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HomeMy WebLinkAboutFOUR REPLACEMENT WINDOWS Q t'° Tol BUILDING PERMIT TOWN OF NORTHVE ° APPLICATION FOR PLAN EXAMINATI Permit N0: z, 7 Date Received Date Issued: J gy, �"k�1 C Htl35�� 1MPdIZ'i ANT: Apelicant must coin fete all items on this 2age LOCATION 4' Kil Print PROPERTY /NE Print MAP NO:_423PA CEL: ZONING bim - Historid District,, yep . _ Machine Shop Village yes nor TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential -- — - -------- 7 New Building VOne family Addition ] Two or more family I 1 Industrial :1 Alteration No. of units: o Commercial Repair, replacement Assessory Bldg I Others: Demolition C_ Other r,I Septic 0Well D Floodplain Wetlands 0 Watershed District 1:1;Water/Sewer L ,., . ldenti cation Please"Type or Print Clearly) OWNER: name: ": Phone: T 4 Address: L"__,... _ CONTRACTOR Name: Phone: m._ I da Address: L—owe 11 0 Supervisor's Construction License: Exp. Dote: D t -7/1, Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDHUG PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total ProjectCost: $ 0 .4� 00 FEE: $ Check No.: t C/ .-1 Receipt No.: 3 y 9- NOTE: Persons contra ing with unregistered contractors clan not have access to to gu � , aan Signature of Agent/Owner Signature of contractor F ORTH owe. of � . � :. 1 ndover No. 41 - �a ver, Mass T O LAK[ 114 LOCMtc.v W.C,. R. s � BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT .......... 44R... �!?" .VS�1+rV ...... . ....�,� .^0 BUILDING INSPECTOR has permission to erect.......................... buildings on .....� ... �., .. „ .......... Foundation 9A . ....... . . !A. , ..S. Rough to be occupied as .............. ,.. !l.��. Chimney provided that the person accepting this permi shall in every respect conform to the terms of the application Find 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®NSTRUCTIS RT Rough AW Service ....... .. .. .. ........................................ Final BUILDING INSPECTOR GAS INSPECTOR Accu2ancy Permit Required to QccypXBuilding 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. go 0 Castonguay Enterprises Inc DBA Hometown Rite Window 185 New Boston Street Woburn MA 01801 P:781-491-009F:781-491-0425 a„ ewindow" AdditbnatTerms&CondNons on the reverse skirl lwoof shall wnstltarte a paA or this agreement- MA hllC 138722 federal ID# 02-0520578 Name, �:1��w:r_7 �m� � tZ.t- cam t ,,t/ Phone:._��'9 �. � _6 Pl7ontl: " E-Mail:- N;a ,G: ,1"1 A-,T-�c.-LO ,v (Used for Status Updates only) Mailing and Install Address 1-1 `_t 14�•- " G s-i, t✓ !' Cit rel rrf�l,� ^—0—Zip--(&t/5 Windows Color ofvinyland hardware iswhite Inside and o 6654 n tedoth Jwlsa41 r1_Double]lung Glass Paclo%c U value ? lock C or(whine/�iacl/F3nraux) WhiW DuWliltLa'.'kw on iniNaiedm%%21 turd pwiLT stndsud kxksm ksiftw 2l "idc -="",".A- Oriel/Cottagestyle Drid Collage t ty,< ra x' r r'= f1 w � H C1 H LT) Conversions (Change ofwindowstyle from to_.._. 2 Late Stader (Fla rdwtue white/beige/nickel/bronzc) tJ alue- I'tclun:Window U--value 3 Lite Slider Series (fquall.ito' or Ratio_j Ll—value..—­1 Casement Hinge (Left or Ritirl Hinge as view from inside lsxtking outside)(Casement Havcdwtuv Wbito or Beige Only) U-value 'Twin Casement tl--vaitte_ �" I'tiplcCa ement (Equall.ite or Ratio) U-value.,_.-_,_,-.. ___..AvvatingiV&tdosv (Awning Hardmim White or Beige Only) U-valtae, , Basement'Hopper Ifdryer writ,draw diagrant inside looking out U-value I° A(1'r Contoured Grids in between glass('Draw cordiguratdon and tabel) (Hinge Locations Inside I ooking Chat) Vinyl Patio Door U-vaftte_._-._ __-____..._-_._.__ Door Size:5',6',8'(eircloone) O X ?C O Trite Winslow rrtary adjust opening to accommodate door Door l candle stawdard white Colonial Grids 15 Lite 5 and(i fwt 20litc on 8' (yes or no) Slide I.At Slide Right tt sa riir„�) Specialty Grids (Diaanond,Prairie,Perimeter,Simulated Divided Lite) COLOR OPTIONS (Cherry int/White ext.) (Oak Int./White ext)(White int./Clay ext)(White int./Bronze ext)(White int,/Sabana brown let) *Dark Bm,t r:Locks on Wood Grain Interior Vinyl(interior and exterior and beige locks) 1'empenxl per Sash only(Within 18 inches,oft'floor) Obscure Gilts(circle ternperect or obscure)' Hauch Color-White as startdanl on White wtrtdows,milts oared olirenv sc(circle one)nickel/bronze 1yr�tlal hm c �7- -----WindowWrap Wl-dO Standant PVC _-__--„_ IfNo Window wraps custorner deC docs here initial here _..Acid Interiorstops (white quaner round)or(pine scodu or sslu ares .,.__ Add Exterior stops (PINI:or PVC) laticriorCtsutg(aatflnislaesl}Ctun srCodrniil PINE Picture FramcStyle 0-t qw/o T)Z,r10^P°1--7'=p ExteriorCasing F`latpine_—inches or Printed white Brick mold Repair Sill or Jam Replace Sill (wood or compositenuderiad circle one) Insudate Weight Pockets mud Remove weights as needed / I-Ionteowner has received a copy of the"The head Safe Certified Guide to Renovate Right”booklet ` l tltal here The homeowner is responsible for touch u g d/ tifinishing to Interior and exterior window/door trim. _ / u p painting and Nc)fES cy r p q L 1 w,z? Gc- ” .. I 2 d� -t Cc c r c, K, 0 S /t � l,. C-/_._.... d •, 9 t linnuxiStartDate '.. _. IstimatedC.umPieuonllatw_ r 161 ,_,._,.._.-_Cas bcrsimrdsthis isrnuArnateddate Inddathere h!a&nvekajrorrrmensum LvoprlealonordiersJanuary foAtigmt 8fa l0uwAcsJrlrrrerrrcuaarearerrlerx Sapf dintAesernLer (errrr{ur rolnrr,:eluxlrrdqrlrrrrr mrd hats/barn'»toy luka lut�t;rrj Ye n cl this aboon slgncd by a I';oarty thereto aI aplaec other titan nC thu rtddress oP the sc'INar,which nray burach thereof,pravlded yon notify the.se ler to rvr•Itinl;,of Ids rrrnitr'ofticc nr hrande by urdtivary n¢rafl pasted,toy tulcgraan scter tltnrn mislntght of _ slat third business day folln'I, till signtnj;of this agreement. Do not sign this contract if therc any blank spaces N '11EFUNDS ON CUSTOM iClihLYDI«:R Customer Apees to tate terms of Payntent its follows: Total Amount C>wncY Date CtistornOrder Deposit g t ne� Date Balance Paid to Installer S FINALP"NIENT will be t71IE0C/ C'REDI'TCARD I FJNANCFD F O ­7 ��.ry ��� Credit C'anlcircle one MC VISA DISCOVI�A ARatsT Sales Representative SEE ATTACHED CREDIT CARD SLIP i as owner of the subject property hereby authorize Castonguay Enterprises,Inc to act on my behalf,In all matters relative to work aupaorized for a building pel�nit application. Signature of liomeowner rut v tu✓lauu i i RITE CNFRc WINDOW Majestic Double Hung Window Nation!Fenestraslon IAP—M-26-00166-00001 Fav"g C°°nim Vinyl Foam Filled Frame and Sash Energy ELITE Package ENERGY PERFORMANCE RATINGS U-Factor(U.S./I-P) Solar Heat Gain Coefficient 0 .27 0 .22 k ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Air Leakage(U.S./I-P) 0 .48 0 .3 Manufacturer stipulates that these ratings oxform to applicable NFRC procedures for determining whole product performance,NFRC ratings aro determined for a(iced set of envlronmenWl conditions and a speelft product size.NFRC does not reoomend any product and does not warrant the suttabilityr of any product for any specific use.Consult manufacture's literature for other product performance Information. www.nfre.org Department of IndustrialAccidents Offlee of Investigations I Congress Street,Suite 100 Boston,MA 02114-2017 www.massgovIdia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Apjiflcant'Lnformation Please Print LeL4blv Name(Business/Organization4ndivid,ual):-C.�sv±A, Eqtf rpr1_s&s i zra c , ]&A : Yome4wil 1? t'+< jliddress: N e W o Slot �5 ) City/State/Zip: o�, Urv\_1 KA W 0)Phone M -1 Are you an employer?Check the appropriate box; I am a employer with 4. 1 am a general contractor and I Type of project(required): employees(M and/or part-time).* have hired the sub-contractors 6. New construction 2. 1 ant a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees Tlibse sub-contractors have 8. Demolition working for me in any capacity. employees and have workers, 9. Building addition [No workers' comp.M* su�rance comp.insuranceJ required.) 11 . 5. We are a corporation and its 10. *Electrical repairs or additions 3. 1 am a homeowner doing all work officers have exercised their 11, Plumbing repairs or additions myself,[No workers'comp. tight of exemption per MGL 12. Roof repairs insurance required.]t c. 152, §1(4),and we have no employees,[No workers' 13. Other JZ Qnw t f1J� comp.insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workerscompcnsadon policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new davit indicating such. 8 lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether r not those entities have empiloYces. If the sub-oontractors have employees,they must provide their workers'comp.policy number. lam an employer that isproviding workers'compensation insurance for my ernployees, Bdow�ls Ate policy and jobsite information. Insurance Company Name:_.., [44 6 V-1 V_ 'T A 5 U Policy#or Self-ins.Lic.