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HomeMy WebLinkAboutBuilding Permit #500-15 - 76 GREENE STREET 11/25/2014 (2)BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: 50000, Date Received Date Issued: ).<Vd ANT: Applicant must complete all items on this TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 0 New Building 0 One family 11 Addition 11 Two or more family 11 Industrial 0 Alteration No. of units: 11 Commercial —11 Others: El Repair, replacement El Assessory Bldg El Demolition 0 Other F166dplain 0 Weilands 0],f,,Arate rs he'd D irtri6l OWNER: Na V I JUN Ur VVUKK 1 U BE PERFORMED: - Please Type or Print Clearly ARCH ITECT/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. ,*\ C7 --)s Total Project Cost: $ 4= 1 FEE: $ Check No.: Receipt No.: e� � zoo — C NOTE: Persons contracting with uveg*44edkontractors do not have access to the 2uaxanV,4t1 �jgnature of Agent/Ownerignature of contractor Location-7o�,�i�% S No. r ) Date L Check # WU* TOWN OF NORTH ANDOVER Certificate of Occupancy $--I-- I--- Building/Frame Permit Fee J� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ e-5 ��� Building Inspector 'V 0: •W O 1% r L ' Q ULz Q o mJ U1 Y \ o O Ln U a N ° W z z ° m C 0 -0 O L O > v C �_ i O OO W N Z z d t °�° OO C W N Z u Gui W J W L w°�° O UL N C Q U 0W. ul Z CA O ° z WWC < Q W c LL W O p Z v a+ Q N O LL N LL C' U LL w LL w (n LL d' LL CO Ln Ln n o w c � o CL d (Da � c 2 r S E a L _ JO 0 0 c r N LO `M1� Q•0 Cj lO. 3 CJ E �m L a r' z V m C � 4, C A Q N ++ •C t C C 0 0 - G 3 C �• 0 = 0 o CL (D aster m � � •y o a) .0 c c aD o (A� w -0 o o ,«. IL d w c C --W� Z � y w E o a i QO • V I- C -a N Q. y =n .0 p = O Z0U >t CLJ 0 w CL Z Z Co V N uir G Cl) X O V LLW m Z CD E 0 O Z CL O N I W w, a W Q •E m m CD IL i O 0 o L O Q. C— L Q Q cn r - Q M •v J � CL O d = Z CD U CL U) •� C CL N 0 C s, next step living.. ?iil?ir' r?Eryy SCiUtiUtiS This agreement Is made by and among Next Step Living, Inc. ("NSL") David Logan 21 Drydock Avenue, 2nd floor 76 Greene St Boston, MA 02210 phone: (866) 867-8729 North Andover, MA 01845 Site ID: A550632 10 -Nov -14 1. )ESCRIPTION OF WORK TO BE PERFORMED NSL will perform or cause to be performed the following work on the customer's address above, in a professional manner and in accordance with the temps of this Contract, including the attached recommendationslwork order describing the work in detail (the "Work") which are incorporated herein by reference: Work Location: Doors Door Weatherstripping w/ Sweep 3 $75.00 Each $225.00 Weatherization Recommendations Work Location: Attic Flat Attic Stair Cover Thermal Barrier with Carpentry 1 $237.65 Each $237.65 Work Location: Wall Insulate Clapboard Sided Wall With 4" Dense Pack Cellulose 1,464 $1.65 sqft $2,415.60 100% Airsealing Incentive up to Program Max $225.00 75 % Weatherization Incentive up to Program Max $1,989.94 Estimated Annual Energy Savings from the Above Improvements $348.00 2. 'AYMENT. CUSTOMER agrees to pay NSL for the work as follows: Payment #1: $100.00 -Credit Card or E -check deposit is due at the time the Work is scheduled. Required payment information will be collected over the phone by a customer service representative at the time of scheduling. Deposit is not to exceed 113 of the total retail costs. (Note: Mastercard, Visa, and Discover accepted) Additional Payments and Final Invoice: $563.31 -Additional payments for the Work shall be due upon completion of the Work. If the final invoice is being paid by check, credit card information will still be required at the time of scheduling. Notify the customer service representative that you are paying by check and your card will not be charged unless we fail to receive payment within 5 days of invoice. Nov 10, 2014 IInsi&n4' ignat `` Date 10 Nov 2014 N C'$ignaftire Date Willi Aquino Name of NSL Representative The Terms of this Agreement are contained on both sides of this page Next Step Living - 21 Drydock Avenue 2nd floor Boston. MA 02210 - (866) 867-8729 inquiry@nextsteplivinginc.com > www.nextstepliving.com TERMS OF AGREEMENT 3. PROPOSED START DATE AND COMPLETION SCHEDULE NSL will contact customer to schedule the Work at a mutually agreeable time, subject to the availability of subcontractors or materials, or to delays attributable to the weather or other events beyond NSL's control. Massachusetts law requires 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 Office of Consumer Affairs and Business Regulation, Ten Park Plaza, Suite 5170, Boston, MA 02116.617.9738700. 5. PERMITS NSL will obtain any necessary permits as the Customer's agent. Customers who secure their own permits or deal with an unregistered contractor will be excluded from the Guaranty Fund provisions of the Home Improvement Contractor Law. 6. PERFORMANCE OF THE WORK AND CHANGES. 6.1 NSL will not commence the Work prior to signing this Agreement and transmittal of a copy of Agreement to the Customer 6.2 This Agreement may be supplemented, amended, or modified only by the mutual agreement of the parties. No supplement, amendment, or modification of this Agreement shall be binding unless it is in writing and signed by all parties. 6.3 At times, our weatherization team discovers situations in the structure during the course of the Work that indicates a risk for a health or safety concern for residents. Such concerns can include but are not limited to ventilation, potentially hazardous materials such as mold or asbestos, or structural concerns. In the case of health or safety concerns being identified, NSL reserves the right, per section 9.2 of this oontran 1^ ;zmnriunicate concerns to the Customer and halt work until such concerns have been addressed. 6.4 The rebates and incentives available from the Mass Save@ Hew"- energy Services Program and amounts due from the Customer are based on the bes. estimate of the situation in the suuctu.� t, e,A NSA nome energy advisor. However, at times our weatherization team discovers situations in the home during the course of the Work that impact the availability of rebates and incentives from the Mass Save Program. In such situations, NSL will communicate such changes to the Customer, including any impact on amount the Customer would be expected to pay for the Work. The Customer will have the option to remove from the Contract the work elements that need adjustment, or set up a separate contract for performing the adjusted work. 6.5 NSL represents and warrants to the Customer that (a) the materials and equipment furnished under this Agreement will be of good quality and new, (b) that the Work will be free from defects, and (c) that the Work will conform with the description of the Work described in Paragraph 1. 7. INSURANCE AND REGISTRATION NSL represents and warrants to the Customer that it has a valid Home Improvement Contractor Registration (No: 162111) and the necessary insurance required by applicable law and normally maintained by prudent contractors in NSL's field, including, but not limited to, Workers Compensation Insurance for all employees who will perform the Work. 8. QUALITY OF WORK. NSL agrees that the Work will be performed in a good and workmanlike manner, and that NSL will repair and replace, at its own expense, and promptly upon Customers request, any defects in workmanship and materials provided by NSL which appear up to (1) year after completion of the Work or within any longer period as permitted or required under applicable law, provided NSL has received final payment as provided herein. 9. PRE-EXISTING CONDITIONS & PROPERTY PROTECTION 9.1 NSL shall not be responsible for any damages as a consequence of the Work performed in the home due to pre-existing conditions. These conditions include but are not limited to poorly fastened or broken drywall, moisture damage, non-oode construction, cracked or fragile siding or shingles, old pipes and fittings, rotting wood, etc. 9.2 NSL reserves the right not to perform Work upon the discovery of asbestos, mold, or any other potential health risk to the Customer. In this event, the Customer is responsible for remedying the at -risk situation, including any necessary removal of hazardous materials and all bills for services to date shall be paid immediately. Work cannot resume until remediation is complete. 9.3 While NSL will make best efforts to protect any property of the Customer, it is the Customer's responsibility to remove or protect, including dust protection, any personal property including the home itself. NSL will not be responsible for damages to or losses of any of the above mentioned property not property protected prior to the commencement of the Work. 10. GENERAL PROVISIONS. 10.1 NSL reserves the right, the extent permitted by applicable law, to have, file or maintain a mechanic's or material men's lien, or to file a notice of intention to lien, and to take any other steps to perfect and enforce such a lien, if Customer fails to pay NSL as provided herein. 10.2 This Agreement shall be construed in accordance with the laws of the Commonwealth of Massachusetts. 10.3 This Agreement fortes the complete integrated agreement between NSL and Customer. The parties represent and warrant that in executing this Agreement, they are not relying on any representations, warranties or terns other than as expressly contained herein. This Agreement supersedes off prior agreements between the Customer and Contractor and may not be altered absent a subsequent written agreement signed by both parties. You may cancel this Agreement if it has been signed at a place other than the NSL's normal place of business, provided you notify NSL in writing at its 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 11. ENERGY BENEFITS. The Sponsoring Utility Company (the Utility) is entitled to 100% of the energy benefits associated with all Energy Conservation Measures, excluding the value of energy cost savings by the Customer, but including all rights to all associated ISO -NE Energy, Capacity and Reserves Products. NSL agrees to provide the Utility with such further documentation as the Utility may request to confirm the Utility's ownership of such benefits and Products. 12. NOTICE CONCERNING SPONSORSHIP. Customer understands and acknowledges that NSL is not an agent, vendor or sub -vendor of The Sponsoring Utility Company (the Utility) with respect to the installation of an energy efficiency measures. In the event of the failure of an energy conservation device to perform as expected, Customers sole recourse is to Contractor and not to Conservation Services Group (CSG) or to the Utility. The Utility and its operating companies shall not maintain, remove or perform any work whatsoever on the energy conservation measures installed. Customer understands and acknowledges that their participation in the Mass Save Home Energy Services Program is voluntary and that they have consented for Contractor to install the proposed energy conservation measures. Customer agrees that it shall not hold CSG, the Utility, their affiliates or operating companies liable for Contractor's to perform its obligations under this agreement, for failure of the energy conservation measures to function, for any damage to Customer's Premises caused by Contractor or for any and all damages to property or injury to persons caused by the energy conservation measures. 13. LIMITED TIME OFFER. The prices and incentive offered in this Contract are subject to change in accordance with The Sponsoring Utility Company Mass Save Home Energy Services Program offers. 14. CONTRACT CANCELLATION Under Massachusetts law, you may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller, which may be his main office or a branch thereof, provided you notify the seller in writing at his main office or branch 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. •t Planview Diagram Customer MV'ib Lb tl�i,Yl Advisor Name: yv%III (A. ft° V4 Y'Iv , Address IUP Ifui St. Advisor Phone #: iN Town U-6 A-►)dovx i(. Any limitations to access by truck? Site ID A 5S 0 (1 3-L - go E NOTES Any work scoped outside of Best Practices? Approved by: 3 D pg+-vwS q .T. P0,V- 7 4o oPe, in d uv A1L),S 5 I Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supervisor SpecHIN License- C SSL -102811 ROGER A ®4EIIE 55 STAMMO RIE ROAD wandek Rff 02 Expiration Commissionei 09§1312010 Restdcted To: CSSL IC - InsaaMoon Conmaor fi allure 4o possess a current edition ofthe (Mwachusetts Snte Building Cede Bs cause for rewcation of this license. For ®PS Ucewing information jAft wm,6.Mass. /DPS The Commonwealth of 11lassachusetts Department of Industrial Accidents ®ice of Investigations W I Congress Street, Suite 100 W W Boston, MA 021142017 >w omass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Nsirie (Business/Organization/Individual): Next Step Living Address: 21 Drydock Ave City/State/Zip: Boston, MA 02210 phone #: (866)867-8729 Are you an employer? Check the appropriate bog: Type of project (required): 1. ❑ I am a employer with 850 4. ❑ I am a general contractor and I employees (full and/or part-time). have hired the sub -contractors 6. F1 New construction 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub -contractors have g ❑Demolition working for me in any capacity. employees and have workers' 9. El addition [No workers' comp. insurance required.] comp. insurance. x 5. E] We are a corporation and its 10.❑ Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no 13.M Other Insulation employees. [No workers' comp. insurance recuired.l *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidw •it indicating such. tContractors that chuck this box must attached an additional sheet showing the name of the sub -contractors and state whether or not tho3e entities have employees. if the sub -contractors have employees, they must provide their workers' comp. policy number. lam an employer that is providing workers' compensation insurance for my employees. Below is the policy and fob site information. Insurance Company Name: AAM Mutual Insurance Company Policy # or Self -ins. Lic. #: AWC-400-7030025-2014A Expiration Date: 9/30/15 Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance covera,ge VpKfiotion. I do hereby certify sander the pains and pen s perjury that the information provided above is true and correct Signature: Date: O t I Phone #:fo ) &_7 CT -1 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority (circle one): 1. Board of health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: NEXTS•1 OP ID: EL 4� °� CERTIFICATE OF LIABILITY INSURANCE DA101011201 Y) TYPE OF INSURANCE 10/0112014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ON¢.Y AND CONFERS NO RIGHT§ UPON T"g oftTIFICATF HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES SELOVY. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORI7.Ep RRP f SENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION Ig rr!AIVgQ 5811 1?9 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 Ulm of such endorsemen s . PRODUCER McLaughliq Ipsurance Agency 828 Lynn fells Parkwity Melrose, MA 02176 John E. McLaughlin 4r. CONCT NAME Erin Lyons PHCNo El: :781.665.2775 A No): 781.665.02 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC S INSURER A; Nautilus Insurance INSURED Next Step PvIng, Inc. B ton, GA 02210e, 2nd ['loop Boston, MA 02210 INSURER a: Commerce Insurance Company 347 54 INSURERC:A.I.IIII. Mutual Insurance Co. INsuRERD:AXIS Insurance Company 15610 PREMISES Ea occurrence $ 100,00 INSURER E. INSURER F _ n���wn.r.rw wawa.e.ew •..... ,..,, .••,��� THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYET�g INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICPA THI� 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 NSR TYPE OF INSURANCE POLICY NUMBER POLICYEFF PML D/ P fN LIMBS A X COMMERCIAL GEKPL LIABILITY CLAIMS -MADE ® OCCUR ECP2010198^12 09/30/2014 09/30/2019 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 4,90 PERSONAL & ADV INJURY $ tesM GEN'L AGGREGATE LIMIT APPLIES PER: POLICY F1JEPROCT LOC OTHER GENERAL AGGREGATE S 41111001001 PRODUCTS - COMP/Op AGG $ Q $ AVTOMOBILE UAB1C6 ANY AUTO ALLOWNEDX AUTOSSULED X NON -OWNED HIRED AUTOS AUTOS 14MMBOKKOM 09/30/2014 09130/2015 Ea accident)ES NGLE LIMIT $ 1,O 0,00 BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccldent $ $ D UMBRELLA LIAB EXCESS UAB X OCCUR CLAIMS -MADE E�U783547012014 0913012014 09/30/2015 EACH OCCURRENCE $ 5,000 00 AGGREGATE $ 6100111999 DEO I I RETENTIONS $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If describe under DES DESCRIPTION OF OPERATIONS below N / A TO BE ISSUED BY CARRIER 09/30/2014 08130/2015 X PER EOR STATUTE ER E.L. EACH ACCIDENT $ 500,001 EL DISEASE - EA EMPLOYEE $ 500,00 EL DISEASE- POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORO 101, Additional Remarks Schedule, may be attached If more space Is required) FOR INFORMATION ONLY INFO -01 For Information Only SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTH/ORrZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION_ All rinlhfa racarvael ACORD 25 (2014/91) T4 ft ARAM gfMorte# 10,p afe f9q4ge Wift pf ACORR APR -25-2010 05:47 PM LARRY OGDEN 978 352 2858 P.02 LAWRENCE IL OLDEN, P.E. 198 EAST MAIN STREET GEORGETOWN, MA 01833 978-332-8318 fax 978 352-2858 cell: 978-502-5921 April 2S, 2010 Mr. Kevin Murphy 169 Boxord Street North Andover, Ma 01845 RE: Logan Residence, 76 Greene St., North Andover, Ma. 01845 Dear Mr.Murphy As you requested I visited the site to review the installation of the Engineered Materials consisting of a Steel Beam and post utilized in the framing of the above Project. These are shown on Sketches SK -1 and SK -2 Prepared and certified by me 212- 2010. Based on the above site visit and based on what I could visibly see I can certify that to the best of my knowledge the Steel Beata members utilized in the framing as shown on the drawings are installed properly and meet the loading conditions of the Massachusetts State Building Code for 1&2 Family Residences, This certification assumes that all other framing requirements of the drawings and code, including but not limited to materials and nailing schedules, were properly complied with by the licensed construction supervisor responsible for the project. Should you have any questions please do not hesitate to call. Yours truly, Lawrence R Ogden P.E. Structural 27765