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Home My WebLink AboutBuilding Permit # 2/16/2017 O'ORTH 1A�R-Th BUILDING PERMIT TOWN OF NORTH ANDOVER 0 APPLICATION FOR-PLAN EXAMINATION Permit No#: 0 Date Received CHU Date Issued: IWORTANT:Applicant must complete all items on this page #1111"E11'011,511,11 `1101/115ffi �,�)trgpqo,g g g/ NO W%gly N1414UP45111- <�D US 1,R-1 Mon&I ..............A a U H U,- XONI Pl I n ......... Vila M6bh1neSh6 no p TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential L1 New Building 14 One family 0 Addition D Two or more family 11 Industrial WAlteration No. of units: El Commercial 0 Repair, replacement El Assessory Bldg F Others: 0 Demolition 0 Other Septic 0 e El oe:'40 in, b Wetland s afers e is ft Water/Sevier DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly' OWNER: Name: axo2t-n a-a d-4&44AAJ C"qe4�v Phone: 47,/ Address: Foz -r 5r-e- /6erc-r A)eyLria Awbove'k -1A Address: RpAb, "4 Supervisor's 0`16ji" ru 6tibn Lic ate,..•, St ense, ARCHITECT/ENGINEER IuZt4 Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED 0111$125.00 PER S.F. t..__,Total Project Cost: $ FEE: $ Check No.: 6Receipt No.: NOTE: Persons contracting with unregistered contractors don ss to the guaranty fund Ad e,i re O®RTf q own of _ :aF 6 ndover , Q 1 , t.K. h ver, Mass, coc"Ic"R wK R U BOARD OF HEALTH PEFood/Kitchen septic system THIS CERTIFIES THAT ... .. ..., . IT� ,. 6f�I W...F,o# ,4� ��/�`7M-�. �1✓Iv BU[LDING INSPECTOR ......... }las permission to erect .......................... buildings on .... ...,.,��,414;.�,�,.has 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 IT EXPIRESI ELECTRICAL INSPECTOR,, LESS C CP... Rough Service ........... �� ....., ..................................... BUILDING INSPECTOR Final GAS INSPECTOR Occupancy Permit Required to Occupy PuRough 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. Renewal Agreement Document and Payment Terms byAndersen. dba:Renewal by Andersen of Boston Bryan and Carolyn Fallon ♦ Legal Name:Renewal by Andersen LLC 1 Forest St It, 1j�i,♦ HIC#170810 North Andover,MA 01845 WINDOW A6 LACEMEX7 30 Forbes Road I Northborough,MA 01532 H:(978)685-9260 Phone;508-351-2200 I fax:(508)986-7072 1 RbABostonQperations@AndersenCorp.com Customer(s)Name; Bryan Fallon and Carolyn Fallon Contract Date: 02/01/17 Customer(s)Street Address: 1 Forest St, North Andover, MA 01845 Primary Telephone Number; (978)685-9260 Secondary Telephone Number: Primary Email: btfallon@comcast.net Secondary Email; Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Renewal by Andersen LLC d/b/a Renewal by Andersen of Boston("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,Notice of Cancellation, Itemized Order Receipt,Warranty,MA Addendum,Terms and Conditions of Sale,Waiver,Lead-Safe Form, Owner or Builder,Electronic Consent,MA Contractor Arbitration,Image,and any other document attached to this Agreement Document, the terms of which are all agreed to by the parties and incorpporated herein by reference(collectively,this "Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor k►as completed all work under this Agreement. Total Job Amount: $16,436 By signing this agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. '> Deposit Received: $0 tl Balance Due: $16,436 