Loading...
HomeMy WebLinkAboutBuilding Permit # 3/31/2015 BUILDING PERMIT �NOR%ORTFI Ibv9�o TOWN OF NORTH ANDOVER oa APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received �gSSacHus���y I, Date Issued: MPORTANT: Applicant must complete all items on this page "LOCATION" PROPER TY,OWN ,R, ;., Print "`, �':;, ' '100,Year Structure yeS , , ,�o MAP r aPARCEL ' ZONING DISTRICT: ` Historic District ;;yes ', = no Machine,Shop.Village :77�- yes �` o 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 ❑Septic, ❑Well 0 Floodplain ❑Wetlands, 11 Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification- Pleas Type or Print Clearly OWNER: Name:(�_+ti�'i �� Phone: Address: O,]�) C&a �. Contractor Name Phone: Address: ~:` r!� Superyisors;Construction License: ' Exp: Date: ! Home;lrnprovement License` ` Exp:; Date: . 7 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: 17l FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with e i ere ontractors do not have access to and Signature of Agent/Owner ignature of contractor g s t4ORTH v e r own of LA.IO h Ver, Mass, V coc NIc HEWtc" A°RArED PPa��S S U BOARD OF HEALTH Food/Kitchen P �ERmIT T Septic System 13 r �® BUILDING INSPECTOR THIS CERTIFIES THAT ............................................................................................................................ ........... has permission to erect .......................... buildings on ... .. .. . ..o..... of .. ...... .. ...... ... Foundation Rough to be occupied as ..............� .. ......... . . ......... ..... ... �►.. . ..... --- ................ ------............ 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 u Final PERMITEXPIRESI THS ELECTRICAL INSPECTOR UNLESS CTI TA§LZ, Rough Service .................................................................I.............. Final BUILDING INSPECTOR GAS INSPECTOR ccupancy Permit Reguired t® 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 Approvedthe Building Inspector. Burner Street No. Smoke Det. Is iimada by and amnalrig Next Step Living,Inc.("NSL") John Breiland 21 Drydock Avenue,2nd floor 103 Johnny Cake St Boston,MA 02210 phone: (866)867-8729 North Andover, MA 01845 A905137 10-Mar-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 recommendations/work order describing the work in detail(the"Work")which are incorporated herein by reference: y Attic Flat Perform Air Sealing at Estimated 62.5 CFM50 Per Hour 10 $85.00 Hr $850.00 1!'. Ttlo,f�1'In '„ XL9tll.�6.: - d�.�F � Attic Flat --- —_ �— -- - Whole house fan box:Thermal Barrier Polyiso 2" (Attic) 1 $209.21 Each $209.21 Attic Stair Cover Thermal Barrier with Carpentry 1 $237.65 Each $237.65 Propavent 2'or 4' 100 $2.00 Each $200.00 Knee Wall Install 2"Thermal Barrier Polyiso on Kneewall 54 $3.50 sqft $189.00 Misc Insulation Removal 184 $0.75 sqft $138.00 Foundation Insulate Rim Joist With 2"Thermal Barrier Polyiso 184 $3.52 sqft $647.68 100%Airsealing Incentive up to Program Max $850.00 75 %Weatherization Incentive up to P}rro�g�r(a�m1y Max $1,{21-6.16 Estimated Annual Energy Savings from the Above Improvements $178.00 MAR (04 Customer Signature Date 10 Mar 2015 Elizabeth Venuti NSL Signature Date Name of NSL Representative A905137 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^inquiry@nextsteplivinginc.com-www.nextstepliving.corn TERMS OF AGREEMENT A905137 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 materialsor 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 Customer's 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 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 Wort: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 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 property 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. See the attached notice of cancellation form for an explanation of this right. 11.ENERGY BENEFITS. The Sponsoring Utility Company(the Utility)is enti0ed 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,Customer's 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. Custorner 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. Mass Save Plainview Diagram Customer JotW gaeli.aigo Advisor Name: j�c,12Vy u Address !o3 JaH&j&jV CjVf s�T Advisor Number: ?zt-I99c 7 Town Mom )Qn6u5?— Any limitations to access by truck? Site ID �oSl33 �n NOTES AIS.O �/s �rnc�� (l,o�H�� to►t�s : Cz cove-rL, a� 1 p 1 OT-Dorn 6/ QTS I k iz s (14�1 J ©P�?op�}VGrItS� Q1�1 lob ®IN STALu. Z„ woc,4 oN SL4 u(,HT wF1c,L- (5Lt eo) U IUsuLATIrn11 V-eMOVAL (YL---F&-� IV1V &Nsuu3r V--s Oi t/) wJ 2•'Pocy Wr)We trwtvC-a WeA171 HA-_r, L CbvC-r,5 4' 67) 3 i 5101 Z, s' 31 O ti`s r y y 3 8' S-rt2-C-G�i #`, Offic' o Co ' Tlerr Affair's' and Ba sines Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Ilmprovement Contractor Registration Registration: 162111 Type: Supplernem Card Expiration: 1/14/2017 NE",(T STEP LIVING INC. ROGER OUELLETTE 21 DRYDOCK AVE. 2TH F BOSTON, MA 02210 Update Address and return card.Nii arh reason for change. ❑ Address F-] Renewal ❑ Employment E] Lost Card (0frace of Consumer Affairs aqs Business Regulation License or rre&.tratimn vziid for individul use only HOME IMPROVEMENT cDONTPACTOR before the esipiration date. WT found return to, Office of Consumer Affairs and Business Regulation Regi-Strad0n. 162111 Type: 10 Park Plaza-Suite 5179 Ercpirati0n: `U'14/2017 Supplerneni Cafd Boston,MA 02116 NEXT STEP LIVING iNC. f40GP-R DUELLETTE 21 DRYDOCK AVE.2TF1 FL s' BOSTON.MA 02210 1 aaaleuseeretaa� Not vcaliai withaaat signature A i &g-I h l t L ofvO modon I�sup,, ii �,�m Spc't 4 ROGE R A OVE-Tuxlv I 55 Sr-If AMO-URE, vvnmck RN OUR ON I 1 1312016 M,W(vicM TO: CSS;L-5C-Insulation Contractor Failure to possess a currew'L edition oW the MoissachuseRs Slake Building Code is cause for revocFidon of this license. Par DPS VICQUIRF,WOMZVOTA visit: -_ - OP I ;RL D 1Tr;(rltnlDDn^rr/) .�N'� WATE .I ILS i _' C IIS/�dI/ 01ul THIS GER IFICIffE 90 e103UMU `a3 A M F GLIv Lar atlF0RMMl0H UP's -,f AW UX)i'/VU FII) Kh Hf "l'CI� B�3F OVVrblFiQ Ir- CGOtDER.THIS k3EfIIIFI',AIE DOENOT AVFiw1&wivEE',r kr' wi[E szmvuu AiVMWD, mml-_'mo oi, imU <0VERIVAE %FF06 bND Edf lfl' F39LO 1Vj, TI113 CERTIFICATE OF INSUR-ANCE DOES HUr WPdO' TUI d H A G0,N'I°kW' THE ISSURM-1 IN liJRr RfS), z''+?.J HORIMP ROSSE�IdGaAIVE®F �� IJL9L E�, �It® al�Pt ��IIFIaFII�6UF , if 61Ps oli,n h"Adev ia an. EcC°Iana If .I,INSURED,, lin gaE3li ;ji d ue ilai,he ?®u r? V 3URPO�.",II alae tarms and gondi l®naa o he(aollay,mull(alkide may vaquire an A ahki- mon ihla c yr;tante clac-s not kaon r rights t6>op cerliftclte holftr Ito Brea aha amch erlel ra Iva�ta dap, P[ODUCEsa F'OP1T.r7 M�;�Dnl Ila?I I �u ailc� ;ar.;y NAMN; X9963�y�aay _ 828 Ly9an Fel�a Parkwpy AIGI.No�,rt: �Ia� ��� (AIG.No): 'I l i3�Ir©se,MA B2176 E-MAIL John E.IlO&cOmghIIn jr, ADDRESS; tNSIiRER(5)A FDFDING COV12RAGE NAIL(7 INSURER A;thqufIlus brass 9ra9`tce INsutaE� Ip�h9,Iaac. INsumm 0:Commare'a h1suj'ance coulajxmuy f3m.75;i� kfAv0n�q,2FIa� � B© �uo�, �02210tN$uREr%c:/1,9,019,Mutual Insurance Ce. INsuRERD: I-3 insurance Covipany INSURER R: _ _ INSURER F, CERTIFICATE NUMBER- REVISION NUMBER. THIS IS TO CERTIFY TF9AI TFIE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PfRIQg INDICATED, NOTWITHS T ANDINO ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 1`hIle CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEPWS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR ADIX SU8R POL CY EFF POLICY EXP LTR T VPE OF INSURANCE INSWUD POLICY NUMBE[: PII@7RJDM liPJIIDD/YVY' - LIMIl'iG - A X COPA?AERCIAL GENT- AL LIAGILI'IV EACH OCCURRENCE CLAIDi1S-MADE OCCUR E ,t-n1®'i 'I 'D /~;L9/`!1®`d /�®/?.fl'I� PREMSDA ESaoccurrence) _ IVIED E):P(Any ona person) PERSONAL AADV INJURY GEN'L AGGREGA T E LIMIT APPLIES PER: GENERAL AGGREGATE q jPOLICY F]JE� FILOC PRODUCTS-COMPIOPAGG $ i OTHER: $ _ AUFOW47013ISE LIAQI1 ITV -- C SINGLE LIMIT Eaa aaccid p ccident s. Qa ANY AUTO `i�MM[3 IaI�Ld67ld r019/Btu/2&d,$ BODILY INJURY(Per person) $ ALL OWNED x SCHEDULED BODILY INJURY(Per accident) AUTOS AUTOS _ � OWNED Pe�acdeDANAGE accident) HIRED AUTOS $$ UI47SP.ELLA UAS J% ncC!IR I r_Acl-I nr;r.LIRREnrr-.r- i n EXCE-08 MAB CLAINIS-MADE E�a���s� �®I �'drl u�I�I�/�•��3ltd�e 0/3U1� AGGREGATE DED RETENTION$_. WOR"EF:'COMPENSATION _-- PER --v MtD E64Pa 0YEI2S'LIAB'L9e l STATUTE ER cc ANY PROPRIEfOR/PARTNER/E,,ECUTIVE YIN TO BE ISSUED BV�A�RRRIER D9/2E7/20`I4 00/S®/2D'1� E.L.EACH ACCIDENT $ �IaO,®III) OF EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE•EA EMPLOYE $ I�,a� Ryes,describe under DESCRIPTION OF OPERATIONS belovy __� E,L.DISEASE-POLICY LIMIT DE-SCP.IPTM14 Or OPEPsAVONS/LOCATIOM I VENICLES(ACORD'101,AddKional Peraar4s-06iodulio,nay fee attacliod U mono space is raquirad) -�- TOR OMS,? CERTIFICATE I IIS LDER— --- -- — - —— t AN���7 0N0UL DNN/Qt J t II ABOVE DESCRIBED IPOLICIEU BE h ANGF_LLL D Fjff''@Ri� THE EPI( AaION DATE THEREOF, NOTICE WILL BE DCLWERED IN Fir In,form, `$h a Only aCCCR®.1T9a,�WId,I JeBc POLICY P, VlS90N5, AUTHORIZED REPRESENTA siVE o LWOPD 223 Iii"m OX-4 Woq,der u t�j,�rPd V � GAeORQ rZte", .,01.111H coil I Veiddi it_-�ch,"S'. N, bqpariyieni ot-'I*ndas#,riaJ"Icrfdelgl"s 0x f q 7- Boston,MA 02111-101 -Pni ommma.s.-K.go-��Idk Workers' Compensation bistwance A-ffida-vit;: Applicant lnforpLado Please Pri-1-T ggjhly WA Stop Living Ad dreAs: 21 Drydock Ave Ci ty/State/Zip Boston, MA 02210 (866)B67-8729 Z Are you an employer?Check the appropriate boiq Type of project(required): 1.8 lama employer with 850 4. F] I am a general contractor and i 6. n New construction employees (full and/or part-time).* have hired the sub-contractors 2.El I am a sole proprietor or partner- listed on the attached sheet. 7. FI 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., required.] 5. 0 We are 0,corporation and its 10. Electrical repairs or additions 3. 1 am 9.homeowner doing all work officers have exercised their 11. Plumbing repairs or additions myself. (No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance:required.] c. 152, §1(4),and we have no 13.X Othe employees, . Insula-don yees. [No workers' comp. imuTance required.] J t *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. '-i Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affilidavit indicating such. -Toat-,actors that check this box must attached an additional sheet showing the narne of the sub-contractors and state whether or vol Lho3e enfitie., have employees. ff the sub-contractors have employees,they must provide their workers'comp.policy number. Fam anemployer that isproviding workers'compefisafion lasurancefor my employees. Belowisthe poficyandio"he ly2f,ormadon, insurance Company Name: A.I.M MUtUal Insurance Company Policy 4 or Self-ins. Lie.M AWC-400-7030025-2014A Expiration Date: 9/30/15 Job Site Address: City/State/zip: -- Attack a copy of the workers' compensation policy declaration page(showing the policy number and expiration date)o Failure to secure coverage as required under Section 23A 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage e_yyion. provided above is true and cormet I do hereby certify under the pains andpe�*t 'fterju#y that the Information Signature: Date: Phone dgtotq)80-7-MM Official use only. Do not write In this area,to be completed by city or town official. City or Town- Permit/License 0 Issuing Authority(circle one). 1.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector 6,Other Contact Person-