The URL can be used to link to this page

Home My WebLink AboutBuilding Permit # 1/26/2016 V40RTH "eD BUILDING PERMIT TOWN OF NORTH ANDOVER ...... 0 APPLICATION FOR PLAN EXAMINATION Date Received OA Permit No#:- AC US Date Issued: oRrANT:Applicant must complete all items on this page �Ypk ,urL✓ no TYPE OF IMPROVEMENT PROPOSED USE Non- Residential Resi ential 0 New Building ne family 0 Industrial [I Addition [I Two or more family o Commercial 0 Alteration No. of units: El Others: epair, replacement0 Assessory Bldg El Other Demolition ated District i2vv tia pasi,; a qr1§11ib DESCRIPTION OF WORK TO BE PERFORMED: C 1w G) , � �r' 19enti.ratio - Please Type or Print Clearly wl Phone: q%F-01- 6Fa3 OWNER: Name: 14. 1 Address: 41 Kin �4t) Contractors -X Home ESC p t LMcense °r „r ARCHITECT/ENGINEERS Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT. $12.00 PER$1000.00 OF THE TOTAL ESTIMATED CTT BASED ON$125.00 PER S-F- Total Project Cost: $ FEE: $ 30 ? Check No.: Receipt No.: ran fund NOTE: Persons contracting ith unregist red contractors do not have acres Si nature of contractct Sighatureof Agenww�`: ,per NORTH Town off p, jactover � L ................... •� '.�'� `` 111 No. .. _ ....o 00 �� h ver, lVlass, Za l COCMICKL'W.CK 1' AERATED S V BOARD OF HEALTH Food/Kitchen RMIT T Septic System AJ BUILDING INSPECTOR THIS CERTIFIES THAT .............. ..... ................. ....... .... .....�... . . ........................... .......................... Foundation haspermission to erect .......................... buildings on ...... ... .................. ...... ................................... Rough to be occupied as ........ ....... . ... . ......... ...... . ....................... Chimney ........... . provided that the person acce tin this permit shall in eve respect conform to the terms of the application p p p g p p pp 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final EXPIRESPERMIT IN ON ELECTRICAL INSPECTOR- UNLESS CONSTRUC M Rough Service .............. ................................................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required t® Occupy Building Rough Displayin a Conspicuous Place on the Premises — Do Not RemoveFinal Lathingr Dry Wall a Done FIRE DEPARTMENT Until Inspected and Approvedthe Building Inspector. Burner Street No. Smoke Det. STORE COPY INSTALLATION SERVICES CUSTOMER CONTRACT- MWORK-INT/EXT/PATIO DOOR LOWE'S OF SALEM, NH, STORE#2382 STORE PHONE: (603)681-4218 541 SOUTH BROADWAY SALESPERSON:JOSEPH CAVALLARO SALEM, NH 03079-4499 SALESPERSON ID: 897831 Document Print Date: 01/23/2016 This is only a Quote for the merchandise and services printed below.This becomes an agreement upon payment and issuance of a Lowe's receipt, upon which the entire agree- ment, including the specifically completed pages of this document, the Terms and Conditions included with this document, the applicable portion(s) of Lowe's receipt, and any other addenda or attachments hereto, shall be referred to herein as this"Contract." PLEASE READ THIS ENTIRE DOCUMENT,INCLUDING THE"TERMS AND CONDITIONS." BEFORE SIGNING Lowe's Registration or Contractor License Number/Lowe's Contractor Name Lowe's Home Centers, LLC's MA HIC NO.: 148688 Lowe's Home Centers, LLC's FEIN: 56-0748358 Customer Name Home Phone S MICHAEL FLANAGAN 978-681-0823 O Customer Address Other Phone 49 KINGSTON ST L City State/Province Zip/Postal Code D NORTH ANDOVER MA 01845 Installation Address T 49 KINGSTON ST OInstallation City Installation State/Province Installation Zip/Postal Code NORTH ANDOVER MA 01845 MERCHANDISE AND INSTALLATION SUMMARY MERCHANDISE SUMMARY 68729 : STK : 36" RB LAUREL FAN LITE BRASS RH : 36" RB LAUREL FAN LITE BRASS RH - QTY 1 111088 : 31570FJPMD : STK : PFJ CSE315 2-1/2-INX1 1/16-INX7-FT: PFJ CSE315 2-1/2-INX1 1/16-INX7-FT: EMPIRE COMPANY, INC. (THE) - QTY 3 131203 : 131203 : STK : 1-4-16 PRIMED FNGR JNT(+333346) : 1-4-16 PRIMED FNGR JNT(+333346) : IRVING FOREST PRODUCTS (MAINE) - QTY 1 238348 : 2828-8 : STK : 3/4X7.25X8 RF EMBOSD PVC TRM BRD : 3/4X7.25X8 RF EMBOSD PVC TRM BRD : ROYAL MOULDINGS LIMITED -QTY 1 238354 : 2867 : STK : 1 X5.5X10 RF EMBOSD PVC TRIM BOARD : 1 X5.5X10 RF EMBOSD PVC TRIM BOARD : ROYAL MOULDINGS LIMITED -QTY 3 585251 : 20297807 : STK : LARSON QUICKFIT HANDLE KIT BRASS : LARSON QUICKFIT HANDLE KIT BRASS : LARSON MANUFACTURING COMPANY- QTY 1 585253 : 14604032 : STK : LARSON TWFV 36 FRAME WHT : LARSON TWFV 36 FRAME WHT : LARSON MANUFACTURING COMPANY- QTY 1 Store 2382 Project No. 463442702 for MICHAEL FLANAGAN Page 1 of 8 STORE COPY Materials Price $ 670.30 INSTALLATION DESCRIPTION Stock or SOS : Stock Door Type : Exterior Select Location : Front Door Select New Door : Single Pre-hung Hardwood (Mahogany or Oak) Door : No Side Lights or Transoms : No Hidden Damage Description : None Number of additional holes bored for accessories : None Install Specialized Mortise Hardware : No Install Storm Door: Install new storm, screen or security door Select Storm Door : Storm Door Total Linear Feet of Custom Trim to be Installed : 38 Deliver Door : Yes Customer Understands Scope of the Project : Yes Permit Required : Yes Who Will Obtain Permit : Lowe's Permit Fee : No Additional Miles Traveled over 20 : 0 Bring Up To Code Description : None Local Disposal Fee : Yes Describe Other Work Needed : None Comments : No Comment Lead Safe Practices : No Labor Charges $ 658.00 Detail Deduction -$ 35.00 Additional Specifications: Notation: Lowe's will not make structural modifications, paint or stain or remove/reinstall security system equipment. Customer is responsible to advise if prop- erty is governed by Historic District Regulations. Additional Specifications:Federal law requires Lowe's to provide you with the pamphlet Renovate Right: Important Lead Hazard Information for Families, Child Care Providers and Schools. By signing this Contract, Customer acknowledges having received a copy of this pamphlet before work began informing Customer of the potential risk of the lead hazard exposure from renovation activity to be performed in Customer's dwelling unit. PHOTO RELEASE: Customer grants to Lowe's and Lowe's employees and independent contractors the right to take photograghs of the Premises where In- stallation Services will be performed and all work performed at the Premises related to this Contract, and irrevocably grants to Lowe's all right, title, interest in and to the photographs for use in all markets and media, worldwide, in perpetuity. Customer authorizes Lowe's to copyright, use and publish the photographs in print and/or electronically, and agrees that Lowe's may use such photographs for any lawful purpose, including, but not limited to, marketing, advertising, publi- city, illustration, training and Web content. By initialing here, Customer agrees to the foregoing. [Customer to initial to the left]. NOTICE TO CUSTOMER-PRICE CALCULATIONS: In order to properly perform the installation of certain Goods, the Contract Price may include more Goods than actually will be installed based on the measured square footage of the Project Area. As a result, the parties agree that the lump-sum Price stated in this Store 2382 Project No. 463442702 for MICHAEL FLANAGAN Page 2 of 8 STORE COPY Contract is calculated upon both the value of the estimated Goods required to fulfill the Contract(including waste), which may exceed the actual square footage of the Project Area, and the labor which may be estimated based on the amount of Goods required to fulfill the contract (including waste). By signing this Con- tract below, Customer acknowledges receipt of this notice and agrees and understands that the Price includes these costs which may not be refunded once the Installation Services are performed.. TOTAL CHARGES OF ALL MERCHANDISE AND SERVICES *where applicable SUB-TOTAL $1293.3 *TAX $ 0.0 DELIVERY $ 0.0 ORDER TOTAL $1293.3 BALANCE DUE Work is to commence upon reasonabl availa lity of Contractor which is anticipated to be 16 [fill in date]. Estimated completion date is D2 [fill in date]. NOTICE TO CUSTOMER All items listed in this contract and specification sheet(s) are to be installed under conditions agreed upon at time of purchase and at the price appearing on this contract form. This assumes sound existing substructures, superstructure and points of attachments. Extra labor or material incident to installation necessitated by defective substructures, superstructure, points of attachment, or the moving of fixtures or appliances to be billed at extra cost to custom- er. IF THE CONTRACT TOTAL IS $1,000.00 OR LESS Customer must pay in full MPLETE THIS SECTION ONLY WHEN THE CONTRACT TOTAL EXCEEDS$1,000.00: V-1 ustomer to Pay in Full; OR [_] Customer to use the following payment schedule: (1) Deposit of$ to be paid upon signing contract. Any deposit collected at the time this Contract is signed will not exceed one-third (1/3) of the contract price; and (2) Payment of $ to be collected upon or after the commencement of work. I/We authorize Lowe's to do one of the following (check ap- Store 2382 Project No. 463442702 for MICHAEL FLANAGAN Page 3 of 8 STORE COPY propriate box below): L] Charge my/our credit card for the amount of the payment indicated above upon or after the commencement of work; or L] Deposit my/our check for the amount of the payment indicated above anytime upon or after the commencement of work; and (3) Final payment of$100.00, to be paid upon completion of the installation to both parties' satisfaction. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES AND UNTIL YOU HAVE READ THE TERMS AND CONDITIONS CON- TAINED IN THIS CONTRACT AND WHICH FOLLOW THE SIGNATURE PAGE(s). BY SIGNING BELOW, YOU ARE ACKNOWLEDGING THAT YOU HAVE READ, UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS SET FORTH IN THIS CONTRACT. YOU ARE ENTITLED TO A COPY OF THIS CONTRACT AT THE TIME OF SIGNATURE. NOTICE REGARDING ARBITRATION AGREEMENT FOR CLAIMS COVERED BY M.G.L.c.142A LOWE'S AND OWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT LOWE'S HAS A DISPUTE CONCERNING THIS CON- TRACT, THAT S MAY SUBMIT CH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SECRET- ARY OFT CUTIVE OFFICE CONSUMER AFFAIRS AND BUSINESS REGULATIONS AND THE OWNER SHALL BE REQUIRED TO SUB- )By:—.. IT TO T ATION AS VIDED IN M.G.L. c.142A. y Date: 6 ome Centers LLC / / �/G/� /" Date: L ;-3- Owner 3 , Owner By: Date: Co-owner or Witness THE SIGNATURES OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE RESOLUTION INITIATED BY LOWE'S PURSUANT TO M.G.L. c.142A. THE OWNER MAY BE PERMITTED TO INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THE SECTION ABOVE IS NOT SEPERATELY SIGNED BY THE PARTIES. WITNESS OUR H D(S)AND SEAL(S) BELO THIS— DAY OF . Lowe's Home ers, LLC By: (Seal) t Name: S Address �- � (Seal) Owner V L Store 2382 Project No. 463442702 for MICHAEL FLANAGAN U Page 4 of 8 The Commonwealth of Massachusetls - - -- Department of Industrial Accidents j, Office of Investigations I Congress Street, Suite 100 Boston, MA 02114-2017 www.ynass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Phtmbers Applicant Information Please Print Leuibly NF1111e Buzincs,lOrganiration/individual): Kevin C.rr-t iro Adds-ess: a SimP-s �A City/State/Zip: NW b 3N Phone#: 7 831- I0y.:1- ,are you an employer? Cheilk the appropriate box: Type of project(required): I. I am a employer with_2- 4. ❑ I ani a general contractor and 1 ❑ employers ttilll incl/or part-tntrl. have hired the suh-contractors 0 Ne-,N construction '.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remottclimz ship and have no employers -e,-tib-contractors have g, F1Demolition >vorkiiw for etre in any ra})acity cmplo}ces and have ,corkers 9. E] Building addition ]No workers- comp. insurance comp. insurance., rrquil-C&I 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3•❑ I am a homeowner doing all work officers have exercised their I I.❑ Plumping rrpaire or additions im self. No iyorkcrs- com right of exemption per.MGL ❑ 1 � p• l.. Roof repairs Ill required-I t c. 152. §1(=t)•and we have no employees. INo Nvorkers 13. Other rr m`Ortl t^ comp, insurance required.] 'An applicant that checks hox--I mull also till oitt the secitou below shotvin,Ihcir workers'compensation polic.v inliirmation. Horretncner,,+ho suhnut this affidavit indic:uing Ihev are doing all work and then hire outside contractors must,ulmit a new alt-1dacit indicating etch. :Contractor,that check this pox must attached an additional,leer showing tilt mote of the.uh.contractor,and state whether or not those entitie,hace employee,. If thc•suh.contraclors have emplovccs-IlicY must prov idc their workers*comp.police utmrber. 1 arty an empty?►er that is praukting►►orkers'compensntiott irrsrtranceJbr mp employees. Below is the police-and job site ire foraration. Trew((yrs t rlwer+y e � 1 ly Insurance Company Name: t7a pa� ► Policy#or Sell--ins. I.ic. #: 7 Pc V .Z y 6 �'-�" Expiration Date: $f 23 1 Joh Site Address: City/state/ZipN • Ard oyer ► m6 V t?qr Attach a copy of the Ncorkers' compensation policy declaration page(showing the policy number and expiration date). Failure to srcurr coverage as required under Section 25A of IMGL,c. 152 can lead to the imposition of criminal penaltic�of a fisc; 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$250.00a day against the violator. Be advised that a copy of this statement may he forwarded to the Office of lmusti,nitions ofthe DIA forinsurince covera�_>e verification. Ido lu>reh} certif;/rrttler tltt pairts'attd pegalties of perjury that the information provided above is tette and correct. Si�a►aturr: �%� ��' Date: Official use onit•. Do not x,rite in this area,to he completed ht'city or town official. City or Town: -- -- ---------Permit/License Issuing,authority (circle one): 1.Board of Health 2.Building Department 3.CityrFown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: ____ Phone#: ____ A=R®. CERTIFICATE OF LIABILITY INSURANCE DATE(M"DfYYY) 09/10/15 PRODUCER THIS CERTIFICATE 19 ISSUED AS A MATTER OF INFORMATION Michael 5,Douglas Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 168 Plaistow Rd,Rte 125 HOLDER. THIS CERTIFICATE DOE$ NOT AMEND, EXTEND OR Plaistow,NH. 03865 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: esslve Insur n �t Company Kevin Merry-Carreiro V#53862 Hsu-Ra I DBA KC Construction 2 Simes Road wsuaEac: Trav I Buell I Kingston,INH 03048 INSURERD: INSURER E; COVERAGE8 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 SUBJECTTO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,AUOREGATE LIMIT$SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ISR D POLICY NUMBIR P LICY[7FECTIV A Y EXPIRATION LIMITS C[N!RAL LIA9ILITY EACH OCCURRENCE is1,000,000 X COMMERCIALOENERALUADgiTY I MPU7994P 07-24-2015 07.24-2016 OAmAv t: ' Is 300 000 B i CLAIMS MADE I - 'OCCUR MED EXP(Any one Brim is.10,000 ( PERSONAL S ADV INJURY I S 1,000,000 GENERALAOOREOATE g 2.000,000 {-G�EN'L AGGREGATE uMti APPLIES PER ( PRODUCTS-COMPIOP AGO S 00 00Q I Y I POLICY 1 PR ' LOC AUTOMOBILE LIAHMATY COMBINED SINGLE LIMIT ; 1,000,000 ANYAUTO 026008830 07-29-2015 07-29-2016 (Esaccid*M) ALL OWNED AUTOS '.. +6 ar pefILY INJURY A K SCHEDULED (Perpeam) S K i HIRED AUTOS X NON-0WNED AUTOS BODILY INJURY S (Per cc6dent) i PROPERTY DAMAGE $ (Per asldent) OARAOaLIAB'LrTY AUTO ONLY-EA ACCIDENT s ANY AUTO ( OTHER THAN FA ACC S TAUTO ONLY: AGG I S EXCESSAJMBRILLA LIABILITY EACH OCCURRENCE I S OCCUR t7 CLAIMS MADE AOGREGATe ; S DEDUCTIBLE S RETENTION f WORKIRS COMPENSATION ANO I TATU• 0TH- 6NIPLOYERS'LIABILITY I�AY LI 1 ANY PROPRIETORIPARTNERIEXECUTIVE I!L EACH ACCIDENT 13 OFFICAY MEM3ER FXCLUDL07 I PE,L DISEASE•EA EMPLOYEES 1_111 ,COO0106 der ECIAL PR v!unt be1aa !EL.DISEASE-POLICY LIMIT 15 OTHER C Mass Workers Compensation 17PJUB-2E41618-1-15 8/23/15 8/23/16 Employer Liability f 100,000 1100.000/500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I WHICL551 YXCLUIIONS ADDED BY¢NOOREEMX4T I SPECIAL PROVISIONS Lowe's Companies, Inc,and any and all subsidiaries are named as additional Insured as respects to General Liability And Auto Liability CERTIFICATE HOLDER CANCELLATION Lowas Companies Inc SHOULD ANY OF THE ABOVE DESCRIBED POLICIRS BE CANCELLED BEFORE THE EXPIRATION Attn, 15 Insurance DATE THEREOF.TH5 ISSUING INSUR!R WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Post Office Box 11 11 NOTICE TO THE CERTIFICATE HOLDER NAM[o To THE Lt",OUT FAILURE TO 00 SO SHALL North Wilkesboro, NO 28656 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THI INSURtR,ITS AGENTS OR Fax 877 889 9084 REFRISlNTATIYEb. AUTHORI REPRSS[NTATIVE I ACORD 25(2001108) f ACORD CORPORATION 19Be 2014-10-15 14:45 isoprt75. 1979 1 >> isoprt75 P 1/2 �JIM 1 /IIITTI-i+/i:(`/f II!/G�'-•'r CC/I%fClJlil•II. �. off,cc of Con sumer Affairs Regulation IMPROVEMENT CONTRACTOR gistration: 150140 Type: expiration: 6125!2016 DBS. KEVIN CARREIRO CbNS7RUCTION KEVIN CARREIRO 2 SIMES RD- -- KINGSTON,NF 03848 ilndcrsecrctan' Massachusetts - Department of Public Safety Board of Building Regulations and Sta.dards C'.ntstrttrtiuu Suj)cr%'is,,r License: CS-074572 KEV1Tr C CARREJt4 2 SUgES RD KINGS"136 VH 83$48 iES Expiration Ccxnmissioner o91o2/2m