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HomeMy WebLinkAboutBuilding Permit #659 - 562 SALEM STREET 3/15/2012BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO:4� Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION.yh c` Ani e y Print PROPERTY OWNERS Print MAP, 210_PARCEL ZONING DISTRICT: Historic District yes (n0o Machine Shop Village ves TYPE OF IMPROVEMENT o %V Residet '_ Non- Residential New Building 4ZaLamil `� mss_ <e<,.<,<«.<. _ �• *I Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION.yh c` Ani e y Print PROPERTY OWNERS Print MAP, 210_PARCEL ZONING DISTRICT: Historic District yes (n0o Machine Shop Village ves TYPE OF IMPROVEMENT PROPOSED USE v Residet '_ Non- Residential New Building 4ZaLamil Addition Two or more family Industrial Alteratio No. of units: Commercial Others: Repair, replacement> Assessory Bldg Demo i ion Other Septic Well Floodplain Wetlands Watershed District Water/Sewer 1Jtbt;K1F i 1UN OF WORK TO BE PREFORMED: A!%hl-It r L, dentification ease Type or Print Clearly)--? " OWNER: Name: �h-���r� Phone: Address: ke-y V \ Q4-. CONTRACTOR Name: - s a V1 S Phone: 281 3'Ok5 39s Y Address -ey,01 mect4tj 1.7114 colis5 Supervisor's Construction License, Exp. Date: iprovement License es Exp. Date: f ARCHITECT/ENGINEER C)IA 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: $ , ��►� .� FEE: $''v x�a ! .o Check No.: 5-7 ti Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guar my fund Signatureof Agent/Owner Signature of contractor 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 �ilding PPPermit Application orkers Comp Affidavit ©/P oto CopY Of H.I.C. And/Or C.S.L. Licenses Copy of Contract ❑ Floor Plan Or Proposed Interior WorkIv% ❑ Engineering Affidavits for Engineered products itJ/ NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Dv,M P - Addition Or Decks �J ❑ 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: Building Permit Revised 2008 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 COMMENTS 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: t_ocatea 064 VS ooa Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Departmentsignature/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 MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine No NOTES and DATA — (For department use) ❑ Notified for pickup - Date .............. _........ _.................. ............. ................................................... ............................... .._.................... --_.................................. --....---.................... ...... -.--......................... _.................................. _.... --..................... _..__....... ...-.............. .... .......................... .................... -..................i Doc.Building Permit Revised 2010 Location ::5�- -!r.4 a-r— No.6 '2 Check# 25104 Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee $ TOTAL $ Building Inspector y m m C //mom� YI m mm 0 y CDC � y C"� n Z y CD r � � o d = y aCO -0 v CD CDcm O Q CD CDo C CD y� —� CD FL, v y _• o to C CD S- CA O Z CD O � CD O CCD •fA Q H Sd O m y CC n m C7 O cac' do m Z ?w W _I O I .d► � H '17 ? m CLCL �d O y m O m y p O m : � a .00. „ny U2 O �O 0 l09 : 00 o 0 c � c, a ao �' •: m c ". " : G meg: m m H :� m C' c O m CL O p� H CC, d d C N C IA CD CO) H O 1 1 CO COJ 0 Cr o: CO)CDo .... CD m: CD .4 .T N W os �, dm: o� c.' . . Cn CA lb R o co : a aF . 0 0 cn O cn m �n w ;� �n °�'� ro C�i ro �? ;v C to 7f ID n :o odaro Tn d cn g. A G 10 003 0 0 c Massachusetts - Department ot'Public Safetc ,Board of Buildino Regulations add Standards Construction Supervisor License License: CS 36954 is JOSEPH S SAVINI' 84 RAVINE RD MEDFORD, MA 02155 Expiration: 7/22/2013 ( ommissiiOr�' Tr#: 18435 -7/ze �aniinoncoea�C�C a��acluiaelta # Office of Consumer Affairs &Business Regulation 1 License or registration valid for individul :use only HOME IMPROVEMENT CONTRACTOR ( before the expiration date. If found return to: Re istration ° Office of Consumer°�Affairs and Business Regulation 9 435743 10 Park Plaza Suite 5170 Expiratiat Tr# 294393. Ype$F � . ,r.-�" Boston; MA U2116 T JOSEPH S. SA1�I1 T�T�fG CO. . JOSEPH SAVING'' 40 CANAL ST MEDFORD, MA 0215 :r Undersecretary of valid without signature 40 Wqv `+ 4 , qgj I ' ^ r , S 'i,►:Jdfe� sa�tltutad dun d a �trttr� A . a0,uaA aec�has.aamxnsut-lo} bK1Tfit a P �JmPe a$ aaiaEatn aq!< �suie$E d 4 MEDIA" $; ov wacuuueudw► IBa,f 4a +�oPaag aalrunPaa'I uo:�o�pu�` E Qi dt� su .:n�i.sn :a 144 r f al 7 aD• E 4 � �� -5MA / yi,. 1 F . Y A^y,n; alklt3l�,(RK�N�j"q. a.pW7U' �{tpibQ,[ii%JkfHp ���a;+t�.P� � .'�pD�.�jpld opl+►wd'��nm i�acp'eoa,fo dup ago s� X1t fil911s��AiRi � d 4a iia aystadys {euoq! due H � lU efi ,AW—o;dura; p.P 4"�ilg Ismu xoq ��R (i� 18ulop aye +�H aupao! ui p.lJ ��fP41ictolllt®:. ' SAys a►o Ue P 14Ma t o aryl lhS A lloosolno 1!y osla �snw i.�oq s y�O.yp y' r 3 '���r♦11WW7 ' S�p•=��•.�Q.?E 't S �F 7.59. /�'�'A.`.1�RJ�AA� - w•• � ut 03• BJ .IaoanIva, CAN WON GI dwoa aaueic luta dwva <oaa sa9�4ia}dvuo atr a �� ��' ' 1 'r ���,l�,�;itla•���k :raw�xgd:,r� xc► w� ' 'iaallz� snag *'{auut} Y fir, x r t t C' r R pr, r �. + .3 f f' a r� - •. � r _ f Cid. h' � •` .3� i `tr ifs is .,Rt 1 Vrowat Page No. of Pages WC VrOPOSE hereby to furnish material and labor - complete in accordance with specifications below, for the sum of: Payment to be made as follows: / Aa,"/dollars($ One Third Deposit One Third Mid Job Balance Upon Completion, OR kwy Mr ke Checks Pgtle to Joseph & RMN NOTICE: All home improvement contractors and subcontractors engaged in home Authorized improvement contracting, unless specifically exempt from registration by provisions Signature of Chapter 142A of the General Laws, must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the Director, Home Improvement Contract Registration, One Ashburton Place, Room Note: Thi roposal may be 1301, Boston, MA 02108. withdrawn by us if not accepted within days. We hereby submit, specifications and estimates for: ROOF WORK STRIP ROOF OF 011e- /LJD LAYERS OF ASPHALT SHINGLES, COVER EXTERIOR WALLS AND FOLIAGE WITH TARPS TO HELP PREVENT DAMAGE. ADDITIONAL LAYERS WILL BE EXTRA, SEE BELOW f'COVER DECK WITH UNDERLAYMENT FELT. INSTALL ICE & WATER SHIELD AT LEADING EDGE VALLEYS AND ALL ROOF PE TRATIONS. *STANDARD APPLICATION AT EAVES IS 3 FEET ALL LOWER SLO D ROOF AREAS TO RECEIVE!f�-E I� COVERALL PERIMETERS WITH 8 INCH ALUMINUM DRIP EDGE. COLOR:WHITE BROWN SILVER COPPER INSTALL RIDGE VENT OR ❑ ROOF LOUVERS FOR ADDED ATTIC VENTILATION. INSTALL SOFFIT VENTS WHERE NECESSARY. SOFFIT SIZE TO DETERMINE SIZE OF VENT. COVER SOIL PIPES WITH NEW RUBBER FLASHING BOOTS. �I� COUNTER FLASH CHIMNEY(S) WITH ALUMINUM FLASHING AS NEEDED. RELEAD CHIMNEY. CUT ALL EXISTING TAR AND LEAD FROM CHIMNEY(S), CUT NEW REGLET CEMENT NEW LEAD IN PLACE WITH MORTAR. IF NEEDED FOR A WATERTIGHT JOB, AP6. G T.9-Pf ?OE. REBUILD CHIMNEY FROM ROOF DECK UP WITH NEW OR USED BRICK. ADD TO ABOVE PRICE. REPLACE DEFECTIVE ROOF DECKING WHERE NECESSARY AT CONTRACTORS DISCRETION. DEFECTIVE ROOF DECKING REPLACED WITH SPRUCE, FIRST 4O' FEET FREE AND THEN 3 �s PER FOOT THEREAFTER. PLYWOOD DECKS REPLACE SHEET(S) FREE THEN PER SHEET, BUY AND INSTALL, THICKNESS COVER ROOF SURFACE WITH F e -1-4-1-7 ,L / 17i yw -%� l�� ' STORM NAIL ALL SHINGLES WHEN APPLICABLE,(,gErm MFG. INSTRUCTIONS). INSTALL SKYLIGHTS PROVIDED BY CONTRACTOR OR CUSTOMER, FRAME ROOF DECK AS NEEDED, PROPERLY FLASH UNITS WITH FLASHING KIT(S) PROVIDED, ADD TO PRICE. CUSTOMER TO DO INTERIOR Ell WORK UNLESS SPECIFIED OTHERWISE E( IF MORE LAYERS ARE FOUND THAN INDICATED ABOVE, AN ADDITIONAL CHARGE OF 155-0-- WILL BE ADDED PER LAYER. IN THE EVENT OF MULTIPLE LAYERS IN RANDOM AREAS OF ROOF, COST IS �34•a0 PER SQUARE (10'X 10 AREA) TO REMOVE AND DISPOSE OF ADDITIONAL LAYERS. M CLEAN ALL JOB RELATED DEBRIS FROM OUTSIDE WORK AREA. OBTAIN ALL PERMITS AND CARRY ALL NECESSARY INSURANCES AS REQUIRED BY LAW. WE CANNOT ACCEPT RESPONSIBILITY FOR DEBRIS FALLftG INTO ATTIC AREAS CUSTOMER SHOULD COVER VALUABLES I1I T CARE WILL BE USED TO PROTECT WE STRUCTURE AND LANDSCAPING DURING THE STRIPPING,, HOWEVER, SOME MARRING, COLIED OCCUR ✓' e Q � o WARRANTY Vol- All wo k ranteed to be free of installation defects for Ar years, limited to installed item and its repair only.. Material warranteed by mfg. to be free of defects f�,/4tears, see mfg. warranty for exact warranty performance. Acts of nature, including ice damming, are not covered under warranty. While under warranty if the homeowner hires any other contractor to perform work which may compromise the roof system without first contacting Joseph S. Savini, Inc. the warranty could be voided. Any repairs required due to the roof system being compromised by another contractor will be billable. Customer has legal right under federal law to cancel this contract without penalty or obligation within three business days from acceptance date by mail or telegram sent to Joseph Savini Roofing & Gutter Contractors, 40 Canal Street, Medford, MA 02155. See reverse side for cancellation procedures. Once all items in this contract are completed as agreed, customer has 3 days to fulfill payment schedule or pay all attorney and legal fees incurred by Joseph Savini with interest of 1.5% per month on the unpaid balance. All parties agree that all disputes will be settled through binding arbitration as provided by the Better Business Bureau or the Secretary or the Executive Office of Consumer Affairs and Business Regulations, MGLC. 142A. Please see reverse side, Arbitration of Disputes. 21CCeptance of 13ropo5at - The above process, specifications and conditions are satisfactory and are hereby accepted. You are authorized Signaturd to do the work as specified. Pay%bent will be pade as outlined above. Date of Acceptance:/�/ Z Signature Joseph S. Savini Incorporated D/B/A Joseph S. Savini Roofing & Gutter Contractors MASS BUILDERS 40 Canal Street, Medford, MA 02155 CONTRACTORS LICENSE #036954 (781) 395-3954 • Fax (781) 393-4926 VISA REG. 135743 PROPOSAL SUBMITTED TO PHONE DATE STREET JOB NAME CITY, STATE and ZIP DE /} JOB LOCATION 2Y �// (// . 7.? ARCHITECT ATE OF PLtS JOB PHONE WC VrOPOSE hereby to furnish material and labor - complete in accordance with specifications below, for the sum of: Payment to be made as follows: / Aa,"/dollars($ One Third Deposit One Third Mid Job Balance Upon Completion, OR kwy Mr ke Checks Pgtle to Joseph & RMN NOTICE: All home improvement contractors and subcontractors engaged in home Authorized improvement contracting, unless specifically exempt from registration by provisions Signature of Chapter 142A of the General Laws, must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the Director, Home Improvement Contract Registration, One Ashburton Place, Room Note: Thi roposal may be 1301, Boston, MA 02108. withdrawn by us if not accepted within days. We hereby submit, specifications and estimates for: ROOF WORK STRIP ROOF OF 011e- /LJD LAYERS OF ASPHALT SHINGLES, COVER EXTERIOR WALLS AND FOLIAGE WITH TARPS TO HELP PREVENT DAMAGE. ADDITIONAL LAYERS WILL BE EXTRA, SEE BELOW f'COVER DECK WITH UNDERLAYMENT FELT. INSTALL ICE & WATER SHIELD AT LEADING EDGE VALLEYS AND ALL ROOF PE TRATIONS. *STANDARD APPLICATION AT EAVES IS 3 FEET ALL LOWER SLO D ROOF AREAS TO RECEIVE!f�-E I� COVERALL PERIMETERS WITH 8 INCH ALUMINUM DRIP EDGE. COLOR:WHITE BROWN SILVER COPPER INSTALL RIDGE VENT OR ❑ ROOF LOUVERS FOR ADDED ATTIC VENTILATION. INSTALL SOFFIT VENTS WHERE NECESSARY. SOFFIT SIZE TO DETERMINE SIZE OF VENT. COVER SOIL PIPES WITH NEW RUBBER FLASHING BOOTS. �I� COUNTER FLASH CHIMNEY(S) WITH ALUMINUM FLASHING AS NEEDED. RELEAD CHIMNEY. CUT ALL EXISTING TAR AND LEAD FROM CHIMNEY(S), CUT NEW REGLET CEMENT NEW LEAD IN PLACE WITH MORTAR. IF NEEDED FOR A WATERTIGHT JOB, AP6. G T.9-Pf ?OE. REBUILD CHIMNEY FROM ROOF DECK UP WITH NEW OR USED BRICK. ADD TO ABOVE PRICE. REPLACE DEFECTIVE ROOF DECKING WHERE NECESSARY AT CONTRACTORS DISCRETION. DEFECTIVE ROOF DECKING REPLACED WITH SPRUCE, FIRST 4O' FEET FREE AND THEN 3 �s PER FOOT THEREAFTER. PLYWOOD DECKS REPLACE SHEET(S) FREE THEN PER SHEET, BUY AND INSTALL, THICKNESS COVER ROOF SURFACE WITH F e -1-4-1-7 ,L / 17i yw -%� l�� ' STORM NAIL ALL SHINGLES WHEN APPLICABLE,(,gErm MFG. INSTRUCTIONS). INSTALL SKYLIGHTS PROVIDED BY CONTRACTOR OR CUSTOMER, FRAME ROOF DECK AS NEEDED, PROPERLY FLASH UNITS WITH FLASHING KIT(S) PROVIDED, ADD TO PRICE. CUSTOMER TO DO INTERIOR Ell WORK UNLESS SPECIFIED OTHERWISE E( IF MORE LAYERS ARE FOUND THAN INDICATED ABOVE, AN ADDITIONAL CHARGE OF 155-0-- WILL BE ADDED PER LAYER. IN THE EVENT OF MULTIPLE LAYERS IN RANDOM AREAS OF ROOF, COST IS �34•a0 PER SQUARE (10'X 10 AREA) TO REMOVE AND DISPOSE OF ADDITIONAL LAYERS. M CLEAN ALL JOB RELATED DEBRIS FROM OUTSIDE WORK AREA. OBTAIN ALL PERMITS AND CARRY ALL NECESSARY INSURANCES AS REQUIRED BY LAW. WE CANNOT ACCEPT RESPONSIBILITY FOR DEBRIS FALLftG INTO ATTIC AREAS CUSTOMER SHOULD COVER VALUABLES I1I T CARE WILL BE USED TO PROTECT WE STRUCTURE AND LANDSCAPING DURING THE STRIPPING,, HOWEVER, SOME MARRING, COLIED OCCUR ✓' e Q � o WARRANTY Vol- All wo k ranteed to be free of installation defects for Ar years, limited to installed item and its repair only.. Material warranteed by mfg. to be free of defects f�,/4tears, see mfg. warranty for exact warranty performance. Acts of nature, including ice damming, are not covered under warranty. While under warranty if the homeowner hires any other contractor to perform work which may compromise the roof system without first contacting Joseph S. Savini, Inc. the warranty could be voided. Any repairs required due to the roof system being compromised by another contractor will be billable. Customer has legal right under federal law to cancel this contract without penalty or obligation within three business days from acceptance date by mail or telegram sent to Joseph Savini Roofing & Gutter Contractors, 40 Canal Street, Medford, MA 02155. See reverse side for cancellation procedures. Once all items in this contract are completed as agreed, customer has 3 days to fulfill payment schedule or pay all attorney and legal fees incurred by Joseph Savini with interest of 1.5% per month on the unpaid balance. All parties agree that all disputes will be settled through binding arbitration as provided by the Better Business Bureau or the Secretary or the Executive Office of Consumer Affairs and Business Regulations, MGLC. 142A. Please see reverse side, Arbitration of Disputes. 21CCeptance of 13ropo5at - The above process, specifications and conditions are satisfactory and are hereby accepted. You are authorized Signaturd to do the work as specified. Pay%bent will be pade as outlined above. Date of Acceptance:/�/ Z Signature ENTER DATE OF TRANSACTION � [i) T J{ � (�� I[ ►r{ F I L L �s� T I (�l I' � You may cancel this transaction, without any penalty or obligation, within three business days from the above date. If you cancel, any property traded in, any payments made by you under the agreement, and any negotiable instrument executed by you will be returned within ten business.days following receipt by the Contractor or your cancellation notice. And any security interest arising out of the transaction will be cancelled. If you cancel, you must,make available to the Contractor at your residence, in substantially as good condition as when received, any goods delivered to you under this agreement; or you may, if you wish, comply with the instructions of the Contractor regarding the return shipment of ;the goods at the Contractor's expense and risk. If you do make the goods available to the Contractor and the Contractor does not pick them up within twenty days of the date of your notice of cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make goods available to the Contractor, or, it you agree to return the goods to the Contractor and fail to do so, then you remain liable for performance of all obligations under the agreement. To this transaction, mail or deliver a signed and dated copy of this Notice of Cancellation or any other written notice, or send a fax to JOSEPH SAVINI ROOFING CONTRACTORS at 40 CANAL STREET, MEDFORD, MA 02155 Phone (781) 395-3954 • Fax (781) 393-4926 NOT LATER THAN MIDNIGHT OF I HEREBY CANCEL THIS TRANSACTION (DATE) (OWNER'S SIGNATURE) (OWNER'S ADDRESS) Notice: All home 'improvementcontractors and subcontractors engaged in home improvement contracting, unless specifically exempt from_ registration by provisions of Chapter 142A of the General Laws, must be registered with the Commonwealth of Massachusi✓tts. Inquiries'about registration and status should be made to the Director, Home Improvement Contract Registration, One Ashburton Place, Room 1301, Boston, MA 02108 if the homeowner obtains his own construction -related permits for the work described under this agreement, the homeowner is hereby advised that in the event of a dispute, judgement and nonpayment of the contractor, the homeowner will not be entitled to make a claim or collection from the guaranty fund established by Chapter 142A, M.G.L.. HIDDEN CONDITIONS AND NECESSARY ADDITIONAL WORK Hidden conditions may require adjustment an the overall price of the necessary work related to this Agreement. In such case the Contractor shall inform the Owner of such conditions forthwith and where necessary a written amendments of this agreement will be, negotiated and executed by the Contractor and Owner. ARBITRATION OF DISPUTES Contractor and Owner hereby mutually agree in advance that in the event of a dispute concerning this contract or the labor, materials and equipment supplied or to be supplied hereunder, the Parties shall submit such dispute to a private arbitration service that has been approved by the Secretary of the Executive Office of Consumer Affairs, as provided in Chapter 142A of the General Laws, prior to either party p[proceeding to legal action in the Courts. FORINT INTENDED TO COMPLY WITH LAW The Contractor and Owner acknowledge that the form, substance, content and notices contained in this Agreement are intended to comply with the applicable portions of Massachusetts General Laws Chapter 142A, and regulations promulgated thereunder. In the event of any instance of noncompliance, only such portion shall be invalid and the remainder of this Agreement shall be in force and effect. In addition, any such portion not in compliance shall be read and interpreted so as to have its intended meariing to the maximum extended allowed under such law and applicable regulations