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HomeMy WebLinkAboutBuilding Permit #463-14 - 505 PLEASANT STREET 11/26/2013r TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO:! `i' r 1 Date Received Date Issued: IWORTANT: Applicant Amust complete alll- items on this page LOCATIONQ PROPERTY OWNER yq- �rint TSA C F Print MAP NO:037 PARCEL -D'-33 ZONING DISTRICT: TYPE OF IMPROVEMENT ❑ New Building ❑ Addition ❑ Alteration ❑ Repair, replacement ❑ Demolition PROPOSED USE Residential One family ❑ Two or more family No. of units: ❑ Assessory Bldg ❑ Other DESCRIPTION Historic District yes (no, o Machine Shop Village yes BE P ERY ORMED: Non- Residential ❑ Industrial ❑ Commercial ❑ Others: (Identificatio Please_T3 I e or Print Clearly) 9-7- W ONER: Name: li M Phone: -7- ( ! 7 Address: 7P' �-. �A S ,Q t 7 S 7 ( ' MIImo. 7� CONTRACTOR Name: h ��`7 E Z Phone: � �j 1 Address: T i ®�` iL 4 L. S A Supervisor's Construction License: 099 L4 91Exp. Date: 14-� Home Improvement License: /68 Jai Exp. Date: j L( ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE. BULDING PERMIT.• $92.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $925.00 PER S.F. Total Project Cost: ``$ n 9 � -- FEE: $ t —f 4 � Check No.: Receipt No.: 2-11 � � NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fz,,—, it 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 ❑ 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: Doc.Building Permit Revised 2008mi Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Pians ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Ari ❑ 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receiptsubmitted yes Planning Board'Decision: Conservation Decisio Comments Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS 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 NOTES and DATA — For department use ® Notified for pickup - Date Doc:.Building Permit Revised 2008mi r Location No. —I Date ZCv ?j TOWN OF NORTH ANDOVER Certificate of Occupancy $ 1t k1 Building/Frame Permit Fee $� tiq Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #'26-7 K 27138 Building Inspector �I 4 N 2 z LL 0 (D v + + \ O O LL Q) 41 A N U'O Q N N O �.oC z Z 0 m O F+ N 7 LL t 7 O w A y C L U LL 0 z z C C L 7 O OC LL 0 z J V W L 7 O 2 U O) N m s LL a N ? L 7 O K M O LL �- z ui Q W LU y 3 m O Z ++ N - N + Q Q) O 0 N IL Ah V t/1 C O tm w Im a m L- 0 O Im .O N d s 0 Z O Q J O J O w :a z Z 'I o m Cl) �a z F— G too Z W F- CL Z X0 W U H Cl) W J a IMI LLI 0 rA LLI U) W W C9 W U) Massachusetts - Department of Public Safety Board of Building Regulations and Standards Cun%truction Supen icor Specialth License: CSSL-099497 MICHAEL L C- TNLR A�� f 16 JONAS RfjAD WESTFOR01A j01886 Commissioner Expiration 04/24/2014 ✓/e ��1� o�'✓��aav«�/c.a Office of Consumer Affairs & Business Regulation HOME IMPROVEMENT CONTRACTOR k = Registration: 108126 Type: Expiration: 8/13/2014 DBA MICHAEL L. CORTNER-EXPRESS ROOFING Michael Cortner 16 JONAS RD WESTFORD, MA 01886 Undersecretary :A� O CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 10/4/13 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(les) 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 thiscertificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PHONE (508) 875-3488 FAX Nc. (508) 875-9388 A -Costa Insurance Agency, Inc 2 Franklin CommonsE-MAIL Framingham, MA 01702 ADDRESS: jon@a-costains.com INSURE S AFFORDING COVERAGE NAIC# INSURER A: Western World Insurance EACH OCCURRENCE $ 100,000 INSURED INSURERB:AIM Mutual Insurance Co EXPRESS ROOFING INC INSURER C: INSURER D: 16 JONAS ROAD INSURER E: WESTFORD,MA, 01866 INSURER F: AUTOMOBILE LIABILITY ANYAUTO ALLOWNED SCHEDULED AUTOS AUTOS NON OWNED HIREDAUTOS _ AUTOS 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. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MIDDIY POLICY EXP MMIDDIYYYY LIMTS A GENERAL LIABILITY COMMERCIAL GENEPAL LIABILITY CLAIMS -MADE I--] OCCUR NPP8184151 10/3/13 10/3/14 EACH OCCURRENCE $ 100,000 DPREMISES AMAGE (Ea occurrence) RENTED $ 50,000 MED EXP (Aryone person) $ 5 000 PERSONAL &ADV INJURY $ 11000,000 GENERAL AG GREGATE $ 200,000 GEN'LAGGREGATE LIMITAPPLIES PER POLICY PRO LOC PRODUCTS - ODMP/OPAGG $ 11000,000 $ AUTOMOBILE LIABILITY ANYAUTO ALLOWNED SCHEDULED AUTOS AUTOS NON OWNED HIREDAUTOS _ AUTOS COMBINEDnt ) NGLELIMIT a accide$ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ P ROPE Y DAMAGE $ UMBRELLALIAB EXCESSLIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N ANY PROPRIETOR/PARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DySCRIPTIONOFOPERATIONSbelow NIA AWC 7025933012013 5/14/13 5/14/14WCSTIMIT 0TH - E.L. EACH ACCI DENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE -POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space Is requi red) CERTIFICATE HOLDER CANCELLATION © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E -Mail: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MICHAEL L CORTNER, DBA ACCORDANCE WITH THE POLICY PROVISIONS. EXPRESS ROOFING INC AUTHORIZED REPRESENTATIVE 16 JONAS RD WESTFORD, MA 01866 DEBRA DALLA COSTA © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E -Mail: PROPOSAL www.expressroofer.com HOME IMPROVEMENT CONTRACTORS LICENSE # 108126 CONSTRUCTION SUPERVISOR LICENCE #99497 Fax:978-251-2907 Office:978-256-2333 DATE OF PROPOSAL 11/1812013 mike exl2ressroofer.com P.O. Box 542, Chelmsford, MA 01824 +++ PROPOSAL SUBMITTED TO: +++ WORK TO BE PERFORMED AT: NAME MATHEW BACE ADDRESS 505 PLEASANT ST ADDRESS 505 PLEASANT ST IMORTH ANDOVER MORTH ANDOVER PHONE • 978 738 8817 We hereby propose to furnish materials and perform the labor necessary for the completion of. STRIP UP TO 1 LAYER OF ASPHAULT SHINGLES OFF HOUSE ROOF AND BACK ROOM ROOF+WINDOW TARP OFF HOUSE TO HELP PREVENT DAMAGE TO HOUSE AND LAWN AREA COMPLETELY DE -NAIL ROOF AND RE -NAIL ROOFING BOARDS AS NEEDED ALL WALL FLASHING WILL BE INSPECTED AND REPLACED AS NEEDED Install: IKO Storm Shield 6' up from the bottom eaves and cover back low pitch room with skylights. IKO Storm Shield around vent pipes IKO Storm Shield 3' around skylight IKO Storm Shield on roof where roof meets house IKO Storm Shield under chimney lead and T down on roof Felt paper over roof boards IKO Leading Edge Plus Starter strip on all roof decking edges IKO Cambridge Architectural shingles 130 mph wind warranty) Roof Saver ridge vent along all ridge surfaces IKO rid a ca shin les Take out .. skylights and install 2 new.. Skylights are very close in size but may need trim molding inside and is not included 8" Drip edge along all outer roof edges white New pipe flange's over vent pipe 4^ Pipe) Clean gutters and re -nail gutter in back of house that is pulling away. All shingles will be fastened using 1 W -1 %' roofing nails ROLL MAGNETS OUT TO PICK NAILS OFF LAWN AREA FOR FINAL CLEANUP W-11*01TV81II&I 11141111091019_ -• -�• INCLUDES,• ALL;LAB©RAND MATERIAL$ FOR THE ASOVE AND ROOFING PERM T; 90`YEAR WORKMENSHI.F LIMITED AND, LIMITED.LIFE TIME IK0 SHINGLE W LEAN ARRANTY CtJP'AND HAUL A1NAY ALL SHINGLES Note: No warranty on problems and/or damaged caused by ice backups No Wananty on old skyrghts All material is guaranteed to be as specified, and the work to be performed in accordance with the drawings and specifications 1 5_. submitted for above work and completed in a substantial workmanlike manner for the sum of 0 _$ NO MONEY DOWN $ PAYMENT IN FULL AT COMPLETION OF JOB WITH CASH OR BANK CHECK MADE OUT IN THE NAME OF Express Roofing INC. Call Toll Free Respectfully submitted 'r l 1 -888 -210 -ROOF �ppi, i •+ • Note -This proposal maybe withdrawn by us if not accepted by: 11/2512013 All workers fully insured ACCEPTANCE OF PROPOSAL. The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Any additional work than the above will be an extra charge. Signature _/R0Jt_,— Lam ---- Date SHINGLE COLOR Homeowner is responsibJe for protecting and cleaning content of attic from possible dust and debris during your roofing project. "Note any plywood replacement will be an extra $60.00 per 4x8 by half inch sheet - labor & materials included WE RECOMMEND NEW CHIMNEY LEAD WITH ALL NEW ROOFS FOR AN EXTRA CHARGE OF $395.00 0�l m m x C- -40 -n z 64 0 C+ O>M � m co v) (D P co) 0 > 10 0 o �4 0 5; 91 -n K) — OD 0) cn Z 9) K) GO I z ca cn cn d 64 CD 0 0 d 64 0 Z, Massachusetts Home Improvement Sample Contract This form satisfies all basic requirements of the state's Home Improvement Contractor Law (MGL chapter 142A), but does not include standard language to protect homeowners. Seek legal advice if necessary. Any person planning home improvements should first 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 Name Company Name M C ttc Street Address (do not use a Post Office Box address) - Contractor/ Salesperson/ Owner Name ,--r lam E6; City/Town State Zip Code Business Address (must include a s/ttr�eet address) Daytime Phone Evening Phone City/Town` State Zip Code Sa Mailing Address (It different from above) Business Phone Federal Employer ID or S.S. Number Law requires that most home Home Improvement Contractor Reg. Number Expiration date improvement contractors have a valid registration number - v a� pp ,, I q 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.) 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 contractor's control arise (Owners who secure their own permits will be �� excluded from the Guaranty Fund provisions of 43- -j� .`-Date when contractor will begin contracted work. MGL chapter 142A.) laMiq Date when contracted work will be substantially completed. Total Contract Price and Payment Schedule CZ) The Contractor agrees to perform the work, furnish the material and labor specified above for the total sum ofkl'395i(*) Payments will be made according to the following schedule: $ upon signing contract (not to exceed 1/3 of the total contract price or the cost of special order items, whichever is greater) by -- —� or upon completion of $ by r upon completion of $ i 19C6 upon completion of the contract. (Law forbids demanding full payment until contract is completed to both party's satisfaction) The following material/equipment must be special $ ordered before the contracted work begins in order to meet the completion schedule.(**) $ to be pald ftil NOTES: (*) Including all finance charges (**) 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 Warranty - Is an express warranty being Provided by the contractor? ❑ No ❑ Yes (all terms of the warranty must be attached to the contract) 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 agreement 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 Improvement Contractor Registration. The law requires most home improvement contractors and subcontractors to be registered with the Director of Home 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 br 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 insurance" 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 third business day following the signing of this agreement. See the attached notice of cancellation form for an explanation of this right. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES!!! Two identical copies of the contract must be completed and signed. One copy should go to the homeowner. The other copy should be k by th aatoP Homeown is Signature AW Date Contractor's Signature !I a I Date Contractor Arbitration The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action (as an alternative to court action) if they have a dispute with a contractor. The same right is not automatically afforded to a contractor, however. The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below. This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Home 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 has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to sucharbitration asspprovided In Massachusetts General Laws, chapter 142A. ;g7 Homeowner's Signature T Contractor's Signature NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Rights A homeowner's rights under the 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 warranty for workmanship or 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 purpose. An enumeration of other matters on which the homeowner and contractor lawfully 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 duplicate 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 been 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 kept by the contractor. Any modification to the original 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 rescission period has expired. Accelerated Payments A contractor may not demand payments in advance 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 him/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 to 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 Massachusetts Consumer Guide to Home Improvement" contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza, Room 5170, Boston, MA 02116 617-973-8787, 888-283-3757 or visit the OCABR website at http://www.mass.izov/ocabr/ If you want to verify the registration of 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 Office of Consumer Affairs and Business Regulation 10 Park Plaza, Room 5170, Boston, MA 02116 617-973-8787, 888-283-3757 or visit the HIC website at http://www.mass.gov/ocabr/ Go online to view the status of a Home Improvement Contractor's Registration: http://db.state.ma.us/homeimprovemeiit/licenseelist.asp For assistance with informal mediation of disputes or to register formal complaints against a business, call: Consumer Complaint Section Office of the Attorney General 617-727-8400 AND/OR Better Business Bureau 508-652-4800, 508-755-2548 or 413-734-3114 Version 2.1 - 11/22/2010