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HomeMy WebLinkAboutBuilding Permit #887 - 120 HAY MEADOW ROAD 6/22/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 0 Date Received Date Issued: S2 d f IMPORTANT:Applicant must complete all items on this page LOCATION 120 �"le, low /"' oi 111,5 ss PROPERTY OWNER �j /" • ' Prilq MAP NO:/_�P� PARCEL:��ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Sep`t"i60 Well' `2F107 _x O'Wetlands 1Watershed Distract 0 Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: STRl + R �� I (Ide tiff tion Please pe or Print Clearly) OWNER: Name: V Phone: 7�'� +X772 Address: d o�� �S L CONTRACTOR Name: CC) wr M.�— tZ. Phone: 9 Address: JG `) n r1 Q!� , kond S-t 5 t) AA,fc� C>I _L Supervisor's Construction License: TExp. Date: Home Improvement License: /OR IQ(p Exp. Date: g �3 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: Q c 5 J00 FEE: $ Check No.: --I -"I ___\ E5 Receipt No.: 'D 3 -z..- NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund SiSi nature of A ent/Owner� _ '__ ;Signature of contract - ? 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 1Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board'Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dempster 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 ❑ Notified for pickup - Date Doc:.Building Permit Revised 2008mi 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 Camp 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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New ConstructionSin le and Two Family) � 9 Y) ❑ 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 MOTE: 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 Location/ A �'✓ No. Date �2 NORT1y TOWN OF NORTH ANDOVER • s r } ° Certificate of Occupancy $ ;�s''•°'tt�' Building/Frame Permit Fee $ ,� ncNus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 24662 Building Inspector NpRTF� ® Of over . No. FYIgo o o , dover, Mass., (2 L KE COCHICHEWICK �� �ADRATE D BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT........ ............ . .......Sic.l.panow............................................... ................................. Foundation has permission to erect........................................ buildings on ...� ...... ... 40......F&WV.... Rough to be occupied as............... ................ ..........t......... ...............IZQ. .......................................................: Chimney provided that the person accepting this ermlt shall in every respect conflo 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 CONSTRUcl ARTS Rough ......... ............................ Service B DING 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. ', •. 1Y1�.���.�httse��s 13o7rie 1 , t„ � . ement• Sample C�nt�`act languThis Form satisfies all basic•requirnntents of the state's Tome improyemeuit'Contraetor Lawchapter' age to protect homeowners. Seek Iea (MGL 142 A),bUt dogs not lvlttssacbuseits consumer bal advice If necessary. Any person planning home improvements should first obtain aI coe standard guide to home imprpvement"before agreeing tq any work on your residence.Yeu inay obtain n free Dopy by calling file . • Office of Consumer Affairs and$usiness Regulation's ConsumerIafattaation Tiot[ino at 617-973-.876`7 or 7_ggg_2gg_g757, py of',a f . . H'omeo'Wrier IrFf®rtnution . � •� Contractor Informatiota , J tJ i ICS• .L+� � Str t Address(do not ttsa a_p,—q7&Na Sox addr ss) `r/L J Contnittor/c i r,,,,Q„/uwnerName Wn ©� Cv 's W;lv Ste Zip code rr--o2b l �D��S ��-• 1, �.. usiness Address(must include a street address) DaytimePhatte �� ��✓ J��i��� Evening Phone� :ityrrown� ^7 / State Zip Code Mailing Address(lt different from above) ` �Sb usindss Phone lamederal Emplayern]arS.S•Ntmtber regv6rvsthatmosthomdhn- Home p+vvemwt eovtractursluvox