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HomeMy WebLinkAboutBuilding Permit #656-11 - 131 OSGOOD STREET 3/31/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO• ✓' Date Received Date Issued: $—3 1 --11 IMPORTANT:Ap licant must com lete all items on this age LOCATIO Print PROPERTY OWNER J�f=L-A, Print MAP NO: �PARCEL: /(5 ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 010ne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑Other (],Septi e q Well (]{Floodplain _ '11Wetlandsp '® 0-- DESCRIPTION District DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: )A W�£ Phone: 2,57--012- Z-- Address: l '3` (7SC��D SV CONTRACTOR Name: &UA,-3c.En ` f�c' pc „ Phone: 800- 3le -9144 Address: '335- 2 t l2�q ZRGA\` � , !�► 3 caT At Supervisor's Construction License: 2 Exp. Date: 1-1. 1 _ Home Improvement License: "Z5`Z 3 O Exp. Date: i 0/ I Z 61 k ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COSTBASED ON$925.00 PER S.F. Total Project Cost: $ i'74s� FEE: $ Check No.: �o Receipt No.: � 13 NOTE: Persons contracting with unregistered contractors do not have access t the guaranty fund ------- -- = ---------------:--------:--.----. ---:- - - - - ------ Si nature.of A ent/Owner :::; <:' Signature ofconfracf - Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ FPubEc WERAGE DISPOSAL ❑ Tanming/MassageBody Art ❑ Swimming Pools❑ 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 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 DPW Town Engineer: Signature: s Located 384 Osgood Street FM DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date CONIMENTS 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 2008 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) ❑ Muss 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 DOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit n all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals iat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. one copy and proof of recording lust be submitted with the building application Doe: Doc.Building Permit Revised 2008mi Location s Oq No. 6�b -I Date 3—� i MOR1M TOWN OF NORTH ANDOVER 3 � A K ro • ; Certificate of Occupancy $ ...�.... --�i_' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 1)� 24U ( '� Building Inspector C1.7/.JV/ Lull If DO 7f000:lUuuu I:HICLJUIVRG FHULG U1/U1 TOWN Off' NORTH ANDOVER MASSACHUSETTS NORTH ANDOVER OLD CENTER HISTORIC DISTRICT COMMISSION TO WHOM IT MIGHT CONCERN: Please be advised that renovations at 131 Osgood Street do not need approval of the Historical District Commission.. The new rood' is exempt from the bylaws. Any questions please call me at 978 685 5000. Sincerely, /Georgey. Schruender, Jr. Chairman North Andover Historical District Commission ORTH ToVM of . _ Andover . No..4511 Or" LAK _O dover, Mass.,!� • 31• coC LAK -0 o'4ATED BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT y • �.. 0qd.. ` ( ............. ............................... Foundation has permission to erect......... .....:...................... buildings .......... .... . ...... ..............ft;* �.,�� Rough 41 to be occupied as......(No. ....... A... .......... I t......... �.. ...5 Chimney Ch' e provided that the person accepting this p rmit shall in every respect con to the terms of the application on in Final this office, and to the provisions of the Codes and By-Laws relating'to the nspection, 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 &1q PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION S S Rough ..................... ....... ............................................................ 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 FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. TOWN OF NORTH ANDOVER MASSACHUSETTS NORTH ANDOVER OLD CENTER HISTORIC DISTRICT COMMISSION TO WHOM IT MIGHT CONCERN: Please be advised that renovations at 131 Osgood Street do not need approval of the Historical District Commission. The new roof is exempt from the bylaws. Any questions please call me at 978 685 5000. Sincerely, George H. Schruender, Jr. Chairman North Andover Historical District Commission i HOME IMPROVEMENT SALE AGREEMENT Corporate Offices • 335 Route 125 • Brentwood, NH 03833 ADVANCED (800) 519-9944 Email • aswc@myfairpoint.net A METAL ROOFING, LLC www.advancedsteelroofingandsiding.com —Steel Roofing Specialist— Offices in Maine, New Hampshire&Massachusetts THIS CONTRACT made the ........... .......... day of......C"..A. .............................................................. 20..11............. ., between Home Owners) .` Home Ph """ ( one) Business Phone of.................13.1....... .. Oca........ (,,..................................... .4f. ... I?1e" .�.. . (Address) (State) de (Zip Code)) hereinafter called the OWNER and Advanced Metal Roofing LLC, hereinafter called the CONTRACTOR, WITNESSETH: The said Contractor hereby agrees that it will for the consideration hereinafter mentioned,furnish all labor and material necessary to install the following described work at premises located at: P_ KY6+i A P—t u.+,t," /............................................................................(Job....Ad...dress......)................................................................................................ Ttie words"I","me"and"my"refer to each person who signs as OWNER.The words"you"and"your"refer to the SELLER or holder of this agree- 'is,Yi�ht. If more than one person signs below as Owner, each person is jointly and severally liable for the promises made in this agreement. AGREEMENT:I agree that is my decision to purchase the goods and/or services described below at the TOTAL CASH. i ZegV 1, Prate Price of$ ) �� 1 �(l 1 promise and agree as follows: i pTOTAL ORDER PURCHASED c ` A YES TOTA BRAND ADDITIONAL OR CASHL 1�1 Q�O COLOR WORK NO PRICE ,Strip Roof YES 00 Drip Edge Deposit with Order 000 Underlayment A Ridge Cap � Additional Deposit on Delivery CP / 1,000 MESA ( Cut Out MQ Balance 1.i� Ion-Lok AiPt Screws _,' Due on Completion 8zin MeridianVentin9 of Work IJA c Steel Shingle �� Snow Stops NA Asphalt AJ_ RECOVER THE FOLLOWING AREA ONLY.' AAXV 64 4 enul Air atp&A 11-AAffsALI' tow, I ALL`AREAS AND WORK NOT TO BE COMPLETED: Un5rrr _ a 'EPRESENTATICNS:contractor is responsibie only far work described in writing on tnis contract.'chis contract covers and supersedes all conversations,statements,and agreements, exp�f sled or implied,between the parties,their agents or representatives. _)TE:any changes(s)you may wish-to the atovE57�ecificatioris-are-but5ject-to our approva�and must be in writing and sigma by both parties prior to commencement of work relating ,o the change(s).An additional deposit may be required.Such written changes,upon being signed shall become a part of this agreement. NEI"/HAMPSHIRE LAW,RSA 359G,contains important requirements you must follow before you may file a lawsuit or other action for defective construction against the contractor who constructed;remodeled,or reoaired vour hnrriw Rivty ring homm%,,,cin.,., 1.,...-4. ­­ _..__.._.- . PAMAAtt ALL AREAS AND WORK NOT TO BE COMPLETED: Am Carty t::VRESENT.ATIONS:contractor is responsible oniy fur work describes in writing on anis contract.This contract covers and supersedes all conversations,statements,and agreements, `-exp-ressed or implied,between the parties,their agents or representatives. NOTE:any changes(s)-you rnay-r•Ish to the-at,)4e-s};ecifieatiori5-are objiett-to our approval and-musi be in writing and signed by both parties prior to commencement of work relating c� the change(s).An additional deposit may be required.Such written changes,upon being signed shall become a part of this agreement. .NEW HAMPSHIRE LAW,RSA 359G,contains important requirements you must follow before you may file a lawsuit or other action for defective construction against the contractor who constructed;remodeled,or repaired your home.Sixty days before you file your lawsuit or other action,you must serve on the contractor a written notice of any construction conditions -you allege are defective.Under the law,a contractor has the opportunity to make an offer to repair and/or pay for the defects.There are strict deadlines and procedures under state law, and failure to follow them may affect your ability to file a lawsuit or other action. The contractor represents that it carries workmen's compensation and public liability insurance in amount equal to or greater than$500,000. PROMISE TO PAY:owner(s)agree to pay this balance in full to the installation mechanics on the date of substantial completion. GOVERNING LAW:the terms of this agreement shall be governed by the laws of the state in which the work is being performed.This contract may be rescinded by the buyer until midnight of the third business day following the date hereof by giving written notice of recission to the contractor at his place of business given in this contract. IF-after the recission period but prior to the time the contractor starts performance of this contract,buyer fails or refuses to accept delivery of the goods or performance of the services covered hereby,buyer agrees to pay to contractor as liquidated damages an amount equal to(50)percent of the cash prize stated herein.All promotions and discounts have been ap- plied. IN WITNESS OF,t parties have her igned their names this day of �i� 20 . MARKETING REPRESENTJIVE ACCEPTED: SIGNED )i i4l?�Xvtv OFFICER OF ADVANCED METAL ROOFING LLC OWNE SIGNED AUTHORIZED SIGNATURE TITLE OWNER NOTICE:the terms of this agreement are contained on both sides of this page. • d. ISL VVIIVVI CERTIFICATE OF INSURANCE �o`?9 ;L 1?wu This certifies that ® STATE FARM FARE AND CASUALTY COMPANY, 91ecmington, Illinois ❑ $TATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinui. STATE FARM FIRE AND CASUALTY COMPANY,Scarborough,Ontario STATE FARM FLORIDA INSURANCE COMPANY. Winter haven,F1060 STATE FARM LLOYDS,Dallas,Texas insurer,the fallowing polie),holdpr for the coverages indicated helow: Name of policyholder SCaC9 Hom9 !7P_0ves.Q:3L Co_, LIC Address of policyhobder 1-15 C Reutt 125 Brentwood, Na O3D 33 Locationofoperetlons va_ious Doseription of operaftrr — The pallcles listed below 'nave been issued to the policyholder for the policy periods shown. Tha insurance cescribed in these pollcles is suNeet to all lh?berms exclusions,and condit'ons of tha5e policies. The limns of liability shown may have boar,reduced by any paid dairr.s. POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD LIMITS OF LIABILITY } Effective Dat. ; Expiration pate (at beginning of policy period Comprehensive BODILY INJURY AND Business Liability ' 's PROPERTY DAMAGE ne includes: Ll Products Corn leted Operation's---------------------------- [l Contractual Liability ❑ Underground Hazard Coverage Each Occurrence $ ❑ Personal Injury ❑Advertising Injury LGGanerV Aggregate $ Explosion Hazard Coverage Collapse Hazard Coverage s-Completed $ r15 a re ate 99 8I=XCESS LIA81La1Y POL'CY PERiDD Y INJURY AND PROPERTY DAVACE Effective Crate : Expiration Date (Combined Single Limit) ® Umbrella Earch Occurrence Othe, Aggraqto Part t STATUTORY -- Part 2$OCKY INJURY I Each Accident S Disease Each Employee S Disease-Polmy Lk rlt S 5000 Cur) POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date ExpirudDri Dame (at beginning of poliqperiod) 29-2019-AP151 Worriers Comp. 03ie5/201_ 103/:5i2J=2 bodily inn-try by Accident sjQ�,000 I Boaily injury by riseaso sioo,o Each ^m Bodily injury toy Ciscese s50c,000 Policy Lim" THE CERTIFICATE O;INSURANCE IS NOT A CONTRACT OF IWSIJ�ANCEAND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS,EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED FlVnIN. If any of the described policies are canoaled berote Its exp[ration date,State Farm will try to mail a W. tten notice tc the certificate holder 30 days before Narno ano Address of Certificate Helder ancellation. if however, we tai[ to mail such notice, no obligatior or liability wiu be Imposed on State Foror its agents or re SC etives. 6lgnature ofAurhorized Reprosentadve Plilhard 03/29!1.1 Tide - Dale Agent's Code Stamp R, Lombardi 29-2019 AFo Zola Nav� Hamp3l*-e AFC F876 3ae-854 a3 04-1988 FrinteJ in 414A. GA_J9&N TRl�t1`IG..F 4d a69 Q6 l6 bZaEl<U 3/11/2011 9:50 AM FROM: 603-935-7207 Watson Insurance TO: +1 (603) 679-2844 PAGE: 002 OF 003 ACO CERTIFICATE OF LIABILITY INSURANCE 3�11�2011 PROCUCER (603)668-4800 FAX: (603)668-2400 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION �5tson Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE �''. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Fl. South Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 'I Manchester NH 03102 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:Endurance American Specialty State Home Improvement, LLC INSURER B: 335 Route 125 INSURER C: INSURER D: F reatwo d NH 03833 INSURER E: ; CCVERAGES 1"LiF POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING k-N 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 OPSUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ;N,3;!2 ADDT POLICY EFFECTIVE POLICY EXPIRATION I NSRr TyPr POLICY NUMBER LIMITS I - GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 50,000 I;A. CLAIMS MADE Fx]OCCUR INDER/GL 3/15/2011 3/15/2012 MED EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGS $ 21000,000 ' X POLICY PRO- LOC 1 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 11 ANY AUTO (Es accident) $ ' ALL OWNED AUTOS ' BODILY INJURY $ SCHEDU LED AUTOS (Per person) HIREDAUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ I (Per accident) -I GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ I AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ . OCCUR F]CLAIMS MADE AGGREGATE $ 1 $ / DEDUCT ISLE $ D RRETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- r ;ANDEMPLOYERS'LIABILITY Y/N TOR Y L IM ITS ER ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ } -'OFFICER/MEMBER EXCLUDED? 'Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ yes describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ I' 1, OTHER OESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS overing operations of the insured. 3 rM1�� >:P,,TIFICATE HOLDER CANCELLATION u SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION For informational purposes only DATE THEREOF,THE ISSUING INSURER WLL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICETO THE CERTIFICATE HOLDER NAMEDTO THE LEFT,BUT FAILURETO DO SO SHALL Ij IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR . REPRESENTATIVES: - AUTHORIZED REPRESENTATIVE - Jim Watson/JSC '"'' AC,OD 25(2009101) ©1988-2009 ACORD CORPORATION. All rights reserved. ?''`625(200901) The ACORD name and logo are registered marks of ACORD r �/:e�� �� ---- —— -- — ---- — -- Office of Consumer Affairs&Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registratio 64363 Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Expira in.n� /2011 Tr# 289390 Boston,MA 02116 TYpej 1MO 1; ADVANCED METI1�� !j ;O Na'L LC. WAYNE WILU�- ; {Yl?1 r 335 RTE 125 4 �nc rl.Gr BRENTWOOD,NFA Undersecretary ( �- Not vali ithout signature 3. m Board of Buildina-Regulations and Standards Construction Supervisor License License: CS 52975 _ t SCOTT A WOODMANSEE i 17 BALL ROAD ' KINGSTON, NH 03848 Expiration: 1125/2013 t'11.1u1lissioiler Tr#: 14319 52975 SCOTT A WOODMANSEE 17 BALL ROAD KINGSTON, NH 03848 1/2512013 -- - -- - -- 14319 HISTORIC DISTRICT COMMISSION Town of North Andover,Massachusetts APPLICATION FOR CERTIFICATE OF APPROPRIATENESS Application is hereby made for the issuance of a CERTIFICATE OF APPROPRIATENESS under Chapter 40C for proposed work as described below and on plans,drawings, or photographs accompanying this application. CHECK CATEGORIES THAT APPLY: 1. Exterior budding construction: ( ) New Building { ) Addition ( } Alteration Type of Building ( ) Home ( ) Garage ( ) Commercial ( } Other 2. Demolition or Removal of: 3. Signs or Billboards ( ) New Signs { ) Existing Sign ( ) Other 4. Structure: { ) Fence { ) Wall { ) Other TYPE OR PRINT LEGIBLY Address of Proposed Work: 3 Date: Owner:7 I1 VAC ,A ��� �-%a©h Telephone# Home Address(if different from above): Agent or Contractor. Ab,,tftNCE3 Wke^t- --I Telephone# 0010-6tI—CL40 Address: 3 3, Rr t2 S � ,.���v�x�op,3J . Assessors Map#: Assessors Lot#: Detailed Description of Proposed Work: Give all particulars of work to be done(see#8 below),including materials to be used,if specifications do not accompany plans. In case of signs,give locations of existing signs and proposed locations of new signs. (Attached additional sheet if necessary.)