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HomeMy WebLinkAboutBuilding Permit # 3/2/2015 I BUILDING PERMIT NORTH qw'- TOWN OF NORTH ANDOVER 0};��� ,6 0� APPLICATION FOR PLAN EXAMINATION Permit No#: ' I Date Received �q A�R�TEo PQP��S ssgc Nus Date Issued: IMPORTANT: Applicant must complete all items on this page � r, /r,•+� / a%/ / r,,/ / / ,i i r ✓;, l, � / /r f/i �r�/ ,1 l , �'/ / r J /' r �lo/ ,r,ri Y ,, „02',�/ � �%l/��//„//� i a /,,,. %/ / /r ,. a.,,..., r, l�/ ,�i//% / I .r a/ it I „r� ,I�1!r rlof r%P,,r��r;'/ �/r /, ,I/ ,4. r b ✓�%f/, 1,,. ,r „ .,a,. �/ �,//. // / r/ /,/ / /,, /�,1 ir, ', , f ,- �,. it//,r /� /� ri /„ ✓r r,// � �r ///r ✓ � , ri / ,C/ , eS / n 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 / �+ ,r ;;, ,,,, ,,, . , , ,, ❑,Flood lain ❑„Wetlands ,i� « ❑ Watershed D strict,,;,,, ❑,,,Se t��i..r /❑Well ,//.,/ ,,,,,�,,,,// // /,a 1 / ,,,.r � r �, r ,,,,,; / r r/ /r�: , / ,,. /,;, r r , a��/%� „i,,/„//,�//rrr,;; DESCRIPTION OF WORK TO BE PERFORMED: tk4oY- � Identification- Please Type or Print Clearly OWNER: Name: bl L Phone: , Address:' VaA2, M0, jo I r r":.•r ri r /ii r,,, ,, „,," _ „ r/i -�'l r,r ..r,i„, i „g / r, r r�� %O r a r ri // ,o,,: /,..l , ,r..., /„ ..✓// .,.. �, <,r 1,// /, / / .. ,i ,,./ �.. ,i., /r �.// ,,,,..” // r// /„/,/i ,,,:, / r.,r, ,,.. r,. /�%//",�/,r r„i„�,/„r,� ,.. /�. ,,r:/ .,. r.,, /,,. ,/,,:: r r rr /r. i/. Iii/ ,/ i.///r/✓ii rrri r ,.,., % r/ rr / /, r r r ✓ /i /r , �Ac�dress�,r ,�/ / � / r / rr � ✓ „J f;. r,, rr „ //�/ , /iii r / // / r / rr r r ,/ /r // / ✓ 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: $413qg FEE: $ Check No.: -” Receipt No.: NOTE: Persons contracting with r er ntractors do not have access to the a ty d Signature of Agent/Owner Signature of contractor NORTH <,� ndover Town 2 5.,'.: y : 1j; 46 O ..,.. �. No. - a 2101 �j �o 1h ver, Mass, LA K 1E COCMIC"IWICK V� `S U BOARD OF HEALTH Food/Kitchen PERMIT LD Septic System BUILDING INSPECTOR THISCERTIFIES THAT .............. ...... ..... ...... .......................................................... • �.�... �I/►�_��L�•.• Foundation has permission to erect .......................... buildings on ..... .... ••.•!�•••�••• Rough to be occupied as AX—SAIM11�a... ........ ....� �. .. w ................................... Chimne,Y provided that the person accepting this perll 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 PLUMBING INSPECTOR Construction of Buildings in the Town of North Andover. Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONT S ELECTRICAL INSPECTOR UNLESS CONSTRUCTI ST S Rough op 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 Next Step Living,Inc.("NSL") Ed Shaw 21 Drydock Avenue,2nd floor 77 Sugarcane Ln Boston,MA 02210 North Andover, MA 01845 phone: (866)867-8729 Site ID: A780376 20-Jan-15 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 accordance with the terms of this Contract,including the attached recommendationstwork order describing the work in detail(the"Work")which are incorporated herein by reference: Description Quantity SealingAir Recommendations $•11 11 Work Location: Attic Flat Perform Air Sealing at Estimated 62.5 CFM50 Per Hour 12 $75.00 Hr $900.00 Weatherization Recommendations Work Location: Attic Flat Whole house fan box:Thermal Barrier Polyiso 2"(Attic) 1 $209.21 Each $209.21 Attic Stair Cover Thermal Barrier with Carpentry 2 $237.65 Each $475.30 Damming 212 $2.05 Lnft $434.60 Vent bath flan to roof flapper 4 $118.75 Each $475.00 Propavent 2'or 4' 123 $2.00 Each $246.00 Attic Floor Open Blow Cellulose 4 1,536 $1.08 sgfk $1,658.8$ Initial Investment:i $4,398.99 100%Airsealing Incentive up to Program Max $600.00 75%Weatherization Incentive up to Program Max $2,000.00 Total Estimated Annual Energy Savings from the Above Improvements $426.00 2. PAYMENT: CUSTOMER agrees to pay NSL for the work as follows: Payment#1: $100.00 -Credit Card or E•check deposit is due at the time the Work is scheduled, Required payment information will be collected over the phone by a customer service representative at the time of scheduling. Deposit is not to exceed 1/3 of the total retail costs. (Note:Mastercard,Visa,and Discover accepted) Additional Payments and Final Invoice: $1,698.99 -Additional Payments for the Work shall be due upon completion of the Work. If the final invoice is being paid by check,credit card information will still be required at the time of scheduling. Notify the customer service representative th ou are paying by check and your card will not be charged unless we fail to receive payment within 5 days of invoice. r j �olt� Customer Signature D to 20 Jan 2015 William Calder NSL Signature Date Name of NSL Representative " A780376 The Terms of this Agreement are contained on both sides of this page Next Step Living.21 Drydock Avenue o 2nd floor.Boston,MA 02210.(866)867-8729 o inqulry@nextsteplivinginc.com o www.nextstepliving.com TERMS OF AGREEMENT 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 concerns 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 the 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 and 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 Customers 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 unfit remediation is complete. 9.3 While NSL will make best efforts to protect any property of the Customer, it is the Customers 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 law,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 relying 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. Seethe 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 Conservation Services Group(CSG)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 CSG,the Utility,their affiliates or operating companies liable for Contractors to perform its obligations under this agreement,for failure of the energy conservation measures to function,for any damage to Customers 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 maybe 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. Mass Save Planview Diagram customer S w Advisor Name: Address _�� / r( rc 4\ Advisor Number: Town Al 4viov-t! Any limitations to access by truck? Site ID �� �j NOT S 0,9 -07 � L 1 � a 3 v ; fo �= f r bs /f 4 .,,�" q � „� / U��/G '"�'. a, Office of Consumer and Business Regulation 10 Pari Plaza - Spite 5170 Boston, Massachusetts 0211 Home Improvement t Contractor Registration Registration: 162111 Type: Supplement Card Expiration: 1/14/2017 NEJCT STEP LIVING INC. ROGEROUELLETTE 21 ® YDCCK AVE. 2TH FL BOSTON, MA 02210 (Update Address and return card.Mark reason for change. 0 Address Renewal E] (Employment Lost Card QDf9e¢¢or Coaasum¢r Affairs r BusinessRegulationLicense or registration valid for individul use only before HOME IMPROVEMENT CONTRACTOR Office the expirationdafe. if found return to: Offfice of(Consumer Affairs and Business Regulation Registration: 162111 Type: 10 Park}plaza-Suite 5170 Expiration, 1!1412017 Supplement Card Boston,NAA 02116 NEXT STEP LIVING INC. ROGER OUELLETTE 21 DRYDOCK AVE.2TH FL S BOSTON.MA 02210 6Jerders¢eve¢aay tot valid without signature 4 i'o,,Io,,) CSSL40ZBII ROGER A OVELLETTA I ," WaMck 21 02299 JIM G3 et To: CSSWC-lRsUleltiOn COntVaCtOF Failure to POSSess a current edition off the Massachusetts State Building Coode is cause for revOc8tiOn 0his license. For DPS Licensing WOMMOR VISIt- The Commonwealth lth of Maassaaa husetts Department of'Industria l Accidents W Ogee of Investigations a b I Congress Street, Suite 100 w a � Boston,MA 02114-2017 Cci v�9V a�9vnyge9 ggp�n�q� py pggpg VW 96'VWO UUR.6Wss.g®9�Id is Workers' Compensation Insurance Affidavit-. Budde)rs/Cointractors/Electricia iits/Plumbers Applicant faaf®1rnIlaton Please Print Legibly Name (Business/organization/Individual): Neat Step Living Address: 21 Drydock Ave City/State/Zip: Boston, MA 02210 Phone#o(866)007-0729 Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 600 4. ® I arra a general contractor and 1 6. 0 New construction employees (full and/or part-time).* have hired the subcontractors 2.® I am a sole proprietor or partner listed on the attached sheet. 7. ®Remodeling ship and have no employees These sub-contractors have 8. ®Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp. insurance comp.insurance.t We 5. e are a corporation and its 10.E]Electrical repairs or additions required.] ffi ocers have their Plumbing airs or additions 3.