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HomeMy WebLinkAboutBuilding Permit #423 - 72 PADDOCK LANE 12/12/2007 BUILDING PERMIT Of pORTFi q TOWN OF NORTH ANDOVER c - o° APPLICATION FOR PLAN EXAMINATION 7D 03 Permit NO: Date Received �9"°q,Teo'P c5 ,� i �SSACH�15�� Date Issued: /T IMPORTANT: Applicant must complete all items on this page LOCATION ]off ?,+M rc,4 Z of e / PROPERTY OWNER b W �r1�y�y Print Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Buildingfamii Addition Iwo or more family Industrial Alteration No. of units: Commercial epai placement Assessory Bldg Others: —Efemolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: tZeruy�2 l r4 e A9*10 i740" Ident%fcation Please Type or Print Clearly) OWNER: Name: bq. v/ e Phone:?,7k- 7S-/Jr7T. Address: Lloe-,-e- CONTRACTOR Name: Criby /-?. 1.7c2.c Phone: lvf7�6 ,Sv�e�-tet Address: 36 ::w-j D� Supervisor's Construction License: 070 5 124 Exp. Date: l l��' Home Improvement License: 1a`z S3%l Exp. Date:I'Al t ©% 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: $� o� FEE: $ —?0 Check No.: Receipt No.: NOTE: Persons contracting with unregi tered contractors do not have access to the guaran fund Signature of Agent/Owne Signature of contractor 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 DATE APPROVED PLANNING & DEVELOPMENT COMMENTS DATE REJECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH COMMENTS v 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 Located at 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS 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 NOTES and DATA— (For department use) ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 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 ❑ Engineering Affidavits for Engineered products NOTE: 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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit 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 ❑ 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 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 LocatioCCn No. 70� Date 12 - 1 2- TOWN TOWN OF NORTH ANDOVER 3? � . 0� h 9 Certificate of Occupancy $ ` �ssuMUsE<' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 20 62 l U Building Inspector NORTH 0" Of Andover M. In No. V,A3 0 0 dover, Mass., Id d 0 LAKE COCHICHEWICK 7,9 01?ATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ........7.............................................................................................. Foundation has permission to erect........................................ buildings on .?9?.........P #4 A ........n................................. Rough to be occupied as...,ee.... .......J/j...471.W* .4.........ht.A.W.... Ad.. *:.n. Chimney Provided that the person accepting this permit shall in every respect conform to the termf of the application on file iFinal 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTR S Rough - ..... Service 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. All Seasons Home Remod.elinLy Gary B. Mercer, President Tel: (617)628-2375 369 Somerville Ave Fax: (617)628-3105 Somerville,MA 02143 www.allseasonshomeremodel.com gmercer@allseasonshomeremodel.com teresa@ollseasonshomeremodel.com Agreement made on December 11th, 2007 Contract 07-0261 Client: Delaney Family 72 Paddock Lane N. Andover, MA 01845 978-975-1379 And the Contractor Gary B. Mercer All Seasons Home Remodeling 369 Somerville Ave Somerville, MA 02143 Tel: 617-628-2375 Mass License: 070529 Mass H.I.C.: 125399 Project Address: 72 Paddock Lane N. Andover, MA 01845 Please initial each page where indicated. Owner: Contractor• c� V � � Z $$$ � �— a MEMBER Pagel of 5 i All Seasons HomeRemod.eling Gary B. Mercer, President Tel: (617)628-2375 369 Somerville Ave Fax: (617)628-3105 Somerville,MA 02143 www.allseasonshomeremodel.corn gmercer@allseasonshomeremodel.com teresa@aliseasonshomeremodel.com The Contractor willrovide supervision, labor, materials supplies and equipment p p pp necessary to complete selective demolition and construction as outlined on page four(4). The entire scope of the work specified in this Agreement shall be performed in a good and workmanlike manner applying reasonable engineering standards. An Insurance certificate will be furnished prior to commencement of work. The job site will be kept neat and clean. Note: This Agreement contains the full understandings between the Contractor and the Owner. It is specifically agreed that there shall be no changes to this Agreement except with a written Change Order signed by the Contractor and the Owner. Owner: Contractor: The Contractor guarantees the work performed pursuant to this Agreement for one (1) year from the date of completion. Unless otherwise stated. The Contractor shall not guarantee any materials pursuant to this Agreement. However, all materials are guaranteed by the materials manufacturers. Owner: Contractor: StE.H M� a MEMBER Page 2 of 5 i All Seasons Nome Remodeling Gary B. Mercer, President Tel: (617)628-2375 369 Somerville Ave Fax: (617)628-3105 Somerville,MA 02143 www.allseasonshomeremodel.com gmercer@allseasonshomeremodel.com teresa@allseasonshomeremodel.com ENFORCEMENT CLAUSE: This Agreement and subsequent signed Change Orders are to be interpreted and enforced under Massachusetts Law. ARBITRATION CLAUSE: All disputes arising under this Agreement shall be decided by the final and binding decision of a neutral Arbitrator under the auspices of the American Arbitration Association - MGL. c. 142A. LATE FEE CLAUSE: If this account or any portion of it remains unpaid past the terms allowed, the Owner agrees to pay finance charges at a rate of 2.0% per month. CANCELLATION CLAUSE: Written notice of Owner's intent to cancel must be received at the Contractor's Office within three (3)business days of the Owner's execution of this Agreement. HOME IMPROVEMENT CONTRACTORS: All home improvement contractors and subcontractors shall be registered and that any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director, Home Improvement Contractor Registration Program, P.O. Box 871, Taunton, MA 02780-0871 Tel: 508-821-9375 REQUIRED PERMITS: The following building permit(s) are required. It is the obligation of the Contractor to secure such permits as the homeowner's agent: Note: Owners who secure their own permits or deal with unregistered contractors are excluded from the Guaranty Fund provisions of MGL c. 142A. Owner: Contractor: lR�Mir z�$$$c V6 MEMBER Page 3 of 5 An Seasons Horne remodeling Gary B. Mercer, President Tel: (617)628-2375 369 Somerville Ave Fax: (617)628-3105 Somerville,MA 02143 www.allseasonshomeremodel.com gmercer@allseasonshomeremodel.com teresa@allseasonshomeremodel.com Project Address: 72 Paddock Lane N. Andover, MA 01845 SCOPE OF WORK: CLAPBOARD REPLACEMENT ON LEFT SIDE OF HOUSE DESCRIPTION OF WORK: o Strip full side of Masonite and take remnants to Wood Waste of Boston for disposal. o Tyvek entire left side of building. o Use pre-primed masonite, matching the three existing sides. o Paint new siding (depending on weather, paint may be applied prior to attaching to building). o Replace up to 12 pieces of masonite on the driveway side of building. o Scrape severely peeling paint and blend with rest of building to fully match. TOTAL: $5,800.00 Owner: Contractor: All work to be done to city and state codes. Price includes all labor and materials. All Seasons Home Remodeling to clean all debris resulting from this work. z sss c� MEMBER Page 4 of 5 AllSeasons Home Remodeling Gary B. Mercer, President Tel: (617)628-2375 369 Somerville Ave Fax: (617)628-3105 Somerville,MA 02143 www.allseasonshomeremodel.com gmercer@allseasonshomeremodel.com teresa@allseasonshomeremodel.com Total: $5,800.00 Terms: Initial deposit due on contract signing $1,800.00 Due on 1/2 job completion $2,000.00 Due on completion $2,000.00 The work is scheduled to start on approximately 1-2 weeks and should be completed approximately within 5-6 days. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. This agreement entered into on December 11, 2007 Contractor Owner All Seasons Home Remodeling Delaney Family 369 Somerville Ave. 72 Paddock Lane Somerville, MA 02143 N. Andover, MA 01845 Gary . Mer er Authorized Agent Sign tur Signature Dat t Date _yIRH Mi U � C i 8B$j MEMBER Page 5 of 5 ACORD ,m CERTIFICATE'OE LIABILITY INSURANCE DATE(MMIMNYYY) 08/01/2007 7RODIICER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Christopher J Roche Insurance Agency, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 426 Massachusetts Avenue HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Boston, MA 02118 INSURERS AFFORDING COVERAGE NAIC 9 wBURED Gary Mercer INSURER&Nautilu3 Insurance Company INSURER 6: dba All Sea80na Home Remodeling INSURER C: 369 Somerville Avenue INSURER D: Somervillo, MA 02143 INSURERS – 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 W TH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESGRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR POLICY NUMOtR IGY EFFECTIVE D V A ON rNGRp TYPE OP INflURANGC DATE MID OATS(MMI)DM'} LAWT9 GENERAL LIABILITY I EACH OCCURRENCE S1,000,000 A X COMMERCIALGENERPLLIABILITY NC679172 05/19/07 05/19/08 PREMISES(Eeoccumoc] 550,000 Z( CLAIMS MADE r7 OCCUR MED EXP(Any one pa—) S 5 000 PERSONAL&ADV INJURY a 3-,000,000 GCN='-L AGGREGATE e 2,OOC,000 GENt AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP1OP AGG $ 2,000,000 POLICY PRO- JEC7 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO (Ee JcdL,-m) ALL OWNED AUTOS 1 BODILY INJURY 6CHEOULED AUTOS I (Per person) S HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (D�r xdapnD PROPCRTYDAMAGE 5 (Per aCcloenq GARAGE LIABILITY AUTO ONLY.EA ACCIDENT S ANY AUTO EA ACC S OTHER THAN AUTO ONLY: A00 3 EXCESSNMBRELLA LIABILITY i EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE S S DEOUCTGL6 S RETENTION S - WORKERS COMPENSATION AND TOFY UUMRS �.6RWPLOYGRS'LIASILrrY ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ OFFICEA)MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE 9 If yaa,describe under SPECIAL PROVISIONS blow E.L.Dia–.A--E-POLICY LIMIT S OTHER MCKIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE 188UING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Delaney Family NOTICE TO THE Ct!"rJCATL HOLDER NAMED TO THt LRT, DIT f AILURE TO 00 80 SHALL 72 Paddock Lane IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR N. Andover, MA 01845 REPRESENTATIVES. AVT)iORrZED REPRESENTATIVE Chrietopher J Roche R® CERTIFICATE OF LIABILITY INSURANCE �11AT08 PRODUCER (781)344-3200 FAX (781)344-3425 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Malcolm & Parsons Ins. Agcy. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6 Freeman St. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.O. box 527 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Stoughton, MA 02072 INSURERS AFFORDING COVERAGE NAIC# INSURED Gary Mercer INSURERA: Associated Employers insurance DBA: All Seasons Home Remodeling INSURERB: 369 Somervi l l a Ave INSURER C: Somerville, MA 02143 INSURER D: 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 AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. II T R DD' TYpE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION GENERAL LIABILITY LIMITSEACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 5 CLAIMS MADE OCCUR MED EXP(Any one person) S PERSONAL&ADV INJURY S GENERAL AGGREGATE S GEN'!AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S POLICY PRO- JECT 7 LOC AUTOMOBILELIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) S ALL OWNED ALTOS BODILY INJURY SCHEDULED AUTOS (Per person) S HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) S PROPERTY DAMAGE (Per accident) S GARAGE LIABILITY AUTO ONLY.EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG S EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S OCCUR a CLAIMS MADE AGGREGATE S S DEDUCTIBLE 5 RETENTION S S WORKERS COMPENSATION AND WCC5005464012007 06/17/2007 06/17/2008 WC sraTU. 0TH. EMPLOYERS'LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S 500,000 OFFICER/MEMBER EXCLUDED? If yes,describe under E.L.DISEASE-EA EMPLOYE S 500,000 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT S 500,000 OTHER DESCRIPTION OF OPERATIONS I LOC,5,TIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ontractor,. residential remodeling projects The Workers Compensation policy does not provide coverage for Gary Mercer CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Delaney Family EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 72 Paddock Lane DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. N. Andover, MA 01845 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVEIrving Parsos;s ACORD 25(2001108) ©ACORD CORPORATION 1988 and Building neem/ /✓��aaoac�iu� Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registr�itlon: 125399 TE:4pirat,n:-12/4/2009 Tr# 261854 (1TYP6 /1 - !1 All Seasons Hom`e_sRera Well i GARY MERCER 369 Somerville Ave 2143 . tr SOMERVILLE,MA 0 ' - Administrator BOARD OF BUILDING REGULATIONS I I License: CONSTRUCTION SUPERVISOR Number`: CS 070529 Birthdate: 01/31/1961 tPires:-'Q1/31/2008 Tr.no: 14734 ROStrieied: `00 GARY B MERCER}=,_.:' . 20 BERKELEY S7`R.EET SOMERVILLE, MA`02143 Commissioner