HomeMy WebLinkAboutBuilding Permit #064-13 - 37 STONINGTON STREET 7/26/2012 BUILDING PERMIT pORTI{ q
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TOWN OF NORTH ANDOVER 0
j APPLICATION FOR PLAN EXAMINATION * ,�
{ 411
Permit N0. `� I Date Received °�R TED,Pp�c5
SSV CHUS��
Date Issued:
j4L4! PORTANT:Applicant must complete all items on this page
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PROPERr �OVU.NER j
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M
WN PARCE ZONING DLSTRICIT : Histone District, yeS no
Machine Sho Villa' a es no
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building One family
Ad ' ' Two or more family Industrial
Alteratio No. of units: Commercial
Repair, replacement Assessory Bldg Others:
Demolition Other
Septic. V,Well Floodplain . Wetlands, WatersFied'®iWic'
Water/Sewer
DESCRIPTI N OF WORK TO BE PREFORMED.
Identification Please Type or Print Clearly)
OWNER: Name: &22II Phone: - Z -611
Y �
Address:
`CONTRAGTQR, Name ef4& �En Rhone:,���
47
d d /L�Cli2 �4 A14-
S`upervisor�s Construction License; Expi °Date;
Home Improvement�License: : � _ Exp
ARCH ITECT/ENG INEE
R
Phone:
Address: Reg. No.
FEE SCHEDULE.BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F.
Total Project Cost: $ 3"000, OZ-) FEE: $_
Check No.: Receipt No.:
NOTE: Persons Vontracting with unregister d contractors do not have access to the guaranty fu
Signature of.Agent/Owne — 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
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT
COMMENTS
'� . qV 0 JUI.
CONSERVATION Reviewed on - = Si nature
�j
COMMENTS c�
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
s Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature & Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
.F:IREs`DEPARTME:NT Temp€Dumpster on site
.1,61dated—"l2,4'Main,Street ` � .
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'Firr�Y, t-1 { y • �' r ,.z'1 r4rG`.�� ?N +• ��' r�rr.'� ° t3 � �1 y t
-fDepartment�signature/dater°
h i
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)
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® Notified for pickup - Date
Doc.Building Permit Revised 2008
1
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
o Floor Plan Or Proposed Interior Work
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off fromFire 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)
o 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:INSPECTIONAL SERVICES DEPARTMENTWFORM07
Revised 2.2008
Location j' S'TDN�n Q
Date r /�
• • TOWN OF NORTH ANDOVER
,. Certificate of Occupancy $
Building/Frame Permit Fee $ �
Foundation Permit Fee $
Other Permit Fee $
TOTAL
Check
25544 Building Inspector
1 NORTH
i. .d )ve-
O .. to
130
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h ver, Mass, 71
ac .
O LANE
A- COON ICNIWICK
7,�5 RATED r'PP,`,�5
U BOARD OF HEALTH
Food/Kitchen
'PER IT T LD Septic System
•
THIS CERTIFIES THAT ., BUILDING INSPECTOR
........... .. .. .�/..�.v! ........ .�v..J ........................ ................
e � Foundation
has permission to erect .......................... buildings on ...�3.�.......STA .... . ..art.........
Rough
to be occupied as .........� ........ ..... ...�iiw........................:......................................... Chimney
provided that the person accepting this permit shall in every respect conform to the terms of 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 IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONST 0 ARTS
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.
