Loading...
HomeMy WebLinkAboutBuilding Permit #057-15 - 59 WAVERLY ROAD 5/1/2018 BUILDING PERMIT of N°pTh q TOWN OF NORTH ANDOVER 1+ TOWN o APPLICATION FOR PLAN EXAMINATION Permit No#: S� m" Date Received <•<wK. Date Issued: SgcHus���y IMPORTANT:Applicant must complete all items on this page LOCATION PROPERTY OWNER—Ac 4) Print MAP / Print 100 Year Structure yes neo PARCEL.- ZONING DISTRICT: Historic District ye-6 e no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One amily ❑Addition i-T'wo or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: 0 Demolition ❑ Other Septic ❑ Vl/elf - - - _r. ❑'Flo. plain =p efk t _ . �od e � .� rsh . ry Wate /S etlands �� - � T. ewer � d- a e edlFDistnct4 DESCRIP�'ION OF WO K TO BE PERFO MED: � �/ Identification- Please Type or Print Clearly — OWNER: Name: Z W-4 P (r—, XD NeR Phone Address: / <a Contractor Name: Phone: —� Email: Address: l a' Supervisor's Construction License: T� Exp. Date:- Home Improvement License: Exp. Date: 7 / ARCHITECT/ENGINEER Phone: Address: 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: $ 15� FEE:JP Check No.: V Receipt No.: (� NOTE: Persons contracting with un>"egistered contYactoys do not qWvess to 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 PLANNING & DEVELOPMENT Reviewed On — Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS s HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments y Conservation Decision: Comments Water& Sewer Connection/signature& Date Driveway Permit DPW Town Engineer: Signature: Locat 38 O ood Street s— w�--;""'."°,.""'!l^°" ""a„�=-'�'... e yF?.'Y7`4'x"'°"'L' f '1^ J".rS 'A K•.. *+ r' r Y f-+s♦ "' �.. i,e J. •[" '7 �FIREDEP�ARaTMEIVT = T�`ern�Dumpster onksite�,yes�,��1 . �' ¢ _'_ , f l5cuyi . • r #y.,rA'@ti '` ; 2f n0 . Located at 124Main. Street• 4{,Fire Departmen�ignature/.date �- i! i s �,a i' ♦,. ♦ .G. 7 ,c T rpt ✓+y F., •' rz -„s `j'zi7' a3 - tf�' v.► ! r t � � es n, P ; a n f.e a a �fe ;t' "1� ra s r• Y, ..s.� E d e.^Y�t4{ ♦ fa.+«...aw'..�--«---�e�.^r•Y"`+ r. aC011IIMENT>S -L 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 i Electrical Inspector Yes DANGER ZONE LITERATURE: 1Fes No MGL Chapter 166 Section 21A—F and G min.V0041000 fine NOTES and DATA,— (For department use) i I t ' I i ® Notified for pickup Call Email Time Contact Name Date -- Doc.Building Permit 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 4: Building Permit Application 4� Workers Comp Affidavit 4, Photo Copy Of H.I.C. And/Or C.S.L. Licenses 4� Copy of Contract 4. Floor Plan Or Proposed Interior Work 4. Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks 4. Building Permit Application Certified Surveyed Plot Plan Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract 4, Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) 4. Mass check Energy Compliance Report (If Applicable) Engineering Affidavits for Engineered products OTE: 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 2012 IECC Energy code �& 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 Doc:Building Permit Revised 2014 . COMMEIVtlS. Location No. "' (e!! Date `] . - TOWN OF NORTH ANDOVER • Certificate of Occupancy $�> e Building/Frame Permit Fee $ CFoundation Permit Fee $' Other Permit Fee $ TOTAL $ :. Check 3(f1 # t �- r Building Inspector � NORTf-� Town o-' _' _ t n over No. 4!5 IS ;O�A_;ZMA' ver, Mass, 1 C CK NI C Nl W.C« ��• �d AOR�ITED S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT �.,��!!� .4 ... ....� n. BUILDING INSPECTOR ................ ............ ........... , ......... ........................ Foundation has permission to erect ............ ............. buildings on .�1..... .�.........�V.... ... .......�. J� �f-,�' � Rough ��v( g tobe occupied as ............... ............... .. ................................... .. ...:....... ...... .r �„ .................. Chimney provided that the person accepting this permit shall in every respect conform to the 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 EXPIRESIN 6 ONT S ELECTRICAL INSPECTOR �% UNLESS CONSTRUCT S TS Rough Service ........... .. ............................................................ Final BUILDING INSPECTOR GASINSPECTOR Occupancy Permit Required to Occupy Buildinje 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. Page# of pages CS # 022680 978-688-6737 HIC# 103358 A. J. Walsh & Sons or 159A Waverly Road 1-978-912-2853 North Andover, MA 01845 P-00sal Subs To: Job Name Jobff # Job L�^aji°l' f ,� .fir ve2c IV Dater — Date of Pians Phone# Fax# Architect We hereby submit speifficatiom and estimates for r We propose hereby to furnish material and labor—complete in accordance with the above specifications for a sum of: s� o $ A Dollars with payments to be made as follows: Any atterraation or deviation from above specifications invotving extra costs will be Respectfully executed only upon written order,and will become an extra cMrge over and above the estlmate.AM agreements coq=strikes,acxadents,or delays submitted beyond our cdhtrot. Note—this proposal may be withdrawn by us H not accepted within days. !acteptua of Qd The above prices,specifications and conditions are satisfactory and are Signatur hereby accepted You are authorized to do the work as specified. Payments will be made as outi ed above. Date of Acceptance Signatur MASSACHUSETTS HOME IMPROVEMENT CONTRACT Thin forret satisfies'all basic requirements of the states Home Improvement Contractor Law(MGI:chapter 142A),but does not Include standard language to protect homeowners. Seek legal advice if necessary."Any petsosplenoing home irtnprovtanents should firaf'obtain a copy of"a Massachusetts:consumer.guide to home,improvernent"before agreeing to any work on yourresidencd.You may obtain-a free co py Office of Consumer:Affaim9nd Business•Regulation's Consumer Information Hotline at617-973'4787-or 1:88283-3757. by g the Homeowner Information' Contltactor Information tr—-- °' baste;/Sal Owner Name GStyfrown` stili y -- as Address(must mclndc as street/ address) . 'DY /'` E��- _P ;e ��7 e Ph \1 , Ntiffown State Zip co lv Mailing Address(It different from above) IuiRaws Plinio ederal Employd ID or S.S.Numbs L""qufnxtWtmo.R home oa lime tCemnmmaea:'-N•mtie �dmbtC awaaelm hrve� .Sts '. ayiantioen®hr I / t `.lr The Contractor agrees to do the following work for the Hortreo nee. 77 /� -11111 lo Deus Ikequired'�PeriWts-The-following building pemtits bre required Proposed Start and'Completion Schedule-The folloyving schedule In and will be sectued.by the contractor as dre'homeowhers agent; be adhered tovnless circumstances boyond:the contractors control seise. (Owners who;secure their own permits will be " excluded from.the Guaranty Fnndprovisions of tewhom contractor will begin contracted work. MGL chapter 142A;) ate when contracted .work will.be substantially completed. Total Contract Price and PaymentSebedule , The Contractor.agrees to perform the work fiunish the material and labor specified above for the total sum of-. _(") Payments will be made according to the following schedule: $ D�j) �d tJ nponsigning contract(not.th exceed 1/3 of the total*contract pricr.sr:the cost.of special order items,whichever is.gteater) $ ._—by or upon completion of $—�r by / or upon completion of E �P upon completionof the contract (law forbids demanding full payment until.contract is completed to boW party's satisfaction) tt 71e following material/equipment must be special S to be paid for ordered before the contracted work begins in order S 10 be paid for to meet the..completion schedule.(.*) NOTES:(•)lnduding all fmaoee charges(••)Law requires that any deposit or down-payment required by the contractor before work not exceed the begins may greater of(a)d in advance cethe total contract price or he the actual mat of any apecial.equipment or custom made material which must be special ordered in advance to meet the completion scheduler Exorm Warranty-Is.n.....•.s warranty being provided Ly a sontnctor� No Yes (aa terms of the warranty must he attached to the eomroni Subcontractors The contractor agrees to be solely responsible for mmptenon of the work described regardless oft!,'actions ofamy thrid Party/subcontractor utilized by the contractor. The contractor further agrees to be solely responsible for all payments to all subcontractors for materials and labor render this aereement Contract Acceptance-Upon signing,this document becomes a binding_contract underlaw. Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest�lin been placed on the residence. Review the following cautions and notices carefully before signing this contract • Don't be pressured into signing the contract Take time to read and fully understand it Ask'questions if souunhing is unclear. • Make sum the contractor has a valid Home lmmovement ContractorReiristration The Igo requires most home improvement contractors and subcontractors to be re . gistered with the Director ofHoure Improvement ContcactoY Registration. You may inquire about contractor . registration by writing to the Director at One Ashburton Place,Room 1301,11ostoa,MA 02108 orby.calling 617-727-3200 or 1-800.223-0933. • Does the contractor have insurance? Check to see that yourcontractor is properly insured. • Know your rights and responsibilities. Road the Important Information on the ieverae side of this form and get a copy of the Consumer Guide to the Home lalprovement Contractor Law: You may cancel this agreement if it has been signed at a place other than the-centract6rs'noroW place of business,provided you notify 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 of the, third business day following the signing of this agreement..See the attached notice of cancellation form for an explanation of-this right DO NO IGN THIS CONTRACT IF THERE ARE ANy BLANK SPACES!!! Twoidratiat beeo�wedaod•iaoad.0w opirshoulaaotothehomeoww.T . cove shwW be kept M the eana•ctor. eo er's Signature Co r' Date Date Contractor Arbitration The Home Improvement Contractor Law-provides-homeowners;withthenght.to initiate an arbitration action(as an alterative to court echos)if they;have a.disp:' ': th.a contractor. The same.f ghtis riot automatically afforded toa. contractor,_how.ever.-:.Ilie:contraetorwould haveAp resolve any.,dispute heJshe.has.with a homeowner in court unless .,., both parties agree to,the optional,clause provided below..This clause would givethe.contractorthe.same right to arbitration as is afforded to the bomeowner.by the Home Improvement Contractor Law. The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract,the contractor may submit the dispute to a.private arbitration firm which has:been.approved by, the Executive Office of Consumet Affairs and Business Regulation and4he consumer shall be required mit the&c of to such arbi on as provided InMassachusetts General Laws,chap 142A. _ We o geegnilture Con tot's Signature NOTICE:!,The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contactor Thehomeowner.may initiate alternative dispute resolution even where this section is not s arately srgnedby:the parties:- . Homeowner's Rights A homeowner's rights undbf*e,Home'Improvement Contractor Law(MCL chapter 142A)and other consumer protection laws(Le.MGL chapter93A)may not be waived in any way,even by agreemenfi However,homeowner$ may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law. Homeownerp 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 andmotkmanlike:manner. Homeowners.maybe entitled to.other specific legali 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:andittness_for:a particular purpose. An enumeration of other matters on which:the 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 consumer/homeowner rights,contact the Consumer Information Hotline(listed>elow). Execution of Contract The contract must be executed in du lice a 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 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 owner and the other kept by,the contractor. Any modification.to the griginal•contract must be in writing and agreed to by both parties.Contracted work may not begin until 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 inadvance.of the dates specified on the 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 financially insecure,the contractor may require that the,balance of funds not yet due be placed in'a joint escrow .. account as a prerequisite to.continuing the contracted worm. Withdrawal of funds from said account would require the signatures of both parties. Additional Information If you have general questions or.need additional information about the Home Improvement-Contractor Law or other consumer rights;or if yot wish to obtain a free;c' of"A Consumer Guide to.the Home.Improvement Contractor Law,"•contact CgnsumerInfoimation Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 (617)973-8787 or 1-(888)283.3757 If you want to verify the registration of a contractor or if you have.questions or need additional infer matioa specifically about the contractor registration component of the Home Improvement Contractor Law,contact: Director of Home Improvement Contractor Registration Bureau of Building Regulations and Standards One Ashburton Place,Room 1301,Boston,MA 02108 (617)727-3200 ort-800-223-0933 For assistance with info al rfreiftation of disputes or to register formal complaints against a-bus ess,call:` . 4 Cons'vdiiec`Coiiiplaiat`Section Office of the Attorney General (617)727-8400 AND/OR Better Business Bureau (508)652-4800 (508)755-2548 (413)734-3114 Contractor Arbitrs6n:,•': The Home;ImproYementContractor La w:pmyides homeowners-with-the:right-to inidate- n arbitration action(as an altemative'to__c'g0 action)if.they;have.a,dispiiie wiih.a'contractor. The..same.11ghtis not'automatically afforded to:i. contractor,'how.ever.=..Ttie:contractor:would have-tp resolve any,dispute helshe.has with a homeowner in court unless both parties agree to the optional 6l.ause provided below:.This clausewould.give'the.contractorthe.same.right to' arbitration as is afforded to the-homeowner,by the Home Improvement Contractor Law.' The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute- concerning this contract,the contractor may submit the dispute to a.privaie arbitration,firm which hes:been.approved by, ' the ecretiry of the Executive Office of Consumer Affairs•and Business Regulation and the consumer shall be required to mit to such arbi 'on as provided In-Massachusetts General Laws,chap 142A. o kSignIture Con ctoes Signature e signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractoz'.The<homeowner:may initiate alve.dispute resolution even where this section-is not separately signeilthy`:thepardes: t-rom: 01/12/2015 94:48 #151 P.013/016 4c RO a0 CERTIFICATE OF LIABILITY INSURANCE DATE01/12120011YYYY} �,,• 09/12/ 5 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(Fes)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). 'RODUCER 00775-001 fi24�JA��CT Durso&Jankowski Insurance Agency Inc At}C,No.Ext: (978)682-5175 AlC.N (978)794-0313 198 Mass Ave Suite 1018 North Andover,MA 01845 PdMSS: INSURER A A.I.M.Mutual Insurance Company 33758 VSURED INSURER B Arthur Walsh A J Walsh & Sons 55 Pleasant Street N North Andover, MA 01845 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 AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.pp TR TYPE OF INSURANCE INOSR No POLICY NUMBER MPRAYYYY WLAYNEYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ fl2 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PRMISESIEaoccurrencel $ CLAIMS-MADE F—]OCCURMED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ ENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ OUCYRO- EILOC AUTOMOBILE LIABILITY COMBINEDISINGLE LIMIT(Ea acciden $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED !id (Per accident) $ AUTOS AUTOS BODILY INJURY( ) HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS fPLr accidentl $ UMBRELLA LIAROCCUR EACH OCCURRENCE $ EXCESS UAB HCLAIMS MADE AGGREGATE S yyaR{{DEERRDgg CCQIIyy�� RETENTION $ yyc gT TU 7H $ AND EMIPLt)1pER8qLIABIL?TY X TORY LAtrIITS OER A aVXIggW&nJRwVX�n5ffECUTNE B, NIA AWC-400-7014648-2014A 11/14/2014 11114/2015 E.L.EACH ACCIDENT $ 100,000.00 (MandatoryInN�u��H)) � E.L.DISEASE.EA EMPLOYEE $ 100,000.00 D RIP' ft OFUPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000.00 DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) The workers compensation policy does not provide coverage for Arthur J Walsh CERTIFICATE HOLDER CANCELLATION Town Of North Andover 1600 Osgood Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE North Andover,MA 01845 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD zt ,V�e:.�om�naruvea� � Office of Consumer Affairs&Business Regulation a 'Y ME IMPROVEMENT.CONTRACTOR egistration: 5f` Type: xpiration. iPrivate Corporation A.J.WALSH&SO14�4 Arthur Walsh - 55 Pleasant St N Andover,MA 01845 `-i'S%Q Undersecretary a Massachusetts -Department of Public Safety B g oard•of BuildingRegulations and Standards " Construction Supervisor ' License: CS-022680 •r rx ARTHIJR J WAIS, 159A WAVERLYltD N ANDOVER MA 01 Expiration 06/0912016 Commissioner '