HomeMy WebLinkAboutBuilding Permit # 7/6/2015 BUILDING PERMIT 0 .1 NORr 6 4,
,SLED
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION _ 70
Permit No#: Date Received
A'D?ATE V
�9SSAC HUS��
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION �� l
Print
PROPERTY OWNER vl�5 If
Print 100 Year Structure yesCno
MAP PARCEL ZONING DISTRICT: Historic District yes
Machine Shop Village yes
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building i,One family
:Addition 'Dee— ❑ Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
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{❑ Septic ❑1Nell r ❑ Floodplarn 6,50
❑Wetlands ❑ Watershed DIstnctu ,
fit n�,Y,. � :ft'✓7" .rf : '. xu j r f r l ✓��; CrL.r$.,5'k �, ..rr rs,W/J.z
❑1Nater�Sewe�rr rr, f ,
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(� DESCRIPTION OF WORK TO BE PERFO ED:
mac- V— e7 '� l'(��' 1" e C`.d
Identifi ation- Please Type or Print Clearly
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OWNER: Name: C.�u- � �;� Phone: 17 9 77 7 ?IF
Address: 47 9 �; Uv� C"
Contractor Name: ��� �, Phone: 67
Email: 50A, C—L
Address: ('c4 w,% f.+1, ,7>
Supervisor's Construction License: Exp. Date:
Home Improvement License: i-0 6 Exp. Date: 77 17
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ 10 i ci-� FEE: $ 1
Check No.: Receipt No.: b v
NOTE: Persons contracting with unregistered n Tactors do not have access to fhe guaranty fund
t4ORTH
Town of ndover
® ; `,. 1J.
64
No. �(
0 h ver, Mass,
O LAKE Ot•
COCKICKEWICK
A°Rgreo IP�`�.�5
S V
M IT, T� DBOARD OF HEALTH
vER Food/Kitchen
Septic System
C�Ic"'ra BUILDING INSPECTOR
THISCERTIFIES THAT ........ .. .1..............................................................................................................
Ain
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has permission to erect .......................... buildings on .."fin......s.aft.!)..... ...................... Foundation
Rough
6w.wto be occupied as ..... .... .... ['.fir I 1 .. A... ..1011 .'.'.�..b.f CL................... 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
LESS CONSTRUCTION STARTS Rough
Service
Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required t® Occupy.BuiRough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
ntil Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
PROJECT PROPOS A__1
Prepared for: Rich Hassett
479 Salem St.
North Andover, MA
Prepared by: John Repucci
Phone: (978) 375-4625
Date: 5/7/2015
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Project: Install new deck using Azek decking, Railways rails, and Kleer
PVC trim. Also, resurface existing deck and stairs with Azek and PVC
trim and change old rails to the Railways system.
New Deck- $6,473 Update old deck - $2,503
Replace pine trim with PVC $1056 Total - $10,032
➢ 2x10 Pressure-Treated frame wrapped with PVC trim.
➢ Azek decking (slate grey or brownstone) installed using the
plugged hidden screw method. The deck will be picture framed in
using the same width deck boards. Also there will be a
perpendicular deck board installed midway to eliminate butt
joints.
➢ Railways railing system to be used around entire deck.
➢ Approximately a 3' wide set of stairs with 6 steps long using
Railways rails with PVC risers and side skirt.
➢ New deck size is approximately 12'x12'.
➢ Below the deck, square style lattice will surround the entire lower
portion and match existing deck
➢ New 12"x4' deep footings will be installed for new deck.
➢ This includes any extra framing needed to install the new decking
to the old deck not the entire frame.
➢ All the pine trim used to frame in the lattice below the screened in
room and on the existing deck will be replaced with PVC. This
includes the 1x8 rim board and the gate with hardware.
➢ This is a complete job with no extras on my part Any extras may
be asked for by the customer and a price agreed on before its
start.
