Loading...
HomeMy WebLinkAboutBuilding Permit # 11/16/2016 . ............... BUILDING PERMIT 04 Nfl�r 6' TOWN OF NORTH ANDOVER APPLICATION FOR.PLAN EXAMINATION r �- l Date Received 1 i- 1 _ , ! �,Ao po Permit Nod„ € �. a RSSACHU Date Issued: 1 / IMPORTANT:Applicant must complete all items on this page ffCA ri PROPERTY OWNER w 7 - prini1 aff YSBr Strucfure yes na MRP _ ;: PAftCE :' Z®NTNG DISTRICTS HiStarrc®€stricf y_ s rio _, Mgcbrne.Shop [_ a.9Y ... no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building W One family ❑Addition ❑Two or more family ❑ industrial Iteration No. of units: ❑ Commercial ❑ Repair, replacement IJ Assessory Bldg ❑ Others: n Demolition ❑ Other I Sept€c C1 Well _ - D FloQdp a€ri El wetlariels D Water shecl District- Water/Sewer.. - DESCRIPTION OF WORK TO BE PERFORMED: Ydentificafion- Please Type or Print Clearly' OWNER: Name: Phone: .Address: Cdntracto -' N offt(o _ . - . . -... Addfess Supervisor's CoristructrOr€ )-icerise t: Lf _ Exp Date lir Home Irnplo�ernert L€cnse. .=7 Exp_ Dater .,9 _ - - - _ ... _ . l ccs ARCHITECTIENGINEER Phone: Address: Reg. No. FEE SCHEDULE.•B ULDING PERMIT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER 5 F €_ _ .Fatal Project Cost: $ FEE: $ Check No.:_ 7i" _ Receipt NOTE: PeFs°ons contrasting with unregistered contractoN d o e_ cess the aaranty fund 5�igrja ure of.Ageri l wrier _Signat T _, of caritrac _F.- ............ ...................­.......................... T t%0RT#j own of Andover No. ver, Mass, 1(0 Ab U BOARD OF HEALTH Food/Kitchen PER IT .T LD Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ............. ..M.... ......... .....01MA440 40 ................... Foundation 00 has permission to erect.......................... buildings on . 0.......... . . . ........... Rough to be occupied as - ... 4 . ..r bti-P . ................................................................................. Chimney provided that the person'ttingfis 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 701 N PERMIT EXPIRES j IONTFI%') ELECTRICAL INSPECTOR N UNLESS CONSTRUT Rough Service . 4 ...... ............... ...... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildin 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. CD Roofing Vincent Colangelo I! 3 Hodgson 5t, - . Tewksbury,Ma 01876 • 6 978-656-8497 s • vincentcolangelo@sbcglobal.net ® 'A HIC Llc# 174575 CSSL Lic# 105943 � • M`" OWENS CORNING Customer: '�3 7 AA/y r We r­&"V_ �r1 ` PREFERRED CONTRACTOR w, 15_7'6 Description of work Performed: (T Obtain required town permits&provide certificates of insurance&workers compensation Provide Dumpster set on planks*for contractors use only(materials all recycled) Attach Large Tarps to protect adjacent finishes, landscaping,and property. Strip-off(( )existing layers of roofing on complete house& re-nall any loose decking Install Blnch.L6A f1Aluminum Drip edging!Owens Corning Starter Shingles Install Owens Corning lee&Water shield Eft at eaves,3ft in valleys,around all penetrations Install Synthetic felt paper to entire roof Install Owens Corning LifeTime warranty TruDefinition Duration shingles Install new neoprene vent pipe flashings on all plumbing pipes r Install Owens Corning VentSure ridge venting with moisture guard (, Install Owens Corning ProEdge hip& ridge cap shingles ,C<)Completely re-flash chimney with lead i).r.,,i j (.Owens Corning Preferred contractor installation with full warranty All work will be completed according to state and manufacturing codes and specifications. Every day we will have the roof water tight,clean gutters,completely clean the job site, and use a magnet roller to collect scattered nails. Additional work to be perlormed �0L1• .r Ari malehal N guaranlocd to bit as specified. All work to be Completed in a woikrnanliko manner according to slandaed practices. Any alteration or doviarion from the above spo0lcalions mus€ be made in wribiry un an Add ordMof1Ihsation of Cul;tract form and may become an aKlra charge over and awve the amount slat" herein. 'this agiamnonl is curilingetn upon delays beyond our control.owners to carry fire,tornado and other riecessary Insurance.Our workers are fully covered by worker's f3ompensailoar . Insurance liomepwner agrces to pay for all work as set forth below, If the homeowner detauils, hommwnrrr agroes to pay all jests of collw1on. Including reasonabio atlomeys leas,in addition to olhcr damages incurred by contractor.Full Payment Is due upon completion of work. We propose hereby to furnish material and labor - complete in accordance with the above specifications, for the sutra dollars($ r cG, t r r — ). Said amount shall be paid as follows: f Note:This proposal may be withdrawn by us if not accepted within 7 CJ days. YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS (JAY AFTER THE DATE OF THIS TRANSACTION, SEE THE ATTACHED NOTICE OF CANCELLATION FOR AN EXPLANATION OF THIS RIGHT. THIS SALE IS SUBJECT TO THE PROVISIONS OF THE HOME SOLICITATION SALES ACT AND THE HOME IMPROVEMENT ACT THIS INSTRUMENT 15 NOT NEGOTIABLE. Work will not begin until your right to cancel has expired and yoyLh eid posit of dollars($ ),unless this agrecmont provi e9othWw e. r Signature of Contractor or authorized representative:__ '(UWe)have read the terms stated herein to h been ex lained to(me/us),and(IIWe)find them to be satisfactory and hereby accept them. Signature of Homeowner(s)..__ i _ The commonwealth of 1Massachusetts Departinent of IndustrialAeddents I L'YOX2gf"ess Street, Sulfite 100 r $oston,M-02114-2017 fp www.mass.govIdia fibers. Y 9�* qW � hers' CompezxsationZnsu D W HTSE� RN NG AuTilo)U`Y tiriciansl bi TO DTA Yff F ?lease Print J<,e A licantInfo"Matlox' Naine(Businessibr9a,&,IionlZrodividnal): Phone#: tY Type,of prof ee (:reqs )= - Are you azi emplaper?Check the appxopxiate box: e 'doxtstxttction employees Gull and/or paw time)-* t. d Ni 1.❑I am a employer with_ — for in $ l2emodeliii 2.�X ain a sole propzietax orparinerslnp andhave no employees working g• ❑Demolition any capacity.ggo�xVorkers'comp,insurance required.] 10 ]Building addition 9 3,❑S am ahomaowner doing all work Mysel �a workers'comp.insurance racluired.l t contractors to conductall work on my property. I will l l.0 Elee�t•.teal xell7YxS or addltzops ¢.