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HomeMy WebLinkAboutBuilding Permit #826-13 - 71 ELMCREST ROAD 6/3/2013f4i � r� 4� Permit NO: BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received Date Issued: (,,g ,5-5 IMPORTANT: Applicant must complete all items on this LOCATION `1 � V%1 Cf, c !!N� 1Ca Print PROPERTY OWNER ' C t oy' Print MAP NO:03�-- PARCEL2& ZONING DISTRICT: Historic District yesfn Machine Shop Village ves 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 ❑ Septic ❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District ❑ Water/Sewer C Identification Please Type or Print Clearly) OWNER: Name: NUf )�, 4 1,4 \Z' Phone: Address: 7/ e( "tt, rL Air, A , CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER 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: $' OC)g FEE: $ S�� Check No.: lfl 4 Receipt No.: NOTE: Persons co c n with unregistered contractors do not have accQs Xo e%ty fund Signature of Agent/Owner ` Signature of contracto i4..,w TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page Pnntn t `PR�OPE TYlOWNER t , PrintM f100 Year ill tructure yes ono �MAN03IARCELt ZING ®ISTRIC_,�Histonc ®'stnct ayes _ rnD TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family 0 Industrial ❑ Alteration No. of units: 0 Commercial ❑ Repair, replacement ❑ Assessory Bldg 0 Others: 0 Demolition ❑ Other .i j V .'T T sOlSepti WeIII i ate' � y 4 Floodplain 'Wetlands` --... `�!r� i.' a"'I' .' ®Watershed ®istnct ©tWater/Sevver,� i l _ , __ DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: Phone: Arlrlracc- �__�-�- y A"d'dress�3 -A Su en soy s CFonstrucfion License �� _ M iEx ,iDare p Home Ivm rgvement�License.� _; te: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BOLDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125,00 PER S.F. 'Total Project Cost: $ FEE: $ _ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ?Signature & Agent/Owner Sig ature of .contractor. Q_ej Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ I Location 2 A47 Ch-c o J No. Date t s Check tj�-- 26460 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Building Inspector Plans Submitted ❑ Plans Waived❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF -SEWERA GEDISPOSAL Public Sewer ❑ Tanning/Massage/BodyArt ❑ .. .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 PLANNING & DEVELOPMENT COMMENTS DATE REJECTED 0 DATE APPROVED CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS r Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes_.. Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/S anafure � Date Driveway Permit 1DIPW Tuvvz )Engineer: Signature: Located 384 Osoond Street FIRE DEPART�li Fid i -Temp Dumpster on site Located at'124 Main Street Fire Depa mei t.sigiiatureldate COMMENTS yes no Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Motor 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 2010 Building Department The foiiowing 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 ❑ Engineering Affidavits for Engineered products 10TE: 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. 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) ❑ Engineering Affidavits for Engineered products TOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application Q 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 OTE: 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 appy 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 Doc: Doc.Building permit Revised 2012 0 Z w 0 �_-- —o F- u oc z uaa a a O ui u. z H Q O WQ z c7 a c z z o Q m Q W Q 5 co GLL v c a W .� u v�O 0v +, in cu N Z • 'a c Sao c oto � " — Loo — v v _ _ Y O G. 7 7 7 3 � N O O G1 O O t O O C O N O O C o ,-QlLL N LL fY U LL fY LL d' V) LL tY LL m N V1 W, Vi t C C O v ��ss p U : W Q2 :a •� c �z o p : o H d i l� ♦ : t d •1 < � W V 0 u i a 10 r•�_ Q h � � a � � Z t— tKT •• Vi �O _ -� , ` L m � ° > c = d �° w W O N o -p0 > F— '� (Da c X Z N ,.rts O W 0 L-cZ �U C G O d c to W W a> p c W J CL -o a CL 4) m ® v = ..0 o c _ H Q L i ea •p •0 H' O cn v m O _W C 'a - O O .� LU LI) d N C O EL p +� Z ` E V 'C p V o W i v O ._ i • v a) 0-0 co 0. N p '� FE o p 1-- t Q. 0 V > ti ti v v O w S E 0 Z 0 N W Q y .E m m as a.t=� t >b 0 CD 4 0 0 `—a o Q CL. �a 0 -_ v_ J -a •0-0+; Z 0 CL V N CL .N 0 D uj W W 19 W co C CY) O �N to , O �? Z O N O CU co � � CU OL..� CU c L - M O O U -C .ffiN O N cu O E co C3 m M M c:O O -0= O cow cu� CU -0 a� N X 00 N NMMF —J North Andover Board of Assessors Public Access E �tORi►� 1 ACHUS� Click Seal To Return Search for Parcels Search for Sales Summary Residence Detached Structure Condo Commercial Page 1 of 1 roperty Record Card P.mal In -)I WnCC n_nm4 nnnn n L'V.'3Al2 n,.....,........_.a, . AT._-aL ♦ ocation: 71 ELMCREST ROAD wner Name: PROCISSI, STEPHEN J. C/O TAVANO, MARK, C. wner Address: 71 ELMCREST ROAD City: NORTH ANDOVER State: MA Zip: 01845 eighborhood: 5 - 5 Land Area: 0.35 acres se Code: 101-SNGL-FAM-RES Total Finished Area: 1415 soft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 289,300 282,300 Building Value: 118,700 106,300 Land Value: 170,600 176,000 Market Land Value: 1.70,600 Chapter Land Value: http://csc-ma.us/PROPAPP/display.do?linkld=2253606&town=NandoverPubAcc 5/31/2013 25 Close Window w 1(90 Sq. FM FM(B 10 90 Sq &D 975 Sq.ft �5 4 FM 25 350 Sq. W15 3q. Page 1 of 1 http://psc-ma.us/PROPAPP/j sp/prop/Show jsp?Type=Sketch&Src=FM { 1 } B {0} [L19D6]:5... 5/l/2013 0 {LO W A Of alai W W a. C T. z W J Q bl m d104 y� 7 � r a � i h"`f . +erey .�,ryfwGx��rII AF s 0 {LO W A Of alai W W a. C T. z W J Q bl m E2 ILV41J I IS W 0 Co Immmm z 0 U I -m- 0 lq�r Z '00 C:) N_ 0is mom o"M W SmONS tam)) LOB mom 04) x x W UJ .... . .... . RMit3 t W J J ;W, xi -�R Alf, IUD' W 0 0 U) W LLJ r a LL. 0 F - UJ a. AC40RDFCERTIFICATE OF LIABILITY INSURANCE 5 //28/ D28/ IDD/YYYY) 2013 THIS CERTIFICATE IS ISSUED 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 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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 Financial Insurance Services Inc PO BOR 950 Derry NH 03038 CONTACT NAME: Patricia Blais PHONE (603) 432-6414 FAX AXNol: (603) 432-3852 EuMA' :Pblais@fisins.com DR INSURER(S) AFFORDING COVERAGE MAIC # INSURERANational Grange Insurance CO INSURED Professional Building Services, LLC 9 Olde Woode Road Salem NH 03079 INSURER B :Hartford Insurance Company INSURERC: INSURER D: INSURER E: INSURER F: uvvtKAGES GERTIFICATE NUMBER-CL1321104523 RFVICInN MI IMRFR. 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. ILTR TYPE OF INSURANCE A D UB POLICY NUMBER MMILIDDY� POLICY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X❑OCCUR T1630H /5/2013 /5/2014 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 .GE N'L AGGREGATE LIMIT APPLIES PER X POLICY PRO- nJECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED X SCHEDULED HIRED AUTOS X NON -OWNED AUTOS 1T163011 /5/2013 /5/2014 EO COMBINED SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident Medical payments $ 5,000 F4EXCESS UMBRELLA LIAR UA13 OCCUR [CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS! LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) ff yes, describe under DESCRIPTION OF OPERATIONS below N I A 4WECLB1809 /5/2012 /5/2013 WC STATE- OTH- T I E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Mark Tavano 71 Elmcrest North Andover AtivKU ZO (ZUTU/UO) INS025 rgmnnsi m SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. MA ' AUTHORIZED REPRESENTATIVE Sam Fragala/DEBRA ©1988-2010 ACORD CORPORATION. All rights reserved. Tho Af`npn name nnrl Innn aeo rnnia#araA markt of aPnon Massachusetts Home Improvement Contract This form satisfies all basic requirements of the state's Home Improvement Contractor Law (MGL chapter 142A), but does not include standard language to protect homeowners. Seek legal advice if necessary. Any person planning home improvements should first obtain a copy of "a Massachusetts consumer guide to home improvement" before agreeing to any work on your residence. You may obtain a free copy by calling the Office of Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-973-8787 or 1-888-283-3757. Homeowner Information Contractor Information Name Mark Tavano CompanyName 71 Elmcrest Street Address (do not use a Post Office Box address) North Andover MA City/Town State Zip Code 978-375-6193 Daytime Phone Evening Phone PROFESSIONAL BUILDING SERVICES /PETER CIARALDI Salesperson/ Owner Name 9 OLDE WOODE RD Address (must include a street address) SALEM NH 03079 State Zip Code Mailing Address (It different from above) Business Phone Federal Employer ID or S.S. Number 603-898-2977 20-5303576 Law requires that most home Home Improvement Contractor Expiration Date improvement contractors have a valid reg. number Registration number CS97650 7/14 The Contractor agrees to do the followi g work for the Homeown r: (Describe in detail the work to completed, spechfying the type, brand, and grad of materials to be used, us r additional sheets if necessary.) Reference Professional Building Services estimates # 1420,1419,14 8 Required Permits - The following building permits are required Proposed Start and Completion Schedule - The following and will be secured by the contractor as the homeowner's agent, schedule will be adhered to unless circumstances beyond Owners who secure their own permits will be the contractors control arise excluded from the Guaranty Fund provisions of Date when contractor will begin contracted work. MGL chapter 142A.) Date when contracted work will be substantially completed. Total Contract Price and Payment Schedule The Contractor agrees to perform the work, furnish the material and labor specified above for the total sum of: $30,000.0 (*) Payments will be made according to the following schedule: $_ upon signing contract (not to exceed 1/3 of the total contract price or the cost of special order items, whichever is greater) $_1 O, 000. 00 upon signing contract (not to exceed 1/3 of the total contract price or the cost of special order items, whichever is greater) $_10,000.00 by_/ /_orupon completion of—Roof & Deck complete $_10,000.00_ upon completion of the contract. (Law forbids demanding full payment until contract is completed to both party's satisfaction) The following material/equipment must be special $ to be paid for ordered before the contracted work begins in order $ to be paid for to meet the completion schedule.