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HomeMy WebLinkAboutBuilding Permit #570-16 - 40 INGLEWOOD STREET 5/1/2018 BUILDING PERMIT 0 NORTh qw- E,•tLEU ,64'IO TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received 'byA�a�reo�PP�45 SSRCHUS Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION �© _L ngt'Qw�od Sf. Ni Anc,OvU; M6 018Y5- Print 18Y5- Print PROPERTY OWNER 3-aSe Me Print 100 Year Structure ye MAP PARCEL: ZONING DISTRICT: Historic District y s . . n Machine Shop Village yes 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 i4ssessory Bldg "ro,�- ❑ Others: ❑ Demolition ❑ Other Septic o Well p Floodplain D Wetlands ❑ 'Watershed-Qistrict DESCRIPTION OF WORK TO BE PERFORMED: &-aL ESQ Y'nof {'o b 2- S i-r a 1pe d CL 4 \r 5 1� a. Identification- Please Type or Print Clearly OWNER: Name: -7oseph MOucc( Phone: 978-68?--79-39 Address: qO -Qig2ew00d Sf. N, 4nAvt�r 11nA i8ks Contractor Name: Sce TT (.Jv ic,� Phone: 978-09-day7 Email: k)r'% c3) 'I.Lov- Address: 3so RQrr-u 5f.- N- hn4v vl, %)4 01SY5, Supervisor's Construction License: CS- 10,)-663 Exp. Date: '0_ 8b /dO1 7 Home Improvement License: 13 56 9 Exp. Date: .� /Y �o/7. ARCHITECT/ENGINEER Phone: Address: FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASE 25.00 PER S.F. Total Project Cost: $�),Ll00.00 FEE: $ Check No.: y� Receipt No.:� NOTE: Persons contracting with unregistered contractors do not have access to th . guaranty fund =_ - c r - - 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 PLANNING & DEVELOPMENT Reviewed On Signature_i COMMENTS CONSERVATION Reviewed on Signature COMMENTS i FIEA+LTH Reviewed on Signature COMMENTS 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 DEAR+TMEIVT ;Temp Durnpswwr- ter on siteµ Vies _` no " 7 Located at 124 Main Street _ ' Fi '* � �} �� to ,�t�` }.:•,;r '� t„ a -» :�?a � z •�_ :gnature/date �, .�; .. �� �.. ��� � � f y _ E �f r r;� �a ..rs. +. *� 3 f•:�.,;rs .y'. " .,. (� {, .r�*� �., � z g* Pa ', -.-Qa,. .+�,s n •u,�nf,.- F•�:, Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. i 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 rase) i` t i ® Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 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 OTE: 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 OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit r New Construction (Single and Two Family) i 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 li Hydraulic Calculations (If Applicable) Copy of Contract 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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 i Doc:Building Permit Revised 2014 i 46 Location 7C7 \ No. Date I114hr, TOWN OF NORTH ANDOVER x � A Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �\ Check# . f Building Inspector s NORTH i 'Town of" 2 t E "' na'alover 0 ���.• ..`•. r i No. 5t _ 70,=- 241 h i Z � o h ver, Mass, C I COCNIC"2WIC1/ V^ S U BOARD OF HEALTH Food/Kitchen PERMIT T , L, D Septic System I� ....... ' BUILDING INSPECTORTHIS CERTIFIESTHAT ............ ........... has permission to erect ...................... buildings on .... 1�.1:Srf Foundation .... .... . . ........ .................................... .............................. Rough to be occupied as .......FaccleptVi . ........ .... ......... ...... ............. . ................ Chimney provided that the persothis permit shin 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 CONSTRUCT N ARTS 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. FREE ESTIMATES PROPOSAL Construction Supervisor Lic.# CS102663 FULLY VVSURED H.I.C. Reg,# 138569 Md MGH 1 J< OOFI Ali G®G S AND JLC 11'l ME ROVEAd E 1L All Types of Roofimg di: Gutters 350 BERRY STREET ® NORTH ANDOVER, MA 01845 TELEPHONE: 97&687-2247 PROPOSAL SUBMITTED TO t PHONE DATE J oQ. M ie- l ucci 978- 689- '7 q39 // 8 /5' STREET J08 NAME/LOCATION CITY,STATE ANDZIP CODE JOBSTART DATE Anu.o ve-f- MA 018`I S, woof (�GLC6-5z 5�rlp PIXI Jck,� curpkaji- Sk�V& J/ I C,il o( ©n S 0,r a � b4 .'C.a vQ E O nd J©1 P p v��af bar (-Je-r co, r2S4- of ry taf'nr* de_c(t, Zq)'i L t t Q dr t' ecf�c O in alt eaUCS PC' rc kP-S. T-J-7,Y4& &/i Ck✓c r c7� fr S�t S rpt (L 1-3 0 M P..► L'i c'VLA rcc i r j A n J. I rc{2�t (iJGt V V-12,49 'I-W LC.