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Home My WebLink AboutBuilding Permit #349 - 20 OLYMPIC LANE 11/2/2007 NORTH BUILDING PERMIT 0* TOWN OF NORTH ANDOVER 0Z. 0 APPLICATION FOR PLAN EXAMINATION Permit NO: 91 Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page -N ABO 06 7 Pnnt P, t4 MAS X70 ` PAR ZOIS NTNG'D -Y -0 ,;;Machine Shop.:v TYPE OF IMPROVEMENT -OROPOSED USE Residential Non- Residential New Building One:�amfly Addition • Two or more family Industrial Alteration No. of units: Commercial Repairig—placement) Assessory Bldg Others: Demolition Other IiC ,e. e and a ersN d',D'istrid e dater/SIer e DES,CkIPTION OF WORK TO BE PREFORMED: zzmeyiAxm- -rwo Lz saro7jr-> Ftate- uodm S ,r=Gicr,i r\ze= r-,7<-,-ura=s AtA P 2AERAa-=- " '#7-4 Aigi-i Ir " ' talo b;a-OLLT-k" o(L- P-E-r-bri�1ipJL77 of ;-iTEX61- PA,2T7T-f5A 1.-jA-1 Identification Please Type or Print Clearly) Iqo igVmR, OWNER: Name: -=alW-q -SUS.7-74 Phone:97Fr-(686- 82S2- Address: CONT RACTOR Marne , hone W,. —M. S Supervisor's To C Y- V , Exp Dane Hortae icsefltp at e , ARCHITECT/ENGINEER lVZ)r V�- Phone: Address:1 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: $ 19,612.'99 FEE: $ ZZ3. 3 Check No.: Receipt No.: NOTE: Persons contracting red contractors do not have access t he gu ,a, fund I pWe o contractor PlansSubmitt 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 Privat=ttatnk, 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 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 IRE'DEPARTMENT Tem p Dumpster on si#e yes no ;Located at 1'24 Main Street Fire Departmentignatureldate ,. COMMENTS G 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 2 1 A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) ❑ Notified for pickup - Date Doc.Bui]ding Permit Revised 2007 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 ❑ 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 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 submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 I Location "' No. y;� Date0.1 NaRT� TOWN OF NORTH ANDOVER � 9 + ; ; Certificate of Occupancy $ Hus t� Building/Frame Permit Fee $ as �• Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 20762 1� Building Inspeci4r NORTH Town of 0V0 - _- No. r- j-4n., .�.. Z, 0i dover, Mass., #40 _�a0 , yy T Q C LAKE T COC NIC HE wtCK � RATED PPS,` S BOARD OF HEALTH Food/Kitchen PER 11 T D Septic System • BUILDING INSPECTOR At THIS CERTIFIES THAT...... ....................................................... Foundation has permission to erect........................................ buildings on ........................ Rough .. ......... . .. ... ...... ty" to be occupied as.. ... ....... ...... ..................... 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 ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO ARTS _ Rough ................. ...................... ............. t..,................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Ocmpy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be 311in"go, FIRE DEPARTMENT Until Inspected and Approved b the BuilIns ector.P PP Y P Burner Street No. SEE REVERSE SIDE Smoke Det. TORRISSI CONSTRUCTION INC. General Contractors 110 HAVERHILL RD Suite 364 Amesbury,MA 01913 Toll Free:877-388-6100 Fax 978-388-6121 W W W.torrissiconstruefon.coni August 21, 2007 Employer ID: 20-4752446 Home Improvement Contractors Registration: 127852 Expiration date 1/18/09 Construction Supervisors License: 066961 Expiration date 3/11/08 Sales Person: Noel Torrissi Jerry Justin 20 Olympic LN North Andover MA 01845 978-686-8252 Home 617-613-4917 Work Proposal for Bathroom Renovations to Main bathroom 2"d floor and Master bathroom 2"d Floor Contractor will Supply the Materials and Labor for the Scope of work below unless Noted Scope of Work: 2"d Floor Main Bathroom Site Prep • Contractor will install plastic barriers • Barriers will have zippers for entrance and exit • Contractor will install a tarp run way on a daily basis • Contractor will clean site on a daily basis Demo • Contractor will remove existing finish plumbing fixtures • Contractor will remove existing overhead light fixture • Contractor will remove all existing flooring • Contractor will remove existing vanity • Contractor will remove existing radiator cover -a Plumbing • Contractor will install a homeowner supplied toilet • Contractor will install a homeowner supplied whirlpool tub • Contractor will install a homeowner supplied tub and shower valve • Contractor will install homeowner supplied sink and faucet • Contractor will install all water& drain piping needed for renovation • Contractor will install new radiator cover • Note all new fixtures will be installed in the same location as existing fixtures Electrical • Contractor will install a ceiling fan light combo that will be controlled by a single pole switch for each function (note fan will be vented to the exterior of the house) • Contractor will install a homeowner supplied vanity light that will be controlled by a single pole switch • Contractor will install GFI receptacle • Contractor will install electrical needed for whirlpool tub Silestone • Contractor will install homeowner supplied shower walls Vanity • Contractor will install homeowner supplied vanity, vanity top and medicine cabinet Finish Trim • Contractor will install pre—primed colonial baseboard to match existing in house Paint • Homeowner will be responsible for all painting I 2,:a Floor Master Bathroom Demo • Contractor will remove existing finish plumbing fixtures • Contractor will remove existing overhead light fixture • Contractor will remove all existing flooring • Contractor will remove existing vanity • Contractor will remove existing radiator cover Plumbing • Contractor will install a homeowner supplied toilet • Contractor will install a homeowner supplied shower pan • Contractor will install a homeowner supplied shower valve • Contractor will install homeowner supplied sink and faucet • Contractor will install all water& drain piping needed for renovation • Contractor will install new radiator cover • Note all new fixtures will be installed in the same location as existing fixtures Electrical • Contractor will install a ceiling fan light combo that will be controlled by a single pole switch for each function (note fan will be vented to the exterior of the house) • Contractor will install a homeowner supplied vanity light that will be controlled by a single pole switch • Contractor will install GFI receptacle Silestone • Contractor will install homeowner supplied shower walls Vanity • Contractor will install homeowner supplied vanity, vanity top and medicine cabinet Finish Trim • Contractor will install pre—primed colonial baseboard to match existing in house Paint 0 Homeowner will be responsible for all painting Debris • Contractor will remove all debris from site Permits • The following permits are required. It is the obligation of the contractor to secure such permits as the homeowners agent: building, plumbing and electrical • Note homeowners who secure their own permits or deal with unregistered contractors are excluded from the Guaranty Fund provisions of MGL c. 142A Insurance • Contractor will have a certificate of insurance sent to the homeowner upon request before the renovation project is started Warranty • There is a one year warranty on labor Starting and Completion Dates • Contractor will start the project on a date that is agreed upon between contractor and homeowner. The renovation will be completed with in 2 to 4 weeks from starting date. Note if there are delays that our out of the contractors control the completion date will change Extra work • There will be no extra work done with out a extra work order signed by both homeowner and contractor Daily Work Schedule • All work will be done between the hours of 7:30Am and 5Pm Monday threw Friday Total Cost of Renovation $18,612.00 With Payments as Follows 1" Payment of$3,500.00 at signing 2"d Payment of$1,500.00 at start of demolition 3`d Payment of$4,500.00 at start of plumbing 4"' Payment of$2,200.00 at start of electrical 5`�' Payment of$4,400.00 at start of tile 6`'' Payment of$2,512.00 at completion of renovation —%4c-$so9.00 6P11a 0" , retractors r1re Date yo eowners Sig to e Date omeowners Si nature Date n Note: all home improvement contractors and subcontractors shall be registered any inquiries about a contractor or subcontractor relation to a registration should be directed to: Director, Home Improvement Contractor Registration One Ashburton Place, Room 1301 Boston, MA 02108 617-727-8598 Arbitration: 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 such dispute to a private arbitration service which has been approve by the secretary of the executive office of the consumer affairs and business regulations and the consumer shall be required to submit to such arbitration as provided in M.G.L. C. 142A. Contractor: Homeowner: Date: Date: Notice: The signatures of the parties above apply only to the agreement of the parties to alternative dispute settlement initiated by the contractor. The owner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Notice of Cancellation: You may cancel this transaction, without penalty or obligation, within three business days from the above date. If you cancel, any payments made by you under the contractor will be returned within ten business days following receipt by the owner of the cancellation notice. I hereby cancel this transaction Date: Signature: 6 BT NJ A R I' NAM'SM.AWK4 AT or MEMBER r,+n xs:naKtF;t.�ns:trn vrn The Commonwealth of Massachusetts l Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Inform-tign. Please Print legibly Name (Business/ora \� I RUCTION t =N C- Address: �� ygl , ?NST AMESBURY, MA 0191 d City 978'388-§t' Zip: Phone Are you an employer?Check the appropriate box: Type of project(required): 1.D9.1 am a employer with_7:1- 4. ❑ I am a general contractor and I 6. New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet t 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 10.0 Electrical repairs or additions required.] officers have exercised their 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' corm.insurance required.] 13.❑ Other Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy info—ti-,a t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContractors 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 AA t A Insurance Company Name: `iE-tJ—E2 L—. R?0TEMn,&n lUsVe�l/�� L.L�• Policy#or Self-ins. Lic.# _—1 lM% 10 62.0 Expiration Date: Job Site Address: 7-9 oLyMP,L LrJ.city kW—,1'L A44rWOL State LAA. Zip: d I RY5 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 e. 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 ent e f arded to the Office of Investigations of the DIA for insurance coverage verification. 1 do here c tify under t ains and penalties of perjury that the information provided above is true ndload Signature: Date l B� Phone#I/- 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#• Information and Instructions A• Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute, an employee is defined as "...every person'm the service of another under any contract of hire, express or implied,oral or written." An employer is defined as "an individual,parmership,association,corporation 6r other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s)name(s),addressees)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain workers'condensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit(license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write "all locations in(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for,future permits or licenses. A new affidavit must be filled out each year. Where a homeowner or citizen is obtaining a license or permit not related to any business or commercial venture(i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address telephones and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 021 11 Tel. # 617-727-4900 ext 406 or 1-877-NIASSAFE Fax# 617-727-7749 �� :f�•- f..rr.lire rru rr�ff ` fle:,rn/u:.��' BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 066961 Birthdate: 03/11/1968 Expires: 03/11/2008 Tr,no: 20520 Restricted: 00 NOEL B TORRISSI 110 HAVERHILL RD#364 AMESBURY, MA 01913 Commissioner I Board of Building Regulatious and Standards 1 HOME IMPROVEMENT CONTRACTOR Registration: 127852 Expiration: 1/18/2009 Tr# 126354 Type: DBA NOEL TORRISSI NOEL TORRISSI 110 HAVERHILL RD#364 AMUSBURY,MA 01913 Administrator I v wl✓,d0U� a S1�owrn-