HomeMy WebLinkAboutBuilding Permit #100 - 219 MAIN STREET 8/10/2006 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION o� NORTH q
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Permit NO:
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Date Received 10` 0
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Date Issued: to` 3
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IMPORTANT:, 11 Applicant must complete all items on this page
LOCATION o)-k°1 A1V '•``
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PROPERTY OWNER �C. G ml 64 r c\t0kCA4
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MAP NO.: 0PARCEL: ZONING DISTRICT:
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑New Building ne family
11 Addition ❑Two or more family ❑ Industrial
No'A"'Iteration No. of units:
❑ Repair, replacement ❑ Assessory Bldg ❑ Commercial
❑ Demolition
❑ Moving(relocation) ❑Other ❑ Others:
❑ Foundation only
DAC IPTION OF WORK TO BE PRE ORMED
�C.2.. ZX 1 S h � � SGS ►�Q� k� GuS'�!�
t` u��� �� ► S ' c e �ac eac S1� od
Identificati n Please Type or Print Clearly)
OWNER: Name: i L A C- 19 �-�^ Phone:
Address:
CONTRACTOR Name: 1J S� �V Phone:
Address: '2�.LgQ MeSFZAMClL St tAQl`2JAU Y•l�I Ol
Supervisor's Construction License: CS o a a3 Exp. Date: Q1 /O-9
Home Improvement License: a3 Exp. Date: 1210 /0a:
ARCHITECT/ENGINEER Name: Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATEDST BASED ON$125.00 PER S.F.
Total Project Cost :$ 400 O(O LI FEE:$ I I
Check No.: Receipt No.: I G 3'7
Page I of 4
--_ — - -- --- T
TYPE OF SEWERAGE DISPOSAL l� e/Bod Swimming Pools ElTannin Massa Art ❑ g
Public Sewer F1g y
Well
Tobacco Sales ❑ Food Packaging/Sales [I❑
Permanent Dumpster on Site ❑
Private(septic tank,etc. ❑ Electric Meter location to
project
NOTE: Persons contracting with unregistered contractors do not have access to the gu ranty fund
Signature of Agent/Owner Se 2 Cdr- Signature of contractor
_ Ll
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF- U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
[]Water Shed Special Permit
❑ Site Plan Special Permit
❑ Other
COMMENTS
I DATE REJECTED DATE APPROVED
CONSERVATION ❑ ❑
COMMENTS
0
DATE REJECTED DATE APPROVED
r
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 Drivewav Permit
Temp Dumpster on site yes no V Fire Department signature/date
Building Setback(ft.)
Front Yard Side Yard Rear Yard
Required Provided Required Provides Required Provided
Dimension
Number of Stories: Total square feet of floor area,based on Exterior dimensions.
Total land area, sq. ft.:
NOTES and DATA—(For department use)
I
Page 3 of 4
Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05
Created JMC.Jan.2006
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
Addition Or Decks
❑ Building Permit Application
❑ Surveyed Plot Plan
❑ Workers Comp Affidavit
❑ Photo Copy of H.I.C. And C.S.L. Licenses
❑ 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)
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
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:BPFORM05
PS.P.4 0f4
Location V11 1'h aln S T—
No. Date
NaRTM TOWN OF NORTH ANDOVER
O? • • ow
+ Certificate of Occupancy $
Building/Frame Permit Fee $
tCMUs
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # v'
Building Inspector
NORTH
Town of 4Andover
0
No.
dover, Mass., 21. 1 ri 0(M
COC MIC ME WICK 4�.
RATED P'? Cl
BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
THIS CERTIFIES THAT.............Al& �46L ...... BUILDING INSPECTOR
........................................ ............................................................................ Foundation
has permission to erect........................................ buildings on ..........Q%......MOW\.....Sr. ... Rough
0..........
to be occupied as .......Wsn&w. ..;...** TON ....bowr... Chimney
provided that the !..iWaccepting7this permit shall in every respect conform to the terms of the application an 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
PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUCTIT S ELECTRICAL INSPECTOR
Rough
................ .................... Service
I
BUILDING-UMPECTOR 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. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
®r MARVIN-2AL
Windows and Doors
Clad Ult Insert Dbl/Sgl Hung
National Fenestration
Rating Council® Aluminum—Clad Wood
11/16" ID LoE II Argon
Vertical Slider
ENERGY PERFORMANCE RATINGS
U-Factor(U.S./I-P) Solar Heat Gain Coefficient
0 .32 0 .30 .
ADDITIONAL PERFORMANCE RATINGS
Visible Transmittance
0 . 52
Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole
product performance.NFRC ratings are determined for a fixed set of environmental conditions and a specific
product size.NFRC does not recommend any product and does not warrant the suitability of any product for
any specific use.Consult manufacturer's literature for other product performance information.www.nfrc.org
Meets or exceeds C.E.C.Air Infiltration Standards
d
WINDOW AND DOOR
MANUFACTURERS r. .
ASSOCIATION
www.wdma.com
Hallmark Certified Licensee #407-H- 751.0
Manufacturer stipulates conformance to the applicable standards
ClAd Ultimate Insert Double Hung
DP + 301- 30 Q
TOO to AN 11AMAMMA 101/I,8,2-91& 101/I.82/NAFS-02
H—LC30 45X78
This pt'oduct may be covered by one or more of the following patents and other patents pending:
D330,839 D487,012 D497,304 4,838,001 5,115,596 5,120,094 5,125,442 5,212,921
5,222,339 5,341,600 5,448,869 6,141,913 6,672,009 6,779,580 6,938,373 6,964,290
i
Visit www.marvin.com for pending patents.
Do not remove this label prior to inspection and save for future reference.
02006 Marvin Windows and Doors®Registered trademark of Marvin Windows and Doors.11708W7
fNO RTH�
p TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Aco BUILDING PERMIT APPLICATION
�ssus°t
Permit NO: Date Received:
Date Issued:
EMPORTANT: Applicant must complete all items on this page
LOCATION 4� ,�h S kT� Q� te{�1 { Y�
_ Wlk4
PROPERTY OWNER
Print
MAP NO.: PARCEL: ZONING DISTRICT:
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT PROPOSED USE
Resid ntial Non-Residential
❑New Building VOne family
ZAddition ❑Two or more family ❑Industrial
eration No. of units:
SKRepair,replacement ❑Assessory Bldg ❑Commercial
❑Demolition
❑Moving relocation ❑Other ❑ Others:
❑Foundation only
DESCRIPTION OF WORK TO BE PREFORMED
VJ,.4d-y ) sasv-u� UJ/ V6r\Ji (\ MQA-�
Identification PleasekType or Print Clearly)
OWNER�: N%ame: `�- v Phone:
Signa re
Address: wn S , AX12
CONTRACTOR Name: W6U00 OC A a0i &AA Phone: g1l 9 TI-9 t{q o
Address: 3�O me'u . �M1du �� wem_c.e. MR d J_1q
Supervisor's Construction License: LS a c��a3 a Exp. Date: 1 Ll
Home Improvement License: Date: (7
ARCHITECT/ENGINEER Name: Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT. $10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00
PER S.F. t G
Total Project Cost :$ 4 *7�(4d . Qctq EE:
Check No.: Receipt No.:
ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID S DATE(MM/DDIYYYY)
PRODUCER
HOWEL-1 107/06/05
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HUB International New England HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
P.O.Box 540169 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Waltham MA 02454-0169
Phone: 781-893-4808 Fax:781-893-6679 INSURERS AFFORDING COVERAGE NAIC#
NSURED
INSURER A: Atlantic Charter
INSURER B: Hartford Insurance 22357
Howell Design & Build, Inc INSURER C:
360 Merrimack Street, Bldg #5
Lawrence MA 01843 INSURER D:
INSURER E:
:OVERAGES
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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TR NSR TYPE OF INSURANCE POLICY NUMBER OLICY FFE IVE POLICY EXPIRATIO
DATE MM/DD/YY DATE MM/DD/YY LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $ 1,0 0 0,0 0 0
B X COMMERCIAL GENERAL LIABILITY 08SBAGH6835 06/01/05 06/01/06 PREM15Es(EaoccE1:7_ ) $ 300,000
CLAIMS MADE a OCCUR MED EXP(Any one person) $ 10,000
PERSONAL&ADV INJURY $ 1,000,00n
X EPL-$5000
GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000.000
—]
F
PP
RR
OO
-,
PRODUCTS
-CO
MP/
OPA
GG
2,U00,OOOPRODUCTS-COMP/OPAGG $2,000.,000
POLICY JECT
JECT LOC
AUTOMOBILE LIABILITY
ANYAUTO COMBINED SINGLE LIMIT $
(Ea accident)
ALL OWNED AUTOS
SCHEDULED AUTOS BODILY INJURY $
(Per person)
HIRED AUTOS
NON-OWNED AUTOS BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY
AUTO ONLY-EA ACCIDENT $
ANY AUTO
OTHERTHAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE $
OCCUR E CLAIMS MADE AGGREGATE $
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY TORY LIMITS ERE100000
-
ANYPROPRIETOR/PARTNER/EXECUTIVE WCA00120704 06/01/05 06/01/06 E.L.EACH ACCIDENT
OFFICER/MEM BER EXCLUDED?
Des,desaibeunder E.L.DISEASE-EA EMPLOYESPECIAL PROVISIONS belowE.L.DISEASE-POLICY LIMIT
OTHER
iCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
contactor
RTIFICATE HOLDER CANCELLATION
BOXFORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
Town of Boxford NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
7 Boffard Road IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
Boxford MA 01921 REPRESENTATIVES.
AUTH PR�j�1VE�C��
ORD 25(2001/08) ACORD CORPORATION 1988
i
= Board of Buil ing Regula ons and tan ar s
One Ashburton Place - Room 1301
Boston. Massachusetts 02108
Home Improvement Contractor Registration
Registration: 123237
Type: Public Corporation
Expiration: 1/10/2007
HOWELL DESIGN & BUILD
STEPHEN HOWELL
360 MERRIMACK ST.
LAWRENCE, MA 01843
Update Address and''return card.Mark reason for change.
S-CAI SOM-04/04-G101216
Address F] Renewal Employment Lost Card
w
TT
Board of Building Regulations and Standards License or registration valid for individul use only
,_jHOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration: 123237 Board of Building Regulations and Standards
Expiration: 1/10!2007 One Ashburton Place Rm 1301
Boston,Ma.02108
Type: Public Corporation
HOWELL DESIGN&BUILD
STEPHEN HOWELL
360 MERRIMACK ST:
LAWRENCE,MA 01843 Administrator Not valid without signature
\/� `}�:. �1LC Z/JOI7UI)T.dILGMQ�UL 0�✓(�dQCILC�P.Lf.O
BOARD OF BUILDING REGULATIONS
e License: CONSTRUCTION SUPERVISOR
Number: CS. 068232
.'` Birthdate: 02/14/1962
Expires: 02/14/2008 Tr.no: 16261
Restricted: 00
STEPHEN D HOWELL
15 MT VERNON RD G— AMD
BOXFORD, MA 01921Commissi
—
Board of BuMiAce,Regulations
One Ashburton m 1301
Boston, Ma 02108-1618
License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 02/14/1962
Number: CS 068232 Expires: 02/14/2008 Restricted To: 00
STEPHEN D HOWELL
15 MT VERNON RD
BOXFORD, MA 01921
Tr. no: 16261
Keep top for receipt and change of address notification.
)PS-CA1 Co 50M-04/05-PC8698
00-35,000 cf enclosed space
(MGL C.112 S.60L)
1A-Masonry only
1 G-1&2 Family Homes
Failure to possess a current edition of the
Massachusetts State Building Code
is cause for revocation of this license.
i ,
i
DIG SAFE CALL CENTER: (888)344-7233
CONSTRUCTION SERVICES AGREEMENT
Contractor: Owner: Date:
Howell Design&Build,Inc. Eric and Amy Mabley June 28,2006
360 Merrimack St.Bldg 5 219 Main Street
Lawrence,MA 01843 North Andover,MA 01845
Phone: 978-989-9440 Project:
C.S.L.#068232 Exterior Door and Window Replacements
H.I.C.#123237
I. PARTIES&DATE OF AGREEMENT
This contract(hereinafter referred to as"Agreement")is made and entered into on this
2e day of June,2006,by and between
Eric and Amy Mabley,(hereinafter referred to as"Owner");and
Howell Design&Build,Inc.,(hereinafter referred to as"Contractor").
In consideration of the mutual promises contained herein,Contractor agrees to perform the following work:
II. GENERAL SCOPE OF WORK DESCRIPTION
Plans/Permits:
• Obtain building permit and post at jobsite
o Building Permit Allotment(labor and materials): $360
Demolition
Replacement Windows:
• Remove and save interior window stops;remove and do not save storm windows(including frames),
top and bottom window sashes and sash weights and pulleys in the following rooms:
I"Floor:
o Dining room—(5)windows
o Living room—(4)windows(picture window to remain)
o Hall—(1)window
o Den—(3)windows
o Playroom—(1)window
2nd Floor:
o Study—(2)windows
o Left Bedroom—(4)windows
o Middle Bedroom—(3)windows
o Master Bedroom—(6)windows
o Bathroom—(1)window
3rd Floor:
o Bathroom—(1)window
o Den—(2)windows
o Office—(1)window
*Note: Windows located in kitchen,laundry room and mudroom are not included at this time.
• Sills,jambs and interior and exterior casings on windows to remain.
