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HomeMy WebLinkAboutBuilding Permit #277-12 - 118 MEADOWVIEW ROAD 10/3/2012 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: ,�Z 7 ,7 2 Date Received Date Issued: b 3 1� �ENIP(O�(R�T�ANT:Applicant must complete all items on this age LOCATION 1 O 1 r ��C, ,� 1�� Print PROPERTY OWNER Unit# Print MAP NO:/ �-� PARCEL: 61 ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 100 year-old structure yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑61teration No. of units: ❑ Commercial replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other (®aseptic ®Well D}Bloodplain) © W,etlaids� �W�atershedDistnct * Nvi _ ®�VatWewes DESCRIPTION OF WORK TO BE PERFORMED: (Identification Please Type or Print Clearly) OWNER: Name: Phone:CIPtI _ 0-9- 99 60 Address: CONTRACTOR Name: (LSC—fL� `v= Phone: Address: �D�J w � `QN-v"N Supervisor's Construction License: Exp. Date: I�"l 31 �� 00- Home Improvement License: ��, ,!C­ Sav�- 0-- D Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$92,00 PER$9000.00 OF E TOTAL ESTIMATED COST BASED ON$ 25,00 PER S.F. Tota! Project Cost: $ q e � FEE: $ ; Z,16 .d� Check No.: 3 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have accessZ. .:. ara nd S�anature of:A`gent/Owner:-:::: . :. Si nature ofi contractor:<..:_ �" J 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/Crossection/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 [COTE: 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 ❑ Two 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 VOTE: 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 2008mi J Plans Submitted ❑ Plans 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 CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments r Water& Sewer ConnectioniSig nature& 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.$10041000 fine NOTES and DATA-- For department use li ® Notified for pickup - Date Doc:.Building Permit Revised 2011 June/mi Location �� ��Facr tJlftc� h No. ? — 2 D/2, Date "OoT",ti TOWN OF NORTH ANDOVER 0 • s ; , Certificate of Occupancy $ NUs t� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # r r 24650 � L(J € (Building Inspector L U �; NORTH oNvn o ._ _ Andover 0 No. 7 p /a— - i - - o+� '� dover Mass. 44ZI pp�� , > > T O t- LAKE COCHICHEWICK V 7�S RATED BOARD OF HEALTH Food/Kitchen Septic System ERMIT T D BUILDING INSPECTOR - rd6 ....................... THIS CERTIFIES THAT ....-. ��aS .............. ................ ............................................................................................. Foundation has permission to erect...........:............................ buildings on Ixf... 1..fC�.......q�.. ........................... Rough to be occupied as.... Chimney provided that the person accepting this permit shall in every 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO ARTS Rough ............................�- r�ry <.•.1!sz— .;;;............................................. Service Blj=ING INSPECTOR Final Occupancy Permit Required t0 Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — ft 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. 1 i 203 WASHINGTON ST.#256 P R ES E R V E SALEM,MA 01970 SERVICES carpentry ipalnCl►lglroofing fgutters PHONE:978.745.8745 Fnx:978.745.3476 u SALES@PRESERVESERVICES.COM j.b Steve Spanos Date Bid: 118 Meadowview Rd Estimator::Sean O'Connor onnor North Andover MA,01845 Email:sean@preserveservices.com (978)479.9960 Mobile:(978)39S-7737 ROOFING ESTIMATE COMMENTS Replace the roof on the main house and excludes the shed. PRIOR PREPARATION PERMITTING: All permits will be obtained in accordance with the law as required. DISPOSAL: A dumpster will be placed in an area designated by the homeowner. ROOFING PREPARATION COVERING: Tarp the exterior of the house so as not to damage the siding. SHINGLE REMOVAL: Remove all layer(s)of old shingles. NAILING: Remail roof decking as necessary. UNDERLAYMENT FELT: Install 15 lb felt on all areas not covered by ice and water shield. ICE AND WATER SHIELD: Install 3 feet of ice and water shield on eves and valleys. Install as necessary on other areas. OTHER: Ice and watershield the entire rear upper dormer and the section of the front slope over the 2 story columns. PLASHING DRIP EDGE: Install drip edge on all perimeters. WALL JUNCTION: Install or rework flashing where the roof meets the wall. VENT PIPES: Install new boot or flange around vent pipes. CHIMNEY(S): Install new flashing around all chimney(s). VENTILATION RIDGE VENT: Install ridge vents. ROOFING MATERIALS ASPIJALT SHINGLES: Install architectural shingles. PRICING Basic $ 11255 Sales Tax $0 Total Price $ 11255 including Labor&Material Payment I`errns7 deposit(day of start);30%progress;50%end of job Mc/Visa/Amex San onnor Customer Signature Installation Note; If you have an