HomeMy WebLinkAboutBuilding Permit #306 - 184 MIDDLESEX STREET 10/18/2002 tk0RT#1
BUILDING PERMIT
TOWN OF NORTH ANDOVER 0
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
41W ^TED
Date Issued:_]&Ir
-w--MPORTANT:Applicant must complete all items on this page
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TYPE OF IMPROVEMENTPROPOSED USE
----------------—
Residential Non-.Residential
New Building One family
Addition ✓ Two or more family Industrial
Alteration No. of units: 3 Commercial
��e Assessory Bldg
Repair, eplacement Others:
Demolition Other
P 16 Wetlands Z"
tars-ha
&District
DESCRIPTION OF WORK TO BE PREFORMED:
S+f",e e roof. rivagip A00r ibqA IBJ,
Identification Please Type or Print Clearly)
OWNER: Name: Nttl- sy$ , t, Phone:
Address: )qLt sf4.
4
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Address-
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1-
Horne
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.
Total Project Cost: $ 39, Hoo-DO FEE: $ q 1100-
Check No.: y Receipt No.: 2 0-113
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
7
i ki contractor 7a,'
qnSignature 6 df
Signature in.ft wne' v',
J - -
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
DATE REJECTED DATE APPROVED
CONSERVATION
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH
COMMENTS
P
t! i
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
Located at 384 Osgood Street
FIRE DEP.ART:MENT T$mP Dumpster on site fres ✓`` no
'Located at 124 Main Street '
Fire Departrnent`slghature/date ��/��� •. /�.r� 0,7,
COMMENTS:—,
, 71,
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
❑ Notified for pickup - Date
i
Doc.Building Permit Revised 2007
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
❑ 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
❑ 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 dumpsfer"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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07
Revised 2.2007
Location '��-1 M(d -T—
No. Date ! �
NORT„ TOWN OF NORTH ANDOVER
� 9
` Certificate of Occupancy $
�'�s''••°';<�' Building/Frame Permit Fee $ +�
AG MUS
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
207 5
� Building Inspector
x.10 R Tt-�
® of over
No.
00 dover, Mass., • b
O - LAKE
COC KICKE WICK V
ADRATED /? C7
`s BOARD OF HEALTH
ERMIT
Food/Kitchen T D
Septic System
�� (�,�_• L BUILDING INSPECTOR
THIS CERTIFIES THAT.......l.+�i/..�LA: ..........&�.................................................w........................................... Foundation
has permission to erect........................................ buildings on ......I.E.44....... ....................,t.. � Rough
to be occupied as.......
3rt4 ...'......�.............. :d .. ...'.............. � ... ....�........ himney
011 c
provided that the person accepting this erm�t shall in respect conform to the terms of the appli ation on file in Final
P P P g P �►
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
nl_V- PERMIT EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR
UNLESS' CONSTRU 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. Bur-tier
Street No.
SEE REVERSE SIDE Smoke Det.
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
° INFORMATION PAGE
Associated Industries of Massachusetts Mutual Insurance Company
Burlington, Massachusetts NCCI NO 26158
(800)876-2765
a POLICY NO. I VWC 6004550012007
PRIOR N0. VWC 6004550012006
t
I
`ITEM
#. The Insured Ratte Construction Co
6,
IMA 01845
Mailing Address: 10 Main St FI 2 North Andover
(No. Street Town or City County State Zip Code
i
Individual ❑ Partnership ® Corporation ❑ Other FEIN 04-3247039
Other workplaces not shown above:
�
The policy period is from10/06/2007 to 10/06/2008 12:01 a.m.standard time at the insured's mailing address.
A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here;
MA
B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A.
The limits of our liability under Part Two are: Bodily Injury by Accident $ 100,000 each accident
Bodily Injury by Disease $ 500,000 policylimit
Bodily Injury by Disease $ 100,000 each employee
C. Other States Insurance:Coverage Replaced By Endorsement WC 20 03 06A
D. This policy includes these endorsements and schedules: SEE SCHEDULE
4. The premium for this policy will be determined by our Manuals of Rules,Classifications,Rates and Rating plans.
All information required below is subject to verification and change by audit.
1
Classifications Premium Basis Rates ';
Estimated Per$100 Estimated
Code Total Annual of Annual
No. Remuneration Remuneration Premium
INTRA 177476
SEE EXTENSION OF INFORI 4ATION PAGE
Minimum premium$ 500.00 Total Estimated Annual Premium $ 6,358.00
As indicated,interim adjustments of premium shall be made: Deposit Premium $ 5,016.00
Q Annually ® Semi Annually ❑ Quarterly ❑ Monthly
MA Assessment Chg.
$5,996.00 x 5.5000% $330.00
G�t
This policy,including all endorsements,is hereby countersigned by
W 09/28/2007
Authorized Signature Date
GOV GOV KIND PLACING CLAIM NAME SAFETY
STATE CLA$S AUDIT I OFFICE OFFICE CHECK GROUP MTM Insurance Associates LLC
5645 6 1605 1 575 Chickering Road
North Andover,MA 01845
YYC 00 00 01 A(11-88)
ttedudes copyrighted material of the National Council on Compensation Insurance,
wed with its permission.
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
UIP. 600 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/individual): ►
Address:
City/State/Zip: A/, Any ")er Phone #: —(a
Are y u an employer? Chec th appropriate box: Type of project(required):
L I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction
employees(full and/or part- ime).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 1 7• ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition
[No workers' comp. insurance 5. ❑ We are a corporation and its
required.] officers have exercised their 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions
myself. [No workers' comp. c. 152, §1(4),and We have no 12.❑ Roof repairs
insurance required.] t employees. [No workers' 13.❑ Other
comp. insurance required.]
Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. f--' n
Insurance Company Name: 50C1\• _' '6 o' /4fft {M A,4
Policy#or Self-ins. Lic. #: V�VC G00y_51 ' 0 200 7 Expiration Date: /nI�CoB
Job Site Address: 1 OCity/State/Zip: b. l.A
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pa=' d nalties of perjury that the information provided above is true and correct
Signature: 41444 Date:- Loll 9 lo?
Phone#: 9 2 S Lto q ?"foo
Official use only. Do not write in this area, to be completed by city or town officiaL
City or Town: Permit/License#
Issuing Authority(circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone#:
Board of Building Regulations and Standards
Construction Supervisor License
License; CS 43865
Bird ate,,AWB/1962
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P /2009 Tr# 14913
1Fiest i fl go
MARK S RATTE
18 ROgANDY RD
ANDOVER,MA 01810 Commissioner
Board of g o7zzn� a�
wilding Regulations ai
lot
HOME IMP and Standards
OE$
�EMENT CONTRACTOR
Regrstra ion`~,117532 G
Expiration ,.
10!16/2008 Tr# 125107
rype�prnrate Corporation
RATTE CONST CflbINCx' i
MARK RATTE { 4 s, -
f 10 MAIN
ST SUITE
NORTH OVER MAA r.
Administrator
- cow 6� (Rc*x s`k �.
Ratte' Construction Co., Inc.
10 Main Street
North Andover, MA 01845
Tel. 978-682-4982
RESIDENTIAL CONTRACT AGREEMENT
Read this Agreement and make sure you understand it before signing it.
This Agreement has legal force and effect and binds those who sign it.
Note: All home improvement contractors and subcontractors engaged in
home improvement contracting, unless specifically exempt from
registration provisions of Chapter 142a of the General Laws, must be
registered with The Commonwealth of Massachusetts. Inquires about
registration and status should be made to the Director,Home
Improvement Contract Registration, One Ashburton Place,Room
1301,Boston,MA 02108.
This Agreement is made on 10/4/07 between Ratte' Construction Co., Inc. of
252B Pleasant Street, Methuen, MA 01844 (978) 682-4982, hereinafter called
"Contractor" and Dick and Marge Smith, 184 Middlesex Street,North Andover,
MA 01845, hereinafter called"Owner".
I. DETAILED DESCRIPTION OF WORK TO BE PERFORMED
Contractor agrees to perform in a good and workmanlike manner all work
detailed below. Such work consists of the following:
See specifications
II. DETAILED DESCRIPTION OF MATERIALS TO BE USED
Materials to be used in performing the above described work consist of the
following:
See specifications
III. PRICE
Contractor agrees to do all work described in Section I for the total price of
THIRTY NINE THOUSAND EIGHT HUNDRED AND EIGHTY EIGHT
DOLLARS ($39,888.00)
HIDDEN CONDITIONS AND NECESSARY ADDITIONAL WORK
Hidden conditions may require adjustments to the contract price. In such a
case the contractor will inform the homeowner of such condition forthwith
and where necessary a written amendment of this contract will be negotiated
and executed by the parties.
IV. PAYMENT
Payment will be made as follows:
$5,000.00 upon signing contract;
$18,000.00 upon completion of chimney work and roofing;
$4,000.00 upon completion of carpentry;
$3,000.00 upon completion of iron rails;
$8,000.00 upon completion of painting;
$888.00 upon completion of job;
Notice: No agreement for home improvement contracting work shall require
a down payment(advance deposit) of more than one-third total contract
price or the total amount of all deposits or payments which the contractor
must make,in advance,to order and/or otherwise obtain delivery of special
delivery materials, and equipment,whichever amount is greater.
V. COMMENCEMENT AND COMPLETION OF WORK
Contractor will not being the work or order the materials used before the third day
following the signing of the Agreement,unless specified here in writing.
Contractor will begin work on or about October 15,2007. Barring delay caused
by circumstances beyond Contractor's control,the work will be completed by
November 30,2007. The Owner hereby acknowledges and agrees that the
scheduling dates are approximate and that such delays that are not avoidable by
the Contractor shall not be considered as violations of this Agreement.
VI.NO ACCELERATION OF PAYMENTS BY ESCROWING ALLOWED
The Contractor may not require payments to be made in advance of times
specified in Section IV (Payment) above for reason that he deems himself or the
payments to be insecure. If however, he deems himself to be insecure,he may
require as a prerequisite to continuing the work described herein,that the balance
of the payments under this Contract that are in the control of the Owner, shall be
placed in a joint escrow account that requires the signature of both the Contractor
and the Owner for withdrawal.
VII. INSURANCE
Contractor will be responsible to Owner or any third party for any property
damage or bodily injury caused by himself, his employees or his subcontractors in
the performance of, or as a result of,the work under this Agreement. Contractor
agrees to carry insurance to cover such damage or injury.
VIII. SUBCONTRACTING
Contractor agrees that, notwithstanding any agreement for materials and/or labor
between Contractor and a third parry, Contractor is responsible to Owner for
completion of all work described in a timely and workmanlike manner.
IX. CONSTRUCTION-RELATED PERMITS
The following construction-related permits will be necessary in order to complete
the scope of work included in this Agreement:
Town of North Andover Building Permit
The Contractor under provisions of Chapter 142A of the General Laws is required
to apply for and obtain all construction-related permits. The Contractor shall not
be deemed responsible for delays in the work described in this Agreement caused
by regulatory,permit granting or inspectional agencies, authorities or individuals.
Notice: If the homeowner obtains his own construction-related permits for
the work described under this Agreement, the homeowner is hereby advised
that in the event of a dispute,judgment and nonpayment of the contractor,
the homeowner will not be entitled to make a claim to or collect from the
guaranty fund established by Chapter 142A,M.G.L.
X. MODIFICATION
This Agreement, including the provisions relating to Price (Section III) and
Payment Schedule (Section IV), cannot be changed except by written
statement signed by both Contractor and Owner. However, cancellation by
Owner is allowed in accordance with the Notice of Cancellation(annexed).
XI. WARRANTIES
The Contractor warrants that the work furnished hereunder shall be free from
defects in materials and workmanship for a period of 1 Year following
completion and shall comply with the requirements of this Agreement. In the
event any defect in workmanship or materials, or damage caused by the
Contractor,his subcontractors, employees or agents, is discovered within one year
after completion of any job, including cleanup,the Contractor shall, at his own
expense, forthwith remedy, repair, correct, replace, or cause to be remedied,
repaired, or replaced, such damage or such defect in materials or workmanship.
The foregoing warranties shall survive any inspection performed in connection
with the agreed-upon work.
All warranties for equipment supplied by the Contractor under this Agreement
shall be those given by the manufacturers of such equipment, which shall be and
are hereby passed through directly to the Owner. Under such manufacturers'
warranties,the Owner may be required to register or mail in a warranty card or
other evidence of ownership and use of such equipment in order to activate such
warranties. The Owner's failure to mail in or register such documentation, which
failure voids the manufacturer's warranty, shall not create any responsibility for
the Contractor to warranty such equipment.
i
This warranty gives the owner specific legal rights, and owner may also have
other rights which vary from state to state under Massachusetts law, sales of
goods carry an implied warranty of merchantability and fitness for a particular
purpose.
XII. COMPLETENESS OF AGREEMENT FOR EXECUTION
The owner is hereby advised that he should not sign this Agreement unless and
until all blank sections have been filled in or marked as void, deleted or not
applicable, and until all exhibits or referenced documents that are incorporated
herein are attached hereto.
XIII. COPY OF AGREEMENT TO BE GIVEN TO OWNER
This Agreement is governed by the Laws of Massachusetts. It must be executed
in duplicate, and an original signed copy hereof given to the Owner at the time of
execution. No work under the Agreement shall begin prior to the signing of the
Agreement and transmittal.
RIGHTS TO CANCEL
The Owner may cancel this agreement if it has been signed by the Owner at a
place other than an address of the Contractor which may be his main office
or branch thereof, provided that the Owner notifies the Contractor in
writing at his main office or branch 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 attached Notice of Cancellation.
Note: This proposal may be withdrawn by us if not accepted within 30 days.
HOMEOWNER: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY
BLANK SPACES.
14Owner's Signature u.� Date Signed 16 ` A o �
Owner's Signator Date Signed /° U
Contractor's Signature Date Signed JD
Ratte' Construction Co., Inc.
10 Main Street
North Andover, MA 01845
Tel. 978-682-4982
October 4, 2007
Dick and Marge Smith
184 Middlesex Street
North Andover MA 01845
Specifications
Permit-
Town of North Andover Building Permit.
Dumpster-
A dumpster will be used on site. Jobsite to be kept clean and safe during
construction.
Roofing-
Front porch roof-
-Remove edge metal.
-Remove gutter.
-Sweep off loose gravel.
-Install a %" ISO insulation board with plates and screws.
-Fully adhere a .060 rubber membrane extending up walls 6"-8".
-Remove lower course of wood shingles.
-Install a 45 degree cant strip at wall.
-Terminate the outside edge of roof with a gravel cleat edge metal on sides
and a C-6 edge metal at the front.
-Terminate the wall edge of rubber with a screwed down term bar so the
rubber will not loosen like the upper porch roof.
-Seal edge metal with 6" fully adhered strip rubber.
-Finish seams with lap caulk.
-Reinstall gutter.
Stonington side rubber porch roof-
-Strip off 4 layers of flat roofing to original roof sheathing.
-Install new .060 fully adhered rubber roof system.
All pitched roofs including(2) lower roofs and garage-
Vn h7a
-Strip the one existing roof on pitched sections.
-Install 8"brown aluminum drip edge, 3' of Grace Ice and Water Guard at
lower edges and valleys.
-Install 12" Grace Ice and Water Guard at wall edges and chimney.
-Install a 15#felt paper covering the balance of roof.
-Replace all pipe flanges.
-Remove and patch(1)roof vent.
-Install a continuous shingle over ridge vent.
-Apply a GAF Timberline 30 Architectural Shingle in charcoal.
-Includes replacement of up to 30 lineal feet of roof sheathing boards.
-Replace skylight step flashings.
Chimneys-
Replace lead flashing on(2) chimneys. Repoint as necessary.
Garage door-
Replace existing swinging garage door with a 6 panel steel unit. Reuse existing
lockset.
Wrought iron rails-
Design to be approved by customer. Painted in choice of colors.
Front steps-
Replace (2) existing stair rails with new wrought iron rails.
Garage side porch-
Replace (1) existing stair rail with new wrought iron rail. Match new rail on other
set of stairs. Replace existing porch rail with a wrought iron rail.
Stonington side porch-
Replace (2)existing stair rails with new wrought iron rails. Add(2)new sections
of rail as required by code for the brick porch.
Siding-
Replace a section of shingle siding(35 square feet) on the Stonington side of the
house.
Window casings-
Install a mitered pine ranch stop around each main house window to cover over
the gap between the casings and the replacement windows.
Front porch columns-
Replace (4) existing wood columns with tapered fiberglass columns with Angular
Greek Ionic capitals and attic bases.
Garage side porch columns-
Replace (2)porch posts with 5"turned cedar posts by Brosco. Remove existing
wood rails.
Stonington side porch column-
Remove existing wrought iron decorative column. Install (1) 5"turned cedar post
by Brosco.
Stonington porch vertical lattice-
Remove vertical lattice under entry porch and replace with Azek pvc trim.
Painting-
Power wash exterior. Sand, scrape and prime all areas as needed. Repaint entire
house and garage with the same color scheme.