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Home My WebLink AboutBuilding Permit #716 - 125 WATER STREET 6/22/2009 BUILDING PERMIT o` V&0 Th16 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received �gSSACHU`�� Date Issued: IMP(IRTANT:Applicant must complete all items on this page ...LOCATION Printu _ PROPERTY OWNER° F - Print - - Shop R yes, Vll,MAP NO: PARCE ?,• 20NIN�G DSTRICT: HistoricDistrict Machine SFo ia e 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 a Water/ewer _ t _ - DESCRIPTION OF WORK TO BE PREFORMED: 4ww R- eR&6i=' ' Identification Please Type or Print Clearly) OWNER: Name:. Phone: Address: CONTRACTOR Isar e: r� : 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 ri 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 DPW Town Engineer: Signature: Located 384 Osgood Street FIRE¢DEPA 2TMENT -Temp.Dumpste�on site yes_ no Locateb,at 124-MainStreet ` Fire"Departmentsignatureldate COMMENTS P 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 3 . i ❑ 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 o 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 PIan.Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) r a 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 o 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 I Revised 2.2008 Location No. / Date 2 MORTFTOWN OF NORTH ANDOVER 41 F 9 . i ; ; Certificate of Occupancy $ ��s'•^°•Eta Building/Frame Permit Fee $ ncMus Foundation Permit Fee $ Other Permit Fee $ —7e7- TOTAL $ !/ / Check < C/,;)-- 22 ) �7 /,;)--2217 Building Inspector WORTH ® of s 4Andover . 0 No. 71 �16 z- dover, Mass., /A T O LAKE COCHICHEWIC,, 7�AORATED `s E BOARD OF HEALTH Food/Kitchen PERMIT. T D Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT.......... ..... ... .. ... .....t-0... ..... A44.......................... Foundation has permission to erect.....................W................. buildings n ....... .. ........ ......... ...... Rough to be occupied as �. ........ ........ Rj.O. .®.................................................... Chimney .............. ........... ... . .. . provided,that the person accepting permit shall in every respect co m 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 CONSTRUT 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. Burner Street No. SEE REVERSE SIDE Smoke Det. 125 Water Street Subject: 125 Water Street From: Liz Fennessy <lizettafennessy@yahoo.com> Date: Fri, 19 Jun 2009 09:49:47 -0700 (PDT) To: Gerald Brown <gbrown@townofnorthandover.com> CC: Mark Rees <mrees@townofnorthandover.com>, info@lambertroofing.com Mr. Brown, I have discussed the proposed roofing changes at 125 Water Street with the roofing contractor, and determined that they are exempt from review under the Historic Conservation District Bylaw. I will sign the building permit once provided to me by the applicant. Please let me know if anything else is required. Liz Fennessy Chairperson Machine Shop Village Neighborhood Conservation District s 1 of 1 6/19/2009 1:05 PM T Ein#51-05033313 amber N BBB MA Reg. Hic#149221 �— MA Lic. #UCS 078130 Roofing u 2932 MEMBER Single-ply Lic. #1711 �. 265 Winter Street,Haverhill,MA 01830 i We are: ✓Licensed ✓ Insured ✓ Factory Trained ✓ Factory Certified Installers Estimate for:R G(L Fmr-10 i c Date:_ l's MA-1 zoo 5 Telephone l: /79/ 77-Y 1/4173 ?o-.Fs, E-Mail/Alt: 79/ 7zc-/ FfyGl7 -Z-FtF- Billing Address: 11-6 WATEt3 5; City/Town:PBt2Trt Atufxly r State: M.Zip: Job Location: SFJrrre City/Town: i State: Zip: L.R.C. agrees to commence described work on/or about 1-3 coy- and described work will be completed in about/-Z. working days. L.R.C.shall not be held liable for delays due to circumstances beyond our control.L.R.C.shall not be liable for any damage to landscape,attics,interior walls or ceilings and/or fixtures.due to circumstances beyond our control. L.R.C.can not and will not be held liable for any damage to the surface that the disposal container is placed on.L.R.C.shall not be held liable for ice dam development or damagecaused by ice dams. L.R.C.shall not be held liable for