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HomeMy WebLinkAboutBuilding Permit #679-13 - 347 WOOD LANE 4/16/2013Permit NO: Date Issued: / / //0 GF `►ORT a ��- BUILDING PERMIT 3r wt, . , oZ. TOWN OF NORTH ANDOVER ° o APPLICATION FOR PLAN EXAMINATION a Date Received ,°,,< +' TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family ❑ Addition ❑ Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial '9. Repair, replacement ❑ Assessory Bldg ❑ Others: la Demolition ❑ Other D Septic .;o Well,.. Floodplain ❑ Wetlands 13 Watershed District r Water/Sewer 011IIIIIIIIIIII! w� ✓ate if �t 7N1 -A���nch/iJaT✓(� 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: $ - C�OS� FEE: $ r 3 Check No.: 1 U Z f �— Receipt No.:'G �� I NOTE: Persons contracting with unregistered contractors do not have access to the guaranty f and Signature of'Agent/OWner Signature of contract Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWE1tAGE DISPOSAL Public Server ❑ 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 COMMENTS Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes k Planning Board Decision: Comments Conservation Decision: Comments Nater & Sewer Connection/Signature & Date _ Drivewav Permit DPW Tow '!Engineer: Signature: Located 384 Osgood Street FITemp Dumpster on site yes no Located at 124 Main' Street Fire Depart.merit-signature/date , COMMENTS k<. Dimension Number of Stories: Total square feet of floor area, based on Exterior dimension Total land area, sq. ft.: ELECTRICAL: Movement of Mater 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 ® Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department The fo6wing 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 o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract ❑ Floor Plan Or Proposed Interior Work a Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit o 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) Li 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) Li Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract Li 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 subm;tted with the building application Doc: Doc.Bui?ding Permit Revised 2012 Location No. (4�;! Date t3 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $�1 Other Permit Fee $ OK TOTAL $ I, c--� Check #1Qr,� ' Building Inspector Location g 7 l Ab7l:: 1444,.. No. V Date SS Check #I / 26296 TOWN OF NORTH ANDOVER Certificate of Occupancy Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee TOTAL Building Inspector Re: St. Hillaire 347 Wood Ln. North Andover, MA 01845 To meet all current Massachusetts Building Codes the following items were required to bring this property up to current standards. 5/8 Fire Rated Sheetrock in Garage Remove and frame in the Garage door due to exterior steps being built in front of garage door opening. uY;;n,ti TOWN OF NORTH ANDOVER MASSACHUSETTS Brian Leathe Local Building Inspector Building Department 1600 Osgood St., Bldg. 20, Ste 2035 (978) 688-9545 North Andover, MA 01845 Fax: (978) 688-9542 E-mail: bleathe@townofnorthandover.com Office hours: 8-10 am M -F, and 1-2 pm M -Th Re: St. Hillaire 347 Wood Ln. North Andover, MA 01845 To meet all current Massachusetts Building Codes the following items were required to bring this property up to current standards. Hard wired smokes in all bedrooms Grounded tamper proof outlets throughout the building 200 Amp panel with arch fault breakers TOWN OF NORTH ANDOVER MASSACHUSETTS ti Doug Small Electrical Inspector Building Department I 1600 Osgood St., BI .20, Ste 2035 (978) 688-9545 x48205 North Andover, MA 01845 Fax: (978) 688-9542 I Eq * III C O Co M • 'Q to J �a N � Q E im h c a P � � 0 i " 3 w �r 0� Q. J L b1 m a N >_ L _ _0 d N cn c o0 > _ 4a r_ y O .Q E c o Q=o m Mn o :y ma 3 _ => o� Qam 'S oL F- o r a' _ a sp o O m m a� N .r W = 'C r O O y_ LLI LL •� as vl = O O LE v V O W L 0� Ci Q O d �+ Cl) d = J H = o O F- t Z CLOV > cn 2 H co z W a W H W d W, W, U O W J V. O LU Z 0 M ti v O ul D U) H W W 19 W N Po w o a � O Z LU o LA z V z z z 4A z o h a W o ° ~ a c d m d W LL N N m � m c g Za ) p Z Q oo :3 LL CD VNo III C O Co M • 'Q to J �a N � Q E im h c a P � � 0 i " 3 w �r 0� Q. J L b1 m a N >_ L _ _0 d N cn c o0 > _ 4a r_ y O .Q E c o Q=o m Mn o :y ma 3 _ => o� Qam 'S oL F- o r a' _ a sp o O m m a� N .r W = 'C r O O y_ LLI LL •� as vl = O O LE v V O W L 0� Ci Q O d �+ Cl) d = J H = o O F- t Z CLOV > cn 2 H co z W a W H W d W, W, U O W J V. O LU Z 0 M ti v O ul D U) H W W 19 W N 3 0 ENO 0 �rt x,.91 Q = LL Q a] O LL E u L% N o: O N z z m -foo 7 LL s D w ?v c U C IL O N z Z ss :3 z IL O h z 'a' W J W = �_ N -� 1 1 © p U a z H � s 7 C= C LE W a c W ui LL y i CO Z N N Y O N 7 G i O w = o 2=5 a O °w C. cc O y (i L N J aL' m a N > tC C N ° cc o� > Imo° :► QRZ tm T o ° coH =@ Q CL (D 4wl�- CD�c m`o :w. ca ° N c' U o c c Q L � � � •o W = - w o O m w c ° Z LLJ E v•a O V a> o� ��, U) rL a> > c N m o O F-- s °. Q o L)) > 4 0 a z z 0 m O LU a `n X Z w0 �v W CL Z te) co LQ v v O w E 2 v v O W O o Z o � 0 �o= �o CL .� v O O O CL CL �a O� 0 v_ J 0 �CL04) �Z 7t5 C) t� c _ N O LL O oc O GO v -6 O LLL W N u Q Ln O z m i 'O 7 LOL L 7 = aT C U LL OF Z z m d L 7 cr C LL Op Z Q W W L 7 M U (n C LL a Z H L 7 LL w o~c w O W N i m a-� i N v N O Ul 3 0 H O cc V o V :W CL : a y m z a o U� CL c d so cn� o = z� _T' O tel : 4: V U) 1 CLJ E 0 a m � U cn Lu 1 O C O tm o c > c x� O W 0 o o ° F— CL C 0 � La O o LA a,'> o = W J caZ d (D m 0�.c o H US c _ Q L o 2 (D m 4) M-- W = M -- O o Li a w = O .�� 4 Z v O W v m L F- V Q O -a d o, = Z tv o L- c o O F- *s d CLoV > W O O z CL o �0 t/1 •E m m a t o �+ v O O CL O O C v � � .CLOt: U) ZCD v U N ca C .0 C U) Enter construction cost for fee cal'- North Andov@r Fee Calculation Construction Cost $ 115,659.00 m $ - $ 1,387.91 Plumbing Fee $ 173.49 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 173.49 Total fees collected $ 1,834.89 347 Wood Lane 679-13 on 4/16/13 Interior demo of area affected by fire Reside and reroof garage split back room into two rooms Update electrical i (2). INSPECTION OF WORK: All materials and workmanship will be subject to inspection and test, bye the OWNER or thei Representative, who will have the right to reject defective material and workmanship or requi a its correction. (3). NOTICES AND APPROVL IN WRITING: Any notice, consent, or other act to be given or done hereunder will be val d only if in writing. (4). WARRANTY: In addition to any additional warranties agreed to by both parties, the contractor warrants that the work will be free from faulty materials; constructed according to the standards of building code applicable for this location. Our employees are fully covered by Workman's Compensation & Liability Insurance. The warranty rights and remedies set forth in the State Uniform Commercial Code apply to this contract. (5). RESOLUTION OF DISPUTES: If for any reason a dispute arises as to the terms of this contract or the performance of either party, then the parties agree to settle the dispute by jointly paying for the following: MEDIATION: With the parties agreeing to enter into good faith negotiations through a neutral mediator in order to resolve their differences. IN WITNESS WHEREOF: the parties hereto have executed this contract as of the date written below. (CONTRACTOR) ��. DATE: � �Lc, (OWNER)rfC -�� ti t' �C DATE: 1 f (OWNER) ;( �r- T. i, / - z� BATE �./ �._ : .2. k 0 0 // § \ * ƒ/~ \ 0 z 0 LU 0 C L) F- 04 Z Z 0) ui — m® uj\\ o ul LLJ� : ƒ \ co � f j C'4 _ CZ C9 C: rz C ty: 00. LU 4 (L 0 Co LLI LIJ■Lu 0 LLJ z Lo I ca ,4:" 0) 0 X C) U) W F� LL - 2f 0 co < 0 0 LL C) `/\ U) LLI Lo 0 :D Z co CL Z CONTRACT This CONTRACT, made this day: April 8, 2013 By: James & Mary St. Hilaire Of: 347 Woods Ln. North Andover MA 01845 (Hereinafter called the OWNER) And: Insurcomm Construction