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Building Permit # 8/17/2016
0 R lrf�j. BUILDING PERMIT 0 TOWN OF NORTH ANDOVER 10 1 APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received flv," cl Date lss�ued.e IMPORTANT: Applicant must complete all items on this page LOCATION PROPERTY OWNER no r Print 100 Year Structure yes no 7 y MAP PARCEL: District ye no —ZONING DISTRICT: Machine Shop Village ye no TYPE OF IMPROVEMENT PROPOSED USE Res�i �niaj Non- Residential El New Building . One family [I Industrial D Addition F1 Two or more family Li Alteration No. of units:— F] Commercial 0 Repair, replacement El Assessory Bldg [I Others: D Demolition El Other ----------- DESCRIPTION OF WORK TO BE PERFORMED: IN R entifileatioz- Pleas Type or Print Clearly 4 OWNER: Name.— Phone. Address: .1 d1q C OW ........... Contractor Name: Ay,li- Phone: Email: Address:—T Supervisor's Construction License: Exp. Date:_ Home Improvement License: Exp. Date: c. Z pate. ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE. BULDING PERMIT.,$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$,1, 5.00 PER S.F. Total Project Cost: $ FEE: $ Check No., 5 Receipt No.: NOTE- Persons contracting with unregistered contractors do not have access to the g t rantyfund tor . .... ure--of-coontrac tAORr# T'own of bAndover ® +� w 1 oft L.K. h ver, Mass, COCMIC"t WKK y�- 1l,$S°RarF� U BOARD OF HEALTH Food/Kitchen PER LD Septic System THIS CERTIFIES THAT ..... ..... Awa............ . ........................ .... . .......... BUILDING INSPECTOR � ......, �. � ... Foundation has permission to erect .......................... buildings on . .. ........ 1�.+a0... ..,. .................... .... .... �c� '� Rough tobe occupied as ................ ......... ..... ...... . . ..................................................,............ 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 16 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTNTLION.. Rough Service - -&1i: .. ... Final BUILDING IN CTO GAS INSPECTOR Occupancy hermit Required to Occupy BuRough Display in a Conspicuous Place on the Premises — Do Not Remove Final �� Be© No Lathing or Dry all To Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. ARYA ROOFING Roofing Siding & Gutters HIC- 149239 CSL- 101349 Date- 8-16-16 HOME IMPROVEMENT CONTRACT This contract satisfies all basic requirements of the state's home improvement contractor law (M.G.L. C.142.A) but does not preclude parties from adding language to protect their specific interests. Seek legal advisory if necessary. Before agreeing to any home improvement work on your residence, you should obtain a free copy " consumer guide to home improve law " by calling the office of consumer affair and business regulation's information hotline at 617-973-8787. Contract submitted to: Work to be Performed at: Shawn Regent 15 Ironwood rd North Andover , MA Descri tion of worK to be performed and material to be used: 1. Removal and disposal of the existing shingled roof. (main roof and shed) 2. Replace rotted sheathing up to 400 sgft. 3. Install GAF Storm Guard ICertainteed Winter,Guard ice and water shield 6 feet on to the eaves, walls chimneys, pipes etc. 4. Install GAF Dock Armor i Certainteed Diamond Deck synthetic moisture barrier over the rest of the roof. 5. install 8" drip edge around the perimeter. 6. Install GAF FRO STARTI Certainteed swift start starter strip_ 7. Install GAF Timberline HD lifetime/ Certainteed Landmark oodscape architectural shingles. 8. Install GAF COBRA Exhaust 1 Certainteed ridge Vents. 9. Install GAF Seal A i s t 6v 1� � Sha"w c Ps' 10. Install new flashing around the pipes. 11. Install new Step flashing up the walls. 12-tie reacr frie chimney. 13. Completely clean the yard and gutter from all sort of roofing dgbris, 14. Install Standing seam metal roof on the area above the front porch as discussed. 15. Replace the two sides of the dormer walls and 2 lines from the front of the dormers with new primed cedar shakes and cedar clapboards. 16. Remove and dispose the existing gutters and accessories. 