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HomeMy WebLinkAboutBuilding Permit #603-2017 - 74 WILLOW RIDGE ROAD 12/6/2016Rl BUILDING PERMIT TOWN OF NORTH ANDOVER I APPLICATION FOR PLAN EXAMINATION Permit No#: 4�— Date Received Date Issued: �� o6 'X1,6 IMPORTANT: Applicant must complete all items on this LOCATION 7 q WL t f 6W )�&� 4a-cL k , PROPERTY OWNER IYI(CI'tG�it MAP 00107 PARCEL: 002'40 Print 1. so, a2tGh(,�4, + i Print 100 Year Structure ZONING DISTRICT: RZ Historic District Machine Shop Village yes yes yes A 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 DESCRIPTION OF WORK 10 tit F hK1-uMMtu: Identification - OWNER: Name: Address_ Contractor Name: Address: Supervisor's Construction License: Home Improvement License S Type or Print Clearly 0 /v-,4/%,bawC-yZ_ 9T1 ml - LS- CS - (c)0212- 5 3 J �5 c)02rZ 53i�S .380 - 572- Exp. L Exp. Date: 312_z31/S Exp. Date ARCHITECT/ENGINEER Phone: //////8 Address: Reg. No. FEE SCHEDULE: BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON 125 0 PER S. F. Total Project Cost: $ S 1 FEE: $ Check No.: 3Receipt No.:_9 NOTE: Persons contracting Fith e istered contractors do not have accesstoljhhcaranty fund �J 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 PLANNING & DEVELOPMENT COMMENTS Reviewed On Signature_ CONSERVATION Reviewed on Signature COMMENTS HEALTH COMMENTS Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Comm Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRESOfRA' �TMEN, T Temp)_Durnpstereonxs to ,yes.___ W _— ;4ocatedjat ,1- ainl$tbeet. Fire' iD=epairfinent COMMENMS 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 lies No DANCER ZONE LITERATURE: lies MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine NOTES and DATA — (For department ease) ❑ Notified for pickup Call Email Date Time Contact Name Doc.Buildin; Permit Revised 2014 No 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 OTE: 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 ;rP Floor/Cross Section/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 OTE: 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 2012 IECC Energy code Engineering Affidavits for Engineered products TOTE: 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: Building Permit Revised 2014 Location No. 603 Date I -Z� 06 Check # TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee TOTAL $ Building Inspector n ' V 0: ORT 0-1 r L EFS * O J LLIaCL S LL O Q Q m N O LL E N LO N N O Wif Z Z co O O m O LL mO O K ai T cCt U LL O of Z C7 m G .=J d bn- O LL 0 of 11, Z Q U W J W jO O K `f0 v (n O LL a OU LLI CL Z 4A Q O d' C LL Z LU 5 a a W 0 LU LL 7 Co O zaj ' N N Y O7 E V) o � �o .0. L Q. as d Q O O E E Q c as aD '. E tm 7 0 ca Q V L CJ " 3 . y J G1 �m i ._ Q7 0 . N .0 -0 tm 0 C N O Q E O o z CL _ ._ - y o 0 •n c �J 3 � o0 L 1t a 0- 0 � � w c •U) (� O = C Q L L iC Q 4) •:3 1— w U) N 2 m N W = -0— O O uj 0 V v v 0 0 -0a -0m y -0.0 %- C F— t 0 CL 0 tJ CL MMz C CD Z 2 Z Z LLI w CLx LLIW CL `1O w ti E Z AN CLW L N W V cc a. U) .Q cc CL U) rMl L v U) C Ace Home Medics, LLC Mail - HIC registration status GM HIC registration status 1 message https://mail.google.com/mail/u/0/?ui=2&ik=7bb9091 d08&view=pt... Mat Previte <mat@acehomemedics.com> Morales, Michael (SCA) <michael.morales@state.ma.us> Mon, Nov 7, 2016 at 11:27 AM To: "mat@acehomemedics.com" <mat@acehomemedics.com> Hi Mat, As of today, your HIC registration number 153165 is currently active and does not expire until 11/0512018. Regards, Mike Michael Morales Deputy Chief of Staff Office of Consumer Affairs & Business Regulation 10 Park Plaza, Suite 5170 Boston, MA 02116 Phone. 617-973-8706 Fax. 617-973-8799 1 of 1 12/6/2016 8:53 AM Cell: 978-604-5243 Office: 975-207-0326 Fax: 978.207-0329 muf(drncebn ntcroedies.com, w aw.accho tncmcd ics, corn HIC Lie. # 153165 Construction Super. Lie. #100212 I-stimale/Agmemem fl: 2972f3 Date: August 2, 2016 BB11 w" arra: - Ace..��1 Home Medics, LLC _ _.. _ ._.. _ ,__..._....,...__...... noon 12EMODEi- � RUILO • REPAIP, Cost hstinramlAgrcrment for Sem4m• 143 Main Street North Reading, NIA Proposal Snbmio,,d T w Mike and l,isa Rcield,n 74 Willow Ridge Road North Andover, MA 01845 Q 508-380-2649 EM: llul:cielllcn( epi cu:x) Jab L—Hole 74 Willow Ridge Road Nmh Andover, MA 01845 Windo , Ry h rc cuts .. sl Cmmcu . __ Rwtwvc.4c replace the exrsang window crteriar encu fs and t ncnor easings in the follmving ivoms {t I45R3 Admim.Imtioni I li s double hung double hung ,DR !Kit- I Double casemrat wmdowa at sok In be replaced with sliding window A - t d.ablc hung double hung and I at, consisting of a picture window with flanking double hung ARAGf;-3 dol ahle hung FI doubt, hung :BR2 - 2 doubt, hung 3R i - 2 doubt,. hung 7l3R .3 double hung 31,MNT- 2 double hung t All openinge w s will baled, flashed andml ui M p—mly 4•AII extcriorcasings to b, rcplaccd with ecunposile trim board and fastened with piuggablc, hidden trim screws { Exterior nim detail to be flat casing arwmd (3) side., and comprsiw sill rasing (nm the hisinnc profile) �-interior trim detail to be casutgs around (3) vides (to match others in the home), antoled sill nnsiug and skin (reamed int. null on both rides) All interior cacmgs w be epl ced with paled p a wall profile to math the. in thc home lusne v so, r r x [ / n r I��rra as will r r rill ,R, r h u ran and,ugrcn bion a , / p� J � . 7n he pro !, l hyh . ;en - - W44 Compilshe exterim ca 'ngs pinned pine rol.rmi interior casings and sill nn. ng.. spry foam insulation. hushing. flute, e , adhesive and oils 8l I Window Allowance au,fi& .__�___ Iated, m xc null i of i cca � _ _ - �— Disposal 1) On -sue hspowf ee H i r r for remova(ufold building tnatef tis rad related debris (only-'/, ofdumpster will be used) uildure Perm t t r !In enc for building perm t ftt based on $127$IOW nftotal pm)ect ,.. t plus S75 for dlspasa4 Penn l _ fypt for ron.rrtinp (2) double witalmeow h nIu art a s gte ba} window fastallpt ;dditiun.d empeatry to open .acad with sintdo bay window tads Carpenuy. Ca mucuon • Adadil similar FRemove esisfing taming, install rcw header ming to nc,onmradnte newSittpJe windmv in each opening 1 -lnsroll a fend and esteem caxmgr, patch bxk vinyls a serir 9utldhnsi IIo. I roof with asph It shin le roofm over eA<t± i my _ 1 plyw intty 4li to Appmx, me ito hag v41-b—I nvern enanr d2)rc bay ad _ vn""o".. maolh (iF t`F ChSSAKY) Allot nncy _ 11uild ng M tennis " Vot induApamnn4 Pono r g h anabo_, vinyl and tccussones, the r adh . i e o d otFca rtlated rtu c mtenals r afar boy wmdna instal num!, 'IS'btlE� Total rchtdi'gtra mdovV MIaIIYliotls>.L dne„drm, npprox.SG%rnnp[rrc. ll� dxepnor to eampllb• 1 f,n d /o. an rW PH—a—twredonsrar imm�l&rrutnlla:lon Tenn and C-dinar,:l/upmrrtarr:113 Addirianal —A nay h,v-egair,d due ra rm Nuoru 8., ee,mnnnr nee nr predict c)mgr%r rn rhe .rcV, nfu A nr m d,eJinalirorinn a' n drn imrinn grspe ?r1mul ae ko, unrk o,rr and aLmr rh,r rvxrnihrd /ren nitl hr bleed aaarding/v. pmposnl it ,mild f r 3a dcnx. tf'c mov tnkr plraarr afore ,mrA. lint+nr do tint aunt direr Picnrrr...shnrnd. please initial frarc. HOP Alike and Ulm 77mnk yon verymach for the opportnnhp n, twrrk arymv hone. W are ,,ygrmtefn/ and arc hop, m he able m provide you pith n xe-icrs. n'h,o, mit heroa chance m review the h f rmntion, piearr lot we know-tnur fhapghlr and here roe ,,add llke to proceed. Thank)— ger). _'/'. It waald be our prl rilege I,, sertr)ma. sincerely, Alwfien• Pretlte Arr 11— hlee/ire_ I I C Thank you pen, much for your consideration. We greatly appreciate dour business and look forward to providing you with ercelnional quality, in a professional, neat, timely and efficient /Wanner. Our number one goal is your complete satisfaction. Accepted: The above i lee:, speciffcatioas and conditions are satisfactory and are hereby aceepted. Ace Horne Medics, LLC is -- Signature, Oate authorized to do the work ns specified. Payment 11 be made as oetlim•d above. �.,,,� _ —T -_ Signature Date t—_ 600 A*iW.ai-4�-eet BOSON. A - .Workers' Cou�pensation Inwanqt Aflidayit la,;adervcou tractDrs/Electridaw/Plum., Tame. CBuskessiorpnizt6wbdjvWu4: address: ity/S t*6i:_ k, -M AA b1hy. 77 re YPIL in =Plgytr,.,: Aets the ApPnpri4e bas:O'l axn 2'CM*YVr 4. ❑ 14M-Oinel�L c=%PlOYccs (U and I hired m=a=mC bZv.e. .mWorpa'%- I =a � Solempniewr or pirmcr- limed ofi dz.�=-Ocd;heel t . . I ship and have too employees .Mwfita� working forme in ., aty capacity.' 4orkeis CMI-Mmalcm [Ya comp. qwndqu =4 its officers bave qm-cised theii 0 1 a= a hQmqqwicr.doing all work right df exemption per Mei,; myself (No workers' .comp. c. 152,11(4)g, and.we have UO.' insur=c4Tequire&I t •lxg,ym�= C=v, fim=cc reatifitu Type d prajcet (rt'qi'&Ojd):- .0 D=Dwou 0 Builft addition, 10.❑ Elecirical repairs or additions' 11.rl gbF*iug repa6 or addid6us 12.C] Roof repairs 13.0 Other my appHc=t dat dmdm baL#1 MU also M atiihe lameawnea who bunk this dmvit indic" they are dfts oil gyp fhCtt YRO, ifftlide conaRgum anu=MTS ftt ch=k ft bu MM SOWbod atr dol 2 a L 3 b ort 6 ift *•AW go:*jr *Desna' CWqL Polity = xm.an.amii4cr t1w Lrproviding workers. i 4MAYaw 3�kw 1i dw-POU*,andjaO ifte VAA =i!Acc, Coiapaay Olicy-war.-Self-ins.-Lit#-, :Y0877-4 EXOM603i DWUM. 9127111o. A.SiteAddest—M WL11DAJ KAd Oad...4wZip:", Ak(Mv 1" 19 0 1 w V, . � cityfs 6ttath a cop'Y. of the workers cbmPinsn"Oa, p!DUcy. drJarsoon- page (shGwiAg*c PIDUcT Bamber and cpWaUan date). aflun to sc=e.covm-agc as required,qdar q8eca' . jSAcqf MCL'e- 152 c= lead to dliiimpfti'doft of =imbiat-penaltia of a ine UP to S1,500-dQ xWor dzC-yewj2M"M*; ffs 35-w-&AXMI Maities in the fgnn of a STOPWORK ORDM rind kf=c )f ucp - m S240-00 & day amt the nycs1ipdQ.*us of the DIA for fimu-ince.cavimage vfti� i. fnrOmd�ffookpruvidgj above Is. "- and cortac-4 ACF4dAMF-n9 SSIMOES CAVE0Af3EC CERTIFICATE NIIMRFR• REVISION NUMBER' 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. INSR L ACORD" CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY)12/06/2016 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms 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 CONTACT NAME: PHONEFAX (AIC, No, Ext): (978) 688-7000 (A/C, No):(978) 688-7001 Durso & Jankowski Insurance Agency 11 Saunders Street North Andover, MA 01845 ADDRES : INSURERS AFFORDING COVERAGE NAIC tl DAMAGE TO RENTED 500,000 PRE SFS Ea occurrence $ INSURER A: Utica Mutual Insurance Company INSURED INSURER B : INSURER C: Ace Home Medics LLC INSURER D : 57 Harold Parker Road Andover, MA 01810 INSURER E INSURER F: CAVE0Af3EC CERTIFICATE NIIMRFR• REVISION NUMBER' 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. INSR L TYPE OF INSURANCE ADDL S SUBR POLICY NUMBER POLICY EFF IDD POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 4687243 09/27/2016 09/27/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 500,000 PRE SFS Ea occurrence $ MED EXP An one person)$ 10,000 PERSONAL &ADV INJURY $ 100,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ JECT FILOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO OWNED L SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY AUTOS ONLY CO aBINEDtSINGLE LIMIT $ BODILY INJURY Perperson) $ BO�DILY INJURY Per accident $ BODILY PPe�acaden DAMAGE $ $ UMBRELLA LIAR EXCESS LIAB HOCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY NFICER/ MAMBO R EXCLUDED? ECUTIVE YIN ANY (Mandatory In MB Nfl) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 4687246 09/27/2016 09/27/2017 H X PET T ER 1,000,000 E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) carpentry- residential interio r carpentry- CFRTIFICATF HAI nFR CANCELLATION ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 384 Osgood Street North Andover, MA 01845 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD i ' �'�irn'�br»ranai��/�Je rpt`^•1��ii•�rcrG. "N of COMIM erARAW & Ba l ep i---, IIAPiOVEINENT CONTRACTOR tradon: '1 165 Tyw .. w 418 DBA MAT PREVITE HOME MEl1IQ MATTHEW' PREWTE • : " . 9 HAROLD PARKER R6 ANDOVER MA 01810 Uider W • r Massachusetts pepwWent of Public Safety Soard of Building Regulations and Standards License: CS 100218 Construction Supervisor •M MAMMSPNWM t7�N 'RM•. a w' • aroan+�+ wu► olwti :, Coinn>~sslonef Expiration: Oe18