� S c ` t 87 Low� i�c�. � AlK 0j07q S t k. k [air S -I'p ry P ce_q if160 s f 14 fvr d u i S+e-r 4Z cof b cufo--"W- We --"W-We Propose hereby to furnish material and labor-complete in accordance with above spec cations,for the sum of:$ 00,0 0 Payment to be made as follows: Q Q Q,.., d,�n Ds tk r I- 6 a l o n C Q o n c e (may r�,V t�� r,J "T" All material is guaranteed to be as specified.All work to be completed in a substantial workmanlike Authorized manner according to specifications submitted,per standard practices.Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and will become an Signature extra charge overand above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tomado and other necessary insurance.Our workers are fully NOTE: This proposal maybe covered by Workmen's Compensation Insurance.Non payment by agreed party may result in litigation withdrawn by us if not accepted within days. with penalties including court cost and compensation both real and punitive. Acceptance of Proposal - The above prices, specifications and conditions are satisfactory and are hereby accepted,making this a valid contract. Signature You are authorized to do the work as specified.Payment will be made as outlined. xDate of Acceptance: . — — f Signature Massachusetts Rome Improvement Contract This form satisfies all basic requirements ofthe state's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard Ianguage to protect homeowners. Seek legal advice if necessary. Any person planning home improvements should Srst obtain a copy of"A Massachusetts Consumer Guide to Home Improvement"before agreeing to any work on your residence.You may obtain a free copy by calling the Office of Consumer.Affairs and Business Regulation's Consumer Information Hotline at 617-973-8787 or 1-888-283-3757 or on our website. Homeowner Information Contractor Information Nairne Company Name Street Addresl(do not use a Post Office Box address) Contractor/SalesperW OwnerName Yo 1%L tewojct Sf Sca`tf- UJst ki' Citylrowa V State Zip Code Business Address(must include a eet address) cQ R (Q 35-a 13tzrr zSf- DaytimePhone IEvening Phone City/rown State Zip Code ()-n-699-793 N. n val- M4 011Y Mailing Address(It different from above) Business Phoney'78.6 '7-�ederalB.mployerIDorS.S.Number HornermprovcmrntCoatraclorReg.Numbar Eayvationdate Law require that most home p i+npmremeat cantsht=b have j �� 5 J (� a valid registmifon number I b T The Contractor agrees to do the following work for the Homeowner: (Describe in detail the work to completed,specifying the type,brand,and grade of materials to be used,use additional sheets if necessary.) l Required Permits-The following building permits are required Proposed Start and Completion Schedule-The following schedule will and will be secured by the contractor as the homeowner's agent: be adhered to unless circumstances beyond the contractors control arise (Owners who secure their own permits will be excluded from the Guaranty Fund provisions of H 15 Date when contractor will begin contracted work. MGI,chapter 142A.) l S Date when contracted work will be substantially completed. TotalContract Price and Payment Schedule $,21-100,00 // The Contractor agrees to perform the work,funishtlre material and labor specified above for the total sum o£ W,21-1©0,o d M Payments will be made according to the following schedule: $&Q41)0 upon signing contract(not to exceed 1/3 of the total contract price or the cost of special order items,whichever is greater) $ b / (_or upon completion of $ by_/ !or upon completion $ N00.00 upon completion of the contract. (Law forbids demanding fitll payment until contract is completed to both party's satisfaction) The following material/equipment must be specia d for ordered before the contracted work begins in order to meet the completion schedule.(t") S to be paid for NOTES:(*)Including all finance charges(0)Law requires that any deposit or down-payment required by the contractor before work begins may not exceed the greater of(a)one-third of the total contract price or(b)the actual cost of any special equipment or custom made material which must be special ordered in advance to meet the completion schedule. Express WarrantK-Ts an exorresstyarrrintvbeing Provided bythe contractor? nE]Yes(all term's of the warranty must beatfachedto,the contrzct) Subcontractors-The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third party/subcontractor utilized by the contractor. The contractor further agrees to be solely responsible for all payments to all subcontractors for materials and labor under this aereement 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. • Don't be pressured into signing the contract.Take time to read and fully understand it. Ask questions if something is unclear. Make sure the contractor has a valid Home Imnrovement Contractor Registration, the law requires most home improvement contractors and subcontractors to be registered with the Director ofHome Improvement Contractor Registration. You may inquire about contractor registration by writing to the Director at 10 Park Plaza,Room 5170,Boston,MA 02116 or by calling 617-973.8787 or 888-283-3757. • Does the contractor have insurance? Ask the Contractor for his insurance company information so that you can confirm coverage,or ask to see a copy of a"proof of insuaace'document -- • Know your rights and responsibilities. Read the Important Information on the reverse side of this form and get a copy of the Consumer Guide to the Home Improvement Contractor Law. You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business,provided you notify the contractor in writing at his/her main office or branch office by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the thud business day following the signing of this agreement. Seethe attached notice of cancellation form for an explanation ofthis right. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACESII k Twoidendcsieopiesoftbewntmctmutbecompleiedudsigned.One copy should gototheltomemmerThe otbuwpiysAhoullddbboke�ptbythe contractor. �..eSature ntra oris Sidcnature Date Date AC" CERTIFICATE OF LIABILITY INSURANCE DATEMMI°D/VYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 14OLbER. 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 T A SULLIVAN INSURANCE AGENCY INC NAAME: 135 MERRIMACK ST PHONE FAX METHUEN, MA 01844 E-MANo.IL t AIC No: ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: LM Insurance Corporation 33600 INSURED INSURER B SCOTT WRIGHT DBA WRIGHT GUTTERS INSURER C: 350 BERRY ST INSURER D: NORTH ANDOVER MA 01845 INSURER E: i i INSURER F: COVERAGES CERTIFICATE NUMBER: 26890575 REVISION NUM R: 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 I TYPE OF INSURANCE I NSU SUBR POLICY NUMBER ! MMIDD//YYYYLICY MM/LDD//VY Y LIMITS LTR COMMERCIAL GENERAL LIABILITY ( I f I EACH OCCURRENCE I S 1 1 DAMAGE TO RENTED I �I CLAIMS-MADE El OCCUR ( PREMISES Ea occurrence S MED EXP(Any one person) I$ _ 1 I V I PERSONAL&ADV INJURY I$ I{GEN'L AGGREGATE LIMIT APPLIES PER: 1 I GENERAL AGGREGATE 15 POLICY LJ JECT LOC i PRODUCTS-COMP/OP AGG 15 HER { S AUTOMOBILE LIABILITYI I COMBccINED SINGLE LIMIT I$ { I i Ea aident ANY AUTO ( BODILY INJURY(Per person) I S ALL OWNED I SCHEDULEDI I BODILY INJURY(Per accident) S AUTOS AUTOS NON-OWNED j PROPERTY DAMAGE S HIRED AUTOS AUTOS I i Per accident I � s j UMBRELLA LIAR I OCCURI { { ACH OCCURRENCE I,S E i I EXCESS LIAR I ! CLAIMS-MADE I AGGREGATE S DED I I RETENTION S Is A WORKERS COMPENSATION IWC5-31S-387187-015 9/30/2015 9/30/2016 �/ I SPE TATUTE EORH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE YIN , E.L.EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? N/A; (Mandatory In NH) I E.L.DISEASE-EA EMPLOYEE S 100000 If yes,describe under - DESCRIPTION OF OPERATIONS below - E L.DISEASE•POLICY LIMIT S 500000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. THE WORKER'S COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR SCOTT WRIGHT. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION -rob W>, o4� A/c. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE _ THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN i� 4 3, cIfoir ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE LM Insurance Corporation ✓/V� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 26890575 1 1-387187 1 15-16 WC 1 Jagadesh049C.AD@LibertyN.utual.com ( 12:28:10 ?M. (EDT) I ?age 1 of 1 Office of Consumer Affairs&Business Regulation --_ .,.-__,!AOME IMPROVEMENT CONTRACTOR O� Registration: 138569 Type: ':-Expiration: 4/14/2017 DBA WRIGHT GUTTERS SCOTT WRIGHT 350 BERRY ST, NO.ANDOVER,MA 01845 Undersecretary i License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 Not valid without gnature r II Massachusetts Department of Public Safety p Board of Building Regulations and Standards 0 License: CS-102663 Construction Supervisor SCOTT W WRIGHT- 350 RIGHT350 BERRY STS NORTH ANDOVER M 01845 r Expiration: Commissioner 08112/2017 unrestricted-Buildings,of any use group which contain less than 35,000 cubic feet (991 M )of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass.Gov/OPS