�x am a homeowner and will be hiring 1 ensure that all contructbis eitherhave workers'compensation insurance or are sole :P Slg repa%xs Or addilloxw proprietors with-no employees. Sarp a general contractpX and have hiredthe sub-conizactozs}fisted anthe attached sheat. 110 Rauf re&irs 'I`hese sub-contractors have employees and have workers'comp,insurance 14. Other er MGL tion b.❑Weare a corporatio a and B no e It yeesav[bTo worke s Comp intsurancepegired.] a. 132,§1(`l),and five h applicant thateheoksboX#lniustalsofilloutthesectionbelowshowm9thoirworkers'compensatiorLpoliay3nfozmation:' Arra' i 1larroeow Hers who submit this afticlavit indlcafing they are doing all vJork and then hire outside contractors must submit a r�ew a£t idan t indicate ant . Contractors that checlCNs Box bust attarhz, anadditional t protvide their wog s of policy number.and state whether o natthose entii?es ave employees. 7f-tho sub-con6r tars IrE ear Y iane an eraz /oyer that ispr oviding oricers'cornpensadOn insurance far my employees. Seto is ttie�a7icy a zdj o�sift information. e lnsuxaxrce Camany ]ame: �t7 S'olicy#or Self--ins.Zit.#: a 00U �''ExpirationData. City/State/dip: - 7ob Site Address: thepolicynumber arzd expiration date). Attach a copy OffheworI els' compensationpolzcy decl 25A OR crriminalviolation punashableby a fine up to$1,500.00 Failure to secure coverage as requi�ed unciexMGl c.x52,§ Of vesti FR a of the DSA For insurance isonment,as well as civil penalties in the foxm�of a STOP Op a O ORDER and a ane of uli to $250.00 a and/or one,yeax iMpx this statement znay'be forwarded to the Office day againstt1�eviolator.A,co co-vexage VOr3�l L C) xti e�' sepains andpenatties ofperj'uly that the infoYmation�rovidedabove is t€r e and,correct Ido tiered .fv Date: It Si ature: - official use only. Do not-write in this area,to he completed by city or town official. • PermitlLicense# City or Town, issuing A-afhority(Circle one): l..Board of Wealth 2.S3•uilding Aepartment 3.Cifyi'To•vvxk.ClexT� 4.�Zectxical xnspectox 5.Plumbag xxtspecfor 6.Other Phone# Contact Pexso), DATE(PINIh1nL11YYYvI �I ���4` ® LIABILITY INSURANCE e/1a1_?s. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THF- CERTIFICATE HOLDEIZ 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. _ €MPORTANT: If the cert€ficate holder Is an ADDITIONAL INSURED, the poi€cy(ies) must be endorsed, It SUBROGATION I5 WAIVED,SLI jec#t0 the terms and conditions of the policy,certain policies may require an endorsement, A Statement ort this certificate sloes not confer rights to ifre certificate holder iIt lieu of such endorsernent(s). CCNTACI PROfA10ER NAhhf-, FAX Angela Westen Insurance Agency PIiCNE 73 (97&) 735-4095 lntCtw nl. ('97,8) 5__-90-94-_ --- 557 Central Street EhhNL AD1aRess: andel-@awes t.en,_com _._-- _ -_ _..... ......... Lowell, MA 01852 INSwRL-rt(S)AFFOROIwc COVERAG7: NAIL u $NSURER A.ATLANTIC CASUALTY INSURANCE CO._.