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Home My WebLink AboutBuilding Permit # 11/23/2016 Narrvr� w .,a BUILDING PERMIT TOWN OF NORTH ANDOVER Permit NO: 540 � _ � APPLICATION FOR PLAN Da e Recti EXAMINATION diB3 m.,, sJ „� Date Issued: C t - "),1 ACHUS IMPORTANT: Applicant must corn lett all items on this paEe m LOCAT I+ N� '' � b E d-P e 1)(w) n kd....... .................. PROPERTY OWNER AQ AAV\ i t Prima ITP NO � PAF CEL �"G A6NING DIST ICT: istoric Distri 't yes (no,,, Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building Qrie family Addition "4wo or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well 0 Floodplain i.!Wetlands D Watershed District D Pater/Sewer, Y Identification Please Type or Print Clearly) „. OWNER: Name: �w rwm ..Phone: �� 4 . / Address: 1W CONTRACTOR Name: �- -Pon Address: I ro n ls,O PAIL K, Supervisor's Construction License:,, � � I p. Date: Horne Improvement License: Epp. Date: � 7 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT. ,$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASEL?ON$125.00 PER S.F. Total Project Co $ r��1 FEE: $ Check No.: 5 `' 7 Receipt No.:�: � _ NOTE: Pemons contractin unre/;is =I° d contriz , ors not/I 'es, v the guarantJ,fi earl f Signature of Agent/Owner ign t o c n a tAIA tAORT A _t own of "' nctover . �- ver, ass, t • A c t to cgc.a;c�c€ rc ` ATev BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ...... .... ... .. ... .. .. .. . .. .... ......... . .. ,...... ..a..® . .A. .. .....................THIS INSPECTOR has permission to erect g ..., Foundation ... buildings .. Rough tobe 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 CONSTRUCTION STAR;S� Rough Service ......... ... _ ....,...., Final BUILDING INSPECTOR GAS INSPECTOR OceffRancyy -Perinit Required toOccupy Buil _g Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final O Lathing Or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approvedthe Building Inspector. Burner Street No. Smoke Det. Nov 21 2016 08:01PM HP FaxHeritage Cera 19786850521 page 1 L. E. MORGAN CONSTRUCTION INC, 86 BILLERICA AVE, N. BILLERICA, MA 01862 PH: 978-670-4747 / Fax: 978-670-6477 PROPOSAL Submitted To: Affinity Realty Management Date: 11-20-16 Address: 39 Rear Farrwood Rd.,(Clubhouse) N.Andover,MA 01845 Cell/fax: 978-376-9687/978.685.0521 Job Site: Heritage Green Condominiums 58-60 Edgelawn Rd., N.Andover,MA,Approx.5,279 SQ FT WE 14EREBY submit our proposal for the following scope of work; I. Remove the existing shingles down to the wood deck and dispose of off-site. 2. Install 6'of ice&water shield at the leading edges and 3'in all valleys. 3. Install RHINO SHIELD Synthetic Underlayment to the remainder of the wood deck. 4. Install 8"white aluminum drip edge to the entire perimeter&mechanically fasten. S. Install Certainteed Swiftstart shingles as a beginning courser. 6. Install Certainteed Landmark Silver Birch architectural shingles&hurricane nail. 7. Install 4 new pipe flanges, 3" -4",with neoprene collars. 8. Install new Attic Slant Vents to replace the existing on rear of the building, 9. Install new ridge vent rand matching cap shingles. 18.Remove the metal siding on dormers,&install 100%ice&water shield an the walls. 11. Install new white vinyl siding an all 3 dormers with white vinyl corners. WE propose hereby to furnish materials& labor,complete In accordance with the above specifications,for sura of; Eight usand Eight Hundred Twenty Dollars: $18,820.00 AUTHORIZED SIGNATURE lawrence E.Mor president ACCEPTANCE of PROPOSAL:The above prices,specifications&conditions are satisfactory and are hereby accepted.Y are authorized to do the work as specified. Lo AUTHORIZED BUYER— I GNATURE DATE THANK YOU OR H OSING MORGAN CONSTRUCTION The Commonwealth of Massachusetts Department q/IndustrialAccidents I Congress Street,Suite 100 Boston,MA 02114-2017 W)VIVanass.govIdia Woricers,Compensation insurance Affidavit:Bixildei-s/Cojitractors/Blectriciaiis/Plumbers. ,1`0 BE FILED WITH TIIE PFIZWTTING AUTI-10RUY. Apolicant Information A 1 Please Print Jegibly Name (Bii,,3ineqs/organizatiOD/Indivi(tual): X YATO ----------- Addressdal—L'. >- City/State/Zip: Are yot!,pit employer?Che Irl fe appropriate box: Type of project(required): l< 'a'm a employer with employees(full and/or part-time).* 7, E]New construction 2,E]I am a sole proprietor or partnership and have no employees working for me in 8. D Remodeling any capacity,[No workers'comp.insurance required,] 9. El Demolition 3.E]I am a homeowner doing all work myself,[No workers'comp.insurance required.]t 10 f-]Building addition CE]I am a homeowner an(]will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers`compensation insurance or are sole 11.[:]Electrical repairs or additions proprietors with no employees. 12,F]Plumbing repairs or additions 'I'S N 5.n I am a general contractor and I have hired the sub-contractors lDire ed on the attached sheeL 13. Roo Roof i,,?aj� These sub-con(ractom have employees and have workers'cominsurancGJ 6.F]we are a corporation and its officers have exercised their rightxemption per MGL C. 14.If0ther 152,§1(4),and we have no employees.[No workers'comp,insurance required,] *Any applicant that checks box/it 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 most submit a new affidavit indicating such.. lContractors 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. ilmnsalion insurance or my eny)loy Below is thepolicy an(Ijob site I ain an einI)loyer that is proitidin, workers can an+ceo,, In, bt rination. 00 " my Name: Insurance Company Name: Policy#or Self-ins.Lie.It: Expiration Date:_ Job Site Address:zs— City/State/Zip: , a, Attach a copy of the workers'comp insation policy declaration page(showing the policy numberind expiration(late). Failure to secure coverage as required under MG1,c, 152,§25A is a criminal violation punishable by a fine tip 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 tip to$250.00 1 day against tl i ic,violator.A copy of this statement tiny be forwarded to the Office of investigations of the DIA for insurance coverage y6rj cation. I t10 Ire e C Ilify under I tepain anti enaltMW 1, th Ith 111JO)'Innuon T17�jro2l , eve Is tr to trail car°sect. D Si nat re ate: ) Phone#: ------ o ta use only. Do not ipfite In this area,to be completed by city or loiP11 qfficial 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 LEMORGA-01 BBOYER CERTIFICATE OF LIABILITY INSURANCE UATE(MMODIYYYY) 4114/2016 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AN CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTE D 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. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorse ent, A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTAC NAME: Welsh&Parker Insurance Agency,Inc.1 Hudson Office PHONE� g78 56 _ u 131 Coolidge Street,Suite 100 (AIC,No, ,,t): 2-5652 {eAIC,No): (978)562-7120 Hudson,MA 01749 E-MAIL ADpREs INSURER(S)AFFORDING COVERAGE NAIC rk —___� __ INSURERA:Western World Insurance Company IlvsuRED INSURER ;SAFETY IND IDIS CO 33618 LE Morgan Construction Inc INSURER :Scottsdale Insurance PO Box 75 INSURER ; Billerica,MA 01821 INSURER INSURER COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BE N ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF AN CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY HE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN RE UCED BY PAID CLAIMS, INSR W AUDIDI.8US "" '"'.'~"'. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER �Nvot)NYYY MMl6©fYEI'xYY LIMITS {sl X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE OCCUR NPP8381620 0411312016 04/13/2017 PREMISES urr PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) S 5,000 PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY JECT n LOC — -� PRODUCTS-COMPIOPAGG S 2,000,000 OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT !IIIB (Ea accident) s 1,000,000 ANY AUTO _ 6230688 1 /13/2015 10!13!2016 BODILY INJURY(Pei person) 5 ALL OWNED X^ SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) 5 X HIRED AUTOS NON-OWNED S X PROPERTY DAMAGE AUTOS Per accident S UMBRELLA UAB X OCCUR C A EXCESS i CLAIMS-MADE XLS0099346 0 /13/2016 04/13/2017 G RGREGCURREPICE 5 5,000,000 AGGREGATE S �5,000,000 DED RETENTION$ S I WORKERS COMPENSATION PER OTH- ANDEMPt,OYERS'LIABILITY YIN STATUTE ER ANY PRO1R11ETORfPARTNER/EXEC=V!" E.L.EACH ACCIDENT 5 OFFICERWEMBER EXCLUDED? N I A (Mandatory#n E.L.DISEASE-FA EMPLOYE S_ it yes,descries under nd DESCRIPTION OF OPERATIONS below E.L.DISEASE-POUCY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Addttiona#Remarks Schedule,may be aft ched If more space Is required) WORKERS COMPENSATION CERTFICATE OF LIABILITY WILL BE SENT DIRECTLY BY T E CARRIER. CERTIFICATE HOLDER CANCEL TION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1600 Osgood Street,Bldg 20,Suite 2035 ACCORC ANCE WITH THE POLICY PROVISIONS. North Andover,MA 01845 AUTHORVED REPRESENTATIV E ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORN CERTIFICATE OF LIABIUre INSURANCEDATE(MMIDDIYYYY) rTW,��Q IS,CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLYAND CONFE S NO RIGHTS UPON THE CERTIFICATE HOLD121171201 ER. THIS RTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR LTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. IS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETW EN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE R P ODUCER AND THE CERTIFICATE HOLDER. ,PORTANT:If the certificate holder Is an ADDITIONAL INSURED,the pOlicy(ies)ITIL st be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorseme t. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER CONTAC NAME: BALDWIMWELSH PARKER INS PHONE FAX 131 COOLIDGE ST,SUITE#100 (AIC,No, Ext): (AIC No): HUDSON,MA 01749 E-MAIL ADDRESS: 27KLD INSURERS)AFFORDING COVERAGE NAIL# INSURED INSURER�A: AMERICAN ZURICH INSURANCE COMPANY L E MORGAN CONSTRUCTION INC INSUREREe: INSURER;,: PO BOX 75 INSURER NOR'T'H BILLERICA,MA 01862 INSURER INSURER ; COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE PEEN ISSUED TO THE INSUR'D NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO V RICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CON•ITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. !NSR ADD SUB POLICYEFFDATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MIADIAYYYY) IMPADDIYYYY) LIMITS GENERAL LIABILITY ACH OCCURRENCE COMMERCIAL GENERAL LIABILITY $ CLAIMS MADE F]OCCUR, DAMAGE TO RENTED $ PREMISES(I;a occurrence) MED EXP(Any one person) $ GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL&ADV INJURY $ POLICY ❑_0 PROJECT LOC GENERAL AGGREGATE $ PRODUCTS-COMP/Op AGG $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE $ LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIREDAUTOS BODILY INJURY $ NON-OWNED AUTOS (Peraccident) PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAS LJ CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKER'S COMPENSATION AND WC STATUTORY OTHER EMPLOYER'S LIABILITY YIN UB-513738312-15 12/14/2015 12/14/2016 `Y LIMITS ANY PROPERITORIPARTNERIFXECUTIVE N OFFICERIMEMBER EXCLUDED? R7 NIA E.L.EACH ACCIDENT $ 1,000,000 (Mandatary in NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 IF yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESIRESTRICTIONSISPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO TIME CERTIFICATE HOLDER AFFECTING NVORK ERS COMP COVERAGE. ERTIFICATE HOLDER CANCELL kTION TOWN OF]NORTH ANDOVER SHOULD A 4Y OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 1600 OSGOOD STREET,BLDG 20,SUITE 2035 BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. NORTH ANDOVER,MA 01845 AUTHORIZE REPR TA¢VE � rte' .._. � <.�.. ACORD 25{2010105) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. All rights reserved. Massachusetts Department of Public Safety - Board of Building Regulations and Standards ��A r�C��z�xa�icucalC/p '[�%jlc�t�r�C�rtJe�r \ Office of Consumer Affairs&Business Regulation License: CS-079476 Construction Supervisor _- HOME IMPROVEMENT CONTRACTOR l- Registration:,,:,-,137913 Type: LAWRENCE E MORGAN,JR ' 7 Expiration_ 1,27)24 7 Individual 100 IRON HORSE PARK LAWRENCE E-MORGAN JR NORTH BILLERICA MA 01862 ' LAWRENCE MORGAIVt ,._.___ 100 IRON MORSE PARK BILLERICA, MA 01862 �^�ti•'7 CA— Expiration: Yludersecretary Commissioner 06/03/2017 'Cdr S, t�xn(atYartrY Haallh - _ cart 1�r�fr�tra� �a HA p . This card acknavi€edges thatth&recipidnt bas suduessfully comploted a ----- 30•hour(4 UPat anal Safeiy and Health Training Coarse in i, �cc=:r arfalsar S„r+:,••,r c Hl>ar yAl CQns'�ructidn Safety amd Health � A. nLARRY il':iiralll 7 t has&uceLsstun,.car.jpt ted a 113-11—F Or>-k a- J tioalih €r<'a hf Sale[} -rl ! 7rein:rg C.ourea yr 1 Consiructicn Safety a i?ellik (Trainerrkame=prTntope) (Course and dale) __.___0SAU&etqUliqw_