Inc. Of: 3510 Lafayette Road, Suite 4 Portsmouth, NH 03801 (Hereinafter called the CONTRACTOR) WITNESSETH THAT THE PARTIES HERETO AGREE AS FOLLOWS: (A) The CONTRACTOR will furnish materials and perform the work for the fire damage restoration at a cost of: Cleaning - $17,549.62 (services already performed) Re Construction - $98,109.60 Building Permit - $5S10�9 Total Cost - $116,159.22 fa The CONTRACTOR will start work (weather permitting) upon signing of this contract This estimate does not include any additional work required to bring the building up to code. A supplemental estimate will be furnished if needed. (B) The OWNER will make payments as follows: Payment will be due to Insurcomm, Inc. in thirds. First payment will be due upon start of work. Second payment will be due upon instillation of sheetrock. Final payment will be due upon completion of work. CONTRACTOR will not invoice or expect payment from OWNER until funds are released by the Insurance Company. Each invoice will be due based on work completed as well as according to the terms of payment stated herein. If not paid in full by due date, OWNER expressly agrees to pay a service charge of one point eight percent (1.8 %) monthly, unless applicable laws requires a lesser charge, computed on the unpaid delinquent balance until the account is paid in full. GENERAL CONDITIONS (1). CHANGES IN WORD: The OWNER who may at any time, with the approval of representative designated by the Financial Institution involved, make changes in the specification, within the general scope thereof. if such changes may cause an increase or decrease in the amount due under this contract or in the time required for its performance, and equitable adjustment will be made, and this contract will be modified accordingly by the (Contract Change Order). -1- N a. m c N rte-. „Z .SZ ..9.6V I W i LY. W HI INSUR-1 OP ID: SG ACRO" OF LIABILITY INSURANCE DATE (MMIDDrYYYY)CERTIFICATE 104/15/2013 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 Phone: 603-890-6439 Planright Insurance -Salem 224 Main Street Suite 3C Fax: 603-890-6521 Salem, NH 03079 James A Santo CONTACT PRONE FAX AIC No Ext); A/C No): EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # 11/07/2012 INSURER A: Peerless Indemnity Ins Co 18333 EACH OCCURRENCE $ 1,000,00 INSURED Insurcomm Inc Neil Robbins 3510 Lafayette Rd. Ste 4 INSURER B: Peerless Insurance Company 24198 INSURER C: Excelsior 11045 Portsmouth, NH 03801 INSURER D: INSURER E; PRODUCTS - COMP/OP AGG $ 2,000,00 INSURER F B COVERAGES CERTIFICATE NUIMFI RFVISIr1N NIIMRFR- 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 SUBR POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx-1 OCCUR CBP4715572 11/07/2012 11/07/2013 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 15,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LOC PRODUCTS - COMP/OP AGG $ 2,000,00 $ B AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS BA4715568 11/07/2012 11/07/2013 COMBINEDSINGLELIMIT 1,000,00 Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PR PERT DAMAGE $ Per accident B X UMBRELLA LIAB EXCESS LIAB HCLAIMS-MADE OCCUR CU8814936 11/07/2012 11/07/2013 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1,000,000 DED I X I RETENTION $ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y 1 N OFFICER/MEMBER EXCLUDED? � (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A WC4468666 3A NH 11/07/2012 11/07/2013 X WC STATU- X OTH- . T R IMIT ER E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE $ 500,00 E.L. DISEASE -POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) �cn r rrra.n r c nv Lucre %,/Ar4%,MLLA 1 IVN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Andover ACCORDANCE WITH THE POLICY PROVISIONS. 36 Bartlett Street Andover, MA 01810 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26 (2010/05) The ACORD name and logo are registered marks of ACORD