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HomeMy WebLinkAboutBuilding Permit #53 - 850 WINTER STREET 7/23/2008Permit NO: �;3 BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received Z3 – oa- Date Issued: /-(,I .0 r IMPORTANT: Applicant must complete all items on this page LOCATION ,So tcl�nc%-2 S ii Print PROPERTY OWNER 'SorW AACA2OL- e. Print MAP NO: PARCEL: ZONING. DISTRICT: Historic District yes Cad Machine Shop Village .yes TYPE OF IMPROVEMENT PROPOSED USE .a Non- Residential New BuildingrOne fami Addition Two or more family Print PROPERTY OWNER 'SorW AACA2OL- e. Print MAP NO: PARCEL: ZONING. DISTRICT: Historic District yes Cad Machine Shop Village .yes TYPE OF IMPROVEMENT PROPOSED USE Res'ff Non- Residential New BuildingrOne fami Addition Two or more family Industrial Alteration No. of units: Commercial –Ke—pair, replacerr[ Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: SDFIU MCA-RALC Phone: WS--6,F4-'AoL Address: 'RS -0 CONTRACTOR 1 Address: *S Awp-- X ,o ,► - 0.£r3 a Supervisor's Construction License: 081 �-s`3 Exp. Date:_ Home Improvement License: /Z1� 7 —Iecf Exp. Date: - OT 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: $ '�55— FEE: $ % "— Check No.: � ` 4L Receipt No.: cQ t3 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner 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 PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS DATE REJECTED DATE APPROVED Reviewed on Signature Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Conservation Decision: Comments Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 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 2008 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 2.2008 Location b 'gr No. J 13 Date 't - TOWN OF NORTH ANDOVER Certificate of Occupancy $ ' jµj5 Building/Frame Permit Fee $ z Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 4 t q Building Inspector 776A, w0sum of Massachusetts Department of1nd=&W.4cddenis ff�lce,qfinvestigations 600ffashinron'SMW Boston., MA 02111 WWW.ssgoV1&4 - Workers' CorapePsation Insurance AffidaviMat: BuWe Wcant Information. nAElectricia rs/Contracto IMS/Plumbers Name (Busin*WorgaWzi.ou4ndi'vidud)- Address: 44 T City/state/Zip Are you an emblover? M.1, et the appropriate box: I am -a employer with 2. T 4. 0 Jama Wmeral contractor employees (full andJor 2. 0 1 am a sole proprietor and I have hired & sub -co n6actors - opa"Ine). r patt,,e, ship and.have no employees. listed the; Pl! *attach6d-sheet. t working forme in any (No workers' co capacity. These sul)40ntrictoribave workers' comp. insurance. - required.) MP. iPsurance. .5. El We are A corporation and its. 3. 0 1 am. a homeowner doing Officers have exercised thiir ail, work myself. [No workers' right ght Of exemption per MGL - FOMP" insurance require&) 't. r c) 152. § 1(4), and we have no employees. (No Workers! Type *of project (required): .6. E]New construction Remodeling 8 . .011�molitioift 9: . Buildiiii addition 10-0 Electrical ftpairs or.additions 11' * 0 Pluinbing repairs or additions 12-0 Roof repair. 13••Q 'Any Vpliciat comp. uzurance re ......................... t quired. 'Horneownen wbo tet lnu$t a4O fill the '�ion below showing ....... subiait icy tCo0tM*,fti*s dug "ling d*' � �­ 00'apol- �,,"atiou. . yin doing all work OW then � I *6 b6it zn,,tjk'ftvit4--A �ire VOW& conftioois Mwt xw*t-a' new it indi.cating such. raftanwrjoyergW.& additional died showin . g the n, df*c SW>-CMtMc(oM #ad their wokem! comp. Policy infounadon. .provq14 "rk&3' colVe-Wation Infor?"Ption. JhSWancejorNWeV1qyeez.-_BekW * -iSthe policy: and job site r6e Insurance Company Name - Policy # Or Self -ins. Lic-., Expiration Nft:' 2, 00 Job Site Address. Attach * acopy 9f.the 'W I orkers' olnPeusatiOlm POHC� declaration City/State/zip; ra. on page. (showint the- Pol& � Ujunbe - Failure to secure C0i1Ctaje`ajr'e* Icy: r and expiration date). fine -up to qtdr6d'under Secti dn.25Ao'f MGL c,.152 can 00 and/or one-year knprisonmenl4' liad:tO the iftiposition of criminal pienalti' Of UP to $250-00 a day against the violator. as well as - es of a Investigations of dle DtA, for Be advised that: 4 copjr�- penalties inAe form of a STOP WORK -ORD% and a fine Insurince coverage verification. statement may be -forwarded to Office of I do hereby certify ander the pains andpenafties ofperju�y that the 4fomiadon rrect - SignSignatureproyided aboutis true and co -;L .3 —. -D V W&C&I Use On.1Y. Do not write in this arca, to be ce,*IeW bjv city or town .0 ociaL City or Town: InWag-Anthority'(cirae Permit/License# one). 14 Board of Health. .2. U'U'adi" Clerk '4. jae�ct Other lbty/Tra ricil Inspector' S. PIGIRM09 Ins pector Contact Per"M ACORDCERTIFICATE OF LIABILITY INSURANCE 07/02/2200881142rn . PRODUCER .(800) 225-1865 Fred C. Church, Inc. 41 Wellman Street Lowell, MA 01851 THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. POLICYNUMBER 800-225-1865 POLICY EXPIRATIONOF DATE IMMID017M LIMITS INSURERS AFFORDING COVERAGE= NAIC #. INSURED New England Window & Door LLC 45 Fondi Road INSURER A Citizens Insurance COmPany Of America , INSURER B: Hanover Insurance Company INSURER C.