,000,00 POLICY Pg2G LOCS BI AUTOMOLELIANUTY C €N 'R �� EaacElftht - ANY AUTO _ GODILYINJURY(Per paMcn) S A}. owtzil F7 SCHEGJLEJ - 1 EIMLYINJURY(Pe,¢ccideMl S AFJFOS t"rNON•OWNEG I PR B TY SJR G S HIREDAUTOS AUTOS Peraxidan S UMBRELLALIAS COCUR EACH OCCURRENCE _ S EXCMLIAS CLAWS-MADE AGGREU'ATE S CED I RETENTIC"5 WORKERSCOMPENSATION - WCRSTAU. I ORYLIMIrs - > ANO EMPLOVERVIL7BILITY ANY PROPMETOR)PARTN=_R19=1- MVF MIA i E.L.EACHACCIOENI' S 'i CFFICERNFL(BER EXCLUDED? - (Mandalory in NHl I I E.L.USSAS -A EMPLOY S H yes,daecEbe under DESCRIPMNOF MERATnNS bila E.L.D15EA8E"POLICY LM,-7 IS J)E=RIPTIOUOFOPERATIC)NEILOCATIONSIVEHIrLES(ACach ACORA 104,Additional R¢i�arits SchedulS,IFmorO space l6 requiMdl - TlFI A CANCELLATION f Town of North Andover SHOULD ANY OP THE ABOVE:DESCRIBEO PrJI,ICIIES BE CANCELLED BEFORE THE EXPIRATION DATE TFIERVOr, NOTICE WILL BE DELIVERED IN 20 Main Street ACCORDANCEWPFHTHE POLICY PROViSIONS. - North Andover MA 01845 KUTHORMREPRESENTATIVE O 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010186) The ACORD nama and logo are registered marks of ACORD (t//X(t//X ({��JGJ�Zt'1/1llZ�'r�7iLlll �C-UJlF�l;r[1G;�PLC/y Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston,Massachusetts 02116 Horne Improvement Contractor Registration Registration: 154134 Type: Individual Expiration; 2/812017 Tr* 262474 JOSEPH M RIZZARI JOSEPH RIZZARI ` P-O- BOX 1 DRACUT, MA 01826 —......_.............. -----.-....-........ - ----..... ............ Update Address and return card.Mark reasons for change. } Address 7 Renewal i F-j Employment Lost Card SCAt G 2GWMT1 r �J3 e 4-��v.ruea/Uc r• 'fid n.�i.�rra�(!.'... License or registration valid ndMdleluuse on Off:ce of Cansame AtYa rs&Sasiaets Regulatiolid fi n y x �k,40ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 154794 Type: Office of Consumer Affairs and Business Regulation cpiration: 218!2017 Individual 10 Park Plaza-Suite 5170 s y,s Boston,MA 82116 JOSEPH M RIZZARI JOSEPH RIZ7-ARI 250 WENTWORTH AVE. LOWELL,MA 01852 Undersecretary �of v lid •ithouE signature t } hfassach!�rctfs-Bepartmc:n4 of;�ubfic Safety Board Of B"Mingi egoatiortr and S tandards d £'<�;r�rrr�;•ti,3n�rrrrcrsisr7r i_iCense.CS-107575 JO SRPH RMZAk1- 54}TEN1I OCK SI1tE1r , Dracut RA 61829 Gummissror�er 03118/2018 = 1 E