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HomeMy WebLinkAboutBuilding Permit #566-2017 - 15 MAGNOLIA DRIVE 11/28/2016 BUILDING PERMIT of"�DT Z z . ANDOVER APPLICATION TOWN OF NORTH A o APPLICATION FOR.PLAN EXAMINATION Permit No#: . Date Received v �RA°R�rED�Qa Date Issued: :Applicant must complete all items on thise a uIlVIPORTANT pp p p g �b� c7�* '1 � 1 �f r-jU t�Zy� F � u n p�s ryT;; ��, : � } 'G�•try t u I 1D and AP w� P RCEL � z`7 ZONING D1STRICT "' Historic ®istrict ne X;a -�� : �,-„,,<���.�""r�--'"�. t• a. � � •;, ,-: Mia hineSh p Village 4 \fie n; TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New.Building ?9 One family i ❑Addition ❑Two or more family ❑ Industrial Iteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other r ❑ Septic `D Well'_ ❑ Floodplain ❑Wetlands Watershed District On 0 Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: aAcere, QTX A .. lit en c� �'�� !iun►�x lam^ �11nc1. y - Identification- Please Type or Print Clearly OWNER: Name: t cLMc� Phone:Gl'1Y—4-),r) Address: 1 Cdntr-actor NamePhone: _ q--1 Address.�t�, C���-r„ 1c- - `(��„o -t��+,�t� - W •-1V�-1.. � :.. x •..- - ..--�. !-” s• .- ,,.:-.€p.T; ,._ r. .. .�.» •`t. �.....r'w+ ..yr-gar�eh, ....-,.e.- Supervisor s ConstructiontLicense ; Exp Horne Irnprovement_License - a _ _ Exp_; ... . 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. T®tal Project Coit: $ 98cO_ FEE: $ Check No. �� 3 Receipt No.: OTE: o s tracting witli unregistered contractors do not have.-access to the ggdreanty fund j S`ignat Signature of eoiitractor 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/Cross Section/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 o 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 DOTE: 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 CIerks 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:Building Permit Revised 2014 i Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stamped Plans ❑ P13-6F SEWERAGE DISPOSAL Public Sewer ❑ TanninglMassageBody Art ❑ Sw'j m;ng 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 PLANNING & DEVELOPMENT Reviewed On Signature_ i COMMENTS CONSERVATION Reviewed on Signature f COMMENTS I e I HEALTH Reviewed on Signature COMMENTS I Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes F I 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 Dumpster on site yes noX Located at 124.Main Street Fire Department signature/date COMMENTS j i limension 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 Call Email r ate Time Contact Name i Doc.Building Permit Revised 2014 I I '. Location y. No. [�Yl T Datey s� • TOWN OF NORTH ANDOVER ;- • �' Certificate of Occupancy $ Building/Frame Permit Fee $ Y Foundation Permit Fee $ s Other Permit Fee $ .&. TOTAL $ It Check# ,� 4Buildingor j 24 NORT1y Town of ndover :. , 0 No. - �` z h ver, Mass .Q COC NIC Ml WIC. 1• ' �.AS RATED I►PP`��y U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT J4*.#j.v. BUILDING INSPECTOR ....... ....... ................................................................... .......... foundation has permission to erect .................. .... ildi on ... .*.... .... 4ft.�11 id, ... Rough to be occupied as ...5P ....... ... � �.......................................................... Chimney provided that the person acceptin this p rmit shall in every respect conform to the terms of the application' Final on file in 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 CONST 10 R Rough Service ... .... .. ....... .............. ....... Final BUILDING IN CTOR GAS INSPECTOR - Occupancy. Permit Required to Occupy Building 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. Smoke Det. i FIORI CONSTRUCTION LLC 26 Sparhawk ®rive Londonderry New Hampshire Construction Lic. CS104035 Home Improvement Lic. 162527 (978) 265-6843Fullylnsured/Workmans Comp Work Submitted to: Ed Iggy Job Name: Ed-North Andover Address: 15 Magnolia ®rive North Andover, Ma Phone Number: 1-978-457-0182 PurpopoSez,8nd Wark rt' o b(9 k�tpaM P 0(mvq& -Remove all belongings from the.area around the home prior to removing any shingles off of the roof. I will coven the entire non gable sides with a black plastic material to eliminate any damage to the home. I will also cover the back deck with plywood to eliminate any damage to the deck Remove all layers of shingles off of the entire home. -Once the shingles are removed I will inspect the plywood for any signs of rot or decay on the entire roof. I will charge an additional charge of $65.00 per sheet for the replacement of any plywood. This charge will include the 3/4" cdx (not particle board) plywood, nails disposal fees, and labor -Install new GAF ice and water shield nine feet up from the bottom of all of the roofs due to the slight pitch -The remaining areas of the roof will be covered in Gaf'sFeltBuster synthetic roofers paper.. -Install new 8" white aluminum non vented drip edge over all of the facia boards and rake boards on the entire roof. The drip edge protects the top of the boards from being saturated with water from the roof. Currently the only boards that have drip edge on them are the facia boards -Install new GAF Ice and water shield around the chimney and around all pipe boots. -Install new 50 year lifetime architectural Timberline HD GAF shingles. The color will be of your choice -Cut an 1 % inch slot along both sides of the ridge of the main house and the addition roof to receive the new Gaf ridge vent. -The ridge vent is part of the National building code and part of the Gaf Lifetime Roofing System. This allows the attic area to breathe, and allows the shingles to last longer. -Install a new Gaf cobra vent on the top of the roof. All GAF Seal A Ridge shingles will be hand nailed with 2" galvanized nails -Install new stink pipe boots on back side of the roof for the bathroom vents. I will also replace the 2 bathroom exhaust vent boots located on the back of the roof -1 will remove the existing lead in the chimney. I will cut a new mortar joint in the chimney to receive the new 12" lead. I will install new lead in the chimney. I will seal the lead with clear Geoseal once the roof installation is completed. -All shingles will be recycled at Re-Energy in Salem New Hampshire - 1 will purchase a building permit prior to starting the job if necessary ®All work is backed by a 50 year warrantee. Only GAF certified installers can offer this warrantee. This warrantee is not prorated and is transferable homeowner to homeowner Total Labor and Material for the strip and installation of new shingles on the entire home $7500.00 Cash The amount of $3700.00 Cash is due upon signing, understanding the contract, and receiving all roofing material. No money is due until the day that we start the job. The balance is due upon completion of the job. I accept and Un sta this,contract. i ®ate r FIORCON-01 SSIMOES A<74C>RLX DATE(MM1DDNYYY) `66. � CERTIFICATE OF LIABILITY INSURANCE 11/1812016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). M PRODUCER CN N Appletree Insurance PHONE FAX 331ndian Rock Rd.,Bldg 5,Ste.3 (A/C,No,Ext):(603)881-9900 (Alc,No):(603)5949840 Windham,NH 03087 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC q INSURERA:Safety Insurance Company 33618 INSURED INSURER 8:The Hartford Fiori Construction LLC INSURER C: 26 Sparhawk Dr INSURER D: Londonderry,NH 03053 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILIE NSR ADDLTYPE OF INSURANCE IVSD SUER WVD POLICY NUMBER POLICDY EFF IYYYYI POLICY EXP YYYyl LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE ❑OCCUR DAMAGE TO RENTED PREMISES(Ea ocwrrenceI_ $ MED ERCP(Any oneperson) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑jEeT F-1 LOC PRODUCTS-COMP/OP AGG $ OTHER: $ A AUTOMOBILE LIABILITY Ea a.d D SINGLE LIMIT $ 500,000 ANY AUTO 6233851 05/26/2016 05/26/2017 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY 1xx AUUTOSWNEpBODILY INJURY Per accident $ XAUTOS ONLY N TO ONLY Pea den DAMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS L1AB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION X PER7-1 OTH- ANDEMPLOYERS'LU181LITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE 6S60UBOG05733516 05/28/2016 05/28/2017 1,000,000 OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1'000'000 If es,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover Department of Public Works THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 384 Osgood Street North Andover,MA 01845 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Mlassachusett5.Depastfri,erit,0f`Pub{ic.Safety. , ` Board of 6uitding Regu{at}ons'and z4a if t Standards, }` r T c r��nzcxn { /"tdssc�+Yttrst } - j .� . t Office of Gonsumer'Affays 8c Bus}ness Regulation License: CS-1040.35 } C,_t c- OME IMPROVEMENT CONTRACTOR` " Oonstruction Sapervisor_ Type egistration: ,162528 MICHAEL•D FIORI Expiration: ,S/16/2017+ DBA a� } 1�26 SPARHAWK DRIVE : LONDONDERRY:NH.;03053 M{GHAELP.{ORi;CONSTRUCTIONk r_ 'MICHAEL-FTOR1 16SPARHAWKDRtion- LONDONDERRY,NH 03053 17ndersecritaty,. - dsx}m}ssioner' 03/22/2018 `'