HomeMy WebLinkAboutBuilding Permit # 6/4/2015 RTH
BUILDING PERMIT �&ND C, biro
TOWN OF NORTH ANDOVER
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APPLICATION FOR PLAN EXAMINATION 70
Permit No#: 9 Date Received »"ED P',
�gSSACHU`�E���
Date Issued: 24
I PORTANT: Applicant must complete all items on this page
LOCATION o�� /I/�v��G��jti �o�aP Ak, 14hI
Pr t
PROPERTY OWNER i),Ltf�z ani �,'ah
Print 100 Year Structure yes no
MAP. PARCEL ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ne family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
epair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
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.�rO�Wat�r/�ewerr;;�',���:,:�rn,<,�Y��a�:^.^�r....�++ar.,; x';��a�i, i,�l„�r,��,'~r.,,�t�.�� mr'�..�,�.:._��',X�,,,,�,`;�,. ;F��.rk.�f .l ✓r.�r"�r.,,.�r.,�.s, �;r,,,�,,�m�.,,r�-r,,,,(.1cr�J ;rr-;.:,, .,Y,i;,'�r:
DESCRIPTION OF WORK TO BE PERFORMED:
-cj4/4 - ar.lS - Vice—
Identification- Please Type or Print Clearly
OWNER: Name: )-4kt, Phone:6/7-%r35'-9`116
Address:
Contractor Name:f e ScYI /%,- .� 6r-,- Phone: 64' -4Ff a z-
Email: �'°�h�+�rK� ori 9 ,,z4�/� --CAI
Address: GL-ql 6 a�
Supervisor's Construction License: <15 -07 '-/6,4/ Exp. Date: 1- .22- 17
Home Improvement License: Exp. Date: 6 - f X
ARCHITECT/ENGINEER /,///P' Phone:
Address: Reg. No.
FEE SCHEDULE.,BULDING PERMIT.$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BA,SEEfD ON$125.00 PER S.F.
Total Project Cost: $ Si660, FEE: $ 7
Check No.: Receipt No.:
NOTE: .Persons contracting with unregistered contractors do not have access to the guaranty fund
NORTH
_t own of Andover
ti
LAK. h ver, Mass,
COCNICM@WKK
A�R�7E� C,
MIT T LD E
AW '9M S u
BOARD OF HEALTH
Food/Kitchen
Septic System
THIS CERTIFIES THAT BUILDING INSPECTOR
has permission to erect ......... buildings on .. MA.C. ® Foundation
� " � ....... Rough
to be occupied as ...... ..........�,r..l!!% w. ........... .................................. Chimney
provided that the person accepting this permit shall in every respeY 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 IN 6 MONTHS ELECTRICAL INSPECTOR
LESS CONSTRUC ARTS Rough
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.
AIvlArvuShoyros§eDea er
Custom Window and Door Agreement"
Buyer(s)Name: J1 a j Lgcfq✓o ]� r 4o eticd Date of Agreement:
2T Marb1cri lam wofr luorrA Aodotley- ./MkZ
Buyer(s)Street Address,City,StaW,Zip Code
)Ucfmarr ® ae'l. cows 7- $3Y- zggb . ct 7
Email Address Home Phone Mobile Phone
Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of"MILLWORK MASTERS,A DIVISION OF WOODBURY SUPPLY CO INC."
("Contractor"),in accordance with the terms and conditions described on the front and the reverse of this agreement and on the attached specification sheet(s)
collectively,this"Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement.
Total Job � t�5l �,Z Estimated Starting Date: Method of Payment:Cash_Check_Visa
Amount:=�
Discover_AMEX_Financed App#:
Deposi Received 33%
(r,� i f• b Estimated Completion Date: Name on Credit Card:
Balance at Start of Job(33%): Credit Card#:
CC Exp.Date:
Balance on Substantial Completion of Job CC Security Code:
(33%): IS 6(0oJ ' R
Buyer Initials: Buyer Initials:
Buyer(s)agrees and understands that this Agreement constitutes the entire understanding between the parties,and that there are no verbal understandings
changing or modifying any of the terms of this Agreement. No alteration to or deviation from this Agreement will be valid without the signed,written consent of
both Buyer(s)and Contractor. Buyer(s)hereby acknowledges that Buyer(s) 1)has read this Agreement,understands the terms of this Agreement,and has
received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2) was
orally informed of Buyers right to cancel this Agreement. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
"MILLWORK MASTERS,A DIV.OF WOODBURY SUPPLY" Buyer(s) Buyer(s)
By:,
Signature of Product Manager Signature Signature
tv;gr klr;yh,-
G
Print Name of Product Manager Print Name Print Name
YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE _
DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT.
�nrracrv� rv�l�P�i1 PerN,IT civtd colt`�/w'11 be SPIT ber�uePv) cz,,7 d qh.f o�flnP.lS
Co✓17fctc7uf w;l� Mi7o4t OW,7ec5 �i-Y2 ?she eoar a� rho Pe"Mi;'qS&"? PKTr4 C4408e7
pier cgcj be- pkcect Fe_1oatairy23j201f1 pf-fcJ4.9 i556cd, C4n7;l 3f3112��
ori do re j pn-ctag fe-col bur yeas' 604r e SavLccary i ncreare is be i05
G elct i/) CO(c& un ri l T4 64 ,
Late Cancellation:I understand that I have 2 business days to cancel this Agreement as described on the previous page of this Agreement I
understand that if 1 want to cancel this Agreement after those 2 business days,Contractor does not have to allow that. I understand that ifthe _.
Contractor does let me cancel,however,I will have to pay to Contractor a late cancellation fee equal to 15%of this Agreement's purchase price for
Contractor's labor,administrative,and material costs.
Delay/Unknown Conditions: I understand that if Contractor determines that Contractor cannot perform the work according to Contractor's
normal professional standards,then Contractor cancel this Agreement,notify me in writing ofthe cancellation,and return my money to me.I
understand that some of the things that could cause Contractor to cancel this Agreement would be incorrect pricing,unforeseen structural defects,
or unknown pre-existing conditions to my property. I understand that Contractor Is not responsible for structural or other defects in my property,
and that Contractor's products do not cure those types of problems. I also understand that the work could be delayed by events that Contractor _
does not control,and that is acceptable tome. Some of the things that could cause the work to be delayed would be acts of God,labor strikes,
inclement weather,material shortages,my inability to qualify for or obtain financing,delays b/local government authorities in issuing or otherwise
approving inspections,permitting,or other required authorizations for the work.
Late Payment/Default: I agree that if I do not pay Contractor any of the money owed when itis due,I can be charged a late fee of 1.5%on the
amount owed for each month the money is owed and not paid. I also agree that if I default on my promises under this Agreement,and Contractor
hires an attorney to enforce this Agreement,I will pay Contractor its reasonable legal fees and related costs or expenses,as long as it is legal forme
to do that. I agree and understand that in the event that I do not pay Contractor any of the money owed when it is due,Contractor may have a
claim against me,which maybe enforced against my property in accordance with the applicable lien laws. I also understand that if I finance the
work with Contractor or a third party,my separately provided financing documents may include a security interest. I understand that I should read
those documents closely.
Arbitration: The parties hereby mutually agree in advance that should a dispute arise regarding this contract,Contractor may submit such
dispute to a private arbitration service that has been approved by the Office of Consumer Affairs and Business Regulation,and Buyer(s)shall be
required to submit to such arbitration as provided in MGL c.142A. The parties further agree that if either Contractor or Buyer(s)submit a claim
to arbitration,(f)the non-prevailing party will ultimately pay the cost of the arbitration,including reasonable attomeys'fees and expenses,(ii)
the award of the arbitrator will be in writing and will contain findings of fact and conclusions of law,and(iii)that judgment to enforce the
award may be entered in any court having proper jurisdiction.
Contractor Signature: ill BuyerSignature(s):
NOTICE:The signatures of the parties above apply only to their agreement to alternate dispute resolution initiated by Contractor. Ownermay
initiate alternate dispute resolution even where this section is not signed separately by the parties.
Interpretation of the Agreement: I agree that this Agreement will be enforced under the laws of the state where the —
work is being performed. If any part of this Agreement is determined to be Invalid or illegal,then I agree that the rest of
this Agreement will still be valid and enforceable. We both understand that this Agreement,and any attachments,
makes up the entire understanding between us about the work Contractor is doing. There are no other oral or written
agreements or representations on which we are relying. We both agree that any change to this Agreement must be in
writing and signed by both of us. The paragraph headings contained in this Agreement are for convenience only and will
not affect the meaning or interpretation of the Agreement.
