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HomeMy WebLinkAboutBuilding Permit #887 - 130 HAY MEADOW ROAD 6/22/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION / -ect Print PROPERTY OWNER $ PrLt MAP NO:O ��-t PARCEL:ZONING DISTRICT: Historic District ZS n Machine Shop Villageo TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building Kne family ❑Addition ❑Two or more family ❑ Industrial 0 Alteration No. of units: ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: 0 Demolition ❑ Other [] Septic ❑Welt 0 Floodplain 11Wetl`and-s 0 Watershed District 0 Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: 1(Identification Please Type or Print Clearly) rig / 96 / / J� OWNER: Name: 4 ✓�1 Phone: b bb C Address: 46 CONTRACTOR Name: Cbl" Nom' Phone: 9?B ,j3 : Address: baSupervisor's Construction License: 1�? �� Exp. Date: `f Q Homep Improvement License: ���J 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: $ l CJ FEE: $ /6 Check No.: Receipt No.: NOTE: Persons contractine with unregistered contractors do not have access to the guaran and Signature' of A eW Owne _ _ Signature of contractor 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 Siqnature 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 DPW Town Engineer: Signature: FIRE DEPARTMENT - Temp Dumpster on site yes Located 384 Osgood Streetno Located at 124 Main Street Fire Department signature/date COMMENTS Dimensi®n Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. i.: 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 Pernut 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 ; ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses a 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) o 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. Ana C.S.L. Licenses ❑ 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: Doc.Building Permit Revised 2008mi Location No. d"a Date NORTH TOWN OF NORTH ANDOVER Certificate of Occupancy $ �'�s,•°'E<� Building/Frame Permit Fee $ 4C Nus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 12e 24665 Building Inspector NORTFI O Of Andover ., No. ?Jr o , dover, Mass., !� • ��' • T OCOLAKE C MIC ME WICK � DRATED PPC2 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....................... ..... .. ..... /.........�►.4 ►..Y460004.......................................................... Foundation has permission to erect.. ........................ buildings on ..... ©..... ........A4* Rough �N Chimney to be occupied as......... . .....,............................ .......... ..�.o.10Arim ...... provided that the person accepti this permit shall in every respect 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 b UNLESS CONSTRU START - 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.t Burner Street No. SEE REVERSE SIDE Smoke Det. Fax:978-251-2907 Office:978-256-2333 PROPOSAL DATE OF PROPOSAL 6/10/2011 www.expressroofer.com mike exoressroofer.com HOME IMPROVEMENT CONTRACTORS LICENSE#108126 P.O.Box 542,Chelmsford,MA 01824 CONSTRUCTION SUPERVISOR LICENCE#99497 ••• PROPOSAL SUBMITTED TO: • • WORK TO BE PERFORMED AT: NAME STEVE MEYERS ADDRESS130 HAY MEADOW ADDRESS 130 HAY MEADOW IN ANDOVER N ANDOVER PHONE R 978 360 3233 We hereby propose to fumish materials and perform the labor necessary for the completion of: STRIP ALL SHINGLES OFF HOUSE,GARAGE AND PORCH ROOF CLEAN UP AND HAUL AWAY TARP OFF HOUSE TO HELP PREVENT DAMAGE TO HOUSE AND LAWN AREA COMPLETELY DE-NAIL ROOF ANDRE-NAIL ROOFING BOARDS AS NEEDED ALL WALL FLASHING WILL BE INSPECTED AND REPLACED AS NEEDED Install: GAF Weather Watch 6' up from the bottom eves GAF Weather Watch around vent pipes GAF Weather Watch 3'around skylights GAF Weather Watch on roof where roof meets house 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 shingles 130 Mile wind warranty 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"Pipes) Re lace old box vents All shingles will be fastened using 1 '/d' - 1 '/2' roofing nails ROLL MAGNETS OUT TO PICK NAILS OFF LAWN AREA FOR FINAL CLEANUP ALL ABOVE LISTED ROOFING MATERIALS ARE PROPERTY OF EXPRESS ROOFING INCLUDES: ALL LABOR AND MATERIALS FOR THE ABOVE AND ROOFING PERMIT 10 YEAR WORKMENSHIP LIMITED AND LIMITED LIFE TIME GAF SHINGLE WARRANTY CLEAN UP AND HAUL AWAY ALL SHINGLES Note:No warranty on problems and/or damaged caused by ice backups No Warranty on old skylights �e—(�. 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. IIJL5.00 — 1000'ti cq $NO MONEY DOWN$ PAYMENT IN FULL AT COMPLETION OF JOB WITH CASH OR BANK CHECK �1 �/1, 06 MADE OUT/N THE NAME OF ` v V v Call Toll Free Respectfully submitted 1-888-21 O-ROOF ••• Note-This proposal maybe withdrawn by us if not accepted by: BBB' 6/17/2011 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 <aT Date </ SHINGLE COLOR L �v�'c Homeowner is responsible for protecting and cleaning content of attic from possible dust and debris during your roofing proj t- **Note any plywood replacement will be an•extra $60.00 per 4x8 sheet-labor&materials included We recommend new chimney lead with all new roofs for an extra charge of$295.00 per chimney pQV-C Ka f mel f ` V� Le 11 , •. �Y1�.���.eh�t�e��s l�on�e I.�na. r� , !�yement' Sample CoiAra.C� This Form satisfies all basic'requircmcnts of the state's Home imprtivemeuit:Coutrnctor Law langdage to protect homeowners. Seek Iegal advice Hume (MGL chapter IAS 1vTassachirsetts consumer S person planning home improvements should first obtain a toe Standard Oflicp of ConsumerA$atrs and Bluntness Regulatinu's Consumre erInf, ration T3otlino at 617-973-876'7 or 1-888- Your residence.You may obtain a free copy by callpy ing'the. �"I;� • •�o�tleD�/W,_ bier�Tifd3a'r1tLAfjOi1 283-3757. N� C, ContractorIrmation nfo�� . ' ompanY erne ' 5lreel;Address(do not use apo t Office?3ox address) -=--t5_ 4.��` �(.) ' Cantrii tor/Sale NO� � 0 SLC& Y ✓�� Jet sPm'xon/OwnerN&no q q(6 • City/Town State O' 7 3 r- / Zt usiness Address(must inclu�astreet address) Daytime phone Evening Phone • -tty/'fown �W Zip Code lvlailitig Address(It different from above) Q 5 6. awreq s Phone ederal EmployerID ar5.5.Number lzwrequuresautmnsihometm_ Monte peovemen4Canhaclerae�.Iq & Pmvrmeat contractors have xp@ation da The Cantrnctor agrees to do tlre'4ollowing work for the Homeo pet Et`teation aumi et an e w e w r o comp a 'o,bpect g e e [an ��O ` �Q { K �F-r �c)®1^ a on cert, ecessa Regtiired.Y ermiis-The followinbniirlingpetmits are required Proposed Start and Completion'Schedule The and tIl be secured by the oontractbr as the homeowner's agent, be adhered to unless circum (O�ners who Secure their O'Vvn j Prndts will be foIIewingsctrol al will stances beya>id the contractat's control arise eXeD ded from the Guaranty Bund provisions-of MGL chapter I42A.)' ----L--_____bate when contractor will begin contracted work. bate when contracted work will be-substantially Total Contract Pi'ice and Paymecompleted. nt,Schednle ^~ The Contractor ngree5 to perform the worly furnish the material and labor specified above for the total sum of: Payments will be to, according to the following schedule: J -- upon signing'conttact(not to exceed-,l _.. .