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Home My WebLink AboutBuilding Permit #1061-15 - 89 BEVERLY STREET 6/16/2015 024<-AW 44 L ORT � N Hq BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: �/ �� Date Received A 7q Q�RArED I•Pa�.(� SSACHU51 Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Cil " P r� PROPERTY OWNER L' Print 100 Year Structure yesno MAP 6P-`3 PARCEL:. ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Reside 'al Non- Residential ❑ New Building ne family ❑Addition 0 Two or more family ❑ Industrial ❑AI ion No. of units: ❑ Commercial H-Aepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESC IPTION OF WORK TO BE PERFORMED: Identifiicati n- Please Type or Print Clearly OWNER: Name: / fit. �� -G� Phone: Address: Contractor Name:�fX L �Phone: 17k Address: e4-1-a Supervisor's Construction License: Exp. Date: 6,��/�o Home Improvement License: / �.3 �3r5"� Exp. Date: 1 ARCHITECT/ENGINEER Phone: I Address: Reg. No. FEE SCHEDULE:BULDING RF IT:$12.00 PER$10000.OQ OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ � o6) FEE: $ Check No.: �7 W Receipt No.: 8f3 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor Location No._�/I � Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ 2% Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# � �— - uilding Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE'OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools 0 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 Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS a 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 DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site y s no Located at 124 Main Street Fire Department signature/date COMMENTS i 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 i NOTES and DATA— (For department use) i I ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 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 a Building Permit Application o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o 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 o Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) a Mass check Energy Compliance Report (If Applicable) o 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) a Building Permit Application Li Certified Proposed Plot Plan a Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o 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:Building Permit Revised 2014 NORTH own of 7 .7" . ndover 0 No. ® y h I ' T o Lh ver, Mass, /6 COCHICKI WICK �.95 RgTEO '•P�`�� V BOARD OF HEALTH PERMIT T Food/Kitchen Septic System ��^rel` THIS CERTIFIES THAT ........�,,7�x:. l/� BUILDING INSPECTOR has permission to erect ......... buildings on /i.�) — u /`/ ✓, Foundation Rough to be occupied as ............. �' ' /' .^ Ch .... ...............................7..... . ....................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Final 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 STARTS Rough Service ..................... BUILDING INSPECTOR. Final GAS INSPECTOR Occupancy Permit Required to Occupy Buildin-v 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. Smoke Det. Page# of pages CS # 022680 j. 978-688-6737 HIC# 103358 A. J. Walsh & Sons or 159A Waverly Road 1-978-912-2853 North Andover, MA 01845 0 0 d °a Propose!S fitted To* i Job Name - ` Job# Address *` �' Job Location ' Date Date of Plans 112w, L.c., Gc.i l0 1 / Phone# r L _ r Far# ' Architect rWe hereby submit srecifications and estimates for Or r WeWpropose hereby to furnish material and labor—complete�atcordance with the above specificatio s for the sum of: 00n� �d Dollars with payments to be made as follows: yJ Any alteration or deviation from above specifications involving extra costs wilt be Respectfully executed only written order,and win became an extra charge over and p above the estimate.Aft agreements contingent upon stnUs,accidents,or delays submitted beyond our odhirol. Note—this proposal may be withdrawn by us H not accepted within days. !accentXM Id -Opozat The above prices,specifications and conditions are satisfactory and are i nature }�d/1 ��"�` / 40J " AA hereby accepted You are authorized to do the work as specified. g Payments will be made as outlined above. Date of Acceptance Signature Contractor Arbitration Contractor Home:Impvement• nvides homeowners"with:themAght.to initiate an arbitration action(as an alternative to court actioi?)iP.they have a,dspute with.a contractor. 'Ilie.same:rightis not'automaticully afforded to'e. contractor,.however.::..r ie.contractor would have tp resolve any,dispute he/she.ltas with a'homeowner in courtunless .... both parties agree to,the optional clause provided below:.This clause would give the.contractorthe.same.right to arbitration as is afforded to the*homeowner:by the Home Improvement Contractor Law." The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract,the contractor may submit the dispute to a.privaie arbitration firm which hag-been.approved by the Secietary of the Executive Office of Consumei-Affairs and Business Regulation arid--the consumer shall be required to SUIVIn.it to such arbitration asp vided In•M sachusetts General Laws,ch 142fr. MX Ff 441 h Homeo is rgnadrre Contractor's Signature NOTIC - e siggatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor:�.,The<homeowner.may initiate alternative:dispute resolution even where this section:is not separately signbd7bgIh6 parties: Homeowner's Rights A homeowner's rights under-tbe Hoe'Improvement Contractor Law(MGL chapter 142A)and other consumer protection laws(i.e.MGL chapter 93A)may not be waived in any way,even by agreement: However,homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law. Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law. The-contractor is resporrsnble-for completing the work as described,in a timely andworkm"anlike,manner. Homeowners.may be entitled to.other specific,legal:rights:if the.contractor guarantees. or provides.an.express warranty for::workmanship of materials. In.addition to.guarantees_or waianties provided by the contractor,all goods sold in Massachusetts carry an implied warranty of merchantability.and fitness_for.a particular purpose. An enumeration"of other matters on which.the homeowner and contractor.lawfully agree maybe added:to the. terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about your consumer/homeowner rights,contactthe Consumer Information Hotline(listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all"exhibits and referenced documents have been attached Parties are also advised not to sign the document until'all blank sections have been filled in or marked as void,deleted,or not applicable. One original signed copy of the contract with attachments is to be given to the owner and the other kept by-thel contractor. Any modification.to the Iriginal contract must be in writing and agreed to by both parties.Contracted work may not begin until both parties have received a fully executed copy of the contract,and the three day recission period has expired. Accelerated Payments A contractormgy not demand payments inadvance.of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure. However,in instances where:a.contractor deems him/herself to be financially insecure,the contractor may require'that the.balance of funds not yet due be placed in'a joint.escrow .. account as a prerequisite to continuing the contracted work. Withdrawal of funds from said account would-require the signatures of both parties. Additional Information If you have:general-questions or..need additional information about the Home Improvement"Contractor-Lawor other consumer rights,or if.you v�nsh to:obtain afree copy.of "A.Consumer Guide to the.Home.Improverrient Contractor Law,"•contact Cgnsui mer Information Hotline Office of Consumer A$aizs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 (617)973-8787 or 1-(888)283..3757 If you want to verify the�registration of a contractor or if you have.questions or need additional information"specifi6aliy about the contractor registration component of the Home Improvement Contractor Law,contact: Director of Home Improvement Contractor Registration Bureau of Building Regulations and Standards One Ashburton PIace,Room 1301,Boston,MA 02108 (61 n 727-3200:or 1-800-223-0933 For assistance with informal inediatiri of disptitegor to"register-formal complaints against abits iiess;call: Coi�sriYitei`CoiuplaiatSet;tioa Office of the Attorney General (617)727-8400 AND/OR Better Business Bureau (508)652-4800 (508)755-2548 f (413)734-3114 MASSACHUSETTS HOME IMPROVEMENT CONTRACT This form.satisfierall basic requirements of the state's Home Improvement Contractor Law(MGI chapter 142A),butdoes not include standard language to protecthomeowners. Seek legal advice if necessary.-Any petson•planning home ininprevanents ahotildtitsf obtain a copy of"a Massachusetts consumer:guide to home rapmvement"before agreeing.to any work ora yourriesidence.You may obtaiwa free copy by'calling the' Office of Consumer.Affairs and Business:Regulation'is Consumer Information Hotline at617-973?8787 or 1,88&2-93-3751- Homeowner Information 'Contractor Information' Name pany Str t A (do not o x Boa dress tractor/ �� 0 t r Name �� City own S ip Code I Win=Address(mU include a strew address) . 6-- r' Daytime Phode EveaingPhone 13tyrrown state Zip Code Mailing Address(11 different from above) 3usium one ederal Employer Mor S.S.Number Lore* that mop bomeim Acme tCoumtlmara+A®ha .Aap�timd�b;. osntnetm taws - . ,!� The Contractor agrees to do the following work for the Homeo ner: I l (�I t / `7 -A Required Perorits-The-following building permits are required Proposed schedule will Start and Completion Schedule•The fdlloaiiig sched and will besecured:by the cbntractof as the'homeowner's agent; be adh to ens circumstances licyond:0te contractor's' achedrol arise (Owners who;secure their own permits WHI be excltidedifrom:<the Gaaranty Fund'provisions of �l�wha;' 'tractor Will begin contracted work MGL chapter 142A:) 0 when contracted .work will be substamiilly.completed Total Contract Price and Payment Schedule t The Contractot.agtees to perform the work,fumish'the material and t bo specified above for the total sum of. y L �,3pc►o,� Pa meats will be made according to titefollowing schedule: r� � $ uPOn,s igning contract(nottb exceed 1/3 of the total.contract price.2r the costAf special order items,whichever is greater) S by or upon completion of S—�--yy •�or upon completion of /� —upon completion of the contact (law forbids demanding full payment until.contract is completed to both party's satisfaction) / The following material/equipment must be special S epaid for ordered before the contracted workbegins in order S to bed for to meet the completion schedule.(-b•) NOTES:(h including all finance charges(••)Law requires that any deposit Of down-payment required by the contractor before work begins rosy not exceed the greater of(a)onbddrd of the total contract price or(b)the actual tori of any special.equipment or custom made material whicb must be special ordered in advance to meet the completion schedule. Express Wamnty--h an cgums.warraety beint±.nrovlded by fh"r ...+ + No Y Malt terms of fhe warranty m�•c be attached to the couft Subcontractors The contractor agrees to be solely responsible for completion of the work described regardless of the actions ofa*thrid . ply/subcontractor utilized by the contractor. The contractor further agrees to be solely responsible for all payments to AN subcontractors foi materials and Ill under tl is a2reCrrlent Contract Acceptance-Upon signinp1tbis document becomes a binding_contractnnder:law, Unless otherwise noted within this document the carefully before signing this contract contract sbel not imply that any lies or other security interrsthas been placed on the residence. Review the following cautions and notices • Doul be pressured into signing the contract Take time to nmd'and fully understand ii Ask'questions ifso-iffi-ns is unclear. • Make sure the contractor has a valid Home ImThe 11fw requires most home improvement contractors and. subcontractors to be registered with.the Director ofHome Improvement ContrattLt Registration. You may inquire about contractor registration by writing to the Director at One Ashburton Place,Room 1301,.Bost* MA 02108 orby.calling 617-727-3200.or 1400.223-0933. • Does the contractor have insurance? Check to see that Your'contractor is properly insured. • Know your rights and responsibilities. Read the Importani Information on the ieverae'side of this foim'and get e'eopy of the Consumer Guide to the Home balprovement Contractor Law. You may cancel this agreement if it has been signed at a place other than the contractor's normal lace of business,provided contractor in writing at his/her main office or branch office Ordinaryp 1,o Y=,i;ght ;t third business da followin the signing marl posted by telegram sent or by delivery,not later t Y B. goring of this agreement.See the attached notice of cancellation form for an explanation of.t DO NOT SIGN THIS CONTRACT IF THERE ARE BLANK SPACES!!! - rwoidmtiai copies of the epptract mW be cortplead and sued one copy.should So Loft other should be]dpCUAt M le Homeowner' re 8� Contractor's Signe Date Date MASSACHUSETTS HOME IMPROVEMENT CONTRACT This fortn satis5erall basic requirements of the state's Home Improvement Contractor law GL chapter 142A. lint not int Jude standard language to protecthomeowners. Seek,legal advice If necessary. p )t Any peisoa'pI nning home pprovements should fust obtain a copy of"a Massachusetts.consumer guide to home improvement"befdre agreeing to an work m your You m obtains free Y Y aY -copy by'calling the Office of Consttmc;Affitirs:and Business Regulation s Consumer Information Hotline at617-973 8987 or 1.886:283-3757. . Homeowner Information Contractor Information N ame piny NE I (", trot o ffice Box dress) tractor/ Name Sip Code usinessAddress(mustiude a street addresDa EveningPhoiie ity?own tate Z' Code _ IS Mailing Address(It different from above) 3usinew one edeW Employer ID or S.S.Number ' lavthttnmr bomeim• Aosw Contratlora45Nmdiv ,Axlmcrio"-0tk oratraCco 6nee ' The Contractor agrees.a wgrKo do the following work for the Home! nee1 -7. . .. WrlawwDeusea 000r lRequired Permits-The-61lowing building permits are required Proposed Start and Completion Schedule-The following schedule will and will besemred.by the contract of as theowne's'homeagent; be adh to' ess circumstances beyond-the contactors`comml arise (Owners who;securer their own permits will be excluiledlromthe Guaranty Fnnd`provisions of itSi whe;;' ecorvvi11 begin contracted work. MGL chapter 142A.) !f whe! contract, .work will be substantially:completed.. Total Contract Price and Payment Schedule The Contractor.agrees to perform the'work,furnish-the material aad,%b�o'r_specified above for the total sum of. Payments will be made according to the following schedule: - GLrcL4i 3p�'r� GfL $3CL�ttPo�n signing eontract'(not•to exon 1/3 of the total.connact ce. the eost;of . Pri 4{ special order items,whichever is.greater) $ ---1 — by or upon completion of or upon completion of upon completion of the contract (law forbids demanding full payment until.contract is completed to both party's satisfaction) / The following material/equipmeat must be special 00 d for ordered before the contacted work begins is orderS to be pai�d for to meet tliecompletion schedule.(••) NOTES:M Including all finance charges(••)Law requires that any deposit or down-payment required by the contractor before work begins may not exceed the greater of(a)one•third of the total contract price or(b)the actual cost of any special.equipmeot or custom made material which must be special ordered in advance to meet the completion schedule. Express Warranty-Is evarraari belie nrovtded by eh" Seto . No Vee ran r... of fb mnty mast be «. a Subcontractor The contractor a -r''ci' grecs o be solely responsible for completion of the work described regardless of the actions'ofany tfiiid party/subcontractor utilized by the contractor. The contractor further agrees to be solely responsible for all payments to all subcontractors fot materials and laborunder this••TM•ntent Contract Acceptance Upon signing,this document becomes a binding.contract under:law. Unless otherwise noted within this document,dee contract shall not imply that any lies or other security intereat)as been placed on the residence. Review the following cautions and no carefully before signing this contract • Don't be pressured into signing the contract Take time to read'aad fully'understand it'Ask'questions if soniethiog is unclear. • Make surd the contractor has a valid Home Immovement ntract r Rr 'cirri The biw requites most most home improvement contractors and. subcontractors to be registered with the Director ofHome improvement ConttactL*Registration. You tiny iagnirc sbout.commcor registration by writing to the Director at Ono Ashburton Place,Room 1301,.Boston,MA 02108 orby;calling 617-727-3200 or 1 800-223-0933. • Does the contractor have insurance? Check to see that your contractor is properly insured. • Know your rights and responsibilities. Read the Important lnformation on the reverse-side of this form and get a copy of the Consumer Guide to the Home Improvement Contractor Law. You may cancel this agreement if it has been signed at a place other.than the contiactor's'normal lace of business,provided contractor in writing at his/her main office or branch office ordinary p l you notify the thud business da followin the si ary mail posted,by telegram sett or by delivery,not later than midnight of the. Y g. signing of this agreement.Seethe attached notice o£cancellation form for an explanation ofthis right DO NOT SIGN THIS CONTRACT IF THERE ARE AAY BLANK SPACES!!! Two ideotkalcopiesofilmeentractmust bccanplAdsodaipwd,owcopyaieWdWtotho other sbwWbelnptby - .. Homeowner' 7 Jau.-d-Ltr!// �� '1'✓y� Sm Contractor's Signe Date Date The Comtrion wea th of Al ssach useit Departs-nent of Industrial Accidents Office of Investigations ¢ V 600 Washington Street M1: " Boston, MA 02111 www.moss.gov1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Infor mntion Please Print Le ibl Larne (Business/Organization/IndM dual): �n�� Address: ,, , pity/tate/Zip: . �- Phone #: Are yo employer? Check the appropriate box: general contractor and I Type of protect(required):I. I am 4. I am a a employer with � ❑ g employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ 1 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' [No workers' comp. insurance comp. insurance. 9. E] Building addition required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 1 l.❑ Plu ing repairs or additions thyself. [No workers' comp. right of exemption per MGL 12. oof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp. insurance required.] '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 affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. i lam an employer that is providing workers'compensation insurance for racy employees. Below is the policy and job site information Insurance Company Name: 6?�,_klre Policy# or Self-ins. Lic.#: C� G l�� /,�Gf� `,� Expiration Date:___��'� Job Site Address: City/State/Zip: zoeG z&"e jl-�e./ Attach a copy of the workers' compensa ion policy declaratiare page(showing the policy nuittber 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 coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true irnd correct Si nature: u IV Law/1 Date: Phone#: ,/ 7L C fj-" Official use only. Do not write in this area, to be completed by city or town offciat 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#: Massachusetts - Department of Public Safety Board of Building Rcgulat;ons and Sta,ndz;'- G Construction Suffers isur f � License: C"22680 ARTHUR J WALSO JR 159A WAVERLY-" N ANDOVER Mk 01845 Commissioner 06/09/2016 _ \ Office of Consumer Affairs& Business Regulation License or registration valid for individul use only IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 1 egistration: 103358 Type: Office of Consumer Affairs and Business Regulation it �f: xpiration: 7(7/2016 Private Corporation 10 Park Plaza-Suite 5170 , r = Boston,MA 02116 A.J.WALSH&SONSJNC. Arthur Walsh I 55 Pleasant St N Andover,MA 01845 Undersecretary Not valid with t signature Code End PU3 epo:)