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HomeMy WebLinkAboutBuilding Permit #1334-2016 - 31 BREWSTER STREET 7/21/2016 a� P ��4TL pTh V I BUILDING PERMIT TOWN OF NORTH ANDOVER ° o APPLICATION FOR PLAN EXAMIN W N 1 Permit N0: I t� - Date Received 02 `0 Date Issued: t::P� �9SSACHUSE,�� I PO TANT:Applicant must complete all items on this page LOCATION_ _ ��� "l 1 Print PROPERTY OWNER Print MAP NO: 02— PARCEL:ZONING DISTRICT: Historic District yesno Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Resi ntial Non- Residential ❑ New Building One family ❑Addition ❑Two or more family ❑ Industrial ❑ teration No. of units: ❑ Commercial Repair, replacement o Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Pi Septic 0 Well 0 floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer Identification Please Type or Print Clearly) OWNER: Name: Phone. Address: PQ412t:11D &&t CONTRACTOR Name: Phone: IA)la&,U Address: 6AA1q,--,r A= Supervisor's Construction Lic nse: Exp. Date: Home Improvement License: r � Exp. Date: ARCH ITE T E C 1 NGINEER phone: Address: 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: FEE: $ Check No.: I Receipt No.: NOTE: Persons contracting with unregistered contractors do not have acces to he g�ranty fund ,�ignature of Agent/Owner Signature of contract _ .J- '� tORT11 BUILDING PERMIT oF�t,ED gtio TOWN OF NORTH ANDOVER hey'. F- `0% APPLICATION FOR PLAN EXAMINATION PDQ R yA! Permit No#: Date Received ��s RATED SgcHus Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION, _ zPnntT t PROPERTYrt-OWNER -� � — - Pnnt r100^�YearStructure yes, NO., IMAP w_ _m PARCEL Fi stone Dmr,Ict eyes. tno' �IMachme Shop:`Village eyes m:o a �— 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 _ 3 �I71FIoodplam, ❑`Wetlands .,� Watershed District ❑Water/;.,Sewer,_= - DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: C�ontracor.Name Pf one VA-Mr-ME. 5�upe{rwisor siCo struct n License Date _ Home Irnprovemenjticse 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: $ . FEE: $ Check No:: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of AgerrJOwrier :� -ig[ai re,of`'contractor '•. _,�,, Location No. �tA P ,1 Date". '77--77p— TOWN 7 77p_,."' . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ �`"'" Foundation Permit Fee $ Other Permit Fee $ TOTAL $ F Check# r 1.r ! / t ' " i t Building Inspector �' Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ -TYPEO'F-:SEWERAGEDISP:OSAL Public Sewer ❑ Tanning/MassageBodyArt ❑. . .Swimming Pools El 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 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 ]DPW Tmwi! Engineer: Signature: Located 384 Osgood Street FIRE DEPARTitli�NT -'Temp Dumpster on site yes. no Located 124,Main Street Fire Department sigriatur"e/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 location, mast or service drop requires approval of Electrical Inspector fifes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department ease) El Notified foricku Call Email p P Date Time Contact Name Doc.Building Permit Revised 2014 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 u Building Permit Application o Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses a Copy of Contract o Floor Plan Or Proposed Interior Work o 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 a Workers Comp Affidavit a 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) o Mass check Energy Compliance Report (If Applicable) o 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) o Building Permit Application o Certified Proposed Plot Plan o 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) a Copy of Contract o Mass check Energy Compliance Report o 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:Building Permit Revised 2014 NORTH Town of F. ndover O I : h ver, Mass,QQI& 21 , 2011P O �wN• �� [OC NIC Nl WI[N � �.QS R'VTEO �Qa��S U BOARD OF HEALTH Food/Kitchen PERM T T D Septic System THIS CERTIFIES THAT ��r �lkv%ep BUILDING INSPECTOR ...................... . .. ............................... ....................... .... . ..... . ..... ....1 .. Foundation has permission to erect.......................... uildings on . 1...... . . w .... .. ...til.. Rough to be occupied as .......jq........ ... .. ..... ........... ��.............................. Chimney provided that the person accepting this ermit 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 CONST TIONRough 1 Service BUILDING SP Final CTOR 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. Window World of Boston, LLC MA HIC Registration offices &Showrooms Number. ®15A Cummings Park ❑295 Old Oak Street16025 06 Woburn, MA 01801 Pembroke, MA 02359_ Federal ID# (781) 932-4805 (781) 826-6281 27-1481665, "Slmpfyr the Gest for Les" www,.WindowWorldofBoston.com Customer: Q r;;� , .(�p� Phone(h) qlL'?" 6657-26/f Install Address: Pbone (w) City: State:MA Zip Q 5'-E-mail WINDOW WORLD GLASS OPTIONS 1000 Series Single-hung All-Weld $189 3 SolarZone Elite $99 2000 Series DH Mech/Welded Sash $195 Triple Glazed TG2* $175 4000 Series DH All-Weld $205 ' (*Series 6000 Only) 6000 Series DH All-Weld $240 WINDOW OPTIONS - 2 Lite Slider $334 Glass Breakage Warranty $15 INCLUDED 3 Lite Slider (vs,1ls,list {1ja,1� 1r41 $525 X1/2 Screens $9 INCLUDED Picture/Fixed Lite $334 Foam Insulation on Jambs and Head $11 INCLUDED Awning $260 - —71�Double Strength Glass $15 INCLUDED Casement $290 ` Double Locks(> 26") $5 INCLUDED $575 Full Screens 2 Lite Casement $22 3 Lite Casement {1ta,113,1g (1r4,1r2,1i4) $860 __];�_C'.olonial Grids (Contoured/Flat) $45 -j- Basement Hopper $334 Prairie Grids $51 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 Beige/Almond $40 Foam Enhanced Frame $35 Wood Grain Interior(Series 4000/6000 only)$100 PRE 1978 BUILT HOMES(Federal Lead ConWnment Law) (Light OaklDark Oak/Cherry/ Fox Wood Lead Safe Practices Required $25 Rich Maple) MY HOME WAS BUILT IN THE YEAR_/ InitialET Brown Exterior(Arch.Bronze!American Terra)$100 Designer Color Exterior $155MISCELLANEOUS Custom Exterior Aluminum Cladding ®Textured$75 0-8 ooth G-8 $75 $ Window Color Wi ce- J l t Facing Color GI,, inside outside . Metal Window Removal $50 NOR CUSTOM DOORS tR New Construction Vkr i Removal $1.75_3:5-0 Vinyl Rolling Patio Door 5ft.or bit. $995 Specialty Window Exterior Trim $ Vinyl Rolling Patio Door Bit. $1095 Mult to Form Multi Unit $30 Add to Mase price for Custom Rolling Patio Door $1150 4t Install Intedor/Exterior Stops $50 Wo French Rail Sliding Patio Door 5ft.or Eft. $1295 Install Interior Casing Starts At $95 French Rail Sliding Patio Icor 8ft. $1395 Insulate Weight Boxes $20 French Rail Sliding Patio Door Gift. $1495 Roof for Bay/Bow Windows $500 Custom Exterior Cladding $150 _Existing New Const. Ext. Retro Fit $150 SolarZone Elite or ETC Glass $175 Removal of Existing Bay/Bow $250 Grids Patio Door $129 Sill,Jamb or replace sill nosing $50 Woodgrain Interiors $295 a Full Sub-Sill (Single) replacement $150 =els Exterior Designer Colors $395 Interior Casing 2112 311 $175 Mullion Removal $30 Bay/Bow Conversion Ext.Retro Fit $350 Handleset Options $ (New Siding Will Not Match) � Building Permit $150 Door ColorRMN J Inside Outside " _ UPIX' Customer declines exterior wrap and understands painting and/or repair-may be required.Initial. Customer declines grids on windows/doors Initial DISCLAIMER:Customer is responsible for the following in connection witlt this contract Paidng,Staining,Alarm System-disC6rtnecdreconnect Building Permit fees in excess of$25.00,Homeowner and or Como Association Approval,Hlstdc District Approval.City of Boston parking&sidewalk Permit tees in connectins with Installation. NO EXTRA WORK IF NOT IN WRITINGI Customer agrees to the terms of payment as follows: Extra Labor&Materials $ Site Set Up, Disposal&Delivery Fee $ $195.00 Total Amount $ Jt U- Custom Order Deposit 50% $ Ck# Balance Paid to Installer upon Completion $ Amount Financed 2- Window World of Boston anticipates starting this work on — 11and being substantially camleted in days,Security interest:Yes. . No Any deposit required in advance of the start of tho work,SHALL NO 31/3%of the total contract Me.or the actual cost of any material or equipment of a special order or custom made nature,.which must be.orderedriri..advance of the start of the work to assure that.the project will proceed.on schedule.No final payment shall be demanded urrt8 the contract is completed to the satisfaction of both parties. All 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 Perk Plata,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 provlslon of CNpter`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;authodtles or.individuals. Notice:It the PURCHASMSJ obtains Itis own construction related pattnits for-the.work describedunder this agreement or deals vilth;unrogistered contractors; the PURCHASER(S)is hereby