Loading...
HomeMy WebLinkAboutBuilding Permit # 11/30/2016 BUILDING PERMIT � q�'s. °���a� TOWN OF NORTHANDOVER0 IPA APPLICATION FOR PLAN EXAMINATION Permit f3: mate Received Date Issued: ImPOR _A Thcant,must coax lete all items on this a c `, .,. ' YWNER rin 1 � I �TIT: itr ctrit T. 00 ifl gYPA TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential I I New Building I..1 One farnily i !Addition Ktwo or more family I. ' Industrial [I Alteration No. of units: 2— I I Commercial Repair, replacement I I Assesscry Bldg i I i Others: _1 Demolition l:1 Other lrbc ni Elia d l r _1 lar ? t rshd I i. tri E trisew r � ����..��� �/��-�,.� �..✓ ����i,.., r.��fry s I eantif cationa Please Type or Print Clearly) Telt-toOWNER: Name: Address: 7, INT 1 dr � r .� Im - `S" f z — , �` ' ARCH ITECTIENGINEERPhone: Address: Reg. Na. --- FEE SCHEDULE.BULDING FE{,°MiT.$92.00 PER$100&00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: S�o dna d FEE: Check No.: 1 ' Receipt No.: ®� NOTE. Persons cantr°acdng with unregistered contractors day not have access to the g"Granty,fund i nt r df n'Y0Wn na r of htr k r 'T N®F2 T� own of 0 No. O ver, Mass,, �J 3o �wict 1- ATED cocHicKgw.cK AO S U BOARD OF HEALTH Food/Kitchen PERMI LD Septic System THIS CERTIFIES THATBUILDING INSPECTOR ...... 4..�✓ih!�... .... ... ...,r,,�......................... has permission to erect .......................... buildings on ..;u ....., tAff.o.ev....s ,,,�.... Foundation p .......... .,. rlt'�'... �r•. = 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 C®NST TION T Rough Service ... .. . .. . aILDI�NG Final SPEC. R GAS INSPECTOR Occupancy Permit lie uired 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. i COMPREHENSIVE GENERAL CONTRACTING i BUILDING f REMODELING I FINIE WOODWORKING NjFwBuRYPORT,MASSACHUSMS 978 270 9170 ,SOI€N@CGCCOMPrtEHENsIv..COM C o n t r a c t Submitted to: Anne Delano Date: 4 —20 — 16 North Andover, MA This contract is a legally binding agreement for the 2nd floor porch windows project on 300 Sutton 5t, North Andover, MA. Prices include all labor costs, materials costs and taxes. Total cost for project is five thousand, five hundred dollars. ($6,500.00) h Scope: Included are all costs for labor, materials (including windows) and taxes. Cost of building permit fee is included. Removal and disposal of existing storm windows. Ike-working exterior trim detail to accommodate new windows Re-working interior trim detail to accommodate out of level openings Installation of 6 new windows Windows are Harvey, double-hung, Classic Series, Energy Star, with half screens, no grills, white interior and exterior, double locks on each window. Comprehensive General Contracting installation work carries a 1 year guarantee. Harvey windows carry a 20 year warranty on glass coverage and a LIFETIME warranty on parts and mechanisms. initial: initial: �L 1 a�Lrs' p. 1 of 2 Changes or additions to the scope of the project will be documented with a "Change Order" form. The Change Order will be an addendum to this contract. The above payment schedule will stay in effect. Work represented in the Change Orders will be paid as materials are purchased and labor is completed. Payment Schedule. Payment 3. $2,800.00, Received at the signing of this contract. This amount covers the cost of the materials including the windows, and enables CCC to purchase and order the windows. Payment 2. $2,700.00. Final payment. Due on the day of completion. Please make checks payable to"Comprehensive". Signatures: Contractor si nature: —7 John DeNardo Customer si nature: Customers name p p. 2 of 2 1-7 i ENERGY STARO e in Highlighted Regions 100518246 B-04 16 0510312016 H11 -280 -- 3 C ank,DH 2 �............. ._..... _...... .., NFRC Em VINYL FULLY WELDED DOUBLE HUNG National Fenestration Rating Council' H 11-M-31-02456-0000 . . _.. . �. ._ �.. ENERGY PERFORMANCE RATINGS U-Fact N S61-P) Solar Heat Gain oefficienfi .30 T. .... ADDITIONAL PERFORMANCE RATINGS Visible Tr ns mance Air Leakage(U.S./I-P) :-gO. Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product performance.NFRC ratings are determined for a fixed sat of environmental conditions and a specific product size.NFRC does not recommend any product and does not warrant the suitability of any product for any specific use.Consult manufacturer's literature for other product performance information. www.nfrc.org u. 1 l The Commonwealth of Massachusetts _ Department of IndustrialAceldents ti I Congress Street, Sullte 10 0 ' oston,HA 02114 ZOZ� $ www.mass.govIdia 3 WO'Vkers, Co pensatio-nInsuraned t davxt:$ucTdax ICo:ntxactoxsl lectriciansl Xnzabexs. TO BE ME)WUBITHE FEEMIT i Il�TG AUT�ORII'y- ]?lease print Le 'bl A ' i icant forrn anon ---------------- Name,(Busiuessl(jrganivaiionlind ividusl): � .Address: Pho32e City/state/zip: rType aprojeet(xegl&ec Axe y -a an employer4 Chac�tFie appr'oprlatebox: I. I am aemployer with employees{full andlorpar-time}. 7. []J-`Teter cans�'iici�.o� 2.E] pandhavenoemployeeswrorkingfor meirk 8, ❑ 0deft IamaSole,pzoprietorozpaztnershi any capacity.[Novrerko"oI comp,insurance required.] 9. ❑DemolitigxL 3.EjI am a homeowner doing ail work Myseli'. No workers'comp,insarance required.] ' 10❑$uAding addition 4.ElIani ahameewner andwillbe,hiring contractorsto conduct all workonmy property. Iwill 1 ❑Electrical xepa7Ss or additigIrs ensure that all conb[aotbts eitlrerhaveworkars'compensation insurance or are sole 12 _p � repairs Or additionsproprietorswiih.no nvployees. L�j 13. ]Kofi£repairs ❑I am a general oontia4 r and I vehiredthe sub-con#raofors listed on the attached sheet. These sub-contractors have employees audhave workers'comp.insurance# Cher 6.E]We arc a cozporafio and ifs,officersZave exercisedtheu right ofexemptienper MGI c. fvCS 152,§l(4),anrlvre have no employees.[No workers'camp,insuraucc required] Any applicant that cherJ�s hbXdll must also fill.out tho section below showing Their vrark,jf i compensation policy information: i Homeowners wha submitthis Dric and then hire affidavit indicating they are dhOingall 71 .sh wir gthen acre ofthe sub conizactors and state whetlsrs.must submit a r of nOfhosaentitib ve such. tContraotozs that check tbts bob must attac}ied an additional employees. Ifthe sub contractors have e arployees,they must provide their workers'come.policy number. r arra gra ern Toyer'haat is r ovidzng-tvorkexs'eonzpensation insWauce for°NY employees. Be lary is tke parity orad j o�site informadon. Insurance Company Name: ,rial7 7-' !� ExpirationDate Policy or Self-ins.UP— OC�'1� job SiteAddres Address, 3D r5 .SUZctlµ J7 City/statcop: otGt� `� Attach a COPY of tke wnxi e rs' conrpensatiton$obey dedarationt page{showing f ire policy ntwaber and expix -on date). 00.00 l�ailuxe to secuxa co-vexage as required wader MGL c. 7.52,§25A is a critnin O�'rWORK ORDERolation Iaxtd as ane of p to $250.0D a and/Or one-year impxisanmer€t,as hell as eiv%i penalties in the form o£ day against the violator.A copy of this statement in bo forwarded to the Office n£Tnvestigations ofthe DSA£ar insurance aaverage vexiftcation. i da hereby ger ' u the i a d enalties of perjury that tTie information pr'oviclecl wav e true andcorrect r-, Date. Si ature: l'hane#' ! �ffxcial use only. Do rxo#wr'ite in tie's area,to ire cornpletecl by city ar'to}vn ofciaZ • PermitlLicense# City or Tovn.- u Issuing A.uthoxity(circle ane): ' 1.$oard of Health 2.$ xldingl]epaYfaneut 3.CitylTon Clexlr ,ElectxitcalXxrspectox 5,Plumbing Inspector 6.Other a Phone#- Contaict Person: 3 3 WOODWA OF'ID:AC CERTIFICATE I I L I INSURANCE r ATE(MM1DI)NYYY) 11/09/2016 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 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). PRODUCER CONTacr Select Business Unit NAME: Chase&Lunt LLC PArHNE g78 462 4434 PAX NuI:97S-0fi5-6204 65 Parker Street CO.No tjAlc Newburyport,MA 01950 E-MAIL Select Business Unit ADDREss: INSURER 5 AFFORDING COVERAGE NAIC It INSURER A:The Travelers INSURED Woodworking Interiors INSURERS_ John Denardo DBA Attn John DeNardo INSURER C: u 12 Jackson Street INSURER D: Newburyport,IIIA 01950 INSURER E: 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 TYPE OF INSURANCE DL POLICY NUMBER MMlARY EFF POLICYEXPLIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY 68090706048 03/22/2016 03/2212017 D MAGE TO RENTED 300,00 PREMISES Ea eccunence $ CLAIMS-MADE ®OCCUR MED EXP(Any one person) $ 5,00 X Business owners PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,00 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMDINED SINGLE LIMIT Ea accident ANYAUTO BODILY INJURY(Per porson) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HiREDAUTOS X AUTOS PERACCIDENT $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS L1AB AGGREGATE S tlED RETENTION$ WORKERS COMPENSATION WC STATU• TH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PI dOPRIETOR(PARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE--EA EMPLOYE 3 '.. Ii yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(Attach ACORD 101,Additionat Rorn ft Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD CERTIFICATE F LIABILITY INSURANCEDATE fMMlDD1YYYY1 IMLSE,ERTIFICATE 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 o n ER AND T E cB TI I nLnER. IMPORTANT:If the certificate Bolder is an ADDITIONAL INSURED,the pofty(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,Certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: CI-IASL'&LUNT,LLC PHONE :::�JFAX 65 PARKER STREET (AIC,No,Ext): (AIC,No): E-MAIL NEWSURYPORT,MA 01950 ADDRESS: 722MF INSURER(S)AFFORDING COVERAGE MAIC# INSURED INSURER A: TRAVELERS INDEMNITY COMPANY OF AMERICA DENARDO,JOHN DILA WOODWORKING INTERIORS INSURER B: INSURER C: INSURER D. 12 JACKSON ST INSURER E: NEWBURYPORT,MA 01950 INSURER F: COVERAGESCERTIFICATE 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 ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MRt4DD1YYYY) tMM1DDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE ®OCCUR. PREMISES(Ea occurrence) ED EXP(Anyone person) $ ERSONAL R ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: ENERAL AGGREGATE $ POLICY ®PROJECT®LOG 3RODUCTS-COMPIOP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LIAB n CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ WORKER'S COMPENSATION AND v WC STATUTORY OTHER EMPLOYER'S LIABILITY YIN UB-2E456707-16 09117/2016 0911712017 LIMITS ANY PROPERUTORIPARTNEWEXECUTIVE NIA E.L.EACH ACCIDENT $ 104,000 OFF(CERlMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 IS yes,descdbe under E,L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIRESTRIC'riONSISPECIAL ITEMS THIS REPLACES ANY PRIOR CERT€FICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. THE WORKERS'COMPENSATION POLICY DOES NOT PROVIDE COVF,RA(jF FOR DENARDO,JOHN. CERTIFICATE HOLDER CANCELLATION TOWN OI'NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED 120 MAIN STREET IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT VE NORT14 ANDOVER,MA 01845 ACORD 25(2010!05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. All rights reserved. Massachusetts DcMlamtryient of Pubfir Safety qr Board of Baiifding F",legufationsa and Standards Licerme: CS-056551 C",cii Stpuic..f'ioll Sup .wiwaoi JOHN T DENARDO 12 JACKSON STREET NEi/VBURYf>ORT MA 01060 .�� Expiration: C, visa.;is ner 07/31/2019 it `- office of Consunwr Affairs Business Rep nlsa4iuu r) IMPROVEMENT CMVE IFN"'N"GfJNTh1ACTC)R e isCrafirria: 169645 Pylae; Expiratiom 7/'14/2017 Individual JOHN DENARDO JOHN DENARDO 12 JACKSON ST eg" neo 1A� .-.- N'EWBURYPORT,NPA 01950 Undersecreinry i i i i