(**) NOTES: (*) Including all finance charges (**) Law requires that any deposit or down -payment required by the contractor before work begins may not exceed the greater of (a) one-third of the total contract price or (b) the actual cost of any special equipment or custom made material which must be special ordered in advance to meet the completion schedule. Express Warrantv -Is an express warranty being provided by the contractor? No Yes (all terms of the warranty must be attached to the contract) Subcontractors - The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third party/subcontractor utilized by the contractor. The contractor further agrees to be solely responsible for all payments to all subcontractors for materials and labor under this aereement. Contract Acceptance - Upon signing, this document becomes a binding contract under law. Unless otherwise noted within this document, the contract shall not imply that any lien or other security interest has been placed on the residence. Review the following cautions and notices carefully before signing this contract. Contractor Arbitration The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action (as an alternative to court action) if they have a dispute with a contractor. The same right is not automatically afforded to a contractor, however. The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below. This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract, the contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided In Massachusetts General Laws, chapter 142A. meowner's Signature Contractor's Signature NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not the Homeowner's Rights A homeowner's rights under the Home Improvement Contractor Law (MGL chapter 142A) and other consumer protection laws (i.e. MGL chapter 93A) may not be waived in any way, even by agreement. However, homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law. Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law. The contractor is responsible for completing the work as described, in a timely and workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor, all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about your consumer/homeowner rights, contact the Consumer Information Hotline (listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached. Parties are also advised not to sign the document until all blank sections have been filled in or marked as void, deleted, or not applicable. One original signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor. Any modification to the original contract must be in writing and agreed to by both parties. Contracted work may not begin until both parties have received a fully executed copy of the contract, and the three day rescission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure. However, in instances where a contractor deems him/herself to be financially insecure, the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work. Withdrawal of funds from said account would require the signatures of both parties. Additional Information If you have general questions or need additional information about the Home Improvement Contractor .Law or other consumer rights, or if you wish to obtain a free copy of "A Consumer Guide to the Home Improvement Contractor Law," contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation • Don't be pressured into signing the contract. Take time to read and fully understand it. Ask questions if something is unclear. • Make sure the contractor has a valid Home Improvement Contractor Registration. The law requires most home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration. You may inquire about contractor registration by writing to the Director at One Ashburton Place, Room 1301, Boston, .MA 02108 or by calling 617-727-3200 or 1-800-223-0933. Does the contractor have insurance? Check to see that your contractor is properly insured- Know nsuredKnow your rights and responsibilities. Read the Important Information on the reverse side of this form and get a copy of the Consumer Guide to the Home Improvement Contractor Law. You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business, provided you notify the contractor in writing at his/her main office or branch office 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 the attached notice of cancellation form for an explanation of this right. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACESM Two identical copies of the contract must be completed and signed. One copy should go to the homeowner. The other copy should be kept by the contractor. Homeowner's Si e :Date f Contractor's Signature Date 5/26/2013 10 Park Plaza, Room 5170, Boston, MA 02116 (617) 973-8787 or 1-(888) 2833757 If you want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law, contact: Director of Home Improvement Contractor Registration Bureau of Building Regulations and Standards One Ashburton Place, Room 1301, Boston, MA 02108 (617)727-3200 or 1-800-223-0933 For assistance with informal mediation of disputes or to register formal complaints against a business, call: Consumer Complaint Section Office of the Attorney General (617)727-8400 AND/OR Better Business Bureau (508)652-4800 (508)755-2548 (413) 734-3114