➢ The permit is included
Payments are as follows with checks made o John Repucci
In their respective order;
➢ 1St acceptance upon $ 3,344
P
➢ 2nd when material arrives and start of project$3,344
➢ 3rd upon completion $3,344
Respectfully sub e -�'
Signature -i'
Date of _____ -
Acceptance
General Provisions
➢ All work shall be completed in a professional manner and in
compliance with all building codes and other applicable laws.
➢ To the extent required by law all work should be performed by
individuals duly licensed and authorized by law to perform said
work.
➢ Contractor may at its discretion engage subcontractors to perform
work here under, provided Contractor shall fully pay said sub
contractor and in all instances remain responsible for the proper
completion of this Contract
➢ Contractor shall furnish Owner appropriate releases or waivers of
lien for all work performed or materials provided at the time the
next periodic payment shall be due.
➢ All Change Orders and/or Additional Work Authorizations shall
be in writing and signed by both Owner and Contractor.
➢ Contractor warrants it is adequately insured for injury to its
employees and others incurring loss or injury as result of the acts
of Contractor or its employees and subcontractors.
➢ Contractor shall, at its own expense, obtain all permits necessary
for the work to be performed.
➢ Contractor agrees to remove all debris and leave the premises in
broom-clean condition.
➢ In the event Owner shall fail to pay any periodic or installment
payment due hereunder, Contractor may cease work without
breach pending payment or resolution of any dispute. Failure to
make payments within three days from due date of payment shall
be deemed a material breach of this contract
➢ All disputes hereunder shall be resolved by binding arbitration in
accordance with the rules of the American Arbitration
Association.
➢ Contractor shall not be liable for any delay due to circumstances
beyond its control including strikes, casualty, or general
unavailability of materials.
➢ Contractor warrants all work for a period of 365 days following
completion.
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North Andover MIMAP June 2, 2015
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Rail Line Wetlands Zoning
Interstates ,i Exempt Lands Busine s 1 District
'21 Busine s 2 District Horizontal Datum:MA Stateptane Coordinate System,Datum NAD63,
— N Busine
SR Is 3 District Meters Data Sources:The data for this map was produced by Merrimack
Busine s 4 District NORTH Valley Planning Commission(MVPC)using data provided by the Tmvn of
Roads NI Gene" Business District Of `Np r 'q� North Andover.Additional data provided by the Executive Office of
k-,Easements is Planne Commercial Dev b�yt a�b 00 Environmental Affahs/MassGIS.The information depicted on this map Is
Corrido Development Dist for planning purposes only.It may not he adequate for legal boundary
0 MVPC Boundary Vl Corrido Development Dlsl O .- - M definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER
Municipal Boundary MCorrado Development is F A MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING
Zoning Overlay Indusln I 1 District * ,� THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY
Adult Entertainment Indusln 12 Distdcl ; i + OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT
13 I/3 Ind 13 District y, °oM ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
Downtown Overlay District „, �`
M Industri I S District 1
Historic District Reside ce 1 District goN�r�c'gyp.(Q7 THIS INFORMATION
0 Water Protection '9 q
Reside ce 2 District SSACHU`+�
❑Parcels R-ide ce 3 District '.
Hydrographic Features de-4 District
1"=118ft .deceSDislrict
Streams TF de ce 6 District
innge eaidential District '..
North Andover MIMAP June 2, 2015
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—SR Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83,
--Roads Meters Data Sources:The data for[his map was produced by Merrimack ',..
NORTH Valley Data
Commission(MVPC)using data provided by theTown of
qµF Easements Stu r q� North Andover.Additional data provided by the Executive Office of
MVPC Boundary } ,Yet* sb OO Environmental AffairslMassG1S.The Information depicted on this map is
Parcels3 L for planning purposes only.It may not be adequate for legal boundary
4 --• '"" definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER
MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING
# y THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY
POW
OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT
Y ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
THIS INFORMATION
y�ssACHUs�t
1"=118ft "YE
The Commonwealth of Massachusetts
Department oflndustrialAccidents
- ::0 1 Congress Street, Suite 100
Boston,MA 02114-2017
..,���y www.mass.gov1d1a
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PEP-NUTTING AUTHORITY.
Applicant Information Please Print Legib,
Name(Business/Organization/Individual): Al VA C
Address:
�-- ��'
City/State/Zip: ,t hone#:
Are you an employer?Check the appropriate box: Type of project(required):
1.❑I am a employer with employees(full and/or part-time).* 7. ❑New construction
2 I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling
`kony capacity.[No workers'comp.insurance required.]
9. El Demolition
3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t
10 ❑Building addition
4.❑I 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.❑Plumbing repairs or additions
5. I am a general contractor and I have hired the sub-contractors listed on the attached sheet.
❑ 13.❑Roofr an�s
These sub-contractors have employees and have workers'comp.insurance.t
6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.�Other
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.
T Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors 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.
I am an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins,Lie.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORD ORDER and a fine of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verific i n.
I do Herebyc r f under the airs andpenalties ofpeiiury that the information provided above is true and correct.
Si nature: (rf/( Date:
Phone#:
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
Contact Person: Phone#:
Safety Insurance BUSINESSOWNERS DECLARATIONS
AUTO • HOME • BUSINESS
Safety Insurance Company
Policy Number f~roPolity-Pertod Tu
BMA0017251 05/04/2015 05/04/2016
12.01 A.M.Standard Time at the described location
Transactidri _.... . ..__.
Renewal Declarations
_.
:.: 111amed--nAdand Maui g AcCdress . _.:... :-.. .:.. . .. Agent --
JOHN REPUCCI EDWARD F. SENNOTT INS AGCY INC
30 CAMPMEETING RD 16 SO MAIN ST PO BOX 457
TOPSFIELD MA 01983 TOPSFIELD MA 01983
Telephone: 978-887-4900 60231
Form of Business: INDIVIDUAL Type of Business: CARPENTRY-INTERIOR
DESCRIBED PREMISES
LOC BLDG ADDRESS AUTOMATIC INCREASE
001 30 CAMPMEETING ROAD TOPSFIELD MA 01983 4%
LOC BLDG COVERAGE VALUATION DEDUCTIBLE LIMIT OF
INSURANCE
001 001 Personal Property Replacement Cost $ 500 $ 7,873
Deductible shown above applies per any one occurrence
BUSINESS INCOME: Actual Loss Sustained Not Exceeding 12 Consecutive Months
LIABILITY AND MEDICAL EXPENSES
Except for Fire Legal Liability, each paid claim for the coverages listed reduces the amount of insurance we provide
during the applicable annual period. Please refer to Paragraph D.4. of.he Businessowners Liability Coverage Form.
BUSINESS LIABILITY COVERAGE LIMITS OF INSURANCE
Liability $ 1,000,000 Per Occurrence
Medical Expenses $ lo,Doo Per Person
Fire Legal Liability $ loo,000 Anyone Fire/Explosion
ADDITIONAL COVERAGES
Some property coverages are subject to deductibles specified in the policy forms.
Optional Property Coverage Description Limits of Insurance
LOC BLDG DESCRIBED COVERAGES
Enhancement Endorsement
Optional Liability Coverage Description Limits of Insurance
Contractors-payroll $28, 600
CHANGE IN PREMIUM: $ TOTAL PREMIUM: $ 1,044
BPDEC2011
INSURED
t `',1aSSaC'1'uSP--LS -Departt^`?er; P;ihi r SatC'
Board ^:Bu'.Idfi G ?2gliiat_t;i1S X'C Sri ,C1'dP I:i
culiNtruclion Sol,
_cense; CS-090281
JOHN REPUCCI;
30 CANIPMEETING
Topsfield MA 01483
03/04/2016
Office of Consumer Affairs&Business Regulation
kIOME IMPROVEMENT CONTRACTOR
" Registration: 146476 Type:
x�� ^Expiration: ,4/27/2017 Individual
JOHN REPUCCI
JOHN REPUCCI
30 CAMPMEETING RD.
TOPSFIELD,MA 01983 Undersecretary