The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #80-12 - 1607 SALEM STREET 7/28/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: � Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION I�/f�� a J Print PROPERTY OWNER Unit# y6 Print MAP NO:j�PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no llt 100 year-old structure 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 _ eptic�O�Well �u 'FloodplaDWetlaiids0 RW,atershe D - - � strict DESCRIPTION OF WORK TO BE PERFORMED: 4- IF-14- (Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: Phone: Z Address: S G Su ervisor's Construction License: C -5 S ( � Ex_. Date: 5 p p Home Improvement License: ��(, ?Zl Exp. Date: it ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.,BULDING PERMIT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ -� FEE: $ Check No.: 3d- Receipt No.: 92`t (// NOTE: Persons c retracting with unregistered contractors do not have acces to uaranty f nd Si nature ofA ent/Owner, .tea ,. f Signature oficontract" 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 Siqnature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zonin9 Decision/receipt submitted Yes Planning Board Decision: Comments Conservation Decision: Comments Wafer & 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 NOTES and DATA— For department use i ❑ - Notified for pickup Date Doc:.Building Permit Revised 2011 June/mi I i 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 o Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Pern Addition or Decks ❑ Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ■ 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 Permi New Construction (Single and Two Family) Li Building Permit Application o Certified Proposed Plot Plan o 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 Hydraulic Calculations (If Applicable) ❑ Copy of Contract o 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 Perm 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: Doc.Building Permit Revised 2008mi Location�r '- —r�Gr cs/ No. Date0.1 ' gORTN TOWN OF. NORTH ANDOVER Certificate of Occupancy $ Mus Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee $ TOTAL $ Check # 244 17 Building Inspector Massachusetts Home Improvement Sample Contract This form satisfies all basic requirements of the state's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard language to protect homeowners. Seek legal 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 1-888-283-3757 or on our website. Homeowner Information Contractor Information Name /J� A Company Name n Street ddress(do not use a P Wfflce Box dress) Contractor/Sale erson/OwneZLD c? P City/Town State Lip Code Business Acoress(must include a street address) 2 S� o Daytime Phone Evening Phone City/Town State Zip Code _ Mailing � � lis Address It different from above ( Business Phone Federal Employer ID or S.S.Number r.aw requires that most home Home Improvement Contractor Reg.Number Expiration date • improvement contractors have a valid registration number The Contractor agrees to do the following work for the Homeowner: (Describe in detail the work to completed,specifying the type,brand,and grade of materials to be used,use additional sheets if nece sarv.) Required Permits-The following building permits are required Proposed Start and Completion Schedule-The following schedule will and will be secured by the contractor as the homeowner's agent: be adhere to unless circumstances beyond the contractor's control arise (Owners who secure their own permits will be excluded from the GuarantyFund t� I provisions Of (/ I ` Date when contractor will begin contracted d work MGL chapter 142A. ll Date when contracted work will be substantially completed. Total Contract Price and Payment Schedule The Contractor agrees to perform the work,fiunish the material and labor specified above for the total sum of: Payments will be made according to the following schedule: $ d� uon signing_ p con tract(not to exceed 1/3 of the total contract price orost of special order items,whichever is greater) $-� f"`�- by —�/ or upon completion of 2 by —/—� or upon completion of C,69 k--et $ completion upon com 1 of p p the contract. (Law forbids.demanding full a g payment until contract is completed to both party's satisfaction) The following material/equipment 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:(*)Including all finance charges(**)Law requires that any deposit or down-payment required by the contractor before work begins 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 made material which must be special ordered in advance to meet the completion schedule. Dxpress Warranty-Is an express warranty bei- provided by the contractor? No❑Yes(all terms of the warranty 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 for all payments to all subcontractors for materials and labor tinder this agreement Contract Acceptance-Upon signing,this document becomes a binding contract under 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. • Don't be pressured into signing the contract.Take time to read and fully understand it. Ask questions if something is unclear. • Make sure the contractor has a valid Home improvement Contractor Registration. The law requires most home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration. You may inquire about contractor registration by writing to the Director at 10 Park Plaza,Room 5170,Boston,MA 02116 or by calling 617-973-8787 or 888-283-3757. • Does the contractor have insurance? Ask the Contractor for his insurance company information so that you can confirm coverage,or ask to see a copy of a"proof of insurance"document. • Know your rights and responsibilities. Read the Important Information on the reverse side of this form and get a copy of 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 notify the contractor in 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. See the attached notice of cancellation form for an explanation of this right. DO NOT SIGN THIS CONTRACT IF THERE LANK S CES!!! identical copies of the contract must be completed and signed. One copy should go to the ho owne The ther copy should,a kc by the contractor- i Homeowner's Si a e C tr t Signature Date Date �...-�R CERTIFICATE OF LIABILITY INSURANCE OP ID 1 DATE(MMiDDiYYYYj .03/21/11 PR R THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION McSweeney & Ricci Ins Ag Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 420 Washington Street HOLDER.THIS CERTIFICATE.DOES NOT AMEND,EXTEND OR P.O. Box 850984 ALTER THE COVERAGE AFFORDED BY THE POLICIES,BELOW. Braintree MA 02185 Phon'e: 781-848-8600 Fax:781 843=880.7 INSURERS AFFORDINGCOVERAGE -NAIL INSURED I.%uAKiiR C '; In a1 L Ii a CcsT Charles r•d Wooste =dba 66tte IR IRERByr s gbEli urAx='ce t. Roofihtj PO Box. Of 1 INSURER D Lowell M 01853 e+ �t°iSURER E I COVERAGES THE POLICIES OFOW HAVE BEEN ISSUED TO THE INSURED NAMED AAOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING INSURANCE SURANCE LISTED BEL 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 DATE iMWDDA YYY) DATE(MMiDD1YVYY} LIMITS GENERAL LIABILITY - EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CPA 0083583 10/17/10 10/17/11 PREMISES(Eeoce) $250,000 CLAIMS MADE Fx—] OCCUR MED EXP(Any one person) - $5,000 PERSONAL&ADV INJURY $1,000,000 X Worksite Poll. 200 GENERAL AGGREGATE $2y000i000 GFN'L AGGREGATE_LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $.2,000,000 POLICY X JECT LOC AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT' $1,000,000 A ANY AUTO MAA 0379734 03/21/11 16/17/11 (Eaacciderd) ALL OWNED ALTOS BODILY- .. X SCHEDULED AUTOS :.. - -.-'.- .-: � �. .. - .(Per parson) _ X HIRED AUTOS - - BODILY INJURY }; rl�r•T-DLvrdl�t�A,_nn.� (Pertrv9deli!) $ PR Pt-PtY DAMAGE $ - (Por afid�nl) GARAGE LIABILITY - - AUTO ONLY--EAACGIUENT $ AraY At ITn - - OTHL-r?TITAN `CA ACC -t AUTO ONLY:. � AGC- -A .$ Fxci's:Ui�STT31IEiLALIT: )!=Iia >A�ii3�itEfar:t $ ,: b1,0�?0' Cit. 0383957 L ULI7Uf a : VV _ y �y.��' ..-,arca. .,..•.w+,...�j- - •t.s.c�.�•_#wz-u NCFEMRilrJYlhS LIAr:tILfl�f' YYlii � � t -�.:- ,'- * i��.` c �.., � r � � ER - �6�.-:raax.••uF I0{I rr(r(•<7rLr.Th.•M, C{{F LLL-It?L'U# r a wt.,- rt_.;.,sJs�,..t.u...�.. -.. _� • If C•3`. f S.ntip l.Ir ?.I-ECAL VR4)v!al NS buI1,W ,i 1 fi±tl o T'4 h:r LIMIT Ot O. OAU' OTHER DESCRIPTIO14 OF OPERATIONS VOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSETBENT t SPECIAL PROVISIONS - - CERTIFICATE HOLDER GANGLLATiON r:.Y SHOULD ANY OF THE ABOVE bESCRIBEo(16LICW!3 BE CANCELLED BEFORE THE EXOikk TON EVIdlr111 AI DATE THEREOF;THE ISSUING INSURER WILL ENDEAVOR TO ML r=1 Q , .DAYS VYRiTTEN NOT)cETO THE cERTIFICAYE HbUir-0 NAMED?O THE LEFT.BUY FAILURE 76 DO SO SHALL:. IMPOSE NO OBLIGA`f1ON OFT LIABILI Y OF ANY.KIND UPON THE INSURER,fT$AL6ENi•S OR- Evidence Of Coverage �R6PRESENTATIVES - - jUTHO ...:REPRESEMTATWE hLbf3D[- {itlP}fIT4If " : 019H 4009,' 00ROCORPORATIONh #Idtl�MI+ ?1ida9iy alis At6kr)'nmmicA hfuj idg}T3 d#&Iia"IISIDP$l1'ItiEii ifs.tit A RO O ice o onsu�rair and usinessegulation 0 Park Plaza - Suite 5170 — Boston, Massachusetts 02116 Home Improvement Contractor Registration , Registration: 100712 Type: Supplement Card Expiration: 6/23/2012 CHARLES J. WOOSTER ROOFING STEPHEN WOOSTER I . . 525 WOBURN ST TEWKSBURY, MA 01876 Update Address and return card.Mark reason for chanke. ❑ Address ❑ Renewal ❑ Employment ❑ Lost Card [)PS-CCA1 0 50M-04104-6101216 --�' ,�l^�`_ _ _ _ _..__ --• JW` Office of Consumer Affairs and usiness Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 100712 Type: DBA Expiration: 6/23/2012 Tr# 299388 CHARLES J. WOOSTER ROOFING Charles Wooster _ P.O. BOX 8051 LOWELL,-MA 01853 Update Address and return card.Mark reason for change. Address n Renewal Employment ❑ Lost Card DPS-CA1 Ca 50M-04/04-G101216 +=.. llasae.ltusctts- Dchru-tlncut of Puhilc . .�tct- Board III`Building Regulations and Stand:u-ds CG3r^.S'i7uction Supervisor License License: CS 54268 CHARLES J WOOSTER PO BOX 8051 k LOWELL, MA 01853 Expiration: 5/11/2012 Tr-,: 28341 IAORTH o" of No. o b�D •as �� -=. _- t o , dover, Mass., T Q t LAKE COCHICHEWICK 7 AORATED '9s BOARD OF HEALTH Food/Kitchen iPERMIT T D jSeptic System BUILDING INSPECTOR THIS CERTIFIES THAT.............. .................................................................:..................................... Foundation has permission to erect........................................ buildings on .....�..�..�_'�........... !!!�/Mti►..... .....•.... Rough a MENUMMO to be occupied as...... .......... ................. ......#AwA&D . .... ................................................I........................... Chimney provided that the person accep mg this permit shall in every resp conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relatin o 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 PERMU EVMS I1 6 M THS ELECTRICAL INSPECTOR. 3co • LFNLESS C0 STJRu(_,"°1 Rough Service -- BUILDING INSPECTOR Final Occupancy Permit Required t® 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 FIREE_DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. WOOSTER ROOFING PROPOSAL O��E� ALL TYPES OF ROOFS DATE: 6/21/11 WO &ROOF RELATED SERVICES Always Hand Nailed License Numbers: Charlie and Steve Wooster Construction Supervisors 54268 • - nail at a time 1-888 ROOFIN-1 (766-3461) Home Improvement Contractor Main: 978 251-7181 Registration 100712 Serving MA&NH since 1984 Fax: 978 251-0159 Call For Our References Proposal Submitted To Work To Be Performed At Name Mr.&Mrs.Mateia Name Company Name Company Name Street 1607 Salem St. Street City No.Andover State MA Zip Code 01845 City State Zip Code Home# 685-1864 Mobile#571332-8819 Work# Fax# We hereby propose to furnish the materials and perform the labor necessary for the completion of the following job. Strip the entire roof to the roof deck. 1. Renail any loose decking and replace any rotted at$2.00 per foot. 2. Install 8"brown aluminum dripedge. 3. Install 9' of Grace ice and water barrier on all eaves and valleys. 4. Paper remainder of roof with Grace Tri-Flex roofing underlayment. 5. Install Certainteed Carriage House shingles,hand nailed. &6 V Iv&l 9 kt 6. Install copper valleys. 7. Install new lead flashings on chimney. 8. "Install new vent pipe flanges. 9. Flash skylight to roof 10. Install Shinglevent II ridge vent. 11. Roof over front of shed. 12. Clean and dispose of all debris. Workmanship guaranteed for 10 years.We are fully insured with workers'compensation as well as liability insurance. Please return copy of proposal: All material is guaranteed to be as specified,and the above work to be performed in accordance with the pecifications submitted.All.work will be com eted in a substantial workmanlike manner for the sum of Dollars($25, with payments to be made as f w : Job paid u on completion. � .C Respectfully submitted Note-This. fo osal may be wit ra y us if of acce ted with n days. �� , t)'v ACCEPTANCE OF PROPOSAL The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified. Payment will be made as outlined ove. r DateLLI�4 \j Si ature Mailing Address: P.O. Box 8051 -Lowell, MA 01853 Location: 525 Woburn Street-Tewksbury, MA 01876 E-Mail: Info Wooster-Roofin .com Website: www.Wooster-Roofinq.com a