HomeMy WebLinkAboutBuilding Permit #254 - 62 STONECLEAVE ROAD 10/3/2006 TOWN OF NORTH ANDOVER
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APPLICATION FOR PLAN EXAMINATION 0���1 ED ,,q+
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Permit NO: Date Received 4 's
e
0 41
Date Issued: - !� �9SSACHus���y
IMPORTANT:Applicant must complete all items on this page
LOCATION �//� f?,�� e/eeG'rs
Pri t
PROPERTY OWNER � c.
P nt
MAP NO.: LOY6 PARCEL: Z CZONING DISTRICT:
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non-Residential
❑New Building ❑ One family
❑Addition ❑ Two or more family ❑Industrial
❑Alirxation No. of units:
epair, replacement ❑Assessory Bldg ❑ Commercial
❑Demolition
❑Moving(relocation) ❑ Other ❑ Others:
❑Foundation only
DESCRIP ;q OF WORK TO BE PREFORME , y
i%
Identification Please Type or Print Clearly)
OWNER: Name: or le- �./' Phone:
b
Address:
CONTRACTOR Name: J% C 4�4 Phone: l
Address:
Supervisor's Construction License: Exp. Date:
Home Improvement License: / 7� Exp. Date:
ARCHITECT/ENGINEER f��EJ Name: Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING P MIT: 12.00 E 1000.00 OF THE TOTAL ESTIMATED COST ASED ON5.00 PER S.F.
Total Project Cost :$ CC x12.00=FEE:$ 36 fff Od
z
Check No.: /3 Receipt Nol gill
Page 1 of 4
1
TYPE OF SEWERAGE DISPOSAL
Tanning/Massage/Body Art ❑ Swimming Pools ❑
Public Sewer ❑
Well
Tobacco Sales ❑ Food Packaging/Sales ❑
❑
Permanent Dumpster on Site ❑
Private(septic tank,etc. Electric Meter location to
project
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty nd
Signature of Agent/Owner Signature of contractors
Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stamped Plans ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF-U FORM
DATE REJECTED DATE APPROVED
PLANNING& DEVELOPMENT ❑ ❑
❑Water Shed Special Permit
❑ Site Plan Special Permit
❑ Other
COMMENTS
DATE REJECTED DATE APPROVED
CONSERVATION ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH ❑ ❑7 t7
COMMENTS c-�
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
Temp Dumpster on site ys no_ Fire Department signature/date
Building Setback (ft.)
Front Yard Side Yard Rear Yard
Required Provided Required Provides Required Provided
Dimension
Number of Stories: Total square feet of floor area,based on Exterior dimensions.
Total land area,sq. ft.:
NOTES and DATA— For department use)
S-O
Page 3 of 4
Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORMOS
Created JMC.Jan.2006
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
❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
❑ Floor Plan Or Proposed Interior Work
Addition Or Decks }
❑ Building Permit Application
❑ 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)
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
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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05
Paan 4 of 4
Location GZ
No. Date
�aRTM TOWN OF NORTH ANDOVER
0.1 •�6D
�', '•do
# F
• ,a Certificate of Occupancy $ t
NuS<� Building/Frame Permit Fee $�
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
19644
Building Inspector
c V40RTH '9
0 of over
No. ZCy
•3 404CM ZO _ LA - O dower, Mass.Jo
Y' (1 ^•mss__
COCHICHEWICK
ORATED PPG �5
BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT.............� .
V ...... ey:. ..
....... . ....................................................
............................�..... Foundation
6
has permission to erect........................................ buildings on ..... A41Lei
.... Rough
to be occupied as..�afi !1�f:��......... .r,6-,0 !10.04 ..................................... ...................................
. tmn y
Ch' e
provided that the person accepting this permit s?.
n every respect conform to the terms of the application on file in Final
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
Now PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRU TARTS Rough
........ Service
CTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
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.
SEE REVERSE SIDE Smoke Det.
The Commonwealth of Massachusetts ,
Department of Fire Services
Office of the State Fire Marshal
ki,jW-
P. O.Box 1025 State Road,Stow,MA 01775
PERMIT Date:
North Andover Permit No Dig Safe Num er
(City of Town) (If Applicable)
In accordance with the provisions of M.G.L.I 4 8 Chapter
�Q as provided in section S 7 7 CMR 3 4 g Date
This Permit is granted to:
Full name of person,Firm or Corporation
locate dumpster for construction/renovation/demo liti
Permission to
on of building
Comments: dumpster must be . 25 ' from structure if unable to place with required
Restrictions: clearance dumpster must be covered with plywood or tarp end of work -day
at
(Give location by street and no.,or describe ip suet er as to provied adequate id� �c� n`of location)
t./' Fire Chief
Fee Paid$ 50 .00
,g Offical antin permit (Title)
This Permit will expire Z/ J �` (Signature of fical granting permit) g g
MRY 04 2006 8:27 978 556 0285 P. 1
RightFax Hartford 5/4/2008 e:07 PAGE 003/011 Fax Server
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DAVIS DAVIS MOODY INS ER. THIS CERIlf CATE GIM LPOT"Ak?E*Nl ) 0
40 18NOU AVE THE COVMQE AFFOPDED BYTHE POLM BELOYV
mvsmLb FA 01830COMPANYCOMPMESAFFIMIMNISCOMAGE
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INSURED COUPANr
TWIM. SHAW & USGAIRE, DOUG
DBA. TWONRY & LEGAm COMPANY
P C BOX 3622
NORTE AIIDOWR MA 01945
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TKS ISTO cFJinFr TtAT TW POLICIES OF INSURANCE U9M SUM HAVE BEEN ISWED TO THE INSURED NAiiIED ABM PDR THE POLICY PEmoo
INOWATED.NOW WTANM ANY REQUIREtaFM.TLVA OR COP407M OF ANY CONTRACT On OTNO DOCLIM90 WffH KEWW TO WHICH THIS
CBR-1 WCA7E MAY BE 193=1 W MAY PERTAIK WE DGWANCE AFFMO BY THE POLICIES 08CRIKD NBREN Is SUBJECT TO ALL THE TOM,
IMCLUSIM AND CONOMONS OF StMWPOLIOM LTU MBROW MAY WIVE BEGUREDUCED BYPAID CLIUMS
LTF TYPEOFINMRSJM POLICVNUMM POLICY11MCOVE POUCT ENMRATION
LIMITS
COMMEMIAL GEM'-UARM
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a'-wS PRIOR CERTIFICATE ISSUED TO T TIFJQTB HOLDS 4 A:MlNr-
COW COMME.
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SHOULD ART OF THE ABOVE OE WOM pCLW"BE CANCELLED gLVU THE
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10 DAYS WMITEN NOTICE 170 7KE CHITIFLIATE HOLDER RAM TO THR
BLDG INSPECTOR LEFT. BUT FAILURE TO ®AIL SUCH ROTICE WUL IMPOSE No osucamm OR
27 CHARLES ST
NO AWJOVJM NA 01845 LN MW OF ANY KIND UPON IM WMPAN%us AmwscR RW=WrjmVM
RUG 01 2005 10:53 978 556 0285 P. 9
AC RA CERTIFICATE OF LIABILITY INSURANC DA06/2 R>Im
' 0 01 D 06 29!05
PROOUCFR , THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Davis, Davis S Moody BOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
40 Renoza Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Haverhill Mh 01830- INSURERS AFFORDING COVERAGE
Phone:978-373-1367 Fax:978-556-0285
INSURED INSURIERA Arbella Protection Insurance
INSURER B:
mommy & IA& are Contracting INSURERC:
NO. Boxxd365r MA 01845 INSURER D:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN SSUED TO THE INSURED HAUMARCIVE FOR THE POLICY PER 100INDCATED.N07WTHSTANDING
ANY REQUIREIMENT,TERM OR CONDITION OF MY CONTRACT OR OTHER DOCUMENT 7I;TH RESPECT TO VMRICH THIS CERTIFICATE MAT BE ISSUED OR
PAY PERTAIN THE INSURANCE AFFORDED BY THE POLICES DESCRIPW HEREIN i8 SUBJECT TO ALL TK TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICES AGGREGATE LMRS SHOWN MAY HAYS BEEN REDUCED BY PAID CLAIMS.
INSIR
LTR TYPE OF INSURANCE POLICY NUMBER N I pA7E LIMITS
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
A X CommER-cIALGENERALLIaaUTY 6500012700 06/22/05 06/22/06 FRE DAMAGE(Aivanfirs) s100,000
CLAIMS MADE �OCCUR IED EXP(Any onapalson) E 5,000
PERSONALNLADVINJURY 81,000,000
GENERALAGGREDATE s2,000,000
GEN'LAGGREGATE LMITAPPLES PER: PRODUCTS-COMPIOP AGG s2,000,000
POUCY P LOC
AUTOMOBILE UAEUTY
COMBINED SINGLE LMR 8
ANY AUTO
ALL O`IMED AUTOS I BODILY INJURY
9CHEDUUEDAUTO6 �� S
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ANY AUTO OTHERTHAN EAACC §
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EXCESS LIABILITY EACH OCCURRENCE S
OCCUR CLAIMS NAGE AGGREOAT= S
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DEDUCIBLE $
RETENTION 5 E
WORKERS COMPENSATION AND TORY NJUN MTS ER
EMPLOYERS!UABLJTY ;
E.LEACH ACCIDENT i
E.L.DISEASE-EAEMPLOYEE S
E.L.DISEASE-POLICY LAW S
OTHER
DESCAIVRoN OF OpommONSILOCAIM ADDIS?BY ENDOQBEi IEN71I PECUIL PROVISIONS
Caspantry - 3 stories or loss
CQRTIFICATE HOLDER 1NwILLos NwwM LUTTEM CANC AJAT10N
NOI 'PH A
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DATE TR 3NSOF,THE ISSUING FNSURLR VALL ENDEAVOR TO MNL -j9--DAYS WWrM
NOTICE TO RCATE HOLDER NAMEDTO THE LEFT.BUT FAILURE TOW I0 SHALL
CITY OF NORTH SNDOVER 0104m TION OR LIABILITY OF ANY KIND UPON TIM N M F%ITS AGERTB OR
27 CHREWS STREET
NORTH ANDOVER H& TA
. A
ACORD 26-5(TIM CACORD CORPORATION 1888
✓)CPi �Q�Q��/PC4GLIG�ln ...
BOARD OF BUILDING R
License: CONSTRUCTIONS ' r`
Number: CS 067560. . . ,
Birthdate: 10/25/1966
Expires: 10/25/2007
Restricted: 00
SHAUN M TWOMEY
61 PATROIT ST G
N ANDOVER, MA 01845
Commissioner
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration 136779
Expiration 6/26/2008
Type: Partnership
TWOMEY+LEG ARE CONTRACTING INC.
SHAWN TWOMEY
61 PATRIOT ST.
N.ANDOVER,MA 01845 Deputy Administrator
s-
TWOMEY & LEGARE CONTRACTING, INC.
Professional Building / Remodeling
P.O. Box 366
North Andover, MA 01845
North Andover 978.685.7447
Haverhill 978.556.1547
CONTRACT
1. Date of Contract Signing:
2. List of documents part of this agreement:
A. Contract
B. Specifications (see Exhibit B)
C. Drawing (see Exhibit C)
D. Payment Schedule (see Exhibit D)
E. Limited Warranty(see Exhibit E)
F. Notice of Cancellation
3. Parties to Contract:
A. Contractor: Twomey&Legare Contracting, Inc.
Shaun Twomey/Doug Legare
Federal Id#: 04-3610112
Address: P.O. Box 366 North Andover, MA 01845
Contractor Registration No.: 136779
B. Homeowner: Mr. &Mrs. BAy
62 Stonecleave Circle
North Andover, Ma 01845
(978)557-0016
9/13/06
-�- r- x /
4. Description of work to done and the materials to be used:
See Specifications(see Exhibit B)
5. Total amount agreed to be paid for work to be performed under the contract:
6. Time schedule of payments to be made under the contract,finance charges for late fees,if
any. *
See Payment Schedule(see Exhibit D)
*Any deposit required to be paid in advance of the start of the work shall not exceed one-
third of the total contract price or actual cost of any material or equipment of a special or
custom made nature,which must be ordered in advance of the start of work to assure that
the project will proceed on schedule.No final payment shall be demanded until the
contract is completed to the satisfaction of all parties.
