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HomeMy WebLinkAboutSTRIP AND REROOF (4) BUILDING PERMIT of iaoRTy 9 TOWN OF NORTH ANDOVER - APPLICATION FOR PLAN EXAMINATION o en Permit No#: � Date Received 4 RS gcHUS Date Issued: - T PORTANT: Applicant must complete all items on this page LOCATION �3-r" s7 r,iA Print PROPERTY OWNER Q ill t. - bno Print 100 Year Structure yesMAP �PARCEL: �o ZONING DISTRICT: Historic District yesMachine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other F i Septic ` Q Well ❑ Floodplain ❑Wetlands © 1Naters1�etl Districts DESCRIPTCON OF WORK TO BE PERFORME©: Identification- Please.T pe or Print Clear OWNER: Name: I Phone: '?V -3"5 2- - y z 3 Address: C�Si�-L<: 1 Contractor Name: C1_5 vl JAA 7Phone: 91S 715 Email: �nr,� Address: �3 Supervisor's Construction License- (�L?J Z Exp. Date: Home Improvement License'. / Exp. Date: 7—{ I ARCH ITECTIENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT:$12.00 PER$1000-00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ f FEE: $ Check No.:_ ' VA Receipt No.: M 3 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 14®RTF Town ofndover ® ;� to ��KE h y ver, Mass, X4 1 IL 11MAA �4 LOCgIC ME w1CR y�' P � U BOARD OF HEALTH Food/Kitchen PER IT LD Septic System THIS CERTIFIES THAT ........... ..1. C.... ............. ........................ BUILDING INSPECTOR has permission to erect .......................... buildings on ... +.. .. RN. C ,F Foundation Rough t0 be occupied as .............5in�i%? . ..,..... . .. s .. , ............................,.............,............................ Chimney ills provided that the person acpermit 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 CONST v4p S Rough / Service 040"I. ... ........... ..e�S ... . . . Final BUIL INGC70R GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Cl ' � 'r.+. • :s,•I ,•.,�a}�A.�.+%��~t:3�'"i•.,�1}; .,?1F:i.��.vvS� ''}SS•�''s�' •'�'�Sa.'• �C� �a ' V �� ' ' • 1+fx• �'(;:•J.' !• ] 1'3 }'f �{',b'"ro,�' '.lit iA}. 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I ,�- a •,, sSL�! n k4 �� '�'ii �1 AA '''h' .r' •,s• :'1 v ,."r...�C' s' , .3 S•,. v•s+` .,� B ! 9 •R4J1-' YET k r' 'i' .•�..• `, :s. `r•.•' �� ?r'�:Y^1'.1' .,F,4 ` 's?„!.t'WAR b�•, t , t �' r� ��� �� E' r ehr 5 trt y�7 F!',''•;,:' .f'. ,y :y ky,f 1'" 50e i', , •`!!�'+'13� r '+• .� '�����'„"�� 4•'--- �• ����i?�,�d'�t.r .., .Ir ',' ,E 71•n �'� ,,; ,•�y,,• 3� u k� JJ f a a a 1 MGMALLN��� Chimn►e•ys Residential & Commercial Roofing All CHIMNEYS POINTED-REBUILT-CAPPED Types Of Siding Expert Masonry Work Mass Toll Free �f Roof Leaks Ex erts �f Licensed& Insured 1.800-WAIT-4-US w Locally Owned do Operated Since Jfl76 a'ci;p� License#034200 (924-8487') IKC? exee '12v=m pC/�d�l/t �! We Work Year Round s • w rProposalTo: Village Green West Date 5/21/2016 Street: 200 Kingston St. N.Andover 603-382-6166 68-82, 108-138, 156-170 Roof proposal picaeng@comcast.net IKO Cambridge/Certainteed Landmark 1. Extra caution will be taken to protect all buildings, 11. Counter flash existing chimney lead,wall walkways and landscaping as best as possible. connections and all roof protrusions (pipe boots and Debris will be removed and magnets run daily. vents)with ice and water shield,tie into new shingles Not responsible to move tenants personal items. and sealed with clear Geo-Cel sealant. All installation procedures will follow state code 12. Bath Exhaust vents: Install all new black low and OSHA compliance. Caution tape outline all profile bath exhaust vents on roof line. Counter work areas. flashed with ice and water sbield. One for each unit. 2. Remove all shingles and roofing materials as best No interior connection included. Will coordinate with as possible from all four buildings. Association for best locations per unit 3. Inspect and re-nail any loose or lifted plywood. 13. Wall connections: Remove existing siding or Any compromised plywood will be replaced at an aluminum trim as needed. Counter flash at least 18" additional cost. up the wall with ice and water shield. Install new 4. Install heavy gauge 8"white F8 .019 aluminum 5"x7"aluminum step flashing. Re-install siding and drip edge to all eaves and rakes. trim. Install new aluminum siding or trim if 5. Install 6' of IKO Storm Seal or Certainteed Winter compromised. Guard ice and water shield to all eaves and top to 14. Removal of all work related debris. Planks will be bottom in all valleys. All drip edge nails will be placed under dumpsters to prevent any damage to covered with 12"strip of ice and water shield. existing asphalt. Placement and removal of dumpsters (ASTM D6757 certified) will be coordinated with Association to minimize 6. Install IKO Storm Tite or Certainteed Diamond daily interruptions. Deck synthetic underlayment to remaining 15. Contractor Workmanship warranty: 15 years under sheathing up to the ridge. (ASTM D6757 certified) normal wind,rain, ice and snow conditions. 7. Install all new pipe boot flashings. Counter flashed (Please see extended warranty) with ice and water shield. 8. Install IKO or Certainteed starter shingles to all Extended Warranty: (Against material defect) eaves and rakes. *1K0 Shield Pro Plus* 9. Install IKO Cambridge or Certainteed Landmark • Full 20 year coverage direct from MFG. Limited Lifetime architectural shingles to all four • Non pro rated buildings. All shingles and roofing materials will • Labor, material, debris removal and workmanship be fastened and installed per MFG specifications. All valleys will be woven. Commercial MFG *Certainteed 3 Star Sure Start Plus* warranty up to 40 years. (Please see extended . Full 20 year coverage direct from MFG. warranty) • Non pro rated 10. Cut and install all new(ASTM certified)nylon • Labor, material and workmanship. Debris removal mesh ridge vents to code to all four buildings and not available with 3 Star coverage capped with IKO or CertainTeed color matched l,;r, 1"A rirl"A nor% rlh;"rrlc.c Rnth F.Ytpndpd warrnntipe inelnilpri in nrnnnfial Y Residential & Commercial Roofing Re All Types Of Chi�rnn�y� CHIMNEYS POINTED-REBUILT-CAPPED yP Siding Expert Masonry Work Mass Toll Free *Ruvf Leaks Ex erts�f Licensed &Insured -$i7�-1JVAl7-�-11S Locally Owned do Operated Since 1976 fW E License#034200 (924•$4$7) IKO �d�Z We Work Year mound =' s PrRiam oposal To: R. J Pica Engineering Date 5/21/2016 (Page 4) Street: Village Green West (Phase 1) 603-382-6166 68-82, 108-1.38, 156-170 Roof proposal picaeng@comcast.net IKO Cambridge/Certainteed Landmark Total cost and nayment schedule Total IKO Cost: $106,000.00 TotalZort�-aintt�,edCost: $1 4,000.ODa { Total Gutter Cost: $15,000.00 (Balance due upon ornpletion of all four buildings) * Upgraded ice and water shield options (For best defense against water infiltration caused by ice dams) -IKO Premium Goldshield: $3,000.00 additional cost Certainteed Premium HT : $2,600.00 additional cost Payment schedule: Balance including any additional costs due at the completion of each building. No deposit required. IKQ SUMO.00 12er building Certainteed $28,500.00 per buil g Commercial references: . Jackson Lumber Heavenly Donuts CSI (Cementary Services Inc) Shaheen, Gurearra and O'Leary Law offices A Plus rated member of the Accredited BBB since 2001 5 year consecutive Super Service Award winner from Angie's list (Top 5% of all New England roofing contractors) Acceptance of Proposal The above prices, specifications and conditions are satisfactory and are herby accepted. You are authorized to do the work as specified. Payment will e a e as outlined above. Date of Acceptance: l � 1 _ Signatu 3' The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 www massgov/dia Yorkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Lep-ib Name (BusincWorganiratioa Individual): L(- U✓1 f Address: 3 City/State/Zip: Phone#: Are you as employer?Check the appropriate box: Type of project(required): I.Qam a employer with employees(full and/or part-time).• 7. ❑New construction L[]1 am a sole proprietor or partnership and have no employees working for me in $. Remodeling any capacity.[No workers'comp.insurance inquired.] 9. ❑Demolition 3.[:]1 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10❑ Building addition 4.[:]l am a hommwner and will be hiring contractors to conduct all work on my property. 1 will ensure:that all contractors either have workers'compensation insurance or are sok 1 l.❑Electrical repairs or additions proprietors with no employees. 12,❑Plumbing repairs or additions 50 1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. ]3.DRoof repairs These sub-contractors have employers and have workers'comp.insuranct.t 1� 6.E]We aa corporation and its officers have exercised their right of exemption ptr MGL c. ]4' � re W 152,§1(4),and we have no employees.[No workers'comp.insurance required.] 'Any applicant that chocks box q1 must also fill out the section below showing their workers'compensation policy information. r Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 1Contractors that check this box must aumbod an additional sheet showing the name of the sub-contractors and stale whether or not(host entities ha bve employees. If the sub-contractors have employees,they must provide their workerstamp,policy number. I am an employer that is providing workers'compensation insurance for my employees_ Below is the poficy and job site information. Insurance Company Name:_ +` i �+yly Policy Mor Self-ins.Lic.#l: 2 4J-Expiration Date: Job Site Address: `} \tnk{ C'n,2I, LZ—f % CitylState/Zip: )L ,4 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required larder MGL c. 152,§25A is a criminal violation punishable by a fine up to 51,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under dKpains and penalties of perjury that the information provided above is true and correct. Si alar 91161 I -1 (- Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk Q.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person:- Pbone##• 9/21 /2016 9 : 07 : 39 AM 8975 2 02/02 CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDOlYYYv) 09121/2016 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(les)must be endorsed, If SUBROGATION IS WAIVED subject to the terms and condl11ons 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 02051.001 c NNT CT Branch 2051-1 N pMryE�: Perry Insurance Agency LLC No,EIt; (978)685-7690 No.: (978)687-0149 522 Chickering Rd RM ESS. Andover,MA 01845 AfJDREss INSURERISI AFFORDING COVERAGE A.I.M.Mutual Insurance Company - ------- m R A: INSURED INSURER B All Under One Roof C/O John Lanzafame INSURER C 30 Temple Drive INS RE D: Methuen, MA 01844 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. I�il$R TYPE OF INSURANCE 18?k POLICY NUMBER MMPDDNYYY MM1D N YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DDE TO N JED arrence} ¢ CLAIMS-MADE 0 OCCUR MED EXP(Any one person) $ ,.m.• PERSONAL&ADV INJURY $ W GENERAL AGGREGATE $ EN`LAGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOPAGG $ OLICY F—PRO OC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ,r a a cideni) _ ANY AUTO BODILY INJURY(Per person) •$ ALL OWNED SCHEDULED BODILY INJURY Per accident) $-- �� AUTOS AUTOS i ) HIRED AUTOS NON•OWNED PPOPERTY DAMAGE $ ..`.•. AUTOS Peraccident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE It EXCESS LIAB CLAIMS MADE AGGREGATE g yy p{DIEED p� RETENTION S ANp EM44YERSP`LIA61l.dTY4 � X To Y IIINiTS OER At`Iv P�{pPRIFTp{ytPA TN {�I ECUTIVE�Y y N} E L EACH ACCIDENT $ A OFFIDERlMEFIBEREx LU E I T l NIA AWC•400-7009464.2015A 11/9/2015 11/912016 _.._._._1,0�?0 MOD ��((fM[Landddatory��iipn NnH))C E L.DISEASE•EA EMPLOYEE i_ 1,000 no 0. DtS5CF21�it R oOF OPERATIONS below _ E .DISEASE•POLICY LIVET 6 1.00&00000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES(AHach AC ORD 101,Additional Remarks Schedule,irmore apaea la raquirad) The workers compensation policy does not provide coverage for John Lanzafame