pre-existing conditions including but not limited to mold and/or wood rot,defective,faulty,rotted or worn building counterparts such as bu%t not limited to siding,gutters,masonry,plumbing,and windows that jeopardize the watertight integrity of the building and-are not covered under roofing warranty. The following work includes all permits,labor and materials needed to complete your job in a professlonal workmanship<like manner Steep slope Quick-quote proposal to furnish and install the following: Approximate roof area 9W S,f- ir1Aw ' bar Ow+.7 New Roof El Re-roof ❑ Gutter LIRepair Ll Ventilation repare for re-roofing by ensuring all safety measures are taken in accordance to OSHA standard regulations and landscape is properly protected. Remove existing layers of shingles down to roof deck and®ijpose of in a legal fashion from the job site.Inspect wood deck,if we discover any rotted wood, replacement will be performed at$A• *per LF for roof deck boards.If substantial deck rot is discovered, re-sheathing of roof deck can be performed at$lt5 *per SF.If individual sheets are found to he rotted and/or delaminated,removal,disposal and replacement will be performed at$7Z- *per sheet.If any trim boards are rotted,replacement will be performed at S RZs " per LF for new pre-primed pine. Inspect siding at roof line and all flashing behind siding,if we discover any damaged flashing or siding at the roofline,replacement will be /performed at$ * If wood deck,siding,and flashing is sound,we will re-nail any loose wood to rafters,sweep deck,and prepare for roofing. U�Apply Install 8"Drip edge to all rakes and eaves. L3 Install Hug edge(Re-roofs only)to all rakes an eaves. Color S.t.)H i 1 E pply ice&water shield(UNDERLAYMENT)as per manufacturers'specifications and/or premium(UNDERLAYMENT)to the balance of the exposed wood deck. C( Reflash all plumbing stock pipes,and any roof penetrations as required and dictated by good roof practice to ensure water tightness. ❑ If upon inspection,we discover chimney lead to be worn or deteriorated,replacement will be performed at$ilucc.v D£.D Ca'Install a new .� Year ❑ Traditional O�rchitectural style shingle roof system Ll Designer Color VIGIOILt6ri G1aEy Manf.BP It<i4P navy ❑ Furnish and Install a new shingle over style ridge vent system. ❑ Soffit vent system $ 21/All debris generated by Lambert Roofing Co.,Inc. will be cleaned up and disposed of from the job siteiin a legal fashion. Under no circumstances will the watertight integrity of the building be compromised. Special Notes: IQPIP y '&" T47WOVD 7-0 R-10R C.413Lf, aF MAriJ Proof; ?.Ca1.4cE. 7"b gcxf'�ING i j`� ?A/ trip- APPilloAl i Warranty options: ❑ Standard LRC ❑ Manufacturers Upgrade $ UPON COMPLETION AND PAYMENT IN FULL,ROOF SHALL HAVE A WORKMANSHIP GUARANTEE FOR A PERIOD OF YEARS HONORED AND ISSUED BY THE LAMBERT ROOFING COMPANY AND YEARS HONORED AND ISSUED BY THE SHINGLE MANUFACTURER. This document can se a as a contract,however if a more elaborate contract is desired we will issue it at the owners request. Please sign and return one py upon acceptance. NOTE if this contract is not accepted in I days,it may be withdrawn by RC. Denotes potential additional costs above the total estimated price. Financing is available A finance char of 1.5%per month(111%per year)will be charged on post due accounts over 30 days. Total Estimate Price: $ JOG...' Date of Acceptance 177 Uu -LOO t1/ Payment to be made as follows: (Home/Business owner) �--� Signature Cry �� v�✓ �. I� Jrrnt� S ( Q C—T/ Signature Haverhill MA 978.374.9224• Lawrence MA 978.687.7339• Hampstead NH 603.329.8200• 1.888.SOS.ROOF 767.7663 • Fax:978.521.5791 "Our Proof is on Your Roof" www.lumbertroofing.com i i )� Boar o Building Regulat o s an =and�ards�� One Ashburton Place - oom 1301 Boston. Massachuse s02108 Home Improvement Contractor Registration Registration: 149221 Type: Private Corporation Expiration: 12/6/2009 Tr# 262486 LAMBERT ROC FING CO RICHARD LAMBERT -- - -.---------_265 WINTERSTREET HAVERHILL, MA 01830 Update Address and return card. Mark reason for cha; l Address Renewal Employment "i Lost OPS-CA 1 0 5OM-07/07-PC8490 -' .}= \I:u.�ui'hu.ctt� - Urliartnirnt ��I Yulili �;tfct� Board tit' Buil(lin- Rc_ul;tti 111N and an(lurd" Construction Supervisor License License: CS 78130 Restricted to: 00 RICHARD J LAMBERT 95 MAPLE AVE ATKINSON, NH 03811 E.tp ration: 6 22010 T r= 27f62 i I i 8 / 25 / 2008 3 : 07 : 46 PM 8740 CJ 02 / 02 ISSUE DATE 0812.5,-'2008 PRODUCER THIS CERTIFICATE I. ISSUED AS A MATTER OF 1NFORMAT'ION ONLY AND Allan Insurance Agency Inc CONFERS NO RIGHT. UPON THE CERTIFICATE HOLDER. THIS CERTLf ICA i'E iP 0 Pox 511 DOES NOT AMEND. XTEND OR ALTER THE COVERAC:TI AFFORDED BY THE I POLICIES BELOW. Salem,MA 01970 _ j CO AW-S AFFORDTNCT COVERAGE 1rNSURED �TCILRC' Inc i jdba Lambert Roofing Co. COMPANY A A.I.M. Mutual Insurance Co 265 Winter Street LETTER IHa.verhill,MA 01830 PHIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BE ISSUED TU THE INSURED NAMED ABOVE FORTHE HE POL PERIGD.INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITI N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESP TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE FORDED BY THE POLICIES DESCRIBED F-TER-.IN IS SUR.i I TO A1,L'1'HE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SH WN MAY HAVE BEEN REDUCED BY PAID CL_A_IMS.CO _ IL. j TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION i r DATE(Mtd/DD/YY) DATE Ud MIDD/YY) 1,11191TS T_......._....__...____—..__--. I �GENER4L LIABILITY i GEI_I EP:AL:.;r;F:E;P.TE 1 PRriOnrT^.r,rr pn Pp: —_--- ( �..r11A FF.0 IAL r,EN ERAL LIABILITY PE F,;.r_IIA I..Q itC+V UI IrIK 'l i IF A9ADE��it��,IfK I � - i ='.'W p1 E"'S I ..... F S CCtlJTRP.CT�}F;'S PR!�l' _ FIRE UAMA,t:fAnv nn••brei i'[ MED EXPENSE AUTOMOBILE LIABILITY _:+MBINED SUJ'±LE LIMIT ANY AUTO ALL OWNED AUTOSF.��DILY INJ V R1' ._._. SCHEDULED AUTOS (Per Paton) 1 I TIMED AUTOS r'.. IJi rFf._rV;NED AUTOS BODILY IN-11,113Y - r;.4 RP.CE LIABILITY (Per Xo.derd) 44 — PROPERTY UP.PAA GE EXCESS LIABILITY — ----__—__ FACH OCCURRENCF UMBRELLA FOfiM AGGREGATE ZITHER THAN UMBRELLA FORM s"R.,. � ;'l. � ��E��y�,i�T}•.. ;��.�(^I tt`}�'Y k�yxl�x t�3� WORKERS COMPENSATION AND OTHER STATUTORY LIMITS EMPLOYERS LIABILITY X =- HE PROPRIETOR/ EL EACH ACCIDENT A AkNERS1EXECUCUTIVE -IFFIoIERs ARE 6009966012008 08/28/2008 08 8/2009 EL DISEASE--POLICY LIMIT $ INCL �EXCL 1,C)c)�),UOO EL DISEASE--EACH 'EMPLOYEE COMMENTS/ COMMENTS/DESCRIPTION OF OPERATIONS OR LOCATIONS; ----- — - IWORKERS'COMPENSATION COVERAGE APPLIES TO MASSACHUSETTS EMPLOYEES ONLY i I I I i i i I I iSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1 IIL EXPIRATION DA rt HEREOF,THE ISSUING CMgANY WILL ENDEAVOR TO MAIL 10 WRITTEN NOT ICE TO TIF.C:ERTM-( OLDER NAMED TO THE LEFTBUT FAILURE TO MAIL SUCH NOTICE SHALL aIPOSE NO OBLIGATIO OR LIABILITY OF ANY KIND I�.ON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. [AUTHORIZED REPRESENTA IVE 4791 I I The Commonwealth o Massae huse .f its Department of Industrial Accidents Dice of Investi;afloat r 600 Th asking ton Street Boston, MA 02111 w►sm."Wss.gov/dia . 'Workers' Compensation Insiurance Affidavit: Buiders/Contractors/ iectnr-iasPlmA iicant Information bers Please Print bl Name(Business/OrgenizationnndividuW); - Address: �- CitylState/Zip zl d/eP?ehone A you as employer?Ghec;�pe appropriate box: l a employer with QZJ 4. ❑ 1 am a generalcontractor and I Type of Project(regio,). employees(full and/or part-time).* have hired the stub-contractors b. ❑New construction 2•❑ I am.a.sole proprietor or partner_ listed on the attached sheet 1. Remodeling ship and have no employeesTbese su&contractots have working for me in capacity, workers' comp.insurance. 8. Q Demolition � ' 9. ❑Building addition [No workers'comp. iissuu artce.. 5. ❑ we arc a corporation and its required.) officears have exercised their 1Q•Q Electrical repairs or additions 3.❑ i ain a homeowner doing all work right Of exemption per MOL 11.❑Plumbing repairs or additions myself~ [No-workers' comp. c, 152, §1(4),and we have no insurance1-• Roof • t u' i -required.] ❑ repairs �I ) .employees..[No woriCeas � Comp. insurance required.] 13.0.0ther 'Any applicant that checks boZ#I must also fill out the section below show.ieg theirworkets'oompeculitm policy infomtation r fiomeowneua who submit this of ii Cult indicating they are doing an wwt and then hie otaside contmctom m6t submit a nen,affidavit indiaitiq sucht �Cantractors that check this box trust atteobed an additional shetstshowing•the name of the sub- coattactorsand their work ,,c,. moi:-•. �• p�....�irfmmsdon. I oEs cut earloyer that is provi&ng:workers'compensation crasurance•oor informadom m'employees: Below is the .and. ob Po sit- . Insurance Company Name: 117 L Policy#or Self-ins.Lie. Expiration Dete:------------- � G Job Site Address.. e/0S com Citylswtwzip: Attsch a copy of the workers' nation Policy d Pe eclaration page(showing the policy number and expiration dat?e� . Failure to secure coverage as required under Section 25A of MGL c. I52 can lead to the imposition of criminal fine up to$1,500,00 and/or one-year imprisonment;as well as civil penalties in the forth of a STop WORK ORDER Mrd a free of up to S250.00,s 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 cffgry u e th and penalties of per*7 Mar the information provided above is Due and correct Signature., p Phone#: Official use only. Do not write in7ftis area,m he rnmpletsd by a j,or town offcw[ City or Town; Permit/L,icease# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Cierk 4. Electrical Inspector ecto 6.Otbe'r P r S. Plumbing l g uspector Contact Person: Phone 0 : Information a nd Instructions �r Massachusetts General Laws chapter 152 requires all emp Ioyers 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 Iegai entity,or any two or more of the'foregoing engaged in a joint enterprise,and includir-ag the legal representatives of a deceased employer,or the receiver or tnistee 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 maimt=anee,construction or repair work on such dwelling house or on the graunds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state urr local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable eAdence.of compliance with the insurance coverage required." Additionally, MOL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work tmtil-aecepfabie evidence of compliance with the insurance requirements.of this chapter have be=presented to the cast racting authority," Applicants Please fill out the work='.compensation.affidavit completely,by checking the boxes that apply to your situation and,if necessary, supply sub=contractors)name(s),address(cs):artd phone number(s)along with their eertificate(s)of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no empioyees other than the members or partners,arc not requiredito carry workers'ocbrmpensation insurance. If-an LLC or UP doeshave 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 Ese 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 can the Department at the nurmber.listed below. Self-insured companies should enter their self insurance license number on the'appropnaft fine. City or Town Officials Please be sere 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 applicarrt Please be sure to fill in the permit/license number which w-ill be used as a reference number.,In addition,an appiiwnt that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating-current policy information(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.officiaily stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for furore permits or licenses. A new affidavit must be filled out each year.When 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 persorn is NOT.required to complete this affidaviL Tho Office of-investigbations would bice to thank you in advance for your cooperation-and should you have any questions, please do not hesitate to give us a=11. The Department's address,telephone and fax number. The Commonwealth of Massachusetts . Departrnent of Fndustriat Accidents Office of L av-esttigations 600 Washington Street Boston, MA 02111 TeL #617-7274900 i=406 or 1-977-MASSAFE Fax#617-727-77491 Revised 5-26-QS www.raass.gov/dia