HomeMy WebLinkAboutBuilding Permit #297-2011 - 15 WEYLAND CIRCLE 10/18/2010 BUILDING PERMIT o& Oo Dry qti
' TOWN OF NORTH ANDOVER �2 ytt.' Y .`Ta
APPLICATION FOR PLAN EXAMINATION '" _
Permit NO: '2 Date Received 4oR�rEo,Pa �5
Date Issued: l
I PORTANT:Applicant must complete all items on this page
LOCATION t S 2;'�eh� Crc 1� • �:
Print
P4OPERTY0INNERs� �r La SRc- s :P��C4-, xILI,sZ?n,a ¢'�t,�
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MAP 2101 ® jPARCELAWS ZONING DISTRICT_:' Hisfonc Distract w � !4 . ... ,yes._. no
Machine Sliop,Village_ yes no
TYPE OF IMPROVEMENT PROPOSED USE _
Residential Non- Residential
❑ New Building `,line family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
`kRepair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
Ei.Septip 00e1r ❑ Floodplain ''01Netlands ❑:Wate`rshed Distract.
`E1.Watqr/Sewer:
DESCRIPTION OF WORK TO BE PERFORMED:
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Identification Please Type or Print Clearly)
OWNER: Name: 17t ZZ` Phone:
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Address: is �e 1�` ,rcI`
CONTRACTOR Name:. rnCEN -a ►,1 Phone: -., SO. g Sr).3. glo3
Address .,- �;Q�S 1e•: S.c .Ayc cal:•s:h�`�� y`1/�- ,�I S'�� s S�
',�;r'��,cg`Y9r!:�xf n. !,�y�':. a.. ......,r.n ,►.y.. ,. ., �: . ,q .a- R, s�•k b c��� ,t
Supervisor s_Construction License C S' 7a°4 3 ' Exp: Date z=/ ` cl
:. .. ` ta
Home Improvem"ent License.. 1 U y y Exp Date:. �1/ 3� �`Ct
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.
_ l!� to eS
Total Project Cost: $ � FEE: p$
j Check No.: � Receipt No.: _�gj
i
NOTE: Persons contracting with unregistered contractors do not have access tIfillegu rantyfund
Signature of Agent/Owner ��"•. « Signature of contracG'L.
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Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
[Public
YPE OF SEWERAGE DISPOSAL ,. r r-j"
Sewer ❑ Tanning/Massage/BodyArt ❑ Swimming,Pools ' —'❑ell ❑ ❑ ' ,�
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
j DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑ =�-1
COMMENTS
CONSERVATION Reviewed on Signature-
- - , , _ ,• _, _;
COMMENTS
HEALTH Reviewed on Signature'_
COMMENTS G
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 y {;
Fire Department signature/date
C
OMMENTS.
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Dimension
Number of Stories:_Total square feet of floor area, based on Exterior dimensions.
Total land area . ft.:s
Tot � q
ELECTRICAL: Movement of Meter location, avast or service drop requires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: lies No
MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine
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NOTES and DATA— For department use
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® Notified for pickup - Date
Doc.Building Permit Revised 2010/October
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
o Building Permit Application
❑ Certified Surveyed Plot Plan
o Workers -Comp Affidavit
❑ Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
o Floor/Crossection/Elevation Plan Of ProposedWorkWith Sprinkler Plan And
Hydraulic Calculations (If Applicable)
o Mass check Energy Compliance Report (If Applicable) _
❑ Engineering Affidavits for products
Engineered r
NOTE: All g p
I dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
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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
o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Copy of Contract
o Mass check Energy Compliance Report
o 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
anust be submitted with the building application
Doe:Building Permit Revised 2008 --
Location
/�,� c���
No. -��,—a��� Date �� w
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Us<� Building/Frame Permit Fee $ �U
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
235a3 Buf1ding Inspector
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" PROPOSAL
Pagel of 3
BUILDING&REMODELING
CONTRACTOR Pte Dab
9/15/2010
72 Providence Hill Road 185 Atlantic Ave. ,kb Names Locaft
Atkinson,NH 03811 Salisbury,MA 01952 Pella Windows
www.iosconmanaaement.com
To: Mr. &Mrs. Pizzi _
15 Weyland Circle
North Andover, MA 01985ob
,,uffbw Job
Phm
tMehereby�&ndsped6Cd=endeon"for.
Joscon ManagemeK Inc.proposes to furnish all Labor,Materials and Equipment for the
above referenced job and location.
Pella Architect Sliding French Door installation to include the following scope of work.
1. Remove and dispose of the existing door unit.
2. Prepare and install the new Pella door unit.
3. install interior preprimed pine casing similar to the existing.
