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Home My WebLink AboutBuilding Permit #740 - 112 LISA LANE 5/14/2007 pORTH BUILDING PERMIT ° -6,. TOWN OF NORTH ANDOVER 3� a 6 of • . � APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received ssAc►+us��y Date Issued:—F— —� IMPORTANT: Applicant must complete all items on this page r �° a Z114 Or 1 LCA`I` 1�1Mdzsi a � ;, q f l 3 a�a �t 'py' ,1,71 PI` O?I=R ' pI ,I � "''Cb �1 . 1 z aha w. �`a?a ;� � r �? ! 0, M pNb� PARCEL: � O 'R NI1-10' "I #C � TYPE OF IMPROVEMENT PROPOSED USE - Residential - - Non- Residential ❑ New Building t_One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other C 'Setrjel � d �a triads 111/at�ershetl Cs�ict DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: 2—a P,e- �S4?y 7Phone: Address: C3NTtAt `tF� e r Phone y 't' rrte�l 1inil LEtiinvQi .. at • _h 5 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ / O ,S'� " FEE: $ b r� Check No.: �S'�'(� Receipt No.: Zozo -9 NOTE: Persons contracting with unregistered contractors do not have access to the gu ty fund Signa#urcfAgenfJwner �. g_ Si ntur�acoonracfor `m i Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. j Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses a Copy of Contract ❑ Floor Plan Or Proposed Interior Work Li Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) a Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) L3 Building Permit Application o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o Mass check Energy Compliance Report Li Engineering Affidavits for Engineered products NOTE: 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools e -j' P, Well ❑ Tobacco Sales ❑ Food PackaginglSalesr' ._..0-: Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ + w THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS l DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS f. f Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: - Comments Water & Sewer Conne.CtioWSignature& Date Driveway Permit Located at 384 Osgood StreetC ; FIR E'Aft" tIENt, ,T+errEp Duster�n st s � � n Locaedat 14 aStr 'et �renepartme tgnatl�%datedT> x sz� V CC)MMENTS • �.. �� ✓ y Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of 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 i NOTES and DATA— For department use ❑ Notified for pickup - Date ......................................................................................................................................................................................................................................................................... ........................................................................................................................... .......................................................................... Doc.Building Permit Revised 2007 Location No. �• U Date NaRT� TOWN OF NORTH ANDOVER 3? • �AL s i Certificate of Occupancy $ Building/Frame Permit Fee $ ' a �cHus Foundation Permit Fee $ " Other Permit Fee $ TOTAL $ Check # f 20203 N,"� Building Inspector AORTH Town of No. �= A o �` dover, Mass., S^ l a COC MICMEWICK �® RATED F'P�,`�� S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System ^_ BUILDING INSPECTOR THIS CERTIFIES THAT......LV.G.........t .W.V.I.✓ ..J.............................................................................................. Foundation has permission to erect........................................ buildings on ....1.2....... 01�'............. — -- ....... ............................ Rough to be occupied as.. Chimney ..� . . .......r+..............�-(.�......-�.... ..tl��?. ... ............................................................................. provided that the person accepting this permit shall in e ry respect conform to the terms of the application on file in Final 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 a� PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STAINS Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. T. G . L . R . C . INC . , DBA / LAMBERT ROOFING CO . In business since 1932 T. neer "ooffng Co. May 2,2007 ATTN: MR. DAVE SAVINI, SUBJECT: NEW ROOF TO BE INSTALLED AT 112 LISA LANE NORTH ANDOVER,MA 01845 PHONE: (978) 337-9693 E-MAIL:SEROTTAI@HOTMAIL.COM STEEP-SLOPE ROOFING SYSTEM 1) T.G.L.R.C., Inc. will ensure Mr. Dave Savini that we are fully insured by requesting a certificate of insurance be drafted for workers ,on com ensatigeneral / auto liability P g and an umbrella policy sent via US mail to the required party. We will also submit a sample warranty from the shingle manufacturer illustrating the terms of the warranty being issued. 2) Prepare for re-roofing by ensuring all safety measures are taken in accordance with OSHA standards and all landscaping is properly protected. A pre-construction walk through will be executed to observe existing conditions and parameters. 