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HomeMy WebLinkAboutBuilding Permit # 7/6/2015 eAORT1-H BUILDING PERMIT °�<�LE° 'bq"o .� yP.,.fit• ...h 46 TOWN OF NORTH ANDOVER 0 - APPLICATION FOR PLAN EXAMINATION Permit No##: Date Received �ySsgcHus���� Date Issued: MPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNERSi y�, r Print 100 Year Structure yes no MAP PARCEL:_ZONING DISTRICT: Historic District ye no Machine Shop Village y s no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family El Addition El Two or more family ❑ Industrial [I Alteration No. of units: 11 Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other r � , Y � � ❑ Watershed Distract ' f Se tic`s-Well ,x,,, ' � � ��`Floodplain f r 5 ❑Wetlantls r r"' r l . r v �. �' ✓ t nor Y` . . �' ti. ru`�,x � � �� � rr^;`�yn-",� ✓�� �prT�ra,,,z",r � . s'. �,cr r r� � -r a � r ,.r r r n. a� :. �f ����� �%�f>tr'r�� �,; DESCRIPTION OF WORK TO BE PERFORMED: Ideptification-7 Please Type or Print Clearly OWNER: NamePhone: Address:41 &DA' _ Contractor Name: . Phone: Email _ Supervisor's Construction License: / C l Exp. Date: 0// 3( 10 Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE;BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST B ED ON$125.00 PER S.F. Total Project Cost: $ )o FEE: $ Check No.: ® Receipt No NOTE: Persons contracting with u 'st contractors do not have access to the a rad ®RTH Andover Town of ® " - h ver, Mass, l O LAKE �p R COCKICNIWICK V 7,9 Q�RATEo ►'P�',��� S !j BOARD OF HEALTH Food/Kitchen twE 01T T Septic System ID BUILDING INSPECTOR THISCERTIFIES THAT .. ... �......................................................... ........................ ............ ......... .. ............................... Foundation has permission to erect ....... buildings on .... ... ........ .. �- ....• Rough to be occupied as .... ......: .. ......p.�. cu....... ............................................... Final n C i ey ..... ... .L ... provided that the person accepting this permi all In every res ect 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 PLUMBING INSPECTOR Construction of Buildings in the Town of North Andover. Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMITEXPIRES I 6 MONTHS ELECTRICAL INSPECTOR LESS CONSTRUCT ST S Rough ° Service .......... ...... .......T .. ................... ............................. Final BUILDING INSPECTOR GAS INSPECTOR ccupaucr Permit Required t® ®ccuff -A-u-11—al-n-9Rough Final Display in a Conspicuous Place on the Premises — Do Not Remove FIRE DEPARTMENT No Lathing or Dry Wall To Be Done Burner Until Inspected and Approved by the Building Inspector. Street No. Smoke Det. nextstep tiving i i()f, ,I i�1 i).e r 5�()�U1 ti()11".� agreown,ent is niade by and amOn g Next Step Living,Inc, ("NSL") This 21 Dryclock Avenue,2nd floor Boston MA 02210 David Alaimo phone: (86�)867-8729 49 Kara Dr North Andover, MA 01845 13-May-15 A724848 E P_Eff_Q—R-M-ED -e pESCgIpTI0N QFV` address above,in a professional manner and in accordance ar's'c IVVork")which are o hep the following work on the custOme rder describing the work in detail(the NSL will perform Or cause t I the attached recommendations/work 0 am pricing and offerings and is guaranteed with the terms of this Contract,Inc reflected below May be subject to adjustments in progr Incorporated herein by reference.Pricing for 30 days from the date the Contract is printed. sa $850-00 Attic Flat Hr \Nork LoGafi(M: 10 at Estimated 62.5 C M50 Perform Air Sealing Per Attic Flat Each VVovk 0('21iol"� $237.65 $143.50 —----- Carpentry $2.05 Lnft r Thermal Barrie 70 Attic Stair Cove 102 $2.00 Each $204.00 Damming J,120 $1.47 scift $1,646A0 propavent 2'or 4' Blow Cellulose' � � to Program Max .00 "" 1 .66 75%WeatheriZation Incentive up t o Program .00 Estimated Annual Energy Savings from the Above Improvements 2, PAYMENT: CUSTOMER agrees to pay NSL for the work as follows: will be collected over the phone by a customer service Payment#1: $100-00 31 the time the Work is scheduled.Required payment information Mastercard,Visa,and Discover accepted). -Credit card or check deposit is due c 1/3 of the total retail costs,(Note! representative at the time of scheduling, Deposit is not to exceed Additional Payments and Final Invoice: $457.89 1g1wL10_ftaf_ft-W--0Lk- I I III shall be u 0 it the time of scheduling, Notify the customer service 019 Ju�� ill s Ill be required E .Additignal paID' our w t fail to receive payment within 5 days of invoice. If the final invoice is being paid by check,credit cc our card vAll not be charged unless we representative that You are paying by check and Y May 18, 2015 Date �� ustom&�iga re 13 May 2015 Harper Vinkemulder Name of NSL Representative Date t are contained on both sides of this page �L_L The Terms of this Agreement 9-inquirY@nextstepli\/inginc-com'�M���,�c'�'t—st��11\flRg 0 Next Step Living 21 Drydock Avenue 2nd floor,Boston,MA 02210 1(8661867-872 n e xt step Living Iion,ie enea,]y soW00115, This agreement Is Made by and among Next Step Living,Inc. ("NSL") 21 Drydock Avenue,2nd floor David Alaimo Boston, MA 02210 49 Kara Dr North phone: (866)867-8729 Andover, MA 01845 Site M: A724848 18-May-15 1. DES AE DESCRIPTION OF WORK TO BE PERFORMED professional manner and in accordance NSL will perform or cause to be performed the following work on the customer's address above,in a with the terms of this Contract,including the attached recommendations/work order describing the work in detail(the"Work")which are incorporated herein by reference.Pricing reflected below may be subject to adjustments in program pricing and offerings and is guaranteed for 30 days from the date the Contract is printed. Workt-o(,-atiow Attic Flat Recessed light boxing (Not Rebate Eligible) 5 $31.25 Each $156,25 Nat Rebate Eligible $Q QQ Estimated Annual Energy Savings m the Above Improvements 2. PAYMENT: CUSTOMER agrees to pay NSL for the work as follows: Payment#1: $50.00 Additional Payments and Final Invoice: $106.25 -Addilional pgylnents for the Work shall be due upon completion of the Work. May 18, 2015 hnatiDate ft� 18 May 2015 Harper Vinkemulder Signature Date Name of NSL Representative The Terms of this Agreement are contained on both sides of this Page TERMS OF AGREEMENT 3. PROPOSED START DATE AND COMPLETION SCHEDULE NSL will contact customer to schedule the Work at a mutually agreeable time,subject to the availability of subcontractors or materials,orto delays attributable to the weather or other events beyond NSL's control 4. CONTRACTOR REGISTRATION Massachusetts law requires home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration.You may inquire about contractor registration by writing to Office of Consumer Affairs and Business Regulation,Ten Park Plaza,Suite 5170,Boston,MA 02116.617.973.8700. 5. PERMITS NSL will be responsible for obtaining any necessary permits as the Customer's agent. Customers who secure their own permits or deal with an unregistered contractor will be excluded from the Guaranty Fund provisions of the Home Improvement Contractor Law. 6. PERFORMANCE OF THE WORK AND CHANGES. 6.1 NSL will not commence the Work prior to signing this Agreement and transmittal of a copy of Agreement to the Customer 6.2 This Agreement may be supplemented,amended,or modified only by the mutual agreement of the parties.No supplement,amendment,or modification of this Agreement shall be binding unless it is in writing and signed by all parties. 6.3 At times,our weatherization team discovers situations in the structure during the course of the Work that indicates a risk for a health or safety concern for residents.Such concerns can include but are not limited to ventilation,potentially hazardous materials such as mold or asbestos,or structural concerns. In the case of health or safety concerns being identified,NSL reserves the right,per section 9.2 of this contract,to communicate concems to the Customer and halt work until such concerns have been addressed. 6.4 The rebates and incentives available from the Mass Save®Home Energy Services Program and amounts due from the Customer are based on the best estimate of the situation in the structure by the NSL home energy advisor. However,at times our weatherization team discovers situations in the home during the course of the Work that impact the availability of rebates and incentives from the Mass Save Program. In such situations,NSL will communicate such changes to the Customer,including any impact on amount the Customer would be expected to pay for the Work. The Customer will have the option to remove from the Contract the work elements that need adjustment,or set up a separate contract for performing the adjusted work 6.5 NSL represents and warrants to the Customer that(a)the materials and equipment furnished under this Agreement will be of good quality and new, (b)that the Work will be free from defects,and(c)that the Work will conform with the description of the Work described In Paragraph 1. 7. INSURANCE AND REGISTRATION NSL represents and warrants to the Customer that it has a valid Home Improvement Contractor Registration(No;162111)and the necessary insurance required by applicable law and normally maintained by prudent contractors in NSL's field,including,but not limited to,Workers Compensation Insurance for all employees who will perform the Work. 8. QUALITY OF WORK. NSL agrees that the Work will be performed in a good and workmanlike manner,and that NSL will repair and replace,at its own expense,and promptly upon Customer's request,any defects in workmanship and materials provided by NSL which appear up to one year after completion of the Work or within any longer period as permitted or required under applicable law,provided NSL has received final payment as provided herein, 9. PRE-EXISTING CONDITIONS&PROPERTY PROTECTION 9.1 NSL shall not be responsible for any damages as a consequence of the Work performed in the home due to pre-existing conditions. These conditions include but are not limited to poorly fastened or broken drywall,moisture damage,non-code construction,cracked or fragile siding or shingles,old pipes and fittings,rotting wood,etc. 9.2 NSL reserves the right not to perform Work upon the discovery of asbestos,mold,or any other potential health risk to the Customer. In this event,the Customer is responsible for remedying the at-risk situation,including any necessary removal of hazardous materials and all bills for services to date shall be paid immediately. Work cannot resume until remediation is complete. 9.3 While NSL will make best efforts to protect any property of the Customer, it is the Customers responsibility to remove or protect,including dust protection,any personal property including the home itself, NSL will not be responsible for damages to or losses of any of the above mentioned property not property protected prior to the commencement of the Work. 10, GENERAL PROVISIONS. 10.1 NSL reserves the right, the extent permitted by applicable law,to have,file or maintain a mechanic's or material men's lien,or to file a notice of intention to lien,and to take any other steps to perfect and enforce such a lien,if Customer fails to pay NSL as provided herein. 10.2 This Agreement shall be construed in accordance with the laws of the Commonwealth of Massachusetts. 10.3 This Agreement forms the complete integrated agreement between NSL and Customer. The parties represent and warrant that in executing this Agreement,they are not relying on any representations,warranties or terms other than as expressly contained herein. This Agreement supersedes all prior agreements between the Customer and Contractor and may not be altered absent a subsequent written agreement signed by both parties. 11, ENERGY BENEFITS. The Sponsoring Utility Company(the Utility)is entitled to 100%of the energy benefits associated with all Energy Conservation Measures,excluding the value of energy cost savings by the Customer,but including all rights to all associated ISO-NE Energy,Capacity and Reserves Products.NSL agrees to provide the Utility with such further documentation as the Utility may request to confirm the Utility's ownership of such benefits and Products. 12. NOTICE CONCERNING SPONSORSHIP. 12.1 Customer understands and acknowledges that NSL is not an agent,vendor or sub-vendor of The Sponsoring Utility Company(the Utility)with respect to the installation of an energy efficiency measures.In the event of the failure of an energy conservation device to perform as expected, Customer's sole recourse is to Contractor and not to Conservation Services Group(CSG)or to the Utility.The Utility and its operating companies shall not maintain,remove or perform any work whatsoever on the energy conservation measures installed. 12.2 Customer understands and acknowledges that their participation in the Mass Save Home Energy Services Program is voluntary and that they have consented for Contractor to install the proposed energy conservation measures. 12.3 Customer agrees that it shall not hold CSG,the Utility,their affiliates or operating companies liable for Contractor's to perform its obligations under this agreement,for failure of the energy conservation measures to function,for any damage to Customer's Premises caused by Contractor or for any and all damages to property or injury to persons caused by the energy conservation measures. 13. LIMITED TIME OFFER. The prices and incentive offered in this Contract are subject to change in accordance with The Sponsoring Utility Company Mass Save Home Energy Services Program offers. 14, CONTRACT CANCELLATION Under Massachusetts law,you may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller, which may be his main office or a branch thereof,provided you notify the seller in writing at his main office or branch by ordinary mail posted, by fax,or by e-mail sent or by delivery,not later than midnight of the third business day following the signing of this agveement. Mass Save lanview Diagram Customer t>OY) Q M au 03 0 Advisor Name: i C� ttir dl� Address q SAV �� Advisor Number: Town .. Any_limita.tions to access by truck? Site TD I D J'17 NOTES �,rn 0 AA Vu Qvu*vtN)-t' �O o r (bit N MAN Tile Cominonwealth of Mas"chlesefts Department of_rndustrial Accidents ffice of Investigations Congress Street, suite 100 Boston,MA 02114-2017 www.mass..gov1dia actors/Electricians/plumbers workers' ComPensatiOn Insurance Affidavit® BuildersiContr Please Print Lo 1b A licant information Ne I xt Step Ulving ---- Nanie (Business/orga"zationAt)dividual).—������ Address: 21 Drydock Ave 1'110ne#:(866)86,-a729 City/State/Zip: Boston, MA 02210 ropriate box- Type of project(required): r? Check the contractor and I Are you an employ 1 4, 0 1 am a general 6. New construction I.W I am a employer With 850 have hired the sub contractors 7 Remodeling employees(full and/Or part-time listed on the attached sheet, g. E]Demolition 2. 1 am a sole proprietor or partner- These sub-contractors have ship and have no employees employees and have workers' 9. ®Building addition working for me in any capacity. COMP. insurance J d its io.n Electrical repairs or additions [No workers' COMP.insurance an We are a corporation I I.[]plumbing repairs or additions officers have exercised their required.] tion per MGL 12.[J Roof repairs 3. 1 a.a homeowner doing all work right of exemption Insulation myself. [Noworkers' comp.P- c. 152,§10) and we have no 13.V Other t employees [No workers insurance required.] comp.insurance required.] compensation Policy inronnation- fill out the section below showing their workers'conip ctors must submit a new affidindicatilig suGh- *Any applicant thall checks box#1 must also I are doing all work and then hire outside contra Whether Or pot t110 3e entities have t Homeowners v,,hc,submit this affidavit indicating they eet showing the name of the sub-contractors and state tCo_ broc x must attached an additional 911 ,cornp.policy number. nt�_actors that eqeck this ioyees,they Must provide their workers w is the policy andjob site employees. if the sub-cont have,eMP employees. Be compensation insurauc0for my ant an employer that is Providing workers' i1tformadon. A.I-M Mutual Insurance Company 9/30115 Insurance Company Name:A\NC-400-7030025-2014A Expiration Date: Policy#or Self-ins. Lic. pity/State/Zip: ,policy number and exp iration date). Job site Address' compensation policy declaration page(Show to the mpositon of criminal penalties of a Attach a copy of the workers 9 co i MPe Section 25A of MGL c- 152 can lead f a STOP WORK ORDF-R and a fine overage as required under Se the Office Of Failure to secure c 0 and/or one-year imprisonment) as well as civil Penalties in the form 0 arded to fine UP to$1,500.0 violator. Be advised thata copy of this statement may be forw of up to$250.00 a day against the .on. investigations Of the DIA for insurance coverage±-1.2it—i information provided above is true and correct ins and perjury that the I do hereby certify under the pai Date: Si e: Phone#: leted by city or town official. ®ficialuse only. Do not write in this area to be comppermit/License# City or Town: Electrical Inspector 5.plumbing Inspector Issuing Authority(circle one)" ent 3.city/Town Clerk 4. 1.Board of Health 2.Building Departm 6.Other phone#' — ­­& NEXTS-1 OP 1131:EL DATE(MMIDDIYYM C 1olo112014 LIABILITY I 14 LDER.THIS TIFI T I�Hr�, �IP6N TNS O�N�itFI�WBY ��® C�NFE�5 No IS ISSUED AS A MATTER OF INFORMATI®N END, SEf(NEEN THE ISSUING INS RE G l9TIl®�1�6D THIS CERTIFICAT E EGAT{tMA'ELT AMEND, EXTEND OR A��ER THE COVERAGE AFFOR®ED !3Y THE P®L�GI CERTIFICATE DOES NOT AFFIRMAT{VELY OR N Ei.�� THIS CERTIFICATEUOF CER/AND THE CERTIICE EPIGATE FIOLDER UTE A C®�TRA must be emdorsed. If c�r�;R��sAdo s no confer Drigh k to ihit B SENTATIVE OR PRO® Olicy(' 1 RSP require an endorsement. A otatement on this IMS t�-ANT. {f 4he�et?CifiCste holder an ADD®I c®�AmaySD�ED,t e p —the terms and conditions Of the policy,certain p coNTACY Erin Ly®rls 761^665'02 certificate,holder in lieu Of such endorsement(s). NAME: AIC,No PHONE ,761=665=2775 PRODUCER Agency A1C No Ext: 7811-665 I SU anC�+�$ E-MAIL WAIG� McLau9 YI p ADDRESS: 29 Lynn s P70 Way IN5URERIS AFFORDING COVERAGE John E.McLaughlin Jr. INSURERA:N�Dtit&95lnsurance 34�a INSURER B:Commerce Insurance COMPany Next SgeP�iv6n0,Inc. tNsuRERc:A I.M.Mutual Insurance:Co. 15610 — INSURED 21®rydook Avenue,2nd Floor IS Insurance C®itnpanY ��02210 INSURERD: Boston, INSURER Et INSURERF: REVISI®N NUMBER: CERTIFICATE NUMBER: ITH ANY CONTRACT OR OTHER DO EREIN IS SUBJECT P O At THE TERMS. COVERAGES SU NCE LISTED BELOW HAVE BAEEN ISSUED TO THE INSUREDFNAMED ABOVE FOR THE POLICY PSR TERM OR CONDITION OF THIS IS TO CERTIFY THAT THE POLICIES OF INSIT LIMITS INDICATED. NOgy gESSSUED ORNMYAREP RTAINETHE INSURANCE AFFORDED BY THE POLICIES DESCRIBE CERTIFICATE M POL cY EFF M�lo�EXP $ 1,000,000 OD OR MMIDDIYYYY 0 000 S AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN pure®RVE BEEN REDUCED BY PAID CLAIMS. EacH occuRRENCE EXCLUSION $ , DA AG TO RE 7E0 'Roo IL R TYPE OF INSURANCE 0913012014 0913012015 PREMISES Ea occurrence 9 COMMERCIAL GEW W AL LIABILITY $ 9 A X EGP2®101911=12 MED EXP(AnY one person) I CLAIMS-MADE X OCCUR PERSONAL&ADV INJURY $ ' �9 GENERALA GGREGATE $ �,gQO,AM PRODUCTS.COMPIOP AGG $ ' AQ,AAO GEN'L AGGREGATE LIMIT APPLIES LOC Ea acrdept5lNGLELIMIT $ POLICY❑JECT (Per person) $ OTHER: _.. 0913012014 0913012015 BODILY INJURY AUTOMOBILE LIABIOTY 14mMBGKKOM BODILY INJURY(Per accident) $ PROP ERN DAMAGE ANY AUTO $ SCHEDULED Per accident $ ALL OWNED AUTOS Q r.OpOr00 AUTOS NON-OWNED HIRED AUTOS AUTOS EACH OCCURRENCE $ 5,00 r Op � °CC��P EI�U783547012014 0913012014 0913012015 AGGREGATE $ UMBRELLA UAB OTH- EXCESS IJAB CLAIMS-MADE X STATUTE ER 800,000 DED RETENTION$ 0913012014 0913012015 E.L.EACH ACCIDENT 800,000 WORKERS COMPENSATION YINTO BE ISSUED�Y CARRIER E.L.DISEASE-EA EMPLOYE $ SOO,000 AND EMPLOYERS'LIABILITY ❑N I A E.L.DISEASE•POLICY LIMIT $ C ANY OFFICEOPRIET ER EXCI UDED?rNEPJEXECUTIVE (MandatoN In NH) If S. describe under DESCRIPTION OF OPERATIONS below ERATIONS f LOCATIONS I VEHICLES(ACORO 901,Additional Remarks Schedule,may be attached If mora space Is required)pESCR:T—ENV FOROF 0 ETON ONLY IPTIO �+®R 3gIMP� CANCELLATION POLICIES BE CANCELLED BEFORE CERTIFICATE HOLDER INFO-0i SHOULD ANY OF THE ABOVE DESCRIBED THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCO RDA14CE WITH THE POLICY PROVISIONS. E®r information only AUTHORIZEDREPRESENTA�� All rights reserved= ©19✓9��0�'Oyyyy//.22014 AC®RD CORP'®TION` �Q10qf a�C®R�. ACORD 25(2014191) f e Pu �1"l mo �A'1404'1 4nd usines ation Office of Consdiner Affai 10 pari Plaza euite 170 02116 Boston, Massachusetts Home Improvement Contractor Registration Registration: 162111 Type: Supplement Card Expiration: 1114/2017 NEXT STEP LIVING INC, ROGER OUELLETTE 21 DYDOCK AVE.STN1 MA 02210TH 22®TFI FL Update Address and return card.Mark reason for Ej Address n Rene"val 0 Empioyment El Cot Card r ;5rn r"4� k` ��ara�rr� err�,�'�s �( License®r registration valid for Bnd9�Jldnl nye only Off, a of Consumer!affairs i$usiuess Regulation before the expiration date. W found return to' itHOME IMPROVEMENT CONTRACTOR office of Consumer Affairs aced Business Regulation Type: 10 Park plaza-Suite 5199 i G Registration. 162111 supplement Gird Boston,h1A 021,16,(, r: y: ExpiratlW IM412017 1',1E>(T STEP L)V)NG)NG. j ROGER OiJELLETTE �' � 21 DRYDOCK AVE.2TH FL rlolrvalid without signature BOSTON?MA 02210 6lndersecretary Massachusetts [Jepartin-�enf of [-Iubh,�� Safety Board of ffiAkq Regkflafiwis �.vid S,tairtdw'dS SujjvrtiqoorSips',cimflr�, CL-102811 ROGER AOVKL�LET %V 55 STAMMORE wamck Wit 02889 Resivicted To: CSSWC-Insulation Contractor Failure to possess a current edition a the Massachusetts State Building Code is cause for revocation oft his license. For OPS Licensing information visit: vjj�jvj.Mass.Gov/DPS