HomeMy WebLinkAboutBuilding Permit #636 - 119 LIBERTY STREET 5/20/2009 r10RT11
- BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: d Date Receivederat)0,
f gsSACHUs��
Date Issued:
IMP RTANT Applicant must complete all items on this page
.: , ,
LOCATION` l :-L
.
Phit
PROPERTY OWNER ✓L:;.
_ Print 4
MAP PARCEL ` ZONING DISTRICT Histonc.Distct ye no.
MachineShtap Village ye no
TYPE OF IMPROVEMENT— - PROP_OSED,USE
Residential Non- Residential
New Building One family
Ad ion - "-'-"Two br more family _ Industrial t `
Alteratio No. of units: Commercial
epair, replacement' Assessory Bldg Others: -
Demolition =- - Other - -
Septic' '_ llllell Floodplain Weflandip Watershed District
WaterlSewe r , :
DESCRIPTION OF WORK TO BE PREFORM
oV1D:
t� 0 V-( C°)(�S +N j (00 �iS u c /l r til 30 Y,- S�, ,�ofi°1 <<r'�W�.-�rr,• S�•C
Ti
Identification Please Type or Print Clearly)
OWNER:-Name--Sl-opt----?o ✓(� L --- -- ------ Phone: � f� 3"y �
Address:` 11� L,ZP(TY S /Uc)e.A- f�l� a/-tr �{A
K �. a; 4k
CONTRACTOR Name. - ''��'�er� 'S Z�f Phone: ? t
AddressI t = Y� t y .' ,,� 5 + AU 2
Supervisor's Construe#ion`License ? :�/ y. :Exp., Da#e:� ' or� a
Home Improvement license 153 -(3-,.t Exp,. `Date
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: $ I Z �� FEE: $
,
Check No.: 3 Receipt No.: aC
NOTE: Persons contracting with unregistered contractors do not have access to the �ntyfund
Signature of Agentl�wraer= 7 ��Signature`of contras#or
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
o Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses
o Copy of Contract
❑ Floor Plan Or Proposed Interior Work
o Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
a 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
u . Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Mass check Energy Compliance Report (If Applicable)
o 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)
o Building Permit Application
o Certified Proposed Plot Plan
❑ Photo of H.I.C. And C.S.L. Licenses
o Workers Comp Affidavit
o 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
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 DEPARTMENTMFORM07
Revised 2.2008
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL T
Public Sewer Tanning/Massage/Body Art Swimming Pools
Well Tobacco Sales Food Packaging/Sales
Private(septic tank,etc. Permanent Dumpster on Site - t
,
THE FOLLOWING SECTIONS FOR OFFICE ,USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT
COMMENTS
-
CONSERVATION Reviewed on Signature
COMMENTS _
t
HEALTH '�; =t_`` Reviewed on - �` Signature
COMMENTS-
Zoning
OMMENTS
Zoning Board of Appeals: Variance,Petition No: Zoning Decision/receipt submitted yes
it '
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature& Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE'DEPARTMENT - TempDumpster on situ yes k nom w
Located at 124 M66 Street � s K
Fine-Deparmen#rsjgna#ure/date m
COMMENTS' ,a .g B H
- ��;•.9
r
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)
❑ Notified for pickup - Date
Doc.Building Permit Revised 2008
Location �� ��✓� ' J Sr�
r`v 3� Date 0 -01
No. r
NaRT� TOWN OF NORTH ANDOVER
" Certificate of Occupancy $
1'�s",•'°'''<�' Building/Frame Permit Fee
JACHUSE
Foundation Permit Fee $ =
Other Permit Fee $
R�
TOTAL $
Check #
463 x
k:
22054/-
a
�} a
Building Inspector
13:59 MAY 20, 2009
FAX NO: 673-7458 '8��r� rHut• c•,�
Client#:29385 AJCPR
DATE(MMIODIYYYY)
acoRn� CERTIFICATE OF LIABILITY INSURANCE D5120/2009
THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION
PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Eaton&Berube Insurance HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
11 Concord St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O.Box 1089 NAIC#
Nashua,NH 03061 INSURERS AFFORDING COVERAGE
Nashua.
INSURER A:Western World
AJC Properties LLC INSURER e: Liberty Mutual Ins.Co.
c/o Mark&Shirley Freeman INSURER C:
11 Dayfily Drive INSURER D:
Nashua,NH 03062 1 INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD MDICATED,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. CTIYE 32""
LTR TYPE OF INSURANCE
Mw POLICY NUMBER uMITs
GENERAL NPP1211103 ! 04/13/09 $1000000
A $fir-OOO
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE �OCCUR INJURpawnY
$5,000
PERSONAL 8 ADV INJURY $1O00OOO
X Bl1PD Ded:500 GENERAL AGGREGATE s2.000.000
PRODUCTS-COMPIOP AGG $11000 000
GEN'LAGGREGATE LIMIT APPLIES PER:
POLICY JIECT LOC
AUTOMOBILE LaBLrN COMBINED SINGLE LIMIT $
(Ea ddenq
ANY AUTO Eac
BODILY INJURY
ALL OWNED AUTOS (Par person) $
SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY $
(Per acddera)
NON-OWNED AUTOS
PROPERTY DAMAGE $
(Peracddera)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT
OTHER THAN EA ACC $
ANY AUTO AUTO ONLY:
AGG $
EACH OCCURRENCE $
EXCESSNMBIREII.LALIABILITY
OCCUR F]CLAIMS MADE AGGREGATE $
DEDUCTIBLE
RETENTION $ WCSTATU- OTH
B wowERcowEIBATIONAw WC131S36T442018 07/01/08 07/01/09 X
EMPLOYERS'LIABILITY ITY E.L.EACH ACCIDENT $100.000
ANY PROPRIETOWARTNERIEXECUTIVEYE5 I E.L.DISEASE-EA EMPLOYEE $100,000
OFFICER/MEMBER EXCLUDED?
if desorbe under E.L.DISEASE-POLICY LIMIT $500,000
SPECIAL PROVISIONS�ebv+
OTHER
�S&UPTION OF OPERATIC J LOCATIONS I VEHICLES 1 EXCLUSIONS AOf7ED BY ENDORSEMENT I SPECIAL PROVISHM '
••Workers Comp Information�•
OfficerslMembers Excluded:Mark Freeman,Member,coverage for MA
CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment
SHOULD ANY OF THE ABOVE DESCRIBED pOLICES BE CANCELLED BEFORE THE EXPIRATION
Town of North Andover DATE THEREOF,THE ISSUING INSURER V LL ENDEAVOR TO MAIL —JIL DAYS-WRITTEN
Attu•Brian Loathe NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
1600 Osgood Street INIPOSE NO OBLIGATION OR LIABILITY OF ANY HND UPON THE INSURER,ITS AGENTS OR
North Andover,MA 01945 REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
CBX 0 ACQRD CORPORATION 1933
ACORD 25(2001108)1 of 2 #S371561M37155
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Boof Bui ing egu a ions
an ar s
HOME IMPROVEMENT CONTRACTOR
Registri{:on: 153131
Exp�rafion� 10/30/2010 Tr# 275360
~ �_ x Type Ltd Liability Corpor
;43
AJC PROPERTIFTS°pR
MARK FREEMAN- r ;
11 DAYLILY DR.
NASHUA, NH 03062`=• =• - ``��"�
--' Administrator
Board of Building Regulations d S� and
sjea
Construction Supervisor License
License, CS 96194
Birthdate 7/14/1967
E�Cratlon 71'(4''/ 010 Tr# 96194
RestnctiQn ",00 =ka
MARK FREEMAN _.-
11 DAYL-ILY DRIVE __--
NASHUA, NH 03062 � �
Commissioner
The Commonwealth of Massachusetts
4, j! Department of Industrial Accidents
Office of Investigations
is a 600 K ashington Street
Boston, MA 02111
www_mass.gov/dia .
Workers' Campensatio'n Incur-ante Affidavit: Builders/Contractors/Elects iciaus/plumbers
Applicant Information
Please Print LeQibiy
Name(Business/OrganizaEioOndiv dual): ATS Pr6*p e ' f--rs
Address: 1l a�►1;1�I 1j
City/State/Zi
N N Phone
Are you as employer?Check.the appropriate box:
1.[�I am a employer with `' Type of protect(required):
�0 ;:1 4. j] 1 am a general contractor and I
employees(full and/or part-time).* have hired the sub-col 101 6• ❑New construction
2.E] I am.a:sole proprietor or partner- listed on the attached sheet t 7. �Remodeling
ship and have no employees These sub-contractors have 8. (]Demolition
working for me.in any capacity. workers' comp.insurance.
[No workers'comp.insurance!. 5Je are a corporation and its 9 Building addition
required) officers have exercised their 10❑Electrical repairs or additions
3. I cin a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions
myself. [No workers'.comp. c, 152, §I(4),and we have no
insurance re uired. t 12.Q Roof repairs
Q I.. employees. [No workers' 13 [].Other
comp. insurance required.]
Any applicant that checks boar#I must Also 1111 out the section below showing their workers'compensation policy information
t homeowners who submit this aitidavit indit�ting they are doing all work and then hire outside contractors must submit a new affidavit indicating such•
;Contractors that check this box_mosratteched an additions)sheet showing the name of the sub-contnwtots and their workers'car p.pylic irfanmtion.
I ant an employer that is provrdiwg workers'compensation Insurance for my employees: Below is the policy and jab site
information. j
Insurance Company Name:.' t!t`�--e-rA I 1k u•i,V-,-
Policy#or Self-int: Lit.#: .. C [ — 3 I S^ S67e/c{
Expiration Date:- 1vf y
Job Site Address:_ _�i Q <<�-P�1'i r5�- AW.,L4 ►��at YrA4t City/State/Zip.
Attach a copy of the workers' compensation policy declaration page(showing the policy Dumber and expiration date), .
Failure to secure coves a as +
g required under Section 25A.of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 ad/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
n
of up to$250.00 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.
1 do hereby cerf�u r t pains and penalties of pedwy'*at the information provided above is true and correct
Si tore: . Date:
Phone#:
FBoard
nnly. Do not write in this area,to be complerred by city or town.official
n; Permit/License#
ority(circle one):
ealth 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspectorson• Phone#•
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the'foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an.individual,partnership,association or other legal entity,employing employees.`However the
owner.of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons'to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shaU not bemuse of such employment be deemed to be an employer."
MGL chapter 152,§25C(6)alsostates.that"every state or-jocal_licensing agency.shall withhold the issuance or
renewal ofa,lici:ase`or permit to operate a business or to construct buildings in the cemmomwealth for any
applicant who has not produced acceptable evidence.of compliance with the insurance'coverage required."
Additionally, MGL chapter 152,§25C(7)states"Neither tl7m commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work umtil acceptable evidence of compliance with the insurance
requirements of this chapter have been presented tx the contracting authority."
Applicants
Please fill out the workers'compensation,affidavit completely;by checking the boxes that apply to your situation and,if
necessary,supply:sub-contractors)name(s),address(es):and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required.to carry workers' cornpensation insurance. If an LLC or UP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of industrial
Accidents for confirmation of insurance coverage.. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not'the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should entertheir
self-insurance license number on the appropriate Tine.
City or Town Officials
Please be sure that the affidavit is complete and printed.legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of"Investigations has to contact you regarding the applicant.
Please be sureto fill in the permit/license number which will be used as a:reference ni ber In addition,an applicant
that must submit multiple permit/licmm app iicatio s`in ahy given year,need only submit one affidavit indicating current
policyinformation(if necessary)and under"lob Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially starnped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license.or permit not related to any business or commercial venture
(i.e. a dog license or permit to bum leaves etc.)said person is NOT.required to complete this affidavit
The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number.
C
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, lvlA 02111
TeL # 617-7274900 ext 406 or 1-8.77-MASSAFE
Fax#617-727-774
Revised 5-26-QS Www.mass.govldia
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76 Northeastern Blvd.,Suite 29A,Nashua,NH 03062
PHONE' 800-511-1399 www.AJCROOFING.com MA Builder's License#96194
Scott Pavlik � � f''�
Client: , t ?
119 Liberty Street �Z '
North Andover,MA �r
978-688-7037;
Product Offering: GAF 1 ELK Timberline Prestique 30
Existing Roof Removal:Yes. Single Layer
Installation Procedure: }
I
We will remove and dispose the existing layer of shingles. This will expose the wood
comprising your roof deck. Based upon our conversations it is understood that there
is only a single layer.
The roof deck will be inspected for rot and/or damage. In the event there is a trouble
spot, you will be notified and we will make corrections as necessary pending your
approval. (Pricing,for repairs: Removal&Replacement of plywood=$65 per sheet,
R&R of roof boards=$3 per foot, R&R of fascia and/or soffit will be priced according
to the market. Removal&replacement of items outside of the normal scope of
roofing will be billed at$60 per man hour).
Once we are confident the roof will support and sustain new roofing material we will
begin the installation by applying two consecutive rows of ice&Water shield at the
roofs edge. This will extend approximately 6'up the roof. GAF Deck Armor will be
used to cover the remaining balance of the roof. Other areas that will receive ice&
water shield are around the base of chimneys and in the valleys and along the union
of the lower roof and the main house. It should be noted that the low slope porch will
have 100%ice&water.shield. �yy�� f
We will cut a hole in the roof and install a T K 91ar powered exhaust tan to
increase the ventilation.
- Then the vented drip edge will be installed followed by new pipe boots which will be
installed over the appropriate penetrations.
Our mechanics wilNthen install the GAF/ELKxTimbedine Prestique 30 shingle of your
choice or color. will be installing ridge
Ventilation is very critical to the longevity of your roof. We 9 a 9
vent to help dissipate the heat in your attic space. It will be covered with a cap
shingle in the same,color as the shingles.
All Shingles will be attached to the roof using 6 nails per shingle to meet maximum
wind standards for shingles noted above.
AJC provides to the owner the GAF"System Plus"warranty and will promptly file the
GAF warranty application required after completion of work.
Please note that we will be following our procedures listed above as well as those
listed in the handout.
May 16,2069
wyvw�AJCR00FING.can
rnna OOTT MdUS 6L00091909 XVd TT:ZT 600Z/OZ/50
76 Northeastern Blvd.,Suite 29A,Nashua,NH 03062
PHONE: 800-511-1399 www.AJCROOFING.com MA Buiider's License#96194
i
Cost of Installation: i $12,000,00 Including Solar Powered Exhaust Fan
$400.00 Applicable Taxes
$12,400.00 Total Cost
Terms of Payment: 1/3 at signing 213 when complete
Warranty: 30 Year Materials It 5 Years on Workmanship
Estimate Valid Until: May 30, 2009
Acceptance of Contract: The above prices, specifications, and conditions are
satisfactory and are hereby accepted. f/We agree to the contract provisions listed below. AJC
Roofing is authorized to do Che'work as specified. Payment will be made per Payment Terms
above.
Owner: � �j — i � � Owner:
Date Date
AJC Roofing: Date:
NATIONAL.
1
YM
Gomm. CONTRACTORS
MEMBER
THE PROPOSAL CONTAINS THE HOLLOWING WARRANTIES AND PROVISIONS AND IS
SUBJECT TO ALL APPROPRIATE ORDINANCES,LAWS AND REGULATIONS:
1. -Iliis Proposal pertains 10 services provided by AJC Properties.11C d.b.a:AJC Rtxifrng.
I. This Proposal is otlercf until date shown o"1,cc of contract.As necessary,any subsequent proposals will depuid on the
availability ol'supplics mid personnel,lime being of the essence.
3. After acceptance of this l7opos:l by the o++mers(s),AJC Roofing has the option to cancel based on nranagtrncnt approval.
4. Unless rejected i'or'Manascncnd Approval this PrOPM01 rxtnslitute$the entire aaair0d het+keen the panic$mid may be changed
only by mutual written aiuvemeril of the parties.
5. All of the owMAN)listed to the face of this Propositl",list aerept this PrOpcisat-
b. Final Payment is duo only tt4icn the completed rout system is satisfactory to the ccrstorna.AJC Rooting must be notified of any
alleged deMtl in writing within seven days after roof syslern cunipletion.
7. Paytnrait is due upcxt ctnipleticn al Our 011ier in Nashua,N.11.Pa?tier nt nOl rc ceivcd upon comply icon may lx deemed in default.
In the event of a default,interact shrill acente inan the date of dclault at tln lesser ul'a raft 0f I.S°J°per ninth f.18°�1'Ek
,with a nietinium charge oi'ti+t (10112111,65.00 pCr"a"(11-C-ushxnu agrees((I Pay
ANNUM)or the maximnrn allowed by law
all necessary costs,expenses,legal tees and mnounts due i f this account is tendered i'tir collection.
X. AJC Rcnfi"g warrants its rooting systems to be free front leaks or defects for the eluratitxi of workmanship coverage of five
years.AJC Rriuh"g:rsstmies liability for repair of any irist30416011 workmanship defects musing leakage.l•lomcowner agrees to
inld AJC Routing hannicss liar any interior lir exterior daniage,to include emirunmenud da toage ini•luding"mold",resulting
train water Ic:d:age.ARoofing shall have to liability beyond repair of said rood'.Riiotiug Material is warranted by flit
JC
"naiulatturer under a separate wani my which is issued to file crstonier upon Paynicnt in full.
9. Except as(nand abrivc,mplacctent of roof boots,ventilators,decking,fascia marls,flashing or 011ier materials is naw.covered
by the trx»is ol'this pnipxrsal.If it is determined in the cvutsc of periiirniance That such work is necessary,we will nMi'ry the
uwner(s)of lin:work to be perfonne d and the addilional costs ol'such work.Additional exists shall he the respxutsihility 0I'the
owner(s).
10. During the application Of Ole roof system,vibration Ircxn We owl'nary tx n.uiunittcd-throughout
io furs die Orildin r objects
is in as
assumes responsibility for all damage.Ille owner(s)is n;,spousible for protecting deek/patiO furniture or other objects in and
amend the property fitnn ditatage tx torr and or during tare apPlicatiO"of the rrxaf:ystcm.
11. We assume no re ixalsibility Ire'darragc due to bigli speed winds.lontadois,lian'ic ate s,circ or Otlx r havards abct�il a mutual
Written agreentent cxtvulcd by the partits.Any such agreemcru"ttt+t he cxecuteil by an iillicxr iif AJC ltihifing.
nnrT STIdVIS 6L000SLE09 %yd ZT:ZT 60OZ/OZ/50
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76 Northeastern Blvd.,Suite 29A,Nashua,NH 03062
PHONE:800-511-1399 www.AJCROOFING.com MA Builder's License#96194
i
A Few Things You Should Know:
1. Prior to our arrival you should cover any contents in you attic. You should also secure
any mirrors,artwork,or the like that may have the potential to fall and break during the
replacement of your roof. We,cannot be held responsible if items are damaged due to industry
accepted installation procedures. In addition you should be aware that there are times when pre
existing conditions such as gaps in siding and trim boards occur when we remove multiple layers
of shingles.
2, We would like to place a sign at the roadway to advertise our business. In addition to our
advertising we would like to extend an offer to you. If you provide our name and phone number
to a friend, relative,or other and we do work for them in excess of$5,000,we will compensate
you with$100.
3. Since the project is going to involve the removal of shingles and other debris there is a
high likelihood that flowers,shrubs,and the like in the"landing area"are going to be damaged.
We will take measures to protect them, but we cannot guarantee their safety and cannot be
expected to replace them. The same is true of the siding of the house. We will be careful in the
removal of the shingles but there are times when damage occurs.
4. The new materials and the debris collector will need to be placed in a convenient location
for our installers. This may mean that we need to use your entire driveway. Since we often use
equipment that requires electricity we request that a power source be provided. We can make
other arrangements; we just need to know in advance.
5. Clean-up: At the conclusion of every work day our crew will dispose any debris that has
accumulated. This includes raking the ground. Once the project is complete a magnet will be
used to pick up any nails or other metals that may have escaped the tarps.
6. All worked performed by our installers will be done so in accordance with the National
Roofing Contractor Association and/or the Manufacturers guidelines. Should any problem arise
with your roof in the future you must contact us first. Attempting to repair the roof yourself or
hiring an outside firm will void your warranty.
i
The Important Stuff:
The Shingles: The Ice&Water Shield: The Underlayment:
GAF I ELK Timberline 30 GAF Weather Watch GAF Deck Armor
j
1
May 16,2009
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a SON
r .
.,..._ tilt"', rn ti :1
of he Owner's gardening,flower hods and landscaping,but tits W the nature of nxll'systcm
I2. AJC Rating is unnsidcxate t c O g
�l It rni�,•ft•dautla ,and will not be held responsible,if any damage
installation sane dams r l occur.We attcrnpt to r i ► �.e. } ge
occur",.
