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HomeMy WebLinkAboutBuilding Permit # 9/4/2015 ..........-----—----- ............ t%ORTH BUILDING PERMIT 0, A. TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 0 Permit No#,�- Date Received $?ArED �SSDate Issued: A U5 WIPORTANT:Applicant must complete all items on this page LOCATION P r- t PROPERTY OWNER Q%r1I%k0P ie it 0 W Print 100 Year Structure yes no MAP PARCEL:F ZONING DISTRICT: Historic District yes no le� Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Resideptial Non- Residential ri New Building [406ne family [I Addition El Two or more family 11 Industrial [I AI ration No. of units: D Commercial Sol�epair, replacement [I Assessory Bldg [I Others: [I Demolition [I Other DESCRIPTION OF WORK TO BE PERFORMED: P, ?b 16L&4, & psp haul 11- S R6MOV4- Jww� Identification- Please Type or Print Clearly OWNER: Name: CxVPPS4-op1%er K0W'L-,' Phone: Address: Fo&S lte� #vAo V f-,( WIA-- Contractor Name: K Phone: 177 (P 0(a Email: I Address: VMAN Akill- LO Wt 11 Supervisor's Construction License: OtIf"16 � —Exp. Date: 9 A Home Improvement License: I Exp. Date: 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: $ Co) 0- FEE: $ I Receipt ell Check No.: i pt No.: ,,;:2 - NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund t4 '46fe"d,"A' bnt/Owner Siqnature of'bohtr�bAor�" t%ORTH Town ofndover 0 0% ® 6143 //a h ver, Mass, alvjvr000 IS6 C OC HLIC=49 WEM K RATED Pt' U BOARD OF HEALTH Food/Kitchen RM IT L D Septic System THIS CERTIFIES THAT ............... ........ ...................... . BUILDING INSPECTOR ... ... ..............*............ Foundation has permission to erect .......................... buildings on ...1,W......f ....... ...................... Rough to be occupied as ....... ............................. Chimney ...... ihpeter�s of the application Final provided that the person Facce acceptingthispermit shall in every re conform to 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 61NONtTS ELECTRICAL INSPECTOR r UNLESS CONSTR S TS Rough Service ............... ... .....I. .. ............. ..... ............. L= W1LD3MNG INSPECTOR Final GAS INSPECTOR OccupancE Permit Required to Occupy Bu 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. Next Step Living, Inc. CT HIC.0629266-MA OCABR#162111-RI Contractor Reg.#37185 HOME IMPROVEMENT AGREEMENT Date of Contract: 07/24/2015 next step Livingh. horne energy sotutions 21 Drydock Avenue,2nd Floor,Boston,Massachusetts 02210 Customer(s)Name(s): Laura&Christopher Bowe Telephone:866-867-8729*www.nextstepliving,com Customer(s)Street Address: 12 Foss Rd City: North Andover State: MA zip: 01845-5258 Customer(s)Home Phone#: Customer(s)Mobile Phone#: Permit(s)Required: Building&Electrical City/County Issuing Permit(s): North Andover Customer(s)jointly and severally agrees to purchase the products and/or services of Next Step Living,Inc.("Contractor")in accordance with the terms and conditions described on the front and reverse of this Home Improvement Agreement("Agreement')and the attached specification sheet(s).Customer(s) hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. ESTIMATED STARTING DATE: Thursday,October 22,2015 ESTIMATED COMPLETION DATE: Thursday,October 29,2015 TOTAL SOLAR SYSTEM PRICE: $34,124.28 PAYMENT METHOD: select option(s) ESTIMATED STATE REBATES: $0.00 BCash Credit Card SOLAR PURCHASE PRICE: $34,124.28 Check Financing ROOFING PURCHASE PRICE: $0.90 TOTAL PROJECT PURCHASE PRICE: $34,125.18 See Payment Certificate for payment schedule In certain circumstances,Customer(s)may agree to assign to Contractor the right to receive and retain the rebate(s)associated with ownership and use of the product(s)in consideration of a reduction to the Total Price equal to the amount of the rebate. By signing below,Customer(s)hereby irrevocably assigns to Contractor the right to receive and retain such rebate. Owner agrees to provide all required support to receive the rebate. Amount $0.00 (Customer's Initials) I'm fine receiving autodialed and/or pre-recorded calls or text messages from or on behalf of Next Step Living to tell me about new products,sales or other events I may be interested in,and you can use any of the telephone numbers I have provided above. I understand my approval to receive these calls is not required for me to make a purchase. (Signature) Customer(s)agrees and understands that this Agreement constitutes the entire understanding between the parties,and that there are no verbal understandings changing any of the terms of this Agreement.Customer(s)acknowledges that Customer(s)(1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two accompanying Notices of Cancellation,on the date first written above and(2)was orally informed of Customer's right to cancel this Agreement.DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. NEXT STEP LIVING, INC. 07/24/2015 By: Todd Massicotte Print Name Lic.#(CT only) Signature" Date CUSTOMER(S) J1_ 07/24/2015 Christopher Bowe Print Name SignaturW Date Laura Bowe Z�,VLA29=2 0712412015 Print Name Signature 0 Date YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ACCOMPANYING NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. @BLLP2013.NSL.CTMARI TSM260-M18-IVD2397-DC3021-IRO-CCO-RY-TN-Green Sky OWNER'S AUTHORIZATION FORM For Permit Application(s) The sole purpose of this form is to provide Next Step Living with the Necessary permission from the Owner to file Permit Application(s)for such Project work as agreed upon between the Owner and the Owner's Authorized Company and its designated subcontractors. Owner's Name: Christopher & Laura Bowe Solar Project Addr 12 Foss Rd. North Andover, Ma Signature• Owner's Authorized Company: Next Step Living Inc. Company's Address: 21 Dry Dock Avenue South Boston, MA 02210 Affiliation: Contractor Applicable License: HIC#162111 State: MA AC RDATE(M M/DDIYYYY) TIFICATE OF LIABILITY INSURANCE 1 09/02/2015 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). PRODUCER CONTACT CarolynACoughlin Charles J Coughlin Insurance PHONE 7 -3588we a ( ) 57 FAX 14 Dinley Street (AIC,No): P.O.Box 10 ADDRESS: carolW@coughlinins.Com Dracut,MA 01826 INSURERS AFFORDING COVERAGE NAIC# INSURER A: Utica First Insurance Company 15326 INSURED MMP Construction LLC INSURER B: NGM Insurance Company 14788 Matthew Palmer INSURERC: Liberty Mutual Insurance Co. 15628 428 Buhmn Road Lowell,MA 018524308 INSURER D: INSURER E: 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 ADD-SUBR POLICY EFF POLICY EXP OMITS LTR POLICY NUMBER MM/DD/YYYY MMIDD/YYYY A GENERALLIABILITY ART504500801 09/23/2014 09/23/2015 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 50,000 PREMISES Ea occurrence) $ CLAIMS-MADE ® OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJLRY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO- LOC $ '.. B AUTOMOBILE UABIUTY M 1T5014S 06/22/2015 06122/2016 CEa acciOMBINED'SINGLELIMIT '..... ANY AUTO BODILY INJURY(Per person) $ 100,000 ALL OWNED / SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ �./ HIRED AUTOS NON OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ '.. EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEC) RETENTION$ $ ''... C WORKERS COMPENSATION WC5-31S-607211-014 09/27/2014 09/27/2015OTH- WCSTATU- ANDEMPLOYERS'LIABWTY YIN ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EMXUDED? � N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 if yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIP71ON OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) Carpentry)Snowplowing CERTIFICATE HOLDER CANCELLATION Fax4k(978)688-8476 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover,Massachusetts THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1600 Osgood Street ACCORDANCE WITH THE POLICY PROVISIONS. Building 20,Unit 2035 North Andover,MA 01$45 AUTHORIZED REPRESENTATIVE O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-048363 /a Construction Supervisor ' ' TERRENCE L PALMERS 428 BUT MAN RD '°�'a / 5f� a, LOWELL MA 01852 Expiration: Commissioner 09/09/2017 A --_'— fflee of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR v Type 8840 Registration: 17 9 Supplement Expiration: 10/2/2015 MMP CONSTRUCTIONINC. TERRENCE PALMER 428 BUTMAN RD. — LOWELL,MA 01852 y Undersecretary