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Home My WebLink AboutBuilding Permit #781-2017 - 1 FOREST STREET 2/16/2017 ?o�V,oR," BUILDING PERMIT s �tLED ,6 , TOWN OF NORTH ANDOVER o by APPLICATION FOR.PLAN EXAMINATION '' J Permit No#• 7S �- �� cD Date Received ��°"` �RwTED . �SSACHU Date Issued: ih A PORTANT:Applicant must complete all items on this'page L�r..i...t�•--,.ori, ; Y.r fir. J ,'L ,r�,r��► � ti� 1 i 1i"y� _ �i�i 1 '3`; 1. ` �j -,�y{ r~r ' �, PR®PER+TY®MINER _ Lx/ �r��/� n tC.�?r� `� "t Zy_ 3 t•' y.w �, �� • =--�'-�P-nnf ," ,..:1wp'y rStructure:- IVf,,�I.A'_ P��,12I^^�'(T.7'' Q'fir` • -, ..e^..� ` r .�. ✓— - 7 )L�tSr.Jicjt� yzeyss 'n,ro io C ZIRIOaPA �nDiH �oG �!'r I •... ,, � ,,�3 „' llllachme Shop Village _yews no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 9 One family ❑Addition 0 Two or more family ❑ Industrial 19 Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other D Septic 0 Well ❑ Floodplain 01Netlands b 1Nafer5l ed Disf�ict ❑WaterlSewer .�' -� •:, < ; ' -��_'�: r�*-�.' DESCRIPTION OF WORK TO BE PERFORMED: de lacewe V 4�)iN4ow.s Identification- PIease Type or Print Clearly OWNER: Name: I &6y:„ aAd 64oucya/ L"geukt Phone: 9'7$—lyg5-9�1a0 Address: tr02EST 57-r-zEE ftN ANi>o✓Ek jaA emgsr , Address _ C)._ l8+E-S. GC'aA�. _-I /Vo.QrNl3t�uGf•�#4,�[1q OIS3�_ ry ^ A. _ Supervisor's Con tructionjLicense pP0/ � c Lxp Date +�► a'�� /S' . rit HrnIm oe prove L = rise: _OB/ _ xp: Date= „ .,_ _., ice- d E ARCHITECTIENGINEERA Phone: Address: Reg. N-b. FEE SCHEDULE;BULDING PERMIT.$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. ?! _,Total Project Cost: $ / Cor �,!-3fo,Od FEE: $ Q?. r Check No.: 9 V)y� Receipt No.: (S3 NOTE: Persons contracting witli unregistered contractors don =. ss to the guarantyfund ' : t%OSi nature c9 -.. Location 4' t No. 11 i j Date t�" . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fe $ t Foundation Permit Fee $ Other Permit Fee a $ TOTAL $ Check# � �' ' % IL -I! Building Inspector Plans Submitted ❑ Plans Waived 0 Certified Plot Plan ❑ Stamped Plans ❑ -",E'Z)F SEWERAGE DISPOSAL Public Sewer ❑ TanningWassage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water &Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT' - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signatureldate COMMENTS limension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service droprequires approval of Electrical inspector Yes No . DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use) ❑ Notified for pickup Call Email d ate Time Contact Name Doc.Building Permit Revised 2014 -- . Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (if Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers'Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products 40TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doe:Building Permit Revised 2014 NORT#1 Town of 2 t _ s ndover , No. h yAp241) o ver, Mass, ��. 'QA COCHICN(WKIt 0q�TED S u BOARD OF HEALTH Food/Kitchen Septic System PE IT T LD rV THIS CERTIFIES THAT fr1 i;j /V t BUILDING INSPECTOR ....i 44. IC4. ., _ _ Foundation has permission to erect .......................... buildings on VV ....... �.�if. fff��..� "� Rough tobe occupied as .......... ....A". .... . . ... . .................................................................. 