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HomeMy WebLinkAboutBuilding Permit #734-13 - 55 MOODY STREET 5/6/2013BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Issued: ' r IMPORTANT: Applicant must -r I *LOCATION. - �a a c�`I S'r e F PROPERTY'OWNER; n MAPNO �q .1, -..PARCEL: .LS ZONING�D Date Received mplete all items on this page Ytno. S'tcl en i _ RIOT -. Historic Districf ,M,achine;Shop Village` , TYPE OF IMPROVEMENT (vew (3uSi��dovh..U�--axe -filo�r RP titC[� PROPOSED USE Residential Non- Residential New Building One family Two or more family Industrial Addition teratio No. of units: .� Commercial Assessory Bldg Others: Repair, replacement Demolition .. Septic Well Other w Flood -Iain . Wetlands P. ; Wate:rslied)Disf�ict Watpr/Sewer,: _. .. - r%ccf1Q1n-nnti nF WnRK Tn RE PREFORMED: -To ,le49 Vavi, i-, 1Elcid►' N e w e U -U wl-e Identification Please Type or Print Clearly) OWNER: Name: � Phone: Address: CQNTRACTOR Name: Le Phone: cf:Ze-ut<-St.3 ,A.ddress:.16u f)le_Sc) � 5�.��� 1v� � I� l� v�do u.pr Nt:i4 0 tIV Supervisor- ,Construction FLicense L� b3 G 6 Exp Date 1 i " (. _ Home.1,mprovement,L'icense: -:t O.3 -7 2 ,Exp Date:. •T ARCH ITECT/ENGINEE Address: Phone: Reg. No. FEE SCHEDULE. BULDING PERMIT: $92.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ FEE: $ 1 J Check No.: I f j Receipt No.: a(e6 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fun Signature of Agent/Owner Signature sof contr. 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 e COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comm Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT =Temp Dumpster o,n aite . yes_ no. Located.at 124 Main Street ; Fire De-epartment signature/date 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 NU I t5 and UAIA— (For department use ® Notified for pickup - Date Doc.Building Permit Revised 2008 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 ❑ 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 DOTE: 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 OTE: 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 Doe: INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 Location No. Check 0-V4 26356 Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee $ TOTAL $ 9 uilding Inspector m m m m VI m cn m N CD 0 Z O Cr CL CQ' O 00 D CrCL CD O =o w CD S o CO' CD A O m ''m^ VJ z a� O m < = O ^� o - O < r y r y; OCL � -DI = • CD n 0 C. -9 Z .� 0 C ? 3-O N. py. O y -IL cD O O_O -a. T O Q N =•CD C CD C n .\ Q c O o O C W zv M CD 3 W C v Z La: CO o0 o U3 O < Vi. CD CD o �.�- •AI ZCD �, a Crt M n 0 y Q y 0 cc C= 0 0 y N CD y CD 0 O s U) 0CD � h C < 3 CD % y WCD QL y .�-r �o 0 o no CO o c A I =r v =rm CD dJ O CCD y 'C O 0' S N n m m ca S Ma m O N 3 rt H O Z ^� T 7 D CD 4-7Z, CD (A O n• m � �• T j .Z7 O 000 � rt T C1 O Qf W O. 00q O O :9 CL T O Q S N n m m ca S Ma m O N 3 rt H O Z W 0 O N T 7 ;7 O 3 T 7 (A O n• m W O QOC T j .Z7 O 000 T n (D W O. 00q T O 7 w O V); (D N T O Q T v M �' iD^ N r m C W zv 3 W C v Z (D 3 o0 o Z •AI H n 0 M n 0 M m 0 m D = N Va AL �` e Improvement Sal Thisage to protect hosatisfies all basic requirements of -the skate's Home Improve ent Contractor Law (MGL chapter 142A), but does not include standard meowners. Seek Iegal advice if necessary. Any person planning home improvements should first obtain a copy of'!A Massachusetts 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 Information Hotline at 617-973-8787 or 1-888-283-3757 or on our website. Contactor R C- e" wx 3 N G{ P ,u �- e � �s Street Address (do not use aPost OfEce Box address ✓lq `� `p Contractor/ Salesperson/Owner Name 11,11,11,111,11, 3 SSow M e' d� C) r U P /P .� � r, CityrTown State Zip Code Bpsmess Address (must include.a street address) Daytime Phone`� C% U Evening Phone City/Town State �ZipCodo�� Mailing Address (It differentfrom above) Business PhoneU ( Federal Employer ID or S.S. Number Iiomelmpmvementcontmetorltes•Number Bxpimtiond r nw recptirrs tont most Jtomc improvement contractors have a valid registration number The Contractor agrees to do the following work for the Homeowner: (Descn`be in detail the workto completed, specifying the type, brand, and grade of materials to be used, use additional sheets ifnecessarv.) oc (1 v c t In Pp ryt itTc� ][required Permits - The following building permits are required Proposed Startand Completion Schedule - The following schedule will. and will be secured by the contractor as -the homeowner's agent: be adhered to unless circumstances beyond the contractor's control arise (Owners who secure their owls pernlits:will be excluded from the Guarantp Fund provisions of --`Date when contractor will begin contracted wozlt. MGL chapter 142A.) 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.- Payments f:Payments will be made according to the following schedule; $ L C C upon signing contract (not to exceed 1/3 of the total contract price or the cost of special order items, whichever is greater) $ Q Ct✓ by or upon completion of r k -1i- 7 e 4 (" " r $ by / I or upon completion of upon completion of the contract, (Law forbids demanding fall payment Lmtil contract is comp,etedto both party's satisfaction) . The followingmaterial/equipmentmustUespecial $ to be paid for ordered before the contracted work begins in order to meetthe completion schedule.('Ir--a) $ to be paid for NOTES; ('i°) including all finance charges (.r..r.) Law requires that any deposit or down payment required by the contractor before workbegins may not exceed the greater of (a) one-third of the total contract price or (b) the actual cost of any special Which must be special ordered in advance to meet the completion schedule. equipment or custom made material ��••• �. �.,��u u cue conrractor'! I_l No IJ'Yes ail terms ofthe warran must be attached to the contract Subcontractors - The contractor agrees to be solely responsible for completion of the work described parVsubcontractor utilized by the contractor. The contractor furegardless of the actions of any third rther agrees to be solely responsible for all payments to all subcontractors for materials and aborunderthis a Bement Contract Acceptance - Upon signing, this document becomes a binding contract under law. Unless otherwise noted within this document, the contract shall not implythat any lien or other security interest has been placed onthe residence. Review the following cautions and notices carefully before signing this contract. o Don't be pressured into signing the contract. Take time to read and fully understand it. Ask questions if something is e Make sure the contractor has a valid Home 7m rovement Contractor unclear, Re 'stration.aw requires most home improvement contractors and The l subcontractors to registered with the Director ae Improvement Contractor Registration. You may inquire about contractor registration by wtititing to the Director at 10 ParlcPl=iaza, Room 5170, Boston, NTA .02116 or by calling 617-973-8787 or 888-283-3757. e Does the contractor have insurance? Ask the Contractor for his insurance company information so that you can confirm coverage, or isle to see a copy of a "proof of insurance" document. ° Know your lights and responsibilities. Read the Important Information on the reverse side of this fond 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 not* -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 o fthe third business day following the signing ofthis agreement. See the attached notice of cancellation form for an explanation of this right. D® l\ OTSZGN TMS COI�TTRACJC IF THERE Two id6ntical copies of tate con t must be completed and signed. One copy should go to the h�wme � ��op�ulaba llce�pt� I _contractor. w Homeowner's Signature . actor's ignature 'Date Date Cour raefor Axbft radion The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action. (as an 'alternative to court action) if they have a dispute with a contractor. The same right is not: automatically affordedto 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 provided below. Thus 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 inutaally agree in advance that in the event the contractor has adispute concerning this contract, the contractor may submit the dispute to a private arbitration fim 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 to alternative 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 14.2A) and other consumer protection laws (i.e. MGL chapter 93A) may not be waived in any way, even by agreement. However, homeowners 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 Guaranty Fund provisions of the Home Improvement Contractor Law. The contractor is responsible for completing the work as described, in a timely and worlamnlike manner. Homeowners may be entitled to other specific 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 fitness for a particular purpose. An enumeration of other matters on which ffe homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you. have questions about your eonsumer/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 tmtil all blank sections have been filled in or marked as void, deleted, or not applicable. One origival 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 partes. Contracted work may not begin until both parties have received a fully executed copy of the contract, and the t1•rree day rescission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on ihe.payment schedule in cases where the homeowner deems him/herself to be financially insecure. However, in instances where a contractor deems him/herself to be Enancialy insemire,_t1, e cont factor may require that the balance of funds not yet due be placed in a j oint escrow accotmt as a prerequisite to continuing the contracted work. Withdrawal of Rinds from said -account would require the signatures of both parties. Additional wo:rmation I •If you have general questions or need additional information. about the Horne Improvement Contractor Law or other consutner rights, or if you wish to obtain a free copy of "A Massachusetts Consumer Guide to Home Improvement" contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza, Room 5170, Boston, MA 02116 617-973-8787, 888-283-3757 or visit the OCABR website atlij±p://ww-,v.mass.g2v/ocabr/ If you want to verity the registration of a contractor or if you. have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law, contact: Director of Home Improvement Contractor Registration Office of Can Affairs and -Business Regulation 16 ParkPlaza, Room 5170, Boston, MA. 02116 617-973-8787, 888-283-3757 or visit the IRC website at b=://ww,,v.inass.gov/ocabr/ Go online to view the status of a Home Improvement Contractor's Registration: . hit) //db.state.mams 4-iompimprovem ent/IicenseelisLmp For assistance with informal mediation of disputes or to regisfer formal complaints against a business, calx: Consumer Complaint Section. Office of the Attorney General, 617-727-8400 AND/OR Better Business Bureau 508-652-4.800, 508-755-2548 or 4.13-734-3114 Version 2.1-11/22/2010 Enter construction cost for fee cal - North Andover Fee Cakulaf/on Construction Cost 12,000.00 m $ - $ 144.00 Plumbing Fee $ 18.00 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 18.00 Total fees collected $ 280.00 55 Moody Street 734-13 on 5/6/2013 New Bath on 2nd Floor, New Kitchen Countertops, Remove wall between Kitchen and DR Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supcn i+ur License: CS -030651 - .%k �% I r" A)F JOSEPH G LEVIS hr� 160 PLEASANT ST North Andovor MA 01845 Commissioner Expiration 01/07/2014 �eanrnrr,irrnru�/✓ n�/n Office of Consumer Affairs 4g Bnsi6ess Reg la orn , //r T NOME IMPROVEMENT CONTRACTOR f egistration: 103772xpiration: 7/9/2014 Type. Individual JOSEPH G. LEVIS JOSEPH LEVIS 160 PLEASANT STREET NORTH ANDOVER, MA 01845 Undersecretary LEMS -1 OP ID: MP r Rte' CERTIFICATE OF LIABILITY INSURANCE ATE(MM1DDIYYYY) r05/03/13 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 Phone: 978 688 8829 Michaud, Rowe And Ruscak Ins. Fax: 978 557 2130 P.O. Box 188 North Andover, MA 01845 Lawrence R. Michaud, CIC NAME CT ac Nr o Ert : ort No E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC d INSURERA:Guard Insurance Group 70/26113 INSURED Levis Companies Inc. INSURERB:Preferred Mutual Insurance Co. 15024 Joseph Levis 160 Pleasant Street INSURER C: Safe Insurance Company 12808 GENERALAGGREGATE 5 2,000,00 North Andover, MA 01845 INSURER D: $ C INSURER E: INSURER F: r nVFRAr.FS r:FRTIFII.ATF NI IMRFR: REVISION NUM13ER: 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. LLIY TR TYPE OF INSURANCE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover POLICY NUMBER MMIDDrtmOLICY EFF EXP MMIDDIYYYY LIMITS B GENERALLIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR CPP0150589059 10(25!12 70/26113 EACH OCCURRENCE $ 1,000,00 GE TO RENT915— PREMISES Ea occurrent $ 100,00 MED EXP (Any one person) $ Exclude PERSONAL & ACV INJURY S 1,000,000 GENERALAGGREGATE 5 2,000,00 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC PRODUCTS -COMPIOPAGG S 1,000,00 $ C AUTOMOBILE LIABILITY ANY AUTO ALLOWNED SCHEDULED AUTOS X AUTOS NON -OWNED X HIRED AUTOS X AUTOS AUTOS 821254 01101!13 01/01114 EOMaBBII tlEDISINGLE LIMIT S 1,000,00 BODILY INJURY (Per person) S BODILY INJURY (Per accident) 5 PROPERTY DAMAGE 5 S UMBRELLA LIAB EXCESS UAB OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE S DEC) I I RETENTIONS S A WORKERS COMPENSATIONWCSTATU- AND EMPLOYERS' LIABILITY ANY PROPRIErORIPARTNERIXECUTIVE YIN E OFFICERIMEMBER EXCLUDED? (Mandatory In NH) Ifgs, describe under DESCRIPTION OF OPERATIONS below NIA LEWC430444 02127113 02127114 O TH- E.L. EACH ACCIDENT $ 100,00 E.LDISEASE -EAEMPLOYEE S 100,00 E L DISEASE -POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If marc space is requlmd) f1FI7TIFIr1ATF WnI r1FR CONCFI_I_ATION NORTH13 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Department of Public Works 384 Osgood Street North Andover, MA 01845 AUTHORIZED REPRES/EENNTATNE� ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD