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Home My WebLink AboutBuilding Permit #356-11 - 524 REA STREET 10/28/2010 BUILDING PERMIT cf NORTh q TOWN OF NORTH ANDOVER c `t«�o �o to APPLICATION FOR PLAN EXAMINATION 70 Permit NO: A Date Received s, °oaApo PpP` �g �SSACHU`-+�� Date Issued: • V t IMPORTANT: Applicant must complete all items on this page LOCATION 0, PROPERTY OWNER 11 ��tte -- L— Print MAP NO: ' PARCEL3�ZONING'DISTRICT: Historic District yesA;O Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building VTn fameAddition - or more family Industrial Alteration No. of units: Commercial Re Lair re lacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District ater/Sewer DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: ��(� /�� V11LE- PhoneP70259-233c- Address: of 4 kol ST CONTRACTOR Name: lrt 1 t)110 ( Phone: '12 d- 6 0 #9 5-2- Address: ` C l'#C 'l Cit f tit (A U-15 f Supervisor's Construction License: ` '7 l/c)-g Exp. Date: 3 ;8 / it Home Improvement License: i �1 Exp. Date: Sr f t Z 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: $ �G FEE: Check No.: 'A�� Receipt No.: aln NOTE: Persons contracting with unregistered contractors do not have ac ess to the guaranty fund signature of Agent/Owner Signature of contracto Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL 4 Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Pac`kaj)g%a1 -, 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 Zaning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTII ENT,t- Temp Dumpster on site yes naZl a�+ Located at 124 Mai4 ,dt ! Fire Department signature/date j 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 2009 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 j ❑ 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:Building Permit Revised 2008 Location✓ Y No. Date-�0 MORT1y TOWN. OF NORTH ANDOVER f A 9 Certificate of Occupancy $ Building/Frame Permit Fee $ MUSE Foundation Permit Fee $ Other Permit Fee $ 46 TOTAL $ Check # 2361 Building Inspector NOV 09,2010 10:31A 9782589332 page 1 EXISTING POOL 10.4' ` k- 35•� N 1l 5T EXISTING DWELLING #524 MM POOL LOCA T/O_N_ _.�,�-4.. CHAELN--� ' CLlENT.' DAWELL.E& JOHN W011-x- �o`� �• ��tt LOCA TION.•524 REA ST•,NOANDOVER,Af,4 �� ate• �a a y� -Arc. lligil� C/`A/ G.dn-wnl ,�\�`sn��_ • J • PROFESSIONAL ENGINEERS&LAND SURVEYORS CHR/S TIANSEN 8 SERG/, INC. 160 SUMMER STREET, HAVSR; *—'-' ;;;^S�A, I f�^ ' ;1 ;;1;, c ( ;�/!J�M/!^.,SI- .�:�r;.^viv r�� ro oY� noAn -AV nye viz a.,cn " —911' —3 1�.1 i g. 3I 27., 72" 6511 431" 9" 1 - -- a W3936 DW362727L 11�W361824 0 T3 FF)4. 2F Ji / 24.DISHW69FH _. (D 0 3rn CDM N CL ..�ZS g1-18"Double trash cabinet CIL 2-2 tiered wood cutlerty trays (D O2 2 C) 3-Soft Close Action on all glass doors BMWD243,e401MlZ80 2DB30SS 0 Flush Furniture Sides on all exposed cabinets °D 0 O O � 2 TI Decorative doors all around island cabinets and panels 0 U) G. 4-Slide out shelves m m m TI ' IW � N (DD w B334. 2 B FF=RIDG B12L 2 BCFF T �B FF 69024SS07"213R D B FF W3630 O3 FF 6L O 54 35" 74 ' _36"- 0 36"n C CL 261" (D (0) 6" 42" 6" X h 36" O 6" 213" All dimensions_size designations � L Hl This is an original design and must Designed: 9/10/2 given are subject to verification on TECHNOLOGIES not be released or copied unless Printed: 9/30/20: job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. Wolf Kitchen FP5.kit All Drawine NORTH Tovm of And O (y err+ 1y;`:�4.• 1"��(��'.:��,. o o dover, Mass., 1 V • a$- 10 I� COC KICHE.CK 7�S RATED PPa,`�� BOARD OF HEALTH Food/Kitchen .PERMIT T D Septic System c BUILDING INSPECTOR THIS CERTIFIES THAT........ ; JSJWS w......... O �................,.`. ......�..................... .......... Foundanon 2 has permission to erect........................................ buildings on ..�......�........ .......................�.....?.......................... Rough L tobe occupied as............ ......... .............. .. .!...................................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations'Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUC STARTS ELECTRICAL INSPECTOR Rough *J0000000 ........ ........................................ Service BUILDINItatoolz N000e G PECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the- Premises — Do Not Remove F na h No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. a„ 91 z" z3 g. i 3 27" 72" 65 4 1 J' ✓r�� W3936 DW362727L W361824 ` � �� T39 CFF��R ® /%' 24.DISHW69FH 4. 2 2 v - �, --- CO O v 3m (� N CL 1-18"Double trash cabinet "Tg$ CL 2-2 tiered wood cutlerty trays N X3-Soft Close Action on all glass doors 2 D BMWD243401MLZ80 2DB30SS < a 0 Flush Furniture Sides on all exposed cabinets O Q CO a) n Decorative doors all around island cabinets and panels W U) MG, N' 4-Slide out shelves CO m m "Tl O 3 w � A � cs v, � Nh � 'v 6334.527BCFF=RIDG B12L 2 B T392�13CFF169024SS 6 FF 27 \` _ `\ - O B FF W3630 3 FF I 36'V2136R 1YI6L QiT O 54" 35" 74.' 36" 61� n !_ 261" /16"//14 2 16" 0 36" 71 213" All dimensions_size designations 20" 20M��'�,� This is an original design and must Designed: 9/10/2 given are subject to verification on TECHNOLOGIES LU not be released or copied unless Printed: 9/30/201 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. Wolf Kitchen FP5_kit All Drawine The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 �� z�• www.mass.gov1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Flectricians/Plumbers Applicant Information , / Please Print Legibly Name(Business/Organization/Individual): �f V(16 Coll/I�l Address: 3 y' A��ri [✓1 City/State/Zip: A AlPhone#: Z X64 75 � Are you an employer?Check the appropriate box: Type of project(required): 1.❑ 1 am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).' have hired the sub-contractors 2.�I am a sole proprietor or partner- listed on the attached sheet. 7 [remodeling . 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 10.❑Electrical repairs or additions required.] officers have exercised their 3.El 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.E]Roof repairs insurance ]ired.re Q uemployees.[No workers' � 13.0 Other comp.insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. Y Homeowners 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 isproviding workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify under the pains andpenalfies o perjury that the information provided above is true and correct. Simature: Date: /.0 Phone#• 1 �� 7 rd'V Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/1,icense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: __---f ---.. � � egn at►on ��f �� a►rs mess Office of onsumer CONTRACTOR IMPROVEMENT CONTRA Type; HOMEIMPROVEMENT Registration: ,... Individual .911512012 Expiration: Ftp KeVAN COPPENOLLE FRANK VAN-COPPENOLLE 34 AZARIAN R� Undersecretary SALEM,NH 03079 t►tmc►,t ut'put)lic Safct� ii tt Standards t 1 ttion, :►nI �lu�aa'h'us uildint:tt�^n `. License go:u tt of'B rvisor Supe Construction 'i License: CS 71128 Restricted to.. 00 VANCOPPENOLLE J FRANK 3 21 ST HEMENW AY. 1 METHUEN,MA 01844 Expiration: 32812011 Trig: 13115 Proposal/Contract Lic. # CS71128 INTERIOR MODIFICATION 34 AZARIAN ROAD - SALEM, NH 03079 TELEPHONE: 978-360-7520 Email: hitermod@aol.com Massachusetts Dome ImpY I'Vement Sample Contract This form satisfies all basic requirements of the state's Home I-nplovcmemt Contractor Law(MGL chapter 142A),but does not include standard longdage to protect homeowners. Seek legal advice If necessary. Any person planning home improvements should first obtain a copy of"a Massach"usetts 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 Lnformntinn Hotline at 617-973-8767 or 1=888-283-3757. Homeowner Information Contractor Information Name omp:3n./Name y? L Street Address(do not use a Post Office Box address) Contractor/Salesperson/Owner Name Cityfrown state Zip.Co'de 3usiness Address(must include a street address) aytime Phone Evening Phone ityfrown State Zip Code Mailing Address(Il different from above) Business Phone ederal.Employer ID or S.S.Number - taw requires that molt home uo- Home provemena Conhaetor Reg.Number 6xtion date . tr-cat contractors hxv R .I Ipm sad regitaratioo number The Contractor agrees to do the following work for the Romeo ner: m e10ric to comp e g Ina type,brand, e at n s o e e on ace s Required.Permits-The following buil di ng permits are required Proposed Start and Completion Schedule-The following schedule will and vyill be secured by the contractor as the homeowner's agent, be adhered to unless circumstances beyond the contractot s control arise (Owners who secure their own permits will he excluded from.the Guaranty Fund provisions of Date when contractor will begin contracted work. MGL chapter 142k) ,jL1gL`! Date when contracted work will be substantially completed. Total Contract Price and Payment Schedule The Contractor agrees to perform the work,furnish the material and labor specified above for the total sum of: (•) Payrilents will be trade according to the following schedule: S upon signing contract(riot to exceed 1/3 of the'total contract price or the cost of special order items,whichever is greater) " S. by +/ /; or upon completion-.of U NO � CL �on S by / /_ or upon.completion of S 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 S to be paid for ordered before the contracted work'begins in order 3 to be paid for to meet the completion schedule.(**) 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 ar(b)the actual cost of any special equipment or custom made material which must be special orderedin advance to meet the completion scbedule. Express Warranty-is an express warraoty befae urov dj ed by the contractrtr7 _No Yes 'fall terms of the warranty must be ettarhed to the contract) Subchntractor's-Themontractor 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 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 i ontract 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 R.oeistration The law requires most home improvement contractors and subcontractors to.be registered with the Director ofHome Improvement Contractor Registration. You may inquire ab"out contractor registration by.writing to the Director at One Ashburton Place,Room 1301,Boston,MA 02108 or by calling 617-727-3200 or 1-800.223-0933. • Does the contractor have insurance? Check to see that your contractor is properly insured. • 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 Shacked notice of cancellation form for an explanation of this right. DO NOT SIGN THIS CONTRACT IF T14ERE ARE ANY BLANK SPACES!!! Two identical copies of the contract must be completed and signed.One copy should go to the haipeowna:The other copy should,be kept by the contractor. meowner's ignatu Co a is Signature / /� , Date Date Contractor Arbitration The Home Improvement Contractor Law provides horneowners with'the right to initiate an arbitration action (as an . alternative to.court action)if they have a dispute with a contractor. The same fight 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 providedbelow.'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 such arbitration-as provided In Massachusetts General Laws, chapter 142A. Homeowner's Signature Contractor's Signature NOTICE:The signatures of the parties above apply only to the agreement of the parties.tQ altetnative 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 anyway,.even by agreement. However;bomeowners 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 GuarantyFund 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 specifiic 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.frtness for a particular purpose, An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the term's of the contract as long as they do not restrict a home-owner'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 recission.p*eriod has expired. Accelerated Payments A contractor,may not demand"payinents in advance of the dates specified on the payment schedule in cases where the homeowner deems'him/heeself to be financially insecure. "However,in instances where a contractor deems him/] erself 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 tf you wish to obtain a free copy of lyF C Law,"contact: onsumer,Guide.to the Home Improvement Contractor Consumer Information Hotline Office of Consumer Affairs and Business'Regulation .10 Park Plaza,Room 5170,Boston,MA 02116 (617) 973-8787 or l-.(888)2833757 If you want to verify the registration of a contractor or if you have,questions or need additional inform ' about the contractor registration component of the Home"Improvement Contractor Law,contact: anon specifically Director of Home Improvement Contractor Registration Bureau of Building Regulations and Standards One Ashburton Place, Room 1301,Boston,MA 02108 (617)"727-3200 or 1-800-223-0933. .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 (413) 7.34-3114