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HomeMy WebLinkAboutBuilding Permit #554-2017 - 250 BARKER STREET 11/22/2016 � NORTN 9 BUILDING PERMIT o SSLEo �o TOWN OF NORTH ANDOVER '6 0 APPLICATION FOR PLAN EXAMINATION « ,� o 41 Permit No#: 2 0 �.7 Date Received 0 (p gsSgArED cHus���� Date Issued: - _ 94 01 4P IMPORTANT: Applicant must complete all items on this page LOCATION a J" 3c r- r J S �°� 'Print PROPERTY OWNER k V" - Print 100 Year Structure yesC-n MAP _PARCEL: ZONING DISTRICT: Historic District yesMachine ShopVillage yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 0 One family ❑Addition 0 Two or more family ❑ Industrial 0 Alteration No. of units: ❑ Commercial repair, replacement 0 Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0 Septic 0 Well 0 Floodplain 0 Wetlands ❑ Watershed District O Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: k 3 4- 0 op s Identification- Please Type or Print Clearly % �� Js-g OWNER: Name: `17 v S e�-e Phone: 7 Address: j7 Sar Ci?l .� r Contractor Name: �'`I do W WorlJ ' � "- � Phone: Email: Address: 4 uNw+ -o(AS' VorK, obvr►\ V� y ( dt Supervisor's Construction License: /_v� ?�' Exp. Date: 7 f Home Improvement License: l(J D��✓ . Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$112.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. ( 6V Total Project Cost: $ l FEE: $ � Check No.: / / �5Receipt No.: 3 1 / NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund r signature of Agent/Owner �� Signature of contract( �� "' Location v`Z S D 1 E+C ' [ T . No. S3 Lf - V 7 Date �- o' b TOWN OF NORTH ANDOVER i Certificate of Occupancy $ Building/Frame Permit Fee $ r Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# i-'q 56 j I(- 411Y ;,, i ` V Building Inspector 001, r c 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 PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS I I j CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Si nature i COMMENTS I Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes s I Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/signature& Date Driveway Permit DPW Town Engineer: Signature: Located _` N Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on.site yes at 124 _ no. Main.Street � - Fire Department-signature/date COMMENTS 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 p Permit Application p ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed osed 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/Cross Section/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 o 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 Doe:Building Permit Revised 2014 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 Call Email ( Date Time Contact Name Doe.Building Permit Revised 2014 � NORTI-r Town of _. Andover h ver,10 Mass, // • ,► A 0/ A coc«ic"IWICK 7i9s RATED U BOARD OF HEALTH Food/Kitchen PERM 'IT T LD Septic System THIS CERTIFIES THATA.#.V.Vk*V. 1......W)90! .11m. ZAWF�. ...Sm BUILDING INSPECTOR has permission to erect buildings on �COCFoundation Rough to be occupied as ...L3......... moo.;awomr........ . ..1cm .-clOo..................... Chimney provided that the person accepting this permit shall in every respect conform to the terms 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 UNLESS CONSTRUCTI START Rough 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. I t ® MA HIC Registration Wijidow World of Boston, LLC Offices & Showrooms Number: ❑15A Cummin s.Park O 295 Old Oak Street 166025 G�,/�� g Federal ID# LW Woburn, MA 01801 Pembroke,MA 02359 . (781) 932-4805 (781) 826-6281 27.1481665 "Simply the Best for Less" www.WindowWorldofBoston.com i Customer: ` r�i.�(� �¢ �t ,,r�e � Phone(h) ''� . Install Address: r4— Phone(w) City: /,,)0 �,� �U�Q el State: MA Zip E-mail � WINDOW WORLD GLASS OPTIONS 1000 Series Single-hung All-Weld $189 13SolarZone Elite $99 f 2 2000 Series DH Mech/Welded Sash $195 Triple Glazed TG2* $175 E 4000 Series DH All Weld $205 7fr (*Series 6000 Only) 6000 Series DH All-Weld $240 WINDOW OPTIONS 2 Lite Slider $334Breakage Warranty $15 INCLUdED 3 Lite Slider (,r�,,r�,va) (114,1/2,114) $525 _screens $9 CIN LUDED Picture/Fixed Lite $334 insulation on Jambs and Head $11 INCLUDED Awning $260 C� a Strength Glass $15 INCLUDED Casement $290 Double Locks (> 26") $5 INCLUDED 2 Lite Casement $575 Full Screens $22_IIL 3 Lite Casement (,1a,,>3,,r3) (114,112,114) $860 Colonial Grids (Co toured/F t) $45 43 Prairie Grids �--- e4gW, /t �' . $5.1 Basement Hopper $334 Diamond Grids - $69 Bay Window-Soffit Mount/INS Seat $2660 Simulated Divided Lite $182 Bow Window-Soffit Mount/INS Seat$2785 Tempered DH Sash (BSO) (TSO) $65 Garden Window. $1880 Obscure Glass(BSO) (TSO) $35 Specialty Window $ Oriel Style(40/60 or 60/40) $30 i Beige/Almond $40 Foam Enhanced Frame $35 Wood Grain Interior(Series 4000/6000 only)$100 PRE 1978 BUILT HOMES(Federal Lead'Confainmenf Law) (Light Oak/Dark /Che ox Wood Lead Safe Practices.Required 25 . Rich Maple) MY HOME WAS BUILT IN THE YEAR­l, Initial /t Brown Exterior(Arch.Bronze I American Terra)$100 Designer Color Exterior $155 :MISCELLANEOUS Custom Exterior Aluminum Cladding Window Color erY / lq'� � ❑Textured$75 i7 Smooth G-8 $75 $ Facing Color Inside Outside j Metal Window Removal $50. NON CUSTOM DOORS New Construction Vinyl Removal $175 Vinyl Rolling Patio Door 5ft.or Eft. 95 Specialty Window Exterior Trim $ yl Rolling Patio Door 8ft. $1.095 Mull to Form Mufti Unit $30 Ad base price for Custom Rolling Pa' oar $1150 _Install Interior/Exterior Stops $50 Frenc all Sliding Patio Door .or Eft. $1295. Install Interior Casing, Starts At $95 French Ra tiding Patio D r 8ft. $1395 Insulate Weight Boxes $20 French Rail$11 ' g Pati oar 9ft. $1495 Roof for Bay/Bow Windows $500 Custom Exterlor C ding $150 Existing New Const. Ext. Retro Fit $150 SolarZone Elite ETC ss .$175 Removal of Existing Bay/Bow $250 Grids Patio D r $129 Repair Sill,Jamb or replace sill nosing $50 Woodgrai nteriors $295 Full Sub-Sill (Single) replacement $150 Ext *0 esigner Colors $395 Mullion Removal $30 Inter' r Casing 21/2 3112 $175 H dleset Options - $ Bay/Bow Conversion.Ext. Retro Fit $350 $ (New Siding Will Not Match) Building Permit $150 �� Door Color / .„ ROUND-UP FOR WINDO'llll`WORLD-CAI FIR Inside Outside . fi s✓ __, .St-Jude.Ctiildren diesearchi ostutdl_..: ... . .- t Customer declines exterior wrap and understands painting and/or repair may be required Initial ,/V S: Customer declines grids on windows/doors Initial DISCLAIMER:Customer is responsible for the following in connection with this contract:Painting,Staining,Alarm System disconnectlreconnect,Building Permitfees in excess of$25.00,Homeowner and or Condo Association Approval,Historic District Approval.City of Boston parking&sidewalk Permit fees in connection with installation. NO EXTRA WORK IF NOT IN WRITING! Customer agrees to the terms-of payment as follows: Extra Labor&Materials $ i Site Set Up,Disposal&Delivery Fee $. $195.00 Total Amount $ qt* _ Custom Order Deposit 50% $ ^0 Ck# Balance Paid to Installer upon Completion $ to Amount dna ced $ Window World of Boston anticipates starting this work on lot,* Amount being substantially completed in=1tays.Security Interest:Yes No . Any deposit required in advance of the start of the work SITALL NOT exceed 331/3° 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 both parties. j Ali home Improvement contractors and subcontractors shall be registered and that any inquires about a contract 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 No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of such contract. Window World of Boston under provisidn of Chapter 142A of the general laws is required to apply for-and obtain all construction-related permits.Window World of Boston shall not be deemed responsible