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HomeMy WebLinkAboutBuilding Permit #079-13 - 42 BAY STATE ROAD 7/31/2012 BUILDING PERMIT o`�t``° '6"�0 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION /� Date Received Permit NO: 07q—/.,,;. �((A Ri �d °RA*•°SSACHUS�� Date issued: `Y I ORTANT Applicant must complete all items on this page .. 3 411` .1�. r t + xp rh��t>f� a r: '_ rgggl ��*�, PROPERTY=fl1�IfNER "Ac:t, : 'v .t it M'AP;NO � P4lCELONiN 1315 IiRI� t nHistoric l�istrct,t r � yesd 4 TYPE OF IMPRO_VEMENT PROPOSED USE Residential Non- Residential ❑New Building ❑ One mily El Addition wo or more family . ❑ Industrial ❑AI tion No. of units: Q Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic Welt r LrEIoTt�dAplam' `b�llVetfands} <W rs ed r w . : f strict s s -E- #Y.. .f +4tt�, D :.Ct 11VaerLSewr f s �,. . DESCRIPTION OF W RK TO BE PR;EFORMED: Identification Please Te or Print Clearly) OWNER: Name: 1�' 1`J� 7—i�` Ae /Y/A(C, Phone: g� Address ��� �j �} .S!���- /�� jY� /'�✓S'��Ui°1L r � CONTRACTOR Name Phone � T ;A;�ddress i S:upervisor's ConstroCoonl.�cens �Xp Date , 'o a,1r 1 ror ement icetase _,'. E `Date - ARCHITECT/ENGINEER Phone: Address: Reg. No. Y FEE SCHEDULE:BOLDING PER $12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ // FEE: Check No.: 9 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to guaranty fund - Si nature of'contractor '� .t Slynature of r AgentjOwne r Location No. 79— Date �, • • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ g Other Permit Fee $ TOTAL $ Check# � 25561 3uilding Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ S"i"ing 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 DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature&Date Drivewav Permit Located at 384 Osgood Street FIR� DEPAf�TMENT =Temp D rnpster on slte'Eyes :: - Located Fare Departmeint slgnature�date `� ' �OMME�iTS 1 _ t s 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.$1o0-s1000 fine NOTES and DATA—(For department use) t ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 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/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) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit o 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 DEPARTMENT:BPFORM07 Revised 2.2007 NORTH :own of z 6Andover 0 No. 07q _ _ h ver Mass �/,3/// z COCN.0 HI W.Cw ��. �.9 ADR�ITED PPp�.�S S V BOARD OF HEALTH Food/Kitchen PERM IT T LD_ Septic System THIS CERTIFIES THAT ...........� �. lt...r ...j�•e/Ve BUILDING INSPECTOR ........ .......................... ........................... has permission to erect .... buildings on . v'-a F,4� Foundation Rough to be occupied as // .... ��77 ......................................... ................... p� ..................... 5.:... Y... ... ...............: 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 CONSTRUCTION STARTS 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 MASSACHUSETTS HOME IMPROVEMENT CONTRACT This form satisfies all basic rrquirements of the state's Home]mpmvemem Contractor Law(MCL chapter 142A),but does not Include standard language to protect homeowners. Seek legal advice if neceasary. Any peison'planning home tnptOvtanents should fir.. obtain a copy o. Massachusetts':consumerguide to homo,impmvement"befdre agreeing.to any work on yourrestdenod.You may obtain-a froe co Office of Consumer:Affairs:and Business Regulation's Consumer Information Hotline at617-973,8787 or 1.888.283-3757. PY calling the Homeowner Information Contractor Information ame . ��°4-1�I�S X14�1�S ,�✓ . ek ey Street�(do not tae.aPo�� Js � tractor/Salespeson/pruner Name ' Vi/4l4SW atyrrown state Zi Code usin—Addreas(most=tude a meee addrem) . 'NO AA66"k Daytime�4e Evening Phone i /town. Ir fat �l�® Avv y v la v%tz zip n Mailing Address(It different from above) usineas Phone ederal Employer ID err S.S.Number 4v nquao�prrauM aoep ierl Rome tCoatrarrm aea3Thxeber':Rwpeatim rax' .. eeeo�don h•wa ' 'agi,mdw aombv The Co^ntractor agrees to do the following work for the Horst ner: Aequired'TertrtlU-The-following building pe wits are repaired Proposed Start arid'Completion Schedule-The fnllowitig schedule will and will be secured.by the contactor as the homeowner's agent; be adhered to'unless circumstances beyond-the contractor's cont of arise (Owners who;secure their own permits will be excluded from UreGaarantYFnnd:provisionsof 'r/'� whelfcontractorwillbegin comraetedwork. MGL chapter I42A.) � �f�y � o / L�H'ate when contracted .work will be substantially completed.. Total Contract Price and Payment Schedule The Contwctor.agrees W perform the work,fmn4h the material and labor specified above for the Wtal sum of. (+j —_Oaymcnts will be Edo according to the following schedule: $vLG upon signing contract(not tb exceed 113 of the total:contract price,gr the cost.of special order items,whichercr is:greater) $ by / or upon completion Of - or upon completion of i m1 upon completion of the contract (Law forbids demanding fill payment until.contract is completed to both partlit y's.ssdsfaetionj. . . ordered contracted work -bc ins in rd S be paid for ordered bcforo the contracted cootie begins inorderS io be paid for . to mad tha,completion schedule.(••) NOTES:(•)inelntw all fmaace charges(••)Iaw requires that any deposit or down-payment required by the eoatraaor before work begins m ; not=ceed the greater of(a)one-third afthe total contract price or(b)the actual cost of ry which must be mY special m custom material special ordered in advance to meet the completion erhedala Exores Wamnfv-Is an exoro�varrtoty beineyrovided by ebevantmw • No Y fag t� �a eah affiKpdto theeonMetl Subcontractors The contractor agrees to be solely respots able for completion of the work described re party/subcontractor utilized by the contractor. The contractor farther a an pa as en t toa all sub contra thrid grecs to be solely responsible for all payments to all subcoatraetots for materials and labor underthisaere nen[ 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'fake time to read and fully understand it.Ask'quesfioos if souiethieg is unclear. • Make sure the contractor has a valid Home Immnvement contra r R n The hiw requires most home improvement contractors and. subcontractors to be registered with the Director ofHome Improvement Contractot Registration. You may inquire. registration by writing to the Director it:One Ashburton y -7 7-32 contractor. . Place,Room 1301,Boston MA 02108 orby,calliag 617-727-3200 or . 1-800.223-0933. .,. • Does the contractor have insurance? Check m see that your contractor is properly insured • Know your rights and responstbilities. Reed the Important Information on therm of this fdim'md get a copy of the Consumer Guide to the Home fprovement Contractor law; You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business.providedu notify the branch office by ordinary mail posted,by tele Y connector in writing at his/her mein offide or Yo third business da followin the si 8r�sunt or by delivery,not later than midnight of the,B. going of this agreement See the attached notice o£cancellation form foram explanation of-this right DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPA be enmpletedaada*ed.OaecepYAWd ao b the hanr:oww.T .. - // 4wow ropy shwW be kept by ria:contractor. HOmeo er's Sign Contractor's Signa Date Date Contractor Arbitration The Home ImprovementContmetorLaw provides homeowners withjhenght•to.tnitiate.an arbitration action(as an altemaiie io cou[t action)i€.they,have a.dtspuft with.a contractor. The.same r'ightis not automatically afforded to s. contractor,however.-;rhe contractor would have.(p resolve any..dispute'6/slie.lias with a homeowner in court unless ... both parties agree to,the optimal clause provided below..This clause would,give the contractor the.same.right to arbitration as is afforded to the bomeownenby the Rome Improvement Contractor Law... ` The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract,the contractor may submit the dispute to a.private arbitration firm which hasbeen.approved by the.Secietary of the Executive Office of Consumet Affairs and Business Regulation andthe consumer shall be required nut to such arbi tion ded In.Massachusetts General Laws,chapt 2A. Homeowners Si Contractor's SignaturxV NOTICE:The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor:,T ie:homeowner.may initiate alternativedispute resolution even where this section;is not separately signeddiy-:the 'es: ' Homeowner's Rights A homeowners rights and *e Home-Improvement Contractor Law(MGL chapter 142A)and other consumer protection laws(i.e.MGL chapter 93A)may not be waived in any way,even by agreement: However,homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law. Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law.The contractor is responsible for completing the work as described,in a timely and•:workmanlike•manner. Homeowners.may be entitled to.other specific legal rights if the contractor guarantees or provides an.express war'r'anty for-workmanship of materials. In addition to guarantees or warranties provided by the contractor,all goods sold in Massachusetts carry an implied warranty of merchantability;and fitness.for:a particular l purpose. An enumeration of other matters on which the homeowner and contractorawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about your consumer/homeowner rights;contact the Consumer Information Hotline(listed below). Execution of Contract The contract must be executed in du lice a and should not be signed until a copy of all'exhibits and referenced documents have been attached Parties are also advised not to sign the document until all blank sections have filled in or marked as void,deleted,or not applicable. One original signed copy of the contract with attachments is to be given to the owner and the other keptby the contractor. Any modification.to the griginal contract must be in writing and agreed to by both parties.Contracted work may not begin until both parties have received a fully executed copy of the contract,and the three day recission period has expired r Accelerated Payments A contractor mgy not demand payments inadvance.of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure. However,in instances where a.contractor deems bim/herself to be financially insecure,the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite too continuing the contracted work. Withdrawal of funds from said account would require the signatures of both parties. Additional Information If you have general questions or need.additional information about the Home Improvement Contractor Law or other consumer rights,,or if you wish to obtain a free:copy of"A Consumer Guide to She Home ImprovemContractor ent. Law,"contact Cgnsumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 (617)973-8787 or]-(888)2833757 If you want to verify the registrationof a contractor or if you have questions or.need:additional information specifically about the contractor registration component of the Home Improvement Contractor Law,contact: Director of Home Improvement Contractor Registration Bureau of Building Regulations and Standards One Ashburton Place,Room 1301,Boston,MA 02108 (617)727-3200:or1-800-223-0933 For assistant;with informal mediation of disputes or to register formal complaints against a business call C+offe er`Coiirplaint'Section Office of the Attorney General (617)727-8400 AND/OR Better Business Bureau (508)652-4800 (508)755-2548 (413)734-3114 i Propool Page# of pages CS # 022680 978-688-6737 HIC# 103358 A. J. Walsh & Sons or 55 Pleasant Street 1-866-AJWALSH North Andover, MA 01845 Proposal Subm' To Job Name Job# Address L ` /r // Job Location && Date �// Date of Plans Phone# / `r�Gl Fax# Architect We hereby submit specifications and estimates f r: U , d&0,4,,1t U � � ,,..tom=r-fYi!`,c.� ' �G-�,��rt,.l�2,c�G•-- ,,�i Ghti (ll��,�,%G�t..t� We prop hereby to furnish material and labor—complete in accordance with the above specifications for the sum of: CIO $ Dollars with payments to be made as follows: cC �"k'. Any utte only or deviation from above will become involving extra costs r be Respectfully executed only upon written order,and xn'g become an extra charge over and submitted above the estimate.A!I agreements contingent upon strikes,accidents,or delays r beyond our cohtrol. Note—this proposal may be withdrawn by us R not accepted wlthin days. �cce�tartce of o�,o�a�i The above prices,specifications and conditions are satisfactory and are Signature./-• hereby accepted.You are authorized to do the work as specified. Payments will be made as outlined above. G/ Date of Acceptance Signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Super%isur License: CS-022680 t \ a ARTHUR J WALSA JR 159A WAVERMRD � 'r N ANDOVER MA 01845.'r, txprration C ummi s si o n e c 06/09/2014 _ Office of Consumer Affairs&Busi ess R�gulaton ff S-'. +M ,1OME IMPROVEMENT CONTRACTOR keg istration: 103358 r;E`xpirati011: 717/2014 Private Corporatic, A.J.WALSH&SONS,INC. Arthur Walsh,Jr. 55 Pleasant St N Andover,MA 01845 g =r�— Undersecretary CERTIFICATE OF LIABILITY INSURANCE DATE 2/12/2 11 1'2l12/20I 1 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 DOE§ 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 CONTACT Durso & Jankowski Insurance PHONE FAX Agency Inc (A/C.He. Ext): (A/C. No): E-MAIL 198 Mass Ave Suite 1011B ADDRESS: North Andover, MA 01845 PRODUCER CUSTOMER IDy. I)ISURED INSUREDS) AFFORDING COVERAGE MAIC q Arthur Walsh INSURER A: A.I.M. Mutual Insurance Co 33758 dba A J Walsh & Sons INSURER B: INSURER C: 55 Pleasant Street INSURER D: North Andover, MA 01845 INSURER E: INSURER 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. TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP LIMITS aM/no"M (H nw.... GENERAL LIABILITY $ COMMERCIAL GE)J EACH OCCURANCE ERAL LIABILITY DAMAGE NTED ❑CLAIM$MADE �OCCU0. PREMISES(EaE-rence) $ ❑ t4:0 EXP (Any o e person) $ ❑ PERSONAL E ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES ER: GENERAL AGGREGATE $ 11 POLICY ❑PROJECT❑IAC PRODUCTS-COMP/OP AGO $ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ❑ANY AUTO (ea accident) $ ❑ALL 0:9NED AUTOS BODILY INJURY (per person) $ ❑SCHEDULED AUTOS BODILY INJURY(per a Ldent) $ I.E.AUTOS PROPERTY DAMAGE O (per accideot) S NON-OFNED AVTOS � $ $ EIUHBRELLR LIAB ❑ OCCUR EACH OCCURRENCE $ OEY.CES$LIAR ❑ CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ ORETENTION $ - S WORKERS COMPENSATION oxx- AND EMPLOYEES LIABILITY ® roaxsLxxa pA THE PROPRIETOR/PARTNERS/ EXECUTIVE OFFICERS ARE E.L. EACH ACCIDENT $ 100,ODO El incl ® eXcl 7014648012011 11/14/2011 11/14/2012 E.L. DISEABE-POLICY LIMIT $ 500,000 E.L. OTSEABE-EA EMPLOYEE $ 100,000 COMMENTS/DESCRIPTION OF OPERATIONS CR LOCATIONS: ARTHUR WALSH IS NOT COVERED BY THE WORKERSTCOMPENSATION POLICY. CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 1600 OSGOOD STREET EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. NORTH ANDOVER, MA 01845 AUTHORIEED REPAEBENTATI