The URL can be used to link to this page

Home My WebLink AboutBuilding Permit # 6/16/2015 B t&ORTH UILDING PERMIT 6 TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received S�A 0-Ar.eo P'. US Date Issued: IMPORTANT: Applicant must complete all items on this page 2, TYPE OF IMPROVEMENT PROPOSED USE Reside tial Non- Residential ri New Building family El Addition El Two or more family 11 Industrial El AI ration No. of units: El Commercial HfRepair, replacement Ei Assessory Bldg El Others: El Demolition El Other F1 El a s e etlbrids, epic, ' '❑Vell bbd le We' er"h District r"pe, p ain', 6 ri AS/ we sl r i/1"i -7 DESC71PTION OF WORK TO BE PERFORMED: Identificatign- Please Type or Print Clearly if- OWNER: Name: Phone: 9,4--4/dc) 3�7 el Address: 7/1 fibne, dp' r e�'""" X/I YON, U 1J, rr / pstru, WN ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BOLDING $12.00 PER$1000.0 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ `�7�7 Check No.: f Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor .1ylilli 111�/w NORTH ndover ® No. IE 10ki- 1 T oh ver, ass, COCMIC.!WIC. 1. U BOARD OF HEALTH P. ERMIT T Food/Kitchen LD Septic System THIS CERTIFIES THAT ........ ..//. .... �,1..... ..... BUILDING INSPECTOR has permission to erect ........ buildings on �... Foundation to be occupied as -`� �/ Rough u ........................... ... . .. ................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Final 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 CONSTRUCTION STARTS Rough Service ............ ...... . „ ................................ BUILDING INSPECTOR Final GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. MASSACHUSETTS HOME IMPROVEMENT CONTRACT This fotrtt satisfies all basio-r4quirements of the state's Home Improvement Contractor Law(MGL chapter 142A),outdoes not in standard language to protect homeowners. Seek legal advice if necessary."Any peisonplanning home"provemonts should ftis'f obfain a cdpy of"a Massachusetwconsumer-guideto homcimprovement"befdre agreeing.to any work on yourrrsidenee.You mayobtam>a free copy by'calling the' Office of Consumer.Affairs:and Business Regulation'i:Consumer Information Hotline at-617-973?8787 or 1+888-283-373_.7.• Homeowner Information Contractor Information arae . Company N. _.- Strt A (do not use o ffico Boz dress) retractor/ 11/0 txName Cityown 8 to ip Code usiness Address mW include a street addresO n e,7i is r Dajtimi Pho& Evening Phone ityffown State Zip Code Mailing Address(It different from above) 3umness hone ederalF_mploya ID or S,%Number lav rcgW=lWlmmt hemeim• Acme tCn•tndoraq;Nm�bv Aspua�imd�b<. . pov®eol ooatnietm altd Rifmadm m®br1 / �{� fLs �, // The Contractor agrees to do the following work for the Hombo ner:an toe wqrK id r8rapirig spectryurg me :. 5ranl4ano grace oi-m IM ✓2e Required'Permits-The following building pemtits are required Proposed Start aud'Completlda-Schedule-The fdlloWing schedule will and will bcsecured:by the contractor'as the'hotneowneA agent; be adhepd to ii'ess circumstances beyond the contractor's control arise (Owners whti,securetheir own permits will be excluded:from;the Guaranty Furid:provisionsof >dlt�wheIh tractor will begin Contracted work MGL chapter 142A.) ; when contract6d .work will beaubstantielly completed.. Total Contract Price and PaymegSchedule The Contractor.agrees to perform the work,fumish'tire material andl bor specified for tlu total sum of. ( (s) Payments will be made according to Utcfollowing schedule: ( LLLu G[ j(VQ i� $390,0 1 upon signing contract(not:to exceed 1/3 of the total.contract price.Qp the costAf special order items,whichever is.greater) $ by or upon completion of or upon completion of / upon completion of the contract (Law forbids demanding full payment until.contmct is completed to both party's satisfaction) The following material/equipment must be special S e paid for - ordered before the contracted workbegms in order' S to be paid for to meet tlie.completion schedule.(**) NOTES:(*)Including all finance charges(•*)Law requires that any deposit or down-payment required by the contractor before work begins may notexceed the greater of(a)one-third of the total contract price or(b)the actual coat 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 bein¢urovlded by thetontracto No Yes ,fnllterma of the warranfv mss*be attached ro the cpnhactl Subcontractors The contractor agrees to be solely responsible for completron of the work deicnbed regardless of lite actions`of any t}iird - party/subcontractorutilized by the contractor. The contractor further agrees to be solely responsible for all payments to all subcontraitors for materiels and labor under this aereement 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))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 i hil fully'understand it.-Ask'questlons ff som—e-1ing is unclear. • Make sure the contra ctpr t as"yal;l u t .r LgLaUiMadm 'fire Wiv requires most(tome improvement contractors and. subcontractors to be registered with the Director ofHome Improvement Contractol•Registration. You may inquire about.contractor registration by writing to the Director at One Ashburton Place,Room 1301,Boston,MA 02108 orby calling 617-727-3200 or 1-800-223-0933. • Does the contractor have insurance? Check to see that your contractor is properly insured • Know your rights and responsibilities. Read the Important laformation on theaverse side of this'fd m 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, thiid 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 BLANK SPACES!!! 6 Two identinl copies of the p on ct must be complAd and sinned one copyahould ao to the'4 . be other abould be kept by con .. _ ccs, ' Homeowner' gree re Contractor's Signa � r, Dau Date Contractor Arbitration The Home:Improvement Contractor L•aw_provides homeowners with.the rightto,initiate an arbitration action(as an alternative'o covit;actiop)if they;hat!e.a:dislsufe:with.a'contraetor. The,samearighfis not�automatically afforded to. 'a. contractor,•how.ever._:•The:contraetorwould hav6Ap resolve any:dispute helslre.lias with a homeowner in court unless .,.- both parties agree to,the optional.6lause provided below:.This clause would.give the"contractor-the.same.right to"" ' arbitration as is afforded to the homeowner,6y the Home"Improvement Contractor Law." The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute- concerningthis contract,the contractor may submit the dispute to a.privaie arbitration firm which has:been:approved by,. the Secretary of the Executive Office of Consumei Affairs and Business Regulation and=the consumer shall lie required to s .it to such arbitration asp vided In•M ssachusetts General Laws,ch 142A lr . G Homeowner's ignature Contractor's Signature NOTIC ` e signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contracto:. The<hgmeowner:may initiate altemative.dispute resolution even where this section,is not separately signed-by,tlre pe rrtiesr::. Homeowner's Rights A homeowner's rights undc-tlte Fiorne'Improvement Contractor Law(MGL chapter 1.42A)and other consumer protection laws(Le,MGL chapte?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. Homeowner`s 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 cornpleting the work as described,in a timely and-;workrianlike�manner.' Homeowners.may be entitled to.other specific legal:rights_if the.contractor guarantees. or provides.an.expi-ess warranty for.:workmanship or materials. In addition to.guarantee's.or Warranties provided by the contractor,all goods sold in Massachusetts cany an implied warranty of merchantability.and�At iessr .foa 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 . nsumer/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 alt 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 griginal'coniract 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 recission period has expired. Accelerated Payments A contractormpy not demand payments in advance.of thedates specified on the payment schedule incases where the homeowner deems him/herself to be financially insecure. 'However,in instances where:a.contractordeemo ij mese rself 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 accountwould 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 consurimer rights,or if.you wish to;obtain a:free�copy.of.•"A"Consumer.Guide to the.H.*.6 provement Contractor Law,'-contact Z. Cgnsumer•Information Hotline Office-of Consumer Affairs'and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 (617)973-8787 or 1-(888)2833757 If you want to verify the-registration of a contractor or if you-have,questions orneed additional information-specifically about the contractor registration component of the Home Improvement Contractor Law,contact: Director of Home Improvement Contractor Registration Bureau of Building Regulations and Standards One Ashburton Place,Room 1301,Boston,MA 02108 . (614)727-3200 or]-800-223-0933 For assistancdwitli informal.inediat on'oftlis"pines or to register formal complaints against a bUs'iries's;call: Consiuiier`CoriiplaintSectiorf Office of the Attorney General ; (617)727-8400 AND/OR Better Business Bureau (508)652-4800 (508)755-2548 (413)734-3114 ro aqal Page# of pages CS # 022680 ° 978-688-6737 HIC# 103358 °" A. J. Walsh & Sons or 159A Waverly Road 1-978-912-2853 North Andover, MA 01845 flyµ, Proposal Su !#ad To- Job Name Job# m Address ] Job Location "r N Date . Da#e of Pians Phone# ,;w„� '” " ' `F #„^.^, Architect �w We hereby submit w pr ectficat ans z� estimates lar oJ�" "" w'"^Y„.; 'w �i,��d'" ,� �"".w! �. "( `"`" .'��,w "� '� �`" u '� w~„r�` w,ta+ � w�;,,m�� ar, '"'.m�° �iP„«°"” ,�,.,,,.,' VA, M �a w0��'�� »*�p" .., �'� �%'�' W�� '� �w �A��a�.,u '�" .,. ��'� .,° wV.V'�� Y' `T'.w'"^' W ��",.� e@^ "�� w�'��,��'��.�J u� �",��,„�' m �,",^ ✓ MVV w"� �,'�`�, ,,,d//•au � �N°.w,%�.�� .br^ k'� �.�R u�,^�'"�Aw ,,Nr' �`"� '��re"��i�' � if,s�S,��,�XY.,��ft�A1"� "✓..t,., % J�r�r'�,,a��il,";,..,. Y. ( " We propose hereby to furnish material and labor—completeln°accordance with the above specificatio s for the sum of; Dollars with payments to be made as follows: 04 12." . Any alteration or deviation from above specifications involving extra costs Wit be Respectfully executed only'upon written order,and will become an extra charge over and above the estimate.AN agreements contingent upon strikes,accidents,or delays submitted beyond our cohtroi. Note—this proposal may be withdrawn by us 9 not accepted within days. Scceptance of propwal VAThe above prices,specifications and conditions are satisfactory and are jgnature w hereby accepted.You are authorized to do the work as specified. Payments will be made as outlined above. Date of Acceptance Signature T®ie Cominon wealth ofMassa-ch usett, e aF-anent of Industrial Accidenals Office of Investigations 660 VMashington Street t �,t Boston, ISA 02111 www.mass.gov1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers icians/Piumbers Applicant information Tease Print Legibly Dame (Business/Or anization/Individual : 1c �" g ) Address: /� City/State/zip: . Phone #: /7 Are yo employer? Check the appropriate box: Type of project(required): with employer 4. ❑ I am a general contractor and 1 J employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New constriction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' comp. insurance.' 9. ❑ Building addition [No workers' comp. insurance p required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions ❑ 1 am a homeowner doing all work officers have exercised their 11.❑ Plu ing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.[DIE oof repairs insurance required.) i c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] "Airy applicant that checks box#1 must also fill out the section below showing their-workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. !Contractors 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. l ann an employer that isprovu/ing workers'compensation insurancefor gray er-Aployees. Below is the policy andjob site inforniatioaa_ Insurance Company Name: C216 LL 1 (_ s Policy# or Self-ins.Lic.#: , 6'� /�/� j,,��1 �,� Expiration Date: Job Site Address: elcl 43elc tt'Z City/State/Zip:. ��< �� JO Attach a copy of the workers' compensa ion policy declaration page (showing the policy number arsd expirations date). Failure to secure coverage as required under Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under td�he pains and penalties of perjcsry Haat the information provided above is true dnd correct. 5ignature - LZE'1A pi-4d, Date phone#; 37 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): L Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector §. Plumbing inspector 6. Other Contact Person: Phone#: f Massac users yea^ Scr B ;._d � cxnv v. ..sn »g irtds34iS'3:C'tEt}i Super%zsvr 'cease: CS-022680 .F y ARTHUR J WAILS�H JR 159A WAVERMRD N ANDOVER MMR 01845 r inn \A Co.m,rmss:ones 06/09/2016 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only 0tIMPROVEMENT CONTRACTOR before the expiration date. If found return to: tME gistra6on: 103358 Type: Office of Consumer Affairs and Business Regulation xpiration: 7II12016 Private Corporation lU Park Plaza-Suite Sfl74 Boston,MA 02116 A.J.WALSH&SONS,INC. Arthur Walsh �,afid 55 Pleasant St ;`N Andover,MA 01845Undersecretary Nature