CERTIFICATE HOLDER CANCELLATION Village Green West Condominiums 200 Kingston Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE North Andover,MA 01845 ! THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved.. i I ' DATE(MMIDDJYY) I CERTIFICATE OF INSURANCE 09/20,2016 PRODUCER AND THE NAMED INSURED THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Transworld Building Trades and Contractors Liability Association,Inc.Inc.,A Risk CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Retention Purchasing Group qualified under the Risk Retention Act of 1986;Federal CERTIFICATE OF INSURANCE DOES NOT AFFIRMATIVELY OR Law 97-45, NEGATIVELY AMEND,EXTEND,OR ALTER THE COVERAGE AFFORDED P.O.Box 469 Sandy,UT 84091-0469 BY THE INSURANCE POLICIES BELOW. 800-851-8364 INSURERS AFFORDING COVERAGE INSURED INSURER A: NOTICE:Coverage is being provided as part of a Master Group All Under One Roof INSURER B: Policy Issued to members of the Transworld Building Trades and Contractors Liability Association,Inc. INSURER C: ,a Risk Relention'Purchasing Group'authorized under the Risk INSURER D: Retention Act of 1986:Federal Law 97-45, 30 Temple Drive Methuen, NIA 01844 "LIMITS SHOWN ARE THOSE IN Prime Insurance Company COVERAGES EFFECT AS OF POLICY INCEPTION" The policies of insurance listed below have been issued to the insured named above for the policy 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.Aggregate limits shown may have been reduced by paid claims. POLICY EFFECTIVEPOLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER DATE MMIDDlYY DATR(N151/DD/VY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ $1,000,000.00 COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Anyone fire) S NIA Claims Made PRC2656-16090011 09113/20I6 09/13/2017 MED EXP(Any one person S NIA Exclude Products PERSONAL ADV INJURY S NIA Exclude Completed Operations GENERAL AGGREGATE S $2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AG S PRO- J POLICY JC EJ LOG Per Person S $300,000.00 21 POLICY AUTO LIABILITY ANNUALAGGREGATE S $0.00 ANY AUTO BODILY INJURY ALLOWNEDAUTOS (Per Person) S $0.00 ❑ SCHEDULEDAUTOS BODILY INJURY HIRED AUTOS (Per Accident) S $0.00 ❑ NON-OWNED AUTOS PROPERTY DAMAGE DRIVE AWAY (Per Accident) S $0,00 GARAGE LIABILITYIMANUSCRIPT FORM PER PERSON SCHEDULEAUTO s $0.00 ❑ G K 1-L PER ACCIDENT S $0.00 ❑ O.T.R.RD' AGGREGATE El D.O.C. s $0.00 ❑ CARGO PROPERTY DAMAGE s $0.00 JON HOOK EMPLOYEE DISHONESTY WRONGFUL REPOSSESSIO EXCESS LIABILITY EACH OCCURRENCE S $0 OCCUR ❑CLAIMS MADE H RETENTION $ AGGREGATE S $O S LIMITATION OF COVERAGE FOR ADDITIONAL INSURED DESCRIPTION OF OPERATIONILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISION Coverage is limited to only insured activities or operations on the Participant Member Declaration Certificate or as may be separately endorsed.Contractors-Executive Supervisors,Contracted Services-Using fully insured subcontractors. LA I CERTIFICATE HOLDER ADDITIONAL INSURE Ll I LOSS PAYEE Village Green West SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT,BUT f FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND 200 Kingston St. UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. North Andover, MA 01845 Attu:Andrea Georgetti AUTHORIZED REPRESENT Fax Number: 97853260213 6 i. d 9 p B 0 ii�lcE5S7C1it1S��t5 -f� ;. lrtiTiL-.'lY o: Board Of Building Regaiaric s Con:tructi„u Supclwis„r br;ense: CS-069120 JOIN W LANZAFME 30 TEMPLE DR METHUEN MA 01844 r 912. � �a�ttmissi aiir• 04/0312017 Click on the registration number to view complaint hl6tory. You roan also r�lew arbitration and Gu rant Fund histarv. . The list is current as of Wednesday, October 8, 2014, $Larch Results REGISTRANT RESPOMUILE REGISTRATION ADDRESS EXPIRATION STATUS NAME INDI1- DUAL NUMBER DATE At.t..tlMER ON$ROor- LANZAFAME, 137057 166 A MERWMACK ST 10//212015 Current .JOHN METHEUN,MA 01844 02012 Commonwealth of Massachusetts, MaSs.GovO is a registered service mark of the Commonwbtuh-of VlassnchusettA,