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Home My WebLink AboutBuilding Permit # 11/10/2016 TOWN OF NORTH ANDOVER of NoRr„ APPLICATION FOR PLAN EXAMINATION z .� ".` :'',"ao O � 6a B �' ®® S} Permit NO:�% Date Received_ILL/�� ' ��-�'� f i� ,t, ,q,��o`:�•`'K5 psSiCiiUs�� Date Issued: 8 —/0 ` r � IMPORTANT: Applicant must complete all items on this page LOCATION rent PROPERTY OWNER 0k,C, C Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential New Building kone family Addition ❑ Two or more family Industrial Alteration No. of units: Repair, replacement ❑ Assessory Bldg L Commercial Demolition f' Moving relocation ...I Other Others: Foundation only DESCRIPTION OF WORK TO BE PREFORMED g � s Identification Please Type or Print Clearly) OWNER: Name: a Phone: Address: ' 'f 4 �2 Iv,s °/ of CONTRACTOR Name: Phon e: Address: 7 f Supervisor's Construction License: Exp. Date: T-TnmP Tmnrnvamant T irwneP• I 7LF" F.x-n_ 1)7te' . ............ ........... ............ ........ ttORTH Town of Andov No. h ss, C6 ver, Ma coc"Ic"IMCK 4ATF D U Food/ PERMIT T LD Septic ................................... THIS CERTIFIES THAT ..N.A44......!"WV..... ahe*to has permission to erect .......................... buildings on ....foo.... .....9.0 Foun( % AWA Rougl to be occupied as ....... ......4........ 4!"T.0Or.............................. Chim 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. Roug VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCT START Roug 4 Servi Ida .5=0. .... .... .... ........... .. ......BUILD].NG INSPECTOR.R Final Occupancy Permit Required to Occupy Buildin Rou'E Display in a Conspicuous Place on the Premises - Do Not Remove Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Burr Strei Smo Offices: ! . �/►;� 377 Lowell Street,Wakefield,MA 01880 IllfTel: 781-245-4900 �p EP8181 R� N VYiI Fax: 781-245-1999 Roofingint www.PeterByanAndSonRoofing.com Submitted To: lob Location: John Butler, Contractor Jack Ohoro,Homeowner 100 Hickory Nell Road North Andover,MA 01845 Phone#: 781-953-7012 Email: But317@yahoo.com Proposal date: August 18,2016 Revised date: October 24,2016(homeowner name) We are pleased to hereby submit this proposal to furnish materials and labor,completely in accordance with the below specifications: (Additional charges pray apply for any change's not inchided beloiv in proposal either by request of owner, or if Peter Ryan and Son Roofing finds unforeseen circrrrnstances that will affect the perfornrance,quality or integrity of this job).In the event legal action is taken to enforce any provision of this agreenrent, /lie prevailing party shall be entitled to all its reasonable costs, inchrding reasonable in-house or outside attorney's fees. Not responsible for debris in attic. � !.�� F Strip entire roof to hare wood and re-shingle. $8,600.00 • Strip existing shingles down to bare wood • Check for rotted wood and replace(at time&material) • Nail down any loose wood • Install ice&water shield to first 6-feet,and in all valleys and around any protrusions • Install premium synthetic underlayment(in place ofstandard 301b,felt paper) SM • Install all new 8"white drip edge on perimeter and step flashing,where needed • Install manufacturer suggested starter course of shingles • Install IKO or GAF Lifetime/architectural shingles in color of your choice • Install