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Home My WebLink AboutBuilding Permit # 9/14/2016 BUILDING PERMIT d �osrti �'IY LEu 16��0 TOWN OF NORTH ANDOVERo APPLICATION FOR PLAN EXAMINATION Date Received A�R'TED Permit No#: 4A �ssgcwus�i� Date Issued: 1° IMPORTANT: Applicant mast complete all items on this page LOCATION y Print PROPERTY OWNER %' 0 ' 100 Year Structure yes no MAPPARCEL: 1_�,,17,_ ZONING [STRICT: Historic District yes no Machine Shop Village ye no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 9-ene family ❑Addition ❑ Two or more family ❑ Industrial _kP ;Iteration No. of units: ❑ Commercial 2 Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other D SeptEc ❑We[I © Floodplain ❑Vlletlands D 1Natershed D�str�ct ❑WaterlSeyver, � , f ��' F DE °RIPTIOPV OF RK TO BE PERFORMED: Identification- Please T or Print Clearly c OWNER: Name: � � Phone: 7 el Address: ` Contractor Name: ,ec Ph ne: Email: `' �_ CL Address: ' Supervisor's Construction License- Exp. Date: LHome Improvement License: I6 ` Exp. Date: ARCH ITECTIENGINEER Phone: Address: Reg. No. FEE SCHEDULE. BULDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ , FEE: $ Check No.: %1;7 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access t a guariontyfunfl ------------- V NORT11 '4 Town of :, ; bAndover O ~ ` 0 moo. � • ads * �� = T y y Z I fl ��K, h ver, Klass, Zal C0C.41C"k WK:K P 42 S U BOARD OF HEALTH Food/Kitchen PERR T LD Septic System THIS CERTIFIES THAT BUILDING INSPECTOR ................... ... ."'$ ....... ......�. . .. . .. .......,........... has permission to erect .46% .......... buildings on .446....:.. ... .,.% ......... Foundation Rough -to be occupied as .......... ...�.Ireiblk.......................................................................... chimney provided that the person acceptincpthis 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 COSTR TI® Rough Service . ... . ...... ....... .......... ""' Fina] BUI ING INSPECTOR GAS INSPECTOR Occupancy Permit lie aired t® Occupy BuLlding 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 pet. WOOSTER ROOFING PROPOSAL ALL TYPES OF ROOFS DATE: 9112116 & ROOF RELATED SERVICES Always Hand Nailed! License Numbers: Charlie and Steve Wooster Construction Supervisors 978-851-ROOF (7663) 54268 Fax: 978 251-0159 - Home Improvement Contractor 2015 OFFER: Serving MA& NH since 1984 Registration 100712 10% off up to$300 if proposal is Call For Our References accepted within 10 days! Proposal Submitted To Work To Be Performed At Naive .De"tip AaantF __ Name Company Name Company Name Street 195 Plorgmp.Rd. Street. 40 BcbEont St City Lowell _State MA -Zip Code 01851 _______ City No.Andover— State MA Zip Code 01845 Home# 978 937-0718 Mobile# 978 660-3220 Work#978 656-5568 Fax## We hereby propose to famish the materials and perform the labor necessary for the com letion of the following'ob. Strip the entire main shingle roof to the roof deck. 1. Renail any loose decking and replace any rotted or sheath over at$2.00 per foot. 2. Install 8"white alurniourn dripedge. 3. Install 6' of Grace ice and water barrier on all eaves. 4. Paper remainder of roof with Grace Tri-Flex roofing underlayment. 5. Install Certainteed Landmark Lifetime shingles,hand nailed. 6. Flash chimney to roof. 7. Install ShingleVent 11 ridge vent. 8. Replace soffit vents. 9• Install vent to receive bathroom exhaust. 10. Clean and dispose of all debris. WorkmanshiE guarallteed for 10 years. We are fully insured with workers'compensation as well as liability insurance. Please return copy of proposal: All material is guaranteed to be as specified,and the above work to be performed in accordance with the specifications submitted.All work will be completed in a substantial workmanlike manner for the suxn of Dollars, ($7,275.00), with payments to be made as follows:Job paid, 113 down and balance upon completion. , } Respectfully submitted Stephen Wooster I . Note-This proposal ma be withdrawn by us if not acce` tet#',�vithir{ 0 days. ACCOTANCE OF PROPOSAL The above prices,speeifications and conditions are y[satis will be made as hereby ac acceabopted. You are authorized to do the work as specified. . ✓ • - .9 Date C/// i nature Mailing Address: P.O. Box 8051 -Lowell, MA ul t=L OC80OH' 826 Woburn 9troot-Tawkchury, MA 01876E-Mail:infoWooster- Rooting.com Website:www.Wooster-Roofing.com Oe Commonwealth ofMassr ehmsetts Depar� enz o�`.Tx&ustr!aI�cddeu& H _ 1 G`oJJgF,-S$street,Surae 100 f: .Boston,.A 02lj420. 7 -Www mass.gov1dia 3kers,Coxnp6savox�Dzs�wa A r avz : 3x TderslCan�rac�or$LC+Je,txici��tslPX rabexs. TO BF Fff,9D Wn f TDF kXMff WC-ATJTgoRM AXica3xt n a"on Pleasekdat �LgMl N . (Snszaess/[�xga€dzaz©�llnc7ivldnal): C/�/ ✓ C�,tylStatefzip: /�L' � •-=G�I� Phone#: �-'��.S�.f - Aregau an employcx?Claes iIie ap�aoprzaie-box-, Type nT project�xe[ d�: I j f,��n a empluper.�ifb employees( andlorpar tithe).* 7.• Q N&W cad tlTic&A I am a sole fropxi nb3zorpardazersbip audbave no nWployees Woxking forme in $. ❑Remodo rig auy capacity[No o ses'comp-insurance-plead-7 g. Demolition 3f:]law abomeowoexdonga7lworkmyself RToworkers'comp. „curauceracp ed] 10 $ 1dT31gaddidaA 4.E]lam a.homeownf--xan&vMbehir ag couLadarsto Omcluctall Workonmppz°petty :EVJJ' x� ��' eCfric3 ze lalT o �it�[it oTJS ensuretTaetall.con�rac�orseitherl�avev�orkets'comperisa#aonSr3ssi�nceoraresoIe , F , prcip'rietors £6 raa eznpleyees. 2 21.=bing repairs or additions 5.�parna.general.aoza-aforandIhaYehiredtbesulrcon�actarslzstedauthea<fiacl�dsheel. �3• - aCl�Te�]a1Y5 .ihese sub-no�'aoidrsliaYe employees andl�ave�varkers"comp.insismca� 14.E]Ot77.Bx' 6.FIWeareacorporatiarr_aadisQfcers7�aYeegercisedihezzghtof'c empiio7perlS c. andwehavevge�upIgyees,jNovTatkers'comb.insxnancoracpired� Any appRomtfiat chedl�sboe�ul must also ffn autiba semoubelow shmingthdu v Orkers'compensation paliayzu�ormafiarr T$omeown m-whomliritft=' Adagitin+i-d gt7zey.doingaIIwf),kaadthenhize9 ave-VG zCo�tractors}�aatrtherk�sba��wsti'a.'-EachedanadditionaLsTraetsho�:ingth�namao�-cbesab-aoz�zranforsand�afa-�vhstiaerarna#-Fhaseeui3iiesh employees. Ifthesub comaaorse eplQpes,dieymusEpzovidetheir workers'comp.poTicprtumbex. . ," Iain cm ernpiDyer tlx ai Yspi•Dv!d!izgworkers'cO�npensadoYz twarancefor ray enTI6yee,.'Bd0V i�the pDZicy araejo25 szte 4eire,fDratiD�2. _ . Ihmtanm CoJnpany:ffa-UL6 PoRcy4 or Self-Ins.zip.#: _ — / Ex,iration'Date: / l Sob Szto Address: � GitylSta-telZp_ l Attach a cagy Of the o Ixexs' co xxpe�asa onpoStey dec7axa onpage(showi gtlxepolicyxE.nmber and e�pzzat(o z gate). Failux'e to secure cov Ps ge as recJuhedt t derMG c. 152, §25A is a oyiadnal.-violation pwaskiable by a fmo up to$1,500.00 ar d/ox one,g,at fi x-3sc)mment,as wolf as czv17 Proal es 'zhe fotnx of a STOP'WORK ORDM and a xme okup to$250-00 a day against f€.e-volat ar.A.copy of this statement may be fbYwarded to FL.e MOD of pavestigatzam afthe bZA fox"n.ce coYlaraga'yefic '4�-- . X da hereat'c fi tl •' ccnctT ger qf pprDirer cab,pe is tr e a eo est. Sz at[3xe: pate: Phone�:. r Dfficzai rose on Da not r�r'ite zn thzs area,fo be eDrazgletec��y cify Or tOrPn Z Of�Ci-a - City or Town• 1'ermitT��cex�se IsS-a sMgA,afAoxzV(clTdo one): i .xioarr7axRealty2.-8a d€iu9Depaxtmwt 3. GIRY/I'owRCfwxk 4.Blectrzcalerector 5.pinmMuglspector 6.Other eoxdaetPetsan: P7�oxxe : CERTIFICATE �� LIABILITY OATS[MNVODIYYYV) 41f� r 10116!20 5 THIS.CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER_THIS CERTIFICATE ODES 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 pollcy(ies)must be endorsed. 11 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 NAME: McSweeney&Ricci Insurance Agency, Inc. PHONE -8 6 00 arc Na; -8 -880 420 Washington Street E-MAIL P.O.Box 850984 ADDRESS: c5 e Braintree MA 02185 INSURERS AFFORDING COVERAGE NAIC9 INSURER A:AC su anC 1130i_ INSURED WOOST 1 INSURER B-Star ura ce Charles J Wooster dba Wooster Hoofing Ins UREA c:- PO Box 8051 INSURER D: Lowell MA 01853 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:81452710¢ REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TIME 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 POLICY EFF POLICY EXP LT9 INS POLIGYNUMBER WNDDfYYYY LUDDI LIMITS A GENSRALUABILITY CPA0003583 10117/2015 10/17/2016 EACH OCCURRENCE $1,000,000 x COMMERCiAL GENERAL LIABILITY PA&A1SES eLo="enm $250,000 CLAW&MADE aOCCUA MED EXP(ARYona arson) $5,000 PERSONAL&ADV INJURY $1000,000 GENERAL AGGREGATE $2,000,000 GEN1-AGGRFGATEUMITAPPLIESPEF7'_ PRODUCTS-COMPIOPAGG $2,000,000 riPOLICY PRO- LOC $ A AUTOMOBILE LIABILITY MAA0379734 10117)2015 417/2016 1acc1...x.000x.000 - ..... ANY AUTO SODILY_INJURYiPerperwn) $ ALL OWNED X SCHEDULED BODILY INJURY(Pufac0ideru) $ AUTOS NUTOS ON-OWNED PROPERTY fDAMAGE $ HUIEOAUTOS X AUTOS Xreoc[lenf 9 A X UMBRELLA UAB X I OCCUR CUA0383987 1011712015 10/1712016 EACHOCCURRENCE $1,000,000 _ EXCESS LIAB, CLA?JI&MADE AGGREGATE $ DED X I RETE ON 0 $ B WORKERS COMPENSATION WC0720669 10/17/2015 10/17/2016 X wC STATU- OTH- AND EMPLOYERS'LIABILITY YIN Y ETI ANY PROPRIETORIPARTNEWEXECUIIVE N E.LEACH ACCIDENT $2,000,000 OFFICERAIEMSERERCWDED? NJA (Mandatory In NH) E.L DISEASE-EA EMPLOYEN$2,000,000 W IF yes.ds=lbe under DESCRIPTION OF OPERATIONS 6eav E,LDISEASE-POLICY L9UIf $2000000 A Property CPA00B3503 1011712015 10/1712016 Equipment DESCRIPTION OF OPERATIONS!LOCATIONS t VEMCLES(Attach ACORD 101,Addirlonel Remarks Schedule,ll more Spam is required) sample CERTIFACK!'"26gER CANCELLATION d{1- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ` JACCORDANCE WETHTHE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE a 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010105) The ACORD name and lre registered marks of ACORD Office of Consumer Affairs nd Business Regulation - 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement,Contractor Registration Registration: 100712 Type: Supplement Card Expiration: 6/23/2018 CHARLES J. WOOSTER ROOFING STEPHEN WOOSTER _ P.O. BOX 8051 — mm LOWELL, MA 01853 Update Address and return card.Mark reason for change. Address ❑ Renewal Employment ❑ Lost Card scr,I a: za�nasni Massachusetts Department of Public safety Board of Building Regulations and Standards License: C5-054268 Construction Supervisor , CHARLES J WOOSTER P.O BOX#8081 LOWELL MA 01853 Expiration: ' commissioner 05111/2018 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 100712 Type: DBA Expiration: 612312018 Tr# 289129 CHARLES J. WOOSTER ROOFING Charles Wooster P.O. BOX 8051 LOWELL, MA 01853 Update Address and return card.Mark reason for change. ❑ Address ❑ Renewal F-1 Employment ❑ Lost Card