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HomeMy WebLinkAboutBuilding Permit #481-2017 - 146 FARNUM STREET 11/8/2016 RT 4 BUILDING PERMIT No H 0�,4.E� Ib�tiO TOWN OF NORTH ANDOVER 02. APPLICATION FOR PLAN EXAMINATION Permit No#: 9 Ol Date Received /l- 8` 2:d1 (2 Eo gSSAC HU`��� Date Issued: f/ (O IMPORTANT: Applicant must complete all items on this page s - �OCATION. PROMPITY OWNER` - -- Pnnt _ - Pnnt 1loo Year Structure a yes r� nhdl MAP _ PARCEL- =ZONING DISTRI' �T . H�storic Dastnct yS�,h Villno TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family [Id ' Ation- El Two or more family El Industrial ❑yeration No. of units: ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other q Septic ET 1Nellik g Floodplain 1Neft n-,d§ 1/Vatershed Ristnc 'Water/Sewer - — _ - w DESCRIPTION OF WORK TO BE PERFORMED: att �k c�k Identification- Please Type or Print Clearly OWNER: Name: �-o Phone: 7?% Address: �' �a,rnc S-1 Contractor Narne:._T2 5t� (� �W=,ado, I�r��l3Pho;ne `t'J°'� - ' _. w Address: ' Supervisor's C;onstruct�on,License _ mn Expo Horne Im, rovement.Licen e . C �' °5 __�— Exp; Date: _ _ _ A 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. �J Total Project Cost: $?� y 3 1 FEE: $ �S• Check No.: 6 q 140 c� Receipt No.: / y� NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund nature SI- of A ent.0wner. i = Signature of contracto - 1g 9 � - Location 1q(0 r No. r Q t Date t/- • • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ � Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 1 148 -. � Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ j 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 ❑ I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS I CONSERVATION Reviewed on Signature COMMENTS .P HEALTH Reviewed on Signature COMMENTS Zbning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes d Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: FIRE s TIT" - Located 384 Osgood Street 5ART(MENT` ®umpster on site es gtefb y d Lo acac tetlS ate 1i24.Maid Si reett 8 ��Fi D peartrrient�sgnature/d'ate}.�.;,� =: � _ � .� �. ,� � � � : M•; �C� 11/IMENTS� g, ;h xol i Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: I 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 I NOTES and DATA— (For department use) i I I I ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 t I 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/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 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 f Doe:Building Permit Revised 2014 NORTIy own o ndover o : - to h , ver, Mass, I $' p 0! b COC MIC Kl WICK y1. SRATED OkPa�,�S U BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System THIS CERTIFIES THAT ..... .I FF........S19 4.`�.... .....NI.����h�...11.!�'.o�.�s BUILDING INSPECTOR �......... has permission to erect (*...... ,•�„ ! ,,,,, ............ Foundation .......................... buildings on ... .. ... ..... ...... Rough to be occupied as R.E ...... Chimney ......�. .................. ..i........ ............. .4�1..�..N... �! I............... 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCT S Rough Service ... ........ ....... ............................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. ® Window, World of Boston, LLQ MA HIC Registration Offices & Showrooms Number: 015A Cummings Park ❑.295 Old Oak Street 166025 Woburn, MA 01801 Pembroke, MA 02359 Federal ID# (781) 932-4805 (781) 826-6281 27-1481665 "Simply the Best for Less" www.WindowWorldofBoston.com Customer: s'')IP Phone (h) Install Address Phone (w) City: A-7;-0-t State: MA Zip ��z� E-mail WINDOW WORLDGLASS OPTIONS 1000 Series Single-hung All-Weld $189 SolarZone Elite $99 j(d }a 2000 Series DH Mech/Welded Sash $195 Triple Glazed TG2* $175 4000 Series DH All Weld $205 (*Series 6000 Only) 6000 Series DH All Weld $240 WINDOW OPTIONS 2 Lite Slider $334 Glass Breakage Warranty $15 INCLUDED 3 Lite Slider (1ra,1r3,,/a) (,/4,,/2,j/4) $525 1/2 Screens $9 INCLUDED Picture/Fixed Lite $334 Foam Insulation on Jambs and Head $11 INCLUDED Awning $260 Double Strength Glass $15 INCLUDED Casement $290 Double Locks (> 26") $5 INCLUDED 2 Lite Casement $575 Full Screens r-TM+� $22 3 Lite Casement $860 _-5_ Colonial Grid (Contoured/ lat) $45 �— '� Prairie Grids $51 Basement Hopper $334 Diamond Grids $6g Bay Window-Soffit Mount/INS Seat $2660 Simulated Divided Lite $$69 Bow Window-Soffit Mount/INS Seat$2785 "tempered DH Sash (BSO) (TSO) $65 182 Garden Window $1880 Obscure Glass (BSO) (TSO) $35 Specialty Window $ Oriel Style (40/60 or 60/40) $30 Beige/Almond $40 Foam Enhanced Frame $35 Wood Grain interior(Series 4000/6000 only)$100 PRE 1978 BUILT FOMES (Federal Lead Containment Law) (Light Oakl Dark Oak/Cherry/ Fox Wood 0- Lead Safe Practices Required $25� Rich Maple) MY HOME WAS BUILT IN THE YEAR Initial Brown Exterior(Arch,Bronze/American Terra)$100 Designer Color Exterior $155 .: MISCELLANEOUS Custom Exterior Aluminum Cladding Window Color; / �, ❑Textured$75 15 Smooth G-8 $75 $ 1 C . Insideoutside Facing Color_ Metal Window Removal $50 NON CUSTOM DOORS New Construction Vinyl Removal $175 Vinyl Rolling Patio Door 5ft.or 6ft. $995 Specialty Window Exterior Trim $ Vinyl Rolling Patio Door 8ft. $1095 Mull to Form Multi Unit $30 Add to base price for Custom Rolling Patio Door $1150 Install Interior/Exterior Stops $50T French Rail Sliding Patio Door 5ft.or 61t. $1295 Install Interior Casing Starts At $95 French Rail Sliding Patio Door 8ft, $1395 Insulate Weight Boxes $20 French Rail Sliding Patio Door 9ft. $1495 Roof for Bay/Bow Windows $500 Custom Exterior Cladding $150 Existing New Const. Ext. Retro Fit $150 SolarZone Elite or ETC Glass $175 Removal of Existing Bay/Bow $250 Grids Patio Door $129 1 Repair Sill,Jamb or replace sill nosing $50 W in Interiors $295 _ Exterior tenor Designer Colors $395 Full Sub-Sill (Single) replacement $1501.5 0 Interior Casing 2112 31/2 $175 Mullion Removal $30 Handleset Options $ Bay/Bow Conversion Ext. Retro Fit $350 $ (New Siding Will Not Match) Building Permit $150 tom,]() Door Color / Inside .. RO VDQP.FQR Vl1'IND9W WORLD CARES Outside u .St,Jude Cil�ren's I3eseasc4°;Hospital $ , Customer declines exterior wrap and understands painting and/or repair may be required initial Customer declines grids on windows/doors Initial DISCLAIMER:Customer is responsible for the following in connection with this contract:Painting,Staining,Alarm System disconnect/reconnect Building Permit fees in excess of$25.00,Homeowner and or Condo Association Approval,Historic District Approval.City of Boston parking&sidewalk Permit fees in connection with installation. NO EXTRA WORK IF NOT IN WRITING! Customer agrees to the terms of payment as follows: Extra Labor&Materials $ 4 44,?, 0 Q Site Set Up,Disposal&Delivery Fee $ $195.00 C. ` .�-` Total Amount $ ]C� � Custom Order Deposit 50% $ Ck# Balance Paid to Installer upon Completion $ ` -�.� Amount Financed $ Window World of Boston anticipates starting this work on and being substantially completed i;o 21ays.Security Interest:Yes No Any deposit required in advance of the start of the work SHALL NOT exceed 331/3%of the total contract price or the actual cost of any material or equipment of a special order or custom made nature,which must be ordered in advance of the start of the work to assure that the project will proceed on schedule.No final payment shall be demanded until the contract is completed to the satisfaction of both parties. All home improvement contractors and subcontractors shall be registered and that any inquires about a contract 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.Phone:(617)973-8700 No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of such contract Window World of Boston under provision of Chapter 142A of the general laws is required to apply for and obtain all construction-related permits.Window World of Boston shall not be deemed responsible for delays in the work described in this agreement caused by regulatory,permit granting agencies,authorities or individuals. Notice:If the PURCHASER(S)obtains his own construction related permits for the work described under this agreement or deals wish unregistered contractors, the PURCHASER(S)is hereby advised that in the event of a dispute,judgement and nonpayment,the PURCHASER(S)will not be entitled to make a claim or collection from the guaranty fund established by chapter 142A,M.G.L. You the buyer may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. Notice of cancellation must be in writing postmarked no later than midnight of the following third business day. THIS IS A -ORDER—N- T F R RE LEt This Window World®Franchise is independently owned and operated by Window World of Boston,L nder license from Window World,Inc. �Aw er:Do not sign if there are any blank spaces. Date ��- _' ttj 12'-J1 Salesman:Do not sign if there are any blank spaces. Date Owner:Do not sign if there are any blank spaces. Date Boston 07-15 White Copy-Original Yellow Copy-File Pink Copy-Customer Hayes Pfinting 888-667-1116 MI Windows And Doors 850 West Market St NFRC Gratz,PA 17030 1650 DHNINYLtGrids National Fenes(rafio Panel 1&2:Lite-1:(3/32",Clear,LOE,Annealed);Lite-2: RBGng�Counoil(ID (3/32",Ciear,NONE,Annealed);Argon;35 3/4 X 41 114 Lal7.�li8{Cf1.7a.1 MEI-A-1 11-04220-00002 Individual products may be subject to variation In performance ENERGY PERFORMANCE RATINGS U-Factor(U.S./I-P) Solar Heat Gain Coefficient 0.29 0.26 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance 0.46 Manututurer stipulates that these ratings conform to 3pocaat VFRc procedures ror aetrrmmng xnaie aroa6a aerTormance. NiFRc Ratings are detenranea ror a fares set of em mo mrentai candmons anti a Sp1!- pratlUQ 52e uFRC Joss not recommend arty product ana does not warrant me smtaaody dt any product ror 3rry speanc use c!ss:t manutacturer's aLratu2:or atirer product p_normance wormatian. _,,i•a � iiplI.:, .rye-nw,!!�t �, ��,`- Perf Grade +DP(ASD) -DP(ASD) Water R•40 50.13 55.14 6.06 Max Test Size Report# Florida ID - 38.00 X 80.00 87962.01 12234IF . Ratings are for Individual windows and doors only. For information regarding mulled or stacked units,please contact your sales representative.Pas and Neg DP limited by unit test size.Tested to AAMAANDMAICSA 11011I.S.21A440-05 Glass According to ASTM E1300. 26474612.6.1 .2 Printed an 4/2812013 11:44:62 PM :tea ..� ir�i f.1_-'.i=i.3�-_''t !�'�`•i�.1„�. __`t1�.i�1� ._. L'.�.--.c�. _i�-..�...__3:�_ •- ' print La' -3,=- ^It j�7]_ —��T—+�_'�1T•.a.'� Ix-!p.1 � ��r'�r� � ' ;,�•`�',�'J, .!. �li tt'1 Nt / 2 41 FO ! ?J r � at�y'C' I�L1?C�ru ] 3� ro tiara`'Joy: T j Type of pro��ci(r-aq*cared+): ! u as j - L EL _� S i ,3'i:-iT�.i '.3ai -imtac.=ALJ I )1 �a3�Il�t1 ( �'y' cr _ _ is 5L ii:..._. _ GIc.�i�=Gr='�T�?r`��r �v.v-CDIILL3C'�]P ua—,, i j .i. I I f"Moi.itioa ; % ::� vu 3Il'1�.a%:TI r.��1J• I r � —;�aa�-_3;ir�'_�J-. ?JL_u i J _'- J��id�..-.u'1'l�l_'.-ilk�'�_� U�<:3y�T��.�~i_�.�-j>•--_. 'J -->•:.z_. .ii i ;Jug 3z.t iri 3�u i--a_11'.: - .'. :,syn :`OLS 3i v'u.'.CS :i5 wx T',=,-h--d i7 3t.'�i`1uII3i i1,.::i 3i 0'+r ice 's2:+.8•3i .�Z'-C-::rIL'3C:3ii 3=' '�• 'r7'19i'i'.']i=0---0a:'-C- �r�l0yi��3. LZ.12 i..�Z0!,t=CMrs 17379 mzpfoyI 5,'ti ,r must.mxv&_teir wo:zc�:r'-0 .olic°�aur`oer. lam an employer thea?Yo,*� tr w9Y�rs, olnDen3Qiio1,!7±s-,trance f 7r my ff-npl0yees. D3r0w:s th0 j10iL-Y Q?2�fob.�-d information. ,,,ra,rca Coirnan.y i�=: r= r r ro 3 J L�:ra_on 1Date- v/ T 0:Jam• -has. / LU'. Attach a copy of tl�e workers'compensazoa policy dechxatioa pace(3hT ills th policy ition or ri ng Pa alta dat=a 3i��:.'e to secs:co r as r�iired colder section 25A ofMCrL c. 152 can:lead to the i��siuon of cr'-ni,al penatries of s T��to 1,3�0.�30 aau�r oa:-y.ar i�na;or�lent, dell a3 d7;d?m-lities in u forte or a TOS 4j%ORK OFJ i atm to $250.00 a day a,,the violator. Be advi3ed that a copy of thii;ta z mmi. ay be ioi�Iard,d to`Ih�Ota--ar Irve*�gati,ns of th:,DLA for inz—.,m coverase veru:. on Ido hereby certtiJ and the am' s and p es of that the infonnadan pi ovided above is true and correct ' ,,Mart: 4-13 0jTICid use only. Do not write in this area, to be carnptrted by city or town o,97^is! City or Town: Perrait'License ;-Uthor Lmity( circle ona): _ UI.Ae+fiF. ) Rrrilliin F3ritl7�llt T 1�vR CLL-rk Y.El c t11 LC ��CLJr 3. Numi bi-%g L"_3 2 4 �r 5. Other ( . _ . � FFsone�: i WINDO-2 OP ID: HI .4CORO� CERTIFICATE OF LIABILITY INSURANCE DATE 11 11/03/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Senn Dunn-GSO NAME: Carl!Witcher CISR,CBIA, CIC 3625 N.Elm St. PHONE No,Eli:336-272-7161 FVC No: 336-346-1397 Greensboro,NC 27455 E-MAADDRESS,cwltcher senndunn.com C.Timothy Ward,CPCU,CIC INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Citizens Ins Co of America 31534 INSURED Window World of Boston,LLC INSURER B:Allmerica Financial Benefit 118 Shaver Street INSURER C:Hartford Fire Insurance Co. 19682 North Wilkesboro,NC 28659 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE ASD WVD POLICY NUMBER MMIDD)YYYY MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE T OCCUR OB6790252707 04/01/2016 04/01/2017 DAMAGETORENTED PREMISES Ea occurrence $ 500,000 Business Owners MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JEQ LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000,000 Ea accident) + B X ANYAUTO AW68757615 06/16/2016 06/16/2017 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident)AUTOS AUTOS Pidt( ) $ NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Peraccident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE 066790252707 04/01/2016 04/01/2017 AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATIONX PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER C ANY PROPRIETORIPARTNER/EXECUTIVE YIN 22WECLJ2635 01/27/2016 01/27/2017 E.L.EACH ACCIDENT $ 500,00 OFFICER/MEMBER EXCLUDED? N!A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 T-7 DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 120 Main Street North Andover, MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD J" "17710 53T?1'( CS-072772 =s JEFF C STEELE 24 SHERWOOD AVE OANVERS MA 01923 - ='r' 04/07/2018 Office of Consumer Affairs do Business Regulation HOME IMPROVEMENT CONTRACTOR Registration: 166025 Type: J= Expiration: 4/12/2018 LLC WINDOW WORLD OF BOSTON,LLC. JEFF STEELE 24 CUMMINGS PARK SUITE 15-A WOBURN,MA 01801 Undersecretary License or registration valid for individual use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 ,-Not valid without signature