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HomeMy WebLinkAboutBuilding Permit #560 - 519 FOREST STREET 4/1/2008 BUILDING PERMIT of "°oT" qti TOWN OF NORTH ANDOVER o? Ole 4' y6ia o°A, APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received T.o �SSACHU`��� Date Issued:-Y-- o 'r/ IMPORTANT:Applicant must complete all items on this page w2*# '"' �*-- �`��. �s • • `' �R����a3����'4�G.•I�l`:��•� `� � ,' � __ `g�*',�3_. ��� .,Z����a��:v ,'^ .$t �'�-�. IN II�AP NO gCE�L � t�,N1T� ',_ �5 - C 1storic` sfrictes- ® U7 � r SSS M - s : TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Build' One One family Addition✓ Two or more family Industrial Alteration No. of units: Commercial Repair, replacement,-,,,"- Assessory Bldg Others: Demolition Other f 'xi ., yy ,fix i a?r ',:�s �i�`:-'rt-a+ .. � ��4 .�- R. € a �'�'�•r�4 ,'-���tv� �k,� ,�m.y 'fi, a�`,t �"�rr' �,`�`� �� � 5f .� � ��,e �..": ti DESCRIPTION OF WORK TO BE PREFORMED: 7&2DA, Aoa - nr-"� f 04re" 1 C dentifica ' n Please Type or Print Clearly) OWNER: Name: ( , G� Phone: y. Address: MR X20 , r w � + 0 € a a; ro � � � uperv�sort Ctrt�o Ecer�se ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ �fj# FEE: $_��-o Check No.: f`( Receipt No.: �D 10 3 NOTE: Persons contracting with unregistered contractors do not have acc ss the guaranty fund r Location No. Date / a NaRT� TOWN OF NORTH ANDOVER '3?0 �,t•w ,•,MOS A 'y * s Certificate of Occupancy $ 'ss►cMusEt� Building/Frame Permit Fee Foundation Permit Fee $ � Other Permit Fee $ TOTAL $ Check # i 5 Building Inspector 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS DATE REJECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED DAT APPROVED HEALTH COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water ate & Sewer e er Connection/si nature B Date Driveway Permit Located at 384 Osgood Street f XURE P ►R MEAIT e p u .pster ages z �° ¥ f Loca#ecot4 'a�mtreet #- x � t �p fc ✓'"'rt{'."�"i +.=.3rd. t�. ;re .y 3l,tx s�z#' + d-y L�,'� F :.y.� r ,... r"'� �. nt"r " A - ro"� IR x u 5 M F7ITe eta merit n �r�e la e � � x x � � ,` vz ' f ,�,n `,x"a +.. - '" rei 2w4%, zssf �y ra M 'LOQ I .,.: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.Buildiing Permit Revised 2007 C 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 � 9 Application Permit A lication Workers Comp Affidavit ;/Copy / Photo Copy Of H.I.C. And/Or C.S.L. Licenses 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 d/ Building Permit Application Certified Surveyed Plot Plan a' Workers Comp Affidavit hoto Copy of H.I.C. And C.S.L. Licenses o� 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 i Dor.INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 t NORTH '9 TO" of 2 And over' No. a J 006 dover, Mass., T D LAKE ^. 2COCMICKEWICK AORATED `s E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System . BUILDING INSPECTOR THIS CERTIFIES THAT......7&� . ......... ..�,.. .!�..................... .............................................................. Foundation has permission to erect........................................ buildings on .. .(... ....... K�......!`.r.......s .�............. Rough /3r to be occupied as...�..�.��h�..�.............�.N.�.-�....•............R.O.� .. .......�......S Chimney Provided that the person accepting this permit shall in evenrespect conform te terms of theaPdPl�con file in Final 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. LJNLESS CONSN STARTS Rough ...... ........... .. ....... 0-- Service sFECT Final Occupancy Pel'7n.it Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. N CYT- S O VAV X 60'—UK- Nr—, A5 'Pacr�-A-MI-4 RA-form To RAST 6N TDY J j wrNww -rte I�� �� •� \ ['� (tits�T -' - -ro r mT : D --� 60 r STE?>" To 1 R I Y F ) 1 t e, � 3 - ±' �i [ J 5 Y y j r i 1 Y , t t 4 I 4. ,ftt6 1 t r d J, Y i k a �� i fp} vis"^�- � 1 t � � •��; i t to too w r a I t ) J✓+ _ _ I 1 S MIA JIR i 1 a Y5 y a 8 1 ` - f � t S t cu , �E5 u 135:1 � 5 ♦ +� � /�? , \ t V Q3-tg �9 01 : . �raus�x� _ s c _p���rzuartla �0 Re uiations and Sta •. Board of Building g TRACTOR HOME IMPROVEMENT CON Registration: 149737 Tr# 26-301" ` Expon. 21312010 iratiType: Od Liability CorPor 81LL CRAFTSMEN LLC DAVID SUPPLE strator 10 CHESTNUT ST Admini S7ONEHAM,MA 02180 a :' a Boar of 71dmg Regulations and Standards ` Construction Supervisor License r '$ License: CS 94605 a Expiration: 10/12/2009 Tr# 18365 Restriction 00 ns DAVID SUPPLE 10 CHESTNUT ST':.:.. 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Andover MA 01845 HILLCRAFTSMEN@GMJilL.COM PROJECT: HOME IMPROVEMENT#149737 1105 CONSTRUCTION SUP.#094605 PROJECT DESCRIPTION: This project is to remove the existing siding and roofing of the client's house and install new Hardi clap board siding Et architectural roof shingles. The project also includes the needed demolition and construction (interior Et exterior) to modify the front entrance of the home (based on attached rendering). This project will take 5 weeks to complete and includes all permits, materials and labor. SCOPE OF WORK • SECURE PERMIT FOR JOB AND RECEIVE ALL NEEDED INSPECTIONS • MODIFY THE EXISTIG FRONT ENTRANCE INCLUDING DEMO, FRAMING, WINDOW Et DOOR INSTALATION, ROOFING, TWO COLUMNS, DECK Et AND RAILINGS AND INTERIOR FINISH WORK (TOTAL ALLOWANCE FOR WINDOW - $2,000) • REMOVE THE EXISTING ROOF SHINGLES • REMOVE THE EXISTING CLAP BOARDS • DISPOSE OF ALL DEBRIS • INSTALL NEW ARCHITECTURAL ROOF SHINGLES • INSTALL WEATHER BARRIER Et NEW PRE-PAINTED HARDI CLAP BOARDS (COLOR TO BE SELECTED BY HOME OWNER) • INSTALL NEW EXTERIOR TRIM Et GUTTERS NOTE: THIS PROPOSAL DOES NOT INCLUDE UNFORESEEN DAMAGE TO SHEETHING OR MISC. ELECTRICAL Et PLUMBING WORK TOTAL MATERIALS - $13,500 COSTS: Total Project Cost $35,500.00 Deposit due prior to start $8,500.00 Due upon completion of framing inspection $10,750.00 Due upon completion of roof Et siding $10,750.00 Due upon completion of project $5,500.00 AGREEMENT: TERMS AND CONDITIONS OF THIS CONTRACT ARE PRINTED ON THE REVERSE SIDE OF THIS PAGE.CONTRACT PRICES ARE GOOD FOR UP TO 30 DAYS OF THE CONTRACT DATE. ° - CONTRACT �I t HILL CRAFTSMEN DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES 10 CHESTNUT ST STONEHAM, MA 02180 (617)474-0309 HILLCRAFTSMEN@GMAIL.COM HOME IMPROVEMENT#149737 ER- DATE: CONSTRUCTION SUP.494605 HILL CRAFTSMEN, LLC: DATE: UUU YOU MAY CANCEL THIS AGREEMENT IF IT HAS BEEN SIGNED BY A PARTY THERTO AT A PLACE OTHER THAN AN ADDRESS OF THE SELLER, WHICH MAY BE HIS MAIN OFFICE OR BRANCH THEREOF, PROVIDED YOU NOTIFY THE SELLER IN WRITING AT HIS MAIN OFFICE OR BRANCH 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. 1. Workmanship Builder agrees to provide certain construction, remodeling and/or repair work according to the terms of this Agreement. Builder shall perform, and make sure any subcontractor,employee, or independent contractor performs all of the work in a good sound, workmanlike manner. 2. Permits Builder shall make owner aware of all necessary construction related permits and will obtain such permits as the Owner's agent. The contract price is forth is subject to approval by the Local Building Department. The Department may require changes that affect the price. If this should occur, the owner and/or Contractor have the right to modify the agreement and Owner shall only be responsible for payment of actual work performance, if any, as of the date this Agreement is terminated. 3. Compliance with Law Builder represents that it complies with all federal,state and local laws and regulations applicable to providing construction services in Massachusetts including, but not limited to, any license or proficiency requirements. Builder will comply with all applicable federal, state and local laws and regulations related to the Agreement and the work to be performed including, but not limited to building codes, disposal of waste and the safety of persons and property. 4. Change Orders Owner may, from time to time, without invalidating this Agreement, request changes, additions, alterations,or other.modifications in the work to be performed. Also, Owner understands that there may be unforeseen conditions that may atter the written Scope of Work and that the Builder will promptly notify the owner of any such conditions. Owner agrees to pay any increased charge owed according to Builder's response if Owner elects to order the changes. Neither Builder nor Owner shall be responsible for any changes unless such change is agreed to in advance and is set forth in writing and signed by Owner and Builder. 5. Time for Completion White Builder does no gu tee a completion date, Builder will use Builder's best efforts to start the work on-�and complete the work in weeks. Builder shalt not be responsible fo a delays caused by weather, tabor disputes, ailures of material suppliers, unforeseen pre-existing structural problems or delays caused by Owner for change orders or other similar changes,or any contractors under owner's control. i CAI CONTRACT HILL CRAFTSMEN 6. Non Payment(and/or Late Payment) 10 CHESTNUT ST Builder is not obligated to proceed to any next phase of construction if owner has not met his STONEHAM, MA 02180 or her installment payment obligations as set forth in this contract. In the event of such non- payment the time for performance set forth shalt no longer apply. Failure on Owners part to (617)474-0309 make all payments on time as described to be due within this contract shall result in a finance HILLCRAFrSMEN@GMAIL.COM charge of I lh%.per month/ 18%per annum,on any unpaid-balances or any late payments. Owner shall be liable for all attorney fees and legal fees necessary to collect any unpaid HOME IMPROVEMENT#149737 balances or late payments. Also, Builder has right to Lien Owner after severe non-payment CONSTRUCTION SUP.#094605 according to the laws of the Commonwealth of Massachusetts. Each installment payment made shall act as a presumption of Owner's acceptance of and satisfaction with the work performed to that point. 7. Limited Warranty Builder warrants that for a period of 1-year following final acceptance of the work or final payment by Owner,the work performed by Builder shall be free from any material damage or defect caused by any defective, negligent or improper work by Builder. Builder shall repair or replace, at Builder's sole expense,any damage,defect or problem resulting from defective work preformed by Builder that is discovered during the warranty period. Owner shall promptly notify Builder of any such warranty claim within 10 days of its discovery or sooner if reasonably practical. 8. Termination Either Owner or Builder may terminate this agreement by giving written notice of termination to the other. Termination will be with out prejudice to the rights and obligations accred to the date of termination. in the event of any such termination, Owner shall be responsible for the payment of all work performed and cost of materials purchased,in compliance with Builder's obligations hereunder, as of the date of any such termination. If termination requested by Owner for reasons other than negligence on the part of the Builder,Owner shall also subsidize any costs involved with Builder moving off site. Notwithstanding termination, Builder may not leave house in dangerous condition or in a condition likely to cause damage to the House. 9. Entire Agreement This Agreement and the design drawings, if any,form the contract and terminates and supersedes all prior understandings or agreements on the subject matter hereof. This Agreement may be modified only by a further writing that is duly executed by both parties or as otherwise expressly provided herein. This Agreement shall be construed and enforced according to the laws of Commonwealth of Massachusetts. Builder and Owner hereby mutually agree in advance that in the event Builder or Owner has a dispute concerning this Agreement, Builder may submit such a dispute to a private arbitration service to which Owner shalt be required to submit. 4 The Commonwealth of.41assachusetts i:. Department of Industrial Accidents U. Office of Investigations 600 Washington Street Boston, 11.4 02111 w W.ilIaSS.ao v1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business-Oreanization.'Individual): 41. Address: cl,�ea-Evw+ City/State/Zip: S`1Ci� �� Phone 4: (.(:;1(,t—b3� Are yan employer?Check the appropriate box: Type of project(required): 1. : 1 am a employer with Z- 4. ❑ I am a general contractor and 1 6. ❑�emodermg truction employees(full 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 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. g, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.) officers have exercised their 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.] t employees. [No workers' l3.❑ Other comp. insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeo%vers who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:r-31'i llrtRe- She T_,w;LAgC P " Policy#or Self-ins. Lic.#: 0(9DIro 1!IJ Expiration Date: Job Site Address: City/State/Zip: 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 DIA for insurance coverage verification. Ido/:erebv certify under the pains and penalties of perjttrl'that the information provided above is true and correct. j ature: Date: Phone#: 66 q-47"`-t' -OM Official use only. Do not write in this area,to be completed bf 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. Electrical Inspector 5.Plumbing Inspector 6. Other I DATE(MMIDONYYY) ACORD.. CERTIFICATE OF LIABILITY INSURANCE 03/21/2008 ' PRODUCER (978)927-2000 FAX (978)927-8938 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 4 Leslie S. Ray Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 129 Dodge Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Beverly, MA 01915 INSURERS AFFORDING COVERAGE NAIC# INSURED Hill Craftsmen LLC INSURERA: Safety Insurance Company 39454 10 Chestnut Street INSIIRERB: granite State Stoneham, AIA 02180 INSURERC: INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR D' TYPE OF INSURANCE POLICYNUMBER POLICYEFFECTIVE POLICYEXPIRATION LIMITS LTR NZ ATMM6 GENERALLIABRrtr CP00001298 12/19/2007 12/19/2008 EACH OCCURRENCE $ 1 000,00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50, CLAIMS MADE ®OCCUR MED EXP(Arty one person) $ 5, A PERSONAL&ADV INJURY $ 1,000,00 X 250 PD ded GENERAL AGGREGATE $ 2,000,1 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 21000,000 POLICY P LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY I W URY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ - (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND 1IiC8264179 12/22/2007 12/22/2008 3 I WC STMTLI- OTI+ TORY LIER EMPLOYERS'LUI6ILRY B ANY PROPRIETOWPARINEWEXECUIIVE E.L.EACH ACCIDENT $ 100, OFFICEWMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYE $ 100,000 If yes,describe under SPECIAL PROVISIONS bebw E.L.DISEASE-POLICY LIMIT $ 500, OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ftierations: Carpentry CERTIFICATE HOLDER CANCELLMION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MNL 10 DAYS W RITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Insureds Copy AUTHORIZED REPRESENTATIVE Richard ones/SEIM ACORD 25(2001108) ©ACORD CORPORATION 1988