HomeMy WebLinkAboutBuilding Permit #277-2011 - 34 ROSEMONT DRIVE 10/4/2010 BUILDING PERMIT of "°RTH
s TOWN OF NORTH ANDOVER tt. '-
APPLICATION FOR PLAN EXAMINATION :., w•
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Permit N0: 2Date Received -
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Date Issued: �� D 9SSgC14U
I PORTANT Applicant must complete all items on this page
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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
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DESCRIPTION OF WORK TO BE PREFORMED:
RG:_0A I Q/ _ VAIL LA (41 E7 W.
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Identification le se Type r riI Clearly)
OWNER: Name: l.l. I E Phone:
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Address SE V V�-
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Capps a
ARCHITECT/ENGINEER 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.: �7�i.3 �J Receipt No.: ,�/
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
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
DATE REJECTED DATE APPROVED
PLANNING & DEVEL .PMENT
COM TS
CONSER N Reviewed on Signature
COMMENTS
HEALTH Reviewed on Signature
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/eMM<ENTS
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Zoning Board of appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
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Planning Board Decision: Comments
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Conservation Decision: Comments
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Water $ Sewer Connection/Signature&Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
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`Lvcafed-af 1�4�ain;Sfreet
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�CO1�1lUlENTS '' - -
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 - Date
i
Doe.Building Permit Revised 2010
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
❑ n
Workers Comp Affidavit .
❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses
Q) 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
Li 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:Building Permit Revised 2008
I
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Location
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No. Date i
NORTh TOWN OF NORTH ANDOVER
Certificate of Occupancy $
�sa+cMusEt� Building/Frame Permit Fee $ :ZQ
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
235 ,14 Bu 11 ing inspector
NORTF{
Town of Ando ver
No. Uhl =.
LAKE _O dover, Mass.,
COCMIC...C:.
%p A°RATED O'Q�tl
S U ` BOARD OF HEALTH
PERMIT T D Food/Kitchen
i Septic System ,
G1� / /C� J BUILDING INSPECTOR
THISCERTIFIES THAT.................................../.../..C.................................................................................................................... Foundation
hasermission to erect........................................ buildings on .5� .. ;5.�.� 6 '.`7L
p g ... .. ........................ Rough
to be occupied as (/.1 C�i��t�t''...�i���c �z`... . -.t�Gl .............................................................:....... Chimney
provided that the person accepting this permit shall in every respect co f rm to the terms of the application on 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
Final
PERMIT EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STARTS
s�!! Rough
..................... ........ ..... ..........:.......................... Service
.......... .
BUILDING INSPECTOR
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.
09/17/2010 01:50 9787494265 MUSIC DEPT PAGE 01/01
Aug. 20. 2010 1 :50M No. 0555 F. 1
gRSM
TOWN OF NORTH ANDOVER. ��i*``D JA°'��
h' 71
Building Dcpartm1znt r
1600 Osgood Street
Building 2-suite 2-36 Building Dept UIO NGSA�Hua�
North Andovcr MA 01845 UEI'r
Tel: 978 6889545 Parc 978 6889542 �' t
COMPLAINT FOR.INVESTIGATION
DATE, '
C71100. TEL ##: 77,�` 7c/V 'f9&c
NAME OF COMPLAINTANT:
�t c►he
ADDRESS" 3ccins r.
COMPLAINT TYPE: 01 �d lj
E1ectriea,1: � f i o�Q yy1 cH Si rej
------------
Plumbing:
Chas: lou.-5hiev,--s bei� Yui
Building: O Cyr `s a d d rr-s -s W L&I
Property Owner: 5 o s Gt 2114 �a Yo 'e�1 .
