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Home My WebLink AboutBuilding Permit #359-11 - 100 CANDLESTICK ROAD 10/28/2010 NORTH BUILDING PERMIT oF�'LED TOWN OF NORTH ANDOVER �� y�", •�a. a � APPLICATION FOR PLAN EXAMINATION _ i l� ;F 0 e •J,.� w 1• Permit NO: � \ Date Received I Ro0RATED Date Issued,) l IMPORTANT:Applicant must complete all items on this page LQCATION Print PROPERTY.OWNER Print MAP.210ARCEL: ZONING DISTRICT Historic Distract yes. no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building O-One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial 3-Repair, replacement 0 Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ,Septic D Well p Floodplain ❑VVetlarids O INafe'rsfied District. ❑-Water/Sewer. t: . DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: /'ylli,�nrv��' Phone: Address: 64 0dL9 /ic 16 CONTRACTOR Name: 1Y4121OP7 Phone: : . Address:. ez SVS!.. .. l Supervisor's Construction License: e/q - Exp: Date Home,Improverrient License: � as Exp. Date:. 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 Cost: $ FEE: $ �J Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guar tty and Signature of Agent/Owner Signature of contractor V 1 1 Location 17, `� J No. Date Of NpRTAI TOWN OF NORTH ANDOVER ` Certificate of Occupancy �',b•,�•^''��' Building/Frame Permit Fee $ �- ssACMUst Foundation Permit Fee $ Other Permit Fee $ TOTAL $ --- Check # ` v 23619 Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ElTaaning/MassageBody Art E] Swimming Pools E)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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ 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: FIRE DEPARTMENT - Temp Dumpster on site es Located 384 Osgood Street Located at 124 Main Street Y no .Fire Department signature/date Dimension 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 drop requires 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 i ® Notified for pickup - Date i Doc.Building Permit Revised 20101October x 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 0" Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses o 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 o Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/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 N OTE: 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 o 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 '®TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Yn all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals chat 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 2008 NORTH Town of . Andover -o dover, 1VMass., a rr 0 �= LAKE co CHICHEWICK ORATED P?�t�� BOARD OF HEALTH Food/Kitchen Septic System .P111ERM IT T D BUILDING INSPECTOR THIS CERTIFIES THAT......6.0l.........:...t..:. ON!........0.44*..z....................... .................................................... Foundation .. buildings on ..100....... ti ei/..... '4*�.+#A..1 ............... Rough has permission to erect..............:....................... � � ... to be occupied as........ ! .......................................................................................................... Chimney provided that the person acce�ting this permit shall in every respect conform to the terms of the application on file in Final 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 EXPIRESIN 6 ONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC ON TARTS Rough .......... .............................................................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. � r».rchusettti- Dcpar-CmenC of P Boa#-(I°t.Buildinr= Re.,= UhIIC S:lleh Construction Su „ul:rt","and perviso Standards License: CS 85497 r License NICHOLAS T 615 p MARION ROSpECT ST METHUEN, MA 01844 m �unmris�fune� , Expiration; 8/19/2012 Tr#: 1392 ✓!� -,��vrnoiecu f cup Ofiice of cons umer Affairs&Business Re HOMEIMPRpyEME Registration;_ .'_ NT CONTRACTOR Regulation Ex it =1,41257 A atlon ,1127/201 MARIO TYAe+ r-=►dwidtaal-_ Tr# 292672 j. • N CONST'-' :'1 NIC Ho MARLON= .N 309 MT. VERNON LAWRENCE. MA 01843' Undersecretary J III 1.00$7,780.00 $7,780.00 :77, Please contact us if you need any assistance. 978-725-3625 Total $8,505.00 Page 2 of 2 I I i ma"(" Dyt: 978-725-3625 Construction ezm 978-361-6668 Marion Construction 615 Prospect St Methuen Ma. 01844 Estimate Ote: imate # 1469 Marionconstruction@comcast.net 9/27/2010 Salesperson: Bill To: Bob Montuori 100 Candlestick Rd. N.Andover Ma. 01845 7Remove all rotted/damaged siding from the entire house #1emove block corners on all four corners #2 stall aluminium coverage on all exposed trim on the house windows, doors, rakeboards,facias ect.. #3 Install dbl 4"vinyl siding on the entire house w/S"fluted corners(white) (siding color to be decided) #4 Install existing shutters back where removed #S Install vinyl light blocks and outlet blocks where needed (white) #6 Install "vinyl soffit to all soffit overhangs (white) #7 Install 3/8"foam insulation to the entire house before vinyl siding 1.00$1,225.00 $1,225.00 mise. All debris will be removed upon completion 0%coupon 1.0 ($500.00) ($500.00) Page S 2 V14ari(DinConstruc7,,l on NOTICE OF CANCELLATION October 11,2010 YOU MAY CANCEL THIS TRANSACTION,WITHOUT PENALTY OR OBLIGATION,WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. IF YOU CANCEL,ANY PROPERTY TRADED IN,ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE,AND ANY NEGOTIABLE INSTRUMENTS EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELATION NOTICE,AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED. IF YOU CANCEL,YOU MUST MAKE AVAILABLE TO THE SELLER AT YOUR RESIDENCE,IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED,ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR SALE; OR YOU MAY,IF YOU WISH,COMPLY WITH THE INSTRUCTIONS OF THE SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE SELLER,S EXPENSE AND RISK. IF YOU DO MAKE THE GOODS AVAILABLE TO THE SELLER,AND THE SELLER DOES NOT PICK THEM UP WITHIN TWENTY DAYS OF THE DATE OF CANCELLATION,YOU MAY RETAIN OR DISPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO THE SELLER;OR IF YOU AGREE TO RETURN THE GOODS TO THE SELLER AND FAILTO DO SO,THEN YOU REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT: TO CANCEL THIS TRANSACTION,MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE,OR SEND A TELEGRAM TO MARION CONSTRUCTION AT 615 PROSPECT ST.METHUEN MA. 01844 NOT LATER THAN MIDNIGHT OF October 15,2010 Cancellation of the contract can and will be subject to a fee of$250.00 Any& all hours rendered due to individual citV/town complications(permits) are billable hours.. *****Customer Signature Date . za i i You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller,which may be his main office or branch thereof,provided you notify the seller in writing at his main office or branch by ordinary mail posted,telegram sent or by delivery,not later than midnight of the third business day following the signing of the agreement. See attached notice of cancellation for.an explanation of this right. REQUIRED PERMITS The following building permits are required.It is the obligation of the contractor to secure such permits as the homeowner's agent. 1. PERMIT TO BUILD - Yes 2. ELECTRICIAL PERMIT- NO 3. PLUMBING PERMIT— NO NOTE: Owners who secure their own permits or deal with unregistered contractors are excluded from Guaranty Fund provisions of MGL c. 142A NOTE: All home improvement contractors and subcontractors shall be registered and any inquires about a contractor or subcontractor relating to a registration should be directed to: Director,Home Improvement Contractor Registration One Ashburton Place,Room 1301 Boston,Ma.02108 617-727-8598 Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence. ARBITRATION The homeowner hereby mutually agree in advance that the event the contractor has a dispute concerning this contract,the contractor may submit such dispute to a private arbitration service which has been approved by the Secretary of the Executive office of Consumer Affairs and Business Regulations and the consumer shall be required to submit to such arbitrations as provided in MGL c. 142A Contractor - —,*****Homeowner zk"l Date 10/11/10 Date to i l2u t® NOTICE: THE SIGNATURES OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETTLEMENT INITIATED BY THE CONTRACTOR.THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS IS NOT SEPERATLY SIGNED BY THE PARTIES. ACCELERATION OF PAYMENT Homeowner's Financial Insecurity: A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure. Contractor's Financial Insecurity:In instances where a contractor deems him/herself to be financially insecure,the contractor may require the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work. Withdrawal from said account would require the signature of both parties. Jt�lariQn Construction lo Date: October.11,2010 Homeowner Information: Bob Montouri 100 Candlestick Rd. No.Andover Ma.01845 Contractor Information: 1 Marion Construction Nicholas Marion 615 Prospect St. Methuen Ma.01844 978-725-3625 Salesperson:Nick Marion Construction Supervisor#085497 Exp 8/19/2012 Home Improvement Contractor Registration# 141257 Exp 1/27/2012 WORK TO BE PERFORMED AND MATERIALS USED Contractor agrees to do the following work for homeowners: See attached proposal# 1469 Anything else is excluded Materials expected to be used: certainteed vinyl siding db14", 3/8"foam insulation The following schedule will be adhered to unless circumstances beyond the contractor's control arise: 60,ln�s:+ Work schedule to begin: tuK 01;- !v li3"�i3 Expected date of completion: TOTAL CONTRACT PRICE AND PAYMENT SCHEDULE: The contractor agrees to perform the work,furnish the material and labor specified above for the Sum of$8,505.00 Payments*will be made according to the following schedule: *Please make checks payable to Marion Construction $250.00 Deposit to be paid upon signing $2,750.00 one week before start of project $2,750.00 upon completion of front and one side $2,755.00 upon completion of project DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Please make sure to sin all three documents l *****Homeowner'ssi nature Date -, bb Contractor's signature_ _ Date 10/11/10 The Commonwealth of Massachusetts Department oflndustrial.Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applican-t Information Please Print]Legibly Name(B.usiness/Organizatiorvindividual): /1✓/�J,Q�� /�G�2/Q� Address: �D�� 2C1Sn+e.cT s City/State/Zip: ,,;e�� X o l��Y Phone#: 1S'-36�j Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. New construction. mployees(full and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet.s 7. Remodeling . ship and have no employees These sub-contractors have 8. ❑Demolition p 'com •insurance. working forme in any capacity. workers9. ❑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' comp.insurance required.] 13.0 Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: Y__ Policy#or Self-ins.Lic.#: i' `� ��7 N Expiration Date: /f ' G Job Site Address: Xe l y f City/State/Zip: 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 of criminal penalties of a fine 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 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. X do hereby certify uncles e ins andpenaldes ofperjury that the information provided above is true and correct. Si ature: Date: Q � F Q Phone#: 5— Fi only. Do not write in this area,to be completed by city or town official. n: Permit/License# hority(circle one): I. Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector son: Phone#: