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HomeMy WebLinkAboutBuilding Permit #701-2016 - 20 CARTY CIRCLE 12/9/2015TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION C A-R-rX L t CZ Print PROPERTY OWNER P br_, t e "• M' Print 100 Year Old Structure yern MAP NO:_PARCELE ZONING DISTRICT: -Historic District y Machine Shop Village y TYPE OF IMPROVEMENT. PROPOSED USE Residential Non- Residential ❑ New Building dMne family ❑ Addition El Two or more family El Industrial Alteration No. of units: -�-- El Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑ Well 0 Floodplain ❑ Wetlands ❑ Watershed District ❑ Water/Sewer - DESCRIPTION OF WOKK i O tit 1-tMl-U111V1tu: S TIP -1 �p 3 Rt RVz)i- ( fv v m I� �,..0�4�. 0.11 :ro I entifii#tion Please Type or Print Clearly) OWNER: Name: JZ og-t N4✓a r) e:, Z r Phone: 6111Y6-1- ..-' Address: Z�'i C✓ C t R Q.T Iq D-0 ve2 CONTRACTOR Name: C(R> 8 lb _ AVJ CI Phone- L Address: 163 J�AA/Zoc Sf- - vfeVk Supervisor's Construction License: C S )D 5 Exp. Date: Home Improvement License: % 6 -IF ARCHITECT/ENGINEER Address: Exp.. Date: 117 Phone: 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: $ 1 �� �'� FEE: $ Check No.: �vl-7) Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund } ` SI nature of contractor i Signature of Agenf/Owner r �` ' �g Plans Submitted L -i Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ 11 Location � (- ' lvz—� No.-I)k— 2-bt Check # in 297.010 Date '21q 1 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ 4 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ ' Building Inspector - -Plans Submitted ❑ :Plans Waived -0 `_Certified- Plot Plan ❑ Stamped Plans ❑ TYPE_OF`SEWERACEDiSPOSAL Public Sewer ❑ Tanning/MassageBodyArt ❑ .. Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private (septic tank, etc_❑ - :. -Permanent D"umpster ori --Site El =THE_.FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF U FORM -DATE. REJECTED . DATE APPR-OVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS aiEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes . e Planning Board Decision: Comments c Conservation Decision: Comments Nater & Sewer Connection/Signature &.Date Driveway Permit DPW Tow;2 Engineer: Signature: Located 384 Osgood Street FIREDEPARTML"NT . Tem.p Dumpster on site yes no Located -at 124 Mair; Street " Fire Depa'rtme�it signatute/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.I:oca4on, nest or service drop requires approval of Electrical Inspector Yes No ®ANGER.Z®NE LITERATURE: Yes No MGL -.Chapter 166. Section 21A=F and G min.$100=$1000.fine Doc.Building Permit Revised 2010 Building Department The foh',owi.ng 94 list of the fequired.forms to be_ filled outfor:the appropriate. permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits a 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 a 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 dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cas<s if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apu,-�al 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?ding Permit Revised 2012 O O o o U %*jr cin ='� < CDD �' Fn Z O 2 m �_ O N rt N -n C O O A m QCD WD 0 - o m �. N c � 'a �• CD _ o nw @n O c CDn a = U) 0 to n O . o as O ,.f. CD� �O 't (nom CD -h Q. �• i Vi = C N e CQ V� rt O a '02, cn DCD N v C Q O =� �= O o 0 0. — CL CD cD� o �m y c cn CL Q �o crCD n CD CD CD CD co 0 Q. CCD _ 1 N O W C7 .O -r o' o, 4t O =Dr � CD N m -F CD rt p o �. C�vs • rA N X, O Y - N z O W O T O ],7 O OO T �' Ol N MO :5. n O :O Oq s T d Zo O cm S T (7 _S 3 ro K .Z7 OQ T O °' L* 0 N �6 N T 0_ v V D z N z M rn rn y C W z V C G Arn 0 3 S W > o O T m WINTER Ir�Cr Job ROBERT F. MARIE JR mariebuying@yahoo.com PROPOSAL 170 Main St, North Reading, MA, 01864 781-321-1991 Claudio Araujo — License CS 105185 www.winterhillgc.com 20 CARTY CIRCLE — NORTH ANDOVER - MA I Phone: 978-687-9467 1 Date: 11/07/2015 Shingle Roof Tear Off: The following paragraphs describe the work that will be performed. • Remove existing shingle roof on Main house roof only ( not front entrance, not garage) • Install an 8 inch drip edge on all leading edges (Color:_ • Install 6 feet of ice & water shield on front leading edges & valleys • Hurricane Nailing: 6 Nails per Shingle • Install starter strip on all leading edges. • Install shingle mate felt paper on all areas not covered by ice & water shield • Install New Ridge Vent • Install new vent pipe flanges • Replace any rotten or damaged roof decking plywood (we allow 32SF at no charge, $ 65.001sheet thereafter) • Replace any rotten or damaged roof decking ledger board (we allow 32 ft. at no charge, $3.501ft. thereafter). • Install new GAF Timberline High Definition Architecture Shingles • Remove existing lead flashing on chimney, install Ice & Water Shield, step flashing, and grind New Lead Flashing into Chimney • Warranty included in contract - ( x ) System Plus • Shingle Color = • All debris will be removed from the property Cost for Labor & Material for New Shingle Roof: Extra Labor cost to replace roof on solar panel section: Payment Terms: 113 deposit due upon signing contract: 113 payment due upon start of job: 113 payment due upon completion of job Work Scheduled to Begin: TBD $ 5,800.00 $ 350.00 $ 11 1 19) Is $ 2 Y2 51)— Total Amount Agreed To Be Paid: $ _6,150.00 Job expected to be completed within 60 days of actual start date. Warranty: GAF. guarantees all material for lifetime and work performed for a period of ten (15) years. If any problems occur we will cover the cost of all labor and material to correct the problem and meet the customer's satisfaction. Claudio Araujo , Project Manager — /�J (- �, —)N— 0, Robert F Marie Jr Financing Payment types accepted otsc w ;�_ Avallable ` The law requires the following FOURTEEN items to be included in any contract between a homeowner and a registered home improvement contractor for home improvement work subject to MGL c. 142A: 1. The complete agreement between the contractor and the owner and a clear description of any other documents which are part of the agreement. 2. The full names, federal I.D. number (if applicable), addresses (NOT P.O. Box numbers), of the parties, the contractors registration number, the name(s) of the salesperson(s) involved, if any and the date the contract was executed by the parties. 3. The date on which the work is scheduled to begin and the date the work is scheduled to be substantially completed. 4. A detailed description of the work to be done and the materials to be used. 5. The total amount agreed to be paid for the work to be performed under the contract. 6. A time schedule of payments to be made under the contract and the amount of each payment stated in dollars, including any finance charges. Any deposit required to be paid in advance of the start of the work SHALL NOT exceed one-third of the total contract price or the actual cost of any material or equipment of a special order or custom made nature, which must be ordered in advance of the start of the work to assure that the project will proceed on schedule. No final payment shall be demanded until the contract is completed to the satisfaction of all parties. 7. All parties must sign the contract. 8. A clear and conspicuous notice stating: a. That all home improvement contractors and subcontractors shall be registered and that any inquiries about a contractor or subcontractor relating to a registration should be directed to: Office of Consumer Affairs and Business Regulation Ten Park Plaza, Suite 5170 Boston, MA 02116 Phone: (617) 973-8700 b. The contractor's registration number must be on the first page of the contract. c. The homeowner's three day cancellation rights under MGL c 93 s 48; MGL c 140D s 10 or MGL c 255D s 14 as may be applicable. d. All warranties on the owner's rights under the provisions of and MGL c. 142A. e. In ten point bold type or larger, directly above the space provided for the signature, the following statement: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. f. Whether any lien or security interest is on the residence as a consequence of the contract. 9. An enumeration of such other matters upon which the owner and contractor may lawfully agree. 10. Any other provisions otherwise required by the applicable laws of the Commonwealth. 11. Permit Notice: Every contract shall contain a clause informing the owner of the following: a. any and all necessary construction -related permits; b. that it shall be the obligation of the contractor to obtain such permits. c. that owners who secure their own construction -related permits or deal with unregistered contractors shall be excluded from access to the Guarantee Fund. 12. Acceleration of payment: No contract shall contain an acceleration clause under which any part or all of the balance not yet due may be declared due and payable because the holder deems himself to be insecure. However, where the contractor deems himself to be insecure he may require as a prerequisite to continuing said work that the balance of funds due under the contract, which are in possession of the owner, shall be placed in a joint escrow account requiring the signatures of the home improvement contractor and the owner for withdrawal. 13. No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of such contract. 14. Arbitration: If the contractor determines that in the event of a dispute, the contractor wishes the dispute to be settled by arbitration, this fact must be signified on the contract and both the contractor and owner shall sign this clause separately. The following format is acceptable (in 10 point type or larger); "The contractor and the homeowner hereby mutually agree in advance that in the event that the contractor has a dispute concerning this contract, the contractor may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided in MGL c 142A. Owner: xl� / 1" Contractor: NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiated by the contractor. The owner may initiate alternative dispute The Co/alaoltivel!!t!I ofMassachavetts Department oflttdustrialAccidettls I C0119ress Street, Salle 100 Boston, JIM 02114-20.17 tutu w. mtrss.ga v/dJtt 11'01•kers' Compensation Insurance Affidavit: Builders/Cont ractors/Electricians/PluInbers. 1'O BE TILED WITH TILE PERMITTING AUTHORITY. A li ant Information I'le se Print Lc ihl Nattle (13usinccs/OrgunirnliotJlntii� iduxl):__ t„4j/ Al`e� -R - L 1�. Gr • Address: I '7Y-0 1"',1 -\X -A- n ,ti_ r,-,• ,T' City/State0j):,y 0j,J�� ) Phnnr t[ Are you an tnlployer? Check thsappropriale box: /L i t a a employer %%ith _employees (fill and/or part-time). r 2.a 1 am a sole proprietor or partnership and have no employees working for me in any capacity. [No workers' comp. insurance required.] 1.01 am a homeowner doing all work myself. INo workers' comp. insurance required.] I 4. ❑ I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure Ihat all contractors either have workers' compensation insurance or are sole proprietors wish no employees. S.Q 14111 a general contractor and I have hired the sub• contractors listed on the attached sheet. '1 hese sub•c011lffletnrs have employees and have workers' camp. insurance.l 6.Q %Vc are u corporation and its officers have exercised their right ofexemption per hVil, c. 152, § 1(4), and we have no employees, I No workers' comp, insurance required.] 'An. —Mi—m el... .. 6..111... 6,... A ._.........._ .-u ... "Type of project (required): 7, ❑ New construction 8. [] Remodeling 9. ❑ Demolition 10 0 Building addition I L0 Electrical repairs or additions 12.0 Plumbing repairs or additions 13.E] Roof repairs 14. Q Other_ --- `—'• " • •• ^ c-- miuw Slluwmg mcir workers' campensation policy information. t Ilomcolvncrs who submit this affidavit indicating they are doing all work and then hire outside contractors nwst submit a now affidavit indicating such. IC "tractors Ihat check this box must attached an additional sheet showing the name of the subcontractors and state whether or not Ihoso entities have employees. Ifthe subcontractors have employees, they must provide their workers' comp, policy number. / ant art entplaper /hat Is• prnvldltrg Ivorkers' c. ompensallotl Insurance for Pity employees. Below is Ilte policy aitd fah sire Information. Insurance Company Nante:h- Policy h or Self -Ins. Lie. /!: 4/---I C --7-PO • 7.c7- qZ?�J t{ Expiration Date; Job Slle Address: CIA -7 +✓ I t/` Ci(y/State/'Lip: 0E), ✓� ,`n` Attach a copy of life workers' compajisitition policy declaration page (showing the policy number and ex�fon (lale). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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. A copy of this statement may be forwarded to lite Office of Investign(ions of lite DIA for insurance coverage verification. I do hereby cerlo, /-� G, aria pens/Iles ofperjttry that the Information provided above Is trite and correct. •�� nate• 12 1 1 / l Offlelal Ilse only. Do not write In Ihls area, to be completed hp c or taws offTctol. City or Town: Permit/License # Issuing Authority (circle one): 1. Bon rd of health 2. Building Department 3. Cityfrown Clerk 4. Electrical Inspector 5. Plumbing Inspector G. Other Contact Person Phone WINTE-2 OP ID: JJ '`�� Rl�x CERTIFICATE OF LIABILITY INSURANCE DATE(M8/20 03/18/20 5 15 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 policy(ies) must be endorsed. If SUBROGATION IS WAIVED, 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 Bradly S. Michals Insurance Agency, Inc. 85 Main Street Watertown, MA 02472 CONTANAME: Crown Insurance Agency, Inc. PHONE FAX A/c No Ext : 617-924-1100(AIC'No ; 617-926-2162 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Crown Insurance Agency, Inc. INSURERA:Acadia Insurance Company EACH OCCURRENCE $ 1,000,00 INSURED Winter Hill General Contractor Claudio Mcuhna Araujo 170 Main St INSURER B: Essex Insurance Company INSURERC:Arbella Insurance Co. 17000 INSURER D: North Reading, MA 01864 INSURER E: PRODUCTS -COMP/OP AGG $ 2,000,000 INSURER F: C COVERAGES CERTIFICATE NUMBER: 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 ISSUED 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 LTR TYPE OF INSURANCEADDLSUBR INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fil OCCUR AUTHORIZED REPRESENTATIVE 3DX7960 02/13/2015 02/13/2016 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO ❑ LOC JECT OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 $ C AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS X NON -OWNED HIRED AUTOS AUTOS 1020001551 04/09/2015 04/09/2016 COEaMBINED accident SINGLE LIMIT $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC -20-20-003174-01 03/26/2015 03/26/2016 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 T_ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Operations of The Named Insured CERTIFICATE HOLDER CANCELLATION XXXXXXX SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE FOR BIDDING ONLY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FOR BIDDING ONLY FOR BIDDING ONLY AUTHORIZED REPRESENTATIVE FOR BIDDING ONLY FOR BIDDING ONLY FOR BIDDIN ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Massachusetts - Department of Public Safety Board of Bukiding Regulations and Standards C___.__ f_ \n_____.e__— {_.11II�L111tL11/11"JLI IICI VIsIII Licensee CS -105185 ClaudioMArau'o.T 163 Hancock StreQ N� Everett MA 02143 r Expiration Commissioner, 07/13/2017 VJiG �OI7z9h042Gu2LC��d7O�UGGQ'ddCYG/1/CSC�r ——Office of Consumer Affairs_& Business Regulation OME IMPROVEMENT CONTRACTOR egistration:%j6$583. Type: `s 6 Utff.xpiration: 31812017,-'! Corporation WINTER HILL GENERAL CONTRACTOR, INC. `r CLAUDIO ARAUJO � IA) t 170 MAIN ST NORTH READING, MA 01889 Uudersecretaryi t i t