1 � r
Address;
Other:
or, ,
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Wovyled bo (Willem. W* s
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2 a
Signed: al*-A as G��c 2chiy ✓c V1 sre-4,c
Complaint Pm-rtcvised 6.2007 15 l'� a veS 11 P 9 Q' Ael �64 0-d
Massachusetts Rome In provement Sample Contract
This(orm satisfies all basic requirements of the state's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard
langtiage to protect homeowners. Seek legal advice if necessary. Any person planning home improvements should first obtain a copy of"a :
Massachusetts consumer guide to home improvement"before agreeing to any work on your residence.You may obtain a free copy by calling the
Office of Consumer Affairs and Business Regulation's Consumer Infor•mntion Hotline at 617-973-8797 or 1488-283-3757.
Homeowner Information Contractor Information
ameCompany Name
Street Address(do not use a Post Office Box address) ontractm/Salesperson/Owner Name
ASN+o �L
Cityfr wa State Zip Code 3usiness Address must include a street address)
Daytime Phone Evening Phone i , own /e Zip Code
Mailing Address(It different from above) Business Phone eral Employer ID or S.S.Number
Loa requires that most home bo- Home provementCmunctor peg.Number Bxpiruion date
provrmcc eonnactats
pad maiahave
tra
The Contractor agrees to do the following Work for
the Homep ner:
m e VV`I/t ee eft Mg me� brand,an �o (? n IS PT
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It
Required,Permits-The following building permits are required Proposed Start and Completion Schedule-The following schedule will
and vyill be secured by the contractor as the homeowner's agent, be adhered to unless circumstances beyond the contractors control arise
(Owners who secure their own permits will be 11 . .
exelilded from the Guaranty%Fund provisions of l�Date when contractor will begin contracted work.
MGL chapter 142A.)•
Date when contracted work will be substantially completed.
Total Contract Price and Payment Schedule
The Contractor agrees-to perform the work,furnish the material and labor specified above for the total sum of: (*)
Payrients will be trade according to the following schedule:
upon signing contract(tiot to exceed 1/1 of the'total contract price or the cost of'special order items,whichever is greater)
by t O or upon completion-of
6)by _/_/_•or upon completion of
$ upon completion of the contract. (Law forbids demanding full payment until contract is completed to both party's satisfaction)
6�� The following material/equipment must be special $ to be paid for
/ i ordered before the contracted work-'begins in order $ to be paid for
t���t to meet the completion schedule.(**)
NOTES:(+)Including all finance charges(**)Law requires that an deposit or down-
y eP payment required by the contractor before work begins may
(t not exceed the greater of(a)one-third of the total contract price or(b)the actual cost of any special equipment or custom made material
which must be special otderedin advance to meet the completion schedule.
Express Warraptr-Is an exaress warrnaty heipe provided by the caohractnr? No Yes fall terms of the warranty must be attached to the contract)
Subebntractors-Thet;ontractor agrees to be solely responsible for completion of the work described regardless of the actions of any third
paitylsubcontractor utilized by the contractor. The contractor further agrees to be solely responsible for all payments to all subcontractors for
materials and labor under this agreement
Contract Acceptance-Upon signing,this document becomes a binding contract under law. Unless otherwise noted within this document,the
contract shall not imply that any lien or other security interest has been placed on the residence. Review the following cautions and notices
carefully before signing this contract
• Don't be pressured into signing the contract Take time to read and fully understand it Ask questions if something is unclear.
• '
Make sure the contractor has a valid Home Improvement Contractor Registration The law requires most home improvement contractors and
subcontractors to be registered with the Director of Home Iritprovemeut Contractor Registration. You may inquire about contractor
registration by,writing to the Director at One Ashburton Place,Room 1301,Boston,MA 02108 or by calling 617-727-3200 or
1400-223-0933.
• Does the contractor have insurance? Check to see that your contractor is properly insured.
• Know your rights and responsibilities. Read the Important Informstion on the reverse side of this form and get a copy of the Consumer
Guide to the Home.Improvement Contractor Law.
You may cancel this agreement if it has been signed at a place other than the contractor's,normal place ofbusiness,provided you notify the
contractor in writing at his/her main office or branch office 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 Seethe attached notice of cancellation form for an explanation of this right
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY LANK SPACES!!!
Two identical copies of the•contract must be completed and signed. One copy should go to.the haineowncr. The a copy should,be kept b e contractor.
Homeowner's Signature ` Con ctor's Signature
7-q i a`lu, /
ata � � •��� •� ` �
Contractor Arbitration
The Home Improvement Contractor Law provides homeowners with'the right to initiate an arbitration action(as an .
alternative to-court action)if they have a dispute with a contractor. The same right is not automatically affordeto a'
contractor,however. The contractor would have to resolve any dispute he/she has with a homeowner in court utrl.ess
both parties agree to the optional clause provided below. This clause would give the contractor the same right to
arbitration as is afforded to the homeowner by the Home Improvement C l;
p Contractor, Law,
The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute
concerning this contract, the contractor may submit the dispute to a private arbitration firm which has been approved.by
the Secretary,of the Executive Office.of Consumer Affairs and Business Regulation and the consumer shall,be required
to submit to such arbitration as provided In Massachusetts General Laws,chapter 142A.
Homeowner's Signature Contractor's Signature
NOTICE:The signatures of the parties above apply only to the agreement of the parties.to alternative dispute resolution
initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not
separately signed by the parties.
Homeowner's Rights
A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer
protection laws(i.e.MGL chapter 93A).may not be waived in any way,.eden by agreement' However, homeowners
may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law,
'Homeowners who secure their own building permits are automatically excluded from all Guaranty.Fund provisions of
the Home Improvement Contractor Law. The contractor is responsible for completing the work as described, in a
timely and workmanlike manner. Homeowners may be entitled'to other specific Ijagal rights:if the contractor guarantees
or providesan express warranty for workmanship or materials. In addition to guarantees or warranties provided,by the
contractor,all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular
purpose; An enumeration of other matters on which the homeowner and contractor lawfully agree may be'addea to the
terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about
your consumer/homeowner rights,contact the Consumer Information Hotline(listed below).
Execution of Contract .
The contract must be executed in duplicate and should not be signed until•a copy of all exhibits and referenced
documents have been.attached. Parties are-also advised not to sign the document until allblank sections have been
filled.in or marked a§'yoid,deleted,or not applicable. One original signed copy of the contract with attachments is to
tie given to the both and the other kept by the contractor. Any modification to the original contract must be in writing
and agreed to by both'. Contracted work may not begin until both parties have received a fully executed copy of
the contract,.and the three day recission period has expired.
Accelerated Payments
A contractor may not demand*payments in advance of the dates specified on the payment schedule in cases where the
homeowner deems him/herself to be financially insecure. -However,in instances where a contractor deems him/Herself
to be financially insecure., the contractor may require that t:be balance of funds not yet due be placed in a joint escrow
account as a prerequisite to continuing the contracted work Withdrawal of funds from said account would require the
signatures of both parties.
Additiional Information
If you have general questions or need additional information about the Home Improvement Contractor Law or.other
Law,"contact:
consumer rights, orff you wish to obtain a free copy of "A Consumer Guide the Home Improvement Contractor
Consumer Information Hotline '
Office of Consumer Affairs and Business Regulation
.10 Park Plaza,Room 5170,Boston,MA 02116
(617)973-878' or I-(888)2833757
If you want to verify the registration of a contractor or if you have questions or need add]
tional
about the contractor registration component of the Home Improvement Contractor Law,contactinfolmation specifically
Director of Home Improvement Contractor Registration
Bureau of Building Regulations and Standards
One-Ashburton' Place Room.
1301 Bot
son,MA 02108
(617) 727-3200 ort-800-223-0933
For assistance with informal mediation of disputes or to register formal complaints against a business,call:
Consumer Complaint Section
Office of the Attorney General '
(617)727-8400
AND/OR
Better Business Bureau
(508)652-4800
.(508)755-2548
(413)734-3114
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Vlass.tchusetts - Department of Public Safety
Board of Building Regulations and Standards
Construction Supervisor License
License: CS 94247
Restricted to: 00
ANTONIO M PEREIRA
106 GORHAM ST
CHELMSFORD, MA 01824
J f-` Expiration: 9/24/2011
( mmisioner Tr#: 2580
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