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HomeMy WebLinkAboutBuilding Permit #298 - 312 BOXFORD STREET 12/14/2009 TF1 BUILDING PERMIT 0� Z t%0RD W6 TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received ss,,4c C Date Issued: -0 JU IMPORTANT: Applicant must complete all items on this page : i' AT C -ION: ,- t PIV. PROPERTY OWNE Print:' P 'ZON.INQ..:D R TVj kQ 04STOk TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 0 New Building 0 One family 11 Addition El Two or more family 11 Industrial 0 Alteration No. of units: El Commercial )(Repair, replacement El Assessory Bldg D Others: El Demolition 11 Other 0. W8tersbed,'], JrV bWetlah S D W6 1, istrict 6 we: r1 DESCRIPTION OF WORK TO BE PREFORMED: rep /a in dO W-S acid do o(-s In - D �Xjs -hne 0Pfn1nq-S I NFP-C Identification Please Type or Print Clearly) OWNER: Name: POU 1 0, r--)d goor)r)C,- Kr con Phone: Address: I�US+ . N . 2 CONTRACTORPho.ne4 . ame 7 77 ' Ad - ,C dfess Q Ex1p;,1 Obte" Exp'. ite,. ", Dc Z n s t q� , ,Hbme Improvemenl Lice 6: ARCHITECT/ENGINEER 0 -S P F-c))((-)r-) Phone: -7 1 q-5 Z- 9-3 0 C.) Address: 2(-o Cedor S+ - VVC)b 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: $ � � -1 L4 CO FEE: $ 237 ,YZ. :7 LL23 Check No.: (O Receipt No.: 22,5-3 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor---­�,.,10W l i Location No. Date HQRTiy TOWN OF NORTH ANDOVER- - { C � R 9 * Certificate of Occupancy $ - JACMUSE Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 22527 Building Inspector i 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 ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ V ;I ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ 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 FIRE D.EPART,MENT t T6mp Dempster on, ite ;yes na Located at%124 Main Street Fire:Departmen , : sign nature(date.g COMMENTS Dimension l 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 - Date ...................................._................................__....._................................................... Doc.Building Permit Revised 2007 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 a 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 NORTH Town of oAndover Ogar.. - {' •�, ` No. 02 98 o dover, Mass., ^----- oLAKE COC MICHEWICK � 7�AORA TE0 BOARD OF HEALTH Food/Kitchen Septic System PERMIT _ TBUILDING INSPECTOR THIS CERTIFIES THAT....... . .'.10 Z h Foundation 2 8a __/ 51....................................... Rough has permission to erect........................................ buildings on .. JC....... 1.........7- to be occupied as ..��.r�..... ,�111L (JIA ...'...... ....... d.p ........' ..............................................:.:ra'N h` n y C e provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Fina this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of PLUMBING INSPECTOR Buildings in the Town of North Andover. VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final .� PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR q-n UNLESS CONSTRU STARTS Rough ............ .............. .................... ................................... .......... Service BUILDING INSPE TOR 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. FSEE REVERSE SIDE Smoke Det. MA Re #146589 From our Home to Yours... Reg Federal ID#20-2625129 CT Reg#0605216 awolle 8 A c Rf;,Reg#26463 29 Windows,Siding and More Corporate Headquarters,26 Ceda t,Woburn,MA,(P)800-342-2211 (F)781-933-9626,www.newpro.com THIS CONT CT MADE THE day ofL.