HomeMy WebLinkAboutBuilding Permit # 2/27/2017 j%0RTjj
BUILDING PERMIT
TOWN OF NORTH ANDOVER 0
APPLICATION FOR PLAN EXAMINATION
Date Received
permit
Date Issued:
EMORTANT:Applicant must complete all iteins on this page
10 ATT!ON
Print
PROPERTY 0'VVNE—R-j-)-4e,� Yds
Pnnt 10U Year'trUC
9s (no
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7ON NG 018TRIOT- Hisf0r 0 DW-10-t
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TYPE IMPROVEMENT USE
--
Residential Non-- Residential
0 New Building One family
F1 Addition D Two or more family F1 Industrial
_ "Alteration No- of units: ri Commercial
E Repair, replacement D Assessory Bldg El Others:
[I D- "olition F] Other
ept�cwj v
j� We 11. E! FlFloodplainE vat6yse"HA pistna-t,
ElV.Vat6r
Ov—v E-!Mp I—b -A,
DESGRIPTION OF WORK TO BE PERFORMED:
<
2-
-Afa
Identification- Please Type or Print Clearly'
OWNER Nai-ne: Phone:
A al --Z]—� 5-
Ad
77
dress:
-Contractor
N
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i, mm
Address: 14ev
a
upe r visorOftstruetion L's ' idehsb.�,.,(�., te,
ARCHITECT/ENGINEER A/ A Phone-.
Address: -Reg. No.,
FEE SCHEDULE.BUi.DIAIGPERM17-.-W-00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125,00 PER S.F.
Total Projer-t Cost: $ FEE:
Check No.:J,
-- Ls
NOTiq,p J'ersons e ______, _Receipt
iraefing witZz unregisic-reil,coiiiitietors ,-Io n04.,,0(1j)e--aCcc-ss to tile gmarantj�J4,nd
n'
On
Ri w-4iirr--:n-CA(iP 'f/(4 h' P` idnatUre
----------------
Plans Submitted Plans Waived Certified Plot Plan U Stamped Plans F1
------------
-OFSEWERAIGE DISPOSAI,
0
Sewer
_37
_F7: El Tobacco Sales Ll Food Pack-aging/Sales El
TYPE
`OF
Sewer El TanuingMassage/B ody -rt Swilinning Pools, El
well
Private(septic tank etc. Permanent D-ampster on Site El
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT Reviewed On Signature_
.COMMENTS
CONSERVATION Reviewed ......SignDture —-----
COMMENTS----------------- —----------------------------- ------------------
2
HEALTH Reviewed oil
COMMENTS e,
C)
r,(?xi,
Zoning Board of Appeals: Variance, Petition --Zoning Decision/receipt SUbrnitted yes
Planning Board Decision-
Conservation Decision: Comments
-,-.,---
Water & Sewer Connection/Si nat"re Date Df1ve\Lv2y Permit
DPW Town Engineer: Signature:__
Located 384 Osgood Street
FIRE DEPARTMENT' - Terno Dumpster on site yes-- 110
Loeated at 124 Main Street
Fire Department signatureldate
C 0 M M E N"I'S-,
vA®RTli -9
®w -% dovermLAn
0
No.
ver, Mass, • ;17 • ;lo/
'4argo r"�,t�'S
S �
BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
•
THIS CERTIFIES THAT I.IC181.19AW............... .�.. .�.. ..�.. ..........., BUILDING INSPECTOR
has permission to erect ........ buildings on (Y.. . ......... � �,... ... loundation
.................. ......... .... ...................
• Rough
to be occupied as ....... l.!it.,.,......�A.T�"+.,C....... ....... .../1!1/f. ..,... �L.'M Chimney
provided that the person accepting this permit shall in every res ect 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
IT EXPIRESI ELECTRICAL INSPECTOR
LESS CONSTRUCT TA Rough
Service
Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit.Required to Occupy By Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wail To Be. Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
jar M
Audrey Mishin
RE: Letter needed by Monday
Feb 24, 201711:15:24 PM
G S
e M
gesso, Barbara
CC, Barbara Grasso
Hi Barbara5
to do work oin MY hOuse.
--,ive Michael Auctair a perm'SSW choice of
')a thoug-NOW
oc) - 1 -1 -
never t0een f! a a
My house is not in a fir-,od zone, itis 0 e hi
thie
E .
amica.
my ins'U rance IS wi U i
I ianKS
nrireV
0-n
Barbara [mailto*=12
From: Grasso, . -- -a—ra-g
aR
Sent- Friday, February 24, 2017 T-akAM-
isK=In@%.,a,
To: Andrey Mishin <and rev.mi shin@ varexi a Drc COM>
Cc: Barbara Grasso < 9 a 9
Subject: Letter needed by Monday
Hi Andrey,
Please send me a letter stating that you give permission to Michael Aalai
lr to explain
do work
to u .on your house. I have included a different email address for you
Massachusetts Rome Improvement Sample Contract
This form satisfies all basic requirements of the state's Home Improvement Contractor Law(MGI.chapter 142A),but[foes not include standard
language to protect homeowners. Seek legal advice if necessary. Any person planning home improvements should first obtain a copy of"A
Massachusetts Consumer Guide to Home Improvement"before agreeing to any work on your residence.You may obtain a tree copy by calling the
Office of Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-973 8787 or 1-888.283-3757 or on our website.
