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HomeMy WebLinkAboutBuilding Permit # 3/2/2015 j %AORTH j% BUILDING PERMIT quo TOWN OF NORTH ANDOVER f APPLICATION FOR PLAN EXAMINATION * 0RA '' Date Received�� .:Permit No#: DtRied '>,y °RArEo PPw��s / SSgC U5 TANT: Applicant must complete all items on this page OF 'Y. „, , n „ ��,... ,,, • r„�� r r r riiirrrrar ri�r,,,.,% r ppp Y,. V,V p.���� ,., ,-. , .< ,ri, rr'17 rr/�,rc rJ el lU O / /. ✓ / / U j , TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family � El Addition El Two or more family ❑ Industrial No. of of units: ❑ Commercial ElAlteration El Repair, replacement ❑Assessory Bldg ❑ Others: N El Demolition ❑ Other ,,,,;-I//,/ ❑ Watershed Di,�strict /i,, and lain ❑,Wetlandsr , , ;UVe ,,o, ,❑ FI p ,/ rrr//� t Se r DESCRIPTION OF WORK TO BE PERFORMED: I � Identification- Please Type or Print Clearly OWNER: Name: Phone: l Address (�//r// /s; � ✓ --r', ,!r/ ,/s�",, r^ „ ,,, ,�,, � ///i r�Jp�r/.�,� rripi ,/,. /rid r„ „< r - r/r���,,,/ii/rr0 ,.-e, ,, /e,r.,„: ./l r./// , ,:. r.. /�p�',�r�„r, r ,,r r✓., rr iirr/ r /ii // ./ �// r;, //,% �"/.!//r/ 1/l%/�� �ri, QnP..�/„�, /L ri/%%/i//„�/., rr,r��/%/� r/// %%% r///a✓ / !/ r ��Confractor;Narne � >;, ,r ��/, .,/, ,�„ �, �r% /„ �/fir, r ,%/ r •/, rr -,r / ,r, , r/ ra ,,r�// r, �!/f���im�/��//i� ///�,r//r�,rr �, >� :,,/l9 l//���.,.„� I, 1//,-////p r/ % ,r rr, ,/ ,., rr/ i•, l.: 2�,,,. ,�i ,r .,.,��L� ,„ „;; ,/,/„�. cid rr U / � � r / / r r rcr it ,�/,,,, i/� r.r ✓r ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ � — i Check No.: LD Receipt No NOTE: Persons contracting with u is a contractors do not have access to the nd Signature of Agent/Owner ignature of contractor NORTy Town of �6 ndover ver, Mass, COC$4 IIEWICK S U BOARD OF HEALTH Food/Kitchen PERMIT T L D Septic System THIS CERTIFIES THAT � ........ o.... BUILDING INSPECTOR ...... .......................................... .............. ....... ... Foundation has permission to erect k ................... buildings on ......ttot.......M . ...1..................... _ - Rough to be occu led asp ....... ...W. ... . .. ......... ....��. ..'.�... ................. Chimney provided that the person accepting this permit all in every respect conform to the terms of the application 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR ® UNLESS CONSTRUCTIO A 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. next step Living, home energy solutions This agreement is made by and among Jim Logue Next Step Living, Inc.("NSL") 21 Drydock Avenue,2nd floor 119 Martin Ave Boston,MA 022-10 North Andover, MA 01845 phone: (866)867-87-29 Site ID: 410238 23-Dec-`I4 1. DESCRIPTION OF WORK TO BE PERFORMED NSL will perform or cause to be performed the following work on the customer's address above,in a professional manner and in accordan ce with the terms of this Contract,including the attached recommendations/work order describing the work in detail(the"Work")which are incorporated herein by reference: �Description Quantity SealingAir Recommendations 1 • i Work Location: Attic Flat Perform Air Sealing at Estimated 62.5 CFM50 Per Hour 6 $75.00 Hr $450.Oa Weatherization Recommendations $1,588.1e Work Location: Attic Flat 'Damming 98 $2.05 Lnft Vern bath fan to soffit exhaust _ $200.90 18:75 2 $1Each.