17. Install copper Valley flashing. Arya Roofing agrees to provide all the materials, labor, permit and disposal for the proposed roof work. The work will be performed in a professional manner and the jobsite will be protected and clean at the end of each day. Once the project has begun we will work each day thereafter until the project is finished (weather permitting). Arya Roofing will warrantee all the labor for a period of 10 years from the date of completion. 1 All material is guaranteed to be as specified, and the above work to be performed in accordance with the specifications submitted for above work and complete in a substantial workmanlike manner for the sum of twenty eight thousand six hundred twenty five dollars. ($28625) Additional- Replace Fascia board at $15 x linear foot with PVC Trim boards. Any alteration or deviation from above specifications invulvii iy tMi d Qubt* will be &,Y&_r,wW on)),vpon salfitk-n cwd,-r, and wiH bernme an extra charge over an above the estimate. All agreements are contingent upon strikes of accidents or delay beyond our control. Expected work schedule to begin Expected date of completion 08-15-16 08-24-16 In order to meet the completion schedule, the material must be special ordered before the contracted work begins. (Law requires that any deposit required to be paid in advance of the start of work shall not exceed the greater of one-third of the total contract price or the actual cost of advance of the start of the work, in order to assure that the project will proceed on schedule. No final payment shall be demanded until the contract is completed to the satisfaction of the parties.) Payment will be made according to the following schedule. $9500 deposit for the purchase of materials. $9500 when job is halfway done. $9626 on completion. Arbitration "The contractor and the homeowner hereby mutually agree in advance that in the event that the contractor has a dispute concerning this contract, the contractor may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided in MGL c 142A. Owner: Z 2 CQntractgr; NOTICE.- The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiated by the contractor. The owner may initiate alternative dispute resolution even where this section is not signed separately by the parties. DO NOT-SIGN-T'HTR E CONACTS ACES IF THERE ARE ANY BLANK SP . Identical copies of the contract should go to the homeowner and the contractor. 2 -57 J tooA�Wwignature Contractor signature 8-16-16...... Dat Date Workmanship is warranted for 10 years from date of completion. Notice ncl0 to n You may cancel this transaction without penalty or obligation, within three business days from the above date. If you cancel, any payments made by you under the contract will be returned within ten business days following receipt of your cancellation notice, and any security interest arising out the transaction will be cancelled. 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. 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 the obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or other written notice, or send telegram to Tenzin Arya ai,_,> 330 Cambridge st Winchester MA 01890 not later than........................(DATE). EL fills TRANSACTION DATE:.,.r.. ,. ,. .. .... :.Buyers signature., .:.. :. ................... 3 The Commonwealth o.f'Hasyq,chuseits z. .Depagmenyj of ndustrialAccideats Y Congress Sheet,Suite 100 d Roston,MA 02114 2017 .F > a www mass go-Prdia Wotkozs'Comp6)asaiaonxusurauce.Afdavit.)3uUdens/ContractorsfE�ecfxicians/PlAmboz's. TO BE MED W3 F1 T11E PERWT G AUTHORI L Y— A IicaniMoUnati.QJ�I I'laasePrint Le ' I Name(a3usiness/Orgya€irzaiio divid )� - Address: city/state/zip. !� Axe an employer? Chec]E SB appropxmte hox: Type of project(.Tequ5x�d): �am a employer ixitkt s employees(fill audlor part time). '/. New cozistmetion 2.El I am a solo pmprietoror parkxership andbave ne employces working forme in 8. RemodBllYtg any capacity.Mo wozkers'comp.insurance required.] 9. Demolition 3_❑jam ahomeownerdoiagallworkmyselE PTO workers'eonop..inswmcurequired.] 10❑Building addition 4.F]I am a homeowner aril v iM be hiring contractors to conduct all walk on my property. 1—win x Bleotxical repairs oradditions dcllfito2t5 ensure that aU,,,tractors eithbrhava workers'compensatian insurance or are solo � prdprietors'wiE LG eigployees. 12-- P b- repairs or additions 5-ElSamageneraloanfracforandlhapelured3hesub-conhactorslistedanti�e achedsheet 3: ' aQ�Tei3aivS These sub-contras#ors�ave employees andbave�voziCers'comp.insurari 14.❑Othhr, (,Q wo area coxpora4ga and#q officers]nave exereisedthok right oI:•exemption perMOL c. npxttYep.Wpworkere comp.i€=ancerequuedJ 152,§1(4),andvTshave'4Q P, *Any applicant that cheoksbox B1 must also Ril.out the seotion below showing their workers'compensation policy inw:ormatiorL i Someowners-v, sitlimif t�af�davit indicafingthey are doing an work andthenhire outside contractors must submit a neva affidavit indicating such. zContractors i}�at r ieckfhis box mush attaehad au addifional sheet sh(;Wjng the name ofthe sub-contractors and sEate whether orpo� osr entities have employees. Ifthe sub-con�racfors�avo eznpinyees, liey mustprovidetlxeir workeis comp.policy numbez I cern an employer th at is pr ovzciing rkers'compensation insr�YaUcefor rrzy er�zployees.'Below is tliepolicy and job site in-f'ox pnatior2. - . l f' Insmaace Company Name' Policy#or Self ins.Zic.#: A'V C 4 Expiration Date: l of a VCL Job Site Address: Vo/� A"�, 0 1:�> Qty/State/Z7.p. Attach a copy Of thus OKkexs' coxnpensationpolicy declaration page(Showing the policy number and exppiratl=date). Failure to secure coverage as zequix'ed under MGI,c. 152, §25A is a criminal-violation punishable by a fine up to$1,500.00 and/or one-ye arImprisonment,as-wall as civil penalties in the fozm of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A,copy of&is statement may be forwarded to the Office o£xuvestigatzans of the DIA for insuraraae coverage verification.. I do hereby certify u r tlieprxins andpenaities ofperncry that the informrrtionprovide d' ove s�rMe ancorreet Si store. / Date:C. Phone - Ofjklal use only. Do not-write in this area,to lie completed by city or toren official. City or Town: Pex'u>if.ILicenSe# Issuing.A.utb.orxty(circle one): i I.Board of Ilealilx 2,B3uiJdiagUeparhnvut 3.C41Town Clerk 4.Electrical Inspectors 5.Plumbing laspector 6.Otlier Co xtactkexson: ph.one#: ^� ARYAC-2 OP ID: DC ATE,4coRo° CERTIFICATE OF LIABILITY INSURANCE 08/1712016 8/1712016Y} �—� 0811712016 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(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 Niru Bhatia Platinum Insurance Agency PHONENAME: 781.859-5356 Jc No: 781-583-5012 418 Massachusetts Ave No Exf Arlington, MA 02474 ADDRESS: Niru Bhatia Yadav INSURERS AFFORDING COVERAGE NAEC# INSURER A;James River Insurance Company INSURED Arya Contracting LLC INSURER B:Associated Industries of MA 330 Cambridge Street Winchester,MA 01890 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, INSR TYPE OF INSURANCE IN L SUB POLICY NUMBER MM1POL0DY EFF POLIMMfDDY EXP LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY 00067223-0 0611312016 06113/2017 PREMISES Ea occurrence) $ 50,000 CLAIMS-MADE Fx_1 OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,040 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 1,000,000 Jr POLICY PRO El zcTLOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIM?T ✓ra accident $ ANY AUTO BODILY INJURY IPer person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON OWNED PROPERTY DAMAGE $ HIRED AUTOSAUTOS PER ACCIDENT H $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ TH- WORKERS COMPENSATION X WC STIMIT ER AND EMPLOYERS'LIABILITY TO Y LIMITS TS ER B ANY PROPRIETORIPARTNERIFXECUTIVE Y 1 N AWC-400-7031682-2015A 1010412015 10/04/2016 E.L.EACH ACCIDENT $ 100,000 OFFICER;MEMBEREXCLUDED? ❑ NIA (Mandatory In NH) E,L,DISEASE-EA EMPLOYE $ 100,000 Ifyas,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Niru Bhatia Yadav ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD - ,�, C��e�arrn»xorrcuerrlf�a�'C�,f�ri,�:�rcc'✓zrrJcflJi \ Office of Consumer Affairs&c Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: =Registration: (:,149239 Type: Office of Consumer Affairs and Business Regulation Expiration: 1211612017 DBA i 10 Park PIaza-Suite 5170 ARYA CONTRACTING• 3 Boston,MA 02116 TENZIN ARYA 330 CAMBRIDGE STREET WINCHESTER, MA 01890 IIudersecretary ! of vali vithout signature Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-101349 AMIL Construction Supervisor TENZIN T ARYA �' ' 330 CAMBRIDGE STREET WINCHESTI`R MA 01890 Expiration: Comrnissioner 12108!2017