Loading...
HomeMy WebLinkAboutBuilding Permit #901 - 61 WHITE BIRCH LANE 6/14/2012Permit N0: go I Date Issued: TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received MORTANT: Applicant must complete all items on this pave LOCATION LA L F4 er Print PROPERTY OWNER % a d d f .i_ t j) s/o q e -r Unit # /' Print MAP NO: 1 / PARCEL: ZONING DISTRICT: Historic District yes no _ Machine Shop Village yes 0 100 year-old structure yes <ff TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building YOne family ❑ Addition ❑ Two or more family ❑ Industrial RIAlteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition El Other +BtiW11 {` f�,� oodpl t��Wetlands ®Wated ►s r, _1 1`�.Y�.�d a:•-s.+.-,.-.-Ja DESCRIPTION OF WORK TO BE PERFORMED: C t hh P d i h 7e-05 J7- weG e. - 57%2 iru!dy ,l',.a,� hd 7�% fe 4;00� G . �X6 j°` & 3 l���.Shzlr-d 4 /,Vp- ka« w alZF 2t 9 (Identification Please Type or Print Clearly) OWNER: N 79-4-f5'-Y7.Va Address: b/ Al 4 y Ac 4 ao c- /V- 4AWI Ved' � rt CONTRACTOR Name: G/2 , S Phone: - Address: G �� ro ., c,,y yrs d �'-�. ,Q � de v-, c.), roe. a i BA Supervisor's Construction License: C S 0 3 r /3 Exp. Date: Home Improvement License: t e1 S �f 3 Exp. Date. T M A RfcefI TMC ARCHITECT/ENGINEER a 'me) e A ll.c,l Phone:' 171- Ll 9.r Lt 43 Address: I �- A I f r*J Sfi- _� L4 '+c lob 066 to,-., 102• Reg. No.fr2 / c914o� FEE SCHEDULE. BULDING PERMIT. $92.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ [3 0 D FEE: $— i Check No.: Receipt No.: �C NOTE: Person contracting with unregistered contractors do not have access to the guaranty fund er - - Sgnature,of,cont'ractoC` 4 -'4 ; 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 PLANNING & DEVELOPMENTEl COMMENTS DATE APPROVED CONSERVATION Reviewed on Signature COMMENTS H EA)_TH COMMENTS Reviewed ki <:' S"t % ice' o o C' v Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments- Conservation omments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: FIRE DEPARTMENT - Temp Dumpster on site yes. Located at 124 Main Street Fire Department signature/date COMMENTS Located 384 Osgood Street no 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 Doc:.Building Permit Revised 2011 June/mi 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 o Photo Copy of H.I.C. And/Or C.S.L. Licenses ar Copy of Contract w 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 o Building Permit Application ❑ Certified Surveyed .Plot Plan ❑ Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (if Applicable) ❑ Mass check Energy Compliance Report (If Applicable) o 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) Z Building Permit Application ®' Certified Proposed Plot Plan a/ Photo of H.I.C. And C.S.L. Licenses N ;q o Workers Comp Affidavit W Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) at"' Copy of Contract o Mass check Energy Compliance Report o 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 Doe: Doc.Building Permit Revised 2008mi Location /a/ No.4� Check# 25415 Date6-1v, )).�, I TOWN OF NORTH ANDOVER Certificate of Occupancy Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee TOTAL Building Inspector 3 0 H "Nomm 40 O F' J W = 0 0 mJ O LL Ln v O. N r� V d Z Z O a 7 LL s 7 w c U C LL O W N Z Z m s 7 W LL O W y Z J u U j LU s 7 d' u N LL � C U a N Z Q i I I ! s 7 ' cr C LL Z CW c Q LU D L1J 4. `v m O aU CU LJ {% N Y O i z 0 m coZ W w a. W F_- W Cl) 0 U) J 0 E O O G� Z C AW` I a a o° .E m m O CL s a O �+ d v O a. O CL C3)Q O m C M a v_ J -0 .04) ch Z0 CL � V U) Q. W D U) H W W 19 W H RESIDENTIAL CONTRACTING AGREEMENT Read this agreement and make sure you understand it before signing it. This agreement has legal force and effect and binds those who sign !it. Notice: All home improvement contractors and subcontractors engaged in home improvement contract- ing, unless specifically exempt from registration by provisions of Chapter 142a of the general laws, must be registered with the Commonwealth of Massachusetts. Inquiries about registration and statusshould be made to the Director, Home Improvement Contract Registration, One Ashburton Place, Room 1301, Boston, MA 02108. Designated Registrant's Name: �/2�� dlv� er Registration Number: l e S Aly 3 Salesperson's Name: i This agreement is made on 4-13— /a— between 2 tr/ cS ld Atr' C S74 (DATE) (CO ACTOR) of W©vd illerie2 (ADDRESS) (PHONE NUMBER) hereinafter called "Contractor" and 001d !O (OWNER) of 61 Ali. -Ye, Rirc4 1 ?sae 40 ee. 4/1P 9-78'-6 411-Y0 (ADDRESS) (PHONE NUMBER) hereinafter called "Owner". I. DETAILED DESCRIPTION OF WORK TO BE PERFORMED Contractor agrees to perform in a good and workmanlike manner