= $237:50 Propavent 2'or 4' 51 $2.00 _. _ $2 00 Each $102,00 Attic Stalr Cover Thermal Barrer with Carpenlry1 _ $237:65 ,Each $23 .65 Attic Floor Open Blow Cellulose 6" 552 ___ -_ -- • _ - $1.20 sgft _ $662.40 Work Location Krjee'Install 2"Thermal Barrier Polyiso on Kneewall 15 $3.31 sqft $49.65 Work Location: Foundation Insulate Rim Joist with 6.25"Fiberglass Batting 56 $1.75 Lnft $98.00 Initial Investment: $2,038.10 100°�a-A�rseaing lncentiue up'#o Program Max $450Q0 75°�Weatherization Incerittue up to Progarrt Max $1 g Total Net Investment: $397.OZ,*.. Estimated AnnualEnergySaumgs from tte Above irnbt°ovemerfs Customer lure Date 23 Dec 2014 Andrew Carpentier NSL Signature Date Name of NSL Representative A728728 The Terms of this Agreement are contained on both sides of this page Next Step Living 21 Drydock Avenue 2nd floor-Boston,MA 02210 o(866)867-8729 o inquiry@nextsteplivinginc.com o www.nextstepliving.com TERMS OF AGREEMENT 410238 3.PROPOSED START DATE AND COMPLETION SCHEDULE NSL will contact customer to schedule the Work at a mutually agreeable time,subject to the availability of subcontractors or materials,or to delays attributable to the weather or other events beyond NSL's control. 4.CONTRACTOR REGISTRATION Massachusetts law requires home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration. You may inquire about contractor registration by writing to: Office of Consumer Affairs and Business Regulation,Ten Park Plaza,Suite 5170,Boston,MA 02116.617.973.8700. 5.PERMITS NSL will obtain any necessary permits as the Customers agent. Customers who secure their own permits or deal with an unregistered contractor will be excluded from the Guaranty Fund provisions of the Home Improvement Contractor Law. 6.PERFORMANCE OF THE WORK AND CHANGES 6.1 NSL will not commence the Work prior to signing this Agreement and transmittal of a copy of Agreement to the Customer 6.2 This Agreement may be supplemented,amended,or modified only by the mutual agreement of the parties.No supplement,amendment,or modification of this Agreement shall be binding unless it is in writing and signed by all parties. 6.3 At times,our weatherization team discovers situations in the structure during the course of the Work that indicates a risk for a health or safety concern for residents.Such concerr s can include but are not limited to ventilation,potentially hazardous materials such as mold or asbestos,or structural concerns. In the case of health or safety concerns being identified-, NSL reserves the right,per section 9.2 of this contract,to communicate concerns to the Customer and halt work until such concerns have been addressed. 6.4 The rebates and incentives available from the Mass Save®Home Energy Services Program and amounts due from the Customer are based on the best estimate of the situation in the structure by the NSL home energy advisor. However,at times our weatherization team discovers situations in the home during the course of the Work that impact the availability of rebates and incentives from the Mass Save Program. In such situations,NSL will communicate such changes to the Customer,including any impact on amount the Customer would be expected to pay for the Work. The Customer will have the option to remove from the Contract the work elements that need adjustment,or set up a separate contract for performing th e adjusted work. 6.5 NSL represents and warrants to the Customer that(a)the materials and equipment furnished under this Agreement will be of good quality and new,(b)that the Work will be free from defects,and(c)that the Work will conform with the description of the Work described in Paragraph 1. 7.INSURANCE AND REGISTRATION NSL represents and warrants to the Customer that it has a valid Home Improvement Contractor Registration(No:162111)and the necessary insurance required by applicable law an normally maintained by prudent contractors in NSL's field,including,but not limited to,Workers Compensation Insurance for all employees who will perform the Work. 8.QUALITY OF WORK NSL agrees that the Work will be performed in a good and workmanlike manner,and that NSL will repair and replace,at its own expense,and promptly upon Customer's request,any, defects in workmanship and materials provided by NSL which appear up to(1)year after completion of the Work or within any longer period as permitted or required under applicable law,provided NSL has received final payment as provided herein. 9.PRE-EXISTING CONDITIONS&PROPERTY PROTECTION 9.1 NSL shall not be responsible for any damages as a consequence of the Work performed in the home due to pre-existing conditions. These conditions include but are not limited to poorly fastened or broken drywall,moisture damage,non-code construction,cracked or fragile siding or shingles,old pipes and fittings,rotting wood,etc. 9.2 NSL reserves the right not to perform Work upon the discovery of asbestos,mold,or any other potential health risk to the Customer. In this event,the Customer is responsible for remedying the at-risk situation,including any necessary removal of hazardous materials and all bills for services to date shall be paid immediately. Work cannot resume until remediation is complete. 9.3 While NSL will make best efforts to protect any property of the Customer, it is the Customer's responsibility to remove or protect,including dust protection,any personal property including the home itself. NSL will not be responsible for damages to or losses of any of the above mentioned property not properly protected prior to the commencement of the Work. 10.GENERAL PROVISIONS, 10.1 NSL reserves the right, the extent permitted by applicable lav',to have,file or maintain a mechanic's or material men's lien,or to file a notice of intention to lien,and to take any other steps to perfect and enforce such a lien,if Customer fails to pay NSL as provided herein. 10.2 This Agreement shall be construed in accordance with the laws of the Commonwealth of Massachusetts. 10.3 This Agreement forms the complete integrated agreement between NSL and Customer. The parties represent and warrant that in executing this Agreement,they are not retying on any representations,warranties or terms other than as expressly contained herein. This Agreement supersedes all prior agreements between the Customer and Contractor and may not be altered absent a subsequent written agreement signed by both parties. You may cancel this Agreement if it has been signed at a place other than the NSL's normal place of business,provided you notify NSL in writing at its main office or branch office 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 the attached notice of cancellation form for an explanation of this right. 11.ENERGY BENEFITS. The Sponsoring Utility Company(the Utility)is entitled to 100%of the energy benefits associated with all Energy Conservation Measures,excluding the value of energy cost savings by the Customer,but including all rights to all associated ISO-NE Energy,Capacity and Reserves Products.NSL agrees to provide the Utility with such further documentation as the Utility may request to confirm the Utility's ownership of such benefits and Products. 12.NOTICE CONCERNING SPONSORSHIP. Customer understands and acknowledges that NSL is not an agent,vendor or sub-vendor of The Sponsoring Utility Company(the Utility)with respect to the installation of an energy efficiency measures.in the event of the failure of an energy conservation device to perform as expected,Customers sole recourse is to Contractor and not to RISE Engineering(RISE) or to the Utility.The Utility and its operating companies shall not maintain,remove or perform any work whatsoever on the energy conservation measures installed. Customer understands and acknowledges that their participation in the Mass Save Home Energy Services Program is voluntary and that they have consented for Contractor to install the proposed energy conservation measures. Customer agrees that it shall not hold RISE,the Utility,their affiliates or operating companies liable for Contractor's to perform its obligations under this agreement,for failure of the energy conservation measures to function,for any damage to Customer's Premises caused by Contractor or for any and all damages to property or injury to persons caused by the energy conservation measures. 13.LIMITED TIME OFFER. The prices and Incentive offered in this Contract are subject to change In accordance with The Sponsoring Utility Company Mass Save Home Energy Services Program offers. 14.CONTRACT CANCELLATION Under Massachusetts law,you may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller,which may be his main office or a branch thereof,provided you notify the seller 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. CLastomerF---� Advisor Namee__A—�(��� C /!tea rZh ,Address I !°i�,. ,'., ,�,� Advisor Phone #: q8 7 &���s -��as Town Any limitations to access by truck? Site I® '-I 1 U 2 /Un NOTES Any work scoped outside of Best Practices? Approved by: f b w _ 'L 1'po l y i s o— IS-0 YZ L" CJ) 1,) + U P4, so YZ L fir:- 6', L6 z � n a aIL �' z i6 �5} CU 2 cr 12, G�3 3 2 �` 7 V S 5 l dp i r : ,., / �C �yFe j '��'r r, ! f' i��'Vr✓6 �rmo2 ce o Consume- l�f�a� ani Business Regulation 110 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 162111 Type: Supplement Card Expiration: 1/14/2017 VSE®CT STEP LIMING INC. ROGER OUELLETT 21 ®RY®®CK AVE. 2TH FL BOSTON, MA 02210 !Update Address and return card.Mark reason for change, Address [] Renewal E] (Employment F] Lost Card idj. once of Consumer Affairs&Business Regulation ]License or registration valid for individul use only 9 HOME IMPROVEMENT CONTRACTOR office the expiration dated If found return t®: QDffice of Consumer Affairs and Business Regulation Registration: 162911 Type: 1 �°aa•h Plaza-Suite 5190 Expiration: '111412017 Supplement Card Boston,IWA 02116 NEXT STEP LIVING 1NC. ROGER OUELLETTE 21 DRYDOCK AVE.2TH FL –— BOSTON,MA 02210 glaage1^seereg�d.y, Not valid without,signature "4A 4" ,,1 CSSL402811 ROGS R AO ELLXZT!7 Rol 55 STAMMORE y jffil/ wanAck R11 l 029" 1/5 NAT Respidek8d TO: CSSWC elnsul�-)tlOn Contractor t Failure to POSMs a current(edition(DT the M,assachusens sta,mirm Building Code is C,-f ,)USe for revoiCERIon elt this license. w OPS Licensing informardon viii wwwAm's-em/Ops The Commonwealth of Maassauchusetts Depaa°tment of Industa al Accidents W Office of Investigations a b I Congress Street, Suite 100 Boston,MA 02114-2017 �qM Y VWYC VYoUtl14Y(bss.go W'/d aSL Workers' Compensation Insurance Affidavit: liu lders/Contractors/Electriclaans/Plumbers AppUca>lnt Information Please Print Ee�ibl� Name (Business/Organization/Individual): Next Step Living Address: 21 Drydock Ave City/State/Zip: Boston, MA 02210 Phone#:(006)067-0729 Are you an employer?Check the appropriate box- Type of project(required): 1. I am a employer with 060 4, F1 I area a general contractor and 1 6. 0 New construction employees (full and/or part-time).- have hired the subcontractors listed on the attached sheet. 7> ®Remodeling 2.0 1 am a sole proprietor or partner ship and have no employees These subcontractors have II, ®Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp. insurance comp. insurance,! . [] 5We are a corporation and its 10.[]Electrical repairs or additions required.] 3. I am a homeowner doing all work officers have exercised their 11.®Plumbing repairs or additions right of myself. .[lo workers' comp. , tion per MOI,and we have no 12.E]Roof repairs insurance required.] t c. 152, §1(4)�4) ® Insulation employees. [lo workers' 13. Other _ comp. insurance required.] *Any applicant tha`l checks box#1 must also fill out the section below showing their workers'compensation policy information. t homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new aflidal it indicating such. $contractors that check this box mast attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. _yam an employer'that is providing worker's'compensafion insurancefor my employees. Below is the policy and job site ,Inf®a'tnatloaa. Insurance Company Name: A.I.M Mutual Insurance Company Policy#or Self-ins. L ic.#:AWC-40047030025-2014A Expiration Date: 9/30/16 Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the fonn of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the IDIA for insurance coverage vifi tion. I do hereby certify gander the pains andpdnglliies perjury that the informatdon provided above is trace and correct Si ature: Date: / Phone# � i official use only. Do not write lea this area,to be completed by city or town officinal. City or Town: Permit/License,# LOthefr ority(circle one). Health 2.Building(Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector son^ Phone#o NEXTS=1 OF ID:EL CERTIFICATE OF LIAILI d Y I - C DATE(PAMIDDA 1010/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION O%y AND CCNFERs NQ RIGHT4 UPON TH9 0VRT14jrATr MOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR A(,TER THE COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRAOT BETWEEN THE ISSUING INSURER($), 4WHOHIMP R�(P 'SENTATIVE OR PRODUCED,AND THE CERTIFICATE PIOLDED. 4MP �TANT, If the r 1fiCste hasIder 1s�9n ADDITIONAL INSURED,the P®liCy(Ies)must he endorsed. If SUBROGATION li WAIN%ff h*$tq ttae em 09 Ond ®na�1tl®ns®�the P®I1Cy,CertOln g�allz 1e�araey re(falre Baia erariorseraaer9t, A stetea rleret Ota this ertlfiCete does not Confer rights t®(IIS certlr ate hOlder in 119"of such end'rsoment(s). PRODUCER IJA�E. Erin Lyons M�Laughlir(1 su�anCoAenCy PHONE ���=0 �=�7�� FAi( 7�9=000=02 820 Lynn�el�s PBrk��y E MAIL E,a: ArC No Melr®se,MA Ot76 ADDRESS: d®hn E.Me LIMMIn,)r. INSURER(S)AFFORDING COVERAGE NAIL 0 @NSuRER A:Nautilus Insurance INSUREP Iiving,Inc, INsuRERs,Commerce Insurance Company 34764 13 Drydock Avenue,2nd Floor iNsuRERC:A.I,M-Mutual Insurance Co. Boston,MA 02290 INSURER D:AXIS Insurance Company 95690 INSURER r: _ INSURERP: _ , COVERAGES CERTIFICATE NUMBER, REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY P�RIBR INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH T}}(II>J 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 REDUCE©BY PAID CLAIMS. I� DDL BR POL CY EFF POLICY EXP LIMITS T YPE OF INSURANCE I b D POLICY NUMBER IMUS/WYY (MMIDD A COMMERCIAL GENE-RAL LIABILITY EACH OCCURRENCE $ 9,000,000 ErP2090198=92 09/00/2094 09/30/209 PREMISES Eaoccupnce $ 100,000 CLAIMS-MADF. OCCUR — MED EXP(Any one person) S 0,000 PERSONAL&ADV INJURY S Mum GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S f�aQGr®r�CaO POLICY❑JR LOC PRODUCTS-COMP/OP AGG $ OTHER: COMBINED SINGLE LIMIT AUYOMOBILE LIABIIATY Ea accident $ 99000,9!10 ANY AUTO 14MMBOKKOM 09130/2014 09/30/20'16 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS PROPERTY DAMAGE x NON-OWNED Per accident $ HIRED AUTOS AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE S 5,000 00 ® E7tCESSLIAB CLAIMS MADE Ei'U7�33 70`1209 09I�0�2094 ®9l5®12(�9� AGGREGATE $ ,QO.®,01} DEDRETENTIONS WORKERS COMPENSATION PER ERH AND EMPLOYERS'LIABILITY C ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N I A ®BE ISSUED BY CARRIER 09/3012014 LIne3®/2Nt9 E.L.EACH ACCIDENT $ 000,000 OFFICERWEMBEREXCLUDED? E.L.DISEASE-EA EMPLOYE- $ 500,000 (Mandatory in NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $ 000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPEPAVONS I LOCATIONS I VEHICLES(ACORD 909,Additional Ramarks Scheduie,may he attachod If more space is required) 70R 1NFORPJP�RXON ONLY CERTIFICATE HOLDER CANCELLATION - - INF�=®� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CA,NCELLrD BEFORE TOE EXPIRATION DATE THEREOF, NOTICE WILL. BE DELIVERED IN For Information Only ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE V '6 '� ©9988-2094 ACORD CORPORATION. All rights reserved. �f AC®R� ACORD 25(201 4191) T4i�����CO���� � I����rrr R0�°►„�„����t q�{