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HomeMy WebLinkAboutBuilding Permit # 4/8/2015 0ORTH BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION iT - h g Permit No#: Date Received 9 RQ0HAreD 9SSACHU`�'�� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION c P, int PROPERTY OWNER 100YearStrucyes o MAP PARCEL ZONING,DISTRICT: Historic District yes no, Machine'Sfiop village �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 ❑UVell ❑ Floodplain []Wetlands 0 Watershed District D Water/,Sewer.'. DESCRIPTION OF WORK TO BE PERFORMED: A(C Identification- Please Type or Print Clearly OWNER: Named ) x a� s/ 1� (�t;� C� Phone: Address: , Contractor Na47- me hone: Supervisor s;Cons,ruction License � ;F .;� ; Exp ;Date � , � ; Home;Improvement License. / d ',; ;, Exp.: Date. , 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: $ 0 FEE: $ C Check No.: Receipt No.: °l% NOTE: Persons contracting with a 's re ntractors do not have access to the n a ty I Signature of Agent/Owner ignature of contractor FORTH Town of E ndover ® 0 No. h ver, Mass, l g Ails O1 .11 COC C=4 WKK �Q A°R�+TE o S U BOARD OF HEALTH PER T LD Food/Kitchen Septic System c C� THIS CERTIFIES THAT ..... � , ..... ........ BUILDING INSPECTOR ................ .................. . ...................... ................... .. has permission to erect ..... buildings on � � Foundation ..................... ........................ ............... ...... .................. A � Rough to be occupied as A .....�.�....... i! o....... ..... .... .................................. Chimney oswk provided that the person accepting this permit I 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 16 MONTHS ELECTRICAL INSPECTOR UNLESS CO ST CTION TARTS Rough � ... Service .........................."4( ..R"�j�''"'a'"..................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Islay in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry 1A1all To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. nelxt step I ivir-ig �-Iorne This agreement is made by and among Next Step Living, Inc. ("NSU) Suzanne McCormick 21 Drydock Avenue,2nd floor 58 Pheasant Brook Rd Boston, MA 02210 North Andover, MA 01845 phone: (866)867-8729 D A851429 05-Mar-15 1. DESCRIPTION OF WORK TO BE PERFORMED NSL will perform or cause to be performed the following work on the customers 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: Perform Air Sealing at Estimated 62.5 CFM50 Per Hour 16 $85.00 Hr $1,360.00 ioi Install 3.5" Fiberglass Batting In Open Attic Floor 75 $1.32 sqft $99.00 Hatch:Thermal Barrier Polyiso 2 inch(Attic) .1 $60.00 Each $60,00 Darnming 117 $2.05 Lnft V39.85 Propavent 2'or 4' 45 $2.00 Each $90.00 Attic Floor Open Blow Cellulose 4" 414 $1.13 sqft $467.82 Vvok t o(;aflull Knee Wall I__ -1------------- ....... ------ Install 2"Thermal Barrier Polyiso on Open Kneewall Slope '179 $3,31 sqft $592.49 Install 2"Thermal Barrier Polyiso on Kneewall 148 $3.50 sqft $518.00 Kneewall Floor Open Blow Cellulose 4" 164 $1.11 sqft $182.04 \Alm k Misc Insulation Removal 100 $075 sqft $75.00 Wot k I cj: ;:tip o[I Foundation Insulate Rim Joist With 2"Thermal Barrier Polyiso 100 $3.52 sqft $352.00 100%Airsealing Incentive LIP to Program Max $1,020,00 75%Weatherization Incentive up to Program Max $2,000.00 Estimated Annual Energy Savings from the Above ImprovementsE$223=00 Customer S4 lure Date 5 Mar 2015 Edward Yaracz NSL Signature Date Name of NSL Representative A851429 The Terms of this Agreement are contained on both sides of this page Next Step Living-21 Drydock Avenue 2nd floor-Boston,MA 02210,,(866)867-8729-inquiry@ nextsteplivinginc.con) )ivin8 corn step Tivis agreernent is made by and among Next Step Living,Inc.