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Home My WebLink AboutBuilding Permit #98-15 - 40 WOODBRIDGE ROAD 7/28/2014 VimOk ,ED , BUILDING PERMIT TOWN OF NORTH ANDOVER ° to APPLICATION FOR PLAN EXAMINATION - d Permit NO: � �� Date Received Date Issued: � �� SS�iCHU4 s t� IMPORTANT:Applicant must complete all items on this page LOCATIONL--1 Prin I �trcr r tit Com' . �( PROPERTY OWNER �� Print MAP NO: PARCEL�ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑ New Building �ne family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑Commercial ,P�epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0 Septic G Well 0 Floodplain 0 Wetlands 0 Watershed District. ❑Water/Sewer Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: ti® LJ6 )vr:CV ,J�Aj�6U C,,,c o l CONTRACTOR Name: Phone: t53.-�`��I-ya$`� Nv1,�S a r c r C Address- . Supervisor's Construction License: Exp. Date: S-1C�la J —7(aoil Nome Improvement License: Exp. Date: %--I S�6 _ 0119 Its ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BAS ON$125.00 PER S.F. Total Project Cost: $ I , I a FEE: $ Check No.: Receipt No.: NOTE: Persons con ac 'ng with unregistered contractors do not have ae r ty fund c o �' ,_ignature of Agent/Ow+er ( _ ignature of contract 'moi' Y 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 ❑ I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ 4 COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature 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 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 min.$100-$1000 fine NOTES and DATA— (For department use) ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Pennit Revised 2014 i i i Building Department I` I 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 o Building Permit Application o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract u 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 o Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit Li Photo Copy of H.I.C. And C.S.L. Licenses Li Copy Of Contract Li Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o 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 Li Certified Proposed Plot Plan L3 Photo of H.I.C. And C.S.L. Licenses Li 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 o 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 submitted with the building application Doc:Building Permit Revised 2014 Location No. Date o - TOWN OF NORTH ANDOVER 0 'h r Certificate of Occupancy $�j� Building/Frame Permit Fee $CJ� Foundation Permit Fee $ 4,k;+ Other Permit Fee $ �r TOTAL $ Check#aqfy 4Y 626 Building Inspector 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 ❑ ❑ I COMENTS CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments p Conservation Decision: Comments i Water& Sewer Connection/Signature&Date Driveway Permit Located at 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site. yes gg— no f Located at 124 Main Street Fire Department signature/date 7 1� COMMENTS M � OORTH Town of E ndover h ver, Mass, COCNICNt WICN y1' p0RATE ID S U BOARD OF HEALTH Food/Kitchen PERMIT LD Septic System THIS CERTIFIES THAT ...........`.5. . .. .�......... ... .6.4111h�.......................... ....................... BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on ...... ...... .Qo. .. r�. . ..... ...... ♦ Rough to be occupied as ............ 4.00...fi/.!!!!!. ..ii..k4e.4.061S.' t.......4.J. . .. .................... Chimney provided that the person accepting this permit shall in evlry respect conform 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 0♦ PERMIT EXPIRES IN 6 MO HS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO Rough Service ................................................................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final YY No Lathing or Dry all To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Conitrucifim Supervicn1• ~sa' CS406570 KARL H ROGERS 5 NINTH STREET # Kingston NH 03848 07/20/2016 Office of Consumer Affairs&Business Regulation A TOME IMPROVEMENT CONTRACTOR r SPHEOegistration: 775906 Type: ' = E Piration: 6/19/20i5 Co ., rporation HOMESCAPES OF NEW ENGLAND,LLC. LYNETTE ROGERS 5 STH ST 4--�_ KINGSTON,NH 03848 rr Undersecretary tiomescapes of New England, LLC HardieTrim Fascia soffit and window trim IPJ 1. Tear-off of all existing Fascia trim and soffit on house (except back porch area)and window trim* 2. Installation of Trim Installation 5/4 x 4" Windows HardieTrim- C+ S`W Installation 4/4 8" & 4" Fascia with rake board HardieTrim—C+ SJ►►f Installation 12" vented & Non Vented HardieSoffit-C+ Installation 5/4 x 4" PVC trim around doors_ar_ound_front-door only—White - S,5a Installation of z flashing, counter flashing and caulking according to Manufacturers Best Practices (caulking next to trim not included) Installation of flashing around the windows (Estimated time of completion 1 week) TOTAL: 16,645 *We will do our best to remove the siding and replace sections if needed around the exterior sections of the windows where trim is being installed, - Telephone 603-734=4282 a www.homescapesofne.com Homescapes of New England, LLC OPTIONS &ACCESSORIES INVESTMENT Sol .042"seamless aluminum gutters w/leaf relief—white $2,280 I Jeldwen Design Pro oak 3'x6'8 fiberglass entry door $2,513 prestained.Craftsman 3 lite 1- Larsen Classic Elegance white venting door with Brushed $635 nickel hardware TOTAL SPECIAL ORDER TERMS: —io®%OF PRODUCT COST DIJE-UPON ACCEPTANCE - -- ____--PRODUCT COST: BALANCE DUE AT SUBSTANTIAL COMPLETION BALANCE DUE: STANDARD ORDER TERMS: 1/3 DEPOSIT DUE UPON ACCEPTANCE 113 DEPOSIT: 1/3 DUE UPON JOB START 1/3 JOB START: BALANCE DUE AT SUBSTANTIAL COMPLETION BALANCE DUE: YOU,THE OWNER MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT:OF THE THIRD.BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEETHE NQT7CE OF CANCELLATION CL IJSE.BELOW FOR AN.EXPLANATION OF THIS RIGHT. . ACCEPTED AND AGREED: The prices,specifications and conditions contained herein this Agreement are satisfactory and hereby accepted. You are authorized to perform the work as specified. (MUST BE SIGNED BY ALL OWNERS) OWNER: DATE: 19 1 t OWNER: DATE: AGREEMENT_ NOT FULLY•XFC TE UNTIL SIGNED BYA SALESPERSON THAT IS CURRENTLY VgPLOYEU BY Norr3escapas of New F.rttgia d. t Lyne og i s HomDATE: escapes of Neiv England We at HNE would like to thank you in advance for this opportunity to review and prepare this proposal for your home. We are totally committed to providing"100%Customer satisfaction" before,during and after your siding project. We have taken pains to make sure this proposal is suited to meet your needs for now and in the future. Please call me at your convenience if you have any questions at all. We look forward to working with you. Yours truly, Lynette Rogers .- Tele0h6ne 603-734-4282 www.homescaioesofne.com HOMES-1 OP ID:NB A<74C)IiR>fl' CERTIFICATE 4F LIABILITY INSURANCE DA 07/28/201 Y) 07/28/2014 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 Planright Insurance-Salem PHONE Jason M Mlocek Fax 224 Main Street Suite 3C A/c No Ert:603-890-6439 ac No;603-890-6521 Salem,NH 03079 ADo E Jason M Mlocek SS:jason@santoinsurance.com INSURER(S)AFFORDING COVERAGE NAIC p INSURERA:Acadia Insurance 31325 INSURED Homescapes of New England LLC INSURER B:Union Insurance Company Lynette Rogers INSURER C: P 0 Box 52 Nottingham,NH 03290 INSURERD: INSURER E: 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. AD ILTRR TYPE OF INSURANCE D POLICY NUMBER L SUBIR M w`Da EFF M DI EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE T OCCUR BOA5043546-12 04/26/2014 04/26/2015 PREMISES Ea occurrence) $ 50,00 MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,00 OTHER: $ AUTOMOBILE LIABILITY EO aB�INdED SINGLE LIMIT $ 1,000,00 B ANY AUTO CAA5118791-12 F04/2612014 04/26/2015 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED _ AUTOSAUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ X HIREDAUTOS X AUTOS Peraccident $ X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 4,000,00 AEXCESS LIAB CLAIMS-MADE CUA5118791 04/16/2014 04/26/2015 AGGREGATE $ 4,000,00 DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER A ANY PROPRIETOR/PARTNER/EXECUTIVE YIN CA5147076-10 04/26/2014 04/26/2015 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N/A ,. (Mandatory in NH) 3A: MA NH E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Lynette Rogers is excluded from work comp coverage. Project: Stephen & Julie Noone, 40 Woodbridge Rd, North Andover, to 01845 Town of North Andover is included as additional insured on General Liability when required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 120 North Main Street North Andover,MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD