HomeMy WebLinkAboutBuilding Permit # 10/24/2016 V%ORT#1
BUILDING PERMIT
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TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAIMINATIO�
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Permit NO: q`3 Date Receivedct v,
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Date lssued:J_L=w . � I Arm
INWORTANT: Applicant must comelete all items on this page
LOCATION fk"N2A
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PROPERTY OWNER ML,00/11C �l
010, Print ol �'
MAP NO:-:;/--PARCEL:Y)4 ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
D New Building One family
D Addition F] Two or more family D Industrial
F1 Alteration No, of units: F1-Commercial
Repair, replacement --0 Assessory B—idg— El Others:
—0 Demolition Cl Other
D Septic 11 Well 11 Floodplain 11 Wetlands D Watershed District
D Water/Sewer
Qemnoe_
.............cantau 7io,44-, �o"kaqLe_q
Identification Please Type or Print Clearly)
OWNER- Name.- tA LC eLL0 Q WC4 Phone:
Address: a_5 KA 02.LC& -Sr �,bag[ AA)QQe_(,,, c
CONTRACTOR Name- Phone: 7 kl2_1 3,:��
Address:
L4 R__EtA:AJ= PG�- C>19 (0
1 Supervisor's Construction License: Exp. Date: (0
L Home Improvement License: 1 19 Exp, Date:J- 13 F7
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT.MOO PER$1000.00 OF TME TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ -75 -W
FEE- s--LL--7-- --
Check No.: -ReceiptNo.: 31c"I 'i
NOTE: Persons contractin unirewstered Contractors do not have access
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Signature of Agent/Owner!,r52—Signature of contractor
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own o .......f s ndover
No. _
h ver, Mass - a
p� coc"t w-cm a
AERATED I"4a\��5
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BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
THIS CERTIFIES THAT �TM. L ,�... ...k.�.�.�VII�/�/ BUILDING INSPECTOR
................. ...................................................................
Foundation
has permission to erect .......................... buildings on ..... .. ..... �. Q . ..........5� .....
Rough
tobe occupied as ............r .mo. ....... ..Qo .. ........................................................... 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 CONSTRUCTL93N STARAOLW�
Rough
..... ... ...................... Service
BUILDING INSPECTOR Final
GAS INSPECTOR
Occupancy .Permit Required t® 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.
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PU,l30x 1266 Edfta4®: ;
Saugus,MA 0190¢US
j7t31.}233 5333
easlemconstructiofl@comoast.net
EAST .
RN ��: ��
easternconstruct€on.net I
C 0 N S 'i' R U t' I' I
EP
Michelle Mulvena
55.1-larwood street
North Andover,MA
�STiMAlIf #: UIITf' , I I ,
6671 06/20/2016
P.O.NUMBEfi .
Strip Roof ,
t, H lff
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i 1 =Tarp off house and yard as needed for protection against failing debris 9 775 00'
2 -Remove all existing shingles from entire roof of house
3 =Remove and replace up to 60 square feet of roof deckingharge
at no extra c
a.an additional charge of'$4.75 Per square foot may be added to this estimate II more than 60 square feet are required
9 t3esecure all exposed roof decl<]ng as needed
5• RaPair and or replace all step flashinggs as needed
6"Ins all 6 feet of now ice and water shield on all.lower edges and around all flashings
7••Install new 16 lb telt paper over all exposed roof decking
1.8—Install now:8 Inch.white aluminum drip edge on all edgesof all roofs
l 9-Install new GAF arch ileclural roofing shingles with a limited lifetime warranty on entire roof of house
€ 10-Cut roof boards at peak of roof as needed to ensure proper ventilation
11-•Install now.Cobra Ridge Vent on peak of roof
12--install now architectural ridging on peaks and hips
13 Seal all flashings using librated root cement and asphalt membrane,and or Geocel Tripolymer Sealant
i 14-.•Remove all job related debris
.15--Ea stern Construction Is responsible for all necessary permits
16•=Workmanship on new root Is warranted for 10 yrs under normal conditions
17"Deduct$9(10,00 from this estimate for not removing and replacing the rear roof of the garage
All materials are�uaranteed by the manufacturer, All work Is to be completed In a professional manner according to standard practices.
Any hidden conditions,alterations,or deviations from above specifications Involving extra costs will be executed upon written orders,and
E wilt become an extra charge over and above the original contracted price. All agreements are contingent upon weather and/or delays
beyond the control of Eastern Construction,
An IriItial deposit of$200.00 is to be paid upon proposal acceptance.
'Add 3%for Mastercard,Visa,and American Express transactions
`Ali roofing eslimates are based on removing up to two(2)layers,unless stated otherwise
'When your roof Is being removed;please remember to cover and or move any valuables in your attic
`WorfSmansh€p Is warranteed on new roofs for 10 yoars under normal conditions
'All estimates are based on current productrieing and are subject to change without notice
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Any.changes,variations,or alterations.to this estimate will result in additional charges....:.
License C5-075948 expiration 3/6/2017 TOTAL
HIC#`;162842 expiration.7/13/2017
$s,775,00
Accepted By Accepteid date
r
The Commonwealth of Massachusetts
Department of Industrial Accidents
d Office of Investigations
a I Congress Street, Suite 100
Boston, MA 02114-20.17
wjvmmass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
ARplieant Information Please Print Le ibl
Name (Business/Organization/Individual): Eastern Construction
Address: ec� lkwc
City/State/zip: �{ Phone#: 71—2-137,33_S333
Areyou an employer? Check the appropriate box: Type of project(required):
1I am a employer with 4. ❑ I am a general contractor and I
employees (full and/or part-time).*
have hired the sub-contractors 6. F-1 New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
These sub-contractors have
ship and have no employees 8. ❑ Demolition
working for me in any capacity, employees and have workers'
[No workers' comp. insurance comp. insurance.: 9. E] Building addition
required.] 5. ❑ We are a corporation and its I0.0 Electrical repairs or additions
3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself. [No workers' comp. tight of exemption per MGL 12.❑ Roof repairs
insurance required.] t c. 152, §1(4),and we have no
employees. [No workers' 13.❑ Other
comp. insurance required.]
*Any applicant that checks box#t must also fill out the section below showing their workers'compensation policy information.
Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and slate whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I ant an employer that Is providing workers'eompensadon insurance for my employees. Below Is the polley and Job site
Information. _
Insurance Company Name: e ra0cLus _
Policy#or Self-ins. Lic. #1PJ01jaEQ 7aLk4_)®.l,G., Expiration Date:
Job Site Address: City/State/Zip:6) 4N&VYj
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL o, 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 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. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification,
I do hereby cer ' n er U4a' s rd peualti perjury that the information provided above is Ve and correct.
Si nature: Date:
Phone#: '� 5333
Official use only. Do not write in this area,to be completed by city or town official.
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City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone M
41 __.�.�.., �� k.�Cvrt�,a�rfet�r._._..
I Massae.i�wus(At - Dei��. r°trn(fl t i
Board of BtjiNcfirjg Re u•pi ations and Standards
t_'aktiwM14 r8 t'4`partlntl irva,'6"ti'h+uab' �
License: CS-075948
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STEVF.N R KALMAN
po BoX 1266 =
SA,UGUS'MA 01906 +
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���a• rM J�r'r,^� Expiration
�.�-'° 0310612017
Cc:mnussiona"
1',cellse 01. �rr�tron datetl . ifr illdry etur"se only
'tioll ff, I7efor e the exl to.
Office of Consilmel
Affairs 44 Ih�sutctis 1490,tion
��a' �•", 90fytlE IMPROVEMENT CONTRACTOR Office of Consurner Affairs a�nrl iius►ness Regulation
Type:
u Registration: 182642 10 Park Plaza-Suite 517
'a Expiration: 7/1312017
Corporation Boston,MA 02116
AA& INC.
K CONSTRUCTION CO, '
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STEVEN IGALMAN ot vo idwtir>>t signatr1re
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4 HEWLETT ST -=—=°`
SAUGUS,MA 01906
ilndcrsec�"ctnry
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