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HomeMy WebLinkAboutBuilding Permit # 11/4/2016 Nofi71-1 BUILDING PERMIT Qh pF� LEn (b 9Ha TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION � Y e Date Received �4ssac►+►�5tit�y Permit No#: `, t 7 Date issued: ti r r IMPORTANT: Applicant must com fete all items on this page LOCATION PROPERTY OWNER1flV Year Structure yes no Tint MAP ` PARCEL:____ ��ZONING DISTRICT..,_ ._Historic District Yes Machine Shop Village yes. TYPE OF IMPROVEMENT PROPOSED USE Non- Residential Resid ial New Building ne family ❑ Two or more family ❑ Industrial F1 Addition ❑ Commercial Ll Alteration No. of units: epair, replacement ❑Assessory Bldg Others ❑ Demolition ❑ Other ems , s r� 51 � N M. .- p CRIPTION PF W RK TO BE PERFORMED: _ �. dentific ti - Please Type or Print Clearly Ph n F �� OWNER: Name: Address: 51 Contractor Nam Email: Address: // ✓�� �,r. �.� Exp. Date. Supervisor's Construction Licen Home Improvement License: Exp. Date: !/ ARCHITECTIENGINEER --�- Phone: Reg. No. Address: FEE SCHEDULE.BULDING PERMIT.$72.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925tl0 PER S.F. r Ce�"� FEE: $ Total Project Cost: $ Check No.: Receipt No.: ® fir ` NOTE: Persons contracting with unregistered contractors do not have access to t uaran fund :: .. ._,� ., .. .� _..,_....�.„ t%ORT#1 '9 own of 6Andover No. 2.2l(7 41(. r ver, Mass, d coc.aCM[wr[w 7' 3 U BOARD OF HEALTH Food/Kitchen PERMIT T LD ' Septic System THIS CERTIFIES THAT ...... ANAlb..�,1V�t �� Ni..! BUILDINGWSPEGTOR has permission to erect .......................... building on ...11S.�. ...A. &r.it, 0 r..... Foundation p ............. .�. ...... .........* at................................................. Rough to be occupied as 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 IN 6 MONTHS ELECTRICAL INSPECTOR— UNLESS CONSTRUCTIOUTAR S Rough Service .............^ ...................................... ...... BUILDING. INSPECTOR Final 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 EIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. —Proposal— HIC#174377 Dump. ousse Roofing LLP L I A trusted name since 1938t Roofing - Siding -Windows 87 Belmont Street - North Andover, MA 01845 P: 978®6 -4588 - F: 978685-7446 NAME OFOWNER. ADRESS OF JOB DATE: ,%0 We will remove all roof shingles off total roof area, —1— layer. Replace any boards or sheathing at additional cost. A new 8" white aluminum drip edge applied on all edges. Approx. Eft of ice and water membrane applied on eaves, 3ft in valleys, strips around skylights, along chimney flashing and sidewall junctions. Existing step flashings to remain. A new base sheet applied. Architectural roof shingle installed with a limited lifetime warranty. Install neW ventpipe boat fl shings.gWrproof existing chimney flashing and remove debris. 4/4 Shin le Color: "Z 'Z- Ridge Vent Upgrade _2 21 Wood Sheathing Repair$3.50 per ft. CIV-1 We Propose herby to furnish material and labor-complete in accordance with above specifications,for the sum of: A C-) I dol[a P 2ant to be made as follow .................. Authorized Signature NOTE:This proposal may be w drawn by us if nota eted with in days 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 be made as outlined above. Signature Date of Acceptance: Signature/,- 96� V HOME IMPROVEMENT CONTRACT TERMS AND CONDITIONS M.G.L.142A) 1.WORK:Provided tile Homeowner perforins under this agreement,the Contractor shall perform the work on the Property as specified Proposal,attached incorporated herein.The work does not include extraordinary conditions of which the Contractor could not reasonably be aware.If such conditions are encountered,this shall be all additional cost to the I lomeowner, Materials selected by Homeowner may have to be ordered or custom made,which items are specified in the Proposal. The Contractor is not obligated to agree to,any modifications,extras or change orders unless such items are agreed to in writing by the Contractor.All extras and changes shall be at an additional cost to the I lorneowner.Contractor shall perform the work in a good and workmanlike manner using materials consistent with this contract. Lawn or Driveway may be damaged by dumpster or equipment. Due to material shortage,,,,Contractor may substitute materials of equivalent grade. 2. PERMITS:If a building permit is required for the work,the Contractor shall obtain game as Homeowner's agent.Contractor is not responsible foe any other permits that may be required for the Work,and Homeowner is responsible to determine whether any zoning,planning or wetland related permits or approvals are necessary.I lomeowners who secure their own permits or(teal with unregistered contractors will not have access to the Guaranty Fluid. 3, COMMENCEMENTAND COMPLETION: Homeowner acknowledges the commencement date of the work is fluid,and is subject to numerous factors such as scheduling other contractors,delivery ofmaterials and weather,Contractor and Homeowner shall determine the commencement date ofthe Work when a more definite determination can be made and shall execute a written acknowledgment of same,The Work shall be substantially completed within 7 days of commencement,except for longer periods as may apply to particular projects as Contractor shall notify Homeowner in the Proposal,and subject to delays for circumstances beyond Contractor's control.Notwithstanding,the commencement(late and substantial completion date may be extended,and the Contractor will not be liable for delays caused by,labor or material shortages,delays in delivery of items selected by the Homeowner,governmental action, and unforeseen events beyond the Contractor's control,including but not limited to weather,strikes,war,the acts of third persons or the acts of the Homeowner.The Homeowner recognizes that the commencement date may be delayed due to scheduling or the completion of Contractor's other johns. 4. PAYMENTS:Contractor agrees to perform the Work and to furnish the materials and labor specified in the Proposal for the amount as stated in the Proposal.Thirty percent(30%)of the total is to be paid as a deposit with the signing of this contract.Upon cancellation prior to co imilencement of the Work,any remaining deposit will be returned less the costs for materials ordered for which Contractor was unable to cancel. Final payment shall be due upon completion of the Work and Homeowner agrees it may not hold any retainage. Late fees may be applied for late payments.I lomeowner shall pay Contractor's reasonable costs of collection,including attorney's fees and costs.Time is of the essence hereof 5. WARRANTY:For a period of 2 years after substantial completion of the Work the roof will be free of leaks caused by defects in workmanship, but not those caused by ice backing-up or extraordinary weather events,including blizzards,tornadoes,IlUlTicanes or storms of'greater than a twenty-five year duration or intensity.Contractor gives no warranties with reference to any materials or equipment installed in the Premises,passes any such warranties directly to Homeowner,and Homeowner agrees to look only to tile InallUflicturer with reference thereto.This limited warranty extends to the Homeowner only and is not transferable to succeeding Homeowners.This Limited Warranty specifically excludes(i)all consequential and incidental damages;(ii) damage due to ordinary wear and tear,abusive use,misuse,or lack of proper maintenance;(iii)defects which are the result ofeliaracteristics common to materials used;(iv)defects in items installed or supplied by anyone other than Contractor;(v)work done by anyone other than by Contractor;and(vi)loss or injury due to the elements.There are no other expressed or implied warranties or representations made or given. 6. ENTIRE AGREEMENT:This contract and all documents referenced herein constitute the complete and final agreement between the parties. In the event that any of the provisions of this contract shall be held to be invalid,the remainder of the provisions of this contract shall remain in full force and effect.Two identical copies of this contract have been completed and signed.Homeowner acknowledges receipt of a completed contract signed by the Contractor. 7, HOME IMPROVEMENTREGISTRATION:In accordance with M.G.L.c. 142 A,§9,Conti-actor is registered with the Bureau of Building Regulations and Standards Registration No: 174377. Homeowner may verify by contacting the Director at(617)727-3200,ext.25205. A I lonleowner's rights under the Home Improvement Law(M.G.L.c. 142A)and other consumer protection laws may not be waived in any way.Homeowner acknowledges receipt of'a copy of 780 CMR R6 and Massachusetts General Laws chapter 142A,and which are available online at www.iiiass.gov.Questions may be directed to the (.'onsumcr Information Hotline,(617)727-7780. 8. ARBITRATION:Contractor and the Homeowner hereby mutually agree in advance that in the event the Contractor has a dispute concerning this contract, the Contractor may submit such dispute to a private arbitration service which has been approved by the Secretary of the Executive Office ofConsurner Affairs and Business Regulations and the consumer shall be required to submit to such arbitration as provided in M.(;,[.,.c. 142A.No lien or security interest is imposed on the Property as a consequence of this contract,but Contractor has the right to record this contract or a notice of this contract,or seek a lien if the Homeowner breaches this Contract. 9, HOMEOWNER COVENANTS:"The Homeowner agrees,represents and warrants that(a)tile Homeowner grants permission to tile Contractor to enter the Property to perform the work as covered by this contract;(b)the Homeowner has funds available to make full payment under this contract to the Contractor- upon ontractorupon completion;(c)the Homeowner understands that construction as contemplated by this agreement creates a dangerous condition,and agrees not to enter portions of the Property under construction until the Contractor advises the Homeowner that the construction is completed;(d)Contractor may need use landscaped areas of the yard during the Work and Homeowner is responsible to provide protection for landscaping and(e)that code requirements may result in roofing nails penetrating through roof'decking and will be visible oil the underside of some surfaces.The Homeowner indemnifies,exonerates and holds harmless the Contractor from any loss,damage,claim,liability or expense(including reasonable attorney's fees,deposition costs and court costs)resulting 11-orri a breach of this provision.Contractor is not responsible for damage to landscaping that will grow back during tile next growing season. 10.CANCELLATION: Homeowner may cancel this agreement provided Homeowner notifies the Contractor in writing at the address listed in the Proposal not later than midnight of the third busincs��ay following the signing of this agreement. HOMEOWNER: DATE: ..........."') Sid logic: DEPOSIT:" . ........................................._w DATE 0AMIDONYYY} ®� l� CERTIRCATE OF LIABILITY( WSURANCC 44118I2416 THIS CERTIFICATE IS 16,UED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIG14TS UPON THE CERTIFICATE HOLDER. THiS CERTIFICATE DOES NO I AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED SY THE POLICIES BELOW. TtflS CERTIF16,TE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE iSSU1NG tNSUReR(5), AUTHORIZED REPRESENTATIVE OR MODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certifl�cate holder Is an ADDITIONAL.INSURED,the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditlans bf the policy,certain policies may require an endorsement. A statement On this certificate does not confer rights to the _certificate holder In lieu olsuch endotaement(s). DUCER C NT CT PRO IrAatt=: Diane LeblancFAX DOHERTY INSURANCE AGENCY INC HONE Exr1, (978)475-4260 ,Nal: no REss: dieblanc@doper{ insurance.com P.0 BOX 1985 _ __ _. INSURER(S)AFFORMUG COVERAGE I WA]C a ANDOVER { MA 01810 INSURERA: AIM MUTUAL INS CO ( 33758 INSUREDI INSURER 0: DAMPHOUSSE ROD�I ING LLP INSURERC: I - INSURER D. 67 BELMONT STREET INSURER E: k NORTH ANDOVER MA 01845 INSURER F: COVERAGES CERTIFICATE NUMBER- 4546E REVISION NUMBEIR; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 731E POLICY PERIOD INDICATED. NOTWITHSTMOING 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 TQ ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IHHRR AO L UBR P4Uc1MFF POL3COyr P TYPEOFINSURAH E POLICY NUMBER MrAlDDlYYYY MMlDDIYYYY LIMITS COMPAERC[ALGENERAt,SAS[UTY FAGHOCCURRENCE S I ct-AIAiS-MADE OCCUR PREMISES Ea orculronca S I WED EXP(Any arc person) S e NIR PERSONAL dADV INJURY 5 'EL AGGREGATE LIMIT APPIJESPER: ' I GENERALAGGREGATE Is PRO• POLICY❑dECT LOC - PRODUCTS•COMPIOP AGG I S OTHER: 5 AUTOMOBILEL[A.BILRY 1 COM BtNEUSINGLE LWITs i t(Ea accident) i---_.ANY AUTO i BODILY INJURY{PM person) 5 y�__ ALL OWNED SCHEDULED NIA BODILY INJURY{Per acciden[} 5 j AUTOS Al)TOS HIRED AUTOS NON-OwNED PROPERTYDAAiAGE �s i AUTOS Per accidan, jI UMEIRELLALIAB i OCCUR I EACHOCCURRFMCE is _ €XCESS LIkB CLAIMS-MADE NIA AGGREGATE is i DED RETENTIONSf 4 `' 1 S WORKERS COMPENSATION 1 /� STATUTE OTH I ARD EMPLOYERSLIABILITY AHYPROPRIETORlPARTNERlEXECIfriV= YIN I E.L.EACH ACCIDENT Is 500.040 A OFFICERIMEM8EREXCLUDEO7 NIA NIA NrA AWC40070287742016A 0411712016 0411712077 i JMandalov/In NII} �I E.L.DISEASE-EA EMPLOYES 5 500,000 0 rr yes.doscAbe under i u DFSCRtPT[ON OF OPERATIONS i. E.L.DISEASE-POLICY LIMIT S 500,0DQ Iluu i V NIA I o I OESCRIPTION OF OPERATIONS r LOC�IY[OHS I VEHICLES(ACORD 101,Additional Romarhs Schedule.may he atlaahad Ir mom space is required) a: Workers'Compensation bene Its will be paid t0 Massachusetts employees only.Pursuant to Endorsement WC 20 43 4fi 8,no authorization is given to pay i Maims for benefits to employe s in slates other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance S ows the policy in force an(he date that this carfiGcate was issued(unless the expiration dale an the above policy precedes the issue date of this certificate of insutante). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gadl Iwdlwarkers-compensationfinvestigations/. CERTIFICATE FOLDER I CANCELLATION i� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. !' it AUTHORIZED REPRESENTATIVE Andover MA 01810 Daniel M.Crcjey,CPCU.Vice President--Residual Market—WCRIBMA l i ©1988.2014 ACORD CORPORATION. All rights reserved, ACORD 25(2014101) The ACORD name and toga are registered marks of ACORD ' Client#- 1441155 QAMPH OLI SSE �4j1af�OACORM CERTIFICATE OF UA Y INSURANCE YYY( I I PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Doherty Insurance Aden y,Inc. ONLY AND CONFERS NO FRIGHTS UPON THE CERTIFICATE FOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P-L?. Box 1985 ALTER THE COV5RA0E AFFORDED BYTHe POLICIES BELOW. 21 Elm Street Andover,MA 01810INSEiRERS AFFORDING COVERAGE NAIL# INSURED j MSURER A: Western World Damphoussq Roof Ing LLP INSURER 8: 87 Belmont S8 INSURER C: North AndovLr, MA 01845 INSURER D. INSURER E: COVERAGES �I THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT.TERM d�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. POLICYEFFECTIVE POLICY EXPIRATION LTA NSR TYPE OFtNSUR NCE POLICY NUMBER DTE hIdIDO D F AIR D Y LIMITS i A GENERAL LIABILITY NPPS202847 04112!16 04/12/17 EACH OCCURRENCE S1,000,000 000 DAIMAG€E TO RENTED — - X COMMERCIAL GEN RALLIABIL(TY =ffPmjjj 5100000 I CLAIMSMAO,i i( OCCUR MED EXP(Aw one oerSen) 55,000 PERSONAL d ADV INJURY S1,000,000 GENERALAGGREGATE $21000A101) GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP;pF AGG S'�Qoa,flrlo }( POLICY PAQ LOC AUTOM0914E LIABIUT, COMBINEDS[hGLE LIMIT $ ANY AUTO (Ea acaden€f - ALL OWNED AUTO BODILY IWURY (Per Defscnj SCHEDULED AUTOS HIRED AUTOS BODILY INJURY 5 (Por aedder11 NON-OVINED AUTO I PROPERTY DAMAGE (Peraccicerl) S GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S i ANY AUTOEA ACC S OTHER THAN r AUTO ONLY; i AGO S I EXCESMIAgRELLA LIAIBIUTY EACH OCCURRENCE 5 OCCUR r I1-LA€MS MADE AGGREGATE DEDUCTIBLE 5 RETENTION S3 5 I 11C STATU• OTH- ? WORI(ERS COMPENSATION AND _ EMPLOYERS'UABILITY ANY PROPRIETOH•PARTNEPV' ECUTIV€ E.L.EACH ACCIDENT 3 OFF[CER MEMBER EXCLUDED, E.I. DISEASE-EA EMPLOYEE S Ifyyes.descnao unifar SPECIAL PROVISIONS 6.l.. i E.L.DISEASE-POLICY LIMIT I S OTHER DESCRIPTION OF OPERATIONS/LOdATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS Covering operations use z I to Damphouss,e Roofing LLP— I, Li CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Pa Inent SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE,EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _ If) DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEEP,BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,FTS AGENTS OR REPRESENTATIVES. 1 AUTHORIZED REPHENTAT ACORD 25(20011081 1 n4 9 #S334A41M334ADIMI 0 ORD CORPORATInN 14RA Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-067560 COslShIlGtiMl SLIP-2rVISC)r SHAUN M TWOMEY 61 P'ATROIT ST NORTH ANDOVER MA 01845" r"'" � Expiration: Commissioner 10128/2017 ,,�,w ,/ Eaarr��zaau�re a a��''%��,frdJl�cAlu�e�dd officeoC anrmerAffarrs 4 3r(sirressRegufntfan HOME IMPROVEMENT CONTRACTOR Registration: 174377 Type: Expiration: 2/4/21717 LLP DAMPHOUSSE ROOFING LLP SHAUN TWOMEY 87 BELMONT ST N.ANDOVER,MA 01845 1Jndersecreta1y i I I,