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HomeMy WebLinkAboutBuilding Permit #013-13 - 42 Water Street 7/25/2012 NORTFr BUILDING PERMIT °��tLlD ;bgyo TOWN OF NORTH ANDOVER 32 5 - APPLICATION FOR PLAN EXAMINATIO ( / Date Received f «� 74pDRATED Permit NO: � / 9SSACHUS�� Date Issued: ORTANT:Applicant must complete all items on this page ix."tSi om -,fit 2 .f'Fs �:• °u.a�*' = - t 3f�k r'S.. r ar+ k ® ..:� t' =+xf`Ltsf7O*�rCr Aa^".,tqqC`.kT� �I[Or€eNYbb_.-"4T al �kzt$�cF�a£�� :� 'Y / �4 '-Ni+�'.*yl�ly'TRq�•�+P>?s y' _ Awa'�a,PyBb%*.�',- C` ' r'? R <>'gdM1♦ �ar^l� ,�- � f,.1'ant -kYOWNER PROPERT ''i t e , r 1k.., 'i +f '.'r+-r3r ^ �. `k�L C'' � ♦tir k MAPN,arsO #'s �a `PARCEL ^ZONIN,GDISTRICT ,{� °Y . Fids or c D strict 4,, ,_ esy no . s�,T •err �� TYPE OF IMPROVEMENT PROPOSED USE Resid Non- Residential New Building Addition o or ; Industrial No. of urn s: Commercial Repair, replacement Assessory Bldg Others: Demo i io Other x iSeptic �Well,t `F "; ;;-0* r Y Flood lain ' Wetlantls Watershetl.D�strict 1 ,. p T -�* a ;:j ,. .ems°^-x Mt`�i. 4d' *• 5 ys4��' rin f#' � 4 .� .. F:, 5�^ #.afi, Water/Sewer... ...., . . , :: .` �r�: <�- `" �.. Y.F. ,,., a... - DESCRIPTION OF WORD TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: NA V S tnk Phone: �l "°I 3 -= Address �Z W44x S� 44 K „ �`;•. *i. F": 1 w.y,uv 4Y r_e a t,ire e,rray f1 µ. tts:tiS rfi�,p;�, ,.� 7,sYt�. `, �•�r�, FI' „` +. a "1xys` y Yd,si`'Y -} 3 ,. yi.-4�'>: a�'-I..a�..tA k + ifi 4 i•..; ityY .irr?,:` .$' i p � x�. f. 3141 CONTRAO T®R NOO e fi `g t ,, { iPhone.. 7 '.z +k v� � •% �� - +- a *g• s' ,f .ori t� f 3v.� 4� g # « pb�y '�*i r•��1'yf-•T� p zi Address _ zd22 i -� . 1` y� f+�A.W'1' iit.�? +✓L H� `�{ rte`" # 't5' 5 K ,yaf., ., .f+�5,.,j'f' Fn„f °4+es` t'f6 `,�! } �, � iijJr. 'tlr_'Y ..,1a -f } R j: /. 1-SCsl •?1 °. rSupervisor�sConstruction License1 �Z# s ExpDate � s_, ""£_ s`` r.'' +<r�i"",v'*i ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT.$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST B-A�SEEDD-ON$925.00 PER S.F. Total Project Cost: $ -70c:' FEE: $ 1--,own Check No.: Receipt No.: 0�rnb NOTE: Persons contracting with unregistered contractors do not have access to the ara d Signature of Agent/Owner Signature of contractor i Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Salesi Food Packaging/Sales , Private(septic tank,etc. Permanent Dumpster on Site I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS I I HEALTH Reviewed on Signature d COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water &z Sewer Connection/Signature &Date Driveway Permit DPW'Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT �Temp Dumpster on site yes . Located at 724 Main Street t �IF".V�T�'7f�fx�S #�} �y�, � k ilk t yf y FireaDepartment.signature/date t �A t� 1, E e s " -$.�.".�l � r '" . � R ,•t' tt f;t`"„� ��s,,:'! a .'�y� Cv,,j;'�a ,.��`'.e�' -,t, x K„f; ,ytj„ ?., + COMMENTS A a Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) �. EI Notified for pickup - Date i` Doc.Building Permit Revised 2008 I . h t Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. I Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or. Decks ❑ Building Permit Application a Certified Surveyed Plot Plan ❑ Workers Comp Affidavit a Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) Li Engineering Affidavits for Engineered products NOT[ : All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then.get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application i Doc:INSPECTIONAL SERVICES DEPARTMENTMFORM07 Revised 2.2008 4b -4z �NedevLocation No. Date • TOWN OF NORTH ANDOVER Certificate of Occupancy $ k � { Building/Frame Permit Fee Foundation Permit Fee $ ' Other Permit Fee $ TOTAL $ Check A zq l 25508 P Building Inspector ccs �Inl'�I � �7 ,� M ��e y��� i�� NORTH =own of ? ? a ndover O - 0 No. ® — t VO LANE h " ver, Mass, �� 12 COC NIC NE W.ck y1' V BOARD OF HEALTH Food/Kitchen PERMI� T LD Septic System THIS CERTIFIES THAT ...... . .. ... BUILDING INSPECTOR ......�!.........r1A ... .. ... Foundation has permission to erect .. ...... buildings on ..� .. ... r.. ............ Rough to be occupied as S1. .............. 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 EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST RTS 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 Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE From:Natasha Rufe at Planright Insurance FaxID: Page 2 of 2 Date:7/17/2012 01:42 PM Page:2 of 2 OP ID: NN CERTIFICATE OF LIABILITY INSURANCE r DAT07117DIYYYY) 07/17/12 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 603-890-6439 CONTACT NAME: Planright Insurance-Salem 603-890-6521 PHONE FAX 224 Main Street Suite 3C Arc No Ext: AIC No): Salem,NH 03079 E-MAIL ADDRESS: James A Santo PRODUCER EDMUN-1 CUSTOMER ID M: INSURER(S)AFFORDING COVERAGE NAIC M INSURED Edmunds General INSURER A:St Paul Surplus Lines Ins CO Contractor LLC INSURER B:Riverport Insurance Company 36684 PO Box 2214 Salem,NH 03079 INSURER C: 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. I SR AUUL SUSH POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDDIYYYY MM/DDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CP572203 11/11/10 11/11/11 MA O RELATE PREMISES Ea occurrence $ 50,000 CLAIMS-MADE FKOCCUR MED EXP(Any one person) $ 5,000 S091261-(RENEWAL) 11/11/11 11/11/12 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OWNED AUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION X NC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER B ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WC288300042503-NH 04/03/11 04/03/12 E.L.EACH ACCIDENT $ 100,000 OFFICERIMEMBER EXCLUDED? �Y NIA (Mandatory in NH) WC288300042503 04/03/12 04/03/13 E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) C: 3A:NH & MA / David Edmunds has elected to be excluded from coverage on the NH p0licy. RE: 42 Water St North Andover MA 01845 CERTIFICATE HOLDER CANCELLATION TOWNNAN 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. 1600 Osgood St North Andover, MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD Fully Licensed and Insured • Member of MA Better Business Bureau �JIII1�t 1111 Member of NH Better Business Bureau GAF Cert.ME#20212 �I!— rO tC 10gat HIC Reg#166661 EIN#26-1081508 MA CSL#104728 ........ OSHA 30 Hour Construction Safety Training EPA Lead Safe Certified Genera/ Contracting, LLC �O 51 S. Broadway#2214 Salem, NH 03079 • (603) 890-0084 10 Stevens Street#141 Andover, MA 01810 (978)475-0095 P'TA, lBMITTED T9,Ii's l l PHONE � � � DATE sr 3J 6\\ A / STREET I/yr E-MAIL - r' TA CITY,STATE,AND ZIP CODE n q JOB LOCATION Completely protect the home with tarps to catch falling debris. Respect and protect shrubbery and flower beds. Strip off a layers of roofing material down to the bare roof deck. Inspect the roof deck for structural defects. Determine the condition of the underlying plywood or boards, and repair and replace as necessary*. Inspect roof ridge for proper 11/2" spacing on either side of ridge for maximum exhaust ventilation. Cut in if necessary. Install new heavy gauge (color) VAI);A._.)a 1drip edge at roof eaves. r Install 6A1C4A+1mt(1A.i A+6% ice and water shield to meet manufacturer's specifications (i.e. 6 feet from roof edge, 3 feet centered in valles, around II skylights, chimney bases, roof penetrations and at all sidewall transitions). Install Se(J, r-yoor breathable roof deck protection to remainder of the roof deck. Install new heavy gauge '�. +` ~� (color) drip edge at roof rakes. Install Y70---. SdS' " starter strip at roof eaves and rakes. Install ",ev► (f,Nf L; re,+<K*e. lli`41t desired color. (color) Install new flashings to meet tdmanufacturer's specifications. (i.e. sidewalls, chimneys, skylights and roof penetrations). Install (feet) of CWrCe. _CA!Cx,. 6x,e�)O Y ridge vent at roof ridge to allow maximum ventilation. Hand nail to ensure proper fastening. Install (feet) ofMr {" c K distinctive hip and ridge cap. Hand nail to ensure proper fastening. Thoroughly ...clean up and dispose of all roofing debris on property. Magnetically sweep property for nails. Notes: --;N1 AJP(.L.� Gnr� �"�G+ �ii'✓`1 ,e�"tti� !"� ;t►yA/Cf/S. ffa�K. Edmunds-General Contracting will: • Obtain all necessary construction-related permits to complete this project. • Perform work as efficiently as possible without sacrificing quality. • Furnish and install all necessary materials to con pJete.the gr,.ojeci - .- .:_, --- - Protide a thorough clean-up and disposal of all debris generated during project. Edmunds General Contracting LLC agrees to,commence work on/or about-7 / 16L-3 and described work will be�scompleete1.3T-d in about�_days. C Product Upgrade 1: �Wl 6s �Z`t bx �►-�S ZA tz 't"39'0 Product Upgra)*: U,3lc,,D Fri— (.j,U A4cAAj jfi —r,.tNA A 1o13 c 125co,66 Contractor's employees are fully covered by workmen's compensation and liability It is further agreed that this contract may be assigned by the contracto7andlso insurance. that the obligations hereof shall bind and apply to their heirs,successostates of the parties. Upon completion of the above work,all undersigned agree to execute and deliver to the contractor,their joint note in accordance with his(their)above obligations asEdfrgrnds General Contracting LLC guarantees all workmanship performed for requested by contractor.Upon refusal to do so,contractor may at its option declare years. the entire contract price or so much as then remains unpaid,immediately due ander payable.It is agreed that,if permitted by law,contractor shall be paid by the We will register factory enhanced warranty owner(s)all reasonable costs,attorney fees,and expenses,in addition to the providing years of material defect coverage and ?C) years of amount due and unpaid,that shall be incurred in enforcing the terms and conditions workmanship defect coverage through GAF Materials Corporation for: of the contract and/or any lien in connection herewith. .�C, no charge. —the additional cost of 'Edmunds General Contracting LLC will provide the materials,labor and dis sa.to replace up to 64 sq.ft.o roap�fpgin and 20 ft of fascia at no additional cost. Any additional materials including labor and disposal will be replaced atk�per sheet o Irl 3"' near toot. r Edmunds General Contracting, LLC agrees to furnish the material and All material is guaranteed as specified.All work to be completed in a workmanlike manner according to standard practice.Any alteration or deviation from above specifications involving extra costs will be executed only upon written labor complete in accordance with the above specifications,for the sum orders,and will become an extra charge over and above the stated contract price.Contractor is not responsible for damage due to high winds,tornadoes,hurricanes,fire or other hazards.Owners)agree to carry fire tornado and other of dollars dollars ( j necessary insurance.Contractor Is considerate of owner's landscaping and but due to the nature of the roofing d 1� ^7r�, oa installation some damage may occur.We attempt to minimize any damage,and will not be held responsible if any V damageoccurs. Contractor is not responsible for any damage to the interior of property,including pre-existing Payment Terms: _n'a 1070I-r �* ' ' 1{a+S�418 c conditions(i.e.water stains,crumbling plaster,exposed nails)or,conditions resulting from application of materials as /�l.Q specified above.Items in the attic may need to be covered by'the owner.Contractor is not responsible for damage • Ade OSIt Of (not to exceed.1/ of the total contract) is caused by ice dam build-up.All agreements aralcontingentupon trikes,acci nts,ordelaysbeyondourcontrol. p 1 due upon start of work.The balance of due when work Authorized Signature:. 14a .-.�' �ri is completed to the satisfaction of all parties. $ 10,740- 00 61 Edmunds General Conga ing LLC • A finance charge of 1.5% per month (18% per year)will be charged on Note: This prop��be withdrawn by us if not accepted within P due accounts over 30 days days. C Of Vropwsaf The above prices,specifications,and DO NOT SIGN THIS CONTRACT IF7 ERE ARE ANY BLANI(SP CES. tisfactory and are hereby accepted.You are authorized to doified.Payment will be made as outlined above. Authorized Signature: % / tt"/ 77 ance: ! z Authorized Signature: r All home improvement contractors shall be registered.Any inquiries about a contractor or subcontractor relating to a registration should be directed to:.Office of Consumer Affairs and Business Regulation,10 Park Plaza,Suite 5170,Boston,MA 02116(Phone:617-973-8700). Owners who secure their own construction-related permits or deal with unregistered contractors shall be excluded from access to the Guarantee Fund provisions of MGL.c.142A The owner will receive a signed copy of this contract before work will commence.The owner has three(3)business days to cancel this contract and incur no penalty.Correspondence should be directed to Edmunds General Contracting LLC at the above address. Rev.04111 a ' 1 '+ � � „, M V�LG' ((JC�7%L•7/L�7Z•ClJ6CG�C�0�����CGJUCCGf000J'GI.CO of N N Office of Consumer Affairs&Busihess Regulation ; License or registration valid for individul use only r� WgE tion: 6121/2014 Corporationbefore the ex iration date. If found return to: OME IMPROVEMENT CONTRACTOR pegistration: 166661 Type: Office of Consumer Affairs and Business Regulation CL5 i xpira 10 Park Plaza-Suite 5170 r- Boston,MA 02116 EDMUNDS GENERAL CONTRACTING, LLC. w DAVID EDMUNDS 1 J 18 ASHFORD RD "f N OC) HAMPSTEAD, NH 03841 a c O Undersecretary of valid thoutt gnature _ U o V J ^ Q r-- N Z O �' cr) .. C .. r C 1 r V C w X Z Z O oa < �� 4