Estimated Start: Estimated Completion: 8-10 weeks 1-2 Days Amount Financed: $16,436 Method of Payment: Financing We schedule installations based on the date of the signed contract and secondarily on the date in which we complete the technical measurements.The installation date that u Notes:The customer is using plan we are providing at this time is only an estimate.We will communicate an official date 2531, 18 months interest and time at a later date. Rain and extreme weather are the most common causes for free. 113 $5478.66, 113 delay. $5478.66, 1/3 $5478.66. Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understanding changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s)and Contractor. Buyer(s)hereby acknowledges that Buyer(s) 1)has read this rids the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including Agreement,understa the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO OWNER:Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 02/04/2017 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN MEM�� ll'I RIGHT. customers) .Renews by An ers/n�o Hosmn Signature of Sales Person Signature Signature Roland Pelletier Bryan Fallon Carolyn Fallon Print Name of Sales Person Print Name Print Name 02!01!17 Page 2 ! 21 Renewal Itemized Order Receipt byAndersen. dbat Renewal by Andersen of Boston Bryan and Carolyn Fallon .. Legal Name:Renewal by Andersen LLC 1 Forest St HIC#170810 North Andover,MA 01845 wisoaw RE lA...... 30 Forbes Road 1 Northborough,MA 01532 H:(978)685-9260 Phone:508-351-2200 1 Fax:(508)986-7072 I RbABoston(Operations®AndersenCorp.com 101 Living Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, EXTERIOR White, INTERIOR Pine, Glass: Sash All: High Performance SmartSun Glass, No Pattern, Hardware: Stone, Screen: Fiberglass, Half Screen, Grille Style: Interior Wood Only (INTW), Grille Pattern: Sash All: Colonial 2w x 2h, Misc: Non 102 Living Window: Picture, Insert Frame, EXTERIOR White, INTERIOR Pine, Glass: Sash AIL High Performance SmartSun Glass, No Pattern, Grille Style: Interior Wood Only (INTW), Grille Pattern: Sash All: Colonial 6w x 4h, Misc: Non 3 1 i I 103 Living Window: Double-Hung, Equal, Insert Frame, Traditional Checkrail, EXTERIOR White, INTERIOR Pine, Glass: Sash All: High Performance SmartSun Glass, No Pattern, Hardware: Stone, Screen: Fiberglass, Half Screen, Grille Style: Interior Wood Only (INTW), Grille Pattern: Sash AII: Colonial 2w x 2h, Misc: Non 104 Living Window: double-Hung, Equal, Insert Frame, Traditional Checkrail, EXTERIOR White, INTERIOR Pine, Glass: Sash All: High Performance SmartSun Glass, No Pattern, Hardware: Stone, Screen: Fiberglass, Half Screen, Grille Style: Interior Wood Only (INTW), Grille Pattern: Sash All: Colonial 3w x 2h, i Misc: Non i 02/01/17 Page 4 J 21 Renewal Itemized Order Receipt byAndersen. dbar Renewal by Andersen of Boston Bryan and Carolyn Fallon Legal Name:Renewal by Andersen LLC 1 Forest St HIC#170810 North Andover,MA 01845 wrrraow 30 Forbes Road I Northborough,MA 01532 H:(978)685-9260 Phone:508.351-2200 1 Fax:(508)986.7072 1 RbABoston0perations®AndersenCorp.com 105 Living Window: Double-Hung, Equal, Insert Frame, Traditional Checkrail, EXTERIOR White, INTERIOR Pine, Glass: Sash All: High Performance SmartSun Glass, No