for delays in the work described in this agreement caused by regulatory,permit granting agencies,authorities or individuals. Notice:if the PURCHASER(S).obtains his own construction related permits Ior.the work described under thisagreement or:deals with unregistered contractors, the PURCHASER(S)is hereby advised that in the:event of a dispute,judgement and nonpayment,the PURCHASER($)-*will not be entitled to make a claim or collection from the guaranty fund established by chapter 142A,M.G.L. You the buyer may cancel this transaction at any time prior to midnight of the third business day after the.date of this transaction. Notice of cancellation must be in writing postmarked no tater than midnight of the following third business day. THIS IS A DER 1407-1908 RESALE! This Window World®Franchise.is independently owned and operated b Window World of Boston,LLC,under license from Wndow World,Inc. "Al1:i—:: �7::--Owner.Do not sign if there are any blank spaces. Date sman:Do not sign if there arl any blank spaces. Dat Owner:Do not sign if there are any blank spaces. Date Boston 07.16- White Copy-Original Yellow Copy-File Pink Copy-Customer Hayes Printing 888.667.1116 i I I i I I _ I I i MI Windows And Doors 850 West Market St CN11RICr Gratz,PA 17030 um 1650 DHNINYLIGrids NaGl�nel Fenestration Panel 182:Lite-1:(3/32",Clear,LOE,Annealed);Lite-2: j Rating Councils (3/32",Clear,NONE,Annealed);Argon;35 314 X 4111114 zinc= MEI-A-111-04220-00002 Individual products may be subject to variation In performance I ENERGY PERFORMANCE RATINGS U-Factor(U.S./I-P) Solar Heat Gain Coefficient i 0.29 0.26 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance 0.46 manufacturer awtatel that these raww tonf acnt as apt ecMe e NFRC prctcedueS 1Qtdete n'€t9§ 0sa pr+sds9Gt; performance NrRC R*M$aea en"ned car a roved set at er treon+n at condP s and a spectic 3rrFtfutE Ste. NFRC does nOt raG.M d a,ty ptpduc4&std tl6aS not W1731 tfFa udaoftay at any pwutt fm wy speafte use camult nenutec is aera4 re for Omer ptoduct pedermance ftmawn WV i I i I I Perf Grade +DP(ASD) -DP(ASD) Water R-40 50.13 55.14 6.06 Max TestSize Report# Florida ID - 38.00 X 80.00 87982.01 12234 Ratings are for Individual windows and doors only. For Information regarding mulled or stacked units,please contact your sales representative.Pos and Neg DP limited by unit test size.Tested to AAMANVDMA/CSA 101/I.S.2/A440-05 Glass According to ASTM E1300. Printed on 126474612.6.1 .2 4/281`2013-11:4-4:5-2-I'M I �d } h I i The Comt7,,orzweatth ofMassachusetts Department of1_KdUEtria1Acc!deKts �? r vestig ations office of�T n -= 600 Washington Street Boston, MA 02111 yvww. rcass.gov/dia ers' Com ensation Insraace Affidavit: ]Builders/Contractors/Electricians/Plumbers WorkF Please Print Legibly A licant Information ®r�� 0 5 t7 WLZe Name(Business/Organiza,ion/Individual): Address: 14 City/State/Zip: ltJed rr� �. O/80/Phone#: Are you an employer? Check the appropriate bog: Type of project(required): 4. I am a general contractor and I 6 New construction 1. 1 am a employer with haVe �the sub-contractors employees(full and/or part-time).* 7. Remodeling listed on the attached sheet. 2.❑ I am a sole proprietor or partner- These sub-contractors have g. f]Demolition ship and have no employees employees and have workers' working for me in any capacity. 9. E]Building addition insurance comp.insurance.$ [No workers comp.ms oration and its 10.E]Electrical repairs or additions required.] 5. EJ We area corporation officers have exercised their 11.0 Plumbing repairs or additions 3.❑ I am a homeowner doing all work rim t of exe tioner MGL myself-[No workers' comp. have no p' 12.[]Roof repairs we c. 152, §1(4),and 13 D1 ther innce required.]' employees,[No workers' comp.insurance required.] � 5 *Any applirznt that checks boil must also fill out the section below showing their workers'compensation policy information Homeowne5 who submit this au davit indicatingthey are doing all owork�and e nam of the sqb conha ors and state whether or not those seen ti have such. $Contractors that check this box must attached an additional sheet sh. employees.e.-Ps. If the sub-contractors have employees,they must provide their workers'comp.policy number. jam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Co Insurance Company Name: 1 GV1� � Policy,or Self J"62-ins.Lic.#: J5- Expiration Date: / D C',r K P � I City/Sta�elZip: IV( /i/j N �`,r V Job Site Address: declaration page.(showing the policy number and expiration date). Attach a copy of the workers' compensation policy c. 152 can lead to the imposition of criminal penalties of a Failure to secure-coverage as required ander Section 25A of MGL fine up to$1,500.00 and/or one-year imprisonment,as well as civffpenalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. l3e advised that a copy of this statement maybe forwarded to the Office of lnvestigations of the DIA.for insurance coverage verification. I do hereby certify and the airs and p es of that the.information provided above is true and correct. ' Date: Sisnattu'e: . Phone#E: 6147n, 3 Official use only Do not write in this area, to be completed by city or town offzciaL City or Town: PermitUcense Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Phone A- WINDO-2 OP ID: HI ,acoRO• CERTIFICATE OF LIABILITY INSURANCE DATE, MM/ DlYYYY) �._.- U 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 NpAME CT C.Timothy Ward, CPCU, CIC Senn Dunn-GSO 3625 N.Elm St. ac°No E,1:336-272-7161 AIC,No: 336-346-1397 Greensboro,NC 27455 E-MAIL C.Timothy Ward,CPCU,CIC ADDRESS:tward@senndunn.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Citizens Ins Co of America 31534 INSURED Window World of Boston,LLC INSURER B:Allmerica Financial Benefit 118 Shaver Street INSURER C:Hartford Fire Insurance Co. 19682 North Wilkesboro,NC 28659 INSURER D: INSURER E: INSURER F: 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 ADDL S BR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MWDD/YYYY I MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE OCCUR OB6790252707 04/01/2016 04/01/2017 AMAGETORENTED PREMISES Ea occurrence $ 500,00 Business Owners MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG S 2,000,00 OTHER: $ AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT Ea accident $ 1,000,00 B ANY AUTO AW68757615 06/16/2016 06/16/2017 BODILY INJURY(Per person) $ ALL OWNED r I SCHEDULED tid P BODILY INJURY(Per accident)AUTOS AUTOS ( ) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 1,000,000 A EXCESS LIAB CLAIMS-MADE OB6790252707 04/01/2016 04/01/2017 AGGREGATE $ DED I I RETENTION$ S WORKERS COMPENSATION X­PERT__ ER OTH- AND EMPLOYERS'LIABILITY STATUTE ER C ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 22WECLJ2636 01/27/2016 01/27/2017 E.L.EACH ACCIDENT $ 500,00 OFFICER/MEMBER EXCLUDED? ❑ N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,00 If yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT I S 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) I r f CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Osgood St.Ste 2043 AUTHORIZED REPRESENTATIVE North Andover, MA 01845 ION,lia-VAJUS ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD I i Massachusetts Department of Public Safer) Board of Building Regulations and Standards License: CS-072772 Construction 5uoeriisor 3 JEFF C STEELE 24 SHERWOOD AVE - DANVERS MA 01923 L^ -^ ` Expiration: Commissioner 04!07/2018 --3 '- Office of Consumer Affairs&Business Regulation + ;'HOME IMPROVEMENT CONTRACTOR Registration: 166025 Type: Expiration: 4/12/2018 LLC WINDOW WORLD OF BOSTON,LLG. JEFF STEELE 24 CUMMINGS PARK SUITE-15-A WOBURN,MA 01801 Undersecretary I License or registration valid for individual use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 Not valid without signature I