all work detailed below. Such work consists of the following: DETAILED DESCRIPTION OF MATERIALS TO BE USED Materials to be used in performing the above described work consist of the following: 2ja tv�hd.,QT l/ U,l e1gl rrt afcv/ /s' :�s nc�- eode. - W e admuts ave 4C it II. PRICE , .o Contractor agrees to do all work described in Section I for the total price of $ 6 �D III. PAYMENT Payment will be made as follows: 3f 3 1/31 % ($ gt � • ) upon signing Contract; % upon completion of rram%K$ % ($ L., 6U0, a' ) upon completion of and the remaining % ($ 6g 4O6 -'o ) upon verification of the work by Owner and Contractor as having been satisfactorily com- pleted, which verification shall take place promptly after completion. Notice: No agreement for home improvement contracting work shall require a down payment (advance deposit) of more than one-third of the total contract price or the total amount of all deposits or payments which the contractor must make, in advance, to order and/or otherwise obtain delivery of special order materials and equipment, whichever amount is greater. IV. COMMENCEMENT AND COMPLETION OF WORK Contractor will not begin the work or order the materials before the third day following the signing of this Agreement, unless specified here in writing. Contractor will begin the work on or about 4- 1 S I�- (date). Barring delay caused by circumstances beyond Contractor's control, the work will be completed b Y p y 7- /1-- IL (date). The Owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not aLoidable by the Contractor shall not be considered as violations of this Agreement. V. NO ACCELERATION OF PAYMENTS BUT ESCROWING ALLOWED The Contractor may not require payments to be made in advance of the times specified in Section III (Payment) above for the reason Out he deems himself or the payments to be insecure. If, however, he deems himself to be insecure, he may require, as a prerequisite to continuing the work described herein, that the balance of the payments under this contract that are in the control of the Owner, shall be placed in a joint escrow account that requires the signature of both the Contractor and the Owner for withdrawal. VI. INSURANCE Contractor will be responsible to Owner or any third party for any property damage or bodily injury caused by himself, his employees or his subcontractors in the performance of, oras a result of, the work under this Agreement. Contractor agrees to carry insurance to cover such damage or injury. VII. SUBCONTRACTING Contractor agrees that, notwithstanding any agreement for materials and/or labor between Contractor and a third party, Contractor is responsible to Owner for completion of all work described in a timely and workmanlike manner. VIII. CONSTRUCTION -RELATED PERMITS The following construction -related permits will be necessary in order to complete the scope of work included in this Agreement: C. lec+r The Contractor under provisions of Chapter 142A of the General Laws is required to apply for and obtain all construction -related permits. The Contractor shall not be deemed responsible for delays in the work described in this Agreement caused by regulatory, permit granting or inspectional agencies, authorities or individuals. Notice: 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, judgment and nonpayment of the contractor, the homeowner will not be entitled to make a claim to or collect from the guaranty fund established by Chapter 142A, M.G.L. IX. MODIFICATION This Agreement, including the provisions relating to price (Section II) and payment schedule (Section III) cannot be changed except by a written statement signed by both Contractor and Owner. However, cancellation by Owner is allowed in accordance with the Notice of Cancellation (annexed). X. WARRANTIES The Contractor warrants that the work furnished hereunder shall be free from defects in materials and orkmanship for a period of t �J C2N following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials, or damage caused by the Contractor, his subcontractors, employees or agents, is discovered within one year after completion of any job, including cleanup, the Contractor shall, at hi own expense, forthwith remedy, repair, correct, replace, or cause to be remedied, repaired, or replaced, such damage or such defect in materials or workmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. All warranties for equipment supplied by the Contractor under this Agreement shall be those given by the manufacturers of such equipment, which shall be and are hereby passed through directly to the Owner. Under such