("NSL") Suzanne McCormick 21 Drydock Avenue,2nd floor 58 Pheasant Brook Rd Boston,MA 02210 North Andover, MA 011545 phone: (866)867-8729 D A851429 05-Mar-15 MEN OR k I nc�.',tion' Attic Flat Attic Flat 4"+any MS cellulose work(Not Rebate Eligible) 578 K69 soft $397.38 Recessed light boxing (Not Rebate Eligible) 15 $3125 Each $46815 NNEINNEVANEENNEMEENNEEZEME= blot Rebate Eligible Estimated Annual Energy Savings from the Above Improvements $67.00 2, B8YMEN7. CUSTOMER agrees to pay NSL for the work as follows: Payment#1: $60.00 Additional Payments and Final Invoice: $816,13 -Ad4ftkqgLmments for the Work shall 6e due upon campbetlon of the Work Customer 5ignatuo( Date L) / 5 Mar 2015 Edward Yaracz NSL Signature Date Name of NSL Representative A851429 The Terms of this Agreement are contained on both sides of this page 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,orto 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 be responsible for obtaining 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 ventilafion,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 Customerthat 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 one 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 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 mechanics 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. 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. 12.1 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 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. 12.2 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. 12.3 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 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 fax,or by e-mail sent or by delivery,not later than midnight of the third business day following the signing of this agreement. Mass Save Planview Diagram Customer -... Advisor Name:_.. L-,,�-/ Address 59 T Advisor Number: Town _ � , Any limitations to access by truck? Site ID I NOTES 01 C, P(-� 175 F, CAI Pia ------------- -7m k 05 C,IN (b cio TAt Ir 4 S L 0 VE Is' )I's 's L Office (of Consumer Affairs' and Business Regulation 10 "ark Plaza o Site 5 170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 162911 Type: Supplement Card Expiration: 1/14/2017 NEXT STEP LIVING INC. ROGER OUELLETTE 21 ®RYDOCK AVE. 2'-FH FL BOSTON, MA 02210 Update Address and return card.PW ark reason for change. Address F1 Renewal E] Employment LostCard Office of C nsuinerr Affairs&Business Regulation License or rregiAration valid for iudividul use only HOME 91l PRO9i�MENT CONTRACTOR before the e3spii,a ion date. If found return to: Office of(Consumer Affairs and Business Regulation Reg!Stratl= 162111 Type: 10 Park Plaza-Suite 5170 Expiration: 1114/2017 supplerneM Gard Boston,PYIiA 021?fib NEXT STEP LIVING ING. R OGEP (OUELLETTE 21 DRYDOCK AVE.2TN FL s' � BOSTON.MA O22'10 �aiafieu se���t�e rel ;��t v3li�witho"t signature r q,'k „o k"',(4 J r *U fl,r k 'SIc ROGRR A OV-SILLIET 55 STAIWORE, -InAck Iril 1 1--4 i� R&A(victad To: CSS OCA-lnsulatiOn COMMOCTOF F@flure to possess a Current(adition 8�the Massachusetts S 0 tai'm Building Code is cause for revocalon of this license. Por OPS Licensing info,rAIAMI vISSIV b� CI CIATE F LABILITY I . D�TG(PIPNIDDMlYV) r THIS CER35C6 C a ET 93 103 9ED '13✓`°J NI l i od tiv, L f-j Alffri e'QtjjN L:44y NO Kici f' UPON (14; t 9KI'fl6ATr_ Tmis ,Off tlI'1l ATi d DWkO I'ILd`I' td(' d41 £ tlB Vl L U fi'affi(JG), i I'liflo, o V11�I 1> li-JU 1i,-FU�41JNU 1)V `INL; V'OLJOJE-6 OF_Lc)yj, Tmis CERTIEIOATE OF I01,quRANId-E DOE! NOT CONdSTCdI9IE '1 t ONSTPACT'( P `m[ m sC=BE 983190ilf, tCaG �R6 c�c Jl7$Cl s 1s an AFtD11C QAL RISURED, Rai p_-R,,,(lea)tljed3 bo an�,I©I m 9 Cf 33WR sGAN0Nd JQLa rq kha tar;eaas @nd conditions of the Nolla;y,canal n CJdidoo liagy rega 1°e can f sawlorsgrrd]�W& A 5$aten3aO m]this P"OFilsacElEa -toms ruav o��dlfi��ifc ©9�I�I 1TI C1�aI us salch��1�1ws�Iaa�I�R�Sy, PRBDUCEP CONT ifi -- N�qC�a1 1�11yd 0 �a3 �dlc.�A ��r;, NAME 929 Lynn fal e Pwkwfl7 � � IAIG PHONo. 781:8,89-22775 fV elmao,MJA 02176 E-MAIL John E.1L9nL@mJhHn JP, AD0RraSS: d,VSP.aNER(S)A,'_ropoING covLRAG F:AIG i3 INsuRrR A:N9Oo,SH-9 JUIamr`nca, INSUVIOD RJQXJ%P 3�1V1fag,Joao. INSuRERD:c�Otllnlarc0l'Insurance Company 21 ©rydook AVana o,2nd Mau, Boston,MA 02210 PNSuRERc:AaJA.NJJoItual]Insuremme,Co. WSURERD:MJS Nourance Company any '15610 INSURER E: INSURER F: COVERAGES) CERTIFICATE NUMBER: REVISION NUMBER: 1 HIS IIQ CERT IFY THAT 1 FIE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER O� INDICATED. NOTUUITHS T ANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VUhIICW T,18 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AI.L THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID C>AIMS, INSR ADIJL SUB9 POU CV EFF FOLICY E](P LTR 7;Tr or INSUPLU'lCE imso MND _ LoucV NI9MBGR. --mMIDDPtVml_ h1MI92/YN!' LIMITS