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HomeMy WebLinkAboutBuilding Permit # 8/1/2016 1 ORTP BUILDING PI`f01. � T F T 1/ n. f APPLICATION FOR FLAN EXAMINATION Permit Date Received Date Issued: e; "_ cHu � I I i l l e Applicant mist complete all itcxns on this .Me LOCATION w PROPERTY' 0, � U ;; T" H'Istorlo,District _. hang Thr 1 ;, Y PE dF- II" P OVEMENT PROPOSED USE Resid tlal Non- residential New Building lr6ne family Addit!qn ' Two or more family Industrial AI anon No. of units: Commercial . mm epair, replacement _ Assessory Bldg Others: U Demolition C' Other W a septic: Iao�a r#1 owv of ndover 0 b98- 2oll P h ver, Mass �� 21 O LAn4 COCNICNE WFCN °ttwrea Pp¢,�R`� U BOARD OF HEALTH Food/Kitchen PERNIT LD Septic System THIS CERTIFIES THAT J A.... r10 .,,, , BUILDING INSPECTOR has permission to erect ....Abbldings on(01,...LACSI C Mrf..... , Foundation Idaw �� Rough to be occupied as ... .�4 ... 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 CONS TI Rough Service BFinal UITLAG INSPECTOR GAS INSPECTOR Oecupancy Permit Required to Occupy Buildin Rough Display in a Conspicuous Place on�� Bethe Premises - Do Not Remove Final No Lathing or Dry Wall To Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No, Smoke Det. Wind®W World Of Boston, LLC MA HIC Registration OfflCeS & Showrooms Number: ❑ 15A Cummings Park Q295 Old Oak Street 166025 Woburn, MA 01801 Pembroke, MA 02359 Federal ID # (781) 932-4805 (781) 826-6281 27-1481865 "Simply the Best for Less" (781) Customer: C e ca Phone (h) Install Address; Phone (w) City: State: MA ZipJ/j= E-mail WINDOW WORLD GLASS OPTIONS 1000 Series Single-hung All Weld $189 C5 SolarZone Elite $99 ?6 2000 Series DH Mech/Welded Sash $195 Triple Glazed TG2* $175 49 4000 Series DH All-Weld $205 D1'6 (*Series 6000 Only) 6000 Series DH All-Weld $240 WINDOW OPTIONS 2 Lite Slider $334 s Breakage Warranty $15 ING�Lt ED 3 Lite Slider (lr3,rls,1/3) (114,112,114} $525 Screens $9 INCLUDED Picture/Fixed Lite $334 i- F-�am Insulation on Jambs and Head $11 INCLUDED Awning $260 L' D fSCe Strength Glass $15 INCLUDED Casement $290 ouble Locks (> 26") $5 INCLUDED 2 Lite Casement $575 Full Screens $22 3 Lite Casement (1m,1I3,1I3) (114,+12,114) $860 Colonial Grids (Contoured/Flat) $45 Prairie Grids $51 Basement Hopper $334 G�c Diamond Grids $69 Bay Window-Soffit Mount!INS Seat $2660 Simulated Divided Lite $$69 Bow Window-Soffit Mount/INS Seat$2785 Tempered DH Sash (BSO) (TSO) $65 182 Garden Window $1880 Obscure Glass (BSO) (TSO) $35 Specialty Window $ Oriel Style (40160 or 60/40) $30 Beige 1 Almond $40 Foam Enhanced Frame $35 Wood Grain Interior(Series 4000/6000 only)$100 PRE 1978 BUILT HOMES (Federal Lead Containment Law) (Light Oak/Dark Oakl Cherry 1 Fox Wood l"Z Lead Safe Practices Required $25 36 ar Rich Maple) MY HOME WAS BUILT IN THE YEAR Initial Brown Exterior(Arch.Bronze 1 American Terra)$100 Designer Color Exterior $155 MISCELLANEOUS Custom Exterior Alumiinu4m Cladding 1 El Textured$75 inn oth G-8 $75 $ Window Calor /,,,� r�s�' ! /.�� t�� Facing Color � inside Outside Metal Window Removal $50 NON CUSTOM DOORS �'` New Construction Vinyl Removal �f 175 Vinyl Rolling Patio boor 5ft. or Eft. M95 °7- �c�d Vinyl Rolling Patio door 8ft. $1095 Mull to Form Multi Unit $30 Add se price for Custom Rolling Patio oor $1150 3 Install Interior/Exterior Stops $50� French Rai Ing Patio boor 5ft r Eft. $1295 Install Interior Casing Starts At $95 French Rail SI! in tlo boo ft. $1395 Insulate Weight Boxes $20 French Rail SI€ding Pati or 9ft. $1495 Roof for Bay/Bow Windows $500 Custom Exterior Cladd' g $150 Existing New Const. Ext. Retro Fit $150 SolarZone Elite or Class $175 Removal of Existing Bay/Bow $250 Grids Patio Door 129 Repair Sill, Jamb or replace sill nosing $50 Woodgrain Int ors $2 Full Sub-Sill (Single) replacement $150 Exterior De ' ner Colors $395 Interior C sing 2+1z V2 $175 Mullion Removal $30 Handl et Options11 $ Bay/Bow Conversion Ext. Retro Fit $350 (New Siding Will Not Match) Building Permit $150 I's—e Door Color1 .. ROUN®-UP FOR WINDOW WORLD CARES Inside Outside St.Jude Children's Research Hospital $ LCustomer declines exterior wrap and understands painting and/or repair may be required Initial I Customer declines grids on windows/doors Initial DISCLAIMER:Customer is responsible for the fallowing in connection with this contract:Painting,Staining,Alarm System dlsconnec reconnect Building Permit fees in excess of$25.00,Homeowner and or Condo Association Approval,Historic District Approval.City of Boston parking&sidewalk Permit fees in connection with installation. NO E)(TRA WORK IF NOT IN WRITINGI Customer agrees to the terms of payment as follows- Extra Labor& Materials $ Site Set Up, Disposal &Delivery Fee $ $195.00 Total Amount $ Custom Order Deposit 50% $ 2 Ck# Balance Paid to Installer upon Completion $ �e Amount F nTd $ Window World of Boston anticipates starting this work on — and being substantially completed in_days.Security interest:Yes No_ Any deposit required in advance of the start of the work SHALL NOT exceed 331/3%of the total contract price or the actual cost of any material or equipment of a special order or custom made nature,which must be ordered in advance of the start of the work to assure that the project will proceed on schedule.No final payment shall be demanded until the contract is completed to the satisfaction of both parties. All home improvement contractors and subcontractors shall be registered and that any inquires about a contract or subcontractor relating to a registration should be directed to:Office of Consumer Affairs and Business Regulation,Ten Plark Plaza,Suite 5170 Boston,MA 02116.Phone:(617)973-8700 No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of such contract. Window World of Boston under provision of Chapter 142AA of the general laws is required to apply for and obtain all construction-related permits.Window World of Boston shall not be deemed responsible for delays in the work described in this agreement caused by regulatory,permit granting agencies,authorities or individuals. Notice:If the PURCHASER($)obtains his own construction related permits for the work described under this agreement or deals with unregistered contractors, the PURCHASER(S) is hereby advised that In the event of a dispute,judgement and nonpayment,the PURCHASER(S)will not be entitled to make a claim or collection from the guaranty fund established by chapter 142A,M.G.L. You the buyer may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. Notice of cancellation must be in writing postmarked no later than midnight of the following third business day. 15 A rgM§JQM QHQESF This Window World®Franchise is Independently owned and a erated bx Window World of Boston,LLC.under license from Window World,Inc. Owner:Do not sign if there are any blank spaces. Dat f 1"140 �0 3n:Do not sign if there a any blank spaces. D to O t sign4ther re any blank spaces. 15te Boston 07-15 White Copy-Original Yellow Copy File Pink Copy-Cu er Noyes Printing 888.667.1116 �� -4 e.. 4r ilpfal.�3/Is.Y -A%�yry f tri WV VaE¢....n.JLYLJ Department of Indus-triad accidents Office Of-Investigations w 600 Washington Street Boston, 02.1.11 '`may =�''�� �.vrvw.maass.gnvfdzra Workers' Compensation Ins-Trance Affidavit: Builders/Contractors/Electxiciaaas/Pluuabers �acat Infarm � Phase Prim Le-gibly Name (Business/Or, ation/?�dividual}: Address: City/State/Zip: h14 ' AEgm employer?Cbeck the appropriate box: Type of project (required): 1. a employer with 4. ❑ I am a general contractor and I 6 cmployees (fill]andlorpart time).* have hired the sub-contractor F-1 New construction 2.El am a sole proprietaz or partner- listed on the attached sheet. t ❑ Remodel g ship and have no employees These sub-contractors have S_ ] Demolition working for mein any capacity, workers' comp. insurance. 9. ❑ Building addition No workers' comp.insurance 5. ❑ We area corporation and its 10.[1 Electrical repairs or additaans required.] officers have exercised their 3.❑ J am a homeowner doin all.work right of exensption per MGL I LCI Plumbing repam .or additions myself: [No workers' comp. C. 152,§1(4), and we have no 12,❑Ro 'epairs insurance required.] f employees. [No workers' 13, ther comp. zasuzance regtiized.] ':ziy applicant that checks box#f must also Ell out the section below showing their workers'compensation policy information_ t Homeowners who submit this affidavit iudicatmg they are doing an work and then hire outside contractors must submit a new atftdavit indicating suclr_ tCcmtractDn that check this box trust attached an additional sheet sbowing fhe name of ha;ub-contractors and taeir woskm'camp.policy inforrixatiom I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy nrrs�jib site information. Tnsuranee Company Name: Policy#or Self ins. Lic.#: 1 Expiration Date: Al Job Site Address:— r"✓ Crty/State/Zip: ` Attach a copy of the workers' compensation polis declaration page (showing the policy number and expiration date). Failure to secure coverage as xequzred under Section 25A of MGL c. 152 can lead to the imposition of criminal pe-aaltes of a fine up to$1,500.00 and/or one-year imprisonment as well as CwU penalties in the form of a STOP WORK ORDER and a fine of up to$250.04 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for ihsurance coverage venzzcation_ I do hereby certify under pandp allies ofperfury that the information provided above is true and correct Si atnre: Date: Cs Phone#`.. Oficial use only. Do not write in this area,to be completed by city or torn official City of Town: Permlt(License# Issuing Authority (circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk d.Electrical Inspector 5.Plumbing Inspector 6. Mer Contact Person: Phone ff: WINDO-2 OP ID:Hi CERTIFICATE OF LIABILITY INSURANCE t?07 1812IY or6 r8rzo16 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDER. 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). PRODUCER CONTACT Senn Dunn•GSO NAME: C.Timothy Ward,CPCU,CIC 3625 N.Elm St. PHCON o Ext:336-272-7161 ,No: 336-346-1397 Greensboro,NC 27455 E-MAIL ss:tward@serindunn.com C.Timothy Ward,CPCU,CIC tward@sGnndunn.com AFFORDING COVERAGE MAIC# INSURER A;Citizens Ins Co of America 31534 INSURED Window World of Boston, LLC INSURER B:Allmerica Financial Benefit 118 Shaver Street INSURER C:Hartford Fire Insurance Co. 19682 North Wilkesboro, NC 28659 —— 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. INSR TYPE OF INSURANCE DDL SUER POLICY EFF POLICY EXP LTR gD WV13 POLICY NUMBER MMfDD1YYYY MMIOO LIMBS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 1,000,00 CLAIMS-MADE a OCCUR OB6790252707 0410112016 04/01/2017 DAMAGE TO RENTED SiReSS Owners PREMISES Eaeccun'encs}mm_ S 500,00 Business MEO EXP(Any one person) S 5,000 PERSONAL RADV INJURY $ 1,000,000 GEN'L AGGREGATE=LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY❑PRO' LOG PRODUCTS-COMPIOP AGG 3 2,000,000 JEGT ..__.._...._......._. OTHER: S AUTOMOBILE LIABILITY O aUCcidEDjS€NGLE LIMIT S 1,000,00 B X ANYAUTO AW68767615 06116/2016 06116/2017 BODILY INJURY(Per person) S ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY{Per accident} S HIRED AUTOS NON-OWNED PROPFF1 1AMAGE $ AUTOS Per accident 5 X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 1,000,00 A EXCESS LIAB CLAIMS-MADE 0136790252707 04/0112016 04/0112017 AGGREGATE S DED RETENTION$ I S WORKERS COMPENIA710N XPER OTH- AND EMPLOYERS'LIABILITY STATUTE ER C ANY PROPRIETORIPARTNERIEXECUTIVE Y 1 N 22WECLJ2635 0112712016 01127/2017 L.EACH ACCIDENT S 500,00 OFFICER/MEMBER EXCLUDED? F—] E. N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 500,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLE$ (AGGRO 401,Addllionai Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION 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. 1606 Osgood St.Ste 2043 AUTHORIZED REPRESENTATIVE North Andover,MA 01845 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD 3oard Of 3ui#ding ?wqufati•3r,s and Standard's _ic9nsa: CS-072772 JEFF C STEELS 24 SHERWOOD AVE DANVERS MA 01923 ommisaioner 04/07/2018 ` Otlice of Consumer Affairs&Busiuess Regulation HOME IMPROVEMENT CONTRACTOR Registration: 166025 Type: Expiration: 411212018 LLC WINDOW WORLD OF BOSTON,LLC. JEFF STEELE 24 CUMMINGS PARK SUITE 15-A WOBURN,MA 01a01 `.....-- Undersecretary i Li registration valid for inj lvtdual use only ber0 expiration date. Wfaun return to: of Consumer Affairs and Business Regulation y Plan-Suite 5170 i Basten,MA 02116 allot valid without signature