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HomeMy WebLinkAboutBuilding Permit #193-13 - 549 PLEASANT STREET 5/1/2018 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO• 4� r Date Received b I Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION A If -a Print; I -PROPERTY OWNER Print 1OO:Year Old Structure yes fno. MAP NO:,PARCEL: �_ ZONING DISTRICT: Historic District, yes• Machine ShopVillage yes TYPE OF IMPROVEMENT PROPOSED USE ResideDWI Non- Residential ❑ New Building v6ne-family El Addition ❑Two or more family El Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic, 0 Well, ❑.Floodplain, ❑Wetlands, ❑ Watershed District 0 Water/Sewer. G DESCRIPTPN OF WORK TO BE PERFORMED: J VC \(,m I� cation Ple Type r rant Clearly) OWNER: Name: ,= Phone: Address: ' Q ON RACTO-R Name: . .,_ _ Phone 6pe V 'Address: I `/ Supervisors Construction License.. C V Exp..' xp Date- , I .J Home Improvement,License: t t Exp. Date:- ARCH ITECT/ENGI NEER ate: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: $ 0��V .� FEE: $ ®l17 .0-0 Check NoJ 26 �— Receipt No.: s NOTE: Persons contracting with unregistered contractors do not have acc s the guars Signature_-of:Agent/Owner Signature of contractor , Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. i 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 ec s ❑ 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/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: Doc.Building Permit Revised 2012 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 CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature CWWENTS Zoning 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 Os ood Street FIRE DEPARTMENT Temp Dumpster on site yes no Located at'124.Main-Street. FireDeparts ienf-sigiiature/date COMMENTS i i Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of deter 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 I I Doc.Building Permit Revised 2010 Location No. Date ' �Z e - TOWN OF NORTH ANDOVER VLAYMO e Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee Trflra TOTAL $ Check#25690 Building Building Inspector f A d0 _ Massacbusetts- Department of Public S.tfct% Board of Building Relgulations and Standard Construction Supervisor Specialty License License: CS SL 99895 Restricted to: RF ROBERT OKEEFE 21 FRANCIS STREET NORTH READING, MA 01864 Expiration: 9/29/2013 Commissioner Tr#: 960 _ fie �anvnaa�uuea Office of Consumer Affairs&Business Regulation s OME IMPROVEMENT CONTRACTOR f Registration`1-137193 Type: OU OF; Supplement BAY STATE ROOF�ERtINC ROBERT O'KEEFfE PO BOX 189 N.READING,MA 01864 ;, Undersecretary r . t r1, ' F t%ORTH - ver �Hf i No. low h ver, Mass, lot . ' COCNICHIWICK y1. p�RArIE S U BOARD OF HEALTH T D Food/Kitchen PER lkSeptic System • THIS CERTIFIES THAT ,,,�,. ,,,,, BUILDING INSPECTOR ............ ...... .......... ... ......... ....:��' ..........:�........:��� Foundation has permission to erect ......................... buildings on ..... ........ ........ ...... .. ....... Rough to be occupied as ................. .... .. ........... ......' .40 �. ...... ................ Chimney ...... provided that the person accepting thi permit shall in every respect conform he 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'MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCT S Rough lob r Service ............. ...................... ..................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. SEE REVERSE SIDE r -1 NORT11 sAt -c' . . ver No. ZT ' o h ver, Mass, O� coc"Ic«twit« q°QAreo - S U BOARD OF HEALTH PER I T LD Food/Kitchen Septic System • THIS CERTIFIES THAT T ...CA....., ....... BUILDING INSPECTOR .. Foundation has permission to erect .......................... buildings on ...... ......... ........ ...... ...... ............ .�. .� Rough to be occupied as ................. .... .. .......... .... ..khe ... -......................... Chimney provided that the person accepting thi permit shall in every respect conform 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`MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCT S Rough Ir Service ............. ..................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. SEE REVERSE SIDE Baystate Roofers,Inc. Proposal P.O. Box 189 North Reading,MA 01864 Date Estimate# Tel. 978-664-0668 Fax 978-664-4333 9/3/2012 12125 Name/Address HIC # 137193 Rinaldi Anthony CSSL# 99895 549 Pleasent St N.Andover,MA 01845 Say State Roofers Inc proposes: Remove approximately 2600 square feet of the existing asphalt shingle roof down to the wood decking. Install new ice and water shield along the 6'roof edge, valleys and around all the roof penetrations. Install new 151b felt paper throughout roof area. Install new white aluminum drip edge along the roof perimeter. A new Lifetime GAF Architectural asphalt shingle will be installed over the prepared substrate. A new ridge vent will be installed to ensure the proper roof ventilation. All roof penetrations and flashing will be installed according to manufacturers recommendation, specification and details. Install new pipe flanges. Bay State Roofers will properly dispose of all roof debris in our own waste containers. Any wood decking that needs replacement will be an additional $2.50 per lineal foot. New Shingle Roof Authorized Signature: Total $8,840.00 Waste containers supplied by Bay State Roofers, Inc. are for sole purpose of roof debris. Under no circumstance is the homeowner to use these containers for personal use. 10 Year Workmanship Warranty on all roofs. (Except Repair Jobs) CONTRACT ACCEPTANCE The specifications,prices,payment schedule are satisfactory and hereby accepted. Date: Cf �' ► Z BAY STATE ROOFERS,INC.is authorized to perform work as specified. Payment will be made as previously outlined. Signature S All bills over 30 days are subject to 1 1/2%finance charge per month(18% annual). Color OY c�N T . t PROVISIONS OF THE AGREEMENT 1.PROJECT PROVISIONS e. Damage to Project:Contractor Will not be responsible for any a. Guideline•The Project will beconstructed in strict conformance damage caused by the..Owner,or other causes beyond the control of to the plans and.specifications which have been examined and time Contractor.Owner will pay for any restoration work. approved by the Owner. IV.CONTRACTOR'S RIGHTS AND RESPONSIBILITIES b. Compliance:The Project will be completed in strict compliance a.Delay: Contractor will.be excused for any delay beyond his with all laws, ordinances; rules and regulations of the applicable reasonable control.These delays may include,but are.not limited to government authorities. Acts of God.labor disputes,inclement weather,ads of public authoriity, c. Control:The Agreement plans and specifications ate intended acts of the Owner,or other unforeseen contingencies. to supplement each other in case of conflict,the plans will control the b.Right to Stop Work:If any payment under this Agreement is.. specifications and the Agreement provisions will control both. not made when due.the Contractor may suspend work on the job until d.Charge Orders:As directed by the Owner,constriction lender, such time as all payments due have been made.Any,faikue to make public body or irtspedor,any alteration or deviation from the specifications payment is subject to a claim enforced against the property in accotdarx a with#w applicable Gen laws. that involves extra cost(subcontract labor,materials)Will be executed only upon the parties entering into a written change order. Expense c. Substitution of Materials:Contractor may substitute materials incurred because of unusual or unanticipated conditions wit be paid for 'without notice to the Owner in order to allow work to proceed,provided by the Owner that the sut�sMuted materials are of no lesser quality than those listed e. Allowances...the Agreement price includes allowances;and in the specifications' the cost of performing the work is greater or less than this allowance, d.Salvage:All salvage resulting from work under this Agreement then the Agreement price wilt be adjusted accordingly. is to be retained by the Contractor unless other agreements are IL FINANCIAL RIGHTS AND RESPONSIBILITIES contained in the written specifications. a. Laborand Material Contractor.will provide and pay for all e. Insurance: Contractor will maintain workers' disability labor and materials necessary to complete the Project. Contractor is compensation insurance for-his employees and comprehensive public released from this obligation for expenses incurred when the Owner is liability insurance policies. in arrears in maldng:progress payments. V.COMPLETION OF PROJECT b. Permits:Contractor will obtain and pay for all required.building a. Notice:Owner agrees to sign a Notice of Completion within 5 permits and licenses. days,after completion of the project. if project passes final inspection c. Taxes,Assessments and Charges:Taxes.special assessments and he Owner does not sign the Notice,the Contractor may act as the of all descriptions, and charges required by public bodies and utilities Owner's agent and sign the Notice. will be paid for by the Owner b.Clean-up:Contractor is responsible for removing debris and d. Deposit of Payments: Contractor is required. to deposit all surplus material from the property,and leaving the property in a neat payments received prior to completion in an escrow account.in lieu of and orderly condition. such a deposit,the Contractor may post a bond or contract of indemnity V1.CONFLICT PROVISIONS with the Owner guaranteeingthe return or proper application of such a. Arbitration: Any controversy.or claim arising out of,this payments to the purposes of the contract.All advanced funds will be Agreement that cannot be resolved,is subject to arbitration,with .deposited as indicated under Special Provisions. Monies used in an arbitrator of mutual agreement, and all parties (including. escrow become the.property of the Contractor.when they are applied Owner,Contractor,Architect and Sub-Contractors)are bound to according to the Agreement payment schedule, when a breach of this arbitration.. If any party does.not appear at arbitration contract by the Owner occurs, or when the Agreement has been proceedings,the arbitrator is empowered to decide the controversy substantially performed_ in accordance with whatever evidence is presented by the e. Bankruptcy: If either parry becomes bankrupt,the other party party(ies)that do participate. has the right to cancel this Agreement. b.Attorney Fees If either party becomes involved in litigation Ill.OWNER'S RiGHTS AND RESPONSIBILITIES arising out of Agreement,the Court shall award costslexoenses a. Cancellation: Owner.has an unconditional right to cancel the including attorney fees to the party justly entitled to them. Agreement, without penalty or obligation, until midnight of the third c. Limitations:No action related to this Project may be made business day after the Agreement was signed. Cancellation must be by either party against the other more than 2 years after the done in .writing. Upon cancellation, any property traded in, any completion of work. payments made under this Agreement,and any negotiated instrument VII.GENERAL PROVISIONS executed will be returned within,0 business days following receipt by the Contractor of cancellation notice. a. Notice:Any notice required or permitted under this Agreement b. Property Lines Owner shall locate and point out property may be given by certified or registered mail at the addresses contained in the Agreement. fines to the Contractor.Contractor may,at his option,require the Owner to provide a licensed land surveyor's map of the property. . b.Prohibition of Assignment: Neither party may.assign this c. Liens:Failure to pay persons supplying materials or services Agreement or payment due under this Agreement without the written consent of the other party- according artyaccording to the terms of this Agreement may result in the filing of mechanic's hens on the affected property. Owner has the right to ask c. Oualification:This document constitutes the entire agreement the Contractor for lien waivers from all persons supplying these of the parties. No other agreements exist. This Agreement can be materials or services.In the event any mechanic's lien is filed through modified only by written agreement signed by both parties. no fault of the Owner then the Contractor agrees to take all steps d.Governance:This Agreement shall be construed in accordance necessary for the°release and discharge of such lien. with and governed by, he laws of the.state in which the Project is d.insurance:Owner will maintain property damage insurance at located. least equal to the Agreement price. Aco CERTIFICATE OF LIABILITY IN °�'�'"�'"'7/ 4/ INSURANCE. � '7/ 4/12 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 endorsemengs). PRODUCER CONTACT A & K Fowler Insurance, LLC Pl ME; ONE 200 Park Street (978) 664-0366 I FAx N (978) 664-2209 E-MAIL North Reading, MA 01864 ADDRESS: _ _ -INSURERIS)AFFORDING COVERAGE ! NAIC# INSUREDINSURER A:-Wes_tern_ World Insurance Co non -- _ INSuRER B:Merchants_-Insurance Groun _ Bays tate Roofers Inc. INSURERC:ACE American Insurance--Co. 240 Park St. -__ -_ North Reading, MA 01864 INSUREgo.:Ace_Group 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 ANDCONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLrSUBR' LTR TYPE OF INSURANCEPOLICY EFF f( POLICY EXP I I POLICY NUMBER MM/DD/YYYYI MM/DDVYYW LIMITS A GENERAL LIABILITY I 1REN I L OF NPP1318117 6/15/121 6/15/1311 EACH OCCURRENCE S 1000 000 X ; CONVAERCIALGENERALLIABILITY DAMAGE 70 RENTED —I r-- `— — , �PREMISUlEamwnensel___� 50,000 CLAIMSAM1ADE X_f OCCUR I j MED EXP(Arty one person) !S 5,000 JI PERSONAL&ADV INJURY $ 1 000 000 - -`-— GENERAL AGGREGATE _i$ 2,000,DOl)1� GFN'LAGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGG _S1 000,000 _I I POLICY PRO- LOC 1 (_.__.._ B AUTOMOBILE LIABILITY 'MCA7015534 6/15/12 6/15/13 CONEINEOSINGLELIMIT r ! .(Eaaccident) S 10,00_000. ANY AUTO I BODILY INJURY(Per person) S Al.L0WINE D SCHEDULED I _ AUTOS X AUTOS ( BODILY INJURY(Per accident) S XNON-OWNED I _ _ tiIREOAUTOS X AUTOS ) �I-,P—R�O-_PERTYDAMAGE =' -7 I c_ accrden�- I � S fff UMBRELLA LIAR I OCCUR EACH OCCURRENCE EXCESS LIAR _ CLAIMS-MADE; AGGREGATE S I DED RETENTIONS S "�- WORKER D AND YERS'LI COMPENSATION 16S62UB4609P06212 4/12/121 4/12/13 WCSTATU- i' ''0TH AND EMPLOYERS'LIABILITY Y/N I _TORY LltflllS i ! FBj_ ANY PR OPR IETOR/PARTNER/E XECUTIVE -._. OIFICE RMEMBEREXCLLOED7 N/A EL EACH ACCIDENT _ S 1,000,000_] {Mandatory in NH) - - 1 Ir yes cescnbe ,Hoer E L DISEASE-EA EMPLOYEE 5_ 1,nr UGSCRIPTIONOFOPERATIONSWow EL DISEASE-POUCYLIM IT S 1 000 000 DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (Attach ACORD 101,Additional Re.marks Schedule,if more space isrequred} I Insurance verification CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE i THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Baystate Roofers I ACCORDANCE WITH THE POLICY PROVISIONS. i AUTHORIZED REPRESENTATIVE !Alan Fowler ©1988-2010 ACORD CORPORATION. All rights reserved. ! ACORD 25(20101051 Tho errwn ..�.,,.,.,,,a I,,,.,,.,_.._....:...___�____.._ _, .,.......