ridge vent • Cap ridge vent properly with manufacturers suggested cap(GAF Timbertex®or IKO Hip&Ridge 12) • Properly flash any protrusions and all new pipe flanges,if airy on roof Clean UP: • Cover area with tarps to minimize debris and remove debris related to work • NOTE: Please cover any belongings in the attic,as they will get dusty,if applicable A 'A P e 151 payment due upon signing: $2,880.00 Total Cost: K688.00 Total balance due upon completion: $5,800.00 ICi r3lzr rn r�ii r� ttr � gni trz"�P_fP1! R{iAl�" ThFank vnii1 4 The Coni tit oil svealth ofMassachuselts Department vflttttat.ctt1al Accidents f � 1 Congress Street, Suite 140 f^ Boston, _1L4 02114-2017 �`�• �"^�_�-a'' 1111t'3V.111ltS.5.¢fffdFtt Workers' Compensation Insurance Affidavit: Builder-5/Contractors/Electricians/Plulnbei-s Applicant Information Please Print Legibly Name (Business.,Drg u 7z itioWltidividual): Peter Ryan and Son Roofing, Inc. Address: 377 Lowell Street Ciq, State/Zip: Wakefield, MA 01880 phone ; 781-245-4400 - a-e you an employer'; Check the appropriate box. Type of project (required): 1.[ ] 1 arae a employer z.ith 4. 0 1 imi a gener=al contractor and 1 ' 6. ]Ner ecolzstruction employees (151111 and:'or part-tune). have hired the sul -contractors �'z '.0 1 am a sole proprietor or paztrz.r- listed on the attached sheet. 7, ❑ Remodeling _ ship and have azo.employces These sola-contractors have S. ❑ Demolition tz arltin for uze in can capacity. eraiployees and have workers' Y [:] BtiildinQ aciclitiorz I1+a a-vcrrkers' comp. irrstirarzce cc=rtrp. uzszuarzce.-� ` 5. Ne area corporation and its 10,❑ E'lectrical repairs or additions required] ❑ , 3, 1=a honzeo-wrzer dohiz all.��orlti officer's lrta�e e yrci5ed their 11.❑ Flitrzzlair repairs or aclditiotzs right of exemption per TMMC 7 rzzyselt L�o-workers' catzzia. 1...F-J aoof repairs irzstirancc required, t c. 152. 1t-tj. and we have no wrziployees. [No ii-orkers Ot1r2F corrip, insurance reciuir-e21.1 Any applicant that cbecks box#I must also fill out the section below-�howir.g their workers'compensation policy infoamation. T Homeocmers rl;ho submit this affidavit indicating they are doing all i;oik and then hire outside contractors must srrbnrit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet show iva the Lanae of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees.they must provide their ekorkers-routp.policy number. I matt nor enti)lvyer that is prorlr#irto workers'corarpenstation in sitrrance fi r in sr einph gees. Below is the policy tro=t)job.site itaf arjtrartinar, insorma Company tuzze: N/A (I am not required to carry W.C.as I have no employees) Please see the Sub-Contractor's W.C. micPolicy N or Self-urs. Lie, ': N/A Expiration Date: N/A Joh Site tlClr'�SS:. �_ ,� _..�__- _-- -�. Attach a copy`of the workers' compefrsa 1�itiou policy declaration page(showing the police number and expiration (late). Failtu•e to secure cov-era e as required wider Section 25A of MGL c. 152 can lead to the iruposition of critrzirial penalties of fuze,tip to$1.500.00 atzdlor one-year Imprisonment. as:{-ell as civil penalties in the form of a$TOP WORD ORDER and a fuze of up to 5250.00 a day agairist the violator. Be advised,that a copy of this staterne'nt may be fon arcled to the Office of lavestiaatiorrs of the DIA for u>surruzce cov-ierage ceriticatiotz. f di lipf"Obt,rpiW&ramie(the juaiat.s and oen alde3 t(perRi in,that the information pvavided mbar=e •tau}/and cvrrerL DATE(MMIDVIYYYY) AC R CERTIFI AT OF LIABILITY INSURANCE 05111!2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFO MATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR EGATi.IIELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 8Y THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE D ES N T CONSTITUTE A CONTRACT BETWEEN THE ISSUING IN AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CER IFIC E HOLDER. IMPORTANT: 4f the certificate holder is an ADDIS ONAL INSURED,the policy(tes) must be endorsed. If SUBROGATION 19 WAIVED, subject to the terms and conditions of the policy, certain poli ies m y require an endorsement. A statement an this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAMi=: Kali,Egan AX PHONE 508,1 5134-7198 F.uc Nn J&B INSURANCE AGENCY INC DSA ROCCO ROSE I SUR NCE AGENCY Arc No Ext-, t F-NWIL tie ka ADDRESS: aaroccorose.com C E 3 IWSURERS AFFORUINGCOVERAGE MAIC# I 360 Oak Street BROCKTON ALIV 02301 €NSURERA: TRAVELERS INDEMNITY CO OF AMERICA 25666 5 INSURED INSURER e: _. J &B ROOFING LLC INsuR£Rc: INSURER D PO BOX 1362 INSURER E BROCKTaN A 02303 INSURER F COVERAGES C511TIFICATE UMB R: 51925 REVISION NUMBER: THE POLICIES OF INSURA CE LI TED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE.POLICY PERIOD THIS IS TO CERTIFY THAT INDICATED, NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS NCE AFFORDED 13Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THF. TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, TH INSU EXCLUSIONS AND CONDITIONS OF SUCH€'OLICIES.LI ITS S OWN MAY HAVE BEEN REDUCED BY PA0 CLAIMS. ADDL SUER POLICY EFF POLICY EXP LIMITS INSR TYPE OF INSURANCE POLICY NUMBER MM1DD MMIDDIYYYY I.TR EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED OCCUR PREMISrS Ea occurrenc CLAIMS-MADE e $ MED EXP(Any one Berson) $ !A PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLES PER: PRODUCTS-COMP/OP AGG $ RO- ❑LOC POLICY❑JPECT $ OTHER: COMBINED SINGLE LIMIT $ Ea accident AUTOMOBILE LIABILITY BODILY€£€JiJRY(Per parson) $ ANY AUTO BODILY INJURY(Per accident} $ ALL OWNED SCHEDULED lA AOTOS AUTOS PROPERTYDAMAGE $ NON-OWNED Per accident HIRED AUTOS AUTOS $ EACHOCCURRENCE $ UMBRELLA LIAB OCCUR GGREGATE fA A $ EXCESS LIAR CLAIMS-MADE �/ H $ pE(3 RETENTION$ /� STATUTE ER RS COMPENSATION AND EMPLOYERS'LIABILITY Y r N E.L.EACH ACCIDENT $ 500,000 � ETOR1PARTNERIEXEGUTIVE 04/04/2016 0410412D17 ANYPROPRi A OFFICEft1MEMBEREXGLUDED? NIA NIA NIA HUB9 59518316 E,L,DISEASE-EAEMP€.OYEE $ 500,000 ((Mandatory in NH) E.L.DISEASE-POLICY LIMIT $ 500,000 'II yes,describe Under DESCRIPTION OF OPERATIONS belg, IA DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES(AGGRO 1 �,A, i'setli nal Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits iwill tb states O€d t thea than M ssa h efts!f the insured hires,or has 0'yees only,Pursuant to nhiirred those employees dorsement WC 20 03 outside of tMassachusetts.o is to pay claims for benefits to employe This certificate of insurance shows the policT�n force Or rthre drtvRraaehcan befmonitoredldaily byuaccess ng the!Proof of Coverage-Cove alge Ver Verification e DATE(M4SIDDIYYYY) AC"R"® CERTIFIC TE OF LIABILITY INSURANCE 5/11/16 T HS CERTIFICATE IS ISSUED AS A MATTER OF INFO IVIATION ONLY ANBY Q CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS HE POLICIES DOES NOT AFFIRMATIVELY O INSURAVERAGE AFFORDED NCCR N E D ESTI T CONSTITUTE AA CONELY AMEND, MEND TRACT BETWEEN R ALTER THE pHE THE INSURER(S),rAUTHORIZED IS CERT( ATIVE OR PRODUCER,AND THE CE IFIL E HOLDER. !f tlTe certificate holder is an ADD! ONAL INSURED,the I licy 1()s) must be endorsed. If 5U1�ROGAON 15 WAIVED,subject to d conditions of the polscy,certain policies m y require an endorsement. A statement on this certificate does not copier rights to tltr certificate holder in lieu of such end orsernenU s). CONTACT PRODUCER NAME: Rocco Rase Insurance PHONE (5081 584-7100 FA1X fila: (5Q8) 580--4924 360 Oak Street ADDRE ADDRESS: Brockton, 1A 02301 !NSAFFORDING COVERAGE NAICN INSURFR A:Northland Insurance Co. INSURER INSURED B J & B Roofing, LLC INSURERc: PO BOX 1362 jNSURERD: BrocktOn, MA 02303 INSURER E: I NSU RER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF 1N5URA CE LI TED BELOW HAVE 13FEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANt31NG ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTA€N, TH INSU NCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POL€CIES,LI ITS 5 OWN MAY HAVE BEEN REDUCED BY PAIDEFF CLAIMS. UMTS ADDL SUER ?R UUCY NUMBER MMIDDIY i'lIMIDDPYYYY TYPE OFtNSURANCE (NSR WVD 4/5/16 4/5/17 EACHOCCURit>wNCE $ 1,000 000 A GENERAL LIABILITY T 260 38 DAMAGE TO RENTED PREMISES Ea occurrence-} S 100 0go X COM MERCIALGENERAi_LIAOIUTY M(~REXP(Anyoneperson) $ EXCLTJDED CLAIMS-MADE F—x1 OCCUR PERSONAL&ADV INJURY S 1 000 000 GENERAL AGGREGATE $ 2.000,000 PRODUCTS,OOMPIOP AGO $ 2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER $ ' POLICY OT LOC CO a�BC(JdEeSINGLEL1MiT AUTOMOBILE LIABILITY BODSLY INJURY(Per person) S ANY AUTO BODILY INJURY(Per accident) S ALLOWNEO SCHEDULED AUTOS AUTOS PR0 ERFY DAMAGE $ _ NON-OWNED Per a ccident HIREDAUTOS AUTOS $ EACH OCCURRENCE S UtMRELLA LIAR OCCUR $ AGGREGATE F XGESS LIAR CLAWS-MADE S DEp RETENTION S WC STATU- OTH- WORK RS COMPENSATION AND EMPLOYERS'LIABILITY Y!N E.L.EACH ACCT_DENT $ — AW PROPRIETORiPARTNERIEXECUTIVE MIA 1.L.DISEASE-EA EMPLOYEE $ OFFICE RMEMBER FXCLUDED? {Mandatory in NH) E.L.DISEASE-POLICY LIMIT $ {fes,describe under DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS!LOCATIONS 1 VEHICLES (Attach AC R4 itfi,Additional Relmrks Schedule, f more slTace is required} Roofing, Siding, and Carpentry is cov red under the GL policY. Peter Ryan and Son Roofing,Inc. i !�atar�ya�.and�Son. LICENSURE HIC License #: 178871 Exp. Date: 05-28-2018 5f•A4 ?: 20�.1a�15 License or registration valid for individual use only ' •� office of Consumer AI]'a4rs 6i Rk'"c's Regular inn before the expiration date. If found return to: j " `,, HO,l RDE IMPROVEMENT CoN7RACTORe: Office of Consumer Affairs and Business(Regulation Typ3i Registration: 178871 to Park plaza-Suite 5176 Cor oration Expiration: 512812016 P lloston,NIA 02116 PETER RYAN&SON ROOFING.INC. PETER RYAN — ~' 377 LOWELL ST. WAKEFIELD,MA 01886 UPdersecl,einr}' Not Vn11d without Sion ally YC Massachusetts Department of Pubiic Safety } CS license #: 106054 Boafd of Building RegUlations and Standards License: CSSL-106054 Exp. Date: 05-17-2019 C"11 0,1 :i:f C0r--yISLi Si7:'C i a ty - I l PETER RYAN 377 LOWELL STREET WAKEFIELDMA 09886• i � U.X?I fation- . Commissioner 05197!2019 I