SEE REVERSE SIDE
North Andover MIMAP 37 Stonington July 26, 2012
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Interstates
Interstate
—Major Roads Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83,
- Roads Meters Data Sources:The data for this map was produced by Merrimack
Ci Easements t gORTIy q Valley Planning Commission(MVPC)using data provided by the Town of
Q t�ao Ar North Andover.Additional data provided by the Executive Office of
O MVPC Boundary : ea' a�a�� Environmental Affahs/MassGIS.The information depicted on this map is
Parcels F 9 for planning purposes only.It may not be adequate for legal boundary
definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER
MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING
♦ THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY
} a ^ f OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT
4 ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
4j "o"Arlo�,p"�ej THIS INFORMATION
cNuset
1"=55 ft .�E
ACDRDCERTIFICATE OF LIABILITY INSURANCE 05/0a/2 01 M/DDf
o5/o012
PRODUCER (978) 745-'6464 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Rase Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
66 Loring Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
P.O. Box 958
Salem MA 01970- INSURERS AFFORDING COVERAGE MAIC#
INSURED INSURER A:ESSEX.1NStJRANCE COMPANY
Goodwin, Colin INSURER&AIZ"M Mutual
271 Washington Street INSURER C:
INSURER D:
Marblehead MA 01945- INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.N01WTHSTANDING 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.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADD'L POLICY EFFECTNE PO Y EXPIRATION
L i TYPEOFINSURANCE POLICY NUMBER DATE M1AfDDlYY GATE AIMIDD LIMITS
A GENERALLIABILITY 3DK8335 04/13/2012 04/13/2013 EACH OCCURRENCE 0 500000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED
PREMISES(Ea occurrence) $ 50000
CLAIMS MADE a OCCUR / / / / MED EXP_ one acro 6 5000
PERSONAL A AOV INJURY $ 500000
GENERAL AGGREGATE $ 1000000
GEWL AGGREGATE LIMIT APPLIES PER: P ODUCTS-C MP/OP LGG 0 1000000
POLICY JEC LOC / I / ,/ NONND
AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT
ANY AUTO (Ea accident) 0
ALL OWNED AUTOS / / f / BODILY INJURY
SCHEDULED AUTOS (per Person)
HIRED AUTOS / / / / BODILY INJURY 0
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE
(Per accident) 0
GARAGE LIABILITY AUTO ONLY-FA ACCIDENT 0
ANY AUTO / / / /
OTHERTHAN EA ACC 0
AUTO ONLY: aGG e
EXCESSIUMBRELLA LIABILITY / I / I EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE 6
6
DEDUCTIBLE
RETENTION S
yy 0
B WORKERS COMPENSATION AND 05/02/2012 05/02/2013 X %ASU1M- DR
EMPLOYERS'LIABILITY — -ANY PROPRIEfOR/PARTNER/EXECUTNE E.L.EACH ACCIDENT 0 _ _100000
OFFICER/MEMBER EXCLUDED? / / / / E.L.DISEASE-EA EMPLOYEE 0 100000
If yes,describe undue 500000
SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 0
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESMXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT
Dormers, Additions and ,Design FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY RIND UPON THE
2 Waldron Court INSURER IT$AGENTSORREPRESENTATIVES.
14arb1chcmd, P1?i 01945 AUTHO PRESENTATIVE o C,
ACORD 25(2001/08) 0 ACORD CORP RATION 1988
INS025(oiotipB Page I or 2
All home improvement contractors and subcontractors engaged in home improvement contracting,
unless specifically exempt from registration by Provisions of Chapter 142A of the general laws,must be
registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be
made to the Director,Home Improvement Contractor Registration One Ashburton PI,Room 1301,
Boston,MA 02108(617)727-8598
C. Goodwin Construction
Fine Homebuilding and Remodeling
271 Washington Street
Marblehead, MA 01945
978-395-7405
Proposal/Contract
Job Name: Cahill New 10x10 Pressure Treated Deck Date: 7/26/12
Submitted to: Pam Cahill Contractor Information:
Co.Name: C.Goodwin Construction
.(Owner(s)
Address: Address: 271 Washington Street
Telephone: 978-395-7405
Telephone: Fax:
Email: pchca@comcast.net E-Mail: colin.cgoodwin(a)gmail.com
fimgaddis@gmaii.com.
Job Address:Same Project Development: Goodwin
Designer/.Architect: CS#: 104864 Exp.Date: 10-27-2012
Specifications For:
To include all tasks noted on plans dated
All work will be performed on a fixed price basis with assigned allowances for specific selections.
These allowances are noted in Addendum A(Project Budget).
Additional work or changes to the plans may be added and performed upon request by Owner. The
parties shall execute a written Additional Work Order for such additional work or change in plans,
which will define the work or changes,and any increase or decrease in costs associated with it.
Job has been estimated and described in the ADDENDUMS below. -
ADDENDUM A Cost Breakdown
ADDENDUM B Scope of Work
ADDENDUM C Job Schedule
f
Contractor hereby proposes to furnish labor,complete,in accordance with specifications and fixed
costs,noted above for the sum of: $3,000.00 DOLLARS
All allowance work and time and material work will be performed as follows if contracted by
Additional Work order:
1. All carpentry related labor and supervision will be charged at$55.00 per hour.
2. All other subcontractors and materials will be charged at Contractor's cost.
3. 10% for profit and overhead will be added to 1.and 2.to arrive at the final cost to Owner.
4. Products and services purchased by others,which must be installed or otherwise handled or
supervised,may be subject to some charge to defray potential costs and liabilities,this charge
will'not exceed 10%,and may be less depending upon exposure and liability.
Customer may order changes in the work to reduce or enlarge the scope of work,
and hence the costs associated,through written Change Orders at either a specific fixed cost or on a time
and materials basis.
Payment to be made as follows: 10% upon agreement.
Invoices will be submitted at the completion of itemized tasks in the `Estimated
Cost Breakdown' for payment Some tasks may be invoiced in part prior to
completion if needed. The owner may withhold final payment for tasks not
completed at the time of substantial completion* or on punch list**items not
completed.
**Punch List:The Owner may not hold up the final payment because of punch list items.
However,if some items need adjustment or need to be re-done,the Owner may hold up to
150%of the value of this work from the Final Payment until the work has been completed
or corrected satisfactorily.
NOTICE:No agreement for residential contracting work shall require a down payment
(advance deposit)of more than one-third of the contract price or the total amount of all
deposits or payments which the Contractor must make,in advance,to order and/or
otherwise obtain delivery of special order materials and equipment,whichever amount is
rg eater,
WORK SCHEDULE:
The Contractor shall begin the work on or about: 7/26/12 ,and complete the work
on or about: 7/30/12 Variations in Scheduled Start and Completion of Work:The
actual dates that construction will commence and be completed may vary due to
circumstances beyond the control of the Contractor. These delays may include,but are
not limited to: the time to apply for and obtain necessary permits,delays caused due to
necessary inspections,delays in the scheduling of work crew(s),the presence of hidden
conditions or necessary additional work discovered during construction;or delays in the
receipt of equipment and/or materials which must be ordered and/or delivered to the site.
Certain Delays-Not Violations:The Owner(s)hereby acknowledges and agrees that the
scheduling dates are approximate and that such delays that are not avoidable by the
Contractor shall not be considered as violations of this Contract.
Notice of Schedule Changes:The Contractor agrees that when such delays become known
to the Contractor,the Contractor will advise the Owner(s)as soon as is reasonable.
CONSTRUCTION RELATED PERMITS:
The,Contractor under provisions of Chapter 142A of the General Laws is required to
apply for and obtain all construction related permits. The Contractor shall not be deemed
responsible for delays in the work described in this agreement caused by regulatory,
permit granting,or inspection agencies,authorities or individuals. Other permits
required(if any)for,but not limited to,Zoning Variances,Board of Health Permits,
Conservation Commission Permits,which may require non-construction related
surveying,engineering,technical or legal representation of the Owner(s),shall be the
responsibility of the Owner(s). Should the Owner directly hire any contractors to
perform Work on the property before C.Goodwin Construction has completed it's work,
the Owner is solely responsible for all building permit,inspection,insurance,and liability
issues that may be required or arise with that Contractor
IMPORTANT NOTICE REQUIRED BY LAW:
If the Owner obtains his/her own construction related permits for the work described
under this contract.The Owner is hereby advised that in the event of a dispute,judgment
and nonpayment by the Contractor,the Owner will not be entitled to make a claim against
or collect from the guaranty fund established by Chapter 142A.
HIDDEN CONDITIONS&NECESSARY ADDITIONAL WORK:
Hidden conditions such as:(but not limited to)the presence of ledge,unsuitable bearing
soil,structural defects,pipes,and/or wires hidden in wall cavities,etc.,may require
additional work beyond the scope of this agreement that may require an adjustment in the
overall price. In such cases the Contractor shall inform the Owner(s)of such conditions
forthwith and,where necessary,a written amendment of this agreement will be negotiated
and executed by the Contractor and Owner(s). The Contractor shall not be responsible
for additional work that may be required by Building Inspectors,or other code
enforcement officials that is not within the scope of this agreement.
INSURANCE:
The Contractor will be responsible to the Owner(s)or any third party for any property
damage or bodily injury caused by himself,his employees or his sub-contractors in the
performance of,or the result of,the work under this agreement. Contractor agrees to
carry insurance to cover such damage or injury and shall provide a certificate of
insurance to the Owner as proof there of. The Owner agrees to carry insurance to cover
damage to any newly erected structure or portion thereof or equipment that has been
installed or delivered to the site. Should the Owner directly hire any contractors to
perform Work on the property before C.Goodwin Construction has completed it's work,
the Owner is solely responsible for all building permit,inspection,insurance,and liability
issues that may be required or arise with that Contractor
SUBCONTRACTING:
Contractor agrees that,not withstanding any agreement for materials and/or labor
between the Contractor and a third party,Contractor is responsible to the Owner(s)for
completion of all work described in a timely and workmanlike manner
MODIFICATION:
L `
This agreement,including the provisions relating to price and payment schedule,cannot
be changed except by a written Change Order signed by both Contractor and Owner. The
Contract Price and the Completion Date shall be adjusted accordingly.
WARRANTIES: (Limited Warranty Provision)
The Contractor shall repair or replace,at his option and at his expense,any substantial
defects in workmanship or materials supplied by the Contractor,or his agents,under this
agreement that may occur within a one(1)year period from the date of installation. The
Contractor makes no warranty of installed equipment. All warranties for equipment
supplied by the Contractor shall only be those given by the manufacturer of such
equipment,which shall be and are hereby passed through directly to the Owner upon the
equipment installation,HOWEVER,IT WILL BE OWNER'S RESPONSIBILITY TO
REGISTER OR MAIL WARRANTY MATERIALS OR OTHERWISE TAKE ACTIONS
REQUIRED BY MANUFACTURERS TO VALIDATE A WARRANTY.
WORK SITE SIGNAGE:
The'Contractor reserves the right to install a company sign on the property during the
course of construction. Job site signage is a useful aid for deliverymen,and provides
neighbors who may have questions or concerns with the Contractor's contact information.
CONTRACT ACCEPTANCE:
I have read all pages of this document including any referenced attachments, and
accept the prices,specifications and conditions stated. I understand that upon signing,
this document becomes a binding contract under the law. You are authorized to do the
work as specified. Payment(s)will be made as outlined above.
Contractor: Date:
C. Goodwin Construction
Owner: Date; 1712612.
177
Owner: Date:
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` Massachusetts - Department of Public Safety 1
Board of Building Re�-ulationsand Starl'fiards
Construction Supervisor License po
License: CS 104864
COLIN GOODWIN
t 271 WASHINGTON ST NO 1L
MARBLEHEAD, MA 01945
E:Th.:opplicutien must
--�– �` – Expiration: 4/7/2014
t'ttnnnissinner
Tr-": 104864 F
5�. 1
e Wpoaiea. License or registration valid for individul use only
Office of Consumer Affairs&BusiWess Regulation g
ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: _
W—elgistration: 1MENT Type: Office of Consumer Affairs and Business Regulation
piration: DBA 10 Park Plaza-Suite 5170
Boston,MA 02116
C.GOODWIN CONSTRUCTION._...,;
COLIN GOODWIN y
271 WASHINGTON ST'''-'.
MARBLEHEAD, MA 01945' : Undersecretary of valid without signature