Loading...
HomeMy WebLinkAboutBuilding Permit #320 - 148 BRIDLE PATH 10/20/2009 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 2v Date Received Date Issued: Q f 2-0 ' O IMPORTANT:Applicant must complete all items on this page WCATION J i`� ,�2JDL 0 7_1Y Pdnt PROPERTY OWNER_ Sj��i/c� l�" 1%�j'1/J]i} Wee 1(S Print MAP N0 _ O L PARCEL: ZONING DISTRICT: Historic-District yesrnoMachine Shop:Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building I One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacemen Assessory Bldg Others: Demolition Other Septic Well Floodplain V1/etlands Watersled.D'istrict Water/Sewer - DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: Phone: 4�O9 Address: Zyg ,�' CONTRACTOR Name T_ iO4e �j /}J�"� Phone,: �� �1 Address 31yef11© cS1- Gt/ 01 Supervisor's Construction License Exp. Date - , Home Improvement"License Exp, Date: [. i 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: $ �,(90 v, _ FEE: $ � � Check No.: 02 Receipt No.: �� � NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner - :Sig r@ture,of-contractor �= Location t�(.0 No. Date 2 �� MORTH TOWN OF NORTH ANDOVER O - S �a Certificate of Occupancy $ CMUs< Building/Frame Permit Fee $ Foundation Permit Fee $ -� Other Permit Fee $ TOTAL $ Check # fQ 12 S 6lr Building Inspector i I i E Plans Submitted ❑ Plans Waived-0 Certified Plot Plan ❑ Stamped Plans ❑ _ TYPE-OF SEWERAGE DiSP- SAI; Public Sewer ❑ Tanning/MassageBodyArt ❑ 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 REJECTED: - . DATEAPP ROVED PLANNING & DEVELOPMENT El El COMMENTS .CONSERVATION Reviewed on Si nature COMMENTS HEALTH Reviewed on Si nature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Si nature«Date Drivewa Permit APW T°vvs Engineer: Signature. Located 384 Osgood Street FIRE C3 PARTi IST =-Temp Dumpster on si e' yes.. .. no Located at U4 Main Street Fire ®epartmeritsignatur-eldate- COWENTS i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, M4-02111 www.mass.gov/dip Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): X6 f/2 V- W/1 Irre Address: -�Yo %- / City/State/Zip:4,c74,W/f P'Z/G'�, /y/} Phone#: Z 7 5 Are yop-an employer? Check the appropriate box: Type of project(required): 1. I am a employer with 3 4. ❑ I am a general contractor and I 6. ❑ 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.$ 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor in an capacity. workers' comp. insurance. Y P tY• 9. ❑Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ 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.] fi employees. [No workers' 13.❑ Other comp. insurance required.] *:..y applicant that checks box#;must also Pill 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.. YContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy infommtion. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and jab site information. Insurance Company Name: �- Policy#or Self-ins. Lic.#:—WU01,911 IYJ3 Y Expiration Date: Job Site Address: ` O 1�� Ze O e6� City/State/Zip: f7{�/��G'i2,�//,) 1 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 hereby certi under the pains and pen ies of perjury that the information provided above is true and correct. Signafore: Date: /�?; �,zc-2 Phone#: " a-� ` 645 i 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartrnents and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local Iicensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary, supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability.Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the applications for the permit or'license is being requested, not the Department of Industthal Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compefisation policy,please call the Department at the number listed below. Self-insured companies should enter their self-in.Surance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington.Street Boston, IIIA 0:2111 Tel. # 617-7274900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax# 617-72.7-7749 wwvw.mas.s.gov/dia acoRD CERTIFICATE OF LIABILITY INSURANCE OP ID � DATE(MM/DDlYYYY) RATTE-1 04/27/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Michaud, Rowe And Ruscak Ins. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.O. Box 188 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. North Andover MA 01845 Phone: 978 688 8829 Fax:978 557 2130 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Preferred Mutual Insurance Co. 15024 INSURER B: Safety Insurance CoMany 12808 Roger J. Ratte, Inc. - INSURER c: American International COS 340 Mt. Vernon Street INSURER D: Lawrence MA 01843 f INSURER E: I 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATEYMM/DD EFFECTIVEPDATE (MM/DD/YY)ICY 1ON LIMBS GENERAL LIABILITY EACH OCCURRENCE $500000 COMMERCIAL GENERAL LIABILITY CPP0110594188 PREMISES(Ea oocurence) $50000 CLAIMS MADE FX�OCCUR MED EXP(Any one person) $ j A X Business Owners 03/28/09 03/28/10 PERSONAL&ADV INJURY $500000 GENERALAGGREGATE $1000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $1000 00 0 rlPOLICY PR LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT B ANY AUTO 1500030 01/16/09 01/16/10 (Ea accident) $ I ALL OWNED AUTOS BODILY INJURY $250000 X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $500000 X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $100000 (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR FICLAIMS MADE AGGREGATE $ l DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS ER C EMPLOYERS'LIABILITY WC8944334 04/23/09 04/23/10 E.L.EACH ACCIDENT $100000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $100000 If yes,describe under SPECIAL PROVISIONS below E.LDISEASE-POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVIMNS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIC DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALI For Bidding IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHO REPRESENT ACORD 25(2001108) ©ACORD CORPORATION 19E r s► CUSTOM VIEW CUSTOMER -- RJ RATTI DATE 10/20/09 REF Deck09293 A,� F r l JACKSON LUMBER 215 MARKET ST LAWRENCE MA (800) 555 1212 BEAM LAYOUT JACKSON LUMBER CUSTOMER -- RJ RATTI 215 MARKET ST DATE 10/20/09 REF Deck09293 LAWRENCE MA (800) 555 1212 i i o�X� 2' 10 1/21, �o�srs A i BEAM BEAM X�al/ POST POST LABEL LENGTH COUNT SPACING A II' 10 1/2" 2 II' 7" Post spacing is measured center-to-center. i Depth of post-in-concrete footers --- 48 inches. i I i ttr��t� E1I I r,.� >tt1 ,�CjiEY s i4v Sty `t fir. I L Y r Ht. i x u t 1 Qef yT' � 1 w Y r i � n r 1 � Y < x r w k NORTH Town of _ 4 over No. lit L dover, Mass., � T Q - LAKE 1. COC MIC ME WICK V ADRATED P' �y `s BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...............r—�.�.. .�:`:� :. �:I - .:- :................................. . ..... ................. ..... ....................................... Foundation has permission to erect........................................ buildings on .,1.......:,........`.......a-... .. ':...............:......... ......................... Rough L f eMt7 E�CIS , 1.................................................���v��`+��`r✓L j2 ou, ��# .s f'!'�G S' 2t 2S 7-G� Chimney to be occupied as... ................. r......................... provided that the person accepting this permit shall in every respect conform to the terms of the application on 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU ST TS Rough 2/1—........ ....................................................................................................... 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. i BoArM f Building Regula o#ts and Standards HOME IM PROV _ EMENT.CONTRACTOR Registrail 100294 _. # A X15/2010 Tr# 268012. Eb.rV ' rpt Prtnate.Corporation . ROGER J. FTt' ,, IN ,._ Joseph Ratte 340 Mt. Vernon := St Lawrence, MA 01843 -f AdminiAra*r i i Massachusetts - Department of Public Safety Board of Building; Reg-ulations and Standards Construction Supervisor License License: CS 15004 Restricted to: 00 JOSEPH R RATTE 340 MT VERNON ST i LAWRENCE, MA 01843 c Expiration: 8/27/2011 ('untntissi ,ner Tr#: 20364 I R. Joseph Ratte', Inc. General Building Contractor CONTRACTORS COPY RESIDENTIAL CONTRACTING AGREEMENT Read this agreement and make sure you understand.it before signing it. This Agreement has legal force and effect binds those who sign it. Notice: All home improvement/general contractors and subcontractors engaged in home improvement contracting,unless specifically exempt from registration by provisions of Chapter 142a of the general laws,must be registered with the Commonwealth of Massachusetts.Inquiries about registration and status should be made to the Director;Home Improvement Contract Registration, - One Ashburton,Place,Room 1301,Boston,MA 02108. Designated Registrant's Name:Roger J.Ratte',Inc. Salesperson's Name:Joseph R.Ratte' Registration Number: 100294 License Number:015004 This agreement is made on October 7,2009,between Roger.J.Ratte',Inc. DBA R.Joseph Ratte',Inc.of 340 Mt.Vernon Street Lawrence,MA 01843 Ph.(978)-688-8839 hereinafter called"Contractor"and Steve&Linda Weeks of 148 Bridle Path North Andover,MA 01845 Ph.(978)-686-6899 hereinafter called"Owner".. I. DETAILED DESCRIPTION OF WORK TO BE PERFORMED Contractor agrees to perform in a good and workmanlike mannerall work detailed below. Such work consists of the following' Construct new front platform and steps as per attached specifications. DETAILED DESCRIPTION OF MATERIALS TO BE USED Materials to be used in performing the above described work consist of the following: As per attached specifications. II. PRICE Contractor agrees to do all work described in Section I for the total price of. $6,000.00 Six thousand dollars. I HIDDEN CONDITIONS AND NECESSARY ADDITIONAL WORK: Hidden conditions or additional work may require adjustment in the overall price for the necessary work related to this contract. In such case the Contractor shall inform the Homeowner of such conditions forthwith and where necessary a written amendment of this Contract will be negotiated and executed by the Parties.Additional work beyond the scope of this contract will be billed at an hourly rate of$65.00 per man hour for carpentry and$85.00 per man hour for plumbing. Additional material and subcontract work will be billed at direct cost plus a 20%General Contracting fee. 340 Mt. Vernon street Lawrence, MA 01843 R. Jose h Ratte', Inc. p General Building Contractor i PAYMENT 1 Payment will be made as follows: $1,000.00 Deposit with signed contract 1 $2,000.00 Completion of rough frame. $2,000.00 Completion of railings. / $1,000.00 Completion of job as per specifications. Payments as provided above shall be made when due.Any payments that are delayed shall be subject to a finance charge of 1.5%per month. Notice: No agreement for home improvement contracting work shall require a down payment (advance deposit)of more than one-third of the total contract price or the total amount of all deposits or payments which the contractor must make,in advance,to order and/or otherwise obtain delivery of special order materials and equipment,whichever amount is greater. IV. COMMENCEMENT AND COMPLETION OF WORK Contractor will not begin the work or order the materials before the third day following the signing of this Agreement,unless specified here in writing. Contractor will begin the work on or about October 22,2009. Barring delay caused by circumstances beyond Contractor's control,the work will be completed on or about October 30,2009. The Owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall not be considered as violations of this Agreement. V. NO ACCELERATION OF PAYMENTS BUT ESCROWING ALLOWED The Contractor may not require payments to be made in advance of the time specified in Section III(Payment)above for the reason that he deems himself or the payments to be insecure. If,however,he deems himself to be insecure,he may require, as a prerequisite to continuing the work described herein,that the balance of the payments under this contract that are in the control of the Owner,shall be placed in a joint escrow account that requires the signature of both the Contractor and the Owner for withdrawal. VI. INSURANCE Contractor will be responsible to Owner or any third party for any property damage or bodily injury caused by himself,his employees or his subcontractors in the performance of,or as a result of,the work under this Agreement. Contractor agrees to carry insurance to cover such damage or injury. VII SUBCONTRACTING Contractor agrees that,notwithstanding any agreement for materials and/or labor between Contractor and a third party,Contractor is responsible to Owner for completion of all work described in a timely and workmanlike manner. 340 Mt. Vernon Street Lawrence, MA 01843 . W Y R. Joseph Ratte', Inc. General Building Contractor VIII CONSTRUCTION-RELATED PERMITS The following construction related permits will be necessary in order to complete the scope of work included in this contract and are the responsibility of the Contractor: (mark X where applicable) Building X Demolition Plumbing Electrical The Contractor under provisions of Chapter 142A of the General Laws is required to apply for and obtain all construction related permits.Home improvement work(i.e..additions,garages, porches,etc.)may require other permits including but not limited to Variances and Special Permits under Zoning by-laws through the Board of Appeals,.Board of Health Permits for expansion of sewage disposal systems,Conservation Commission for an Order of Conditions,etc. Such permits.which may require non-construction related,engineering,technical or legal representation of the Homeowner,shall be the responsibility of the Homeowner. Notice: If the homeowner obtains his own construction-related permits for the work described under this agreement,the homeowner is hereby advised that in the event of a dispute, judgment and nonpayment of the Contractor,the homeowner will not be entitled to make a claim to or collect from the guarantee fund established by Chapter 142A,M.G.L. IX. MODIFICATION This Agreement,including the provisions relating to price and payment schedule cannot be changed except by a written statement signed by both Contractor and Owner.However, cancellation by Owner is allowed in accordance with the Notice of Cancellation(annexed). X. WARRANTIES The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of one year following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials,or damage caused by Contractor,his subcontractors,employees or agents, is discovered within one year after completion of any job,including cleanup,the Contractor shall,at his own expense,forthwith remedy,repair,correct,replace,or cause to be remedied,repaired,or replaced,such damage or such defect in materials or workmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. All warranties for equipment supplied by the Contractor under this Agreement shall be those given by the manufacturers of such equipment,which shall be and are hereby passed through directly to the Owner. Under such manufacturers'warranties,the Owner may be required to register or mail in a warranty card or other evidence of ownership and use of such equipment in order to activate such warranties. The Owner's failure to mail in or register such documentation,which failure voids the manufacturer's warranty,shall not create any responsibility for the Contractor to warranty such equipment. 340 Mt. Vernon Street Lawrence, MA 01843 1 � R. Joseph Ratte' Inc. p � � General Building Contractor XI. COMPLETENESS OF AGREEMENT FOR EXECUTION The Owner is hereby advised that he should not sign this Agreement unless and until all blank sections have been filled in or marked as void,deleted or not applicable,and until all exhibits and related or referenced documents that are incorporated herein are attached hereto. XII. COPY OF AGREEMENT TO BE GIVEN TO OWNER This Agreement is governed by the Laws of Massachusetts. It must be executed in duplicate,and an original signed copy hereof given to the Owner at the time of execution. No work under the Agreement shall begin prior to the signing of the Agreement and transmittal to the owner of a copy thereof. RIGHTS TO CANCEL The owner may cancel this agreement if it has been signed by the owner at a place other than an address of the contractor which may be his main office or branch thereof,provided that the owner notifies the contractor in writing at his main office or branch by ordinary mail posted by telegram sent or by delivery,not later than midnight of the third business day following the signing of this agreement. See attached Notice of Cancellation. HOMEOWNER DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Owner's Signature Date Signed Contractor's Signature Date Signed i 340 Mt. Vernon Street Lawrence, MA 01843 Steve&Linda Weeks 148 Bridle Path North Andover,MA 01845 October 7,2009 CONSTRUCTION OF NEW FRONT PLATFORM AND STAIRS Submit specifications, and obtain building permit. Support roof and remove existing columns. Remove existing stairs and platform down to grade level. Secure 6" X 6" pressure treated posts to top of existing foundation with steel anchors. If foundation is found to be inadequate, excavate three holes in preparation for piers. Holes to be a minimum of 4' deep to ensure proper frost protection. Pour footings, and 12" vertical concrete piers to grade level. Frame 4' X 12' box frame using pressure treated 2" X 8"'s, 16" OC. Box frame shall be lag bolted to house, and flashed properly. Wrap box frame with white composite boards, and enclose area below with vertical lattice. Install 5/4" X 6" TimberTech decking to box frame. Install existing fiberglass columns removed earlier. Install railing system using TimberTech Radiance. Railing uprights will be reinforced with 4"X 4"pressure treated posts. Construct new pressure treated stairs off platform, with matching decking and railing detail. Stair stringers will be enclosed, and have white composite skirt boards and risers. Repair disturbed siding as required. Painting by others. Total cost as described above: $6,000.00 Repairs to box frame of house shall be considered extra. We are licensed, registered, and fully insured. License#015004 Registration#100294 I i 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 i DANCER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA—_(F r department use) i I ® Notified for pickup Call Email Date Time Contact Name Doc.Building Pen-nit 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 o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract o Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineeredproducts NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o 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 o Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit ❑ Two Sets.of Building Plans (One To Be Returned) to Include Sprinkler Plan And E Hydraulic Calculations (If Applicable) o Copy of Contract o Mass check Energy Compliance Report o 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:Building Permit Revised 2014 I I 3367 Date AV.."3..0.. ....... pFNORTH TOWN OF NORTH ANDOVER 4«to ,e,'40 102 e` n cp PERMIT FOR GAS INSTALLATION �- 1SSACHU5' This certifies that . .;��� . . . . . . .". . . . . . . . . . . . . . . . has permission for gas installation . . . G �. XG , in the buildings of . . ... . !.. . . . . . . . . . . . . . . . . . . . . . . . . . . . at .J .(/,J . !!:I .�•��. ` .�.r'.f L. . . . . . ., North Andover, Mass. Fee. ./.�'-- . Lic. . . r . . . '..1.: . . . . . . . /GAS INSPECT04 WHITE:Applicant CANARY: Building Dept. PINK:Treasurer jype� MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING or print) Date �/ t�r�Q00ORANDOVER, MASSACHUSETTS Building Locations / Permit# Amount S —• Owner's Name �eke (/ '�.� i New Renovation ❑ Replacement ❑ Plans Submitted ❑ n n U Z C C z w a c C n — w C n C w E- Cn :n C :W z ? Z c ^ n z C y C cn t w w z 't 5 C = s C — C i L v ;•, S U 3 13 :1sEN1 E :vT 13ASEM E `1 'r tST. FLUOR 2N D . FLOU R 3RD . FLOUR 4"1 If FLOG R 5T II . F L U O R 6T t1 . FLOUR 7T141 . FLUU R YTH . FLOUR i :Print meor type _ /) /�/�� (� � Check one: Certificate Installing Company El address w �(. ❑ Partner. S 3usiness Telephone fv� ��9��. ❑ Firm/Co. \lame of Licensed Plumber or Gas Fitter NSURANCE COVERAGE Check one: ! have a current liability insuranc�policit's substantial equivalpnt. Yes ❑ Nof you have checked ves,please ie coverage by checking the appropriate box. f lability insurance policy Other type of indemnity ❑ Bond ❑ Dwner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the vlass. General Laws,and that my signature on this permit application waives this requirement. Check one: iienature of Owner or Owner's Agent Owner ❑ Agent ❑ hereby cerrify that all of the details and information I have submitted (or entered) in above application are true and accurate to the )est of my knowledge and that all plumbing work and in ns performed under Permit Issued for this application will be in :ompliance with all pertinent provisions of the Massa usetts tate G Cu e and pte of th General Laws. ay. re of Licensed Plumber Or Gas Fitter Title Plumber f �ityiTown ❑ Gas Fitter License t aster APPROVED(OFFICE O-SE ONI.v) ❑ Journeyman LocationO � ° No. l Date G NORTH TOWN OF NORTH ANDOVER � 9 • ; ; : Certificate of Occupancy $ -S-T CHUSE< Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 1 3 r / "'Building Inspector 4 J TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATEISSUED: S:,/ V�( 0 ic SIGNATURE: 000 /W o Building CommissioEEr or of Buildings Date SECTION 1-SITE INFORMATION I Z 1.1 Property Address: ® 1.2 Assessors Map and Parcel Number: O J / �f S/?;,o G ! 1 Ti�i _ 7 _1� a�lel�? a/Pym Map Number L Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Dislrid Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard LeTmred Provide Required I Provided ReQjired Provided So /S9.17 30 1 30 70 ' ].5. Flood Information: 1.8 Sew sal System:1.7 Water Supply M.G.L.C.40. 54) Fld ZIfiSewerage�� ys te Public Private ❑ Zone Outside Flood Zone ❑ Municipal X On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record STei✓e - - Li/VD✓9 weeps IwTb/ t Name(Print) Address for Service: , Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O Z M Signature Telephone go SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ /? ler37-17-0 Licensed Construction Supervisor: JS—Q0 O License Number mn Address C � a aoo 0 0 Expiration IJate ic rgna a Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ v kocll-el? .T kl�TTC roc g Company Name Registration Number r �3 y? `Y T j/QxrUD1-u S T L�� In r Address 2 6//� �& (5'92 Expiration Date ^� 26 —Teture lephone v • r Z4 t •SECTION 4-WORKERS COMPENSATION(NLG.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes......X No.......❑ SECTION 5 Description of Proposed Work check au applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Addition Accessory Bldg. ❑ Demolition Other ❑ Specify Brief Description of Proposed Work: SCA1e e ZZ SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building / (a) Building Permit Fee !'Q / Q Multiplier 2 ElectricaloO _ (b) Estimated Total Cost of 521 ,6 Construction 3 Plumbing O 01 Building Permit fee(s)X (b) 4 Mechanical HVAC a�a •� 5 Fire Protection 6 Total 1+2+3+4+5 07 000, — Check Number SECTION 7a OWNER AUTHORIZATI N TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, --5'Te Q Ve Ole Z;121z>/9 W&C/f j as Owner/Authorized Agent of subject property Hereby authorize J'0S'len/� ? "I'M-- to act on My behalf,in 11 matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNERIAUT,+H�ORIZED AGENT DECLARATION I, �r���j�,) k. z /} c /O�e S as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief a . 1F6TT0s. Print ` an Si ure o wner/A ent Date f NO. OF STORIES SIZE BASEMENT OR SLAB 17� �9 SIZE OF FLOOR T VBERS 1 �' 2ND3RD SPAN //—G" DRAENSIONS OF SILLS pQ611 L _ a DINIENSIONS OF POSTS DINIENSIONS OF GIRDERS �3 —` HEIGHT OF FOUNDATION `m j THICKNESS /0 ' SIZE OF FOOTING /a''X o7 � X MATERIAL OF CHIMNEY 2 IS BUILDING ON SOLID OR FILLED LAND So.-10 IS BUILDING CONNECTED TO NATURAL GAS LINE e?5 -: FORM U - LOT RELEASE FORM C� that ai(necessary approvals/permits from �K . INST�UCTION�. This form is used to verify ry Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. APPLICANT FILLS OUT THIS APPLICANT -S T6 Uei1/ 141e e- PHONE LOCATION: Assessors Map Number PARCEL- -2r SUBDIVISION LOT(S) X v P ,8L/pL ST. NUMBER-1� X/ STRE OFFICIAL USE ONLY' RECOMMENDA T ON OF TOWN AGENTS: 7� O� +��- A�c�t o,v w 1`fK (I 2 u, gCY.eY�v ?o(�C J CO ERVATION ADMINISTRATOR DATE APPROVE O 6 DATE REJECTED -- }-} COMMENTS U d "V J} TOWN PLA R DATE APPROVED 1 DATE REJECTED COMMENTS aI&d o,(e y-c� -�o is m 1 FOOD INSPECTOR-HEALTH DATE APPROVED C DATE REJECTED -T— S TI 1 SPECTOR EALTH DATE APPROVED �o DATE REJECTED COMMENTS PUSLIC'WORKS -SEWERMATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED EY BUILDING iNSPECTOR DATE Revised 9197 im ✓tpp te "COomr�n�uuea� a�✓�ac�uuJe�� . BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 015004 Birthdate: 08/27/1958 Expires: 08/27/2001 Tr.no: 3237 A Restricted To: 00 JOSEPH R RATTE 342 MT VERNON zz—. ' �. LAWRENCE, MA 01843 Administrator i i ' I I { (� �/ae�jom�nan�aeall�o�./�aeaaaluae[ta i_ HOME IMPROVEMENT CONTRACTOR ' Registration 100294 ,Type - PRIVATE CORPORATION Expiration 06/15/00 ROGER J. RATTE, INC. f Joseph R. Ratte &PW Mt. Vernon St i ADMINISTRATOR Lawrence MA 01M �! i The Commonwealth of Massachusetts Department of Industrial.Accidents Gffice of Investigations j Boston, Mass. 02111 '�. .✓� Workers' Compensation Insurance Affidavit Mame Please Print Name: STOI/eIv wee, .� -tion: 1 �' � 1 T L.Ct'.a ly Cit•! NNO-1 Phone I am a homeowner perrcrming all work myself. F7 aI am a sole proprietor and have no one worming in any capadty I am an empieyer providing warmers' compensation far my empleyees warming on this jab. Comoanv name -��� Address 3-110 /7) T VMIW ZI S/7 CiN: Phone T ���� � Insurance Co �y�7�f�' �i v�Un�OvC Polka T f�0�/G o19� 13 - I Comoanv name: ' I Address CN: Phone; Insurance Co. Policy Failure to secure czverage as.ecuirec under Section 25.A or MGL 152 can lead to the imposition er crimiral penalties or a fine up to S1,°00.00 and/or one years'imprisonment as•Neil as c:vil penalties in the form or a STCP WCRK ORCER and a fine of(5100.00)a day against me. I understand that a copy of'Utiis Starement may be forwarded to the Office of Invesrgaticns of the CIA fcr coverage verification. !do hereby csrti4un ' he Flirt�andpenalties or pe ury�thlat �Irmaticnprcvided" above is!rue and correct. Signature Cate Print name �TDffl: �/ i ? �/3yTe � �� Phcne Offic:al use only do not write in this area to be completed by ciiy cr tcNn cmc:ai City or TI avn P=rmitlL censinc Q Building Dept ❑Check it immediate resperse is required Q Licensing Board �j Se!ectman's Office Contact Ferscn: Phcre health Department Q Other • + - iz BUILDING DEPARTMENT DEBRIS DISPOSAL FORM In accordance with the provisions of MGL.c 40 S 54,a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: Location of Facility - Signature of Permit Applicant $4OQ ate NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector .. r i tkORT#q Town of O . IAN No. 1'9"T " .S 0 CN _:z-: �q cE O dower, Mass., _ coC MICMEWICK V 7� ADRATED S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System �or. � kw& BUILDING INSPECTOR THISCERTIFIES THAT........ ........................... ................................................. ................ ...... ... ...................... Foundation has permission to erect....As��a .��..... buildings on ...I.... ... �' � �c.p .......1�/! Rough M�� I ' �/�� Rxwlk� of old Chimney tobe occupied as..... .............. ...J.......................... ..................... .............................................................................. provided that the person accepting this permit shall in every respect conform to the terms of the application on 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. M0*x*AL 00*P%47 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. nil0 y C 10PY3" Rough PERMIT EXPIRES IN 6 MONTHS so,83a� Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTION TART 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. I�1!!1!I!I!!I!!I!!I!!I!!1!!I!l11rl!!I!I!I!.l11rll�llA'l11�Ill1!!I!!I!!1!!I!.!I!lll.�.lll.ll!!1!!1!!I!!1!!I!l11,011�I!!I! v ,-9� DWELLING .4�".•!L•,=��•,mow~t• PROI OWED DETAIL ADDITION -1 erg FI.PtlPE(fnd.) I.PIN(set) 584 50 38 E \ \ � •— 120. 0-_.I N88`47'52"E DRAIN — 82.95' EASEMENT N� �,I .I.,,,,�576 6' 01 \ �; 21 4 �\ E a \ 1,32 �...,�,�` -I.PIPE(fnd.) — ,�M ;•gip: ��: Se,..e� N ��,� I'S o o 158.5' ' m `r. LOT 27A �;, '� ° U,, 44„022 i.I , pp mss,, PROPOSED F� ADDITIOrJ D.H.(flnd.) — N o c>J tP __ --- D.H.(set.) 423-153 \-I.F'IN(set) �f 0 r. PLOT PLAN NOTE: SEE IJ.D.E.R.D. PLAN N0.8061 148 BRIDLE PATH / \ %.. ,� `>� '., NORTH ANDOVER MASS. da'ndoNfebr' '��'' r'u►�.�s DATED MARCH 14, 1979. ' � \ �C>I'1:�llaltQt1�ts `� s Prepared for ,� Steven V. & Linda G. Weeks inc,. X99-67\PP.dwg SCALE_: 1 '=40” DATE: 3-29-00 1 East River Place, Methuen, Mass. I�1!!I!!I!!I!!Il.ll�ll!!I!!I!llrlll,ll!!I!!1!!I!!1�!lll.�I!!I!!I!lll�I!!1!!Il 11�. I!!I!lll�1!!1!'!1!!I!!IlII�I! �I1X11!!I!ll�lllll�.l1!!I!ll�ll�ll�lll�ll!!I! i A Date. . . . . . . . . . . . . 40RTq :���^`1O„•,hO�L TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING _ ,SSACHUSE� / i This certifies that . . . . ... . . . . . . . . . . . . .1 . . . . . . . has permission to perform .< �!x.?.-'� . . . . . plumbin in he buildines�of �l�- . . . . . .. . . . . . . . . . . . . . . . . . 16 at.�?. ? -'c!! . �✓. . ., North Andover, Mass. Fee.4?.7. Lie. No.. J3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR Check # ,6150 MASSACHUSETTS UNIFORM APPLICATION FOR PERW TO DO PLUMBING (PrintorType) / V d r (1401 llvtass. Date [Z Permit # e7 " ✓���U Building Location O7er's Name (k)er— /oS �9 Tyof Occupancy Residential New ❑ Renovation ❑ Replacement N Plans Submitted: Yes El No 11 FIXTURES Z 'n ,.W.{ V) J N O Z _� w Z N4 O W W X J N Q U Fa- Z 0 O .F•' -F' N Z N Q 2 � = to Z O 2 N 6 N W y ~ W N H U W N X Q to U. — 6 ^ 3 ++ V) T U Z 2 m N CrN Q ~ V1 .`� D Q to S Q cc W W Q N J N 6 J ^ p W = Q 2 O Z = X 0. O F- < X W LLX F t, r, h- U � H = d > F. O z x O O Z O N W t) Q Q X N N Q Q O Q J Q X ac a Q 0 Q !-I 3 X J m N O Q J 3: = I- N LL L7 M O -f >, Lt W �2+ SUB—BSMT. (J, BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name Heritage Htg. &Pig. Co. Inc.' Check one: Certificate Address 35 Pleasant Street [x Corporation 714 Stoneham; Ma 02180 ❑ Partnership Business Telephone 781 —438-7776 f] Firm/Co. t Name of Licensed Plumber Gordon Switzer L" INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ® No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability Insurance policy IN Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all . pertinent provisions of the Massachusetts Stale Plumbing Code and Chapter 142 of the General Laws. BY ro .i. Signature of LicensedP um� egr Title ' City/Town Type of License:Master[g Journeyman E] j APPROVE (OFFICE USE ONLY) License Number 8 3 2 2 6�p - cula s .bo• l i e -r._ BELOW FOR OFFICE USE ONLY _ FINAL INSPECTIONS SKETCHES _ PROGRESS INSPECTIONS k FEE k NO. APPLICATION FOR PERMIT TO DO PLUMBING E NAME&TYPE OF BUILDING r LOCATION OF BUILDING PLUMBER t PERMIT GRANTED - DATE 19 PLUMBING INSPECTOR t