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Building Permit # 6/24/2015
`.AORTH BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: Y Date Received ADR ITED �SsgcaaUS Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Print PROPERTY OWNER I Print 100 Year Structure yes no MAP ' PARCEL: l ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 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 a rr r! ,,� � !, r rJ ,r„ r /«/ ,,i, r ,/o,«�Iri/%g a«iii«c,�1 g�/a��r%r�'�it�,�Gr//ti�❑brfr1,r�r..��?,'W:S,,,,,,,/,.4/�e�"ll,�'g�'aS�,I�V'�pt,,,..,,,te�,-i,,,d'c�V'/�1,u,�!/�.I"�`✓Y`rS.:�„e;uCW�7aw,�ll!+'w„9W�'e�l,1!,�,I,..I,f�ri;°��ie✓1i,"�FF'�,.:„I!„��ri,r'r�f..�,„r'`r�l�/f/�/`%�,�,1%/I�/,��r/``r��'/i;/,%/l� ,,a;�U)}�,,�i.0'1,.r,/+,//��/a,/,D�,y�//,,i.r/%�r,,.,.r,,.�.,��,,:❑q�,l.��i!,I��F��l,,,,��.IG�:�oY�„��7/��,oIrl.Iy��dl��i�l�i'dll1I1Ira?�ii�rl=�l;i{r���y/��,�lI���i��/�.«�.I!l�//��9�,�%iI�.��t�,p«,,J�N!ra�,JI?���yU�ie,�7%'�t�Ilr-a��,,S�r�c,IL,n-frG,/�,�ISr.da`/(�r�-i��`�1s��.�fJ,.�fI,^f�/«�I,,(r��f�y�I1/,,�,r�/ir,�r!«c'�/ir>��//�'�,H,'/�hlx"y��J.(H�i/�%.�,J�;i's c,/,riil.(,«rf�,,r�'Yde lr�r,,!,Wl...r,Jl..)t�ia�!�r���tI11Ye^�u7�,�rUt�Isrl��"k1',�6�,�e c!dr" �r.�/'N.A�.,r��, /�iWr , DESCRIPION OF WORK T E PERF RMED: P\AeZ!n,02 vv� t6E)(,' V f: dent' i ation- Please Type or Print Clearly OWNER: Name: til i Phone:9'a ` n Address: Contractor Name: «” Phone: 1 Email: Address: S Supervisor's Construction License: . � ' Exp. Date: + Home Improvement License: Exp. Date: n ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.'$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ o b FEE: $ Check No.: V1 007 Recet t No. NOTE: Persons contracting with unregistered contractors do no,have access to t&guaranty fund I Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL 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 On Signature_ COMMENT'S CONSERVATION Reviewed on � �`f I S' Si nature e COMMENTS 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 ConneGflon/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp,Dumpster on site yes no . Lecated,at'124 Mam:Str"ee - .. Fire Department signeitUre/date COMMENTS I FORTH v er own Of . ® _ `AK. h ver, Mass, y /yam coc..,c«ew,c« y1. �•9AORP areo SP t1 BOARD OF HEALTH Food/Kitchen ER I ]�F� D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT � �� ........................................................................................................................... has permission to erect ... ......:. ............ buildings on z5� .Y.WINC. .r ,�..F.... �..nc�� Foundation Rough to be occupied as .............�!.!..F,�' ff:.. :�d�:.... /�h�. .T.<.�s���........................................................ Chimney provided that the person accepting this permit shall in every respeoonform 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 IES IN 6 MONTHS ELECTRICAL INSPECTOR LESS C ST CTIO ARTS Rough Service ............ ....,.. . ........................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Islay 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. North Andover MIMAP 15 stonewedge June 22, 2015 f 4° � III4 til, w � F q , r r� " ��iw✓�° �` �� / �f S �SSI y r�;�/1r1`i�Il;�l,,,, ')J,' ' k,3 r l �,1 t y}, k 04 /W'Ati y I r, s �� it��RJf icy i,yo 9 Interstates —I —SR Honzonlal Datum:MA Slaleplane Coordinate System,Datum NA083, Meters Data Sources:The data for this map was produced by Merrimack -Roads p10RTH Valley Planning Commission(MVPC)using data provided by the Town of t7t EasementsOt iia Ire 9ti North Andover.Additional data provided by the Executive Office of ? 01 �e 40 Environmental Affairs/MassGIS.The information depicted on this map is Ej MVPC Boundary 3, 4 L for planning purposes only.It may not be adequate for legal boundary Parcels O - -- '"` M definition or regulatory Interpretation.THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF o^ATfD'�P.4y THIS INFORMATION �1SSACHU V 24 ft Back River Development 231 North End Boulevard Salisbury, MA 01952 (978) 852-3733 Contract To: Rich Mazzocchi Date: June 22, 2015 Re: Renovations of Deck 15 Stonewedge circle N. Andover, MA Scope of services Back River Development will be responsible for the following: - Demolition o Remove all existing decking and rails o Remove angled portion of deck entirely - Framing o Replace damaged deck joists on existing deck - Decking o Install all new Trex hidden fastener Saddle colored decking - Rails o Install all new Transform rail system o Install 5"posts throughout with base and cap TOTAL COST $ 9,800.00 Terms and Conditions 1. Contractor agrees to furnish all necessary labor, materials, tools and equipment to complete the work outlined in the scope of services. 2. Contractor shall provide copies of a valid builder's license and proof of liability and workers' compensation insurance prior to commencement of any work. 3. Contractor agrees to complete the Scope of Services in a timely, professional manner in accordance with the specifications set forth by the architect and engineers, and in compliance with state and local building regulations. 4. Contractor agrees to clean all debris from construction only and to keep job site in a clean and workable condition at all times 5. Homeowner shall be responsible for any costs occurring from engineering or architectural plans and site work and any costs incurred from permitting, zoning board of appeals, planning or DEP. 6. Any costs incurred from hazardous materials found during construction are the responsibility of the homeowner 7. Homeowner is responsible for contacting utility companies for disconnect and new hook ups, cable,telephone,gas and electric and any costs that results from these services. 8. Manufacturers' warranties will be turned over to the homeowner and become the homeowner's responsibility to file and pursue any defects or problems that may occur. 9. Any materials, products, or labor not specifically mentioned in scope of services is not covered under contract and will be paid for out of allowance fund or billed to homeowner 10. Homeowner is responsible for any price increase in materials prior to signing of contract 11. Homeowner (not lender) is ultimately responsible for payment upon completion of services and receipt of invoices PAYMENT SCHEDULE The payment for the contract will be as follows 60%upon execution of contract 5,800.00 20%upon completion of framing 2,000.00 20%upon completion of project 2,000.00 WI Rich Mazzocchi,Homeowner William J. Febris, Back River Development ® DATE(MM/DD/YYYY) acoR® CERTIFICATE OF LIABILITY INSURANCE 6/23/2015 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(les) 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(s). CONTACT PRODUCER NAME: M P ROBERTS INS AGCY INC PHONE (g78) 683-8073 AfC ND:(978) 683-3147 A/C No Ext 1060 Osgood Street ADDRIESS:danielle@mprobertsinsurance.com North Andover, MA 01845 INSURER(S) AFFORDING COVERAGE NAICN INSURER A:MERCHANTS INSURANCE GROUP INSURED BACKRIVER DEVELOPMENT, LLC. INSURER B: 231 NORTH END BLVD INSURER C: SALISBURY, MA 01952 INSURER D:ASSOCIATED EMPLOYERS INS CO 978-852-3733-Bill INSURER E 978-804-9383-Brian I 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF P L CY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYYMM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1 000 000 DAMAGE 10 RLN It CLAIMS-MADE FRI OCCUR PREMISES Ea occurrence $ 500,000 X PRIMARY & BOPI080037 06/20/15 06/20/16 MED EXP(Any one person) $ 5,000 A NON-CONTRIBUTORY Y PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PE� 0 LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY Ea accident $ 1,000,000 ANYAUTO 080037 06/20/15 06/20/16 BODILY INJURY(Per person) $ BOPI ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ A AUTOS AUTOS NON-OWNEDPR PERTY DAMAGE $ X HIRED AUTOS X AUTOS Per accident UMBRELLA LIAB CICCUR EACH OCCURRENCE $ 4EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X I PER H- AND EMPLOYERS'LIABILITY STATUTE ER YIN WCC50050142202015A 01/12/15 01/12/16 ANY PROPRIETOR/PARTNER/EXECUTIVE F7E.L.EACH ACCIDENT $ 500,000 D OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION RICH MAZZOCCHI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 15 STONEWEDGE CIRCLE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. NORTH ANDOVER, MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD25(2014/01) The ACORD name and logo are registered marks of ACORD �i Massachusefts -Department of Public Safety Board of Building Regulations and Standards License: CS-065005 BRIAN A LYNCH;-- 31 YNCH=31 SEVEN STAR RD s GROVELAND is 01834 ✓.�..� 1J - Expiration Commissioner 11/15/2015 �� �e�o�iriiro�raeu/f�o�C%llrii9ar•/rnaet(J - Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration:.'''173255 Type: Expiration:.::9/20/2016 Individual BRIAN A LYNCH BRIAN LYNCH 31 SEVEN STAR RD _ GROVELAND,MA 01834 Undersecretary