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HomeMy WebLinkAboutBuilding Permit #274-15 - 40 CARTY CIRCLE 9/16/2014 NORTH BUILDING PERMIT 20h ttLeO '6'g1 O TOWN OF NORTH ANDOVER 0 - APPLICATION FOR PLAN EXAMINATION _ o e Permit No#: � �' Date Received '°`�-.1. " ORATED IPay.(5 gSSACHUs�� Date Issued: IMPORTANT: Applicant must complete all items on this page _. .. _ LOCATION Pri t PROPERTY OWNER • , Print 100 Year Structure yes no MAP Oil PARCEL:03q ZONING DISTRICT: _ Historic District yes no Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building XOne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain p Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: it n dentification- Please Type or Print Clearly OWNER: Name: RU Phone: Address: Aw Contractor Name: hone + � 1� Address:G7�� Supervisor's Cons ction license: ,Q9E(� Exp. Dater J / Home Improvement License: (( /_ Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. r 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�Y7C3(D FEE: $ 415 — Check No.: Receipt No.: 2 f NOTE: Persons contracting with u s e tractors do not have access to the g d $ignature of Agent/Owner gnature of contractor Location 40 No. !] "�i)r Date e - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ �� a. G Foundation Permit Fee $ �= �s`*Y" Other Permit Fee $ 11 TOTAL $ CheckIIIt 28027 Building Inspector I Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ I TYPE OF SEWERAGE DISPOSAL k Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ permanent Dumpster on Site ❑ I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM i PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS I HEALTH Reviewed on Signature COMMENTS i I I i 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 . a 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) I ' i ❑ Notified for pickup Call Email j Date Time Contact Name Doc.Building Permit Revised 2014 r 1 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. i Roofing, Siding, Interior Rehabilitation Permits Li Building Permit Application o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o Floor Plan Or Proposed Interior Work o 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 i o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract 1 o Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o 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) o Building Permit Application o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o 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 submitted with the building application Doc:Building Permit Revised 2014 NORTH own of t E I, ndover 0 - r No. 4 - �` i h ver, Mass �taAe_vv�6ef- ( X41 A_ A COCMIC"a WICK 7� °RATED - S u BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT 2,J BUILDING INSPECTOR has permission to erect buildings on © C�--� l.. Foundation "1 • Rough tobe occupied as ............. Q. .l...• ...... ............�.............................................................. Chimney provided that the person accepting this permitall 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 CONSTRUCTION STAR Rough Service ......................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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' Office of Consumer Affairs°axed Business Regulation 10 -i 7 Boston, Massachusetts 01-i t 6 Reg-'s1raftm: 162111, T3ipe: SUIDplementCar®1 NEXT STEP UMNG M. F=xpiratian: V14/2015 ROGER OUELLETTE 21 DRYDOCK ASE. 2TH FL BC)STON, M 02210 Updace Address and.metre ran calyd.Ilii aFf.j reason from change" -- .�_d dEresis A�eun¢e��ai uan�rni®gru pmt El LostCard �3r cc-Of,EOasUeer �L�I RQ�S H8¢ an��4n�a License OF reg0str2ti®rm vaiid u®rr iundIviduR use o n➢Sr 9W91��GVECMEb19'fT CONTRACTOR (m OTO the expiration date. If LThu nd Fetourun tme >, b�a�iatrati®rye 962999 ®fftace Of CO nsanuanerr Affffairs and Bunsianess E�egugati®un Expiration. 9/94/2(D95 NEY7 ST EP UWNG INC. Boston,W�02116 ROGER 01M-LETM 21 DRYDC 01K AVE.2TH"FL �! IJ�ac�n�c�re4ar tgot v0d rr✓itfaauunt su�rnatunrr� Massachusetts Departmeni of Public Safety Rojrd Df B Adrng Regulatio,is and Standards Construction Super%kor Specialty .� RcQstgldad To: C SS OCA-insulation C oontr6ldcrr F-,)ilu([7e an pazseas-d.)current edition oo`t he M,.),sSP,)ChusGrls �u ouilolinF cade is ca" for rC�C ocmition ceu�i�i is�U(��nse. ��r DPS Luc�n�6�a�Bnu`e�r��u�t�;ua�n e�us6eo C^9C^:i'L^3.(I�lic���:C�ct���DG�� NPM, c84Opp)P as CERTIFICATE OF LIABILITY INSURANCE --��tl���� s-- `Cf1BVd�F�B (i�:�.,`RE 90 08SUE;';A8 A MXMR OF 96YEORIM-71(�ft9 6�U AND CONFERS MG MMM f9�' THE ( F';�fl�OG GE HOLDER,T6�GR CEMFAF KA7uf DOES MOT A\r-FRM%RWQLV OF,NEGATIVELY AMEND, Crfl'iip .-%LsER TmE covEfAsE mEomo By mE F OUCAES BELOW. `-HIS GER LIFiGAVE OF Gf9SGJRANGE DOES ABUT COMMUTE A 00N`fl'R4(,-7j'BETWEEN `AE GES,JOMO GNRURER(8g,AK9tiM©RZED REPRESENTA'YOVE M PRODUCER,AND THE CERMFOCA*HOLDER, �.=mss___ -.�.•� _. --- ---�-�.. Qq A 091 (TP.2 &i ki, i-,,vu6or(R/TM d"I ivkh-m 11) Nwd Step UAng A- (OjdjreSS: 221 MyDock Ave Boston, MA 02210 phr Are you, Elm employeu y I Type ell pffv,�eet Quer uftred): CKIII I am en employer vjitrh 750 4. ,di genjeral caamactor and, 1 e va in-,kvytes MR mid/or paxt-timi e). have hired the sub-coatractwmnq 6. Novi construction C fistcd on the aftrached sheetc. 7. R arn a sole proprietor or parimer- Rernodefing, ship and have no efnpRoyees The=sub-contractors have 8. Demolition worldug for rune in any Capacithy. Ormplffyiees and have workers" 9, F Pyo workers' comp.insurance comp, h1suraftm.4. Building addittion. required.] 5. R 10.E]Remicaf rep.airs or addfidms, I We are a colporaltrion and itts, I am, a homemmer doing all woric offlacers have exercised theiir I repaIrs,or golditions myself. [-ISIO-qvorkers, comp. TflgYIr of exemptrion. per MG1, J-2.[ imuraince required.] c. 152, §I(R),and curie haive i ijo ]Roo'refpafirs enipig,yees. [NMO)workers, I I La Other c aep° revrithred.]o IL LiYj Fvlo-Heantlat CLO-ok's box,ffi-7 vamsi aso,r;ill O�A the,Saffiaa belo�vv shomdng thieh—�FLFOIkfws,comovous in i-, to cGe®G 'u-01JO swvb-,Ah-:bio 01 fld,,xvitr indieptiag they&70 doing atp--work and then,him alum"We, submit ne-vC,affido'd-k i U nowarmg amn. ^r, - 1pkqyCes. fi,thi,-,qodb< 6'.azo Imr-jeon2ployc'es,eaey must provida'heir Pomp.Policy rm-mba. Pmbm,WGIF 91h,Let,1's.,pnv)iddgqg;womiterg cowtpept,,qr,,,mSbm b8sairompacefor my & AIM Mutual Insureince Conipainy AWC7025153011 2012 0 040141 Airy$,,`or Seff-ins. Lic. Db Q,- c Ly ttalCh a Ce F)Y OT Him,,vim,uteu°�Q, COMPI enR c&do m p OU ey decD amdom p"Olse(dk 01 v,7 0 RI tine p,0 Mey[MUM ber and.eiqp, mU ona d ge). .0-ure to gem-m—,c(r)-voragge as required mder Swtiiotri 25A of MON,c. '152 can,lead tro thr Impositiem ofc'AmIdw.11 ponf-111fie"',oft-I the wp, to, $11,500.00 and/or onke-year inapdaem on,t, as well,@.5 CiVill PeReArieS fia, tr-�Re.-foxm of a STOP WORK 0-IWER aadi.a flhao Clap to$230.00 a againi,-�tr the A016ACT. Be advised.thotr 6-1,copy of this wi xndt--f ),0, b,r�rv-,"'Wed tm the Offillce of vestigations of the DNA for insurance covorgo,verification. FS;Q do hoveby Cnpwa,,Yj�) j,`,)S]fi)07V aafflm,�adme dot) �Lg ut Lome. VvAke 6v ihkzy �r*o C,ro rAjp9&.vO,7 byCh"'Y or 6(gro-va of- Offlefid m&m"md�. Do rb to,L -Permfic!Uceffme r�! ow). g Otr@ew suo)pnc-,t -C .......... r 0 next step Living This agreement Is made by and among eckendorf Next Step Living,Inc.("NSL") KathyY 21 Drydock Avenue,2nd floor 40 Carty circle Boston,MA 02210 NORTH ANDOVER, MA 01845 phone: (866)867-8729 Site ID: A274728 07-Aug-14 1. DESCRIPTION OF WORK TO BE PERFORMED NSL will perform or cause to be performed the following work on the customer's address above,in a professional manner and in accordance with the terms of this Contract,including the attached recommendations/work order describing the work in detail(the"Work")which are incorporated herein by reference: wam Work Location: Attic Flat Whole house fan box:Thermal Barrier Polyiso 2"(Attic) 1 Each $209.21 Attic Stair Cover Thermal Barrier with Carpentry, 1 Each $237.65 Damming 40 Lnft $82.00 Vent bath fan to roof flapper 2 Each $237.50 Attic Floor Open Blow Cellulose 6" 512 sgft $614.40 Attic Floor Open Blow Cellulose 10" 816 sgft $1,142.40 Perform Air Sealing at Estimated 62.5 CFM50 Per Hour 10 Hr $750.00 Work Location: Knee Wall Install 2"Thermal Barrier Polyiso on Kneewall 66 sqft $218.46 Work Location: Foundation Insulate Rim Joist with 6.25"Fiberglass Batting 140 Lnft $245.00 MA Save CMA Weatherization Incentive $2,600.00 Estimated Annual Energy Savings from the Above Improvements $508.00 2. PAYMENT: CUSTOMER agrees to pay NSL for the work as follows: Payment#1: $100.00 -Credit Card or E-check deposit is due at the time the Work is scheduled. Required payment information will be collected over the phone by a customer service representative at the time of scheduling. Deposit is not to exceed 1/3 of the total retail costs. (Note:Mastercard,Visa,and Discover accepted) Additional Payments and Final Invoice: $1,036.62 -Additional payments for the Work shall be due upon completion of the Work. Aug 11, 2014 Crf 20 4) Date ��e6G� t�:Bc�rClt 7 Aug 2014 Andrew Carpentier N i9 Plug 7,2014) Date Name of NSL Representative The Terms of this Agreement are contained on both sides of this page Next Step Living o 21 Drydock Avenue-2nd floor-Boston,MA 02210-(866)867-8729 o inquiry@nextsteplivinginc.com-www.nextstepliving.com f 4 TERMS OF AGREEMENT 3. PROPOSED START DATE AND COMPLETION SCHEDULE NSL will contact customer to schedule the Work at a mutually agreeable time,subject to the availability of subcontractors or materials,or to delays attributable to the weather or other events beyond NSL's control. 4. CONTRACTOR REGISTRATION Massachusetts law requires home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration. You may inquire about contractor registration by writing to Office of Consumer Affairs and Business Regulation,Ten Park Plaza,Suite 5170,Boston,MA 02116.617.973.8700. 5. PERMITS NSL will be responsible for obtaining any necessary permits as the Customer's agent Customers who secure their own permits or deal with an unregistered contractor will be excluded from the Guaranty Fund provisions of the Home Improvement Contractor Law. 6. PERFORMANCE OF THE WORK AND CHANGES. 6.1 NSL will not commence the Work prior to signing this Agreement and transmittal of a copy of Agreement to the Customer 6.2 This Agreement may be supplemented,amended,or modified only by the mutual agreement of the parties.No supplement,amendment,or modification of this Agreement shall be binding unless it is in writing and signed by all parties. 6.3 At times,our weatherization team discovers situations in the structure during the course of the Work that indicates a risk for a health or safety concern for residents.Such concerns can include but are not limited to ventilation,potentially hazardous materials such as mold or asbestos,or structural concerns. In the case of health or safety concerns being identified,NSL reserves the right,per section 9.2 of this contract,to communicate concerns to the Customer and halt work until such concerns have been addressed. 6.4 The rebates and incentives available from the Mass Save®Home Energy Services Program and amounts due from the Customer are based on the best estimate of the situation in the structure by the NSL home energy advisor. However,at times our weatherization team discovers situations in the home during the course of the Work that impact the availability of rebates and incentives from the Mass Save Program. In such situations,NSL will communicate such changes to the Customer,including any impact on amount the Customer would be expected to pay for the Work. The Customer will have the option to remove from the Contract the work elements that need adjustment,or set up a separate contract for performing the adjusted work. 6.5 NSL represents and warrants to the Customer that(a)the materials and equipment furnished under this Agreement will be of good quality and new, (b)that the Work will be free from defects,and(c)that the Work will conform with the description of the Work described in Paragraph 1. 7. INSURANCE AND REGISTRATION NSL represents and warrants to the Customer that it has a valid Home Improvement Contractor Registration(No:162111)and the necessary insurance required by applicable law and normally maintained by prudent contractors in NSL's field,including,but not limited to,Workers Compensation Insurance for all employees who will perform the Work. 8. QUALITY OF WORK. NSL agrees that the Work will be performed in a good and workmanlike manner,and that NSL will repair and replace,at its own expense,and promptly upon Customer's request,any defects in workmanship and materials provided by NSL which appear up to one year after completion of the Work or within any longer period as permitted or required under applicable law,provided NSL has received final payment as provided herein. 9. PRE-EXISTING CONDITIONS&PROPERTY PROTECTION 9.1 NSL shall not be responsible for any damages as a consequence of the Work performed in the home due to pre-existing conditions. These conditions include but are not limited to poorly fastened or broken drywall,moisture damage,non-code construction,cracked or fragile siding or shingles,old pipes and fittings,rotting wood,etc. 9.2 NSL reserves the right not to perform Work upon the discovery of asbestos,mold,or any other potential health risk to the Customer. In this event,the Customer is responsible for remedying the at-risk situation,including any necessary removal of hazardous materials and all bills for services to date shall be paid immediately. Work cannot resume until remediation is complete. 9.3 While NSL will make best efforts to protect any property of the Customer, it is the Customer's responsibility to remove or protect,including dust protection,any personal property including the home itself. NSL will not be responsible for damages to or losses of any of the above mentioned property not properly protected prior to the commencement of the Work. 10. GENERAL PROVISIONS. 10.1 NSL reserves the right, the extent permitted by applicable law,to have,file or maintain a mechanic's or material men's lien,or to file a notice of intention to lien,and to take any other steps to perfect and enforce such a lien,if Customer fails to pay NSL as provided herein. 10.2 This Agreement shall be construed in accordance with the laws of the Commonwealth of Massachusetts. 10.3 This Agreement forms the complete integrated agreement between NSL and Customer. The parties represent and warrant that in executing this Agreement,they are not relying on any representations,warranties or terms other than as expressly contained herein. This Agreement supersedes aff prior agreements between the Customer and Contractor and may not be altered absent a subsequent written agreement signed by both parties. 11. ENERGY BENEFITS. The Sponsoring Utility Company(the Utility)is entitled to 100%of the energy benefits associated with all Energy Conservation Measures,excluding the value of energy cost savings by the Customer,but including all rights to all associated ISO-NE Energy,Capacity and Reserves Products.NSL agrees to provide the Utility with such further documentation as the Utility may request to confirm the Utility's ownership of such benefits and Products. 12. NOTICE CONCERNING SPONSORSHIP. 12.1 Customer understands and acknowledges that NSL is not an agent,vendor or sub-vendor of The Sponsoring Utility Company(the Utility)with respect to the installation of an energy efficiency measures.In the event of the failure of an energy conservation device to perform as expected, Customer's sole recourse is to Contractor and not to Conservation Services Group(CSG)or to the Utility.The Utility and its operating companies shall not maintain,remove or perform any work whatsoever on the energy conservation measures installed. 12.2 Customer understands and acknowledges that their participation in the Mass Save Home Energy Services Program is voluntaryand that they have consented for Contractor to install the proposed energy conservation measures. 12.3 Customer agrees that it shall not hold CSG,the Utility,their affiliates or operating companies liable for Contractor's to perform its obligations under this agreement,for failure of the energy conservation measures to function,for any damage to Customer's Premises caused by Contractor or for any and all damages to property or injury to persons caused by the energy conservation measures. 13. LIMITED TIME OFFER. The prices and incentive offered in this Contrdct are subject to change in accordance with The Sponsoring Utility Company Mass Save Home Energy Services Program offers. 14. CONTRACT CANCELLATION Under Massachusetts law,you may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller, which may be his main office or a branch thereof,provided you notify the seller in writing at his main office or branch by ordinary mail posted, by fax,or by e-mail sent or by delivery,not later than midnight of the third business day following the signing of this agreement. i Planview Diagram Team 1 2 3 Customer LLi u_ ��e.`�(.�em�lor'� Advisor Name: Address ok o // C� Advisor Phone #: �'78 -9gs`���° S Town A) 4ndova/ Any limitations to access by truck? Site TD ? 2°o �y - NOTES Any work scoped outside of Best Practice? Approved by: 3 F o G 5ry 1;3 4+ wtttis- ro`yiso-660 40 3 ® � 1=J3 , 2 3 3'S 3 S ley ALI s s S` ikf no-W 0 ID , 3 �f d-y-e-e -