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HomeMy WebLinkAboutBuilding Permit #736-13 - 315 MASSACHUSETTS AVENUE 5/6/2013TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: J'J�'J Date Received Date Issued: h ' IMPORTANT: Applicant must complete all items on this pate LOCATION J 1 `> IC.5564LASe1tC a✓ 4'A, , Print PROPERTY OWNER I%-1( r---) Print he !— _- .,� Print 100 Year Old Structure yes no MAP NO: PARCEL ZONING DISTRICT: Historic District ye no Machine Shop Village ve no 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 El Septic ❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District ❑ Water/Sewer DES RIPTI N OF WORK TO BFB PERFORMED: Sfr�°A s A /,`If I c Roo Identification Please Type or Print Clearly) OWNER: Name: Phone: Addres CONTRACTOR Name: &tu dl 4I -M 94- evr Phone: Address: r'l% u,�t �� �� r m UJ- LAJPS+ lyeaJIL4 ✓C/ %YI " Supervisor's Construction License:— 6S S�D _3(a Exp. Date: Zd I Home Improvement License: f 1 / ? i ' Exp. Date: iZ ;,- � i 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: $ g(u o 0 "16 ° FEE: $ ( © 3 ' bo _ Check No.:_(-,\kz- U II oil 0 Receipt No.: 2(,a � e) NOTE: Persons contracting wi unre is ed contra tors do not have acces to the guaranty u d Sgnatuie of Agent/Owner Signature of contractor Ly Plans Submitted 11 Plans Waived ❑ Certified Plot Plan ❑ tamped ans ❑ F Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art Swimming Pools 0 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: Com Conservation Decision: Comments t Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: LVGd4CU !?07 VJ WY OU CCI FIRE DEPARTMENT - Temp Dumpster on site Yes no -� {.i F Locatetl at 124;Mairi"Street: Fire Depar#ment�signatu"re/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 Yes No DANGER ZONE LITERATURE: Yes MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA — (For department use ® Notified for pickup - Date Doe.Building Permit Revised 2010 f►R•: 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 o 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 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 app: al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submAted with the building application Doc: Doc.Bui?ding permit Revised 2012 —Location �,"J ofw,��, e ,1'1 xe Date No. 13 (P —) I TOWN 3(0— TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # K2�z loll U " 1(pi 26358 Building Inspector fo^l 0 - 0 V _ N 0 o- < CD 0 1 p� �v 3 N� Z o v- =.a cn p � o� o a a m N —• . CD CD 2 0 v p `n 0 � N rd N n _ T CD CD O Z Q --i o v CL C.) r- M -- - Vi- m _ CL tA- (�. N ^� -I Ems-, o 0r"IL, a s.V sv Z cn v nom: O vCD -C/)-I /v ° O CD : Q CL c Cn C. CD CD -I Z `` (IOD - V1 CD OCD 0000 Cl)0 CDo o CD o CD _ 3 cD CA CQ CD Z Cn F pr v `D : io O vi y Z � `° C : - 3 CD y CD r O v: o � OC) D -s CD L> CD C O CD �'�'• p 2) o � � v CL 0 r v 3 O (D (D r V) m ^ Z W (D T v Z M m - v O � C) N_ z v+ m O a N z O r- m D r Z m C) 0 T1 v m O r C 00 Z m 0 T O' a n S (D z O T O O W C v M Z m 0 V) (D v y to 3 T O oa A W O n z D r _ i -a IM ,./ FIXED CONTRACT AMOUNT THIS AGREEMENT, Made as of April 23, In the Year of 2013, Between the Owner: Contact Name Eric Boucher Street Address 315 Mass. Ave City, State Postal Code North Andover, Ma Contact Telephone And the Contractor: For the Project: Construction Lender: Company Name License Number Company Address Company Phone Project Name Project Address Lender Name Lender Address ARTICLE 1. CONTRACT DOCUMENTS Newell Farm Builders Tim Lattrell cs95036 7Newell Farm Drive West Newbury, Ma 01985 978 360-4548 Same as Owner Private 1.1 The contract documents consist of this agreement, general conditions, construction documents, specifications, allowances, finish schedules, construction draw schedule, information disclosure statement, all addenda issued prior to execution of this agreement and all change orders or modifications issued and agreed to by both parties. All documents noted herein shall be provided to the Contractor by the Owner. These contract documents represent the entire agreement of both parties and supersede any prior oral or written agreement. ARTICLE 2. SCOPE OF WORK 2.1 The Owner agrees to purchase and the Contractor agrees to construct the above mentioned structure and fixtures attached thereto in (North Andover, Essex County, MA) according to the construction documents, allowances, finish schedules, all addenda, change orders, modifications and specifications set forth in the architectural plans. ARTICLE 3. TIME OF COMPLETION 3.1 The approximate commencement date of the project shall be (April 29, 2013). The approximate completion date of the project shall be (May 29, 2013), however any change orders and/or unusual weather might delay or otherwise affect the completion date. ARTICLE 4. THE CONTRACT PRICE 4.1 The approximate building costs price of the project shall be set at the sum of (written) Dollars, ($8600.00), subject to additions and deductions pursuant to authorized change orders and allowances. 4.2 The Owner and the Contractor acknowledge that the Owner will pay all Sub contractors for work rendered and a 10% management fee to the Contractor upon completion. 1--71 Initialed by: OwnerVN Contract0-r�t-- Fixed Contract Amount Project Name Page 2 of 4 ARTICLE 5. PROGRESS PAYMENTS 5.1 The Owner will make payments directly to the subs on the project after bills have been approved by the Contractor. 5.2 If payment is not received by the Contractor within (15) days after delivery of payment demand for work satisfactorily completed, contractor shall have the right to stop work or terminate the contract at his option. Termination by Contractor under the provisions of this paragraph shall not relieve the Owner of the obligations of payments to Contractor for that part of the work performed prior to such termination. Termination by Owner under the provisions of this paragraph shall not relieve the Owner of the obligations of payments to Contractor for that part of the work performed prior to such termination. ARTICLE 6. DUTIES OF THE CONTRACTOR 6.1 All work shall be in accordance to the provisions of the plans and specifications. All systems shall be in good working order. 6.2 All work shall be completed in a workman like manner, and shall comply with all applicable national, state and local building codes and laws. 6.3 All work shall be performed by licensed individuals to perform their said work, as outlined by law. 6.4 Contractor shall obtain all permits necessary for the work to be completed. Costs of the permits will be paid by the Owner. 6.5 Contractor shall remove all construction debris and leave the project in a broom clean condition. 6.6 Contractor shall obtain bids for each piece of the construction project unless pre -agreed with the owner. 6.7 Upon satisfactory payment being made for any portion of the work performed, Contractor shall furnish a full and unconditional release from any claim or mechanics' lien for that portion of the work for which payment has been made. ARTICLE 7. OWNER 7.1 The Owner shall communicate with subcontractors only through the Contractor other than for payment for services 7.2 The Owner will not assume any liability or responsibility, nor have control over or charge of construction means, methods, techniques, sequences, procedures, or for safety precautions and programs in connection with the project, since these are solely the Contractor's responsibility. ARTICLE 8. FINISH SCHEDULES Initialed by: Owner`l j�Contractorr Fixed Contract Amount Project Name Page 3 of 4 8.1 8.2 Completed Finish Selection Schedules shall be submitted to the Contractor as follows: 8.2.1 Schedule #1 within 2 weeks after work begins. 8.3 Any delays or changes in finish selection schedules will delay the projected completion date. ARTICLE 9. INSURANCE 9.1 The Owner will keep in force a Builder's Risk Insurance Policy on the said property to protect both owner's and contractor's interest until construction is completed. 9.2 The Owner will purchase and maintain property insurance to the full and insurable value of the project, in case of a fire, vandalism, malicious mischief or other instances that may occur. 9.3 The Contractor shall purchase and maintain needed Workman's Compensation and Liability insurance coverage as required by law and deemed necessary for his own protection. ARTICLE 10. GENERAL PROVISIONS 10.1 If conditions are encountered at the construction site which are subsurface or otherwise concealed physical conditions or unknown physical conditions of an unusual nature, which differ naturally from those ordinarily found to exist and generally recognized as inherent in construction activities, the Owner will promptly investigate such conditions and, if they differ materially and cause an increase or decrease in the Contractor's cost of, and/or time required for, performance of any part of the work, will negotiate with the Contractor an equitable adjustment in the contract sum, contract time or both. ARTICLE 11. HAZARDOUS MATERIALS, WASTE AND ASBESTOS 11.1 Both parties agree that dealing with hazardous materials, waste or asbestos requires specialized training, processes, precautions and licenses. Therefore, unless the scope of this agreement includes the specific handling, disturbance, removal or transportation of hazardous materials, waste or asbestos, upon discovery of such hazardous materials the Contractor shall notify the Owner immediately and allow the /Contractor to contract with a properly licensed and