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HomeMy WebLinkAboutBuilding Permit #149-15 - 13 ELMWOOD STREET 8/11/2014 BUILDING PERMIT o*.N°DT b gtio TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received SSACHus Date Issued: 1. ` IMPORTANT:Applicant must complete all items on this page V, LOCATION t lylLc�c7�CZ __ Print PROPERTY OWNER L >~r _ i Print 100 Year Structure yesno MAP __PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building i"One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial k�,Repair, replacement ❑Assessory Bldg 0 Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain Ei Wetlands ❑ Watershed_ District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: 56of eeroop /� Identification- Please Type or Print Clearly � OWNER: Name: L-�rt ) �aP/6 Phone:� ' 1/7/ Address: S�rl'n Contractor Name: �i ✓ EW-hone: � f Address` Supervisor's Construction License: Exp. .Date.- Home Improvement License: _. _ Exp. Date: ARCHITECT/ENGINEER Phone: e 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: $ 0 Check No.: 2-1 15-7�' Receipt No.: � NOTE: Persons contracting with unregistered contractors do not have access to the guars ty fund 0 Signature of Agent/Owner Signature of contractor Location 12, �U No. (� Date g t i F . • TOWN OF NORTH ANDOVER . e Certificate of Occupancy $ Building/Frame Permit Fee " Foundation Permit Fee $ � Other Permit Fee $ TOTAL $ Check# v 27876 ^ 2 7 8 7 6 ./Building Inspector 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 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 L 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 Call Email Date Time Contact Name - - ----- ...--......... --- ---...--- -- I Doc.Building Permit Revised 2014 i 1 I 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 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:Building Permit Revised 2014 � NORTIi Town of � _ �� ndover No. t _ h ver, Mass, cochic"IWKK �1 A04ATE0 S tl BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT ....... v���,, 0 ,,,. BUILDING INSPECTOR ............ . .......... ............ ..................... ... .............. has permission to erect .......................... buildings on 1 e ... 11n,W610A.... .......... Foundation .................. ..... �0 Rough tobe occupied as .......... ..... �........ ............................................................................................. 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 CONSTRUCTION STARTS Rough ` Service ................... ....../'::`. ............................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. Massachusetts -Department.of Public Safety 4, Board of building Regulations and Standards Construction Supervisor Specialty License: CSSL-099685 <r;r Is JAMES J DEBRE 2 TANAGER W" -�.ONDONDERRl� Q3053 , Expiration - Commissioner 12/06/2015 �. �/e�or,�r,Loarcae�tC/o�C�/f��JaaciccaeCGi License or registration valid for individul use only Office of Consumer Affairs&Business Regulation UU' SMEIMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: X22385 Type: Office of Consumer Affairs and Business Regulation xpIration: --8/26/2016 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 J&D WEATHERSEAL - JAMES DEBRECENI 2 TANAGER WAY LONDONDERRY, NH 03053 Undersecretary Not valid without signature A�aRQ� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 05/15/2014 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 WAIVED, 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 02025-001 NAME CT Degnan Insurance Agency Inc AI°NN.Ext: (978)688-4474 alc.No.[ (978)327.6668 85 Salem Street EMAIL Lawrence,MA 01843 INSURERS AFFORDING COVERAGE NAIC# INSURER A: A.I.M.Mutual Insurance Company 26168 INSURED INSURER B: James Debrecini Family Roofing&Painting INSURER C' 2 Tanager Way INSURER D: Londonderry,NH 03063 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD MMIDDIYYY MMIDDIYYYY GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ PREMISES Ea cc ourrence CLAIMS-MADE ❑OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ OUCY ECT OC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOSPer accident) $ $ HUMBRELLA LIAB OCCUR _ EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ IDED RETENTION $ $ WORKERSCOMPENSATION WCSTATU- OTH- AND EMPLOYERS'LIABILITY X TORY LIMITS ER A P RIP E ! ECUTIVE YIN E.L.EACH ACCIDENT $ 100,000.00 A (Mandatory N.H) ��IdD'R ❑y NIA AWC-400-7025900-2014A 5/11/2014 5/11/2015 (Mandatory in NH) E.L.DISEASE•EA EMPLOYEE $ 100,000.00 Ifes describe u der DS RIPTION O�OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000.00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) The workers compensation policy does not provide coverage for James Debrecini CERTIFICATE HOLDER CANCELLATION Great Woods Post&Beam Co Inc 253 Low Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Newburyport,MA 01950 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 26(2010105) The ACORD name and logo are registered marks of ACORD 168 Maple Street James Debreceni Methuen,MA 01844 "' LIC#99685 (978)683-5127FAMILY HIC#122385 ROOFERS & PAINTERS Bill To: �� Bv�roGa Address: A V� Phone: 178- '/ 7 / — 31-T7 r5 ��4 '� �/ �t/�t/C- .CI'I J i'+1 t A tf d►'I ��, � CJD-j ve ALL WORKMANSHIP GUARANTEED 10 YEARS 7 ESTIMATE INITIAL DEPOSIT 1ST PAYMENT t C3 2ND PAYMENT/ FINAL PAYMENT p ;£wiG-rGger omen Cs of the s'tate's Home Improvement Contractor Lahr � language to protect homeowners. Seek legal advice if necessary. Any person planning home improvements should first obtain n�ut do es not ude copy of A standard Massachusetts Consumer AEai s and to Home Improvement'[before agreek-gto any'vorl_c on yoi+r xeeidMee.YOU may obtain a free copy b calling the � 02^e a£'=L=w�-:;�,.erAi�:airs andBusiness R,e Y g gulation!s Cosumer Information Hotline at 617-973--8787 or 1-888-283-3'757 or on our website. ®Ineo'4Pner�®1rllIlA�.�.71oII1 - 'Coniractor lnforr tjon Namz • Company Name P lfYfiC. . Street Addr ss(do notuse aPost Office Box address r QQ t ) cor/Sale person/Ojjw_�nerNam C1tY�0wn State Zip Code Business Address(must include.a street address) Daytune phone BveinngPlione City/Town State Zip Code 7 —3I -r 7�_ _ /'o Mailing Address(It different from above) Business Phone Federall;iriployer ID or S.S.Number HoineImpmvemenE'ContiactorReg:Na bei Expiration date ]Law regnirns that mast Home improvementcontractorslinve �ry + ems" a valid registration nnmBcr The Contractor agrees to do the following work For the Homeowner: (Describe in detailthe worlcto completed,specifyingthe type,brand,and grade of materials to be used,use additional sheets ifnecessa Rc4uired Permits-The foll qWm9buildingpermits axe and will be,secured by the contractor as-the homeowner's agent:t:d be adhered toProposed runle s circumstances beyond the contractt-,and Completion Schedule-The ors contro�arise (Owners who secure their ownn permi�ts:WM be excluded from.the Guaranty]Cund provisions of MGL chapter 142A.) lh Ln ate when contractor will begin contracted work. 'l� Date when contracted work will be substantially completed. Total Contract Price and Payment Schedule The Contractor agrees to p eiform the work,furnish the material and labor specified above for the total sunt of: __,( / ! Q� Payments will be according to the following schedule: (�> $ upon signing contract(not to exceed V3 of the total contract price or the cost of special order items Q � ,whichever is greater) -- by / / or upon completion of $ by I / or upon completion of t upon completion of the contract. (Law forbids demariag fill,payment unfit contract is completed to both 's satisfaction) sfaction) . The following materiaYequipment must be special $ "" ordered before the contracted-workbeginsin order to be paid for tomeettheCompletion schedule,(.i°�°) $ toUep aid for NOTES:(°i°)Including all finance charges(`tai°)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 advande to meet the completion schedule. x p r e s s Warran f y-is an ea p ress war j-a p jy bein rovided b the contractor? Subcontractors-The contractor agrees to be solely responsible for comple io of ro the work described regardless ofthe actions of anytbird ontract party/subcontractor utilized by the contractor. The contractor Further agrees to be solely responsible for all payments to all subcontractors for aterials and labor ander this a Bement Contract Acceptance-Upon signing,this document becomes a binding contract under law. Unless otherwise noted within this docume>xt,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. o Don't be pressured into signing the contract.Take time to read and hilly understand it. Ask questions if something is unclear, o Malce sure the contractor has a valid Nome Tm rovement Contractor Re 'stration, The law requires most home improvement contractors and subcontractors to be registered with the Director o£I3ome Improvement Contractor Registration. You may inquire about contractor • registration by writing to the Director at 10 ParkPlaza,Room 5170,Boston,MA.02116 or by calling.617-973-8787 or 888-283-37$7. Does the contractor have insurance? Ask the Contractor for his insurance to compauy asksee a copy of a"proof of insurance'document. information so that you can confirm coverage,or as o Know your rights and responsibilities. Read the Important Information on the reverse side of Ibis foie,and get a copy o£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 no ' the contractor in writing at his/her main,oface or branch ofd ce 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. Seethe attached notice of cancellation form,for an explanation of WS right ®N®B'fthe co TMS CONTRACT 7F'JURE ARE ANY E LANK SPACES i i i Two identical copies of the con must'oe completed and signed, One copy should go to the homeoWmr. The other copy shoiddbe kept by ilie contractor. � � n Homeowner's Si' afar Con ctor's Signature 'Date Date ---------------- The Home Impi ovement Contra c.t N provides ho:nco�vnexs wx�r�dze right to initiate a..�„Ox i,2? alternative to court action)if they have a dispute with a contractor. The same right,snoautom caliaGins an contractor,however. The contractor would have to resolve any dispute he/she has with a hoxneowner.iu courto yaffordedto a both ptio es agree to the optionafl clause provided below. This clause would give the contractor the same xi arbitration as is worded to the homeowner by the Home Improvement Contractor Law. right to 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:gym which has been approved p the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the constunex shall e required by to snub ' to such arb' 'on as. •ovided In Massachusetts General Laws, chapter 142A. 8 t Homeowner's tre NOTICE: g� Co actor's Signature The si ttitree of paries above apply onlyto the agreement of the parties to alternative dis rte resolution initiated by the contractor: The homeowner may initiate alternative dispute xesoluixon even where this section is not separately signed by the parties. Homeowner's Rights A homeowner's rights under the Home Improvement Contractor Lew(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 axe automatically excludedfrom.all Guaranty Fund provisions of the Home Improvement Contractor-Law. The contractor is responsible for completing the work as described,in a timely and worlmanlike manner. Homeowners may be entitled to other specific legal lights if the contractor guarantees or provides an express warranty:for workmanship or materials. In addition to provided by the contractor,all goods sold-in Massachusetis cavy an implied warranty of merchantabilitor y and�fiti�ess for a particular purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree maybe added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights. Ifyott have questions about your Consumer/homeowner rights,contact the Consigner Iufoimation Hotline(listed below). Execution of Contract; The contract must be executed in duhcate and should not be,signed until a copy of all exhibits and referenced documents have been attached. Paw•ties axe 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 wiai pit!acluuents .s to aonitoii1 :01 g�7]aLcolltr ct11ustbe]nwiitl g and agreed to by both partes. Contracted work maY not be gin tmt�both pax't7.es have received a fully executed copy of -the contract,and the three day rescission period has e q)ired. 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,iu instances where a contractor deems him/herself to be financially insecure,the contractor may require that the balance of fiends not yet due be placed in a j oint escrow accoutvt as a prerequisite to continuing the contracted work. Withdrawal of fitMs:[Tom said•accotutt woutld require the signatLures of both parties. Addition-la Worzraation 7f you have general questions or need additional information about the Home Improvement Contractor Law or other consumer lights,or if you wish to obtain a free copy of "A Massachusetts Consumer Guide to Home Improvement" contact: Consumer Iufolmation.Hotline Office of Consumer Affairs and Business Regulation 16 617-973-8787,' 888-283-37-57 or�•vi.sittthe OCABRwebstat e �021 h v.mass.aov/ocabx/ You want to verify the registration of a contractor or if you have gt about the coaestions or need additional information specrClcally contractor registration component of the Home Improvement Contractor Law, contact: Director of Home Improvement Contractor Registration O Cf ee of Consumer Affairs and•Business Regulation ld a ,Room 5170,617-973-8787, 888 283-3757 ors tthe HCC Website'al.�.�02116 u.//wuyvYnass aov/ocahr/ Go online to view the status of a Home ImprovementContractor's Registration: 11t-t7�://dU.state•ma us/hrnneimvrovement/]icenseelist.as . For assistance with informal mediation of disputes or to register formal complaints a ainst a business,usiness, call: Consumer Complaint Section OfRce of the Attorney General 617-727-8400 AND/OR Better Business BuTxeau 508-652-4.800,50&7552548 or 4.13-734-3114• version 2.1-11/22/2010