HomeMy WebLinkAboutMiscellaneous - 24 LEXINGTON STREET 4/30/2018N_
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NORTH
TOWN OF NORTH ANDOVER
►o s
Certificate of Occupancy
$
s,aHusEt�
Building/Frame Permit Fee
$
Foundation Permit Fee
$
Other Permit Fee
$
TOTAL
$/
Check #
181 50
Building Inspector
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUILDING PERMIT NUMBER:DATE ISSUED: _
�- ao
SIGNATURE: IA
Building Commissioner/ft-dor of Buildings Date
SECTION 1- SITE INFORMATION
1.1 Property Address:
1.2 Assessors Map and Parcel Number:
I
�l
Map Number ' Parcel Number
1.3 Zoning Information:
%
1.4 Property Dimensions:
Zoning Dist;ic-t Proposed Use
Lot Areas Frontage ft
1.6 BUILDING SETBACKS ft
Front Yard Side Yard
Rear Yard
Required Provide Required Provided
R 'red Provided
1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information:
Public ❑ Private ❑ Zone Outside Flood Zone 0
1.8 Sewerage Disposal System:
Municipal 0 On Site Disposal System 0
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
Historic District: Yes No
2.1\/\Owner of ecorrdd q - _
V 1�/ � � .!f
Name (Pri Address for Service
tgnature Telephone
2.2 Owner of Record:
Name Print Address for Service:
�' Si nature Tel hone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor: -
Not Applicable ❑
Licensed Construction S rviso�rA
ns _
N l
License Number
Add s 7 ']`
9,, .a3d6)( Do �
Expiration Date
nature Telephone
3.2 Registered Home Improvetoent
`Contract l , ,
Not Applicable 0
Company Name
Registration Number
Addre`s
Expiration Date
t nature Telephone
SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 & 2506)
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the b ildi it.
Signed affidavit Attached Yes ...... No ....... 0
SECTION 5 Description of Proposed Work checkapplicable
New Construction ❑
Existing Building ❑
Repair(s) ❑
Alterations(s)
Addition ❑
Accessory Bldg. ❑
Demolition ❑
Other ❑ Specify
Brief Description of Proposed Work:
trC' ?4ell
SECTION 6 - ESTIMATED CONSTRUCTION COSTS
Item
Estimated Cost (Dollar) to be
Completed by permit applicant
OI?FICIAI US)l; E)+ILY
.�
1. Building
(a) Building Permit Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction
3 Plumbing
Building Permit fee (a) x (b)
jn
/ [1 �-
4 Mechanical HVAC
5 Fire Protection
6 Total 1+2+3+4+5)
Check Number
SECTION 7a OWNER AUTHORIZATIO TO BE COMPLETED WHEN
OWNERS AGENT OR ONTRACTOR APPLIES FOR BUILDING PERMIT
I as Owneof subject property
Hereby authorize - l/.r'/�� ((&-ff-14A0r1.k=A1Ato
My beh all tters to work authorized by this building permit application.
i afore of er Date
SECTION OWNER/AUTHORIZED AGENT DECLARATION
/7b
as Qv*AWAuthorized Agent of subject
property
Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
and belie
Print
Signature of OvAieilAgent Date
NO. OF STORIES VJ at (,LASIZE ,-1 Po h,
BASEMENT OR SLAB 64- -�--
RD
SIZE OF FLOOR TMBERS a 1 -�}� kt2 2 3
SPAN e
DEVIENSIONS OF SILLS
DIMENSIONS OF POSTS ZEA
DIMENSIONS OF GIRDERS (p V t
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHIMNEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
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Dame: 1/6/200 Time: 10:27 AM To: Diane a 919786F22397
pey Ins. Agency Page: 003-004
Tar
AMM CERTIFICATE OF LIABILITY INSUR INCE
0f/oizoo
PRODUCER (781) 246-2677 FAX (781) 224-0973
Tarpey Insurance Group 'Inc
442 Water St
PO BOX 567
Wakefield, MA 01880-4667
THIS CERTI`. ICATE S ISSUED AS A MATTER OF INFORMATION
ONLY AND -ONFEF.S NO RIGHTS UPON TH.: CERTIFICATE
HOLDER. THIS CER rIFICATE DOES NOT AM :NO, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE' POLICIES BELOW.
INSURERS AFFORDII,G COVERAGE I NAIC #
INSURED Colonial Village Davelopment, Inc.
DBA: William Barrett Homes
1049 Turnpike Stre=t
North Andover, MA )1845
INSURER A: Na -:Tonal Fire & Marine Irs. Co
INSURER 8: Sa.:ety Indemnity 33618
INSURER c: Trwelers Indemnity Co of Conn 25682
INSURER D:
INSURER E:
V V v GR/�V GJ
THE POLICIES OF INSURANCE LISTEE BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOV: FOR Tl- = POLICY PERIOD INDICATE. NOTWITHSTANDING
ANY REQUIREMENT. TERM OR COND TION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESP =CT TO V /RICH THIS CERTIFICATE MI:,.Y BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFC RDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO RLL THE -ERMS, EXCLUSIONS AND C )NDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR AOD' POLICY EFFECTIVE I POLICY E} 'IRA nON LIMBS
TWE OF INSURANCE POLICY NUMBER I
LIR N DATE (MMIDDIYY) DATE (1,11
GENERAL LIABILITY
72LPE693330
10/01/2004
10/01 /2005
EACHOCCLPREPICE $ 1,000,0001
DA=,—,C RENTED $ 50, 00
occuren
;( COMMERCIAL GENERAL LIA81l ry
MED EXP (Arty one Pers n) $ 5 , 00
CLAIMS MADE . - I C =CUR
PERSONAL '. ADV INJL 7Y $ 11 000, 00
A
I
GENERAL 3GREGATI $ 2,000,00(
GEN'L AGGREGATE LIMIT APPLIES F 9R.
PRODUCTS - COMP/OF AGG, $ 2,000,00(
X POLICY [—I )ECT CC
AUTOMOBILE
LIABILITY
1900226
03/23/2004 103/23
'2005
COM8INEDSINGLE LI6T -
$
ANY AUTO
(Ea accident)
1,000,000
BODILY INJURY $
ALL OWNED AUTOS
-
SCHEDULED AUTOS
(Per person)
X
HIRED AUTOS
BODILY INJURY $
X
NON -OWNED AUTOS
(Peraccidentl
PRCPERTYDAMAGE $
(Per acadentl
GARAGE LIABILITY
AUTO ONLY - EA ACCE =NT S
OTHER THAN —_A ACC $
ANY AUTO
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY
I
EACH OCCURRENCE $
AGGREGATE $
OCCUR CLAIMS 1 ADE
I
I
$
$
DEDUCTIBLE
$
RETENTION S
WORKERS COMPENSATION AND
6KUB7330A86504
03/24/2004
03/24 2005
X TORY LIMITS �R
E.L. EACH A-C:DENT $ 100,000
EMPLOYERS' LIABILITY
C
ANY PROPPIETORIPARTNERIEXECUTIVE
OFFICER/MEMBER E)(CLUDED^
E.L. DISEASE - EA EMF .OYEE $ 100,000
E.L. DISEASE -POLICY -MIT $ 0
It yes describe under
SPECIAL PROVISIONS below
OTHER -7
DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT F SPECIAL PROVISION::'
Evidence of Insurance
Town of North Andover
Building Dept
Town Hall
North Andover, MA
SHOULD ANY C - THE ABC /E DESCRIBED POLICIES BE CAN, ELLED BEFORE THE
EXPIRATION O.=TE THERE -)F, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 DAYS /RITTEN N )TICE TO THE CERTIFICATE HOLD:RNAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBL. GATION OR LIABILITY
OF ANY KIND L -ON THE it: SURER ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPFESENTATI 'E
Kathleen Munyon
ACORD 25 (2001/O8) FAX: (9 '3)b8Z-1397 WAL JKU L.UKYVKAI Ivn 1900
Town:of North Andover NORTH q
ti
OC
Building Department o
AN
27 Charles Street ~
North Andover, Massachusetts 01845 �--
Fax - °�. #
(978 ) 688-9545 F (978) 688 9542 7 �R4TO PPP (G�
�S SAC Huse
DEBRIS DISPOSAL FORM
In accordance with the provisions of MGL c 40 s 54, and a condition of
Building permit # the debris resulting from the work shall be disposed
of in a properly licensed solid waste disposal facility as defined by MGL c11, s150a.
The debris will be disposed of in /at:
Facility location
Signature W7APplicant
Date
NOTE: A demolition permit from the Town of North Andover must be obtained for this
project through the Office of the Building Inspector.
W 11fiam Barrett Roues
1049 Turnpike Street
No Andover, MA 01845
(978) 682-2320 (978) 682-2397 fax
CONTRACTOR AGREE1VIENT
TMS %LREE�vfENT made the 10th day of December. 21004 by and
between William Barrett Homes , hereinafter called the Contractor.
1049 Turnpike Street
North Andover MA 01845
and ?V[elissa LaRosa , hereinafter called the Owner.
24 Lexington Street
North Andover MA 01845
Witnessed. that the Contractor and the Owner for the consideration named agree as follows:
Article 1. Scope of.the Work
The Contractor shall furnish all of the materials and perform all of the work shown on the
Drawings and/or described in the Specifications entitled Exhibit A. as annexed hereto as it
pertains to work to be performed on property at 24 Lexington Street
Article 2. Time of Completion
The work to be done under this contract shall be commenced on or about April 2. 2005
Time is of the essence.
Article 3. The Contract Price
The Owner shall pay the Contractor for the material and labor to be performed under the
Contract the sum of 5163.777.00 , subject to additions and deductions pursuant to
authorized change orders.
Article 4. Progress Payments
Payments of the Contract Price shall be paid in the manner following:
See Exhibit ;B
Article 5. General Provisions
1) All work shall be completed in a workmanship like manner and in compliance with all
building codes and other applicable laws.
2) To the extent required by law all work shall be performed by individuals duly licensed and
authorized by law to perform said work.
3) Contractor may at its discretion engage subcontractors to perform work hereunder,
provided Contractor shall fully pay said subcontractor and in ail instances remain responsible
for the proper completion of this Contract. Sub Contractors work for William Barrett Homes
only; any extra work performed will be billed as Extra Work Orders.
4) All Extra Work orders shall be in writing and signed both by Owner and Contractor. An
administrative charge of $50.00 will apply to Extra Work orders over 5. Overages on
allowance are not included in the 5.
5) Contractor warrants it is adequately insured for injury to its employees and others
incurring loss or injury as a result of the acts of Contractor or its employees of
subcontractors.
5) Contractor shall of its own expense, obtain all permits necessary for the work described herein
to be performed. The Contractor will also be responsible for implementing on- site work required
of the Order Of Conditions (OOC) issued by the Town/City Conservation Commission. The
Owner will be responsible for implementing all administrative conditions of the OOC including but
not limited to required recordings at the Registry of Deeds, bond postings, as -built plans or
obtaining the Certificate Of Compliance.
7) Contractor agrees to remove all debris and leave premises in broom clean condition.
8) In the event Owner shall fail to pay any periodic or installment payment due hereunder,
Contractor may cease work without breach pending payment or resolution of any dispute.
9) All disputes hereunder shall be resolved by binding arbitration in accordance with rules of
the American Arbitration Association.
10) Contractor shall not be liable for any delay due to circumstances beyond its control
including strikes, casualty or general unavailability of materials.
11) Contractor warrants all work for a period of 12 months following completion. See
separate warranty for detailed description of coverage and/or exceptions.
12) There is an additional charge for paint colors that exceed 2, trim is not considered a
color, $200.00 each additional color.
13) Any landscaping, driveways and sprinklers that we disturb during construction will be
repaired to the best of our ability within a reasonable cost. This excludes any work that is part
of the agreed contracted work and cost is included in the price.
14) If Owner chooses to have their own sub contractor perform work they will solely be
responsible to schedule work, delivery of materials and warranty the work performed. If any
damage to work that has been performed by or will affect the job performance of William
Barrett Homes, then the Owner will be billed directly for cost of repairs.
15) In any case where unsuitabie soils exist or ledge is found, an additional charge may be
billed to accommodate the additionai costs.
Article 6. Other Terms: None
Notice:
All home improvement contractors and subcontractors engaged in home improvement
contracting, unless specifically exempt from registration by provisions 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 1301, Boston MA 02108.
Designated Registrants Name Colonial Village Develonment Com.
Registration Number 1,4690
Salespersons Name CHARLES J PISCATELLI
Notice:
No agreement for home improvement contracting work shall require a down payment
(advance deposit) of more than one-third of the total contract price or the total amount of all
deposits or payments which the contractor must make, in advance, to order and/or otherwise
obtain delivery of special order materials and equipment, whichever amount is greater.
Notice:
If the homeowner obtains his own construction -related permits for the work described under
this agreement, the homeowner is hereby advised that in the event of a dispute, judgment and
nonpayment of the contractor, the homeowner will not be entitled to make a claim to or
collect from the guaranty fund established by Chapter 142A, M.G.L.
Exhibit A.... Quote dated Nov 13, 2004
Exhibit B .... Payment Schedule
. SPECIFICATIONS
As specified in written quote..
GUARAI T EE:
The contractor shall auarantee that lie will make good. at his own expense. any defects
arising from poor or improper workmanship for a period of one year after completion or
provide the same guarantees from his subcontractors or from manufacturers of materials
and/or appliances installed in this home. This building will conform to all municipal, state,
and federal regulations affecting this work. See Warranty for details and exceptions.
HOMEOWNER;
DO NOT SIGN'THIS CON'T'RACT IF THERE ARE ANY BLANK SPACES.
Signed under seal this Tenth day of December,2004.
Signed in the presence of
By
Canthactor
pan
By
Owner
a
Exhibit A
Mellisa LaRosa
24 Lexington Street
North Andover MA 01845
Phone: 978 685-1758
Date: November 13. 2004
' . RE: second floor addition
The following is a quote on your project.
• Remove roof from main house
• Install new floor joists for the second floor
• Install walls and new roof
• Second floor space to be a master bedroom with a large walk-in
closet a master bath and a second bedroom/office
• Windows will be Anderson Tw2846 and TW2836 for the
bathroom. 7 windows on the second floor.
• Heat is to be a zone added to the existing system
• The entry on the first floor will be reconfigured for a set of
hardwood stairs with open rails and balusters, style to be
colonial.
• Balusters and risers to be painted, rails and treads to be
po i (urethane
• The door will be replaced with an Anderson 2'8" wide unit and
an Anderson TW2042 window
• The trim wiil be 2 '/::"colonial, baseboards will be 5" speedbase.
Doors will be 6 panel molded.
• Walls and ceiling to be ''/2" blueboard with a skim coat of plaster
• Proposed allowances are: cabinet $650; plumbing fixtures
$500; rugs $2,000; tile/marbie (materials) $1,800.
• An attic pulldown will be installed in the upper hallway
• Walls and trim will be painted with Ben Moore paints.
• Landscaping will consist of rake and seed of disturbed areas
• All debris will be removed with a dumpster
Our price for the above is $163,777.00
If you wish to book William Barrett Homes for your project for a spring start
just call for a contract to assure your start date.
Thank you for allowing William Barrett Homes to quote on your
project. If you have any questions please feel free to call us.
Pricing is valid for 30 days.
Sincerely,
Charles J Piscateili
Exhibit B
Payment Schedule
At signing of contract ..................49,133.00
`�l en exterior named ..................?2,000.00
At rough inspection
Elec and plumb roughed
Frame rough complete
Roof in progress
Siding in progress ............ 27,133.00
Insulation and plaster complete.......20,000.00
Standing finish and doors hung........ 15,000.00
Substantial completion ..................24,133.00
Completed ...............................6,378.00
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Date.
TOWN OF NORTH ANDOVER
.�.--•.'• °oma
p PERMIT FOR PLUMBING
This certifies that r /// ... . `.�......................... .
has permission to perform ... !{
...................
plumbing in the buildings of .) S. it
........................
at .. 2 . v .../ -,�-. u ........... North Andover, Mass.
Fee ..3o- ' . Lic. No.. /.- 3Y ) . .......<.—D.s r.�-�r--�...... .
PLUMBING INSPECTOR
Check ,H 4 G t (
6485
Date ..... qA7 ...
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
-�SACMUSc- i
Thiscertifies that ............... ....................................... ......................
has permission to perform .... tel.!-! ::1rt . "
wiring2in�the building of
F. -RVI .......... Lic. NQ
heck # ->w
5L,Lb
.................... .... ..... North Andover, Mass./
ELECTRICAL INSPECTOR
N
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMEmmu
(Print or Type)
a
I i
, Plass.
