HomeMy WebLinkAboutBuilding Permit #613 - 545 BOXFORD STREET 4/12/2010Permit NO: 161
Date Issued:
BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Date Received
IMPORTANT: Applicant must complete all items on this pate
LOCATION
PROPERTY OWNER dnt
Print
MAP 210JqrP PARCEL: ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
New Building
One family
Addition
Two or more family
Industrial
Alteration
No. of units:
Commercial
Repair, replacement ---
Assessory Bldg
Others:
Demolition
Other
Septic Well
Floodplain Wetlands
Watershed District
Water/Sewer
DESCRIPTION OF WORK TO BE, PREFORMED:
Identification Please Type or Print Clearly)
OWNER: Name:_ C t s * IQkzC�
Address: 6-Xr S✓T,
CONTRACTOR Narne-
Address: /
Supervisor's Construction License: ' �% Exp. Date: /Ao/Z6,/ L
Home Improvement License: Exp. Date:
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: $ 3 3, 60IJ FEE: $ –�? %6 "—
Check No.: S��" Receipt No.:a-2- �2J4�-
NOTE: Persons contracting with unregistered contractors do not have access to lrejguaranWJund
01ignature of Agent/Owner- Signature
Location D ��� s�--
No. Co 13 Date
Check #��
22925
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $ ?qC'
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
r�
BLA6 ng Inspector
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
Public Sewer
Tanning/IvlassageBody 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
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION
COMMENTS
HEALTH
COMMENTS
DATE REJECTED DATE APPROVED
Reviewed on Signature
Reviewed on I Signature
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:
Conservation Decision:
Comments
Comments
Water & Sewer Connection/Signature & Date Driveway Permit
DPW Town Engineer: Signature: Located 384 Osgood Street
'FIRE`D'Temp Oumpster on si#e yes no Y
Locafedat 124:M5in St eet r f -s
-
Fre Departmentsnature�da#er �� a
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 Call Email
Date Time Contact Name
Doc.Building Pennit 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
a Building Permit Application
o Workers Comp Affidavit
o Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
o Floor Plan Or Proposed Interior Work
o Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
o Building Permit Application
L3 Certified Surveyed Plot Plan
o Workers Comp Affidavit
o Photo Copy of H.I.C. And C.S.L. Licenses
o Copy Of Contract
o Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Mass check Energy Compliance Report (If Applicable)
o 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
o 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)
o Copy of Contract
a Mass check Energy Compliance Report
o 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 2014
ri
rn
p
ni
O
O
CD
Z
O
O
y
y
.E
co
d
s
C
O
CD
0
m
iii.
y
0
N
C
O
y
O CM
C
CD
O C
O 'o
m m
H =
f+
3�
as
�o
0 L
CL.
C Q
J .p
Z CD
CL.
CO)
C
0
U)
LU
to
W
W
ce
LLI
LU
CO)
o
o
or
7
m c
O
w
2
riw
O
W
7
o
H
a—cs
r.
H
w
w
cn
O
cn
O
O
CD
Z
O
O
y
y
.E
co
d
s
C
O
CD
0
m
iii.
y
0
N
C
O
y
O CM
C
CD
O C
O 'o
m m
H =
f+
3�
as
�o
0 L
CL.
C Q
J .p
Z CD
CL.
CO)
C
0
U)
LU
to
W
W
ce
LLI
LU
CO)
o
m c
O
o
�
d�
:t O
L
1, Q
Q.
y
c
S
o o.
y
V,� CD
co t
ca o
CM
E
ve,
gym`
o
`cm3
y
tm
—m
C�;ym
O
E C-.
�v
�,C
CLU
CEO '
�^ sm
Q
cm
ya
27
p,C=
CD
m
a
c
F-
m
yc
m C
C
~'
W
C3
m
W
y CD
t
•y
O C
�
m
E
O.t
v y
Z
O
LAJ
C.i
m
O m
W3
d
CO3
m� O�
��yC
C
S
k-
cc
L
aim
7
O
O
CD
Z
O
O
y
y
.E
co
d
s
C
O
CD
0
m
iii.
y
0
N
C
O
y
O CM
C
CD
O C
O 'o
m m
H =
f+
3�
as
�o
0 L
CL.
C Q
J .p
Z CD
CL.
CO)
C
0
U)
LU
to
W
W
ce
LLI
LU
CO)
7-1
Michaud, Rowe And Ruscak Ins.
P.O. BOX 188
Forth Andover MA yy01845
Phone. 9"78 688 8829 `'"ax: 978 5.5 421330
fi8 Hobert ACoonst 6 Remod, Inc.
st
02 Adams n
& Andover MA 01845
C O ERAOES
HOLDER. 71
ALTER THE
!NSURERS AFFORDING COVERAGE
IN5URER A:
Preferred Mutual Insurance
INSURER &
Meadia Insurance C
INSURER C:
Commerce insurance
ENSURER: U
{w�S
f j
CAI
ER -1 044124111
MATTER OF INFORMATIOfj
POI? THE CERTIFICATE
NOT AMEND, EXTEND OR
BY THE POLICIES BELOW'
THEE ISI I 'C 09 0V,.tF AW -f- LINED SELC-; "XiE eu.N Issli TC hfttEn #Bk-.JtFOR Tl-- POLICY --Ft;3� IAdr-rA TWM#WT MOND
" i�dwf3'.'iER9 , OR GCl+stttTlON OF AW CONTRACT OR OTHER ANT WITH RESPECT TO WHICH TKS CERTi i"fE MY 82 WAZ G
? I. I rlaii, -Cfe MaguhlIx- a"+ rORO€"v By - LfC: =-S 0tEZ"' r i; N a SUNG C,T't 0 ALLi t�E i ERhG. E=AICASS40 s"� I��,,��n�n'0
POL ICMS. ACc3REC' IE L9WS SHOVM MAY HAVE BEEN, RELWCED Fhb' RAID C
L"- Mn
T!,eeRae OF IM"-jRn s Pt31�9C?3#dFi9JS£SEFs
T .
..+..ni -:. v ...'
{w�S
f j
CAI
_
r
GENERALL.UMMUTY
�,.+�i�r�'*�f+.:N'�I•'�.+ ', i.£ ,�, 4�'
i X C aALGENERAL LIABILITY CPP011 15192028 021'19/09
00/09/10,
>f � 9� _� �.
s.:r
j�
j y
1 rsLLtkflt�tS:.A+Jtt�E4-1 4'GilRdk,a.'tas`x'vrz'''a,a:t,...,,,.33"De�nl
$JQ'o _.....�.....,_.
F. ,:
P£RSONALSADV€NJURY $ 100 0000
i
� � �
�
� GEI~7ERAL A�C�REGATF" 1$2000000
'
�EN'L o%GGRECATELIM€TAPPLIES PER. � �
�
�PlLYJ+.loSl
_�eN j
cv
I C
ANY AUTO i 0 t18 1 12/19/09.1
12/19J10
j
BODILY INJURY
jj ALL UVVkEL`RUTAS [
t- 7
I1
SCHEDULED AUTOS(i
3
�T Parson}
- 1
R
I
is Hifi P' ccs t I
NON•OWNM AUTO
BODR Y INJURY #
1
{ #
i
-
l--•• -- aav�x .^-^•..*
fit""^ )f,
r.
PROPERTY DAMAGE E I
1
(Poi �cc�w�ny
GA RAGE LIABILITY
_..
�
I AU O ONLY - !"'A ACCIDENT 'S
OTHEREAACG
UTO CNLY:
ANY AUTO
4
AGG, � S
{ E"^ES.,• W&GRGLLA LIABILITY
�{ OCCUR CLAIMS iv ;6c
f+ IAGGREGATE—
EnCri OCCLiRRENCE `a
1
RETENTION S _ -
-
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
APJY PROPRIETOR7PARTNER}EXECU-"r TIVE{
TT
SThip- - fiSi ¢- I`---
€01r 1 v ITS ' ER
OFFICERIMEMSER EXCLUDED?
tMaektlat Itt N33)
r ***To Rg 2scytLm gX p�a�gq t
IF !_. E -A04 ACCIDENT
It�s da scribe lander
SRECIAL P 0V-1 IONS below
k
z I mgF.L; AL t r
OTHER
i 1
I
1 1
c
'
... +- - yr vrcrw r r,. I eR 4..?urva Ae au a r rnrnmaerz CIV ? I af-MlI L rrevvraIUrr.J
**Worker's Compensation CO! to be issued to you directly by Acadia insurance
Company.
CERTIFICATE HOLDER
Town of Norte Andover
Department of Public Works
384 Osgood Street
North Andover MA 01845
E
NORTHI3
CANCELLATION
SHOULD ANY Of THE ABOVE DESCRIBED POUCIEs BE. CANCELLED BEFORE THE EXPIRAIX
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR 70 MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
The ACIORD name and logo arc registered mar, ks of. ACORD
reserved.
� �rui�xL'rri � •�iisra�st
-ti Bourdof 1; ffldirug Ro.gniaai0014 olid Stknif*rft .
€#-."ME t xIPf:Q'd'EPAEkT ccYiaAuT, OR
Ow
x�rFt# 9l2i
3 JY a's�i to vC1i{ivCailCric
R. . HO ER Ci) tVi43 "V �tJC� INC.
RONALD H�BEF�
'fit kt AAIS AVE
110 AtCOVER 'W01945
Board of Building RegakaJonsand SlAndards.,
Licenser. G� 58241
.za t't� atw: €#k 159M
R.S. Y EBER'T'
Construction & Remodeling Inc.
102 Adams Ave.
No. Andover Mass. 01845
(978) 686-0786 Phone/ Fax
Lic. #:058241 Reg. #:153811
DATE: 4/10/10
OWNER'S NAME: Elaina and Alex Klimenko
Address: 545 Boxford St.
No. Andover, Ma 01845
I. PARTIES
This contract (hereinafter referred to as "Agreement") is made and
entered into on this 10th day of April 2010 by and between Elaina and
Alex Klimenko (hereinafter referred to as "Owner"); and R.S.Hebert
Construction & Remodeling Inc., (hereinafter referred to as
"Contractor"). In consideration of the mutual promises contained herein,
Contractor agrees to perform the following work, subject to the terms
and conditions below:
II. GENERA. SCOPE QE WORK DESCRIPTION!
Job Description: Siding, Windows, and Doors
1. Remove existing masonite siding
2. Remove and replace any rotted\water damaged trim
3. Install 3\8 foam insulation board to all exterior walls to be sided
4. Install insulated vinyl corner boards
5. Install Mastic or equal vinyl siding. Color by owner
6. Cover all window trim, rake boards, soffits and facias boards -with aluminum coverage
7. Install new Harvey tribute vinyl replacement windows -19 units
8. Install new Andersen slider door in kitchen and French doors in master bedroom
Contractor Owner Owner
9. Install new Therma Tru front door unit with 2 side lites
10. Supply permit
11. Remove all trash from site
A. LUMP SUM PRICE FOR ALL WORK ABOVE* $33,000.00
Thirty Three Thousand Dollars
III. GENERAL CONDITIONS FOR THE AGREEMENT ABOVE
2. 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
Contractor Owner Owner
removing ponding ground water or other unusual concealed site
conditions during excavation
B. DATE OF WORK COMMENCEMENT AND SUBSTANTIAL
COMPLETION
Commence work: 5\3\10. Construction time through substantial
completion: Approximately, 3 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.
Contractor Owner Owner
2. 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
1. PAYMENT SCHEDULE:
* 1st Payment: due when Agreement is signed and returned to
Contractor: $8,000.00
• 2nd payment: When work begins: $10,000.00
• 3rd Payment: When windows and doors are installed: $5,000.00
* Final Payment: Balance of contract amount due upon Substantial
Completion of all work under contract: When job is complete:
$10,000.00
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
Contractor Owner Owner
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
and active negligence of contractor as a direct result of a construction
defect which caused sudden and significant amounts of water infiltration
into a part of the structure. Deviations that arise such as the minor
cracking of concrete, stucco, and plaster; minor stress fractures in
drywall due to the curing of lumber; warping and deflection of wood;
shrinking/cracking of grouts and caulking; fading of paints and finishes
exposed to sunlight are all typical (not material) defects in construction,
and are strictly excluded from Contractor's warranty.
F. WORK STOPPAGE AND TERMINATION OF CONTRACT FOR
DEFAULT
Contractor shall have the right to stop all work on the project and keep
the job idle if payments are not made to Contractor strictly in
accordance with the Payment Schedule in this Agreement,
G. DISPUTE RESOLUTION AND ATTORNEY'S FEES
Any controversy or claim arising out of or related to this Agreement
involving an amount less than $5,000 (or the maximum limit of the
Small Claims court) must be heard in the Small Claims Division of the
Municipal Court in the county where the Contractor's office is located.
Any dispute over the dollar limit of the Small Claims Court arising out of
this Agreement shall be submitted to an experienced private
construction arbitrator that shall be mutually selected by the parties to
conduct a binding arbitration in accordance with the arbitration laws of
the state where the project is located. The arbitrator shall be either a
licensed attorney or retired judge who is familiar with construction law.
Contractor Owner Owner
If the parties can not mutually agree on an arbitrator within 30 days of
written demand for arbitration, then either of the parties shall submit the
dispute to binding arbitration before the American Arbitration Association
in accordance with the Construction Industry Rules of the American
Arbitration Association then in effect. Judgment upon the award may be
entered in any Court having jurisdiction thereof.
I have read and understood, and I agree to, all the terms and conditions
contained in the Agre nt abov .
DATE CO OR' SIGNATU
VA
l� E OWNER'S SIGNATURIE
�Iloho
AT OWNER`S SIGNATURE
contractor Owner Owner