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HomeMy WebLinkAbout8 REPLACEMENT WINDOWS BUILDING PERMIT �oRrn �w- Q�'[Y LEO 6yq�O TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION o to _ Permit No#. � Date Received q�RiTEO ,Qo-��5 4SSRCHUS t Date Issued: i IMPOs page LOCATION Print PROPERTY OWNER ' Print 100 Year Structure yes no MAP . L PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Resid,dntial Non- Residential ❑ New Building ne family ❑Addition ❑ Two or more family ❑ Industrial ❑Ak6ration No. of units: ❑ Commercial Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other D Septic ❑Well ❑ Floodplain ❑Wetlands _W "TI, District ❑ 03, L °f i r DESCRIPTI�_QFVU TO BE PERFORMED: ' r Iden cation- Please Type or Print Clearly OWNER: Name: Phone: Address: TM Contractor Name: Phone: 4222 Email: Address: VAS Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECTIENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASER ON$125.00 PER S.F. Total Project Cost: $ FEE: Check No.: _ Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund .-�- t%ORTI '$ own of 5 ndover ® `" vo No. � '" .: _ _ - C, s&KO h ver, Mass 1 b COCHICNe WICK BOARD OF HEALTH PERMIT _T Food/Kitchen LD Septic System THIS CERTIFIES THAT ......... . ......... �2�r� BUILDING INSPECTOR >,.�v:..... ........ 1 .................................................................. has permission to erect .................... buildings on ....lCif/I i7f!aPi...... � .. . ... Foundation Rough tobe occupied as .............................T.... 0V w...S...............................,.,............. 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 Fina! PERMIT EXPIRES 16 MONTHS . ELECTRICAL INSPECTOR. LESS ...... CSTART ........ .. Rough Service . Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Qccy2v Buildin 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. ar'1/5A CuEmmings,Park . Ci 295 Old Oak Street 166025 Woburn, MA 01801 Pembroke, MA 02359 Federal I®# (781) 932-4805 (781) 826-6281 27-148165 "Simply the Best for Less" www.WindowWorldofBoston.com L e s let F sc-o Phone h Customer: O _- Install Address: K I4V1 5- tyn /r Phone (w) City: rf? Lo V-6 State: MA Zip 01PY _ E-mail WINDOW WORLD GLASS OPTIONS 1000 Series Single-hung All-Weld $189 SolarZone Elite 2000 Series DH Mech/Welded Sash $195 Triple Glazed TG2* $175 4000 Series DH Ail-Weld $205- 16 (*Series 6000 Only) 6000 Series DH All-Weld $240 ___-WINDOW OPTIONS _.2 Lite Slider $334 ✓' Glass Breakage Warranty $15 INCLUDED 3 Lite Slider {1!3,1!3,113) (#!4,112 ,!a) $5525"5 ✓ 112 Screens $91NCLUDED Picture/Fixed Lite $334 ✓ Foam Insulation on Jambs and Head $11 INCLUDED Awning $260 Double Strength Glass $15 INCLUDED Casement $290 �/ Double Locks (> 26") $5 INCLUDED 2 Lite Casement $575 Full Screens $22 3 Lite Casement {113,113,113} (1/4.112,114) $860 Colonial Grids (Contoured/Flat) $45 Prairie Grids $51 Basement Hopper $334 Diamond Grids $69 Bay Window-Soffit Mount/INS Seat $2660 Simulated Divided Lite $182 Bow Window-Soffit Mount/INS Seat$2785 Tempered DH Sash (BSO).(TSO) $66 Garden Window $1850 Obscure Glass (BSO) (TSO) $35 Specialty Window $ Oriel Style (40/60 or 60140) $30 u 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 naklDark bakl Cherry/ Fax Wood _Tread Sate Practices Required $25 -700 3 Filch Maple) MY HOME WAS BUILT IN THE YEAR In' 1tIaQ Brown Exterior(Arch.Bronze(American Terra)$100 Designer Color Exterior $155 MISCELLANEOUS S Custom Exterior Aluminum Cladding Window Color Ae, k Textured$75 �Smaoth G-8 $75 $ Cfa OC) Facing Color Wh 1 _ Inside OutsideMetal Window Removal NON CUSTOM DOORS New Construction Vinyl Removal $175 Vinyl Rolling Patio Door 5ft.or Eft. $995 Specialty Window Exterior Trim $ Vinyl Rolling Patio Door 8ft. $1095 Mull to Form Multi Unit $30 60 Add to base price for Custom Polling Patio Door $1150 Install Interior/Exterior Stops $50 4100 French Rail Sliding Patio Door Sit.or Eft. $1295 Install Interior Casing Starts At $95 French Rail Sliding Patio Door 8tt. $1395__ Insulate Weight Boxes $20 French Rail Sliding Patio Door 9ft. $1495 Roof for Bay/Bow Windows $500 Custom Exterior Cladding $150 Existing New Const. Ext. Pietro Fit $150 Solarone Elite or ETC Glass $175 Removal of Existing Bay/Bow $250 TGrids Patio Door $129 Repair Sill,Jamb or replace sill nosing $50 Woodgrain Interiors $29s Full Sub-Sill (Single) replacement $150 Exterior Designer Colors $395 Mullion Removal $30 Interior Casing 2112 3112 $175 � -Bay/Bow Conversion Ext. Retro Fit $350 Flandleset options $ (New Siding Will Not Match) ~- f Building Permit $150 /50 [icor Color / v ROUND-ESP FOR INDOW WORLD CARES lnsrtlg Outside S#. Bide t:hlldrea's 8asearelt Hos�Sta!,`i $ Customer declines'exterior Wrap and understands painting and/or repair may be re kiired Initial ( E.ictnmor rtenlinps nrifl-q on winctn�nl�lrinnrS inQir6a9.. . ,f. . I DISCLAIMER:Customer is responsible forthe following In connection with this contract;Painting,Staining,Alarm System disconne (reconnect Building Form itfees 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. N® EXTRA WORK IF NOT IN VIIPiIYtiVC,f Customer agrees to the terms of payment as follows: Extra Labor&Materials $ za'-/d00 Site Set Up, Disposal&Delivery f=ee $ $195.00 Total Amount $ VS 0U Custom Order Deposit 50% $ Ck# Balance Paid to Installer upon Completion $,- Amount Financed $ 1137 00 Window World of Basion anticipates starting this work on lQ - ' !KS_ and being substantially completed in i-A days.Security interest;Yes_Na 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 thattlte 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,Tian Park 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 142A of the general laws is required to apply for and obtain all construction-related permits.Window World of Boston shall notbe deemed responsible for delays in the work described in this agreement caused by regulatory,permit granting agencies,authorities or individuals. Notice.,if the PURCHASER(S)obtains his own construction related permits for the work described under this agreement or deals with unregistered contractors, the PURCHASER($) is hereby advised that in the event of-a dispute,judgement and nonpayment,the PURCHASER(S)will not be entitled to make a claim or collection from the guaranty fund established by chapter 142A,M.G.L. You the buyer may cancel this.transaction at any time prior to midnight of the third business day after the date of this transaction. Notice of cancellation must be in writing postmarked no later than midnight of the following third business day. 1S ISA CUSTOLA RDER 1d0 RgSAt_ t This Window World°Franchise is independently owned and o erated by Window World of Boston,I.I.C.under license from Window World,Inc. Owner:Do not t if there are any blank spaces. Date r' �l�,�o Sal an:Do no sign'rf;hcre are any blank spa es. Date Owner:Do not sign If thero are any blank spaces, Date Boston 07-16 White Copy-Original Yellow Copy-t=ile Pink Copy-Customer Hayes Printing 868-667-1116 WINDo 2 OP ID.HI CERTIFICATE OF LIABILITY INSURANCE DATE{MMIODPYYW} FSELOW. ERTIFICATE IS ISSUER AS MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED SENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. TANT; If the certificate holder is an ADD I 'JON AI INSURED,the POlicy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to ms and conditions of the Policy,certain 156116es may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Senn Duna-GSO NAME: C.Timothy Ward,CPCU,CIC 362$N.Elm St. PHONE Greensboro,NC 27455 Plc o E,t,:336-272-7161 wO.No:586-346-9397 C.Timothy Ward,CPCU,CIC A00Rless:tward senndunn.com INS­.—R(S)AFFORDING COVERAGE NAICPF INSURERA;Citizens Ins Co of America INSURED 39534 Window World of Boston, LLC 18 Shaver Street INSURER B.Allmerica Financial Benefit 1 North Wilkesboro,NC 28659 INSURER c:Hartford Fire Insurance Co. 19682 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 TH15 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, IN SRM IADDL SUER LTR INSURANCE I SD D POLICY NUMBER POLICY EFF POLICY EXP A I X COMBILITY MMlDDrYYYy MW D LIMITS CCUR OB67902$2707 D CHGETORE1 TED OCCURRENCES 1,000,000 04!0112096 0410112017 MES Eanccurrence S 500,000 Bus MED EXP(Any one person) S $,000 PERSON AL&ADVINJURY 5 1,OU0,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY❑jECT LOC rPR:OfDUCTS-COMPIOPAGG EL AGGREGATE S 2,QQQ,DQQ OTHER: S 2,000,000 S AUTOMOBILE LIABILITY E�ac6cil de0t51NGLE LIMIT 5 {,",%"o0 B ANY AUTO AW68767615 06116/2016 0611612017 BODILY INJURY(Per person) S ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident HIREDAUTDS NON-OWNED Y{ ) S AUTOS PROPERTY DAMAGE S I f'er acd lent UMBRELLA L1AB ){ S OCCUR EXCESS LIAR EACH OCCURRENCE S 1,000,000 CLAIMS-MADE 086790252707 04/01/2016 04/0112017 AGGREGATE S 0lrD r I RETENTIONS WORKERS COMPENSATION S V AND EMPLOYERS'LIABILITY C ANY PROPRIETORIPARTNERIEXECUTNE YIN 22VIfE,CLJ2635 STA UTE ERH- DFFICERIMEMBER z:XCLUOED? NPA 0112712016 09/27/2017 E.L.EACH ACCIDENT S 500,000 IMandatory in NH} IF yes,describe under E-L DISEASE-EA EMPLOYEE S 500,000 DESCRIPTION OF OPERATIONS beleyr EL DISEASE-POLICY LIMIT s 500,000 r DESCRIPTION OF OPERATIONS P LOCATIONS!VEHICLES IACORD 101,Additional 12amaft Schedule,may bo attoehed irmoro 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 PROVl51ON5, 1600 Osgood St,Ste 2043 AUTHORISED REPRESENTATIVE North Andover,MA 01845 ©1998.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/09) The ACORD name and logo are registered marks ofACORD B i i �7ie Commonwealth of Massachasetts � r Department oflndustriarA.ccidents j. .^.. - •-.,. Y I Congress Street,Suite 100 A ,Boston,AfA 02114-2017 ~ a www.mass.gov/dia ODM 5' Workers'Compensationlusuraned Affidavit:Builders/Contractors/ lectriciax�s/Plumbers. TO BE PILED WITH THE PERNn JVG AUTHORIT it. please print LII A ' licant Information N'aMQ(SusinesslOsganizaiionlfndividual): Address• � Phony#: City/StateI.Zip: - ` ;�•. Ar a ployer?�ltecktlie appy°pxiate box: Type of project(Yeciuired): 3 em to eel frlland/Or parttime)- 7. Nav,�constxiiofion 1. Bin a employer with_,,.{_.._.— 1? y 2.❑I an a sole proprietor or partnership and have no employees working for me in 8. Renxodei�tig any capacity.No workers'comp.insurance required.] 9, ❑DemOlitioxc 3.E]I am a houteowner doing all work myself[No workers'comp.insurance required.]t 10 F1 Building addition 4.❑ lam ahomeowner and will be hiring cnntractM to conduct all work on my property_ I wilt 11 t'1 EleoVical rfp,�it'S or addlti(?ps i ensure that all contractors either have workers'compensation insurance or are sola 12 p bin rep airs or additions proprietors with no employees. C 5, I am a general contractor and I lurvo hired the sub-conftactors listed otx the attached sheat. 33. �Thero airs These sub-contractors have employees and have workers'camp.insurance.t e4,. have exercised their right of exemption per MGL c. 6.❑We era a corporation and its.officers 152,§l(4),and we have no employees.[No workers'camp.insurance required.] a licant that cheoks bbi� l must also fill out the section below showing their workers'compensatienpnlicy infozruation: Y Pp Ilarnaowners who submit•tbis affidavit indicating they aro doing all work ang th am,of e ausub confracto�s and state whether er or not thOs entiget a now.affidavit sghave h tConlxac#ors that check this box must attached an additional sheet showing eruployees. if the sub-contractoirs have empoyees,they must provide their workers'coup.policy number. loyees. Below is the policy and j ob site t am an employer tliat is providingTporkerrs'compensation insurance for my emp 3 information. Insurance Company Namo: — Expiration DOo Policy #or S alb irts.L(c.#: 1 a City/State/Zip: Job Site Address: the olio number and expiration date). Attach a copy of the vvo?'Iters' comtpepsa ion policy declaration page(shownug policy Failure to secure coverage as required under MGLe. 152,§25A is a criminal violation punishable, a fide up to 0)500.00 of up to and/or one-year imprisomnent,as ell as tell statementitpe zaati s fnxivv fo ed to the M day against the violator.A copy oa Orin of a STOP Mve tt'96 ons of the D'A for'ns$,250.00 0 0 a f p covexage verif.cation. irdo hereby certify rind r ae in and enalties ofpeduty tIiat the information provided ab ve is true an correct. o - Date: Si atu7re: Phone#: Official rise only. Do not write in this area,to he completed city or town official. Permit/License# City or Town: issuingAuthority(circle one): 3.City/Town Clerk 4.Plectrical Inspector 5.PlumbingTnspectnr e,Board of health 2.13ui1dingDepartrnent 6.other Phone 9- Carztact Person: 1 i 1 Massachusetts Department of Public Safety Board of Building Regulations and Standards License; CS-072772 JEFF C STEELS 24 SHERWOOD AVE DANVERS MA 01923 r '-4 4 �� ✓�1 Expiration: Commissioner 0410712018 Q- _ ...•:,,..a«err'�%:_,i- 6{!f—eycvfC4,r!r", OfGee of Consumer Affairs&Business Regulation f HOME IMPROVEMENT CONTRACTOR Registration- Type,186025 Expiration: 4/12/2018 LLC WINDOW WORLD OF BOSTON,LLC. JEFF STEELE 24 CUMMINGS PARK SUITE.15-A t- ,., N.—- WOBURN,MA 01801 Undersecretary License or registration valid for Individual use only Before the expiration date. 1f found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 J 41Vot valid without signature