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HomeMy WebLinkAboutBuilding Permit #254 - 62 STONECLEAVE ROAD 10/3/2006 TOWN OF NORTH ANDOVER ft10RTF1 APPLICATION FOR PLAN EXAMINATION 0���1 ED ,,q+ 32 6..; • S OL N A 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 "--mm mg- "mum OF WFOR ASION AARR�U1510"RIGAS A SEX P,,"TRE 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 2 a py V- I A T;m. TgA3MrXgS Npgt%TTy WNp"y INSURED COUPANr TWIM. SHAW & USGAIRE, DOUG DBA. TWONRY & LEGAm COMPANY P C BOX 3622 NORTE AIIDOWR MA 01945 00WAKY D Z3 y....... 1 mix., t Me J. W. "";�mfft --J 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 mn EACH W=NEW- FIRE DAUAGE(kV one fire) AL"OUDSKELIAKRY EWEISE(&V arks pemsnj a AWAUM IMF ALL OWDAUMS HWILY Ill"m SCHEDULEDAUTOS (Par Perm) XSEDAUT09 11001ILY RM-OWNEDAVIOS (PefAcddent) CAMULIAIWff PRWWMWAGE AUTO OKY-EAACWW 5 A16YAUM anmnTMNAUTCONj.V EAQN AOQJnENr AGGFIBWE clam uAeIUTY EwsocaIRREICE UNIMM FORM AGGREGATE hili IMA FCRlm A smyms LINIKITT 09-18-06 STATUTORYURiS THEPROP.MW l;nn-nrl(k PARTNEWBOWlIVE INCL OSEASE-poLrENi y LUT. OFF9Xm Am - Rx -;nn nno OMERE . su.flnn VE KWKION OF urtmilumwLUQRTMPINVIRF(ImnwrnLlnouR. a'-wS PRIOR CERTIFICATE ISSUED TO T TIFJQTB HOLDS 4 A:MlNr- COW COMME. pow -qm M SHOULD ART OF THE ABOVE OE WOM pCLW"BE CANCELLED gLVU THE O CITY OP No ANDuM R"M OAIE TMW- INE == COWW AMVVKL OMPOR To AM 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 HIRED AUTOS �1 INJURY S NON-0V+INED AUTOS (per oWDAMAGEaoddWj t GARAGELUIBILITV AUTO ONLY-EA ACCIDENT S ANY AUTO OTHERTHAN EAACC § AUTO ONLY: AGG S EXCESS LIABILITY EACH OCCURRENCE S OCCUR CLAIMS NAGE AGGREOAT= S S 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 5MULDANYOFTMEABOVEDMCNBEDFOUC4ESBEGOGELLWBEPOIMTHEMRAYM 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 ol L c � .00 - - - -- - - - - - -- - - - --- - --- _ -