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 CONSTRUCT STA Rough ..................................... Service ...... .. .41A BUILDING INSPECTOR Final 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. Renewal Agreement Document and Payment Terms byAndemn. dba:Renewal by Andersen of Boston Bryan and Carolyn Fallon �;�� Legal Name:Renewal by Andersen LLC 1 Forest St M HIC#170810 North Andover,MA 01845 WINDOW ac ....... 30 Forbes Road I Northborough,MA 01532 H:(978)685-9260 Phone:508-351-2200 1 Fax:(508)986-7072 1 RbABoston0perations®AndersenCorp.com Customer(s)Name: Bryan Fallon and Carolyn Fallon Contract Date: 02/01/17 Customers)Street Address: 1 Forest St, North Andover, MA 01845 Primary Telephone Number: (978)685-9260 Secondary Telephone Number: Primary Email: btfallon@comcast.net Secondary Email: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Renewal by Andersen LLC d/b/a Renewal by Andersen of Boston("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,Notice of Cancellation,Itemized Order Receipt,Warranty,MA Addendum,Terms and Conditions of Sale,Waiver,Lead-Safe Form, Owner or Builder,Electronic Consent,MA Contractor Arbitration,Image,and any other document attached to this Agreement Document, the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this"Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amount: $16,436 By signing this agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. Deposit Received: $0 Balance Due: $16,436 Estimated Start: Estimated Completion: Amount Financed: $16,436 8-10 weeks 1-2 Days Method of Payment: Financing We schedule installations based on the date of the signed contract and secondarily on Notes: the date in which we complete the technical measurements.The installation date that The customer is using plan we are providing at this time is only an estimate.We will communicate an official date 2531, 18 months interest and time at a later date.Rain and extreme weather are the most common causes for free. 1/3 $5478.66, 1/3 delay. $5478.66, 1/3 $5478.66. Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understanding changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s) and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO OWNER:Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 02/04/2017 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN d__�AON+� RIGHT. Customers) ba:Renew by Mdersen o Boston 4L.X- Signature of Sales Person Signature Signature Roland Pelletier Bryan Fallon Carolyn Fallon Print Name of Sales Person Print Name Print Name 02/01/17 Page 2 / 21 Renewal Itemized Order Receipt byAndemn. dbw Renewal by Andersen of Boston Bryan and Carolyn Fallon ".. L Legal Name:Renewal by Andersen LLC 1 Forest St HIC#170810 North Andover,MA 01845 30 Forbes Road I Northborough,MA 01532 H:(978)685-9260 Phone:508-351-2200 1 Fax:(508)986-7072 1 RbABostonOperations®AndersenCorp.com • ROOM: 101 Living Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, EXTERIOR White, INTERIOR Pine, Glass: Sash All: High Performance SmartSun Glass, No Pattern, Hardware: Stone, Screen: Fiberglass, Half Screen, Grille Style: Interior Wood Only(INTW), Grille Pattern: Sash All: Colonial 2w x 2h, Misc: Non 102 Living Window: Picture, Insert Frame, EXTERIOR White, INTERIOR Pine, Glass: Sash All: High Performance SmartSun Glass, No Pattern, Grille Style: Interior Wood Only(INTW), Grille Pattern: Sash All: Colonial 6w x 4h, Misc: Non 103 Living Window: Double-Hung, Equal, Insert