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HomeMy WebLinkAboutBuilding Permit # 11/15/2016 r•' W Ao-A 8 14 a ash T1, Permit 17 Date Received Z, Lz 1A• .,, rine aril .. _.. Magic-1 sic to Shop Villafge, yes . .._ Ty PF OF MAPPOV! RR �sE .�r6TB�a � r�lCar"- h��s0c1�'r�id�� Addition ! Two or more family i Industrial � r s ` y Bldg.,.. _ •v. Others: � gar@ replacement �ass�s•.s ,r. € t • : V J.J`�,rY I ICJli 41 U`1 i w./tl(6:i'I � f ' r 1 1ld � trda tri k F €'Water/ ewer l� Identification Please Type or Prl fi Clearly) OWNER: Namel Address: , ,. ifr1 , '" •` it ACM Home Improvement tmi rr A Exp. Date ARCH ITECT/EN GIN EER 10hone: x 11 r_IZIit a"«,ted m" ""°�'w''�urr,'l2 n,-,Pte" m "^Jnr'n nr d"dr`r'f2r 7-e,f r,-,-",S, ASTpr,v"•`n4z =-n nx�C.1 Total Proiect Cost: / E,. FEE.- Check No.: Receipt No.: rr ffi a � NoRTy Town of aAndover 0 No. � * -� o is,,^xe h ver, Mass, • �/� COC./1c"t—ocw h' •4S°RA7-Fo 05 U BOARD OF HEALTH PER MIT T LD Food/Kitchen Septic System THIS CERTIFIES THAT 7�A- o �I ............to, BUILDING INSPECTOR has permission to erect .......................... buildings on 161.0.. .. ,// .VIC Foundation 1 .......... 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI,, TS Rough co Service ........ ... ..................BOIL©ING.INSPE. . Final CTOR 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. MA. H.I.C. REG#157288 . SalG'SCTlall: L LICENSE#CS SL 101775 Residential, Commercial & Condominium Roofing Solutions FED ID#26-0661197 1-888-755-1535 603-755-1535 NAME: I 4 5HAZ-M 19JP4q' ADDRESS: �l t��F-� l� { � 6/-J'0C? HOMEPHONE#; _/UL ��"8 7-0'110 CELL#: -780 7 EMAIL; 1. Contractor agrees to da the following work;�� C1 1W�t/l-) 2. Install tarps from roof to ground to protect the house&landscaping. 3. Remove existing layers of shingles and dispose of them properly. 4. Inspect for rotted wood.Will replace roofing boards at$3.75 per foot and 1/2"plywood at$2.00 per square foot. N� to 5. Apply, 62 _feet of V e&Water Shield to all eaves and 3 feet to all valleys/openings. 6. Apply Synthetic Fiber Reinforced paper to remaining area.Name:, Ff Ia fC 7. Install Heavy Duty 8 inch drip edge to all eaves and rakes.Calor to be: hire- Mill--Brown--Copper S. Install new pipe flanges to all existing pipes.Aluminum/Copper 9. Install ertarntee r GAF Arehitectual Shingles to manufacturer's specifications,to include swift or pro starter shingles to all eaves. 10.Shingle Name LA'1_1�) 614il� Color: tt�/\TI` Y%10 ' 11.Install adaw Rid P/ Timbertex Customed Cap on all ridges and hips. 12. Install Shinglevent Two Ridge vent to all ridges to ensure proper'ventilation. 13. Re--Lead Chimney IYES I NO.New lead will be sealed with Geocel. 14.Worksite will be cleaned on a daily basis and all areas will be gone over using a 3--foot magnet. 15.All necessary permits will be the responsibility of Talbot Roofing&Contracting. l 16.Talbot Roofing&Contracting will supply customer with Liability and Workers Corr,pensation Insurance Cer;Ificate prior to any work being performed. 17.Upon completion and payment in full,your new roof will have a,&,arkmarrs"F;lpfcr a pe,4cZ cf years issued by Talbot Roofing& Contracting and l O years honored by the Shingle maufacturer fc•rater a d'u-'e s. The Contractor agrees to pwform the work, furnish the materials and labor specified above for the sum of: O , Payments to be made as follows: $ o upon signing contract(not to exceed 1/3 of total contract price,) by �/ �/ or upon completion of halfway point. t i by_/_/ or upon completion of work specified, Contract Acceptance: Upon sign g,this document becomes a binding contract under law. DO NOT SIGN THIS CONTRACT CES111 Owner Signature.... Contractor's Signature N, the Uomntonwealth of'Nlassachuselts p Department of Industrial Accidents kk°w y Office of Investigations 1 Congress Street, Suite 100 ,r Boston, MA 02114-2017 www.nuiss.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/E lectricians/Plumbe>r,s tlicant lurormatiora Please Print Legibly R J Talbot Roofing and Contracting Name(Business/C)rganization/Individual):_:_�__T Address:8 Joan Ave, City/State/Zip:Hudson, NH 03051 Phone#:803-755-1535 Are you an employer? Check the appropriate box: Type of project(required): 1.® I am a employer with 4. 2 I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors '' E]New construction 2,❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition workingfor me in an capacity. employees and have workers' y p �'� 9. Building addition [No workers' comp,insurance comp. insurance.$ required] 5. ❑ We are a corporation and its 10.©Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11,©Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 1.2.n Roof repairs insurance required.]$ C. 152, §1(4),and we have no employees. [No workers' 13.0 OtE7er _ __ comp, insurance required,] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContrac;tors that check this box must attached an additional sheet showing the name of the sub-contractors and state 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'contpen.sation insurance for my employees. I3elotiv is the policy rind,job site iraforanation. Insurance Company Name: Policy#or Self-ins.Lic. #: Expiration Date: Jab Site Address:120 Martin Ave. City/State/Zip:North Andover 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 c. 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. T do her cern under t1:e gains aatd �encalties a er"ur that the in ormation provided above is h-tae and correct Si nature: ` Date: Phone#: GiP 7(S (V Official use only. Do not write in this area, to be coanpleted by city or town official City or Town: Permit/License# J Issuing Authority(circle one): j I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.I'lun00ing Inipeetor 6.Other Contact Person: Phone#: 1 C) 9Mi�./F' Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 oston, A�.�lfx.t i✓i.�.cii U4:.iL Lc✓0L1 16i Home Improvement Contractor Registration Registration: 1572$6 Type: Ltd Liability Corporation Expiration: 9/2012017 Tr# 270178 RJ. TALBOT ROOFING &CONTRACTING ROBERT TALBOT 8 JOAN AVE. HUDSON, NH 03051 Update Address and return card.Mark reason for change. C c t up��d- rw i ", A:.sl.drna�: °—° Rnn«�vol '""'� t�'mnlnvmnnb "'-7 l,nrt('aril Massachusetts -Department of i~pu b6c Safety Board of Buiiding Rogaa&aations anti Etinciards Oft« a i'adV l''a"&�A:IIaaY% xaai'&a'k'"0.k"T'."'rpvd alr'� License: CSSL 101775 yrya, ROBERT J TAL 9'T 1� 5 JOAN AVE HUDSON NH 03651 Cax aar issi—car 12i13i2010 i i i 1 i