older home that has dimensional lumber for roof decking you will need to cover your attic because shingle debris may fall into the attic and create a mess. *Above additional prices includes all discounts and coupons discussed prior to estimate. The above quote is valid for 60 days. *Warranty: Craftsmanship: Myron Inc. DBA Preserve Services warrantees all work performed for a period of 2 years. If any problems occur we will cover the cost of labor and materials. For the warranty to be valid the invoice that was presented at the time of completion must have been paid in full. Materials:The duration of the manufacture's warranty is specified in the materials section above. Licenses: Home Improvement Contractor(BIC): 123553 Protection: It is required by law that roofing contractors have a home improvement contractor license. If a contractor is properly registered,you are entitled to limited protection by the Residential Contractor Guaranty Fund up to$10,000. (The above is a only a summary of Massachusetts General Law 142A)To check our license or our competitors go to: http://db.stateana.us/lionieiinprovement/licenseelist.asp and license 123553. I i 1 Constructor Supervisor(CS): 93403 The construction Supervisors license is under an individual's name,not a company name. To check Sean O'Connor,owner of the Kyron Inc. DBA Preserve, license go to: http://db.state.ina.us/dam/ficengelist.asp select Construction Supervisor and license 93403. Insurance: Worker's Compensation: Our policy is under Kyron Inc.DBA Preserve Services Protection: Covers the injury of a worker employed by the contractor doing work at your home. To check our policy or our completions go to http://mass.Rov/dia/ on this page go to"check worker's compensation proof of coverage"our license is under Myron Inc. Liability Insurance ab ty Our policy is under Kyron Inc. DBA Preserve Services and has limit of$1,000,000. Protection: Covers your property in the event of accidental damage up to a dollar limit specified on the policy. To check our policy we will have to contact our insurance company. DATE tMMIDOMIYYi 5/20/2011 CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER l- op 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. i(y)pORTANT: ff the certiflcete holder is an ADDiT10NAL INSURED,the poilcy(ies)must be endorsed. R SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A IS on this certlfieabe does not confer rights to the certificate holder in lieu of such endorsement(s). ton Insurance PRODDER MIE: Soyas PHONE (781)449-6786 FAX N (761Iae9-a269 Boynton Insurance Agency -.—An 72 River Park Street PRODUCER 00004109 cu Needham MA 02494 IN S AFFORrnNGCDVERA(3E RAICs PMRE0 (NSURERAXaX Specialty Kyron Inc. INSURER a:Hartford Insurance DBA Preserve Services INSURER C: 203 Washington Street,0256 INSURER 0: Salem,MA 01970 INSURERS: INS F: COVERAGES CERTIFICATE NUMBER:14-18 Union St. Condo 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 VWTH 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, ILSR TRR TYPE OF INSURANCE L POLICY NUMBER MEFF M EXP LIMITSGE NERAL LIABILITY EACH OCCURRENCE 3 1,000,000 DAMAGE TO RENTFU- X COMMERCIAL GENERAL LIABILITY PREMISE Ea ase S 50,000 A CLAIM&MADE MOCCUR 013100002122 /2312011 /23/2012 MEOEXP(Any mePa'n) 5,000 PERSONAL 9 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEHLAGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOPAGG S 2,000,000 .1 POLICY PRO- LOC S AUTOMOBILE LU181LITY COMBINED SINGLE LIMB (Eaeeadam) S ANY AUTO BODILY INJURY(Per parsat) S ALL OWNED AUTOS BODILY INJURY(Per aaid¢rd) S SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (Per NON-OW MED AUTOS S $ UMBRELLALIABOCCUR EACH OCCURRENCE_ S EXCESS LL40 HCLAIMS-MADE AGGREGATE d DEDUCTIBLE S RETENTION S d B WORKERS COMPENSATION X WC$TATU- OTH- ANDEMPLOYERTLIABILITY YIN ANY PROPMETOR/PARTNERIEXECIITIVE EL EACH ACCIDENT 3ZOO OOO OFFICMNFMBER EXCLUDED? NIA S60TJB0523N00910 /20!2011 /20/2012 I ytas lots I eNundarJ E.L DISEASE-EA EMPLOYEE $ 100 000 DESCRIPTION OF OPERATIONS befow EL DISEASE-POLICY LIMIT S 500,00 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD IOI,AddM..I Rwnaft Schedule,8 nwm epxe b requw) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL. BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIIED REPRESENTATIVE. . ----"'^---�--. ilium Rohr/wIliFt ACORD 26(2009/09) ©ISM2009 ACORD CORPORATiDN. All rights rese INS025(200M) The ACORD(same and logo are registered manes of ACORD 5- e$ui7ttoh 'uri ' � ds tancE Sr�`J�`� +vrco i ' y �eg�strao acrp '% Aaratao77, r n 3A- -01 1 >a FYeg y0-:1pgR 7r# 28237 "; roe In.Ing Cann`or ;A Drpartmeiit f'PUf➢lic ak-tr Boal-41 Of Baa ual aline Rt ul�atHMS.and Stand ar&s c�a3sttuc#c3.- S���aer iisorice.rs� License: cs 93403 Fes*icted,0:,...0U SEAN OCONNOR " 26 CHESTNUT ST SALEM; MA,.01970. "oniraciiaair expiration: 12/31/2011 Tr': 102M I I