HomeMy WebLinkAboutREPLACE EXISTING DECK WITH NEW 13X16 DECK BUILDING PERMIT �aoRrH
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TOWN OF NORTH
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APPLICATION FOR PLAN EXAMINATION
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Date Received—s-
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Permit NO�: ao n 4
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Date Issued: eslIZ4
IMPORTANT:Applicant must complete all items on this page
LOCATION k r-ct S 1-->c
Print
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PROPERTY OWNER It r,
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Print 100 Year Structure yes o
MAP 1 PARCEL: a`� ZONING DISTRICT: Historic District yes 6M
Machine Shop Village yes
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building P+One family
❑Addition ❑Two or more family ❑ Industrial
Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
MEMO=
DESCRIPTION OF WORK TO BE PERFORMED:
e C,� N'-w
Identification- Please Type or Print Clearly
OWNER: Name: Phone:
Address:
Contractor Name: 31Phone: "-?`�— ;
Email �"e5 d az, c 4 �- , 4�l+-c.
Address: r A-\I
Supervisor's Construction License I Exp. Date:. ' t
Home Improvement License: 1 oma- `( 6 Exp. Dater �` i Ct I 157
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ C ` FEE: $
Check No.: 44 Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
,,.
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Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSA
Public Sewer Tanning/Massage/Body 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 m U FORM
PLANNING DEVELOPMENT Reviewed Ong [ _.._.
'"� Signature
COMMENTS
CONSERVATION Reviewed on � Signature
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COMMENTSUL A.. v'-11-�
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 Town Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT Tem Dum sfier onsite es,,, , f%,,,,,fnaG �„/ rl „si +r r,.
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COMMENTS/%r
tAORTH
It Town of '�► e 7,
Andover
® �- To
No. lid 50-1 -
LAK. h ver, ass,
COCMICMl W[CK
ORATE D
S V
BOARD OF HEALTH
Food/Kitchen
PERMIT T Lu Septic System
THIS CERTIFIES THAT ,,,��, .. „ BUILDING INSPECTOR
has permission to erect buildings on ..... Foundation
......................... . ...... ( ...............................
Rough
tobe occupied as .. ..... .. ....:..............................:.............................................. chimney
provided that the person accepting 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
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTIO T S
Rough
Service
................................................................................ Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required t® Occupy Bulldanz 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.
TES TA
Building and Remodeling Start date 6/15/15
5 APPLETON STREET Finish date 6/30/15
NORTH ANDOVER, MA 01845 MIC Lic. 120296 Expires 11/19/15
(978) 682 2023 CSL Lic. CS 54718 Expires 6/8/16
Proposal
May 28, 2015
Proposal Submitted To:
Paul Tanglis Cell Phone: (978) 390-1153
79 Glencrest Drive
North Andover MA 01845
Job: New Deck 13x16 with a set of stairs
Obtain building permit
Complete removal of all demolition and construction materials generated
By Testa Building and Remodeling and its subcontractors.
DEMOLITION:
Remove the current deck.
CONSTRUCTION:
Dig 3 holes and pour footings 4 feet deep. Remove siding where deck will be attached to the house.
Properly flash the house. Frame a deck approximately 13'x16'. Attaching the deck to the house. Frame the deck
with 2x10 and 4x4 posts. The decking will be River rock using the hidden fasteners. The railings will be white
Radiance railing system. A landing and a set of stairs will come down along the side of the deck.
A finance charge of 11/2%per month(18%per year)will apply to all accounts over 30 days past due. In the event collection activity is required the
customer shall be responsible for all costs associated with collection,including reasonable attorney's fees.
I propose hereby to furnish material and labor complete in accordance with above specifications,
for the sum of-
-$ 14,508 Fourteen Thousand Five Hundred eight Dollars
One-third to start, one-third after rough inspection, one- third upon completion.
Authorized signature
I reserve the right to cancel this contract if not accepted in 30_days
A
Signature �.1..�-
Signature
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
This form satisfies all basic requirements of the 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.
(Owners who secure their own permits will be
excluded from the Guaranty Fund provisions of Date when contractor will begin contracted work.
MGL chapter 142A.)
Expjess Warranty-Is an express warranty being provided by the contractor?
No
11
Yes(all terms of the warranty 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 further 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 sure 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 contractor's 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 of this agreement.See the attached notice of cancellation form for an explanation
of this right.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES!!!
Two identic les of th must be completed and signed.One copy should go to the eowner.The other wp ould be kept by the contractor.
Homeowner's Signa Contractor's Signature /
a
Date Date
Contractor Arbitration
The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as
an alternative to court action)if they have a dispute with a contractor.The same right is not automatically
afforded to a contractor,however.The contractor would have to resolve any dispute he/she has with a
homeowner in court unless both parties agree to the optional clause provided below. This clause would give the
contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor
Law. The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a
dispute concerning this contract,the contractor may submit the dispute to a private arbitration firm which has
been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the
consumer shall be required to submit to such arbitration as provide - Massachusetts General Laws,chapter
142A.la ,
Homeowner's Sign re Contractor's Signature
NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternative dispute
resolution initiated by the contractor.The homeowner may initiate alternative dispute resolution even where this
section is not separately signed by the parties.
Homeowner's Rights
A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer
protection laws(i.e.MGL chapter 93A)may not be waived in any way,even by agreement. However,
homeowners may be excluded from certain rights if the contractor they choose is not properly registered as
prescribed by law.Homeowners who secure their own building permits are automatically excluded from all
Guaranty Fund provisions of the Home Improvement Contractor Law.The contractor is responsible for
completing the work as described,in a timely and workmanlike manner.Homeowners may be entitled to other
specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials.
In addition to guarantees or warranties provided by the contractor,all goods sold in Massachusetts carry an
implied warranty of merchantability and fitness for a particular purpose.An enumeration of other matters on
which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do
not restrict a homeowner's basic consumer rights.If you have questions about your consumer/homeowner rights,
contact the Consumer Information Hotline(listed below).
Execution of Contract
The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced
documents have been attached. Parties are also advised not to sign the document until all blank sections have
been filled in or marked as void, deleted, or not applicable. One original signed copy of the contract with
attachments is to be given to the owner and the other kept by the contractor.Any modification to the original
contract must be in writing and agreed to by both parties. Contracted work may not begin until both parties
have received a fully executed copy of the contract, and the three day rescission period has expired.
Accelerated Payments
A contractor may not demand payments in advance of the dates specified on the payment schedule in cases
where the homeowner deems him/herself to be financially insecure.However,in instances where a contractor
deems him/herself to be financially insecure,the contractor may require that the balance of funds not yet due be
placed in a joint escrow account as a prerequisite to continuing the contracted work.Withdrawal of funds from
said account would require the signatures of both parties.
Additional Information
If you have general questions or need additional information about the Home Improvement Contractor Law or
other consumer rights,or if you wish to obtain a free copy of"A Massachusetts Consumer Guide to Home
Improvement"
contact:
Consumer Information Hotline
Office of Consumer Affairs and Business Regulation
10 Park Plaza,Room 5170,Boston,MA 02116
617-973-8787, 888-283-3757 or visit the OCABR website at http://www.mass.gov/ocabr/
If you want to verify the registration of a contractor or if you have questions or need additional information
specifically about the contractor registration component of the Home Improvement Contractor Law,contact:
Director of Home Improvement Contractor Registration
Office of Consumer Affairs and Business Regulation
10 Park Plaza,Room 5170,Boston,MA 02116
617-973-8787, 888-283-3757 or visit the HIC website at http://www.mass.gov/ocabr/
Go online to view the status of a Home Improvement Contractor's Registration:
http://db.state.ma.us/homeimprovement/ficenseelist.as
For assistance with informal mediation of disputes or to register formal complaints against a business,call:
Consumer Complaint Section
Office of the Attorney General
617-727-8400
AND/OR
Better Business Bureau
508-652-4800, 508-755-2548 or 413-734-3114
Version 2.1-11/22/201
NOTICE OF CANCELLATION
YOU MAY CANCEL THIS TRANSACTION,WITHOUT PENALTY OR
OBLIGATION,WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE.
IF YOU CANCEL,ANY PROPERTY TRADED IN,ANY PAYMENTS MADE
BY YOU UNDER THE CONTRACT OR SALE,AND ANY NEGOTIABLE
INSTRUMENTS EXECUTED BY YOU WILL BE RETURNED WITHIN TEN
BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOU
CANCELLATION NOTICE,AND ANY SECURITY INTEREST ARISING OUT OF
THE TRANSACTION WILL BE CANCELED.
IF YOU CANCEL,YOU MUST MAKE AVAILABLE TO THE SELLER AT
YOUR RESIDENCE, IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN
RECEIVED,ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR
SALE; OR YOU MAY, IF YOU WISH, COMPLY WITH THE INSTRUCTIONS OF
THE SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE
SELLER'S EXPENSE AND RISK.
IF YOU DO MAKE THE GOODS AVAILABLE TO THE SELLER AND THE
SELLER DOES NOT PICK THEM UP WITHIN TWENTY DAYS OF THE DATE OF
CANCELLATION,YOU MAY RETAIN OR DESPISE OF THE GOODS WITHOUT
ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE
TO THE SELLER, OR IF YOU AGREE TO RETURN THE GOODS TO THE SELLER
AND FAIL TO DO SO,THEN YOU REMAIN LIABLE FOR PERFORMANCE OF ALL
OBLIGATIONS UNDER THE CONTRACT.
TO CANCEL THIS TRANSACTION,MAIL OR DELIVER A SIGNED AND
DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN
NOTICE, OR SEND A TELEGRAM TO [Name of Seller],AT[Address of Seller's Place
of Business] NOT LATER THAN MIDNIGHT OF (date).
I HEREBY CANCEL THIS TRANSACTION.
Date: Buyer's Signature:
North Andover MIMAP May 29, 2015
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61 Easements LIII Planne Commercial Dev ? brit re�a QO Environmental AHairs/MassGIS.The information depicted on[his map is
Corrido Development Dist •� (• for planning purposes only.It may not be adequate for legal boundary
r MVPC Boundary G£k Corrido Development Dist O —•- /h definition or regulatory Interpretation.THE TOWN OF NORTH ANDOVER
Municipal Boundary TIG Corrido Development Dist h A MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING
Zoning Oveday Industn I 1 Disldct * THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY
Industn 12 0isticl i, i n�. OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT
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MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING
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The Commonwealth of Massachusetts
f Department of IndustrialAccidents
1 Congress Street,Suite 100
' d
Boston,HA 021142017
www.mass.gov/dia
Workers' Compensation insurance Affidavit:Builders/Contractors/E lee.tricians/Plumbers.
TO BE FILED WITH THE PERW TTING AUTHORITY. Please Print Le 'bl
A licant Information
Name (Business/Organization/Individual): —Te—
Address: e-�0^' J
City/State/Zip: Nd Ar,.�o,jC r A CW$y Phone 4: 9 Z h - G 9 1' ��a'
Are you an employer?Cheelc the appropriate box: Type of project(required);
em to ces fiill and/orpart-time).* 7. F1 New construction
1.Q I am a employer with P Y (
2.K I am a sole proprietor or partnership and have no employees working forme in 8. ®Remodeling
any capacity.[No workers'comp.insurance required.] 9, ❑Demolition
3.0 I am a homeowner doing all work myself.[No workers'comp,insurance required.]t 10[]Building addition
4.❑1 am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole
11.❑Electrical repairs or additions
proprietors with no employees. 12;h Plumbing repairs or additions
5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs
These sub-contractors have employees and have workers'comp.insurance.t 14.❑Other
6,Q We are a corporation and ita officers have exercised their right of exemption per MGL c.
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
idavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
I Homeowners who submit this affContractors 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 have employees,they must provide their workers'comp.policy number.
X am an employer that is providing workers'compensation insurancefor my employees. Below is the policy and job site
information.
Insurance Company Name:
Expiration Date:
Policy#or Self-ins.Lic.#:
City/State/Zip:
Job Site Address:
ompensation policy declaration page(showing the policy number and expiration date).
Attach a copy of the workers' c
ed under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00
Failure to secure coverage as requir fine
enalties in
and/or one-year imprisonment,as well as civil pi d d to the Offi ORDER
of Investigations of the DIA.for insurance0 a
my beflu
day against the violator.A copy of this statement
coverage verification.
c v hereby certi under the pains andpenalties ofpeijury that the information provided above is true and correct.
��s Date: S Q f
Si nature:
Phone#: e[-?�— (,,"6- � -,-Q_4-35
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
Phone#•
Contact Person:
�ssaC�usetiPartment cif public SaWl
Ueu,,titons and Standards
1 s -
Board of Building Reg
Construction Super�'isor
ru
license: CS-0547181
v.,;.
JAMES M TESTA P� �
ST% r
5 App�ToN 01845r i =
N ANDoR '. I f
U6j0812016
Commissioner
��e�a�Iv�nanracalll n�C��l(iitt�ic•�utn//s �
MCC of Consumer Affairs 8c Business Regulation
ME IMPROVEMENT CONTRACTOR
gistration: 120296 Type:
xpiration: 7111912015 DBA
TESTA BUILDING&REMODELING
JAMES TESTA
5 APPLETON STREET
N.ANDOVER,MA 01845 Undersecretary