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