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HomeMy WebLinkAboutBuilding Permit #354-2016 - 5-9 Alcott Way 9/17/2015 _ BUILDING PERMIT o� T F.D qw Aus �c�,vtvt� TOWN OF NORTH ANDOVER u APPLICATION FOR PLAN EXAMINATION y ,� Permit No#: Date Received �QADRATAD gSSACHUSE� Date Issued: �� J IMPORTANT:Applicant must complete all items on this page LOCATION 6Al, V rin PROPERTY OWNER Mb# 4 v t 100 Year Structure yes no MAP W6 PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential I ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: r C��Yvni-%ka A )Ma ncvc- ' e min t\ `j`'1QG+h9 A CNQYr - Identificatio Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: Phone: l-PLY314 Email: Address: r1 - ` &- Supervisor's Construction License: �c�� t� Exp. Date: ( Home Improvement License: Nl* Da) Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:13ULDING PERMIT:$92.00 PER 1A00.00 OF THE TOTAL ESTIMATED COST BBAA ED ON$125.00 PER S.F. LAL Total Project Cost: $ FEE: $ `22D J � 1 Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the r Fund ---- i � � Location Ale 4 Lj r 1 t No. iZ0 Date F i TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ 3U Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# *2" i - Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL, Public Sewer ❑ Tanning/Massage/Body Art ❑ Swin"ing P001s ❑ well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ i Private(septic tank,etc. ❑ Pennanent Duunpster on Site ❑ i I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF a U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes I - fanning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIREDERARTM TemDumpster,Konslte 1iLo ated at r124"1MaIn�Street: -•, ` "' `-" -` `� ' i FireDepartmensignatureldate C. MMENJTiS 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 use) ❑ Notified for pickup Call Email Date Time Contact Name F - Doc.Building Permit Revised 2014 I 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 ,L Workers Comp Affidavit 4 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 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 . Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Copy of Contract 2012 I ECC 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 NORTli own o E 10 Andover o . - No. F54 *y _ ,� T Z y 45 h erMa �� v , ss, ��� � o� 1. •p COMIC MI WICK � 5 RArev ►`Pa,��(`� t1 BOARD OF HEALTH Food/Kitchen PER Septic System I T LD THIS CERTIFIES THAT .....MJLt .e6T. Yj;).1ft.­ M .... � ........ BUILDING INSPECTOR .... \ has permission to erect .......................... buildings on . .,.0. ....•.. s.... 11 .. ... .. � Foundation 3Z Y Rough to be occupied as .........� .. .� . p• � '*P:Jt.�►.�.. .�. ...... .....1..�•s• Chimney provided that the person accepting this permit shall in every res ct conform to the erms 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 CONSTRU, ^ 0 T TS 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. f i CONSTRUCTION CONTROL AFFIDAVIT PROJECT NUMBER: 2563 FP PROJECT LOCATION: Alcott Village,North Andover,MA NAME OF BUILDING: Building`F'Alcott Village Condominium SCOPE OF PROJECT: Improve Wood Fireplaces to Make Inactive In accordance with the Massachusetts State Building Code,8a`Edition I, 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 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 aftnal report as to the satisfactory completion and readiness of the project for occupancy. i ature of chi ect111 ANDOVER, ,. e One Elm Square T 978.470.3675 Celebration Blvd 1420 Andover,MA 01810 F 978.470.3670 Celebration,FL 34747 www.laarassearchitects.com AA26001333 TGLRC Inc. dba Lambert Roofing Company In Business Since 1932 r J iv September 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 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 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 1 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 lambertroofin na aol.com Single-Ply Lie.#1711 Please visit us on the Web at www.lambertroofinq.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 c. 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: 1/3 down upon signing, progressive payments and payment in full upon completion. • A finance charge of 1.5 %per month(18%per year)will be added to all invoices 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 0 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 MA Lie.# 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 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 i - T '� (( Date: ,fes t 'F!F_1 el- Please Please sign, keep a copy and return one copy upon acceptance. " uality Workmanship You Can Trust" mcere ich J. ert TGLR nc. ambert Roofing Company I f 3 EIN#51-05033313 265 Winter St Haverhill,MA MA Reg.Hie#149221 Phone(978)374-9224 Fax(978)521-5791 MA Lic.# UCS 078130 E-Mail at lambertroofing@aol.com ` Single-PlyDc.# 1711 Please visit us on the Web at www.lambertroofina net -2015 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 Fya J and in accordance with Article I I(a) of the Master Deed of the Alco 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, I FIREPLACE USE: f 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 Departmentgbui4ag p� d4. -- The following Unit owners hereby approve said Amendment: 0 C U it 1 Unit 2 Unit 3 Unit 4/ ¢ P Unit 5 Unit 6 J Unit 7 Unit 8 i Unit,9 nit 10 r 1 Unit 11 - Unit 12 Unit Unit 14 Unit 15 � Unit 16 nit 17 Unit t 8 it 9 Unit 20 / nit 12 '? Unit 22 Unit 23 Unit 24 Unit 25 Unit 26 Unit 27 Unit 28 I Unit 29 Unit 30 1✓ Unit 31 Unit 32 t � Unit W.)3 Unit 34 p/6 Unit 3 5 Uf nd 13.'6✓ Unit 3 Unit 3 8 c nit 39 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 of September, 2015. Trultee,and not individually Trustee, and not in 'vidually Trust and not indi idually Trustee,and not individually q(7rust e,and not individually COMMONWEALTH OF MASSACHUSETTS County ss: Essex September 2015 On this > day of September,2015,before me the undersigned notary public, 4, personally appeared as Trustees of the Alcott Village e6dom- iniurn Association and proved to me through satisfactory evidence of identification,which was ttdbethe 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 PuKic- My Commission-txpires .'Y ;4 CNW�k- RECEIPT Printed: September 8. 2015 © 15:36:1 Essex North Registry M. Paul Iannuccillo Register Trans#: 18520 Oper:DELIAL JAMES MAKER Book 14370 Page: 329 Inst# 23295 Ctl#: 220 Rec:9-08-2015 5 3:36:15P DOC DESCRIPTION TRANS AMT AMENDMENT 20.00 Surcharge CPA $20.00 50.00 50.00 recording Tee 5.00 5.00 TECH FEE Total fees: 75.00 W*x Total charges: 75.00 CHECK PM 3055 75.00 I I I it I ,eco CERTIFICATE OF LIABILITY INSURANCE DIDD 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 Kamera9 ALLAN INSURANCE AGENCY INC. PHONE (g7B) 745-5905 FAXNol:(978) 745-5483 63 1/2 Jefferson Avenue 2nd Floor E4b11AI' ,Jerrold@allaninsurance.com DRESS P.0. BOX 511 INSURER(S)AFFORDING COVERAGE NAIC It SALEM MA 01970-0511 INSURERA:Associated Ind Ins Co INSURED IN SURERB: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 RAVE 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 ICY EFF POLICY EXP LTD U R TYPE POLICY NUMBER MMBR LID/ YYYY MMIDDfYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY / / / / DAMAGE TO RENTE15-- PR MISE Ea occurrence: $ 50,000 A CLAIMS-MADE MOCCUR AES1028029 11/12/2014 11/12/2015 MED EXP(Any eneperson) $ 1,000 X Per Project Agg / / / / PERSONAL EADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER' / / / / PRODUCTS•COMP/OP AGG $ 2,000,000 JFCT POLICY X PRO-__ LOC AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT EaancideriO _ 1,000,000 B ANY AUTO / / / / BODILY INJURY(Per person) S AtLOWNED X SCHEDULED 6203819 07/16/2015 07/16/2016 BODILY INJURY(Per aradenq S AUTOS AUTOS X HIRFO AUTOS X NON-OWNED / / PROPERTY DAMAGE AUTOS Per aa,d X UMBRELLA LIAB X OCCUR BE18430331 / / / / EACH OCCURRENCE $ 5,000,000 C EXCESSLIAB CLAIMS-MADE 11/12/201411/12/2015 AGGREGATE $ 5,000,000 DED RETENTIONS WORKERS COMPENSATION X VVC STATU 0TH• YIN AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARINERrEXECUt1VE EL EACH ACCIDENT $ 1 000 000 D OFFICER/MEMBER EXCLUDED N N I A _ —__ (Mandatory in NH) 6S62UB-2E09875-2-15 MA 03/25/201503/25/2016 E1. DISEASE-EAEMPLOYEE S 1,000,000 If yes,dcsuibe under --- DESCRIPTION OF OPERATIONS belovi / / / / E L DISEASE•POLICY LIMIT S 1,000,000 W Worker's Compenstaion NH / / / / "amehrnitsas 1,000,000 6S62UB-8D81311-16-14 NE 12/22/2014 12/22/2015 po!ccyabove 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space 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 ACORD ORPORATION. All rights reserved. INS025(2010051)01 The ACORD name and logo are rLis 'red marks of ACORD CSV8130 t� AIOUn J LAWdRT r 265 wwmR s I7ESET Haverhill MA GIRO 06102016 Office.of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 149221 Type: Private Comoration EM[ratton: 42/6!2015 Tris 246813 T.G.L.R.0 dba Lambert Roofing Company RICHARD LAMBERT 265 WINTER STREET HAVERHILL, MA 01830 Update Address and return cord.Mark reason for change. 0 Address C] Renewal 0 Employment n Lost Card I I I .s_ frlf nA z �.: Ml CONSTRUCTION CONTROL AFFIDAVIT PROJECT NUMBER: 2563 FP PROJECT LOCATION: Alcott Village,North Andover,MA NAME OF BUILDING: Building `D'Alcott Village Condominium SCOPE OF PROJECT: Improve Wood Fireplaces to Make Inactive In accordance with the Massachusetts State Building Code,8h Edition I, 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 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. INWI&A fi tJi w 4153t� Signature cldt �� ". � Date 1 One Elm Square T 978.470.3675 Celebration Blvd 1420 ' Andover,MA 01810 F 978.470.3670 Celebration,FL 34747 www.lagrassearchitects.com AA26001333