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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 r {❑ 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 , /J f (� DESCRIPTION OF WORK TO BE PERFO ED: mac- V— e7 '� l'(��' 1" e C`.d Identifi ation- Please Type or Print Clearly r- 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 c,,I 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 WWW.DECK-0-RATE.COM Sin ti. w� I � J t T ` .. 5 r xNAIM NOW W MM t JI S 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. F OEFF !, 75 C a t - i J I t JCIi � 0 2 N - , 7 o� . o N Lo T i. z-wJAMES 63 o,,tiii:<:a ZS,00 fl � rMv - ` O P� . 0 LO T " do R ROBERT ti is P. 1 /ZS,00 North Andover MIMAP June 2, 2015 03$.0-0176 /037—B-0036' "+ir 437 SALEM 'ST 1�gA 038.0-0253 s}" 03$.0-00$2'; 466�S:ALEM"ST' 03$.0-0320 445,SALEM9 ST 474 SALEM1'ST 03$:0-0056 459,SALEM ST 38.0-0303 038.0-0055 492°SA�L� ST 467SALE M.ST 038.0-0097 038.0=0321 f 498 8 ALEWST 479 S,ALEMI.ST" 038.0-0302, S� R MG 03$:0=0009 )u^ 31€�� eft—0p, y� G 03$.0-0322 f J1 wr, lft � 4i. 03$.0-0010 491'SALEMI ST *' -0301 038.0-0105 115 THISTLE�RD 03$:0-0107 y' 507 i-ALEWST s'.0-0306 o38.0—+0300 09'THISTL RD f�sic e3�Jt ; 03$.0-0299 05:THISTLE,RD ;•x �, r� Ar, r Jr l 95 THISTLE,RC> r0, = 038.0-000,$ 038:0-0298 _.. Ir038:0-0302 521:S ALEM�i,S 038.0-0257 013 8 0-0 29.7 15 ENGLISH CIR 038.0-0308 038.0-0258 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 W r, 4 I J�j� N 194; I •�. 1 V' a D � er 'G r, 1/ m 7 wf dor/l Interstates —.I —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