4. Install PVC exterior trim around door unit including the bottom trim board.
5. Provide 2 additional laborers for the unloading and transport of the unit to the back deck. Pella only
offers curb side delivery. The unit is very heavy and 4 guys will be needed for the setup.
6. Install the Rolscreen unit.
7. Exterior painting by others unless agreed upon.
Door spec:
General Info: Standard, Clad, Pine
Exterior Color/Finish:Standard EnduraClad,Classic White
Interior Color/Finish: Prefinished White Interior
Glass: Insulated Tempered LowE Advanced Argon Gas
Hardware Options:Champagne, Handle Included,Oil-Rubbed Bronze
Screen: Rolscreen,White
Sub Total for the above scope of work including materials&labor. $4,590,00
We Propose h%eby to rmrM materiel and hbw—conpWe m auadanW w;m at abM ,for nre s=0f:
Continued on the nextpage:
Paymsm to be made as idiow
Authorized
Signature
Acceptance of Proposal-ne ekes,spedMasons Signature
and candtio,a are sabdafty and trerroy
YOU are auffal l to do fire eak as spedW. Signature
PaymentM be mark as www am.
Date of Acceptance: 9/.'/10
�i
V o (1( PROPOSAL
V [�V Page 2 of 3
BUILDING $REMODELING
CONTRACTOR phMe Date
9/15/2010
72 Providence Hill Road 185 Atlantic Ave. ,lob Natnel Location
Atkinson,NH 03811 Salisbury,MA 01952 Pella Windows
www.iosconmanaaement.com
To: Mr. &Mrs. Pizzi
15 Weyland Circle
North Andover, MA 01985 Job Ntinta Job Phone
WO abrnit specificom am estirnates for.
Joscon Management Inc.proposes to furnish all Labor,Materials and Equipment for the
above referenced job and location.
Pella Architect,2 Wide Casement Window installation to include the following scope of work:
1. Remove and dispose of the existing window unit.
2. Prepare and install the new Pella door unit.
3. Install interior preprimed pine casing similar to the existing.
4. Install PVC exterior trim around window unit.
5. Existing jacuzzi tub tile may be damaged during the window removal&install process. Damaged the
replacement not included in the scope of work.
6. Exterior painting by others unless agreed upon.
Window Spec:
General Info: Standard,Clad, Pine
Exterior Color/Finish:Standard EnduraClad,Classic White
Interior Color/Finish:Prefinished White Interior
Glass: Insulated Tempered LowE Advanced Argon Gas
Hardware Options:Standard Roto Operator,White
Grille: RMB, NO 3/4",Traditional(2W3H), Primed
Screen: Full Screen,White Vivid View
Sub Total:for the above scope of work including materials&labor. $2,065.00
We Propose hereby to fin.ft nmtetial and lata—arrplata in accordance with the above gxditafiwr,for the sm of.*
Continued on the next page:
Payment to be rnade as Wows:
Authorized
Signature
Acceptance of Proposal- prior,veckaons Signature QP
and ormdtions are satisroa«y and hereW 646�
You are wathatzea to do thewodr as speared. Signature
Payment vA ba made as ouffmed aiwe.
Data of Acceptance:
rr
PROPOSAL
Page 3 of 3
BUILDING&REMODELING
CONTRACTOR pfmm Date
9/15/2010
72 Providence Hill Road 185 Atlantic Ave. Job Nam Laahoa
Atkinson,NH 03811 Sarmbm,MA 01952 Pella Windows
www.iosr-onmana-gement.com
To: Mr. &Mrs. Pizzi
15 Weyland Circle
North Andover, MA 01985 Nwnba Jobt
hM
We hereby sudro7 spea7dtions and estimates for.
Joscon Management,Inc.proposes to furnish all Labor,Materials and Equipment for the
above referenced job and location.
*Exterior painting of the PVC trim only. Siding painting will be an extra. Paint supplied by owner.
*Building Permit included.
*Rot may be exposed during the window/door replacements. Rot repair is not included in the above
scope of work. Rot repair will be billed on a Time&Material basis. Labor @$50/hr per carpenter and
Materials @ cost plus 15%markup.
*Sales tax has been included.
We Propose tcereby to fattish rude f and hdw—cmgMe in acwnum VA me move SP9dicamns,w ft seen of $6,655.00
Six Thousand Six Hundred Fifty Five Dollars
ParrW to be aaft as foAows
Deposit of$4,700.00
Remaining balance due at the completion of the job.
