HomeMy WebLinkAboutBuilding Permit #129 - 47 BONNY LANE 8/17/2006 I
TOWN OF NORTH ANDOVER
NORTH
APPLICATION FOR PLAN EXAMINATION 0 'CULo '6q~�
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Permit NO: Date Received
�9VSACHUSS��y
Date Issued: �iD
IMPORTANT: Applicant must complete all items on this page
LOCATION�� L�e�il/y � ,eine—
PROPERTY OWNER �iC/�fI,U� ,�� '�✓
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MAP NO.: PARCEL: ZONING DISTRICT:
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non-Residential
❑New Building ❑ One family
❑ Addition ❑Two or more family ❑ Industrial
❑ Alteration No. of units:
❑ Repair, replacement ❑ Assessory Bldg ❑Commercial
❑ Demolition
❑ Moving(relocation) ❑ Other ❑ Others:
❑ Foundation only
DESCRIPTION OF WORK TO BE PREFORMED
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Identificat 47lease Type or Print Clearly)
OWNER: Name:-44V, t4gA11,441Phone:
AddressD
CONTRACTOR Name: Phone: H ��
Address: SP6e/ /i U
Supervisor's Construction License: Exp. Date:
Home Improvement Licensejw-6-9y Exp. Date:
ARCHITECT/ENGINEER Name: Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING P RMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost :$ j9=,cw FEE:$ ogW;2
Check No.: oZ f` Receipt No.: f
Page 1 of 4
Location Lhq
No. 1 Date
�oRTM TOWN OF NORTH ANDOVER
a •
Certificate of Occupancy $
�'�s'•••
MuE<� Building/Frame Permit Fee $
s�cs
Foundation Permit Fee $
Other Permit Fee $
I TOTAL $
Check #
, ) 371 Building Inspector
TYPE OF SEWERAGE DISPOSAL
Tanning/Massage/Body Art ❑ Swimming Pools ❑
Public Sewer ❑
Well
Tobacco Sales ❑ Food Packaging/Sales ❑
❑
Permanent Dumpster on Site ElPrivate(septic tank,etc. ❑ Electric Meter location to
project
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of Agent/Owner Signature of contractor
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF- U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
❑Water Shed Special Permit
❑ Site Plan Special Permit
❑ Other
COMMENTS
DATE REJECTED DATE APPROVED
CONSERVATION ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH ❑ ❑
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 Drivewav Permit
Temp Dumpster on site yesno Fire Department signature/date
L
Building Setback(ft.)
Front Yard Side Yard Rear Yard
Required Provided Required Provides Required Provided-
Dimension
rovidedDimension
Number of Stories: Total square feet of floor area,based on Exterior dimensions.
Total land area, sq. ft.:
NOTES and DATA—(For department use)
i
I
II
Page 3 of 4
Doe:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05
Created IMC.Jan.2006
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
Addition Or Decks
❑ Building Permit Application
❑ 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)
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
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:BPFORM05
Npe.4 of4
f SALU M ff/INC
duly 28, 2006
Richard &Sheila Aghoian
47 Bonny Lane
North Andover MA 01845
H.Tel. 978-688-4212
RE: ROOFING SERVICES
Dear Mr. &Mrs.Aghoian
I am pleased to submit the following proposal of services to be performed at the address above, as
described:
I -AREA INCLUDED
Main house 48SQ-To complete project 51SQ
II - WORK DESCPRITION
1. Remove and dispose existing wooden shingles, paper, drip edges and flashing.
2. Inspect roof decking condition, frames, insulation and replace the damaged materials.
3. Install 6'of ice guard from bottom edges, up and all valleys.
4. Cover remainder of roof with felt paper 30 lbs weight.
S. Install 8"aluminum drip edge on all edges and rakes.
6. Install new 40 years architectural shingles.
7. If necessary, replace rubber boots and vent outlets
III -WORK SPECIFICATIONS
1. All work will be completed in a workmanlike manner according to standard practices and
according to contract specifications.
2. Contractor shall furnish all equipment necessary to perform the work in accordance to
contract descriptions and according to..Federal and State Codes and Standards.
3. All materials are guaranteed according to the product manufacturer specifications.
4. 12 (twelve) months all inclusive Contractor's guarantee of workmanship will be offered
after completion of the project.
5. Contractor shall be help responsible for any and all damages to the property, caused by
out workers, during the performance of the project, according to the terms of out Liability
Insurance.
6. Certificates of. Insurance (Worker's compensation and liability) will be submitted, at
customer request, after contract is accepted and signed.
P. O. Boys,60.359-Worcester,MA 01606-0359-Tel 5084852-1268-Fax 508-852.1188
E-Mail: sale,%§§abumroo6n9.com -Website:www.salumroofing.com
SALU M OI NC
7. Disposal will be included on this estimate/contract handling up to 4 tons. If exceeded,
customer will be responsible for extra charges. Charges will be due upon receipt.
8. Any alteration or deviation from the above description of area, works and specifications
involving extra costs will be executed only upon your orders and will become an extra
charge over the above service price.
IV -SERVICE PRICES
❖ Roofing Services
■ Contract price: $19,000.00, including materials.
■ Cost of carpentry and materials are not included on the roofing services.
❖ Carpentry Services
o Small piece $ 24.00
o Large Piece $ 34.00
o Plywood per sheet(4X8) - $ 38.00
■ Materials are not included
V-TERM OF PAYMENT
1. 30% Deposit on contract signing, 20% on start day and remaining as the job is being
completed.
2. All invoices are due and payable within 30 (thirty) days from the date of the
invoice and it shall thereafter bear interest at the rate of 1.5% per month until
paid in full.
3. In the event Contractor is required to take any action to collect any amounts due
Contractor, then Customer shall be responsible for payment of Contractor's costs
and expenses of collection, including collection agency and/or attorney's fees.
VI -WORK SCHEDULE
✓ August 7, 2006 according to weather conditions.
For further information, please, call us at 508-852-1268 or cell. 774-696-3714. Please, send us a copy
with your agreement by email or fax it to 1-866-91-SALUM. God bless you.
Sincerely; _
3oe Sai
Salum, Inc
ACCEPTANCE / APPROVAL:
The above price, work descriptions and specifications, service price, conditions and term of payment
are satisfactory and are hereby accepted"ou are autho ' d to the work as specified. Payment will be
made as specified in this contract. /J
DATE '7-9 -4>6 SIGNATURE
P.O.Box,60.359-Worcester, MA 01606--03359- 15084352,-1,268-Fax 508-852-1168
E-Mail: sale lumroofing.com -Website:www.salumroofing.com
08:37 AUG 11. 2006 *25381 PAGE: 2/3
Client#:32576 SALUM
ACORM, CERTIFICATE OF LIABILITY INSURANCE 0811 SD> rYY"'
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Herlihy Insurance Agency,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
65 Elm Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Worcester,MA 01609
508 756-5159 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER St. Paul Travelers Insurance Company
SALUM INC INSURER B: Liberty Mutual Insurance Co,
45 WHISPERING PINE CIRCLE INSURER C:
WORCESTER,MA 01606 INSURER D:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REOUIREMENT,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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR 0kDD'L POLICY EFFECTfVE POLICY EXPRATION
LTR SR TYPE OF INSURANCE POLICY NUMBER DATE MiDD/YY DATEIM D1YY LNBTS
A GENERAL LIABILITY 16806362C371 IND06 06108106 06/08/07 EACH OCCURRENCE $1,000,000
J( COMMERCUIL GENERAL LIABILITY DAMAGE TO RENTED Et occurrence) $300,000
CLAIMS MADE FXI OCCUR MED EXP(Any one person) $5.000
PERSONALE ADV INJURY $1,000,000
GENERAL AGGREGATE s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2000000
POLICY PRO- LOC
A AUTOMOBILE LIABIUTY BA-6785C67A-O6-SEL 07/08/06 07/08/07 COMBINED SINGLE LIMIT $1,000,000
ANY AUTO (Ea accident)
ALL OWNED ALTOS BODILY INJURY
X SCHEDU.EDAUTOS (Per person) $
X HIRED AUTOS BODILY INJURY
(Per accident) $
X
NON-OWNED AUTOS
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-FA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESSIUMBREL.LA LIABILITY EACH OCCURRENCE $
OCCUR ❑CLAIMS MADE AGGREGATE $
$
DEDUCTIBLE $
RETENTION $ $
B WORKERS COMPENSATION AND BINDER160332 06/28106 06/28/07 WC STATU- O R
EMPLOYERS'UABLITY
ANY PROPR IETOR/PARTNER/EXECUTIVE EL.EACH ACCIDENT $100,000
OFFICERFMEMSER EXCLUDED? E.L.DISEASE.EA EMPLOYEE1$100,000
If yes,describe under
SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1$500,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Town of North Andover DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _ 10 DAYS WRITTEN
120 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
North Andover,MA 01845 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
AUTHORHED REPRESSIENTATIVE
ACORD 25(2001/08)1 Of 2 #27908 PMH O ACORD CORPORATION 1998
`✓� n Frr c�r. .tecr���. a�••
13oaeotue� ng�le;ulateofis and Standards
HOME IMPROVEMENT CONTRACTOR
Registration: 151224
Expiration: 5/23/2008
Type: Private Corporation
SALUM INC
TIAGO GOUVEA
45 WHISPERING PINE CIRCLE � C? .�-�
WORCESTER, MA 01606 Deputy Administrator
NORTH
own of
No. Zq _
Z �
O dower, Mass., e no ore
COC MIC ME WICK
A0RATED
S BOARD OF HEALTH
PER IT D Food/Kitchen
Septic System
' BUILDING INSPECTOR
THIS CERTIFIES THAT.............. ..... .(/ *4.rA....... ........ . .. t. .......................................................... Foundation
has permission to erect.................................. .... buildings on ......YJ.....dc"o.&I .L............. Rough
•
to be occupied as... ........ . ..... .d. ..... ...... ......................................................................... Chimney
e
provided that the person accep g this permit shall in ev respect conform 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
PERMIT EXPIRES ONTHS
ELECTRICAL INSPECTOR
UNLESS CONSTR CTIOI TS Rough
........... ........... .............................................. .............................. 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.