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Home My WebLink AboutBuilding Permit #301-12 - 12 STACY DRIVE 10/6/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO:3011-12, Date Received Date Issued: a/,6 IMPORTANT:Applicant must complete all items on this page LOCATION -------------- Print PROPERTY OWNER Unit# Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 100 year-old structure yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 6<One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial .Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑'Septic D Well ❑Floodplain ❑Wetlands ❑ Watershed District ❑ Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: (Identification Please Type or Print Clearly) OWNER: Name:_ Phone: Address:_ /V, A— CONTRACTOR Name: ('Y\A-�-k iPhone: 5 L(- Address: Address: 1 1 ✓_� -4 le-,, (4- 6 3 .,�'-> 5 Supervisor's Construction License: cl Ll r7 Exp. Date: 3 z(" z Home Improvement License: � 3 Exp. Date: t t ( Z < < 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: $ * � 5 -) I . J � FEE: $ &0 ,0 Check No.: / 1 Z Receipt No.: 6 76 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund S( nature of A ent/OWner `_B�_ __ . . 9 Signature.of contractor: Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Si-nature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Con nectionisig nature& 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 signature/date COMMENTS 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 ❑ Notified for pickup - Date Doc:.Building Permit Revised 2011 June/mi 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 Permii 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/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 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 a 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) a Copy of Contract • Mass check Energy Compliance Report o Engineering Affidavits for Engineered products NOTE: 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: Doc.Building Permit Revised 2008mi Location /,47 J'I"e'y �j- No. ,�0� 2()/Z Date "GRT" TOWN OF NORTH ANDOVER G'4 . o .�''•yC 3? °. i 9 i • Certificate of Occupancy $ 9 Buildin /Frame Permit Fee $ suHusE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # -- 24676 Building Inspector NORTH TOMM Of - Andover . . 0 a , dover, Mass.,— COCMIC EwICK �• �0RATED 7�l V BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.....�!.N....... . . .....1.. P. �'..h.,^ ............................................................. Foundation S' has permission to erect........................................ buildings on ...42........t... 8'.................................................. Rough to be occupied as.... y /U�w' �f �. Chimney provided that the person accepting 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 EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS T CONSTRUCTION TS Rough 11".1 /j ... .� . ,,,"`.......................................... 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 FIREDEPARTMENT Until Inspected and Approved by the Building Inspector. Burner - Street No. SEE REVERSE SIDE Smoke Det. Garabedian Home Improvement Invoice 1 I Matthew Dr �- Date Invoice# Salem,NH 03079 Phone# 9 603-235-4005 /4/2011 409 Bill To Cindy Tortolini 12 Stacy Dr. N Andover,MA 01845 Terms Project Due on receipt Quantity Description Rate Amount WINDOW ESTIMATE ALL WINDOW ARE TO BE ALMOND CLAD ON EXTERIOR WITH 908 BRICKMOLD TRIM AND PINE SILLS.ALL WINDOW ARE TO BE WOOD ON INTERIOR WITH 1X4 FLAT TRIM AND EXTENSION JAMBS.INTERIOR AND EXTERIOR OF WINDOWS ARE TO BE PAINTED AS WELL. 1 HARVEY MAJESTY CASEMENT NEW CONSTRUCTION ALMOND WINDOW: 423.00 423.00 27X62.5 FIBERGLASS WHITE SCREEN,ENERGY STAR PACKAGE,WHITE HARDWARE,LEFT HINGE,NO GRIDS.LOCATION:KITCHEN 1 HARVEY MAJESTY CASEMENT NEW CONSTRUCTION ALMOND WINDOW: 423.00 423.00 27X62.5 FIBERGLASS WHITE SCREEN,ENERGY STAR PACKAGE,WHITE HARDWARE,RIGHT HINGE,NO GRIDS.LOCATION:KITCHEN I HARVEY MAJESTY CASEMENT NEW CONSTRUCTION ALMOND WINDOW: 376.00 376.00 26.75X38.5 FIBERGLASS WHITE SCREEN,ENERGY STAR PACKAGE,WHITE HARDWARE,RIGHT HINGE,NO GRIDS.LOCATION:BATHROOM 1 HARVEY MAJESTY 2-WIDE CASEMENT NEW CONSTRUCTION ALMOND 874.00 874.00 WINDOW:54.5X46.5 FIBERGLASS WHITE SCREEN,ENERGY STAR PACKAGE,WHITE HARDWARE,RIGHT/LEFT HINGE,NO GRIDS.LOCATION:LANDING I WINDOW TRIM 375.00 375.00 1 WINDOW FLASHING 40.00 40.00 1 SPRAY INSULATION 25.00 25.00 1 DISPOSAL OF OLD MATERIALS 125.00 125.00 I PROPOSE HEREBY TO FURNISH MATERIAL AND LABOR-COMPLETE IN ACCORDANCE WITH THE ABOVE SPECIFICATIONS. Total Page 1 Massachusetts- Department of Public SafetN I Board of Buildinl- Regulations and Standard Construction Supervisor License I License: CS 94797 _ Restricted to: 00 MATTHEW J GARABEDIAN 11 MATTHEW DR ) a SALEM, NH 03079 Expiration: 3/26/2012 ('unuuissiuncr Tr#: 20694 ✓fie T�ar�vnzomuseat o��/f/r'aaaae�ivae Office of Consumer Affairs&Business Regulatioi HOME IMPROVEMENT CONTRACTOR Registration:>,157753 Expiration; 1912/ 011 Tr# 290221 Type' ` lndmidual=- GARABEDIAN HOME IMPROVEMENT ..�:.: MATTHEW GARABEDLAN%-_.--- ` 11 MATTHEW DR:: �:43 _=___- SALEM,NH 03079 Undersecretary t Garabedian Home Improvement Invoice ` I I Matthew Dr Date Invoice# Salem,NH 03079 Phone# 9/4/2011 409 603-235-4005 Bill To Cindy Tortolini 12 Stacy Dr. N Andover,MA 01845 Terms Project Due on receipt Quantity Description Rate Amount 1 WINDOW INSTALLATION LABOR 1,710.00 1,710.00 1 PAINTING LABOR 600.00 600.00 WINDOWS ARE SPECIAL ORDER AND ARE NON-REFUNDABLE. PLEASE ALLOW 3-4 WEEKS FOR DELIVERY. A DEPOSIT MUST BE PAID BEFORE ANY WINDOWS ARE ORDERED.(1/3 OF CONTRACT) ANY UNFORESEEN ROT OR DAMAGE DURING THE INSTALLATION PROCESS WILL BE CONSIDERED AN EXTRA COST.IN THIS EVENT WE WILL QUOTE A PRICE FOR THE MATERIALS AND LABOR TO FIX THE PROBLEM. PERMITS ARE REQUIRED AND ANY AND ALL FEES RELATED WILL BE PAID BY THE HOMEOWNER. DATE: I PROPOSE HEREBY TO FURNISH MATERIAL AND LABOR-COMPLETE IN ACCORDANCE WITH THE ABOVE SPECIFICATIONS. Total $4,971.00 Page 2 Massachusetts Home Improvement Sample Contract This form satisfies all basic requirements of the state's Home Improvement Contractor Law(MGL chapter 142A),but does 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 free 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 Name Company Name rry p L4 7bM T`oI IN (6 PV,P,3qcr_r-� Street Address(do nbt use a Post Office Box address) Contractor/Salesperson/Owner Name City/Town Ste Zip Code Business Address(must include a street address) L-) ✓.>� Daytime Phone Evening Phone City/Town State Zip Code -151 -l'�j5ySA-le"kl �/ L a`7 g Mailing Address(It different from above) Business Phone 6 Federal Employer ID or S.S.Number cc)r1 t;,1 Els Home Improvement Contractor Reg.Number Exptration date Low improvement tont most home /,I C) improvement contractors have ` ` `� a valid registration number 1.�I I C�h"�•s� i 4 7 + IZ The Contractor agrees to do the 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 necessary.) �E �ii✓�c�n est S 4e- Required Permits-The following building permits are required Proposed Start and Completion Schedule-The following schedule will and will be secured by the contractor as the homeowner's agent: be adhered to unless circumstances beyond the contractor's control arise (Owners who secure their own permits will be excluded from the Guaranty Fund provisions of a? 1 Date when contractor will begin contracted work MGL chapter 142A.) � j� ! � Date when contracted work will be substantially completed. Total Contract Price and Payment Schedule The Contractor agrees to perform the work,furnish the material and labor specified above for the total sum of: ��f��,pa (*) Payments will be made according to the following schedule: upon signing contract(not to exceed 1/3 of the total contract price or the cost of special order items,whichever is greater) $ 03550 0 by / / or upon completion of $ by _/ / or upon completion of $ upon completion of the contract. (Law forbids demanding full 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 order to meet the completion schedule.(**) $ to be paid for NOTES:(*)Including all finance charges(**)Law requires that any deposit or down-payment required by the contractor before work begins may not exceed the greater of(a)one-third of the total contract price or(b)the actual cost of any special equipment or custom made material which must be special ordered in advance to meet the completion schedule. Exoress Warranty-Is an express warranty being urovided by the contractor? ❑No es fall terms of the warranty must be attached to the contract) Subcontractors-The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third party/subcontractor utilized b the contractor. The y contractor further agrees to be solely responsible for all payments to all subcontractors for materials and labor under this agreement 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 the residence. Review the 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 Improvement Contractor Registration. The law requires most home 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. • 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 Important Information on the reverse side of this form and get a copy of the Consumer Guide to the Home Improvement Contractor Law. You may 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 cancellation form for an explanation of this right. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES!!! Two identical copies of the contract must be completed and signed. One copy should go to the homeowner. The other copy should be kept by the contractor. Homeowner's Signature Contractor's Si re Date Date Contractor Arbitration The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as an 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 such arbitration as ro ded In Massachusetts General Laws,chapter 142A. Home ner's Signature Contracto ' 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 trot 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). Execution of Contract The contract must be executed in duplicate 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. Accelerated Payments 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. 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 Home Improvement" contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8787, 888-283-3757 or visit the OCABR website at http://www.mass.gov/ocabr/ 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 http://www.inass.izov/ocabr/ Go online to view the status of a Home Improvement Contractor's Registration: hi!p:Hdb.state.ma.us/homeimprovement/licenseelist.asp 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