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Home My WebLink AboutBuilding Permit #466-13 - 340 WOOD LANE 12/14/2012TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION ff Permit NO: I `e _ 1� Date Received I Date Issued: 12_ t`{ I1Z IMPORTANT: Applicant must complete all items on this page - Pnnt, PROPERTY OWNER �1 ��AA Print lob -Year Old Structure yes. no - MAP NOy� � PARCEL665/ ZONING, 01$TRICT: Historic District yes no Machine Shop Village yes, no. 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 Septic 0 Well, ❑ Floodplain I.i Wetlands ❑ Watershed s District, El Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Ide ification Please T,yype or Print Clearly) OWNER: Name: /�4UKGcn /qZZ Phone: Address: CONTRACTOR Name: G676egl-/��'H` � Phone. Address:'A S`—&// Supervisor's Construction License: Exp: Date: ;7"/�- _ Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Pho 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: $ L_� � FEE: $ 4 , Check No.:P V Receipt No.: Q&6-3�" NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signatu a of.Agent/Owner, —Signature,of contractor n Waived ❑ Certified Plot Plan ❑ Stamped Plans Plans Plans Submitted ❑ p 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMME CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Siqnature COMMENTS 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 Towo Engineer: Signature: Located 384 Os ood-Stre FIRE"DEPARTMENT - Temp Dump ter on sit es no Located at 124 MainStreet. � I Fire Department signatu"reMate �— COMMENTS _ i 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 - Date Doe.Building Permit Revised 2010 Building Department The fohowing 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 o 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) o 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 subm;tted with the building application Doc: Doc.Building Permit Revised 2012 -T Location No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $16 Foundation Permit Fee $ Other Permit Fee $ TOTAL Check 1 4' 26034 Building Inspector m ME F J uaa LL OC m = Nm Y O LL •. v n Ln U Q N UC a ? Z J C O 'O 7 LL t � 1= ami C U C LL OW. in Z Z m J d t D d' _ lL 0 d ?LLI U F- W J W t w V > Ln _ I1 O U d N Q t to D K U_ z G Q W W LL y i Co z i+ N y; N N Y O V) O R V p Qcc m_ — � C J�Q L N 7 IOU: M cm c O a. M /Q: L \J \1- > _ Co L Cj, a o�c=�o 13 0 s v C Z : to a) "-p o as z O O L 0-4) CL m 0 .y • c 01 0 O E C Q ` 12R :a = y F- O to Q ID W C -0— O O LL .y .2— N C .Q = O W LLJ.E 0y = 0 U d O fn Qdcc 0 �> = C O s I. c. O u fes` V w E ce O O d z 0 cn O � N O � � 0 � •E m m d 0 t O � � O �+ v D O O Q. G. O- �Q OM r V J � C o CD zW 0 CL V CO) cc is YI y W W W N 55trfvc Nim - T. `OUR PN IS ON am 4 EIN # 51-050-3313 YOUR ROOF' Haverhill, MA 978.374.9224 BBB. MA Reg. HIC # 149221 oofing Lawrence MA 78.687. 7339 SC.v,cPi19a2 MA Lie. UCS # 78130 C�- Hampton NH 603.929.9224 Single -Ply License# 1711 Hampstead NH 603.329.8200 Toll Free 1. 888. SOS. ROOF 265 Winter Street Haverhill. MA 01830 Maureen Roche 340 wood lane N Andover, Mass *Licensed *Insured "*Factory Trained "*Factory Certified RE-VISED Date: 12/11/2012 Telephone: 1-978-621-7936 E-MAIL meadowll@comeast.net Billing Address: 340 wood lane N Andover, Mass Job Address: Same SCOPE OF WORK +/- 1600 s4 ft Main house , front Porch, Rear 1porch (only) ------------ - Prepare for re -roofing by ensuring all safety measures in accordance with OSHA standard regulations and landscape is properly protected. **Inspect chimney for possible re - leading and report to owner 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 $3.95 per ft for boards and $50.00 per sheet of plywood if we need to skin over any roof area. If wood is sound we will re -nail any loose boards and prepare for roofing. Any rotted trim or facia boards will be replaced at a cost of $12.00 PER FT. *Install 8 Drip Edge: color to be selected by owner *Annly Tina k wa+or eb4ol&4 as nar mantnfan+rerore' ennrifina+inne A' an,4 nn a.11 rnnfe *Apply premium grade underlayment on balance of roof deck. * Install static vents (4) on main roof * Clean gutters *Re -flash all plumbing stack pipes, and any roof penetrations as required and dictated by good Roofing practices to ensure water tightness. *Install ne Architectura,,l,Shingles. Color to be se ected by owner ' *All debris generated by Lambert Roofing Co., Inc. will be cleaned up and disposed of from the job site in a legal fashion. Under no circumstances will the watertight integrity of the building be compromised. UPON COMPLETION AND PAYMENT IN FULL, ROOF SHALL HAVE A WORKMANSHIP WARRANTY AND ISSUED BY Lambert Roofing Company for (10) Years AND MANUFACTURERS WARRANTEE HONORED AND ISSUED BY THE SHINGLE MANUFACTURER (SEE NARRANTY TERMS AND CONDITIONS AT Fff. GAF. COM or W CERTANTEED . COM **Denotes possible additional expense TOTAL COST •••$ 6,350.00 Senior discount ---------------------------- $ 400.00 TOTAL COST M $ 5,950.00 CONTRACT PRICE AND WORK SCHEDULE 1/3 down prior to commencement of work: ---$2,000.00 (Two Thousand dollars) Balance in full upon completion of work---$3,950.00(Three thousand Nine hundred fifty dollars) ADDITIONAL SCOPE OF WORK (not included in price) garage_ _ N $3,500.00 Senior discount ----------------------------- $450. 00 --Notal% - - -------- -----------=- ----------1 --------- - ------------ $3,050.00 GCS �t, 41012.1 ,� CO Gv (Law forbids demanding full payment until contract is completed to both party's satisfaction) You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business, provided you notify the contractor in writing at his/her main office or branch office by ordinary mail posted, by telegram or by delivery, not later than midnight of the third business day following the signing of this agreement. See attached notice of cancellation for an explanation of this right. DO NOT SIGN THIS CONTRACT IF THERE ANY BLANK SPACES tance of t Contract Proposal Owner (s) Signature(s) _ Date: l // / C�- Contractor's Signature: Dater 1311L_ www.lambertroofing.com Company Insurances TGLRC Inc. DBA Lambert Roofing Company will provide certification of insurances, demonstrating that we are fully insured for worker's compensations, general liability, automobile liability and an umbrella policy. This documentation will be sent through the US mail to the above named party if not already provided. TGLRC Inc. dba Lambert Roofing Company agrees to: • Commence the described work on or about DEC/ 2012 • Complete the described work in approximately (1) dap • Not be held liable for delays due to circumstances beyond our control. • Not be held liable for any damages to landscape and or fixtures due to circumstances beyond our control. • Not be held liable and not covered under the workmanship warranty, for pre- existing conditions including but not limited to: • Mold and or wood rot, defective, faulty, rotted or worn building counterparts such as, but no limited to: siding, roofing, masonry, plumbing and windows, all of which may jeopardize the watertight integrity of the structure. • Unless otherwise noted within this document, the contract shall not imply that any lien or other security interest has been placed on the residence. • This contract is the complete contract unless a signed Change Order has been executed between TGLRC Inc. DBA Lambert Roofing Company and the Homeowner/Business Owner or Agent. Contractor Registration All home improvement contractors and subcontractors must be registered, any inquiries about a contractor or subcontractor relating to a registration should be directed to: Contractor Registration Director of Home Improvement Contractor Registration Board of Building Regulations and Standards One Ashburton Place, Rm. 1301 Boston, MA 02108 (617) 727-3200 Home Improvement Contractor Law: Consumer Information Hotline Commonwealth of Massachusetts Office of Consumer Affairs and Business Regulations 10 Park Plaza, Rm. 5170 Boston, MA 02116 (617) 973-8787 For assistance with informal mediation of disputes or to register formal complaints against a business, call: Consumer Complaint Section Office of the Attorney General (617) 727-8400 AND/OR Better Business Bureau (508) 652-4800 (508) 755-2548 (413) 734-3114 Cancellation You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller, which may be in the main office or branch thereof, provided you notify the seller in writing at the main office by ordinary mail posted, by telegram sent or by delivery, no later than that midnight of the third business day following the signing of the agreement. INITIALS j Permits A building permit may be required to remove and replace your roof. It is our obligation to secure these permits if required as the home owner's agent. Note= Homeowners who secure their own permits or deal with unregistered contractors are excluded from the Guaranty Fund provisions of MGL c. 142A. Accelerated Payment A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure. However, in instances where a contractor deems him/herself to be financially insecure, the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work. Withdrawal of funds from said account would require the signatures of both parties. Payment Terms A finance charge of 1.5% a month (18% per year) will be added to all invoices on the 31s` day. All legal and or collection fees will be paid by the binding holder of this contract. • The law requires that any deposit or down payment required by TGLRC Inc. dba Lambert Roofing Company before work begins may not exceed the greater of - 0 1/3 of the total contract price or: 0 The actual cost of Special or Custom made materials which must be special ordered in advance to meet the completion schedule. Arbitration The contractor and the homeowner hereby mutually agree in advance that in the event that the contractor has a dispute concerning this contract, the contractor may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided in MGL c 142A. Owner Date: Contr Date= CERTIFICATE OF LIABILITY INSURANCE j 'HNS CERTiFf A-E IS ISSUE T WS UPOWT RT;�FICA E DGE HE 0ERTW`,CATFE S �\IOT A H C., L D E R. Ti 4, IS E COVERAGE Ar, ORDED BY THE 'RELOIN, I HIS C-9-711TIFFICA T F POLICiES REPRES-EkIT TWEOR PROD AT!VEt)r PROD EN THE iSSUING JNSURER(S)i AUTHORIZED 4 she cetifica rse�J. if SUBROGATION IS WAIVED, subject condithons of ti-je Do cy, ceftain policies may require an** endorsement. A statement ,� hcrider if, i'eu of such endo n7this c0r6 cate does rii�q corzfe rsement(s). r rights to vie -CONTACT ME-. Uerrold Kameras AGE-.NCy INC . 745-590s (978p ; Aveaue 2nd Floor c-IAAIL 97q d%allaziins-arance. con NSU WALI 01970-05I1 INSURER A:99aeca ins. Co. _4&'SURER 13:Safe C7 2NSURER C A-1 te Ira xess & sun, ,Ip any Ins. :Ace American insurani:�e KA N CERTIFICATE NUMBER., REVISION NUMBER - T( i Y T,,rA- THE POLICIES OF 1N URANG E LISTED 5 TED BELOW HAVE BEEN —IS -.Lr, NOTVA D TO THE. INSURED FOR T Hi- ANY REQUIREMENT, TERPA OR CONDITION OF ANY CONTRACT OR OTHE�R r*QUMENTV%;,TH z POUCY BE ISSUED OR MAY PERTAK THE INSURANCE Ar -FORDED BY THE POLICIES DESCRIBED HEPEV"I IRS TO A'LL THE 7ERN15 CON&TION8 OF SUCH PGLJCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID 1_LAitA,9, _11PE OF iNSUPANCE AD L FUWj POUCY P00CY NUMBER EFF p EXP -Qufyyyy AMID L1163TS, Pam, Y, T T 01 OCCA "R /12/2011 111/12/2012 MET) F arz-,n; XF, Ar: RSONA". srey [3 1, cco! . .... . .. . ..... 13E FRAC 2, 0 0 L) ok. AGG AU` OWOrILE Jr,84U"TY AAIT LL Ry (PC" 16 2 0 3 a 19 AJ1,1— Bf)DiNJURY i! R S 0C1_r*N5i VEHICLIES (Attach ACORN 1013. Addition -F Romarks SC odjc.t i, mare space is wqwred7 LR DBA 1_.ambart Roofing Co. SPOULD ANY OF THE ABOVI DESCRIBE,-) Fo!ICIE,' Bc CAIN .LED BEFORE , f HE EXPIRATION DATE THEREOF, NOT!CE V-41' f - SE OELIVEPEO ii,, ACCORDANCE WITH THE POLICY PROVjfz-,jONS. AUTHORIZED REpRES&jTATVE -2010 ACORD CORPORA TION, All rights i-ese T he ACORD name and ioao ars venimtpmi mf APnon — ------------- 1 ZXCE," L�4�� 5 � Q RE Tf j 11/21112011�11/12/220121 -- - ------- .• OPKFRS CDMrK1SATJnN t�ND ElliFLOYER-5, LIABILITY Vv x I? L L er NIAJ N, 1 1U'429 5 4 EACi4 ACCO2N: DrP Si- EA M i C, 0 0 0C1_r*N5i VEHICLIES (Attach ACORN 1013. Addition -F Romarks SC odjc.t i, mare space is wqwred7 LR DBA 1_.ambart Roofing Co. SPOULD ANY OF THE ABOVI DESCRIBE,-) Fo!ICIE,' Bc CAIN .LED BEFORE , f HE EXPIRATION DATE THEREOF, NOT!CE V-41' f - SE OELIVEPEO ii,, ACCORDANCE WITH THE POLICY PROVjfz-,jONS. AUTHORIZED REpRES&jTATVE -2010 ACORD CORPORA TION, All rights i-ese T he ACORD name and ioao ars venimtpmi mf APnon Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massa( husetts 02116 Morrie Improvement Contractor Registration Registration: 149221 T vpe: Private Corporation Expiration:.1216/2013: Tr# 218746 T.G.L-R.0 dba Lambert Roofing CoftVany RICHARD LAMBERT — -- — — — -- -- 265 WINTER STREET HAVERHILL, MA 01830-----------...------- Update Address and return card. Mark reason for change. - Address Renewal "— Employment F.i dost Card