advised that In the event of a,dispute;-judgement and nonpayment,the PURCHASER(S)wilt not,be entifled,to make a claim or collection from the guaranty fund.established by chapter 142A,M.P.L. You the buyer may cancel_ is transaction at any time priorto midnight of the third business ay,a er the data Rd transaction. Notice of cancellation must be in writing postmarked no later than midnight of the fallowing third business DER F ! This Window World"Franchise is Independently owned and operated Window World of Boston,LLC.under Ilcense from Wi ew Owner:Do not sign if there are blank sp Salesman:Do not sign if there are any blank spaces. Date Owner:Do not sign if there are any blank spaces. Date Boston 07.15 White Copy-Original Yellow Copy-File Pink Copy-Customer Hayes Printing 888.867-1116 II _. .__.....:mac... -..-' k Wrn:r'[ a �f� .at_Vis. 3.�3 fII�'z 7FLt� t 31..Er 3 zM A}T1�t3t�OF �. I s 6 i 3 ;-� � audlor-oazt- � nave �ie,,i�u�r;` " � '• �.1 �=��ns�i�..e� .TC,Bi?L'L?S or gazma- '/std saEd 3�13;.1I' street '' b3.a micys ?hese for re ie�rY upactf _ '�m�' fa.,,U M '� li`Ga sem., ,.F.�' ca=.b2zmmce 3. �� �v�3�7IT�I3fIEIY!�� :3. � -SuEd�3dRE,,- LM I ..a OL•gg _:L 'S Might 7 wvL•::,,I- t,der Arlt .'sd 152.1 S 17r7 z tea:= x=. IISa iL ? aRi3e M.ion xlaa� �6- _v:,.:'7zr;`; --z^ bimI=d-- n tick t ,.+� w'�'�5-17.�:i x.11��..,7'. �_ ��x`�--•'�r*r_�'�7d aGGS$�iCUCt�[G ��`"'°a�1iY'L•-�3�Z'31 3r�SCLW iC yCZ _ r �sg�ea�ai�� rorsmd�ea'x��aT�.paii�f J•" tpe JQ I Jj7 i �G!:CJ`s Pc7declarm. Job SiL 3�'-s.,: tia a corp or t$a srorker-S, LrtylStateizk:m�eusatioa4W on M,-2 fslea-win,g the P41lcF autati?Ps s�m secez:mv-3ge a read imder Sectiaa��:of32G o atad�Pir� taa datd). L C. IS_can lead rD the kmos'dcu of "tee UP to I,�Cr�.J0 and/or oue yeaz ar,�risoumeat, sreIl eaalties of a 'r'Z Z oa tl•'QX a daf apimt the vio*L=r. Be z e" °�a``ues m rhe Farm.oa a STOP'�lOR.�O:tDr' {and a iiac advised that_ o f t3is scatemr�t may be forwarded to the Office,3f a rzri�u;Gns of�e DLA for ms'taance coverage veWcatiol. da hereby cert under srr malt' ofPerjury.Lf&the WQMtad0n prov*d above is true and correct fj 'd Q= Off rcw use arch,. Do Not write N this Brea,to be cvWpleted by rill+or town of,ficial f ^` I P � 1oriv(dr:le me, C% i• crth. ! �'=r ??act teal dnspeetor 5. Ptumbiag Impeder Contact Ptrsoa; WINDO-2 OP ID:HI CERTIFICATE OF LIABILITY INSURANCE DATE( 071MM/DDIYYYY) 18!2016 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 CONTACT Senn Dunn-GSO NAME: C.Timothy Ward,CPCU,CIC 3625 N.Elm St. nHCO°Nr o ,):336-272-7161 FAX No):336-346-1397 Greensboro,NC 27455 oRless:tward@senndunn.com C.Timothy Ward,CPCU,CIC INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Citizens Ins Co of America 31534 INSURED Window World of Boston,LLC INSURERB: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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR IN POLICY NUMBER MM/DD MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE �OCCUR OB6790252707 04/01/2016 04/01/2017 DAMAGES EE TO aoccTEDence $ 500,00 Business Owners MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER., GENERAL AGGREGATE $ 2,000,00 POLICY FJ PRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,00 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ 1,000,00 B X ANY AUTO7 68757615 06/16/2016 06/16/2017 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,00 A EXCESS LIAR CLAIMS-MADE OB6790252707 04/01/2016 04/01/2017 AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER _ C ANY PROPRIETOR/PARTNERIFXECUTIVE YIN 22WECLJ2635 01/27/2016 01/27/2017 E.L.EACH ACCIDENT $ 500,00 OFFICERIMEMBER EXCLUDED? ❑ NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 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 SIP,Lkww_l�!ll ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Massachusetts Department of puai:c Safety Board of Buf ding Regulatidns and Standards License-: CS-072772 zz F JEFF C STEELS 24 SHERWOOD AVE DANVERS MA 01923 Commissioner I =xpiraron: 04/07/2018 Office of Consumer Affairs&Business Regulationr „--HOME IMPROVEMENT CONTRACTOR Registration: 166025 Type: Expiration:. 4/12/2018 LLC WINDOW WORLD OF BOSTON,LLC. JEFF STEELE i 24 CUMMINGS PARK SUITE 15-A WOBURN,MA 01801 Undersecretary i i i i I Li registration valid for individual use only befo expiration date. If found return to: of Consumer Affairs and Bu6ness Regulation Plaza-Suite 5170 ^e•,- Boston,MA 02116 f <Not valid without signature I I I I I