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Home My WebLink AboutBuilding Permit # 6/9/2015 ........ ............... .................. ........................................................................................ BUILDING PERMIT IAORTH 4,, 6 16 TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION dd �O ro Permit No#: Date Received Date Issued:42-1 C�SsgUS PORTANT: Applicant must complete all items on this page LOCATIONJSAO /V1 And M,/0 P,,nl PROPERTY OWNER r r(I Print 100 Year Structure yes no �) MAP PARCEL: ZONING DISTRICT: Historic District yes 0 Machine Shop Village yese no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential El New Building [] One family El Addition [I Two or more family El Industrial El Alteration No. of units: Commercial ---VRepair, replacement [I Assessory Bldg 'El Others: El Demolition El Other DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: 905 Co-d?eVr( Ph one: Address: Contractor Name: v1 (—e6TVJ Phone: T-514P 7 Email: Address: Igt ef- �Q 5-3: J Supervisor's Construction License: 7 Exp. Date: Home Improvement License: 3916� Exp. Date: ARCH ITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT:$12.00 PER$1000-00 OF THE TOTAL ESTIMATED CO BASED ON$125.00 PER S.F. Total Project Cost: $ FEE. I?— Check No.: Receipt No.: Mfg NOTE: Persons contracting with unregistered contractors do not have access to the gu my fund wn, tk®RTH Town of ndover 0 l Ct 6AKE h ver, ass, COC NI C ME WICK ok• S U BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ........................... ...... . . .�-.... ..�. .4 . gg rnrn Foundation has permission to erect..........................P buildings on ............G}.V....�K.. .. ..V1......c .j......................... . Rough to be occupied as ........ . 1 / .V. ....................................... Chimney provided that the person accepting tpermit sha n 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. Final _ PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR LESS CONSRCI TS Rough Service ............................................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required 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 Approved by the Building Inspector. Burner Street No. Smoke Det. 168 Maple Street Jaynes Debreceni Methuen,MA 01844 � LIC#99685 (978)683-5127FAMILY HIC#122385 Bill To: 'Bob (f6rbe "ife Address: Phone: 97 --d -76`780 A4ea �r a _ 6. ,I1 Bred bey r s ) tee c) eub], ALL WORKMANSHIP GUARANTEED 10 YEARS ESTIMATE + INITIAL DEPOSIT 1ST PAYMENT 2ND PAYMENT FINAL PAYMENT , Massachusetts home Improvement Sample Contract This form satisfies all basic requirements ofthe state's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard language to protect homeowners. Seek legal advice if necessary. Any person planning home improvements should first obtain a copy of"A Massachusetts Consumer Guide to Home Improvement"before agreeing to any work on your residence.You may obtain a free copy by calling the Office of Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-973-8787 or 1-888-283-3757 or on our website. Homeowner Information Contractor Information Name `_ Compame Street Address(do not use a Post Office Box ddress) CgD4racjorl Salespersn/Or er Na e y �(V � e�®Y'C� v, City/Poven State Zip Code Business Address(must include a street address) t e Daytime Phone Evening Phone City --v�l State Zip Code tqt to Mailing Address(It different from above) Business Phone Federal Employer ID or S.S.Number Homelmprovement ContmctorReg.Number Expiation date Lan requires that most home implement rnntr ctnn hose 13th s 1 valid registrntion number The Contractor agrees to do the following work for the Homeowner: (Describe in detail the work to completed,specifying the type,brand,and grade of materials to be used,use additional sheets if necessary.) fie js o r Required Permits-The following building permits are required Proposed Start and Completion Schedule-The following schedule will and will be secured by the contractor as the homeowners agent: be adhered to unless circmnstances beyond the contractors control arise (Owners who secure their own permits will be excluded from the Guaranty Fund provisions of 6�Date when contractor will begin contracted work. MGL chapter 142A.) _ Date when contracted work will be substantially completed. Total Contract Price and Payment Schedule The Contractor agrees to perform the work,famish the material and labor specified above for the total sum of (*) Payments will be made according to the following schedule: $ tJ upon signing contract(not to exceed 1/3 of the total contract price or the cost of special order items,wbichever is greater) $ by / / or upon completion of $ ellby_/ / or upon completion of $ 4D upon completion of the contract. (Law forbids demanding fidl payment until contract is completed to both party's satisfaction) The following material/equipment must be special $ to be paid for ordered before the contracted work begins in order to meet the completion schedule.(**) $ to be paid for NOTES:(*)Including all finance charges(**)Iawrequires that any deposit or down-payment required by the contractor before work begins may not exceed the greater of(a)one-third of the total contract price or(b)the actual cost of any special equipment or custom made material '.. which must be special ordered in advance to meet the completion schedule. Express warranty-Is an express warranty being provided by the contractor? ❑No PKI.L (all terms of thewarranty must be attached to the contract) Subcontractors-The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third party/subcontractor utilized by the contractor. The contractor farther agrees to be solely responsible for all payments to all subcontractors for materials and labor under this agreement Contract Acceptance-Upon signing,this document becomes a binding contract under law. Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence. Review the following cautions and notices carefully before signing this contract. • Don't be pressured into signing the contract.Take time to read and fully understand it. Ask questions if something is unclear. • Make slue the contractor has a valid Home Improvement Contractor Registration. The law requires most 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 the Director at 10 Park Plaza,Room 5170,Boston,MA 02116 or by calling 617-973-8787 or 888-283-3757. • Does the contractor have insurance? Ask the Contractor for his insurance company information so that you can confirm coverage,or ask to see a copy of a"proof of insurance"document. • Know your rights and responsibilities. Read the Important Information on the reverse side of this form and get a copy of the Consumer Guide to the Home Improvement Contractor Law. You may cancel this agreement if it has been signed at a place other than the contractors normal place of business,provided you notify the contractor in writing at his/her 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 ofthis agreement. See the attached notice ofcancellation form for an explanation ofthis right. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES!!! Two identical copies of the contract must be completed and signed.One copy should go to the homeosmer.The other co ysho Id be kept by the contractor. Homeowner's Signature j Comtr tor's Signature . CaSignatureure 1 y� 5_ om✓ Date Date Jun/02/2015 11:00:51 AM Degn»n Insurance 978-327-6558 1/1 ■ :.41 ' CERTIFICATE' OF LIABILITY INSURANCE DATE(MM11lDDIYYYY) 06/02/2016 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($). ppNN7�q PRODUCER 02025-001 NAM1IE:CT Degnan Insurance Agency Inc 4/G.No.Dte: (978)688-4474 I Ne' 07S)527-6558 85 Salem Street �tB Lawrence,MA 01843INSURER A,ss: A.I.M. Mutual Insurance Company 33758 INSURED Jamas Dvbrccini FAmi.ly RocEing & Painting INSURER 0, 2 Tanager way Londonderry, NH 08059 INSURER F COVERAGES CERTIFICATE NUMBER: 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, ILTR TYPE OF INSURANCE POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED _ PR EMIAEB(Ea oc.:ufYdnCal CLAIMS-MADE OCCUR MED EYP(Any otte peraon) $ PERSONAL&ADV INJLRY $ GENERAL AGGREGATE $ G EN'L AGGREGA-E LIMIT APPLIES PER: PRODUCTS-COMP/OPA,GG $ POLICY PRO- LOC COME(NEI'SINGLE LIMIT AUTOMOBILE LIABILITY rEa nrr.IcantY ANY AUTO BODILY INJLRY IParperadn) $ ALL:YF.'NED R.:.'.HEDULED BODILY INJLRY IPar aaddanq —AUTOS —AUTOS NON-O'A'NED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per a0d,b?f1r. UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS MADE AGGREGATE $ DED RETENTIONS krMURRO°e NN X �RLl irs 'R, 61M1A J C F�jI�� CECJTIVE E.L.EACH ACCIDENT $ 100,000.00 A }Y NIA QWC-000.7026800-2016A 6/11/2015 8/11/2016 E.L.DISEASE-EA EMPLOYEE $ 100,000.00 '(rrMandatory��thnq�tN'nH�) D��.!'r`FI�1'r`IOIJ OF&rRATIOVS telaw E.L.DISEASE-POLICY LIMIT' $ 500,000.00 DESORIPTION OF OPERATION51 LOCATIONS)VEHICLES(Attach ACORD 101,Additional Remarks Schodulo,Ir more?pace Is roqulrod) The workers compensation policy does not provide coverage for James Debrechil CERTIFICATE HOLDER CANCELLATION Town of North Andover 1600 Osgood Street Building 20 Ste 2036 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE North Andover,MAO 1846 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1966.2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/06) The ACORD name and logo are registered marks of ACORD Massachusetts -Oeparfinent of Public Safety Board of Quildirig Regulations and Standards Construction Superri.sor Specially License: CSSL-099685 FIN R JAMES J DEBRE �� z TANAGER WAYS; CONDONDERRI'NH 4 .)I'I"A Expiration Commissioner 12/06/2015, s ae+aacco),We Bu !'Sspegulat 01, CTOR Office of Consumer Af airENT CONTRA Type; SOME RAPPSOVEM238 egistration: 122385 DBA Xpiration: 812612016 &D WEATHERSEAL . JAMES DEBRECENI g� 2 TANAGER WAY NH 03053 ? Undersecretary ` LONDONDERRY,