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HomeMy WebLinkAboutMiscellaneous - 1510 GREAT POND ROAD 4/30/2018 (2) OORTH BUILDING PERMIT J%. TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 740.4!!07 Date Received Date Issued: ,l OPS YMPORTANT:Applicant must complete all items on this page 7 ON lrcr P.nnt Y—OWN An UNG',"UIST ye �­H .13" 6 ti- ZON C'Mic Y abin h' e Sh ol$�,V -5 04- TYPE OF IMPROVEMENT PROPOSED USE eNon- Residential New Building a-\Ondlai�i Eila_ i�ilyy,) Addition 'Twuzrmore family industrial Alteration No. of units: Commercial e air, e I a=cem > Assessory Bldg Others: Demolition Other Se�t�c Welln, -,loddplam Wetlands Wat District DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: 54LE& HUAPtIf Phone:/7 Address: 15-10 6Y2A_`::�AA1b 116 CONJg4-A AAAc.-Tok.N6in rie'.� � 'h 4 Addressk Scperv�sor-8` bn 2, Morrierovemehtl' JIicef Ex Date 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. Total Project Cost: $ 7 FEE: $ ys�_ 46�(a Check No.: �o Receipt No.: /'7616 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature wne ure�;of..Aben nature of contractors f ;�A 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 2.2007 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 i Doc.Building Permit Revised 2007 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 DATE REJECTED DATE APPROVED CONSERVATION COMMENTS r * DATE REJECTED DATE APPROVED HEALTH COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Con nectionisig nature& Date Driveway Permit Located at 384 Osgood Street FIRE DEPARTMENT- Temp Dumps#er on site yes no <Located at 1'24 Main Street: I Fire:Department signaturefdate ': t COMMENTS Location No. ��� Date �ORTM TOWN OF NORTH ANDOVER + iat ; , Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # Z/0 2 93 �Bu`Iding Inspector ACORD�, CERTIFICATE OF LIABILITY INSURANCE 07/11/2007 09:56 PRODUCER (800)225-1865 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Fred C.Church ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 41 Wellman Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Lowell,MA 01851 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 800-225-1865 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERX. Hanover Insurance Company Pella Windows&Doors,Inc. INSURER B: Twin City Fire Insurance Co. 45 Fondi Road Haverhill,MA 01832-1302 INSURER C: INSURER 0: INSURER E:. COVERAGES 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 POLK:YNUMBER POLICY-EFFECTIVE POLICYEXPIRATIONTYPE OF INSURANCE DATE(MMIDDfM INITIS - GENERAL LIABILITY EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES $500,000 CLAIMS MADE a OCCUR MED EXP one $10,000 A ZBN8161407 7/1/2007 7/1/2008 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2s , POLICY PRO X LOC 2,000,000 JECT AUTOMOBILE LIABILITY ANY AUTO (EaMaccccident)ANGLE LIMB 51,000,000 X ALL OWNED AUTOS BODILY INJURY = SCHEDULED AUTOS (Per Pte) A ADN8162169 7/1/2007 7/1/2008 X HIREDAUTOS BODILY It $ X NON-OWNED AUTOS' (Per ecddent) PROPERTYDAMAGE $ (Per aoddent) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESSIUMBRELLA UA131LITY EACH OCCURRENCE $9,000,000 X OCCUR F1 CLAIMS MADE AGGREGATE $9,000,000 A UHNS167305 7/1/2007 7/1/2008 $ HDEDUCTIBLE S x RETENTION $ $ WORKERS COMPENSATION AND WC STATIU-MTS OTH EMPLOYERS'LIABILITY ER B ANY PROPRIETOR/PARTNER/EXECUTIVE 08WBNL5742 7/1/2007 7/1/2(08 E.L.EACH ACCIDENT 5500,000.00 OFFICERIMEMBEREXCLUDED? E.L.DISEASE-EA EMPLOYEE $500,000.00 Hdescribe under SPECIAL PROVISIONS below s E.L.DISEASE-POLICY LIMIT Z.500,000.00 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION Pella Windows&Doors,Inc'. SHOULD ANY OF THE ABOVE-DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 5 Fondi Road DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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. ' � AUTIiORRED REPRESENTATIVE 1r .v.� ACORD 25(2001/08) Client# 2960 Mst# 07-08 GL.Auto,WC& Cert# ©ACORD CORPORATION 1988 Umb The Com►ronwealth of Massaehw ells Department of Indusirid AccMilents Office,of Invesagiaons 600 Washington strut Boston,MA 02111 www-mass gov/dia WorkersCompensation Insurance AMdavit:Guilders/Contractors/Electricians/Plumbers eplicant Informatio>� Please print Leeibly I me,(Businesddrgmization/Iodividual): Peliq ulvl�.d_OW'S Q�l� ddfess: q S i /Statc/Zip: MA OW31 4%64(il72SS " to you so employer' Checkthe appropriate box: Type'of project(Tegyived): I am a employer with 2'S .4. ❑ I am a general eontmo9 r and I ' 6. 0 peer construcfion employees(full and/or part-time).* have hired tfit:iut-ggrxtradon 7• RC1n0dc g • listed on the'atiaclied sheet,t ] I'am a sole proprietor or g_ ❑demolition:' ship and have no employees 'Riese sub-contttctots have working for mein airy'capacity, workers' comp.insurance. 9. ❑Building addition [No wrs'orkecomp.imurance S. ❑ We fire a corporation and its 10.0 Electricaltepain or add Qw required) of cers-have ejai bed their Tight of ex 11.❑Ponbing repair or additionS. ] Is a1 a homeowner doing ali.work anption per MOL Myself [No workers' comp. >v f52, §1(d),and-we have.no i2. .[:)Roof tepairs insurance required-f T employees: [Nos workeis' 13 D Ot3►er comp. msurance requited.] Y*Plieiat The_chedrs box#1 must 460 fill out the section bdow sboxwowncwis� ' `�'�,�;p,�pplirr inroto►sti� js V%O submit this*Mda%!d indiCdinj they Me 4069 dl Waal[asd film bkS Squid[c owaclon Must submit 0,new dU&Yit ind"609 such . Sudan that check this bodx muattached an W&tiooel sties showing the soot of Ibe subtoa�csdas aid •O0[°P policy infoasstim to tr gratis ro.*in *Vrkers .co emadon.insw,vecc o�xw agPtoytu.;BtWw i�the P 7'std man t+AP Y P t� ' � f .. uresCom any Name• 1�t' Chv�`�.{� Comp — — trationDaa : 2:60 F-xp' ,Gcy*o<Self-ins,Uc- i Q$-w d N L.._5 7 y Z b Site Address: _city/Statc/Zip: jock a copyo[t>re worlurs'eoatpossatjon policy declaration page:(:iowiogtlse policT Oumber and czpiratioa date). rilure to secure coverages as requirid under Section 25A of MGL c-152.can lead m the.itaposifton of t:rimityl penalfies of a ` ne up to 51,500.00 knd}/oi one year imprisorunmt,*as well.as civil kits in--the formol a STOP WORK ORDER.and i fiitc tliit)ffice of f up io SZso.00 a day againstthe violator. Be advised that a copjcrp stittwentmay be"forNuded to rvestigations of the DIA for insurance coverige verification. do k' cert' under the ch"'and ene es o �that the ornig&n provided above rs-but mrd cont[[ erc6 y' � P p I�.i�rY . I - -. aeraasre l/<i FUsalkag e only. Do isot/write,in this-are ato-be eonplered by city or town offWaL. Town: Permit/[4kease utbotrity(circle one)_ i n: *` &-./ -� ,,_ O. __1. I T1P!rtrWAI t1,,eetoir. S.Plembia g Isi. 1-7 rlgl az) 7,o,16F, Contract Pella Windows&Doors,Inc. �O 45 FONDI ROAD ® HAVERHILL MA 01832 HIC# 129774/Tax ID#26-1413183 Phone: 800-866-9886 Fax: 978-373-7274 Customer Project i Ship-To Orden Murphy,Steve&Norma MurphyWMENorthandover Date 00/00/00 Quote No. MURPHY 1510 Great Pond Road 1510 Great Pond Road Order No. Need Date 00/00/00 N ANDOVER, 01845 N ANDOVER, 01845 Sales Rep.Name DAlessandro,Louis/WME A. ESSEX ESSEX Prepared by Payment Terms Deposit/C.O.D. Owner:Mr.&Mrs.Steve&Norma Murphy Architect Bus.Phone:( ) - Bus.Phone: Jamb Depth Bus.Fax:( ) - Home Phone:(978)689-4140 P.O.No. Cellular:( ) - Branch Order No. Home Phone:( ) - Order Type Installed Sales Order Glazing Design Pressure Branch Name Pella Windows&Doors,Inc. Branch Address 45 FONDI ROAD Phone 800-866-9886 City HAVERHILL MA 01832 Fax 978-373-7274 State HIC# 129774/Tax ID#26-1413183 Comments: Customer has paid$3848.05 deposit(50%of contract total using credit card. The remaining$3848.05(final 50%)will be paid upon substantial completion of installation using credit card For information regarding the finishing,maintenance,service,and warranty for all Pella products,visit the Pella Website at www.t)ella.com. Printed 05/14/08 Contract-Page 1 of 3 Contract for Customer Murphy,Steve&Norma Project: MurphyWMENorthandover Order No.: Outsiidd_eV_ew Item No. Otv. Summaryescrint� ion Unit Price Extended Price Item#10 Qty:2 2-Wide Casement Location:Living room .A:2165 Left Hinge Casement,Frame:21 X 65:Architect Series, A a R.O: 3'6-3/4" X 5'5-3/4" Clad,Model 2,Tan,5/8"InsulShld IG Glazing,Champagne Screen, WallCond:3-11/16" Champagne Hardware,Fins(per design) B:2165 Right Hinge Casement,Frame:21 X 65:Architect Series, Clad,Model 2,Tan,5/8"InsulShld IG Glazing,Champagne Screen, Champagne Hardware,Fins(per design) Value Added Items:2-Unit Composite Install-Qty 1 Disposal per Unit-Qty I Unfinished NO PAINT-Qty 1 Notes: Outside View Item No. Otv, SL`mmary Description Unit Price Extended Price Item#15 Qty:2 2-Wide Casement Location:Den room A:2165 Left Hinge Casement,Frame:21 X 65:Architect Series, A e R.O:36-3/4" X 5'5-3/4" Clad,Model 2,Tan,5/8"InsulShld IG Glazing,Champagne Screen, WallCond: 3-11/16" Champagne Hardware,Fins(per design) B:2165 Right Hinge Casement,Frame:21 X 65:Architect Series, Clad,Model 2,Tan,5/8"InsulShld IG Glazing,Champagne Screen, Champagne Hardware,Fins(per design) Value Added Items:2-Unit Composite Install-Qty 1 Disposal per Unit-Qty I Unfinished NO PAINT-Qty 1 Notes: i Thank You For Purchasing Pella Products For information regarding the finishing,maintenance, service, and warranty for all Pella products,visit the Pella Website at www.pella.com. Contract-Page 2 of 3 r' Contract for Customer Murphy,Steve&Norma ,le : MurphyWMENorthandover Order No.: 41 Taxable Subtotal $4,282.00 Cuom Signature Pella Sales epresentative Signature Sales Tax at 5.0000% 214.10 .sfNon-taxable Subtotal 3,200.00 Total $7,696.10 Date Date Deposit Received $ 3,848.05 Balance $3,848.05 I WARRANTY: Pella products are covered by Pella's limited warranties in effect at the time of sale. All applicable product warranties are incorporated into and become a part of this contract. Please see the warranties for complete details,taking special note of the two important notice sections regarding installation of Pella products and proper management of moisture within the wall system.Neither Pella Corporation nor Pella windows&Doors,inc. will be bound by any other warranty unless specifically set out in this contract. However,Pella Corporation will not be liable for branch warranties which create obligations in addition to or obligations which are inconsistent with Pella written warranties. Clear opening(egress)information does not take into consideration the addition of a Rolscreen [or any other accessory] to the product. You should consult your local building code to ensure your Pella products meet local egress requirements. Per the manufacturer's limited warranty,unfinished mahogany exterior windows and doors must be finished upon receipt prior to installing and refinished annually,thereafter. Variations in wood grain, color,texture or natural characteristics are not covered under the limited warranty. Contract-Page 3 of 3 oi 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 ARBI RATION AS PROVIDED IN M.G.L.c. 142A Contractor H e wner 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 THIS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES. Y L P ' � 1 c YYV)- NOTICE OF CANCELLATION 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 III C (three business days from the date of transaction above). I hereby cancel this transaction. (Date) (Buyer's signature) NpRTH c Town of 7o (a o dover, Mass., o COCHICMEWICK V OOATED vv `` BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......... r�GaE...J`g !, .............................................................................. ..................... Foundation .... Rough has permission to erect........................................ buildings on ............................................................... ,........ to be occupied as ,� Chimney ........................ ....... .... .l�. ..� e ................................................ provided that the person accepting this permit shall in every respect conform to 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 Fina PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough Service ... BUILDING INSPECTOR Final Occupancy Permit .Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det.