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HomeMy WebLinkAboutBuilding Permit #84-12 - 115 SOUTH BRADFORD STREET 7/29/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: LZ7 Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION N6 LAZk� Grp c Print PROPERTY OWNERD�qn ne_vl Print MAP NO' a3 0 PARCE1.010Y ZONING DISTRICT: Historic District yes r Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building � Addition Two or more family Industrial Alteration No. of units: Commercial air re lacem t Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) , OWNER: Name: ob�1V1 ci ,c� Phone'IL �t"l�< foT�2 X31 Address: 115 SoL,):,t v-) T CONTRACTOR Name: LL' — Phone: Address: (oO C1W-t Supervisor's Construction License: __ Z i't Exp. Date: 3=1"7 ZT-')1 I— Home Improvement License: t tom l Exp. Hate: 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: $ �Oi FEE: $ (3-Z® Check No.: f Receipt No.: NOTE: Persons contractin with u eg' tered contractors do not have access to the guarantyfund ignature of Agent/Owner Signature of contractor Plans Submitted Oans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS I' CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS S Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments 1 l Conservation Decision: Comments Water & Sewer Connection/Signature &Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS 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 NOTES and DATA— For department use 0 Notified for pickup - Date i ......................-.....................-_..................-................_... --.........................._.........-----......................... —..........-..........-.._____.........................---.................................... ..........................._......_...............................---....._..................-........ , Doc:.Building Permit Revised 2008 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 ❑ Building Permit Application ❑ 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 NOTE: 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/Cros 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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ I wo Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ 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: Doc.Building Permit Revised 2008 i I l RO E EX 4 ERY O Y_S' 60 Central Street Stoneham, Ma 02180 www.AroneExteriors.com .lune 21; 2011 � Dear Building Department, Enclosed is a permit application for a roofing permit with all other required documents. Once processed and ready, the contractor will personally come in to pick up. If there are any questions, please fee(free to contact our business number at 978-835-9483. Regards, I I TEL 978.835.9483 FAX 781.279.2057 EMAIL support@AroneExteriors.com VaORTH 0 of over 0 No. OW �( 0 o , dover, Mass., Y O LAKE /�• COCMICMEWICK ADRATE D PP .(� S BOARD OF HEALTH Food/Kitchen .PERMIT T D Septic System BUILDING INSPECTOR , THIS CERTIFIES THAT...................... �............cot........... ....rA..........-A-.................................................................................... Foundation f has permission to erect........................................ buildings on .....1.I.,,�..........�S'.......19A44+!���... ..... Rough .f �� K�Q Chimney to be occupied as.............. ............................................. . ................................................................................... provided that the person acceptin this permit shall in every respe 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 PERMIT EXPIRES IN 6 MO THS UNLESS � g � ELECTRICAL INSPECTOR. � NLESS CONST UCTTI �� TS 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. Bumer Street No. SEE REVERSE SIDE Smoke Det. N,ORTH 9 Town of . ,0 : o , clover, Mass.,l z� COCHICMEW1 ��• ORATED S BOARD OF HEALTH Food/Kitchen -PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.................. 1� C�r A y1 ...................................................................................................................... ......... Foundation has permission to erect........................................ buildings on .....1.I..' ...... .......lS 4.4 .................... Rough T D(. %i��k-�c'onforom--to Ve Chimney to be occupied as........ .... .... ..................................... .... ......... ........................................................ provided that the person acceptin this permit shall ineveryterms 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 PERMTI' EXPIRES IN 6eM -THSELECTRICAL INSPECTOR UTINLESS CONS UCTI TS 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 FIREDEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. The Commonwealth of Massachusetts. Depai7ttieid of It:dustrial Accidents t ,r`= iAz " :;`' �J'f lice of Investigations f , ` 600 Washington Street : r Boston,MA 0X11 Workers' Compensation Insurance Affidavit-. Builders/Contractors/Electricians/Plumbers ApVficant Information. Please Print Legibly Nanie(Business/Organization`lndividual): - Joseph Arone dba Arone Exteriors Address 60 Central Street City/State/Zip: Stoneham, Ma 02180 Phone 4: 978-835-9483 Are you an employer?Check the appropriate box: Type of project(required): 1. 