�—� 20e57tF between (Home Owners) ( m P�hon — ell Phone of IeA (Address) (City) (State)l (zip) the"Owner"and NEWPRO Operating, LLC, "NEWPRO". F-1 The job address is a condominium. NEWPRO hereby agrees that it will for the consideration hereinafter mentioned,furnish all labor and material necessary to install the following described work at the premises located at (Job Address) (E-Mail) for proprietary use only TOTAL AdditionalJ— Number odel TOTAL �y Windows Purchased p� NEWPR p Work Qt CASH I! - Window Color In: Out:fJ ) ng Glass Doo PRICE ` Capping Color Steel.Securit Do Door Color In: Out: EPOSIT Model Name Model Number(s Qty Sidelites WITH Double Hung New Construction Unit ORDER / Picture Window Storm Door BALANCE Casement Obscure Glass TOP BOTTOM DUE AT 13 >� Lit /3 Lite Slider Screens LL INSTALL Ba /Bow Frame Please Initial: Roof. ❑ soffit: ❑ Customer understands that N O®does notCASH Garden Window do any painting or staining. (ie:when removing ala_ p ' eteH installation Awning or replacing interior stops or trim) Hopper NEWPRO®is not responsible for conditions or Shaped circumstances beyond its control including con- FINANCE Other densation resulting from or due to pre-existing Bank completion form signed at installation GRIDS Colonial I SDL Euro conditions. DESCRIBE WORK: em Est.Start Date: �ustomer understands this is an"estimated date" Est.Comp.Date: Q Initials 1-1 Customer understands all steel security doors will have a 3/4"aluminum threshold installed over existing threshold. It shall be the obligation of NEWPRO to obtain any and all permits necessary under this agreement,as the Owner's Agent. The Owners who secure their own construction-related permits,or deal with unregistered.Contractors will be excluded from the guaranty fund provisions of MGLC,142A. All Home Improvement Contractors and Subcontractors shall be registered by the Director and any inquiries about a Contractor or Subcontractor relating to a registration should be directed to: Director,Home Improvement Contractor Registration,One Ashburton PI,Room 1301,Boston,MA 02108,(617)727-8598. If the Owner is obtaining financing by way of a Retail Installment Sales Agreement,such Agreement shall include a time schedule of payments to be made under said contract and the amount of each payment stated in dollars,including all finance charges. The Retail Installment Sales Agreement shall be incorporated herein by reference. If the Owner is obtaining a revolving credit line to pay,in whole or in part,for the contract amount herein,the terms of the revolving line of credit including interest rate and payment terms,shall be clearly set out on the credit application. The portion of the credit application referencing a time schedule of payment,to be made under this contract,and the amodnf of each payment stated in dollars,including all finance charges,shall be incorporated.herein by reference. NEWPRO represents that it carries Workmen's Compensation and Public Liability Insurance in the amount of$100,000-$300,000. If the Owner refuses to permit NEWPRO to proceed with the work herein,or in the event of any breach of the Owner of this agreement,for any reason whatsoever shall cause the owner to pay NEWPRO a sum of money equal to thirty-three and one-third percent of the price agreed to be paid,as fixed, liquidated and ascertained damages,and not as a penalty,without further proof of loss or damage. NEWPRO shall not be held liable in damages for delays in the performance of this contract due to causes beyond its reasonable control. Owner warrants that he is the owner of the property on which the work is to be performed or that he is otherwise authorized on behalf of the owners to enter into this agreement. This contract represents the entire agreement between Owner and NEWPRO and cannot be changed except in writing signed by both the Owner and NEWPRO. You are entitled to a copy of the Contract at the time you sign. Keep it to protect your legal rights. We,the aforesaid owners, certify that immediately after the signing of the aforesaid agreement, a copy was furnished to us. You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller,which may be his main office, or branch thereof, provided you notify seller in writing at his main office or branch by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement. (Saturday is a legal business day). See the attached notice of cancellation form for an explanation of this right. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. The owner has seen"sample"warranties that will be provided by NEWPRO upon iyn��}'aa tion. Sample warranties provided to Owner. INts; HEREOF,the parties ave ereunto signed their names this " 20..-I G�E-+� EIN# Signed Z Marketing Representati rinted Name Z. Owner Accepted: NEWPR perating,LLC By Signed, -�1/ . Owner RPORATE OFFICE SHREWSBURY BRANCH OFFICE WARWICK BRANCH OFFICE 26 Cedar St 151-153 Memorial Drive Business Pk 24 Minnesota Ave Woburn,MA 01801 Suite B-C Warwick,RI 02888 (P)800-242-9974(From NE) Shrewsbury,MA 01545 (P)800-356-3312(From NE) (F)781-933-0717 (P)800-456-0555(From NE) (F)401-732-1371 (F)508-842-9248 WHITE: Branch Copy YELLOW: Customer's Copy PINK: File Copy GOLD: Finance Copy US-15 R0508 08/12/2009 15:59 FAX 17819330717 NEWPRO SALES Servi�ce�„y Q 008/016 - • 7cw j/I" `;am ” LEJ08# Page—2Of Z • .•phi+ 'w�l>i�MjjF'mi o �CUSTO)dER E-MAIL ADDRESS HOME PHONE DATE WOR ELL PH E �/a �X � �, (Circleo ADDRESS BEST DAY TO INSTALN1 T T F CITY.STATE 6dG &4K P seW circ one) PRODUCT SPECIALIST BRANCH: �: ESTIMATED START DATE TOTAL#OF S OF DOORS WINDOW COLOR WINDOWS 0 OF BOW/BAY/GARDEN ' Storm.Steel, Ia Inaawou?ddo CAP COLOR � „ J iYr✓ !✓i11�®lam _ OPENING SIZE STOPS NO. STYLE W x H U.I. LOCATION GRIDS SCR IN OUT ADDITIONS OPENING CUT y 2- x 3, 3 73S Wk x317x3 Ir � c�y -loo33'�x3y' �3'� x 3`/ 101 VIA x ' �o L kpwa ?1'} x I q Px- t� aa/ 3Z-7 2eYMAL 0V v '-x JI 2- o/y X3 a V g'- x3l' i 1`� x3 ! q3�'g x` q yr x W 2s- VX3.r 10,!r 38 L 01 1 0 x V J �S 0 0,10, &e - a'4- x3N' wle x 3 3 33 (9 3'8 x3-3 �- 3e?3 x 3 3 '9RJ.SS+ qua �. •yw ....— • .ax.. Measureman; mtialsti�alss' ate Crew Size Needed Time Frame to complete Job Capping Type Special Installation Instr6etions: �.2 � 'nVLl/t're ���h ✓yl°�' �'L c for Directions to site: 5/7/2009 3:59 PM FROM: Mackintire Insurance Mackintire Insurance Agency TO: 8,17819320860 PAGE: 002 OF 003 ACORD CERTIFICATE OF LIABILITY INSURANCE os/07/2 o PRODUCER (508)366-6161 - FAX (508)366-5202 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Mackinti re Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 11 West Main Street HOLDER.THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED-BY THE POLICIES BELOW. Westborough, MA OISSI-1931 INSURERS AFFORDING COVERAGE NAIL# INSURED Newpro Operating LLC INSURERA Peerless Insurance Co. 24198 26 Cedar St. INSURER e: Woburn. MA 01801 INSURER C: INSURER D: ' INSURER E: I 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. INSRD' TYPE dF INSURANCE POLICY NUMBER POIIn EFFECTIVE POLICY EXPIRATION LIMITS TTIL GENERAL LIABILITY C P 8588370 - MA POLICY 12/31/2008 12/31/2009 EACH OCCURRENCE s 1.000,000p I' X COMMERCIALGENERALLIABILiTYC P 8589577 - RI POLICY wwACE TO RENrEo s 300 00 17mT/y/T.00i�[!/E CLAIMS MODE X❑OCCUR MED EXP fA,ry one Person) $ 15 00 Board of Building Regulations and Standards A PERSONAL&ADV INJURY { 1,000,00( GENERAL AGGREGATE s 2,000.00 HOME IMPROVEMENT CONTRACTOR GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S 2,000,00C 17 PPOLICYPRO- LOC Reglstratlpst 146589 JECT AUTOMOBILELwau.m BA 8584174 12/31/2008 12/31/2009 coNrelNEDSINGLE umR _lu EXpLT,3U-- 515/2011 ANrAUTO IEeeedd.A) { 1,000,0 t Type Sus{lement Card ALL OWNED AUTOS BODILY INJURY X SCHEDULEOAUTOS (Per Person) 5 '' I x HIRED AUTOS A BODILY INJURY NEWPROOPERtNILG ,f X (Per accident) XON NON-OWNED ARDS S THOMAS FO `f 1 PROPERTY OPAYWE 'Crp, (P eeolde,d) = - 26 CEDAR ST. ;,<� =:-�' •3=� �+(,,.aQ-Q.....�_ i GARAGE LIABILITY ARO ONLY-EAACCIDENT II - WOBURN,MA 01801 ' Administrator ANv Auro DIRER THAN EA ACC { AUTO ONLY: AGC II EXCE48MMBRELLAUASILIT' CU 8582578 12/31/2008 12/31/2009 EACH OCCURRENCE { $ 000 00 X OCCUR 7.