HomeMy WebLinkAboutBuilding Permit #716-2017 - 535 CHICKERING ROAD 1/17/2017BUILDING PERMIT
TOWN OF NORTH .ANDOVER
APPLICATION FOR PLAN EXAMINATION "
Permit No#:
— Date Received r~ �� d 01
Date Issued: __ -
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A�R/ITEU rpR'
�SSACHUS�
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑'New Building
❑ One family
❑ Addition
❑ Two or more family
❑ Industrial
VAlteration
No_ of units:
[(Commercial
❑ Repair, replacement
Il Assessory Bldg
❑ Others:
❑!Demolition
❑ Other
- Septic 1Nell
�. Floodplain 0 Wetlanrd "
_
D 1Natersfied 9)i§f'f ic$ ,
DES( PTIUN Ut- wUKK t U bt e1=KrUK1v1Cv:
Location s.x s Ali , c ke , h if
No. /(o • b Date
Check # J?
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
G� Building Inspector
Plans ,Submitted ❑
Plans Waived [I Certified Plot Pian ❑ Stamped Plans ❑
-�yPE -OF SEWERAGE DISPOSAL
Public Sewer ❑
Tanning/Massage/Body Art ❑
Swimming Pools ❑
Well ❑
I
-
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
COMMENTS.
Signature
CONSERVATION Reviewed on Signature
COMMENTS.
i
HEALTH
COMMENTS_
Reviewed on Signature
J 4 Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
i
} Planning Board Decision: Comments
Conservation Decision:
Comments
Water & Sewer Connection/Signature & Date DrivewaV Permit
I
DPW Town Engineer: Signature:
- Located 384 Osgood Street
FIRE DEPARTMENT- -.Temp Dumpstor on site yes no
Located at 124 Main Street
Fire Departrnent signatureldate
r.�w nn nrwi—rte
-)imension
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
®ANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine
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
❑ Building Permit Application
❑ Workers Comp Affidavit
❑ Photo Copy Of H.LC. 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/Cross SectionlElevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
o Mass check Energy Compliance Report (If Applicable)
o Engineering Affidavits for Engineered products
VOTE: All dumpsfer 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
o Workers Comp Affidavit
o 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
o Engineering Affidavits for Engineered products
IOT'E: All dumpster permits require sign off from Fire Department prior to issuance of BIdg. 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: BuildingPermif Revised 2014
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A. LUMP SUM PRICE FOR ALL WORK ABOVE* $5400.00
III. GENERAL CONDITIONS FOR THE AGREEMENT ABOVE
1.STANDARD EXCLUSIONS: Unless specifically included in the
"General Scope of Work" section above, this Agreement does not
include labor or materials for the following work: Plans,
engineering fees, Testing, removal and disposal of any materials
containing asbestos (or any other hazardous material as defined
by the EPA). Labor or materials required to repair or replace any
Owner -supplied materials. Repair of concealed underground
utilities not located on prints or physically staked out by Owner
which are damaged during construction. Surveying that may be
required to establish accurate property boundaries for setback
purposes (fences and old stakes may not be located on actual
property lines). Final construction cleaning (Contractor will leave
site in 'broom swept" condition). Landscaping and irrigation work
of any kind ,correction of existing out -of -plumb or out -of -level
conditions in existing structure. Correction of concealed
substandard framing. which may be discovered in the removal of
walls or the cutting of openings in walls. Removal and
replacement of existing rot or insect infestation. Failure of
surrounding part of existing structure, despite Contractor's good
faith efforts to minimize damage, such as plaster or drywall
cracking and popped nails in adjacent rooms or blockage of pipes
or plumbing fixtures caused by loosened rust within pipes. Exact
matching of existing finishes. Public or private utility connection
fees. Repair of damage to roadways, driveways, or sidewalks that
could occur when construction equipment and vehicles are being
used in the normal course of construction. Cost of
/testing/remediating mold/fungus/mildew and organic pathogens
unless caused by the sole and active negligence of Contractor as a
direct result of a construction defect that caused sudden and
significant water infiltration into a part of the structure. Cost of
removing ponding ground water or other unusual concealed site
conditions during excavation
B. DATE OF WORK COMMENCEMENT AND SUBSTANTIAL
COMPLETION
Contractor Owner Owner
Commence work: when permit is granted. Construction time
through substantial completion: Approximate 6 weeks, not
including delays and adjustments for delays caused by: holidays;
inclement weather; accidents; shortage of labor or materials;
additional time required for Change Order and additional work;
delays caused by Owner, Owner's design professionals, agents,
and separate contractors; and other delays unavoidable or beyond
the control of the Contractor.
C. CHARGES FOR ADDITIONAL WORK: CONCEALED
CONDITIONS, DEVIATION FROM SCOPE OF WORK, AND
CHANGES IN THE WORK
1. CONCEALED CONDITIONS: This Agreement is based solely
on the observations Contractor was able to make with the project
in its condition at the time the work of this Agreement was bid. If
additional concealed conditions are discovered once work has
commenced or after this Agreement is executed which were not
visible at the time this Agreement was bid, Contractor will point
out these concealed conditions to Owner, and these concealed
conditions will be treated as Additional Work under this
Agreement. Contractor and Owner may execute a Change Order
for this Additional Work. Contractor is released, held harmless,
and indemnified by Owner from all pre-existing mold, fungus,
mildew, and organic pathogen problems and is not responsible for
costs or damages associated with correcting, containing, testing,
or remediating the same.
. DEVIATION FROM SCOPE OF WORK: Any alteration or
deviation from the Scope of Work referred to in this Agreement
involving extra costs of materials or labor (including any overage
on ALLOWANCE work and any changes in the Scope of Work
required by Owner, Owner's design professional, Owner's agent,
or building inspectors) will be treated as Additional Work under
this Agreement resulting in an additional charge to Owner.
Contractor and Owner may execute a Change Order for this
Additional Work.
D. PAYMENT SCHEDULE AND PAYMENT TERMS
Contractor Owner Owner
1. PAYMENT SCHEDULE:
* First Payment: $ 2000.00
Due when Agreement is signed and returned to Contractor.
2nd payment:
Due when work starts. $1500.00
Balance of contract amount $1900.00 when work is complete.
2. PAYMENT OF CHANGE ORDERS/ADDITIONAL WORK: Payment
for Additional Work is due upon completion of either all or part of the
Additional Work and submittal of invoice by Contractor.
E. WARRANTY
Thank you for choosing our company to perform this work for you. Your
satisfaction with our work is a high priority for us, however, not all
possible complaints are covered by our warranty. Contractor does
provides a limited warranty against material defects on all Contractor -
and subcontractor -supplied labor and materials used in this project for a
period of one year following substantial completion of all work. This
warranty covers normal usage only. You must contact the Contractor
upon discovering an item in need of warranty service. Additionally,
Owner's hiring of others or direct actions by Owner or Owner's separate
contractors to repair a warranty item are not covered by this warranty
and will not be reimbursed by Contractor.
No warranty is provided by Contractor on any materials -furnished by the
Owner for installation. No warranty is provided on any existing materials
that are moved and/or reinstalled by the Contractor within the dwelling
or the property (including any warranty that existing/used materials will
not be damaged during the removal and reinstallation process). One
year after substantial completion of the project, the Owner's sole remedy
(for materials and labor) on all materials that are covered by a
manufacturer's warranty is strictly with the manufacturer, not with the
Contractor.
Repair of the following items and related damages of every kind are
specifically excluded from Contractor's warranty: problems caused by
lack of Owner maintenance; problems caused by Owner abuse, Owner
misuse, vandalism, Owner modification, or alteration; and ordinary wear
and tear. Damages resulting from mold, fungus, and other organic
pathogens are excluded from this warranty unless caused by the sole
��= �,tor Owner Owner
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