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HomeMy WebLinkAboutBuilding Permit # 9/17/2015 (2) BUILDING PERMIT 0SORTT TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION & Permit No#: Date Received AT Date Issued: all IMPORTA�Nj. Applicant must complete all items on�this�page p_pl n-i LOCATIONF/C at qx) Print PROPERTY OWNER Print 100 Year Structure yes MAP PARCEL: ZONING DISTRICT: Historic District 0 yes no Machine Shop Village yes 0 TYPE* OFIMPROVEM�ENT PROPOSED USE Residential Non- Residential family 11 New Buildi L] 0ng [I One family 11 Addition 11 Two or more family 11 Industrial F-1 Alteration No. of units: 11 Commercial )/Repair, replacement— 0 Assessory Bldg 5?'Others: 11 Demolition 0 Other JC900L Tgg—/ rgDist c """U,", " Q s DESCRIPTION OF WORK TO BE PERFORMED: a�AV E YJ M P-S& 0 -JOE&BE �Tr--W t-,JM1 SC-&P? LL N r Identi ic OWNER: Name: Location 7 Date Address: 11P-,o 6eC47 7)q J�111, No. Contractor Name: TOWN OF NORTH ANDOVER Email: Address: BITE, Certificate of occupancy $ Supervisor's Construction Licen Building/Frame Permit Fee $ Foundation Permit Fee Nome Improvement License: Other Permit Fee ARCHITECT/ENGINEER TOTAL 4 Address: Check# FEE SCHEDULE:BULDING PERMIT. $12. V(I Total Project Cost: $ Building Inspector 7 Check No.: 1-�Ie-ce i,pt No.: NOTE: itlrso—llsconti•(ictingivitli—ittire-g-iv red cotitractors do iiot have acces e gitaralityfiiii -----.—S,-g-n-a-tu-,e ofA!ae-nt1Own-ff,— --siu.nature Qfntrartnr -i tt®13TH X Uwn ot iiuuvcl O LAN! h Ver' ass, /.. '' •J ADRATE D �f � V BOARD OF HEALTH Food/Kitchen P RM I I T// Septic System SG�?OD / THIS CERTIFIES_ THAT ...........��c1Q..c�.�.......................................................................................... BUILDING INSPECTOR �i has permission to erect .......................... buildings on Zm... T.. �^ly.. . ............................ Foundation PP• Rough to be occupied as ���� - ��-, ���`mss ............... ..... .......................................................................................................... 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 EXPIRESIN 6 MONTHS ELECTRICAL INSPECTOR UNLESSCTI SATS f Rough Service ............. ...... �E�1�b�> 'X"' yr.....,,�......................... Final BUILDING INSPECTOR GAS INSPECTOR ccupa cly Permit Required to ccul?y By 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 Approvedthe Building Inspector. Burner Street No. Smoke Det. MA ONLY LEAD SOURCE: CONTRACT (978)373-4223 800-464-8833 09 8883-8051 CONTRACTOR Email:fixit@ntadassociatesinc.com - www.triadassociatesinc.com ® ASSOCIATES, INC. Reg.#123 299 D 100 DOWNING AVENUE,HAVERHILI,MA 01830 DATE �O Name - 1?weC Sr1u( Address/��OC7)14�T 1'rJ"1J /� Home belie{— ►N)(zn �7sTL-aJ�E� city'AIU" 14'vzt)ayi/ g State Lw_ Zip Code 0 Ry t Cell Phone O)W e��- 7'id, TRIAD ASSOCIATES,IIN,hNChereinafter caW the Contractor,proposes to finish all material and laborrecessary to complete the praect according to job plan for work at BUs.Phone( Name !/1 c- Address City State Zip Code Email TYPE OF FINISH COLOR SO.FT. PERIMETER OF Pp 0 6 SPA COPING STYLE n b ED,4 'L - 8'eO(AT gaC� ✓tom If1 J r CLti6 l� DIVING BOARD SUPPORT LADDER d CUPS ASSIST RAIL / PVC JOINTS ❑CUT JOINTS A-1/4 i1 ❑ON SITE �(.,� ❑ON SITE SCJ A ❑ON SITE ❑BLACK ❑TAN ❑GRAY ❑RANOOM ❑PATTERN YB#EA -TYPE LENGTH it HEIGHT[RIS_ERS) WALL TYPE HEIGHT LENGTH ��4p- LoC tI tt /U/- POOL CONTRACTOR LEAD SOURCE DRAINAGE Ar OF FEET IF NEEDED) AMOUNT OF GRAVEL IN CONTRACT "t-114— SOLID ---' PERF '--DECK-O-DRAIN 'SHOULD ANY ADDITIONAL GRAVEL BE REQUIRED,CUSTOMER AGREES TO PAY FOR EACH LOAD OF GRAVEL. Scope of Work: vCo�� 012X2 �X4S�/JCrL-77C Lp/`14� ji2S. i rel" -7v 141*' `7icHo-l3eLIC" 13a►N�> 3,. Err 4/n. CeC7;Y x 01141�6+1,J (32&y i rq rjl c(- (?6,AJU1,-r2'j— Corel?6rrr-10 r&tF�`j 7s'� -7D �7 X 71�� C'f A)&- Lf1��1N(, %/zOr► /S -7Z) /y 11IN L-JWGTW. -T� 7zSAs 1-J71(- RE 'q"" 6?,D6,�7t)A66'2C-64.,-Z�- T-iNgq IAJ wk- rZ3&)k-s DECK INCLUDES:All torn work,wit reinforcement,31/2'-4"3,000 P.S.I.concrete,P.V.C.control joints as needed,detergent wash if required,stripping and removal of all forms,caulking,and all labor to perform the above. DECK DOES NOT INCLUDE:Plumbing,Grading,Gravel,or any material andJ a associated with gecis unless stated above. THE UNDERSIGNED AGREES TO PAY THE SUM OF S / ,,.SLID- 130%1 DOWN,THMM-OPi — AT COMPLETION OF SETUP AND THE BALANCE OF S 2 110%1 AT COMPLETION OF POUR. Fuel Surcharge$ Total Price$� SCS. THIS CONTRACT COHTAINSTHE FULL AGREEMENT BETWEEN PARTIES AHO NO REPRESENTATION BYANY AGENT SHALL BE BINDING UNLESS SPECIFICALLY INCORPORATED HEREIN.YOU MAY CANCELTHIS CONTRACT BYA WRITTEN NOTICE DIRECTED TO THE SELLER AT THIS MAIN OFFICE BY ORDINARY MAIL OR BY DELIVERY,NOT LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY FOLLOWING THE SIGNING OF THIS AGREEMENT. 1. Omer steal provide reasonable access to the site,and al uINbes to complete the work to be Wormed by the CanVadu 9. In the event of defa ft by Demer of any pvvbbns of this conuact,Owner agrees to pay al collection fees,Interest from Ail old shall roman on the job sae union specifed herein, dale of default and reasonable attorney's fees. 2. The Contractor shy net be responsibla for damages to the premises prxludng,but not 5mted to;gross,slvubs,cccrm4cs, 10. Disclaimer=Customer understands and accepts that due to the natural variance of the raw materials used,a0 SPRINKLER SYSTEMS,curbs,driveways,patios and other Improvements)resuriing from the reamnab'e pedormaae of aggregates and dye products will vary up to 15%from samples to actual products. Contractor's work. 11. Cmtracta's reepowble for all placements of expansion and control fonts I—a ts)unless o•,vner provides 3. The Contractor is not responsible for rehire cracks seated by stress c r shrinkage.flu sh al he be responsible for placement plan. excentee ma:ernmt of sot,gensraly caused by water nigretion.HoWe cmcks caused by normal frost Ices n are net 12.Consequertiel DamW:The Customer and Triad wave clwms aga'nm each other for consequential damages wisng out the respons"of the Contractor.Any cracks causing concrete separation will be inspected immediately by of or relating to pedomrzrae or nonperformance of the Contract Documents.Contractor shall not be liable for any customer and C motor to determine the wase.if fault is determined to be Contractors,the contractor will actions,damages,claims,6abdities,expenses or losses adsing out of the service provided under a total amount replace the section in question only for up to a period of one year.After vrodcmen have left the job site,tFe Cemracfa in excess of the amount paid or owing for services provided by Contractor under this agreement Contractor shag Initials shelf not be respo nsbe for damage done to concrete caused by va'klrg on the concrete,aNmals,vada,w,a vrather. not be liable for consequential,special,Indirect,incidental,punitive,or exemplary damages,expenses or losses. 4. Upon substantial complOon,the balance of the price shat be due and payable in ful without offset or reduction. The provision of this paragraph shall apply regardless of the farm of action,damage,claim,fiability,expense,or Contractor shall not be co gated to cean up a to correct any deficiencies n hs"ark unD the end amount due for warx loss whether in contract,statute,tort or otherwise. performed has been pad by the anstaner. 13.CustomWs Respensibi ties:In addition to any other restoDmUties requred in the Contract Documents,the Gustorrusha' 5. N the event Owner amhoriz s the use of neighbors property fa Contractor's use during access and construction,Oemer a Obtain amy and el necessary construction related permits agrees to be re;ponsib'e for any damages incurred.Contractor agrees to exerose reasonede care. It.Keep all chTdren and pets away from the construction area .. 6. Customer ackrevWges receipt of Triad's Construction Guide and that the gude has been kay ulobi ted, c.Remove all va'uames ad personal prop"from the construction area prior to the pmect commulownerit date. Customer Initials d.provide Tract with as utRies necessary for the execution of the pmKt. 7. Contractor shall not be responsb'e for incorrect property dra'nage caused by armor/arch'tect ladscaper during e.Promptly commutate any question'or probems to Triad's P*,,Kt l,fanager. landscape procedures.Note:al ground erste is to be diver ed from pool and pool deck areas. L Net intedee with Triads execution of the protect and not give Instruction or orders to any employees,subcontractors, Oe' Notntithstard the fa in.Triad shall rat be sb!e fa an de'. in the amaze of the act vendor a supplilw of Triad. ® aYs: ^9 9 Pon Y ti's P 14.We to the weence of natural materials In the ma'ag of red-mix mruste and the iaronsstent mixing of those mataiais by l/ rtg from ch s ordered In the aloof,Poe,unuwal delay m de(neres,delays'm deCvery of,a Inab31y to obtzn the ra,mat terse dN afro-condtron beyond Triad's reasonab control,a anry act of neglect red�mn�ms,T'Assoca!es cannot gusamee the oda cans'slenry or imprint depth of stamped conaete when of the t ,sly ray' m /q�geatmcR' equ%rnd fa canp!afon of a prddct. Accepted Date s `— I TRIAD ASSOCIATES,INC. CUSTO}AER Date GUSTOIAER Date Revlmd 3.701" Brood,;drool 4hiedc Cori lew. �e�ad W rrm& T IUEt� �i'ser 9 cyQde, ------------------------ b 1 NO(c comple�ed Bre a Ott Remove&j�epow 7-(ikd Aoodiu k, 100 �)Otapt�g Am ��QV�Et'�tGIC, �CL G�183� t k r q(-8-47q-3664 6 4 L----------------------------i 1 yi/ r fir r, l f ol,il A/1 J'y J F ✓iYi �( r 1 r � l✓� ��✓ al If t�� r �r(%o r� I i , s� 'f �%%i�rr��r�dlJ fi % v�✓���4 tt���7r '�s"o �'������, �,✓��// i iri % � �tl it i r i f', ✓ i � � � .� i/ /� ✓///�' i/' o, VIII vwWuuu X01 � , r ,4 r101A'//✓ d a r J��P ! t rbt Plr f�f6,I Q d ,(,; �„y ��i'✓�i^`t��f � � ��'G 5 � v r a. 5 s A �w 1 �a$xu r f✓f " m /af''«'+" /ark't V r c d 2 :'m:nn >t n, c :, - r M ! �, b Y:f r du x4 r'r`�i���,�r` * �„v'p ��aaFr r'� kyul��r��aV i, ,( 'q�"xy,�'" i ti✓° 4,!"�' '`y,y, ,., �y�°4-'�^ v'k. ti�i�r � F;^, �"P ror U•r' t, k' +; ,`�F�,yRh k`x�iJ mr`d 9��'w��iR✓a#k � —y p9 ' re. c 3 >,a �`',3�,, ✓/v .+, "^t �,� 4 AP IL m a a'n � j� ✓ ..� �1+v t s) �''aP t �.!_�" � "^.,. m^ fir"` � '�i," '+ ! •2 '`"m�'4.q. 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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 JNAME: ames A Santo Planright Insurance-Salem PHONE FAX 224 Main Street Suite 3C A/c No Ext:603-890-6439 A/C No;603-890-6521 Salem,NH 03079 E-MAIL James A Santo SS:jam ie santoinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Acadia Insurance 31325 INSURED Triad Associates Inc INSURER B:Union Insurance Company 100 Downing Ave INSURER C: Haverhill,MA 01830-2661 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. /LTR TYPE OF INSURANCE DDL UBR POLICY NUMBER MM/DDY� POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE OCCUR CPA5076502 03/29/2015 03/29/2016 DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP(Any one person) $ 2,00 PERSONAL&ADV INJURY $ 1,000,00 GEN'LAGGREGATELIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICYFX] PRO- JECT N LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident B ANY AUTO MAA5076507-12 03/29/2015 03/29/2016 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident X $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE CUA5093457 03/29/2015 03/29/2016 AGGREGATE $ 1,000,000 DED I X I RETENTION$ 0 $ WORKERS COMPENSATIONPER OT - AND EMPLOYERS'LIABILITY STATUTE ER A ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N X CA5076511-12 03/29/2015 03/29/2016 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N❑N/A (Mandatory in NH) 3A: MA NY E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 A Leased/rented equi CPA5076502 03/29/2015 03/29/2016 Leased eq 100,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. North Andover,MA 01845 AUTHORIZED REPRESENTATIVE o ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Massachusetts -Department of Public Safety Board of Building Regulations and Standards EMPMEUMMM C'u iia�i;ti;olt Su nc�tii�oi9� REM License: CS-102225 �:I DAVID J HABIB 1 DEBBIE TERRkCE- HAVERHILL MA 010: a Expiration Commissioner 04/09/2017