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Home My WebLink AboutBuilding Permit # 4/6/2015 (2) TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received � Date Issuedg. IMPORTANT:A plicant must complete all items on this page LOCATION PROPERTY OWNER � Print 100,Year C71d Structure yes no y � "Machine,�S o Village ., MAP NO: PARCEL ONING ISTRICT st ic District g yes no 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 ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer. DESCRIPTION OF WORK TO BE PERFORMED: m o VE X / 7`/ ti Identification Please Type or Print Clearly) 8 �! -63 9 OWNER: Name: f�' �7-I� U� .�u i C/�`€ Z-Z-f Phone: 7 �- `�7 Address: 5'4' -?3 6V-&e) -.. CONTRACTOR Name: = Phone: , ✓' ? Address:`-° C� 1 r Superyisor's'Construction`License Exp: Date /� Home Improvement License /� Exp. Date` ' �"45 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ f 9 , / 0 GFEE: $ Check No.: Receipt No.: NOTE: Personas contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contract Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ St ., amped Plans ❑ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DIU L Public Sewer Tanning/MassageBody Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS ,0 Y,TM M OW Pr � r ku �,T w 0 rotor" V-MI SDe b � l % r of r ,. ' tib CONSERVATION Reviewed on "" wor V, Si nature w COMMENTS ( o C HEALTH Reviewed on Signature COMMENTS - Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW"T'owo Engineer: Signature: Located 384 Osgood Street FIREDEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fore Department signature/date .COMMENTS own31of { ndover 0 Is h Ver, Mass, BOARD OF HEALTH PERMIT T LLJ Food/Kitchen Septic System THIS CERTIFIES THAT BUILDING INSPECTOR . Foundation has permission to erect . buildings on .. .. ......................... ..... ................... ..........�........................ . Rough rr to be occupied as . V.t.1 ...D4v.rw...1...�1�... .4. .. . ...... `�.1rl. ... . . chimney provided that the person accepting this permit shall ifi every respect conform to theTerms 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final * PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR Wvm UNLESS CONSTRUCTI TA 7 Rough 0 f Service ...... .......... Final BUILDING INSPECTOR GAS INSPECTOR Rough Display in s Conspicuous Place on the Premises — Do Not RemoveFinal No Lathing or all Be one FIRE DEPARTMENT Until Inspected and Approvedthe Building Inspector. Burner Street No. Smoke Det. "'I" E t. t) [ ( ) M t� tJ11, DING + R1: M0D1. 1. 1Nc, This agreement made this 191h day of January,year Two thousand and Fifteen by and between Cote and Foster Contracting,Inc. hereinafter called the Contractor and Arthur& Michelle Zerbey,hereinafter called the Owners,witnesses that the Owners intend to remodel the existing kitchen,remove existing deck and sunroom and build new at the address of 1451 Great Pond Rd.,North Andover,MA. Now,therefore,the Contractor and the Owner,for consid ration hereinafter named, agree as follows: ARTICLE 1 The Contractor agrees to provide all the labor and materials to do all things necessary for the proper construction and completion of the worshown and described on drawings. The drawings and specifications are the basis of th, contract. TICLE 2 �.w.- In consideration of the performance of the contract,the,.0` ner agrees to pay. the` Contractor, in current funds as compensation for his servi,e�iereunder$199,130.00,t9-- be paid as follows: . .u...mm..a.... .. � i Payment 1 -$5,000.00 at signing of contract excavation Payment 2 -$10,000.00 at start of deck demo Payment 3 -$10,000.00 at completion of foundation S, backfill Payment 4-$15,000.00 at start of addition framing Payment 5 -$15,000.00 at completion of roofing& siding Payment 6 -$15,000.00 at start of exterior deck Payment 7-$15,000.00 at completion of decking& rails r Payment 0 -$15,000.00 at start of mechanical roughs Payment 9 -$15,000.00 at completion of rough inspections Payment 10-$15,000.00 at ordering of kitchen cabine's Payment 11415,000.00 at start of plaster Payment 12-$15,000.00 at start of floor coverings Payment 13-$15,000.00 at installation of cabinets Payment 14-$15,000.00 at start of finish mechanicals Payment 15-$9,130.00 at completion of project ARTICLE 3 Final payment on contract amount as agreed above to b paid within ten(10)days of project completion or occupancy. If final payment has not b en made within this time 20 Aegean Drive - Unit 15 ® Methuen,M 01844 Tel:978-682-6518 • Fax:978-682-1221 www.coteandfoster.com a 10% charge per month on the balance due will be charged. All minor punchlist items will be complete as part of the one year warranty on the finish product. Failure to pay balance within ninety(90) days may result in legal action. Initials,/ ARTICLE 4 Additional work above and beyond the contract agreement: All additional work done to be quoted at the time the client requests the work. The work will be done and billable at its completion. The client has ten(10)days to pay the additional cost after he or she has been billed for it. Initials: � � / � �\. c,� In witness whereof they have executed this agreement the day and year first above written. N�L Arthur Ze ey,Owner Michelle Zerhey, 0 ,He William T.Foster DBA Cote& Foster The Commonwealth oflVMassachusetts Department of IndustriglAccWnts Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/clia Workers' Compensation Insurance Affidavit:Buil.dens/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Mine(Business/Organization/fndividual): �B �D z-,) 1--e, Address: City/State/Zip:/(-/� 7V Uf-W IU 4 Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a er with employer 4. I am a general contractor and I p y 6. F1 Now construction employees(full and/or part-time).* have hired the sub-contractors 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. workers'comp.insurance. 9. ElBuilding addition [No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I LE]Plumbing repairs or additions myself.[No workers' comp. c. 152,§1(4),and we have no 12,❑Roof repairs insurance �ired.re q ui employees.[No workers' Un Other comp,insurance required.] *Any applicant that checks box#1 must also fill outthe 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 anew affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workerscompensation insurance for my employees. Below is the policy and job site information. Insurance Company Name; ��— Policy#or Self-ins.Lic.#: 62 �/ % Expiration Date: Job Site Address: / 5 / /LE/ T °nr� /� City/State/Zip: /V• 4 o `tet-tz /"`� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL o. 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do Hereby certio under the pains andpenalties ofperjury that the information provided above is true and correct. - Si�nature�� 1 Date. �� ®Z Phone 9: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other 6'nnPa rt Pare nn Phone#: r'�'8 r H��b �, ��f i/i�� '�� I W�, I. � b Y � � �, ,., ,�,,, ,,. r<„a r�, ,,,,, "�, � ,,;,,,,,./r c,"„ ��„�,,, � .� �'° ��1','�� ' Irl n,c„�'� I � 1 ; �h � ",r � 1 ' ( � f, i d. J ��, . l� ',, ,� t � i� ru i� r i� �� , �i�i� u� o� qy �� a +�� ?�;”�^d �'�"�'��,� 1� i� i� r, �� . �� ,,, �,, ,, ,j ,� �.a..� � ��i/%i�,1 r,� '"/ilii � �; � ff �' ��; ; . ;. `��✓1 ALL WOOD USED FOR DECK CONSTRUCTION SHALL BE PRESSURE TREATED --,n - USE 6x6 POSTS AT SONOTU5E5 WITH SIMPSON ABU BASE WITH _ 1/2"ANCHOR BOLTS AND PAIR SIMPSON AC OR ACE CAPS 3)DCS Job No. 15065 xIO 9 16"OG- Apr 3,2015 USE SIMPSON H2,5A Steel Beam Onl HURRICANE CLIPS AT ENP OF EACH RAFTER (5)166 NAILS CEILING JOIST TO RAFTER T`f'P.AT TOP PLATE _j 2X10 a 16 OC 2X10 a 16"OG (3)2X8 STEEL BEAM FLUSH FRAME EXISTING. SECOND FLOOR JOISTS NOTE: 20 CREATE WELL IN ROOF AT SECOND FLOOR WINDOW FLOOR 1=1zAM 1f NC USE RUBBER MEMBRANE Z" 001= 1=1zAM 1NGs 114"=1'-O Dan LG[4-3-2015] Options: 1.w10 x 54 attached 10.1 inch deep, 10 inch wide, 54 # per foot 2.w14 x 40 attached 11.9 inch deep, 8 inch wide,40 #J foot 3.cut in up into the 2x4 wall a three ply 24"LVL,two ply into 2x4 studs, one outside on addition side, connections three rows trus lock screws 8'"o.c. not staggered DRAWN BY: SEB, 24, 2015 MARTHA MACINNIS COTE 4 FOSTER CONTRACTING Inc, PROPOSED ,ADDITIONS 4 RENOVATIONS 58 REGENT AVE. 20 AEGEAN DRIVE - UNIT 15 ZERSY RESIDENCE BRADFORD, MA, 01835 1 fN1451 GREAT POND RD. (978)374-8719 E 1375-5602-6515751375-5602-65151S, MA, 01844 NORTH ANDOVER, MA, i w cs J PROP. ADDITION OF DRIVEWAY PPROXIMATE LOCATION EXIST. WOOD DECK (.r f/ EXIST 2 STORY W.F.D. #1451 Lo +1 UTILITY EASEMENT 150.00' GREAT POND ROAD P u NOTE PLAN OF LAND SITE IS SHOWN ON TOWN OF NORTH ANDOVER It a ASSESSORS MAP #62 BLOCK #59. IN SEE E.N.D.R.D. BOOK #9194 PAGE #197 FOR NORTH ANDOVER, MASSACHUSETTS t1 SITE DEED. C) DRAWN FOR MICHELLE ZERBEY r �5 arj 1451 GREAT POND ROAD 1141 NORTH ANDOVER, MASSACHUSETTS (% v , SCALE: 1°=60' DATE: MARCH 31, 2015 �YIERRIMACK ENGINEERING SERVICES j '� ,; a 3131/15 STEPHEN ' R.L.S. DATE 11ANDOVER, 66 PARK STREET SKI, MASSACHUSETTS 01810 AC40RV CERTIFICATE OF LIABILITY INSURANCE 12/11/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Victoria LOW@S CISR MTM Insurance Associates PHONE (978)681-5700 1 FAX C AICNo:(978)681-5777 1320 Osgood Street EODREss vce@mmnsure.com INSURERS AFFORDING COVERAGE NAIC# North Andover MA 01845 INSURERA:State Auto Insurance INSURED INSURERB:Commerce & Industry Insurance Cote & Foster Contracting, Inc INSURERC: 20 Aegean Drive INSURER D: Unit 15 INSURER E: Methuen MA 01844 INSURER F: COVERAGES CERTIFICATE NUMBER:13-14 Master List REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 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 REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE I DL R POLICY NUMBER MM DDY EFF MM/DDS LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occ rrence $ 300,000 A CLAIMS-MADE Fx]OCCUR BOP2722545 J 12/31/201312/31/2014 MED EXP Any one person) $ - 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO- LOC $ JECT AUTOMOBILE LIABILITY COMBINED aG SINGLE LIMIT(Ea $ 1,000,000 A AN AUTO BODILY INJURY(Per person) $ ALL OWNEDX SCHEDULED 2370166 12/31/201312/31/2014 BODILY INJURY(Per accident) $ X HIREDAUTOSAUTOS X AUTOSAUTOS NON-OWND PerOaccidenPER DAMAGE $ Medical payments S 5,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ $ WORKERS COMPENSATION X I WC STATLF OTH- AND EMPLOYERS'LIABILITY !� ER ANY PROPRIETOR/PARTNER/EXECUTIVE� N/A E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? 0004962937 (Mandatory in NH) 6/20/2014 6/20/2015E.L.DISEASE-FA EMPLOYE9$ 500,000 If yes,desaibe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 A Property Coverage SOP2722545 12/31/201312/31/2014 Business Personal Property $39,367 A Scheduled Equipment BOP2722545 12/31/2013 2/31/2014 Contractors Equipment $169,928 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101;Additional Remarks Schedule,if more space is required) Certificate holder as listed below CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 384 Osgood Street North Andover, MA 01845 AUTHORIZED REPRESENTATIVE P MacDonald CPCU, CIC ACORD 26(2010/05) C 1988-2010 ACORD CORPORATION. All rights reserved. INS026(201005).01 The ACORD name and logo are registered marks of ACORD