11. Owner(%)shall not walk under work area while roof work is in progross,constriction are a dangerous area to po:rsoun(s)al
ground flom falling debris.
la. In the event that AX Rcling removes a satellite(fish from said roof ill order it,complete work,dao owncr(s)shall be solely
responsible for hiring s qualified technician to re-install/align such equipnautl.Arty cost arising from such work shall be the sole
responsibility of 11►e owner(s).
15. Owners)agree to keep roof free of foreign debris Lind objecis that coaild have an adv -se affect on blue roofing system
ilLdirrrnance,including but not limited hO MUM Mid ice dams.
IT AJC Roofing will allempl to mininnizk any darlage to siding during renwval of ofd roof system.Asphalt shingles may seufTor
mwk siding anti AJC Roofing will not be responsible for dans age.
I tS. it is the icsponsibility oddly ownei(s)to notity A1C Rooling within seventy tvvo(72)hours of(he,discovery of a Irak.(t is the responsibility
of the c:usuatler to take reasonable and immediate action to avoid further damage.
19. Proper installation of the roof System may reprice replacement of'exist ing Flashing.During such replacement,siding adjacent to this flashing
»•(lett has deteriorated may oack,4neak err tear.AJC Roofing is cwnmilted In providing doing the job right and will make every=reasonable
eSurt W avoid damage,but will not be-held respimsible tsar env comstgtrrltiat damage to siding.
20. With regard to completed repair work.AJC Rooting shall have no Warr ttly liability except for roof area(s)where AJC Roofing performed
repair work,as agreed upon in(his contract.
21. AJC Roofing,aaltractor(s)and material distributor(s)shall require driveway access or other reasonable access to wort(area with heavy
materials mid c quipmud.AJC Rootfing will owl be responsible for subsequcM damage to homeowners driveway,curbs or other areas
darua.,W by couracto'(s),material distributors:and dtunpste r companies or lite like,
22: After acceptance of this Proposal,any cancellation by the owner(s),except as stipulated under provision#32,shall require lite customer to
pay AJC Roofing filfeen percent(15°%0)of this Proposal its liquidated damages fix tittle and et7Dn invested by AJC Roaring prior to
cancellation. 1
23. If materitd(s)are delivered and must be restocked or reordered due to ovrtler(s)cancellation.a return fee:equal to twenty percent(20%)of
the material cost(s)will he due rw later than tell(10)days after wnhm t cancellation.The lec is charged by the roofing material distributor
and is in addition to the rant cllution,fu unposed by AJC Roofing as described above.
24. Acceptance of this Proposal cannot ler withdrawn alto,AJC Roofing personnel appear on site ready to perli rm except by mutual written
agreement of the panic:.
25. AJC Roofing will send a representative to inspect told investigate ally reported d leak.More than on i0spectiOn 1118Y be 11CMAary to isolate,the
cause.It is the responsibility of the LnWho(s)it)provide acceptable lilies slid dawn(or stiUl inspections and access.
26, fah provision(if this propttsul is se{%aratc aol in depoxferrl.Tlac validity or niOr-enf reralbitity Of one provision shale have no effect
remaining provisions.
27. Roofing can cause dust.debris.anti small particles front the roof installation to user the building and attic.Use caution die first time the
attic access is used:std do tut look Up ter:aWess hatch immediately after opening its small particles may filler doww AJC Rooting is not
responsible for dust,debris and small particles within the dams(structure..
23. AJC Roofing shall nix be liable lour precxistiug slnlcnwal/cusnxlie(k rcicncii .We will hake an clliut lot in inform the oiwner(s)of any
deficiency of which we become aware-We are not responsible four conducting an inspection for any such deficiencies.The installation of the
new roof system intensify the appearance of arty deficiency.AJC Rooting is not responsible for solving preexisting structural/cosmetic
deficiencies or lite appearance of tho sc deficiencies.
29. AJC Ro(ding is not resporuible tar electrical accessories atlachoJ to the r ol'system.This should be done by a licensed electrician.
30. AJC Roofing is not respOnciblu 1i)F Ifs oJuntpster company defivery.aud pickup schedule.
31. AJC Roofing workn►anchip coverage is not assigriable or lrmsiirabfe.
32. Three day right of resci.,�SiOrl.Owncils)mus(advise our Office of may care ellation in writing pottmarked no later than three(3)business
days front date die contract is accepted acid signed by owner(s)
r I
DISPUTE SCII LEM ENT/A BRITRATION AGREEMENT
Arbitration of disputes.(!pan the request of any party,rnadc before or after the institution of any legal proceeding,any dispute,
claim;or controversy of airy kind(whether incontraca or in tort slauwry ov common law,legal or equitable)arising between the
parties in any way tot of perwilling to or in connection vvith this Agreement(")ispute')shall be resolved by binding arbitration.Any
arbitration hereunder shall be conducted in acenrdwiLe with the omits of this Agrcemcnd.and.to the extent not irlc,0116Ment.with the
Commercial Arbitration Rules of the America ll Arbitration Association and(ter lht:mttxirnum extent applicable)the Federal
Arbitration Act.Judgment upon tau:award rendered the arbitrators may be entered in any court having jurisdiction.All statutes of
limitation that would othetvvise be applicuble shall apply to any arbitration proceeding-
With respect to a Dispu(V in which the claim or amount in controversy does not execol$30t),000 a single arbitrator(who shall
have authority to r lldcr a inaximu n award of$31A.000 including all damages of any kind and costs,lies,and the tike)shall be
chosen and shall decide the Dispute,Will)ttsped to a Dispule in which the claim or aoauni in coutrovcrsy exwcd%$301),0(1O the
Dispute shall be decided by a majority vide 011hro:arbitratorsllie arbitrator chosol ,,us
t have expertise in the matters in controversy.
Arbitration proceedings hereunder shall be,eonducted in Nashua.New Hampshire.The arbitrators may grant any remedy or relief
that the arbitrator-,deem just and equitable and within the scope of thus Agreement.Tlx:arbitrators may also gran(such ancillary relief
as is necessary to make effective the award.In all albilridiou proceedings,the arbitrator shall make specific,written hlulings Of tact
nod conclusion orf law-
To the nuuimnnl extend practicable,an arbitration proceeding hereunder shall be conOuded within 180 days Of filing of the
Dispute with the American Arbitration Association.JO the extent permitted by applicable law,the arbitrator shalt have the power to
award recovery of all casts and lex,(including.Without liotitations,retisonable atorncy's fees,administrative fees,and arbitrators
(ees)to Ute prevailing pary.Arbitrators shall be empowered to impose sanetiorns and to,take such actions as the arbitrators decal to be
occe%sitry to the sane exhcad a judge could pursultut to the federal Rules ol'Civil Procedure,die New flanpshire Rulcs of Civil
Procedures and applicable law.*file provisions ofttis Sc,etions sludl survive any termination,amcndmeilt Or ex Diratiol of(itis
lie'otherwise expressly a
Agreement unless the parties I Y gree in writing.
CON F[QEN'[`IALi't'Y
All parties agree w keep complaints or disputes regarding all issues relating to or.wising as a riserll of this cntraex as well ati toe
wort pu'firrned or to be performed lit(ween the respective.parties and their legal council.Parties may share judgment au ollor credit
illibmiallal with credit bursa ls,collection agents and court(s)with ap)propriate jurisdictiorn.Parties may not share Or report
inf'inmation,complaints or disputes with ally otter companies or Organizations.Any breach Of this provision may make paries liable
•• l es are to lie li uatcd damage in die amount ul'$2.S00.00
•rt�and parties a lee that
said tiler n tg 9
for numc�tan damages to Ute otl'eldtd{><n ) { �
_- , n OOTT SEndVIS 6L0005L£09 %V8 £T:ZT 60OZ/OZ/SO
XAORT1y
To of : hAnd
over
ti _'SVTO
o.
T CN �- LAKE dover, MaSS., •�� '
co ME WICK y^
7�pS0R4
TED
1 BOARD OF HEALTH
Food/Kitchen
Septic System
•
BUILDING INSPECTOR
NSPECTOR
THIS CERTIFIES THAT 5�0-71-1� V 1,
..............................:........... ...........: . ........... Foundation
has permission to erect....................................... mldings
io . ....f...... .. . .... ... .....�.......... ....................... Rough
•
Chimney
to be occupied as.............5 ....... ...............I ...........�. ......provided that the person accept! this permit shall in eveaspect 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 CONSTR S 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.