#: 5_3 q Expiration Date: Ll Job Site Address. �.. K� City/state/zip&66 14 0 t 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 MOL 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 flne 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. Ido hereby0 uncle III paid, cerift un penallky of perjury that �e'r"o unue n the information provided above Is true and correct, L%MajtMure! L Phone M Date: —La—Ldu, Official use only., Do not write/it tills area,to be completed by city or town offlcial 0 use Y Do not w"" City or Town: Permit/License Issuing Authority(circle one); of I 1.Board of Health 2.Building Department 3.C(ty/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 13 -H Oth 6.Other -tor Contact FEPerson: Phone#:_ DATE(MMIDDIYYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 12/16/2016 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 CONTACT Ni!-- Wallace AINS NAME: _ y _ Kennebunk Savings Insurance HONK (207)985-2941 FAc.Noj: 5207)985-3122 - 50 Portland RoadE-MAIL nanc wallace@kennebunksavin s.com ADDRESS: Y• $ PO BOX 770 INSURER(S)AFFORDING COVERAGE NAIC# Kennebunk ME 04043 INSURERA:Hanover Insurance Co 22292 INSURED --.�-� INSURER B: _ Castonguay Enterprises Inc, DHA: INSURER C: _ Hometown Rite Window INSURER D: 185 New Boston St. INSURER E: Woburn MA 01801 INSURER F: COVERAGES CERTIFICATE NUMBER.-16-17 TBD master 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 ADDL SUER POLICY NUMBER POLICY YlYYYY MPOLICY IC YYYY LIMITS LTR X, COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED ... _..,.................... A CLAIMS-MADE F OCCUR PREMISES Ea occurrence), $ 100,000 ZBP A905169 4/15/2016 4/15/2017 MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑ PRO JECT [-]LOC PRODUCTS-COMPIOP AGG $ 2,000,00() OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000000 Ea accident A WX ANY AUTO SODILY INJURY(Per person) $ 20,000 - ALL OWNED SCHEDULED AWP A905294 4/15/2016 4/15/2017 BODILY INJURY(Peraccident) $ 40,000 AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOSPer accident­ Uninsured motorist BI split limit $ 500,000 X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAR CLAIMS-MADE AGGREGATE _$ 1,000,000 I7EDX RETENTION 10 000 URP A905172 4/15/2016 4/15/2017 g WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STAT YUTE ER.,,_„__ IN ANY PROPRIETORIPARTNERIEXECUTIVE NIA E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? -"'�" ..” A (Mandatory In NH) y WHP A905314 4/15/2016 4/15/2017 E.L.DISE-ASE-EA EMPLOYE $ 500 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) The General Liability Policy includes a blanket automatic Additional Insured endorsement that provides Additional Insured status to the Certificate Holder, only when there is a written contract between the Named Insured and the Certificate Holder that requires such status, and only with regard to work performed on behalf of the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 120 Main St. ACCORDANCE WITH THE POLICY PROVISIONS. North Andover, MA 01845 AUTHORIZED REPRESENTATIVE Danny Edgecomb/NW ©1968-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 1 N S025 rpni ani t Office of Consumer Affairs nd Business Regulation "' 10 Park Plaza - Suite 5170 o Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 138722 Type: Supplement Card Castonguay Enterprises,Inc.dba Hometown Expiration: 5/6/2017 JOHNFERGUSON 185 New Boston St Woburn, MA 01801 Update Address and return card.Mark reason for change. .:• utn-o�n t Address Renewal ' Employment Lost Card Uftice of Consumer Affairs&Business Regulation License or registration valid for individul use only <- rt� {7ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: r y Office of Consumer Affairs and Business Regulation Registration: 138722 Type: 10 Park Plaza-Suite 5170 Expiration: 5/6/2017 Supplement Card Boston,MA 02116 Castonguay Enterprises,lnc.dba Hometown JOHN FERGUSON ✓~"`� 185 Boston St Woburn,MA 01801 Undersecretaryof valid without signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards C&kt"G?et@"uctBibta s9Ai'ke'9""4'iSt'bk- License: CS-070253 JOHN J kERGUSQN 65 East Sixth St Lowell MA 01856, �y Expiration Commissioner 01/07/2017