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HomeMy WebLinkAboutBuilding Permit #917 - 25 MORNINGSIDE LANE 6/20/2012TOWN OF NORTH ANDOVER i APPLICATION FOR PLAN EXAMINATIO Permit N0: I Date Received Date Issued:_ & 2 u- ) Z--. IMPORTANT: Applicant must complete all items on this WW 11 r 141J Print PROPERTY OWNERAS(Ve l Unit # Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village ye no 100 year-old structure y no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building XOne family ❑ Addition ❑ Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other �� jt•v-+,�Py � �r t®Septic ®Well �, ,`� -fpr. �y ` � W r%Sewer x. F,, ._; '�,. _ 1+6s Fes. �aL c"�", �IF¢loodplauix, ®Wetlands] ,, . . �, .. _t ter_ �, `.,. " :.Y �^r.:}► �y she !l+ � XT�ly.p7-arw�.y 4`® Wa ear hed ►e ct �� `�(7•Y � s. ` ': s i . DESCRIPTION OF WORK TO BE PERFORMED: ST� �(Identifir;,d tion Please Type or Print Clearly) OWNER: Name: tll) ► �) i D -OA 4dC f\ Phone:(/f 67/ -%d-sem Address:c>e,5 fila ).MA CONTRACTOR Name: EHoA - Phone: Address: 1' cCnina SaA, AJ'Q- Supervisor's Construction License:Q % �� �' Exp. Date: 77- / - o% 1 L1 Home Improvement License: % (0 9�s��Exp. Date: 3 - 1 — 2o 13 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. Total Project Cost: $ 7 x FEE: $ •Vo Check No.: 1 o Receipt No.: `� 1A NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund W Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑'Swimming Tanning/Massage/Body Art ❑ 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 0 DATE APPROVED Reviewed on Signature Reviewed on Signature w ' T 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: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date 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 min410041000 fine Doc:.Building Permit Revised 20117une/mi 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 AI uilding 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) ❑ 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 MOTE: 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 roust be submitted with the building application Doe: Doc.Building Permit Revised 2008mi i Location N, No. 911 Date Check # 25437 TOWN OF NORTH ANDOVER Certificate of Occupancy $- Building/Frame Permit Fee Foundation Permit Fee Other Permit Fee TOTAL )Lilding Inspector s LU s LL O o a m _ a, o LL E ar N u (1) (n ro �+ Ln ? z o m c ° o LL s o M O c LL 0 o Z z 3 a t 40 O d' �5 Fiee s CLO o w � W c M O d H ? t tko o c I.L s LU s LL O o a m _ a, o LL E ar N u (1) (n ro �+ Ln ? z o m c ° o LL s o M > c s U c LL 0 o Z z 3 a t 40 O d' -ru c LL 0 � Z — W 'i LU s CLO o w u ani (n c M O d H ? t tko o c I.L W a W 5 LL m o z CU N v 0 Y E N w/ O O O � J0000..: w CL O p Z N� L m N d �F+ Q `O = i - h +� c a Z P 0 L O Cl) " 3CD R � N M i O L m Ma N Z U > c Cl)• O L W ti o4 0 4) 1-- _ 4 � X Z t .= O LJJ O EoIr-0 �U 0. C N p O CD � C Malmo,: •y = W dw a) > o c W J CL S 0 O • CO) 0) F- NCL v m m ujw c �� 0 . Ll. D .. N = O CLMf O Z N .. LJJ •E V C Q G1 0.-0 .OCL L Q N = J N .Q p O F- t0 SOV V w IN S W O W Z 0 Y/ N .E L t CL U) .Q U) C U N rm1 L V CL 01— c m m H � 0 O L- CL CL 0 Q c Cc M J O ,a; Z d CL Proposal 93 New Salein Street, Wakclield IMA 01'+Ri) Tel: 617-57! 9056 Email: CZyanrindSonS?iPvle.corn www.RvanAndSonRooffng.com Submitted To: lob location: William Godden 25 Morning Side Ave 25 Morning Side Ave North Andover, MA North Andover, MA Phone #. N/A Email: none mailed Proposal date: June 4, 2012 We are pleased to hereby submit this proposal to furnish materials and labor, completely in accordance with the below specifications: (Additional charges may apply for any change's not included below in proposal either by request of owner, or if Ryan and Son Roofing finds unforeseen circumstances that will affect the performance, quality or integrity of this job). In the event legal action is taken to enforce any provision of this agreement, the prevailing party shall be entitled to all its reasonable costs, including reasonable in-house or outside attorney's fees. Not responsible for debris in attic. THIS PROPOSAL IS TO: Strip roof to hare wood and re -shingle: $7,600.00 • Strip existing shingles down to bare wood • Check for rotted wood and replace as needed • Nail down any loose wood • Install ice & water shield to first 6" and in all valleys and around any protrusions • Install Palisades© premium synthetic uriderlayment (in place ofstandard 301b. felt paper) , • Install all new 8" white drip edge on perimeter and step flashing, where needed • Install manufacturer suggested starter course of shingles • Install Lifetime/ architectural shingles in color of your choice • Install ridge vent • Cap ridge vent properly with manufacturers suggested cap (GAF Timbertex® or IKO Hip & Ridge 12) • Properly flash any protrusions and all new pipe flanges, if any on roof Clean UP: • Will cover area with tarps to minimize debris and remove debris related to work • NOTE: Please cover any belongings in the attic, as they will get dusty, ifapplicable Payment Terms made as follows: (This includes permit, labor, material & dump) Strip a, shingle roof price: $7,600.00 Total cost 16(no changes, $7,600.00 Balance due upon completion: $7,600.00 Kindly rit payment to "Peter Ryan"Thank you! 7> Respectfully Submitted by: r/le f �/ / 1. _ - --_- Accepted by. All work is 100% guaranteed for 10 -year ,.on all craflsmAll other warrantees are through the manufacturer. All warrantees e null & void if job is not paid in full. Thank you for letting us serve you!!! Ryan And Son Roofing, Inc. is fully licensed (#169538) & insured. airs The COMNsonwearth of Massachusetts WW* DePartnosent of litiastrialAcciden& '(Wice Of IFIVesd9adons $ I CongressStree4 Smite 100 Boston, M11 02114-2017 W www -10"*s-gov1dia Workers' Compensation Insurance Affidavit:. Builders/Contract,)rs/Electricians/Plumbers AppliqMt InformationPlease Print Lezibly Name (BusbwnK)mmiizafionirndividLi)- VLV31A R 5�'M lAt' Address: hlj ,?,2 tj Phone #: 6)1-571-524� Are you an employer? Check the propriate box: 1. Ulan a employer with 4. [] I am a genial contractor and I employees (full and/or pan -time). have hired die sub -contractors 2. LJ I am a sole proprietor or partner- fisted on the attached sheet. ship and have no employees These sub-:) mtraLtors have working for me in any capacity, employees and have workers' [No workers' comp_ insurance comp. insw;mce.t required .] 5.0 We are a corporation and its 3. El I am a homeowner doing all work officers halto exercised their myself. [[No workers' comp. right of cut aption per MGL insurance required.] t c. 152, § I(, E), and we have no employees. 1No workers' comp. instirimce required.) '. rype of project (required): 4o. New construction Remodeling 1;. E] Demolition Building addition El Electrical repairs or additions F1 Plumbing repairs or additions 12.] Roof repairs 13f] Other— *Any applicant that checks box #1 mug also fill out the section below showing their workers' compensation pol is y information. I flonwowaors who submit this affidavit indicating they are doing all work and then hire outside contractors ran o submit a now affidavit, indicating such. lContrackus that chock this box must attached an additional sheet showing the risme of the sub-contrat;Wra and : t de whether or not those entities have employocs. lfdm sub -contractors have employees, they must provide their workers' comp. policy number. I am an morloyer that is providing workers' congwmAm ins :raxowfor my eanVqd1oyee& Baelow is Ae policy acrd', ob site 14ormstiolL Insurance Company Nam ,/- Ce-, � C Policy # or Self -ins. Lic. #: W,Cow 8 - -yr (OG Expiratict, Date:3 C� A A Job Site Address:___ t I citv/State 1p�iv:--­­ dmw Attach a copy of the workers' coni L satiton policy declarati ce page (showing the pol icy number and expiration date). Failure to secure coverage as required under Section 25A of MG L c. 152 can lead to the fit Lposition of criminal penalties of a fine up to S1,500.00 and/or one-year imprisonment, as well as email penalties in the form c J'a STOP WORK ORDER and a fine of7up to $250.00 a day against the violator. Be advised that a celoy of this statement may to forwarded to the Office of Investigations of the DIA for insurance coverage verification, ld&h 4y cerafy wider she paim and Ythtu' thein ornaQtion pro" , I above is irue and ozwrftt Si ature Date. /_ #; Offidal am only. Do not write in this area, to be cen*olded &y city or town ofl"I City or Town. - Ummit/License # Issuing Authority (circle one). I. Board of Health 2. Budding Department 3. Cityffown Clerk 4. Electr" Insl i actor 5. Plumbing Inspector 6. Other Contact Person: Phone #- 617-1'744- t of public �ad Bo.'Ird f A (31, till ;.1 !Ij �1 041 "�t 4MIda 1-tb, Licp.nse: CS 1043&5 C-I,.-]Nl^'O\i GAL -VIN 102 DELMONT AVE, \PT 2 L-OWEL-1, MA 01852 7(1/2014 . . .. . . . ........... 1, ()f CORSUM17jr Aff 3irs & Business Reg!x1ailion HOME IMPROVE MENT CONTRACTOR Registration. - 695:;8 -. Ex:)iration: 711/201 T'Ype Private Corporatio, A AND SON R00FINd `NC. '-'L NTON GA -VIN. �13 NEW SALEW Sj- rVAX r--- FIELD, MA 01880 Undersecretary M f KOK5 CERT11--KATE OF L1,01SIL 1TV 1MQ"DAK1f%C (OWLp OF IV: Mc. ME (NOVO/"" i THIS CERTIFICATE IS ISSUED AS A MAI I ER qF INF RMI TA ION CERTIFICATE DOES NOT AFRRMATIV E(_8 OR NEGATIVELY AAEN 11 AND CONFERS 1*0 MGMTS UPON THE CERTIFICATE HOLDER. THIS BELOW, THIS CERTIFICATE OF INSUR, ki ICE 1J, EXTEND OR ALTER THE COVERAGE AFFORDE T POL.ICIES REPRESENTATIVE 1) BY ME OR PRODUCER, AND I'l- E - DOES 140T CONSTMITF A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED CERTIFICATE HOLDER. IMPORTANT: –ffhokkw is a '04SURED, ij _­ _iU8_R_WA_ - must �MIKWSed. 7f .1 the terms and conditions of the _; PW'k'*'M) OGA-noN Is WED, subject tri ..... cefruffffMc8te holster Policy, cm tk In Policies may re"Ire an �,ndommeffl. WWderLn I!M O"!!e f!n A statement on this certificate does - rights to the PRMIMR not confey M86SPay Insurance Servfce,,qj_I._e 978 -M -68.1.59E I-. 1'__-_..__- . ...... . . . ............... 27 GOrdi" Sb1W Unit 1R M"CT . .. . ...... - ...... . .. . ......... Beverly, MA 01915 -998 p"aw —FAX'* --- A �Zyl SharleneWuileman ....... . ..... . ....... . ..... ....... . .......... . . ............ ...... . . . ...... .................... ........ .......... .. . ...... ....... ........ & i�g, i C 93 New Salem St Wakefield, MA 01880 THIS IS To CEpTIFY_trj:Fjf-:F F-p-6Er— -1 _IFS Or 7 INDICATED. NOMTHSTANDIW-3 ANY REQUIR CUTNMATE MAY BE 1SS(*D OR MAY PERT, L--,XqLUS(ONS AND CONDITIONS OF SUCH Pot. c I .. . .......... _ ryPF M JW34JAAW-E, 015"CRAL LfAiRIL." MFRCFAL. OFNFRAL LIMILITY CLAWS -MADE LIM?TAPPjjFnS AUTOMI'MILF LIABILITY ANY ALIT 0 ALL OWNED AUTOS SGHEOIJLEf) AUT<)S HIRED AUTOR NON -OWNED AUTOS UMFIRPLLA HAS j__1 0(XUR PXCF-",S UAS C[AIMS I.A. (AICI MILE,, IMILITT ANO EMPLOYEM L A t. ON "SER FX(-1j)r)p.Cj, I I My 0 (Mond ry in NH) 1-- !!4 - 1. I kTE NUMB–E REMIMON NUMB_ER: 3URANCE t ISTED BEE3W—K �,rE SEEN ISSUED 10 ME MEW', INSURED NAMEID ABOVE FOR THE POLICY PF ,pR)D FEI;f� OR CONDMOV OF ANY CONTRACT OR OTHER DOCUM6N-Y' VVYTH RESPECT TO WHICH THIS -N. THE INSURANCE AFFOR:)=D BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, Fs. LIMITS SHOVVN MAY HAV:: BEEN RED 10Em -- IAIL.l CUMFV$b. 03116/12 i 03/16/13 PFRSONAL COMBINED SINGLE 01411---l' (Ea eocidanf) BODILY INJURY (P—,qcCjdentj S . . .......... . PRO11CRTY I)AmAGE. (POT accident) S I-- . ........... . ....... . .... .. ..... EACH 1esclqtmor4 CC- opep EI'Vidence of I usurance Rwnarkf: Sr hsojK it naft CERTIFICATE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CA14CIELI-ED BEFORE THE EXPIRATION DATE THEREOF, N011rF WILL EW IDEI..,Vengn ACCORDANCE MT14 THE POLICY PROVISIONS. #N ITHMW-1) REPRESEWA-TIVU. . . . . . ........ . .......... . . . . ........... ACORD 25 (200gong Dr,"tF, �rin�l ') 7 1"e)ir,0RDnaMean(fj0gD; (0 ACORID CORPORATION. r-e-s" _erved­­_* tPrf 101/01 OdfFactory triai je,'Sion Vvwvv Are I egl6k4ned "Vwk, of AC40D ...... .....