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HomeMy WebLinkAboutBuilding Permit #894 - 57 MAPLE AVENUE 6/23/2011CL TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION M0 Permit NO: &'�I_ / / Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION �_7 /P4,,7`1 A 111. PROPERTY OWNER Print MAP NO:Ot�X PARCEL:033 ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ 0 e family ?Wo ❑ Addition C or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial Ii -Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ®iSept_ic;VJe 1 _ �XFloodplain �gWetl'anclsl Oj WatersliecllDistrict= DESCRIPTION OF WORK TO BE PERFORMED: -� lid yQ (Identi cation Please ,Type or Print Clearly) OWNER: Na -me: �r-�r�f /����tr �, r5- /'�t«�.-rte Phone: Address: A/ S4_1l5 CONTRACTOR Name: Phone: Address: a 3 © 7 '6 Supervisor's Construction License: jD 6 a-- Exp. Date: Home Improvement License: -- Exp. Date: ARCHITECT /ENGINEER Phone: Address: —� Req. No. FEE SCHEDULE BULDING PERMIT: $12.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ ��,�D©� ®° FEE: $ Check Receipt No.: r� NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund -� Signature;ofcontractor� 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 Li Building Permita ion o Workers Co vit o Photo Copy Of H.I.C. nd/Or C.S.L. Licenses V Copy of Con u 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 u Building Permit Application u Certified Surveyed Plot Plan o Workers Comp Affidavit Li Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Crossection/Elevation Plan. Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) L3 Mass check Energy Compliance Report (If Applicable) u 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) o Building Permit Application o Certified Proposed Plot Plan u 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 o Mass check Energy Compliance Report u 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 2008mi Plans Submitted ❑ V 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 PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS EALTH COMMENTS DATE REJECTED Q DATE APPROVED 21 Reviewed on Signature Reviewed on Signature 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: FIRE DEPARTMENT - Temp Dumpster on site yes Located 384 Osgood Street no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total land area, sq. ft.: Total square feet of floor area, based on Exterior dimensions. 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 = -Date - - - - -- - - - - - - - - - - - - - - - Doc:.Building Permit Revised 2008mi Phone: 603-894-6300 Richard Morway Fax: 603-912-5600 Email: r.morway@avatarproperties.net Avatar Properties A Division of Avatar Financial Services, Inc. 12 Stiles Road, Suite 102 Salem, NH 03079 L ocation -,5-7 zwqe,�� No. 9�w Date Check # 2 4 � 15 TOWN OF NORTH ANDOVER Certificate of Occupancy $ "N' Building/Frame Permit Fee $ '77 Foundation Permit Fee Other Permit Fee TOTAL Building Inspector •• •. Mas4chu§etts I3o7rie Ir>aut°o�rement• Sample Co r'act This Form satisfies all hasic'requirements of the state's lame improvemeuit'Coniractor Law lnngtiage to protect homeowners. Seek lea advice if necessary. Ap (MGL chapter lA2A), but lees not include s.thndard lvlassachbsetts consumer guide to home improvement" before agr eing t�n a y wok on your res d rer. You mayshould obtain notice copy by calling the Office of Consumer Affairs andBu Regulation's Consumer Information Hot[ino at 617-973-.8767 or 1=may obtain a , copy Uf"a g Rome, own, er Information Contractor information eAdress(dHutPSireost Office Box address s,p,7� Coutrattor/ SalespergIml OwnerName Ci�%sem e 07 cDD lOa,o+ I State Zip Cade usiuess Address (must include a street address) ,Daytime Yhoae Evening Phone _ `' !? u� ' `�'�"* o f @rip :{tyPfOwn State Zip Code • Mailing Address (lt different from above)Z. t 7 J—`! % Business Phone ederal Employer ID orS.S.Numher taatequunclltatmasthameba- name Van PTO Hxlmaliondate . pm Van cantractan II�Vo3 ') The Contractor agrees to da tlre'following work for the 13omea Her: laud kirrnannamha cn e m e w r o comp e e ect �' �e� (v `p/�l sp g e e, ran, eo m nsoe e ���/v`1� Aj� • , OD c � nr ' . G•L'•znl►z'4*��.,� �f,�-u� G�s� �..t.>F�.l-=.�,�,�- �.,E'`'r'is.•�'' e . RequIred.ermlts - The followin building mimits are required Prap9sed Start and Com le ` and ill be secured by the contractor as the homeow P �tlooi Schedule - The following noes a schedule n b g le will agent a ndtuered to unless circumstances beyond the coutractoes control arise (0 ners who secure their own permits will be exe4lded from the Guaran %Fund provisions- t3 Iston • 50 P f r MGL chapter 142A.j Date when contractor will begin contracted work. ate when contracted work will be substantially completed. Total Contract P'rlce'and Payment Schedule The Contractor agrees to perto.in the work" famish the materia', ,,...�+ t and labor specified above for the total sum of �J C C e �s O Payments will be trade according to the fallowing schedule: (*) L ' upon signing'contract (not to exceed 1)l of the'total contract price or the cost of'spec{a] order items, whichever is e $ �--• ` • greater) . ---,— by ��/ or upon compledon-of 5--- --- --;, by._� �` -or upon completion of , h . $,_ upon completion of the contract. (law forbids demanding full paymentuntil contract is completed to both a The followin p party's satisfaction) g inatmial/equipmeat must be special $ �i ordered before the conhacted wall to be paid for begins in order 5�, t to meet the completion schedule,(**) to be paid for ; NOTES: M Including all finance ch *+ act exceed the Ue ( ) law requires that any deposit or down-payment required by the contractor before wort bogies may greater of ane-third of the to contract price or (b) the actual cast of any special equipment or custom made material which must be special ordered in advance to meet the completion sehedu a e. i ress Wa an -sane resswarrn' Nein ravided tbecon actar7 Sube�ntractors _ The`ecutractor agrees to be solely responsible for completion of the work described regardless of the actions of an third No Yes all ter,,, of the warren must be altar ed o the conte net pahylpubcontractor utilized by the contractor. The contractor further agreed to be solely'respbnsible for all l mate._ ti'asis an_d laborunderthis• a Bement y Contlraet Acceptance -Upon• signing, this documentbecomes abinding contract under law. Unless othervvise noted wp athin flus do actors for conhact shall not imply that any lien or other seouriijr {nteresthas been placed on the residence, Review the following cautions and no ' carefully before signing this contract. current, the ' bees • an be pressured into signing the contract: Take tim4 to read and fully understand it. Ask questions • • ' Make sure the contractor has a valid Home Tn7 rove c, t re cd f l e ' subcontractors to be registered with the Director ofHome Improvement Contractor Registraon es mosaome a im is unclear. do The law requires most boor improvement contractors and regtstrat{on by�wridngto the Director at One Ashburton Place, Raorr 1301, Bosta MA tra OS orb callin inquire 1:800-223-0933. � Y Inquire ebouk contractor � • Does the contractor have insurance? Y g 727-3200 or Checic tp see that your contractor is properly insured. Gnaw Your rights and responsibilities. Read for Important Infarirlatiola on the reverse side of th{s form and get a co of Guide to the home• Improvement Contractor law. ; Py 910 Consumer You may cancel this agreement if it has been signed at a place a}rier• than fire conuractor's normal place of business co dmb for in writing at his/hermain office or blanch office by ordinary magposted, third business day foIlowing,tlle signing of this agreement. See the attached mad notice of,canleg a m s form foran do ex lama tided you notify the P d, by telegram sent or by deljdery, not later than midnight of fire DO NOT SIGN TMS CONTRACT IIr' T]EiERE P tion of this right. Two 1denHcal copies ofthe conlractmustbe completed and signed, One capyshould go tgthc � ARE ANY BLANK SPACES.►!! meowna: The other copy should be kept by the contractor. ex's-Saga----------- Contractor s 5lgnature Date `✓I�,r�'/hi�'G/1 Contrhetor Arbitration The Home Improvement ContractorLaw provides homeowners with•'thd ri' ht to initiate aaction� ' y , alternative to -court action)'if they have a dispute•with a c�oritractor. The same tight is not automatically ffardes to a • • contractor, however. The contractor would have to resolve any dispute he/she has with a homeowner in court to both part' agree to the optional clause provided below, This clause would give the contractor the same right to arbitration as`is afforded to the homeowper by the Home Improvement Contractor Law. ' The contractor and the homeowner hereby mutually agree m. advance that in'the event the contractor has a dispute concerning this- contract, the contractor may submit the dispute to a private arbitration firma which has been approved,by the Secretary, 6f the. Executive Office.of Consumer Affairs and Business Regulation and the consumer shall, be required to submit to such arbitration -at provided In Massachusetts General Laws, chapter 142,4., ' bTomeowner'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 bomeown6r may initiate alternative dispute resolution even wh separe this spctian is not arately signed by the parties. . Homeowner's Riglnfis ; '.A. homeowner's rights vender the Home Improvement Contractor Law (MGL chapter 142A) 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 can they choose is not properly registered as prescribed by Iaw: Homeowners who secure their own building permits are automatically excluded from all Guaranty1~und provisions o£ Thd Home Improvement Contractor Law. The contractor is responsible for completing the work as described, in a timely and workmanlike manner. Homeowners may be entitled'to other specific Legal nghtsif the contractor guarantees or provides an express warranty for workmanship or materials. In addition to contractor, all goods sold in Massachusetts cady an itaplied warranty of merchantability and fitntets or ess for partieties dlayr the Purpose,' An enumeration of other matters -on which the homeowner and contractor lawfully agree may be adde� to the term's of the contract as lgng as they do not restrict a homeowner's basic consumer rights. If you have questions; ab6ut your canstini t/homeowner rights, contact the Consumer Itiformatiori Hotline (listed below). Execution of Contract t. , The contract must be executed in du licate and should notbe signed until•a copy of all exhibits and referenced dooum.ents Iaava bee ;,attach6d. Parties Are advised not to sign the document until all'blank sections have been filled.in or marked as void, deleted, or not applicable. One original signed copy of the contract with attachments is to• • be given to the ownerl'and the other kept by the cont mctor. Any modification to the original contract must be in writing and agreed to by both parties. Contracted work may not begin unitil both parties have received a fully executed copy of the contract,. and the three day recission period has expired. Accelerated PAyments A contractor may not demand payments in advance of floe dates specified on the payment schedule in cases where the homeowner deems him/herself to be firiancially insecure. However; in instances where a contractor deems lunall}erself 'to be financially insecure, the contractor may require that the balance of funds not yet due be placed hi a ' oiut account as a pretequisite to continuing the contracted work., Withdrawal of funds froth said account would requtt a the signatures ofboth parties, Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or ofh ex consumer rights, or'ff you wish to obtain a free copy ,of ".�, Consumer Guide to the Home Improvement Contractor Law," contact: Cdnsumer Reformation Hotiibe ` Office of Consumer Affairs and Business' Regulation 10 Park PIaza, Room 5 170 ,Boston 61,(8-88) ,. MA 02116 ( 17 973-8787 -z . ,) of 1 (888) 2833757 , If you want to vdriiy the registration of a contractor or if about the contractor registration component of the Home zm rou toveaVem nto s °r heed additional information specifically 1? ntractor Law, contact, Director oJ. I Improvement Contractor Registration Bureau of Building Regulations and Standards OnvAshburtoh Place, Room -1301,B oston, lviA 02108 ` (617) 727-3200 or, 1-800-223-0933. For assistance with inforrual mediation of disputes' or to register formal complaints against a business call• ' • Consumer Complaint Section Office of the Attorney General (617) 727-8400 AND/OR -Better Business I3uteau , (508) 65.2-4800 ,(508) 7�5-2548 (413) 734-3114 YI m m m ♦♦mww VI m M y .O C � d 'v O CD C7 Z y CLCD O �• = S O d CO) �C* o v `D CDCL O cr CD co CD C CD y av y �• O CC C=D � v CO)CD O � Z oCD O 0 CD 0 E O 8 153 e cn cn O cn ro ON C O O Z L CO 0 _ U2. 0 CZ um CO co 0 _ CL N rr m C ? 0 d Z = a: m C! • Nma� �` m � y 0 = = 01 dCIONAk .-« r* m T -I O CD O y -1 ,o o ca . 0 O N C) a• O m mC2 CD m N 0 m CD = CS L' CS 1 U Com N m, Go:,= CO O 0 ,..� _ . � O . CA 0=,m :r a3 co 4 �o A o=' cn Cn .0 Ejm o 'p o ni 0 ny p zn %n C C al r. 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