Loading...
HomeMy WebLinkAboutBuilding Permit #415-12 - 84 PINE RIDGE ROAD 11/16/2011 1 BUILDING PERMIT of "ORT" q TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received Permit NO: ��SSACHUSE� Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION / , Print - PROPERTY OWNER Print n MAP NO: PARCEL: /;?9 ZONING DISTRICT: Historic District yes no Machine Shop Village yes no: TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial epair, replacemen Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands' Watershed District Water/Sewer a� DESCRIPTION OF WORK TO BE PREFORMED: (!11)91,16E kl,-.577lf6 U/ 0&jJ 'T ,eyU6h/-dU7f 7`H4i�_ 11-e/,2?L Identification Please Type or Print Clearly) OWNER: Name: 2£ roe- AI L912 V /''Q V c 1-k() Phone �7�_�✓�'�'���✓ Address: CONTRACTOR Name: Phone: r Address: /7" Supervisor's Construction Licenser } 27 -Exp. Date: 0 �} Home Improvement Licenser `o 7�„ �j Exp. Date: ✓� l.�c�S f 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: $ ��{ y0 - FEE: $ 3 op Check No.: a.3 7 Receipt No.: Q?y ?16 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner " : _ Signature of contracto 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 L3 Certified Surveyed Plot Plan ❑ Workers Comp Affidavit Li Photo Copy of H.I.C. And C.S.L. Licen_ ses ❑ 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 a 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 i must be submitted with the building application Doc:Building Permit Revised 2008 Plans Submitted Plans Waived Certified Plot Plan Stamped Plans r 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 CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS I; Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments i Water & Sewer Connection/Signature &Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on siteyes 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 ' 1 NOTES and DATA— (For department use r i I f ❑ Notified for pickup Date I Doc.Building Permit Revised 2009 Location �� ` ' Mf ' Gr y A?/ i No. Date f �aRTM TOWN OF NORTH ANDOVER � 9 � y L ^o ;+ Certificate of Occupancy $ �,SSACMUS t� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #,2 .5 7</ 2 4 8 '16 Building Inspector NORTH ® of 4/J9000,- 10 , over, Mass., Q C LAKE COC MICME WICK � 0RATED 7 BOARD OF HEALTH Food/Kitchen ERMIT T D Septic System � BUILDING INSPECTOR THISCERTIFIES THAT.............� .....................................................................................� Foundation has permission to erect..................... ............... buildings on..��' F .................................. Rough ............ ... ... ....... ! GG~ Chimney to be occupied as..........�.Z/.... . /..�.1�(..4.. ....... ... ......... ................................................................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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 CONSTRUCTION .FARTfS Rough .. ?. ............................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Ocatpy wilding GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing Dry or D Wall To Be Done Until Inspected and Approved by the Building Inspector. BurnerFlRE_DEPARTMENT Street No. SEE REVERSE SIDE Smoke Det. P � ^Q � Supervisor License ConstructionI Nijtssachusetts- Department of Public Safet} - ommaomru �' Board of Building Regulations and Standards I Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR b B� License: CS 85173 Registration: 107602 p _ 11 , Expiration: 8/5/2010 Tr# 272878 BI \� Type: Private Corporation WILLIAM T FOSTER v' COTE&FOSTER CONT. 65 COACH DR DRACUT, MA 01826 Steven Cote 20 Aegean Dr Unit 15 Methuen,MA 01844 Administrator ��_ �` �� Exp iration::,11/10/2012 Trt/: 5316 — -- 7 DATE(MM/DDIYYYY) A�o CERTIFICATE OF LIABILITY INSURANCE 8/17/2011 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 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: Victoria Lowes, CISR ExtjaMTM Insurance Associates PHONEO. (978)681-5700AIC, C No: (978)681-5777 575 Chickering Rd E-MADDRESS:vickylomtminsure.com INSURERS AFFORDING COVERAGE NAIC# North Andover MA 01845 INSURERA:Charter Oak Fire Insurance 25615 INSURED -INSURER B:Travelers Indemnity Company 25658 COTE AND FOSTER CONTRACTING, INC. INSURERC:National Union Fire Ins Co of 20 AEGEAN DRIVE INSURER D: UNIT #15 INSURER E: METHUEN MA 01844 INSURER F: COVERAGES CERTIFICATE NUMBER:11-12 Master List 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 TYPE OF INSURANCE ADDL SUBR YEFF POLICY LTR POLICY NUMBER MMIDD/YYYY MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 300,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ A CLAIMS-MADE 1XIOCCUR 168035ON5396COF10 12/31/201012/31/2011 MED EXP(Any one person) $ 51000 PERSONAL&ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY CCE OMBINED SINGLE LIMIT Ea accident 11000,000 B X ANY AUTO BODILY INJURY(Per person) $ 20,000 ALL OWNED SCHEDULED BA970K396610SEL 12/31/201012/31/2011 BODILY INJURY(Per accident) $ AUTOS AUTOS 40,000 NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident Uninsured motorist BI split limit $ 100,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 B EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED I X I RETENTION$ 5,000 ISFCUP969H355A 12/31/2010 12/31/2011 $ C WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N OR LIMIT R ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) 0004962937 6/20/2011 6/20/2012 E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Certificate holder as listed below CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. North Andover Town Hall Main St. AUTHORIZED REPRESENTATIVE N Andover, MA 01845 P MacDonald CPCU, CIC J� � ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD OSTER?u=COTE ® CUSTOM BUILDING + REMODELING September 21,2011 Proposal submitted to Peter&Alison Novello to change existing windows in formal living room, office,dining room, family room, master bedroom,master bath,middle bedroom,common bathroom, Peter's bedroom and Ben's bedroom to Anderson window units at the address of 84 Pine Ridge Rd.,North Andover, MA. Details of project are outlined as follows: 1. Permit—Building permit to change existing window units. 2. Debris—Remove all windows and window casings interior and exterior and dispose of Remove any other debris caused by said project. 3. Windows—Anderson 400 series windows,with wood interior and vynal exterior. Exterior casings to be 5/4"x 4"with sills, all exterior to be composite materials. Interior casings to be 2 '/2"colonial with wood sills and wood snap-in grills. 4. Roofing—Frame new roof above new bay window unit. Roofing and drip edge to match existing. 5. Paint& Stain—Paint two coats of latex on exterior vynal casing. Stain and polyurethane casings, sills and extension jambs. Total Labor and Materials $31,240.00 Thank you for the opportunity to quote your project. Should you have any questions or would like to take your project to the next step,please contact us. Sincerely, Steven M Cote and William T Foster Cote and Foster 20 Aegean Drive • Unit 15 • Methuen, MA Ol 844 Tel: 978-682-6518 • Fax: 978-682-1221 www.coteandfoster.com ARTICLE 4 Additional work above and beyond the contract agreement: All additional work done to be quoted at the time the client requests the work. The work will be done and billable at its completion. The client has ten(10)days to pay the additional cost after he or she has been billed for it. Initials: In witness whereof they have executed this agreement the day and year first above written. Peter Novello,Owner Alison Novello, Owner Steven M. Cote William T.Foster DBA Cote& Foster DBA Cote & Foster 0STERuK- CUSTOM COTE rMwl F BUILDING + REMODELING This agreement made this 6th day of October,year Two thousand and Eleven by and between Cote and Foster Contracting, Inc. hereinafter called the Contractor and Peter &Alison Novello,hereinafter called the Owners, witnesses that the Owners intend to change existing windows in the formal living room, office, dining room, family room, master bedroom, master bath,middle bedroom, common bathroom, Peter's bedroom and Ben's bedroom to Anderson 400 series windows at the address of 84 Pine Ridge Rd., North Andover, MA. Now, therefore,the Contractor and the Owner, for consideration hereinafter named, agree as follows: ARTICLE I The Contractor agrees to provide all the labor and materials to do all things necessary for the proper construction and completion of the work shown and described on drawings. The drawings and specifications are the basis of the contract. ARTICLE 2 In consideration of the performance of the contract,the Owner agrees to pay the Contractor, in current funds as compensation for his services hereunder$31,240.00 to be paid as follows: Payment 1 - $5,000.00 @ the signing of the contract Payment 2 - $6,000.00 *start of window replacement Payment 3 -$6,000.00 after 10 windows are replaced Payment 4-$6,000.00 after 20 windows are replaced Payment 5 -$6,000.00 after all windows are replaced Payment 6-$2,240.00 after paint is complete(if exterior paint is not able to be completed because of weather conditions$500.00 will be left for payment until it's completed in the spring). ARTICLE 3 Final payment on contract amount as agreed above to be paid within ten(10) days of project completion or occupancy. If final payment has not been made within this time a 10%charge per month on the balance due will be charged. All minor punchlist items will be complete as part of the one year warranty on the finish product. Failure to pay balance within ninety(90)days may result in legal action. Initials: 20 Aegean Drive • Unit 15 • Methuen,MA 01844 Tel: 978-682-6518 • Fax: 978-682-1221 www.coteandfoster.com