HomeMy WebLinkAboutBuilding Permit #880 - 34 TYLER ROAD 6/17/2013TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: ;��Date Received
Date Issued:_ /4
I IMPORTANT: Applicant must complete all items on this pate I
LOCATION _ Ty/ey S�-..
Print
PROPERTY OWNER_ 141 `!dj r� n �Llcn✓� Q --
Print 100 ear Old Structure yes no
MAP NO: 21(9 PARC ZONING ZONING DISTRICT: Historic District yes Cn
/ 3;z . n _ A a i (? Machine Shop Village yes C
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
tP-Cn—e family
❑ Addition
❑ Two or more family
❑ Industrial
Alteration
No. of units:
❑ Commercial
pJ;Zspair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
❑ Septic ❑ Well
❑ Floodplain ❑ Wetlands
❑ Watershed District
;Pffa--ter/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
r�mOdd. r'�i✓ ��� new l-�►�. CceS�n.d.{f - 1-!VoW- 7b /eowean 52"Ap--
po
OWNER: Name:
Address:
CONTRACTOR Name:
Address: a k -<-
Identification
s -
L �Aw J-�/z � fCi z .
or Print
may- /k),)�—
4/
761 y,S3
e&ce_ mi4--'pa
Supervisor's Construction License: t1,4 9 0 Exp. Date:
Home Improvement License:zS-j2:7 g
Date: X13
ARCHITECT/ENGINEER d 1.)4—"� Phone:
Address: Reg. No
FEE SCHEDULE: BOLDING PERMIT. • $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COS BASED ON $125.00 PER S.F.
Total Project Cost: $ 3� �— 100 FEE: $
Check No.: C Receipt No.: �.
NOTE: Persons contracti with u egistered contractors do not have access to the guaranty fund
Signature of Agent/Owner igilature of contrac
Plans Submitted ❑ Plans aived ❑ Certified Plot Plan ❑ Stamped Plans
4r4ft,5--
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 & DEVELOPMENT ❑ ❑
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on Sianature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes .
Planning Board Decision:
Comm
Conservation Decision: Comm
Water & Sewer Connection/Signature & Date Driveway Permit
DPW Tow;! Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT -Temp Dumpster on site yes no
Located at 124 MainStreet
Fire Departrnert signature/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 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 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
❑ 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
❑ 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 apv,�al 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: Doc.Buiiding Permit Revised 2012
Location
No. Date t,3
TOWN OF NORTH ANDOVER
Certificate of Occupancy
Building/Frame Permit Fee
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #A6.7,
Building Inspector
Leathe, Brian
From: Arnjr@aol.com
Sent: Wednesday, June 26, 2013 8:59 AM
To: Leathe, Brian
Subject: 34 Tyler Rd
Brian:
Please be advised that the owners have decided not to remodel the kitchen cabinets. We will not be removing the
cabinets or any portion thereof. The only work we will be doing as it relates to my permit will be painting. The owners will
be hiring an electrician and plumber to replace the sink and dishwasher.
Thank you.
Richard Arvi opi e,Jl
Sterling Construction, Development
and Property Preservation
285 Commandants Way, Suite 12
Chelsea, MA 02150
Phone (781) 953-7112
Fax (617) 884-7745
Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more
information please refer to: hftp://www.sec.state.ma.us/pre/preidx.htm.
Please consider the environment before printing this email.
Enter construction cost for fee cal -
North Andover Fee Calculation
Construction Cost
$ 71000.00
m
$ -
$
84.00
Plumbing Fee
$
10.50
Gas Fee 100 comm.
$
100.00
Electrical Fee
$
10.50
Total fees collected
$
205.00
34 Tyler Street
880-13 on 6/17/13
renovate Kitchen
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massachusetts - Department of Public Safety
Board of Building Regulations and Standards
Construction Supen icor
License: CS -085530
RICHARD J A P'M JR T_ ,
14 TYLER ST # A 3
SOMERVILLE DSA 02,143 ;
�A
Expiration
Commissioner 08/30/2014
�/ee �ominao,xwe¢/� o�✓irrgeoacluaett A
` OMce'of Consumer Affairs & Business Regulation
- - HOME IMPROVEMENT CONTRACTOR
- _ Registratlon:� - 150794
Expiration: 5/2/2012 _ Tr# 294459
Type: Individual
RICHARD ARNONE
RICHARD ARNONE
30 DANE ST #Q
SOMERVILLE, MA 02143 �—
Undersecretary
0
( 1 Sterling
x._
Richard J. Arnone, Jr.
Sterling Construction
285 Commandmants Way
Chelsea, MA 02150
Phone: 781.953.7112
Fax: 617.884.7745
richard@sterlingconstructionboston.com
www.sterlingconstructionboston.com
0
rl
ng
Construction & Property
Preservation, LLC
Name:
Address:
Address of Work to be performed:
k
Contract for Service
Homeowner Information
Michael Armano and Manual Raposa
34 Tyler St, No.Andover, MA
Same as above
Contractor Information
Company Name: Sterling Construction LLC
Address: 14 Tyler St., Somerville, MA 02143
Phone: 781-953-7112
Federal Employer ID: 331009161 MA Lic. #1507941CS085530
The Contractor agrees to do the following work for the Homeowner:
Remove existing NON BEARING wall between living room and dining room, replace sheetrock,
plaster and paint Remove existing kitchen cabinets and countertops.
Re -install new kitchen cabinets in same location, layout will not be changed.
Patch al affected walls and ceilings. Prime and Paint all affected walls and ceilings
All kitchen cabinets, hardware counter -tops, appliances, plumbing hardware
will be the responsible of the owner
Required Permits - Building (No. Andover)
Proposed Start and Completion Schedule - The following schedule will be adhered to unless circumstances beyond the
contractor's control arise.
Date when contractor will begin work: 6/12/2013
Date when contracted work will be substantially completed; 6/28/2014
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: $3,400.00
Payments will be made according to the following schedule:
$1,500 upon signing contract
$1,900 upon completion of the contract.
Express Warranty - N/A
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.
wner's 'gnat e Co tractor' n Date
1 of 2
•"'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 afforded to a
contractor, however. The contractor would have to resolve any dispute he/she has with a homeowner in court unless
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 Contractor Law.
The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute
conc ming this ntract, the contractor may submit the dispute to a private arbitration firm which has been approved by
the cretaryo he Executive Office of Consumer Affairs and Business Regulation and the consume all be required
to s m' to su arbitration as provided In M sa usetts General Laws ei A.
f6 I'����
Homel%7fier'g Signal Contractor's $(ijznatkfre Date
NOTICE: The signatures of the parties above apply only to the agreemenNT—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, even 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 legal rights
if the contractor guarantees or provides an 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 added 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 all blank sections have been filled in or marked as void, deleted, or not
applicable. One original signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor.
Any modification to the original contract must be in writing and agreed to by both parties. Contracted work may not begin until both
parties have received a fully executed copy of the contract, and the three day rescission 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 the 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.
Additional Information
If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights,
or if you wish to obtain a free copy of "A Massachusetts Consumer Guide to Home Improvement" contact:
Consumer Information Hotline
Office of Consumer Affairs and Business Regulation
10 Park Plaza, Room 5170, Boston, MA 02116
617-973-8787, 888-283-3757 or visit the OCABR website at http://www.mass.gov/ocabr/
If you want to verify the registration of a contractor or if you have questions or need additional information specifically
about the contractor registration component of the Home Improvement Contractor Law, contact:
Director of Home Improvement Contractor Registration
Office of Consumer Affairs and Business Regulation
10 Park Plaza, Room 5170, Boston, MA 02116
617-973-8787, 888-283-3757 or visit the HIC website at http://www.mass.gov/ocabr/
Go online to view the status of a Home Improvement Contractor's Registration:
http://db.state.ma.us/homeimprovement/licenseelist.asp
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
Page 2 of 2
The Commonwealth of Massachusetts
Department ofIndustrial Accidents
Office of Investigations
kvi 600 Washington Street
Boston, MA 02111
www massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Le ibl
Name (Business/Organization/Individual): Y
Address:
City/State/Zip: Phone #: 7�l S^3 , ? ! / Z—.
Are you an employer? Check the appropriate box:
1. ❑ I am a employer with
4. ❑ I am a general contractor and I
employees (full and/or part-time).*
have hired the sub -contractors
2. ❑ I am a sole proprietor or partner-
listed on the attached sheet.
ship and'have no employees
These sub -contractors have
working for me in any capacity.
kers' comp. insurance.
[No workers' comp. insurance
5. We are a corporation and its
required.]
officers have exercised their
3. ❑ I am a homeowner doing all work
right of exemption per MGL
myself. [No workers' comp.
c. 152, § 1(4), and we have no
insurance required.] t
employees. [No workers'
comp. insurance required.]
Type of project (required):
6. ❑ New construction
7.,EJ-Temodeling
8..❑ Demolition
9. ❑ Building addition
10.❑ Electrical repairs or additions
11. ❑ Plumbing repairs or additions
12.❑ Roof repairs
13. ❑ Other
*Any 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 aie 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. policy information.
I am an employer that is pro vidi workers' compensation insurance for my employees. Below is the policy and job site
information.
Insurance CompanyName:.
Policy # or Self ins.
Lic. #: piration Date:
Job Site Address: C ItIVity/State/Zip:
Attach a copy of the wor ers' com enation 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 $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 $250.00 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.
Ido hereby certto un r lie ins a penalties of perjury that the information provided above 's true nd correct.
Simature: Date: / / 3
Phone#: iii% e- 7jI 2 —
Official use only. Do not write in this area, to be completed by city or town official.
City or Town: Permit/License #
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other - -
Contact Person: Phone #:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter -152, §25C(6) also states that "every state or local lie-ensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced -acceptable evidence of compliance with the insurance coverage required."
Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if
necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of
insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested, not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy, please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current
policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or
town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address, telephone and fax number:
The Commonwealth of Massachusetts
Department of l dustrial Accidents
Office of Investigations
600 Washington Street
Boston, MA, 02111.
Tel, # 61772.7-4900 ext 406 or 1-877, MASS.AFB
Revised 5-26-05 Fax # 617-727-7749
v WW mass,govldia