HomeMy WebLinkAboutBuilding Permit #104 - 7 FULLER MEADOW ROAD 8/11/2006 TOWN OF NORTH ANDOVER NORTH
APPLICATION FOR PLAN EXAMINATION Op t"t o quo
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Permit NO: 7 Date Received
Argo
Date Issued:
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IMPORTANT: Applicant must complete all items on this page
LOCATION Ful 1 f-rr e e&-d Q',11 O'd
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PROPERTY OWNER11-1-1fe 1 . I& j^^ ase- le-
Print
MAP NO.: PARCEL: ,:1 ZONING DISTRICT:
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non-Residential
❑New Building 00ne family
❑ Addition ❑Two or more family 11 Industrial
❑ Alteration No. of units:
repair, replacement ❑ Assessory Bldg ❑ Commercial
❑ Demolition
❑ Moving(relocation) ❑ Other [I Others:
❑ Foundation only
DESCRnnIPTION OF WORK TO BE PREFORMED
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Iden ification Please Type or Print Clearly)
OWNER: Name: &Lzr e, i�S Phone: 97Y 4,70 -o6&'O
Address:
CONTRACTOR Name: /' I97' �Qrr$��-vc�. 'caul Phone: 6a3 5 39- 9s'%
Address: l �r`{�{ a7 v ti nld.+ ���^rc� �1� A
T
Supervisor's Construction License: O 7 331(a Exp. Date: 716,1 0 �
Home Improvement License: 9 L _Exp. Date:_/ O
ARCHITECT/ENGINEER Name: Phone:
Address: Reg. No,
FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost :$ ,g I 'V5151, FEE:$ S-1k, 0e✓
Check No.: 3 //C Receipt No.: /
Page I of 4
Location -7 'eVi
No, Date 4VZZ1411
HQRTq TOWN OF NORTH ANDOVER
� p
" mat Certificate of Occupancy $
+,WSJ^•° Eta' Building/Frame Permit Fee $ —
AGNUS
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
i `' 3 4. B i ding Inspector
TYPE OF SEWERAGE DISPOSAL Swimming Pools ❑
F1Tanning/Massage/Body Art ❑ g
Public Sewer
Well F1Tobacco Sales ❑ Food Packaging/Sales El
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 fund
Signature of Agent/Owner Signature of contractor
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 ❑ ❑
COMMENTS
Zoning Board of Appeals: Variance, Petition No:
Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water&Sewer connection/Signature& Date Drivewav Permit
Temp Dumpster on site yes_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)
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Page 3 of 4
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Doc:INSPECTIONAL SERVICES DEPAR7'MENT:BPFORM05
Created JMC.Jan2006
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
Pave 4 of 4
NORTH
Town of 19Andover
0 0%
No. = _
lose
A lz� 410AC
dover, Mass.,
COCHICMEWICN
AORATED P?
`s BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT 0...... 0.5.. ................ Foundation
has permission to erect............ ...................... buildings on........ � ..% . ....CI Rough
to be occupied as
p ./��i.�........ �.. R � ....... .�f. � ..*........... Chimney
provided that the person acce g tlfTs permit shall in every respect confo to the terms of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating tot 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 CONSTRUCTI ST S
Rough
Service
BUILD INSPECTOR
Final
Occupancy Permit Required to Ocmpy 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.
4
SEE REVERSE SIDE Smoke Det.
Date:8/11/2006 09:14 AM Senders Fax ID:603-890-6521 Page 1 of 1
ACORQCERTIFICATE OF LIABILITY INSURANCE OP ID IIATE(MMIDDIYYYY)
KATCO-1 08 09/06
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Santo Insurance - Salem HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
224 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Salem NH 03079
Phone:603-890-6439 Fax:603-890-6521 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A
nwozlun International Croup
INSURER B: Nationwide Companies
K A T Construction, DSA
Scott La ante INSURER C:
9 Griffin Road INSURER D:
Londonderry NH 03053
INSURER E:
COVERAGES
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 PND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR 4S4
TYPE OF INSURANCE POLICY NUMBER DATE(MMIDD/YY)b DATE(MM/DD/YY) LIuIIT3
GENERALLIABkRYEACH OCCURRENCE $1000000
B X COMMERCIAL GE NERAL LIABILITY 51AC1390133002 00/02/06 08/02/07 PREMISE'ES Esoccurence) $100000
CLAIMS MADE X❑OCCUR MED EXP(Any one person) $5000
PERSONAL&ADV INJURY $1000000
GENERAL AGGREGATE $2000000
GENLAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2000000
POLICY F7 JECOT 7 LOC
AUTOMOBILE LIABILITY
ANYAJTO SIBA1390133001 08/02/06 08/02/07 jEeecaEOSINGLELIMIT $500000
Ee ccitlent)
ALL OWNED AUTOS
BODILY INJURY $
X SCHEDULED AUTOS (Per person)
X HIREDALITOS
BODILY INJURY $
X NON-OWNEO AUTOS (Perscddent)
PROPERTY DAMAGE $
(Per acdtlerd)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR ❑CLAIMS MADE AGGREGATE $
DEDUCTIBLE $
RETENTION $ $
AI
WORKERS COMPENSATION AND X TORYLIM(TS ER
A EMPLOYERS LIn61ITY NC0931351 12/20/05 12/20/06 E.L.EACH ACCIDENT $100000
ANY PROPRIETORIPARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $100000
It yes,describe under
SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
To;,T NAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Town of North Andover IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
1600 Osgood St REPRESENTATIVES.
North Andover MA 01845 AUTHORIZED REPRESENTATIVE
James A Santo
ACORD 25 42001/08) 0 ACORD CORPORATION 1988
i
✓lB gorier.
RD OF BIIILOIN�REGULq ONS
License:
CONSTRUCTION SUPERVISOR
Number: CS
Birthdate: 073316
} 07/06/1965
I! Expires: 07/06/2008
Restricted: 00 Tr'no28279
SCOTT J LAPOINTE
9 GRIFFIN RD
LONDONDERRY, NH 03053
Comm;ssior'j
er
��xe. La»a�rwncuea�� ���,.�T�,cassac`w.aella
�\
Board of Building Regulations and Standards
-_ HOME IMPROVEMENT CONTRACTOR
Registration: 129364
vi Expiration. 811812007
Type: DBA
K.A.T Constuction
Scott Lapointe
9 GRIFFIN RD.
Londonderry,NH 03053 Administrator
r
CONTRACTOR AGREEMENT
Page 1
THIS AGREEMENT made the 6th day of August by and between
Scott J. LaPointe hereinafter called the Contractor and Bruce and Linda Masek, herein
after called the owner(s). Witnesseth,that the contractor and the owner for the
considerations named agree as follows:
Article 1. Scope of the work
The contractor shall furnish all the materials unless noted and perform all the work shown
on the Drawings and/or described in the Proposal as annexed hereto as it pertains to work
to be performed on property at 7 Fuller Meadow Rd,N. Andover MA
Article 2. Time of completion
The work to be performed under this Contract shall be commenced on or before the 10`t'
day August 2006 and completed on or before August 312006 Time is of the essence. The
following constitutes substantial completion of work pursuant to this proposal and
contract: when all items have been completed.
Any change orders written once the job has started will add time to the completion date
and will be stated in the change order.
Article 3 the Contract Price
The Owner shall pay the Contractor for the material and labor to be performed under the
Contract sum of twenty-six thousand four hundred and fourty-four dollars($26444.00)
subject to additions and deductions pursuant to authorized change orders.
Article 4. Progress payments
Payments of the Contract price shall be paid in the following manner
Payment# 1 Start of project........................ ............... ........................ $8814.00
Payment# 2 1/2completinon of work(front& left side complete)... ............ $8814.00
Payment# 3 completion of work...... ...... ............... ...... ...... ... .............$8816.00
Article 5. General Provisions
Any alteration or deviation from the above specifications, including but not limited to any
such alterations or deviations involving additional material and/or labor costs, will be
executed only upon a written order for same, signed by owner and Contractor, and if
there is any charge for such alterations or deviation,the additional charge will be added
to the contract price of this contract.
Page2
If payment is not made when due,contractor may suspend work on the job until such
time as all payments due have been made. A failure to make payment for a period in
excess of seven days from the due date of the payment shall be deemed a material breach
of this contract.
In addition the following general provisions apply:
1. All work shall be completed in a workman-like manner and in accordance with all
building codes and other applicable laws.
2. The contractor shall furnish specifications for home improvements, a description of
the work to be done and description of the material to be used and the equipment to
be used or installed, and the agreed consideration for the work.
3. To the extent required by law all work shall be performed by individuals duly
licensed and authorized by law to perform said work,
4. Contractor may at his discretion engage subcontractors to perform work hereundre,
provided contractor shall fully pay said subcontractor and in all instances remain
responsible for the proper completion of this contract.
n and signed b owner and contractor, and shall be
5. All change orders shall be in writing ,
g
g � Y
incorporated in,and become a part of the contract.
6. Contractors at his expense obtain all permits necessary for the work to be performed.
7. Contractor agrees to remove all debris and leave the premises in a broom clean
condition.
8. In the event owners shall fail to pay any periodic or installment payment due
hereunder,contractor may cease work without breach pending payment or resolution of
any dispute.
9. All disputes hereunder shall be resolved before any contracted work resumes.
10. Contractor shall not be liable for any delay due to circumstances beyond its control
including strikes, weather, casualty or general unavailability of materials.
Page 3
11. Contractor warrants all work for a period 12 months following completion.
Any work performed by any subcontractors not hired by K-A-T construction will not be
covered by K-A-T construction.
12. The contractor shell furnish a list of all items that are to be supplied by the clients.
And the stages when these items are to be on site.
Article 6.insurance
The contractor represents that it has purchased insurance, and agrees that it will keep in
force for the duration of the performance of the work, or for such longer term as may be
required by this agreement, in a company or companies lawfully authorized to do
business in the state of Massachusetts. Such insurance as will protect K-A-T construction
and the owners of the site from claims for loss or injury, which might arise out of or
result from the contractor's operations under this project, whether such operations be by
the contractor or by a subcontractor or its subcontractors.
Article 7. Start date and completion date
The actual start date and completion dates may vary due to circumstances beyond our
control. Such as permits being issued, inclement weather, back ordered materials,
scheduled inspections etc.
Upon signing. I agree to pay for the above stated work that is to be performed under the
conditions as specified within.
Customer signature date $ + $r o(.41
Customer signature date_
K-A-T Representative date
I
VQ/VJ/GVVV IV.JV inn V � + .+.+v. ... �.. ....... . •• `.
May 19 06 06:54a Scott J. LaPointe 603 421-0151 p.2
Prgwsal Ar 0626
9^Griffin Rd. Date: 05/18/06
Londonderry, NH 03053
(603) 437-9440
To:&uce&Linda M1mk
7Fuller Meadow Rd.
N. Andover AM
job desa ption
We dere byprgonae d,supply d*maLArla/and Wor liar the&* Og job to be started on or around the 20 of A*
2006 and la be caMkatd an ar amuWAugust le 201x6
1)Remove OW ex/st M Mm n&SOW fmm Lite WOE house,
2)Remove and repAgw a//u cww boards acrd maA4 x deem wO now Ix4 and 1x5 Phe pvimed One baerd$.
3)Remom and repkw the 1x8&we board drat nun on dee front of the/Warne"and s�/Amor.
4)Remove and ne•hartq Me e4ing sahun&FgVAXV twao sa&that are nLWhg and repute die ofd as needed.
5)Ramose and r rbw do 1x6 tram&vwd the garage abars
6)Repbm ane edetber elm an 6 w xb*s
7) Wrap ate house WM 7)rp v house w,rdp,51de anehouse w/t1i a 4/2"x 6"pre-primed c>°o{ar slding 4"e*,osure to ate
r+�e�aMer:
8)Disse of all dabrls k7w w an snit cter4wfwA r a asaiC
ThIS estimate Is based on current ataWN a ad lobar cants AN nteterfal used wiz/be/n aiccor*nae tea the jab .
Wedfloftns. 7bls gypaW OW MM&awn by us 1f not g=tad w 0w 30 days
Tab/estimated cost $26,444.00
Acsnepted by
acne - I g ^o L
, br dafaa.'S- lGI�a
Item Description Qty Unit Price
1 Siding
Siding Base Dimensions:
01 Plans and Permits
01.008. BUILDING PERMIT(AVERAGE AMT FOR U. S.)
Building permit fee, based on
total amount of job.
EA=Total job
PER$1,000= Per$1,000 of total job
cost(contractor's cost)or
job price(price to customer).
Building permit fee 1.00 EA
02 Site Preparation
02.103. EXTERIOR WALL COVERING REMOVAL
Remove existing shutters 17 pairs
Remove siding from existing exterior walls,
load into on site dumpster for disposal.
Remove wood drop/bevel siding 3900.00 SF
02.120. EXTERIOR TRIM
Remove the following:
up to 100 lineal foot of 1"x 8"facia and freeze
board
up to 48 lineal foot of 1"x5" (trim around garage
doors) remove 11 comerboards made of 1"x4"
and 1"x 5"
Remove exterior trim 258.00 LF
11 Sidings
11.004. BEVELED SIDING
Replace the existing masonite siding with a
pre-primed 1/2"x 6"cedar siding, over typar house
wrap. Supply and install 17 pair of wood shutters,
Retrim 6 window with 1"x4" pine boards. Rake area
and remove all debris
1/2"x6" Pre primed beveled cedar siding 3900.00 SF
Phase Total: 26,443.46
Grand Total: 26,443.46
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