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HomeMy WebLinkAboutBuilding Permit #341 - 161 COACHMANS LANE 12/27/2009 tiORT#1 BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 5a. Permit NO: Date Received %%rwD A Date Issued: �a7 C U IMPORTANT:Applicant must complete all items on this page 2 OV. KZ N P RJ f RRYA OVVN;E RE 15 ENO" TYPE OF IMPROVEMENT PROPOSED USE -7� -Residential Non- Residential New Building One ff.- 'I Addition wo or more family industrial Alteration No. of units: Commercial Repair, re lacemen Assessory Bldg Others: Demolition Other septic0,id k N d'D r 'e C DESCRIPTION OF WORK TO BE PREFORMED: �O LS fk-L,-7 cyu cc ( C-4R!-itft-42-51 Identification Please Type or Print Clea r1y) OWNER: Name: J2cefl,'k7e, ncticirsl4lx P h o n e: Address: C04(-t'M-*,,7-S 4 q r7 e- ',,41-A?Z6Le,- 4,4 01po't-/_5 4 W � u, 'A- ddi'te s s- 1-15 0 Al behis qpje�rnpMernent Lc.], n ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDINGPERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ ISOOOO FEE: $ Check No.: 5164� Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature ddFA�db" wrer Janatb re,WtKcontractor� Location / t�� ` G�VS �aNF No. Date / ?7z5 NORT1y TOWN OF NORTH ANDOVER " Certificate of Occupancy $ • orb+-... �`''� 1 ��a •E<� Building/Frame Permit Fee $ S cMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # .:7/G 225`/ 6 Building Inspector 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 - UFORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS DATE REJECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments ,Conservation Decision: Comments r Water & Sewer Connection/Signature&Date Driveway Permit Located at 384 Osgood Street FIRE DEPARTMENT Temp Dumps#er on sit yes< no - Located at 1241 Mam ;Etre Depa�rnen#s�gna"ture�clate - :. . 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) a',baW �1 �� [ 3 0_ [0 P l a ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): too r,9 Qh Address: go0G r'o44�-, City/State/Zip:Lcndc)y,fe -ry ,till 013CS3 Phone#: Cao3 A e ou an employer?Check the appropriate box: Type of project(required): 1.pI am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet.$ ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this aft'idavit.indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Gv civ-d _,T M&or qal Ge— Policy#or Self-ins.Lic.#: Mo w c o 9-/at 7 7 Expiration Date: qZ1 SoL.0 9y Job Site Address: l& CO Ct"P"&.I S /— a h L City/State/Zip: /,1f na(ovw-- avrz " Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a 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. Ido hereby certunder the pains and p aloes of perjury that the information provided above is true and correct Si nature: Date: Phone#: d Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#• 10/06/2009 09:06 FAX 603 $98 8269 FOY INSURANCE SALEM wJlm""1 A=- CERTIFICATE OF LIABILITY:INSURANCE 1 � z PAMIMR 003.898.6320 FAX 603.698.8269 THIS CIWTIFICATE IS ISSUED AS A MATTER OF INFORMATION Fay Insurance Group - Salem ONLY AND CONFERS NO RIGHTS iIPON THE CERTIFICATE 130 Main St - Suite 103 HOLDER.TIER ENtS CERTIFICATE NorAMI R AFFORDED 11 THE�a EXTEND 8o�R . Salem, NH 03079 Terri Truhn INSURERS AFFORDING COVERAGE NAIL 0 1"OPAD mor—M er ars LUE OnuREIIA: Concord General, Nutua Ins Co 20672 130E Rockingham !toad NBima Guard n 18331 Londonderry, NH 03053 IM MRQ INSURER a COVERAGIS wsuRER& THE POLICIES OF INSURANCE LISTED 1E1LOW HAVI2 BEEN ISSUED TO THE INSURED NAMED ASWE FOR THE POLICY PERIOD INDICATED.NOT MTHSTANDING ANY REQUIREIiIENT,TERM OR CONDf LION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS CERTIFICATE MAY BE IMED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 16 SUBJECT TOALL THE TERMS.EXCLUSIONS AND CONDITIONS OF$UCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED SY PAID CLAIMS,. Mtn TYPE OP MOURAHM POLICY IRNaBER Uwn GURMLLJANUTY 61s715s 06 5 06 05 010 BACH0Cp1MIENDE a Z 000 0 NI�IeRcuLGENEFW.LLABBlTY �� a SO OLANOMADE IJ ODOUR AWOERP(AayonSp,reenl a S, A PMONALaADWMAW $ 2 000 00 c,F�EaAI.►c�GR[QAn a 4,000.0 GEN'L AGGREGATE LIMIT APPUP P01; 0R00LICT$•C01AP/OP Ado a 4,000, POLICY M M F1 LOO AUiOMOIpLBLIABILITY LTMRMIILOW ANY AVID : ALL OWM ALM � � 5 SCNEDUMAUTO$ HIMAL1701 RODn NON&AMAV= a iPROPMYDAMAGE _ QARACS UABLITY AUTO ONLY.EA ACCIDENT 5 ANYAUTO EAACC I AUTO OHLY AM a 811A L111IAMITY EACHOCCURBEACE a MUR []CLAM MADE AWWQATe,_,_ : a oF.ouCTlet.e a RETENTION $ a jQrH- WORIOMOMMIATION AND NM22277 09 15 2009 -09/15/2010 XIltstumm EarIPLOYWLIAELFIT ELEACNACCDBNT 1 OOO,OO B ANY IuMennEPrr�r� vM IXC: TOP BLM eL.I)WAOR-EAI 4 1 000 oFPLCErP�us6XCLUpED4 v Ra s�ronsbdaw* COUTURE,PAUL CDUT LRE . ZL DISEASE-POL LIMIT a 1 000 OTHM DU9IimpnoN CF OPERATICIIIII LOCA71p$1YE8101 a I emul910M1 AMU BYBxDORBMIIINTl w0M PRO AMN9 aN011LDANYCP7NEAB0Yl'1DEBptlCEDPOLi-CLI-E-s-�GANC�eH�RE71E . OIMRATIBN 0117E 7F�REaFi THE 188YNb IN$�RCR WILL EPIOEAIf0R40 N111L , 10OAY6YRlIrmn comhCATE NOLO m mN TO THE LEFT. BUTANUM Li x L Lt.WPQWN008u6AT57N0RLMUTY oRANY rta REPReserranves. AU++an1=o ACORD 25(2001!88) FAX: 603.895.1140 LI A00RQ CORPORATION 1988 Morgan Exteriors 130 Rockingham Rd. Londonderry N.H. 03053 October 7, 2009 Jeanine & Lawrence Malarsky 161 Coachman Lane North Andover, Mass. 01845 Thank'you for taking the time to meet with me and discuss ideas to remodel your horne. I wou!d briefly like to tell you about Morgan Exteriors, LLC And why you should choose us for your remodeling project. Morgan Exteriors protects your property by covering you with $2,000,000.00 of liability insurance. We are licensed and registered in Massachusetts. Home Improvement Contractors Registration # 146964.Workers Compensation InSUrance covers all of our employees so you are not exposed to any Liability. We are members of the Better Business Bureau (BBB), New Hampshire Home .Builders and Remodelers Association and registered with the State of New Hampshire. As a legitimate and depEMdable remodeling company, we maintain these affiliations and credentials to provide you with the highest level of confidence and customer service. All of our window mechanics and estimators are Certified Park Avenue Window installation experts., and attend pre--approved on-going training to keep them up to date on the, latest technological advances in windows including the local building code's and window installation specifications. With a permanent place of business and over 15 years in the remodeling industry, we takE., pride in our quality workmanship and specialty services offer:ad to our clients. Very Truly Yours, ustin Bloch Window Specifications: Color: Dreamwood Woof.-.1 Interior l Safari Brown Exterior Re measure, order, inspect and Install rt4 6arvL5�e t a t4b-M (7-) brj')fUk fl-; Two Section Casement windows (1) Single Casement window, (2) Four section Bow windows Specifications: • Solid Vinyl Constructions No maintenance • Fusion-Welded F.,lame & Sashes Maximum strength anal efficiency • Parallel i-Beam Construction Provides increased strength, ahtrability and structural. integrity 33%stronger. • Dedicated Pocket Pleader Provides a clean int,?rior ap,Uearance and prevents air infiltration • 48% Stronger Sill Weld Provides structural 'rtrL�ri,`J arr'-d is stronger than a comparable cut and notch style Windom. • Double Wooloile Seal nit eseting-Rail Provides a thermal bla"nkel .round sashes • Peak Performa+rC(,j" Insulated Mass Loin E with Argon Gas • PPG l terce�ttl'' F_dge Technology Reduces conden s_ah'Cn ila-area?failure • Extruded lnteMri._VinyI ltiterlocks Draws:sashes tieli'- to filrrl.-v7eath'-: harrier • Dual Recessed 1�1t-Lalchai Provide clean shhi' linos aro,'!easy L, sash tilting feature for easy cleaning. • Block and Tackle. Balances with Draft Sentry • Assures a lifetime ci'eilsi! • 180 Degree Lock, • Security and pets,e f n.int,' • Lifetime ±2L!jt?•'y9' art t Ii whndo�,v components. 0 d Certifications & Affiliations "CertainTeed'Vinyl Carpentry Master Craftsman, Dreamspace® Sunroom Dealer "Advanced Alside Siding Product Specialist "Advanced Alside Window Specialist, Thermal Industries Authorized Dealer "New Hampshire Better Business Bureau (BBB)" "Energy Star Retail Partner" INVESTMENT TOTAL FOR SPECIFIED WINDOWS We hereby! propose tofurnish all labor and material: in accordance with the above spec.ifications for the sera of: .Casements: $6,802 4t 194 7- Bow Bow Windows: $6,734 25% deposit at accer—.e of proposal $3,384 5 25% due at re measure $3,384 b 50% due at completion $6,768 X0-0 This proposal may be withdraws a or subject to change if not acceptedin 10 days. X127( 3 3U g338 .7462 eme �y 1 VisA Lww�6ACe s Ma►1or'S�� //d Authorized Signature Date .oma. - X Authorized Signature__._._ _._..__.__._�.� Date CQ- 7-Of Morgan Exteriors ; _ _ Date Representative Acct>ptance of Proposal i Terms and Conditions Since this contract is for made-to-order goods,it is not subject to cancellation other than the inability to obtain financing or proper permits. if you cancel this contract any time subsequent to the third business day after the date of the contract and prior to tho start of work.You agree to pay us the difference between our estimate of the cost of material and labor and the amount of the total sale.(Our lost profit)You agree to pay according to the above schedule of payments.If you fail to pay according to the terms above then you must pay a collection cost equal to our actual costs of collection up to 15%of the total amount you owe.Plus attorney's fees and court costs.Any unpaid balances will incur interest charges of 18%annual or 1.5% monthly. Right of Rescission I have the right to terminate this contract within three (3) business days of signing this agreement. If I choose to terminate this contract, I will contact Morgan Exteriors, LLC office on or before__Istty . In the event I terminate this agreement there will be no pena ties, ��nd any deposits of mine will be promptly returned. If the customer is a corporation or limited partnership, the undersigned, jointly, severally or individually hereby unconditionally guarantees the obligations stated herein. Signature p tv—C7;7-o ate_ Signatur _ pate `-�- OCT-13-2009(TUE) 14; 26 P. 001/001 ENERGY STAR" Qualified In All 5O States 21 Thermal NNPC Industries, Inc. CHR Vinyl Frame Natmn,lFdftrauan Double Glazing FWM qpWa Casement TRI-K-52-00044 ENERGY PERFORMANCE RATINGS U-Factor(U.SJI-P) Solar Heat Gain Coefficient 0.28 0.24 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Condensation Resistance 0.46 60 Manulatpmr;tlpukilas Uw Ihme MV cardorm 10 a6plUbia NFRC pwxdures far dwtennmmq wale pradua oerlunnairt.NFAC ratarye are ddtermMed far a iced 5el U(alnrmauertal c936lrans ate a spadtieProduct So.WCMesAct reu mend anytttodu.-tand dartsnot via,rant theFubtiayalaih; Oradud tar arch epep�uSB.Carsrrh mapalaaarti s Ideratw R Grr Oltlur praducl pyl�,ydlarlse inlama:rnn evww,r�rGU�j N 660 . N ,660 rdered by CHR. III Caution !ll CERTIFIED Children Can't Fly Peak Scl"ns are not designed to restrain Performance a 09d from tpoing through a open Arg*n Enhanced windaw.Please take proper preco0ons. LOW—E H-R30 44X60 MANUFACTURED FOR Structural DP 30 (ASTM E 330) Massachusetts- Department of.Public Safeti Board of Buildin;;Regulations and Standards Construction Supervisor License License: CS 92194 Restricted to: 00 MARC W COUTURE 114 LANGFORD RD RAYMOND,Nei 03077 Expiration: 7/17/2011 Commissioner Tr#: 17681 - F J � �"°�y� � � FYI ✓ . - ... 'r:• !'-' 'k- ...?N+f.%T+ +...- ...t ., .. � n� y �T.ff� iame�+s.� �:'�( - .. -. 91te �a Boar o udg egula x One Ashbua on Place- J-341 Boston,, Mass hu"s: 1 Home Improvenenr � �sraln — R ftlstration 146964 I - Type. tatd l.'a ility Ra Ine Z r *; _- Expiration 613211"I Tr# 2846 MOR-43AN EXTEfRIORS.LLC. MARC COUTURE M LONDONDERRY, Nei 03053 4fdaetAddress and rEttirn card Mu7k r-�easoarfor © Addy; s <Renesysil -M"0�ment [� 1 DPS-CAAlCop 40M-08/08-D8SLIFORMCA1108212008 � Tlie Board of Building Reguletiofjs and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: h"s�. Board of Building Regulations and Standards Reglstrakbo ,'146964 One Ashburton Place Rm 1301 x= " 2011 Tr# 284654 Boston,Ma.02108 liability Partne MORGAN EXTEI !�t MARC COUTUR ff� 130 ROCKINGHAMQ� - - ----' LONDONDERRY,NH 03953 Administrator Not valid withou t signature NORTH own of 4 over , No. J dl o dover, Mass. 0 l A ,�. f f COCKICKEWICK V %d ADRATED O'k? -`5 S BOARD OF HEALTH PERMIT T. D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....... ....................... Foundation has permission to erect.................................... buildings on / C?. .r .. S...... aC�............. Rough .... to be occupied as /o�� ...�`�� J ........................... Chimney provided that the person accepting this permit shall in every respect conform 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 CONSTRUCTION STARTS Rough ..k9 .....% .,e.............................. 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.