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Home My WebLink AboutBuilding Permit #264 - 3 GREAT POND ROAD 10/10/2007 BUILDING PERMIT cE NORTIq 1 TOWN OF NORTH ANDOVER c� APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received ss^cHuS� . Date Issued: D r d IMPORTANT: Applicant must complete all items on this page r TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other / DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ � Check No.: � Receipt No.:--a (� NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ I 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 i DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS 1 W Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments I Conservation Decision: Comments Water& Sewer Connection/Signature Date Driveway Permit Located at 384 Osgood Street .,., a.... .. 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 0 Notified for pickup - Date Doc.Building Permit Revised 2007 J 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 1 o 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 I Addition Or Decks i i o 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 I ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract 0 Mass check Energy Compliance Report o 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 T Location13 &46eir +-1,6nGt lza - No. ( Date NORT#1 TOWN OF NORTH ANDOVER O F w 9 Certificate of Occupancy $ �- cMu9 Buildin /Frame Permit Fee $ s� sE Foundation Permit Fee $ f Other Permit Fee $ TOTAL $ Check # S� 206 , Building Inspector T. G. L . R . C . INC . , DBA / LAMBERT ROOFING CO . In business since 1932 T. mba �oofing .august 16,2007 ATTN: CENTER REALTY TRUST, SUBJECT: FOR NEW ROOF SYSTEM @ 3 GREAT POND ROAD NORTH ANDOVER,MA 01845 PHONE: (978) 683-0142 E-MAIL: QBID@COMCAST.NET STEEP-SLOPE ROOFING SYSTEM ON ENTIRE BUILDING 4,000 SF +OR- 1) T.G.L.R.C., Inc. will ensure the CENTER RELTY TRUST that we are fully insured by requesting a certificate of insurance be drafted for Workers Compensation, General /Auto Liability and a$1,000,000 Umbrella policy sent by fax and/or via US mail to the required party. 2) Repair all wood work around perimeter and soffit prior to roofing. 3) Pre-pare for re-roofing by ensuring all safety measures are taken in accordance with OSHA standards and landscape is properly protected. A pre-construction walk thru will be executed to observe existing conditions and parameters. 4) Remove existing layers of shingles down to roof deck and dispose of in a legal fashion from the job site. Inspect wood deck, if we discover any rotted wood replacement will be performed at $65.00 per (4' x 8� sheet plywood and properly nailed to deck. If wood is sound we will re-nail any loose wood to rafters, sweep deck and prepare for roofing. 5) Install metal (Aluminum) "F8 drip edge" to all roof rakes and eaves of roof (perimeter) as required. Color to be:white. 6) Apply ice &water shield (UNDERLAYMENT) 6' up the roofs leading edge, around all penetrations including chimneys and skylights. 7) Apply premium `Roofers Select" 30 # felt paper to the balance of the exposed roof deck. 8) Furnish and install a new 30-Year Architectural(algae resistant) style shingle roof system using a hurricane nailing system recommended in the northeast regions. Color to be: Chosen by owner. 9) Re-flash all base tie-ins using (5"0") step flashing as and only if required, all roof pipe penetrations will receive new flanges as required and dictated g q fated by good roof NORTH Town Of No. LA odover, Mass., COC MIC ME WICK V 7�ADRA TE D p'P 2 S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System �� BUILDING INSPECTOR THIS CERTIFIES THATT 1� ...........Cv^.40%!!�....... ........�....�....!............•�•.....................1.......................... ............. Foundation has permission to erect........... ......................... buildings on ..3.... ..r4,M.T.....P . . . ......... . .. Rough tobe occupied as...... ......... Ad..0 .. ............................................................................... Chimney provided that the person accepting this permit shall in every respec nform 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 .�}MOMPERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU N TARTS Rough mow ................................................... 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. -2- AUGUST 21,2007 practice to ensure water tightness. All stack pipe flashings will be removed and replaced. 10) Furnish and install new "Air vent shingle vent II" over style ridge vents using a baffle style vent approved by the shingle manufacturer and recommended in the northeast, make sure all cut outs at ridges are a minimum of 2" wide and are continuous as required and specified by manufacturer to ensure positive air flow. All debris generated by the T.G.L.R.C., Inc. will be cleaned up on a daily basis and disposed of from the job site in a legal fashion. Under no circumstance will the watertight integrity of the building be compromised. NOTE: We understand this is not your average roofing project. Below find our pledge to ensure pre, work in progress and post construction is a safe, comfortable and speedy process. "All workmanship will be performed to the standards and expectations enforced by the 6th Edition Massachusetts Building Code. Unrestricted construction supervisor license #UCS 078130 will be on site and/or accessible diligently through out the project. We will discuss in detail the project agenda prior to starting and follow our commitment to the best of our ability." T.G.L.R.C. INC.agrees to commence described work in on or about(September 2007) and the described work will be completed in about(3)working days. T.G.L.R.C. INC. shall not be held liable for delays due to circumstances beyond our control. T.G.L.R.C. INC. may not be held liable for any damages to landscape, attics and/or fixtures due to circumstances beyond our control. T.G.L.R.C. INC. shall not be held liable for pre-existing conditions including but not limited to mold and/or wood rot. Defective, faulty,rotted or worn building counterparts such as but not limited to siding,gutters,masonry, plumbing, and windows that jeopardize the watertight integrity of the building are not covered under the roofing warranty. The following work includes all labor, materials and disposal needed to complete your job in a professional worlananship like manner. UPON COMPLETION AND PAYMENT IN FULL A TEN YEAR NON PRO-RATED GAURANTEE ON ALL WORKMANSHIP WILL BE HONERED AND ISSUED BY "T.G.L.R.C. INC". A THIRTY YEAR WARRANTY WILL BE ISSUED ON SHINGLES BY"MANUFACTURER". EXCLUSIONS: Prevailing wages, performance of other work trades including but not limited to unrelated carpentry, unrelated metal work, plumbing, electrical, masonry, siding,windows,gutters,unless otherwise contracted for via change order. POTENTIAL EXTRA COSTS DUE TO PRE-EXISTING CONDITIONS ✓ The cost of wood sheeting removed, disposed of and replaced (including labor) is $65.00 per sheet (4"X 8'). -3— AUGUST 21,2007 ✓ The cost for new lead around chimney's all labor and material will be$315.00 for one sided chimney's and$650.00 for four sided chimneys. NOTE: if only individual pieces of lead need replacement this cost will be divided appropriately. The total cost for all permits, warranty, labor & materials is $18,950.00 *Payment Terms: 1/3 Down Payment,upon completion payment in full. Net 30 days, a finance charge of 1.5 % per month (18% per year) will be added to all invoices on the 31 day. All legal and or collection fees will be paid by the binding holder of this contract. Acceptance of proposal: Signatures Date 4- L Z--x>7Please sign and return one copy upon acceptance. NOTE.-Due to volatile pricing on building products this contract is void if not accepted within 15 days of reception. "Quality Workmanship You Can Trust" Our Proof is on Your Roof! Safety first, T. C. INC. RICHARD j LAMBERT President/Quality Control �,4e �oonsvuyuusa�l�i a�,/�aaaa,c/urask2 •—•--•- ---.. ._ Boird of Building Regulations and Standards License or registration valid for Indlvldul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to; ReQlstr�tlon: 148221 Board of Building Regulations and Standards One Ashburton Place Rm 1301 Explrati4ns 1-*Z(¢/2007 Boston,Ma. 02108 fiyFra: Private Corporation LAMBERT ROOFING.-CO RICHARD LAMBERT 265 WINTER STREET ,,,,. HAVERHILL,MA 01830 kdminlstrstor Not valid without signature Board of Building Regula 'ons and Standards One Ashburton Pla0e - Room 1301 Boston. Masaachusetts'02108 Home Improvement Contractor Registration Registration: 149221 Type: Private Corporatlon Expiration: 12/6/2007 LAMBERT ROOFING CO RICHARD LAMBERT 265 WINTER STREET HAVERHILL, MA 01830 Update Address and return card.Mark reason for chs DPS-CAI A soM•04/05•Pa69e O Address 0 Renewal 0 Employment 0 Los Board of Building Regqulations One Ashburton Place, Fpm 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Number: CS 078130 Expires: 06/02/2006 Birthdate: 06/02/1972 Restricted To: 00 RICHARD J LAMBERT 95,MAPLE AVE ATKINSON, NH 03811 Tr. no: 27100 Keep top for receipt and change of address notification. OPS-CAI 0 soM•04/06-PC6898 AUG-31-2007 FRI 08;51 AM BOYLE INS, FAX NO, 7819339U48 r. ui/L AUG, 30, 2001 6;08PM ASSOCIATED INSURANCE1sStTp.DAT IR O. 6908� z U7I/1 7obuM�M , ER THIS C�OI RIO CATP iS UpO14 THB ERTIFICATp i 4 DSR.TTHY CFRTI9C-TE CONFfi sorance ABencY Inc DOES NOT AMEND,EXTEND OR ALTBRTHE COVPA13E ARFORDED BY THS 606 POLICIES BELOW, MA 01801 CONVAN4?S AFFORDING COVMUGE I sVRED cI L R C 1110 COMPANYAA,I.IA.Mutual InsuLancc CO b8 Lambert ADOfing CO, LBTTBR 63 Winter Sfta iavufiill,MA 01930 FF- FOLICY v E.FOR THIS IS TP CBATIFY THAT THf>POLICIHS OF Dirt A d MHNTT TERM OR CONDITION OF ANY CONN U.CT OR OTHER DOCUMENT WITH RESPWT AAIDINO ANY R2IQ IPS DaSCRMED HBRBIN IS SUBJECT PERIOD INDICATED, NOTWIT'HST FO IiA BY TH>i POI,LC To WHICH THIS CaTIFICAT'E MAY BE I93Urs!)OR MAY PERTAIN,THE IN SURANCR AF TO ALL Vl9 lr RMS py,q CISIONS D CONDITIONS OF SU ANCH POLL M.LIMITS SHO MAY HAVE BMW REDUCED BY PAID CLAIMS. rou(.YL1r6CT1Yti lOLICYIIX?11«hnOrt LiMR► co TYPE or1HgowoC ►OlSCYTfUMt1CR oATE(MWP�'Y11 CA1'0(1RJ11nNY1� LTw QQNiRM,A9oR�GATII I crtNsTa.�.u,laluTv onu ro► Q CONM=AJ QL Wr/W W41LMY Palo"ift ADI:WtAtY r-1 Oma;mAba nod= LAC"occtmmce Q OwNpaf A Cp+rlt4aom raoi, rlaE vA>MGB(MYrH lin) ' COwmAJBD 1tINGLN AI MWA"UANUTY tY GCD1t,Y1WUAY t ANYAM ALLQW=AMCM KNOX) W Avrod Rgy�,1(p1lUlY mp"P=04 (re Kdiu� NCN4"114 Avrvt a GA11tiiTY ►aor�-�v W►cAaa XAM OCCLK" Ca ►at=twulTT ACCANGATr UttDIt Arow m=TNANGmAE 6AioAm ATUTVRYLIIdffS tITHER wORI0iR1 COMPBNSATLON ANn X EmpLOYEKs LUDILIT'Y EL EACH A.CGIDEW s 500,000 x8mom"m A p►CCIuwl 6009966012007 08/Z8/2007 08 28/2006 ELUI�A68-3'OUCYIIMIT 500, rda ZU:DISBASE-EACH 500,000 SNIPLOTOR COMMF.N I5!DESCADI'ION OF OpEAAT ONS OCt LOGTIONSc NOIAD ANY OF 71(E AHOVE hr=4CR1C ED lOLIOIEs➢S CAXCtiLLED 619�CAE THE ZVIAA I ION DATR HPREQ .=13SVINGCaMPANYWILLp4DPJ,VORTOMAh JEWRMMNOTIC9TOTHECdi<TIPICA � c � o ORLQATIOP TO"OF WINCHESTER ERNAbwTO THE NUAZT A L ANY KIN yDTHSCfY9 AGENTS oL SUCH RtB►�� B I rdoUr4 'YMtN ON ST _l CfiESTER,MA A1890 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): c�J Address: City/State/Zip:_ — 6-4Z C Phone #: ��'3 2 Are you an employer? Check the appropriate box: Type of project(required): 1.D�I am a employer with C90) 4. ❑ I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. F] 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 10.0 Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 1 l.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] f 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. I Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors 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: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: /2eo G,DD��/Gr� Cit /State/Zip:� � �� 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. I do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct. Signature: Date: Phone#: 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#•