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HomeMy WebLinkAboutBuilding Permit # 2/14/2017 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION permit NO, Date Received J�, _ .01 Date Issued: IMPORTANT:Applicant must complete all items on this page _ LOCATI®N Print PROPERTY OWNER . Pant1 00 Year Old Structure` yes no MAP NU i PARCEL. ZONING D15TRICT Histortd District yes no Ma s chine Shop Village _Ye no ... TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building A-One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial iPftpair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0 Septic D Well ❑ Floodplain [],Wetlands ❑.Watershed Distnet D Wat&/S-SQwer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Prizm Clearly) OWNER: Name: ,-a Phone: 97�' Address: Y� �✓ � ' GONTRAGT {R Na r e Vii*_=mac <4 174 4`7 % ley Phone: 7 '. ? Addtbss: . ' . T � , �./ ''�': 51perviso 's Construction License:... . � / Exp Date._. r Home Improvement License ll Exp Date: 7 -! ARCHITECT/ENGINEER Phone: Address: Reg. No_ FEE SCHEDULE:BULDING PERMIT.$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER SF. Total Project CoSt: $ 7 -� FEE: $ �. Check No.: 2 Receipt No.:_ 3 DOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signore of AgentlOwrier : :. .Sig�afi.re of contractcar. - Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ jA0RT#j ' town of :� _ sAndover to 0- A "A No. (0q., ZQ) Ii/I % � h ver, ass, C00041CKl WICK v S` U BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System THIS CERTIFIES THAT ......ff........ OCY....W a.K.�. ........A.-Ov!...fl.rw.................. BUILDING INSPECTOR Foundation has permission to erect .. .... ., ,........ buildings on Y.... . ......W.O.!R►. .. �......... T. * � � Rough to be occupied as .Q.. �. . ........... ..... .�^/.. .� ................................... Chimney p .... 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. c Final PERMIT EXPIRES 1 6 MONTHS ELECTRICAL INSPECTOR LESS CONSTRUCTI AqCMZ:� Rough . Service ....... .. ................ BUILDING INSPECTOR Final GAS INSPECTOR Occul2ancy Permit Re aired to Occu v By 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. 3�dng, �nlcra D N!G MAC MA Reg. 11 BS36 t h Ll PW A 0183 A A MA Lie --Ak CS '106508 36 Contractor agrees to start described work on or about weeks after final-fittings,and complete described work in about working days.Contractor shall not be held liable for delays due to cause beyond our control. Hi-Tech shall not be held liable for any damage to lawns cil, plants. Contractor shall not be liable for any damage to painling'or stain during installation of windows or doors.Hi-Tech does not do any paint- :1 Uig or staining. In the event that a punch list should accrue at the end of the job,8 maximum of 2%is the allowable amount to be held back. The following work includes all 1,913or and materials needed to Complete yourjob in a workmanlike manner, CONIHI)aJon Job-Sidfng%Nilh OL!ier VL P.V.C.Coaled Alum ❑ Aluminum I 3u .1 �V,iq and Elec.Peanit FriscTi Trim F;Mm Color" Roplow:l ❑Sola'--Trim Fall CustomII ❑ None Dry Pac'k8y B _Jk/- Location Z-flaymen!inst lo 'F! Soffit Color T__ siding ElLock.F�pg,.%�Jtqe" CentVcnt El Fully Vcrited Non-Venled Location Replace V�sil)JL rot VanLed {tIIIies ldeedcU Y4 11 or Enemy Savirlg3l Bug Guard Sixter PJrindOvif And Door Gasin�l 1 le-try!