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HomeMy WebLinkAboutBuilding Permit # 7/13/2015 NORTH BUILDING PERMIT O& ..LED �+ TOWN OF NORTH ANDOVER � ''` %6 APPLICATION FOR PLAN EXAMINATION Permit NoM `. S Date Received ATEu "�5 �SSACHUS�� Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION '- (;/ Z�n Print PROPERTY OWNER Z,�414zl Print 100 Year Structure yesrio MAP 1, �' PARCEL: , f ZONING DISTRICT: Historic District ye no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One ❑Addition o-Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other r r y x x r D Se fc ®1Nell 37 ;r❑ Floodplain ❑Wetlantls r' ❑ 1lVatershed,Distri' ct %� �per''<�5�" �� � ..' �.cr ✓" r � `'k ,„ 'j �' 1& '"r..�� ?� c � � ,z�';; �G' ':' �{r r ,,zt� l^^ r �ia'a'1 s�4;ff f� A� " 'fie .`s� .C3 PI,.✓ if £"�'.0 f� ,, '��.�. ��s��i �. ,, r5�,T.r i .�' 3j� .s. ' F . ; �,Y f�=r� fit` ��� ' � �' '� a ;:�✓ DESCRIPION OF WO K TO BE PERFO MED: �✓ �.�, F . Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: 22 r Contractor Name. Phone: — Email: ,. Address: Supervisor's Construction License: C 2, E Exp. Date: Home Improvement License: Exp. Date: 7 O ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ FEE: $ Check No.. Receipt No.: � NOTE: Persons contracting with unregistered contractors do not have access to Oe guaranty u 1d Sinatud,ofoaPnt/Owim r ner, tAORTH Town of Andover 0 h ver, Mass, COC NIC Nl wICK AORATED S V BOARD OF HEALTH PERM IT T L U Food/Kitchen Septic System THIS CERTIFIES THAT ,,ss .. .. BUILDING INSPECTOR ................�..•.. ................ .... has a Foundation permission to erect ............ ............. buildings on .�1. .!......... V.... .. ... .....®. � Rough to be occupied as .... ..... I .. .... .................. 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 1g60NTlj S ELECTRICAL INSPECTOR flLESS C S CS TS RoughService .......... .......................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Page# of pages # 022680 Propool 978®688®6737 HIC# 103358 A. J. Walshor 159A Waverly Road 1®978®912®2853 North Andover, MA 01845 , � � Job# rnnnsa u e To: 4/ Job Name ✓ L Ar' Rl�rH Job L Date pate of Plans Phone# Fax# Architect We hereby submit sp ifications and estimates for: s i rWeropose hereby to furnish material and labor—complete in accordance with the above specifications for#Ie sum of: $ v Dollars with payments to be made as follows: `"� � ' Any alteration or deviation from above specifications involving extra costs will be Respectfully executed only'upon written order, and vn11 become an extra charge over and Submitted above the estimate.All agreements contingent upon strikes,accidents,or delays beyond our cohtrol. Note—this proposal may be withdrawn by us ff not accepted within days. cce to ce Of'Pr 1 4al The above prices,specifications and conditions are satisfactory and are ~° hereby accepted.You are authorized to do the work as specified. '-''Signatur L will be made as o�utliged above. Acceptance . " / -- Signatur "" MASSACHUSETTS HOME IMPROVEMENT CONTRACT This form,satisfies Al basic requirements of the state's Home Improvemonf Contractor Law(MOL chapter 142A),bntdoii not include standard language to protect homeowners. Seek legal advice if necessary. Any personplanuing home'ihtnprovements should'fizsf bbfain a copy of"a Massachusettsiconsumer guide to home,improvement"befdre agreeing.to any work on yourresidence.You may obtain a free-copy by`calling'the Office of Consumer:Affairs and Business•Regulatiodi;Consumer Information Hotline st617-9714787 or 1#898483 r3757:Homeowner Information `Contractor Information pang am Contractor/ a] OwncrName ' 9tyfrown wJ �� I Staff"' Zi, I lusiness Address(must include a street address) I)aytrmePh Ev P ''e- ityrrown State Zip Co Mailing Address(It different from above) usmess hone fderal Employer ID orS,&.Number rogim- ' lam w—lWimolt Lomo Aome/ �'' tCmncidr sea}thmber Axphtiondait' - anwnml mnindmt 6svo� � �" . rlidny(nnaoo mm�Mr / The Contractor agrees do the following lowing work for the Homeo ne_r.. C,��', t ' r Acquired`Perinits-The following building peimits are required Proposed Start aud'Completion Schedule-The following schedule will and will be scerued:by the contractor as the'homeowner's agent; be adhered to unless circumstances be yond:the contractor's'control arise (Owners whti;secure their own permits will be exduded.from:the>Gnaranty Fitnrlprovisions of ate when'coittrsatorwi11 begin contracted work MGL chapter 141A:) ate when contracted .work will besubstantially completed Total Contract Price and PaymentSchedule , The Contractor.agrees to perform the work,famish the material and labor specified above for the total sum of- Payments fPayments will be made according to the following schedule: 0 $ upon.signing contract(not tb ekceed I/3 of the total.contract price gf the coat;of apeciel order items,whichever is.greater) $ "' by=7=%or upon completion of mm Wim~ by _/_/ or upon completion of U $ t7 upon completion of the contract. (Law forbids demanding full payment until contract is completed to both party's satisfaction) F (f The following matariaUequipmeat must be special $ -- to be paid for ordered before the'contracted'workbegins in order S to be paid for 77 to meet tlie:coinpletion schedule"(**) 'NOTES:(*)Including all finance charges(**)Law requires that any deposit or down-payment required by the contractor before work begins may mot-exceed the greater of(a)one-third of the total contract price or(b)the actual con of any speclal equipment or custom made material which must be spacial ordered in advance to meet the completion schedule. RxaressWarranty-Is an exoressmarrantvbeiaeurovldedbvthecontractorT No Yes tall termsofiewarrnnh+ .r'h t+•�edtothecontractl Subcontractors-The contractor agrees to be solely responsible for eomplenan of the work descnbad regardless of tlreactiona'ofany�third party/subcontractor utilized by the contractor. The contractor further agrees to be solely responsible for all payments to all subcontractors foi materials and labor under this aereement Contract Acceptance-Upon signing,this document becomes a binding contract tmderlaw. Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest)ms been placed on the residence. Review the following cautions and notices carefully before signing this contract. • Don't beressured into signing fitting the contract.Take time to read'end fully understand it.'Ask'questioris its is unclear. • Make sure the contractor has a valid Horadm2rovemcrit r n 'pre hivi requires most home improvement contractors and. subcontractors to be registered with the Director ofHom o Improvement Contractoir Registration. You may inquire about.contractor registration by writing to the Director at:One Ashburton Place,Room 13Q1,Boston,MA 02108 or-by 1-800.223-0933. _calling 617-72?-3200 ox • Does the contractor have insurance? Check to see that your contractor is proporly insured • Know your rights and responsibilities, Read the Impottani Information on the reverse side of this ftiiat'and get a copy of the Consumer Guide to the Home Irrlprovement Contractor Law: You may cancel this agreement if it has been signed at a place odlei.than rho-cantractdris'normal place ofbusioess,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. third business day following the signing of this agreement .See theanached notice o£eancellation form for an explanation of.this right. DO NO = IGN THIS CONTRACT IF THERE ARE ANY BLANK SPACESM t'wo ideatinl s» th be completed and sig�axl.One copy should go w ua homeowner.Thsother copy should be kept by the contricrer. co er,s �n tune Contras r' r . Data p!J4✓ __ ___�_ ,Date Contractor Arbitrstion . The Home;Improvement Contractor l aw_proyides:homeowners with.the ight46,initiate an arbitration action(as an alterna#ive'to,"couit;acti'i)if-they.haye.a dispufe:with.a'contractor. The.same:tightis riot'automatically afforded to a. contractor•,however.-:The:contractorwould have.to resolve any:dispute he/she.ttas with a'homeowner in courtunless .... both parties agree to.the optionaldiause provided below;.This clause would.give the.contractorthe.same-right to arbitration as is afforded to the•homeowner,by the AomeInrprovement Contractor Law.. . The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract,the contractor may submit the dispute to a.private arbitration,firm which has:been:approved by, the ecietary of the Executive Office of Consumer Affairs and Business Regulation arid--the consumer shall be required to mit to such arbi on as provided In•Massachusetts General Laws,chap 142A. /41 ZI on owner's Signdture Con clot's Signature NOTICE:The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contracto- The<homeowner,may initiate alternative-dispute resolution even where this section.is not separaf 4y signed.by`:the pgtties:. Homeowner's Rights A homeowner's rights undi'the IIome'Improvement Contractor Law(MGL chapter I42A)and other consumer protection laws(i.e.MGL chapter-93A)may not be waived in anyway,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 who secure their. building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law. The contractor is responsible for completing the work as described,in a timely andworkmanlike.manner. Homeowners-maybe entitled to.other specific legal:rights if the.contractor guarantees. or provides.an.express warranty for;:workmanship oir materials. In addition to.guarantees or warranties provided by the contractor,all goods sold in Massachusetts carry an implied warranty of merchantability and fitness.or-, particular purpose. An enumeration of other.matters on which,the homeowner and contractorlawfully 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 helow). Execution•of Contract The contract must be executed in duplicate and should not be signed until a co 13y of art exhibits and referenced documents have been attached. Parties are also advised not to sign the document until'all blank sections bave.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 contractor may not demand payments in advance.of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure. 'However,in instances where a.contractor deems him/herself to be financially insecure,the contractor may require thatthe.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 account would 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 consumer rights,or if.you wrsh to.obtaur a free copy.of "A•Consumer.Guide to-the HomeImprovement Contractor Law,"contact: .. .. 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 or-need additional inforination specifioally about the contractor registration component of the Home Improvement ContractoeLaw,contact: ' Director of Home Improvement Contractor Registration Bureau of Building Regulations and Standards One Ashburton Place,Room 1301,Boston,MA 02108 (617)727-3200 or-8-800-223,0933 For assistancdwithinformalinediation'ofdisputesorto•registerfornialcomplaintsagainst a.l5usines's- ` - • 'Consir�nei`Cofiiplairit`Secfion' Office of the Attorney General ; (617)727-8400 SAND/OR Better Business Bureau ' (508)652-4800 (508)755-2548 (413)734-3114 From: 01/12/20-16 14:48 #151 P.013/016 ® ® 8 IC tl LIABILITY I DATE(MM/DD/YYYY) CER01/12/2015 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(ies) 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). 'RODUCER 00775-001 Durso&Jankowski Insurance Agency Inc AlC,Na.Ext: (978)682-5175 A/C.No.: (978)794-0313 198 Mass Ave Suite 101Bdss: North Andover,MA 01845 A.I.M.Mutual Insurance Company 33758 VSURED Arthur Walsh A J Walsh & Sons INSURER Q, 55 Pleasant Street INSURER North Andover, 1YIA 01845 INSURER E, 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 G yBY PAID CLAIMS, YR TYPE OF INSURANCE INDSR%% POLICY NUMBER MR61S YYY POLI NY LIMITS GENERAL LIABILITY EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY DAMAGE TORENTEDPRFMI-1FS(Ea n $ CLAIMS-MAGE F—]OCCUR MED EXP(Anyone person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ OLICY RO OC AUTOMOBILE LIABILITY COMBINEDISINGLELlMIT $ ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS S UMBRELLA LIABH OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE S yypRKDEERDgREEF Cpry� R�ETEENNTyyC gT 7{{ $ AND EMPLOYERS€LIABILITY E.L. TORY ll I S OER ANNyy PRROoPRR��EE'rrppR/ ECUTIVE . EACH ACCIDENT _ $ 1 00,000.00 A OFFICERIMEMBER EXCLUDED? NlA AWC 400-7014648-2014A 11/14/2014 11/14/2015 E L DISEASE.EA EMPLOYEE $ 100,000.00 (Mandatory In NH) "�9'CRI��10A 99PERATIONS below E.L.DISEASE-POLICY LIMIT S 500,000.00 ACORD 101,Additional Remarks Schedule,if more space Is required) DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach The workers compensation policy does not provide coverage for Arthur J Walsh CERTIFICATE HOLDER CANCELLATION Town Of North-Andover 1600 Osgood Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE North Andover,MA 01845 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs&Business Regulation E g MEIMPROVEMENT..CONTRACTOR ` egistration: , '033$T Type: xpiration: 7{�-0'��-=� Private Corporation - A.J.WALSH&SONS y^ , � Arthur Walsh - �., z� 55 Pleasant St N Andover,MA 01845 Undersecretary is Massachusetts -Department of Public Safety Board.of Building Regulations and Standards ' Construction Supervisor i License: CS-022680 ''.; ARTHUR J WAIS, It 159A WAVERLYiD fi N ANDOVER AU 01 • r i_ Expiration. Commisssiionne''r' 06/09/2016 '