qualified hazardous material contractor. Any such work shall be treated as a Change Order resulting in additional costs and time considerations. ARTICLE 12. ARBITRATION OF DISPUTES 12.1 Any controversy or claim arising out of or relating to this contract, or the breach thereof, shall be settled by arbitration administered by the American Arbitration Association under its Construction Industry Arbitration Rules, and judgment on the award rendered by the arbitrator(s) may be entered in any court having jurisdiction thereof. ARTICLE 13. WARRANTY 13.1 At the completion of this project, Contractor shall execute an instrument to Owner warranting the 1—� Initialed by: Owner Contractor Fixed Contract Amount Project Name Page 4 of 4 project for two years against defects in workmanship or materials utilized. The manufacturers warranty will prevail. No legal action of any kind relating to the project, project performance or this contract shall be initiated by either party against the other party after one years beyond the completion of the project or cessation of work. ARTICLE 14. TERMINATION OF THE CONTRACT 14.1 Should the Owner or Contractor fail to carry out this contract, with all of its provisions, the following options and stipulations shall apply: 14.1.1 If the Owner or the Contractor shall default on the contract, the non -defaulting party may declare the contract is in default and proceed against the defaulting party for the recovery of all damages incurred as a result of said breach of contract, including a reasonable attorney's fee. In the case of a defaulting Owner, the Earnest money herein mentioned shall be applied to the legally ascertained damages. 14.1.2 In the event of a default by the Owner or Contractor, the non -defaulting party may state his intention to comply with the contract and proceed for specific performance. 14.1.3 In the case of a defaulting Owner, the Contractor may accept, at his option the earnest money as shown herein as liquidated damages, should earnest money not cover the expenses to date, the Contractor may make claim to the Owner for all work executed and for proven loss with respect to equipment, materials, tools, construction equipment and machinery, including reasonable overhead, profit and damages applicable to the property less the earnest money. ARTICLE 15. ATTORNEY FEES 15.1 In the event of any arbitration or litigation relating to the project, project performance or this contract, the prevailing party shall be entitled to reasonable attorney fees, costs and expenses. ARTICLE 16. ACCEPTANCE AND OCCUPANCY 16.1 Upon completion, the project shall be inspected by the Owner and the Contractor, and any repairs necessary to comply with the contract documents shall be made by the Contractor. 16.2 The Owner shall not occupy the property until final payment has been received by the Contractor and a Certificate of Occupancy has been obtained. 16.3 Occupancy of the project by the Owner in violation of Article 16.2, shall constitute unconditional acceptance of the project and a waiver of any defects or uncompleted work. Co tractor i n ure Owner ' ature Initialed by: Owner Contractor '44 �® CERTIFICATE OF LIABILITY INSURANCE 4%22%2211' 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 West Newbury Insurance Agency 322 West Main Street West Newbury MA 01985 CONTACT RiCk Pinciaro NAME: PHONE (9'78) 363-5285 FAX No: (978)363-1228 E-MAIL ADDRESS: rick@westnewbu insurance.net INSURER(S) AFFORDING COVERAGE NAIC # INSURERAMain Street America Assurance 29939 INSURED NEWELL FARM BUILDERS INC 7 NEWELL FARM Rd WEST NEWBURY MA 01985-1444 INSURER B XWCa Wni - Travelers Property INSURER C : INSURER D : INSURER E INSURERF: COVERAGES CERTIFICATE NUMBERCL1342239923 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 LTR TYPE OF INSURANCE ADDL U R POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR MPT8464D /18/2013 /18/2014 EACH OCCURRENCE $ 2,000,000 A 1E TO Ea INTEoccu once $ 500,000 -'PREMISES MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC PRODUCTS - COMP/OP AGG $ 4,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident UMBRELLA LIAB EXCESS LIAB HOCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVEY/N OFFICERIMEMBEREXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA pJUB0322N33A13 /1/2013 /1/2014 WC STATU- OTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) TE Newell Farm Builders ACORD 25 (2010105) INSn25 rgmnns� ni SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ck Pinciaro/SHAR02 © 1988-2010 AGURD GURPURA 1 IUN. All rignts reservea. Thn Arf)Pn nmma nnrl Inn^ n►n renia+arael mnrlre of Arnpn s _ c a C U �Le L d .fl z o - h U fit O " r% C � c ;n Q c a o "n WLL m �". O m X O t W LLJt Q- d J W J J Z LU W cn Z W Z �r.?.