Loading...
HomeMy WebLinkAboutBuilding Permit #399 - 188 FRENCH FARM ROAD 11/13/2012 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: I Date Received 1111311Z—, Date Issued: P IMPORTANT:Applicant must complete all items on this page p LOCATION /�® FRS cit F,*z wt. . R4. Print PROPERTY OWNER �Aoo ,} Print 100 Year Old Structure yes no . MAP N000 7 DISTRICT: Historic District ye no Machine Shop Village ye 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 Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed-District 1 Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: 2s/0//t lib ,v o f w,V/0710 tle IGt �rrl�e Identification Please Type or Print Clearly) f OWNER: Name: S tEv E l-iN Cov Q-f- Phone:&o ),CZS- M21- Address: CONTRACTOR Name: A . A/ C$►+MNc y Phone: 6sok)S28- U7 Address: 2d &ROUE s-k 601}-t FR ANk I,Irr W( •,, Supervisor's Construction License: CS 5L 19248 _ Exp. Dater�Zo l3 Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: 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: $ 0® FEE: $ I 3 Check No.: Receipt No.' �� NOTE: Persons contracting with unregistered contractors do not have access to he guaran un Signature of Agent/Owner Signature of contractor, Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Location a ); � . No. Dater / ® • TOWN OF NORTH ANDOVER 3 m Certificate of Occupancy $� Building/Frame Permit Fee $ 4 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check/0 e-61 25947 Building Inspector i 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 V. COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments I Conservation Decision: Comments I Water & Sewer Connection/Signature& Date Driveway Permit DPW Tovvp. Engineer: Signature: Located 384 Os ood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at.124 Main Street- Fire bepartment.signatiare/date "3 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 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 Ll Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department The fohowing 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 ' Li Photo Copy of'H l.C. icens s Li Copy Of Contract ❑ Floor/Crossectio /Elevation Plan O Prop sed Work With Sprinkler Plan And Hydraulic Calcul tions (If Applicabl ❑ Mass check Ene,gy Compliance R ort (If pplicable) ❑ Engineering Affid its for Enginee ed produ is NOTE: All dumpster permits requ sign off Fire Depa ent 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 a 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 a Engineering Affidavits for Engineered products NOTE: 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 subm.Ated with the building application Doc: Doe.Building Permit Revised 2012 NpRT11 F own of 1 . 1. Andover O - 0 No. LAKI t h ver, Mass • COCMICKl WICK ��• S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System rr '"� 1�r BUILDING INSPECTOR THIS CERTIFIES THAT .................... ...................:............... ............. ...................................... Foundation has permission to erect .......................... buildings on ..I ,. `....... ..................... .. Rough 40 to be occupied as ....... 1��. .*. rl r.........t. ......... .......... Chimney provided that the person accepting this permit shall in every respect conform to the erms 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 qk bl'"Q 0P UNLESS CONSTRUC TA Rough too 16 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 A . . .Q 11 BMW% �Ily .r�.Anew" Wieker'i�q���A wow P rf7 ��sadf�cpRd�lj,' p�r�i.od�e 7. [� l asoi�lt �l�` had do 1� iilwdl�cw� � mallmi kmgMbM t awou■ti'e,�.�roe� s 0�i�sseoe�a +�,iits 313e s �+� �.ftc�r. 11.[�phdn�i���t� dpdmov"P bm taw" loll.�i�If�a�l��fee���4�f���Idr�4FlW4dodw jiwbis�r�Q►a�/�laile All powma ah XAA Atls�seR�Ai ' �q►id�r�sNp ' �dir�etr�ea.eae�eyr�l�ltlaM�9��ad�_ -c•ti2as� �a�sd�� �s� 5��pm�1�#�a�rl�Ora�� « �oi,a+��rO�eea►t oft�lol���► dti*bi�r��6a�i� •end ' �� ti owwomb �+�iirfiie►010 a�� �.Maeli�ealw i �dd�■rw�D���wi�b�ii�ar�llrisN■�fd.f��4�ra�'�erR is e+.ssies s�e.� LOOM py�p,E9QFi I I i V1 { JA r lr r Y office of Consumer-Affairs and . usiness Regulation 10 Park Plaza - Suite 51.70 , a . ; ►' i Boston�IMassachusetts 02116 ` } Hc}rne Improvement C°Contrator Registration Repistration: 155783 Vi t„ , r •.r• _ •`_ ; Type. Private CorpOta(tq li} Expiration: 51812©13 g1> !-IN°PHIMN!E Y SERVIC � . , , p + +! IT Update Address and retur .card. Address Renelva r 1''r Ma r 4. ON jj 1('tltiteclluatttx;Dcpartmtllt of Public`.11et r+ + , : $. Re,til. �1alllttt )rl atltoBui.4rrvisor specialty Ls.en� FAleti4se: ` t� : :.i 1 CS SL;99248 4 RBstt Gtettto: SF 1 f4Vil r1 yi bt+ a Ott asTEV. N!LINCQUR a7{ Ykt r� 9 s Wig PRt e � .PVE$T FRANKLIN MA 0203p }d a Idles q�ri i � +}Tti f�� s4 }i 4 t i ,rte•-+F—.� '15 * EXPtratian: 3124=13 4,: ��inSlttjl i.,ner t 'i t tri#n 14680 -`• l ykT *: i itiit'ttr,x-..- •s r. - �F �: ., - ' 3 ry4•, :e W�.i r � ;;: r :.Ott '• 3j t it j + 1' -- 'r Fr. •i tf f:i.' !+. � t cif}° f , Re��� '• i _ I l ii7FF' a •°eft �.. a OAR RY-i OP 10:LR '4 a� CERTIFICATE OF LIABILJTY INSURANCE io►22 aRaaw:ta Phone:5084284314_° THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keefe Insutautce AOtT.Inc ON y AND coxFERS NO RIGHTS uPON THE CERTIFICATE 51 Wast CeMrai Shea W*Kft• THIS CERTIFICATE DOES HOT AMEND, EXTMA OR Pp O.Qo:K ALTER THE COVERAGES AFFORDED BY THE POf!CIES FrafVin [i11A 02D38 Etot !?,itsraiF INSURERS AFFORDING COVERAGE NAIL-0 INRURED ohn CRlmne;r 4A;ZUr10h Ices.CO. Be3t'TH ,Inc. itis g:Arballa Protecdan Iris.Co. 41350 20 Grotra St,Unit#5 Frantdln,MA 02038 NIMR c:NMMIUS Itis-Co- .... BRAN ER P: NSURER COVERAGES THE POLICIES OF INSIM WCE LISTED BE.14W HAVE PEEN ISSUED To THE R4&MD NM4EDMVJE FOR THE POLICY PM013 MCAT" NOWAT!WANDING ANY REOUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH FIESPECT TO WHICH TMS CEKnFICATE MAY BE ISSUED OR MAY PERTAIN,THE U4sW ANCE WORM BY THE POUCIE.S DESMED H UIRN IS 8UWEGT TO ALL THE TERMS,EXCLUSIONS AND[7DIYL)tRaM OF SUCH PO=F-S.AGGREGATE LAIlTs SHOWN MAY HAW OON REDUCED BY PAID CLAIMIL A Y EF LIIdR6 s0111151ALLIAGUNEACHo=ff0= s 500�{IQ C ! C TA[6Eox&Lmam NNM293 12mw11 i2IM112 s 10QA0 cwrslRADs cicculT MEDEXP ono S 6,00 j PERSONAL B ADV INJURY s GENOMLAaCIREQATE i GWdLAGCREGATE MIT APPLaS PER PRODIXTS-CORA W AGG i t,O(i0 POLICY A11MIMC EU WARRM COw97w IRMLE UMIr 1 1100010 s AWAVrO 10211005013 08=`12 01112EI13 Ies.va" AIL OaMM AUTOS BODILY hit"Y E X WHNM.EDAuras IPsrpww} X HRED AUTOS BODRY INJURY X N(m4vwlEDAtm LPH'Aaa�} i PPWW.RW DAMAGE H (pw4wum I GAf#1GR UAWLI TY AUTO ONLY-EA ACCIDENT S ANYAUTO OTHmTHAN $AACC 5 ALrM ONLY. AGG S EXCESS I UIIII(tH U LIAMM OCCIIRRLiHCE S OCCUR ❑6AN S UAM At,GREGATE S i DEBMTMLE ; tt€YBNFl # >i WCIRl�{SCOIdPENSAT�N wC67A OT?h ANC ElIPLO11 m LIA IffyA A ANY ftA0Mfr Y�aY 13I)SO M2 10f 02 10125!1$ EL EACtl ACCIOW rr EXDa.uDEt?� ❑ S DISfAS -eA roPLov6E 100,0 SPECIAL P MS e.. EL DISEJII;E-POUCY LM 3 CRAM _T DESCRIPTNIN OF OFMAIUMi LOCATHIN&I VOWLES i EXCLUSIONS ADDER RY E WWX 3AWT I SPSMAL NIOYIifM miksonry,chimmylaeaning&Heaung =Instmistion ormpal. Faxed to:50944147S1 CGR_TIFI0ffE N ER CANCELLATION IJIC=ANYOP7MI!A$O"O SCItlat POLMlEiBECAUEM4IMaffDRETHEFJI#IA 7101 aAT6 THUSM.THi MU NG TNSWM W"BIDFAYOR TO LIAR DAY$WR TFM FOR INSURANCE PURPOSES ONLY pim"TOT'HSCERTIOWTEi{OUMNAWIDTIDTHeLEFT,OWPARAETODOsaS AM WPM Ka DELMTM OR UANLITY of AW wo uMm THE R&jRM RS AGENTS OR REPliE6EliTA ABTNORiEP REPAFSENTATIVIRabeit F.KAS ACORD 25(20nm) 016884008 Al CORP RATIM All fthb tssenvd. The ACORD mmw end logo or*ngW*md n7aft of ACM Massachusetts glome Improvement Sam' j)1e Contract This form satisfies all basic requirements of the s'tate's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard language to protect homeowners. Seelc 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 1-888-283-3'757 or on our website. Homeowner Infornmtion Contractor Information Name / Company Name I-OA d Vr'rAIe sc%'U/Com,,C Street Address(do notuse aPost Office Box address) Contracto/Salesperson/Owner Name itt/ flame 57U;V Li;v6dulz 7~ City/Town ` State Zip Code Business Address(must include a street address) - - 2W 20 GKovC Si SvITt S` Daytime Phone Evening Phone City/Town State Zip Code Mailing Address(It different from above) Business Phone I Federal Employer ID or S.S.Number Law requires that most home Home ImprovementContmctorRez.Number Expiration date improvement contractors have a valid registration number The Contractor agrees to do the following work for the Homeowner: a J V (Describe in detail the work to completed,specifying the e,brand,and grade of materials to be used use additional sheets ifnecessm-) ZA,l �� G✓ ��. S7v ro tie , 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 adhered to unless circumstances beyond the contractor's control arise (Owners who secure their own permits vwill be excluded from the Guaranty Fund provisions of Date when contractor will begin contracted work. MGL chapter 142A.) Date when contracted work will be substantially completed. Total Contract Price and Payment Schedule The Contractor agrees to perform the work,furnish the material and labor specified above for the total sum of: IS-6 Payments will be made according to the following schedule: $ 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 $6 by or upon completion of $ upon completion of the contract. (Law forbids demanding full 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 NOTE'S:(*)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. Express Warranty-Is an express warranty being provided by the contractor? No❑Yes(nli terms of the warranty mast be attached to the contrad. 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 Tabor under this agr6ement Contract Acceptance-Upon signing,this document becomes a binding contract under law. Unless otherwise noted within this documentthe , 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. o Don't be pressured into signing the contract.Take time to read and fuliy understand it. Ask questions if something is unclear.. c Make sure the contractor has a valid Home Im rovement Contractor Registration. The law requires most home improvement contractors and subcontractors to be registered with the Director ofHome Improvement Contractor Registration. You may inquire about contractor registration by writing to the Director at 10 ParkPlaza,Room 5 170,,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 rile to see a copy of a"proof of insurance'document. o 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 deliveiy,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 NOYSIG•N TEMS CONTRACT IF TBERE ARE ANY IgLAMr,RACESITIr Two identical copies of the contract must be completed and signed. One copy should go to the liomeowner. Th ther copy shotddbe Ice t by the contractor, Homeowneer's Signature Conte 'S Signa All 2 'Date ' Date ' 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 afforded to 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 mutually 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 firmm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided In Massachusetts General Laws, chapte 142A.. .22e Homeowner's Signature C actor's S1 NOTICE:The signatu es of the pal Lies above apply only-to-1-1-8 agreement of the par es to alternative dispaLe resolution initiated 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 excluded'from all Guaranty Fund provisions of the Home Improvement Contractor Law. The contractor is.responsible for completing the work as described,in a timely and workmanlilce 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 the 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 rights. If you have questions about your consumer/homeowner rights, contact the Consumer Information Hotline(listed below). Execution of Contract- The ontractThe contract must be executed in delicate 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 until all blank sections have been filled in or marked as void,deleted, or not applicable. One original signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor. Any modification to the.original contract must be in writing and agreed to by both parties. Contracted work may not begin-until both parties have received a fully 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 joint escta•v account as a prerequisite to continuing the contracted work. Withdrawal of fiends from said account would require the signatures of both parties. Additional Wormation If you have general questions or need additional information about;the Home Improvement Contractor Law or other cons-amer rights, or if you wish to obtain a free copy of "A Massachusetts Consumer Guide to Home Improvement" contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8787, 888-283-3757 or visit the OCABR.website at 11t ://ww�v.rnass.gov/ocabr/ If you want to verify the registration of a contractor or if 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 10 Park Plaza,Room 5170,Boston,MA 02116 617-973-8787, 888-283-3757 or visit the HCC website at b=://www.tnass.gov/ocabr/ Go online to view the status of a Home Improvement Contractor's Registration: hi.tl)-//db.state.m,i.us/-tomgLm42 rovement/]icenseelist.mp For assistance with informal mediation of disputes or to regisi:er formal complaints against a business,call.: Consumer Complaint Section Office of the Attorney General 617-727-8400 AND/OR Better Business Bureau 508-652-4800,508-755-2548 or 4.13-734-3114 Version 2.1-11/22/2010