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Home My WebLink AboutBuilding Permit #583 - 549 WINTER STREET 3/20/2006 f NORTH, O t�eo e•'�'O _ p TOWN OF NORTH ANDOVER �' . .•�.' APPLICATION FOR PLAN EXAMINATION 9SS.ICHUSE� Permit NO: y �`3 Date Received: 3 -�q- �b Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION rmt PROPERTY OWNER Print 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) 6COther p ,- ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED 6")-j Identification Please Type or Print Clearly) OWNER: Name: hox, U 1 a�b Phone: S_-0$ �U I gnature Address: //""✓ kOOPI�](? CONTRACTOR Name: L �aMbet Phone: 7 Address: � C�//�'11� Gfi S 8q,tle✓/'� )f ' Su ervisors Construction License:CS Q)� / 3 0 Exp. Date: O,J s Supervisor's � p Home Improvement License: q�„� Exp. Date: 0 or ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST B ED ON$125.00 PER S.F. Total Project Cost :$ O'O x10.00=FEE:$ �� = Check No.: �� Receipt No.: /.poV� Page I of 4 TYPE OF SEWARGE DISPOSAL Swimming Pools ❑ F1Tanning/Massage/Body Art ❑ Public Sewer Well F1Tobacco Sales ❑ Food Packaging/Sales 11 ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. NOTE: Persons contracting with unregistered contractors do not have access to the guarfun Signature of Agent/Owner ��Ghet L zm�t Signature of Contractor Plans Submitted ❑ Plans Waived El Certified Plot Plan ❑ Sta d 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 Temp Dumpster on site yes,/no— Fire Department signature/date ../ Building Permit Approved and Issued by: Page 2 of 4 Building Setback(ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided DIMENSION Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area,sq. ft.: NOTES and DATA—(For department use) Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENTMFORM05 Created JMC.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 Page 4 of 4 Location_�5�9 1� No. 6'93 Date �� HORT1y TOWN OF NORTH ANDOVER :•,+ f � a Certificate of Occupancy $ It CMUs<�' Building/Frame Permit Fee $ t- Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # �d 19 f' 4 2 , 6"'—Building InspectoV � NOKTIy Town of Andover O �r„r�~ 1 �V4 •Iyr No. o �s- A dover, Mass., C OCHICHEWICK 0-It' ORATED i'P�` � S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT........./..�...... Foundation has permission to erect................... .................. buildings on ... .. • all .t......... Rough to be occupied a Chimney ..... ....... ..............................................................................................................................:......... provided that the person accep g this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provision 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 IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO T S Rough ...................................................... ... SP......ECTOR Service BUILDING IN Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display.in a Conspicuous Rough 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. Ein#51-05033313 T.G. APs ERN A44S.P MA Reg. Hi(#121981 c, s jibofin rt M.A 1 *A'CS 078130 D 2 Single-ply Lic. #1711 g B i,✓Lc_e 2932 T h 265 Winter Street,Haverhill,MA 01830 MEMBER We are: ✓ Licensed ✓ Insured ✓ Factory Trained ✓ Factory Certified Installers Date: S� Estimate for: 7 v Ai Telephone 1:_ , ! G- `I Telephone 2: A Address: �� `% lxl ia l Ny _S City/Town: State: Zip: L` lob Location: =� ' f^ City/Town: State: Zip: L.R.C. agrees to commence described work on/or about U R ,/,i;l K and described work will be completed in about 1 working days. L.R.C. shall not be held liable for delays due to circumstances beyond our control. L.R.C. shall not be liable for any damage to landscape,attics,interior walls or ceilings and/or fixtures due to circum- stances beyond our control. L.R.C. can not and will not be held liable for any damage to the surface that the disposal container is placed on. L.R.C. shall not be held liable for pre- existing conditions including but not limited to mold and/or wood rot,defective,faulty,rotted or worn building counterparts such as but not limited to siding,gutters,masonry,plumb- ing,and windows that jeopardize the watertight integrity of the building and are not covered under the roofing warranty. The following work includes all permits,labor and materials needed to complete your job in a professional workmanship like manner. Steep slope Quick-quote proposal to furnish and install the following: Approximate roof area &I 4w Roof ❑ Re-roof ❑ Gutter ❑ Repair C]-16'_n'filation © repare for re-roofing by ensuring all safety measures are taken in accordance to OSHA standard regulations and landscape is properly protected. La Remove existing layers of roof material down to roof deck and inspect wood. If upon inspection we discover any rotted wood,replacement will be performed at $ 3• I per LF.* If substantial deck rot is discovered,re-sheathing of roof deck can be performed at S per SF.* If wood is sound,we will re-nail any loose wood to rafters,sweep deck and prepare for installation. M Install 8'Drip edge ❑ Install 5"Drip Edge ❑ Install Hug edge(Re-roofs only) -' > :;-y'.,✓� Color f•/y f� Apply ice&water shield(UNDERLAYMENT)as per manufacturers'specifications and or C2"Apply . : 6 #felt paper(UNDERLAYMENT)to the balance of the exposed wood deck. a''keflash all stack pipes,tie-ins,chimneys and/or any roof penetrations as required and dictated by good roof practice to ensure water tightness. ❑ Re-seal chimney base using cement&fabric. ❑ Ree-L ad ❑ Re-point chimney C) Re-build chimney S Q,'install a new__3_C)C) Year L1 Traditional C Architectural style shingle roof system Color lu . k., :;< 7 Manf. T /!r' ❑Furnish and Install a new shingle over style ridge vent system ❑ Soffit vent system S i L, /ii El"ll 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. Special Notes: Warranty options: 1a'Standard LRC ❑ /✓ ! Manufacturers Upgrade S p,, j' Denotes additional costs above the total estimated prim. UPON COMPLETION AND PAYMENT IN FULL,ROOF SHALL HAVE A WORKMANSHIP GUARANTEE FOR A PERIOD OF TEN YEARS HONORED AND ISSUED BY THE LAMBERT ROOFING COMPANY AND 3 D YEARS HONORED AND ISSUED BY THE SHINGLE MANUFACTURER. This document can serve as a contract,however if a more elaborate contract is desired we will issue it at the owners request. Please sign and return one copy upon acceptance. NOTE:if this contract is not accepted in_days,it may be withdrawn by LRC. NOTE: We accept major credit cards* &financing is available! *Due to merchant related costs there will be a 2.3%service charge. *A finance charge of 1.5%per month(18%per year)will be charged on past due accounts over 30 days. Total Estimate Price: $ UlJ Date of Acceptance 1, Payment to be made as follows: /3 tJ o w r` �1 G! o 0 (Home/Business owner) _ gnature r, ;< ��•� �( lE r k (LRC) (� :-� �--'-----'--`____._. �. Signature Haverhill MA 978 374-9224 • Lawrence MA 978-687-7339 • Atkinson NH 603-362-9500 • 1-888-SOS-ROOF (767-7663) • Fax: 978 521-5791 "Our Proof is on Your Roof" www.lnimbertronffrtn,npt - Ne o6llwtm�veaa &4e Board of BuildingRe gulations ... = One Ashburton Place Fpm 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 06/02/1972 Number: CS 078130 Expires: 06/02/2006 Restricted To: 00 RICHARD J LAMBERT 95 MAPLE AVE ATKINSON, NH 03811 Tr.no: 12321 Keep top for receipt and change of address notification. DPS-CA1 0 50M-04;05-PC8698 KY Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 149221 Type: Private Corporation Expiration: 12/6/2007 LAMBERT ROOFING CO RICHARD LAMBERT 265 WINTER STREET HAVERHILL, MA 01830 Update Address and return card.Mark reason for change. DPS-CAi 0 50M-04/05-PC8698 Address [] Renewal [] Employment [] Lost Card ISSUE DATE(MM/DD/YY) CERTIFICATE OF INSURANCE - 09/02/2005 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Boyle Insurance Agency Inc DOES NOTRS NAMEND EXTEND OO RIGHTS UPON R ALTERITHE COVERAGE