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HomeMy WebLinkAboutBuilding Permit #328-13 - 42 NADINE LANE 10/22/2012 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATIQ.N+ Pnnt PROPERTY OWNER - Print100 Year=Old°sttucture. yes F MAP°Nq: :2 PARCEL: 23 ZONING DISTRICT: _ ___w Historic Disf�icf yes Machine,Shop Village- yes. TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial "Iteration No. of units: ❑ Commercial repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic; E Well, 0 Floodplain ❑Wetlands ❑ Watershed0strict� 0-water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: -rAb (' Scc f LJAA&-; un oti l-w r...r.t /'���• D 1� n S l�3 A f It tie✓ Wo zA o f 5j T Identification Please Type or Print Clearly) OWNER: Name: LJv,% J%n Phone: Address: L12 Na eJI-"c S�. i CONTRACTOR, Name: Phone: 603. 67`f 3.7IZ Address: �8 -r IAJ h tr<. _ �> _v . ��terr•�s:fes- /� y3. a�-� ' l? Supervisor-s Construction License;GS �o l G��I Exp: Date:_. Home Improvement License; /fir JAI _ Ezp. Date: /2 Z = ARCHITECT/ENGINEER Phone: 45:` Address: Reg. No. FEE SCHEDULE:BULD/NG PERMIT.$12.00 PR$1000.00 OF THE TOTAL ESTIMATED COST BED ON$125.00 PER S.F. Total Project Cost: $ 6-2-67 FEE: $ l(a Check No.: 10- � Receipt No.: QTd 6 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature�of Agent/Qwner, :. Signature of.contracto Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ I 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 ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature s COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decisionlreceipt submitted yes planning Board Decision: Comments Conservation Decision: Comments Water & Sewer ConnectioniSignature& Date Driveway Permit DPW Towp. Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at'124 Main:Street Fire Departmenf!§ignatureldate 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 D Notified for pickup - Date l Doe.Building Permit Revised 2010 I Building Department j The fohowing is a list of the required forms to be filled out for the appropriate permit to be obtained. 1 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 ❑ 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) R ❑ 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) ❑ 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 submitted with the building application Doc: Doc.Building permit Revised 2012 Location Nuc// i:. No. Date ` TOWN OF NORTH ANDOVER v' e 10? r Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ k s Other Permit Fee $ r.a xQ TOTAL $ Check#1 1 25860 Building Inspector s i Page 1 of 1 -�' HIABERJA-01 NPOULIN CERTIFICATE OF LIABILITY INSURANCE 1 aA 9 112.-OD?1272012112"I 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 THEPOLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT. B the certificate holder is an ADDITIONAL INSURED,the policy(ies)roust be endorsed. 11 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 canter rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Nand Poulin Clark Insurance PHONE 00 Canal St (A1C,No.ERn:(603)622-2855 IX,Nog(693)622-2854 Manchester.NH 03101 AODBEss:inpoulin@elarkinsumoce.com INS UR!ER ISI AFFO R DING COVERAGE NAIC D INSURER A:Tudor Insurance Company 37982 INSURED INSURER 9:Riverport Insurance Company 1 st Puce Exteriors LLC INSURES Q 768 Washington St INSURER o: Barrington.NH 03825 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOROTHERDOCUMENTWRHRESPECT TOWHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANDC40NDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. FUMY !TR TYPEOFINBVRANCE ;WR VIVO POLICY NUMBER (MMiDDi1YYYI PAMIDD,'YYYY) LIMIIb GENERAL UABUTY E AC1 00'0,000 krOCCAxii>¢NCE $ s A X CONVERCIALGENERALL!OBL,ITY NPPOO95455 9111/2012 9tt172813 Pr'ERrnEfiIEaattLstelter1 3 100,000 CLAF.E44ADE _M OCCUR RED EXP jAny m Pmsmt S 5,000 PERSONAL A ADV MURY $ 1,000,000 GENERAL AGGREGATE a 2,000,000 GENT AGGREGATE LFAIT APPLES PER: PRODUCTS-CAR4P.CP AGG $ 2,000.000 POLICY X l LOG 3 AUTOMO BLE LIABILITY LMII (Eaa[ddertj 3 ANY AUTO 8ODLY INJURY(Pa petsoM 3 ALLOWI'ED SCHEMED GODLY Nrldn INJURY atr) 3 AUMS AUTafi HIVS ED AUTOS NOMOVINED AUTOS (Pers RTYI a UMBR ELLA LIAe OCCUR EACHOCCURRENCE $ EXCESS UAB CT.A A%4k4AOE AGGREGATE S 'CEO I I RETENTION S $ VICAKER SCOUVENSATION X YJC BTATiJU 0TH- ANDELIPLOVERS'LIAMUTY TORY Lft ITS ER B, IM ANY PROPRETORPARTNEFLEXECURNEYWC288300450241 2M.12012 2/812013 E.L.EACNACCIITENT S 100.000 OFEICER.T+EREER EXCLUDED? Y NfA (Maeda"In MTI - E.L OISE.ARE-EA.EMPLOYEE $ 100,000 OEBCRP TION ON OPERATIONS bt1ow E.L DISEASE.POLICYLTAR S 500.ODO DESCRIPTIQNOFOPERA7TON6)LOCATLONSl VEHCLES(At61C1i ACORDIOI,Adigl )Emlarks BcncENo,Itmmoa pacalsragw0m Jason Haberstroh is excluded from workers comp coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN GAF GAFAPIs Rd ACCORDANCE WITH THE POLICY PROVISIONS. Wayne,NJ 07470 AUTHO SIZED REPReS ENTATIVE m 1988-2010 ACORD CORPORATION. All rights reserved. ACO RD'25(2010105) The ACORD name and logo are registered marks of ACORD https://docs.google.com/viewer?attid=0.1&pid=gmail&thid=139ba624144fb538&url=https... 9/27/2012 CIE ]EXTERN029 LL C Thank you for taking the time to discuss your home improvement project with us. I would like to take a minute to tell you about our busine-ss,and-why you--should-choose—lS-T--P-LACE-EX-T-ERIORS,L-LC--- - ---- i 1sT PLACE EXTERIORS, LLC brings more than 2S years of hands on, in the field experience, to your home. We are not a group of salespeople who sell contracts, and subcontract to the lowest bidder. We actually install all of our own work. 1ST PLACE EXTERIORS, LLC protects our customers by maintaining full liability, and workers compensation insurances. We also attend on going trainings to keep us ahead of the competition. If you elect to use 1sT PLACE EXTERIORS, LLC we shall strive for 100% customer satisfaction. My goal for 1ST PLACE EXTERIORS, LLC will always be to bring customers the best in quality craftsmanship, top shelf materials, and impeccable service at a very affordable price. We understand your home is the biggest investment in your life, and we want you to feel comfortable with us doing your project. We promise to treat you and your home with the i utmost respect. Sincerely Yours, Jason Haberstroh 1ST PLACE EXTERIORS, LLC P.O. BOX 217, BARRINGTON N.H.03285 PHONE: (877)-382-3993 EMAIL-1stPlaceExteriors@gmail.com i ' r v PLACE EXTER� ORSYLLC '7b� WabH��5�n5t'. 6m.�r�hgt�,. nt.H, C�382LS� P.O. BOX 217, Barrington, N.H. 03825 PHONE#(877)-382-3993 FAX#(603)-905-9733 EMAIL- 1stPlaceExteriors@Gmail.com -- I/We—the Owners of the premises-mentioned-below;hereby contract-with-and-authorize you-as contractor;-to-furnish - ---all necessary materials, labor, and workmanship,to install, construct,and place the improvements according to the following specifications,terms, and conditions, on premises below described with reference to which we warrant are the record holders of title. Roofing Proposal Owners Name �� � ��,� I& v- � e, A^ Home Phone Job Address Lt� 1 L1AiV_LC Lam- A, Atehiwz Ms, Mailing Address C . d, 'j,s �L � c Email Alternate Phone According to the following specifications 1. Will we be removing existing shingles? (' NO 2. How many layers exist? 2 3 3. What materials are being stripped? s alt metal shake flat 4. Will we be installing new decking? YES 5. Will we be installing 6' Ice&Water Shield? (5) NO 6. New roof material will be? s hal metal flat 7. Will we be providing a dumpster? ES NO 8. Color of new roof will be: 7a ONf,94-e-e & t_5/ GAF Lifetime Roofing System 1. STORMGUARD Film- Surfaced Leak Barrier applied to leading edge of roof 6' up. Also applied to all valleys and rakes. 2. DECKARMOR Premium Breathable Roof Deck Protection, will be applied to all remaining areas of roof deck. 3. Aluminum drip edge will be installed on entire perimeter of roof. 4. PRO-START Eave/Rake Starter Strip applied to entire perimeter of roof. 5. COBRA/COBRA SNOW COUNTRY exhaust vent for roof ridge will be installed were applicable. 6. SEAL-A-RIDGE Protective Ridge Cap Shingles will be installed. 7. TIMBERLINE HD lifetime high definition shingles will be installed. THIS ROOFING SYSTEM ALLOWS US TO OFFER YOU A 50 YEAR, NON-PRORATED WARRANTY. THIS WARRANTY IS TRANSFERABLE FOR UP TO 20 YEARS 157 PLA,--(, E EXTER� ORS--- , LLC P.O. BOX 217, Barrington, N.H. 03825 PHONE#(877)-382-3993 FAX#(603)-905-9733 EMAIL-1stPlaceExteriors@Gmail.com Roofing-Proposal Procedure 1. Upon the start of your project the materials,dumpster, and crew will arrive. 