[] I am a homeowner doing all work ave exercr 11.® g re p myself. [No workers' comp. right of exemption per MOIL 12.0 Roof repairs insurance required.] 'p c° 152, §1(4),and we have noInstll�tlon employees. [No workers' 13.9 Other _ comp.insurance required.] *Any applicant that 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 aflidarit indicating such. tcontractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or vot tho3e entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'coaaapensadon insurance for any employees. Below is the policy and job site iazfoa'ar:ani®aa. A°I.M Mut Insurance Company Name: Mutual Insurance Company Policy#or Self-ins. I.,ic.#:AWC-400-7030025-2014A Expiration Date: 9/30/16 ,lob 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 form 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 army be forwarded to the Office of Investigations of the DIA for insurance coverage V 'fi tion. I do hereby cet fy under the pains a�pdca °es �erjuryy that the iaa,�orma ldlon provided alcove is trace and correct Si azure: Date: I 4 Phone [a, use only. Do not write in this area,to be completed by city or town official. n: Permit/T,icense.# hority(circle one):Health 2°Building(Department 3°City/'Town Clerk 4°Electrical Inspector 5°Plumbing Inspector rson: Phone#: NEXTS-1 OP ID:EL CERTIFICATE OF LIABILITY INSURANCE DATE(MMD/YYYY) 10101120M THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION O%y AND CQNrEI;* NI? RIGHITJ UPON THV ORTIVICATP HOLDER.THIS CrERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR AFTER THE COVERAGE AFFORDED BY THE FOLIGIES SE6OVIf. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AOMORI= ROP FSENTATIVE OR PRODUCER,AND THE CERTIFICATE FOLDER. POP RTANT. If the gerti6Cate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. It SUBROGATION Iq 1VRP, the terms and conditions of the policy,Certain p®ll€les Qnny require as endorsennenL A statement on this certificate does not confer rights 6 911 certificate holder in lieu Of such endOrselnent(s). PRODUCER 'N°AMNE CT Erin Lyons MGLa`ighllrl 1p�suranOip Agency PHONE s 20 Lynn fel9s Part wpy AIC No Melrose,RRA 02176 E-MAIL John E.McLaughlin Jr. ADDRESS: INSURER(S)AFFORDING COVERAGE NAIL 0 INSURER A;Nautilus insurance INSURED Next starl l ivinq,Inc. INSURER p,:Commerce Insurance Company 34764 21 Drydock Avenue,2nd Floor INSuRERC:A.I,M.Mutual Insurance Co. Boston,MA 02210 INSURER O:AXIS Insurance C®rnparity 1060 INSURER E: INSURER r: 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�Rw©P INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH T IB CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. i TR TYPE OF DDL UBR POLICY EFF POLICY EXP L9&il T S INSURANCE p D FOLICY NULABEC MMIDD/WYY (MMIDD A X COMMERCIAL GENAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR � DAMAGE��010'I90=1 Q 213D1�a1� PREMIES(Ea occurrence) $ _ 100,000 MED EXP(Any one person) $ 0,000 PERSONAL&ADV INJURY $ 1, 4 9 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ ?A0100 POLICY 1-1JECT F-1 LOC PRODUCTS-COMPIOPAGG $ $ OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident 1 oROP,®RO ANY AUTO 1gMME IMEM 09/30/2014 09130120'15 BODILY INJURY(Per person) $ ALL OWNED - SCHEDULED BODILY INJURY(Per accident) $ AUTOS v AUTOSNON-ONED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ x,000 Q® D MCCESSLIAB CLAIMS-MADE �I? �� AGGREGATE $ DED I I RETENTION$___ $ s WORKERS COMPENSATION PER —0TH' EMPLOYERS'LIABILITY STATUTE ER C ANY PROPRIETORIPARTNERIEXECUTIVE Y/❑NIA TO BE ISSUED BY CARRIER 09/30/2014 0013012,ND1 s E.L.EACH ACCIDENT $ ®®,td00 ',.. OFFICER/MEMSER EXCLUDED? (Mandatory in NN) E.L.DISEASE-EA EMPLOYE- $ ®0,00 if yes,descr ION be uOnder DESCRIPTF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ , F I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional P.ernarhs Schedule,may hs attachad If more space is required) TOR 119FORRLAs:'rOM ONILY CERTIFICATE HOLDER CANCELLATION ONFO�01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES RE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN For Information Only ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE ©19®5-2014 ACOR®CORPORATION. All rights reserved. ACORD 25(2014191) Aogpp 9@MR I p .tACBRf