City, Town
Buildirtq
AT: Location p1 le-ciVA-i
\ I — v
New ❑ Renova ion
Date
Permit r__�_
Owner's
Name_�UGcdL�—!^ �i BOSS
Type of Occupancy: r
Replacement ❑
FIXTURES Submitted: Yes ❑ No ❑
(Print or Type)
Installing Company Name w `L L1v t4 `
Address 0 1
Check One:
Corp. ( 1 b 6
❑ Partnership
❑ Firm; Company _
Business Telephone `'f /b 5 / i —L l y] Name of Licensed Plumber or Gasfitter
Certificate
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my
knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent
provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws.
I have informed the owner or his agent that 1 do not have liabilit% insurance including completed operations coverage.
Signature of Ouner, Agent
1 have a current liabilit% insurance police to include completed operations coverage.
rBv
Title
Cit\'; To%;,n
APPROVED (OFFICE USE ONLY)
Sig ature of Licensed Pl er
Type of Plumbing"" License
ogy- F t_y�in�Masier ❑ _journe. man
L:ccnse ,suinber
11WtL,tJMVJU1vIfYrtt"n1Jr1YAtLX L,"U.usl 10 --••• ��
DEPAR h WOFPUBUCSAFETY Permit No.
BOARDOFFMPREVFMIONREGULAT OMM7CMl2iW
Occupancy & Fees CheckedD2k-L
APPLICATION FOR PERMIT TOP ORM ELECTRICAL WORIK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASS HUSSTS ELECTRICAL CODE, 527 CMR 12:00 �� O
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat
Town of North Andover To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical woi
Location (Street & Number) , q\ ) �� �
Owner or Tenant Z
Owner's Address
Is this permit in conjunction with a building permit: ZYes
Purpose of Building U
Existing Service /6 h Amps/ / � d Volts
New Service I Amps olts
below.
..1
No (Check Appropriate Box)
4fd� L� Utility Authorization No.
Overhead [::[ Underground
Overhead CM Underground
No. of Meters
No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work 7-/I/1 (.1A 777 7449, .,..,�
No. of Lighting Outlets
No. of Hot Tuba
No. of Transformers
Total
KVA
No. of Lighting Fixtures
Swimming Pool Above
Below
Generators
KVA
ground
1:1ung
No. of Receptacle Outlets
No. of OU Burners
No. of Emergency Lighting Battery Units
No. of Switch Outlets
No. of Gas Burners
FIRE ALARMS
No. of Zones
No. of Ranges
No. of Air Cond. Total
Tons
No. of Detection and
No. of Disposals
No. of Heat Total Total
Pumps
.Iona
KW
Initiating Devices
No. of Sounding Devices
No. of Dishwasher
Space Area Heating KW
No. of Self Contained
Detection/Sounding Devices
Local Municipal
_
Other
No. of Dryers
Heating Devices KW
Connections
No. of Water Heaters KW
No. of No. of
Signs
Bailasis
No. Hydro Massage Tuba
No. of Motors
Total HP
OTHER-
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Town of North Andover
The undersigned applies for a permit to perform the
Location (Street & Number)
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Purpose of Building .. Ap!Q0
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LG i N� Utility Authorization No.
Overhead [Z[ Underground IM No. of Meters
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No. of Lighting Outlets
No. of Hot Tubs
No. of Transformers
Total
KVA
No. of Lighting Fixtures
Swimming Poo' Above
Below
Generators
KVA
around
xround
No. of Receptacle Outlets
No. of Oil Burners
No. of Fn-8eacy Lighting Battery Units
No. of Switch Outlets
No. of On Burners
FIRE ALARMS
No. of Zones
No. of Ranges
No. of Air Cond. I Total
Tom
No. of Detection and
"I"4o. of Disposals
No. of Hest Total Total
Pumps
Tons
KW
Initiating Devices
No. of Sounding Devices
No. of Dishwashers
Space Area Heating KW
No. of Self Contained
I '
Detection/Sounding Devices
Lace) Municipal
Other
No. of Dryers
Heating Devices KW
Connections
j
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No. of Water Heaters KW
No. of No. of
Signs
Baiiasis
No. Hydro Massage Tubs
No. of Motors
Total HP
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