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HomeMy WebLinkAboutBuilding Permit # 1/19/2016 OORTH BUILDING PERMIT ,JLro + 1,"6 TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION Permit Nod: Date Received CHUS Date Issued:— IMPORTANT: Applicant must complete all items on this page LOCATION S"Cre-ek- Print PROPERTY OWNER _® Print 100 Year Structure yes n o MAP 1b7 PARCEL: &6Z ZONING DISTRICT: Historic District ye no 0)Machine Shop Village y no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 11 New Building El One family [I Addition El Two or more family 0 Industrial El Alteration No. of units: El Commercial KRepair, replacement El Assessory Bldg 0 Others: El Demolition El Other DESCRIPTION OF WORK TO BE PERFORMED, C re-e-c MOP P_Q ST P(00(- 1drenication- Please Type or Print Clearly e, OWNER: Name: e, Phone: 61')L-,43 Address: Contractor Name: \% Phone:Phone: -7 2 1 . '77 60 _2030 Email: MCLC` , COrYN Address: ?,Q. "Boot 2-3 \4 A�X-1 rv\6 0\as-E- q_73CJ9 I Date: 1+1-71 1 Supervisor's Construction License: CS Exp.- V Home Improvement License: 1 2-cl 1-17 Exp. Date: 11-7 ARCHITECT/ENGINEER A-- Phone: Address: M� 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: $ r00 FEE: $ q­7_ Check No.: Receipt No.: NOTE: Persons contracting ivith unregistered contractors do not have access to the guaranty fund r te b, afL '1 JAORTw. , n ,0y Andover' ® 'y' Y �� 01 -E 2 - h ver, Mass cocH�c„ew�cw �1• A0RATIE S Ll BOARD OF HEALTH Food/Kitchen RM IT T L D Septic System UATHIS CERTIFIES THAT �. 6 � . BUILDING INSPECTOR ............. ...... ................................ ........ ....... ... . ..... .... Foundation has permission erect .......................... buildings on ��M �� .... .......................................... .................... ww__• r • Rough to be occupied as . r&s ..... . ...... ........ !!!l ...\..�� ........................ chimney provided that the person acce permit shall In eve pect 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 .ON ELECTRICAL INSPECTOR UNLESS CONSTRU S Rough Service ........ ................. ................................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required t® 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. Page 1 of 4 Nexus II Carpentry and Construction Design P.O.Box 2823 Woburn,MA 01888 781 760 2031 Fax 978 9751263 nexuscarpentryAaol.com Contract This is a contract between Elizabeth Thurber of 210 Farnum Street,North Andover MA 01845 (Hereafter referred to as the"owners") and Nexus II Services (hereafter referred to as "Nexus") dated January 13th 2016. GENERAL SCOPE OF WORK DESCRIPTION WE HEREBY SUBMIT SPECIFICATIONS AND CONTRACT FOR: work as stated below to your rear lower roof and fascias Scope of work: General details 0 Meet with local building official and apply for permits ♦ All work will be in accordance with local building code regulations and will be inspected by local officials prior to continuing with the next phase—Nexus will be responsible for arranging and being available for all inspections ® Nexus will contact"Dig Safe"prior to commencing any excavation work for their clearance ♦ All work will be coordinated directly between"owners" and Nexus 0 Nexus confirms that it is fully licensed,insured and ensures any sub-contractors utilized on this site will have the appropriate insurance coverage ♦ Nexus will be responsible for the safe storage of all its property and any materials to be used on the site ® Owner is responsible for removal and return of all items of the house in the areas that will be affected and their safe storage prior to our work commencing SPECIALIZING IN QUALITY FINISH CARPENTRY, REMODELING,SPECIALIST ROOF SYSTEMS,SITE AND PROJECT MANAGEMENT Page 2 of 4 ® Owner will then be responsible for returning all items to these areas of the home after completion of the scope of work ® Remove and trash into Nexus supplied dumpster all trash associated with this project NOTE: appliances are not allowed to be put in dumpsters without additional costs "owners"are responsible for removal from site Scope of Work Roof shingles; 0 Make application to the Building department for building permit only o Remove from trash all trash associated with this scope of work ® Remove and trash existing roof shingles on lower roof only and only at rear of home NOTE: no garage or front of home roof work intended or include ® Remove and trash up to 96 sq ft of existing plywood ® Furnish and install new exterior grade plywood to replace these areas only ® Furnish and install ice and water shield o Furnish and install drip edge 0 Furnish and install new roof shingles to match as closely as possible to existing roof shingles NOTE: these shingles will not be a perfect match to the existing roof shingles but will be "common shingle"that should be available in the future Fascias and gutters; Remove and trash existing gutters,downspouts and fascias from the 2nd floor of the rear dormer AND the lst floor rear area directly below the dormer ♦ Furnish and install Azek/composite fascia boards to existing rafter tails on both the lower and the upper sections ♦ Furnish and install WHITE aluminum gutters to new fascia boards 0 Furnish and install WHITE aluminum downspouts to these 2 sections only Work not included in this contract Building department fees Engineering or architect costs Permit costs —Unseen conditions Painting or staining work Rubber roof nor any other roof work to the existing 2nd floor donner Any other work not specifically noted above SPECIALIZING IN QUALITY FINISH CARPENTRY,REMODELING,SPECIALIST ROOF SYSTEMS,SITE AND PROJECT MANAGEMENT Page 3 of 4 PERMITS "Nexus"will accept responsibility to obtain the necessary building permits."Nexus"will act as a GC and work in accordance with fair and reasonable practices,and cooperate fully and under the guidance of the"Owners"and authorized parties.Nexus will pass the cost of the permit directly on to the"Owners"once advised by the Building department. Standard Exclusions: Unless specifically included in the"General Scope of Work"section above,this agreement does not include labor or materials for the following work(any Exclusions in this paragraph which have been lined out and initialed by the parties do not apply to this Agreement): Removal and disposal of any materials containing asbestos or any other hazardous material as defined by the EPA. Custom milling of any wood for use in project. Moving"Owners"property around the site. Labor or materials required repairing or replacing any"Owners"-supplied materials. Repair of concealed underground utilities not located on prints or physically staked out by"Owners",which are damaged during construction. Surveying that may be required to establish accurate property boundaries for setback purposes(fences and old stakes may not be located on actual property lines). Final construction cleaning("Nexus"will leave site in "broom swept"condition). Landscaping and irrigation work of any kind. Temporary sanitation,power,or fencing. Removal of soils under house in order to obtain 18 inches(or code-required height)of clear space between bottom of joists and soil. Removal of filled ground or rock or any other materials not removable by ordinary hand tools(unless heavy equipment is specified in scope of work section above),correction of existing out-of-plumb or out-of-level conditions in existing structure. Correction of concealed substandard framing.Removal and replacement of existing rot or insect infestation. Construction of a continuously level foundation around structure(if lot is sloped more than 6 inches from front to back or side to side,"Nexus"step the foundation in accordance with the slope of the lot). Exact matching of existing finishes. Repair of damage to roadways,sidewalks,or driveways that could occur when construction equipment and vehicles are being used in the normal course of construction. The"Owner"is to enter into contracts for all of the above-mentioned services and provide direct payment to"Nexus" for all of the services we are to provide."Nexus"will be responsible for removing all components and all construction materials relevant to the"scope of work"in this contract.The"Owners"have received a copy of the lead hazard information pamphlet informing them of the potential risk of the lead hazard exposure from renovation activity to be performed in the dwelling unit.This was received before the work began and the"owners"are responsible for informing their tenants of all potential hazards. Dumpsters,trailers and signs "Nexus"will provide as included in the cost of this project,a dumpster for the sole purpose of the removal of trash associated with this project.This dumpster should not be used by any persons for any other waste items or for any purpose outside of the specific use under the scope of work,unless authorization is received from"Nexus".Nexus may have on site for part,or the whole of the project,a trailer containing materials and tools belonging to"Nexus".This trailer will be parked in a position agreed to in coordination with the"Owners"and will be covered under the insurances of"Nexus"at all times."Nexus"will have on site,a sign,with our contact details,in the event that anyone has a need to contact us directly. Photographs "Nexus"reserves the right to,from time to time,take photographs of the contracted work for use in its general marketing or for production on its web site.At no time will"Nexus"share any personal contact details of the"owner" for any photographs that it may use without seeking authorization from the"owner". Warranties All the components supplied by"Nexus"as part of the original order are covered under the warranty exercised by "Nexus"and supported by the vendors.All labor and materials purchased from other suppliers to achieve completion of contract are warranted(1)one year from completion of the construction. Expiration of this Agreement: This Agreement will expire 30 days after the date at the top of page one of this agreement if not accepted in writing by "Owners"and returned to"Nexus"along with the necessary deposits within that time frame. SPECIALIZING IN QUALITY FINISH CARPENTRY,REMODELING,SPECIALIST ROOF SYSTEMS,SITE AND PROJECT MANAGEMENT Page 4 of 4 Changes in the Work: During the course of the project,"Owners"may order changes in the work(both additions and deletions). "Nexus" will determine the cost of these changes and the cost of this additional work will be added to"Nexus"profit and overhead. People Authorized to Sign Change Orders: The following people are authorized to sign Change Orders: "Nexus": Mark Gotobed or ed White ow, "Client":Elizabeth or Neil Thurber Concealed Conditions: This Agreement is based solely on the observations"Nexus"was able to make with the area in its current condition at the time this Agreement was bid. If additional Concealed Conditions are discovered once work has commenced which were not visible at the time this proposal was bid,"Nexus"will stop work and point out these unforeseen Concealed Conditions to"Owners"so that"Owners"and"Nexus"can execute a Change Order for any Additional Work. Schedule of work It is agreed by both parties that this work will be coordinated with the"Owners"and"Nexus"to be undertaken in various stages to avoid complete disruption of the home environment."Nexus"will give"Owners"no less than 2 days notice prior to arriving on site for commencement of any of the agreed stages of work to allow"Owners" to prepare."Owners"commits to have sites identified for construction work available for start at the beginning of the scheduled day so as to avoid any unnecessary delays. Contract Cost and Payment Schedule: Total cost of work description and materials included in the proposal(except materials/work stated)-$8, 100.00(Eight thousand one hundred dollars and zero cents) PAYMENT SCHEDULE 1st Payment due upon signing this contract TOTAL$4,050.00 Final payment due upon completion of scope of work TOTAL$4,050.00 Amount due upon signing this contract-$4,'050.00 I have read and understand, and I agree to,all the terms and conditions contained in the proposal above. Date.............................. "Nexus"Authorization............................................................ Date//cl ...... ..... ......... "Client"Authorization. ................. .................. ........... Date............................... "Client"Authorization...................................................... SPECIALIZING IN QUALITY FINISH CARPENTRY,REMODELING,SPECIALIST ROOF SYSTEMS,SITE AND PROJECT MANAGEMENT TV Commonwealth of'1tlassacasetts .Department of��edastrzal Accrdez�ts z. M 1 Congress street,Suite 100 - r Boston,A A.02114-2017 www.mass.gov/dia Wokkers'Compensation Insuran,ce.A.fixdaWt:Builders/Contractors/Electrciczans/Plumbers. TO BE FMED WITH THE PERMITTING NUTROMY. Please Print Le ibl A.pplicantInformatiOn, jj U— Naxne(BI /In .A.ddxess: ?. 0 . X City/State/Zip: ®� uC� �� Ol Phone reyou an employer?dec'ktlie appropriate box: Type of project(r;ec�uir �led): to ees full and/or art time)'•* 7. [1 New construction 1.❑I am.a.employerwith •., em p Y ( p I am a sole proprietor or partnership and have no employees working for me in 8. E!Remo delilig any capacity.[No workers'comp.insurance required.] 9, Q Demolition 3.E]I am a homeowner doing all work myself,[No workers'comp.insurance required.]t 10 0 Euffqing addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. l will 11.❑Electrical repairs or additions ensure that all contractors either have workers'compensation insurance or are sole ; pro pztetors withno employees. li.E]Plumbing repairsoradditions 5.KI am a general contractor and I have hired the sub-coirtractors listed on the attached she9k. 0 i 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance.1 Old ``� • 14.[]Other 6.❑We area corporation and its offtc�ers have exercised their right of exemption per MGL c. 152,§1(4),and we have no efmployees.Mo workers'comp.insurance required.] y *Any applicant that.checks Box#1 must also fill out the section below showing their workers'compensatlon policy information. i Homeowners who suliriiit phis affidavit indicating they are doing all work andthen hire outside contractors must submit anew 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. Ifthe sub-coniracfozs have employees,they must provide their workers'comp.policy number. lam an eWiployer Mat is providing workers'compensation insurance for my employees' Below is the policy ar2d jo/i site information. Insurance Company Name: Policy#or Self-ins,Lic.#: Expiration Date: rob 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 ofup to$250.00 a day against the violator.A,copy of this statement may be forwarded to the Office of investigations of the DIA.for insurance coverage verifleation. do liereby cer'tif'y u an Wallies ofperjur��that the information provided above is true and correct. Date: Signature: Phone#: _1_? 6 Official use only. Do not-write in this area,to be completed by city or town official.. City or Town: Perrnit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbingluspector 6,Other Contact Person: Phone 4: AC®® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 1/14/201,6 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 PqL}CIES 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). PRODUCER CONTACT Lauren Goldman NAME: HOECross Insurance-Peabody pAIiCNNo, Ext: (978)532-5445 aC No: (978)532-2217 139 Lynnfield Street ADDRESS:lgoldman@crossagency.com INSURERS AFFORDING COVERAGE NAIC# Peabody MA 01960 INSURER A.Western World Ins. Co. INSURED INSURERB:Safety Indemnity 33618 Nexus II Services LLC INSURER C: P.O. BOX 2823 INSURER D: INSURER E: Woburn MA 01888 INSURER F: COVERAGES CERTIFICATE NUMBER:CL15102253381 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR I D WVD POLICYNUMBER MM/DDIYYYY MM/DD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGETA CLAIMS-MADE I OCCUR PREM IS 6a oecurrence $ NPP8290737 8/12/2015 8/12/2016 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY[_1PECTRO ❑ LOC PRODUCTS-COMP/OP AGG $ 1,000,000 J OTHER: Damage to Rented $ 50,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident B ANY AUTO BODILY INJURY(Per person) $ 500,000 ALL OWNED X SCHEDULED 3116632 11/10/2015 11/10/2016 BODILY INJURY(Per accident) $ 500,000 AUTOS AUTOS PROPERTY DAMAGE $ 100,000 X HIRED AUTOS X NON-OWNED AUTOS Per accident Medical payments $ 5,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ '.. WORKERS COMPENSATIONPER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE OR ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑ N/A '.. (Mandatory in NH) E.L.DISEASE-FA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 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 Elizabeth and Neil Thurber THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 210 Farnum Street ACCORDANCE WITH THE POLICY PROVISIONS. North Andover, MA 01845 AUTHORIZED REPRESENTATIVE Lauren Goldman/MD1 s C: llr Cl l' ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 Onl4mi Board (),'p3rtnj0,jjt of Public SgfctY : utat Req and t � ucense', CS-07399i ° QLD *wrp, w -23 ENDAL qtr M DEERS MA VIZ.- 04107120`16 a t„ i 1 / g N ' or r Mtduc rnd Mdul o rM License to$ne XttraMn ier fr t Uabefore theexpiration dd uuudrrtur to: R irs and Bu anes Regulation AMPROV�MENT NTRACTO0f i of Consumer e 'trdtn: iurt9MS ark' M Ear MrIon. 7/0/2016 M Wrrt3uMA 026 I ,Q�Iend6le Or, MA, Underseeretary Not valid without sigriature o, _. ..... /r ✓ r r e r / r l 1 r r / r r r i. / 0. ,,, � 1 r , /, ✓ f / /r r ,...t✓//ri ..r/l.. ,/ / .riiioi.. n.. ,,,.. i, <.. / rr,/, ,,,f /. � 1� / r l� ,/. r / � �. t cr Affairs Business Regulation n ffltwt� of 0111 atalll lr�, at�u� 1 Park, Plaza - Suite 5170 Boston, Massachusetts 02116 �"Home Improvement Contractor Registration �r Registr bort 129177 Type-, Individual Expiration: 7119 017 rrr 26WW o e. r , Update Addrtss mdrciurn card.Niark rtason 1"nr c , » a��,ddr� �� nr�t ° rnp4u2cnt "h�¢�Lost Card , d.,,d,X 9i tum l icense mr,registration vathl Cor div►d�ul use oath 1tc rNt txawn before the expirAtion data, 11 round Want to, CTOR lDtce oftorrtaottr Affairsood Business Regulatloo r , 10 Park P1,xim Smite 5170 �rrBoston,"t1A 02114 1 /y/il M , r 1 � 0 Not vatld Without signature �1/�r'r loarrii rio i / ��� i 1lr�j/, r „ter /rte 191r�rl� //r© 1 t rc,