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HomeMy WebLinkAboutBuilding Permit #741-16 - 2 STACY DRIVE 12/18/2015of NOa s , ti BUILDING PERMIT 3� .• °. '• a TOWN OF NORTH ANDOVER to ; APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: ` 1 ,VS 40"405 IMPORTANT: Applicant must complete all items on this page LOCATION %� �n� 1V A 4)016 V9r MA �t,n i � q i 8 1-61 20 PROPERTY OWNER �= ' �I �,nnw /spn(iQ AssXI ri Pnt (, MAP NO: PARCEL: ZONING DISTRICT: Historic, District yes !Machine Shop Villaqe ves no. TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial )CRepair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑ Well 0 Floodplain ❑ Wetlands ❑ Watershed District ❑ Water/Sewer Identification Please Type or Print Clearly) ViASWC*--77c4.2.- .5246' OWNER: Name: � � � Phone: Address: 6�g. orfhfifl&ller. MA CONTRACTOR Name. iarAond 14th (5hone: (00. — 5 53408 Address:14 S Q:)r+5rrr "-h Mt.57b%+ha-M IV 4 C) Supervisor's Construction. License: /t 5,q 5oq Exp. Date: q'tq�� Home Improvement License: [♦ Exp. Date: ARCHITECT/ENGINEER ri �-- Phone: Address: Reg. No.. FEE SCHEDULE: SULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $925.00 PER S.F. Total Project Cost: $ 13q 65. Do FEE: $ — x Check No.: 2159$ Receipt o.: NOTE: Persons contracting wit registered contractors do not have acce s t i uaranty fund Signature of Age O _� Signature of contractor baz �oQ-c, c = s� IL CD O O CL N W C) (n p —I tD•f CD _ 7 O O + O l0 �i C—. 'l O � n �'► CD S O (D M G O O < (Q O0N cl) .a s o a 33a :S PO c D ` =: a Qom C$ 0 D CD 5':* AsmC �... w i . !1`ID 0 o U3 O C � ID sEr: N c (D CD C)N 0 DM u 'a @ 'a b o n CL i m LA 07 T 7p T to ;p T iO (A T C O_ N O j O j S O O m O ° m 3 a _� °' °—' °—' 3 rt 00_ ooc oro 3 UQ .* m S S =ro s a n O (•*° Ort E m v : s fD m 3QF ro C C W 0 m D 22 p rvi T Z N G1 C z -�� m Z tZii 2 m O m m V m -� 70 p p 0 i i m 12/9/2016 Town of North Andover Mail - Permit 741-2016 on 12/18/2015 J NORI ANDOVER. kwssach Maura Deems <mdeems@northandoverma.gov> Permit 741-2016 on 12/18/2015 1 message Deems, Maura < M Deems @townofnorthandover. com > Wed, Dec 23, 2015 at 10:57 AM To: mmacl59@vedzon.net See attached as requested. Thank you, Maura Deems Building Department Assistant Town of North Andover ---Original Message— From: noreply@townofnorthanfover.com [maiIto: noreply@townofnorthanfover.com] Sent: Wednesday, December 23, 2015 11:02 AM To: Deems, Maura Subject: Message from "CommDev-Ricoh" This E-mail was sent from "CommDev-Ricoh" (Aficio MP C4502). Scan Date: 12.23.2015 11:02:00 (-0500) Queries to: noreply@townofnorthanfover.com .® 201512231102.pdf 2126K https://mail.googl e.com/m ai I/catu/0/?ui=2&i k=aeO2b3b5c4&view= pt&q=m m acl59%40veri zon. net&qs=true&search=query&th=151 cf8f51 a9a8cb4&si m 1=151 cf8f... 1/1 Diamond Hill Builders, LLC• 98 Portsmouth Avenue, Stratham, NH 03885 -maii, (603) 580-5368 1 www.diamondhilibuilders.com Diamond Hill Builders offers complete building and remodeling services including new construction, renovations, home and business improvement needs for individuals and businesses throughout the Seacoast NH area.i:�!! We are fully insured and offer the highest quality workmanship available. In addition to new home construction and remodeling we specialize in home additions, garages, roofing, decks, windows, doors and siding. All of our work is guaranteed. Date: December 17 2015 Job ID: Great North Property Management: Prescott Village Repairs Customer Name: Great North Property Management c/oPrescott Village Customer Address: Stacey Ln North Andover, Ma • Unit 20,13 Remove and replace the window sash. Prime and paint as needed. • Unit 18 Remove the rotted windows and replace with new Harvey Vinyl Windows. (3 Windows) • Unit 9 Remove the rotted window and replace with new Harvey Vinyl Window unit. (1 Window) Unit 20.13 Window Repairs $ 385.00 Unit 18 Window Replacement $ 2,700.00 Unit 9 Window Replacement $ 900.00 Total $ 3,985.00 Comments: Please note that this price is based on the work requested. Please note that any hidden damages are subject to a change order. Please note that this price includes materials, labor and dumpster. Initial--------- WARRANTY CONTRACTOR WARRANTS that all materials, facilities, workmanship, and equipment will be free of defects, and of specified quality, and will function properly for a period of 1 year(s), from the date first written above. Contractor will assign and deliver to owner all guarantees, warranties, and operating instructions of any Subcontractors, Manufacturers, or Suppliers that are applicable to any portions of the work. Within ten (10) days of first knowledge of any defect, or failure to function properly, Contractor is to be notified, in writing, of same by owner or his/her agents. Contractor shall be given first opportunity to promptly repair, replace and/or correct any item found to be defective, or that fails to function properly, at no cost to owner, within, a reasonable period of time. This Warranty does not apply to any construction work that has been subject to accident, misuse and abuse, nor to any construction work that has been modified, altered, defaced and/or had repairs made or attempted by others. Under no circumstances shall Contractor be liable, by virtue of this Warranty or otherwise, for damage to any person or property whatsoever, or for any special, indirect, secondary or consequential damages, of any nature, arising out of the use or inability to use because of the construction defect. THIS WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED. We thank you for choosing us for your new project. We hope that we have been Knowledgeable and helpful to your design and pricing process. We look forward to doing business with you... If you should have any questions please contact Chris at 603-235-9526 Diamond Hill Builders, LLC www.diamondhillbuilders.com Diamond Hill Builders, LLC R'A Prescott Village Initial--------- 2 LINE # DESCRIPTION QTY UNIT PRICE EX'1•E1 NVED 10000-1 Welded Vinyl RW 2 -Lite, Unit Size 62.5 x 47, RO 63 x 47.5 1 • Full Screen, Fiberglass Mesh, Screen Shipping Separate = No D J,1 L I— Q-1, L' it Devices = None Pin Window Label — Harvey, ou a mas tm Exterior Sash = No I Overall Glass Thickness =11/16", Double Glazed, Low E, Argon Filled, Custom Annealed IG = No, IG MFG = HY Unit 1: U -Factor = 0.3, SHGC = 0.3, VT = 0.55, NFRC CPD Number = a HII M 47 00003 00001, Custom / Call Size Option = Custom Size, New Construction, Reverse Sash Pattern = No l Unit 1 Left Glass, 1 Right Glass: NFRC CPD Number = HII M 47 00003 p•EI 00001 Base Color = Almond Energy Star Overall Rough Opening Width = 63, Overall Rough Opening Height = 47.5 Integral L Fin Adaptor, Receiver Pocket 6 9/16", Primed, 4 Side Factory Applied Room Location: None Assigned LINE # DESCRIPTION. QTY UNIT PRICE EXTENDED 11000-1 Welded Vinyl RW 2 -Lite, Unit Size 62.5 x 54.5, RO 63 x 55 1 Full Screen, Fiberglass Mesh, Screen Shipping Separate = No Window Label = Harvey, Doable Locks, Sash Limit Devices = None, Pin Exterior Sash = No Overall Glass Thickness =11/16", Double Glazed, Low E, Argon Filled, Custom Annealed IG = No, IG MFG = HY Unit 1: U -Factor = 0.3, SHGC = 0.3, VT = 0.55, NFRC CPD Number = g a HII M 47 00003 00001, Custom / Call Size Option = Custom Size, New Construction, Reverse Sash Pattern = No Unit 1 Left Glass, 1 Right Glass: NFRC CPD Number = HII M 47 00003 00001 Base Color = Almond Energy Star Overall Rough Opening Width = 63, Overall Rough Opening Height = 55 Integral L Fin Adaptor, Receiver Pocket 6 9/16", Primed, 4 Side Factory Applied Room Location: None Assigned 67 E Po•tI Last Update: 10/20/201 12:38 PM Page 1 Of 3 Printed:10/201201 12:39 PM 5 5 LINE ft ll1+SCRIF11UN V11 V1111 12000-1 Vinyl Casement, Unit Size 27.75 x 65.5, RO 28.25 x 66 Fiberglass Mesh, Screen Shipping Separate = No Window Label = Harvey, Sash Limit Devices = None, Standard Overall Glass Thickness =11/16", Double Glazed, Low E, Argon Filled, DSB, Custom Annealed IG = No, IG MFG = HY Unit 1: U -Factor = 0.3, SHGC = 0.27, VT = 0.47, NFRC CPD Number = HII M 38 00925 00001, Custom / Call Size Option = Custom Size, New Construction, Hinge Right i Unit I Glass: NFRC CPD Number = HII M 38 00925 00001 Base Color = Almond ' Energy Star— Overall Rough Opening Width = 28.25, Overall Rough Opening Height = ..._ 66 Integral L Fin Adaptor, Receiver Pocket 6 9/16", Primed, 4 Side Factory Applied Room Location: None Assigned LINE # DESCRIPTION QTii. UNIT PRICE EXTENDED 13000-1 Vinyl Casement, Unit Size 68.75 x 44.25, RO 69.25 x 44.75 1 Fiberglass Mesh, Screen Shipping Separate = No Window Label = Harvey, Sash Limit Devices = None, Standard Overall Glass Thickness =11/16", Double Glazed, Low E, Argon Filled, _ Custom Annealed IG = No, IG MFG = HY f ` Unit 1: U -Factor = 0.3, SHGC = 0.27, VT = 0.48, NFRC CPD Number HII M 38 00925 00003, Custom / Call Size Option = Custom Size, New Construction, Hinge Left, Venting Pattern Configuration = LR Unit 1 Glass, 2 Glass: NFRC CPD Number = HII M 38 00925 00003 Unit 2: U -Factor = 0.3, SHGC = 0.27, VT = 0.48, NFRC CPD Number HII M 38 00925 00003, Custom / Call Size Option = Custom Size, New Construction, Hinge Right, Venting Pattern Configuration = LR Base Color = Almond Energy Star Vertical Common Frame 0" thick, 44.25" length Overall Rough Opening Width = 69.25, Overall Rough Opening Height = 44.75 Integral L Fin Adaptor, Receiver Pocket 6 9/16", Primed, 4 Side Factory Applied Room Location: None Assigned Last Update: 10/20/201 12:38 PM Page 2 Of 3 Printed:10/20/201 12:39 PM 5 5 i Ag Commonwealth of Massachusetts Department oflndustrialAceldents X Congress Street, Suite 100 M4 www.mass gov/dia WD kers' Compensation bsurance Affidavit: Buiidexs/Contractors/FlQciricians/Plumbexs. TO BE PILED VITH T",pM MITMG AUTff0RM. Name (Business/Orgmi m ionllndividnal)'_�� Address:_ A.xeyou an employer? Cheektlieappiopriata box: 1.� I am a employer with employees (full and/or pari time).* am a sole proprietor or ership and have no employees Working forme in 2.Q I prof any capacity. [Noworkers' comp. insutauco required.] 3.[] I am ahomeowner doing all workmysel£ [No workers' comp. insurance required.] t 4.E]I am a homeowner andwill be hiring contractors to conduct all work: on my property. Twill ensure that all coractors either have workers' compensation insurance or are sole pro�iiietois withno euip oyees: ----- -- . 5. I ant ageneral contractor and I haye hired the sulrcontractorslisted on the attached sheet. Thesesub-contraotor's liade eihiployees and have workers' comp. bmrancoJ 6.❑ We are a cozporat{on audits gfflgers have exercised their right of: bxemption per MGL c. 152, § 1(4), and we have ri Ajlaye?.s. [No workers' comp. insurance required.] Type of project (required): 9. El New construction 8. j] Remodeling 9. ❑ Demolition 10 ❑ Building addition 11.Q Electrical repairs or additions _...... _ ....__12: [] Fiumbingxepain ox additions-- -.. _ _ _._.. _ ............. 13. - Roofrepah's 14.Vothbr-0��1�) 5 r.. . _ Pens'di"n Policy *Any applicant that checks box 41 must also cat outs sectionog aouwwork anSthenhire outside contractors must s4bmftanew affidavit indicating such t Homeowners who Sabid Elfiis ai fidavit indicating they #Conirabiors that checkthLg box must,'attaohed an additional sheet showing the name of the sub contractozs andtate whether or not those entities have . must provide their workeis' comp. policy number. employees. If the sub-conhac%rs fiave employees,�Y P X am are erriployer that is pi ovidii�g worl6ers' compensation Insurancefol' my employees ' Below is the policy and job site inr foimation. Insurance Company Name: �� I �'' Policy # or Self ins, Lic. #: �_�_ $A - lk,4 -D/-o5 ExpirationDate: 1 I L City/State%Zip: Job Site Address: and expr aion copyoftheworkers conpationpo cyeclaxatin page (shovingthe olicyttumber Attach $00.00 Failure to secure coverage as required under MGL o. 152, §25A is a criminal violation punishable by a fine up to $1, as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a and/or one-year imprisonment, as Well day against the violator. A copy of this statement may be forwarded to the Office of Iuvestigations of the D7A for insurance coverage verifroation. Xdo.lzereby certify undertlie the information pf ovi%deddabove is true arta correer. nAfAl 1 2- / yjw i 5~ OfjMal use only. Do notwilte in this area, to be completed by city or town of}ieiaX City or Town: Permit/License issuing Authority (circle one): i 1. Board of )Health 2. )Building Department 3. City/'Town Clerk 4. Electrical inspector 5. Plumbing Inspector 6. Other Contact Person: Phone ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMtDDIYYYK) 9/21/2015 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(les) must 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). PRODUCER CROSS INSURANCE - LACONIA 155 Court Street Laconia NH 03246 CONTACT AME CT Jessica Hildreth, ACSR. PHONE -Ext): (603)524-2425 1 1 NC NO: (603)524-3666 E-MAIL hildreth@crossa en com ADDRESS: 3 g �' INSURERS AFFORDING COVERAGE NAIC If INSURERA:Frankenmuth Mutual 13986 INSURED DIAMOND HILL BUILDERS LLC 98 PORTSMOUTH AVE STRATHAM NH 03885-2415 INSURER B:Continental indemnity Company INSURERC: INSURER D: INSURER E: INSURER F: CIJVFRAGFS CFRTIFICATE NUMRFR-CL1592150689 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. ILTR NSR TYPE OF INSURANCE POLICY NUMBER NPIMID OU Y EFF POLICY DDlEXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE ❑X OCCUR PREMISES Ea omarencal S 300,000 MED EXP (Any one person S 5,000 BOR6165548 9/19/2015 9/19/2016 PERSONA04 ADV INJURY $ 1'.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY � JECT � LOC PRODUCTS -COMPIOPAGG S 2,000,000 OTHER:S AUTOMOBILE LIABILITY C SINGLE LIMIT S 1,000,000 ocid Eaa accid Dent BODILY INJURY (Per person) S ANY AUTO A ALL OWNED X SCHEDULED AUTOS AUTOS BA 6165548 9/19/2015 9/19/2016 BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accident S NON -OWNED X X HIRED AUTOS AUTOS Uninsured Motorist S 1,000,000 X UMBRELLA UAB X OCCUR EACH OCCURRENCE S 2,000,000 AGGREGATE $ 2,000,000 A EXCESS UAB CLAIMS -MADE DED RETENTIONS $ BOP6165548 9/19/2015 9/19/2016 WORKERS COMPENSATIONX R FOR EMPLOYERS' UABIUTY YIN ANY PROPRIETORIPARTNERIEXECUTNENIA E.LEACHACCIDENT S 100,000 B OFFICERIMEMBER EXCLUDED? (Mandatory In NH) 46-843442-01-05 9/19/2015 9/19/2016 — F.L. DISEASE - EA EMPLOYEE $ 100,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT I S 500,000 A EMPLOYMENT PRACTICES LIAB BOD6165548 9/19/2015 9/19/2016 EACH CLAIM $100,000 RETENTION: $5,000 AGGREGATE $100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 701, Additional Remarks Schedule, may be attached If more space Is required) Christopher Howlett is excluded from Workers Compensation coverage. Where required by written contract, Great North Property Management, its officers, directors, and employees are listed as additional insured for ongoing operations with respect to liability arising out of work performed by or on behalf of Diamond Hill Builders LLC. CERTIFICATE HOL (603)766-6295 Great North Property Management 3 Holland Way, Suite 201 Exeter, NH 03833 I ACORD 25 (2014/01) INS025 rnn4nn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE IJ Hildreth, ACSR/JH5 ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Massachusetts - Department of Public Safety Board of Building Regulations and Standards Conor€ cutin supeniukr License: CS-059504 PAULRABENIUS- 'r 134 AUU RD N HAMPTON NH 03$ ol j` Pu.— � ;c ,I, �' Expiration Commtsstoner 09/1912016