- Massachusetts Bay Insurance Haverhill, MA 01832-1302 INSURER D: Twin City Fire Insurance Co. 129459 I E $500,000 INSURER E: PERSONAL BADV INJURY $ 1,000,000 rn%icoAr•ec 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. INSR INSURANCE POLICYNUMBER POLICYEFFECTIVE POLICY EXPIRATIONOF DATE IMMID017M LIMITS 7A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR ZBN8161407 7/1/2008 7/1/2009 EACH OCCURRENCE $1,000,000 I E $500,000 MED EXP are $ 10,000 PERSONAL BADV INJURY $ 1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JEct El LOC PRODUCTS - COMP/OP AGG E 2,000,000 C AUTOMOBILE X X X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ADN8162169 7/1/2008 7/1/2009 COMBINED SINGLE LIMB $ 1,000,000 (Ea accident) BODILY INJURY f (PerPerson) BODILY INJURY $ (Per accident) PROPERTY DAMAGE. : (Per accident) , I GARAGE LIABILITY : ANY AUTO RAUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ONLY:. I. AGG $ B EXCESSIUMBRELLA LIABILITY X OCCUR E CLAIMS MADE DEDUCTIBLE X RETENTION S UHN8167305 7/1/2008 7/1/2009 EACH OCCURRENCE $ 9,000,000 AGGREGATE f 9,000,000 $ $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? Kyes, describe under SPECIAL PROVISIONS below 08WBNL5742 7/1/2008 7/l/2009 X WCSTATU- OTH E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ $00,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Proof of Insurance GERTIHUAIt HVI.UER CANCELLATION New England Window & Door LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 45 Fondi Road DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Haverhill, MA 01830 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND,UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACARn 25 /2001/081 ,.., os -w C.T. TTmR wr. © ACORD CORPORATION 1988 ...... . , ,.,�... 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Ei p a�o cd OCl. � CJ sOyy �~+ j toto rO+ 10 0 i F 'd O 0 0 Cr gip' alb o C;3 U 'd Cd tom" 0 b i d 3 a o y to ,� 00 -d o 11) O N C'S cd a: 'b O 4 U bA U�•+ N C,3 "iOy N Q to Cd O 44 OEI .� Cd O Ca z N - ^' Q w �, U Q Up, 0 0"O b O u U14-4 �. 34-4 ° ate' � v a PELLA WINDOWS AND DOORS CONTRACT 1. TERMS AND CONDITIONS These Terms and Conditions are an integral part of the contract set'forth on the Product Order (the "Contract") between New England Window and Door LLC dba Pella Windows & Doors, Inc. ("Pella") and the person(s) identified on the Product Order ("Owner") to supply the products (the "Products"), and perform the work (the "Work") described or referred to in such Contract. For Product Only purchases, a signed "Product Only Addendum" is a required part of the contract. 2. OWNER Pella is not responsible for any existing security systems. Owner shall remove all shades; verticals, blinds, curtains, drapes or window mounted air conditioners, prior to the installation of the Products. Pella's installers are not responsible for the removal or installation of these types of items. Pella is not responsible for pre-existing window coverings fitting on newly installed Pella windows. The Owner shall provide complete access to the work site between the hours of 7:00 a.m. and 6:00 p.m. (Monday through Friday) for Pella's installers to deliver the Products and perform the Work. 3. PELLA Pella will be responsible for and have control over construction means, methods, techniques, sequences and procedures and for coordinating all portions of the Work. Pella will be responsible for the Work of its Pella Contractors who will install the Products. Unless provided otherwise in the Work description, Pella will provide and pay for all labor, materials, equipment, tools and machinery, transportation, and other facilities and services necessary for the proper execution and completion of the Work. The materials and equipment furnished under the Contract will be good quality and new unless otherwise required or permitted, the Work will be free from defects not inherent in the quality required or permitted, and the Work conform with the requirements of this Contract. Pella shall not be responsible for damages or defects caused by abuse, modifications not executed by Pella, improper or insufficient maintenance, improper operation or normal wear and tear. Pella will keep the premises and surrounding area free from accumulation of waste materials or rubbish caused by performance of the. Work. 4. CHANGES The Owner may order in writing changes in the Work consisting of additions, deletions, or modifications ("Change Order"). Any Change Order shall include an adjustment to the Price and the Substantial Completion Date, as determined by Pella. Pella reserves the right to approve or disapprove any Change Order and any such Change Order must be signed by both Owner and Pella to be effective. 5. SUBSTANTIAL COMPLETION Owner understands and agrees that the: Substantial Completion Date is an estimate only and that the actual date on which the Work is completed may be extended to allow for Change Orders requested by Owner or if the time to complete the Work is affected by conduct of the Owner, weather, labor disputes, availability of subcontractors, acts of God, fire or other causes reasonably beyond Pella's control. If for any reason the Work is not fully completed by the Substantial Completion Date (including any extensions contemplated above), but is substantially completed by such date, i.e., the Product has been installed, but minor parts or components are missing or need to be replaced or repaired, a hold back proportionate to the cost of remaining parts or work to be completed is acceptable. However, the holdback will not exceed the amount of the completion costs or 10 % of the remaining unpaid balance of the Price, whichever is less. 6. FINANCING 7. PAYMENTS Pella shall be entitled to stop the Work upon written notice to Owner for any material default or failure by Owner, including but not limited to, the Owner's failure to pay Pella the amount due within seven days after the date payment is due. 8. CORRECTION OF WORK Pella shall correct installation Work not in conformance with the requirements of the Contract, if notified in writing by the Owner within two years after the Completion Date or, if earlier, the date on which the Work is'substantially completed and payment of the Purchase Price made subject to a holdback as provided above. Correction of Work as herein provided shall be Owner's sole remedy for defective workmanship, and is provided in lieu of any and all other remedies. Pella's obligation to correct Work is conditioned on Pella's prior receipt of all payments then due. 9. LIMITED PRODUCT WARRANTY Pella shall warrant all Pella products, but only in accordance with the Pella Windows & Doors Limited Warranty. THIS LIMITED WARRANTY SHALL BE THE SOLE WARRANTY WITH RESPECT TO THE PRODUCTS AND PELLA SPECIFICALLY DISCLAIMS ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, WRITTEN OR ORAL (INCLUDING WITHOUT LIMITATION ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE). 10. NO CONSEQUENTIAL DAMAGES UNDER NO CIRCUMSTANCES SHALL PELLA BE LIABLE FOR CONSEQUENTIAL, INCIDENTAL, INDIRECT, OR SPECIAL DAMAGES, WHETHER FORESEEN OR UNFORESEEN. 11. HOME IMPROVEMENT CONTRACTORS All home improvement contractors and subcontractors shall be registered with the director of the Home Improvement Contractor Registration Program administered by the Board of Building Regulations and Standards. Pella and any of its subcontractors identified in this agreement have been registered. Any inquires about Pella or any of its subcontractors relating to registration should be directed to: Director, Home Improvement Contractor .Registration, One Ashburton Place, Boston, MA 02108, 617-727-8598 12. PERMITS (MA customers only) Pella is, pb I Jigated to and will obtain the following permits for this project: . Homeowners who secure their own permits will be excluded from tl _guaranty fund provisions of Massachusetts General Laws, chapter 142A. In addition to the rights and warranties enumerated in this agreement, you may have additional rights under Massachusetts General Laws, chapter 142A and 780 Code of Massachusetts Regulations R6. 13. NOTICE OF CANCELLATION 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 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. See the attached Notice of Cancellation for an explanation of this right. Do not sign this contract if there are any blank spaces. If payment of the Price is financed with a financial institution through Pella, all financing paperwork must be completed upon signing of this Contract and the requisite approvals and authorizations for the full amount of the requested financing shall have been received from the financial institution. Cus omer signature ( Date DISPUTES THE CONTRACTOR AND THE HOMEOWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT PELLA HAS A DISPUTE CONCERNING THIS CONTRACT, PELLA MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SECRETARY OF THE EXECUTIVE OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATIONS AND THE CONSUMER SHALL BE REQUIRED TO SUBMIT TO SUCH ARBITRATION AS PROVIDED IN M.G.L.c. 142A Godac-tor Homeowner NOTICE: THE SIGNATURE OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETTLEMENT INITIATED BY THE CONTRACTOR. THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE TB IS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES. NOTICE OF CANCELLATION IJO Date of transaction: You may cancel this transaction, without any penalty or obligation, within three business days from the above date. If you cancel, any property traded in, any payments made by you under the agreement, and any negotiable instrument executed by you will be returned within ten business days following receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel, you must make available to the seller at your residence, in substantially as good condition as when received, any goods delivered to you under this agreement; or you may if you wish, comply with the instructions of the seller regarding the return shipment of the goods at the seller's expense and risk. If you do make the goods available to the seller and the seller does not pick them up within twenty days of the date of your notice of cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the seller, or if you agree to return the goods to the seller and fail to do so, then you remain liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other written notice, or send a telegram to Pella Windows and Doors, at 45 Fondi Rd., Haverhill, MA 01832 not later than midnight of 0 (three business days from the date of transaction above). I hereby cancel this transaction. (Date) (Buyer's signature)