The URL can be used to link to this page

Home My WebLink AboutBuilding Permit # 12/19/2016 00RTH BUILDING PERMIT o �t.mo °�+° s TOWN OF NORTH ANDOVER ® , APPLICATION FOR PLAN EXAMINATION 4` Permit NO: Date Received ' Date Issued: CHU��4�� IMPORTANT-Applicant must complete all items on this page LCI �✓ `/ � /� / / / l �3 '40 F C r / TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family i Addition Two or more family 1.1 Industrial Alteration No. of units: Commercial Repair, replacement -i Assessory Bldg Others; Demolition Other / Identification Please Type or Print Clearly) OWNER: Name: _ �� _ Phone: Address: f ! _ ! ��I�rl� C� ��Iv4� l�� ` � t `'"f ✓ / / / 1 F .. ..... .. ... ...iii, ...... <... .... / .., !. ..:,..:% / ...= ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.0o PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ 1 Check No.: 6,0 Receipt No.- t NOTE: Persons contracting with unregistered contractors do not have access to the guar ty fund i I at r of A d l er Slgr�atute �f::::,d t%ORT?f Town ofAndover 0 � � No. = _ h ver, Mass O COC MIC.I.. 1' RATED U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System .lam...�2..., � ?, ��- THISCERTIFIES THAT �I BUILDING INSPECTOR h has permission to erect .......................... buildings on .. .. .. 0.....0.0s.f.vev....... ;r.o...... Foundation .� Rough tobe occupied as ...... .t. . ........................................................................I——................... 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 CONSTRUCT STAR Rough /-.ff. Service .... ...... .. ... .. ......•.•...BUILI)I�NG.INSPECTOR............. ... CTOR. Final GAS INSPECTOR Occupan_ ey_Permit Required to Occupy,Building Rough Display in a Conspicuous Place on the Premises - Do Not Remove Final No Lathing or Dry Wali To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. 01/11/2012 04: 08 97865511.28 EZZI PAGE 02/01 Proposal Kao Construction 112 Bayberry Lane L=ondonderry, NN 978-455-73t7 lC zCon tr cast.n Proposal submitted to: Jahn E=i Job name: Fire Damage Repairs Ref#a 0158 Address: 106 Boston St, N.Andover MA Proposal#0158 Proposal valid till date#12/31/2016 Number of pages 1 We hereby submit specifications and details for: Replace damaged rafters Replace damaged,ridge Replace damaged plywood Strip atsd reroof as needed Install ridge Went on main roof Install sprinoboard for collar tie, Rebuild damaged soffit and replace Replace damaged siding z To provide insurance policies and workman comp to John Ezzi All work needed structurally in the attic area (rafters, floor joists etc) to the approval of Building inspector All necessary permits included Removal and disposai of all debris included We hereby propose to furnish material and labor to complete the job as per the above specifications for a gum of: Marren thousand U5 Dollars,$11,000.00 Dollars.Payment schedule d of$3,700.00 and the amount of$3,700.00 4 days after work begins and balance of$3,600.00 upon compleion. u Autharized. lanatorY: Name,Jarret Kazanjian Signature.. Acceptance of Proposal I/We have reviewed your proposal and hereby indicate our acceptance of the same, as per the details,specifications and nmaurtts mentioned In the proposal form.]t/We agree to the proposed terms of payment and will release the f as per agreed herein. 0 Authorized Signatory: Signature: Daus Ai.. ly ® DATE(1.1r.SlDOfYYYY) ��R f> CERTIFICATE OF LIABILITY INSURANCE 12112/z01s THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.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. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed_ If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement_ A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT ' PRODUCER CONTACT Sarah Willson Londonderry office PalHOtJE Ext): (603)437-1992 AlC Not; (603)437-4846 l Brownell Insurance Center,Inc. AD' AIL . saran brownellinsurance.com 5 Nashua Rd. INSURERS AFFORDING COVERAGE NAIC# i Londonderry NH 03038 INSURERA: Maine Mutual Group 15997 INSURED iNSURERB: Travelers A/R 000000 KAZ Construction iNSURERC: 112 Bayberry Ln INSURER D: INSURER E: Londonderry NH 03053 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING 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 TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SU R FOL CY EEE POLICY EXP LTR TYPEOFINSURANCEINSD WVO POLICY NUMBER {AIAIDDIYYYY MIAIDDNYYY LIMITS X COMMERCJALGENERAL LIABILITY EACH OCCURRENCE $ 1000000 DAMAGE 10 REM I ED CLAIMSMADE OCCUR PREMISES Fa occurrence $ 250000 MED EXP(Anyoneperson) $ 10000 A N N SC12399476 10/2712016 10/2712017 PERSONAL&ADV INJURY $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2000000 X POLICY JECT LOC PRODUCTS-covpIOPAGG $ 2000000 ETHER: $ AUTOMOBILE LIABILITY CE2aac d�tl LIMIT $ 1000000 AhJYAUTO BODILY INJURY(Pet perscn) $ AAUTIOSSONLY x SCHEDULED N N KA12399476 10/27/2016 10/27/2017 BODILY INJ URY(Pat aocAent) $ HIRED NON-00-JED OPERTYDPMA $ AUTOS ONLY AUTOS ONLY Per acc dent $ UMBRELLA LIAB OCCUR EACH OCCU RRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETLtJTION$ $ WORKERSC01,1PENSATION V RARME DFRTH- /� AND EMPLOYERS'LIABILITY YIN „vel ANY PROPRIETORlPARTNERIEXECUTIVEE.L.EACH ACCIDENT $ 100,000 B OFFICERAIEMBEREXCLUDED? N/A N UB-2E921382 10/27/2016 10/2712017 Mandatory in NH) EL.DISEASE-EA EMPLOYEE $ 100,000 Wescalbe under DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMrr $ 500,000 DESCRIPTION OF OPERATIONS J LOCATIONS I VEHICLES {ACCRD 101,A dditio nal Remarks Schedule,mal be attached it more space is required I Work Comp 3A states: MA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town ofNarth Andover,MA ACCORDANCEWITH THE POLICY PROVISIONS. 120 Main Street AUTHORIZED REPRESENTATIVE North Andover MA 01845 Fax:9786889542 Email: O 1988-2015 ACORD CORPORATION, All rights reserved. ACORD 25(2016103) The ACORD name and logo are reglstered marks of ACORD I t " J/! Vil A E I" I dil i 1 K y g "a, r a