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HomeMy WebLinkAboutBuilding Permit #244 - 1401 GREAT POND ROAD 9/28/2007 �1ORTH BUILDING PERMIT o� t,�o rb ..,. � .6 °0� TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION 41 Permit NO: czP4 YV Date Received p, 'Ss ACHl15���� Date Issued: -1 6 IMPORTANT:Applicant must complete all items on this page LOCATION t PROPERTY OWNER' ' Print .'MAP NO. PARCEL: ZONING DISTRICT: -Historic District yes no ;~ 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: Demolition Other Septic, , Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: 262a Identifica on Please TPrint Clearly) OWNER: Name: MO r Phone: Address: CONTRACTOR Name: done: Address: -- SuperAsor's Construction-License- Exp. Date: Horace Improvement License: Exp. Date; 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: $ 0 FEE: $ Check No.: � d Receipt No.: o?O&K2 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty and M-r Signaturetof Agent/Ov►rner r Signataare of conVacto 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 e Revised 2.2007 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 2007 i 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 DATE REJECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Con nection/si nature &Date Driyewav Permit Located at 384 Osgood Street FIRE DEPARTMENT Temp Dum.psfer on site yes no Located at 124 MainStreet Fire Department signature/date COMMENTS Location 0-0 1a Mh e,WZ Cvrtlar No. ff, Date 0 J / �aRTN TOWN OF NORTH ANDOVER � cw a Certificate of Occupancy $ � ��ssACMOs<�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # ,3 2063 Building Inspector Noysa Construction & Remodeling, Inc. 68 Loring Avenue, Salem, Massachusetts 01970 Tel 978.740.0543-Fax 978.740.0547 www.noysainc.com September 19, 2007 Colonnade Condo Association 1401 Great Pond Road North Andover, MA 01845 CONTRACTI 1) $ 2,500.00 Allowance only to supply one 30 yard dumpster, obtain building repair permit and laborer to put trash in dumpster 2) $ 7,285.00 Carpentry labor and materials to remove wooden gutters and rotted fascia,rotted sofits. Replace with factory primed white pine and install white seamless aluminum gutters and downspouts. Above work location in front of main building. 3) $ 1,000.00 Allowance only to purchase 2 front carriage lights and 2 locksets main house. 4) $ 300.00 Install white aluminum seamless gutters and downspouts above porch area units 17-18. 5) $33,442.00 Power wash all siding and area's that need power washing. Prep, sand and scrape all trim, doors, decking, rails,portico and where needed. Prime one coat and install one coat of finish Benjamin Moore oil based product. (railings on left side of main house not included. These railings are rotted and need to be replaced in the future.) 6) $ 5,200.00 Allowance only for 2 carpenters at a rate of$65.00 per man hour each for carpentry work, front rotted rails, stairs repaired, locks front portico, front garage trim work. All materials bought will be at Noysa's cost plus 15%overhead fee. Above described carpentry work based on 80 man hours.. 7) $ 1,500.00 Allowance for labor and materials for repair to front Portico copper gutters. $ 51,227.00 Total above Discover. Mastercard and VISA Credit Cards 1 This agreement is between Noysa Home Construction and Remodeling, Inc. and COLONNADE CONDOO ASSOCIATION of 1401 Great Pond Road,North Andover, MA The Owner hires the Contractor to perform the following: See page 1 of 2 The price for these services, including materials is described on page one of contract. Noysa Construction and Remodeling, Inc to carry Workman's Compensation and Liability Insurance. Massachusetts Home Improvement License No. 118568. Copies attached herein. The Payment Schedule: $ 6,500.00 upon signing contracts.. $ 11,148.00 start of power washing and painting. $ 11,147.00 '/2 painting-complete. $ 11,147.00 j.-ri $ 3,285.00 Completion of #2, front gutters and rot work. $ 1,000.00 Completion#3, front lights and locks. $ 1,800.00 Completion#4, gutters units 17-18.and #7 copper gutters repair. $ 5,200.00 Carpentry labor for 2 men 40 man hours each. $ 51,227.00 Total You as a homeowner have a right to cancel this contractor within three days of signing the agreement under M.G.L. c.93 sec. 48: M.G.L. c. 140 sec. 10 or M.G.L. 255D sec. 14. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Permit notice: That it shall be the obligation of the contractor to obtain such permits as the owner's agent. The owner shall be responsible for obtaining any special permits for the work to be performed. Owners that secure their own permits or hire unregistered contractors shall be excluded from access to the Guaranty Fund. All home improvement contractors and subcontractors shall be registered and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director,Home Improvement Contractor Registration, P.O. Box 871, Taunton,MA 02780-0871 508 821-9375 Section 12 Acceleration Clauses Section 14: Arbitration. The contractor and owners hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract the contractor may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit such arbitration as provided in M.G.L. C 142A. Signed Date Jo sky, Pres' e t CjoldAade Condo Assoc. Signed Date oger is , r si ent,Noysa Construction&Remodeling Section 12:No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of this contract. 2 � t i + � I• I u9e 1 ���r• '.1�� ,fi i 4`t j 17, 4 "' I � ✓ice �� ti�,��u �✓G� � -. Board of Building Regulations and Standards C;. License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration:, 118568 Board of Building Regulations and Standards Expiration. 4/2/2009Tr# 129332 One Ashburton Place Rm 1301 Type: Private Corporation Boston,Ma.02108 NOYSA HOME IMPROVEMENT SERVICES,INC MARC RIGGILLO 68 CORING AVE SALEM,MA 01970 Administrator t valid without signature ---.-.)ration Expiration: 4/2/2009 Tr# 129332 NOYSA HOME IMPROVEMENT SERVICES, MARC RIGGILLO LI/s �- °n5h'Ve_*•°n t' ?emock 68 LORING AVE MAIee_4 A • R;g 4,%/U SALEM, MA 01970 /Z/ 2d A�-F✓e�o mE a you Z Update Address and return card.Mark reason for change. DPS-CAI 0 50M-04/05-PC9698 109InC C�t�Q/��CM Address [] Renewal 0 Employment n Lost Card The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): &144= + Address: (I'✓ City/State/Zip: Phone #:17�� Are an employer? Check t e appropriate box: Type of project(required): 1. a employer with 4. ❑ 1 am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet. # E] Remodeling ship and have no employees These sub-contractors have 8. emolition working for me in any capacity. workers' comp. insurance. 9. E] Building addition [No workers' comp. insurance 5. ElWe are a corporation and its required.] officers have exercised their 10. lectrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.0 Other '_� dl &JIih, comp. insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: l 1 Expiration Date: Job Site Address: �'� 044( /a - City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do herebyce ify under the pains andpenalties of perjury that the information provided above is true and correct. Si nature: Date: i Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: ,r .4CO _. CERTIFICA i-E OF LIABILITY INSURANCE D9/20/DD 09/20/2007007 PRODUCER (978) 745-6464 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rose Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 66 Loring Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 958 Salem NA 01970- INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:ESSEX INSURANCE COMPANY Noysa Construction and Remodeling Inc INSURER B:AIG 68 Loring Avenue INSURER C: INSURER D: Salem MA 01970— INSURER E COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRDRD POLICY EFFECTIVE POLICY EXPIRATION LTR INS TYPE OF INSURANCE POLICY NUMBER DATE(MM(DD/YY) DATE(MMIDD(YY) LIMITS GENERAL LIABILITY / / EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY [TAM—AGE TO RENTED PREMISES Ea occurrence $ 50,000 CLAIMS MADE F_�OCCUR 3CV6117 11/14/2006 11/14/2007 MED Fxp(Any orre �) s 5,000 PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2,000,000 POLICY JECOT LOC AUTOMOBILE LIABILITY / / COMBINED SINGLE LIMIT ANY AUTO (Ea accident) S ALL OWNED AUTOS / ! / / BODILY INJURY SCHEDULEDAUTOS (Per person) S HIRED AUTOS / / / / BODILYINJURY NON-OWNED AUTOS (Per accident) S PROPERTY DAMAGE GE LIABILITY (Per accident) S GARA AUTO ONLY-EA ACCIDENT $ ANY AUTO / / OTHER THAN EA ACC 6 AUTO ONLY: AGG $ EXCESSIUM13RELLA LIABILITY / / EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE 6 s DEDUCTIBLE RETENTION $ S B WORKERS COMPENSATION AND 6878516 08/10/2007 0.8/10/2008 g WC STATU- Or EMPLOYERS'LIABILITY TORY LIMITS TR ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? If yes,describe under E.L.DISEASE-EA EMPLOYEE 100,000 SPECIAL PROVISIONS below OTHER E.L.DISEASE-POLICY LIMIT 5 500,000 / / / / ESCRIPTION OF OPERATIONS(LOCATIONS/VEHICLESIEXCLUSIONSADDED BY ENDORSEMENT/SPECIAL PROVISIONS ERTIFICATE HOLDER CANCELLATION ( ) — SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT Colonade Condo Association FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 1 Great Pond Road wSURER,ITS AGENTS OR REPRESENTATIVES. AU.THO E REPRESENTATIVE N Andover MA _ :ORD 25(2001/08) ©ACORD CORPORATION 1988 INS025(otoa)m ELECTRONIC LASER FORMS,INC.-(8DD)327-OW Page t of 2 NORTH Town of o o dower, Mass.,LAK + I� COCMICMEWICK y�. �ADRATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR .............THIS CERTIFIES THAT.C(.#!Snw. .....4onda;.... . . Foundation has permission to erect.. :..........a.................. buildings on....�. .O..I........�tl± 'T....... ... ........ Rough to be occupied as.......... .......... 4. .....��............ !!!�... ............ .. ...w e ` t�L Chimney �......... ' Ch' provided that the person accep ng this permit shall in ery re pact conform to the terms of the application o�file in Final 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 ww� Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUC S TS ELECTRICAL INSPECTOR Rough ............. Service CTOR Final Occupancy Permit Required to Oca cpy 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.