HomeMy WebLinkAboutBuilding Permit # 6/11/2015 l
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BUILDING PERMIT � y«�t4�o '6y6tiQ
TOWN OF NORTH ANDOVER °
tZ APPLICATION FOR PLAN EXAMINATION
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Permit NO: LO Date Receivednreo'rp"y��9M
Date Issued: t/ CNus��
IMPORTANT: A licant must com fete all items on this a e
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑ Addition ❑ Two or more family ❑ Industrial
❑ Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑ Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
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Identification
Please Type or Print Clearly)
OWNER: Name: Phone:
Address:
e 9 �
1 r
/
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASE ON$125.00 PER S.F.
Total Project Cost: $ "
� " �- FEE: $
Check No.: — I / Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
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COC NICHE WICK �1'
AERATED
S UMENIINL BOARD OF HEALTH
PERMIT 11 Lu Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT ..................'ZOLVA. ...................a.................................. .....
. ....
� .... Foundation
has permission to erect .......................... buildings on ... ......6.qww.. .... ••e••••
�p ................. Rough
to be occupied as .... . .!r� . .. . .�............ ..... ......�� � ..... * 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
PERMITqk I IN 6 MoTHIS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTIOfA Rough
Service
.......... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Reguired to Occupy Building Rough
Islay in a Conspicuous Place on theFPremises — Do Not Remove Final
No Lathing or all To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
Federal ID d
RISE Engineering Rl Contractor r Rest Registration N
MA Contractor RegtgtraUon No
CT Contractor Registration NO
A division ofThiclsch Isngineering
60 Shawmut Unit 92,Canton,iv1A 02021 CONTRACT
339-502-6335 FAX 339-502-6345
Page 9
— PROGRAM THIS CONTRACT IS ENTERED INTO BETWEEN RISE
w, FnRnM
ENGINEERINGCUSTOMER POR WORK AS
C]�ttl-HE'SWENGINEERING . ....._.. ..__--...... CLtFJirN WORK OROER
PHONE OATE
02
CUSTOMER (6l7)�i d-7838 05/21/2015 41l 970qqJamesCho �. rllt.l.fNG STREET
SU ICE STREET 87 Foxwood Drive
87 Foxwood Drive
PILLING C+iY,STATE,71P
SERv+CE C+TY,STATE.ZIP North Andover,MA 01845
North Andover,MA 01843
JOB DESCRIPTION
AIR SEALING:Provide labor and materials to seal areas of your home against wasteful,excess air leakage. This work will be
AIR SE cd in concert with the use of special tools and diagnostic tests to assure that your hams will be!e(1 with a healthful level of
perf
air to seat your home can 11
areas for exchange
include air leakage o attics,basementto be s attached garages and other unheateude d areas�(w(windows are s and Odle' not generally
Primary
addressed.) (8)working hours.
A
atf the
e analysis will be conducted by the sub-contractor to nsureal cost to the the safety of the1indoor air quality. $680.00 door mid/or combustion
$680.00
IR SEALING:Provide labor and materials to scat areas ofour home against wasteful,excess air leakage.
y 'Phis work will be
quality, 10 assure thatdhome willUhealthful
level of
perahedtc ndidwith
dcseostdiagnostic tests
e caulks,roams and other products. Primary
air rcangaindoor Materialo be usedsea!your home can incu
Ludas for sealing include air leakage to attic:,,basements,attached garages and oder unheated areas(windows are not general y
addressed) (1)Working bouts,
At tite completion of the weatheriration work,and at no additional cost to the homeowner,a Sinai blower door and/or combustion $85 00
surety analysis will be conducted by the sub-contractor o ensure the safety of the indoor air quality.
AiR SEALING ADDER: (4)working hours. $340.00
f R-38 unfaccd fiberglass baits to(4b)square
DAMMING:Provide labor mad materials to install n 12"layer ofeat for damming $94.30
purposes.
ATTIC FLAT:Providd tabor and materials to install a 6"layer Of R-21 Class I Cellulose added to(1335)square feet of open attic $1,682.10
space.
KNEEWALLS:Provide labor and materials to install 2" FSK faced semi-rigid fiberglass board insulation o(144)square feet of $J04.00
kneewall area.
A't 1'iC ACCESS:Provide labor and materials o insulae the back of(1)attic hatch with 2"rigid Thcmtax board.�S+eatherstrip tie $60.00
perimeter.
ATTIC ACCESS:Provide labor and materials to insulate(3} back Of dLc knec�vall hatch with 2"rigid Thcrmax board,and seat the $180,00
edge of the lintel)with weadlcrsiripping.
A'i 1'iC ACC6S5:Provide lobar and materials to make(1) temporary access to mt attic area. The opening will be closed with
materials similar to those existing. Finish sanding and painting is not included.
$85.00
RISE Enginddring will apply all applicable,eligible inc lives to this contract.
you will only be billed the Not amount. Currcor th
for eligible menus,Columbia
tis offers
and%incentive.
of to exceed if sewn$,aro ju tific0 per calendar year,and.an incentive of t00°/a for the
Air Sealing up to
4
Federal 1D#
RISE Engineering RI Contractor Registration No
MA Contractor Registration No
A division orThielsch Fngineering CT ContractorRogistration No
60 Shawmut Unit 1l2,Canton,MA 02021
CONT CT
339-502-6335 FAX 339-502-6345
R S E PROGRAM Page 2
CMA-HES ENGIN CONTRACT
NE HWNGCATIS NDD THE
CUSTOOMER FOR INTO BETWEEN K�AS
E NClN E E Rl N G DESCRIBED BELOW
CUSTOMER PHONE DATE CLIENT s WORK ORDER
James Cho (617)216-7838 05/21/2015 411297 00002
SERVICE STREET SILLUIG STREET
87 Foxwood Drive 87 l:oxwood Drive
SERVICE CITY,STATE,MP BILLING CITY,STATE,LP
North Andover,MA 01845 North Andover,MA 01845
JOB DESCRIPTION
For the safety and hedth ofyour home's indoor air quality,we will be conducting a blower door diagnostic or the available air flow in
your home both before the wort;is begun,and oiler the wentherization work is complete.We will also conduct a full assessment of
the combustion safety of your heating system and water heater.'chis hus a value of$90 and is at no cost to you. Total allowable
weatherirnlion incentive is 53,110.
$90.00
_ I
b.
Pkv AY 2 2 20 15
Total: $3,800.40
Program incentive: $2,890.01
Customer Total: $810.39
WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF
"Eight Hundred Ten&39/100 Dollars $810.39
UPON FINALINSPECTIONAUDAPPROVALBY RISE D EERUtO.CUSTOMER AGREES To REMIT AMOUNT DUE IN FULI.INTEREST OF 1%WILL DE CHARGED MONTHLY ON ANY
UNpA1D BALANCE AFTER S0 DAYS.SEE REVERSE M.MIT T INFORMATION ON GUARANTEES,RIGHTS OF RECISION SCHEDULING,AND CONTRACTOR R£tlISTRATiOtL
DO NOT SIGN THIS CONTRACT IF THERE ARE A Y 8 SPACES
AUTHOR IGNATURE RMEE Ot"An9 CU To ER E TAttCE
NOTE:THIS CONTRACT MAY DEWITHDRAWN BY US IF NOT EXECUTED WITHIN OATEOFACCEPTANC£ -__. __._.._-.,.„ .,_..........._.._.._._.
ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE
30DAYS. AS SPECIFIED.PAYMENT WILL BEE MADE AS OUTLINED ABOVE
E AUTHORI7EO TO DOTH£WORX
LIABILITY
_ ppNI_ WCCERTIF
?kE POLICIES
THI=, CERTIFICATE IS ISSUED AS A 1AAitER OF ii! r3RF� ii01h Oi4LY AI G CONFERS {'�O R Gt'TS 11?Ot THE CERTIF{CL.?E THE THIS
- CERTIFICATE DOES NOT AFFIRMATIVELY OR NE cA.T11', ANE1iv; EXTEND O L. TEr; 'H^C JVEF .S�E G. F RDEG Ec I E
BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A- COrTRACT E+cMvEEN THE ISS'JI111G INSJRER(S), AuTHORIZL• i
REPRESENTATIVE OR PRODUCER.,AND THE CERTIFICATE HOLDER
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certificate holder is aP. ADDITIONAL IrdJURLC,t'r:E pulicylrne must at en GrSed. {{S certificate
to does IS WAIVED, subject iG
the terms and conditions of the policy,certain policies may require an endorsetne'nL A statement cn this caaificatF does not confer rights to the =
certificate holder in lieu of such erdorsernent(s).
PRODUCER
Inc.
AAon +:151. Sservices Ctr;Tt d1., I1vC llcc Er:j 11WC't"
SGuth'rielG Ml OTfi;.e -_tru_ .�
)OUtI Town CLr;,,er ADDRESS
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t�.sco corporation CompanFC=y' - :;I,-(- Jno r,'ri ers :n> rice
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110 Per-imete! ko_d
D30f;3-130' US., A URERE
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REVISION NUl15Er
COVERAGES CERTIFICATE NUMIBFR: 5700540-0221,1, - it FOLI
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CANCELLATION
CERTIFICATE HOLDER
SHOULD AP-.N OF THE kn.GY'E OESCR72ED POLIOI:c: 0. CAt.,.ELLED C GRE THE.
E%PIS?%.',IOIJ OAT' iKRE O'r, fJOT10E YILt BE
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C,1998-2014 ACORD CORPORATION.All rights reserve.
ACORE)25(2014101) The ACORD name and logo are registered marks of ACORD
AGENC`-'CUS—O:,ER ID: S70000027887
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Pact
Aon Risk Services central , Inc_ LBL. idc-rJ Se r':'',cEs ^�, :
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See certificate i�Jrr,bFr: 5700S4603261
CARRIER.
eF Cs=rtificate Number: S70GS4CGD1261 FE
AGEDIi-00NAL RE10,ARKS
THIS ADDITIO14AL REMARKS FORK; IS A SCHEDULE TO ACORD FORM,
FORt>T 1�O�Yip ER: ACORD 25 FORMA TITLE: CerIfficate of L,abdity lnsiurcncE,
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�NSURER(S)AFFORDING COVERAGE � 14AIC 4
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The ACORD name and!ogre are registered marks of ACORD
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— ire of Consumer Ai s Business Regu�ation
-y i�' ; art: laz - SuIL
e 5170
Boston. Massachusetts 02116
Home Improvement Contractor Registration
Registra#ion: 179141
Type: Supplement Card
BUILDER SERVICES GROUP, INC. Expiration 6125/2016
RICHARD SCHWARTZ
110 PERIMETER RD
NASHUA, NH 03033
t'pd2te Address and return card. Mark reason for change.
Address Reninkal l:ntlilcryrneni Lost Card
of Consumer Affairs t Bnsintss ReguNiion License or registration Valid for individul use onlN
J , JADE ltl1PRQVE VlEkT CON?RAC T OR before the expiration date. If found return to:
-;"- Office of Consumer A Lairs and Business Regulaiion
Rzgsstrztior: 179141 Type_ - y :{};'arm PlaHza-S u';ie 5170
Expiration: 6/25/2016 Supplement -Grd Boston.MA 021116
JILDcR SERVICES GROUP, MC.
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Failure to po%mi a CMMM cOhn of the MassacPl wttS
State BOAM Code is cause for revntatinn of INS license