HomeMy WebLinkAboutBuilding Permit #819-12 - 227 PLEASANT STREET 5/14/2012BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: '01"/ � �/ Z
Date Received
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TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
New Building
X One family
Addition
Two or more family
Industrial
Alteration
No. of units:
Assessory Bldg
Commercial
Others:
Repair, replacement
Demolition
Other
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UtbGKIN i IUN OF WORK TO BE PREFORMED:
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Identification Please Type or Print Clearly)
OWNER: Name: LAva�r Phone: 9— �"3� SoS� �i`
Address: 2
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: $ 6 9-a' ° ° FEE: $ 091.00
Check No.: 1.6 O <7- Receipt No.: -Q-!5'3at�
NOTE: Persons contracting with ung/ contractors do not have access to the guaranty.fund
l7
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
PLANNING & DEVELOPMENT
COMMENTS -
CONSERVATION
COMMENTS
HEALTH
COMMENTS
DATE REJECTED DATE APPROVED
Reviewed on Sionature
Reviewed on Sionature
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:
Comments
Conservation Decision: Comments
Water & Sewer Connection/signature 8� tJate
Driveway Permit
DPW Town Engineer: Signature:
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.s100-s10o0 fine
Doc -Building Permit Revised 2010
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: Building Permit Revised 2008
Location ,?2 /y,/IG '4
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No.
Check #_tea </
25306
Date2--
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $/.0C)
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
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alding Inspector
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,4�oRi�s CERTIFICATE OF LIABILITY INSURANCEDR-M(M
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t 12/27/11
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATInN nm.Y ANT) rnmFFRC mn RitJmTC Lip(1N TNF r`Ft7Tinr &TF 4401 DER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGAT-VEL AMEND. EXTEND OR A± -PER T.4Z COVERAGE AFFORDED BY THE POLICIES
ocr Hca - ��� -A-� : F ;r.--• F }�,_ L;ES .-- _-- T� ... e� :t �T:.��.. T sE IS5t1ING INSURER(S), AUTHORIzED
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rtEPIZEaEtva t[Et�rG OR PI2O�3tii:Eii, i;i:u iP9r Gteii ii :i rt: c ::OLDER.
x c•: , ; e Ii ttm ce ?6I:r,�.� r,� -' s s: L a. ;; �sscs , ule Ps ecy, rnusi I3s erov sea. SUBROGATION IS WAIVED, subject to
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PRODUCER-`-
CONTACT
NAME.
Sabatino Insurance Agency
PHONE FAX N
564 Broadway
Everett, MA 02149
E-MAIL
ADDRESS:
INSURE S AFFORDING COVERAGE NAIC9
;-zuRm A - NORT:'T..�JM INSUP-NCE COMPANY
MED EXP (Arty one person) $
ENSURED
INSURER 5: TRAVELERS INSURANCE
INsuRmc:LIBERTY MUTUAL
Action Construction
604 Main Street #2
INSURERD:
INSURER E:
Woburn, MA 01801
INSURER F:
BA6A907532 r
COVERAGES CERTIFICATE N UMBER : REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INbUKANUL U-6IEL) BEI -Ow HAVE 5EEN i55ucD IO IHE INSURED NAMLL) AdvvE FOR THE POLICY PERIOD
.f n .:r.- _. __c w n n! �c is iiac[.i.si : ucn r u u •1w.i .".:r1 RESPECT ,`[
- ..- ft CT TO WH!CH THIS
iAAA",Y ^E ; h L L' Or, 174AYPini,"J, Tv;E ,,:;}uRAN'CE BY TI -E ROI .CIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERNS,
EXCI I t< J! N -S AND L'f NCITIONC OP C(!f1-i PnI ICIFG i 61AITG A,"nVON MAY r AVF Rl::Pfv PPi1i;f:P i fiY PAID CLAIMS.
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LIMITS
A
GENERALUABILITY
X COMMERCIAL GENEFtALLIABkITY
CLAMS -MADE F -I OOCUR
WS053222
i� 1/1/12
!
1/1/13
I
EACH OCCURRENCE $ 1,000,000
DAMAGEES fE TO RENTED
nce $ 100,000
MED EXP (Arty one person) $
PERSOML&ADVINJURY S 1,000,000
GENERAL AGGREGATE 5 2,000,000
GENT AGGREGATE LMITAPPL1ESPER
POLICY ,R O- El LOC
PRODUCTS -COMPR?PAGG $ 1,000,000
$
B
AUTOMOBILE LIABILITY
ANYAUTO
ALLOWNED
D SCHEDULEDBODILY
AUTOS
NON-OHIRED AUTOS _ AUTOSW ED
BA6A907532 r
. ; 1/1/12'
1/12/13
GOMFi JFaac�rtSINGLELlkifi S P
11 BODILY INJURY (Per person) P S
INJURY (Per acident) ,. $
a�nDAMAGE
$
I INSF LLA LIOCCUR
EXCESS UAB
CLAMS -MADE
EACH OCCURRENCE $
AGGREGATE $
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$
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-ND EMFLQ,-FR
- Lisla3l.iTYY
I ANY PR4PRIE-T0PJPkRTNER/EXEECUTNE �
OFFICE RNEMBER EXCLUDED?
;,_.iandat ,r!!!NM)
If yeses describe under
. D=S"RIPTiON OF OPERATIONS below
NIA
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WC131S363844010
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; lh/12
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TOQ�IM OTH
E.L. EACH ACO LENT S 1,000,000
E.L.DISEASE- FAffFFIDY 1.000,000
EL. DISEASE -POLICY LIMIT $ 1,000,000
; SCPv':''nol.' O OP -,R-^ !MIS I LOC.," noNS I VEHICLES (Anfad: ACORD 101, Ad*OonW Remarks Sdmdude, Rmaespaceis regdTed) • � '"
ServieMagic Inc is listed as additional insured
CERTIFICATE HOLDER CANCELLATION
ServiceMagic Inc
14023 Denver West Parkway
Building 64, Suite 200
Golden, CO 80401
SHOULD ANY O ,HE AGOVE DESCMZZO F-VUCIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL FSE DFI.IVFRFn IN
ACCORDANCE WITH THE POLICY PROVISIONS.
REPRESENTATLVE
g 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The AC ORD name and logo are registered marks of ACORD
�� Gtfiee a onsumer aers mess egu o0
HOME IMPROVEMENT CONTRACTOR
' Registration: :957671 Type:
Expiration: 10!2912013 DBA
A CONSTRtiCT10N
DAVID KRASNY i
604 MAIN STREET APT2
WOBURN, MA 01801` a
. J Undersecretary
Massachusetts - Department of Public Safety yr
Board of Building Regulations and Standards J
onstructiun Super; icor Slmcialn ..
License: CSSL4)99498 `
DAVID KRASN*lt �.
604 MAIN STREET-, .
WOBURN NSA 01801,:
Expiration
Commissioner 0=2/2014
DAVID KRASNY
ACTION CONSTRUCTION
604 Main St.
Woburn, MA 01801
Cell: 978 726 9709
Email: action.david(c-yahoo.com
www.theactionroofing.com
Proposal submitted to:
Laurie Flanagan
227 Pleasant St
North Andover, MA
Phone: 978-430-9044
The price of $6,740.00 includes:
May 15`h, 2012
Work to be performed at:
227 Pleasant St
North Andover, MA
• Strip existing roofing material 3 layers of shingles down to the
sheeting.
INSTALLATION
• White 8" aluminum drip edge along the eaves and up the rakes.
• GAF Ice and Water 6' high on all eaves. Around the chimney,
up the valleys around pipes.
• GAF Synthetic underlayment on the rest of the roof.
• Roofing material — GAF Timberline High Definition asphalt
shingles with lifetime limited manufacturer warranty. Color TBD.
• Cap shingle matching 30 years shingles.
• Cut the ridge and install Cobra ridge ventilation system.
1
4
• Chimney re -lead.
Pipe flashing replacement.
Flat roof:
INSTALLATION:
• Screw insulation boards 1/2" on the roof.
• Glue rubber membrane Versico 060 on the insulation boards
and up the walls.
• 3" seam tape for the seams.
• 3" white aluminum drip edge along the eaves.
• Cover the drip edge with 6" cover tape.
• Pipe flashing re -placement.
• All seams on the rubber will be caulked with #4500 EPDM
adhesive sealant.
• Siding, plants and lawn covered with tarps.
• Thorough ground and gutter clean up, magnetic clean up of all
nails in the property.
• Material dropped in the driveway.
• Dumpster dropped in the driveway and picked up immediately
after completion of the job.
• All necessary permits.
2
4
10 years labor warranty.
Additional charges may apply:
• If roof sheeting is found in unacceptable condition ( eg. rotten,
cracked, wide gaps between the boards... ) Action Construction will
charge $35 for every sheet 7/16 4x8 OSB plywood installed or $3.00
for every linear foot of roof board replaced.
I do not hire subcontractors. I also guarantee that I will be working on
your house with my guys.
Respectfully submitted
David Krasny
Action Construction
604 Main St
Woburn, MA 01801
Home improvement contractor registration number 157671
Construction Supervisor Specialty License number 99498
Signature:_--�
Acceptance of proposal
The above prices, specifications and conditions are satisfactory and
you are hereby accepted. You are authorized to do the work as
specified. Payments will be made as outlined above.
Date: 05/15/2012
3
Laurie Flanagan
227 Pleasant St
North Andover, MA
Signature: