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Home My WebLink AboutBuilding Permit #867-15 - 136 OLD FARM ROAD 5/1/2015 I BUILDING PERMIT %AORTH TOWN OF NORTH ANDOVER �,r h� •6 0 APPLICATION FOR PLAN EXAMINATION h Permit No#: Date Received " �•9 A°Rwreo�Pa,�(y SSACH►1`-+� Date Issued: I MPORTANT: Applicant must complete all items on this page LOCATION Print " f PROPERTY OWNER {��v Civ'�� { MAP t] / W� Print 100 Year Structure yesOno PARCEL: ZONINGDISTRICT: Historic District yesMachine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential r ❑ New Building ne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands D 'Watershed District ❑Water/Sewer rr t, DESCRIPT N OF WORK TO BE PERFORMED: Identification- Pleas Type or Print Clearly OWNER: Name: Phone:o3`S"9L Address: �� `� T0C1P_Vy\. Contractor Name: :y % � Phone: Email: i° 1 Address: Supervisor's Construction License: Exp. Date: 511011c Home Improvement License: /��/44 Exp. Date: 47 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: $ C(BEQ04 FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered co tractors do not have ccess to the guaran and tt 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 o U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Siqnature COMMENTS I 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 FIRE DERTM N@Y�=�T rnp ® �ps ron site ,, w sgoo treet urn ` �Y Lo tt dat1.4 Mai Sr e, Dem " �- O mem�ignat ff& 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 -........._.... _-- Doc.Building Permit Revised 2014 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 OTE: 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 OTE: 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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 � � � I �;�v��. i '^ � � e Y�.� �1��.� �� NORTH Town of t E 71., Andover No. - �` h ver Mass DLAKE coc"Ic Ml WKK y1. RATED U BOARD OF HEALTH Food/Kitchen PERT_. LD Septic System 1w�THIS CERTIFIES THAT ....... .w... C..� �. BUILDING INSPECTOR ....... .............. ........... . . ........ .. ........ . ks ow.vAr Foundation has permission to erect.......................... buildings on ... . .... ......................�.......... Rough to be occupied as .......... /l�L�. ........... ... ..................................................................... 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 EXPIRESIN NTHS ELECTRICAL INSPECTOR UNLESS CONST U TI AR 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. Baystate Roofers,Inc. Proposal P.O. Box 189 North Reading,MA 01864 Date Estimate# Tel. 978-664-0668 Fax 978-664-4333 4/3/2015 15848 Name/Address HIC # 137193 Summit Design Build CSSL# 99895 29 Eames St. North Rerading,MA.01864 Lay State Roofers IIIc proposes: Remove approximately 2500 square feet of the existing asphalt shingle roof down to the wood decking. Install new ice and water shield along the 6' roof edge,valleys and around all the roof penetrations. Install new 1-51b FFek page thfa,,gho t reef••. G lT-�-- ,/" Arww P-C,, Install new white aluminum drip edge along the roof perimeter. A new Lifetime GAF Architectural asphalt shingle will be installed over the prepared substrate. A new ridge vent will be installed to ensure the proper roof ventilation. All roof penetrations and flashing will be installed according to manufacturers recommendation, specification and details. Install new pipe flanges. Bay State Roofers will properly dispose of all roof debris in our own waste containers. Any wood decking that needs replacement will be an additional $2.50 per lineal foot. A go over on the shed roof is included in this proposal.The job site is 136 Old Farm Rd.N.Andover,Ma. New Shingle Roof Authorized Signature: Total $8,820.00 ILL Waste containers supplied by Bay State Roofers, Inc. are for sole purpose of roof debris. Under no circumstance is the homeowner to use these containers for personal use. 10 Year Workmanship Warranty on all roofs. (Except Repair Jobs) CONTRACT ACCEPTANCE The specifications,prices,payment schedule are satisfactory and hereby accepted. Date: BAY STATE ROOFERS,INC.is authorized to perform work as specified. Payment will be made as previously outlined. Signature All bills over 30 days are subject to 1 1/2%finance charge per month(18% 1 annual). Color �� C PROVISIONS OF THE AGREEMENT I.PROJECT PROVISIONS e. Damage to Project: Contractor will not be responsible for any a.Guideline:The Project will be constructed in strict conformance damage caused by the Owner. or other causes beyond the control of to the plans and specifications which have been examined and the Contractor.Owner will pay for any restoration work. approved by the Owner. IV.CONTRACTOR'S RIGHTS AND RESPONSIBILITIES b.Compliance:The Project will be completed in strict compliance with all laws, ordinances, rules and regulations of the applicable a. Delay: Contractor will be excused for any delay beyond his government authorities. reasonable control. These delays may include, but are not limited to c.Control:The Agreement plans and specifications are intended Acts of God,labor disputes,inclement weather,acts of public authority, to supplement each other. In case of conflict,the plans will control the acts of the Owner.or other unforeseen contingencies. specifications and the Agreement provisions will control both. b. Right to Stop Work: If any payment under this Agreement is d.Charge Orders:As directed by the Owner,construction lender, not made when due,the Contractor may suspend work on the job until public body or inspector,any alteration or deviation from the specifications such time as all payments due have been made.Any failure to make that involves extra cost(subcontract, labor, materials)will be executed payment is subject to a claim enforced against the property in only upon the parties entering into a written change order. Expense accordance with the applicable lien laws. incurred because of unusual or unanticipated