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HomeMy WebLinkAboutBuilding Permit # 12/12/2016 a_ BUILDING PERMIT TOWN OF NORTH ANDOVER ~- APPLICATION FOR PLAN EXAMINATION ;, ; Permit NO: ` Date Received ACHI.iS Date Issued: . :-l'2- � IMPORTANT: Applicant must complete all items on this page Lt 3GATllW?.N � Pr t PROPERTY OWNER F'qn.. MAP NO: PARCE) ONI lO L I TRICT H stdeic RNs olctV�lla a ye no Machln :'Sh TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Iteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition i- Other o Septic ItVe]# l=loop[arn ; Q 1tletlarrds Watershed T7cstr�ct 1�7 WaterfSew r e Identification Please Type or Print Clearly) OWNER: Name: ) �o -p, �� a<t Phone:`' Address: q 0 l CONTRACTOFI Name Phone A�itlress SUperir'a Constrttcor > icense E Dade Horne lrnpro�ement License l�xp ©ate 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 Co t: $ GU c ____- FEE: $ Lid Check No.: Receipt No.: '3 . NOTE: Persons contracting with unregistered contractors do not have acces t e ty and S grrature of AgentlOwner Signature of contractor 'Town of A ® : . No. � , ro : "KQ h ver, Mass, COC NICMQ WI[N Argo U BOARD OF HEALTH Food/Kitchen PERMIT D Septic System THIS CERTIFIES TNA Wiffl..: ..... �+� ... �!'�!!!�, BUILDING INSPECTOR has permission to erect .......................... buildings on ..�6.....0$4*00w .. .... ................ Foundation 4010 Rough to be occupied as . � �t,ltN .... ,..... . ................................................ Chimney provided that the person accepting this permit shalt in every respect con orm 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 IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSIJWTI® Rough J- Service . ....... Final Final BUILDING IN CTO GAS INSPECTOR Occupancy Permit Required to Occupv Buildinq 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. 1 �fS i NCS, Inc® --DQ 314 Clark.Street North Andover MA 01845 978-685-05681 fax 794-3780 Siding Proposal e August 8, 2016 Proposal submitted to: China Blossom Address: 946 Osgood Street, No.Andover, Mass. Serx!ice Address same ;'bane, IFinasl: david chinablossom.com f� Salesman: Mark DelGreco Contact: David Yee We hereby submit specifications and estimates,subject to all terms and conditions as follows: Scope of world: e On backside of restaurant,back half section of driveway side,and back quarter section on street side. Strip all existing vinyl siding,leave in place all file type siding. Fur out the area behind condenser unit,replace the rotted soffit area with new pre-primed pine. Install new Tyvek house wrap and 318"foam insulation board on entire body of restaurant where stripped. ® Install new white,vinyl vented soffit panels on all soffits. Cutting open wood soffit for venting if needed. ® Wrap all existing facial,rake,shadow and window trim with new white .019 aluminum coil stock. ® Install new Certainteed"Monogram ,046",Double 4" clapboard style, vinyl siding on entire specified wall areas,with standard ® S"vinyl corners,and vinyl light/outlet blocks. m Thoroughly clean and magnet grounds and remove all job related debris from property on a daily basis and at jobs completion. 0 $70.50 Per Sheet Extra Cost to replace any rotted or damaged plywood wall sheathing(if needed). m Entire jobs comes with NCS full 10 Year. installation warranty,and a lifetime warranty from '.... the manufacturer Certainteed on all materials. TOTAL PRICE: $20,935.00 Notes: • All work to be done during normal business hours ® Price good for 30 days • Work would need to be performed when warmer weather permits Questions?Call us,write us and check out our website @+n ww.ncsnexom for more information on our other services. TERMS & CONDITIONS PAYMENTS AND DISBURSEMENTS: Customer is responsible for obtaining any financing he deems necessary to comply with this Agreement. If Customer is obtaining financing form a third party, Customer agrees to apply for such financing without delay and this Agreement is subject to Customer being approved for such financing. All payments are due and payable as specified in the Proposal/Contract. Northeast Contracting Solutions reserves the right to assess a$25.00 fee if Customer requests us to re-invoice them for any reason. Overdue payments will bear a 1.5%service charge. Failure by Customer to pay any invoice within five(5)days after payment is due per contract shall constitute a material breach of this Agreement. All legal,court or otherwise collection cost incurred by Contractor are to be paid by Customer. LABOR AND MATERIALS:Contractor agrees to furnish the materials for the project and complete the work to be done in a workmanlike manner. All materials furnished under this Agreement shall be construction grade and meet industry standards. Where brand names have been specified, Contractor may at his option select substitutes when such substitutions are due to unavailability or previously specified. Contractor shall pay all subcontractors,laborers, and material suppliers, unless specified differently in writing. SPECIAL CONSIDERATIONS: For those selections of materials requiring special considerations including, but not limited to,cash deposits to insure their production, Contractor may at his option require Customer to pay such required deposits directly to distributor or manufacturer rendering such services. It is understood that when matching existing conditions such as color, size,planes and texture, Contractor will provide materials so as to match,as closely as possible,the existing materials. However,Contractor does not guarantee materials will match existing conditions: DISCLAIMED WORK: No soil testing,surveying, plan design or engineering are included in this Agreement unless expressly specified. Contractors shall not be held responsible for any existing violations of applicable building regulations or ordinances,whether cited by the appropriate authority or not. Contractor is not responsible for any abnormal or unusual pre-existing conditions including, but not limited to,damage caused by termites or dry rot,filled ground or ground of inadequate bearing capacity, rock and other material not removable by ordinary hand tools, inadequate electrical wiring systems for the load imposed by the work under this Agreement, and plumbing,gas,waste and waterlines not shown on documents or plans furnished by Customer. Correction of any such violations or abnormal conditions by Contractor shall be considered additional work. ADDITIONAL WORK: Contractor shall promptly notify Customer of any additional requirements necessary to facilitate the project's completion. Any additional work required or ordered by Customer(or any regulatory agency having jurisdiction over the project)shall be set forth in a signed change order,and the agreed price shall become due and payable as agreed upon between Contractor and Customer, or within 30 days if not specified, payment is due in full. Contractor,his employees,subcontractors and agents are unauthorized to perform any additional work or to enter into any agreement to perform additional work unless agreed to in writing by Customer and Contractor through a properly executed change order,which shall become an integral part of this Agreement. PROPERTY RIGHTS AND RESTRICTIONS: Customer represents that he owns the property described as"property address",or has authority to order and sign for work. Customer shall locate and point out the boundary lines of the property to Contractor. Customer shall be solely responsible for accuracy of markers and boundary lines indicated to Contractor and as detailed on plans and specifications approved by Customer. If a land survey is required for any reason to confirm markers or boundary lines, Customer agrees to pay for such survey. Prior to the start of construction, Customer shall give Contractor a copy of any restrictions,easements or rights of way relating to the property. ACCESS AND FACILITIES: Customer agrees to provide free access to work areas for workers and vehicles, and to provide areas to store materials and debris. Unless otherwise specified,all water, sewer, gas and electric utilities from the servicing agency to the point of entry at Customer's property line(or to the metering device if such devices are required)are the responsibility of the Customer. Customer agrees, at Customer's expense,to provide electricity at the project site as may be required by Contractor to affect the work described herein in compliance with federal,state and/or provincial law. Contractor shall not be held liable for minor damage to curbs, driveways,walks,patios, unless caused by the gross negligent movement of workers,vehicles, equipment, materials or debris. START DELAY AND COMPLETION OF WORK: Contractor agrees to commence work and to continue to work in a timely fashion so as to insure the project's consistent development and ultimate completion. Contractor is bound by the terms and conditions regarding start of work imposed by any licensing or regulatory agency having jurisdiction over the project. Contractor shall not be held responsible for project delays caused"acts of God,"civil unrest,acts of Customer or Customer's agent, inclement weather,strikes,labor disputes,material shortages, licensing or regulatory agency inspections,or any other actions or causes beyond the Contractor's control. CANCELLATION CLAUSE: Option of Customer to terminate contract in the event of Contractor's failure to complete work. If the Contractor shall refuse to or fail to perform the work with such diligence and force as specified in this contract,or shall fall to complete said work in a timely manner,or if Contractor does not perform the work in a professional manner according to industry standards, Customer reserves the right to give written notice:to the Contractor of its intention to terminate this contract unless said.violations of the specifications are corrected within fifteen (15)working days after serving of said notice. if after fifteen (15)working days the violations have not been corrected or satisfactory arrangements for the completion thereof made,this contract may,at the option of the i i i Customer, be terminated. In the event of termination, payment in full for all services performed to date by the terminated Contractor shall be made immediately at the time of termination. Option of Contractor to terminate contract in the event of Customers failure to make timely payments as specified or to abide by all terms and conditions as outlined by this Agreement hereto, also,but not limited to any actions by the customer to circumvent, interrupt or otherwise,any relationship with a subcontractor and the Company. Contractor's option to terminate will be immediate and communicated in writing. DAMAGE AND INSURANCE: Contractor agrees to carry worker's compensation and business liability insurance to insure the Customer against damages or defects caused by Contractor, his employees, or any agents acting in his behalf. A valid insurance certificate will be furnished upon request. MISCELLANEOUS: Contractor may subcontract all or any portion of the work and may assign this Agreement to another Contractor, provided such assignment shall not affect the rights and privileges of Customer under this Agreement. In case one or more of the provisions of this Agreement or any application thereof shall be invalid, unenforceable or illegal,the validity, enforceability and legality of the remaining provisions and any other application thereof shall not in any way be impaired thereby. If any legal action shall be instituted to interpret or enforce this Agreement,the prevailing party shall be entitled to recover all litigation costs, including reasonable attorneys'fees. It is agreed that this Agreement shall be governed by, construed,and enforced in accordance with the laws of the State of Massachusetts. CONTRACT ADJUSTMENTS: In the event of an unanticipated increase in the cost of fuel or materials used by Northeast Contracting Solutions, Inc., reserves the right to pass through to the Customer such increases or,if the Customer does not agree to pay any such increases,to terminate the contract. LIMITED WARRANTY: Northeast Contracting Solutions guarantees workmanship, subject to the following conditions, • Contractor warrants all labor and material for a period of thirty(30)days from the date of completion of work, unless otherwise stated or an Extended Warranty is purchased. This limited standard warranty extends only to Customer and is not transferable. e Contractor will provide replacements as stated above on a one-time basis only at the request of the Customer, at no charge to the Customer except for supportive materials deemed necessary and labor. Please note, however,that Contractor is not liable under this limited standard warranty for actual of consequential damages resulting from"acts of God,"excessive weather conditions(extreme cold/drought,washouts,etc.),soil conditions, abuse,vandalism, poor drainage,salt damage. o Any warranties given by manufacturers pertaining to materials used by Contractor in with the project will be passed through and inure to the benefit of the Customer. • There is no implied warranty of merchantability or any implied warranty of fitness for any particular purpose. There are no warranties either express or implied beyond the description within this section. If you have any questions,call your salesperson for more information. Payment Schedule-Third upon acceptance, 2", third at initiation of job, and remainder due upon completion. Change orders due upon completion of work. Accepted:The signatures below indicate that the above prices, specifications and conditions are satisfactory and hereby accepted. Payment will be made as outlined above. ZSignature: Date: G ?� 1Client Initials_..__.__,,, VDAC TRA Y ELG RSRKERS WO COMPENSATION SA ION AND EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC 00 00 01 A) POLICY NUMBED: (7PLIUB-8DB8464-9-1 6) RENEWAL OF (7PJU6-8D88464-9-15) INSURER: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA 1 NCCI CO CODE: 1;3579 INSURED: PRODUCER: NORTHEAST CONTRACTING MTM INS ASSOCIA'T'ES SOLUTIONS INC 1320 OSGOOD ST 314 CLARK STREET NORTH ANDOVER MA 01845 NORTH ANDOVER MA 01845 Insured is A CORPORATION Other work places and..'tdentlficetio nitmbers ate =hedf attao2. The policy-pe dcl is from fly -07-16 tQ 01 -07-isured's rhaiiing ress. 3. WORKERS COMPENSATION INSURANCE: Papplies to the Workers' Compensation Law of the state(s) listed here: t� UJI f M A � c � ❑ a �= S. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in p Item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident: $ 500000 Each Accident Bodily Injury by Disease. $ 500000 Policy Limit Bodily Injury by Disease: $ 500000 Each Employee C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06B ©. This policy includes these endorsements and schedules: —== SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE a� ram 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating <" Plans. All required information is subject to verification and change by audit to be made ANNUALLY. 4 YMNMNIYr DATE OF ISSUE: Oi—11—i G WC 5T ASSIGN: MA OFFICE: OI RE CT ASSIGNMENT 701 PRODUCER: MTM INS ASSOCIATES 7766P eoz4ec The Commonwealth of Massachusetts u ( Department of lndustriatAccidents '. 1 Congress Street, Suite 100 0 Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses. TO BE FILED WITH THE PERMITTING AUTHORITY. A licant Information Please Print Legibly n Business/Organization Name: r' ur c ,� aA k Address: City/State/Zip: RAf1V i'' v i�`r�Phone#: Aree u an employer?Check t appropriate box: Business Type(required): 1.U I am a employer with employees(full and/ 5, ❑ etail or pai-t-time),* 6. dRestaurant/Bar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7. ❑Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers' comp,insurance required] g• ❑Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c. 152,§1(4),and we have 10.0 Manufacturing no employees. [No workers'comp.insurance required]* 4.❑ We are a non-profit organization,staffed by volunteers, 11.❑Health Care with no employees. [No workers' comp. insurance req.] I 12.❑ Other *Any applicant that checks box 91 must also fill out the section below showing their workers'compensation policy information. "Ifthe corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am art employer that is provirlirig ivoTers'compensation itisrtrance for my enrploj>ees. Below is the policy ijrfor»cation. Insurance Company Name: i ✓ttr �.ng Wry nix Insurer's Address: City/State/Zip: L Pokey#or Self-ins.Lic.# '5 U6C�Uij �tj ' 1� Expiration Date: l tg Attach a copy of the workers'compensation policy declaration page(showing the policy number and a piration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the forth of a STOP WORK ORDER and a fine 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 ce ti to r 1 pa't a d petaalties of perjury that lite information provided above is true and correct. Si nature: (t Date: )Z- ;2_ f(0 Phone#: 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.Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www,mass.gov/dia 1 Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-104241 Construction Supervisor . >' MARK DELGRECO 2 FOX HOLLOW ROAD DERRY NH 03038 Expiration: Commissioner 08/18/2017 a Office of Consumer Affairs and Business Regulation 10 Paris Plaza - Suite 5170 Boston, Massachusetts 02116 Home ImprovementContractor Registration Type: Corporation Registration: 167900 NORTHEAST CONTRACTING Expiration: 1111612018 SOLUTIONS INC. 314 Clark St N. Andover, MA 01845 SCA 1 20M-05111 Update Address and return card. Mark reason for change. 45 171 Addrenn ❑ Ret.je'.fl�I r-1 1 nai f 1rrl