1 am a employer with 2 4. (l I am a General contractor and 1 employees(full and/or part-time).* have hired the sub-contractors 6. ❑\ew construction 2.0 1 am a sole proprietor or partner- listed on the attached sheet. 7. ©Remodeling ship and have no employees These subcontractors have 8. 1 Demolition working for me in any capacity, emptoyees and have workers` 9. Building addition [No workers' comp.insurance comp. insurance. required.] . . 5. Q We are a corporation and its 1011 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.1Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.1 goof repairs insurance required.]s. c. 152,§1(4),and we have no employees.[Na workers' 13.Muther replace roof comp.insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. ' Homeowners who submit this affidavit indicating they are doing ail work and then hire outside contractors must submit a new afritlai 1 indication such. 'Contraetors that check this box mast attached an additional sheet showing the name of the sub-contractors and state whether or not biose entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I ant an employer that is providing workers'compensation insurance for my ernployeex Below is the policy and job site inforntatiorr. lirsurance Company Name: Chase and Lunt Policy 4 or Self ins.Lie.#: WC131 5369961018 Expiration Date:_ 10/31/12 Job Site Address: 115 South Bradford St City/State/Zip: North Andover, Ma 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 MGL c. 1.52 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.fine of up to 5250.40 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. I.do hereby certify wider the pains and penalties of perjury that the information provided above is true azul correct. Simature: Qate: 7/2112411 Phone##: 978-835-9483 Official use only. Do not write in this area,to be completed by city or town off ciaL City or Town.: Permitll.icense# Issuing Authority(_circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6,Other Contact person: Phone#: ACO&D CERTIFICATE OF LIABILITY INSURANCE OAP20NEC1 ~Wi0./12i1.0, PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Chase & Lunt LLC ONLY AND CODERS NO RIGHTS UPON THE CERTIFICATE p O Box 590 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 47 State Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Newburpport MA 01950 Phone:978-462-4434 Pax:978-465-6204 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A. Northland zaaar°auce companies INSURER B: Arone Exteriors INSURER C: 60 Central St INSURER D: Stoneham MA 02180 INSURER E, COVERAG€S THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REOUIREMENT,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 ALLTHE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR 4'17'L'OF MtS't►RAtKSC PC UCV AR R,Gti ! PAPS EFFE �. PIR TI LJAA7.A —^ GENERAL LIABILITY 1 EACH OCCURRENCE $ 1000000 ]JAMA X COMMERCIAL GENERAL LIABILITY CPS69418 10/10110 10/10111 PREMISES{�) $50000 CLAIMS MADEoCcuR j MED EXP(Any one person) $5000 _ 1 PERSONAL s ADV INJURY $ 1.000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER- PRODUCTS-COMP/OP AGG s2000000 POLICY JEGT LOC AUTOMOBILE LIABILITY I _ � COMBINED SINGLE LIMIT _$ (Ea accident) — ANY AUTO I —� ALL OWNED AUTOS BODILY INJURY -- {Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY ~-- $ {Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY a AUTO ONLY-EA ACCIDENT $ Y _ANY AUTO { OTHER THAN CA ACC $ AUTO ONLY: AGG $ EXCESWUMBRELLA LIABILITY EACH OCCURRENCE - `�OCCUR CLAIMS AL40F � �GGR�GATIr S ----.-_-_----._ DEDUCTIBLE $ RETENTION S $ WORKERS COMPENSATION AND WC131S369881-010 11!-3140 10-3141 TORYLIMITS _ - ER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 100000 ANY PROPRIETORIPARTNER/EXECUTIVE T OFFICERIMEMBER EXCLUDED? E-L.DISEASE-EA EMPLOYE $ 1001100 If yes,dew4be under EDISEASE-POLICY LIMIT $ _ SPEC .L.IAL PROVISIONS beim 5fl�(A1f0 OTHER 1 I DESCRIPTION OF OPERATIONS/LOCATIONS i VEHICLES t EXCLUSIONS ADDED BY ENDORSEMENT t SPECIAL PROVISIONS Evidence of Coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLER 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 Arone Exteriors REPRESENTATIVES. A RED RESE E ACORD 25(2001108) 0 ACORD CORPORATION 1988 Ucenise: CS S.L 100W, R trscEl ts?: RF.W—S "EPH ARONE 60 CENTRAL.STREET STONEHAMr MA 02180 5 a'1t1'at�lliia^zT11E T-`—".'1 Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement Q Registration Registration: 160710 = 7vpe: DBA Expiration: 8119/2012 rr# 700574 ARONE EXTERIORS JOSEPH ARONE 60 CENTRAL STREET = STONEHAM,MA 02180 -..... Update Address and return card.Mark reason for change. --- ` dddreas i Rcncwai n Encpfoymcnt Lost C-rd DP&CAI as 50i1At1NG161216 �ti ��� °' rr°R� �'i��irSs r trtJell3 license or registration valid for individul use only l Off�rt of Consumer Affairs&Si(sinrss Rrgolafinn Y HOME IMPRDVEMENY COkrRACTtlR before the expiration date lfta0rtd return to: +' Registration -100710 Type: -flim of Conmmcr Affairs and Business Regulation Expiration 811912012 DBA iQPark Plaza-Suitt 517Q OVA, y Boston.WA 02116 ARONE EXTERIORS JOSEPH ARONE '. 