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HomeMy WebLinkAboutMiscellaneous - 50 WEST WOODBRIDGE ROAD 4/30/2018t Location V?" 0 fajes1- I &YjFaR(OC No. 4�216 Dated .0 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee TOTAL Check # 3 Ba -3 15172 60ding Inspector TOWN OF NORTP ANDOVIER. BUILDING DEP 'I MENT ,PPLICATION TO CONSTRUCT REPAIR,: RENOVATE, OR DEMOLISH : A ONE,OR T..W,O FAMILY DWELLING 3UILDING PERMIT NUMBER: 0 >IGNATURE: R2 ,ilriino f nmmiccinnPr/1n.gnector of Buildines Date SECTION: 1- SITE INFORMATION 1.1 Property Address: 1.3 5M Ptopgsed:Use SETBACKS (ft) : Yard . 1.2 Assessors Map and Parcel Number: Map Number ....Side Yard 1.4 Property Dirnenslohs: t Area,(Stl . 1 Parcel Number RA .. Rear Yard Provided . i 1.5. Flood Zone Information: 1.7 Water S ic8 Sewerage'Dr poral Systim apply M.G.LC.40, .54) Zow Outside Flood Zone 0 Municipal 0 On Site. Dispostl System Z1 �3 : ?ublic ❑ Private _ SECTION 2 - PROPERTY OW'NERSHWIA-UTIIORIZED AGENT 2.1 Owner of Record t IPA/Q VQLj1100 �yfJ�121AC,& f2 D Name (Print) Address for Service •/ !L,., .4 f7 l / !� 1/l R � ��7? ,Signature 2.2 Owner of Record: Name Print Address for Service: SECTION 3 —CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number Z SZJr J l U 1®Q3 Address V � W((/lA O Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor P,471& Company Name Zoll R S �� Address Signature Not Applicable ❑ 11 -13-32 Registration Number Expiration Date SECTION 4 - WORKERS COMPENSATION (AG.L. C 1'52 § 2Sc(,k) Workers Compensation Insurance affidavit mustbe completeii and submitted with this-applicfion. Failure: to provide this affidavit will result in the denial of the issuance of the buildingpermit. Si ned affidavit Attached Yes • UCT-10193 Descri"tioir oIf, r_sed Work'(check ails livable: . New Construction 0 Existing Building Repair(s) A`teratipxL s)_� 0 Addition 0 Accessory Bldg. 0 Demolition` —0 Other o, Specify Brief Description of Proposed Work: 0A041. Nw SECTION 6 - ESTI1bIATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed b . rmit a licant a YF 1. Building x:... �� (a) Building Perrrut Fee -�1 noo OD Multi Tier 2 Electrical (b) ;Estmrated Total'-Cost:of Eons mctton 3 Plumbiti Building Permit fee (e} X (b) 4 Mechanical :. HVAC. 3 ` n.. �-- 5 Fire lsrotecti©n. 6 Total1+2+3+q+5 Qb Check; urrtibet . SECT:hON 72i OWNER AUTHORIZATION TO BE COMPLETED WREN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner/Authorized Agent of subject property Hereby -authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Si nature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION i_ 1,- I Yr � as Owner/Authorized 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 belief jrt2 i Pnnt Name � Si a Y.� tore of Owner/Amt A . nt Date NC`. OF STORIES SIZE ! BASEMENT OR SLAB SIZE OF FLOOR TlIv1BERS l ST 2 ND 3 SPAN DIMENSIONS .OF SILLS DIMENSIONS OF POSTS DiN ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHWMY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Name DRLOUD 1 P -A Location: V+) E�37- V/C0b 021p&E 12b city %VA ", Phone 9>00 % D C —Y 71 am a homeowner performing all work myself. =I am a sole proprietor and have no one working in any capacity . I am an employer providing workers' compensation for my employees working on this job. Company name: Q "c� (,a Tut cam ( D -To, Address 21'Z 13 %V` City Phone #: 9260 ` Ye r G&OT 7 Insurance Co. ~ i/�(.1�IL� Policv # Company name: Address City: Phone #: Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a rine of ($100.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature )f 4Vl Date 11D (-?00 v1� i Print name Phone # Official use only do not write in this area to be completed by city or town official' Building Dept ❑Check If immediate response is required Building Dept p Licensing Board Selectman's Office Contact person: Phone #: E] Health Department O Other FORM WORKMAN'S COMPENSATION F 00 _o O W A t~ t4 Lu Z � J W j 0.co 5 MM z0TO � 'yam MM�ee�� tx` `� Q `V� r* U N. o F 00 _o O W G H J W j 0.co 5 z0TO `� Q `V� U N. o O Z to o 0 C) O U o o rn �> Q Gl m m E .S. C1+ Qa5 Ilk Mp I+I Z f s ly •F��._. �.. .�. �— ......�.. _ �.r�..un- ter+ i or, -f e -a c: -WS C pi Ratte' Construction Co., Inc. 252B Pleasant Street Methuen, MA 01844 Tel. 978-682-4982 f RESIDENTIAL CONTRACT AGREEMENT Read this Agreement and make sure you understand it before signing it. This Agreement has legal force and effect and binds those who sign it. Note: All home improvement contractors and subcontractors engaged in home improvement contracting, unless specifically exempt from registration provisions of Chapter 142a of the General Laws, must be registered with The Commonwealth of Massachusetts. Inquires about registration and status should be made to the Director, Home Improvement Contract Registration, One Ashburton Place, Room 1301, Boston, MA 02108. This Agreement is made on 11/19/01 between Ratte' Construction Co., Inc. of 252B Pleasant Street, Methuen, MA 01844 (978) 682-4982, hereinafter- called "Contractor" and Mr. and Mrs. Reno Orlando of 50 West Woodbridge Road, North Andover, MA 01845 (978) 683-9823 called "Owners". I. DETAILED DESCRIPTION OF WORK TO BE PERFORMED Contractor agrees to perform in a good and workmanlike manner all work detailed below. Such work consists of the following: Create access to attic through garage ceiling with door. Replace (2) split valley rafters on front section of roof. Areas to be stripped of roof shingles and sheathing, allowing access to damaged areas. Damaged rafters to be removed and replaced with new 2x12 valley rafters. Front section of main roof and.garoge-to be stripped and re -roofed. AR H. DETAILED DESCRIPTION OF MATERIALS TO BE USED Materials to be used in performing the above described work consist of the following: Existing valley rafters to be replaced with 2x12 lain dried spruce rafters. Balance of materials to match existing. III. PRICE Contractor agrees to do all work described in Section I on a cost plus basis. Carpenter's labor @ $40.00 per hour plus 10% overhead and 10% fee. Materials and subcontractors at contractor's cost plus 10% overhead and 10% fee. HIDDEN CONDITIONS AND NECESSARY ADDITIONAL WORK Hidden conditions may require adjustments to the contract price. In such a case the contractor will inform the homeowner of such condition forthwith and where necessary a written amendment of this contract will be negotiated and executed by the parties. IV. PAYMENT Payment will be made as follows: $2,000.00 upon signing of contract; Balance upon completion. Notice: No agreement for home improvement contracting work shall require a down payment (advance deposit) of more than one-third 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 delivery materials, and equipment, whichever amount is greater. V. COMMENCEMENT AND COMPLETION OF WORK Contractor will not begin the work or order the materials used before th6 third day following the signing of the Agreement, unless specified here in writing. Contractor will begin work on or about 11/26/01. Barring delay caused by circumstances beyond Contractor's control, the work will be completed by 12/10/01. The Owner hereby acknowledges and agrees that the scheduling dates- are approximate and that such delays that are not avoidable by the Contractor shall not be considered as violations of this Agreement. VL NO ACCELERATION OF PAYMENTS BY ESCROWING ALLOWED The Contractor may not require payments to be made in advance of times specified in Section IV (Payment) above for reason that he deems himself or the payments to be insecure. If however, he deems himself to be insecure, he may require as a prerequisite to continuing the work described herein, that the balance of the payments under this Contract that are in the control of the Owner, shall be placed in a joint escrow account that requires the signature of both the Contractor and the Owner for withdrawal. VII. INSURANCE Contractor will be responsible to Owner or any third party for any property damage or bodily injury caused by himself, his employees or his subcontractors in the performance of, or as a result of, the work under this Agreement. Contractor agrees to carry insurance to cover such damage or injury. VIII. SUBCONTRACTING Contractor agrees that, notwithstanding any agreement for materials and/or labor between Contractor and a third parry, Contractor is responsible to Owner for completion of all work described in a timely and workmanlike manner. IX. CONSTRUCTION -RELATED PERMITS , The following construction -related permits will be necessary in order to complete the scope of work included in this Agreement: Town of North Andover building permit. The Contractor under provisions of Chapter 142A of the General Laws is required to apply for and obtain all construction -related permits. The Contractor shall not be deemed responsible for delays in the work described in this Agreement caused by regulatory, permit granting or inspectional agencies, authorities or individuals. 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. X. MODIFICATION This Agreement, including the provisions relating to Price (Section III) and Payment Schedule (Section IV), cannot be changed except by written statement signed by both Contractor and Owner. However, cancellation by Owner is allowed in accordance with the Notice of Cancellation (annexed). XL WARRANTIES The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of 1 Year following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials, or damage caused by the Contractor, his subcontractors, employees or agents, is discovered within one year after completion of any job, including cleanup, the Contractor shall, at his own expense, forthwith remedy, repair, correct, replace, or cause to be remedied, repaired, or replaced, such damage or such defect in materials or workmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed- upon work. All warranties for equipment supplied by the Contractor under this Agreement shall be those given by the manufacturers of such equipment, which shall be and are hereby passed through directly to the Owner. Under such manufacturers' warranties, the Owner may be required to register or mail in a warranty card or other evidence of ownership and use of such equipment in order to activate such warranties. The Owner's failure to mail in or register such documentation, which failure voids the manufacturer's warranty, shall not create any responsibility for the Contractor to warranty such equipment. This warranty gives the owner specific legal rights, and owner may also have other rights which vary from state to state under Massachusetts law, sales of goods carry an implied warranty of merchantability and fitness for a particular purpose. XII. COMPLETENESS OF AGREEMENT FOR EXECUTION The owner is hereby advised that he should not sign this Agreement unless and until all blank sections have been filled in or marked as void, deleted or not applicable, and until all exhibits or referenced documents that are incorporated herein are attached hereto. XIII. COPY OF AGREEMENT TO BE GIVEN TO OWNER This Agreement is governed by the Laws of Massachusetts. It must be executed in duplicate, and an original signed copy hereof given to the Owner at the time of execution. No work under the Agreement shall begin prior to the signing of the Agreement and transmittal. RIGHTS TO CANCEL The Owner may cancel this agreement if it has been signed by the Owner at a place other than an address of the Contractor which may be his main office or branch thereof, provided that the Owner notifies the Contractor in writing at his main office or branch by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of this Agreement. See attached Notice of Cancellation. Note: This proposal may be withdrawn by us if not accepted within 30 days. HOMEOWNER: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. 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