manufacturers' warranties, the Owner maybe required to register or mail in a warranty card or other evidence of ownership and use of such equipment in order to activate such warranties. The Owner's failure to mail in or register such documentation, which failure voids the manufacturer's warranty, shall not create any responsibility for the Contractor to warranty such equipment. This warranty gives the owner specific legal rights, and owner may also have other rights which vary from state to state. Under Massachusetts law, sales of goods carry an implied warranty of merchantability and fitness for a particular purpose. XI. COMPLETENESS OF AGREEMENT FOR EXECUTION The Owner is hereby advised that he should not sign this Agreement unless and until all blank sections have been filled in or marked as void, deleted or not applicable, and until all exhibits and related or referenced documents that are incorporated herein are attached hereto. XII. COPY OF AGREEMENT TO BE GIVEN TO OWNER This Agreement is governed by the Laws of Massachusetts. It must be executed in duplicate, and an original signed copy hereof given to the Owner at the time of execution. No work under the Agreement shall begin prior to the sighing of the Agreement and transmittal to the owner of a copy thereof. RIGHTS TO CANCEL The owner may cancel this agreement if it has been signed by the owner at a place other than an address of the contractor which may be his main office or branch thereof, provided that the owner notifies the contractor in writing at his main office or branch 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 attached Notice of Cancellation. HOMEOWNER: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. I�- Owner's Signature Date Signed a Aeo�, 16 -6 -[.2 - Contractor's Signdture Date Signed H - GG 25M 6/92 A� " CERTIFICATE OF LIABILITY INSURANCE aaTEl^�^6/13/12 ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON TkE 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(es) 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 John F. McBride, Jr. Insurance One Treble Cove Road North Billerica, MA 01862 CONTACT NAME: PHONE FAX (g7B) 670-9194 (978 663-3301 No: E-MAILADDRESS: 8500049763 1/3/12 INSURERS) AFFORDING COVERAGE NAIC# INSURER A:ARBELLA PROTECTION DAMAGE TO RENTED P a occurrence)$ INSURED Walter Sloper 16 Ironwood St Billerica, MA 01821 I NSU RER B : -INSURER C: -INSURER D: INSURER E: INSURER F : $ t.UVtKAUIMb GtKIIf-IGATE NUMBER' RFVICInKI NIIMRFR- 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF M/DDIYYYY) POLICY EXP (MM/DDrYYYY1 LIMITS A GENERALLIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS4NIADE 71OCCUR 8500049763 1/3/12 1/3/13 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED P a occurrence)$ MED EXP (Anyone person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APP LIES PER POLICY PRCOT LOC PRODUCTS - COMP/OPAGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANYAUTO ALLOWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS _ AUTOS COMBINED SINGLE LIMIT a accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE ar..Ent $ I $ UMBRELLA LIAB EXCESSLIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICE RMIEMBER EXCLUDED? (Mandatory in NH) Ifs describe under DESCRIPTIONOFOPERATIONS below N / A WC STATU- OTH- E.L. EACH'ACGDENI $ E.L. DISEASE -EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT 1 $ i DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Renerks Schedule, if more space is required) i VGR a lvlV^I G fIVGVGR V/U4 Lr -LLA 11UN TODD SLOPER 61 WHITE BIRCH LANE NO ANDOVER, MA 01845 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE JOHN F MCBRIDE © 1988-2010 ACORD CORPORATION_ All rinhts racarvari ACORD 25 (2010/05) The AC ORD name and logo are registered marks of ACORD Phone: Fax: E -Mail: I License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, MA 02116 I Not valid without signature I Unrestricted - Buildings of any use group which contain less than 35,000 cubic feet (991m) of enclosed space. I I i I Failure to possess a current edition of the Massachusetts state Building Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass.Gov/DPS C�fe �ocz,��zQrrcueTrlf� a�C�/riGcr�Jrcc�rcJellJ Office of Consumer Affairs & Business Regulation ME IMPROVEMENT CONTRACTOR gistration: 105443 Type: xxpiration: 7/17/2014 DBA WALTER A. SLOPER CONSTRUCTION Walter Sloper 16 Ironwood St g � n Billerica, MA 01821 Undersecretary Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supers icor License: CS -003513 WALTER A SLOP kR 16 IRONWOOD ST P BILLERICA MA701821 Expiration Commissioner 06/07/2014