conditions will be paid for c.Substitution of Materials:Contractor may substitute materials by the Owner. without notice to the Owner in order to allow work to proceed, provided e. Allowances: If the Agreement price includes allowances, and that the substituted materials are of no lesser quality than those listed the cost of performing the work is greater or less than this allowance, in the specifications. then the Agreement price will be adjusted accordingly. d.Salvage:All salvage resulting from work under this Agreement II.FINANCIAL RIGHTS AND RESPONSIBILITIES is to be retained by the Contractor unless other agreements are contained in the written specifications. a. Labor and Material: Contractor will provide and pay for all e. Insurance: Contractor will maintain workers' disability labor and materials necessary to complete the Project. Contractor is compensation insurance for his employees and comprehensive public released from this obligation for expenses incurred when the Owner is liability insurance policies. in arrears in making progress payments. b.Permits:Contractor will obtain andPaY for all required building V.COMPLETION OF PROJECT q permits and licenses. a. Notice: Owner agrees to sign a Notice of Completion within 5 c.Taxes,Assessments and Charges:Taxes.special assessments days after completion of the project. If project passes final inspection of all descriptions, and charges required by public bodies and utilities and the Owner does not sign the Notice,the Contractor may act as the will be paid for by the Owner. Owner's agent and sign the Notice. d. Deposit of Payments: Contractor is required to deposit all b. Clean-up: Contractor is responsible for removing debris and payments received prior to completion in an escrow account. In lieu of surplus material from the property, and leaving the property in a neat such a deposit,the Contractor may post a bond or contract of indemnity and orderly condition. with the Owner guaranteeing the return or proper application of such VI.CONFLICT PROVISIONS payments to the purposes of the contract. All advanced funds will be a. Arbitration: Any controversy or claim arising out of this deposited as indicated under Special Provisions. Monies used in P P Agreement th t cannot be resolved is subject to arbitration with a � , escrow become the property of the Contractor when they are applied an arbitrator of mutual agreement, and all parties (including according to the Agreement payment schedule, when a breach of Owner, Contractor, Architect and Sub-Contractors) are bound to contract by the Owner occurs, or when the Agreement has been this arbitration, If any party does not appear at arbitration substantially performed. proceedings, the arbitrator is empowered to decide the controversy e. Bankruptcy: It either party becomes bankrupt.the other party in accordance with whatever evidence is presented by the has the right to cancel this Agreement. party(ies)that do participate. III.OWNER'S RIGHTS AND RESPONSIBILITIES b. Attorney Fees: If either party becomes involved in litigation a. Cancellation: Owner has an unconditional right to cancel the arising out of Agreement, the Court shall award costs/expenses Agreement, without penalty or obligation, until midnight of the third including attorney fees to the parry justly entitled to them. business day after the Agreement was signed. Cancellation must be c. Limitations: No action related to this Project may be made done in writing. Upon cancellation, any property traded in, any by either party against the other more than 2 years after the payments made under this Agreement, and any negotiated instrument completion of work. executed will be returned within 10 business days following receipt by VII.GENERAL PROVISIONS the Contractor of cancellation notice. b. Property Lines: Owner shall locate and point out property a. Notice:Any notice required or permitted under this Agreement may given by certified or registered mail at the addresses contained in the lines to the Contractor.Contractor may,at his option,require the Owner A A reement. to provide a licensed land surveyor's map of the property. g c. Liens: Failure to pay persons supplying materials or services b. Prohibition Assignment: Neither party may assign this according to the terms of this Agreement may result in the filing of Agreement or paymenntt due under this Agreement without the written consent of the otherart . mechanic's liens on the affected property. Owner has the right to ask P Y the Contractor for lien waivers from all persons supplying these c.Qualification:This document constitutes the entire agreement materials or services. In the event any mechanic's lien is filed through of the parties. No other agreements exist. This Agreement can be no fault of the Owner, then the Contractor agrees to take all steps modified only by written agreement signed by both parties. necessary for the release and discharge of such lien. d.Insurance:Owner will maintain property damage insurance at d.Governance:This Agreement shall be construed in accordance least equal to the Agreement price. with and governed by, the laws of the state in which the Project is located. ti t Mass acfiuse#ts -Department Board'of B partmo of Public Safety Building Re u ' Y 9 atio Construction Su nS and Standards License: Supervisor t CS-083853 NII ``s �� r J CHAEL S.CpU�� ,. 29 Eames Street �'iJV North Readin � g NA 01864 � rf; r Cornmissioner Expi ration 05/20/2016 pR-Ce ore W-1-1.1 Consumer Affairs&Business Re OME IMP u� r istra 'IMPROVEMENT CONT gulation 9 tion: RACTOR w166.149 i,. owl, piration-,,___4/29/2016. Type: :. SUMMIT DESIGN BUILD' Wit__- Private Corporatic c MICHAEL t COUGF{LIN .{. !, 29 EAMES ST NORTH READING,MA 01'864 " 4 Undersecretary Location No. �� (� Date { . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ n Building/Frame Permit Fee $ 'Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check#�Y 2 U . ,.s Building Inspector