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HomeMy WebLinkAboutBuilding Permit # 11/10/2016 BUILDING PERMIT NOZD w- o��SLI6�•r0 TOWN OF NORTH ANDOVER 3 sti .a APPLICATION FOR PLAN EXAMINATION -� Permit Nott. Date Received b gasC,l�.W3. Date Issued: X1(0 IMPORTANT Applicant must complete all items on this page '"� ,� .::�'"�,�'.�" � .'.. .,,F. �,. :.' -,:✓ '�.,. :'G -^,�'" ':r ��-c� ��,..;y F.-�� „�,� .�'c��,. �"" acs� �.�s;�-''�`�:cr' �f� ���.�,:: ,r .; � � v 1 a. r ..,✓e r l ✓ ' � � ���F y _lr�,.,✓r �, S .;�. 5� l.� ,�-�;FG�-, s h �'� '��i�:?�'Ksr.^s;9�''' 7=.au°^4s�::�Z'fr�+.`,,'�'^� �„E!yG �'��".� �k��i � ,y "��r F. ✓��� r* �ry �. r �:: f �r:,.trlr1}}�, s., ✓, `i ri^ n.� ��' ,--' / t.., r r r+ /r s °,. �� v����'.J .y ,.,� u, "",.»..'� �-r,M- ,�" - k'...� �r,�c��✓,?�.�rx�9r" Y�'T"` E"����:,�.��" ��.�''•a�¢'rte£ '�.w�.. y r .n�.. 6v "'.'s„"`�a"�:�',". 'y`'"�r `"''� '" ✓.r"`,r- � '7' �,.,^�r'✓ vk. =' '"':,.x""` �,: �r�¢:r� ,. .. u f �. � s r,:4 ..,"'c s S�:"'z�n✓ -:,�.,:..,h �.,��r �--� r •r"-:h` :dam a 4C'r .; MRP y . G 1PARCEL , �L3NtNG DISTRICT �Mstfl s#ares r�o 1rre` ll? Itila ...,. o TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building imine family 11 Addition El Two or more family [I Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑5eptrc ❑11a1�11 ❑ Floddpla2nr �Wetlands _ D �Ilatersl�ect D�str�ct , / K�, _'-`�'" n.�'.;rw , r ° r. / rr, -''lam r`�'rrn c'?�,. �/c''��✓��r;r �� ,.:���..!�� .r``�r<u k`r,,�, DESCRIPTION OF WORK TO BE PERFORMED; Identification- Please Type or Print Clearly OWNER: Name: A 1 0 - -;` �%Vvvn 0`11 Phone: Address: r d, r RomRN ESP' v Con tracfar Marne r '� ��'., r � '.'., ra J�'F r.✓" .a ✓ � C l r �" „Ii�'�' ✓: ✓„fir- '' ..*.)�✓' "�`' vim¢ '� c '9r' Su :erlsors Ccrrstruct�o Licenser E3� ra ,� a k x � ,. -rr-,"� r� z � � � rte' r..^'°z ;� .,. ^v � � �, � ,�k � -"� ✓, w ., ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDINCY PERMIT.,$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.0 ER S.F. Total Project Cost: $_,� � �'"' " Ef __FEE: $ Check No.: & 3 Receipt No.- 3 //672 _ NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ,W Signature ofi Agent/OWner Stgnature of contacto 'T �oRTH own of 2 LAndover V ,y ti •y+ �.� No. AIM....16 _ LAKE h . ver, Mass, 1 j / • d/ COC ME[MgWKK ,4S�R�rEo 5 Il BOARD OF HEALTH Food/Kitchen PERMIT . T LD Septic System THIS CERTIFIES THAT 3-%#A0....CL��N. 10t roo? . .. Kst.o.m.0.04BUILDING INSPECTOR has permission to erect Ms.. r.=.,�..�M.AI��.��■'� � Foundation p ....................... b 'Idings on ....... ...,......,............. Rough to be occupied as ....... ..... .....1( ...�0 .................................................................. 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 C®NSTRUCTI N STAT Rough Service ......... .. ...�... ............................................. Final BUILDING INSPECTOR 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. 5 M&M 0 >� COMM COCIF Chimneys Residential & Commercial Roofing Siding CHIMNEYS POINTED-REBUILT-CAPPED All Types of Mass Toll Free Raaf Leaks Experts Expert Masonry Work 1-800-WAIT-4-L#5 LO-11Y Owned do Operated Since J976 Licensed & insured (92A-8487") IK4�' G�eB yla p� o%n `� License#034200 We Work Year Round Proposal To: Mark & Terry Reiumont Date 9/1/2016 [StrTeet: 6 Lancaster Rd. 978-975-8689 ndover , MA Roof proposal m.reiumont@comcast.net Certainteed Landmark L Extra caution will be taken to protect.house 12, Removal of all work related debris. Planks will be exterior deck, pool area and landscaping as best as placed under dumpster to prevent any damage to possible. (tarps etc.)Magnets run at final clean up. driveway. 2. Remove all metal panels and asphalt shingles 13. Building permit included. from entire house. 14.Contractor workmanship warranty: 10 nder 3. Inspect and re-nail any loose or lifted plywood or normal wind and rain conditions. roof boards. Any compromised plywood will be replaced at an additional cost of$60.00 per sheet Total roof cost: 199000,00 of 1/2"cdx fir. Gutter removal: $500.00 4. Install heavy gauge 8"white aluminum drip edge Skylight option: Install(1)new Velux manual to all eaves and rakes. venting skylight and flashing kit. With solar powered 5. Install 6' of WR Grace ice and water shield along light block in stock colored blinds. all eaves and top to bottom in all valleys. $1,600.00 additional cost. Or, install(1)new Velux 6. Install Certainteed Diamond Deck synthetic S06 solar powered venting skylight and flashing kit underlayment to remaining sheathing up to ridge. with solar powered light block in stock colored blinds. 7. Install all new pipe boots. $2,650.00 additional cost.Note: There will be up to 8. Install Certainteed Swift Start starter shingles to a$800.00 tax rebate available to you when you file all eaves, taxes if you choose the solar powered venting 9. Install Certainteed Landmark Limited Lifetime skylight. Note: Some minor cosmetic interior finish architectural shingles to entire roof and shed. work may be needed after skylight installation, Can be 10 year material MFG. warranty. (See extended quoted by Jim Testa if needed. warranty)All shingles will be installed and fastened to mfg, specs. 10. Counter flash chimney lead and all wall Certainteed 4Star extended direct MFG warran tv connections with ice and water shield, tie into new A fully transferable 100% coverage against shingles and seal. Inspect original lead flashing material defects for a fully non pro rated period of after it is exposed. Re-use if not compromised. 50 years. Please refer to pamphlet left in estimate Quote additional cost at that time if original folder• Offered to our referred homeowners and lead is compromised, included in this proposal at no additional cost. 11. Install new GAF Cobra ridge vent capped with color matched Certainteed Sha w ridge Balance due upon cpm letion shingles. References available upon request flighly rated member of the accredited BBB and �n:A�sLjste3 S "c {-LrM'S'Ak �- �. The Commonwealth of Massachusetts Department of Industrial Accidents y, Office of Investigations 600 Washington Street Boston, MA 02111 www.rnass.gov/dia Workers' Compensation Insurance Affidavit: BuilderslContractorslEl pease Print Le bl r A licant I�formatioi� Name (Business/organization/lndividual): L u 2 Address: City/StatelZip: Phone Type of project(required): Are you an employer? Check the appropriate box: 6 New construction 4. L am a general`coiitractor and I I.❑ l.am a employer with have hired the;ub-contractors Remodeling employees(full and/or park-time).* T EJ listed on the.attached sheet. 2,❑ I am a soleproprietor or partner- These sub-enntxactors:have.. g• [ Demolition ship and have no employees employees and have workers' 9 ❑Building addition working for me in any capacity. comp. insurance. 10.0 Electrical repairs or additions [No workers' comp. insurance 5 We area corporation and its required.] officers have exercised their I1.[]Plumbing repairs or additions 3.ElI am a homeowner doing all work right of exemption per MGL 12 [ Roof repairs myself. [No workers' comp. c, 152, §1(4),and we have no I3 Other 3, insurance required.]temployees.-[No workers' comp. insurance required.] *Any applicant that checks box#1 must alsotcill atinutt3ree a etdoing all wok and then hilow showing their re outside compensation s must submit information.w affidavit indicating such. t Homeowners who submit this affidavit indicating Y $Contractors that cheek this bar must attached an additional sheet showing ing the name f the workers'romp.policy number.and state whether or not those entities have employees. If the sub-contractors have employees,they provide am an em layer that is providink workers'compensation insurance for my employees. Below is thepolicy andjob site .I p information. ii Insurance Company Name: Expiration Date: policy#or Self-ms.Lic.#: Cit , [f y/State/Zip: — Job Site Address: (45, e claration age(showing the policy number,and expiration date). is d p 'on of of a atrles ens Ypenalties m Pto al com Attach a copy of the workers p Failure to secure coverage as required under Section 25A of MGI c..152 nin the foxEn a imposition STOP WORK ORDER anda fine well as civil ent as penalties Erne up to$1,500:00 and/or one-year imprisonment, of up to$250.00 a day against the violator. Be advised that a copy of this statement m.ay be forwarded to the Office o Investigations of the DIA for insurance coverage verification. Y do hereby certify under the p ' sand�ertalties of perjury that the information provided above is true and correct. y �` Si nature: " Phone#: `� S rcial Official use only. Do not write in this area,to be completed by city or town off Permit/License# City or Town: , issuing Authority(circle one): ent 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector I.Board o#'Health 2.Building Departm b. Other Phone#: Contact Person: i If DATE(MMIDDIYYYY) ACOR[7 CERTIFICATE OF LIABILITY INSURANCE 1110812016 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, It 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). p�pI PRODUCER 02051-001 NAME CT Branch 2051 1 .............. ... ......... -- --_- -.. _. i. HpN@ Perry Insurance Agency LLC AlC.No.Eut. (978)685-7690 _.No., (97B)6e7-0149 622 Chickering Rd �oEss: North Andover,MA 01846 sue sl AFEOROs(tc� v IN,SUR E . A.I.M.Mutual Insurance Company33758 INSURED INSURER 8: All Under One Roof INSURER C/O John Lanzafame S D' 30 Temple Drive Methuen, MA 01844-0000 :NSU ERE' 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 OTFItR.DOCUMENT WITH RESPECT TO MICH 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 REDUCEDBY PAID ppCLAIMS. ILTR TYPE OF INSURANCE I RsDk W9 11 POLICY NUMBER MM1 UlY MM10DflYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S MERCIAL GENERAL LIABILITY DAMAGE TO RENTED .P-RUNISE5€Ecc a-Q--u 5. - CLAIMS-MADE OCCUR MED EXP(Anyone person) S COM PERSONAL SADV INJURY S GENERAL AGGREGATE $ EN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMPIOPAGG S OLICY F—TERO OC AUTOMOBILE LIABILITY CO accident)t1+IU`S.E LI IT $ ANY AUTO BODILY INJURY(Pet person) S ALL OMED SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS NON•OY4MEO RO"cid DA WNG HIREbAUTOS $ AUTOS e S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ J-1 yypRKD@ERDg Cpry� RETENTION S 1�y,�g p �JDIP. $ Aq�tl}y6 PEM�PpLO��YEETRoS��}Lp€pAReTN1@T�YE X TORY L€MITS OFFICPRRE6ER EXCLLIOED7 ECUHVE Y, , N r A AWC•400-7009464-2016A 111912016 i't1912017 E.L.EACH ACCIDENT $ A I(Mandaatto3ry In NH) Y�J E.L.DISEASE-EA EMPLOYEE $ D SCRIP VEPERATIONSbe]nw E.L.OISEASE-POLICY LIMIT $ 1,000,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more apace Is required) The workers compensation policy does not provide coverage for John Lanzafame CERTIFICATE HOLDER CANCELLATION Town of North Andover 120 Main Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE North Andover,MA 01846 THE EXPIRATION DATE THEREOF, NOTICE WILL. BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE q 1988.2010 ACORD CORPORATION.All rights reserved. ACORD 26(2010106) The ACORO name and logo are registered marks of ACORD I I:roal;Unlversal Insurance Ta:19769750401 07/15/2016 14:45 ,#715 P.102/002 A �� CERTIFICATE OF LIABILITYDue ItDo INSURANCE I """) THIS CERTIFICATE 13 ISSUED As A MATTER OF INFORMATION ONLY AND CONFERli Np Rlt3tiT$IJ01, ppN TEIE CERTIF€CAT$HO ER,1T#t18 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND.EXTEND OR ALTER THaal COYEaiAGI: AFFORDED BY TH POLICIES aBEI.OW. THIS Ci<RTIFICAT! OF INtftlliANCt: DOES N07 CONS TITU E A CONTRACT tikTWeEN THE 188UlNti IN$t]RER(8)�AU HORI7p REPRESENTATIVE OR PRODUCER,AND TETE CERTIFICATE HOLDEiR. i IMPORTANT: I ttss cern cats older Is sn Ap01T1 NAL INSURE:O.the palloy(Ist)mutt s endorsed. IF SUBROpATtOEt Ig VYAIVED subject E tfra ternte chat holder In limit asf the pellaye esrtafn Policies may require en endorsement A statement Dn thls t3•rtif7cste doss not confer r ub to the crrtificata holder 1n Ilea o>such sadartlsnlan s ' �Rot►uceR UNIVERSAL INSURANCE A13ENCY Leandro aulrnaraes �' coa3 762,9333 374 BELMONTST. bendro untversallnea en .co RCm WOESTER AIER t roreRfN e a MAI a pesultv MA 01004 WSURERAr ACADIA INS CO 81375 r MOO CONSTRUCTION INC ` ' NeuaE 4 12 WATER STREETAHP'r 1 I ea -M-FORD VR a COVERAGES MA 01757 CERTIFICATE NUM13ERI so 77 REVISION IVt1ME3ER: j INDICATED- HIS IS TO CERTIFY THAT THE POLICIftcjulneMES OF tN9URANCE LISTED BELOW HAVE tIEF1V ISStJt p TO TYtTERM OR CONDI-nON OF E INSfIREft E1i AIAMED ABOVE FOR THt:POL Y PERIOD } CERTIFICATE MAY g S ISSUED Op MAY Pa:RTAIN,E�INSMNCE AFFORDED 8Y THE p LI�IEg DESCRIBED gEI�N�IS TH REST TO ATO LL I H THIS tt} CLIfSEONSAND CON URANC 3 OP 8{1CH PCLICIEg.L MrM SHOWN MAY HAVE BEEN flEnUCED BY PAID CW Ms.6 TYrE01eINiURAfICE ou a I COvvtRC1ALaERiRAf.LtAIRM Mrs Ct MMB-UWE❑OCCUA HOCCUgRrtkCE a i NIA AIEO te7fP en GENLAwRYtATEUMtrAPAUttaPERo PER42taaADVt+ ny 3 POLrCy[D JPP& [D too -ME RAt,A00Ra TE ME 1+RODbCre.COalplppAQ4 AUYOMOtILe LIAeLLITY _ ANYALrro e AUTCB 0 tAUCTHe�bU= BODILY INJURY(pat perioral Btr1EeAVT08 WNED NIAB0P LV INJVRY{Pardd� tenU S 1 tlMaRUTAMAa OCCUR e ExoeeelfAe CLAIMS-MAng. wA H e a RNTIONSAcerRec3An WORKERSCOMPENiRT10N ANDIMPLOYERS AIIJ RY AXYP ROPMETO"ARTN ERIE11EOMe A OFFIC6RiA1rJLaERE)'0"E04 HIA NIA NA4 MAARP3D1454 EACHA 1tNtA1T s 1 000 tYEed413f mew 08120J20i0 OSl201 o M W tfAarritaundQ EL.01a E.EAEMPLOVEE $ 100 000 IPTI HOF PERA1'I 1 t -&T-Sts Als-romayLIAer 100 000 NIA DE;CWT[CNOrwramwipNe1LWAT10NtIVE}UCLEeCAC CR lZAddittaivatRepwrmkwuti, Workers'Compens Mon D611817111 VAN be Peld to Massachusetts employee*only.Pur"r�td 10 E dpraamenl INC 20 O,g 0 8 claims for benefits to tmptoyeas In states other than Masaaohueetta If the Insured hint,or has hired*boars emplayees 0outride ID'Uthorization is Maesaohuss�Ye to Pay Thu cdrttficf I Is Ms llcal a of hows the pail�yr In fomw on"date that this Eartittcate Wes Issued(unless the w0ratlon date on the above paSlcy pre es Ifle Sear date of thla Certiflc�te of insurance). The alatuw orchis anverspa con be nranttored daily by epcesatt>g Rha Proof of Cpverspa.CO 010 Ya pees;t Search tool at www.mass.ppvhwdAvarkare-oontpensetlonllnvo avgr onel. CERTIFICATE*HOLDER CANCEL Ti0 ! SHOULD ANY OFTHE ABOVE DISCRNOED10OLICIESOUCMClu oBEFORE THs ALL UNDER ONE ROOF "PIRATION DATE THER10Ft NOTICE WILL Iia DaL +leo IN ACCOR11ANCE WrrN INS POLICY PROVI:IONS. 30 TEMPLE DR AdETHUEN MA AVTHOR"q Re►REaENTATrrt 01844 L Daniel M.CrkO CPCU,Noe president ateslduel Market IBhtA acoR1)13(20141Di) The ACORO name and logo aro registered marks of ACORD� D CORPORATION. All rioh a rexerved, d t • t 1 Massachusetts-i�al2EEKITIQ'1t C1r au�?ilif$i'L: i 'Board of Building Rogular#anis ane Storm-cr ' Cundrudon Super►•wr , Licanse:CS-069120Mm JOBNW LANZAF, [A1$, r 30 TEBBU DR r ��'� +� y a MBTEMNMA 818441F. do Olt Cammteslontle 041031201.1 , Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home llnprovelnentC©Wactor Registration . . ' R®gistfation: 137057 'type: DBA ALL UNDER ONE ROOF t_ ' �•. ��' •... Expiration: 1o1212018 Tr# 291333 JOHN LANZAFAME ME HEUR RIMACK ST MA 01844 Update Address and return card.Mark reason fo scA1 4 20M•04rtt [] Address C] Renewal Q i1mpioyEnent r change.'Lost card �/��'�rr�rArn�irntrrlt/n'r+fl omee orConiumerAffairs&Bulless Regal nonrtYt Reg[stratiotl valid for individual use only before the IHOME IMPROVEMENT CONTRACTOR expiration date. If found return to: Expiration.- .- 137067 Type: Office of Consumer Affairs and Business Regulation l:xpiratton: Torirsols DBA 10 Park Plaza•Suite 517'0 8 ALL UNDER ONE ROOF Boston,MA 02116 JOHN LAN7AFAME 166 A MERRIMACK ST METHEUN,MA 0180 =dersccrersry Not valid without signetu a �`—