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Building Permit #276 - 129 PINE RIDGE ROAD 10/8/2009
BUILDING PERMIT cf"O RT a qti TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO:C7� Date Received �4A�R�reo►PP`�� �SSACH�IS�� Date Issued:4 IMPORTANT:Applicant must complete all items on this page - ''t [ `�'r r*��` •fir, � � m s, ` L`OC7rtONw -w f - -W�. � k ' a -. ' i+ "` .'` 7'�F` .: !# �;F*e+a. .ter wa �T ^� k�'b �. a•.4'�-�,'�f� .,t �. d 4 s. .,,"3>- e^ " k..-�# FRPRTY'061 :IE �t t �J�' � _ �s ��P�IiD ' ������� ►�Ca�L '� �.��,�tli;;IG ��"T �I•G'�'� =�'��.. �st��r���s�� �� a �s ��o TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other ,xua:w 1 :.• ,.� s{! ) � a`G afic k 2 11 t 1J �1oxixiplajra etlands Ir eigh a n t �i• :s u _y �a s t,t � 4A., Wm DESCRIPTION OF WORK TO BE PREFORMED: c�.� /✓ � `�� dot � � ,� f i Identification Please Type or Print Clearly) OWNER: Name: ��(� -�► 2d.� Phone: ' Address: /� I ti ��Y2 ,�--� " ,.,z,`.'s* + �:✓ Tfilb'� � yTt1eS s" L �,L �`' ',y'" '�I¢I�� y n A, 'a�,4•;?'�' L "�kxj •F � '> �'-x „�.�, ssza�a M. s� � � ,za ..�s��r,' �.i c s. � 4+'^`y � z x-'�`Sf sem-„ a k#'"'"" 5 r AC�ItIT�'rss i� r n W- ✓w�i w 4 x ar SlJprte /�l"t tOr'`tg5i"sKk�!',r�1 ''CaL1(CID1L '7Se�`�h bra "` "r.� ' ,�. SgC.P�yv„�a r s *�akt " ' If � A 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: $ f( � 0 f ® FEE: $ Check No.: Receipt No.: NOTE: Persons contractin h unregistered contractors do not have access to a guar my fund raturef A en�t/� Ir�eT. nat retuatcsntrac�tor,, �� # 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/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 ❑ 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 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 J 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 Signature C-OMMENTS 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 sx 'a- wp'rrr 6" .e! iDE kM yy.7 ,. CIYd�l7#7R !J+i� .+..,_..T: «Y.;, -,'-' .. �a4a,-t..,.3..,.,:se '. ,. �, '` •� s .„ r '"m'G +'� '„ *� +e.i"b"N+-`• '.+ww..+.a' ...' ..,. .r: a. a '* ' .+fit A-: - 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 Doc.Building Permit Revised 2008 Location o No. Date NORTq TOWN OF NORTH ANDOVER - ` Certificate of Occupancy $ �ssCHUsE<�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2 2 5 ► 4 Building Inspector From:PERRY INSURANCE AGENCY 9786870149 0911812009 09:21 #849 P.0021002 9/ 18 /2009 9 : 05 : 17 AM 8988 ® 02/02 ISSUE DATE 0911812009 ODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Insurance Agency LLC CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE 22 Cltickerin RdRt 125 DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE g , POLICIESBELOW_ r Andover,MA 01845 COMPANIES AFFORDING COVERAGE Under One Roof7Pest in Peace Temple Drive COMPANY A ALM.Mutual lnst mw Co LETTER n,MA 01844 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED FLOW 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 CERTFICATE MAY BE ISSUED OR MAY PERTAIN.THE IMURANCE 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. CO TYPE OF iNbURANCE POLICYSUMSER POLICYEFFECIIVE •011CY13WRATION LIMITS LTR DATB(wM IXTY) DATE(MMIt"M CESERALLiA81LITY .i GENERAL AGGREGATE I PRODUCTS-COMPIOP AGG S =COMNERCIALGENERALLIABlLITY PEMNAL&ADV RUWT O=CLABIISMADE©OCCUR. . -----_,._ EACH OCCURRENCE QOWNER'S&CONTRACTOR'S PROT FIXEDAMAGE(AM—t-) ED MED EXPEHSE(A.I.-pets®) AUTONORME LIABOATY CODIB3NED SINGLE ( LIMR ANY AUTO BODILY 1SIURY All OWNED AUTOS (per WSW SCHEDULED AUTOS HIRED AUS9S BODILY INNRY NON-01VNED AUTOS GARAGE1.1"ILITY �) PROPERTY DAMAGE EXCESS LUIBILITY EACH OCCURRENCE IAMBRELLAFORM AGGREGATE OTHERTHAN UMEREL[.AFORM WORDS COMFENMTION AND AT LIMITS STATE OTHER ErdVLOYERS LIABILITY MA PRDPR¢Tow s A wRessatslFXFr_'tmvE F.I.EACH ACCMFXr 100,000 US ARE 7009464012008 1110912008 11/09/2009 ELDISEASE POUCYUMIr 500,000 INCL �EXCL i 1 ELDLSEASE•-EACH 100,000 BAPIAYEB COMMENTS►DESCRIPTION OF OPERATIONS OR LOCATIONS: PLLL UNDER ONE ROOF/PEST IN PEACE IS NOT COVERED BY THE RTORKERSICOMPENSATION POLICY. 11-0-0 ABOVE DFStD PouCIES BE CANCFIIED BFFORF TEE El�BtATION DarE JOHN LA NZA FA ME a C09VANY WILL RIDEAVOR TO MAIL ILWRMEN NOTICE TO THE CERTMCA'IE HE t EF?,BIII FAILURE 7O MAII StJQ!F(OTICH SHAu IMPOSE NO OBIdOATION pa!�nZ ANY END UPON THE COMPANY,IIS AGENTS OR REPRESENTATIM, 0 TEMPLE DRIVE n �� / J C�}''14M'w �:�rC10 E[��•yE' f 1E.1 Residential &Contrrsercial Roofing ClrS>a>rrsev All Types of $Y�7fiQ( CttiMNEYS POINTI;D-RCCUILT-CAagt=a Expert ert M�sgonr Work is l-.el-scJ 3 ns�:>ti (.1^.CI75@?tF:f4C rO WAIT-,-USFIKO WO; k Ve'r iaa,��s,cca 1921_x:.CXC rr7-71"'1 Proposal To: Dave Sapienza Date 9/22/09 Street: 129 Pineridge Rd. davesapienza@bsci.com N.Andover NIA 01845 508-265-1737 Roof proposal I. Strip all shingles from entire main roof and ga- 15.Shield Pro Plus extended mfg.warranty.Fully rage. transferable 100%coverage for stock and labor 2. Re–nail any loose or lifted plywood. for a full 10 years,included in this proposal at no 3. Any compromised plywood will he replaced at an additional cost. additional cost of$40.00 per sheet. 4. Install heavy gauge 8"aluminum white drip edge Total cost: $ 11,700.00 to all eaves and rakes. 5. install 6'of IKO Armourguard ice and water shield along all eaves and top to bottom in the val- leys.Also on all wall connections.6'MA state code. Balance due upon completion 6. Install all new pipe boots. 7. Above the ice and water,install heavy 301b felt base sheet. Referrals available upon request 8. Install IKO Cambridge AR-30year architectural shingles to entire roof and garage. lUghly rated member of the BBB 9. Install new GAF Cobra ridge vents. 10.Counter-flash chimney with ice and water shield and seal with clear sealant. Thank void 11.On Main Gable:Remove existing Ix3 and Ix6 trim boards on front and back of one side of the gable.Install new PVC composite 1x3&1x6 trim boards in their place. 12.Building permit included. 13.Removal of all work related debris. III—House Crew,NO Sub Contractors! 14.Shingles are covered by the manufacturer up to 30yrs.(Pro-rated after 5 years.) 15.Contractor workmanship warranty=10 years un- der normal conditions. eeeptance of Proposal—The above prices,specificati ns and conditions are satisfacto and are herby ac- epted.You are authorized to do the work as specified. ayment w' de as o I �above...�ate of Acceptance: 4 It) Signature .. 4 tom+ �. t 0 dill One Ashburton P - Room 1301 Boston- MasswAussetts 02!08 I tome Improvement Cols Reaistw1oll Reatafthon 137057 Type: DDA �lft.'tit'8�Of1 1 W2l�QiU i r• .,. ALL UNDER LIN t.. ROOF JOHN LANZAFAME 166 A MERRIMACK ST, METHEUN. MA 41844 €fp,dstt,'kddseas A"retaorn card, Ntar k reaenn tr.r Addra u Renewal Earpiuvrrrs:rr 1 „1+ + +... taorrd of t�rbttrata ssd Cit +ee�dt firr aa�a%aEi!we a�et,� , t t F see= ft muclowc5ovi. 13, jb to fecaum9he swambeft=and Stamdft& ta.ricra Two 2734r20 f7De an 13M Two: to 429L cam F W- f?iytGRAGI( r ' ►it ' iiax+.catr€r�a-a1� !)€•;+.rr-trtacaet .rt P€a6rdi€ �.alt-tt Eirrua-€(rr# kEu4€!i€€�Kt-�tiktutkax€. arta! t1:€rr€l:rr-ri` Constrtaction Suaer,,#Sor 1.+cense License- CS 89f2t1 Restrrcted to: OD . v w LANZAFAW 30 TEPAK.E OR METHUEN.MA 01844 �—�-� - txptt.rtawn 413/2t111 + -.......r..,...... T,-4: 13440 �l.r.�.titaar+.its tlrtr.ulnriar! ori t"ntti€r �.ak•r� (l.rgr-rt..f suit€link Ra:;€tlattruu And `+t:€rrr aut'l. {Construction SuPera,sor L,cen,,.y L+irr.�,e CS 6912D Restricted to- 00 Massachusetts Home I 113rovement Sam i a Contract Tltis form satisfies all basic requirements of the slate's Home Improvement.Contractor Lew(MGL chapter 142A),but does not include standard Masa language protect homeowners. Seek legal advice if necessary. Any person planning home improvements should first obtain a copy of"a Massachu sets consumer guide to home improvement"before agreeing to any work on your residence.You may abmin a free copy by calling dee Office of Consumer Affairs end Business Regulation's Consumer Information Hotline at 617-973-8797 or 1_888-283-3757. Homeowner Inf rmation 1`-5-112Contractor Informafjgn man�pan 'e`sJ Street Addrrss 4(do aot.use a Post.Office Box.address) Contractor/--Person/Owner Name- v►�►Sr g S ems•. f-� O i`l - -Cityllowa - State ,Zip Code - usiness Address(m,.ustt' hide a street address) ,r� Daytime Phone .. Evening Phone _ ty/To Am State Zip Code Mailing Address(It different from above) /7- q._r/ , . usiaess Phone edaal Employer ID or S.S.Number. tm,mnn 6nme mr..l acme imt.,vmmrCw„,or,kcg.Nomec Erv.uo . n des _ . =Z 11 heves The Contractor agrees to do the following work for the Homeowner:rsaahm nw bm e se 7edts-The following building:prnnits are requird Proposed Start and Completion Schedule-The following schedule will- ed by the contractoras the hoticowaers agent beadEt8 to unless circumsmnces beyond the contractors coatrn}arise secure their own permits will be the Guaranty.Funic provisions ofr 142A:) Dao when contractor will begin contracted work. d Date when contracted work will be substantially completed Total Contract Price Bud Payment Schedule The Contractor agrees to perform the work furnish the material and labor specified above for the total sum of: Payments will-b8 made according to the following schedule: ) $ t7 upon signing contract(not to exceed 113 of the total'contract price or the cost of special order items,whichever is greater) $ O b3'_/_/ or upon completion of c by __i_ or upon completion of .upon completion of the contract. (Law forbids demanding.full payment until contract is completed to. P both party's satisfaction) Toe following material/equipment must be special S 0 . ordered before the emanwied work begins in order s to be paid for to meet the completion scheddle.(-) C7 to be paid for NOTES:(•)including all finance charges(*0)law requires that any deposit or down-payment required by the contractor before worst begins may not exceed the greater of(a)onothird ofthe total contract.price or(b)themal cess of any special equipment or custom made material which must be special ordered in advance to meet the completion schedule: Ex ress.Warrarth•-.ia anexpress warrariry bel rnvided.h.thecootrattor? .. - Subcontractors-The contractor a Y responsible No yg' nil terms of a warra"m must fie attached rA the contract gnus to be solei re onsible for completion of the work described regardless of the actions of any third Illparty/subcontractorertalsbor utilized by the contractor, The contractor further agrees to be stile) icrials and labor under this a enc Y responsible fon all payments to all subcontractors for Contract Acceptance-Upon sighing,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 full • Make sure the connector has a valid Home lmnmvement Contrac r Re uc d natand it Ask questions if something is unclear. subcontractors to be registered with the Director of Home Improvement Contractor R gistmtiThd law�on,t�ou maymost ingwrceboutc nttra t�tractars and registration by writing to'the Director at One Ashburton Place,Room 1301,Boston,MA.02108 or by calling 617-727-3200 or 1-800-223-0933. • Does the contractor have insurance? Check to see that your contractor is properly insured • 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. may cancel this agreement if it has been signed at a place Doter than the contractor's normal place of business,provided you notify the in writing.at hisYhermain office or branch office by ordinary mail posted by telegmm sent or'by dcliv[contractor business day following the signing of this agreement See file attached notice of cancellation form for an.explanation of this riery,not later then ght of the DO NOT SIGN THIS CONTRACT IF T N7�t�� -1 oidemiralcopiesoftheranrner.mustbecompl-ednndsignrd.One Rot ARE .Th BLANK SPACEScon mPY shoal d go ro the homeowner,The other copy should be kept by the contractor. \ l e ner' Si ature Con'hr's Sr- marc Date j o 7 Date Contractor Arbitration . The Home Improvement Contractor Law provides homeowners with the right to initiate anarbitration action(as an , alternative to court action)if they have a dispute with a contractor. The same right is not automatically affforded 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 disputa 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 provided In Massachusetts-General Laws,chapter 142A. Homeowner's Signature Contractors 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 Sep arately.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. Amy 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 recission 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. Howevet,: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-fights,or if you wish to obtain a free copy of"A Consumer Guide.to the Home Improvement Contractor Law,"contact Consumer Information Hotline. Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 (617)973-8787 or 1-(888)2833757 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 Bureau of Building Regulations and Standards One Ashburton Place,Room 1301,Boston,.MA 02108 (617)727-3200 or 1-800-223-0933 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 n (508)652-4800 (508)755-2548 (413)734-3114 NORT#q TO" Of tAndover 0 No. dover, Mass. ` O T QLAKE 1. COCHICMEWICK ORATED �i BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ............... ....... .....�... ..� is ......���p...................... ............................ Foundation has permission to erect........................................ buildings.on .. !�;....... P...� Rough t0 be Occupied 8S....... ................11-111111.0.................. .... Chimney provided that the per ccept this permit shall in every respect conform to the ms of the application Final this office, and to the provisions of the Codes and By-Laws relating to the Inspectio , 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 CONSTR ON ARTS Rough g ........ ......... .................................................. Service R 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]i smoke Det.