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HomeMy WebLinkAboutBuilding Permit #408 - 1483 SALEM STREET 1/2/2009 AORTH BUILDING PERMIT o` TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION CM ^� 1e Permit NO: Date Received gSSAGHU`��� Date Issued: I PORTANT:Applicant must complete all items on this page Skk LOCATION " zNa tint PROPERTY OWNER it k OVA 6PIA, Print -4114 MAP NO: PARCEL ZONING DISTRICT: Historic'Distnct# , yes no p achin �hop`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 ,. .Y fi DES CR IP�TI OF WORK TO BE PREFORMED: -�� 2, �r e -- Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: 777 CONTRACTOR Name: a�,` Phone Addresst . , Supervisor's Cnstruction License: Exp: Date: Home Improvement License: _ � Exp. D #e `" ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$1 .00 PER$1000.00 OF THE TOTAL ESTIMATED COST B S D 0�t4125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: 0 Receipt No.: r a l NOTE: Persons contracting with unregistered contractors do not have access o e uarantpfiund S�ignaturewf Agent/Ownerignature of contractor 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 u 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 L ❑ 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:Building Permit Application Revised 2.2008 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 i THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS 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 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 DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine i i NOTES and DATA— (For department use i I 1 I r i i i J' I ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 j Location !/Vv 3 �� ��� No. O . Date +� NORTH TOWN OF NORTH ANDOVER Of f D • ; ; Certificate of Occupancy $ /j���_ CHustt Building/Frame Permit Fee $ Foundation Permit Fee $ t Other Permit Fee $ TOTAL $ —� Check # 21777 Building Inspector Baystate Roofers, Inc. PrQ �Sa� P.O. Box 189 p North Reading, MA 01864 Tel. 978-664-0668 date Estimate# ``' °• Fax 978-664-4333 12/4/2008 500 Name/Address Tom Ralph 1.483 Salem Street North Andover,MA 01845 Bay State Roofers Inc proposes: Remove approximately 3600 square feet of the existing wood shingle roof down to the wood decking. Install new ice and water shield along the 3'roof edge, valleys and around all the roof penetrations. Install new 151b felt paper throughout roof area. Install new white aluminum drip edge along the roof perimeter. A new 30 Year GAF Architectural asphalt shingle will be installed over the prepared substrate. A new ridge vent will be installed to ensure the proper roof ventilation. All roof penetrations and flashing will be installed according to manufacturers recommendation, specification and details. Install new pipe flanges. Bay State Roofers will properly dispose of all roof debris in our own waste containers. Any wood decking that needs replacement will be an additional $2.50 per square foot. Back dormer fully covered with ice and water shield. Add additional $1200.00 to go - over existing with a layer of shingles on shed roof. New Shingle Roof Authorized Signatur . Total $11,690.00 A Deposit Required $3896.00 Waste containers supplied by Bay State Roofers, Inc. are for sole purpose of roof debris. Under no circumstance is the homeowner to use these containers for personal refurse. 5 Year Workmanship Warranty on all roofs. (Except Repair Jobs) CONTRACT ACCEPTANCE The specifications,prices,payment schedule are satisfactory and hereby accepted. Date: BAY STATE ROOFERS,INC.is authorized to perform work asspecified. Payment will be made as previously outlined. Signature All bills over 30 days are subject to 1 1/2%finance charge per month(.18% annual). Color PROVISIONS OF THE AGREEMENT 1.PROJECT'PROVISIONS e. Damage to Project:Contractor will not be responsible for any a. Guideline:The Project will be.constructed in strict conformance damage caused by the Owner,or other causes beyond the control of to the plans and specifications which have been examined and the Contractor.Owner wig pay for any restoration work. approved by the Owner. W.CONTRACTOR'S RIGHTS AND RESPONSIBILITIES b. Compliance:The Project will be completed in strict compliance a. Delay. Contractor will be excused for any delay beyond his with all laws, ordinances; rules and regulations of the applicable reasonable control_These delays may inciude,but are.not limited to government authorities. Ads of God,labor disputes,inclement weather ads of public authority, c. Control:The Agreement plans and specifications ate intended sods of the Owner or other unforeseen contingencies. to supplement each other.In case of conflict,the plans will control the b.Right to Stop Work If.any payment under this Agreement is specifications and the Agreement provisions will control both. not made when due,the Contractor may suspend work on the job until d.Charge Orders-As directed by the Owner,construction fender, such time as all:payments due have been made.Any faihae to make public body alten�tion or deviation from the payment is subject to a claim enforced against .the Property in r>mY �� that irtvofves extra cos!(subcontract•habor,materials)will be executed accordance with the applicable Tien laws. only upon the.parties entering into a written change order. Expense c. Substitution of Materials:Contractor may substitute materials incurred because of unusual or unanticipated conditions will be paid for without rotim to ft Owner in order to allow work to proceed,provided by the Owner that the substituted materials are of no lesser quality than those listed e. Allowances.If the Agreement prk.-e includes allowances,and in the specifications. the cost of perfonrgng the work is greater or less than this allowance, d.Salvage:All salvage resulting from work under this Agreement then the Agreement price will be adjusted accordingly. is to be retained by the Contractor unless other agreements are It.FINANCIAL RIGHTS AND RESPONSIBILITIES contained in the written specifications. a. Labor and Material: Contractor.will provide and pay for all e. Insurance: Contractor will maintain workers' disability labor and materials necessary to complete the Project. Contractor is compensation insurance for-his employees and comprehensive public released from this obligation for expenses incurred when the Owner is liability insurance policies. In arrears in making progress payments. V.COMPLETION OF PROJECT b. Permits:Contractor will obtain and pay for all required building a. Notice:Owner agrees to sign a Notice of Completion within 5 permits and licenses. days after completion of the project. If project passes final inspection c. Taxes,Assessments and Charges Taxes.special assessments and the Owner does not sign the Notice,the Contractor may act as the of all descriptions, and charges required by public bodies and utilities Owner's agent and sign the Notice. Will be paid for by the Owner..., b.Clean-up. Contractor is responsible for removing debris and d. Deposit of Payments: Contractor is required to deposit all surplus material from the property,and leaving the property in a neat payments received prior to completion in an escrow account.In lieu of and orderly condition_ such a deposit,the Contractor may post a bond or contract of indemnity VI.CONFLICT PROVISIONS with the Owner guaranteeing the return or proper application of such payments to the purposes of the contract_All advanced funds will be •a. Arbitration: Any controversy or claim arising out n Agreement that cannot be resolved,is subject to arbitration,, this with deposited as indicated under Special Provisions. Monies used in an arbitrator of mutual agreement, and all parties (including escrow become the property of the Contractor when they are applied Owner, Contractor,Architect and Sub-Contractors)are bound to according to the:Agreement payment schedule, when a breach of this arbitration_ if any party does.not appear at;arbitration contract by the Owner occurs, or when the Agreement has been proceedings,the arbitrator is empowered to decide the controversy substantially performed. in accordance with whatever evidence is presented by the e. Bankruptcy: If either party becomes bankrupt, the other party party(ies)that do participate. has the right to cancel this Agreement. b. Attorney Fees'If either party becomes involved in litigation Ill.OWNER'S RIGHTS AND RESPONSIBIUTIES arising out of Agreement,the Court shall award costs/expenses a. Cancellation: Owner has an unconditional right to cancel the including attorney fees to the party justly entitled to them. Agreement, without penalty or obligation, until midnight of the third c. Limitations:No action related to this Project may be made business day after the Agreement was signed. Cancellation must be by either party against the other more than 2 years after the done in writing. Upon cancellation, any property traded in, any completion of work. payments made under this Agreement,and any negotiated instrument VII.GENERAL PROVISIONS executed will be returned within 10 business days following receipt by the Contractor of cancellation notice. a. Notice:Any notice required or permitted under this Agreement b. Property Lines: Owner shat( locate and point out property may be given by certified or registered mail at the addresses contained in the Agreement. fines to the Contractor.Contractor may,at his option,require the Owner to provide a licensed land surveyor's m of theproperty. b.Prohibition of Assignment: Neither party may.assign this P Y map c. Liens: Failure to pay persons supplying materials or services Agreement or payment due under this Agreement without the written according to the terns of this Agreement may result in the filing of consent of the other parry_ mechanic's liens on the affected property. Owner has the right to ask c. Qualification:This document constitutes the entire agreement the Contractor for lien waivers from ail persons supplying these of the parties_ No other agreements exist. This Agreement can be materials or services.in the event any mechanic's lien is filed through modified only by written agreement signed by both parties. no fault of the Owner, then the Contractor agrees to take all steps d.Governance:This Agreement shall be construed in accordance necessary for the release and discharge of such lien. with and governed by, he laws of the.state in which the Project is d. Insurance:Owner will maintain property damage insurance at located. least equal to the Agreement price. NORTH T0 0Andover 0 No. D 0 LA O 'A' dower, 1Vlass., GOCMICMEWICK V 7 AD'QATED PPS\ BOARD OF HEALTH PERMIT T. D Food/Kitchen Septic System BUILDING.INSPECTOR THISCERTIFIES THAT........ ................................................ ................................................." ........ ................................... Foundation has permission to erect.....................................4ildings, on ........... ... �+. ..... ....... Rough tobe occupied as........�� .........�...... .. .............................................................................. Chimney provided that the person acce ng this permit shall in eve sect conform to the terms of theapplication on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration nConstruction of Final 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 START' 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. t30ar-iifo ��a W,"g a tan ar s HOMEIMPROVEMENTCONTRACTOR Registraron; 137193 Expiratrori 10/15/2010 Tr# 276696 kp j 'A Pr -to Corporation BAY STATE ROOFERINC WILLIAM LORD'�� 240 PARK ST =LL I N. READING, R fib:.MA 01864 —J,- Administrator {' r i rrtmcti,t art public sit of 6uilitin!-` R�-ulati��n• .�nrl �t tnd tt;tl� .I isor Specialty License rvi Su e � Construe I tion P CS SL 99895 l License. � Restricted to: RF ROBERT OKEEFE I 21 FRANCIS STREET NORTH READING, M10 01864 ; 1 Expiration:.912912011 99895 From:Joanne Lee At:MF&T Insurance FaxID:781-261-1111 To:Laura Date: 1229/2008 10:50 AM Page:2 of 2 ACORD CERTIFICATE OF LIABILITY INSU NCE OP ID DATE(MMIDD/YY11') BAYSTI4 12/29/08 PRODUCER THIS CERTIFIC TE IS ISSUED AS A MATTER OF INFORMATION ONLY AND COz ERS NO RIGHTS UPON THE CERTIFICATE MacIntyre Fay & Thayer Ins Agy HOLDER.THISERTIFICATE DOES NOT AMEND,EXTEND OR 77 Accord Park Drive Unit B-1 ALTER THE CERAGE AFFORDED BY THE POLICIES BELOW. Norwell MA 02061 Phone: 781-261-2000 Fax:781-261-2099 INSURERS AFFO DING COVERAGE NAIC# 114SURED INSURER A: Uati nal Union Fire Insurance INSURER B: Gr at American Custom Bay State Roofers Inc. INSURERC Ha over Insurance Company 22292 PO NorthReading MA 01864 INSURER D: Commerce Insurance Company 34754 INSURER E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER 00 INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VMICH THIS CER IFICATE MAY BE ISSUED OF. MAY PERTAIN,THE INSURANCE.AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLL-IONS AND CONDITIONF OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LTR NSR TYPE OF INSURANCE POLICY NUMBER (MM/DD/YY) D E(MMIDDIYY) LIMITS DATE GENERAL LIABILITY EACH OCCURRENCE 61000000 - rRE7EET $ 100000 B X COMMERCIAL GENERAL LIABILITY RHN-3332626 06/15/08 6/15/09 PREPASES(Ea occw enc) CLAIMS MADE OCCUR MEL EXP(Any one Person) $ 10000 PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPOP AGC- $2000000 POLICY PE107 7 LOC AUTOMOBILE LIABILITY COMBINED MINGLE LIMIT $1000000 D ANY AUTO 08MMBCCXKR 06/15/08 6/15/09 (Ea accident) ,ALL OWNED AUTOS BODILY INJURY $ (Per personY X SCHEDULED AUTOS }{ HIRED AUTOS BODILY INJURY }{ NON-OWNED AUTOS (Par is idant) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ A14Y AUTO OTHER THAN EA ACC' 'E AUTO ONLY PGG .� EXCESSfUMBRELLA LIABILITY EACH OCCURRB•dCE OCCUR ❑CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE RETENTION $ $ C V - WORKERS COMPENSATION AND TGRI'LIb91TS ER A EMPLOYERS'LIABILITY 531-5167 04/03/08 04/03/09 EL EACHACCIDENT $500000 ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? EL.DISEASE-EA EMPLOYEE $500000 If yes,describe Under E L DISEASE-POLICY LIMIT $500000 SPECIAL PROVISIONS below OTHER C Property Section RHN-3332626 06/15/08 06/15/09 CEquipment Floate DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION INFORMA 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 FAILURE TO DO SO SHALL For Information Purposes Only IMPOSE NO OBLIGA ION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUT ED REP E ATIV� /� ACORD 25(2001108) ©ACORD CORPORATION 1988