Loading...
HomeMy WebLinkAboutBuilding Permit #478 - 121 COLGATE DRIVE 1/11/2010 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page VLOCATION— �� '�� ` ✓' 1.1v t- A, Print PROPERTY OWNER �e r t�o q� r�cin co-y\\VA, vx i tkoot Print MAP NO.'�FARCEL: ZONING DISTRICT; Historic District yes w^- 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 Septic Well Floodplain Wetlands -Watershed District Water/Sewer DESCRIPTION OF WO TO BE PERFORMED: t r00 D f 71 Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: tA Phone: �( "4; -� O .Address: 1�)'D}t 31 t ov��po im Supervisor's C,onstruction.License: ' Exp.. Date:--3/2,5'/ /2..,., Home Improvement'License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S Total Project Cost: $ FEE: Check No.: /�---1-D �- Receipt No.: -�- NOTE: Persons contracting with unregistered contractors do not have access to he guaranty and Signature of Agent/Owner Signature of contract r r LocationNo. r/ ) Date MQRTN TOWN OF NORTH ANDOVER f �+ 0 s t Certificate of Occupancy $ ti a — �'�s'••'°''�t�' Building/Frame Permit Fee $ "� 7 AC MUSE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # r r Building Inspector Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL 1 11 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 Water & Sewer Connection/Signature & Date Driveway Permit DP•W 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 ❑ Notified for pickup - Date 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/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 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 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 ACORQ. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 111 11 2010 PRODUCER Phone: 781-681-6656 Fax: 781-681-6686 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Driscoll Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 93 Longwater Circle HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 9120 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Norwell MA 02061 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERAStar Indemnity & Liability Com Building Maintenance Corp. INSURER B:Peerless Insurance Company 4198 DBA U Roofing 58 R Pulaski Street INSURERC:Everest National Insurance Co Peabody MA 01961 INSURERMACE Property & Casualty Insur 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. INSR ADD'L pOUCYNUMBER POUCYEFFECTIVE POUCYEXPIRATIONTYPE OF INSURANCE LIMITS A GENERAL LIABILITY WCSICON30006109 12/23/2009 12/23/2010 EACH OCCURRENCE $1,000,000 DAMAGE TO-RrNTEU X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $100,000 CLAIMS MADE Fx—]OCCUR MED EXP(Any one person) $5,000 PERSONAL BADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $2,000,000 POLICY X PRO JEF LOC B AUTOMOBILE LIABILITY BA 8730382 12/23/2009 12/23/2010 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY $ X SCHEDULEDAUTOS (Per person) X HIREDAUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTYDAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHERTHAN EAACC $ AUTO ONLY: AGG $ C EXCESSIUMBRELLALIABILITY 71C8000264-091 12/23/2009 12/23/2010 EACHOCCURRENCE $5,000,000 X I OCCUR CLAIMS MADE AGGREGATE $5,000,000 DEDUCTIBLE $ RETENTION $ $ ITATU D WORKERS COMPENSATK)NAND 045855119 12/23/2009 12/23/2010 X TORY UMTS ER EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERlEXECUTNE E.L.EACH ACCIDENT $500,000 OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE I$5 0 0 0 0 0 If es,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1$500,000 B OTHER CBP 8732582 12/23/2009 12/23/2010 Job Site Limit $100,000 Installation Floater DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS E: 58-60 Edgelawn Ave., North Andover MA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Town of North Andover Massachusetts BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE Attn: Building Department CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO 1600 Osgood St. SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON North Andover MA 01845 THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE _ ACORD 25(2001108) pACORD CORPORATION 1988 W WA� U.S. Roofing a division of Building Maintenance Corp, 1-MaNNNNOMW P.Q. Box 3118 FIOOFIIVG Peabody. MA 01961-3118 CONTRACT The Owner(s) of the premises described below, hereinafter Job Address, hereby contract with and authorize U.S. Roofing, hereinafter Contractor,to furnish all necessary materials, supplies, labor and workmanship, and to install, construct, and place improvements at the said Job Address, according to the following specifications,terms, and conditions: 1. Owner's Name: Heritage Green Condominiums 39 Farrwood Ave., Ste. 1, North Andover, MA C/o Affinity Realty 63 Atlantic Ave Boston, MA 02110 2. Sob Addresses: 58-60 Edgelawn Ave., North Andover MA 3. Specifications: Contractor agrees to perform the following services in a good and workmanlike manner: - Remove all existing shingle layers down to exposed roof boards - Dispose of all roofing debris in a legal landfill - Install Ice and Water Shield at all gutter edges; including valleys and all roof penetrations - Nail TRI-FLEX®High Tech Roofing Underlayment over remaining roof surface - Install 8" aluminum drip edge to all roof perimeters - Cut away opening in ridge boards (to allow ventilation) - Install CertainteedYm 30-Year Three-Tab shingles to all roof surfaces; storm nailing each (six nails per shingle) - Flash all roof penetrations according to National Roofing Standards - Install coil ridge vent at roof peaks - Cap ridge with Certainteedt`" 30-year cap shingles - Clean all gutters at completion of project COST OF WORK: $ 7,225.00 4. Extras: • In the event that the Contractor discovers rotten boards, they shall be replaced and the Owner shall pay an additional $3.50 per square foot for labor and materials. • In the event that the Contractor discovers multiple shingle layers greater than two, removal of each additional layer of shingles over two layers would be an additional charge of$2.00/sq, ft. S. Warranties: The above work comes with Certainteed's 30-Year Shingle Warranty (furnished to Owner from Certainteed directly)for materials and a two-year warranty (furnished by Contractor)for labor. 6. Payment Terms: The total cost of the contract is $ $ 7,225.00 Payment shall be rendered in the following manner: Balance (100%of the total project cost) shall be paid upon successful completion of all roof work Now Available: Visa & Mastercard Credit Cards are accepted as payment. NORrh Town of t 4Andover o dover, Mass. 'QA COCMIC MEW11 K`y'k' ATE D C7 S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT..... BUILDING INSPECTOR .. .C <.. lT.. i h.......�d� 1'10 m....................... J............................................ Foundation has permission to erect.............................:.......... buildings on ...�.?�. P.'..J(0-0.........��G� I Gv ................. Rough to be occupied as...S...... .... #- ......./e'4> .. Chimney. provided that the person a cepting this permit shall i very respect co orm to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMEXPIRES IN 6 MONTHS Final IT UNLESS CONSTRUPRON STARTS ELECTRICAL INSPECTOR Rough ............................O.... Service BUILDING INSPECTR Final Occupancy Permit Required to Ocatpy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. SEE REVERSE SIDE Smoke Det. 7. Attorney's Fees: In the event of default, the Owner shall pay costs for collecting amounts owing including, without limitation, court costs, expenses and reasonable attorney's fees, in addition to any sum that the member may be called on to pay. S. Entire Agreement: This contract constitutes the entire agreement between the parties and any prior understanding or representation of any kind preceding the date of this Agreement shall not be binding upon either party except to the extent incorporated in this Agreement. The Owner agrees that Contractor has made no statements, promises, commitments or representations not contained herein. 9. Modification: Other than that required as a result of paragraph 4 above, any modification of this Agreement or additional obligation assumed by either party in connection with this Agreement shall be binding only if evidenced in writing signed by each party or an authorized representative of each party. 10. Unforseen Circumstances: Contractor is not liable for delays due to weather, strikes, accidents, acts of God or other circumstances arising out of causes beyond its reasonable control and without its fault or negligence. 11. Governing Law: It is agreed that this agreement shall be governed by, construed, and enforced in accordance with the laws of the State of Maine. IN WITNESS WHEREOF, the parties have signed their names hereto: Date: 12-29-2009 Date: I - q - )O .S. Roofing, by its agent, Z Agen for Affinity Realty: Willard H. Murray List desired shingle color: (Please Print) Massachusetts - Depal'tntent of Puhlic SafetN Board of Building Regulation, and Standards Construction Supervisor License .License: CS 99551 Restricted to: 00 PETER ALLARD 2 CARVER ST BEVERLY, MA 01915 Expiration: 3/25/2012 ( nurni� i�dicr Tr#.: X99551.