Homeowner Information Contractor Information
c
Name Company"NIMe
i"Y1 X5 1 i1 1Ghad..
Street Ad&ess(do not us Post Office Contractor!Sal[Wersonl Owner am
Cityfro State Zip Code Business Address(must inc)u&a stject address)
dle
Daytim fone/� }.�Evening^Plione Ci(y/TrAn
] ' tate Zip Code
— f
Mail's Address{1 different from above) Business Phone Federal EmployerII)ar S.S.Ntunbof
Z. LW mr¢Ires
av
�,¢///� Impmreme¢t mahaerarahsn //
dld ngtnr¢tSon number
The Contractor agrees to do t e following work for the Homeowner;
(Describe in detail the work to completed,specifying the type,brand,and grade of materials to be used,use additional sheets if nffSMR v.)
u
? ~ .�
Required Permits-The following building permits are required Proposed Start and Completion Schedule-Tho following schedule will
and will be secured by the contractor ns the homeowners agent: be adhered to unless circumstances beyond the contractor's control arise
(Owners who secure their own permits will be �} r
excluded from the Guaranty Fund provisions of / / Date when contractor will begin contracted work.
I MGI.chapter 142A.)
Date when contracted work will be substantially completed.
Total Contract Price and Payment Schedule
The Contractor agrees to perform the work filmisIt the material and labor specified above for thre total stem of:
Payments will he made according to the following schedule:
$ upon signing contract(not to exceed 113 of the total contract price or the cost of special order items,whichever is greater)
by I l or upon completion of
s by 1 1�or upon completion of
s�upon completion of the contract. (Law forbids demanding fill payment until contract is completed to both party's satisfaction)
The following material/equipment must be special $ to be paid for
ordered before the contracted work begins in o
to meet the completion schedule.(") � 8 !o be paid For
NOTES:(*)Including all finance charges(*')Law requires that any deposit ordown-payment required by the contractor beferewmk begins may
not exceed the greater at(a)one-third of tha total contract price or(b)the actual cast of arty special equipment orcustom made materiel
which must be special ordered in advance to meet the completion schedule.
E= r s rr n -rs enx fess tram el provided h the can rnclo? No a! terms of the nrr. must b tt the o the co a 1
Subcontractors-The contractor agrees to be solely responsible for completion of the work described regardless of the actions o£any third
party/subcontractor utilized by the contractor. The contractor Wier agrees to be solely responsible for all payments to all subcontractors for
aterials d labo [der this a ee ent
Contract Acceptance-Upon signing,this document becomes a binding contract under law. Unless otherwise noted within this document,the
contract shall not imply that any lien or other security interest has been placed on die residence, Review tire following cautions and notices
carefully before signing this contract.
Don't be pressured into signing the contract.Take time to read and fully understand it. Ask questions if something is unclear.
Make sure the contractor has a valid Home Imnrovement_Contractor Registration. Tire law requires most store improvement contractors and
subcontractors to be registered with the Director of Home Improvement Contractor Registration. You may inquire about contractor
registration by writing to the Director at 10 Park Plaza,Room 5170,Boston,MA 02116 or by calling 617-973-8787 or 888-283-3757.
e Does the contractor have insurance? Ask the Contractor for his insurance company information so that you can confirm coverage,or ask to
see a copy of a`proof of insurance"document.
Know your rights and responsibilities. Read the hnporlant Information an the reverse side of[Itis form and get a copy of the Consumer
Guide to the Home improvement Contractor Low.
You tray cancel this agreement if it has been signed at a place other than the contractor's normal place of business,provided you notify the
contractor in writing at his/her main office or branch office by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the
third business day following the signing of this agreement. See the attached notice of canceilation form for an explanation of this right.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACESM
Two identical copies of the Contract must be campMed and signed.One copy should go to the homeonver.'Eha other copy should be kept by the coa[rector. ^�
r
Homeowner's i(,matu Coatrdetas's Signature
7 1.7
Date Date
-------
_-__
alternative to court action)if they have 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 s;nbnr�' provided In Massachusetts General Laws,chapter 142A.
omeowner'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). Y
9
Execution of Contract
The contract must be executed in du licafe 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.