Authorized
Signature
Acceptance of Proposal- abmptas,t 1fta#.= Signature
and arAfiom ere sattsfWW aW tweby accepted,
You aro auMwlmd to do ma wak as vedfred. Signature
P%TMM VA be made as oulfiwd ahwa
NORTH
0 0 6 over
No. o� 9 7
LAK dover, Mass:, /° � v
COCHtCHEWICK
7�
ORATED J'.? ,L
S U BOARD OF HEALTH
PEI�iMIT T D Food/Kitchen
Septic System
1r r BUILDING INSPECTOR
THIS CERTIFIES THAT /� rS �/
...... .............�................�'�.��..................................... ...................................................................... Foundation
J /p'-,,C/
has permission to erect...............:.:...................... buildings on .... .............�. ............................................................... Rough
to be occupied.as.................... .. ...� -. . .... -��.a ��=c. ................................ Chimney
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
UNLESS CONSTRUCTION ARTS ELECTRICAL INSPECTOR
Rough
.................................. t Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous- Place on the Premises — Do Not Remove RoughFinal
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.
10/8/2010 7:18:32 AM PST (GMT-8) FROM: insurancevisions.com-T0: 16034891568 Page: 2 of 2
A� CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DDn'""
10/8/2010
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 poticy(ies)must be endorsed. If SUBROGATION IS WANED,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 ADVANTAGE INSURANCE AGENCY INC CONTACT NAME:
184 PLEASANT VALLEY ST PHONE Alc No.Exti: 978 681-1.055 FAX c No: (978)794-4833
METHUEN, MA 01844 E-MAIL ADDRESS:
INSURER(S)AFFORDING COVERAGE MAIC#
INSURERA: Liberty Mutual Group
INSURED JOSCON MANAGEMENT INC INSURERS:
185 ATLANTIC AVENUE NSURERC:
SALISBURY MA 01952
64SURERD:
INSURERE:
INSURER.F:.
COVERAGES CERTIFICATE NUMBER: 8515457 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 fSSUED 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 I ADDL SUER POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER .MMIDDIYYYY3 (MMIDDfYYYYj LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $
COMMERCIAL TO RENTED
GENERAL LIABILITY PREMISES s occurrence $
CLAIMS-MADE F—I OCCUR MED EXP(Any one person) $
PERSONAL&ADV INJURY $
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPlOP AGG $
POL4CY n PRO LOC $..
AUTOMOBILE LIABILITY OMaBBIINE�C, INGLE LIMIT $
ANY AUTO BODILYINJURY(Per person) $
ALL AUTOS IED AUTOS BODILY INJURY(Per accident) $
NON-OWNED PROPERTY DAMAGE
HIRED AUTOS AUTOS (Per accident) $
UMBRELLA LU1B OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMSadADE
AGGREGATE $
DEC RETENTION$ $
A WORKERS COMPENSATION WC1-31S-373271-010 5/28/2010 5/28/2011 oCVTM�rrs
AND EMPLOYERS'L.IASILITY Y/N
ANY PROPRIETORIPARTNERIEXECUTNE
OFFICER/MEMBER EXCLUDED? ❑Y NIA E.L.EACH ACCIDENT $ 1000000
(Mandatory in NH) E.L.DISEASE.-EA EMPLOYEE $ 100000
If yes.desuibe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE.-POLICY LIMIT $ 1000000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 401,Additional Remark.Schedule,H more space Isrequired)
Workers Compensation Insurance: Part One of the policy applies only to the Workers'Compensation Laws of the State of MA.
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
ATT-N: MARY ACCORDANCE WITH THE POLICY PROVISIONS.
1600 OSGOOD STREET
NORTH ANDOVER MA 01845 AUTHORIZED REPRESENTATIVE
Jeff Eldridge v
Q 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD
CERT NO.: 8515453 CLIENT CODE: 1405340 Anne Chandler 10/8/2010 7:15:31 AMPage 1 of 1
i Massachu+etts-D) partment of Public Safet,
Board of Building Regulations and Standards
Construction Supervisor License
License: CS 70043
JONATHAN OSULLIVAN
185 ATLANTIC AVE#4
V SALISBURY, MA 01952
Expiration: 8/26/2012
t"..rnuniainncr Yr#: 2541
✓�ie iDar�vnw�zcu� a�.�.aacz�,lzu
Office of Consumer Affairs&Bddsiness Regulat:
HOME IMPROVEMENT CONTRACTOR
_ Registration•
159444 Tyl
Expiration: -4/3012012 Private Cos
JO ON MANAGEMENTrINC i-
JONATHAN O-SULLIVAN ==_
72 PROVIDENCE
ATKINSON, HO
Undersecretary
`Y.