2. Myself or my partner will do a pre job walk around with you. If you are available. 3. We will give you an estimated completion date. 4. Jobsite waste will be thoroughly cleaned daily. 5. 15`Place will provide all necessary permits. Permits are to be reimbursed by homeowner. 6. Upon completion,we will do a final walk around with you to assure complete satisfaction.At this point we will collect the final payment. 7. Dumpster will be removed no later than the day after completion. Pricing Cash Price $ 51,57'0, Down Payment $ 3000, — Upon Qo0 —Upon % Complete $ Jer` Payable Upon Complete $ Signature of 1ST Place Represen ative: Date: 2UsP� Authorized Signature: ate: Authorized Signature: Date: 15T PLACE EXTER� ORS, LLC P.O. 60X217, Barrington, N.H. 03825 PHONE#(877)-382-3993, FAX#(603)-905-9733 EMAIL- 1stPlaceExteriors@Gmail.com GUARANTEE 1. TEN YEAR WORKMANSHIP WARRANTY All workmanship is guaranteed for (10) ten full years from the date of the installation. There will be no charge for labor or materials due to faulty workmanship in that 10 year period 2. THREE YEAR INSPECTION WARRANTY 1ST PLACE will provide yearly inspections on the products we have installed. The customer must call ahead to set up the inspections, please allow 10 days for your inspection to be performed. 3. THREE YEAR ACCIDENTAL WARRANTY In addition to the manufacturer's warranty, 1ST PLACE will replace any accidentally damaged items that we installed for up to 3 years, from the date of installation. We will cover up to $100.00 in labor & materials, One time only. 4. MANUFACTURER'S WARRANTY 1ST PLACE guarantees it will provide all manufacturer's warranties upon receipt of final payment. GAF warranties will be mailed from GAF after the job is completed, and warranty paperwork is filed. 1sT PLACE AUTHORIZED SIGNATURE APPROXIMATE INSTALL DATE - | � . ° � 14"T� PLACE EXTER� ORS, LLC � P.O. BOX217, fARRINGTON, N.H. 03825 PHONE# FAX#(603)-905-9733 EMAIL-1sLP|aceExteriors@Grnai|.corn � -- - lNHOME SALE-OR SERVICE NOTICE[JF[ANCELLATk]NOF'AGREEYWE]NT-- - - '--'-- '--- Younlaycance|thistransaction,xvithoutanyobUgationorpena|ty, within THREE BUSINESS DAYS ofthe date of the contract. if you cancel, any payments made, or property traded in by you under the contract will bereturned within TEN BUSINESS DAYS ofseller receiving your cancellation notice,also any security interest arising out of the transaction will be cancelled.There will be a service charge equal to (25%)of � the contract if you cancel this contract after the THIRD BUSINESS DAY,following the date of sale. � If you cancel,you must make available to the seller at your residence, in substantially as good condition aswhen received,any goods delivered toyou under the contract. � If you make the goods available to us, and we do not pick them up within 20 days of your notice of cancellation,you may retain or dispose of the goods without further obligation. Tocancel this transaction, mail a signed and dated copy ofthis cancellation notice to; 1st Place Exteriors, LLC atP.O. box 217, Barrington N.H. O382Snolater than midnight of, Acknowledgement of receipt mfNotice mf Cancellation I/We hereby acknowledge receipt of Notice of Cancellation set forth above and that seller has orally informed Me/0mmfour right tmcancel. Data)�' Customers Signature Date Customers signature I hereby cancel this transaction Data Signature ; hereby cancel this transaction Data Signature ` � � � � � � a�. Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction SupenAsor License: CS-101639, x� HERBERT P IM AMO PO BOX 282 © � Billerica MA 018-21 ' Expiration Commissioner 06/17/2014 NORTH Town of 2 t EAndover O �. - No. - LA�, h ver, Mass, COC NI CMIWICK S U BOARD OF HEALTH Food/Kitchen PERMJ- , T T LD Septic System THIS CERTIFIES THAT ....................... BUILDING INSPECTOR has permission to erect ...... buildings on 4iFoundation Rough to be occupied as ..........�. ...xi ........�. .....•T.....Xw"Aw. ........�::�-�„�.�.r.f................ Chimney provided that the person accept' is permit II in every 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI T 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 No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE