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Home My WebLink AboutBuilding Permit #603-15 - 130 MARIAN DRIVE 1/14/2015 BUILDING PERMIT o* N F.D w- Ott LEO 169 'IO TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: �.0 D to Received �gSSACHUs�� Date Issued: 1 I �y �J lt!U IMPORTANT: Applicant must complete all items on this page LOCATION, 1yAfilr`D _: . - = ffPrint PROPERTY QWNERLl ) l - - - Print e 100 Year Structure -yes :MAP . tJ PARCEL:.ZONING'DISTRICT Historic District yes o z_. Machine Shop Village yes =no 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: ❑ Pernolition ❑ Other Septic. ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed' District E Water/Sewer nS(rlPT1Qbl OF WORK TOB PERFORMED: N4 Oivafx) Identificatio - Please Type or Print Clearly OWNER: Name: 'R( �(��/ Phone: gZf-7� a �� Address: /� � q , Contractor Narn0 X1,0 P_,f one: b 1 �.-O� u Address: t ` l . e /"�CGf.<.5 . 02et5 Supervisor's Construction LicExp. Date: _ . Home Improvement License: � 1 Exp. Date:m( [5_ - ARCHITECT/ENGINEER Phone: Address: Reg: No'. i FEE SCHEDULE:BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ '56co, FEE: $ l�D Check No.: tReceipt No.: "fZ� NOTE: Persons contracti unretired contractors do not have access to the guaranty fund Signature of Agent/O.wn `ignature of contractor I V 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 o Building Permit Application o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application o Certified Surveyed Plot Plan a Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o 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) o Building Permit Application a Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o 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 t be submitted bmitted with the building application Doc:Building Permit Revised 2014 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales F ❑ -/ Food Packaging/Sales 11Private(septic tank,etc. Permanent Dumpster on Site I� 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 i Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments i Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE'DEPARTMENT - Temp pumpster 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 orf-"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 Call Email 3 Date Time Contact Name Doc.Building Permit Revised 2014 „ Location �7 j)C) -+A No. Date . - TOWN OF NORTH AN OVEk;, ti Certificate of Occupancy $ Building/Frame Permit Fee $ � J Foundation Permit Fee $ Other Permit Fee $ TOTAL $. Check# /a 2842 £ Building Inspector NORTH Town of �.. : : RAndover o . (AA, I �1� C, h ver, Mass, 1 C OC NICNl... I',-'A' % 'x,95 RArEV U BOARD OF HEALTH Food/Kitchen LD Septic System PERYIT THIS CERTIFIES THAT C�M �1�; " BUILDING INSPECTOR .............................................. .............. .......... s Foundation has permission to a ect .......................... buildings on ..�. .�..... ��. .. ..... ... ...Vi ............ .. � V Rough to be occupied as . ...... tt.. ........ *.................. .. .... ................. Chimney provided that the person accepting this permit shalt in every respect conform to the terms of the pplication 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 CONSTRUCTI !,T RTS Rough Service ................ ............. ........................................ Final BUILDING INSPECTOR 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. Name Company Name eD( AwP 9 Street Address(do not use a Post Office Box address) Contractor/Salesperson/OwnerName Cityfrown State Zip Code Business Address(must include a street address) dI l U(:5 DaytimePhone BveningPhone City/Town State Zip Code Mailing Address(It differed from above) BusimsaPhone Federal EmployerID or S.S.Number mlamer�aanemtid Cotdradorarg.lromhc Exphatbndna - Imrtequlses tLat mut lroeu lmptoremcet metnctoss here i a vaad reg@tranon nnm6er 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 necessmv.) (a i�i Kl A�1c t�S Ru/� ��Lh®2,. �.Au-A)r f Required Permits-The following building permits are required Proposed Start and Completion Schedule-Ile 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 1�Date when contractor will begin contracted work MGL chapter 142A.) Date when contracted work will be substantially completed. Total Contract Price and Payment Schedule The Contractor agrees to perform the work,famish the material and labor specified above for the total sum of Payments will be made according to the following schedule: $ of upon signing contract(not to exceed 1/3 of the total contract price or the cost of special order items,whichever is greater) $ 1600 by / / or upon completion of iCal0 tfyY� R*40f e $ by /_/ or upon completion of $O 000 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 airy special equipment or custom made material which must be special ordered in advance to meet the completion schedule. Exoress Warranty-Is an expresswarranty being Provided by the contractor? No[]Yes(all terms of thewarranty 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 by the contractor. The contractor farther 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 Dong be pressured into signing the contract Take time to read and fully understand it Ask questions if something is unclear. • flake 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 Parr 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 fort 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 ofthis 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!I! Two identical copies of the conhwA mud he completed and signed.One copy should go to the lam other copy shoal are cmtractor. Homeowner's Signature Contrac r Signator 1 l Date Date ar I on as r r rtoZuc nom o er by the ome rovement ntrac or w. 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 provided In Massachusetts General Laws;chapter 142A. Homeowner's Signature Contractor's 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 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 whikh 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. 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 fimds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work Withdrawal of fonds 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 Infommtion 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 httn://w%vw.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 j Office of Consumer Affairs and Business Regulation 10 ParkPlaza,Room 5170,Boston,MA 02116 617-973-8787,888-283-3757 or visit the FRC website at hqp://www.mass.eov/ocabr/ Go online to view the status of a Home Improvement Contractor's Registration: bgp://db.state.mous/homeiMprovement/licenseelistasp 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 a1-1lr 016 i