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HomeMy WebLinkAboutBuilding Permit #318 - 90 WOODSTOCK STREET 10/20/2009 BUILDING PERMIT �10RTF1 0 ,,_ac ,bq{• TOWN OF NORTH ANDOVER 3? ° ` ~' '° ° o �o APPLICATION FOR PLAN EXAMINATION Permit NO: 54K f Date Received 4 q�RATED I•PP''y\- �SSACHUS�� Date Issued: a - IMPORTANT: Applicant must complete all items on this page LOCATION bs T° �-(Z / ✓ �Jz-' rint PROPERTY OWNERn Print MAP NO: k4RRCEL-44 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 Repair, replacement 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: .�J 5 A—✓1 f%�C.0 �=�'� Phone: Address: CONTRACTOR Name: �J cll Z c%' Phone: fl P-f-7,'•-7J-71 Address: c I ti J Supervisor's Construction License: ` b Exp. Date: F, b Home Improvement License: / '� d `� Exp. Date: 9v 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: $ I_9'Jv ' FEE: $ q)5- Check No.: Receipt No.: NOTE: Persons contracting w' Vre actors do not have access to the g aranty fund signature of Agent/Owner 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 t DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on_ Signature i 1 COMMENTS 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 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 r Location No. Date NORTAt TOWN OF NORTH ANDOVER F s a Certificate of Occupancy $ J„�w�s t� Building/Frame Permit Fee $ Foundation Permit Fee $ � Other Permit Fee $ TOTAL $ Check #�� 2 ` 0 �" Building Inspector x.10 R TH Town of : 4Andover No. 31Y T _� 4 T �`y C, = - dover, Mass. ' T O LAKE A COCMICKEWICK V %S'44TE D BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT �.,_.� ........ ............................................................... ........... Foundation oundation w has permission to erect.....................`................. buildings on ........... .0...... .. ,�.o.d..�tT�... ,,,,, ..... Rough y to be occupied as.............. ........ .......... .... ......... ........... . ..�-............................................... Chimney provided that the person accepting is permit shall in every respect confo o 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 WSW PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU ST TS Rough .... . .... .................:.......................................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR gh Display in a Conspicuous Place on the Premises — Do Not Remove F nal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Massachusetts Home Im rovement Sample Contract =Mau-sachwsetts s fill basic requirements of the state's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard ect homeowners, Seek legal advice if necessary. Any person.planning home improvements should first obtain a copy of"a nsumer guide m home improvement"before agreeingto any work on your residence.You may obtain a free copy by calling theer Affairs and Business Refmlanon's Consumer Information Hotline at 617-973.8787 or 1-888-283-3757. 9omation eowner Infor J 5A ,o t c- Contractor Information gene tl C,3 Qo mpany �e ✓J j j rJ C� /40 JA -cA O4 Street Address(do not use a Post Office Box,address Contractor/Salespersan/Owne,NN me. C.0L �o City(fown state . zip Code usm es s Address(must include a street address) I 1V 416 6 DaytuncPhone EvmiagPhanety/I M C=rZfJtt�(yy{�J S Own State Zip Code��' Mailing Address(It different from above) usiness Phone fidget Emaloye ID or S.S.Number. Lw requa=that most lswe m�- Hama imNavmrnl'(ameaor keg.Nambv Ex I-M-UM WIVe. '� rhafion tlea The Contractor agrees to do the following'work for the Hnmeo 'nesatxauona®he I' egn e o toeype ran / S` Zai ° e t e [Required Permits-The following builtiing:perrmits are required Proposed Start and Completion Schedule-The following schedule willwill be secured by the contractor as the homeowners agent, b atyhered to unless circumstances beyond the contractor's control arise wners who'secure•their own permits will be cluded from the Guaranty.Fund provisions of I J I (�`�Dau when contractor will begin contracted work.GL chapter 142A:) . Date when contracted work,will be substantially completed. Total Contract Price and Payment Sebedule The Contmbtor agrees to perform the worlL ftunish the material and labor specified above for the total sum of. t 9 O O/ Aa — (") Payments will be made according to the following schedule: S. upon signing contract(not to exceed 1/3 of the total eDn tratct price or the cost of special order items,whichever is greater) $ y b3' _(_/ or upon completion of y _i_l_ or upon wmpietion of $ . upon completion of the contrast (Law forbids deman ' ding.full payment until contract is completed to both party's satisfaction) The following material/equipment mustbe special S 0 ordered before the contracted work begins in order S O to be paid for to mat the completion schedtte.(") to be paid for NOTES:(")Including all finance Charges("•)law requires that any deposit or dovan-payment required by the contact not work begins may before not exceed the{greater of(a)on�third of the total wnnact,price or(b)the genial f which must be special ordered in advance to meet the completion schedule: cess oany special eohipmmbef custom made material Ex rens watrahry-Is an resswenranry bei rmlded bvthe.covtrattor'! Nn Yes all terms of th.warravrv.mnst.be attached to the contraM Subcontractors-The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any Contra party/subcontractor utilized by the contractor. The contractor further agrees to solely responsible for all payments to all subcontractors for Contract Acceptance-Upon signing,this document becomes a binding contract under law. Unless otherwise noted within this document the carefully before signing this contract contract shall not imply that any lien or other security interest hes ban placed on the residence. Review the following cautions and notices • Dont be pressured into signing the contract Take time to read and full • Make sure the c tractor has a va id ome lm rov ent Contractor understand it Ask questions if something is unclear. Ree 's do .The law requires most Improvement contractors and subcontractorsisratonby w be registered with the Director eAs bur on p improvement Contractor Registration. You may in about contractor registration by writing to*the Director at One Ashburton place,Room 1301,Roston,MA.02108 or by calling 617-727-3200 or 1400-223-0933. • Does the contractor have insurance? Check to see that your contractor is properly insthret. • Know your rights and responsibilities. Read the-Important'Infomuato]o on iof this form and get a copy of the Consumer Guide to the Home Improvement Contractor l.aw, re revers wrd You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business,provi ed you notify the contractor in writing-at his%heratain office or branch office by ordinary mail posted,Oy tele -third business day following the signing of this agreement See the attached not of cancella on orm fordo iI IXmj no star the dnight of the DO NOT SIGN THIS CONTRACT IF TUMRE p on of s rig Two identical eupks of the cmnract.tnust be completed and signed.-one BL P C 1 t I wPY shoWdgo to in ho h atria Py should be t thew o ign tum C S Signature Date T d l Date�— Contractor.Arbitration . The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as an Y / alternative to court action)if they have a dispute with a contractor. The same right it not automatically afforded to a contractor,however. The contractor would have to resolve any dispute he/she has with a homeowner in court-unless • both parties agree to the optional clause provided below. This clause would give the contractor the 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 private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided In Massachusetts General Laws,chapter 142A. Homeowner's Signature Contractors Signature NOTICE:The signatures 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.his section.is not separately signed by the parties. Homeowner's Rights A homeowner's rights under the Home 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,homeowner; 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 Improvemeot fontractor'Law. The contractor is responsible for completing the work as described,in.i timely and workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees. or provides an express warrant y for workmanship or materials. In addition to guarantees or warranties provided by the contractor,all.goods sold in Massachusetts carry an implied warranty of merchantability and fitnessm for a particular purpose. An enumeration of other matters on which the-homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do.notrestrict a homeowner's basic consumer rights, If you have questions about Your consumerlhomeowner rights,contact the Consumer Information Hotline(listed below). Execution of Contract The contract must be executed in du licate 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 originalsigned copy of the contract with attachments is to be given to the owner and the other kept by the contractor. Any modification to the original 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 contractor may not demand payments in advance of the dates specified on the payment scbedule in cases wbere the homeowner deems.him/herself to be financially insecure. However,.m 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 signatures of both parties. of funds from said account would require the Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or other consumeriights,or if you wish to obtain a free copy of "A Consumer Guide.to the Home Improvement-Contractor Law,"contact: Consumer Information Hotline. Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 (617)973-8787 or 1-(888)2$33757 If you want to verify the registration of a contractor or if you have questions or need additional information specifically 'about the contractor registration component of the Home Improvement Contractor Law,contact: Director of Horne.Improvement Contractor Registration Bureau of Building Regulations and Standards One Ashburton Place,,Room 1301,Boston,MA 02108 (617)727-3200 or 1=800-223-0933 For assistance with informal mediation of disputes or to register formal complaints against a business,call: . Consumer Complaint Section Office of the Attorney General (617)727-8400 AND/OR Better Business Bureau (508)652-4800 (508)755-2548 (413)734-3114 The Commonwealtli of Massachusetts I Department offridustriat Accidents Office of Investigations -' � 600 Washington Street Boston,AM 02111 www.Inassgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A )icant Information Please Print Le Name(Business/Organization/individual): < pit �o o Address: City/State/Zip: 11 -r_�t /y SJ Phone Are you an employer? Check the appropriate box: i IType of project(required): �I am a employer with�� 4- ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑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' / [No workers'comp.insurance comp. insurance_t 9. ❑Building addition required.] 5. ❑ We are a corporation and its I0.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions -4 myself. [No workers' comp, right of exemption per MGL 12 o insurance required.] t c. I52, §I(4), and we have noo frepaua employees.[No workers' 13.❑Other comp.insurance required.] � ;Any applicant that checks box 01 must also fill out the section below showing their workers'compensation polity information. Homeowners who submit this affidavit indicatingthey y ere doing all work and then hire outside contractors mu iContranors that check this bnx must a st submit a new affidavit indicatia such. ttached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. Irthe sub-contractors have employees,they must provide their workers'camp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: A'Fl rt�r Policy#or Self-ins.Lie.#: ,s e 9 o 7 �( Cool 2 4 Q Expiration Date: ( t Job Site Address: (� "u J►� cg%� L{e E 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 coverage verification. I do hereby certify under the pains and penalties ofp rl rY e rc that the information provided above is true and correct. i ` Signature: Date: Phone#: n - 17 ' , I ir'J Official use only. Do not write in this area,to be completed by city or toren offrciaL City or Town- Permit/Liceuse# Issuing Authority(circle one): I.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector G.Other Contact Person: Phone#- 0 ti The Commonwealth of Massachusetts Board of Building Regulations and Standards Massachusetts State Building Code,780 CMR,7h Edition Building Permit Application To Construct,Repair,Renovate Or Demolish a Ore-or Two-Family Dwelling SECTION 8: ADDITIONAL APPROVALS 1 j 1. Ballardvale Historic District Commission: Date: i I2. Board of Health: Date: 3. Conservation Commission: Date: 4. Design Review Board: Date: 5. Electrical Permit Number: Date: 6. Fire Prevention: Date: 7. Planning Board Lot Release: Date: j 8. Preservation Commission: Date: 9. Zoning Board of Appeals: Date: f I r I 1 tSSUE DATE urr:t„•,• J m�A ION ONLY ANi) A �m T ,.1 RATE"0U TMls cERT�Fry TH ` ER GE AfPORDE©BY THY LLC OR ALTER Mo oV1yRA mace Agcucy *Ming Rd,Rt 125 AN lf,%,kFEORDING COVERAGE Wovcr.MA 01845 T j tsu3st►ce Co so R(wf/Pcst in Peace Qp�gAfillf Ai A 1 M� �11 ar(a Pk iJftYC LETT sl MA 01844 f Agp'YEFpR�gPOLiCY DRQ DO�EW WiTt�RESPECT �Al ��E J�WYC�ETHE tgE7im H£ftflldiSSUBIL•C'f ', AMDfNG ANY�' sm+ �� BY WHI1ld HIS'CE Q s 1CN THIS'CERTIFICATE M4Y BE tSStlM �.+ E TERha BICCUISiONS AN un(�s t°nar.arsws�� � �wewlru.aocr� _ ____—•.; PRA"WAMMM DOW +'aN:A,wl.uw@,UTY 1. j R(,a„DV k4PJWV _._..��....._- i urwum(m—wo - ��--}aa�r:�s•cs�>fuurt'ac'S'"°r _ — i Law { ewtti etil9cT r AM'AUTO RLt ovitap wtJt/,iI emmy*MAY i AVMS uRomm eMwoe _ (XCM L1ANIL1TY U«RftLAtQKM i MA STATE WeyR tes ppWATtQNAND 1�_--- 10111,000 --- EMPwyatS ' ; ! I 4 !E6 EACH ACCW tT w,oeeule*�+ bell SOf1 Ef40 t � vu M4 n�s>GAs?E--Pot-�c 12(108 11 I r MCL r�:..E1�3� 01 1 ),. ..._-.._. . 1 � � iBi DESCRsr{{OT 1 O>F RATIOM OR LOCAL . ' Ir v Ppl it.'Y. t> teR ONB t OOF1PiFST vPIE 4,CE IS N" 7>E1R t t ;i 1 !1 j� a; I �t figkCCRT1NCAt'c4 tlllitsFlYia�. t}1prr10E5i(AI.4 R'QOpLt4At1l.�+ 9tiA IETf: �CCaRX�(Y.'177ii1A3>�1dRil6bltE,ri 'rttvls� .Mill LAN%AhAME OF Atn ' ' TA1TYti --Vnit)LN.MA 01844 !t: i { 1, �rLI It > 4 � ALL co i Residential & Commercial Rooting All 1_yPes Of Cime•�► CHIMNEYS pojN�TED-REBUILT-CAPPED Expert Maspx�ry Work n► �� :. Licensed &insured Toil Fre€. - v trttrccr.Li•.��' rQ License#034200 =.,....: MESS t�G° �ie Z �vhn We Work Year Round � 1-800-V�tA[T 4-�.S IKO :$ {924-8480 s' , ` ,° ,{a Date 9/16{09 Fuller Proposal To: Susan arm - 978-794-9166 Street: 9tN. odstock Andover, MA A Rcpof proposal existing skylights. In stall 1. Strip all shingles from entire roof. 15. Sk li ts: Remove(2)ex g 2 new Velux 304 VS(venting) skylights and flashing 2. Re—nail any loose or lifted plywood or roof kits Full screen included.New skylights will be as boards. An compromised plywood will be replaced at an close as possible m ytbe ne Originals-and is not included 3 Y t. An cam ro- interior sheet. P 40.00 r Y additional cost of $ Per mised roof board:,will be replaced at an additional in this proposal. cost of$2.25 per linear foot. 4. install heavy gauge 8"aluminum white drip edge total cost 79900.00 to all eaves and rakes. Chimney option: $375.00 additional cost. of chimney with new flex roof 5, Install 6' of IKO Armour-2ice and water Repair top Waterproof shield along all eaves. Extra ice and water shield crown coat. will be used to counter flash around chimney and Install new custom 17'x58" stainless steel cap skylights. 6' MA state code. Seal all existing openings with clear sealants boots. p, l (1)coat of waterproof spray all new i Pp Y 6. install P l� the ice and water, install.heavy 3416 fait 7. Above -t base sheet. 8, install IKO Cambridge AR- 30year architectural $alanee due uAoa completion shingles to entire roof. 9. Install new GAF Cobra ridge vent. 10. Counter-flash chimney with ice and water shield :Referrals available u oneci rue_ and seal with clear sealant. 11. Building permit included. Hi hl rated member of the BBB 12. Removal of all work related debris. 13, Shingles are covered by the manufacturer up to— k ou 30yrs.(Pro-rated after 5 years.) _10 ears un- �Thank 14. Contractor workmanship warranty y der normal conditions. In-- House Crew, NO Sub Contractors! f Proposal--The above prices, specificati ns and conditions ars isftne a d ��v aye erby ac- 'ns a p ant will be ou e. epted. You are authorized t do he work as specified. ;aym Signature: ate of Acceptance: