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HomeMy WebLinkAboutBuilding Permit #352-2015 - 5-9 Alcott Way 9/17/2015 �L'eA�vN�D 9/ LL µORTIy -7lws NOt SeawwEb BUILDING PERMIT O`�t tED 6 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION , Date Received Permit No# gssgc►+us�� Date Issued: 11 I this pe IMPORTANT:Applicant must complete all items on ag vta I-rs �a LOCATION TO Pnq � (� ri t PROPERTY OWNER v Print 100 Year Structure yes no I MAP 4—PARCEL: ` ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Non- Residential Residential ❑ New Building ❑ One family ❑ Industrial [I Addition ❑Two or more family ❑ Commercial ❑Alteration No. of units: [I Others: [IRepair, replacement ❑Assessory Bldg ❑ Demolition ❑Other -- - - - -- - — — ❑ Flood Iain ❑Wetlands ❑ Watershed Distract ❑ Septic ❑Well p II Cl Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: _ Inho,SIR <1 m,Y1 _ c�' Ide tification- Please Type or Print Clearly Phone: OWNER: Name: Address: Contractor Name: Phone: Email Address (�� Supervisor's Construction License: Exp. Date: , Home Improvement License: Exp. Date: 1 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BUILDING PERMIT:$12.00 PER$J000-00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. i Total Project Cost: $ FEE: $ ^ Check No.: Receipt No.:7 1 NOTE: Persons contracting with unregistered contractors do not have access to the my fund Sldl]atllfP_of co - - Location 7L' C {e No. �Zai I Date t TOWN OF NORTH ANDOVER } Certificate of Occupancy $ ExtS,.x.. Building/Frame Permit Fee $ '•� 'r Foundation Permit Fee $ r t. Other Permit Fee $ TOTAL $ Check# v �_ 1` Building Inspector 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_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS i HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decisionlreceipt submitted yes Planning Board Decision: Comments Y. Conservation Decision: Comments Water& Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located_ 384 Osgood Street kIFIRE DEPAR�TiMENT-;Terri®um�pster+onsite: iy,e I£LL►ocu141Ma0 Street. F Fire�Depart�ment�signaturel"date; L 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.$10o-$1o0o fine NOTES and DATA— (For department use) LJ 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 4, 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 4. Building Permit Application 4 Certified Surveyed Plot Plan Workers Comp Affidavit 4. Photo Copy of H.I.C. And C.S.L. Licenses 4. Copy Of Contract Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And j Hydraulic Calculations (If Applicable) Mass check Energy Compliance Report (If Applicable) :>R Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit i New Construction (Single and Two Family) 4 Building Permit Application 4 Certified Proposed Plot Plan 4 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 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 Doc:Building Permit Revised 2014 i NORTH Town � E 2 .. : :. _ , Andover 0 :, . - No. 36 - 0 �h ver, Mass, CoeHICKRw�c« 1 � 7,e �RgTEO PPfo S BOARD OF HEALTH Food/Kitchen PE v T LD Septic System � a BUILDING INSPECTOR THIS CERTIFIES THAT a ........... has permission to erect .... building on 4� • �... ..... .. O� O� Foundation ...................... - ........... ........ ..�... � ....... .` Rough to be occupied-s J'Ar.tft M.. �'. t .. . ..�. . .� ...�Sulde.................. .,1 3 Chimney provided that the person accepting this permit s in eve -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 CONSTRUI N ARTSRough 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. J � ✓iP : � �El:� �'�"''-�� �<xa-a , �`��`"•�,j � ski 6'�s`"�#� i' � � s"� �`i� 'Kp, r��,.��;�+K�''.�,'�'.: ,y, �'�^ r+�'�r�. �� a$?��s'�, �';,. CONSTRUCTION CONTROL AFFIDAVIT PROJECT NUMBER: 2563 FP PROJECT LOCATION: Alcott Village,North Andover,MA NAME OF BUILDING: Building `C'Alcott Village Condominium SCOPE OF PROJECT: Improve Wood Fireplaces to Make Inactive In accordance with the Massachusetts State Building Code,801 Edition i 1, Joseph D.LaGrasse MA.Reg.# 4153 being a registered ` professional architect hereby certify that I have prepared or directly supervised the preparation of all design plans, computations as specifications concerning: Entire Project X Architectural Structural Mechanical i Fire Protection Electrical Other For the above named project and that, to the best of my knowledge, such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices and all applicable laws for the proposed project. I further certify that I shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the documents approved for the building permit and shall be responsible for the following: 1. Review of shop drawings, samples, and other submittals of the contractor as required by the construction contract documents as submitted for building permit,and approval for conformance to the design concept. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Special architectural or engineering professional inspection of critical construction components requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix I shall submit periodically,a progress report together with pertinent comments to the Building Inspector for the termination of each wood burning fireplace. Upon completion of the work,I shall submit a final report as to the satisfactory completion and readiness of the project for occupancy. Ne,41ra 3 I Signature o Ar hite6lt � Date One Elm Square T 978.470.3675 Celebration Blvd 1420 f Andover,MA 01810 F 978.470.3670 Celebration,FL 34747 wwa-lanraccParrliitPrtc-enm AA9.6001333 TGLRC Inc. dba Lambert Roofing Company In Business Since 1932 T •mbe _V- September ofing Si.v�c.�P _V Se tember 17,2015 Name:Alcott Village Condominium Association, 40 Alcott Way North Andover,MA 01845 Job Site: Alcott Way Closing up(27)wood burning Fireplaces making them inactive as per plans respectfully submitted 1) Insulate chimney chase using R-38 l 2) Firebox openings shall be in filled with metal stud framing & Sheathed over 3) Architect shall make periodic visits to review and ensure construction is being done as per plans 4) Clean up and dispose of any debris ii TGLRC Inc. dba Lambert Roofing Company agrees to: • Commence the described work on or about September 2015 • The described work will be completed in about(10+or-)working days • Shall not be held liable for delays due to circumstances beyond our control such as but not limited to weather and pre-existing conditions. • Shall not be held liable for any damages to landscape, attics and or fixtures due to circumstances beyond our control • Shall not be held liable and roofs are not covered under the workmanship warranty, for pre-existing conditions including but not limited to: o Mold and or wood rot o Defective, faulty,rotted or worn building counterparts such as, but not limited to: siding,gutters, masonry,plumbing and windows, all of which may jeopardize the watertight integrity of the structure if not in sound condition • Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence I 1 EIN#51-05033313 265 Winter St Haverhill,MA MA Reg.Hic#149221 Phone(978)374-9224 Fax(978)521-5791 MALic. # UCS 078130 E-Mail at lambertroofing@aol.com Single-Ply Lic. # 1711 Please visit us on the Web at www.lambertroofing.net TGLRC Inc. dba Lambert Roofing Company In Business Since 1932 Required Permits A building and dumpster permit may be required to remove and replace your roof. It is our obligation to secure these permits if required as the homeowner's agent. Note.Homeowners who secure their own permits or deal with unregistered contractors are excluded from the Guaranty Fund provisions of MGL a 142A Additional Attached Documents,Agreements or Provisions • Insurance Documentation if not already provided • Arbitration Agreement • Contractor Registration Information • Notice of Cancellation Form This contract is the complete contract unless a signed Change Order has been executed between TGLRC Inc.dba Lambert Roofing Company and the Homeowner Contract Price and Customer Obligations The total cost for all permits, warranty, labor and materials is: $18,225.00 --Eighteen Thousand,Two Hundred Twenty Five Payment Terms: 113 down upon signing, progressive payments and payment in full upon completion. • A finance charge of 1.5 %per month 18%per ear will be added to all invoices g P � p year) on the 31 day. All legal and or collection fees will be paid by the binding holder of this contract • The law requires that any deposit or down payment required by TGLRC Inc. dba Lambert Roofing Company before the work begins may not exceed the greater of o 1/3 of the total contract price or: o The actual cost of Special or Custom made materials which must be special ordered in advance to meet the completion schedule 2 EIN#51-05033313 265 Winter St Haverhill,MA MA Reg.Hic#149221 Phone(978)374-9224 Fax(978)521-5791 AM Lie. # UCS 078130 E-Mail at lambertroofing@aol.com Single-Ply Lic.# 1711 Please visit us on the Web at www.lambertroofin..net I TGLRC Inc. dba Lambert Roofing Company In Business Since 1932 Acceptance of the Contract Proposal DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES OR ANY UNRESOLVED ITEMS NOTE:Due to volatile pricing on building products,this contract is valid for 15 days of receipt. 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 the main office or branch thereof,provided you notify the seller in writing at the main office by ordinary mail posted,by telegram sent or by delivery, not later than midnight of the third business day following the signing of the agreement. Because of the three(3) day Notice of Cancellation,work may not commence for a minimum of seven(7)days after we receive this signed contract unless the contract is signed at our office. Signature ' Date: / 1 45 '295, Please sign, keep a copy and return one copy upon acceptance. 7ambert ty Workmanship You Can Trust" mcereis J. eTGLR nc. g Company 3 EIN#51-05033313 265 Winter St Haverhill,MA MA Reg.Hie#149221 Phone(978)374-9224 Fax(978)521-5791 MALic. #UCS 078130 E-Mail at lambertroofing@aol.com Single Ply Lic.#1711 Please visit us on the Web at www.lambertroofing.net 117A '_--9_9;"�.'P Q Q3 3 .1 3�x= AMENDMENT TO THE ALCOTT VILLAGE CONDOMINIUM MASTER DEED AND THE DECLARATION OF TRUST BY-LAWS FOR ALCOTT VILLAGE CONDOMINIUM REGARDING FIREPLACE USE AT ALCOTT VILLAGE CONDOMINIUM At a duly posted meeting of the Alcott Village Condominium Association held on " -nI ' - and in accordance with Article 11(a)of the Master Deed of the Alcot Village Condominium Association, dated 7/19/1989 and recorded 8/15/1989 at the Essex County Registry of Deeds in Book 2981,Page 1, and Article VIII Section, 8.1 of the Alcott Village Condominium Trust, dated 7/19/1989 and recorded 8/15/1989 in Book 2981,Page 25, as amended in Book 4377,Page 263,the said Master Deed is hereby amended by adding the following language to the Master Deed, FIREPLACE USE: No wood burning fireplaces shall be allowed in any Unit at Alcott Village Condominium. Gas fireplaces will be allowed if currently installed or installed in the future by licensed contractors and in accordance with the Town of North Andover and Commonwealth of Massachusetts building codes and regulations. Fireplaces that are not gas fireplaces shall be made inoperable and must remain inoperable per the Town of North Andover Building Department b� - The following Unit owners hereby approve said Amendment: ?UIP n L7nit 2 Unit 3 Unit 4/ � L Unit 5 Unit 6 S. S 1A I i Unit 7 �1�`" Unit 8 i Unit.9 nit 10 Unit 11 Unit 12 TiqK V � S Unit 14 t Unit 15 Unit 16 Unit 17 / J Unit t8 � q TACO- Unit 20 / nit 2 Unit 22 � A i Unit 23 Unit 24 A. Unit 25 `� Unit 26 /UAnil27 Unit 28 I W�U�A C Unit 29 Unit 30 on Unit 31 Unit 32 WUnit3 Unit 34 Unit 35 Unif36 Wit 3 V�h Unit 38 t nit 39 CC� The undersigned,being Trustees of Alcott Village Condominium Association acknowledge that Owner's entitled in the aggregate to at least seventy-five percent (75%) of the undivided interest in the common areas and facilities,as per the Association Trust and Master Deed,have approved said Amendment and therefore acknowledge the foregoing: Witness our hands this _ Iy of September, 2015. TrAtee, and not individually Trustee, and not in 'vidually Trust+ , and not indi idually Trustee, and not individually rust e,and not individually COMMONWEALTH OF MASSACHUSETTS County ss: Essex September , 2015 On this r. day of September,2015,before metheundersigned notary rpublic,r personally appearedt' ` St LVA t--""L:,.