Loading...
HomeMy WebLinkAboutBuilding Permit #386 - 98 MIFFLIN DRIVE 11/8/2012 Date..........-, ,AORTN 0 TOWN OF NORTH ANDOVER 0 i m p PERMIT FOR WIRING ,SSAC US ES This certifies that ....................................................... .............. ...... .............. has permission to perform ............. ................................................................... wiring in the building of......... .........................I...................................... at............................................................................... I North Andover,Mass. Fee.....:.......... Lic.No. .............. ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File BUILDING PERMIT Of p°RTH ��SLlD X67 �O TOWN OF NORTH ANDOVER 3� °� APPLICATION FOR PLAN EXAMINATION 4y Permit NO: T Date Received ACHus���� Date Issued: ' l�— IMPORTANT:Applicant must complete all items on this page LOCATION ; l v, r' y e U,rl1n Av\,10 O f N 5 Print PROPERTY OWNER / hom" / ey�c�/1 Print MAP NO: PARCEL: 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: O S4r l IA C=x t- e�C S�iy�a G�S'�Y►c C I7�'n r���➢--1/���+ i r� —►2o6T "1hc G view �77✓n6ed,ne Arck4e-c4-yrck Identification ease Type or Print Clearly) OWNER: Name: ho C,SJ � sC-14 Phone: 2-gi --?o2 n330 Address: MI-49R-11, Dr, e- /J641,, CONTRACTOR Name: L ,,, S. g��,h�' Phone: ::7g1 -707p o-%3 n Address: Llo tl�� l �k• �/Je,I�Y� KA O'3i5 Supervisor's Construction License: O2(,gSC-f Exp. Date: Home Improvement License: /35:2y3 Exp. Date: S-3 i!�e ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Iri Total Project Cost: $ COTS FEE: Check No.: Receipt No.: , NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor — 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 Ailding Permit Application P r; Fhoto orkers Com Affidavit Copy Of H.I.C. And/Or C.S.L. Licenses :1Copy of Contract ❑ Floor Plan Or Proposed Interior Work '�L)/4 ❑ Engineering Affidavits for Engineered products &/�1". 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 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Siqnature COMMENTS HEALTH Reviewed on Siqnature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments n 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 Location e ! �" No. '-` Date . - TOWN OF NORTH ANDOVER e Certificate of Occupancy $ U ,t Building/Frame Permit Fee $� r axe Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check#W 6 25930 Builh, Inspector NF/ ORT Town o 2 6Andover No. ��K. h ver, Mass, 1000 Coc"IC.IWICK AERATED S U BOARD OF HEALTH PER L D Food/Kitchen Septic System THIS CERTIFIES THAT 0 Ii A Af�� BUILDING INSPECTOR has permission to erect ........ buildings on Foundation Rough tobe occupied as .................. .. .. ....�'........ ...��.. ........................... ............. Chimney h II in eve respect conform tome terms of the a lication provided that the person accepting th .permits a, every p pp Final on file in 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 610 PERMIT EXPIRES I MONT S ELECTRICAL INSPECTOR UNLESS CONSTR _ N S Rough Service ...... ...... ............................................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. SEE REVERSE SIDE Massachusetts- Depai-tment of Public Sttfar Board of Building Re ulations aril Standards Construction Supervisor License License: CS 36954 /wt lSr'�Ei. JOSEPH S SAVINII 84 RAVINE RD MEDFORD, MA 02155 Expiration: 7/22/2013 ( uumissi1Oe� Tr#: 18435 .001 Office of Consumer Affairs&Business Regulation License Or registration valid`for individul use only VS' HOME IMPROVEMENT CONTRACTOR before the expiration-date. If found return to: Registration: .4�135743 Type: Office of Consumer Affairs and Business Regulation Expiration: 5� 6Q4 DBA 10 ParkPlaza-Suite 5170 �- Boston;MA 02116 .SAUIfI �tt� yCO. '71 , JOSEPH SAVINI 40 CANAL ST \ MEDFORD, MA 02155=: x.; Undersecretary ?tot valid without signature CERTIFICATE OF LIABILITY INSURANCE DIDDIYYYY) 10/222/V2012 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(les)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 ME�" Select Dept ext 66807 Eastern Insurance Group LLC-Main PHONE FAX 233 West Central Street -7700 r iAJ0, No)-508-653-8089 Natick MA 01760 A DRIESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A: INSURED 31298 INSURER B:COMMerCe Insurance Company 34754 Joseph S.Savini, Inc. INSURE-RC: 40 Canal Street INSURER D: Medford MA 02155 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1517496959 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 ADDLSUBR POLICY EFF POLICY EXP LTR TVPEOFINSURANCE POUCYNUMBER MMIDDtYYYY MIDD/ LIMITS A GENERAL LIABILITY T13AGL31298 0/21/2012 0/21/2013 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO HEN PREMISES a o=ffencel $50,000 CLAIMS-MADE OCCUR MED EXP(Anyone son) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2.000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 X POLICY PROJECTLOC $ B AUTOMOBILE LIABILITY 12MMBDNCVK 25/2012 /25/2013 E""""LD nlSIN $1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALLOWNED X SCHEDULED BODLYINJURY(Per accident) $ AUTOS AUTOS X HREDAUTOS X NON-OWNED �PR�DAMAGE $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ D LJ RETENTION $ C WORKERS COMPENSATION C0690570 /12/2012 /12/2013 X WC STATU- OTH. AND EMPLOYERS'UABILITY Y/NLIMR IT ANY PROPRIETOPWARTNEREXECUTIVE E.L.EACH ACCIDENT $500,000 OFFICERIMEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $500,000 N yes,describe under DESCRIPTION OF OPERATIONS below E_L DISEASE-POLICY LMIr $500 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD tot,Additional Remarks Sctwdule,H more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Tke Cz� 0hWeldth,t, " t e s Departmettffin ' s , XZ WWIt�.3tZ{lS, V W h k CO t sural�c Affidivit: i � ii ► } hf �ir3dttY3. I1iJv t k_ 1 ISn]e{$ :xoss�4uitibc�/Iudividual) MO.. ire.y an1to'YVr? Check the appropria#e boz• � f proetzt(regrx 4: {] atn a generals k nth _ the b= ii eta r N oo�tr�ct�en emlalfly+e�es Mull andorpart-tine).* ve,hued. netar'or: artner listed:anffiegLTMrlshr: 7temodel7ng 2.[. I atn mole P . ; . drip and have ato e.0p oyees 'Thesesub-con'tr�cshtion $ D :e An #terst1 � war, zr a�n a#ty capacity 9, B tld�r�g ad ltrnn i o virrrkers'gip.ursurance comp xnstuance l© �letril repairs fir:addi#iotas required coipotatrcd r 3.[� I am 41661 aovtaer doing all work officers have e�eercW� l 1.Q I'ltrrkbing rp�rs odrtitins myse ,.[1do woxkers' cop. rlgt oi'exeriaptttait r�pais employees co . gip,ptstls r •r4ny.upp7ir t'tiietatre box#lmust:alsofinc thesecdoabeloW.sfitlwiag1ief�WPO tt�y oat t Homeowners=whq SubrriltWs a#l7daviYiridicating they are doing all work and their lsirat Co {tlbbbsttmt axtew i�dEratlt+ ittgtch: = i�traaWs.tk�athc tlais•box;must attachedan.additionaleot shoving the name fli tlYt s -t�otk ltd'�r►h4thor bri aotkpefrt�e have employees It tie sul�'contracto n have employees,the" must:provtde their woi vers'camp pol{ cumber I am oyer that ts.providing.workers'.compensotion insorartca�ar ' mpiayes• iowr the poiiey te infr�rmrttfo ,; , Insurance Cnmpan Name Policy#a`:Sel ins t StP. a Y [ � Job Site Addresst 0i8L4s Attach a cd oorkers' compeusahon..policy declaratiatrpIZ1rnatbber ad:.e�cpiraton tate): Failure to scctare ce exage as,required under Section 25Aof MGL c 1 carp l ±ad tv# rtri cess rn rf r cal penalties of a fine up ttr$15fl®,00 atrdlor tine-year imprisonment;as.well as civil perlttes Yri the# P'T� dltD and a fate of•upto$ a0 a d ,y agztinst the violator Be advised that a cApy�ftlus stainarded ttr t {}ffr o Invcstlgatre ol'tlre.flT�-'ftirinsurance.coverage verification.:.: f . I do here,,b;.,C� . r.theP-glhs and enalties n• .er a. :that SiJ. f Phone#. Uratse7t�sly: �3o nat write in this atetttn be dA y - rrjw P+ermltrih Issultrg uthori�+(circle one): 4 . 1.$oars orf Health 2:Building Department 3.City/Towu Clerkleetrica'dtlpnetor .' 'l�aarbing. n* ector 6.Dtlrer: roogar Pa a No. of Pa as Joseph S.Savin! Incorporated D/B/A Joseph S.Savini Roofing 8r Gutter Contractors MASS BUILDERS 40 Canal Street,Medford, MA 02155 CONTRACTORS LICENSE#036954 (781)395-3954 Fax(781)393-4926 =NO REG.135743 PROPOSAL 77&SUBMITTED PHONE STREET DAT �8� 0 -O r c / 020/9 .JOB NAME CITY,STATE end ZI JOB LOCATION �r ARCHITECT D OF PLANS Gi(+ZI,5� JOB PHONE We Vropogit hereby to furnish material and labor - complete in accordance with specifications below, fpr the sum of: _I �o A ✓ - -_._.�..r.. --S ---dollars($ - - ).