A X COMMERCIAL GE(IER AL LIABILITY EACH OCCURRENCE CLAIMS-MADE OCCURS / 49lG�9 0)1012 t�'I PREM SES Ea occurAGE rence) $ 90,900 _ MED E0(Any una person) S 5,000 PERSONAL&ADVINJURY 0199 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ , A,Q�l jPOLICY❑JECT 0LOG PRODUCTS-COMP/OPAGG OTHER: $ ��— - ,� _� s --` - -- COMBINED SINCLELIMIT y� L11JT4DIS706I C LIA3IQ ITV Ea accident ;ANY AUTO 1 M K"IB0K1aDPill D19/802011 4918W(015 BODILY INJURY(Per person) $ ALL OWNED x SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS _ NON-OWNED PROPERTYDAMAGE $ HIRED AUTOS AUTOS Per accident _ UP.13RELLJA LIARq1CLAINIS-MADE EACH OrriJRRENCr- r,(CESS LIAG ELB9s ya t�IR') 0 3, �1��12 'R 3 1001301`2013 AGGREGATE z.___DED-_s_ RETENTION§- -- �_- WORKERS COMPENSATION � PER OTH CCAND EMPLOVEkS'LIABII.1 1 V!N STATUTE ER CG,' ANY PROPRIETOR/PARTNER/EXECU'tIVETO BE INUED BY CARRIER-3 09/30/2011 PI9/30/2096 E.L.EACH ACCIDENT $ 399,Q90 OFFICERIMEMBER U(CLUDED? F-1 N l fA (Mandatort./in NN) E.L.DISEASE-EA EMPLOYEE $ O�JIJ,908I if yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 919,100 DESCRIPTi3ON Or OPEPAVONS I LOGNPONS(VEHICLES(AGGPD 909,A001tional Pomari,s Scpodnie,may be aaachcd U 1-an'o spaco is ragvirad) TOR sffi5103RfLAT10N3 ONLY I I CERTIPI QA`E HOLDER - JN�V�J=991 `9.20ULD AMY 9V 1 B II ROVE,JE8C;1113RD POLICIES BE @rink[Li,L IJ @EFORE ME EXFIIPI�ATION E 1TI THEREOF, NOTICE TALL DE DELIVERED 9N 9�IDF Infrorm,`J`or Only OCORa 1�J�E WId,I I SIE POLICY PROVIMON5, AUTHORIZED REPRE3[NT,97IVE---- �_ CAP- ©19139=°?I91Rf�f;OQD�O4�I'�91��TIL3N1, �'?61 s°s�6a�.� ns�r,�s�€r90 a3�O1�D��y�h}'1=3!(19'1) G���,����'�✓�'�I���$���r�Q 1Elr� �v ay�o�ir�o'����:����c Jd'/�r��(�'kJ?. TZIC ,UtItA H ji-tAg t�)J-�Jj Deparimiew 01 ndusoialAcriden-is Vice qf hi VP_4ivdom� A ife w" vm Bestan, M-1 MffxKg0_v/[fiP Workers' Compensation histwaiwe Affida-vit.-, AMPH—Caft informado PkIs_e P�rint�Lelbl� 84op Hving Address: 21 Dtydock Ave City/State/Zip: Boston, MA 02210 X866)867-8729 Are you an employer? Check the appropriate box-. LN I am a employer with 850 4. F] I am a general contractor and I Type of project(required): have hired the sub cors 6. Y10 -contrac, New consti-oction emplo es (hill and/o�7011TAM4 2.[] 1 am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have 9. Demolition working for me in any capacity, employees and haveviorkeys, 9, Buildirg addition (No workers' comp, insurance comp. insurance., required.] 5. We area corporation and its 10.n Electrical repairs or additions 3.0 1 am P.homeowner doing all work officers have exercised their 11, Plumbing repairs or additions myself [No workers' comp, -right of exemption per MG—T 12f]Roof ivpoks insurance required.] t c. 152, §1(%l),and we have no employees. fNo workers' 13.10 Other.Insulation comp. insurance mquired] 'Any applicant lhalt checks box#1 must also fill out the section below showing their workers'compensation policy information. *�Homeowners whe submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new aflldaT,it indicating such. -Coat7actors that claeck this box mast attached an additional sheet showing the name of the oub-contractors and state whether or tot those Onfitimb have employees. 1_f the sub-contractors have employees,they must provide their workers'comp.policy number. if am on employer thfi$is providing workers'coinpensadon iMaraficefiormyemployees. Below is the policy arae iob Me insurance Company Name: AIM MUtL1,31 Insurance Company Policy 4 or Self-ins, Lie.#.AVIC-400-7030026-2014A 9/30/15 Expiration Date: 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 23A of MGL c. 152 can lead to the imposition of criminal penalties of 0, fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a.STOP WORKORDER and fine, of up to$250.00a day against the violator. Be advise i d that a copy of this statement tray be forwarded to the Office of Investigations of the DIA for insurance coverage yod'flotion. 1d hereby cerdfy under the painsin ePju#Y thay the ififormeadon provided above is true and correct Siggature: dater Phone# Official use only. Do not write in this area,to be completed by city or town off-l'cjaL City or Town: Pernflt/Lieense P Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical inspector 5.Plumbing Inspector 6.Other coatact Personplssirt -