HomeMy WebLinkAboutBuilding Permit #680 - TURNPIKE STREET 5/19/2008BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit N0: COO Date Received
Date Issued: 4161,
IMPORTANT: Applicant must corkplete all items on this page
N, ( . _ n � \ _ 1
LOCATION _ ` \ ---)J-VL 7 vu i n W J \,Ui
PROPERTY OWNER
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MAP NO � PARCEL,-)e"t0 ZONING DISTRICT: Historic District � es
Machine Shop Village yes
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
OWNER: Nam
Address: t
CONTRACTOR Name:
Address:
III =Y61aisrr•1,1i
[den 'i-ica�tio Please Type or Print Clearly) r
1 r-11 If 1 _ Phone: l ��
70�
Supervisor's Construction License: Exp. Date:
Home Improvement License:
ARCHITECT/ENGINEER
Date:
Phone:
Address: Reg. No.
FEE SCHEDULE: BULDIR PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $ TCDD FEE: $
Check No.: Receipt No.: .2 % 3
NOTE: Persons contract, w' nregh red contractors do not have access to the guaranty fund
ignature of Agent/Own I _S re 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 N .
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
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:
Locatea St54 usgooa ,street
FIRE DEPARTMENT - Temp Dumpster on sit y no
Located at 124 Alain Street �
Fire Department signatureldate
Dimension
Number of Stories
Total land area, sq. ft.:
Total square feet of floor area, based on Exterior dimensions.
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 2 1 A —F and G min.$100-$1000 fine
NOTES and DATA — (For department use)
D
❑ 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 lie- ?�
No. d Date
&ORT#f TOWN OF NORTH ANDOVER
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Certificate of Occupancy $
Building/Frame /Frame Permit Fee $ 66
"
s4cHust 9
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # o? as
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ilding Inspector
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>mericasPropane ooM"ff DISPENSING UNIT AGREEMENT DATE: �
"` X11.. �\V. Nolk_ v Ii,S 1►
1. Eauipment to be Provided by AmeriGas. AmeriGas will lease to Customer for Customer's use
at the Customer Facility a propane dispensing unit. The equipment making up the dispensing unit
ogether with all replacements, repairs, substitutions, additions and accessories (collectively referred
o as "Equipment") shall be used only for the dispensing of propane purchased from AmeriGas, and
;hall at all times be and remain personal property and title to the Equipment shall at all times be and
emain in AmeriGas. The Equipment will be of a size, make and model that AmeriGas, in its sole judg-
nent, deem necessary and appropriate for Customer's business operation. Customer shall sign and
ietiver to AmeriGas financing statements and/or other documents in form reasonably satisfactory to
kmeriGas evidencing AmeriGas' ownership of the Equipment. Customer shall return the Equipment
ipon the expiration or termination of this Agreement in the same condition as it was originally received,
easonable wear and tear excepted.
.r
2. Rental Payments for Equipment. Customer will pay to AmeriGas the amount of
Dollars ($ _CL— r- ) per month for the use of the Equipment.
3. Services to be Performed by Customer. Customer at its sole expense will provide a suitable
kation and electrical service for the Equipment. All services performed by Customer shall be done
i a neat and workmanlike manner and in compliance with all federal, state and local laws, statutes,
ules and regulations, as well as all applicable safety codes, standards and regulations, and must meet
with AmeriGas' reasonable satisfaction. Customer at its sole expense shall obtain all necessary state
and local permits and zoning approvals.
4. Term. The term of this Agreement shall be for 1& r
(.7) years beginning on the date set
Drth above ("Original Term") and will automatically renew from year-to-year thereafter until terminated
,y either party as provided hereinafter. Either party may terminate this Agreement upon the expiration
,f the Original Term or any anniversary thereafter by giving the other party at least thirty (30) days' prior
mitten notice of termination.
5. Propane Supply. During the term of this Agreement, Customer agrees to purchase from
AmeriGas and AmeriGas agrees to sell to Customer all of Customers propane requirements at the
:ustomer Facility.
6. Price of Propane. Customer agrees to pay AmeriGas' fees, rates and charges in effect on the
ate that propane is delivered or services are rendered. AmeriGas reserves the right to change its fees,
ates and charges from time -to -time without prior notice to Customer. `�
7. Minimum Purchases. In the event Customer does not purchase X12:>Z' gallons ("annual
iinimumi gallons") during any twelve-month period after the commencement of this Agreement,
,meriGas has the option to remove the Equipment and terminate this Agreement, AmeriGas may install
maller Equipment, or AmeriGas may bill Customer the price in effect on the date of invoice for the
ifference between the annual minimum gallons and the number of gallons purchased during the
receding twelve (12) months.
S..Payment Terms. Payment for all propane delivered and services rendered during any calendar
lonth shall be due and payable on the tenth (10th) day of the following month at the District Office. All
?ntal payments for the use of AmeriGas' Equipment shall be due and payable on the first of each
ionth. If Customer fails to pay any amount when due, AmeriGas may add a late charge of 1'h'o or the
iaximum legal interest rate to all past due balances and will be entitled to recover all reasonable costs
I collection, including attorney's fees.
9. Installation and Repairs. Customer will promptly notify AmeriGas when repairs to the Equipment
re required. AmeriGas at its sole expense will install the Equipment at the Customer Facility. All
;pairs made to the Equipment shall be made at AmeriGas' usual and customary rates, which are
ubject to change from time -to -time without notice. Customer shall use the Equipment with reasonable
are at all times and in conformity with all federal, state and local laws, statutes, rules and regulations
S well as applicable safety codes and standards. CUSTOMER WILL NOT REMOVE THE
QUIPMENT FROM THE CUSTOMER FACILITY OR MAKE ANY ALTERATIONS, CONNECTIONS
IR DISCONNECTIONS TO THE EQUIPMENT UNLESS WRITTEN PERMISSION IS RECEIVED IN
DVANCErFROM AMERIGAS.
10. Access to Eauioment. Customer grants AmeriGas the right, privilege and authority to enter the
ustomer Facility at any time to deliver propane or to install, repair, service or remove any or all of the
quipment or to perform any other services that AmeriGas deems necessary under this Agreement. If
ustomer denies AmeriGas access to the Customer Facility or refuses to surrender the Equipment
Don the expiration or termination of this Agreement, AmeriGas shall be entitled to recover from
ustomer all costs, including attorney's fees, that AmeriGas incurs to gain access to the Customer
adlity or to recover possession of the Equipment.
11. Indemnit . Customer shall Indemnify, defend and hold AmeriGas harmless from and against all
aims and suits for personal injury (including death) and property damage arising out of or in any way
dating to the Equipment, or the use, sale or transportation of any propane sold hereunder, except only
here such personal injury or property damage is caused by the sole negligence of AmeriGas. This
demnification obligation shall survive the termination of this Agreement.
12. Insurance. Customer will maintain comprehensive general liability insurance in the amount not
ss than $1.000.000 combined single limits. Customer will maintain worker's compensation coverage in
e amount required by law. Customer shall furnish a certificate of insurance to AmeriGas evidencing
I required coverages. All such policies of insurance shall provide that the insurance coverage
ereunder shall not be reduced or cancelled or otherwise changed prior to the 301h day following the
?livery by the insurer of a written notice of such action to the Customer and AmeriGas. The
coverage under Customer's policies of insurance shall be primary to any other insurance maintained
by AmeriGas that may be in effect. The failure by AmeriGas to request proof of such insurance shall
not constitute a waiver of Customer's obligation to maintain such insurance.
13. Assignment. Neither this Agreement nor any interest herein may be transferred or assigned by
Customer without the prior written consent of AmeriGas. Subject to this restriction, this Agreement shall
inure to the benefit of and be binding upon the respective successors and assigns of the parties.
14. Force Majeure. AmeriGas shall be excused from delay of nonperformance if AmeriGas is
unable to meet the demand for propane or equipment from its normal and usual source points for
supplying Customer (regardless of whether or not AmeriGas may have been forced to divert certain
supplies from such source points in order to alleviate shortages at other distribution points), or in the
event of failure or delay in delivery due to exhaustion, reduction or unavailability of propane or
equipment. AmeriGas shall be excused from delay or nonperformance in the event of any cond;tion
beyond its reasonable control, including without limitation, Acts of God, labor difficulties, fire, riots, war
conditions in this or any other country, and compliance with any governmental order. regulation.
recommendation, request or allocation program (whether voluntary or involuntary) affecting directly or
indirectly its ability to perform hereunder. In the event of any of the contingencies or conditions set forth
above, AmeriGas shall have the right to allocate its supply of propane and equipment for sale among all
of its customers in any manner which in its sole discretion is fair and reasonable under the
circumstances and Customer shall not hold AmeriGas responsible in any manner for any losses or
damages which Customer may claim as a result of such allocation by AmeriGas.
15. Disclaimer of Warranties. THERE IS NO REPRESENTATION OR WARRANTY. EITHER
EXPRESS OR IMPLIED, WITH RESPECT TO ANY PROPANE OR EQUIPMENT NOW OR
HEREAFTER SUPPLIED BY AMERICAS, INCLUDING ANY WARRANTIES OF MERCHANTABILITY
OR FITNESS FOR AN INTENDED PURPOSE, OR LIABILITY FOUNDED IN SECTION 402A OF THE
RESTATEMENT (SECOND) OF TORTS OR OTHERWISE, UNDER NO CIRCUMSTANCES SHALL
AMERIGAS BE LIABLE FOR CONSEQUENTIAL OR SPECIAL DAMAGES, INCLUDING WITHOUT
LIMITATION, DAMAGES FOR BUSINESS INTERRUPTION DAMAGES AND LOST PROFITS.
16. Training. Customer will train each of its employees who handle propane or uses the
Equipment in the safe filling procedures set forth in How to Safely Fill An LP -Gas Container. If Customer
does not have sufficient quantities of How to Safely Fill An LP -Gas Container, Customer will notify
AmeriGas in writing and AmeriGas will provide copies to Customer. Customer will not allow any of its
employees to handle propane or use the Equipment unless and until the employee has been property
trained to do so. If Customer wants AmeriGas to train Customer's new employees, then Customer must
notify AmeriGas in writing, requesting this training.
17. Promotional and/or Safety Materials. Decals Etc. Customer agrees that it will distribute to
each of its customers any and all promotional and/or safety materials provided to it by AmeriGas and
that it will place the safety decals provided by AmeriGas on each propane cylinder Customer fills. In the
event Customer exhausts the supply of promotional and/or warning materials or safety decals,
Customer will notify the District Office immediately and will make arrangements for the replenishment of
its supply.
18. Termination Fee. If this Agreement is terminated because of a default or breach by Customer
prior to the expiration of the Original Term, Customer shall bear the costs to remove and relocate the
Equipment.
19. Waiver or Estoppel. The failure of either party to insist on strict performance of this Agreement
or any provision of this Agreement shall not constitute a waiver of or estop any party from asserting the
right to require such performance in the future, nor shall a waiver in any one instance constitute a
waiver with respect to a later breach of a similar nature or otherwise.
20. Notices. Any notice required by this Agreement shall be in writing and shall be deemed to have
been made when delivered by overnight courier or when placed in the United States mail. postage
prepaid, by certified mail, return receipt requested, addressed to AmeriGas at the District Office and to
Customer at the Customer Facility. From time -to -time, either party may designate another address by
delivering to the other party a written notice of such change of address in accordance with the above
provisions.
21. Goveming Law. This Agreement shall be interpreted, construed and enforced in accordance
with the laws of the state in which the District Office is located. The language of this Agreement shall in
all cases be construed as a whole according to its fair meaning and shall not be strictly construed for or
against either party.
22. Severability. If any provision of this Agreement or its application to any person or circumstance
is declared to be invalid or unenforceable to any extent, then the remainder of this Agreement and the
application of such provision to other persons or circumstances shall not be affected and shall be
enforceable to the extent permitted by law.
23. Headinas. The headings used in this Agreement are included for the convenience of the
parties only and shall not affect the construction or interpretation of any of its provisions.
24. Entire Agreement. This Agreement constitutes the entire agreement between the parties and
supersedes any and all prior and contemporaneous agreements, representations and understandings.
either oral or written, relating in any way to the subject of this Agreement. This Agreement may not be
modified, supplemented or amended in any way except in a written document executed by all parties.
I WITNESS WHEREOF, the parties hereto have executed and delivered this Agreement on the date first above written.
USTOMER AMERIGAS PROPANE, LP.
BY: