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HomeMy WebLinkAboutBuilding Permit # 12/29/2016 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received # i 4 °g9r.o„e`".Szj Date Issued: Il- %(0 �ss�atuus�� FMPORTANT- Applicant must complete all items on this page LOCATION g ' #47 le Print PROPERTY OWNER -) Print MAPNO.: PARCEL: ZONING DISTRICT: 71 TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition D Two or more familyFJ Industrial � al teration No, of units:_ Repair, replacement Assesso Bldg g ❑ Commercial Demolition Movin (relocation) = Other E, Others: Foundation only DESCRIPTION OF W®RIS TO BE PREFORMED /! ..� . 4 Identification Please Type or Print Clearly) O WNI ER: Name: --\ Phone: Address:_./ U-1 m /0 CONTRACTOR Name:�-y `} a �'V� ` � U � !L rbc G�o + Phone: Address: Supervisor's Construction License: ? 1 T1 Exp. Date: .Dome Improvement License:___L..6 `7f Exp. Date: -3 /7 ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:B ULDINO P.E"IT•S1200 pE--$1600.00 OF THE TOTAL ESTIMATED "OST BAS D� ON$I z5.00 AER.S'.F. Total Project Cost :$ Ai c-( - xl2.00=F"EE:S Check No.: Receipt No.:_: l Wage Iof4 �QRTH Town of ® No. - h ver, Mass, a- COC Ni[rltwicx X9,4 °RA r ° S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ........k..t ...........9--ol,ske.. .............................. ...... BUILDING INSPECTOR has permission to erect ............ buildings on / .� ( 1+^ �„�,A /d. Foundation .Y....,.,.. M . .. ,.M...�lll�t.�.............1�'.4,+�, Rough to be occupied as w s................... 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 IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIQ RTS Rough Service .......... .......... PEC.., �..-E.C. ....... Final BUIL[}ING INSTOR GAS INSPECTOR Occupancy Permit Re uired to Oecua 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. ® CONTRACT# 0 m .2L3� MASSACHUSETT'S SERVICES SOLUTIONS INSTALLED LES CONTRACT LdVVF:'S AU RIZf=D.µ�PRATIVE, �_ LN6: BER � CUSTOM {SSS s 7PE NO, STPEFTy ADDRESb( STREET ADDRESS y § 4,j. U STATE ZIP TELEPHONE — [ (D p FEIN:5 07483 CENTERS,LL.C'S MANIC Nd: 1496813 mm— CASH CANK LCC CH RGE ll14LLL:l:I:I, � FEIN:56 0748358 T"his is only a quote for the merchandise and services printed below. This becomes an agreement upon payment. Upon paymsnt;the entire agreement,including the specifically completed pages of this docurnent,the"terms and Conditions included with this document and any other addenda and attachments hereto,shall be referred to herein as this"Contract." PLEASE READ AI.L.TERMS AND CONDITIONS ON THE REVERSE SIDE OF THIS PAGE AND FOLLOWING PAGES BEFORE SIGNING. [NSTALLAl ION STREET ADDRESS CITY STATE ZIP i �LL µ W.� � a N OTIC E"170 CUSTOMER PRICE CALCULATIONS: In order to properly perform the installation of certain Goads,the Contract Price may include mare Goods than actually will be installed based on the measured square footage of the Project Area.As a result, the parties agree that the ILlmp-sum PJCe stated in this Contract is calculated upon both the value of estimated Goods required to fulfill the Contract(including waste),which may exceed the actual square footago of the Project Area,and the labor which may be estimated erased on the amount of Goods required to fulfill the Contract(including waste). By signing this Contract below,Customer acknowledges receipt of this notice and agrees and understands that the Price includes these casts which may not be refunded once the Installation Set-vices are performed. _._ � carl'kr�tct Total Are permits required for this ii7stallstion : Yes [ ) No *applicabl tax included NOTICE IC;E TO CUSTOMER: Federal law requires Lowe's to provide you with the pamplet Renovate Right. By signing this Contract, Custoniei acknowledges having received a copy of this pamphlet before work began informing Customer of the potential risk of the lead hazard exposure frorri renovation activity to be performed in Customer's dwelling unit. .__ NOTE: If rotted weacad is discovered destine installation additional charqe ,<, Y• �'ota vtrsll be tven a clucrte ars�x ��a e*haiir+s C��ar°t��lel°rrtusL ba Gorrt retail and sl reed b the cesstrarner for Stn addiflon�ti ch ustrtner rnarsf intflal,Any work or material not specified is not included in this contract.Any changes or additioan additional charge for the material and labor. I'HOTO RELEASE: Custorner grants to Lowe's and Lowe's employees and independent contractors the right to take photographs of the Premises where Installation Services will be performed and all work performed at the Premises related to this Contract,and irrevocably grants to Lowe's all right,title and interest in and to the photographs for use in all markets and media,worldwide, in perpetuity. Customer authorizes Lowe's to copyright, use and publish the photographs in print and/or electronically,and agrees that Lowe's may use such photographs for any lawful purpose,including,but not lilmited to, marketing, advGitising, publicity, illustration,training and Web content. By initialing here, Customer agrees to the foregoing. [Customer_to initial to the left]._ [fill in date]. Estimated completion date is � r oil In date]: i Irk is t r.oTrr os� upon reasonable availability of Contractor andior an 7 c cis or e LI, to er made Goods which is anticipated to be Irk. ` _ .Said estimated substantial completion date is not of the essence. A staternent of any contingencies that Would materially Change said estimated substantial completion date is as follows:..._.._ --- (if applicable, insert a statement of such contingencies). IF THE L THIS CONTRACT TOTAL IS$1��WrFIEN000.0OR L CONTRACT TOTAL pay in full. EXCEEDS$1,000.00: G'�f,�._._w_. C OMl I.[` :: Customer to I'ay n Full; ]Customer to use the following payment schedule: (1) Dc:p it _.,_ � 1 _ to fie paid upon signing contract. Deposit should be 1/3 the total contract price; and (2)Payment of __._,___Y__- __,_,__ __to be paid anytime after this Contract is signed and before commencement of installation,I/We authorize i_owe,'s to da one of the following(check appropriate box below): [ ]Charge my/aur credit card for the amount of the payment indicated above anytime after the date this Contract is signed; Oi' [ ] Deposit mydour check for the amount of the payment indicated al:rove anytime after the date this Contract is signed; and (3) Final payrnerit of]6100.00 to be paid upon completion of the installation and both parties'satisfaction. PSC i It,].ICI CxA yI III{ A6 931 1ION l'6;>I"'»QL.A1i11 CCl'V/EM2EC9 Cl°YUI.tT.I_v c 4 LOWS"S AND OWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT LOWE S HAS A DISPUTE CONCERNING THIS CON"CF AC T,THAI' LOWE'S MAY SUBMI SUCH DISPUTE TE TO A PRIVATE ARBITRATION SERVICE:WHICH HAS BEEN APPROVED BY"i HE SECRETARY OFTHE f XECI,.J I`-. OI=EICI :'Dlq ff�R TF IR, BUSiNES ItI"GULATIONS AND f HES OWNER SI iAi_I_SE RF=QLJIRED-f0SUBMH TO Sl.l(%F�I AI��Ea,ITRA�6ut�:')N A3 d IIJiJ I 1 ° fie Commonwealth of.TfIuA��e�ats� _ 7e axtmeat of � aa1 Z Cofigrom stxeei, ,�`uite COQ A0211 4-2017 t wwwmass. o-vfdia • a g '8 M s yya axxce Affidavit:$Lll�dexslCnaaiacaxslEYeetraiafk'xt?mT�exs. p[Takers' CompensatiaA��sox C A'[3THOlI ' » TO B riL D 4S�PpPST [E 7� L'Iea So k rmt lxCaAt1foxI112 tIOA ° V •l•y=o(B,,,,-oss(Oxg atioWTn&11A' q CitOtate%exp= Type o pxoj$ct(Tea[xtz7 ed)Y ,Axeyar[an eanpiayexiecktlieappxopxsafebox: ,,.,. employees Gull andlnrparE i�rue).� 7. Q Ndv�cnnstra°ctioro. 1.p i am aemployer tb $mss b nrlcing nrme zu S. El Remo dC'. g 20 lean a sale proprietor or partaemhip azidhave employ aay capacity.ji°7ovrnrkers'comp.in� oe ree quired 7 g, ❑Dex�tolition 3,p i am ahnmeownez daivg allworkmyself.�o wozl�rs'comp.ansuranceregnired.]t 10❑BW1"diug addition q.�Iamalrnmeawneraurlvvil -bnbiziageoutraGtoistuconduccaxlwozkonmyproperty- Iva 11❑Bjec�37c�xep�TxSo�r 3dc13tio7� ensuratl�at alI cuntractbrs ei#l�erizavewozkers'oompensattorl uasaranoe or ara sole 12Y�:- 21m7nb g repairs oraddillow 'E•ts o ees. 1�! praprietorswithna emg y 13.ORaoizepas 5.�IamageneralcontracfarandhavaT>Redthesab contcanforslistedantbeattaebedsbeet ";' ees artdhagevrorkers'camp.insraance. i�..Q Othex�1-W �V i; These suh-conizaators have employ tion er MCM a• (I ti3j-*light Ofe 1._ ?; �-�We are a co ozation and iis,o errs have o dse rke s'aonxg 7�staancereguired-1 !' 152,§1(A4),aud'vrehavo no employees.STT ali �azmation: a I%cautthatcheolssbbt4l iso lsn il(ouEtltesectionbaioarshow�g}heirv�ozkers compenwtirs Gy s011 Aay pp the are doing all vrark andtrttenlaire antside aontractozs must sabm t a r:e�v af�[davSoLpni esi h such r gorueowners wha su-bmitth�s af�dff zR i an additional sheetsJzaWiug Eliensmte of the sub-confractors and si wl q er or potfhose ent�es hate Coniraotorsthatcheckfhrsboxm t ro:¢idetheir worl�zs'cnmp.policynumben em jayees. irthe sub-aoutiactarshave eutployees,iheymt,s p G722 Ia DPS. �DZaTi�is tt1ieporrCy axZdja�I Site ram epnploye thatzyproWdIA9 'arkeNs'cn tz�erzsc Harz insza�anceforra2y 1 Y ftformaflon. asixrarice CoMpanyarae; l 1 Po1Ycy#or S elf iI,s. 0 ���1 L Lxpxra�or.Date — Ci /StateMp:At- 10 �alr Szte Address: a`t 1 " ago slxo�g tho policy'p"�xbex aAcl e�p�ate axe date). Attacb a cagy of e Qsrar e-rs' colx�pD:RSA alicy cleclax;TUoxxp g ( to 500.00 e ui€ed dez McL c.x52,§25A 1s a crim7nalvialatia� ��ar<d a flue,o�p to $250.00 a Failure to seGuxo coverage as r q enaldes iv"the foxill of a STOP WORD and/a�r ane-yaa mp,lsonment, ve11 as civil p be forwarded to the O�.ce o��vest€gationn of tb.e DIA.fox�s c7rance day ag6nst tbaTU .1atnr p ofthis stateraentMay veragevficatxoa _ aerjrry that afed above tPrxe arcarpect nntvcag ar peraltes o rdotecefa . Date: Sz . . Panne#•� \ � czal: Of cic�izcse axzZy. Da x2ot"write zratlxis area,to be Completed city or toNttz offr � PDrxaltlUiceAse r�`- Cityor To ecto ce anis}: bzngTxis� 'r �ssuirrgAnfftoxity(circle Deas eut 3.CityfTaWa Gjex .B+lectrxcaXSrsp .Baaxcl of ff ealtf. 2.1311""r"g p 6.Otbex Phone#- Massachusetts Department of Public Safety ' Board of Building Regulations and Standards License: CS-072573 Construction Supervisor PHILLIP J VERNACCHIO,III 17 CLIFTON ST REVERE MA 02951 Expiration; Commissioner 04/27/2018 3reClI-rrdN�Ti Office of Consumer Affairs&Business Regtri r6)n r,iHt]I4it IMPROVEMENT CONTRACTOR. 'f MHa�2egistration: 929273 Type: I_Zt `r� L� ,`- Expiration $1312017: Individual Philip J Vernacchio III philip Vernacchio 3 \. ti 17 Clifton St. I'I Revere,MA 02151 Utiderseeretiry r ..... . . . . ... .1 . . j .. . . . .. . . . . .. . . . . .. . ..... ... . . . . . . . ... ... .... . .. . '.. . . .. ... . . . . . . . . .. . . . __ � . . . . . . . .. . . . . . 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A #atatil nl ren tI;I cmrfitfrer d00%not ewnfer rig tits to the ceftl1W ahW�lder.in Had 61 such ondarvement{s), Pf06, CER ` �7 14 Mc—rath T - -...__ Jahn F 'T33 ego Tnsuranao Rc W�r►csy I E_ , (6171 tea 6 0600 w� ,{�i7l saa-evss _ -_—r_ 399 Wa.r;tf•xap ; trdat. j�t,i�3�=g� ©insiza an e- Wi:n rctP, VIA -023-52' ... .. - :1 . IN AFt=f}�tC ING Ci2[rE S E NAIL WL .... ... tuW3uaexA:IiaicLe oval 7r� ur txc rJva rty rrWsui WuaUrtE illa�cI lira,'Ile "Ipreferrt'd – _ __ i ilig ,T Verriaccffij. r II INS RER c-,Nar=AR Ina=` '_ecirat any 7 c1. , i,Etor� Str o ' Ira ua�R 0: Ttavere `';Z C l i INSURER E l . i suRER r, . COVERAGES :iCERlN:1)D aTE NUMBER cIL19 A9QD826 REVISION NUMBER, . TOS lS 70 .ERT77 7HA7 Tlil POIJOES OF-INSURANCE LISTED BELOW HAVE.BEEN ISS I7 T©THE`INSURED.NAW-o ABOVE I COR TFfE FC�Ut,Y PERIOD NDICATED.%NO'T"WITHSTA.N. 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