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HomeMy WebLinkAboutBuilding Permit #754-2016 - 333 WAVERLY ROAD 12/22/2015ollK AW 4z LI- BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: 75,1—,z6 /O Date Received Date Issued: l"7Z 15- IMPORTANT: S IMPORTANT: Applicant must complete all items on this 2 3 b .:ijl• ••'a s � / PROPOSED USE N • 1` LOCATION 333 Ij jexlq ren Print PROPERTY OWNER T&41 reX Print 100 Year Structure yesno MAPPARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building elOne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other _ eS ptic ❑w WeIII _ �❑ ARL110 pl`am ®Weflantls _ ❑'W_ atershetlli®istnct U6Wat7 Afte ' er �_ _ DESCRIPTION OF WORK TO BE PERFORMED: S�QiQ s pe ru J Identificatign - Please Type or Print Clearly OWNER: Name: Sty., r/t_� s rte, t".41 Aefe- Phone: Address: 3 3 3 wAyelel /20, Contractor, Nynme: Tl%N /�i/liri,4y�z/� Phone: 910 (of 7- $9eo Email: Foye 6.Cx • Caws Address: 3 401 11 tyeJAAA ON Supervisor's Construction License: © / 902 _Exp. Date: 9r ?) q- , Home Improvement License: I g / Ll ARCHITECT/ENGINEER . Date: 4i// 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: $ :�q $S — FEE: $ /a Check No.: 14�LIZ— Receipt No.: c,-'–? S 57 r NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund — _z �- v Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/LVlassage/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 Reviewed On Signature_ ...CONSERVATION_ Reviewed on --- -.___ _.__Signature COMMENTS HEALTH COMMENTS Reviewed on Signature Zonin j Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments V Conservation Decision: Comments Water & Sewer Connection/s,nature nate Driveway Permit DPW Town Engineer: Signature: Located 384 Osqood Street 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) ® Notified for pickup Call Email Date Time Contact Name - Doc.Building Permit Revised 2014 5-0 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 TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks TOTE: 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 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 Doe: Building Permit Revised 2014 Location 1� 3 V vGt `JQ_x_)-P I . No. -� 5q —/k? Date Check # / Y7Z 29851 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ e Foundation Permit Fee $ Other Permit Fee $�.� TOTAL $ Building Inspector vE -j a J ,a 2 U. U. D Q m ) \ C LL E a) Ln U p (n 0 a N z z m C O r LL L K T C U LL O u a N z z c C J d. L j a O u a (A z u b -iLU t U In - LL oC O- u NJ Z Q L _ CLO LL z LLI g F- uu W LL m O z O { j ++ N Op 1n n rA rA cl J r 00 L N O z 50 G to z NW ■ X LU F— W CL I r 00 L— CL CL CF) Q Cc J � O z U) C C O R O O �a o N V ECD Q L N d d i = O V (OD - � t4 V1 J , d a m � d O CD N > 0 C O mo = V C Eoo .a as z �. c .�. O O _ 3 o0 = CL CL V w 1 N � m I C 'O_ O O ' .y �Ot O .E w I Q c) i O m ., I � 00 O w CL 00 z 50 G to z NW ■ X LU F— W CL I r 00 L— CL CL CF) Q Cc J � O z U) APEX ROOFING vn '" s •A M FLAXI O Ilk Ua&4N0 PROPOSAL SUBMITTED TO: Jennifer & Thomas Reese 333 Waverley Rd. North Andover, MA 617-281-6518 jennlferd.oneil@yahoo.com PROPOSAL DATE: Monday, November 30, 2015 info@apexroofer.com 3 Easy St., Westford, MA 01886 Phone: 978-692-8900/ Fax: 978-692-8828 JOB LOCATION: Some Construction Supervisors License# 061982 Scope of Work MA Contractor Registration# 181413 STRIP ALL LAYERS OF ASPHALT SHINGLES FROM HOUSE CLEANUP AND HAUL AWAY DEBRIS TO RECYCLING FACILITY HANG TARPS TO HELP PREVENT DAMAGE TO EXTERIOR OF HOUSE, PLANTS, DECKS, WALKWAYS, ETC.. RE -NAIL SHEATHING AS NEEDED WITH 8D RING SHANK NAILS TO ENSURE SECURE BASE FOR NEW SHINGLES INSPECT AND REPLACE WALL FLASHING AS REQUIRED Install: CertainTeed Winter Guard (ice & water membrane) 6' up from eaves Winter Guard around all pipe penetrations and install new pipe flanges Winter Guard along roof lines that intersect with vertical walls Winter Guard around skylights and under chimney counter flashing (if applicable) CertainTeed Dianiond Deck synthetic underlayment (25x stronger than felt paper) CertainTeed SWIF i START Starter Strip Shingles, to ensure proper shingle adherence on all edges CertainTeed LAtt D&4ARK laminated architectural shingles (6 nails per shingle for 130 mph wind warranty) Cut 2" opening at all ridges and hand nail Cerfetnteed Shingle Vent, (This is a typical Upgrade for other roofing companies) CertainTeed SHADOW RIDGE AR Hip & Ridge Cap shingles on all ridges and hips. 8" Drip edge on all edges (when vented drip edge is existing on eaves, no replacement is typically required) All shingles will be fastened using 1 1/4" - 1 1/2" electro plated roofing nails BLOW OFF ENTIRE ROOF AND CLEAN OUT GUTTERS AND DOWNSPOUTS VARIOUS MAGNETIC ROLLERS ARE USED TO HELP LOCATE AND REMOVE NAILS AND DEBRIS FROM PROPERTY - "777 INCLUDES: ALL: LABOR, MATERIAL AND BUILDING PERMIT FOR THE ABOVE WORK 0 YEAR WORKMANSHIP WARRANTY & CERTAINTEED LIMITED LIFETIME TRANSFERABLE WARRANTY All materia/ is guaranteed to be as specified, and the work to be performed In accordance with the specifications submitted for above work and completed in a substantia/ workmanlike manner for the sum of.• $5,988.00 We won't ibe outsold! NOMONEYDOWN "NOW THATS A ROOF!" PAYMENT DUE IN FULL UPON COMPLETION OF JOB Y Respectfully Submitted: % w'h0�i1l✓f32Z�9� Note: This proposal may be withdrawn by us if not accepted by us within 30 days ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Any additional work then the above will be an extra charge. Date 3V - 15 Signature Shingle Color _61cw-K_ 'Homeowner is responsible for protecting and cleaning content of attic from possible dust and debris during the roofing project *"* Note: no warranty on problems or damage caused by ice back up Possible Extras: Any roof board replacement will be a charge of $4 per lineal ft. or $1.78 per square ft. for 1/2" plywood, tab. & mat. included OK We recommend replacing counter flashing (lead) on brick chimneys on all roofs for an additional charge of $445.00 each ya5 Reptacethe brcksido-ofiawpit hed,roof~vMh-EP U6BE" iUr " al -Square 3otat)... Skylight Replacement As follows: Velux MODEL# Col Fixed= $700.00 and !n1led= $1,000. EACH INSTALLED (NO INTERIOR WORK INCLUDED). ° v5, The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street, Suite 100 Boston, MA 02114-2017 www mass.gov/dia A orkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Name (Business/Organization/Individual): Address: S-' 6eT City/State/Zip: KIV;�) TVILIV /1 Are you an employer? Check the appropriate box: Phone #: b 7 g (0q2 S q(o l.❑ I am a employer with employees (full and/or part-time).* 2.❑ I am a sole proprietor or partnership and have no employees working for me in any capacity. [No workers' comp. insurance required.) 3.O I am a homeowner doing all work myself [No workers' comp. insurance required.] t 4.❑ I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers' compensation insurance or are sole proprietors with no employees.. 5.� 1 am a general contractor and I have hired the sub -contractors listed on the attached sheet. 555555dddddd These sub -contractors have employees and have workers' comp. insurance.$ 6.F1 We are a corporation and its officers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 7. ❑ New construction 8. [] Remodeling 9. ❑ Demolition 10 Q Building addition 11Electrical repairs or additions 12. ❑ Plumbing repairs or additions 13.[] Roof repairs 14. WOther�E IL(�`ijF-cam 1 *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t 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 state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. 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: 333 l AI/P,� �policy p,City/State/Zip:/�/u414 �} 1po14<<�Attach.a copy of the workers' compensati declaration page (showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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 $250.00 a day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify 177 t e az aid ena . s of perjury that the information provided above is true and correct Si ature: Phone #: 9 ID { 2 M.,01 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone From Rapo Jepsen Insurance 1.508.875.5885 Mon Oct 19 16:31:19 2015 EDT Page 1 of 1 A { 3 , !DATE AWN 09;14/2015 Ti11SCr��'�I�iC�SJ'�.ISI�SU�;I�SJ�'NL4TT�RC}F'4NFQ.RNIkTidfiEQNL�FJ,1h�b.C61�.R�1�AN��2�bMTs►ipctiurric.:�ert.,.„*,�.-�....�.._ _..._. =-, x Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS -061982 Construction Supervisor JOHN W NORMAIII rr , 3 EASY STREET= p WESTFORD MA,�01$ ti = 11�- Expiration: Commissioner 09/08/2017 ,mac ale �viriirnirroerrltl r!n•2�jrt,rrrr•�rrle/(� �-\ Office of Consumer Affairs R Business Regulation OME IMPROVEMENT CONTRACTOR egistration: 181413 Type: Expiration: 4/1/2017 LLC APEX ROOFING & RESTORATION LLC. JOHN NORMANDIE 3 EASY ST WESTFORD, MA 01886 Undersecretary _No 9800 Fredericksburg Road 4 San Antonio, TX 78288 USAW '04664.20RYD.JSS1095358705.01.01.2435 TOWN OF NORTH ANDOVER 120 MAIN ST NORTH ANDOVER MA 01845-2420 Reference: MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B Attention: Building Commissioner I am writing regarding the claim referenced' below. Policyholder: Timothy P O'Neil Reference #: 015556774-5 Date of loss: September 1, 2014 Location of loss: North Andover, Massachusetts Address: 333 WAVERLEY RD 01845 August 10, 2015 A claim has been made involving loss, damage or destruction of the property referenced above, which may either exceed $1000.00 or cause MASSACHUSETTS GENERAL LAWS, CHAPTER 143, SECTION 6, to be applicable. If any notice under MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B is appropriate, please direct it to my attention and include the reference #. You may submit correspondence or questions to me. My contact information is: Address: P.O. BOX 659460 SAN ANTONIO, TEXAS 78265 Fax: 1-800-531-8669 Phone: 1-800-531-8722 ext 40149 Sincerely, Cathleen A Welsh 19542 - PROPERTY - COS Unit 9 Office United Services Automobile Association PO Box 659460 San Antonio, TX 78265 Phone: 1-800-531-8722 ext 40149 Fax: 1-800-531-8669 JDB/CWW 015556774 - DM -04664 - 5 - 3760 - 16 54577-0715 Page 1 of 1 Official Use Only THE COMMONWEALTH OF MASSACHUSETTS Permit No. Department oFPublic Safety i BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Occupancy & Fee CiZcl d 0 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) Date I `y 106 To the Inspector of Wires: Town of North Andover L The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number 3W WM�i V M . Q - f`l� 1 K II t Owner or Tenant w ��L Owner's Address WhilEl Y R • Is this permit in conjunction with a building permit Yes V/ No • (Check Appropriate Box) Purpose of Building NIM 1011AA, Utility Authorization No. Existing Service Amps Voits Overhead Undgmd • No. of Meters New Service Amps Voits Overhead Undgmd • No. of Meters Number of Feeders and Ampacity npp��►c,c Location and Nature of Proposed Electrical Work �� 9 r/rwRM OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = have submitted valid proof of same to the Office YES = NO = If you have checked YES please indicate the type of coverage by checking the appropriate box. INSURANCE = BOND = OTHER = (Please Specify) Estimated Value o Elec is Work$_ Work to Star' --off Signed under the ena ies of perjury: FIRM NAME 4" (Expiration Date) Inspection Date Resquested Rough MILL (A" Final _ LIC. NO. Bus. Tel No. Address Alt Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement caner Agent (Please Check one) soIA1/A1. A A11 Telephone No. Q-14 06 PERMIT FEE $ �� (Signature of Owner or Agent) Total No. of Lighting Outlets No. of Hot fuse No. of Transformers KVA 1 Above In No. of Lighting Fixtures I0 Swimming Pool gmd qmd Generators KVA No. of Emergency Lighting No. of Receptacles Outlets No. of Oil Burners Battery Units No. of Switch Outlets 10 No of Gas Burners FIRE ALARMS No. of Zone No. of Detection and j Total ( No. of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No. of Di osal No. Pumps Tons KW No. of Sounding Devices Nod of Self Contained i No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices • Municipal Other No. of Dryers Heating Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Bailases Wiring No. Hydro Massage Tuds No. of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = have submitted valid proof of same to the Office YES = NO = If you have checked YES please indicate the type of coverage by checking the appropriate box. INSURANCE = BOND = OTHER = (Please Specify) Estimated Value o Elec is Work$_ Work to Star' --off Signed under the ena ies of perjury: FIRM NAME 4" (Expiration Date) Inspection Date Resquested Rough MILL (A" Final _ LIC. NO. Bus. Tel No. Address Alt Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement caner Agent (Please Check one) soIA1/A1. A A11 Telephone No. Q-14 06 PERMIT FEE $ �� (Signature of Owner or Agent)