-n� VIAndow And Door Casing Col., Full Cusloln Formed J,Les,,, lic ❑ -u us!Gm Formed wind'stop Capping #i ir None color: El W-1 awl E]Vinyl LqW,Slocks ❑ d Vinyl Dryar Blonks Elinyl Electric,000 alocl� V: '8 ❑Vinyl Fxharlsi vanj> Gutter Color nm'vnspouis color virryl Fauuers Blocks yl G3Wr�Vents ;rin-uN"Aon Tr, I;ser'/ LOP ❑ -Ter Localion h • t To Re r`anti of Complete House e3 A of Palfilyinnt,Policy C B° n Prnfle C Bank Financing E]owner To Arrange ❑ Hol-Tech To Arrange Caste 01 Check Master Card it _71 Corner Post Color., Total investment Q ,1 Wide Insulated "'Vide Non-Insulated 113 Deposit qWatcd L_?Ii�_gulnr Non-Insulated 113 Payment 113 Balance of Day Substantial Completion `(01.1 mmy cancel this agreemen-i-Hl it nas been sign9d J)y a t1hOrOt0 at a*Iae Othoriban the address of the seller,which riilcly 11 be-NS ITIFL111 office oriranch:hereto, providL'd You notiffyd-IG seller-ii'l%WFU19 at his Main office or branch by ordinary mail posted 1� t L by L"elogram sent, or by deliver-1f, not 11,ltef thW-1 fflidlilgilli of the'Zhird busir"Oss day following the signing oi-Vis afire Mel-if. oee he attac'Be(J'IoticO O'i Czl1(;9I1@L'1Oi1 fOrril'FOV all mvplarlaflon of this right. An 011.59.per month(18'/,per year)vAll Le Date of Acceptan e i: adde(f to aliv amount unpaid after X days ircrii lri%,nice date. :55 iE c [of! f uii of 01 LIUS eater cr any part t,rp,accaunt is Wu,.d 1,,,, ,r1p, p spume, fees,1. 1`�.( :!-t I fort 51(igna-it,q 7� I oberall."COST�Orrrdts. JA Signature Signature 'k r i Massachusetts Department of Public Safety. Board of Building Regulations.and Standards License: GS-096516 Construction Supervisor TIMOTHY W WICKS 3 ELLIS ST METHUEN MA 01844 i CA-Expiration: Commissioner 0910912018 I 1' I / Y a ��n�a�irura�rmerr�(�n��Ci�(rir:�rxc�rrrn(C I ice of Consumer Affairs&BusinessRegutefion I E IMPROVEMENT CONTRACTOR ` egistration 118836 � " Type: Expsratiop 4L261,2017 Supplement C� HI TECH WINDOW&SIDYNG IfYSTALL INC i i TIM W16KS 29 ARROWWOOD ST METHUEN,MA 01844 —� Undersecretary i he commmonweami of Massachusetts 7e uxtment offndustrialA. mxdents e ,S`t"eet,Shite 100 r C`ojgr Sosto ,Nle O-21X4 2017 W7IsIN.74Zass.�'O�/G�la A x�mlaers ctr-cxaxrsll'l, �`�' - �"� a easa-Llon�uxance davit:Brizldax�lCoxatxa�oresfl+,�e, � o Jeers Comp TO BB IULYD OBBITLYD VV-CM'f ERMIT]`�TG ,,I4;leaset'x�.ut Le 'bl lxcantlnformatioa. /fa•.�r,a j1r Namo(BusinesslOigav�zaiion&di lauai): U/�/ 5' City/sta�EelZ p- TypBO oi~project[x q0�.. A)repon amn en`pXoyer?G teckr the appzopxiate7�ax: cp g( �ctioSl s amployCes(f-andlor part time). 7. [l Nom. 1.�am a employer v�itlt,�_.._ o3'eestnr]¢ng£orxne in $. ReT0.adetg .p S srn a sale propzietoz ozpartoerslup andhce re o e dl g. ]D�oliti cxu i any capac�y.Woworkers'camp.irsaran. 4 3,p T am a hon,"vi aer dbiAg e11 vaozkruysel�P"o-wozkers'comp.Snsurannerscltured] 10 F]Building addi&ll contractorstoconductallworkonmyproperty Xtivi31 �ElectricalPpa?rsoraddztfox�s Q lam a bommeawner and ]I be 3airing ' re airs or a.dditiolis .,We tlrat al[cazp} eitlrerbaveworkers'compensatsoR ins�mance or are sole :x'i3m h3itg proprietors wi nn e AYI-1es. Ll T$ese uattaa e e. anTa� eorator 13:2 ]RO5�IanageneraenevhavvozkeP 14. sb-rmzntozs Dave mploy ofhoefrx. e-psairs `• tiara es lGL D. �r 6.�We arc a cozporat% and its,ofcer5lrays exezcisoC1u2oir right o£'e emp p 1 andvael�avana empldyees.[No work&comp.insum ooICntred 33�eir vlorkers'compensation pal€cYozma#ian * nyapplzcanithatcl r s no l??�� ° ° Csaa doing VoTkSug s�-contiactorsanclsiatevrhetberozi�otfhose.e itieslaave Who submittbis a£tidayit indicating diCy aze doing all vrork andthealr{re Outside cantzactozs mtast submit snow$£davit indica ix�g sueb a Home ovrners wb thename o£ Contractozs that check�kbvs Yiox trust attached�addit[onsl sheetshoN olio n�ber. to ees,theyrm�tprovidethenC vrorkers'camp.p y enoployees. 7fthe sub-conEractors have emp Y lam an ernplopEi'Haat is p rovldirag7vor7reis'COMPensadorf 112340 race.fol°my emPlbyees. Below zs��z�portcy r�adra�ss€e info=atiorz, ExpirationDAG, Policy#or Sslf- s•Lic. �✓, ��e� .jam CitylSfate/dip: /✓ . srE•�r* Job SiteA.ddxess: age s�.o�gt�.epolieyx�.umbex'a1xd,eXpiratzox►.date). Attach a copy of�e�o�rl�exs" coampepsa.-alapORc�y declaxatzoxip g ( to 1,500-00 a e as re uhed uaderMGL a. 52,§25A is a criminal-do J ORK ORDEii aid as Ruc,ofup to $250.00 a Failure to sectx7 e coverage ell as civil penalties in the form.of a STOW W and/or oae-yeas imprisoummcrri;ase faardedo the OfRce ofvestigat%ons of the DSA£ox isrtanco day against the violator.A eop3 of this statemaut may coverage-VGrL�GaSa73. under fliepans andpencclties of P"jury mat me information pro vided above-i�due��?�eo�rec� .l'do hereb, certify —/y/ / ��--- � Bate' Sr atma' T S✓� pd� offzew e only, Do not-wizte in t7zis area,to he cainpleted�y city or tOWJx official. • 7.'errn�.xElLiceaa,5e# city or To-WIL= A-athoxjLY(circle one)' ' eetox 5.�lumbYug xstspectox ssu trig uildin g D e ax tm elit 3.Ci1yf'iI OW-R Clerl -Elect rzcaX Xusp :[.]Boaxd of health 2-� p 6.Other Bltop.e#: ACC7R�® CERTIFICATE OF LIABILITY INSURANCE DATE(MM10D1YYYY) 2/14/2017 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 BARRY J KITTREDGE INSURANCE NAME: FA 81 S MAIN ST PNCNE.Ext): A1C No: BRADFORD, MA 01835 E-MAIL ADDRES5: INSURERS AFFORDING COVERAGE NAIC# INSURER A: LM Insurance Corporation 33600 INSURED INSURER D: HI TECH WINDOW&SIDING INSTALLATIONS INC 20 AEGEAN DR STE 4 INSURER C: METHUEN MA 01844 INSURERD: INSURER E: i INSURER F: p COVERAGES CERTIFICATE NUMBER: 34225723 REVISION NUMBE=R: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THF 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. !NSR ADDL SURR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIDD MMIDI)NYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ -DAMAGE TO—RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ I i; GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY F—]JECT LOC PRODUCTS-COMP/GP AGG $ $ OTHER: CO aol aet nSINGLELIMIT $ AUTOMOBILE LIABILITY ANYAUTO BODILY INJURY(per person) $ OWNED SCHEDULED BODILY INJURY(Per acdclent) $ AUTOS ONLY AUTOS PROPERTYDAMAGE HIREDNON-OWNED Per accident $ AUTOS ONLY AUTOS ONLY UMBRELLALIABOCCUR EACHOCCURRENCE $ EXCESS LIAR ECLAIMS-MADE AGGREGATE $ 5 DED RETENTION$ _ A WORKERS COMPENSATION WC5-315-383602-016 '1'€129!2016 11/29/2017 s7ATurE _14 AND EMPLOYERS`LIABILITY Y 1 N500000 ANYPROPRIETORIPARTNERIEXECUTIVE E,L.EACH ACCIDENT $ OFFICERIMEMBEREXCLUE N N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500000 If yes,describe under E.L,DISEASE-POLtCY LIMIT $ 500000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS)VEHICLES (ACORD 101,Additional Remarks Schedula,may 5e attached If more space is required) WORKERS COMPENSATION INSURANCE COVERAGE APPLIES ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE OF MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation Coverage, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF NORTH ANDOVER THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 120 MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS. NO.ANDOVER MA 01845 AUTHORIZED REPRESENTATIVE LM Insurance Corporation ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 34225723 1 1-383602 1 16-17 Vic I n0270256 1 2/14/2017 9:54:35 AM (PDT) I Page 1 of 1