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HomeMy WebLinkAboutBuilding Permit #293-14 - 12 FOSS ROAD 9/4/2015 BUILDING PERMIT o� NORTI� q 3`a yet ZLBD..:°46-,, TOWN OF NORTH ANDOVER o - - APPLICATION FOR PLAN EXAMINATION ^' Permit No Date Received 421 1( A�g1TED.PPS�y gSSAtHu`'�� Date Issued: PORTANT: Applicant must complete all items on this page LOCATION I t Y0 S 5 Pr- t PROPERTY OWNER Gtr 1S�Oi�h�,r t0W ., Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes. no TYPE OF IMPROVEMENT PROPOSED USE Resid tial Non- Residential ❑ New Building ne family ❑ Addition ❑Two or more family ❑ Industrial ❑ AI ration No. of units: ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0 Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Waters-hed District El Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: & mg]a S - Identification- Please Type or Print Clearly Y OWNER: Name: Qi 9 ow e1 Phone: Address: FO SS 1Z jv�o v r-y, Contractor Name: / GYY1Lwa.-4- f'4Ama✓ Phone: 17 Olo 3S' Email: Address: ayDT ` MAID A'*-- o w Z 11 Supervisor's Construction License: Exp. Date: II� Home Improvement License: / 74 a y0 Exp. Date: 10—a -IS 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: $ 3> Oa FEE: $ 3(N Check No.:4.44 ? Receipt No.:2�j NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 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 OTE: All durnpster 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 OTE: All dum stet permits require sign offrom Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) Building Permit Application 4, 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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 Doc:Building Permit Revised 2014 Location '9 No.C25 'r �!1 DateLI 1 . - TOWN OF NORTH AND6VER b:fir . Certificate of Occupancy Building/Frame Permit Fee -S -'] � Foundation Permit FeeJlk $ Other Permit Fee $ TOTAL $ ' Check# ! l� �! Building Inspector �. ! i r 1NORTH )w: 1 ic . " ver 0 43 � Zy ah ver, Mass, C OCMICHlwlcx ' �s,9 AOf#ATEO nP�`�g5 S u BOARD OF HEALTH Food/Kitchen PERMIT LD Septic System THIS CERTIFIES THAT BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on ..QW..... .... .. .. ......4*466�..I....................... Rough ( w to be occupied as ......... ........ ...........T..... ./ ............�..... Zter�s ............................. Chimney provided that the person accepting this permit shall in every re ect conform tot a 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 0NT S ELECTRICAL INSPECTOR UNLESS CONSTR S TS Rough Service ............... .. ....... .. .......�UILDING ............. Final ECTOR 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. Next Step Living, Inc. CT HIC.0629266•MA OCABR#162111•RI Contractor Reg.#37185 HOME IMPROVEMENTAGREEMENT Date of Contract: 07/24/2015 next step Living,. — home energy sotutions 21 Drydock Avenue,2nd Floor,Boston,Massachusetts 02210 Customer(s)Name(s): Laura&Christopher Bowe Telephone:866.867.8729•www.nextstepliving.com Customer(s)Street Address: 12 Foss Rd City: North Andover State: MA ZIP: 01845-5258 Customer(s)Home Phohr a#- Customer(s)Mobile Pholne#: Permit(s)Required: Building&Electrical City/County Issuing Permit(s): North Andover Customer(s)jointly and severally agrees to purchase the products and/or services of Next Step Living,Inc.("Contractor")in accordance with the terms and conditions described on the front and reverse of this Home Improvement Agreement("Agreement')and the attached specification sheet(s).Customer(s) hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. ESTIMATED STARTING DATE: Thursday,October 22,2015 ESTIMATED COMPLETION DATE: Thursday,October 29,2015 TOTAL SOLAR SYSTEM PRICE: $34,124.28 PAYMENT METHOD: select option(s)_ ESTIMATED STATE REBATES: $0.00 CashCredit Card SOLAR PURCHASE PRICE: $34,124.28 Check RFinancing ROOFING PURCHASE PRICE: $0.90 TOTAL PROJECT PURCHASE PRICE: $34,125.18 See Payment Certificate for payment schedule In certain circumstances,Customer(s)may agree to assign to Contractor the right to receive and retain the rebate(s)associated with ownership and use of the product(s)in consideration of a reduction to the Total Price equal to the amount of the rebate. By signing below,Customer(s)hereby irrevocably assigns to Contractor the right to receive and retain such rebate.Owner agrees to provide all required support to receive the rebate. Amount $0.00 (Customer's Initials) i 1 I'm fine receiving autodialed and/or pre-recorded calls or text messages from or on behalf of Next Step Living to tell me about new products,sales or other events I may be interested in,and you can use any of the telephone numbers I have provided above. I understand my approval to receive these calls is not required for me to make a purchase. (Signature) CT Customer(s)agrees and understands that this Agreement constitutes the entire understanding between the parties,and that there are no verbal understandings changing any of the terms of this Agreement.Customer(s)acknowledges that Customer(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 accompanying Notices of Cancellation,on the date first written above and(2)was orally informed of Customer's right to cancel this Agreement.DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. NEXT STEP LIVING, INC. 1 By: Todd Massicotte 07/24/2 0 5 Print Name Lic.#(Fonly") Si nat re f Y) g u Date CUSTONLER(S) 07/24/2015 Christopher Bowe Print Name SignatDate ] Laura Bowe �r � 07/24/2015 Print Name �i [Signature _Date ; YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ACCOMPANYING NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. ©BLLP2013.NSL.CTMARI TSM260-M18-IVD2397-DC3021-IRO-CCO-RY-TN-Green Sky OWNER'S AUTHORIZATION FORM For Permit Application(s) The sole purpose of this form is to provide Next Step Living with the Necessary permission from the Owner to file Permit Application(s)for such Project work as agreed upon between the Owner and the Owner's Authorized Company and its designated subcontractors. I Owner's Name: Christopher & Laura Bowe Solar Project Addr 12 Foss Rd. North Andover, Ma gnature• ��� — ----– - - - Owner's Authorized Company: Next Step Living Inc. Company's Address: 21 Dry Dock Avenue South Boston, MA 02210 Affiliation: Contractor Applicable License: HIC#162111 State: MA II TE (MMIDDIYYYY A�® CERTIFICATE OF LIABILITY INSURANCE DA 09/02/2015 ' 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 WANED,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). PRODUCER CONTACT Carolyn A Coughlin Charles J Coughlin Insurance 14 DinleyStreet WC.-N., (978)957.3558 FAX No): P.O.Box 10 ADDR�: Carolyn@coughlinins.com Dracut,MA 01826 INSURERS AFFORDING COVERAGE NAIC# INSURER A: Utica First Insurance Company 15326 INSURED MM P Construction LLC INSURER B: NGM Insurance Company 14788 M atthew Pal mer Liberty Mutual Insurance Co. 15628 428 Butman Road INSURER C: rtY Lowell,MA 018524308 INSURER D: 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 CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE JM&ADDL W D POLICY NUMBER MM/DD/YYYY MMI DY EFF POLICY�YY LIMITS A GENERAL LIABILITY ART504500801 09/23/2014 09/23/2015 EACH OCCURRENCE $ 1,OGO,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 50 OW PREMISES Fa occurrence $ CLAIMS-MADE F2/ OCCUR MED ExP(Any one person) $ 5,000 PERSONAL 8 ADV IWURY $ 1,w0,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 1JECT F-1 POLICY PRO- LOC $ B AUTOMOBILE LIABILITY M 1T5014S 06/22/2015 06/22/2016 COMBINED SINGLE LIMIT Ea accdent ANY AUTO BODILY INJURY(Per person) $ 100,000 ALL OWNED / SCHEDULED AUTOS AUTOS IUBODILY INRY(Per accident) $ V NON-OWNED PROPERTY nePER DAMAGE $ HIRED AUTOS AUTOS P UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ C WORKERS COMPENSATION WC5-31S-607211-014 09/27/2014 09/27/2015 J WCSTATLL OTH- AND EMPLOYERS'LIABILITY Y I N JORY LIMITS OFFICEER ROPRIE ORIPARTNDE07 CUTIVE N/A E.L.EACH ACCIDENT $ 100,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 IF yes,describe under - 500 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) Carpentry/Snowplowing CERTIFICATE HOLDER CANCELLATION Fax#.(978)688-8476 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover,Massachusetts THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1600 Osgood Street ACCORDANCE WfiH THE POLICY PROVISIONS. Building 20,Unit 2035 North Andow,MA 01845 AUTHORIZED REPRESENTATIVE OF ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-M363 Construction Supervisor TERRENCE L PALMER .. �;. 428 BUTMAN ' LOWELL MA 01852� - � f" (�-^K l Expiration: Commissioner 09/09/2017 i re fffice of Consumer Affairs&Business Regulation —�ME IMPROVEMENT CONTRACTOR Type. 1 Registration 176840 Supplement Expiration 1012/2015 ' MMP CONSTRUCTION INC. I - TERRENCE PALMER 428 BUTMAN RD. LOWELL,MA 01852 4 Undersecretary