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Home My WebLink AboutBuilding Permit #716-13 - 15 SAWYER ROAD 5/1/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: r IMPORTANT:Applicant must complete all items on this page I LOCATIONt 15 Swyer Road} Nn Anr,n�raMA 01 B4=5 Pfintl PROPERTiY"OWNER= Ie��;o ni�iiee - P.rint, igw6ar Qad'Structure yno MAP NPARCEtj' ZONINGiDISTRICT Wistonc;District yes no Machihe.Shop 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 W Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑Septic; ❑Well, EDFloodplain, �Wetlands 0<Watersh'ed,Districf. EJ Water/Sewer . DESCRIPTION OF WORK TO BE PERFORMED: Re roof strip Install Certainteed architgsturaI shingl:cs a-q well as drip edge, water and ice shield, tarpaper. Debris - LL&S, Salem NH Identification Please Type or Print Clearly) OWNER: Name: Jessie niminirn Phone: 978-688-7123 Address: 15 Sawyer Road, North Andover, MA 01845 {CONTRACTOR Name: Andov r rbimnavc T T r Phone: 978-683-5139 ,Address: 640 South Union StrPPt, An —7-ev tvrA 01843 Supervisor's Construction Licenser CS5L-099718 Exp': Date: 6/8/2014 Home.Improvement Eicense-- 160504 Exp. Dater 4 1512c),4— ARCH Phone: f Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 7,800.00 FEE: $ 9q Check No.: 5 3 Receipt No.: 999z NOTE: Persons contracting with unre istered contractors do not have acceSignature of Agent/Owner gnature of contractor r/.Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ 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 ❑ 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 a COMMENTS f Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes _ n Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town ]Engineer: Signature: Located 384 Osgood Street FIRE'DEPARTME.NT - Temp Dumpster on site yes no Located at'124 Main Street Fire Depa`rtmert signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: movement of Meter location, mast or service Top requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes iso MGL Chapter 166 Section 21A-F and G min.$100-$1000 fine NOTES and DATA— (For department use U Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department The folowing is a list of the required forms to be filled out for the appropriate.permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products 40TE: 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 40TE: 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 appal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm;tted with the building application Doc: Doc.Bui?,ing permit Revised 2012 i Location /-A' No. //�f - Date S x// • TOWN OF NORTH ANDOVER s n . Certificate of Occupancy $ k>� Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 26338 �A Building Inspector NORTH Town of s EAndover O - A+ h ver, Mass, &I�g COC NIG N�WICK y1. �.9 A�R'STEO ►'Pa,��(5 S U BOARD OF HEALTH Food/Kitchen PE .RMIT T LD Septic System r THIS CERTIFIES THAT ...�.�... sr'�`..... !. ..::.'.y f..��........................................................................... BUILDING INSPECTOR p has permission to erect ....... buildings on ....... Foundation Rough to be occupied as 5� .......;r ...... t:.X..�? .......... 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 CONSTRUCTION STARTS Rough 'N�� /��..G.� �''.' ............ Service ............... ................ Final BUILDING INSPECTOR 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. SEE REVERSE SIDE Contractor Arbitration The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as an ,alternative to court-action)if they have a dispute with a contractor. The same right is not automatically affordedto a contractor,however. The contractor would have to resolve any dispute he/she has with a homeowner.in court unless both parties agree to the optional clause provided below. This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. The contractor and the homeowner hereby imutuany agree in advance that in the event the contractor has a dispute concerning this contract;the contractor may submit the dispute to a private arbitration fnm which has been a •oved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the const be re ed to txbmit to 'such arb' ation as provided Th Massachusetts General Laws 142 omeowner's Signature on ox s Si tre XNOTICE:The signatures of the pasties above apply only-to the agreement of the parties to alternative dispute resolution iroitiated by the contractor: The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Rights A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer protection laws(i.e.MGL chapter 93A)may not be waived in any way, even by agreement. However,homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law. Homeowners who secure their own building permits are automatically excludedfrom all Guaranty Fund provisions of the Home Improvement Contractor Law. The contractor is responsible for completing the work as described,in a timely and workmanlike manner..Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor, all goods sold.in Massachusetts carry an implied-warranty of merchantability and fitness for a particular purpose. An enumeration of other matters on which Ilfe homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer Tights. If you.have questions about your consumer/homeowner rights,contact the Consumer Information Hotline(listed below). ]Execution of Contract The contract must be executed in dulid cite and should not be signed until a copy of all exhibits and referenced documents have been attached. Parties are also advised not to sign the document caatil all blank sections have been Mod in or marked as void,deleted, or not applicable. One briginal signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor. Any modification to theoriginal contract must be in writing and agreed to by both parties. Contracted work may not begin until both parties have received a f lly executed copy of the contract,and the three day rescission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on the.payment schedule in cases where the homeowner deems him/herself to be financially insecure. However,in instances where a contractor deems him/herself to be financially insecure,the contractor may require that the balance of funds not yet due be placed in a j oini escrow amount as a prerequisite to continuing the contracted work. Withdrawal of funds from said account would require the signatures of both parties. Additional formation , If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights, or if you wish to obtain a free copy of "A Massachusetts Consumer Guide to Home Tmpiovement" contact: Consumer Information Hotline Off-ice of Consumer Affairs and Business Regulation. 10 ParkPlaza,Room 5170,Boston,MA 02116 617-973-8787, 888-283-3757 or visitthe OCABRwebsite at 1�://ww,,v.Tnass.ggv/ocabr/ If you want to verify the registration of a contractor or i:f you have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law, contact: Director of Home Improvement Contractor Registration Office of Consumer Affairs and-Business Regulation lb ParkPlaza,Room 5170,Boston,MA 02116 617-973-8787, 888-283-3757 or visit the I[Cwebsite atli=-//vrw,v.inass.gov/ocabr/ Go online to view the status of a Home Improvement Contractor's Registration: . 111.t1)://db.state.ma.us/11o:neimprovem ent/licenseelist.asb For assistance with informal mediation of disputes or to register formal complaints against:a business, calx: Consumer Complaint Section Of E=,of the Attorney General 617-727-8400 AND/OR Better Business Bureau 508-652-4.800,508-755-2548 or 4.13-734-3114 Version 2.1-11/22/2010 Massachllllsetq Rnme 31minrovement Sana le Contract This form satisfies all basic requirements of the state's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard Ianguage to protect homeowners. Seek Iegal advice if necessary. Any person planning home improvements should first obtain a copy of"A Massachusetts Consumer Guide to Home Improvement"before agreeing to any work on your residence.You may obtain,a free copy by calling the Office of Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-973-8787 or 1-888-283-3157 or on our w6bsite. ]EComeowner lnform&tjon •Coniractor Information Name Company Name Jessie Diminico Andover Chimnes LLC Street Address(do not use aPost Office Box address) Contractor/Salesperson/Owner Name 15 Sawyer Road City/Town State Zip Code Bpsiness Address(must include address) _North Anda �p, A OlRLtS 640 South Union Street .u7 ytime Phone Evening Phone City/Town State Zip Code Lawrence MA 45 01 MaiIingAddress(it differentfrom above) $ 978-683-5139 Business Phone federal Employer lD or S.S.Number _ _ Home rmpunvementContmctorRe:Number 980 • L�wrecpuirestbatmost luome � Bxpimtiondate improvement contractors have n valid registration number 160504 The Contractor agrees to do the following worlc for the Homeowner: 8/5/2014 (Describe in detailthe worlcto completed,specifyingthe type,brand,and grade of materials to be used,use additional sheets Knecessarv.) Re—roof, strip, and install Certainteed architectural shingles. Debris: LL&S) •Salem, NH Reiluired Permits-The followiingbuilding permits are required Proposed Start and Completion Schedule-'The following schedule will and will be secured bythe contractor as-the homeowner's agent: be adhered to unless circumstances beyond the contractor's control arise (Owners who secure their own permits wilt be excluded from the Guaranty Fund provisions of Date when contractor will begin contracted work.chapter 142A.) Date when contracted work will be substantially completed. Total Contract Price and Payment Schedule The Contractor agrees to perform the work,furnishthe material and labor specified above for the total sum o£ Payments will bemade according to the following schedule: $2,5, 00.00 upon signing contract(not to exceed 1/3 of the total contract price or the cost of special order items,whichever is greater) $ by / / or upon completion of $------ by or upon completion of $5,300 00 upon completion ofthe contract. (Law forbids demanding fan payment uatil contract is completed to both party's satisfaction . The following materi.al/equlpment must be special $ to be paid for ) ordered before the contracted work begins in order to meet the completion schedule.(**) to be paid for NOTES:0I)Including all finance charges("")Law requires that any deposit or down payment required by the contractor beforeworkbegins may not exceed the greater of(a)one-third of the total contract price or(b)the actual cost of any special equipment or custom Which must be special ordered in advance to meet the completion schedule. made material x ress Warran -Xs an ea ress warren behi r idedbirthecontrnetor9 No ❑Yes all terms of the warren must be attached to the contract Subcontractors The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third Party/subcontractor utilized by the contractor. The contractor further agrees to be solely responsible laborfor all payments to all subcontractors for materials and uaderthis a eement Contract Acceptance-Upon signing,this document becomes abinding contract raider law. Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence. Review the following cautions and notices carefully before signing this contract. C Don`t be pressured into signing the contract.Take time to read and fully understand it. Ask questions if something is unclear.. c aloe sure the contractor has a valid Home Tin rovement Contractor Registration. The law requires most home improvement contractors and subcontractors to be registered with the Director ofI3ome Improvement Contractor Registration. You may inquire about contractor registration by writing to the Director at 10 ParlcPlaza,Room 5170,Boston,MA 02116 or by calling 617-973-8787 or 888-28s-3 7:57. 0 Does the contractor have insurance? .Ask the Contractor for his insurance company information so that you can.confa m coverage;or ask to see a copy of a"proof of insurance"document. G Know your rights and responsibilities. Read the Important Information on the reverse side of this,form and get a copy o£the Consumer Guide to the Home Improvement Contractor Law; You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business,provided you no'idthe contractor is writing at his/her main.office or branch office 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. Seethe attached notice of cancellation form,fox an explanation of this right. DO NpiesoACES I f N'1[' [ CONTRACT IE'TBERE AR Two idenfical copies of the contract must be completed and signed. One copy should go to tine h e�NY��op � g on' ct . omeowner's Signa e Co acro 's Sign tore L Date Da ACORDDATE(MM/DDNYY1) TM. CERTIFICATE OF LIABILITY INSURANCE 08/28/2012 PRODUCER hone:NSU (AN) E 0400 Fax: (978)475-2171 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION THE CHA INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4 PDOVER M AVE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER-THE COVERAGE AFFORDED By THE POLICIES aFLI w__ ANDOVER MA 01810 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: A I M Mutual Insurance Company DAVID HAWKINS DBA ANDOVER CHIMNEYS INSURER B: National Grange 640 SO UNION ST INSURER C: LAWRENCE MA 01843 INSURER D: COVERAGES INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVEFOR 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. _ wsR ASDL._...TYPEO .INSURANC.E.___.. _- ..._.. - LT .._.. ..... POUCYNUMBER_- .. ....POLICYEFFECTIVE. . .....POLICY E%Pg11J(QN.. ..�.......... -LIMITS--..__..... .. bATE MMIDD BATE MMIDD ..... .... __.. __..___�...._._._._ .._. GENERAL LIABILITY MPJ02179 05/01/12 05/01/13 EACH OCCURRENCE $ 600,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea eccurence) $ 500,000 CLAIMS MADE OCCUR MED.EXP(Any one person) $ 10,000 B PERSONAL&ADV INJURY $ 500,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO PRODUCTS-COMP/OP AGG. $ 1,000,000 JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS NON-OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY Per accident ANY AUTO AUTO ONLY-EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND AWC7027028 08/06!12 08/06/13 TORY a rcs EMPLOYERS'LIABILITY OTNER A ANY PROPRIETORIPARTNERIEXECUTNE E.L.EACH ACCIDENT $ 100,000 OFFICERIMEMBER EXCLUDED? If yet,describe under E.L.DISEASE-EA EMPLOYEE $ 100,000 SPECIAL PROVISIONS below OTHER: E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS DAVID HAWKINS IS EXCLUDED FROM THE WORKERS COMP. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Attention: ACORD 25(2001/08) Christine 4J. range Certificate# 9161 0 ACORD CORPORATION 1888 ��ie cpan��coruuecclC�a��/laQoac�c�eC�i 1 Office of Consumer Affairs&Business Regulation =� ME IMPROVEMENT CONTRACTOR i egistration: 160504 xpiration:;;:=8/5!2014 Type: Ltd Liability Corpc.:J ANDOVER CHI MNEYS,`LLC CJ.j.'VID HAWKINS 40 SOUTH UNION ST LAWRENCE, MA 01843 Undersecretary Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen•isor Specialty License: CSSL-099718 DAVID A HAWIGNS j 247 NORTH MAIl1 STREET ANDOVER MA 01810 Expiration Commissioner 06/08/2014