HomeMy WebLinkAboutBuilding Permit # 6/11/2015 OORTPf
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TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit N01-PY( —f f Date Received
Date Issued CHU
PSI N"
PROPERTY!bw ER
o b8
MAP NO:, PARCEL Nif TRI�'T: 6 no
—z IN 0 ---Historic District s
y
Machine Shop Village yes I no
r TYPE OF IMPROVEMENT PROPOSED USE
-------------
Residential Non- Residential
New Building (;,-kOne family
Addition Two or more family InclUstrial
cl<AIteration No, of units: Commercial
0,<Repair, Assessory-61cig
Demolition Other
0 FloPdplain Wetlands -i Watershed District
,(, Water/ 0w.-,6r
-----------
Identification PleaseTypc or Print Clearly)
OWNER: Name: Phone: cZ - qS:L
Address:
G RTT%�,,P OR
0 A ' Phone:
AdTress
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AIR
"s Qt d O,n LipenEpp. D
ate:
7
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,Mn—n, Onse
11 �,) I Elxp. Date,
'71
ARCH ITE CT/ENGI N EER—
Address:--
FEE SCHEDULE:BULDING PERMIT.,$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ FEE: $
Check No.:
---4L43-1-------
Receipt
NOTE: Persons contracting with tonregistered contractors ilo not have access to the i;as FaF�caart)��aaJFrl
Signature of Agent/Owner_ Signature of contractor,4�/--
AM FORTH
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I OW11 Ulf `''16
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COCHICH9WICK y1.
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BOARD OF HEALTH
Ph �RmM= IT TU LD Food/Kitchen
Septic System
THIS CERTIFIES THAT BUILDING INSPECTOR
.... .. ........... ...... ... .. . .... .
1 Foundation
has permission to erect .......................... buildings on .... .. ......
....�..�,.K ... .. .. . .......
. Rough
to be occupied as ....... .. � . . .. ....... ....... ...... .........0 ............. 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
Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit.
Final
PERMIT EXPIRES 16MNTHS ELECTRICAL INSPECTOR
LESS TI SRough
Service
... ...... .................................. Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required t® Occupy BuildlnRough
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.
Fodaral ID tf
USE Engineering M ContraatorrRosl trawcri No
tAA CornveetOr Raghsbatlon No
A dlvistoa of T'hietsch Bagiaeariog
CT Corrtraotw RogtatrOVOn Na
60 Sbawmut Vaht tit,Cauton,MA 02021 CONTRACT
33%M2.6335 FAX 339-502-6343
Page 1
PROGRAM �acoxraAcrnexneernwrooamae+a
CMA-HES D haat rYJ$TOYEA FeAYreNK A9
Jeanne Madden (508)954-2722 05/04/2015 409460 00002
23 Middlesex Street 23 Middlesex Street V LE
North Andover,MA 01845 North Andover,MA 01845
JOB DESCRIPTION
AIR SEALING;Provide labor and mate rials o seal areas of your tome against wastel"r excesshome it tIt hea
hea e wtwillibe
performed In concert with the use of special tools and diagnostic tests o assure that Your le wtha
to be used to sed your home can yaruproducts.
ary
aolwerll
areas foscaling include air leakage o allary
ies,basements,attached garages and otherunh ed areas a
addressed.)(8)working hours.
At the completion of the weatheriaation work,and at no additional cost to the homeowner,a firuti blower door and/or combustion
safety analysis will be conducted by the subcontractor to ensure the safety of the indoor aft quality. $680.00
AIR SEALING ADDER: (4)working hours. $340.00
DAMMING: de-labor and materials o install a 12'layer of R-38 unfacsd fiberglass belts o{Sb)square feet for damming
pub. $114.80
ATTIC FLAT;Provide labor and materiats o install an 8"layer of R-28 Class i Cellulose added to(744)squara feet of open auIc
space, 5/,019.28
11
11
11
STORAGE BARRIER:Aomeowtrer is responsible for the removal of the;oral items btac)cing the installation of weatherizatton
wank in the attic. Removal must occur prior o the scheduled work start. 51.00
KNEEWALLS;provide tabor and materials to install I"FS? faced semi-rigid flbk-miam or similar rigid boatel insulation o(304)
Square feet of kneswall area. $866.40
VENTILAMON;1'rovide labor and materials to install ventilation shutes in{!6}raptor bays o maintain air flow. $32.00
BASEMENT CEILING:Provide labor and materials o tnstait(144)linear feet of R-19 unfaced fibengtass insulation to the perimeter
of the basoment ceiling at the house silt. $252.00
RISE Engineering will apply all applicable,eligible incentives to this contract. You Ii o eabicalendar yew,rd en to lledtheNecantiv0oft-Cur fa tho
for eligible measures,Columbia Gas often;75%incentive,not o exceed$2,000 per
Air Sealing measures up to the first$680 and an additional$340 if savings ars justiled by the audtor.
For the safety and health of your home's indoor air quality,we will be conducting a blower door diagnostic of the available air now in
n work is complete.We
tyour home he combustion n safety ofyour th before the heatin stem and water heatis b0gim-and after the er,This has a value of$90 and is atil also no cost Yo Total at ble uct a full wsessment of
weatherization incentive is$3,110. $90.00
Federal ID 0
RISE Engineering RI Contractor Registration No
MA Contractor RogistraUon No
A division of'rhietsch Foginecring CT Contractor Registration No
60 ShawTnut Unit 42,Canton,MA 02021 CON TRA C T
339-502.6335 FAX 339.502-6345
Mage 2
PROGRAM 111118 CONTRACT IS ENTERED LYTO BETWEEN RISE
CMA-HES E110IHEEIM4 AND THE CUSTOMER FOR WORK AS
DESCRIBED BELOW
PHONECUSTOMER
Jeanne Madden (508)954-2722 05/04/2015 409460 00002
VICE 81AIIEV DO WIGT {�
23 Middlesex Street 23 Middlesex StreetIE
in)
CITY.STAYE,ZPI ,
North Andover,MA 01845 North Andover,MA 01 :N
tn�
JOB DESCRIPTION
Total: $3,394.
Program Incentive: $2,823.36
Customer Total: $571.12
WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF
"*"Five Hundred Seventy-ane&121100 Dollars $571.12
UPON FINAL INSPECTION AND APPROVAL BY RISE EMOINEERIND,CUSTOMER AGREES TO REMIT AMOU NT DUS 04 FULL INTEREST OF I%WALL BE CHARGED MOMHLY ON ANY
UNPAID e ER]O OA SEE REVERSE FOR IH'OMANTI6ORMA1I0N ON GUARANTEES.RIGHTS na AFrA10AN T.r.IlPNA WA ANO RfHnNAr.Tt1A NaAUIiRATiNUI
DO"IT II THIS CONTRACT IF TNI Signature-
Email; Jmadden9@vedzon.net
tUSIUMLNArXePIAfICE
NOTEI THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE
ACCEPTANCE OF CONTRACT•THE ABOVE PRICES.SPECIFICATIONS AND CODUMONS ARE
30 GAYS. AS SPPECIFIEO PAYMMEENTWIILLL WE MADE AS ODIUM ABOVE AUIHOR�DTO DO THE WORK
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a CERTIFICATE
TH?� CERTIFICATE ISSUED AS A PIAiTER Or ifl URP T?Oh ONLY AitD Cvr:rERS lav R GHTS UPON THE CERTIFICATE HOLDER- T' i
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGf T?V LY AMEND: EXTEi:7 Cn
ALTER THE COVEP .GE AFFORD
BY THE POLICIES I
BELOW. THIS CERTIFICATE OF IrdSURANCE DOES NOT COL,7STI TUTE A COr,,TP,A.CT BE:T-VEEt THE ISSU?t.G INSUR_Ri.S;. AUTHORIZLD i
REPRESENTATIVE OR PRODUCEP.,AND THE CERTIFICATE HOLDER. c
IIhPORTANT: ?f the certificate holder is ar. ADDITIONAL-INSURED,the pG11cy{les)must bE En crsed. Ii SU8F:G6F.TIOI, IS VvA1VEv, sublett to
the terms and conditions of the polity,terrain policies may require an endorserne-nt.A statement on this certificate drxs not confer rights to the
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certificate hrlder in lieu Of such,endorsemert(s)- -N47 0
PRODUCER F..1 _ e:
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CANCELLATIOtJ
CERTIFICATE HOLDER eE cAra;.ELLED eEFOP=_ THt
SHOIiLO Ot•lY of THE f,20VE O-s CPI2-O p n�� ERED V, AC%ORD:.,NC NI;Ti;7HE
EXEIS:=.'.IOtJ DAT: -,+EREOF• NOTICE VALL BE
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c,19E8_2014 ACORD CORPORATION.AJI rights reserved.
ACOF:D 25(2014101) .The ACORD name and loco are registered marks of ACORD
h v ;IST — r•. 570000027887
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ADDITIONAL RELAARKS SC'.'HEDULE Page
Aon xRi A Services Cer.Tral, Inc. Builder Ser.ims G^_
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See C rtifiCa1e Number: 57005400:26:
ee C r Cale number: S70OS4003261
ADD!i 90NAL REMARKS
THIS ADDITIONAL REMARKS FORM. IS A SCHEDULE TO ACORD FORId:, J
FORM NU►1,HER: ACORD 25 FORM TITLE: Cervficale of L,ablli,y Insurance 11
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Office of Consume ffa�rs d Bus;ness Regulatlt�I��
Boston, Massachusetts 02116
Home ling ove.,n1ent Comractor RegistratI0I3
Registration: 179141
Type: Supplement Card
BUILDER SERVICES GROUP, INC. Expiration 6/25/2616
RICHARD SCHWARTZ
110 PERIMETER RD
NASHUA, NH 03063
t inhte Address and return card. Nlart<reason for ehanpt.
Address RvlieF%ad Enifflo}ment Los! C.,rd
-- =-,-(31'fice w Consumer Affairs& business IZt2ulation license or registration valid for individul use only
„ IJtsIE IMPROVEMIE iT GfltJTRAC T flR before the ezftirition date. if Saund return to:
ice of Consumer Affairs and Business Regulatitrn
_ `Registration:: 1791 1 Tyae 1n
_ 0 PLrll- l:^.7_.i-Suite 5170
Expiration: 6,2512016 Supplement -and Bosit,n.'`7A 021 U)
JILD_R SERVICES GROUP, INC.
CHARD SCS-WARTZ
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RestriCted To. 351..•IC-Insulation Contractor
Failure ra possess a current edition of tfle Massachusetts
4tate Buikltng Code.is cause for revnr.ation arf thl;;license.