HomeMy WebLinkAboutBuilding Permit #543-15 - 483 MASSACHUSETTS AVENUE 12/11/2014Permit No#l=
Date Issue/J.
BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Date Received
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I ' IMPORTANT: Applicant must complete all items on this paRe I
LOCATION
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PROPERTY OWNER�..�-}Wk8 G� eur��ei �i11-a Ac
Print 100 Year Stricture yes no
MAP PARCEL: �_ _- ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT
PROPOSED USE
Resi ential
Non- Residential
❑ New Building
ne family
❑ Addition
❑ Two or more family
❑ Industrial
Alteration
No. of units:
❑ Commercial
❑ Repair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
❑ Septic. ❑ Well
0 Floodplain 0 Wetlands
❑ Watershed District
9/Water/Sewer
r 4A
DESCRIPTION OF WORK TO BE PERFORMED:
r
�AV ''v,r4L/, Lynn %,e- ill40r,t)- 641� l tdb and C% (;�P�j!L}el �C� OaoL/5 I .
��,� YY Identification - Please Type or Print Clearly
OWNER: Name: / u[QA ��.)�cc�.`nd Phone:
Address:IT3 MOJ
Contractor Name -pr- 1r 7_ aw-d phone:.
Address:���C+
.f-
Supervisor's Construction License:a 6-ZqQ. y 7 F _ Exp: Date:1-%
Home Improvement License: 1 _ _ ;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: $ qFJ Ll (Aj FEE: $ jo 1 ---
Check No.: / 5�— Receipt No.:� 4
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
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
o Copy Of Contract
❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
o 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
o 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
Doe: Building Permit Revised 2014
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE'OF SEWERAGE DISPOSAL
Public Sewer ❑
Tanning/Massage/Body Art ❑
Swinuning 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
COMMENTS
CONSERVATION
COMMENTS
`HEALTH
4
COMMENTS
Signature
Reviewed on Signature
Reviewed on Signature
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:
Conservation Decision:
Comments
Comments
Water & Sewer Connection/Signature & Date Driveway Permit
DPW Town Engineer: Signatu
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
IVU I t5 ana UA I A — (i -or department use
I
❑ Notified for pickup Call Email
Date Time Contact Name
Doc.Building Permit Revised 2014
Location 'TC
No. Dat/"C %l
TOWN OF NORTH ANDOVER
r
Certificate of Occupancy $
Building/Frame Permit Fee $'�
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check
28346
Building Inspector
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Standard Form of Agreement Between Owner and Contractor
AGREEMENT
Made as of the aQ day of 0c toh{/ in the year a U
BETWEEN
The contractor: and the owner:
F.J.F. Contracting
96 Temple Drive
Methuen, MA 01844
FED ID#: 26-2916821
Home Improvement contractor:
#149519
For the following Project:
Steve Palladino
483 Massachusetts Ave
North Andover, MA 01845
To provide all alterations and repairs outlined in written estimate dated 6/2/2014
At:
483 Massachusetts Ave North Andover, MA 01845
The owner and contractor agree as follows:
Page 1 of 10
Article 1 - The Contract Documents
The contractor shall complete the work described in the contract documents for the
project. The contract documents consist of:
1. this agreement signed by the owner and the contractor;
2. the written estimate dated 6-2-2014;
3. written orders for changes in the work issued after execution of this agreement.
Article 2 - Date of Completion and Substantial Completion
The number of calendar days available to the contractor to substantially complete the
work is the contract time. The date of commencement of the work shall be the date
indicated below. The contractor shall substantially complete the work no later than 60
calendar days from the commencement date, subject to adjustments as provided in
Article 9 and Article 10.
Commencement Date: October 22, 2014
Article 3 - Contract Sum
Subject to additions and deductions in accordance with Article 9, the Contract Sum is:
$8,400.00
The Contract Sum shall include all items and services necessary for the proper
execution and completion of the Work.
Article 4 - Payment
The owner shall pay the contractor, in accordance with Article 11, as follows:
$2,000 at the signing of this contract. Progress payments will be submitted by the
contractor. A final payment of $3,000 will be paid after final completion and
acceptance .
Article 5 - Insurance
The contractor shall provide contractor's general liability and other insurance prior to
commencement of the work as follows:
The contractor will provide a certificate of liability insurance to the town building
department.
Page 2 of 10
Article 6 - General Provisions
The contract represents the entire and integrated agreement between the parties and
supersedes prior negotiations, representations or agreements, either written or oral. The
contract may be amended or modified only by a written modification in accordance with
Article 10.
The term "work" means the construction and services required by the contract
document, and includes all other labor, materials, equipment and services provided, or
to be provided, by the contractor to fulfill the contractor's obligations.
The intent of the contract document is to include all items necessary for the proper
execution and completion of the work by the contractor. The contract documents are
complementary, and what is required by one shall be as binding as if required by all.
Article 7 - Owner
If requested by the contractor, the owner shall furnish all necessary surveys and a legal
description of the site.
Except for permits and fees that are the responsibility of the contractor under the
contract documents, the owner shall obtain and pay for other necessary approvals,
easements, assessments and charges.
If the contractor fails to correct work which is not in accordance with the contract
documents, the owner may direct the contractor in writing to stop the work until the
correction is made.
If the contractor defaults or neglects to carry out the work in accordance with the
contract documents and fails with a seven day period after receipt of written notice from
the owner to commence and continue correction of such default or neglect with
diligence and promptness, the owner may, without prejudice to other remedies, correct
such deficiencies. In such case, the contract sum shall be adjusted to deduct the cost of
correction from payments due to the contractor.
Costs caused by defective construction shall be borne by the contractor.
Article 8 - Contractor
Execution of the contract by the contractor is a representation that the contractor has
visited the site, become familiar with local conditions under which the work is to be
performed and correlated personal observations with requirements of the contract
documents.
Page 3 of 10
The contractor shall carefully study and compare the contract documentation with each
other and with information furnished by the owner. Before commencing activities, the
contractor shall; (1) take field measurements and verify field conditions; (2) carefully
compare this and other information known to the contractor with the contract documents;
and (3) promptly report errors, inconsistencies or omissions discovered to the owner.
Labor and Materials
Unless otherwise provided in the contract documents, the contractor shall provide and
pay for labor, materials, equipment, tools, transportation, and other facilities and
services necessary for proper execution and completion of work.
Where the owner is responsible for supplying material, the contractor shall pay the
owner for any material rendered unusable due to poor workmanship.
The contractor shall enforce strict discipline and good order among the contractor's
employees and other persons carrying out the contract work. The contractor shall not
permit employment of unfit persons or persons not skilled in tasks assigned to them.
Warranty
The contractor warrants to the owner that; (1) materials and equipment furnished under
the contract will be new and of good quality unless otherwise required or permitted by
the contract documents; (2) the work will be free from defects not inherent in the quality
required or permitted; and (3) the work will conform to the requirements of the contract
documents.
Taxes
The contractor shall pay sales, consumer, use and similar taxes that are legally required
when the contract is executed.
Permit, Fees and Notices
The contractor shall obtain and pay for any applicable permits and government fees,
licenses and inspection necessary for proper execution and completion of work.
The contractor shall comply with and give notice/notices required by agencies having
jurisdiction over the work. If the contractor performs work knowing it to be contrary to
applicable laws, statutes, ordinance, code, rules and regulations, or lawful order of
public authorities, the contractor shall assume full responsibility for such work and shall
bear the attributable costs. The contractor shall promptly notify the owner in writing of
any known inconsistencies in the contract documents with such governmental laws,
rules and regulations.
Use of Site
The contractor shall confine operations at the site to areas permitted by law, ordinances,
permits, the contract documents and the owner.
Page 4 of 10
Cleaning Up
The contractor shall keep the premises and surrounding area free from accumulation of
debris and trash related to the work. At the completion of the work, the contractor shall
remove its tools, construction equipment, machinery and surplus material; and shall
properly dispose of waste materials unless specified in the contract documents.
Indemnification
To the fullest extent permitted by law, the contractor shall indemnify and hold harmless
the owner, architect, consultants and agents and employees or any of them from and
against claims, damages, losses and expenses, including but not limited to attorneys'
fees, arising out of or resulting from performance of the work, provided that such claim,
damage, loss or expense is attributable to bodily injury, sickness, disease or death, or to
injury to or destruction of tangible property (other than the work itself) but only to the
extent caused by the negligent acts or omissions of the contractor, a subcontractor,
anyone directly or indirectly employed by them or anyone for whose acts they may be
liable, regardless of whether or not such claim, damage, loss or expense is caused in
part by a party indemnified here under.
Article 9 — Changes In the Work
The owner, without invalidating the contract, may order changes in the work within the
general scope of the contract consisting of additions, deletions or other revisions, the
contract sum and contract time being adjusted accordingly in writing. If the owner and
contractor can not agree to a change in the contract sum, the owner shall pay the
contractor its actual cost plus reasonable overhead and profit.
The owner will have authority to order minor changes in the work not involving changes
in the contract sum or the contract time and not inconsistent with the intent of the
contract documents. such orders shall be in writing and shall be binding on the owner
and contractor. The contractor shall carry out such orders promptly.
If concealed or unknown physical conditions are encountered at the site that differ
materially from those indicated on the contract documents or from those conditions
ordinarily found to exist, the contract sum and contract time shall be subject to equitable
adjustment.
Article 10 — Time
Time limits stated in the contract documents are of the essence of the contract.
If the contractor is delayed at any time in progress of the work by changes ordered in
the work, or by labor disputes, fire, unusual delay in deliveries, unavoidable casualties
or other causes beyond the contractor's control, the contract time shall be subject to
equitable adjustment.
Page 5 of 10
Article 11 — Payments and Completion
Contract Sum
The contract sum stated in the agreement, including authorized adjustments, is the total
amount payable by the owner to the contractor for performance of the work under the
contract documents.
Applications for Payment
At least ten days before the date established for each progress payment, the contractor
shall submit to the owner an itemized invoice for payment for work completed in
accordance with the values stated in the agreement. Such invoice shall be supported by
data substantiating the contractor's right to payment as the owner may reasonably
require.
Approval of Payment
The owner will, within seven days after receipt of the invoice for payment, either issue to
the contractor an acceptance of the invoice for payment for such amount as the owner
determines is properly due, or notify the contractor in writing of the owner's reason for
withholding certification in whole or in part.
Progress Payments
After the owner has approved the invoice for payment, the owner shall make payments
in the manner provided in the contract documents.
The Contractor shall promptly pay each subcontractor and supplier, upon receipt of
payment from the Owner, an amount determined in accordance with the terms of the
applicable subcontracts and purchase orders.
The owner shall not have responsibility for payments to a subcontractor or supplier.
An acceptance of invoice for payment, a progress payment, or partial or entire use or
occupancy of the project by the owner shall not constitute acceptance of work not in
accordance with the requirements of the contract documents.
Substantial Completion
The substantial completion is the stage in the progress of the work when the work or
designated portion thereof is sufficiently complete in accordance with the contract
documents so the owner can occupy or utilize the work for its intended use.
Page 6 of 10
When the work or designated portion thereof is substantially complete, the owner will
make an inspection to determine whether the work is substantially complete. When the
owner determines that the work is substantially complete, the owner shall provide the
contractor with a letter of substantial completion that shall establish the date of
substantial completion, shall establish the responsibilities of the owner and contractor,
and shall fix the time within which the contractor shall finish all items on the list
accompanying the letter of substantial completion. Any warranties required by the
contract documents shall commence on the date of substantial completion of the work
or designated portion thereof unless otherwise provided in the letter of substantial
completion.
Final Completion and Final Payment
Upon receipt of a final invoice for payment, the owner will inspect the work. When the
owner finds the work acceptable and the contract fully performed, the owner will
promptly issue an acceptance of invoice for payment.
Final payment shall not become due until the contractor submits to the owner releases
and waivers of liens, and data establishing payment or satisfaction of obligations, such
as receipts, claims, security interests or encumbrances arising out of the contract.
Acceptance of final payment by the contractor, a subcontractor or material supplier shall
constitute a waiver of claims by that payee except those previously made in writing and
identified by that payee as unsettled at the time of final invoice for payment.
Article 12 — Protection of Person and Property
The contractor shall be responsible for initiating, maintaining and supervising all safety
precautions and programs, including all those required by law in connection with
performance of the contract. The contractor shall take reasonable precautions to
prevent damage, injury or loss to employees on the work, the work and materials and
equipment to be incorporated therein, and other property at the site or adjacent thereto.
The contractor shall promptly remedy damage and loss to property caused in whole or
in part by the contractor, or by anyone for whose acts the contractor may be liable.
Article 13 — Correction of Work
The contractor shall promptly correct work rejected by the owner as failing to conform to
the requirements of the contract documents. The contractor shall bear the cost of
correcting such rejected work, including the costs of uncovering, replacement,
replacement of material and additional testing.
In addition to the contractor's other obligations including warranties under the contract,
the contractor shall, for a period of one year after substantial completion, correct work
not conforming to the requirements of the contract documents.
Page 7 of 10
If the contractor fails to correct nonconforming work within a reasonable time, the owner
may correct it in accordance with Article 7 paragraph 3.
Article 14 — Miscellaneous Provisions
Assignment of Contract
Neither party to the contract shall assign the contract as a whole without written consent
of the other.
Test and Inspections
At the appropriate times, the contractor shall arrange and bear costs of tests,
inspections and approvals of portions of the work required by the contract documents or
by laws, statutes, ordinances, codes, rules and regulations or lawful order of public
authorities.
The owner shall bear cost of tests, inspections or approvals that do not become
requirements until after the contract is executed.
Governing Law
The contract shall be governed by the laws of the State of Massachusetts.
Article 15 — Termination of the Contract
Termination by the Contractor
If the owner fails to accept an invoice for payment for a period of 30 days through no
fault of the contractor, or if the owner fails to make payment as provided in Article 11 for
a period of 30 days, the contractor may, upon seven additional days' written notice to
the owner, terminate the contract and recover from the owner payment for work
executed including reasonable overhead and profit, and costs incurred by reason of
such termination.
Termination by the Owner for Cause
The owner may terminate the contract if the contractor
1. repeatedly refuses or fails to supply enough properly skilled workers or proper
materials;
2. fails to make payments to subcontractors for materials or labor in accordance
with the respective agreements between the contractor and the subcontractors;
3. persistently disregards laws, ordinance, or rules, regulations or orders of a public
authority having jurisdiction; or
Page 8of10
4. is otherwise guilty of substantial breach of a provision of the
contract documents.
When any of the above reasons exist, the owner, after consultation with the architect,
may without prejudice to any other rights or remedies of the owner and after giving the
contractor and the contractor's surety, if any, seven days' written notice, terminate the
employment of the contractor and may
1. Take possession of the site and of all materials thereon owned by the contractor,
and
2. finish the work by whatever reasonable method the owner may deem expedient.
When the owner terminates the contract for one of the reasons stated above, the
contractor shall not be entitled to receive further payment until the work is finished.
If the unpaid balance of the contract sum exceeds costs of finishing the work, such
excess shall be paid to the contractor. If such costs exceed the unpaid balance, the
contractor shall pay the difference to the owner. This obligation for payment shall
survive termination of the contract.
Page 9 of 10
This Agreement entered into as of the day and year first written above.
Owne
-".., A��- -
(Signature)
IS+e _fin 1116140 U
(Printea name, title and address)
1f3 Muss P'-eo .
f rn-oU,N
Contractor
i e)4�i,
(Printed name, title and dress)
q6 Temlo4p 1: ve—
License No. 6j- b Z�°l a -75--
Page
3
Page 10 of 10
F.J.F. Contracting Inc. 6/2/2014
96 Temple Drive
Methuen, MA 01844
978.804.0547
fjfcontracting@hotmail.com
Estimate for:
Steve & Maureen Palladino
483 Mass Ave.
North Andover, MA 01845
Services to be provided:
Remove sink, counter top, and back splash in kitchen $ 250.00
Shim up 2 existing cabinets to correct heights $ 200.00
Re -install counter top, sink, and backsplash $ 250.00
Demo 2 half walls in living room, and patch walls where $ 550.00
needed (carpet will need to be patched)
Frame and install one Harvey bay window 56" X 65" $ 4,800.00
Remove window leading to porch, and patch sheet rock $ 300.00
Remove and patch recessed shelves in wall $ 150.00
Plaster two living room ceilings $ 1,600.00
Replace one stair stringer on rear deck $ 300.00
Total estimate: $ 8,400.00
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Accepted by: T� fitC Q o<S� �Gf
Maureen Palladino Date
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CERTIFICATE OF LIABILITY INSURANCE 11/20/2014
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M The Commonwealth of Massachusetts -
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information PIease Print Legibly
NaMe (Business/OrganizatiorAndividual):_ _, a F C L1tt MC,4. ,v, ),(. .
Address: q (
City/State/Zip:_ A -h m , MA ( 6 4 Phone #: G ZT` UD`Z - 65V
Are you an employer? Check the appropriate box:
1. Warn a employer with a
4. ❑ I am a general contractor and I
_
employees (fall and/or part-time).*
have hired the sub -contractors
2. ❑ I am a sole proprietor or partner-
listed on the attached sheet
ship and'have no employees
These sub -contractors have
working for me in any capacity.
workers' comp. insurance.
[No workers' comp, insurance
5. ❑ We are a corporation and its
required.]
officers have exercised their
3111 am a homeowner doing all work
right of exemption per MGL
myself. [No workers' comp.
c. 152, § 1(4), and we have no
insurance required.] t
employees. [No workers'
comp. insurance required.]
Type of project (required):
6. ❑ construction
7. emodeling
8. ❑ Demolition
9. ❑ Building addition
10. F1 Electrical repairs or additions
11.❑ Plumbing repairs or additions
12.❑ Roofrepairs
13.❑ Other
*Any applicant that checks box #I must also fill out the section below showing their workers' compensation policy information.
i'Homeowners who submit this affidavit indicating they 9're doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information.
lam an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy # or Self -ins. Lic. #: (n/ cc 5C)b 5U 1� / l -2 Expiration Date: G Y r5-
--
Job Site Address: 913 ACSs A''e City/State/Zip: li� b�
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required -under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one=year imprisonment, as well as civil.' penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DTA for insurance coverage verification.
I do hereby certto under the pains andpenalties ofperjury that the information provided
/above is/ true and correct.
Sianaturf:'
Official use only. Do not write in this area, to be completed by city or town official.
City or Town:
Permit/License #
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. EIectrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone #:
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