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HomeMy WebLinkAboutBuilding Permit # 11/9/2015 BUILDING PERMIT %aoaarH qqq" TOWN OF NORTH ANDOVER � APPLICATION FOR PLAN EXAMINATION - _ya Permit No#: X) " Date Received �RA�Rq,ED pPPy�y US Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION lG l , cd, $. q, Jr ctai?, 6 o iSys Print PROPERTY OWNER 3C S 070 c Print 100 Year Structure ye MAP PARCEL: ZONING DISTRICT: Historic District ys n Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial Repair, replacement Assessory Bldg -�r ❑ Others: ❑ Demolition ❑ Other r.,,. ',. ,,,, / .� �/ ��,./,r 11 ,✓r s,.. ...r r. ,, ,. ,,. ,., :.,.: / ! c, e I/, /,/ /„i r r ❑; lood lain � �❑W Ian ,� / , / S t ❑ / r / / J /. DESCRIPTION OF WORK TO DE PERFORMED: Identification- Please'Type or Print Clearly OWNER: Name: 'T s o r/7ejucc, Phone: Address: q0r / , ,findcuev PnA OqY- ContractorName: Scc° riirkt Phone: 97Y--6Y2-JJ-1117 Email Groh°V ca<'Ef -s Cra ca I �, Address: r'b 51 ` N- AnA yLn wt I Supervisor's Construction License: l Exp. Date:��m / 017 Home Improvement License: P . Exp. Date: /Y rJ I7 ARCHITECT/ENGINEER'"--. ,.._ Phone: Address: ` FEE SCHEDULE:BULDING PERMIT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ : Yd0.00 FEE: $ Check No.: 0\ Receipt No.: 1 , NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund tjORTH 'Town of n.dover ® 1570No. , - . �..N@ � ver, Ss, I S COCNIC N@WICK y1. �01.ATEv PP�,�a(� S L1 BOARD OF HEALTH Food/Kitchen PtRMIT T LD Septic System THIS CERTIFIES THAT . ....q �� `................................................... BUILDING INSPECTOR ................ ..................................... Foundation .. 0 .4 has permission to erect .......................... buildings on .. ..... . . . .... . ..... .................................... ............................................. Rough to be occupied as .......eacceptV�ihls . . .....�..... .........�....... ............. . . Chimney provided that the persoermit sh 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 IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC N ARTS Rough Service ............... . .... ...................................................... Final BUILDING INSPECTOR p GAS INSPECTOR CcuEancy Permit Required to Occupy iiild�lYi� Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing r Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approvedthe Building Inspector. Burner Street No. Smoke Det. FREE ESTI TES PROPOSAL Construction Supervisor Lic.# CS102663 FULL'-LSrURED H.I.C. Reg,# 138569 WMGHTROOF)ING-GUTTERS AND HOMM IMPROVEMENT All Types of Roofimg& Gutters 350 BERRY STREET e NORTH ANDOVER, MPtt 01845 TELEPHONE: 978-687-2247 PROPOSAL SUBMITTEDTO PHONE—T6 HONE DATE c -T6Q Mv-I ucc(' 978- 689- 1939 STREETrl JOB NAME/LOCATION CITY,STATEANDZIP CODE g /� j` JOBSTARTDATE 'Roof C1r. T-010 f 5 i Q-X 13 ft\t'2C 1 CA'114 lr (IWPka`i- is it 6 down 1ZJ f o n 6 0, o -F bo Wt tave s a nd 30 j vc"�Po r bctr'NeAr O� ` r�S t c�`f "f�(�cat'niiL� (A -c-k r T 4 &Ilr- c ,rc/-J�c VQ�1� e pv�11 �. �dVJ0• Pi9irv1 -o q.,) ( e _00+ O 1jj� & (Wk' Au 0�� ? g d ' 04� La a� 17 UtJ� r/ �. �^ r s s'i.� [fir- S `Cr PQ-V-f"i � C90 + ® A14 - duvv'PS'f'e-r 4z COPV- .f-b Cu�om�'r- We PropoSC hereby to furnish rnaterial and labor-Complete in accordance with above specifications,for the sum of:$ 7 Oo'0 0 Payment to be made as follows: O nCA I C-1 yl C e !:11 C fZ CO IVIV All material is guaranteed to be as specified.All work to be completed in a substantial workmanlike authorized manner according to specifications submitted,per standard practices.Any alteration or deviation from above specifications involving extra costs will be executed onlyuponwritten orders,andwiilbecome an Signature extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tomado and other necessary insurance.Our workers are fully NOTE: This proposal maybe covered by Workmen's Compensation Insurance.Nonpayment by agreed party may result In litigation withdrawn by us if not accepted within days. with penalties including court cost and compensation both real and punitive. Acceptance of Proposal - The above prices, specifications and conditions are satisfactory and are hereby accepted,making this a valid contract. Signature You are authorized to do the work as specified.Payment will be made as outlined. Date ofAcceptance: . / Signature ass- W RIGOT GLA V` Massachusetts Home improvement , Contract This form satisfies all basic requirements ofthe state's Home Improvement Contractor Law(MOL chapter 142A),but does not include standard Ianguage to protect homeowners. Seek legal advice if necessary. Any person planning home improvements should first obtain a copy of"A Massachusetts Consumer Guide to Home Improvement"before agreeing to any work on your residence.You may obtain a free copy by calling the Office of Consumer Affairs and Business Regulation's Consumer Information Hotline at 617-973-8787 or 1-888-283-3757 or on our website. Homeowner Information Contractor Information Name, Company Name Jose 1, Street Addresf(do not use a Post Office Box address) Contractor/Salespe OwnerName Vo lr)G tewJOG. St• SCa# W•-ttltf City/Town V State Zip Coda Business Address(must include a eet address) cQ U rn A ���yS 3Sa 1?Q_>ra _ S� DaytimePbone Evening Phone City/TownState Zip Code q?9 .688-t7%3`) N. .Anthva,- M4 oreyS MailingAddress(Itdifferentfromabove) BusinessPhom:97,y-6 7-dJA/ FederalEmployer IDorS.S,Number HemeIuyrovemrtconttacterReg.hTemlrt Eap'calion�le ran Tq rrs...mOlt bama �� amproremm[rontmdors have i 3 a valid registration number 7 The Contractor agrees to do the following workfor the Homeowner: �y (Describe in detail the work to completed,specifying the type,brand,and grado of materials to be used,use additional sheets if necessary) 0 a '( OC4I Ple_as.L S-zQ Ct(7U:cGtrzcC( dlr�laosrQ, Required Permits-ulDfollorvingbrtildingpennits werequired Prop osed Start and Completion Schedule-The following schedule will and will be secured by the contractor as thehomeovmer's agent: be adhered to unless circumstances beyond the contractors control arise (Owners who secure their own permits Will be _ excluded from the GuarantyFund provisions of f 9 /5 Date when contractor will begin contracted work. MGL chapter 142A.) Lo 5 Date when contracted work will be substantially completed. Total Contract Price and Payment Schedule The Contractor agrees to perform the work,funish the material and labor specified above for the total sum ofi Y►�Ll Q i���� (�) Payments will be made according to the following schedule: $800100 upon signing contract(not to exceed 1/3 ofthe total contract price or the cost of special order items,whichever is greater) g bX I_or upon completion of by / / or upon completion o - - S i1600.00 upon completion ofthe contract, (Law forbids demanding fill payment until contract is completed to both party's satisfaction) The following materiallequipment must be specie aid for ordered before the contracted work begins in order - to meet the completion schedule.(0) S to be paid for NOTES:(')Including all finance charges('r*)Law requires that any deposit or down-payment required by the contractor before work b egas may not exceedthe greater of(a)one-third of the total contract price or(b)the actual cost o£eny special equipment or custom made material which must be special ordered in advance to meet the completion schedule. Express W'trranty Is an express warrantvbeing provided bythe contractor? fl NoEl Yes(all terms ofthe warranty must beattnchedtothe contract) Subcontractors-7ho contractor agrees to be solely responsible for completion ofthe work described regardless ofthe actions of any third party/subcontractor utilized by the contractor. The contractor fi ther agrees to be solely responsible for all payments to all subcontractors for materials and laborunder this a regiment Contract Acceptance-Upon signing,this document becomes a binding contract under law. Unless otherwise.noted v9thinthisdocument,the contract shall not imply that any lien or other security interest has been placed oa the residence. Review the following captions and notices carefullybefore signing this contract. . Don't be pressured into signing the contract.Take the to read and fully understand it. Ask questions ifsomethingisnmclear. ® Make sure the contractor has a valid Home Improvement Contractor Registration• The law requires most home improvement contractors and subcontractors to be registered with the Director ofHome Improvement Contractor Registration. You may inquire about contractor registration by writing to the Director at 10 Park Plaza,Room 5170,Boston,MA 02116 or by calling 617-973-8787 or 888-283.3757. ® Does the contractor have insurance? Ask the Contractor for 1:is insurance company information so that you can confirm coverage,or ask to see a copy of a"proof of insurance"document. Know your rights and responsibilities. Read the Important Information on the reverse side ofthis form and get a copy ofthe Consumer ouide totter Home Improvement Contractor law. You may cancel this agreement Nit has been signed at aplace other than the contractor's normal place ofbusiness,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 ofthe third businessday following the signing ofthis agreement. Seethe attached notice of cancellation form for an explanation ofthis right. DO NOT SIGN THIS CONTRACT IF THERE ARE AlNI Y BLANK SPACES!" Two idaticalcopies oftbecontractmustbecompleted and slrued.Onecopyshouldgofothehomemvner Tlieodiercopy should hskeptbythe contractor. • omeownec's Signature ntra pr's signature Date Date DATE(MMIDDlYYYY) AtCORV CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE OL ER. 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). ACT PRODUCER T A SULLIVAN INSURANCE AGENCY INC NAME: 135 MERRIMACK ST PHONE AAIQ,WEst) FA/C No: METHUEN, MA 01844 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC k _ INSURERA: LM Insurance Corporation 33600 INSURED INSURER B: SCOTT WRIGHT DBA WRIGHT GUTTERS INSURERC: 350 BERRY ST INSURER D NORTH ANDOVER MA 01845 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 26890575 REVISION NUM R: 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 AODL SUER POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIDD/YVYY MMIDD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S i DAMAGE TO RENTED CLAIMS-MADE OCCUR I PREMISES Ea occurrence 5 MED EXP(Any one person) $ PERSONAL&ADV INJURY s OEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ _ PRO- PRODUCTS-COMPIOPAGG IS POLICY JECT LOC OTHER: Li �S ACOMBINED SINGLE LIMIT AUTOMOBILE LIABILITY I I (Ea accident) 5 _ BODILY INJURY(Per person) 5 ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident I 5 t UMBRELLA LIABOCCUR EACH OCCURRENCE $ _ I EXCESS LIAB CLAIMS-MADE AGGREGATE s DED RETENTION$ S A WORKERS COMPENSATION WC5-31S-387187-015 9/30/2015 9/30/2016 �/ STATUTE OERH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN NIA E.L.EACH ACCIDENT $ 100000 DED? FY OFFICER/MEMBER EXCLU (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 5 100000 If yes,describe E.L.DISEASE-POLICY LIMIT 5 500000 under , DESCRIPTION OF OPERATIONS below li DESCRIPTION OF OPERATIONS i LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space Is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. THE WORKER'S COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR SCOTT WRIGHT, This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation Coverage. CERTIFICATE HOLDER CANCELLATION ( 4 Al, _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN a -C - ACCORDANCE WITH THE POLICY PROVISIONS. tY� 1 AUTHORIZED REPRESENTATIVE f LM Insurance Corporation ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 26890575 1 1-387187 1 15-16 WC 1 Jagadesh049C.AulLibertylEutual.com 1 12:28:10 PM (EDT) I Page 1 of 1 -- '� Office of Consumer Affairs&Business Regulation ,,0- AOME IMPROVEMENT CONTRACTOR Negistration: -138569 Type: Expiration: 4/14/2017 DBA WRIGHT GUTTERS SCOTT WRIGHT 350 BERRY ST, NO.ANDOVER, MA 01845 Undersecretary _X94 License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 Not valid without gnature Mass Board of sFBu ding Re u, a4lon sand St�andrarr� Department o f i uai!)9uc Safety ,45 License: CS-102663 t: a rustresw:,kor "';tasiaas°arq„nti.rr° y % SCOTT W WRIGHT ✓' 360 BERRY ST NORTH ANDOVER Expratioa,„: Commissioner 08/12/2017 Unrestricted-Buildings,of any use group which contain less than 35,000 cubic feet(99IM)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: www,Mass.Gov/DPS