1'
Accelerated Payments
A contractor may not demand payments in advance of the dates specified on the payment sehedule,in cases where the
homeowner deems him/herself to 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 a joint 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 Massachusetts Consumer Guide to Horne Improvement"
contact:
Consumer Information Hotline
Office of Consumer Affairs and Business Regulation
10 Park Plaza,Boom 5170,Boston,MA 02116
617-973-8787,888-283-3757 or visit the OCABR website at htt ://�vw�v.mass.�ovlocabr;
If you want to verify the registration of a contractor or if you have questions or need additional information specifically
about the contractor registration component of the Home Improvement Contractor Law,contact:
Director of Home Improvement Contractor Registration
Office of Consumer Affairs and Business Regulation
10 Park Plaza,Room 5170,Boston,MA 02116
617-973-8787,888-283-3757 or visit the HIC website at httl�:l/�v�v�i°.mass,govl�cabr/
Go online to view the status of a Home Improvement Contractor's Registration:
11�r;//db•state,ma.us/honreimnrovement/licenseelist,asn
For assistance with informal mediation of disputes or to register formal complaints against a business,call:
Consumer Complaint Section
Office of the Attorney General
617-727-8400
AND/OR
Better Business Bureau
508-652-4800,508-755-2548 or 413-734-3114
Version 2.1-11/22/2010
Town of North Andover, MA February 24, 2017
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Property 2101107.[7-0012-0600.0
ID
Location 169 GRAY STREET
Owner MFT REALTY TRUST
MAP FOR REFERENCE ONLY
NOT A LEGAL DOCUMENT
Town of North Andover, MA makes no claims and
no warranties,expressed or implied, concerning
the validity or accuracy of the GIS data presented
on this map.
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DATE(MM1DDfYYYY)
ACC>R n CERTIFICATE OF LIABILITY INSURANCE 0212312017
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(ies) 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).
CONTPRODUCER NAME: 7
NAME: Susan McDonald,CISR y
Fred C.Church,Inc. -
PHONE 978 3227140FAX (978)454-1865
41 Wellman Street [C,�l,r�, xlp A/C,Not:
Lowell,MA01851 E-MAIL smcdonald@iredcchurch.com
ADDRESS;....----- ...,- ---..........
(800}225-1865 ��""'
INSURER(S)AFFORDING COVERAGE NAIL 8
INSURERA:: Peerless Insurance Company _ _„--- 24198
_......., ....- _..................... ....-.,.. ..__......,_ .,.....,.,..,,...,--'--- -------
INSURED Michael W.Avclair INSURER B
INSURER C
57 Fairlawn Avenue INSURER D
Haverhill.MA 01830 ----..... ........._, _.__.._-_
INSURER E:
INSURER F
COVERAGES CERTIFICATE NUMBER:60907 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.
- SUER - POLICY EFF POLICY EXP
ILTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDDIYYYV LIMITS
GENERAL LIABILITY EACH OCCURRENCE ;$ 1,000,000
X DAMAGE TO RENTOU” 50,000
COMMERCIAL GENERAL LIABILITY PREMtiSJzS I {Ea occurrence} _ ,$
CLAIMS-MADE X OCCUR MED EXP,(Anyone person) $,5,000
A iI OCP8353190 1112012016 1 V2012017 PERSONAL&ADV INJURY $ 1,000,000
_.......,.__, W..._._—° —....,...... _..,.._
GENERAL AGGREGATE $ 2,000,000
.....,..... �....,_,—.
GEN'L AGGREGATE LIMIT APPLIES PER: l ! PRODUCTS-COMPIOP AGG_.S 2.00D,000
POLICY ,I, PROCT , LOC $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
' BODILY INJURY(Per person) $
ANY AUTO i
ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS AUTOS
NON-OWNED PRDPERTY DAMAGE $
HIRED AUTOS AUTOS i Per„accident}
1] 4 $
UMBRELLA LAB I OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS»MADE AGGREGATE $
DED T RETENTION$ $
WORKERS COMPENSATION E WCSTATU- ;OTH-
AND EMPLOYERS'LIABILITY YIN TQRY.I,I ER _...........
ANY PROPRIETORIPARTNER/EXECUTIVE❑ ^ E.L.EACH ACCIDENT $
OFFICEWMEMBEREXCLUDED? NIA' .-..... __...,.... -
(Mandatory In NH) E.L.DISEASE-EA EMPLOYE $
If yes,describe under --.......-
DESCRIPTION OF OPERATIONS below E.L.DISEASE»POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required)
CERTIFICATE HOLDER CANCELLATION
Town of North Andover
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Town Hall ACCORDANCE WITH THE POLICY PROVISIONS.
North Andover, MA 01845
AUTHORIZED REPRESENTATIVE
d
83642
Client# 31898 Mst# 60907 Cert Holder# 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(201010 5) The ACORD name and logo are registered marks of ACORD
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Massachusetts Department of public Safety
1 i Board of Building Regulations and Standards
License: CSFA dS478�
Construction Supervisor 1 2
Family
MICHAEL W IR
57 FAIAWN AVE
R
HAVERHILL MA 01830
,t
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Expiration'.
L 0512012018
Commissioner - -- —
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Office of Consumer Affairs&Business Regulation
lid
OME IMPROVEMENT CONTRACTOR
ogistration 17#875 Type:
Expiration-- 7 Individual
MICHAEL AUCLAIR _,.,,;' „
9.
MICHAEL AUCLAIR ,
57 FAIRLAWN AVE.
HAVERHILL,MA 01830
Undersecretary
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