Massachusetts Sales Only. Any deposit required under this Agreement to be paid in advance of the commencement of work shall not exceed the
greater of one-third of the total contract price or the actual cost of any ruaterials or equipment of special order or custom made nature,which
must be ordered in advance of the commencement of work,in order to assure that the project will proceed on schedule. No Final payment shall
be demanded until this Agreement is completed to the satisfaction of the parties. In Massachusetts,all contractors and subcontractors must be
registered by the administrator of the Board of Building Regulations and Standards and any inquiries about a contractor or subcontractor relating
to a registration should be directed toi Office of Consumer Affairs and Business Regulation,Ten Park Plaza,Suite 5170,Boston,Massachusetts
02116 Telephone:(617)973-8700. In Massachusetts,the HOMEOWNER is responsible for applying for and obtaining any and all necessary =
permitting. Homeowners who secure their own permits ordeal with unregistered contractors shall be excluded from the Massachusetts
Residential Contractor's Guaranty Fund.
Condensation and Environmental Conditions: Condensation,which can form on or within walls,siding,tiles,or other surfaces results from pre-
existing conditions in a home and internal or external temperatures. Reducing the humidity in a home will often remedy any condensation
problems. I agree that Contractor is not responsible for condensation or existing or developing spore or mold growth,which can be the result of
condensation.
LUCIANO 030915 SCOTT BISHOP
Next Gen option
MILLWORKMASTERS,DIVOF
WOODBURYSUPPLY .
362 FLAT ROOF MILL ROAD
SWANZEY, NH 03446
Quote#:NX3CX88
— A Proposal for Window and Door Products prepared for: Email:sbishop@millworkmasters.com
End Customer:
Judi Luciano+Brian Seigel =
28 Marbleridge Road This report was generated on 5/4/2015 2:10:54
North Andover, MA 01845 PM using the Marvin Order Management System, -
version 0002.01.01(Old).Price in USD.Unit
1 availability and price are subject to change.Dealer
terms and conditions may apply.
Phone:(617)835-2490
Mobile:(978)435-1461
Shipping Address:
MILLWORK MASTERS,DIV OF WOODBURY SUPPLY
209 FLAT ROOF MILL ROAD
SWANZEY,NH 03446
Project Description:
next generation window replacement, originally quoted 04, 14, 2014, now with one lite bottom sash
j Featuring products from:
MMVININL
Wind— s d Doors
Bulkaroumlyod
i
40RO� CERTIFICATE OF LIABILITY INSURANCEF3/26/201
D lDDiY5
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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(les)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 Jennifer Hakala
NA
Masiello Insurance Agency PHONE . (603)352-1810 (FAxAC.Nol,(603)3$2-8367
IAIC;No
69�-A Island Street, Shite 1 E-MAIL ADDRESS,jennh@maaiella.com
INSURERS AFFORDING COVERAGE NAIC N
Keene NH 03431 INSURERA-lUin Street America Assurance 29939
INSURED . INSURER B tLibert Mutual — AR WC 0071
Michael Muchmore INSURER C:
21 Sand Hill Rd INSURER D
INSURER E
Walpole KH 03608 1 INSURERF:
COVERAGES CERTIFICATE NUMBER:14-15 GL 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.
I`SR TYPE OF INSURANCE POLICY EFP POLICY EXP
POLICY NUMBER LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL ABILITY RETED
P EMISES Ee ocIXursnce $ 500,000
A CLAIMS-MADE X OCCUR T28934 0I11/2014 0J17/2015 MED EXP(Any oneperson) S _ 10,400
PERSONAL&ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS`-COMP/OP AGG $ 2,000,000
POLICYFX PRO- LOC S
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
Ea srN _
ANY AUTO BODILY INJURY(Per person) $
OWNEDALL TOS
AUTOASCHEDULED BODILY INJURY(Per aocdenl) $
NON-OHIRED AUTOS AUTOSWNEO
PROPERTY DAMAGE $
UMBRELLA UAB OCCUR EACH OCCURRENCE. $
EXCESS UAB CLAIMS-MADE AGGREGATE $
OED RETENT ON S $
B WORKERS COMPENSATIONVAC STATU- I IOTH-
AND EMPLOYERS'LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT _$ 100,000
doryEH)EXCLU0ED7 NIA
(Mandatory In 5-318-602823-018 /29/2015 /29/2016 E.L.DISEASE-EA EMPLOYEE S 100,000
If yet,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500,000
DESCRIPTION OF OPERATIONS 1 LOCATIONS.I VEHICLES(Attach ACORD 101,AddiUonai Remarks Schedule,K more space Is relulrod)
Scope of Operations: Residential Carpentry - window and door installation
Sale Proprietor Workers Compensation Exclusion: Michael Muchmore
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL. BE DELIVERED IN
Millwork Masters ACCORDANCE WITH THE POLICY PROVISIONS.
division of Woodbury Supply
David Wright AUTHORIZED REPRESENTATIVE
362 Flat hoof Hill Rd
Swanzey, NH 03446
Jennifer Fiakala/JEN
ACORD 25(2010/06) U 1988-2010 ACORD CORPORATION. All rights reserved.
INS026 poiws).o1 The ACORD name and logo are registered marks of ACORD
0+1-9786889542 Page 1 of 1 2015-05-07 09:00:32 EDT From: Jennifer Hakala
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THIS CERTIFICATE IS ISSUED.As-A:MATTER:O.F INFORMATION ONLY AND CONFERS:No-RIGHTS UPON THE CERTIFICATE.H.OLDER.THIS.
CERTIFICATE:D.DES. NOT AFFIRMATIVELY OR.NEGATIVELY. AMEND,::EXTEND OR ALTER THE COVJERAGE AFFORDED'.HY THE Powq[ES
BEL01N: THIS CERTIFICATE.OF INSURANCE DOES NOT CONSTITUTE'A CONTRAC.T'BETWEEN TH.E:ISSUING'.INSURER(S), AUTHORIZED, '
REPRESENTATIVE OR PRODUCER,.AND.THE CERTIFICATE-HOLDER:
IMPORTANT If the certificate-holder is an:ADDITIONAL INSURED;the Policy(les) must.b&..'end orsed. If SUBROGATION IS WAIVED; subjeet:to:.
the terms.and.c.ondltj.ns:pf.the:pollcy,_certain:policies may-require an endoisement.A.statement un:tti[s_csrtlflcaf®:dnas not:confer_.hghts to,the'
certfflcate holderfn.lieu ofsuch-.oneio.rsement(s).. -
CONiAGT'Jenri
PRODUCER'. . ...,. - NAME: fifer Hakala:
. ..
PHONE. (Stgenc '3
®7Masello Insurance 2 No ' .
&9=A lsiand--.S.treqt.,, Suite.,l .jennh@masiello.com
INSURER S'AFFORDNG'G@V=RAGE. 14A(Cfl'
Keene NH ..043 .. INSURERA`Xai-n 'Street..Am,erca Assurance 39.
losykpINst1RERs;Ilibert ':Mutual AR. C. 0.0 1: . . ..
Michael Muchmore. INSURERc
21.1Sand Hill:.Ad
Walpole
INSURER..E';
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COVERAGES Gt:RT1FIGATE NUMBER-14-15 GL. REVL5ION NUMBER
THIS IS TO-CERTIFY THAT THE POI ICIES OF:INSU.RANCE:LISTED BELOUVH3IVE BEEN ISSUED TO THE INSURE.D..NAMEQ:ABOVE FOR'THE'PQLICY-PERIOD_
INDICATED: NQTYUrfHSTANDINGANY REQUIREMENT,TERM OR CONDITION OF ANY-CONTRACT OR OTHER DOCUMENT SNITH.RESPECTTO WHICH TH)S".
.CERTIFICATE MAY BE ISSUED-=OR MAY PERTAINTHE INSURANCE AFFORDED BYTHE`POLICIES DESCRIBED HEREIN IS.SUBdECT'T.O ALL THE TERMS
EXCLUSIONS AND CONDITIONS:OF SUCH POLICIES.LimiTs SHOWN MAYHAVE BEEN REDUCED BY.PAID..CLAIMS.
INSR - ADDL SUER _ ..... .--.POLICY EFF POLICY.EXP "
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DESCRIPTION OR'OPERAMONS1 LOCATIONS I VEHICLES.(Attach ACORD 101,Addltlonal Remarke`,Schedul a,If.more�apke Le.required).
Scope of.._OLieratiaris . Rzsidentlal'Carpgr.txy - :V?,ndo. ani3. door.installation
Sole,Proprietor.Worker's Co1dpiahsation :Excl'us on Mi:ehael' Muchmore
Customers. Zuca-ario_:=__Blzildini.t
g:Ferm ..Applicat gn.
.. ...... _
CERTIFICATE:HC+L,RE.R
CANCELLATION
81JQIJLD,ANY OF THEABOVE.DESCRIBED POLICIES'BE CANCELLED-BEFORE '.
THE EXPIRATION `DATE THEREOF,. NOTICE :Wl.t:WI. BE: DELIVEREl9' IN
ACCORDANCE WITHl THE P4LIC.PR. S10N5.
Brian 2lea.the
AUTHORIZED.REPRESENTATIVE
enn2 a a
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ACORD?5.( p1.0/.05):."_........................._..__.... rJ.1.988-201.0.AC:ORD COR:PQRATLON, :All rights:reser:v�ed,........
1NS.025(,�flk&iw The.ACOR.:name and logo.are.registered marks.of ACORD
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