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HomeMy WebLinkAboutBuilding Permit #375-2016 - 536 FOREST STREET 9/23/2015 (3) BUILDING PERMIT TOWN OF NORTH ANDOVER ° t APPLICATION FOR, PLAN EXAMINATION * - N Permit NO:. � Date Received �9 AToo 10a��S Date Issued: `7 SSgCHIfS� IMPORTANT: Applicant must complete all items on this page L'OC;i4TlCIV..,i � �� �' � �tt ;fti� �(l ._. Fa° �z t 7; a .. ; .� �a� MAP N�, � a �PARc � C t` �p T IC1 M. stork l`st c y c� 'b " �` y M phttl Far I'I 'n 3r,_ S!_, TYPE OF IMPROVEMENT PROPOSED DISE " Re'sidential Non- Residential ❑ New Building k0ne fpmily ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial 0 Repair, replacement ❑Assessory Q1dq a,e ❑ Others; ❑ Qemolition ❑ Other _ - `C� A� t�A..r v �, .....s # -,h eE � a �:"�'✓�e` � .F��. �, ,�'� � �.a�ar_r� .i� .„� y rb.� �i.��� , Y a,tQr11.be e S , �, s��:a ss S-}e e _ ',�e f o o rel s4o vel —V Poor a 9 OWNER: Name: ��. Location '� �� I Address: No. ! r j Date " IT ;� • 'AdTOWN OF NORTH ANDOVER dress - f ,fit �y- „�,t 4� • � � *' ,�✓t� �.:r s�`c��;.... 16ff�-�.. � _ �•i E dl P4 rc� iT s, r q �ettot�E erg j ; d .r Certificate of Occupancy $ yj Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ ARCHITECT/ENGTOTAL INEER $ Address: 5 FEE$CHF-DULE.BU-IDING PFRIMCheck# / Total Project Cosi: $ 164 Check No.: 29401 Building Inspector NOTE; Personas contractingwi - 1_.Cl Deems, Maura From: Cindi Hudson <cindi@billysweetchimneysweep.com> Sent: Tuesday, November 10, 2015 2:06 PM To: Deems, Maura Subject: 536 Forrest Street, North Andover Maura Deems With regards to Susan Letorneau, 536 Forrest Street,North Andover Massachusetts, Miss Letorneau decided not to go forward with any work. We have issued her a full refund in the amount of$1,100.00 dollars. We would ask if you would kindly refund us the amount we paid for permit number 29401 in the amount of$40.00 issued on 9/23/2015. You could mail the check to Billy Sweet Chimney Sweep _ _ P.O.Box 287 Swampscott, MA 01907 Thank you in advance. Cindi Hudson cindi(?�billysweetchimneysweep.com Office Assistant- Billy Sweet Chimney Sweep Boston 617-469-4528 North Shore 781-593-2333 Maine 207-773-7933 M-F 8:30 a.m. - 5:00 p.m. i r -I NoRrH - _ . w: .. . � � c . . ve: zoh ver, Mass, COC L11K 1C 1t y1. S t1 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System *+ OSI N.c& ................................... BUILDING INSPECTOR THIS CERTIFIES THAT .............501301f.qmw.......0....... .................. has permission to erect . SUO,,,,,, ..: !.� s Foundation p ......................... buildings on ... .. .......�....... . Rough to be occupied as ...s.... ....... .. ......... . .............. .11............ ................e .... Chimney provided that the person accepting this permit shall in every respect conform to the terms 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 MONTHA ELECTRICAL INSPECTOR UNLESS CONSTRUCT AJTP Rough Service ...............r ...................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy.Buildin Rough Display in a Conspicuous Place on the Premises — Do Not Remove Fina' No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke-Det. l , F I PrODO l UP5CIF� ONS Sweet Contracting Corp. dba AND ESTIMATE 13111Y Sweet Chimnff Sweep PROPOSAL SUBMITTED TO: DATE: Susan Letourneau 9/1/15 STREET PHONE 536 Forrest St 973-667.0442 MA CSL:11J.o6967 MA HIC:# 2S338 CITY,STATE,ZIP CO® PHONE P.O.Box North Andover, MA 01 US 978-807-7323 Swampscott,*AG1907 78�593.�333 ur EMAIL , 800.a4t3.49o0 781.595-1140 fax smiet536@gmail.com 4 0 Pull a building permit with the town of Andover. o Install a properly sued stainless steel chimney liner for the woodstove,i'With proper terminations at the top of the chimney and proper connection to the woodstove vent pipe and proper tee at the bottom.This will include a new damper on the vent pipe also. Cutdown the flue tiles so they are flush With the crown of the chimney. • TOTAL(includes scaffolding, labor, materials,waste removal and cleanup):$3,300.00 i The installation of a new stainless steel chimney liner comes with a lifetime warranty as long as Billy Sweet Chimney Steep inspects and sweeps the chimney annually. Billy Sweet Chimney Sweep guarantees all labor and installations for one year. If we come back each year to do a sweep and inspection of the chimney, the maWal.waqaniy�and the company guarantee stays-infant. Take-advantage of our annual 20%Spring.Discount for inspecting and sweeping your chimneys during the months of February and March. The first annual sweep and inspeaton is free. The National Fire Protection Association, the Chimney Safety Institute of America, the U.S. Consumer Product Safetr+eccomendannual inspections of your heating system chimneys, flues and fireplaces. Association y Commission, the U.S. Environmental Protection Association and the American Lung Assoc l WE PROP®SF.hereby to fumish materials and labor—pompletc in accordance with above specifications,for the sum of: *************"Three thousand three hundred and 00//100***** *' * '`** QoBBars ($) 3,300.00 PAYMENT TO BE MADE A$FOLLOWS 1/3 deposit in advance ($1,100.00), 1/3 payment at the start of work ($1,100.00), balance due when the work is complete ($1,100.00). i Advant-a of e- to are non-refunda&e in e of cancellation b summer. { N ma3esial is guava eed to be as speg6ed.All erpk is to be completed in a su ntl�vaaiianar he mermen according to spedWons submitted,per standard prances.Any akretion or deviation tram above3sp cations involving eta costs will be examted only upon+?niKen orders, Auftrimd and a@I became extrs d'wge over and above the o0oate•AN agreements contingent upon Sl n;iaare sbilms,aoddents ordelays beyond out control. Ovmer catty fire,tornado end aecessaay Nod`%!3 i ce. i ttl#hdrawrt by us �t acaim afithl dais. AWEPTANCE OF PROPOSAL: no above paces, speocations and conditions are sstl*dory and are hereby acted. You are authorized to do the wwk as Slg111130 : liLliS_L_.d spxikad Payment vaill be made as outlined above. s Date of Acceptance: Signature: x t i c:\Docs\Customer Reports 2015\1 rm ,elourneau 536 Forrest St Proposal 150901.docx l i The Ca y= Giratrealtlr of massachusetts Dgpartntent.ofIndustria'Accidents office erflnvestx"Oafio.ns Congress Street, Smits 160 BoSfon'MA 02,114-2017 itrtti l:tfxass'S.gfft}/dlt Workers'Compensation Insurance Affidavit; .A.ulillieant Information-­. .�_.d� . ... .�,�.�,.,,,..�.......,.�..,. Phase Mnt 11 x�iv Nam0 (Business/tea nszaticnlandi iduai): E colt l Addre :94 City/$tate/zip: W 49 Tholle P ' Are yoan employes?Check le.appropriate box; 4. I am a be acral contractor and I�Fr" e of project(required): l i stn a employer;;rim,r �,l New consttuction erhployces(full:and/orp -time). have i, d tine stab-cr�;ttrac;�xs 2.Cl i am a sole propyietor or par�tev listed on The attached sheet. 7. Remodeling shipand have no employees '1 htw sub-contractors haze �� . �: '�Demolition wgfor me to anyi capacity. ernplo}c s'Ind hrc�orktr 'cw � [Ko work co np.ins"tt'ano" COMP. PiSUTMCC,+ 9, �Building addition, re'quixe ,l a etre a corpora ion aad is � 14.L�ectrical repaiis or additions offic yrs have exercised their � 3.� I acct a l®rtaeowner dta?t alt work l�. Piuraxbi»g repairs or additions myself,'[No workers' camp. right ot't�craptiatt per��G 12.0. Itcsof repairs kitirance rectuirM.)t c. 152,X1(4),and we have rao erliploycm o workers' � l3.0 Other corrp lusurartce mecca'--ed.j .. �,pyappticaDt that checks box 9l must asKa 1111 our the,se tion btlow tinwin�cY�,r?��k�s'cu up�s�st t rn r aticy iz frnsiat oti. Yoancovz els witty submit this Stfidc*indicating t2 Y are doing.all meek and rhe€i hire oL si-I ctrn,raotor}rsrt t surer sit t aosv affidavit sr"ndietitingt such. #Contractors that check this box tnust attached an additional sheet slro...inP tite rara?c ci.the and stm.#wbrthcror not those enatics have employees.I If the sub-conUnct0M have errtp;oyees,fty must"m/ide tIt6r work-m. comp.poIiey nuinbcr Iam an int pFd °_'"' �.,,...�., .:.�:.��,-�---�-- - ......�•--- der that is preav"cliz�g wapkara'caarr; ens»ir€r"i7sttt°n"Ce fOr rrty employo . .B'do rr is rhe policy rt jab site informadon. Insurancd Company Name; _ , Policy#ter Self ins.Lie �: � � �� � � � �� ,� r C Job Site .ddress: 5 Pity/State/Zip ?y 5 Attach s Copy of the workers'compensation policy dedaration page(,howiag the policy nttn'ber and expiration date). Failure.tol coverage as rctluired'irndcr Section 25A of MGL c. 52 can lead to tho it tposit°taro Of crirtiirtal penalties of a brae up to�S I;SQt).UO aaid/or ane�year impristaa:rraenG,es well res ri.ril Iietrsitfss in tlxe fay of STOP 4QI�.I{ ?RT3It and a fine of up tos0:eo a day against he violator. Be ad vrsecl trr.t a copy ct'tir�is statenttcn°may be forwarclt d to the O Bice of Inves�tigataoas of the DIA for instxancc coverage verification. ,I do kere�iy cerhYy rst;rFer thepains aPaas rtrrd pgnalfievaft.�r°gar i1'ar��t,`,r pnforatrrtrortprovided ahaveis rsa andcorrect. ei ,.,. fit:r..,:_ PA e#: 1 1{�ca we only. Do no-t%?rite J.-t ii%Fs ars:.a t , r � '� 4f8 F{°e�"'d",t?e!?r w�!�: y%CPT Cid 00,.I wrk. Pex1?tjVl ='wt_'so Issuing Authority(circle one)- aE� oad:tifealtlr .F3tttili,gepatftacr.t 3.Ca:yl u °:o Clerk ...tc tt ticalInspector, sl;eetr <Faerbit lasecfor 6,Other Cotatitc$':P'aisQal:� f'hoae I, i ,_.�..�...r,,.,`.^ham..« :;-` .o..;�.^—^:;---•-aa„,:�-,^,:��:.a..,.W - ACS CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) ,k,.,,..- " 09/22/2015 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 this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Thomas A St.Jean Thomas St Jean Insurance NAME: PHONE 978-531-8053 FAX No):978-531-8653 484 Lowell St A/c o Ext E-MAIL Suite 1-C ADDRESS: Peabody,MA 01%0 INSURERS AFFORDING COVERAGE NAIC# INSURERA: ATLANTIC CASUALTY INS CO 42846 INSURED Sweet Contracting Corp dba Billy Sweet ChimneySweINsuRER B: CHARTER OAK FIRE INSURANCE CO 25615 P 0 Box 287 INSURER C: NAUTILUS INSURANCE COMPANY 17370 Swampscott,MA01907 INSURER D: INSURER E: INSURER F: 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A COMMERCIAL GENERAL LIABILITY MPOO20000500177 04/12/2015 /12/2016 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE 12 OCCUR PREMISES Ea occurrence $ 50,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY D�PRO- JECT � F—] LOC PRODUCTS-COMP/OPAGG $ 1,000,000 OTHER: $ B AUTOMOBILE LIABILITY BA7167M153 11/30/2014 11/30/2015 COMBINED SINGLE LIMIT g 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED / SCHEDULED AUTOS V AUTOS BODILY INJURY(Per accident) $ V / NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION - PER - OTH- AND EM PLOYERS'LIABILITY YIN STATUTE I I ER ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C CPL201151010--POLLUTION 04/12/2015 04/12/2016 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Susan Letourneau THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 536 Forrest Street ACCORDANCE WITH THE POLICY PROVISIONS. North Andmer,MA 01845 AUTHORIZED REPRESENTATIVE AQO7+fcr�Gc:. ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD I ACoORL:0® CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DDIYYYY) 09/22/2015 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: Thomas St Jean _ THOMAS ST JEAN INSURANCE _c ONE (FAX (978)531-8053 iac Nor EMAIL tst can st'e _ ADDRESS: J @ J aninsurance.com 484 Lowell St. Ste 1-C INSURERS AFFORDING COVERAGE NAIC# _ PEABODY MA 01960_ INSURERA: LIBERTY MUTUAL FIRE INS CO 23035 INSURED INSURER B: — — SWEET CONTRACTING CORP INSURERC: -- IJBA BILLY SWEET CHIMNEY SWEEP INSURER D: PO BOX 287 INSURER E_ SWAMPSCOTT MA 01907 INSURER F; COVERAGES CERTIFICATE NUMBER: 1501 - 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 TYPE OF INSURANCE ADDL SUBR — POLICY EFF POLICY EXP LTR. POLICY NUMBER MM/DD/YM 11 LAtDD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE 71 OCCUR DAMAGE TO RENTED PREMISES(Ea occurree) $ _ — � nc MED EXP(Any one person) $ NIA PERSONAL&ADV INJURY $ M 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- _ JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: _ $ AUTOMOBILE LIABILITY I i COMBINED SINGLE LIMIT $ Ea accident ANY AUTO i BODILY INJURY(Per person) $ ALL OWNED SCHEDULED ----- N/A BODILY INJURY Per accident $ AUTOS AUTOS � I � ( ) PROPERTY DAMAGE HIRED AUTOS NON-OWNED i Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ - $ WORKERS COMPENSATION X 1 STATUTE ERH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EY.ECUTIVE YIN E.L. ACH ACCIDENT $ 500,000 OFFiCER/MEMBER EXCLUDED? NIA N/A N/A WC231S351551035 05_/07/201 10.5107/201,13 ------ I � 5 (Mandatory in NH) �� _ E.LI DISEASE-EA EMPLOYEE $ 500,000 If es descnbo under r DESCRIPTION OF OPERATIONS peiow _ E_.L.DISEASE-POLICY LIMIT $ 500,000 i � ( 1 NIA DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule may be attached if more apace is required) Workers'Compensation benefits will be paid to.Massachusetts employee:only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the exp"I(ation date on the above policy precedes the Issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation!investigations/. i CERTIFICATE HOLDER CANCELLATION — SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Susan L etOUrrteaU ACCORDANCE WITH THE POLICY PROVISIONS. 536 Forrest Street l AUTHORIZED€F;PRESENTATIVE North And over ,4, ( � y f MA 0184.5 Daniel M Cro�+e', _PCU,Vic Pr 1 e esident- Residual Market–WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of.At;OR.Q 1Massachusetts Department of PublicSafetyIN Board of Building Regulations and Standards License: CS-089583 #5642� �s<ueer Construction Supervisor b, WILLIAM IF SWEET Valid Thru' June POZOX 287 45 NEW OCEAN,'T S4[/9IYtPSMO4 l IYIM R � x Commissioner r 04/26/2016 Billy pSweet Chimney Sweep,ry Boston, MA ry 5�°t \.% l �V"!!(ldL/'',JTJE! � AC.f a "....F�f✓ t� _, �P��' Office of Consumer Affairs and Business Regulation 10 Park Plaza Suite 5174 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 125338. Type: DBA Expiration: 11/2412015 Tr# 245A75 BILLY SWEET CHIMNEY SWEEP WILLIAM SWEET PO BOX 287 SWAMPSCOTT, MA 01907 Update Address and return card.Mark mason for orang& su r u 2crrn*W11 i Address 0 Renewal E, Employment Lose Card G"i �r�t%re�ietrroxr»t'r��l�s���i✓tfra:.urr�rr�rlfs Office of Consumer ACfzirs A-susincxs fteguigion License or registration valid for individul use only RAE IMPROVEMENT CONTRACTOR before the eXpiration iia de- If found return to: r' istraticn: 125358 Type: Circe of Cuasu or affairs and Business Reulat on plration: 1112412015 08A til Park Plaza-Suite$170 Boston,MA 02116 BILLY SWEET CHIMNEY SWEEP WiLLiAM SWEET 45 NrW OCEAN STREET SWAMPSCO TT,MA 01007 Undersecretary Not valid without s gnatum