Frame, Traditional Checkrail, EXTERIOR White, INTERIOR Pine, Glass: Sash All: High Performance SmartSun Glass, No Pattern, Hardware: Stone, Screen: Fiberglass, Half Screen, Grille Style: Interior Wood Only (INTW), Grille Pattern: Sash All: Colonial 2w x 2h, Misc: Non 104 Living Window: Double-Hung, Equal, Insert Frame, Traditional Checkrail, EXTERIOR White, INTERIOR Pine, Glass: Sash All: High Performance SmartSun Glass, No Pattern, Hardware: Stone, Screen: Fiberglass, Half Screen, Grille Style: Interior Wood Only (INTW), Grille Pattern: Sash All: Colonial 3w x 2h, Misc: Non 02/01/17 Page 4 / 21 Renewal Itemized Order Receipt by,Andersen. dba:Renewal by Andersen of Boston Bryan and Carolyn Fallon ��% Legal Name:Renewal by Andersen LLC 1 Forest St �j�� HIC#170810 North Andover,MA 01845 WINDOW II[ ......N, 30 Forbes Road I Northborough,MA 01532 H:(978)685-9260 Phone:508-351-2200 1 Fax:(508)986-7072 1 RbABostonOperation s®AndersenCorp.com D• ROOM: 105 Living Window: Double-Hung, Equal, Insert Frame, Traditional Checkrail, EXTERIOR White, INTERIOR Pine, Glass: Sash All: High Performance SmartSun Glass, No Pattern, Hardware: Stone, Screen: Fiberglass, Half Screen, Grille Style: Interior Wood Only(INTW), Grille Pattern: Sash All: Colonial 3w x 2h, Misc: Non 106 Living Window: Double-Hung, Equal, Insert Frame, Traditional Checkrail, EXTERIOR White, INTERIOR Pine, Glass: Sash All: High Performance SmartSun Glass, No Pattern, Hardware: Stone, Screen: Fiberglass, Half Screen, Grille Style: Interior Wood Only(INTW), Grille Pattern: Sash All: Colonial 2w x 2h, Misc: Non 107 Living Window: Picture, Insert Frame, EXTERIOR White, INTERIOR Pine, Glass: Sash All: High Performance SmartSun Glass, No Pattern, Grille Style: Interior Wood Only(INTW), Grille Pattern: Sash All: Colonial 6w x 4h, Misc: Non 108 Living Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, EXTERIOR White, INTERIOR Pine, Glass: Sash All: High Performance SmartSun Glass, No Pattern, Tempered Glass, Hardware: Stone, Screen: Fiberglass, Half Screen, Grille Style: Interior Wood Only(INTW), Grille Pattern: Sash All: Colonial 2w x 2h, Misc: Non WINDOWS:8 PATIO DOORS:0 SPECIALTY:0 MISC:0 TOTAL $16,436 UPDATED: 02/01/17 Renewal by Andersen is committed to our customers'safety by complying with the rules and lead-safe work practices specified by the EPA. 02/01/17 Page 5 / 21 +�wpr�r.Mepev SIA t�Y r VlnYVWc*d Cam OtmiModuall�T �a�rlstert6un Pintuna U- tca' uOW Heat vain Goetfiolont 03.27" 11 .53 0. 22 .� Vfelbld Transn*tanem . I _�f�41otr��■�111d�M�lY�l��h'r' aerr*�!�wr�wrr�..nrn��j�y� tMfM�sbrrr�i.m. M 1 �.�. Ocn,% e .111aal dersen. WIMnear UPLAcieurmy ImMdipptC-W-,, • to IF �WondMrryl CarqOsiLow E4 Stnar'IS�ui i�Rity 109 Hwp 18-01 -ENERGY PERFORMICE ROUGS U-Factor(U.Sui-P Solar Heat Gain Coefficient U129 00144 ABOMONA!PERFORMmCE RAVINGS Visible Transmittance llF�iul tiY INw walPo�dwr�N�ppiwib MPAC PnwOruu b.aNUMlilbpMrpb p�ea.q Ir'AO ao.s,oe an arxrbw bra lira w ul a� +wyrwaaaWllerr rA�v.olrb Pnew.•t uih. Cawrl Iwwbgwu /or ppt wPM=o awl'P�odret br�sppwrfe uw. a 1/Ir1Y Thb PerOwl AMp�NIN� p'ur bar.wri sl'i • DESIGN PRESSURE"n w wL9,C 5 RbA DB Sloped S111 DH IN lioOeMAH►Kr>lliumo�w� a b n w.r aorwarM.ec.c.ta aesoa ur bWrliw n�Mwab YIgMA►biorrtCaliddw popre4 nqw*wW ofhduWda z rAggrM sbirgsnueIn . BNM%AM 0211"917 ' ' ,ww�a.e�.gmrrr�a Werlrma'aamp�tlaRoeAilldavta �,, TOMFUMMEEMMr tcsvxaetozul�r. N'k ; RENEWAL BY ANDERSEN Address: 30 FORBES ROAD f City/SftftLfp:NORTHBOROUGH. MA 01532 Phone#: 508-351-2244 Im 7 jpa ofprojsd Qvqulr4: I.