Loading...
HomeMy WebLinkAboutBuilding Permit #264-15 - 365 JOHNSON STREET 9/16/2014 BUILDING PERMIT °FtNORTF� ��eo b;�tio TOWN OF NORTH ANDOVER 02-h `'- APPLICATION FOR PLAN EXAMINATION Sr1� Permit No#: '` Date Received ` ��Ssgc►+us���y Date Issued: //c/ M ORTANT: Applicant must complete all items on this page LOCATION7 Vcti.- 7 U Z IV a1�fc Print PROPERTY OWNER Print 100 Year Structure yes no MAP _ t b PARCEL: ZONING DISTRICT:.Historic District y no Machine Shop Village ye 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 ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: 0 fad X 1 etk i r —� Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: ` e �1--t i SZ - Contractor Name: Phone: "1-1 1 Address: Supervisor's Construction License: Exp. Date: Home Improvement License: ___ Exp. Date: 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.: -t Receipt No.: 0 NOTE: Persons contracting with unregistered contractors do not have access to the g r ty nd Signature of Agent/Owner Signature of contractor 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 VPLANNING & DEVELOPMENT Reviewed On / Signature_ COMMENTS ,P,�14C71'drj Irl 11"1C-'e-y1ek-3 CONSERVATION Reviewed on b)ox 14 Si nature J U— COMMENTS. d Sid wo c-� �� v��` J` 1 HEALTH Reviewed on Si nature COMMENTS , -5 c—cyy 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 DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department 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) t ZI I YNNI ❑ Notified foricku Call Email p p Date Time _ Contact Name — Doc.Building Permit Revised 2014 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 ❑ 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/Cross Section/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:Building Permit Revised 2014 Location No. — S J Date (� . - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee $ TOTAL $ Check# Building Inspector r 1 - NORTfy - ve- 0 No. * "t _ . ti o h ver, Mass, coc"Ic N(WIcK �• S U. BOARD OF HEALTH Food/Kitchen PERMIT T L D Septic System THIS CERTIFIES THAT .......... .......... ................. �a,0 BUILDING INSPECTORB��. ..................................................... .. Foundation - has permission to erect .......................... buildings on.3I6 .......... .. .....6%0.�.....•. ../. 1/� • Rough to be occupied as ....l.f�.. .. . ...... ...........0V` ..�.. � .... .�i�........... g •• Chimney provided that the person accepting this permit shall in every respect conform to the terms eo74 the application Final on file in 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 IN6 THS ELECTRICAL INSPECTOR UNLESS CONSTRUCT I TA Rough Service ................................................................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. Smoke Det. y I J& S Carpentry and Construction, Inc. 22 Forest Street P.O. Box 655 Middleton,MA 01949 978-750-9741 License#CS 073424/HIC 168289 CONTRUCTION CONTRACT Agreement entered into this 10 day of September, 2014,by and between Susan Bournival of 365 Forest St,North Andover,Massachusetts,hereinafter called the"Owners"and J&S Carpentry and Construction, Inc,, and its authorized representative,Jeffrey A. Schultz,President,hereinafter called the"Contractor". Witnessed,that the"Owners"and the"Contractor", for the consideration hereinafter named,agree as follows: 1. Scope of the Work—The"Contractor"shall furnish all of the materials(except as noted)and perform all of the work necessary for the following job: Construct a landing in rear of the house attached to the kitchen and the pool room walls. Landing size will not exceed 10 x 10 feet. Landing frame will be as follows, Ledger will be 2x12PT,and Joist will be 2x10 pt @ 16"on center. Ledger board will be bolted to the house with ledger lock screws and the joists will be installed into Simpson galvanized joist hangers. All nails and screws used shall be for pressure treated lumber. Decking will be AZEK Arbor Collection Hazelwood attached by a deck screw with matching plug. Stairs will sweep the front of the landing as discussed. Vinyl diamond lattice will cover the open ends of the stairs. One rail will be attached to the exterior of the pool room wall. The exterior of the deck framing(rim joist), outside stair stringers and stair risers will be trimmed with white lx PVC. The deck front edge will be supported by two(2) 12"x 48" concrete footings. Patio stones that are disturbed will be replaced to beneath the stairs for the new landing. The last row of stone will be vertical and locked in place with mortar in an attempt to curb the water flow from the negative pitch of the existing patio. 2. Time of Completion—The work to be performed under this Agreement shall be commenced on or about September 17 2014,and shall be completed within a reasonable time,weather permitting. Building permit is required to begin construction. 3. Contract Sum—The"Owners" shall pay to the"Contractor"for the performance of this Agreement,the sum of Seven Thousand Three Hundred Seventeen 00/100 Dollars, ($7,317.00). This price does not include the following: Trash and building permit. Deposit due $3,917.00(materials), Start of work$1,134.00, Completion$2,266.00. Building Permit estimate fee$196.00 The"Owners"are responsible for paying any amounts due for plans,drawings, architectural work,permits,and any other related fees. 1 t r 4. Impossibility of Performance—In the event that any contingencies beyond the control of the"Contractor",now unforeseen, including but no limited to Acts of God, shall arise which shall render temporarily impossible the performance of this Agreement by the"Contractor",the performance hereof shall be suspended temporarily until such impossibility is removed: and if such impossibility of performance by the"Contractor"shall continue for more than thirty(30)days, then it shall excuse performance by the"Contractor"and shall discharge both parties from all obligations under this Agreement. S. "Or Equal" Clause—Whenever any item in this Agreement,defined by describing a proprietary product or by using the name of a manufacturer or vendor,the terms term"or-equal", if not inserted shall be implied. The specific article,material, or equipment mentioned shall be understood as indicating the type,function, standard of design, efficiency, and quality desired,and shall not be construed in such a manner as to exclude manufacturers' products of comparable quality, design,and efficiency. 6. Extra Work or Changes—No extra work or changes shall be done except upon a written order signed by the"Owners"and the"Contractor". Such order shall state the cost of such work and the time allowance for same,if any. 7. Settlement of Disputes—If payments are not made by the"Owners"and received by the"Contractor"by the due date ser forth in this Agreement,the "Contractor"shall charge interest on the balance overdue at an annual interest rate of twelve percent(12%). In addition,if said payments are not paid when they become due,the"Owners"agree to pay all costs and expenses of collection, including reasonable attorneys' fees. 8. Entire Agreement—Except as otherwise stated expressly herein,this Agreement constitutes the entire agreement among the parties hereto. This Agreement supersedes any prior agreement or understanding and may not be modified or amended in any manner other than as set forth herein. 9. Miscellaneous—The covenants and agreements contained within this agreement shall be joint and several obligations of all parties, and shall be binding upon the successors and assigns of all parties. 10. Governing Law—This agreement and all the rights of the parties hereunder shall be governed by the laws of the Commonwealth of Massachusetts. IN WITNESS WHEREOF,the parties hereto have executed this Agreement the day and year first written. Witness Owner Witness Owner Witness Authorized Rep. Jeffrey A. Schultz, a ent J&S Carpentry and ons ti Inc. 2 The Cornmonweaftk ofiY1assa�husetts - .�e,�artl�ner�to, Office o,fluves igafeons 660 Washkgtow Street Rostov,HA 02111 -���vrnassgov�cixa ' workmicompewati .jusuxanceAwaiit: up A ygg-_a hrbxma.1.ou PZease rczn )� bZy . Businessldrganiaagonaddaxe dud) TSAN�-�.tn-C , Address: Cry/ �afel�ip; e�� Iw �t Phony : �17� 7 SD c ra ou an exnpXoyer?Cb.ecktAo appropriate lbox: Type of project(regmrecl� 1./I am a employer with _� __ 4. Zama general.contractor and 1 6. New Onstruction employees @w1and(orpax-t1w0).T ha valiixedthe sub-contracts 7. �liemodeliug 2.E] 1 am a sole propxietor or partner listed on the attached sheet:. slip artd'ltavano.employees These sul7 comractorshave 8. [Demolition capacity. workers'comp.insurance. • g. f(Building addition working forme in any p ty o workfm,cow.insiwance • ❑We are a corhave oxercls audits 1a. Blectricalre airs or additions rhe ' ed.� p• officers have exercisetl.their � p •' light of exemption or MGL 11..[]W mbingxepairs or additions 3.Cl I am.a homeowner doing all work g p p mysels.Eloworkers°comp. c.152,§1(4),and.wehaveno 12.pp,00frepairs insurancere ad. i employees.[No workers' 1311 Other comp.insuraucaroquired.] ilIloitheseetionbel6wsfiowingthezrworkers'compensationpolicyfomatom Amyapplicanithai hksbox lmumwa hcs i�m1ec)wnerawhosubmitthigaffidavitindicatngiheyg(;doingaaworkandthenwreoutseconacsebtea9ch. boxtattaelmed mworkea comp.poReyfifrmaflon. xConiraeforstlaiahekbmns a c exnprDys�tiic�t isp Dvic%ng tuD iter 'comp�a ration insur�anx fox.ray e�rproyees. Be�ot�iS&TO.l!ey an4!Oh 3i1e I72,fD-Mllt6D72. hsmance CompwyName% 11. 1 Policy#or gelt&ins.VD.#: U 3 ��� xpixation Data: 777/(0�' lob Bite.Address! LAA� CitylState/Zip: �t•� �fil4 C���{�� .Affa.ch a copy of fete woxke&compensation p olxcy cleclaratiou page(showing'the policy rtmnl�er and e ixatioix date). yailura to socura coverage as xequired.under Soctlon.25.A.ofMGL o.152 can lead to the imposition of eriminalPenalties Of fxna ap to$7,500.0Q andlox one-year impiisoxvnent,as well as eiVil pen aloes in• a form of a STOP W ORK ODDER and a fine ofup to$250.00 a day againsttfte violator: Ba advised that a copy ofthis statem.entmay ba fozwardedto the Office of 7nvestigayons of the DL4.for iilsuranca coverage ver%fzcation. Xdo Xier eby eeYtaf�u�icret<trieiair artc�per2crZtie of pejtfy tricot tris zrxfornation proViec cr7ioYe is tette anc co t set, 8i afore• Data: Phone#: Of ezal use arsry. Do not write in trim areay to rre eomVretedry e%ty of tDHlXL official City or Town: Bermitf�icense# 1�suing.Authority(circle 611e): Z.Baaxcf ofHealth?.BuildingDepartmextt 3.CifylTowra Clerk 4.Electrical Inspector 5.Numblughspector F.Other y r ACOROCERTIFICATE OF LIABILITY INSURANCE F DATEIMMIDDNYYY) 0811912014 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(les) 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 CONT NAmE�CT La Cowan Cowan Insurance Agency,Inc. I(AnFA" No A978)5214669 359 Main Street �Iwl la cowaninsurance.com Haverhill MA 01830 INSURFRISI AFFORDING COVERAGE NAIC k INSURED INSURER : Associated Employers Insurance Company INSURERS: AS Carpentry&Construction Inc. INS RER C: POB 655 INSURER : Middleton MA 01949 INSURER E• IN URER F COVERAGES CERTIFICATE NUMBER: 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. INTR RI TYPE OF INSURANCE ADDL UB POLICY NUMBER POLICY EFF POLICY EXP MMIDDWM IJ LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS-MADE F OCCUR MED EXP(Any onePerson) E PERSONAL&ADV INJURY $ GENERAL AGGREGATE S GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED NED (Per acdclent)PROPERTY DAMAGE i S UMBRELLA LIAB OCCUR EACH OCCURRENCE 5 EXCESS LIAR CLAIMS-MADE AGGREGATE S RE NTI WORKERS COMPENSATION WC STAT OTH- AND EMPLOYERS'LIABILITY YIN X l l A OFFICER/MEMBER EXCLUDE ANY ECUTNf I N/A WCC50050136502014 07116/2614 07!1612015 E.L.EACH ACCIDENT 100,000 (Mandatory in NH) �� If yes,describe under E.L.DISEASE-EA EMPLOYEE $100.000 DESCRiPTION F RAT! I E.L.DISEASE-POLICY LIMIT 1$500 000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more space is required) Carpentry contractor. CERTIFICATE HOLDER CANCELLATION Town of North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Osgood St North Andover,MA 01845 AUTHORIZED REPRESE E Fax:978- ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010105) The ACORD name and logo are tered marks of ACORD ti Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen icor License: CS-073424 JEFF A SCHULT7f` - ',. A PO BOX 655 NMDLETON MA Ol ` w Expiration Commissioner 02/08/2016 r ex.Wpomvrreaauuecclt�ay C/Zuaelta Office of Consumer Affairs&Busi ess Regulation ME IMPROVEMENT CONTRACTOR egistration: 168289 Type: S. : xpiration 1/28/201.5:. Private Corporatic J&S CARPENTRY AND CONSTRUCTION,INC. a, JEFFREY SCHULTZ .. 22 FOREST ST g MIDDLETON,MA 01949 Undersecretary "-777--77—77— a r ✓, i ww y. a x [Sr ` 1 1,0111 : ' ...i�'- i (z., {C✓ y1-„ t.1-, i i1 iy, •4A a I tv!f1. . ..ky. t'1 t Y i , t�, W 'in j. 14 Professional Land Surveyors 6Civil Engineers ESSEX SURVEY SERV LCE 1958 - 1986 OSBORN PALMER 1911 - 1970 BRADFORD & WEED 1885 - 1972 PLOT TLAN OF LAND LOCATED IN MASS. 40A llCSli,�� 0Co�jtLL �5.a� � =/s�� � 11�f✓�2 . - - - 4 �? �C �S�I�✓�rllok f.r7 ..� 5 �2C� 25¢ n m Z:• 20 JQV601V I hereby certify to the A5.6h` Building Inspector that I have examined the premises. and the SCALE: buildings are Located on the ground as shown, and buildings DATE: l ! �- 1 -,7 " shown conformed to the dimensional zoning laws 0f90/ W XA1 �Li7 . .. , MA REFERENCE: BK when constructed. r This Plan has been prepared for Building %a' �HIa,����a�� `'r:!v a permitting purposes only for the above party, + ' LO and is not to be used for boundary measurements, �313 7 land conveyancing or mortgage loan inspections or plot plans. p . Christo her R. Mell-. .� Su'`i�� - 104 LOWELL STREET