HomeMy WebLinkAboutBuilding Permit # 11/15/2016 ttORTH
TOVVIN OF ANDOVER
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APPL.;CAT,
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Date R
Per mt mecAved—
Date Issued:
TAN T: Applicant mast cniplete j�21 .items on this page
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61 NUM-11,
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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
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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
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({��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
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} 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
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Dracut RA 61829
Gummissror�er 03118/2018 =
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