--. AGGREGATE S 5,000,00 A { DEDUCTIBLE $ , X RETENTION S 10,00C I { WORKERS COMPENSATION AND W STA 11, 0TH• EMPLOYERS'LIABam WC8645974 05/01/2009 05/01/2010 E.L.EACH ACCIDENT { .S00 00 A A FPROPRIETORIPARTNEPJE)<ECUnVE OFlCEPJMEMBER EI(CLUDED? E.L.DISEASE-EA EMPLOY4 S 500.00 If Yes.Oesalbe WMa SPECIAL PROVISIONS bele E.L.DISEASE-POLICY LIMIT { SOD,DD ECIf�y�jy�7LlUE DIRER Boar/d1CofC/BJui)ding:Regulations and-Standards 1 1 Construetlon S%pervisdr License DESCRIPTION OF OPERATIONSILOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENr19PECW.PITOVISIONS Lit'ns CS 29090 n _�� i y }�Q/2009 7r# 813CERTIFICATE HOLDER CANCELLATION 1 . ri Il�����t►o �� , SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ? THOMAS P FOXO` I � EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL yL-DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, r 23O WALNJU T'�rr::ST BUT FAILURE TO MAIL SUCH NOTICE SHALL OAPOSE NO OBLIGATION OR LIABILITY S' / Town of Saugus ( REA©INCA MA.:01.867 298 Central Street OF ANY KIND UPON THE INSURER ITS AGENTS OR REEGENrATIVES CDmmISslODer 4 Saugus, MA AUrHORDED REPRESENTATIVEi. - > 1 Timothy 3. Moynagh j . ACORD 25(2001/08) WACORD CORPORATION 1988 1 :; i - i I Qualified ENERGY STAW, in Highlighted Regions e 4ualltled In all zones NEWP RO MANUFACTURING � LE HUNG . c 00 DOUG NPR NEWPRO 20 , Cellular PVC frame,Triple glazed, Nalbnai Fenes(refion Low E coating(ets0:034,S2 pAn� g� Co�ndle Krypton/Argoh/air filled pEV•K.271-00015.00001 ENERGY PERFORMANCE RATINGS U-Factor(U.SA-P) Solar Heat Galn Coefficient 0019 .2? ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Air Leakage(U.SJhP) 0.,40 0 A Condensation Resistance 70 Manufacturer sllpuWS thattheae retlnge an(omtto epplbebla NFlIC procedtnes hx de6ermlMnp whole produdpertormance,NFRamilogaa 0d.1%mfnedfa�t ai�ddMoe rwlaWmaiaid7heaudlWiO�ota epccnfcpcuduetaitmNFRCdoeanetrecammendany reforatlie ri;aNciperlomrancelMamtaU n. OroducttoranYapeclllo uee.CaneuRmenureclu%d,nt�orp I 1'he-Commonwealth o assac usetts- ------ - --- -- - - - Department of Industrial Accidents Office of Investigations 600 Washington Street y^ , Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance AffidaAt: Builders/Contractors'Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Oreanizationllndividual): W P I_O Address: 2b C Eb1QP ST City/State;Zip: W 08uej,.1 W 01801 Phone r: x181 93,�-d'3o0 EXT -25 Are you an employer'' Check the appropriate box: Type of project(required): 1. 'g I am a emplover%xith 50" 4. ❑ I am a general contractor and I 6. New construction employees (full and/or part-time).* have hired the sub-contractors + 7. Remodeling t g f-1 t listed c n the attached:beet + •:.tJ • am a sGie pru}�icwa vl 1,3rtn�r- ship and have no employees These sub-contractors have 3. Demolition NVorking for me in any capacity. workers' comp. insurance. g. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10. Electrical repairs or additions officers have exercised their ❑ eP required.] 3.❑ I am a homeowner doing all work right of exemption per MGL 11.17 Plumbing repairs or additions myselfo workers' co c. 152. §1(4), and we have no 12.❑ Roof repairs [N comp. insurance required.] t employees. [No workers' 13.❑ Other comp. insurance required.] •-%nv applicant that checks box=1 must also fill out the section below showing their workers'compensation policy information: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.polio} information. I am an employer that is providing workers'compensation insurance for my employees. Below is the polio,and job site information. Insurance Company Name: H0Ck1rt+1re TnSM10nce AQ,eneW _ Policy=or Self-ins. Lic. r: W G 1�_ to Ll S q 1)L4 Expiration Date: 5- I -Z U 1 U Job Site Address: 3 f Z BC7x Fy1_d St City/State/Zip: N An d pv cK 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 c. 152 can lead to the imposition of criminal penalties of a fine up to S 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 5250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify under the pains and enalties of perjury that the information provided above is trueandcorrect. Sienature: F N - Date: /l !� DJ Phone:!!- 9 $ I-cI5 3- 8 t t-I tp - Official use only. Do not write in this area, to be completed by city or town official. City or Town: PermitlLicense# Issuing Authority (circle one): L Board of Health 2.Building Department 3.City/rown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: