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Home My WebLink AboutBuilding Permit # 11/17/2015 %AORTH BUILDING PERMIT ®�R,,ED 16��,o TOWN OF NORTH ANDOVER 0 ;m APPLICATION FOR PLAN EXAMINATION Permit No#: '� s Date ReceivedC / ��Ssawus�� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION �� `-t� t Pnnt t PROPERTYrOWNER r �� 1 0 Year Structure yes no r MAP ` f PARCEL " C 'ZONING DISTRICT „ Hrstonc District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family [I Addition [I Two or more family El Industrial I*Alteration No. of units: [I commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ,, ❑ Floodplain` �nds ed Dis El UVatersh tnc 1NaterISewer, DESCRIPTION OF WORK TO DE PERFORMED: O o or— Lj Identification- Please Type or Print Clearly OWNER: Name: nn: c M0C-0 � Phone: ��7�' �'��”' �� 7 Address: �1 Sov9� rasp �� Contractor Name Phone Email '"t'es + f3an.�U - Address Supervisor's Construction,License Exp Date ' r Date ent License EXp. Norrie Improvem , 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: $ 4 FEE: $ Ct I 01 Check No.: 11 Receipt No NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund SAgent/Ovvner ' Signature of contractor ignature of t%0RT H au v er ¢. :..'., 0 66 a-vio - _ IL ver, ass �. o� LAK. ' 9 cocMicHew1cK 1• �® DR�ITED IC7 7S l] BOARD OF HEALTH Food/Kitchen Septic System bL L D 0 THIS CERTIFIES THAT j ..1.. ® ,,, ,,, BUILDING INSPECTOR ............ .........g 4............... .... .. ................................. ... .. Foundation has permission to erect .......................... buildings on ...Soxb% . .A�...9 . ♦ Rough tobe occupied as ..... . .. . ........ .... .. f...................................................................... Chimney provided that the person accepti g 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 EXPIRES6 MONTH ELECTRICAL INSPECTOR UNLESSCONSTRUCTIOXVAR Rough Service .... ... 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 Approvedthe Building Inspector. Burner Street No. Smoke Det. TES TA Building arid Remodeling Start date 11117/15 6 APPLETON STREET Finish date 11/25/15 NORTH ANDOVER, MA 01845 HIC Lie. 120296 Expires 11/19/16 (978) 682 2023 CSL. Lic. CS 64718 Expires 6/8/16 Proposal November 14, 2015 Proposal Submitted To: Carol Moroney HOME PHONE: (978) 689-3337 21 South Cross Rd North Andover, MAO 1845 Job: re roof Obtain building permit Complete removal of all demolition and construction materials Generated by Testa Building and Remodeling and its subcontractors. Strip the whole roof. Remove gutters and 1x2 on the fascia. Install 6 feet of rubber and new metal drip edge. Shingle the whole roof with 30 year IKO Cambridge Charcoal Grey Architectural shingles. $ 9450 If the fascia needs to be replaced it will be an additional $ 2475 A finance charge of 1!/2%per month(18%per year)will apply to all accounts over 30 days past due. In the event collection activity is required the customer shall be responsible for all costs associated with collection,including reasonable attorney's fees. I propose hereby to furnish material and labor complete in accordance with above specifications, for the sum of.- $9450.00 Seventy Nine Hundred Dollars One-third to start, one-third once stripped, one- third upon completion. Authorized signature4o�� I reserve the right to cancel this contract if not accepted in30_days Signature Signature This form satisfies all basic requirements of the state's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard language 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. (Owners who secure their own permits will be excluded from the Guaranty Fund provisions of Date when contractor will begin contracted work. MGL chapter 142A.) Express Warranty-Is an express warranty being provided by the contractor? V No 11 Yes(all terms of the warranty must be attached to the contract) Subcontractors-The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third party/subcontractor utilized by the contractor.The contractor further agrees to be solely responsible for all payments to all subcontractors for materials and labor under this agreement. Contract Acceptance-Upon signing,this document becomes a binding contract under law.Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence.Review the following cautions and notices carefully before signing this contract. •Don't be pressured into signing the contract.Take time to read and fully understand it.Ask questions if something is unclear. •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 of Home 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 his 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 of this form and get a copy of the Consumer Guide to the Home Improvement Contractor Law You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business,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 the attached notice of cancellation form for an explanation of this right. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES!!! Two identical copies of the pantract must 4ex4WIeted and signed.One copy should go tot omeownec The other copy should be kept by the contractor. Homeowner's Signature Contractor's*nature Date Date Contractor Arbitration The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as an alternative to court action)if they have a dispute with a contractor.The same right is not automatically afforded to a contractor,however.The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below. This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement 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 Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided In Massachusetts General Laws,chapter 142 Homeowner's Signature Contra is Signature NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor.The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Rights A homeowner's rights under the Home Improvement Contractor law(MGL chapter 142A)and other consumer protection laws(i.e. MGL chapter 93A)may not be waived in any way,even by agreement.However, homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law. Homeowners who secure their own 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 and workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor,all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose.An enumeration of other matters on which the homeowner and contractor lawfully 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 consumer/homeowner rights, contact the Consumer Information Hotline(listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached. Parties are also advised not to sign the document until all blank sections have 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 original contract 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 rescission 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 that the 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 wish to obtain a free copy of"A Massachusetts Consumer Guide to Home Improvement" contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170, Boston,MA 02116 617-973-8787, 888-283-3757 or visit the OCABR website at h'ttp://w�vw.inass.gov/ocai)r/ If you want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law, contact: Director of Home Improvement Contractor Registration Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170, Boston, MA 02116 617-973-8787, 888-283-3757 or visit the HIC website at http:Hwww,mass.gov/o,cabl°/ Go online to view the status of a Home Improvement Contractor's Registration: h ttp:Hdb state.rna,tis/hoineiiTiproveinetitJlicenseelist as For assistance with informal mediation of disputes or to register formal complaints against a business,call: Consumer Complaint Section Office of the Attorney General 617-727-8400 AND/OR Better Business Bureau 508-652-4800,508-755-2548 or 413-734-3114 Version 2.1-11/22/201 NOTICE OF CANCELLATION YOU MAY CANCEL THIS TRANSACTION,WITHOUT PENALTY OR OBLIGATION,WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. IF YOU CANCEL,ANY PROPERTY TRADED IN,ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE,AND ANY NEGOTIABLE INSTRUMENTS EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOU CANCELLATION NOTICE,AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELED. IF YOU CANCEL, YOU MUST MAKE AVAILABLE TO THE SELLER AT YOUR RESIDENCE, IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED,ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR SALE; OR YOU MAY, IF YOU WISH, COMPLY WITH THE INSTRUCTIONS OF THE SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE SELLER'S EXPENSE AND RISK. IF YOU DO MAKE THE GOODS AVAILABLE TO THE SELLER AND THE SELLER DOES NOT PICK THEM UP WITHIN TWENTY DAYS OF THE DATE OF CANCELLATION, YOU MAY RETAIN OR DISPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO THE SELLER, OR IF YOU AGREE TO RETURN THE GOODS TO THE SELLER AND FAIL TO DO SO, THEN YOU REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT. TO CANCEL THIS TRANSACTION, MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE, OR SEND A TELEGRAM TO [Name of Sell r],AT [�ddress of Seller's Place of Business] NOT LATER THAN MIDNIGHT OF 0 l o (date). I HEREBY CANCEL THIS TRANSACTION. Date: Buyer's Signature: The Commonwealth of Massachusetts is Department of lndustrialAceidents X Congress Street,Suite 100 == `F Boston,MA 021142017 www mass.gov/dia Workers'compensation insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE pERAUTTING AUTHORITY. AliplicantInformation Pl(e�asePrint Legibly Namer(Business/Organization/tndividual): es Address: City/State/Zip: /1 �0�►�r' MIA �1$y<-Phone#: of TI _ (O'R' Are you an employer?Check the appropriate box: Type of project(required): 1.❑1 am a employer with employees(full and/or part-time).* 7. []New construction 2�I am a sole proprietor or partnership and have no employees working for me in 8. F1 Remodeling any capacity.[No workers'comp.insurance required.] 9, ❑Demolition 3.Q I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 Building addition 4"❑I am a homeowner and will be hiring contractors to conduct all work on my property. 1 will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.F]I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workerscomp.insurance.t 14. Other 6.Q We are a corporation and its offl9ers have exercised their right of exemption per MGL c. [� 152,§1(4),and we have no.employees.[No workers'comp.insurance required.] `Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. i Homeowners who submif this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not.those entities have employees. If the sub-confractors have employ ees,'ttiey must provide their workers'comp.policy number.' lam an employer that is providing ivor-kers'compensation insurance for•my employees.'Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins,Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A,copy of this statement may be forwarded to the Office of Investigations of the DTA.for insurance coverage verification. .ado Hereby c y der thepains andpenalties ofperja+ry that the information provided above is true and correct. Si nature: � Date: t 5 — Phone# ? Official use only. Do not write in this area,to be completed by city or town d-ficial.. City or Town: permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone##: rJ ME IMee Sons" er Aff&rs 9istratf OV EMENT c NRus ams Regulation p►ratio . 120296 O PACT bon TESTA BNIL n_ 1w19/ 5 OR 201-- . .LAMES DING&REMODELING CBA TYAe: TEST 5APpLET A NAND ON STREET' ^OV�R MA 01845 '---- vuderseQretary iMassachusetts -Department z,f;ori'blic safety Board of Building Regulations and Standards Construction Supen'isor � i_icense: CS-054718 3AIVIES M TESTA ` i 5 APPLETON ST N ANDOVER MAY 01845 � x,21 06108/2016 Commissioner