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HomeMy WebLinkAboutBuilding Permit #488-2011 - 145 SOUTH BRADFORD STREET 5/1/2018 TOWN OF NORTH ANDOVER 1�D APPLICATION FOR PLAN EXAMINATION Permit NO: ` ! Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION SOS Gcot dPrint PROPERTY OWNER I 1�5 -fit 1.2-:x'\ V__ Print MAP NO403-0 PARCEL:0030 ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building Qrie�am Addition Two or more family Industrial Alteration No. of units: Commercial R ,pad i=r"e 'ement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: L�1-CL• GAS(�hGtt� Sin i rY l�S . Identification Please Type or Print Clearly) OWNER: Name: i_►Srn Phone: Address: I4k'S '@0ftl-Inl Fes( SI- CONTRACTOR Name: 3s,CPk-, brie, Phone: cll& 855 G E"3 Address: Cao ' ,' Supervisor's Construction License: I0 DSL Q...- Exp. Date: Home Improvement License: I� ' l 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: $ FEE: $ LSD. O a ,3 LIL Check No.: i4w Ik 11r,5- Receipt No.: a 3 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund signature of Agent/_Owne x r- _ Signature of contractor Plans Submitted Plans Waived Certified Plot Plan (amped 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 r 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: 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 - 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) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Departmentrior p to Issuance of Bldg Permit New Construction (Single and Two Family) i ❑ 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 A Hydraulic Calculations (If Applicable) nd ❑ 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 co co must be submitted with the building application copy and proof of recording Doc: Doc.Building Permit Revised 2008 t COMMENTS___--- - - — -tt_ Location No. Date r 40"'l TOWN OF NORTH ANDOVER c c a �o ; . Certificate of Occupancy $ J�cNus`� Building/Frame Permit Fee $ X) D J Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # Building inspector Location No. C �� Date NORTq TOWN OF NORTH ANDOVER A x • ; : Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ �=�0 rc s�CMust 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 237 J Building Inspector ToVM ORTH of O Andover f p 'Yi'r No. ►- ��� -per Z o dower, 1VMass. Z /(., .2.6 a O �+ LAKE 1 ' ' I� COCMICMEWICK SS ATED BOARD OF HEALTH Food/Kitchen PEtiMIT T D L Septic System THIS CERTIFIES THAT............. "1../�/'S. _i1/ �b /�P,tJ�OeL�� BUILDING INSPECTOR ..... .............. ... ..................................................... Foundation has permission to erect...... buildings on .../ .......... /j .... Rough to be occupiedas.... .fi ...k.....! P..-..�Po9. .....6 ....! ca;�T.o•_./ r�F�i!..... .. Q. .............................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final Buildings in the Town of North Andover. VIOLATION of the Zoning or Building Regulations Voids this Permit. PLUMBING INSPECTOR Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ......................�.......�I� i•w =:•-- ............................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. DEPARTMENT Burner Street No. 11—SEE REVERSE SIDEji Smoke Det. Ae Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www inass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): �A Lee l f 1/�(z1— cbJ�(7)rV- EXtenby-s Address: d City/State/Zip-. l/` Phone#: Veou an employer?Check appropriate boa: Type of project(required): 4. I am a eneral contractor and I1am a employer with ❑ g 6. EJ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. I EJ Remodeling ship and have no employees These sub-contractors have 8. E]Demolition working form a in any capacity. workers'comp.insurance. g. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.El Electrical repairs or additions 3.❑ I 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.❑Other comp. insurance required] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeownerswho submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $ attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. Contractors that check this box must g p p cy I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: O 1r (A-5-e- /ap ak L u n�— Policy#or Self-ins.Lic.#: W C i31 S 3 G S 9 (-o l 4 Expiration Date: L7� i Job Site Address: cSo w/'-\, ( 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. S' tare: Date: C2 S a f 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.Cityfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Ua�•arllu,rtt, - Uclru•tiilrni t1f Iluhlir �aFrt� Buard of Bulldin4, Rrr,t!lilt itln, alit! '�tantlai•{IN 6 _ License: CS SL 100542 Restricted to: RF,WS JOSEPH ARONE 60 CENTRAL STREET - STONEHAM, MA 02180 -J -�-- � Expiration: 3/17/2012 "HIIIl i•:;,,nty- Tr-: 100542 9/M eommoxa4eaa o/��e� Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 160710 Type: DBA Expiration: 8/19/2012 Trk 700574 ARONE EXTERIORS JOSEPH ARONE - -- ----- 60 CENTRAL STREET - ---- - STONEHAM,MA 02180 Update Address and return card.Nfark reason for change. ( Address —I Renewal 1 Employment Lost Card DPS-CAI 0 6oM-0104-G101216 .�, Office of Consumer Aff.i.& � g16i'o�n License or re gistation valid for individul use only - rt1 _ HOME IMPROVEMENT CONTRACTORbefore the expiration date. If found return to: Registration: 160710 Type: Office of Consumer Affairs and Business Regulation r �1 Expiration: 8119/2012 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 AROIJE EXTERIORS JOSEPH ARONE 60 CENTRAL STREET STONEHAM,MA 02180 Undersecretary Not valid without signature H4VHLJ VCR 1 Ir'IVH 1 C Vr LIHDILI 1 T IIVDVr[AN%oC A&Cl 10/12/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Chase & Lunt LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P 0 Box 590 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 47 State Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Newburyport MA 01950 Phone: 978-462-4434 Fax:978-465-6204 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Northland Insurance Companies INSURER B: Arone Exteriors INSURER C: 60 Central St INSURER D: Stoneham MA 02180 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. INSH A1301 POLICY EFFECTIVE POL Y EXPIRATION LTRINSRC TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDIM DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY CP569418 10/10/10 10/10/11 PREMISES(Ea occurence) $ 50000 CLAIMS MADE ®OCCUR MED EXP(Any one person) $55000 PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2000000 POLICY JE 4 1-1 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN _ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR El CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC1-31S-369961-010 10-31-10 10-3141 TORY LTATUIMITS ER EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100000 Des describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Evidence of Coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Arone Exteriors IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUT IZED R PRESS VE ACORD 25(2001/08) V ©ACORD CORPORATION 1988 �:a7S7,±ti7C:la] �=1�-ir:.+-x 7,'.i;�•[r-.�.ti ;:1.1 -.: ; :-U04LL Jill.-IK—J r:.!,iL of,.�.i���•i�•7 :0.'i:•S��it-Sit�i Contract Kristen Hollenbeck, Homeowner, desires to contract with Arone Exteriors to perform work on the property located at: 145 South Bradford Street North Andover, Ma 1. Job Description: See attached proposal. 2. Payment Terms: See attached proposal. 3. Time of Performance: See attached proposal. 4. License Numbers: See top of this form. S. Permits and Approvals: Arone Exteriors will be responsible for determining and obtaining necessary permits, as well as the costs incurred. 6. Materials: All materials shall be new, in compliance with all applicable laws and codes, and shall be covered by both the manufacturer's warranty and a 15 year warranty on installation through Arone Exteriors. 7. Change Orders: Should unforseen events alter the original cost estimates, or should the Homeowner decide to change any part of the attached proposal, those items shall be discussed and a 'Change Order' form will be signed by both parties outlining the new details. 8. Site Maintenance: Materials shall be stored in the following location: Work shall be performed between the following hours: 7:30am - 7:30 pm We agree to use equiment (generators, pneumatic guns, etc.) only during these hours. We will use our own equipment but may request the use of an electrical outlet. 9. Yard Sign: Home improvement projects often generate inquiries from neighbors. We have modest yard signs listing our name and contact information. Please check the box below if you agree to the following: ® Arone Exteriors may place one yard sign in front of the home for the duration of work being completed. Once complete, it is the responsibility of the contractor to collect the sign unless other considerations are arranged up front. 10. Payments: In general, we do not require any payments up front and only request that payment be made in full upon completion of the work. If products requested require a special order, we do request a deposit in the amount of $ 0 to place that special order with the manufacturer. pg 1 of 4 11. Legal info from the State: All home improvement contractors and subcontractors shall be registered (which we are, see license numbers at the top of this contract) and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Office of Consumer Affairs and Business Regulation Ten Park Plaza, Suite 5170 Boston, Ma 02116 617.973.8700 Owners who secure their own construction-related permits or deal with unregistered contractors shall be excluded from access to the Guarantee Fund. Failure to pay in full for the work completed may result in a lien or security interest on the residence as a consequence of the contract. The contractor and the homeowner hereby mutually agree in advance that in the event that the contractor has a dispute concerning this contract, the contractor may submit such dispute to a private party arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided in MGL c 142A. The signatures of the parties apply only to the agreement of the parties to alternate dispute resolution initiated by the contractor. The owner may initiate alternative dispute resolution even where this section is not signed seperately by the parties. 12. Additional Notes: Date Homeowner Signature Date Contractor Signature DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES pg2of4 y J •.�-fi.,i!!::1�: `s.iJ;i_��,s.ti.--T•�t, f-'ri i•�1:.i'd !!1u1. fIt1.l,,,-XA- III-lot!,.ci-wlt.s-jAsj i-:t•LFi�r J[]..' 'l !3'I`�!7 Name Kristen Hollenbeck 145 South Bradford St Address 145 South Bradford St No Andover, Ma 01845 No Andover, Ma 01845 Phone 978.681.1894 ADDITION WORK PERFORMED: BENEFIT: ✓ Obtain necessary town permits. ✓ Install a tarp from edge of roof to ground. ✓ Protects home and landscaping from debris. ✓ Strip roof to bare wood. ✓ Removal of old shingles reveals any defects in ✓ Nail loose deck boards. decking that might otherwise go undetected. It ✓ Replace rotted wood (up to 32 ft. of also provides a flat surface to lay new shingles deck board material and labor free). for a better looking roof. ✓ Inspect and re-flash any necessary areas ✓ Flashing diverts water away from the structure around chimney. or penetration and keeps it on top of the shingle. ✓ Replace pipe boots on all vents. ✓ Paint vent pipes to blend with roof. ✓ Vents become less visible for a cleaner look. ✓ Apply Ice &Water shield to first six feet of ✓ Only available when removing old shingles, this wood roof, and all protrusions. waterproof material adheres to your wood deck providing protection from the elements as well as ice dam build ups. ✓ Apply 30 Ib felt paper to the remainder ✓ Stronger tear strength than 15# felt, breath- of exposed deck boards. able and prevents moisture under the roofing system. ✓ Install eight inch metal drip edge. ✓ This helps to direct water off of the roof, prevents wicking under shingles, keeps water from running down fascia behind soffits and walls, and reduces water back up causing ice dams. ✓ Install a 'starter course' at base of eaves. ✓ Prevents leaks and wind blow off. ✓ Install 30 year Architectural Shingles. ✓ Superior appearance, practically priced, durable. (actual color chosen by customer). ✓ Install ridge ventilation. ✓ Prevents condensation problems (false leaks), deterioration of deck, mold growth and premature ✓ Cap ridge vent with matching shingles. deterioration of shingles. ✓ A dumpster is supplied in this quote . ✓ Will be used to remove all debris and nails from the property and neighboring properties. "Customer ✓ Remove debris from all gutters. may want to cover any items in attic and vacuum upon completion of work. Proposed Payment: (NO DEPOSIT REQUIRED UP FRONT UNLESS A SPECIAL ORDER ITEM) Total payment of$3,400 pg 3 of 4