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HomeMy WebLinkAboutBuilding Permit # 4/21/2015 00RT1y BUILDING II. ,w„ TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: I ORTANT:App licant must com Tete all items on this a e LC�CATIE�N � 1?r 'rtrtt IVIAP Nd PARCEL ZONING D(STl�1CT Histone:District es np' y. >_ Machln�:�h�i Villa TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building MOne family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other �Septic �Well �Fl©otlpla�n ❑Wetlands ' � 1Nafetshed-District +�111/atrfSewer a � Identification Please Type or Print Clearly) OWNER: Name: A�G. 0 t� rye" Phone' 1 � . Address: CO�ITRACTOF� Nark ���,�� ��Ip�rrrlscsrrs �anstructron License � Hayne Irlprc�uerner�t �,i�:�s �� � � t , t 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: $ i7ft (/b FEE: $ Check No.: Receipt No.: NOTE: Persons contracting wit a "`terel contractors do not have access the g "qtr ty n Signature df AgentlOrnrner ' ignature fl�coritfactor .. �� , F oCIRTH \A Town of over ® - ® F � -"dP' �0 ��KE h ver, ass, Coc"Ic R6w1CK y�' ,9 All 0'q EC' `S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System • THIS CERTIFIES THAT ....... BUILDING INSPECTOR Foundation has permission to erect.......................... buildings on . :...,... ...... ...... �.. . ....... ... .. ....... Rough to be occupied as ...... . .. .............. . . ......... ... .......................................................................... Chimney provided that the person accept g this permit shall 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit.PERMIT Final EXPIRES r� S ELECTRICAL INSPECTOR UNLESS CONSTRUC T Rough Service ............ .... ......................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy By Rough Displayin a Conspicuous Place on the Premises — DO Not Remove Final No Lathing or Dry Wall Toa Done FIRE DEPARTMENT Until Inspected and Approvedthe Building Inspector. Burner Street No. Smoke Det. � 0�� Inc.��� ��� ����'��«� �� �m�r | NCS, ` 314 Clark Street North Andover MAO1845 S7B-885-O5O8/fax 794-378O � � Boofing Quote � January /8 2015Salesman: Norman V. Lee Contact: Wayne Niemi � Proposal submitted to: Wayne Niemi Address: 275 Abbott Road, North Andover MA 018451 Service Address: same Phone, Email: � We hereby submit specifications and estimates,subject to all terms and conditions as follows: / � ---------- | ° Strip roof of1 layer ofshingles. m Re-nail all loose sheathing. ! ° Replace plywood asneeded for an additional cost of$85.00per sheet installed. ° Apply GRACE Ice and Water shield three (3) 8ksix (6) feet Upfrom edges of roof. � Apply paper toremaining roof surface uptoridge. Type: IKOCool Gray " Install 8"aluminum Drip Edge. Color: White | | ^ Cut open ridge in preparation for ventilation system. ^ Replace pipe boot. Size: 21/2 w Renoofvvith IKO Cambridge Lifetime shingles. v Install Lonnanoo ridge ventilation. ° Clean upand removal ofwaste and debris. * Magnetic sweep ofproperty. ° Walkways and drive ways swept of debris. * Dumpsb*r provided and included in job price. Notes: Skylight replacement Additional cost of$895 Rubber:$4,685 Shingle:$7,210 Sub Total: $11.895 Add for Skylight replacement $895 Total with Skylight: $12,790 Note: Price good for 30 days Work schedule contingent mnweather condition Questions?Call us,write usand check out our website @ www.ncsne.com for information other mi TERMS & CONDITIONS PAYMENTS AND DISBURSEMENTS: Customer iaresponsible for obtaining any financing hedeems necessary tocomply with this Agreement. If Customer is obtaining financing form a third party, Customer agrees to apply for such financing without delay and this Agreement iusubject toCustomer being approved for such financing. All payments are due and payable aospecified inthe Proposal/Contract. Northeast Contracting Solutions reserves the right to assess a$25.00 fee if Customer requests us to re-invoice them for any reason. Overdue payments will bear a1.5%service charge. Failure byCustomer topay any invoice within five (5) days after payment iodue per contract shall constitute amaterial breach of this Agreement. All legal,court orotherwise collection cost incurred byContractor are tobepaid byCustomer.LABOR AND MATERIALS: � � Contractor agrees to furnish the materials for the project and complete the work to be done in a | workmanlike manner. All materials furnished under this Agreement shall be construction grade and meet industrystandards. Where | brand names have been ed' Con8naotormayokhiooptionee|octeubstitutaawhenaunhaubstituUonoamduohounavai|abi|ityor � previously � ifictor shall pay all subcontractors, laborers,and material suppliers, unless specified differently in writing. � � Client Iuibul - I - SPECIAL CONSIDERATIONS: For those selections of materials requiring special considerations including,but not limited to,cash deposits to insure their production, Contractor may at his option require Customer to pay such required deposits directly to distributor or manufacturer rendering such services. It is understood that when matching existing conditions such as color, size, planes and texture, Contractor will provide materials so as to match, as closely as possible,the existing materials. However Contractor does not guarantee materials will match existing conditions. DISCLAIMED WORK: No soil testing,surveying, plan design or engineering are included in this Agreement unless expressly specified. Contractors shall not be held responsible for any existing violations of applicable building regulations or ordinances, whether cited by the appropriate authority or not. Contractor is not responsible for any abnormal or unusual pre-existing conditions including, but not limited to, damage caused by termites or dry rot,filled ground or ground of inadequate bearing capacity, rock and other material not removable by ordinary hand tools, inadequate electrical wiring systems for the load imposed by the work under this Agreement, and plumbing, gas,waste and waterlines not shown on documents or plans furnished by Customer. Correction of any such violations or abnormal conditions by Contractor shall be considered additional work. ADDITIONAL WORK: Contractor shall promptly notify Customer of any additional requirements necessary to facilitate the project's completion. Any additional work required or ordered by Customer(or any regulatory agency having jurisdiction over the project)shall be set forth in a signed change order, and the agreed price shall become due and payable as agreed upon between Contractor and Customer, or within 30 days if not specified, payment is due in full. Contractor, his employees, subcontractors and agents are unauthorized to perform any additional work or to enter into any agreement to perform additional work unless agreed to in writing by Customer and Contractor through a properly executed change order,which shall become an integral part of this Agreement. PROPERTY RIGHTS AND RESTRICTIONS: Customer represents that he owns the property described as"property address",or has authority to order and sign for work. Customer shall locate and point out the boundary lines of the property to Contractor. Customer shall be solely responsible for accuracy of markers and boundary lines indicated to Contractor and as detailed on plans and specifications approved by Customer. If a land survey is required for any reason to confirm markers or boundary lines, Customer agrees to pay for such survey. Prior to the start of construction, Customer shall give Contractor a copy of any restrictions, easements or rights of way relating to the property. ACCESS AND FACILITIES: Customer agrees to provide free access to work areas for workers and vehicles, and to provide areas to store materials and debris. Unless otherwise specified, all water,sewer,gas and electric utilities from the servicing agency to the point of entry at Customer's property line(or to the metering device if such devices are required)are the responsibility of the Customer. Customer agrees, at Customer's expense,to provide electricity at the project site as may be required by Contractor to affect the work described herein in compliance with federal,state and/or provincial law. Contractor shall not be held liable for minor damage to curbs, driveways, walks, patios, unless caused by the gross negligent movement of workers,vehicles, equipment,materials or debris. START, DELAY AND COMPLETION OF WORK: Contractor agrees to commence work and to continue to work in a timely fashion so as to insure the project's consistent development and ultimate completion. Contractor is bound by the terms and conditions regarding start of work imposed by any licensing or regulatory agency having jurisdiction over the project. Contractor shall not be held responsible for project delays caused"acts of God,"civil unrest, acts of Customer or Customer's agent, inclement weather, strikes, labor disputes, material shortages, licensing or regulatory agency inspections, or any other actions or causes beyond the Contractor's control. CANCELLATION CLAUSE: Option of Customer to terminate contract in the event of Contractor's failure to complete work. If the Contractor shall refuse to or fail to perform the work with such diligence and force as specified in this contract, or shall fail to complete said work in a timely manner, or if Contractor does not perform the work in a professional manner according to industry standards, Customer reserves the right to give written notice to the Contractor of its intention to terminate this contract unless said violations of the specifications are corrected within fifteen (15)working days after serving of said notice. If after fifteen(15)working days the violations have not been corrected or satisfactory arrangements for the completion thereof made,this contract may, at the option of the Customer, be terminated. In the event of termination, payment in full for all services performed to date by the terminated Contractor shall be made immediately at the time of termination. Option of Contractor to terminate contract in the event of Customers failure to make timely payments as specified or to abide by all terms and conditions as outlined by this Agreement hereto, also, but not limited to any actions by the customer to circumvent, interrupt or otherwise,any relationship with a subcontractor and the Company. Contractor's option to terminate will be immediate and communicated in writing. DAMAGE AND INSURANCE: Contractor agrees to carry worker's compensation and business liability insurance to insure the Customer against damages or defects caused by Contractor, his employees, or any agents acting in his behalf. A valid insurance certificate will be furnished upon request. MISCELLANEOUS: Contractor may subcontract all or any portion of the work and may assign this Agreement to another Contractor, provided such assignment shall not affect the rights and privileges of Customer under this Agreement. In case one or more of the provisions of this Agreement or any application thereof shall be invalid, unenforceable or illegal,the validity,enforceability and legality of the remaining provisions and any other application thereof shall not in any way be impaired thereby. If any legal action shall be instituted to interpret or enforce this Agreement,the prevailing party shall be entitled to recover all litigation costs, including reasonable attorneys'fees. It is agreed that this Agreement shall be governed by, construed,and enforced in accordance with the laws of the State of Massachusetts. CONTRACT ADJUSTMENTS: In the event of an unanticipated increase in the cost of fuel or materials used by Northeast Contracting Solutions, Inc., reserves the right to pass through to the Customer such increases or, if the Customer does not agree to pay any such increases,totermin e h contract. Client Initials - 2 - LIMITED WARRANTY: Northeast Contracting Solutions guarantees workmanship, subject to the following conditions. • Contractor warrants all labor and material for a period of thirty(30)days from the date of completion of work, unless otherwise stated or an Extended Warranty is purchased. This limited standard warranty extends only to Customer and is not transferable. • Contractor will provide replacements as stated above on a one-time basis only at the request of the Customer, at no charge to the Customer except for supportive materials deemed necessary and labor. Please note, however,that Contractor is not liable under this limited standard warranty for actual of consequential damages resulting from"acts of God,"excessive weather conditions(extreme cold/drought,washouts,etc.), soil conditions, abuse,vandalism, poor drainage,salt damage. • Any warranties given by manufacturers pertaining to materials used by Contractor in with the project will be passed through and inure to the benefit of the Customer. • There is no implied warranty of merchantability or any implied warranty of fitness for any particular purpose. There are no warranties either express or implied beyond the description within this section. If you have any questions,call your salesperson for more information. Payment Schedule-60% deposit due to book job. 40% due net 60 days upon completion. Accepted: The signatures below indicate that the above prices, specifications and conditions are satisfactory and hereby accepted. Payment will be made as outline,'/-bove. G C.l',�' Signature: Date: Client Initials - 3 - The Commonwealth ofHassachusetts Department ofIndustrialAccidents I Congress Street, Suite 100 Boston,MA 02114-2017 wwwanass.govIdia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE MED WITH THE PERAUTTING AUTHORITY. Applicant Information Please Print Ledb Name (Business/Organization/IndividLid): 5dl tAvvk� J Address: L( City/State/Zip: Y4 J QV-V MPr Phone#: Are yen an employer?Check tfie appr6priatie box: 1.[?fl am a employer with employe I es(full and/or part-time).* Type of project()required): 7. ❑New construction 2.[J I am a sole proprietor or partnership and have no employees working for me in 8. F1 Remodeling any capacity.[No workers'comp.insurance required.] 9. n Demolition 3.n I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 F1 I Building addition 4.FJ I am a homeowner and will be hiring contractors to conduct all work on my property. Iwill ensure that all contractors either have workers'compensation insurance or are sole 11.F1 Electrical repairs or additions proprietors with no employees. 12.E]P umbing repairs or additions 5.n I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-conftdctois have employees and have workers'comp,insurance. J'Otlfer 152,§1(4),and we"have no employees.6.n We are a corporation and its officers have exercised their right of'exemption per MGL c. 14.[_❑ " *off', '�ees.Mo workers'comp.insurance required.] ., *An b6x#1 must also fill out the section below showing their workers'compensation policy information. Homeowners y applicant = h. this affidavit indicating they are doing all work and then hire outside contractors must submit a now affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If.the sub-contractors Lave'employees,they must provide their workers'comp.policy number.' ia m an employer tfiai isprovid1hg workers'compensation insurance for my empl6yees.'Below is the policy and job site information. Insurance Company Name: 0_N\Alta T��Arl(10-- Policy#or Self-ins,Lie.M: Expiration Date: //'bc 1(0 Job Site Address: Z- VV, City/State/Zip: o Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). failure to secure coverage as required under MOL c. 152,§25A is a criminal violation punishable by 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 afine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage veriAmqn. I do hereby cf-tder 7 ins en ties opeijuiyHaat thein for ation provided abo..I-is ti;ke and correct. Signature: Date: Phone#: o 5 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 Contact Person: Phone#: Rightfax WI-1 3/10/2015 10;39:16 AM PAGE 2/002 Fax Server CERTIFICATE OF LIABILITY INSURANCE J DATE(MMIDD/YYYY7) 1 31 1=51. ,, W TW&ZERTIFICATE IS ISSUED ASA 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 08 ERODUCE&OR Ikil QRMFIQATE HOLDER. IMPORTANT:It the certificate holder Is an ADDITIONAL INSURED,the pollcy(ies)must be endorsed, It SUBROGATION IS WAIVED,subject to the 'terms and conditions of the policy,certain policies may requite and endorsement. A statement on this certificate does not confer rights to the Cerfificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME�• MTM INS ASSOCLATES LLC PHONE FAX 1320 O'GOOD ST (AIC,No,East): (A.C,No): E-MAIL ANDOVER-MA 01945 ADDRESS: 7766P INSURER(S)AFFORDING COVERAGE MAIC# INSURED INSURER At TRAVELERSPROPERTY CASUALIT COMPANY OF AMERICA NORTHEAST CONTRACTING SOLUTION-S INC INSURER 8, INSURER C: INSURER D: 314 CLARK STREET INSURER E: ,JORTH ANDOVERAMA 01845 JINSURER F, COVERAGES CERTIFICATE NUMBER; REVISION NUMBER: AT THE POLICIES OF INSURANCE OVE'D'BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOA 714E POLICY PERIOD INDICATED.NOTWITHSTAKONG ANY REaVIREMENT,TERM OR CONDITION OF ANY CONTRACT 08 OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN.THE NSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 6 SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSH ADD SUSPOLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R I POLICY NUMBER (L-WIDDYYYY) (MMMIYYYY) LIMIT$ GENERAL LIABILITY ---ACH OCCURRENCE COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE [_]OCCUR, PREMISES ffii octurrence) AEO EXP(Any one person) S IERSONAL&ADV INJURY 1S GEN;.AGGREGATE 1-IMM APPLIES PER: i D ;ICY F 3ENERAL AGGREGATE is PO ]PROJECT t.OG 5RODUCTS-COMPIOP AGG is AUTOMOBILE LIABILITY COMBINED SINGLE !$ ANY AOTO LIMIT(Ea accident) i ALL OWNED AUTOS BODILY INJURY ;$ SCHEDULE AUTOS (Per Person) HIRED A-,MS BODILY INJURY ;$ (Pet saddenf) NON OWNED AUTOS PROPERTY DAMAGE (Par acddonl) 71 UMBRELLA LIAR OCCUR EACH OCCURRENCE i$ EXCESS LIAR LJ CLAIMS-MADE AGGREGATE DEDUCTIBLE RETENTION $ 11 S WORKE"COMPENSATION AND x WC STATUTORY OTHS-q EMPLOYER'S LIABILITY Y.N 'JS BD884649 15 0111U72015 OV017.112016 UWTS I ANY EJ y NIA E.L.EACH ACCIDENT $ 500,000 DFFICiifvwmaH Excwb (Mwwatwy In NH) E.L.DISEASE-EA EMKOYEE[$ 500,000 If yes,dmafw Under Di�SC+fq!ON nr OFIERATONS Wow E.L.DISEASE-POLICY LIMIT I$ 500,000 DESCRIPTION OF OPERA-RONWLOCA*nONSAVEHICLESMESTRIC110N$,'SPECIAL ITEMS TTRS RI PLAC13S ANY PRIOR Mt MCATR ISSLMD TO'ME CERTITTCA17 HOLDER A M=CMiG WORKERS COMP COlYTRA6E, THE INSUREDS NTA WORKER$COMPENSATION POLICY AND ITS LIMT`tUl D OTHER STATES UNDOPSENfeNTRENT ORM,q THE PAYMENT OF BENEFITS FOR CLATKS NO AUTKORr/ATION IS OWEN TIO PAX CLAIMS FOR BENEFITS W S'T'ATES OTTER TITAN MA IrTIM rNSURED HIRES,OR HAS IRRED 04MOYL12S OUTSIDE OF MA,"US POLICY DOUS NOT PROVII)II3 COVERAGE MR ANY STATE 071IRR THAKMA, CERTkFICATE HOLPER A CANCELLATION `ISO Foo HO�,FOOD t ikRIKET AND ITS UBSIDIARIES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED C 3_ �'l lt,�50 ""00 S BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL HE DELIVERED 'x'' S LLC IN ACCORDANCE WITH THE POLICY PROVISIONS. 0 PO)BOX 4(' ECM 35050 AUTHORIZED REPRESENT E --y% NEW YO\)RK,, 10163 ACORD 25(2010/05) The AC a and log b-&d realstered marks of ACORD 1988-20f 0 ACORD CORPORATION. All rights reserved. r L-0 q) Massachusetts- Oepartmen', o� Public S,ifety Board of 9uilding Regulatic 3 and Standards C"tlist I-11dion Su perl isor License: CS-104241 y , MARK DELGRECO 2 FOX HOLLOW-'ROAD r' Derry NH 03038 , r+ e ✓.,.�,.... .�Jit.�G � �� to dtipiration Commissioner 08/18/2015 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 167900 Type: Private Corporation Expiration: 11/17/2016 Tr# 258009 NORTHEAST CONTRACTING SOLUTIONS NORMAN LEE 314 CLARK ST N. ANDOVER, MA 01845 Update Address and return card.Marls reason for change. SCA 1 20M•05/11 ❑ Address E] Renewal E] Employment E] Lost Card �� C-971-11 WdT1."lo l"eciltllO�C-���GClJJClC�!lJe Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 167900 Type: Office of Consumer Affairs and Business Regulation xpiration 11%17/2016 Private Corporation 10 Park Plaza-Suite 5170 Ston,MA 02116 NORTHEAST CONTRACTING SOLUTIONS INC. NORMAN LEE Oji' `� f` 314 CLARK ST N.ANDOVER,MA 01845 Undersecretary Not valid without Wnature