Exterior Door in Hall:
• Remove and do not save existing exterior door in I'floor hall including sill,jambs,interior and
exterior trim and door hardware.
Exterior Doors and Windows
Replacement Windows:
Page: 1 of 7 Initials:%4qA
4
• Supply and install(34)custom sized Marvin aluminum clad"Ultimate Double Hung"replacement units
in existing window openings in rooms listed above.
o Low"E"II argon filled glass; 1 over 1 configuration(no grilles)
o "Evergreen"clad exterior
o Full screens with"Evergreen"surround and charcoal fiberglass mesh
o Primed pine interiors on painted windows;natural pine interiors on stained windows
o Standard Marvin sash locks(white locks on painted sashes;taupe locks on stained
windows)
Exterior Door in Hall:
• Supply and install(I)Simpson 3070 15-light Douglas Fir French Door in existing door opening in 1"
floor hall.
o Oak sill
o Finger jointed primed Pine jambs
o Pre-bored for standard door hardware and deadbolt
o Supply and install door hardware
• Door Hardware Allotment(materials only): $150
Insulation•
Replacement Windows:
• Insert fiberglass bat insulation into sash weight cavities inside window jambs prior to installing
replacement window units.
Exterior Door in Hall:
• Insulate around new exterior door in hall with fiberglass bat insulation.
Exterior Trim:
• Install exterior door casing around new exterior door(match existing 6-pc door surround)
o 5/4 x 5 primed pine with 1 %"band moulding with door kick
• No work assumed or included for exterior trim around new replacement windows.
Interior Trim:
Replacement Windows:
• Re-install existing interior window stops(Contractor assumes no additional work to interior trim)
Exterior Door in Hall:
• Install interior door casings around new exterior door(match existing 7-pc trim)
Painting:
• Painting by others.
Cleanup:
• Job site to be cleaned daily
• Contractor to supply dumpster through course of project.
• Contractor to remove all construction debris at the completion of the"work".
• Job site to left in"broom clean"condition at the end of the job.
• Cleaning of windows by others.
(Additional Scope of Work page(s)attached: Yes X No)
CONTRACT SUM(lump sum price for all work described above): $40,064
III.GENERAL CONDITIONS FOR THE AGREEMENT ABOVE
A. DATE OF WORK COMMENCEMENT AND SUBSTANTIAL COMPLETION
Commence work within approximately(1)week of replacement window delivery. Contractor to achieve
substantial completion of all work in this Agreement approximately 4 weeks from work commencement not
including delays and adjustments for delays caused by:inclement weather,accidents,additional time required for
Page:2 of 7 Initials:S 9 g1J!P,
e
J. DISPUTE RESOLUTION
The parties agree that Massachusetts law shall control this Agreement and jurisdiction is proper in the
Massachusetts Superior Court. Any controversy or claim arising out of or related to this Agreement involving an
amount of less than the maximum limit of the small claims court must be heard in the Small Claims Division of
the district where the Contractor's office is located. Any controversy or claim arising out of or related to this
Agreement which is over the dollar limit of the Small Claims Court shall be settled by binding arbitration
administered by the American Arbitration Association in accordance with the Construction Industry Arbitration
Rules. The parties agree that mediation administered by the American Arbitration Association in accordance
with the Construction Industry Arbitration Rules shall be a condition precedent to arbitration. Judgment upon
the award may be entered in any Court having jurisdiction thereof.
K. ENTIRE AGREEMENT,SEVERABILITY,AND MODIFICATION
This Agreement represents and contains the entire agreement between the parties.Prior discussions or verbal
representations by the parties that are not contained in this Agreement are not a part of this Agreement. In the
event that any provision of this Agreement is at any time held by a Court to be invalid or unenforceable,the
parties agree that all other provisions of this Agreement will remain in full force and effect. Any future
modification of this Agreement must be executed in writing in order to be valid and binding upon the parties.
M. EXPIRATION OF THIS AGREEMENT
This Agreement will expire 30 days after the date at the top of page one of this Agreement if not accepted in
writing by Owner and returned to Contractor within that time.
O. OWNER'S 3-DAY RIGHT OF RECISION
The Owner may cancel this agreement with no further obligations by notifying the Contractor in writing that they
wish to cancel the agreement within 3 business days of the date they signed the agreement.
I have read and understood,and I agree to,all the terms and conditions contained in the Agreement above.
.... J&Ak4
Date Stephen D.Howell,President
Howell Design&Build,Inc.
,TV, 17 U%4- &4 —
Date Owner
6azzi
at caner
Page:7 of 7 Initials:��/!g