HomeMy WebLinkAboutBuilding Permit #088-14 - 60 SHERWOOD DRIVE 7/26/2013 i
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
�-'Permit NO: � ' Date Received
Date Issued: 1
IMPORTANT: Applicant must complete all items on this page
LOCATION! oO
PROptklrY OWNER'_ ifs\ _ � n _ �'i z`� _
t
J�y
Print _ 100 Year Old Structure _ yes r no
MAP NO` � PARCEL:V � ZQNING DISaTRICT _HistoriciDistrict` yes n& g
-
Machine Shy Villages yes nog
-
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition ❑Two or more family ❑ Industrial
Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
M Septic- ❑'1Nell ❑ Flood'plain? E WetlandsP: E;Watershetl:District';
o Wate(/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
Identification Please Type or PrintC arly)
OWNER: Name: ,;®,� ���w. ��'��R Phone: CoSZ-
Address: (DO
CONTRACTORi3Name cty� _C 12 w Phone
Address: �C�..
V�
SuperA6f's Construction License __ 2-72--> EjDate: k
Home Improvement Licen'se:__ a._ -__ _ Exp. Date:.
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BOLDING ERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. a
Cj 0
Total Project Cost: $ �� FEE: $ 1
Check No.: Receipt No.:
NOTE: Persons contracting unregistered ontractin with contractors do not have acce t t a n -und
Sign'ure of�Age nerSlg atuer of;co actor,.
Plans ..
Submitte� ❑ Plans Waived ❑ Certified Plot Plan ❑ S m ed Plans ❑
p !.
Plans Submitted ❑ Plans Waived❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OY 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 e U FORM � ' I
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS '
HEALTH Reviewed on 7> Si natur
IV
COMMENTS _ 0'
� LV
�Yy
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
I
Conservation Decision: Comments
Nater & Sewer Connection/Signature& Date Driveway Permit
n
J
DPW'lbw;! Engineer: Signature:
Located 384 Osgood Street
FIRE-DEPARTMENT Temp Dumpster on site yes no
I Located at 124,Mair, Street- ,
Fire Dep�a'rtmeit signatu"re/date'`
COMMENTS . ...t;
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
DARKER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A-F and G min.$10041000 fine
NOTES and DATA— (For department use
o tlid
Lie
® Notified for pickup - Date
'i Doc.Building Permit Revised 2010
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofivg, 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'. Liceises 0 .
❑ Copy Of Contract
❑ Floor/Crossection/Elevation PlalOOPl?ro o' ed Work-,W',,th`Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Mass check Energy Compliance Report (If Aplicabe)
❑ Engineering Affidavits for Engineered products
NOTE: All dump-ster 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 apw-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be subm.tted with the building application
i
Doo: Doc.Bui?ding permit Revised 2012
Location4/10
No. L� Date
. - TOWN OF NORTH ANDOVER
o Certificate of Occupancy
Building/Frame Permit Fee (
Foundation Permit Fee $
w
Other Permit Fee $
r . #
,; • , TOTAL $
qv
Check#
26666 Building Inspector
Enter construction cost for fee cal - North Andover Fee Calculation
Construction Cost
$ 15,940.00 m
$ - $ 191.28
Plumbing Fee $ 23.91
Gas Fee 100 comm. $ 100.00
Electrical Fee $ 23.91
Total fees collected $ 339.10
60 Sherwood Drive
088-14 on 7/26/2013
3/4 bath in basement
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Town of A.ff, _--,h,, Andover
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T O LAKE -
COCNICNfWKK v
�.9 ADRAYED
S U
BOARD OF HEALTH
Food/Kitchen
PERM. IT T LD Septic System
THIS CERTIFIES THAT .. .. BUILDING INSPECTOR
. -r
has permission to erect .......................... buildings on ....(Q. ....... .60 A�.�!S CL.........01%.W° Foundation
p. Rough
to be occupied as ....... ........ .... ..... h......� ,r'.T...-...................................... Chimney
provided that the person ccdpting this permit shall in every respect conform to the terms of thea application pp 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 CONST.R....U...C...T...I.O...... . voe�� Rough
. 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
� NORTIy
Town of n
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A-1� coc.,ic«.W.c..
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BOARD OF HEALTH
Food/Kitchen
T T + D Septic System
�a
BUILDING INSPECTOR
IES HAP."' .. !'.;..
�IRTIF T T ..... ....... ........ ..................................................
ission to ere . ................. buildings on ....�.-0......S 4AMO.Q 0 CL.......... 04. Foundation
Rough
r;,�-'Wpied as ----• .. . ...... ......1#....... .... ... ...................................... Chimney
that er% cpting this permit shall in every respect conform to the terms of the application
t the p C p Final
b this office, a ',the provisions of the Codes and By-Laws relating to the Inspection, Alteration and
Itll(Ttlon of Bvildil' Ln the Town of North Andover. PLUMBING INSPECTOR
-0-07 Rough
oa�4N of the Zon O;r Building Regulations Voids this Permit.
Final
Ak
•.
r f� PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTIO A Rough
Service
...................... ............................. ......................
Final
BUILDING INSPECTOR
GAS INSPECTOR
L?ancV Permit Required to Occupy Buildin Rough
rplay irl `nspicuous Place on the Premises — Do NotRemove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until 1 acted and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE smoke Det.
U J �
FORM U - LOT RELEASE FORM e0, 'VA�
INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve
the applicant and/or landowner from compliance with any applicable or requirements.
*****************************APPLICANT FILLS OUT THIS SECTION***********************
APPLICANT_ Il � v( S _—_--_ PHONE —
LOCATION: Assessor's Map Number _ _ PARCEL —_
SUBDIVISIONLOT(S)
STREET_ Q_ I'> f� ST. NUMBER--_
************************************OFFICIAL USE ONLY***********************************
RECOMMENDATIONS OF TOWN AGENTS:
CONSERVATION ADMINISTRATOR DATE APPROVED
DATE REJECTED
COMMENTS__ — — — —_—
TO N PLANNER DATE APPROVED ___--
DATE REJECTED
COMMENTS
FOOD INSPECTOR-HE T DATE APPROVED
DATE REJECTED
PTIC INSPECTOR-HEALTH DATE APPROVED
DATE REJE-C-TED- _
COMMENTS— 5 � +u e �� .-
PUBLIC WORKS.-SEWER/WATER CONNECTIONS
DRIVEW PE IT
FIRE DEPARTMENT .3 ---
RECEIVED BY BUILDING INSPECTOR__-- ---------_—DATE
__—___
Revised'9197 jm
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Top Of Foundation r
Elevation = 148.56' \ F
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' Septic Tank g.
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(1500 Gallons) ,
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Leach Trench System:
2 Trenches: 46' Long,
F4' Wide, 2' Deep 1
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JOHN WALSH INSURANCE Fax: 9787459557 Jul 23 2013 8:11 P. 02
OP ID: MM
_ ACl1�lti� ATE(MM/DDlYYY`t7
�r L� CERTIFICATE OF LIABILITY INSURANCE b07/23/2013
THIS CERTIFICATE IS.ISS.UED,,I.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`CONSTITUTJe A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR'PRQDUCER,.AND THE CeRTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(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
6er6ficata holder in lieu of such endors9ment(s).
PRODUCER Phone:978-745-3300 NAMEAcT
John J Walsh Ins Agency,Inc Fax:978-745-9557 PNONE ac No:
P O Box 4407
Salem, MA 01970-6407 EMAIL
ADDRESS:
David C Bruett PRODUCE 9MCIN02
INSURERS AFFORDING COVERAGE NAIL 0
INSURED M Scott McInnis INSURER A:Mass Wkrs Com p Assign Risk
4 Alexander Way INSURER B:Essex Ineurance Company
South Hamilton,MA 01982
INSURER C
INSURER D
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. NOTWITHSTANDINO.MY REQQIREMENT, TERM OR.CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE I$SUED 08 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,
LTA, TYPE OF INSURANCE INSR WVD POLICY NUMBER MIDD MM1LD WMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00
GE
B X COMMERCIAL GENERAL LIABILITY 3DDS123 04/02/2013 04/02/2014 PA S oc $ 50,00
CLAIM34IADE FX_1 OCCU,R MED EXP(Any one person) $ 1,00
PERSONAL&ADV-INJURY $ 11000,00
GENERAL AGGREGATE $ 200,00
GEN'LAGGREGATE LIMIT APPLIESPE: PRODUCTS-COMPIOPAGO S 1,000,00
X1 POLICY PRO JEli LOC $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
(Ea accident)
ANY AUTO BODILY INJURY(Per person) $
ALL OWNED AUTOS
BODILY INJURY(Per accident) $
SCHEDULED AUTOS
PROPERTY DAMAGE $
HIRED AUTOS (Per ecclderx)
NON-OWNED AUTOS $
Is
UMBRELLA LIAR OCCUR EACH OCCURRENCE $
EXCESS LIAR HCLAIMS-MADE AGGREGATE $
DEDUCTIBLE $
i
RETENTION $
WORKERS COMPENSATIONX WC 9TATU- OTH-
A1SD EMPLOYERS'LUU3ILITY i Y I N
A ANY
PRO RIETOREMBER FXCLUO/E ECUTNE ❑ N A WC2509611 08119/2012 08/19/2013 E.L.ZACH ACCIDENT $ 100,00(
OFPICER(Mandatory in NH) EL DISEASE-EA EMPLOYEE $ 100,00
Ifyy�ess desahayndar E.L•DISEASE-POLICY LIMIT 3 600,00
AESG�R'"be OF OPERATION8:Detow'
DESCR vriom OF OPERATIONS i LOCAmoms"i VEHICLES (AWetl ACORD 101,Additional Remarks Schedule,li more space Is required)
location 60 Sherwood Dr N Andover M& 01845
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Building Department
1600 Osgood St Old 20 Ste 2035 AUTHORIZED REPRESENTATIVE
North Andover,MA:01845
01988-2OD9 ACORD CORPORATION, AU rights.reserved.
A C1Rb'25(20(f9/09) _The ACORD:name knd rogo ar6'registered mar lis'of'ACORD :"` -
cam..
McInnis Contracting
100 Hesperus Ave.
Gloucester,MA 01930
#978-265-2238
HOME IMPROVEMENT CONTRACT
Agreement made as of this date July 22, 2013
Between: Hal and Kim Hearst ("Owner"
"Customer")Customern) of 60 Sherwood Dr, North Andover and
McInnis Contracting ("Contractor") of 100 Hesperus Ave, Gloucester, MA 01930 for certain remodeling
work to be performed by Contractor at property located at: 60 Sherwood Dr, North Andover, 01845
(the "Property")
1. REMODELING WORK. The remodeling work to be performed pursuant to this Agreement is set
forth in Exhibit A which is attached to and forms a part of this Agreement and shall be referred to in
this Agreement as the "Work". The Owner shall pay Contractor therefore the amounts and at the
times as set forth herein. The Contractor shall have the right to use subcontractors in performance of
the Work.
2. TIME OF COMPLETION. Thea approximate completion date of the project shall be 45 days from the
PP P P J Y
construction start date. However any change orders, delays in materials to be supplied by Owner or
Work to be done by Owner and/or conditions discovered at the Property after the Work commences or
any other factors outside the control of Contractor might delay or otherwise affect the completion
date.
3. THE CONTRACT PRICE. The Contract Price to be paid to Contractor is as set forth in the Contract
Price and Responsibilities Schedule marked Exhibit A attached to and forming a part of this
Agreement.
A. The Parties agree and Owner understands and acknowledges that the Contract Price set
forth in Exhibit A is based on the aspects of the Property viewed by the Contractor prior to
commencement of the Work. If conditions are encountered at the Property which are subsurface or
otherwise concealed physical conditions or unknown physical conditions and if they would cause an
increase in the Contractor's cost of and/or time required for performance of any part of the Work, the
parties will negotiate an equitable adjustment in the Contract Price, such adjustment to be reflected
in a Change Order, and thereupon such increases will be added to and become part of the Contract
Price.
B. Exhibit A may provide Allowance Amounts for certain items to be selected by the Owner. In
the event that the actual cost is greater than or less than the Allowance Amount set forth in Exhibit
A, the Contract Price will be adjusted accordingly. The Contract Price includes the Allowance
Amounts set forth in Exhibit A. If the final cost of the Allowance items is greater than or less than the
Allowance Amount specified, the customer will be charged or credited accordingly.
C. Owner is responsible for the selection, delivery, set up, installation and payment of
appliances unless otherwise specified. Sub-Zero refrigerators and commercial grade ovens will
require special delivery and installation arrangements at additional cost to Owner.
4. RESPONSIBILITIES. Exhibit A also sets forth material and work responsibilities between Owner
and Contractor. Anything that is the responsibility of the Owner to obtain or perform shall be deemed
not to be part of the Work to be performed by Contractor under this Agreement. In the event existing
floors, walls and or ceilings are not level, the contractor will match existing conditions to the best of
his ability. Contractor is not responsible for pre-existing conditions beyond the scope of this contract.
Page 1 of 2
5. PAYMENTS. Upon signing of this Agreement Owner shall pay Contractor one-third of the Contract
Price shown on Exhibit A, with one-third due at 50%job completion, and the balance of the Contract
Price to be paid in full upon completion of the Work. The work shall be deemed completed upon
substantial performance of the Work in a workmanlike manner and shall be sufficient grounds for
Contractor to require final payment from Owner. If payment is not made when due the unpaid
balance shall accrue interest at the rate of 12.00% per annum, which Owner agrees to pay as well as
all costs, fees and charges (including reasonable attorneys' fees) of collection. If payment is not
received by the Contractor when due, then, in addition to any other remedy available to Contractor,
Contractor shall have the right to stop or limit work or terminate the contract at its option. Stoppage,
limitation or termination by Contractor under the provisions of this paragraph or other termination
shall not relieve the Owner of the obligations of payments to Contractor for that part of the work
performed and costs incurred prior to such termination.
6. WORK QUALITY. All work shall be completed in a workmanlike manner.
7. CHANGE ORDERS. A Change Order is any change to the Work, including any changes to the
Contract Price as noted in Section 3, above. All change orders need to be agreed upon in writing,
including cost, additional time considerations, approximate dates when the work will begin and be
'h completed, and signed by both parties. Additional time needed to complete change orders shall be
taken into consideration in the project completion date.
8. HAZARDOUS MATERIALS, WASTE AND ASBESTOS. Both parties agree that dealing with
hazardous materials, waste or asbestos requires specialized training, processes, precautions and
licenses. Therefore, unless the Work includes the specific handling, disturbance, removal or
transportation of hazardous materials, waste or asbestos, upon discovery of such hazardous
materials the Contractor shall notify the owner and allow the owner to contract with a properly
licensed and qualified hazardous material contractor. Any such work shall be treated as a change
order resulting in additional costs and time considerations.
9. ASSIGNMENT OF MANUFACTURER'S WARRANTIES. Contractor hereby passes through
and assigns to the Owner/Customer any and all available manufacturer's warranties on all appliances,
equipment and materials supplied by Contractor in the property. Compliance with each manufacturer's
warranty requirements is the Owner/Customer's sole responsibility.
10. ARBITRATION OF DISPUTES. Any controversy or claim arising out of or relating to this contract,
or the breach thereof, shall be settled by arbitration administered by the American Arbitration
Association under its Construction Industry Arbitration Rules, and judgment on the award rendered
by the arbitrator(s) may be entered in any court having jurisdiction thereof.
CONTRACTOR:
MCINNIS CONTRACTING
BY:
By execution of this document, I agree to have read and fully understand all statements, terms and
conditions of this document
Owner: HOwner:-4_L,,,4, } '
Deposit Received: Date:
—1�"tl) Ck#: �a�� Amount:
Page 2 of 2
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
Construction Supervisor
License: CS-051123 i
M SCOTT MCINNfS
100 HESPERUS AVE
Gloucester MA 01930
'moi ,a
Expiration
Commissioner 02/27/2015
G-
12'\ �ponvcaoruuea`C�o�C�/l�raaac�cc�et.
_Office of Consumer Affairs&Business Regulation
OME IMPROVEMENT CONTRACTOR I
_ a'egistration: 145633
Type: 1
xpiration: _;2/16/20:1.5,. DBA
WINNIS CONTRACTING
SCOTT McINNINS
100 HESPERUS AVE.
GLOUCESTER, MA 01930 g sf
Undersecretary �ii
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3'-5 3/8"
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