- Payment to be made as follows: One Third Deposit One Third Mid Job /Balance Upon Completion,OR PleaseMd�e6ldf`gob to11o$SBain NOTICE:All home Improvement contractors and subcontractors engaged In home Authorized Improvement contracting,unless specifically exempt from registration by provisions Signature Of Chapter 142A of the General Laws,must be registered with the Commonwealth - of Massachusetts. Inquiries about registration and status should be made to the Director,Home Improvement Contract Registration,One Ashburton Place,Room Nlifot osal may be 1301,Boston,MA 02108. withdrawn bepted within days. We hereby submit,specifications and estimates for: ROOF WORK STRIP ROOF OF 066 lAdo LAYERS OF ASPHALT SHINGLES,COVER EXTERIOR WALLS AND /FOLIAGE WITH TARPS TO HELP PREVENT DAMAGE.ADDITIONAL LAYERS WILL BE EXTRA,SEE BELOW [ff, OVER DECK WITH UNDERLAYMENT FELT. FINSTALL ICE&WATER SHIELD AT LEADING EDGE,VALLEYS AND ALL RPFA ET ATIONS. /'STANDARD APPLICATION AT EAVES IS 3 FEET.ALL LOWER SLOPED S TO RECEIVE 6 FEOVER ALL PERIMETERS WITH 8 INCH ALUMINUM DRIP EDGE.COLOR: BROWN SILVER COPPER I INSTALL RIDGE VENT OR❑ ROOF LOUVERS FOR ADDED ATTILATION. �NSTALL SOFFIT VENTS WHERE NECESSARY.SOFFIT SIZE TO DETERMINE SIZE OF VENT. 'Uff COVER SOIL PIPES WITH NEW RUBBER FLASHING BOOTS. 217AOUNTER FLASH CHIMNEY(S)WITH ALUMINUM FLASHING AS NEEDED. R€L€AD CHIMNEY-CUT ALL EXISTING-TAR AND--LEAD-FROM_/-CHIMN€Y(S);-G6lT-N --RE--Gf�T-CEMENT NEW LEAD IN PLACE WITH.MORTAR.,IF NEEDED FOR,A WATERTdGHT JOB,P6 Z&CAn TQ*"CE. EBUILD CHIMNEY FROM ROOF DECK UP WITH NEW OR USED BRICK. ADD TO ABOVE PRICE. REPLACE DEFECTIVE ROOF DECKING WHERE NECESSARY AT CO_ITRACTORS DISCRETION. DEFECTIVE ROOF DECKING REPLACED WITH SPRUCE, FIRST C/ FEET FREE AND THEN f3 yS PER FOOT THEREAFTER. PLYWOOD DECKS REPLACE�_SHEET(S)FREE THEN ?O•°O PER SHEET,BUY AND INSTALL, QTHICKNESS A M #COVER ROOF SURFACE WITH ,inL (. STORM NAIL ALL SHINGLES WHEN APPLICABLE(SEE MFG. I ST CTIONS). INSTALL SKYLIGHTS PROVIDED BY CONTRACTOR OR CUSTOMER, FRAME ROOF DECK AS NEEDED, 77�1PROPERLY FLASH UNITS WITH FLASHING KIT(S)PROVIDED,ADD TO PRICE. CUSTOMER TO DO NE52 —ECjy /F H I IF MORE LAYERS ARE FOUND THAN INDICATED ABOVE,AN ADDITIONAL CHARGE OF 7521-_ WILL BE ADDED PER LAYER. IN THE EVENT OF MULTIPLE LAYERS IN RANDOM AREAS OF ROOF,COST IS A=;LO- ° PER SQUARE(10'X 10 AREA)TO REMOVE AND DISPOSE OF ADDITIONAL LAYERS. CLEAN ALL JOB RELATED DEBRIS FROM OUTSIDE WORK AREA. OBTAIN ALL PERMITS.AND CARRY ALL NECESSARY INSURANCES AS REQUIRED BY LAW. WE CANNOT ACCEPT RESPONSIBILITY FOR DEBRIS FALLING INTO ATTIC AREAS CUSTOMER SHOULD COVER VALUABLES GREAT CARE WILL BE USED TO PROTECT THE STRUCTURE AND LAN//DSCAPWG DURING THE STRIPPING HOWEVER,SOME MARRING COULD OCCUR r ,yc ✓l- rJ! F o� n A7 rxve"; 1' h , WARRANTY/All w a anteed to be free of installation defects for /O years,limited to installed item and its repair only. Material warranteed by mfg.to be free of defects fears,see mfg.warranty for exact warranty performance.Acts of nature,including ice damming,are not covered under warranty. While under warranty if the homeowner hires any other contractor to perform work which may compromise the roof system without first contacting Joseph S. Savini,Inc.the warranty could be voided.Any repairs required due to the roof system being compromised by another contractor will be billable. • Customer has legal right under federal law to cancel this contract without penalty or obligation within three business days from acceptance date by mail or telegram sent to Joseph Savini Roofing&Gutter Contractors,40 Canal Street,Medford,MA 02155. See reverse side for cancellation procedures. Once all items in this contract are completed as agreed,customer has 3 days to fulfill payment schedule or pay all attorney and legal fees incurred by Joseph Savini with interest of 1.5%per month on the unpaid balance. All parties agree that all disputes will be settled through binding arbitration as provided by the Better.Business Bureau or the Secretary or the Executive Office of Consumer Affairs and Business Regulations,MGLC. 142A. Please see reverse side, Arbitration of Disputes. &UPOW, Of: VrOpOgal -The above process,specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature