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Home My WebLink AboutBuilding Permit #1094-15 - 29 WAVERLY ROAD 6/24/2015 BUILDING PERMIT NORTH qti TOWN OF NORTH ANDOVER 32 y�tt- =6 0 APPLICATION FOR PLAN EXAMINATION y ~ T N T Permit No#: G f Date Received �gSSACHUs��y Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION 2—c( W q02 I_Y' ( o Pgnt PROPERTY OWNER �0 Print 100 Year Structure yes no MAP PARCEL: 1 ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Resi ial Non- Residential ❑ New Building SKOne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic 0 Well _ Flood lain *1Netlantlsatershed District [7U,',LW DESCRIPTION OF WORK TO BE PERFORMED: ad'e- L) nn Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: a Contractor Name: Phone: Email: /V -, C Con r Address: C o S� I-IV D 3 a Supervisor's Construction License: r — Exp. Date: O Home Improvement License: L/ 0 1� 1/() Exp. Date: 12- 2e)S ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ ®� FEE: $ LJ Check No.: 4,3 Receipt No.: .(�J� NOTE: Persons contracting with unregistered contractors do not have access to the uar f T 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 Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS j mooning 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 r<+.,�—».s^w°�' AFIRE DEP�4R�TIVIENT�;TempaDumpster=onisiteyesf .� Ti"oc7 •t - 4�. , ma-[F treet Y:, t r, � a; arttmentsignature/dates .} ''"`p.'F " •-,R`._. +` ($, ,�� },� yi*' ,- � .r<n '' a a•� { Ft��t**� e' t "`� � !� ,.fiery,,,E, .rri i .i{#- � 1 � � �.y-$ t' �-�ii z 1 q��' � , 4 Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. f Total land area, sq. ft.: ELECTRICAL: Movement of(deter 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) i ® Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 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 4� Building Permit Application 4. Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior Work 4. Engineering Affidavits for Engineered products OTE: 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 Y OTE: 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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 2014 Location r U No. Q /�. Date • TOWN OF NORTH ANDOVER r � � Certificate of Occupancy $ Building/Frame Permit Fee $ � Foundation Permit Fee $ ' Other Permit Fee $_ TOTAL $ i Check# � ?' �I 2 83 9 6 6 uilding Inspector NORTH Town of . EAndover G ;�. - .:�.. 0 I- In - h soh ver, Mass, �j 1 CoCNIC6 Z1,9 A�R�►reo S U _ BOARD OF HEALTH Food/Kitchen Septic System THIS CERTIFIES THAT •� BUILDING INSPECTOR . .. .PERMQ1 . .... .. .. Foundation has permission to erect .......................... buildings oni�... ......... /A► . ......... ... ar............. ......... ♦♦ ......iRl.........� Rough to be occupied as .............. .).K. ........{.. . .. ....... . ................................................................... Chimney provided that the person accepting permit shall in every pect 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 MONNS ELECTRICAL INSPECTOR UNLESS CONSTRU N TS Rough CService ....... .......................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. .. s N Michael R. Anderson E 75 Scobie pond rd. C Derry,NH 03038 Construction Licensed and Insured PROPOSAL: Jeff Todd 29 Waverly rd North Andover Ma After reviewing notes from your project,N E C Construction has completed a preliminary outline and estimated costs for your vinyl siding and blown in Insulation Project. This is a preliminary estimate only. Costs may go up or down depending on design,planning and specifications of the final outcome for the project. N E C can provide all plans, details, and materials and labor necessary for obtaining permits through job completion. We are looking forward to working with you on this project in the near future. RE: Required Permitting for Town Building Department is not included in this Agreement Separate charges will be applied RE: Job Description: Vinyl siding and blown in insulation R13 or better The Contractor agrees to do the following work for owner: Jeff Todd INSULATION: All Exterior Vertical Wall Living areas Drill Standard 2"holes 16"on center(home is assumed to be balloon framed) below bottom of top plate area,above and below all windows and doors Blow in insulation on all exterior vertical walls to achieve maximum R Values Vinyl Siding: (color to be gray) 4"Dbl vinyl gray siding panels Corner to be same as main body color(gray not white) J Channels to be Gray Any sill trim accessories to be gray No PVC Trim applies ITEMS TO CONSIDER NOT INCLUDED: Dump fees and Permits Window Tops Detail replaces the header lx stock and mini crown or remove and repair For future PVC detail to make square for vinyl siding Inspection of Roof structure and flashing at intersection of addition and main house Access panel to get to addition roof system PROPOSAL PRICING N E C Construction proposes to hereby furnish labor and materials—complete in accordance with above specifications for the Sum of $ 11,700.00(Eleven Thousand seven hundred dollars) Payments to be made as follows: I"Payment $4200.00 Due at signing for any and all ordering of Items 2"dPayment $4300.00 Insulation completion and commencement of siding 3rd Payment $3200.00 completion vinyl siding Miscellaneous items may occur that were not foreseen or included in this proposal. N E C Construction can negotiate them while working on the project and complete them at the same time under separate agreement with the homeowner. All material is guaranteed to be as specified. All work to be completed in a substantial workmanlike manner according to specifications submitted, per standard practices. Any alteration or deviation from above specifications involving extra costs, will be executed only upon specific agreement by all parties. This will become an extra charge over and above this proposal. All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire,tornado and any other necessary ins irance. Date of Proposal: June 10,21015 NEC Authorized Signature "NOTE: This proposal may be withdrawn if not accepted within 30 days. ACCEPTANCE OF PROPOSAL: The above prices, specifications and conditions are satisfactory and are hereby accepted. N E C Construction is authorized to do the work as specified above. Payment will be made as outlined in a separate payment schedule. Date of acceptance: Homeowner: 0612412015 10:04 Lauranzano Insurance Agency ftX) P.0021002 ACOR ® CERTIFICATE OF LIABILITY INSURANCE D6/24ATE IDD015 �� 06/2x/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(ies) 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 CONTACT NAME: Lauranzano Insurance Agency PHONE . (978) 927-8420 A/C No• (978) 921-9162 107 Dodge Street EMAIL ,LL@Lauranzano_com INSURER(S) AFFORDING COVERAGE NAIL iF Beverly MA 01915^ INSURER A;American European Ins. Group INSURED North East Construction INSURER B: 75 SCcbie Pond Road INSURERC: INSURER 0: INSURER E: Der NH 03038— 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. INSR I ADM MR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DDIYYYY) IMMIDDIYYYY1 LIMITS A GENERAL LIABILITY SKP2800720 09/22/2014 09/22/2015 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PRMA E TO RENTED $ CLAIMS-MADE 7 OCCUR / / / / MED EXP(Any one person) S 51000 PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,00() GEN'L AGGREGATE LIMIT APPLIES PER: / / / / PRODUCTS-COMP/OP AGO $ 2•,000,000 POLICY PRO- LOC / I / I NOWND S AUTOMOBILE UA61LITY COMBINED SINGLE LIMITswoenu 5 ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED / / / / BODILY INJURY(Per accident) $ AU OS NUTOS ON-OWNED / / / / PROPERTY DAMAGE $ WIRED AUTOS AUTOS ra Idan UMBRELLA LIAR OCCUR' / / / / EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE / / / / AGGREGATE S DED RETENTION / / / / $ WORKERS COMPENSATION / / / / WC STATU- I IOTH- AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETORIPARTNERIEXEGUTIVE El NIA / / / / E.L.EACH ACCIDENT S /M OFFICEREMBER EXCLUDED? (Mandatory In NH) / / / / E,L,DISEASE•EA EMPLOYE $ IS yes,descrloe under DESCRIPTION OF OPERATIONS Wow / / / / E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,tf morc space Is roqulred) Job Located at: Jeff Todd 29 Waverly Street North Andover MA 01845 CERTIFICATE HOLDER CANCELLATION ( ) - (978) 688-9542 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES RE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL Be DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. North Andover Bldg Dept. 100 Osgood Street Suite 2035 AUTHORIZED REPRESS YIVE //-7North Andover MA 01845- ACORD 25(2010/05) 0 1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 r Home Improvement Contractor Registration E" - — Registration: 140940 o - * = - Type: DBA Q Expiration: 12/9/2015 Tr# 248942 n r— � O n c r ao c N.E.C. CONSTRUCTION - 3 2 i MICHAEL ANDERSON (o R 75 SCOBIE POND RD. 0' ��. ;� N C' M �, k DERRY, NH 03038 -`Update Address and return card.Mark reason for change. E] Address Renewal Employment Lost Card w SCA1 Co 20M-05/11 _,._......._..,..---.�-___.�.,,.........-........•-».-...•�.�-j...- - --, 70:, a "OPV �- --- /zeonzmo�cuetr�G .o�C� raaacfc�eGCa•' = License or registration valid for individul use only to cr �\ Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: v �' - OME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation Q, Cn egistration 140940 Type: 10 Park Plaza-Suite$170 xpiration: 12/9/2015: DBACL Boston,MA 02116 N.E.C.CONSTRUCTION MICHAEL ANDERSON 75 SCOBIE POND RD. Not valid without signature DERRY, NH 03038 Undersecretary