AFFORDED CATE HOLDER. THIS CERTIFICATE P O Box 606 POLICIES BELOW. Woburn, MA 01801 COMPANIES AFFORDING COVERAGE I INSURED T G L R C Inc COMPANY A.I.M. Mutual Insurance Co dba Lambert Roofing Co. LETTER A 37 Stevens Street Haverhill, MA 01830 I COVERAGES 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 RESPECTTO 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIO LTR DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCT'S-COMP/OP AGG. $ LAIMS MADE[�CCUR PERSONAL&ADV.INJURY $ OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED.EXPENSE(Anyone person) $ AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUTO LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS BODEINJURY $(Per HIRED AUTOSBODNON-0WNED AUTOS (Per GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ MBRELLA FORM AGGREGATE $ THER THAN UMBRELLA FORM WORKER'S COMPENSATION ANDX TYLWC STA EMPLOYERS'LIABILI A (iE PROPRIETOR/ INCL 6009966012005 08/28/2005 08/28/2006 EL EACH ACCIDENT $ 500,000 X PARTNERS/EXECUTIVE EL DISEASE--POLICY LIMIT $ 500,000 OFFICERS ARE: EXCL EL DISEASE.-EACH EMPLOYEE OTHER $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 15 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE i : X. ......:::.:.:..........::.......:....:..�..:::...........:.. 10/12/05 >::: PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BOYLE INS AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 445 MAIN STREET COMPANIES AFFORDING COVERAGE WOBURN MA 01801 COMPANY j A NAUTILIUS INSURANCE CO INSURED COMPANY LAMBERT ROOFING CO B COMMERCE INSURANCE COMPANY T G L R C INC D/B/A COMPANY 265 WINTER ST C HAVERHILL MA 01830 COMPANY D ;::::;;::;:•;:;;:•>;;;•::::•:;:•;>:•>;::•:::•::;:;;::•;::•:>:::;::•;::;>:;:::;..>;;•:;•;::<;•:::::::.:.:<;;.::::::.::::.:.>:.:.; ::::.:::;::.::.;.::.;:;.::.;;:..:::.:..:. ...........G...S::::.:.::::::::.::.:.::....:.:..:...:.............................................................................::::..:::......................................................:::::.::.::::.....................................................................:..:..: 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- NY 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY ] C 3 7 4 9 5 7 10/12/05 10/12/06 GENERAL AGGREGATE $2 , 000 , 0 0 0 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $1, 000 , 000 CLAIMS MADE OCCUR PERSONAL&ADV INJURY $1, 000, 000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $1 000, 000 FIRE DAMAGE(Any one fire) $1, 000, 000 MED EXP(Any one person) $ 5, 000 AUTOMOBILE LEA BILITY Z T 6 915 7/16/05 7/16/06 ANY AUTO COMBINED SINGLE LIMIT : $ ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ 500, 000 X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $1 0 0 0 0 0.0 PROPERTY DAMAGE $ 500, 000 00' 000 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND TORY LIMIT3 ER EMPLOYERS'LIABILITY EL EACH ACCIDENT $ THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE EL DISEASE-POLICY LIMIT $ OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS WORK COMP CERTIFICATE WILL BESENTFROM A. I .M: MUTUAL INS PER WC BUREAU . ..IOA' »<:: :>»:»:::':>:><::: :«>:>>>:>:>>:>::>:»<:;: :»:::<::::::..:...: ::::::::::.::::::::::.....................................:....:..:.:..:::::.:............:.................:::..............:...:..::::::.:::.:. . . .t= .i.A O .::...::......:...::..........::.... t.:................................:.:.:::::.:.:.................................................:...:. ::::.. ....................................................................:.:...::. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTIC T E CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE:TO MAAIL,'J$UCH OTIC S LL IMP ENO OBLIGATION OR LIABILITY OF ANY KIND UKOri Y NTS OR REPRESENTATIVES. AUTHORIZED REPR A E ::1:::::::::::::::.::::::.,: ::::: ::: ::::::.::: : .:::::::::::::::::::::.:..:....................Gerard..0 ........ 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