®Imm amoula rwhft 30 aaopiop@s QM sadkrpmW=j* 7. ❑N04v oonebnotbn Z[]Iemeidapapakmdhgeaeroeeovah$agfarmain B. 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Faftwe to avows owm v m regoieed Hader bvM m IA M is a c6m&W violdbm ponidm*by a fine up to SU00.0 and/or one-year fiaighmmont as well as GM pisMes to the£oma of a STOP WQM GRIM and a fare of p to$250.00 a day against tie violator:A copy attbis statement map be f m aded to the tJfo s of the DU for forma oe Idbltaaby stadsr PF� efP �PoBoartrirnemrdaarr+mct Dab 2/10/17 351-2244 QJWante Do 7Wwrftbighkarrow,toheaomp&WbydjVormwoffldd • 04ror Tawe: Parse# booms An&orfir(drde on*. L Board o#gsdffi 2.BWbftg Department 3.e,WTmm e3mic 4.Mocklal inqux*r s6 phmw ng hmpsefer &Other . cwdnd Person: Phone#a ANDECOR-01 DUBEAA CERTIFICATE OF LIABILITY INSURANCE X18 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),AUTHORED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the carti5cats holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the temp end conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not corder rights to the cmrtiNcats holder In Ileu of such endorewrlent(s). PRODUCER N,,,CO"r,E: Willls Towers Watson Certificate Center Willis of Minnesota Inc. PHONE8 945-7378 do 26 Century Blvrj No: 888 487-2378 P.O.Bods 305191 ADORE :certificatimQM1111s.com Nashville,TN 37230-5191 MMM AFFORDING COVERAGE NAIL/ INSURER A:Old Republic Insurance Company 24147 INSURED INSURER a: Renewal by Anderson LLC INSURER C: 104 Otis Street NaURER D: Northborough,MA 01 SU INSURER E: [INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CONDrrION S OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Im LTR TYPE oP INSURANCE AWL SUM POLICYNUMBER, �O POUCYEFF UNITS A X CommimcmL��A LIAeLffy EACH OCCURRENCE s 1,000,00 CLML64AADE a OCCUR MWZY 306284 10!0112016 10101/2017Mm o=mmncoj s 600100 MIO EXP ane puson s 10,0 PERaONALaAOVNJURY S 11000,0 PRO-FOREGATEIJMITAPPLJESPER GENERAL AGGREGATE S 4,000,00 ETHa Y❑JECT ❑LOC PRODUCTS-OOMPA)PAGG i 4,000,00t S AUTOMOOR 9 LIABILITY COMBINEDi UMIT(Em mcckfaYd S 5,000,0011 A X N,ryAUTO MWTB 308232 101012016 IDMI12017 BODLYINJURY(Parpenon) s OS ASCHEDULED BODILY INJURY(PeraaidenQ s HIRED AUTOSAUTO Par i i UlelRB1A LU1B OCCUR EACH OCCURRENCE $ EXCESS LW CLAIMs4MAM AGGREGATE $ DED I I RETENTIONS S wOmumS COmiFENSATION X E ER Aro IMPLOV RS'LIASLITT A ANY PROPRIETORIPARTNERIEXECUTNE YIN WC30823100 10/0112016 10/01/2017 E-LEACH ACCIDENT S 1,000,0 ==EXCLUDED? N❑NIA E.LDISEASE-EAEMPLOYEE S 1,000,00 H O0N O_ E.L.DISEASE-POLICY LIMrr S 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.AddrOonol Rrnarta SdmduK may M aeaohad H mon apace is r WMW) Evidence of Insurance. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED M ACCORDANCE WITH THE POLICY PROVISION& Town of North Andover 120 Main Street AUTHORTED REPRESENTATIVE North Andover,MA 01845 01988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD JAIME L MORIN 86 GARDINER ST "' LYNN MA 01908 s - 10062018 L A ffice of ( ' misumer Afiirirti ��; I uxinc `x Il� �►ul,rti�„r ; OME IMPROVEMENT CONTRACTOR Registration: 1 .10810 Type: Expiration: 1212 31201 '1 oupplu'llwilt card RENEWAL BY ANDERSON H.C. JAIME MORIN 30 EORBES RD NORTHBOROUGH, MA 01532 11ndersecreIatry