HomeMy WebLinkAboutBuilding Permit #501-2016 - 1090 TURNPIKE STREET 10/21/2015 TOWN OF NORTH ANDOVER O� NpRTN q
APPLICATION FOR PLAN EXAMINATION
6
Permit NO: Date Received
�.9 �Arao fr'�•(J
CNUSE
Date Issued: C Z� ��
IMPORTANT: Applicant must complete all items on this page
LOCATION /y _VO 7y/<?/Z/ /1tL Sb—e f- -
` ieSh4 Print /�j el /,,—
PROPERTY OWNER T (�
�J -'7 Print
MAP NO.: 1d/ PARCEL: to/ ZONING DISTRICT:
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non-Residential
❑New Building Ane family
❑ Addition ❑Two or more family ❑Industrial
❑Alteration No. of units:
u Repair,replacement ❑Assessory Bldg ❑ Commercial
❑ Demolition
❑ Moving relocation ❑ Other ❑ Others:
❑Foundation only
DESCRIPTION OF WORK TO BE PREFORMED
,oNp ,ee -lC)o aC
Identification Please Type or Print Clearly)
OWNER: Name: 11,4'e-5 6 A A/e � /'- Phone: 176 48�- 377y
Address: ?0 T D� ST2�N or ► A-9 Q,/t�
CONTRACTOR Name: / ✓�N A fJ o JS-? v 0 Phone:
Address: 377 Low(/l J7— /Q-w wl/ /14
Supervisor's Construction License: /o �—V Exp. Date:
Home Improvement License: 7 S 8 '71 Exp. Date: 3�-` CP /
ARCHITECT/ENGINEER Name: Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BARED ON$125.00 PER S.F.
Total Project Cost :$ 4/,/Ry x12.00=FEE:$ /3
Check No.: q-a Receipt No.: g
Page lof4 � U ` {"l—� �•
d
J
,
y '
TYPE OF SEWERAGE DISPOSAL Swimming Pools El❑ Tanning/Massage/Body Art ❑
Public Sewer
Tobacco Sales ❑ Food Packaging/Sales ❑
Well ❑
Permanent Dumpster on Site ❑
Private(septic tank,etc. ❑ Electric Meter location to
project
NOTE: Persons contracting with unregistered contractors do not have access to the guar" fund
Signature of A ent/Owner � 4, Signature of contractor-'-7---.141
g g g
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamp ans ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF-U FORM
DATE REJECTED DATE APPROVED
PLANNING& DEVELOPMENT ❑ ❑
[]Water Shed Special Permit
❑ Site Plan Special Permit
❑ Other
COMMENTS
DATE REJECTED DATE APPROVED
CONSERVATION ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH ❑ ❑
COMMENTS
Zoning Board of Appeals:Variance,Petition No:
• Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water&Sewer connection/Sii2nature&Date Driveway Permit
Temp Dumpster on site yes—no— Fire Department signature/date
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTRICAL: Movement®iii Meter location, mast or service drop requires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine
NOTES and DATA— (For department use)
® Notified for pickup Call Email
Date Time Contact Name
Doc.Building Permit Revised 2014
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits
4. Building Permit Application
4. Workers Comp Affidavit
& Photo Copy Of H.I.C. And/Or C.S.L. Licenses
Copy of Contract
Floor Plan Or Proposed Interior Work
Engineering Affidavits for Engineered products
OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
Building Permit Application
Certified Surveyed Plot Plan
Workers Comp Affidavit
Photo Copy of H.I.C. And C.S.L. Licenses
Copy Of Contract
Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
Mass check Energy Compliance Report (If Applicable)
Engineering Affidavits for Engineered products
OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family)
� Building Permit Application
a- Certified Proposed Plot Plan
Photo of H.I.C. And C.S.L. Licenses
Workers Comp Affidavit
Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
Copy of Contract
2012 IECC Energy code
Engineering Affidavits for Engineered products
OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit
In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submitted with the building application
Doc:Building Permit Revised 2014
Location Al 90
No. _" .'�O I Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
r
Building/Frame Permit Fee
Foundation Permit Fee $
c�
Other Permit Fee $
TOTAL $ '
Check d t/,0
uilding Inspector
NORTH
Town o . t E �. , Andover
00
No. r t _ _ ,� �
soh ver, Mass,
cocHic«ewrca 11
-law
S U -
BOARD OF HEALTH
Food/Kitchen
PERIT T LD Septic System
THIS CERTIFIES THAT K at BUILDING INSPECTOR
........ .................r................................. .. . I. ..................................
.
has permission to erect .......................... buildings on ...0. �0.......'7.Vft%AFoundation.Or.�..l... '
Rough
to be occupied as .....5.. .... .. Ir..... ... .. ....... .......................................... Chimney
provided that the person acc p Ing this permit shall in every res 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
10340 PERMIT EXPIRES IN 6 NTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCT TA Rough
Service
............. ..... .... ..... .. ......................................... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Reguired 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.
Offices:
377 Lowell Street,Wakefield,MA 01880 ,
Tel: 781-245-4900
RYAN_4�
Fax: 781-245-4999
8nd ON' www.PeterRYBRAndSOURoofine.com
ROOFING, Inc.
Submitted To: lob location:
Marsha Fielder _
1090 Turnpike Street 1090 Turnpike Street
North Andover, MA 01845 North Andover,MA 01845
Phone#: 978-689-3774
Emelt: MFielderl090@verizon.net
I'MooSal date: September 25,2015 Revised date: September 29,2015
We are pleased to hereby submit this proposal to furnish materials and labor,completely in accordance with the below specifications:
(Additional charges may apply for any change's not included below in proposal either by request of owner,or if Peter Ryan and Son Roofing finds
unforeseen circumstances that will affect the performance,quality or integrity of this job).In the event legal action is taken to enforce any provision of
this agreement, the prevailing party shall be entitled to all its reasonable costs, including reasonable in-house or outside attorney's fees. Not responsible
for debris in attic. RDPIE ".0
Strip front of house,right side,both sides of garage a rear bay window roofs to bare wood and re-shingle:$11,180110
• Strip existing shingles down to bare wood
• Check for rotted wood and replace(at time&material)
o 2 free sheets of plywood,after that$65.00 per sheet
• NO down any loose wood
• Install Grace ice&water shield to first 6-feet from eaves and 6-feet in all valleys and around any protrusiorls
• Ice&water with Grace entire section between garage and main to include removing siding and installing
Grace ice&water shield to 3-feet up sheathing then re-installing existing siding on rear and right side walls
• Install premium synthetic underlayment(in place of standard 30 lb.felt paper)
• Install all new 8"white drip edge on perimeter and step flashing,where needed
• Install manufacturer suggested starter course of shingles
- • Install IKO or GAF Lifetime/architectural shingles in color of your choice
• Use Cobra Snow Country ridge vent
• Cap ridge vent properly with manufacturers suggested cap
• Properly flash any protrusions and all new pipe flanges,if arty on roof
• Install rain diverter above front door
• Install approximately 1-feet gutter and downspout on right side of house at front corner
• Repair siding with owner supplied materials(one comer and a few broken pieces)
Clean go:
• Cover area with tarps to minimize debris and remove debris related to work
• NOTE: Please cover any belongings in the attic,as they will get dusty,if applicable
RA
�.
1St payment due upon signing: $2,180.00
Total Cost- 11U80.00 Total balance due upon completion: $9,000.00
Kindly rernit a;m 1,i ;Peter Ryan". Tagil you
Respectfully Submitted by: Accepted by:
Our craftsmanship is 100%guaranteed for 10-years. er warrantees are through the manufacturer.All warrantees will be null void if job is not paid in full.
Peter Ryan a on Roofing,Inc.License#178871(Thank you for letting us serve you!!!
cc: Evan
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Ae1 f1.1'e.w 383 (rear) Lowell Street,Suite 20
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71 Pr051)ect St.1.0et
Bt'uokton:, MA 023011 F'11ur1e #; 508-232-1104
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�;W-75' CERTIFICATE OF LIABILITY INSURANCE 04117812016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS
GE AFORDED BY THE
CERTIFICATE DOES,
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the terms and conditions of the policy,certain policies may raqulre an endorsement. A statement on this cvrtiticate does not confer rights to the
certificate holder In Ileu of such vnd°raemant e , co CT
JOyce M Keller
PRODUCERHONE
......._._... -----..__.._._....
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MBSsPaylnsurapce Services,LLC PHONE 878 774.4338 X116 I ac,Ne);( )
27 Garden Street,Unit 10 MAll. o e mass a nsurance.com .
Danvers,MA 01923 AnORESs; Y° °� p
INSURERIS)APPORDIN°COVERAGE NNC 1I
^Northland Insurance NOR
INSURER A;_ _ -----•• "— 41360
INSURER a; Arbella ProlBcllDn __ —_ --
INSUREG Loma Construction,Inc TRAVELERS AIR TRC_
jesys Loma INSURER C: __
71 Prospect Street
SrooWon,MA 02301 INSURER E
INSVRBR P
REVISION NUMBER:
COVERAGES
CERTIFICATE NUMBER
.0 TO THE INSURED THIS IS TONDICATEO,CERTIFY NOTWITHSTAND NG A YIIREQUIREMENT, TERM OR CONDITION OF AY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY DE 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_SHOW_ N�E BEEN REDUCE�O 9 Y f�FD C PAoIMC.E P LIMITS
NTR _ POIACY NUMBER M DoN YJIJMMIDD/YYYY — _ 2,000,0(
TYPE OP INSURANCP. 0113112015 01131/2016 EACHOCCURRENCE $
A GENERAL LIABILITY WS236101
I s _
COMMERCIAL GENERAL LIABILITY MED EXP An one person 5 6,0(
CLAIMSMAOE F\71 OCCUR2,000,01
� PERSONAL 8 ADV INJURY S
GENERAL AGGREGATE! S 3,000,01
j PRODUCTS•COMPIOP AGO S
3,000,0(
OENL AGGREGATE IIMITAPPLIES PER: $
PR Loc coMBll D G 1,000,0
POLICY 1020009274 1112012014 1112012015
B AUTOMOBILE LIABILITY BODILY INJURY(Pa(person) 5
ANY AUTO BODILY INJURY(Per accident) S
ALL OWNED / SCHEOULEO 5'
AUTOS v AUTOS PROPERTY OAIv(AGE•r
NON-OWNED (per accident)
HIRED AUTOS V AUTOS
EACH OCCURRENCE
UMBRELLALIAS. OCCUR AGGREGATE S
EXCE88 LIAO CLAIMS•MAOE S _
OEO RETENTION$ WC S7ATLF t OTH,
C WORKERS COMPENSATION 6S6nU8(1886069.7.•15 03/0112015 03101/2016IMITS
AN500,
08MPLOYER51LIABILITY YIN ....... 5...••--•— 500
ANY PROPRIETOP/PARTNEfVEXECUTIVEr ( 1�1 NIA E.L.DISEASE•EA EMPLOYEE S '
OFFICENMEMBEREXCLUDED7 � 500,
(Mandatory In NHl E.L.DISEASE POLICY LIMIT $
11 es,deacdbe unEor _._ —•
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD fol,Addlllonel Romarke Schedule,II morn apses to rogvlred)
Proof of Insurance
E HOLDER ^, CANCELLATION
CERTIFICAT —
LAAI;)TjiQRIZ60
OULD ANY OF THE ABOVE DE'SCRISED POLICIES BE CANCELLED SEFORC
Peter Ryan and Son Roofing InC E EXPIRATION DATE THEREOF, NOTICE WILL. BE DELIVERED IN
CORDANCE WITH THE POLICY PROVISIONS,
363(Rear)LoY�ell Street
Sults 2G REPRESENTATIVE
Wakeflold,MA 01880
1988.2010 ACORD CORPORATION. All rights reser
ACORD 2
The ACORD name and logo are registered marks of ACORD
.26(2010105)
LICENSURE
Peter Ryan and Son Roofing, Inc,
N C.C. 17887 11 Peter Ry an,
fur"*"+�"•14/1„ l.dcuuao trr r041itr0011 x'0110 for Intllvidn111to Inity "
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Massachusetts Department of Public Safety
Board of Building Regulations and Standards
License: CSSL-106054
,r V,
Construction Supervisor Specialty
PETER RYAN
377 LOWELL STRE :
WAKEFIELD MA,01
i
(�••M CA, Expiration:
Commissioner 05117/2019
1