Tuvvemenl.Cvotnctor ae�.Nivolxt &kPQatiwt dale The Contractor agrees to do the'Pailowing wort:for rite$amen Her:mmauonmanna cn e m e r o comp a e,bpect /• C/(J tc7G� a e, raa , e o >zt �� �Q T oa Requiredesecuredbythfollowin buiIdingpermitsarerequired Proposed5tartandCompl�tlonSchedule- Th and Ill be secured by the cortiractitr as the homeowner`s a n (D ners who secure their-or,rn a tr he adhered to uttlass circumstances beyond the contractoYsg oatralaarisetll eXclitded from the Guarant.i lin provisions*of MGL chapter 142A.)' __Date when contractor will begin contracted work Date when contracted work will be 9ubstandally completed. Total Contract Pi lce'and Payment a^chednie The Contractor agreek to perForm the warty furnish the material and labor specified above for the total sum of: Payrileitts will be made according to the following schedule: C*) �— upon signing'contmrt(noon exceed 1/1 of tbe'tatal contract price ar Ole cost of'special order items,whichever is greater) ---non--- - - b[IE-KL(ETV) 00817-zs9(90s) ' nsaxng ssaursng xa�ag. ' . ' .29O1CIRV OOtrB-LZL(L T9) 9) xaua �Catrxo + aq .UO � .r� I J �1'd idn not . uOR�S aun3id'aroO xatnnsuoO . :11U.0`ssautsnq E lstxtu2u i�talduroa lB.urx03 sa1sr;�ai ox xo sz1ndstp JO uogn atu 's�uo P I ? roti aatxu . . I tM-EZZ-008-1•Io'00Z£-LZL(L19) . 80920 b'NI`oto;sog`90£I'ntoog`aai;Td 110�n au . SP.MPUInS Pft S11ot1Ewa2 I �aII rn 4�� 0 pI. qjo ni;amg ?�isT;�a�xolatx;uo3 111.2Manoidugatuoff joAoloa.ff Contractor Arbiti ation r The Dome Improvement Contractor Law provides homeowners with'thd right to initiate an arbitration action(as an'. alternative to-court action)-if they have a dispute with a contractor. The same right is not automatically afforde to a' contractor,however. The contractor would have.to resolve any dispute helslae has with a homeowner in court unless both Parties agree to the optional clause provided below. This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Hdme Improvement Contractor Law. The contractor and the homeowner hereby mutually agree tit•advance that in'the event the contractor has a dispute concerning this-contract,the contractor may submit the dispute to'a private arbitration frum which has been apprpved.by toe Secretary of the-Executive ffice.of Consumer Affairs and Business Regulation and the consumer shall.be required to submit to ch�r�tration, ovided In Massachusetts General Laws,chapter 142A. Ho wner's SipaW Contractor's Signature N I'ZC>J:The si turns of the parties above apply only to the agreement of the parties..to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is,not separately signed by the parties. Homeowner`s Rights . -A homeowner's rights under the Home Improvement Contractor Law(MGL chapter, 142A) and other consumer protection laws'(i.b.MGL chapter 93A).may not be waived in any way,.even by agreement: However;homeowpers may be excluded from certain rights if the contractor they choose is not properly registered 4s prescribed by law; 'Homeowners who secure their own building permits are automatically excluded from all Guiranty- and provisions of 'thd Home Improvement Contractor Law. The contractor is responsible for completing the work as described,in a timely and workmanlike manner. Romeowners may be entitled'to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided,by the contractor,all goods sold in Massachusetts carry an implied warrmty of merchantability and fitness for a particular purpose; An enumeration of other matter;-on which the homeowner and contractor lawfully agree may be=to to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions!about your c6nsum6r/homeowner rights,contact the Consumer]information Hotline(listed below). Execution of Contraet r The dontract must be executed in du licg'te and should not-be signed unthl•a copy of all exhibits and referenced documents have been.attached. Parties are.also advised not to sign the document until u11'blank sections have been filledda or marked as void, deleted,or not applicable. One original signed copy of the contract with attachments is to• be given to the owner°and the other kept by the contractor. Any modification to the original contract must be in writing and agreed to by both parties. Contracted work may not>begna until both parties have received a fully executed copy of the contract,.and the three day recission period has expired. Accelerated Pdy'ments A contractor may not demand payments in advance of the dates specified on the paymeiit schedule in cases where the homeowner deems him/hetself to be financially insecure. �EIowevcr;in instances where a contractor deems1'mlllerself 'to be financially insecure,the contractor may require Haat the balance of funds not yet due be placed tri a j oint escrow account as a prerequisite to continuing the contracted worlr-. Withdrawal of funds from said account-would require the signatures ofbotliparties. Additional Wormationt If you have general questions or need additional inforination about the Dome Improvement Contractor Law or otter consumer rights,or'if you wish to obtain a free copy.•of "A Consumer Guide to the Home Improvement Contractor Law,"contact; , • Consumer Information Hotline Office of Consumer Affairs and Business Regulatioa ' .10 Park Plaza,Room 5170,Boston;,MA 02116 (617)973-8787'or 1,(8.88)2833757 4 If you want to verify the registration of a contractor or if you haire questions or need additional informatio about the contractor registration component ofthe Home'IAnnrovement Onntranr�,-r n speei scally 1 Fax:978-251-2907 Office:978-256-2333 DATE OF PROPOSAL 511512011 PROPOSAL www.expressroofer-corn mikeCmlexpressroofre com HOME IMPROVEMENT CONTRACTORS LICENSE 0-,081,26 P.O.Box 542,Chelatstcrd.MA 31824 7,' CONSTRUCTION SUPERVISOR LICENCE#199497 • PROPOSAL SUBMITTED TO: •'• WORK TO BE PERFORMED AT: raaue DAVE SLEIGHT AMRE45 F20 HAY MEADOW RD `ODPG� 120 HAY MEADOW RD INANDOVFR N ANDOVER P"04E11 978 975 0866 We hereby propose to fumish materials and perform the labor necessary for the completion of. STRIP ALL SHINGLES OFF 2 ND STORY MAIN HOUSE ONLY ROOF CLEAN UP AND HAUL AWAY TARP OFF HOUSE TO HELP PREVENT DAMAGE TO HOUSE AND LAWN AREA COMPLETELY DE-NAIL ROOF AND RE-NAIL ROOFING BOARDS AS NEEDED Install: GAF Weather Watch 9'up from the bottom eves GAF Weather Watch around vent pipes GAF Weather Watch under chimney lead and 3'down on roof Felt paper over roof boards GAF Starter strip on all roof decking edges GAF Timberline HD Architectural shin les 130 Mile wind warrant GAF Cobra ridge vent along all ridge surfaces GAF Timber Tex caps 8"drip edge along all roof edges White New pipe flange's over vent pipes 4!°Pi es' Clean gutters All shingles will be fastened using 1 '/d'-1 '/2' roofing nails ROLL MAGNETS OUT TO PICK NAILS OFF LAWN AREA FOR FINAL CLEANUP INCLUDES: ALL LABOR AND MATERIALS FOR THE A80VE AND ROOFING PERMIT 10 YEAR WORKMENSHIP LIMITED AND LIMITED LIFE TIME GAF SHINGLE WARRANTY CLEAN UP AND HAUL AWAY ALL SHINGLES hole:No wanany on p vaems art i 91 damaged caused by ice WOWS evo wznanN on o!C skyhseis All material is guaranteed to be as specified,and the work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of: 17,295.00 - S NO MONEY DOWN S PAYMENT 1N FULL AT COMPLETION OF JOB WITH CASH OR BANK CHECK �j��y'i'0Y7 _MADE OUT IN THE NAME OF / cell.C rtner Call Toll Free Respecffutly submitted - 1-888-210-ROOF s 0 Note-This proposal may be ivi"rdrawn by us it net accepted try: BEIR` 5/22/2011 e.i'�,: All workers fully insured ACCEPTANCE OF PROPOSAL The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified.Payments will be made as outlined above.Any additional work than the above will be an extra charge. Signature r Date « 'I SHINGLE COLOR 'e 6 J 4� Homeowner is spon rble for protecting and cleaning content of attic from possible 4,1,qt and debris during yo6r rooting project. "Note any plywood replacement will be an extra $60.00 per 4x8 sheet-labor&materials included Add(16)4-x16"soffit vents would be an extra$495.00 We recommend new chimney lead with all new roofs for an extra charge of$295.00 I Ld ZbLO-L99-9L6-L 1461915 aneQ 890:90 l l t7Z Ae" b llassachusetts- Department oh Public SafetN Board of Builtlin!2 Regulations and Standards Construction Supervisor Specialty License License: CS SL 99497 Restricted to: RF,WS r MICHAEL CORTNER 16 JONAS ROAD WESTFORD, MA 01886 Expiration: 4/24/2012 ( mmi..i ner Tr--: 99497 T�an�n�f�riea � �o Zsacl u6e1� Office o onsumer airs mess egu anon HOME IMPROVEMENT CONTRACTOR --Registration: 108126 Type: - Expiration: 8/13/2012 DBA M` PEL L.CORTNER-EXPRESS ROOFING Michael Cortner j 16 JONAS RD WESTFORD, MA 01886 Undersecretary .�, ��.culu va:yr �LTLSLs lO��r�ts A-COSTA :'IS AGCY PAGE dl I ACOP " CERTIFICATE OF LtIABIl.IT`Y 1[VSURANCE DATE JWWO IYYYY) 12 06/2010 ICER (508;5 875-3488 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION k-Ccota Insurance Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE WES NOT AMEND. EXTEND OR t Fr*nklin Commons I ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Prauingham ° MA 0:7 02- INSURERS AFFORDING COVERAGE MAIC 0 o INSLIQ RA VESTERN HERITAGE INS CO i ID CENERAL CONSTRUCTION INC. I J isvn_R a GRANITE STATE TNSURACE i9 WISHAKUY ST IvsuRERC INSURER D �wR��7ywIMwY��NAG7liAM MA 017 0 2- NsuaE-t E M6If/iYrrS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POL ICY PERIOD'NDICATED NOTWITHSTANDING ANY REQUIREMENT.TERM OR COftolnO/y OF AN'CONTRAC-OR 01 HER DOCLMIENT WITH RESPECT TO WHICh THIS CERT IFICATt MAYBE I53UC0 OR MAY•ERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREA IS SUEJECT TC ALL TME -ERMS EXCLUSIONS AND C040l'IONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS r"AmLIMPMATIONT TYPE OF RJSVRANCE i POLICY NUMMIQ Q TE"trltWlClnMnjF5DAoT"rl MMA)WY> I LIMITS A OFNEMLUAALTy Lr.LO4136S7 12/21/2010 12/21/2011 1EAG/+OCCURRENCE f 1,000,000 X COMMERCIAL GEPKAA: L'AS O-y� i I PREMISES LEB oGgCeerx., S 100,000 CL kTAS MADE t X I OC::L E ! ! i 1 MED EXv tA-ygsE Lyrwnl f -^-5,000 "N+SO"t s AOV INJURY f 1,000,000 I ! / ( GENERAL AGGREL)ATE } 2,000,000 I GENL AGGREGATE LQIMT ADPLNE$DSR I PRODJCTS•CONotQp AGG f 1,DOO,O00 rOLttT XC Lot: AUTOrOQILE LIABILITY ! f LCu!81NE0 S NG,F LIV,IT i ANY AUTO i ! , ALL CwNEO AUTO; I 1 �BCOI:Y IN.UR� r 6C.EDVLEO AIJT:, Or[w19)^ i g nysED AV-06 I 194JILY IN.VRY Nohow ED ALTOS S,ra,aCc.Q,ur,U I} I 1 ; DROVEPTV DAMAGE � GARAQE LIABILITY ALITOONLV-EA ACCIDENT 4 ANY AUTJ / J ,! OTHER TUAV EA ACC f 'tt,TO ONLY a� 6 EXCESSAIMBRELLA LIABILITY I / � ` I / / 6ACrI CC;,u REkCE S OCCUR _�CLAWS YAD`. I 4GGREGATE S 1 g DEDUC-IBLE } R TENT/()N $ } MIOIBmdL1001MENSATIONAND }ICI-0817239-):C 1 12/21/2010! 12/21/2011 VICSTATu- DTH KWLOYE1Lf NAP14T1' TOR LIMITS I ER ANY PROPAIETORMARTNERA:XECJTIVE EL EAC�ACCIDEN' f 100,000 OCCICERJWMKR EXCuMF'tt I r.a.569ctb.wld.t i f E t 018EA3E-EA t.Vl!.OYE E f 100,000 SPECIAL PROVPU014S OMa. E L DISEASE-POLICY LIlAiT } 500,000 OTHER � r r r � ACRPTION OF OPERATIONSAOCA`,IONS#VENICLES&XCLUS10AS AODEJ BY ENOORSEMESITrSPECIAL PROVISIONS ERTIFICATE HOWER CANCELLATION 978) 251-2907 t > - SNOULO ANY OF THE ABOVE OESCRM8E0 POLICIES BE CANCWLLED BEFIT T"E EJ[I"IRJt TION DAT; TKEA'iOFTNi 1":JtMG wa w WILL !NOlAVOR TOetAK 30 DAYS WRtTTEA NOTICE TO TME cFftnF ATE -ODER NAMED TO THE LER BUT MICHAEL CORTNER FAILURE TO OO 60 6NALL IMPOU ND ONUGA T"' O M1. DR_ITY OF ANY RIND UPON n* EXPRESS ROOFING W4M ITS A"NT6ORRiPA46fiNTAT'VEd. _ 16 JONAS ROAD ALM#OMnO REPRESENTATIVE f i WESTFORD MA :ORD 25(2001M) T ' ACORD CORPORATION 1988 $020 totoa ae L1 Pepe.d