7. A.Date work is scheduled to begin: See No. 14
B. Date work is scheduled to be substantially completed: See No. 14
8. Notice:
A. All home improvement contractors and subcontractors shall be registered and that any
inquiries about a contractor and subcontractors shall be registered and that any inquires
about acontractor or subcontractor relating to.a registration should be directed to:
Director,Home Improvement Contractor Registration
One Ashburton Place,Room 1301
Boston,Massachusetts 02108
Telephone No.(617)727-8598
B. For contractor's registration number,see top of first page.
C. Homeowners have a three-day cancellation rights under MGL c 93 §48; MGL c 140D
§ 10 orMGL C 255D§ 14 as may be applicable(see attached Notice of Cancellation).
D. For owner's warranty rights,see 780 CMR R6 and MGL c_142A.
9. There is no lien or security interest on the residence as a consequence of this contract.
10.Permit Notice:
e A. The following permits will be required in connection with the work to be performed on
your property: Building-Electrical -Plumbing
B.It is the obligation of the contractor to obtain these permits as the owner's agent.
m
2
C. Any owner who secures their own construction-related permits or deal with
unregistered contractors shall be excluded from access to the Guarantee Fund.
11. Contractor reserves the right when he deems himself to be insecure to require as a
prerequisite to continuing work that the balance of funds due under the contract,which
are in possession of the owner, shall be placed in a joint escrow account requiring the
signatures of the home improvement contractor and the owner for withdrawal.
12. The parties agree that no work shall begin prior to the signing of the contract, transmittal
to the owner of a copy of the contract and the expiration of any applicable rescission
period.
13.Arbitration Clause: The contractor and the homeowner hereby mutually agree in advance
that in the event that the contractor has a dispute concerning this contract,the contractor
may submit such dispute to a private arbitration service which has been approved by the
Office of Consumer Affairs and Business Regulation and the consumer shall be required
to submit to such arbitration as provided in MGL c 142A.
14. Other Provisions:
A. Commencement of Work/Completion - Contractor tractor agrees to proceed diligently with
the agreed upon work, commencing promptly following:
• Issuance of a building permit by the Town
Estimated date of completion:
Completion date shall be automatically extended by the number of days
equal to those on which contractor shall be prevented or hindered from
completion due to weather conditions, other acts of God, inability to
obtain materials or schedule work due to delays caused by homeowner's
selection process or change of orders,and/or failure of homeowners to
make timely payments as agreed.
B. Final payment shall be upon the satisfaction of the homeowner. The parties agree that
the issuance of a certificate of occupancy shall be the objective standard that the
contract has been completed and the parties are satisfied.Any punch list items shall be
reduced to writing,with a date of completion. The parties agree that no escrow will be
held for punch list items.
C. Late Payments/Defaults- should the homeowner fail to pay the contractor in the
manner as agreed, the contractor shall be entitled to stop work until paid in addition to
taking all legal steps including the placing of a mechanic's lien on the property to
obtain payment.Anylate payment shall accrue interest at the rate of 1.5%per month.
Homeowner agrees to pay collection costs and attorney's fees for any payments due but
not paid in a timely manner.
3
1
D. Insurance-Contractor agrees to provide evidence of liability,worker's compensation
and other risk insurance. Owner agrees to provide copy of hazard insurance as is required
by contractor to coordinate policies.
Owner:
Contractor:
Notice: The signatures of the parties above apply only to the agreement of the parties to
alternate dispute resolution initiated by the contractor.The owner may initiate alternative
dispute resolution even where this section is not signed separately by the parties.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
Owner Date Contractor Date
Owner Date Contractor Date
4
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