�.`. G� �.q__.fZ.'�a �'�`_✓ '"/ � .s '�`L�a�'9 ice_ ..g 61d�''.��, "'•d l',� i..". J i - I as Trustees of the Alcott Village Condominium Association and proved to me through satisfactory evidence of identification, which was `r` �� t> �` n `- into be the person(s) whose name is signed on the preceding or attached documents in my presence and acknowledged to me that s/he signed it voluntarily for its stated purpose. Notary Pudic My Commission expires r/ - "S n ./iAjc;aLS� i ,,moi RECEIPT Printed: September 8, 2015 ® 15:36:1 Essex North Registry M. Paul Iannuccillo Register Trans#: 18520 Oper:DELIAL JAMES MAHER Book 14370 Page 329 Inst# 23295 Ctl#: 220 Rec:9-08-2015 4 3:36:15P DOC DESCRIPTION TRANS AMT. AMENDMENT Surcharge CPA $20.00 20.00 50.00 recording Tee 50.00 5.00 TECH FEE 5.00 Total fees: 75.00 Total charges: 75.00 CHECK PM 3055 75.00 .4co CERTIFICATE OF LIABILITY INSURANCE DATE 099/16/16/2001515 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 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 CONTACT NAME: Jerrold Aameras ALLAN INSURANCE AGENCY INC. PHONE (978) 745-5905 FAX (978) 745-5413 63 1/2 Jefferson Avenue 2nd Floor EMAIL 63 P.O. BOX 511 INSURERS AFFORDING COVERAGE NAIC# SALEM MA 01970-0511 INSURERA:Associated Ind Ins Co INSURED INSURERB:Safety Insurance Co TGLRC INSURERC:National Union Fire Ins Co. dba: Lambert Roofing CO. INSURERD:Ace American Insurance Co. 265 Winter Street INSURERE:Ace American Insurance Co. Haverhill MA 01830- 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 ADDINSRLTR TYPE OF INSURANCE L U POLICY NUMBER MMC FF POLICY EXP I BRI i01YYYY MWDDNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE 5 1,000,000 X COMMERCIAL GENERAL LIABILITY / / / / DAMAGEE PREMISE Eaocaurence $ 50,000 A CLAIMS-MADE OX OCCUR NES1028029 11/12/2014 11/12/2015 MED EXP(Any one person) $ 1,000 X Per Project Agg _ / / / / PERSONAL EADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN't.AGGREGATE LIMIT APPLIES PER- / / / / PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X PRQ LOC / / / / S AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT Ea accident 1,000,000 ANY AUTO / / / / BODILY INJURY(Per person) S B AtLOYVNED Ix SCHEDULED 6203819 7/16/2015 07/16/2016 BODILYINJURY(Peraccident) S AUTOS AUTOS XHIRED AUTOS AUTOS / // / PROPERTY DAMAGE 5 Per cident X UMBRELLALIAB X OCCUR E18430331 / / / / EACH OCCURRENCE $ 5,000,000 C. EXCESSLIAB CI.AiMS-MDr- 11/12/2014 11/12/2015 AGGREGATE S 5,000,000 DED RETENTION S / / / / S WORKERS COMPENSATION / / / / X WC STATU- or H- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARINERIEXECUTWE YIN / / / / EL EACH ACCIDENT S 11000,000 D OFFICER/MEMBEREXCLUDED� � NIA 03/25/201503/25/2016 _—� (Mandatory in NH) 6S62UB-2809875-2-15 MA EL DISEASE-EA EMPLOYE S 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below / / / / E L DISEASE POLICY LIMIT S 1,000,000 WWorkers Compenstaion NH / / / / Same hm¢sas 11000,000 6S62UB-SD81311-16-14 NH 12/22/2014 12/22/2015 po'icyabove 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additlonsl Remarks Schedule,If more epace Is required) CERTIFICATE HOLDER CANCELLATION ( ) - (978) 688-9542 Town of North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Massachusetts 1600 Osgood St. AUTHORIZ EPRESENTATIVE Bldg 20. , Ste 2035 North Andover MA 01845- ACORD 25(2010105) ©1988.2010 ACORE30RPORATION. All rights reserved. INS025(winos)of The ACORD name and logo are r gis ered marks of ACORD I CSV8130 f �i juc&M J LAMBERT 265 WIPPL'ER STREET I Hwechill MA OLB30 i Office.of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 149221 Type: Private Corporation EM[ra on: 17/9/2015 Tr# 24013 T.G.L.R.0 dba Lambert Roofing Company RICHARD LAMBERT 265 WINTER STREET HAVERHILL, MA 01830 Update Address and return card.Mark reason for change. Address Renewal Employment F1 Lost Card 11 i I