Pattern, Hardware: Stone, Screen: Fiberglass, Half Screen, Grille Style: Interior Wood Only (INTW), Grille Pattern: Sash All: Colonial 3w x 2h, Misc: Non 106 Living Window: Double-Hung, Equal, Insert Frame, Traditional Checkrail, EXTERIOR White, INTERIOR Pine, Glass: Sash AII: High Performance SmartSun Glass, No Pattern, Hardware: Stone, Screen: Fiberglass, Half Screen, Grille Style: Interior Wood Only (INTW), Grille Pattern: Sash All: Colonial 2w x 2h, Misc Non 107 living Window: Picture, Insert Frame, EXTERIOR White, INTERIOR Pine, Glass: Sash All: High Performance SmartSun Glass, No Pattern, Grille Style: Interior Wood Only (INTW), Grille Pattern: Sash All: Colonial 6w x 4h, Misc: Non I I I 108 Living Window: Double-Hung, Equal, Slope Sill Insert, Traditional N Checkrail, EXTERIOR White, INTERIOR Pine, Glass: Sash All: High Performance SmartSun Glass, No Pattern, Tempered Glass, Hardware: Stone, Screen: Fiberglass, Half Screen, Grille Style: Interior Wood Oniy (INTW), Grille Pattern: Sash AIL Colonial 2w x 2h, Misc: Non WINDOWS:8 PATIO DOORS:0 SPECIALTY.,0 MISC:0 TOTAL $16,436 UPDATED: 02/01/17 Renewal by Andersen is committed to our customerr'srrfety by complyingwith the rules and lead-sa a work practices r ect ed 6 the EPA. 02/01/17 Page 51 21 a IAV VA M� . 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Doeq[tw14ot�hA+ur2ww Md6rrproactkfaom�e` - weer.nliwo SEA, �kpwexctnmaBrwa y' � BMW�g=A MAW Wd DESIGN PRESSURE(PSF) Ja I�bA DB Sloped DH IN tray»LLIFaMrAt�tic ooaoneaie.nnr attl�ord�. a.w aaanwas�f.Ec,e.ta.a eE,ca ur 1e61s�ion wgYnnxwno MrYdAHwaw�kCrtltaGon . T�fie C'arr�gnwealdk af,�kfaaleacJxuala� �ypm�tar�afYlrialaactde� BoBmn,AM 02Il4f-2017 Worm,Cmnpe=mtloji l=u rRnas AMmvlh HsQdw&VoafttctaorNweetrdchmff h mtrem. , TO HS VMM V=THE PXBBMrDNG ALUMOMY. Name RENEWAL BY ANDERSEN AddrpSS; 30 FORBES ROAD CityAtste VP: THBOROUGH, MA Phone#: 508-351-2244 Ate rn wa earplmi C'heetr>'aa wpprviprlfsts be= 11"ofpnied("qubw): IMI=aewglmwwkit 30 wvOymOUAmdlotpmb*wP 7. ❑Newman 1[]l em m wala prep ¢peep�dl�ye m a�oyees�unrkvig farate lm B. 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RAO mit4 '11awe�+-0aot�rnlvrtlrNoampnc�►ea�m[l�a�ow�reoE'orm�p,m�onmccd � � CWeueaonaprgeRlmwdfhmpi tbelyd&Of parjjma 1�•�Ot e� JA j1(4),m1vm hwramD amvbymm[Rovrmdrmn'oomp,mruwmee FoTdw •A,yappl aemtgot daub baxplmotzbolWmotthmswitmbdmr:bmxigdmkwm%Wooa�em�iospmlinyh6omadw t�wbm smtmelt tn�wi1�lE i�flmy q4m dcuw�tll wmrkapd�Lirw mat,ddm oaet<wamw mu.taubm[t w now at�rii;�wank. t reaw7�wteireancttsEbawmmetatbolrxteu 7 abmr►1oggem=mfib ffdm Ohmw==dwbdmwhlnrarwntthmao%"harm ®ptoymea lafilmadb ioami�mdamiiava - ibnu wmdwreamvp. mmbar Imeeandwplbyeri�imdlafpra�ldlr�wo ,4 ;,. a�ruiawwcrtaejoratya�plo�r�. .�,giaw><rlikapa�cywidfoB,�dda 7natuettoe Name: OLD REPUBLIC INS CO PoTig►#orSeifts.lria#: MWC30823100 >lrabloaoDmte: 10-01-17 rabSfieAeidtoas: 1 Forest Streak C�jr/SfnblZip: North Andover, MA 01845 Attach a copy of the wrorkm,rtimpansmtlan poky dwbwadon pxp W1mrMg Wt+poMW numbmr and Ofkatim dim} Paif w to soon oavump m required undw MM m IA 625A fs a eaiu&W vriolmd=pmdmb)e by a Sna up to$1.500.00 and/or oma-ymw iuwprimonmeat,as watt as aM pmaMm In the fim of a STOP VAM ORDER mud a&a ofup tD$250.00 a dsy app ust Oe vlotawr.A oa ff afd&atut+mmant may be fmwatded to the OdMw of7nv rs of*D DU for hwun mmm Ida lkwrby 'p ofpla►g'tJ�at rakerrm8on prnvlalad absrwa and cauraa� pow 2110117 351-2244 pMaW we oxIA bo notwrrltls In thk arra,to be coaVe ad by d&or Awn offlmW City or Town., Pe�r>doltfl lranaa# L mulugAufhw b►(cJrcle OW)l L HoarderROM 2.Sulldhg Deparkmentt S.Cfly)Town Clerk 4.XkehiWlmpecWr &Pk=blmgkwpcbr 6.Odwrr ' d Cmdut permon• pholl"A �..� ANDECOR-01 DUSEAA ACQRNC3' DATE(MMIDDITYYY) CERTIFICATE OF LIABILITY INSURANCE s >zr,16 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 certlfleate holder is an ADDITIONAL INSURED,the polley(les)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 c"ficats holder In Ileu of such endorsement(s). PRODUCER Cie Mile Towers Watson CertMeate Cantor Willis of Minnesota Inc. PDINE SM 94+3-7378 No;(868)467»2378 do 26 Century OR PD.Bear 306191 ADDRE :certificate "IS.Com Nashville,TN 37230-5197 sIe 8 AFfOIU)INa covERAGE MAIC e INSURER A.,Old Republic Insurance Company 24147 ENSURED INSURER B: Renewal by Andersen LLC INSURER c: 104 Otis Street INGUREi D Northborough,MA 01532 INSLRp1 E: INSURER F r 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 ISSUBJECT TOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R TYP00FINSURANCE POLICYNUMBER MWD F POM DY UMI?$ A X COMMERCIAL-GENERALUARILITY EACHOOCURRENGE i 1,DOD,OD CLAIMS-MADE FX]OCCUR MWZY 308234 10/0112016 10/0113017 PREMISES Ea $ 500,0E NEDE1(P(An aniWwn) 10,0 PERSONALaAMRWRY $ 11000,00 8EN9,AGGREGATE UUMAPPLIEBPER. GENERAL AGGREGATE $ 4,000,00 X POLICY❑JECOT ❑LOO PRODUCM.COW10PAGG $ 4,000,00 ER: : AUTOMOBILE LUIBILFY C e acct BINGI.E LIMrf $ li'0001000 A X ANY AUTO MWTB 308232 1010112016 10101/2017 BODRYINJURY(PW pereon) S ALL AU MS ED SCHEDULED BOD1YIWRY(P&aoddon0 $ HIREDAUTOS NON Ow p Par TY $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE S EKCESSUAS CLAIM$4AADE AGGREGATE $ OM RMUMN$ $ womme COMPENSATION X PER E � . AND NWLOYERS'LUIBRUTY A ANY PROPRHi IWARTNERMXECUTWE YIN NIA WC30023100 10101/2016 10101/2017 E.LEACH ACCIDENT $ 11000,00 OFFICERNEMBPR EXCLUDED? 0fiWKl04WY in NH) E L DISEASE-EA EMPLOYEE $ 1,000,00 R S=o PERAT ION S E.L DISEASE.PO'cy L'MrT s 11000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VNHICLES(ACORD 101,Addltlonel RemmU Schedule,rrry he stw0*41 If mom apace Is requirad) Evidence of Insurance. a u p�p V S CERTIFICATE HOLDER CANCELLATION SNGULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE: EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, Town of North Andover 120 Main Street ALIMPIM REPRESENTATIVE _ North Andover,MA 01845 /y 019BB-2014 ACORD CORPORATION. All rights reserved. f ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD 3 r I' eg / i I��l i' W,, y r"it I ; y 1, 11, l r CS r Afo9�y , /f mfVly�� rtsu�rr/'11 % o ff��g� k /n,-rj��f,, ,fi i � s �;wiry y / o�� s.,� / �r 4�iiiylm�i% m<N✓� � v m� �(xirai '7!1(� � � �„��'hMaW�' Y: i ! �tllt�lrl GAR,041 NE R ST. ;/, 10 y LY MA 01906 rt I 01i ill p r r "Hii w, a w , p aij >ikr "'y' x s,,,- , r�� i�l�/��'/ It11111111/%Illll� "�J M E IMPROVEMENT ai�� Ill CONTRACTOR A, ��ki /li///// f � J1111111111I1111 � Registratiomom 170810 Typo: r xpl � 17 l 7 SI N Card RENEWAL BY' � ON I JAIME MORIN 0 Ferr rt C 0 S. \ ^ r �, mID� rsisry/rif yy ala,mr �,iis�iw� �r i iaPrrw N RTOROUGI-1, MA 0 532