60 CENTRAL STREt+f::_ :z _::`:' STONEHAM,MA021$0:- - Undersecretary {Not valid Without signature I NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 10A. Y i The debris will be disposed of in: (Location of Facility) SignaUee of Permit Applicant Date i Contra John Carney, Homeowner, desires to contact with Arone Exteriors to perform work on the property located at: 115 South Bradford Street Andover, Ma. 1. Job Description: See attached proposal. 2. Payment Terms: See attached proposal. 3. Time of Performance: See attached proposal 4. License Numbers: See top of this form. 5. Permits and Approvals: Arone Exteriors will be responsible for determining and obtaining necessary permits, as well as the costs incurred. 6. Materials: All materials shall be new, in compliance with all applicable laws and codes, and shall be covered by both the manufacturer's warranty and a 15 year warranty on installation through Arone Exteriors. 7. Change Orders: Should unforseen events alter the original cost estimates, or should the Homeowner decide to change any part of the attached proposal, those items shall be discussed and a 'Change Order' form will be signed by both parties outlining the new details. 8. Site Maintenance: Materials shall be stored in the following location: Work shall be performed between the following hours: 7:30am - 7:30 pm We agree to use equiment (generators, pneumatic guns, etc.) only during these hours. We will use our own equipment but may request the use of an electrical outlet. 9. Yard Sign: Home improvement projects often generate inquiries from neighbors. We have modest yard signs listing our name and contact information. Please check the box below if you agree to the following: ® Arone Exteriors may place one yard sign in front of the home for the duration I of work being completed. Once complete, it is the responsibility of the contractor to collect the sign unless other considerations are arranged up front. 10. Payments: In general, we do not require any payments up front and only request that payment be made in full upon completion of the work. If products requested require a special order, we do request a deposit in the amount of$ to place that special order with the manufacturer. pg 1 of 3 Name Diane &John Carney Adds 115 South Bradford St North Andover, Ma WORK PERFORMED: BENEFIT: ✓ Obtain necessary town permits. ✓ Install a tarp from edge of roof to ground. _✓_Protects home and landscaping from debris. ✓ Strip roof to bare wood. ✓ Removal 6f old shingles reveals any defects in ✓ Nail loose deck boards. i decking that might otherwise go undetected. It ✓ Replace rotted wood (up to 32 ft. of also provides a flat surface to lay new shingles deck board material and labor free). _ for a better looking roof_ ✓ Completely strip and re-lead two chimeys. t/ Flashing diverts water away from the structure or penetration and keeps it on top of the shingle. Replace pipe boots on all vents. ✓ Paint vent pipes to blend with roof. s/ Vents become less visible for a cleaner look. ✓ Apply Ice &Water shield to first six feet of l ✓ Only available when removing old shingles, this wood roof, and all protrusions. waterproof material adheres to your wood deck providing protection from the elements as well as ice dam build ups. v/ Apply Premium High Performance Deck Armor i V 600% stronger tear strength than 30# felt, breath- to the remainder of exposed deck boards. ; able and prevents moisture under the roofing system. ✓ Install eight inch metal drip edge. ; ✓ This helps to direct water off of the roof, prevents j r wicking under shingles, keeps water from running down fascia behind soffits and walls, and reduces water back up causing ice dams. ✓ Install a 'starter course' at base of eaves. _ I ✓ Prevents leaks and wind blow off. t/ Install GAF Timberline, Owen's Coming _ ', ✓ Superior appearance, practically priced, durable. Duration or Certainteed Landmark Includes Lifetime limited warranty. architectural shingle. — ✓ Install ridge ventilation. ✓ Prevents condensation problems (false leaks), f deterioration of deck, mold growth and premature ✓ Cap ridge vent with matching shingles. ^_ ! deterioration of shingles. ✓ A dumpster is supplied in this quote . ✓ Will be used to remove all debris and nails from the ' property and neighboring properties. "Customer ✓ Remove debris from all gutters. may want to cover any items in attic and vacuum upon completion of work. Proposed Payment, (NO DEPOSIT REQUIRED UP FRONT UNLESS A SPECIAL ORDER ITEM) Total payment of$10,500 --------------------------------7-ra' d ----------- -------- - - ---------------- -------- ---- -- - -- - -------------------------- Date Homeo er ign e 'j ,(� l� Date Contractor Signature DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES pg3of3 Location No. �''�- Date NORTIy TOWN OF NORTH ANDOVER F p t y Certificate of Occupancy $ s.�N�sE<�' Building/Frame'Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check Vim' - 244 Building Inspector