3) Remove existing layers of shingles down to roof deck and dispose of it in a legal fashion from the job site. Inspect wood deck, if we discover any rotted wood, replacement will be performed at $65.00 per (4' x 8') sheet of plywood. If boards are discovered to be pine planking replacement will be performed at $3.95 per foot. If wood is sound, we will re-nail any loose wood to the rafters, sweep the deck and prepare for roofing. Remove existing skylights and cover over at rear of roof and rear sun room section and install sun tunnels as discussed with Dave Savini. Remove siding at (1) gable end re-flash using copper step flashing and add AZEC "PVC" board in the place of siding as requested by Dave Savini. 4) Install metal (COPPER) "12 OZ." to all roof rakes and eaves of roof (perimeter) as required. Color to be: RED. 5) Apply "Certainteed Winter guard" ice & water shield (UNDERLAYMENT) 6' up the roofs leading edge, around all penetrations including chimneys, skylights, at all base tie-ins to walls. T I TWO SIXTY FIVE WINTER STREET HAVERHILL, MA. 01830 (978) 374-9224 (FAX) 521-5791 OR VIA E-MAIL LAMBERTROOFING@AOL.COM OR VISIT US ON THE WEB @ WWW.LAMBERTROOFING.NET EIN# 51 -05033313 UCS# 078130 r —2— MAY 2,2007 6) Apply premium "Certainteed roofers select" 30 # felt paper to the balance of the exposed roof deck. 7) Furnish and install a new "Certainteed Landmark TL Ultimate" 50-Year (Moire Black) Architectural(algae resistant) style shingle roof system using a hurricane nailing system recommended in the northeast regions. 8) Re-flash all base tie-ins using (5"x7) COPPER "12 OZ." step flashing as required, all roof pipe penetrations will receive new Copper flanges as required and dictated by good roof practice too ensure water tightness. All stack pipe flashings will be removed and replaced. Valleys will be done in "16 OZ. red Copper." Chimney will get a cricket installed at rear and flash with lead as required. 9) Remove all static vents and furnish and install new "Air vent" shingle vent II over style ridge vents using a baffle style vent approved by the shingle manufacturer and make sure all cut outs at ridges are a minimum of 2" as required to ensure positive air flow. All debris generated by the T.G.L.R.C., Inc. will be cleaned up on a daily basis and disposed of from the job site in a legal fashion. Under no circumstance will the watertight integrity of the building be compromised. NOTE: We understand this is not your average roofing project. Below find our pledge to ensure pre, work in progress and post construction is a safe, comfortable and speedy process. "All workmanship will be performed to the standards and expectations enforced by the 6a' Edition Massachusetts Building Code. Unrestricted construction supervisor license #UCS 078130 will be on site and/or accessible diligently through out the project. We will discuss in detail the project agenda prior to starting and follow our commitment to the best of our ability." T.G.L.R.C. INC. agrees to commence described work in on or about(May 2007) and the described work will be completed in about (3) working days. T.G.L.R.C. INC. shall not be held liable for delays due to circumstances beyond our control. T.G.L.R.C. INC. may not be held liable for any damages to landscape, attics and/or fixtures due to circumstances beyond our control. T.G.L.R.C. INC. shall not be held liable for pre-existing conditions including but not limited to mold and/or wood rot. Defective,faulty,rotted or worn building counterparts such as but not limited to siding,gutters,masonry,plumbing,and windows that jeopardize the watertight integrity of the building are not covered under the roofing warranty. The following work includes all labor, materials and disposal needed to complete your job in a professional workmanship like manner. UPON COMPLETION AND PAYMENT IN FULL A TEN YEAR NON PRO-RATED GAURANTEE ON ALL WORKMANSHIP WILL BE HONERED AND ISSUED BY "T.G.L.R.C. INC". A THIRTY YEAR PRO-RATED WARRANTY WILL BE ISSUED ON SHINGLES BY "CERTAINTEED". AN UPGRADE TO A FIFTEEN YEAR -3- MAY 2,2007 FULL SYSTEM NON-PRORATED WARRANTY ON TEAR-OFF, DISPOSAL, LABOR, MATERIAL AND WORKMANSHIP WILL ALSO BE ISSUED BY CERTAINTEED AT NO EXTRA COST. EXCLUSIONS: Prevailing wages, sun tunnels, performance of other work trades including but not limited to unrelated carpentry, unrelated metal work, plumbing, electrical, masonry, siding, windows, gutters, unless otherwise contracted for via change order. If related wood replacement is required the above mentioned line item 3) costs will be added to the total cost below. The total cost for all permits,warranty, labor& materials is $21,850.00 *Payment Terms: 1/3 down payment, upon completion payment in full. Net 30 days, a finance charge of 1.5 % per month (18% per year) will be added to all invoices on the 31 day. All legal and or collection fees will be paid by the binding holder of this contract. Acceptance of proposal: a es Date 0S Z D Please sign and return one copy upon acceptance. NOTE.-Due to volatile pricing on building products this contract is void if not accepted within 15 days of reception. "Quality Workmanship You Can Trust" Our Proof is on Your Roof! Safety first, T.G.L.R.C. INC. RICHARD j LAMBERT President/Quality Control Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 149221 Board of Building Regulations and Standards Expiration: 12/6/2007 One Ashburton Place Rm 1301 Type: Private Corporation Boston,Ma.02108 LAMBERT ROOFING,CO RICHARD LAMBERT 265 WINTEfe STREET HAVERHILL,MA 01830 Administrator Not valid without signature L\ Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 149221 Type: Private Corporation Expiration: 12/6/2007 LAMBERT ROOFING'CO RICHARD LAMBERT 265 WINTER STREET HAVERHILL, MA 01830 I Update Address and return card.Mark reason for change. OPS-CAI b 5OM-04/05-PC8698 Address Renewal Employment Lost Card B _ oard of Buildingg Regqulations One Ashburton Pace, Fpm 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Number: CS 078130 Expires:06/02/2008 Birthdate: 06/02/1972 Restricted To: 00 RICHARD J LAMBERT 95 MAPLE AVE ATKfNSON, NH 03811 Tr,no: 27100 Keep top for receipt and change of address notification. DPS-CA1 0 50M-04/05-PC8698 CERTIFICATE OF INSURANCE ISSUEDATE(MM/DD/YY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND PRODUCER CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE Boyle Insurance Agency Inc POLES NOT ICIES pW,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE P O Box 606 Woburn, MA 01801 COMPANIES AFFORDING COVERAGE INSURED T G L R C Inc COMPANY A.I.M. Mutual Insurance Co dba Lambert Roofing Co. LETTER A 265 Winter Street Haverhill, MA 01830 r COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERF INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH TI' CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERN EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIO LTR DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE S COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGO. $ LAIMS MADE�CCUR PERSONAL&ADV.INJURY $ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE(Any one tire) S MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUTO LIMIT $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) S HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) 5 S � GARAGE LIABILITY PROPERTY DAMAGE S n LIABILITY EACH OCCURRENCE S MBRELLA FORM AGGREGATE $ EXCESS THAN UMBRELLA FORM WORKER'SCOMPENSATION AND �J WCSTATU- OTH. EMYLOPERS LIABILITY /� R I 6009966012006 08/2812006 08/28/2007 I A!THE PROPRIETOR, ; INCL 500000 PARTNERS/EXECUTIVE EL DISEASE-POLICY LIMIT S OFFICEOTHER RS ARE: EXCL EL DISEASE-EA EMPLOYEE S SOO OOO DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TC MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE DATE(MWDD/YYYY) ACORDTM. CERTIFICATE OF LIABILITY INSURANCE 10/1612006 PRODUCER Phone: (781)933.3100 Fax: (781)933.9048 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION FIVE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE SALEM SALEMINSURANCE SERVICES HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4BOYLE 45 MAIN ST BOX 606 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WOBURN MA 01801 NAIC# INSURERS AFFORDING COVERAGE INSURER A: NAUTILIUS INSURANCE CO INSURED INSURER B: COMMERCE INSURANCE COMPANY TGLRCINC DBA LAMBERT ROOFING INSURER C: 265 WINTER ST INSURER D: HAVERHILL MA 01830 INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR ADD POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSR TYPE OF INSURANCE DATE(MMIDOrM DATE MMOD GENERAL LIABILITY NC 609679 10/12106 10/12/07 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED S 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea omr .) CLAIMS MADE 7 OCCUR MED.EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 A GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATELIMRAPPLIESPER: PRODUCTS-COMP/OPAGG. $ 1,000,000 PRO. LOC POLICY ECT AUTOMOBILE LIABILITY ZT6915 07/16/06 07/16/07 COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) 3 500,000 X SCHEDULED AUTOS B X HIRED AUTOS BODILY INJURY (Per accident) $ 1,000,000 X NON-OWNED AUTOS PROPERTY DAMAGE y 500,000 (Per accident GARAGE LIABILITY AUTO ONLY•EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG E EACH OCCURRENCE $ EXCESS I UMBRELLA LIABILITY OCCUR �CLAIMS MADE AGGREGATE S S S DEDUCTIBLE RETENTIONS $ WC STATIM OTHER WORKERS COMPENSATION AND TORY ;M S EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ ANY PROPRIETOWPARTNER(EXECUnVE E.L.DISEASE-EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? it yl,describe under E.L.DISEASE-POLICY LIMIT S SPECIAL PROVISIONS pelow OTHER: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS WORK COMP CERTIFICATE WILL BE SENT DIRECT TO YOU FROM A.I.M.MUTUAL WORK COMP CERTIFICATE HAS BEEN REQUESTED. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Attention: Gerard F Bo Jr ACORD 25(2001/08) Certificate# 6694 0 ACORD CORPORATION 1988