>_y -- • , . SfiSZ-S'SL X805)' , 008t-ZS9(80g) naaxng ssaulsng.tallag. d UOIC[RV 00•VS-L7;L(L19) lB tauaE) �Qtuhlly gill Jo aalgp uotIaaS 3UT91dumo jotu tsnoo tYleb`ssaizlsnq s msjduzoa lutmcb sa3sr2ai 61.10 soludstp jo uo�slpaur Yt uuojul tl}lm aouslslssu 103 t ` ££60-5ZZ-0O8-I to'00Z£-LU U19) ' 80IZ0�`uolsog`TOEZ'htoo�`ao>;ld uolmggs�.aup • 6P.MPU-ps PfM saot1Elti' .ra Outplrnglo wgwnq rroi}palslfajj.zol.ol;.11uoO Juauranozdutl;alu011Jo 491.0011 :131.nuixi `-An'7 Tolaunuo!.)xuamtaA.oSdrnir aurou am-rn iTrarrnrTmnn rrnnvr,m9nr yn,n,,,,.. _ Contractor Arbitration The Home Improvement Contractor Law provides homeowners with-'the 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 affordel to a' contractor,however. The contractor would have to resolve any dispute he/she has with as homeowner in court unless both parties agree to the optional clause provided below. This clause would give the contractor the j>me right to arbitration:as`is afforded tb the homeowuer by the Hdme briprovement Contractor Law. The contractor and the homeowner hereby mutually agree id.advance that in'the event the contractor has a dispute concerning this,contract,the contractor may submit the dispute to'a private arbitration riziu which has been apprpved.'}y th tary.of the-Executive Office-of Consumer Affairs and/Business Regglation and the consumer shall.be required t "t to s 'h yabitration.at provided In Massachusetts General Laws,chapter 142A. llome.owner?s Sign re Contractor's Signature NOTICE:The sign tures f 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 otjrer consumer protection laws(i.e,MGL chapter 93A)may not be waived in any way,.even by agreement: However;homeowners may be excluded from certain rights if the contractor they choose is na.t properly registered 4s prescribed by law, Homeowners who secure their own building permits are automatically excluded from all GuarantyPund provisions of 'the Home Improvement Contractor Law. The contractor is responsible for completing the work as described,in a timely and workmanlilce manner. Homeowners may be entitled'to other sped c legal rights if the contractor guarantees or provides an ex'pres's warranty for workmanship or materials. In addition to guarantees or warranties provid4by the contractor,all goods sold in Massachusetts cariy an ibaplied warranty of merchantability and fitness for a particular - purpose; An enumeration of other matters-on which the homeowner and contractor lawfully agree may be adde to the term's of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questionsi about your e6nsum6r/homeowner rights,contact the Consumer lufbi=atioir Hotline(listed below). Execution of Contract U The contract must be executed in duplicate and should not-be signed pntil•a copy of all exhibits.and referenced documents havd been,imached. Parties are.also advised not to sign the document until all'blank sections have been filled-in 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` arties. Contracted work may not witil both parties have received a billy executed copy of the contract,.and the three day recission period has expired. Accelerated Psty'ments A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herselfto be fuiancially insecure. -However;int instances where a contractor deems lunoJlierself -to be financially insecure,the contractor may require that the balance of funds not yet due be placed iii a j oint egcrpw account as a preirequisite to continuing the contracted worlc., Withdrawal of funds from said account•would require the signatures of both parties. Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or otter consumer rights,ortfyou wish to obtain a free copy..of "A Consumer Guide to the Home Improvement Contractor Law,"uontact: ; Cdnsumer Information Hodibe Office of Consumer Airs and Business'kegulation ' - .10 Park Plaza,Room 5170,Boston;,MA 02116 617 97 , . ,( ,) 3-8787or, 1 (8'88)2833757 I ., •• youwsntMvari fRiflip rnrriek•n+:.�.,..�.`.. ......�_� __ e._. . ? liassachusett:;- Department of Public Safet' Board of Building Regulations and Stantlards Construction Supervisor Specialty License License: CS SL 99497 Restricted to: RF,WS MICHAEL CORTNER 16 JONAS ROAD WESTFORD, MA 01886 Expiration: 4/24/2012 ( nnmi>.iunca' Tri: 99497 to�nia Atl - &t$u`5 G/as�SG'e l � Office o onsumer airs mess egu anon ,HOME IMPROVEMENT CONTRACTOR Registration: 108126 Type: Expiration: 8/13/2012 DBA MfC AEL L.CORTNER-EXPRESS ROOFING Michael Cortner 16 JONAS RD WESTFORD, MA 01886 Undersecretary L 41 4.)f 4VAU tat:vt Duou(:)7JtW A-COSTA :`JS Ar-rY PAS 01 r ACO '+0CERTIFICATE OF t IASIL.ITY INSURANCEDATE IMMI00rrfYY) 12/06/2010 'RooLtCtlt (50e) 875-3488 THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION -Costa Insurance Agency Inc ONLY AND CONIFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR t Franklin Commons ALTER TRE ERAGE AFFORDED SY THE POLICIES BELOW. -*r*xinghAm MA 0,702- INSURERS AFFORDING COVERAGE I NaIC N IN$(IR RA WESTERN HERITAGE INS CO I ID GENERAL CONSTRUCTION INC. I IvSvxERe GRANITE BTATT TNStMACE i9 WASHAKUP ST INsuaERc 'IN5Up4R D ItAKINGNAM MA 01702- INSURERS X*WtA"S THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWTHSTANDING ANY REOUIRIBVIENT.TERM OR CONDITK)N OF AN,CONTRAC-OR JI HER DOCUMENT WITH RESPECT TO WHICH VMS CERTIFICATE MAY Of 133UEO OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERE N IS SUEJECT TO ALL THE -FRMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWW MAY HAVE BEEN REDUCED BY PATO CLAIMS AWLTYPE OF!INSURANCE I POLICY NUMB£a QATEY 6f tt:TIYE DATE MW Y�> OMITS 4 GENERAL LIABILITY LrL0413 65? 112/21/2010 12/21/2011 f EACH OCcuRRENCE s 1,000,000 i _. X CONMIERCMLGENERA,LIAgLiTv> i �,^RTO EMISES Esxc�rKnal f 100,000 CLAIMS MADE U OC:a F' / i ;MED ExP IArr tx»eelton S 51000 -ER SOMAL A AOV INJL0RV s 1,000, 000 ! t ;eNERAL AGGREGATE is 2,000,000 GENT AGGREGATE LIMIT APPLIES C R ORODJCTS-COIVPIOP AGC f 1,000,000 rOL" PACTRO LOG _. _/ i _ ! AUTOMOBILE~k ITr ' I / f ! ,CCvdINE05NG,c Llw; i ANY AUTO i ,Ea,�'LO!ft:• s i ALL OVAE0 AUTOS ! i BCOGv IN.UR� R. pier Is 6C++EDUtEOA'J70F HIREDAU"06 I e 9(.JILY IN.VRY NOw-OWNED ALTOS Pe etc.aQnu S 1 i ! ! OROOEaTY DAMAGF •vaocoanl' IS GARAOS LIAINUTY ! 1 4UTOONLv.EA ACCIDENT 3 ANV AUTJ I ,� / / r+ CTuEa Tuav EA AGC S 1VT0 ONLv 4(j(j f EXCESSA)M9*FLLA LIABILITY FACw OCCufjfhENC6 S OCCUR CLA'vc V,ADE { AGGREGATE S I 4 OEOUC-ISLE I ! f y f "009R1OOMPWISAYONAND NCi-0811239-7:C 112/21/20101 12%21/2011WCSTATU- oIH SWLTt'OVION UAfL 1 TORP LINNTS JE, ANYPQDPQIETORIPARTNERIEXECJTtvE j EL EACiIACCIDEN' S 100,000 OFCICER WIVIMR EXCLtmF," X y".uwbe w4vE l DISEASE-EA eMY,DYEE 3 1001000 SPECIAL PROVISIONS bolo. F I E L DISEASE-POLICY LIHIJ 3 500,000 OTHER WRPTIOM OF OPERATIONSROCA TIONSNENC LE SIE RC L US1ION3 ADDED BY E NDORSE ME 4 T.SPECIA(.PROVIJION3 ERTIFICATE HOLDER CANCELLATION 978) 251-2907 ( ) - SHOULO ANY OF ToE 48OVE OESCAMED POLICIES BE CANCELLED BEFORE TME EAPIRAT04 OATL TwERfOF TWS IAAUfNG M( 4 WLL PNOtAVOR TO MAI 30 DAYS WRITTEN NOTICE TO THE CERflFICA TE LD"NAMED TO THE LEFT BUT MICHAEL CORTNER FAILURE TO 00 60 SHALL WPOSE NO ONIJGA SY1CV ORy, StUTY of ANY KINO UPON THE EXPRESS ROOFING 016 ITGA"PITSORPAMW$ENTATIVEB. 16 JON" ROAD AIJTNOpI?ED QfPaEBF.NTATivE j WESTFORD :ORD 25(2001108) - ACORD CORPORATION 1988 ;023(0108 0e \ Pte, d: