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HomeMy WebLinkAboutBuilding Permit #150-2017 - 15 IRONWOOD ROAD 8/17/2016 txO il BUILDING PERMIT °T;bq�'o TOWN OF NORTH ANDOVER o - I APPLICATION FOR PLAN EXAMINATION _ Permit No#: Date Received Sys R^7ED I SACH�1`�� I Date Issued:69 1 IMPORTANT: Applicant must complete all items on this page LOCATION � nn Pn PROPERTY OWNER ��'�' -t''" f Print 100 Year Structure yes no MAP PARCEL: / ZONING DISTRICT: Historic District ye no Machine Shop Village ye no TYPE OF IMPROVEMENT PROPOSED USE ResiSkntial Non- Residential ❑ New Building One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement- ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other DSepfic �UVeIIF. flFloodpLainl � �=Wetlands _ k Watershed E®strict: DESCRIPTION OF WORK TO BE PERFORMED: I entiticatio - Pleas Type or Print Clearly U3L OWNER: Name: �ti� '� � Phone: Address: �r l +res'1�Q°� Contractor Name: �el'l'' Phone: 65�� Email: tN A �` vrnl Com, Address: ? G% �✓'�' �' U Supervisor's Construction License:—a f f�� 5 Exp. Date: Home Improvement License: C( L z Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$JA15.00 PER S.F. Total Project Cost: $ Q6 FEE: $ �" Check No.: Receipt No.: � NOTE: Persons contracting with unregistered contractors do not have access to the g Panty fund �•:,, 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 OTE: 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 OTE: 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 2012 IECC Energy code 4 Engineering Affidavits for Engineered products OTE: 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 J Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pool'sEl well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature f COMMENTS Zonind Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes I r � Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: =FIRE DEP'�AReTiMEIVLA n' �a4 a„TemDum 'ster,5 n site Located Osgood Street Located at�124 � •� • yy Street .-�.-,i...w-&-=7`Ma1n , --. ". , `:, �,ir fir.•r two"':•`-'4"P'„ -- O '---.....�..�.T,.-...' { j ,�Fi�keDRep�artmenJsignature/date 4 r 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 a row Electrical Inspector yes pp al of No DANGER MNE LITERATURE: yes MGL Chapter 166 section 21A—F and G min.$1oo-$1000 fine No I NOTES and DATA,-- (For department use) i I I i L7 Notified for pickup Call Email Date Time Contact Name Doc.Building Pemit Revised 2014 Location 15<�.�. 1• )QN i^ el c, P4. No. % �c2 a`7 Date r , • q- TOWN OF NORTH ANDOVER K,.;wrtlAfp' yy 1 ,, .:-' . • Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee $ TOTAL $ Check 46 �f 7 J 2 Building In p ctor `� t%O R THS own of �.- dAndover No. .Y - � � 1 � z y oh ver, Mass, coc«IcKIWICK 1' �J Oo l RATEO S V BOARD OF HEALTH Food/Kitchen PER LD Septic System THIS CERTIFIES THAT .................................. BUILDING INSPECTOR ............... ... 4!! .............. ........................ .� ... ����. ............. Foundation has permission to erect .......................... buildings on ....... .... .... ........� .... � Rough tobe occupied as ................ .... ......... .... ...IrWE............................................................ Chimney 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST CTION Rough Service . . . .. . . . .... . ... ... ...... . Final BUILDING IN CTO GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. ARYA ROOFING Roofing Siding & Gutters HIC- 149239 CSL- 101349 Date-8-16-16 HOME IMPROVEMENT CONTRACT This contract satisfies all basic requirements of the state's home improvement contractor law (M.G.L. C.142.A) but does not preclude parties from adding language to protect their specific interests. Seek legal advisory if necessary. Before agreeing to any home .improvement work on your residence, you should obtain a free copy " consumer guide to home improve law° by calling the office of consumer affair and business regulation's information hotline at 617-973-8787. Contract submitted to: Work to be Performed at: Shawn Regent 15 Ironwood rd North Andover , MA Description of work to be performed and material to be used: 1. Removal and disposal of the existing shingled roof. (main roof and shed) 2. Replace rotted sheathing up to 400 sqft. 3. Install GAF Storm Guard /Certainteed Winter Guard ice and water shield 6 feet on to the eaves, walls chimneys, pipes etc. 4. Install GAF Deck Armor / Certainteed Diamond Deck synthetic moisture barrier over the rest of the roof. 5. Install 8" drip edge around the perimeter. 6. Install GAF PRO STARTI Certainteed swift start starter strip. 7. Install GAF Timberline HD lifetime/ Certainteed Landmark woodscape architectural shingles. 8. Install GAF COBRA Exhaust 1 Certainteed ridge Vents. 9. Install OAF Beal A Ridge t tortain#eed Shadow ridge imps. 10. Install new flashing around the pipes. 11. Install new Step flashing up the walls. 12-Ke- iead fdb chimney: - 13. Completely clean the yard and gutter from all sort of roof ng debris: 14. Install Standing seam metal roof on the area above the front porch as discussed. 15. Replace the two sides of the dormer walls and 2 lines from the front of the downers with new primed cedar shakes and cedar clapboards. 16. Remove and dispose the existing gutters and accessories. 17. Install copper Valley flashing. Arya Roofing agrees to provide all the materials, labor, permit and disposal for the proposed roof work. The work will be performed in a professional manner and the jobsite will be protected and clean at the end of each day. Once the project has begun we will work each day thereafter until the project is finished (weather permitting). Arya Roofing will warrantee all the labor for a period of 10 years from the date of completion. 1 All material is guaranteed to be as specified, and the above work to be performed in accordance with the specifications submitted for above work and complete in a substantial workmanlike manner for the sum of twenty eight thousand six hundred twenty five dollars. ($28625) Additional- Replace Fascia board at $15 x linear foot with PVC Trim boards. Any alteration or deviation from above specifications invU(viny UMId cysts Will bC ex&cvM-d on)),Lpm written coater, and will become an extra charge over an above the estimate. All agreements are contingent upon strikes of accidents or delay beyond our control. Expected work schedule to begin Expected date of completion 08-15-16 08-24-16 In order to meet the completion schedule, the material must be special ordered before the contracted work begins. (Law requires that any deposit required to be paid in advance of the start of work shall not exceed the greater of one-third of the total contract price or the actual cost of advance of the start of the work, in order to assure that the project will proceed on schedule. No final payment shall be demanded until the contract is completed to the satisfaction of the parties.) Payment will be made according to the following schedule. $9500 deposit for the purchase of materials. $9500 when job is halfway done. $9625 on completion. Arbitration "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 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. Owner: '; Contract4.r. _ NOTICE. The signatures of the parties above 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 separately by the parties. DO NOT SIGN THE CONTRACTS IF THERE ARE ANY BLANK SPACES. Identical copies of the contract should go to the homeowner and the contractor. 2 ...... .... ........ ... Ho ignature Contractor signature Dat Date Workmanship is warranted for 10 years from date of completion. Notice of Cancellation You may cancel this transaction without penalty or obligation, within three business days from the above date. If you cancel, any payments made by you under the contract will be returned within ten business days following receipt of your cancellation notice, and any security interest arising out the transaction will be cancelled. your residence in substantial) as If you cancel you must make available to the sellerat o y Y , YY good condition as when received, any goods delivered to you under this contract or sale. If you do make the goods available to the seller and the seller does not pick them up within twenty days of the date of cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the seller, or if you agree to return the goods to the seller and fail to do so, then you remain liable for performance of the obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this cancellation f notice or other written notice, or send telegram to Tenzin Arya @ 330 Cambridge st Winchester MA 01890 not later than........................(DATE). I HEREBY CANCEL HIS TRANSACTION DATE:... .. ... Buyer's signature.. ... ... ................... I 3 The Commonwealth of.Massgchusetts z. Depaytment oflndastriaZAccidents X Congress Street,Suite X00 Boston,MA.02114-2017 t www.mass.govldia Workers'Compewsa-donlmmranceAfridavit:Builders/Coufiractors/Electricians/Plwnbers. TO BB PILED W1 U THE PURART G AUMOP- - A ficantlaformation /^ e PlasePrimt Le ' l Name(Businesditan do divict ): Address: J city/state/zip: <� W 'hone#: d A re emp3Oyer. ChecI�the appropriafe box: Type of project(rec�aired)` a employer wifla �( . employees(full and/or part-time).* 7.• []New coxistxuction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. Remo deag any capacity.[No wor>cers'comp.insurance required.] 9, ❑Demolition i F]lam a homeowner doing all work myself tNo workers'comp.iu=ce required.] 10 Building addition 4.0 I am a homeownerand will be hiring contractors to conduct all work onmy .property. Iwill ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or.additions proprietors wiihno employees. 12 P bing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet 13: ` oof repairs These sub-coniractorshave employees andhaveworkers'comp.insurance.T • 14.❑Other 6.0 We are a cwporatipn.and iA gEcers have exercisedtheir right of exemption perMCL c. mplgyees.[No workers'comp.insuranceregmred.] 152,§1(4),andwefiaveno„e `Anyapplicanttla checksb6x#1 must alsofilouttheseetionbelowshowingtheirworkers'compensationpohoyinfomiation. T Homeowners Who gab ifgT ff affidavitindicatingthey are doing all work andthenhire outside contractors must submit anew affidav$indicating snob ?Contractors_that checkihis box must'athaehed an additional sheet showing the name of the sub-contractors and state whether ornotthose entities have ,. • - : employees. If the sub-contractors Tuve employees,they must provide thein workers'camp.policy number.' .rain are employe?that is pioviaing ?kers'compensation insurance for my emplayees.'Belo*is the policy andjob site infot�nation. //].f�t Insurance Company Name: Policy#or Self-ins.Ilia.#: A ►''I E C4 � r��'�1�� raonate: y24�::: �itiD ,,��r Job Site Address: ` At i /yo �� City/State/Zip: vy Attach a copy ofthewolrkers' compeWation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal-violation punishable by a fine up to$1,540.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER.and a fine ofup to$250-00 a day against the-violator..A,copy Of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do h�, -7ey certify u r the pains and penalties ofperju?y that the informaiionprovided ove s due ani correct Date: Si e: / Phone Official use only. Do not write in this area,to be completed by city o?town official. City or Town: Permit/License# Issuing Authority'(circle one): i 1.Board o;Heald(2.BuildingDepartment 3.City/Town Clerk 4.Electrical Inspector 5.Plumbinglmspector 6.Other Phone#: Contact Person: 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 bf hire, mgxess or implied, oral or written." Art employer is defined as"an individual,partnership,asso ciation,corporation or other legal entity,of 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 apartments and who resides therein,or the occupant of the dwelling house of anotherwho 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 to cal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonv{ealth for any applicant-who fins 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 PIease f lout-the workers' compensation affidavit completely,by checking he boxes that apply to your situation and,if necessary, supply sub=cortractor(s)name(s),address(es)and-phonenumber(s)alongwiththeir ceztificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)withno employees'otherthan the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. lie advised that this afffdavitmay be submitted to the Department of•Industrial Accidents foi confi-emation ofinsurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial.Accidents. Should you have any questions regarding the law or if you'are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insure_d companies should'enter their self-insurance 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 areference 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"rob 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 maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew 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 Department's address,telephone and fax number: The Commonwealth of Massachusetts - Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel.# 617-727-4900 ext.7406 or 1-877--MASSAFE Fax#617.7277749 Revised 02-23-15 www.mass.gov/dia 1r011 ARYAC-2 OP ID: DC '`��RSR CERTIFICATE OF LIABILITY INSURANCE °ATE`MM'°°"Y,") 08/17/2016 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 NAME: Bhatia Platinum Insurance Agency PHONE FAX 418 Massachusetts Ave WC Na E.11:781-859-5356 AIC No; 781-583-5012 Arlington, MA 02474 E-MAIL Niru Bhatia Yadav ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:James River Insurance Company INSURED Arya Contracting LLC 330 Cambridge Street INSURER 8:Associated Industries of MA Winchester,MA 01890 INSURER C: 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 TYPE OF INSURANCE ADDL SUB POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD MM/DD GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY 00067223-0 06/13/2016 06/13/2017 DAMAGE To RENTED50,000 PREMISES Ea occurrence $ CLAIMS-MADE 7 OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNEDSCHEDULED (Per accident)AUTOS AUTOS )BODILY INJURY Pident $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS PER ACCIDENT UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN N TORY LIMITS ER B ANY PROPRIETOR/PARTNER/EXECUTIVE AWC-400-7031682-2015A 10/04/2015 10/04/2016 E.L.EACH ACCIDENT $ 100,00 OFFICER/MEMBER EXCLUDED' ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 I DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Niru Bhatia Yadav ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD n��UrrroaacueaCex,o C�/ cr�oac./craeCfag . Office of Consumer.Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: �. Registration::;.,149239 Type: 1 Office of Consumer Affairs and Business Regulation 7 Expiratio r 2�/16j2017 DBA 10 Park Plaza-Suite 5170 ARYA CONTRACTING - Boston,MA 02116 t � TENZIN ARYA 330 CAMBRIDGE STRE.ET WINCHESTER, MA 01890 Undersecretary Not vahithout signature � t f ? Massachusetts Department of Public Safety �1 Board of Building Regulations and Standards i License: CS-101349 Construction Supervisor TENZIN T ARYA 330 CAMBRIDGE STREET I WINCHESTER MA 01890 ' I i 9 ^^^ Expiration: Commissioner 12/08/2017 `