__._ 13;�'IURED INSURERU_HARTITQRD UNDERWRITERS. INS._C-OMP E O CONSTRUCTION CORPORATION INSURER c: ri ASTOR ST AF. dA INsuR�rsu, LOWELL, M7k 01852 INsuzERl : 3h35U1?ERF: CQVERAGE5 CERTIF€GATE NUMBER: REVISION NUMBER: f _. _ fH( !S I C)CEFYCIFY IE IAT THE POLICIES OF INSURANCE 0S'TF0 6FLOW HAVE BEEN ISSUED TO THE INSURED NANII L)AFA)VL[OR I F(L POLICY PERIOD INDICATED NOTWITHSTANDING FUMY REQUIRUAIENT 1 CRM OR CONDITION Cif- ANY CONTRACT ()R()LH17H DOCUMENT V,)I'f H FRESPECT TO WHICH Tills CERTIFICATE MAY BI- 3SSUED OR MAY i,FRrAIN, THE INSURANCE AFFORDED BY'I'IaE Fa()l_JCIFs I)F..SGRIBi-D HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS ANDCOND}TIONS OF SUCH POUCIC5,LIMITS 8110VL4A MAY HAVE BEEN REDUCED BY PAIU CLAIMS, INSR. ALM SUCIR POLICY EFF POLICY CXP Llf'M TYPEOF INSURANCE _ ,ItJSR�WU POIICY NUFRS 4:f1 A GENERAL LIABILITY L02100II696-2 3l1B/16 3f�a/�7 PrcllOt;c;LSI;IaLrac3 s 1_,0000 OAtA',GL I Rlsr SLS,L.,o, +' 100 00 t)HENfE }{ .:RcV-L CF NL W4'.-L1n F_ETY tirry... .._..._ ..�..���9.. CF VI1s�.1.al;lr Occul< r:rD I'V!t y., P 5-K,1 5_,-000_ rf=Riow,!S AImN,R)T3Y 'a 1_r o0Q,.0Q0 I IiqL e a 2,000,000 I Pi,oDLCS-U. t _ ;uLrsnTELua�T API LELsr�r4 ``r- >�'ravc, . n j - r rare. 9 F A ICY _. i.00 _..._..._.....�—._--__ _.. _ .._'.?-- ------y olF DEL)MFR,- � AUTOMOMI-CUARIUY (ta0:00:n; s _. 130DII-Y INJURY+Per AFEYAU ICJ _. ALL0VNFU tifriFDEICED ,14(;Uii Y INJUI ZY 11.11 cdanl) AU1OS 8131(JS J NON 0'0MES) - :FRC)f IaTY Oft(.;4;1. 5 C deal; ... ................. ..... o Drill Ei)fti7Fo5 ._„ t10I'0S U MBRLLIALIAC3 l Oa ChJH Etc C'.(IRRr.;'JF iFXCE-55LIA© ...._CL X45-IdADCi f.'JSUhCfi:t -. .T.J DED.__,-_ RECrNncNt 2 i(ERSCOr:"rFIVsATION .. •------�__.............:.........._ ----- 3/3Dltfx'.. 3/3D/1.7 INGSTA-1-1- J)TII 64OR nNDf:;PnoYEles llArsairY 2EI I2068-16 O r I�elss Fra Ylra ararlsroPR€Enos{r-;dtlLLrtr.xr:(haTlvL EL n rrn..,c{rsN x 10.0,000 DIFllza.+ naalliFrcr lucl3 WA ((AaW;i1orV in NHI -. t-;. rlsl'_Asr-ra.Lr,-rLOYI.r'. E,00,000 DI.S(:R}Y TION LY OPErt471L]IJ9 rile.a . c G DISLASE i OLll.l'L1+,Ilr 5 _. _ 500 0Q��E! i tk SCRWHON OF OPERATIONS t LOCATIONS i VEHICLES {Attach ACURU 101,AJditional Runurks Sowdrtic,if mmt swcu ii w,0-11 f CERTIFICATE HOLDER CANCELLATION SHr00,P ANY OF THE ABOVE DESCRIBED r'OLICIES BE CANCELLED BEFORE IM4 ATION UA' THEREOF, NOTICE WILL BE DELIVERED IN AC C Illi TF{ POLICY PROVISIONS, TOWN 0>± NORTH ANDOVER � 1600 OSCOOC7 STREET SUITS 2035 —` NORTH ANDOVER, MA 018415 AU1H()nz R[PRE SFNTATIVE _r_. ' (c,1388-2030 ACQRt7 CORPORATION. All rights reserved. ACORD 25 1201 U1o5) The ACORD name and IoUo are registered marks of ACORD Phone: (978) 656-8497 Fax: E-Mail: vincentcolanaelo@ sbc(ilokaal .net i s S. C��fC091L'71L6'3AClfgCG�t/L 0 ��CC3JClC�Il6Cd Office of Consumer Affairs&Business Regokation _ROME.IMPROVCtMENT CONTRACTOR egistration: -74575 Type: u _j Expiration 1`111012017 DBA d CQ ROOFING VINCENT COLANGELO 3 HODGSON ST �— TEWKSBURY,MA 01876 Undersecretary 3 i Massachusetts Department of Public Safety Board of Building-Regulations and Standards License: CSSL-105943 Construction Supervisor Specialty VINCENT COLANGELO 3 HODGSON STREET TEWKSBURY MA 01876 { ^^ Expiration: j Commissioner 03/0912018