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HomeMy WebLinkAboutBuilding Permit #276-2012 - 57 STAGE COACH ROAD 5/1/2018 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0:.276 Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Unit# Print MAP NO: PARCEL: 2, ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 100 year-old structure 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 pair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other [-i1JfflepTF-# w.e1HT-- (®Floodplain' ® Wetlands (®,W.aR sale Dis t DESCRIPTION OF WORK TO BE PERFORMED: S-T T\-`14-�1 � (, Identifi�catio lease'�,y,�e oar`t,-Jnt Clearly) OWNER: Name:�o ��� ' �► l �/' Phone: Address: a5A� CCk-Ch `'S42( CONTRACTOR Name:/(�6-,CW C— S12A U`C9--,) Phone: '$ Address: UJ A.-)k,\,W v1^ /V),4 ��,' NNS ► � � �r � � Supervisor's Construction License: ,a ft--k Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. I� Total Project Cost: $ 10 4 FEE: Check No.: 2 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access t th u my f nd ''.,.'Y JFK-v,-ti.2'g .dt^; -H 'Pri.itiz,:�:,:. ,1 -✓i iA t: 1.K-r_.`=n�e•F. [ ntrac d3'.•'u :3f Cnnatarc of�ncnt/(hninar - ".>::,. ,.fl-_Cnnati rA-nf.riitn � 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 COMMENTS HEALTH Reviewed on Siqnature "COMMENTS Zoning Board of Appeals: Variance,ance, Petition No: Zoning Decision/receipt submitted yes 4 Planning Board Decision: Comments .r i Conservation Decision: Comments ` Water &c 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 I NOTES and DATA- For department use �I I I i FLU Notified for pickup - Date I Doc:.Building Permit Revised 2011 June/mi Building Department i The following 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 Perm% Addition or Decks ❑ Building Permit Application -u 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) ❑ 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 i must be submitted with the building application Doc: Doc.Building Permit Revised 2008mi Location No. - O/Z- Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Gr Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # V� //Oui ding Inspector I_`: NORTH 0VM Of over 0 a Tr I C' LAKr o , dover, Mass., COCHICMEWICK �� sFATED PPpC3 1 BOARD OF HEALTH PERMIT Tu D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....... r "...: . . ....................................................... Foundation d �6G ��/� has permission to erect...........:::.......................... buildings on ...... .... .. .. ....................:!�...........�'................... Rough to be occupied as ���?/�Q.. ... ./'4P� .............. ..............:... Chimney provided that the person accepting this permit shall in every 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, Alteralion and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final a PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION T TS Rough .......... .........:....................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — ft 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. lid 203 WASHINGTON ST.#1256 . PRESERVE SALEM,MA 01970 RVA ES carpentry painting roofing t gutters PHONE:978.745.874S �r Fax:978.745.3476 SALES@PRESE RVESE RVICES.COM Chris McMann Date Bid:8/24/2011 57 Stage Coach Rd Estimator:Sean O'Connor North Andover MA,01845 Email:sean@preserveservices.com (978)886-4502 Mobile:(978)39S-7737 Ckmcmann@comcast.net ROOFING ESTIMATE COMMENTS Replace the roof on the main house and shed. Install a ridge vent on the main house on all 3 sections and shed. PRIOR PREPARATION PERMITTING: All permits will be obtained in accordance with the law as required. DISPOSAL: A dumpster will be placed in an area designated by the homeowner. ROOFING PREPARATION COVERING: Tarp the exterior of the house so as not to damage the siding. SHINGLE REMOVAL: Remove all layer(s)of old shingles. NAILING: Re-nail roof decking as necessary. OTHER: Remove the existing gutters and dispose of them. CARPENTRY* Fill in the roof decking as necessary to cover exposed hole below the vented drip edge. Intall white aluminum on top of the ice&watershield that is on the front facia. UNDERLAYMENT FELT: Install 15 lb felt on all areas not covered by ice and water shield. ICE AND WATER SHIELD: Install 3 feet of ice and water shield on eves and valleys.Install as necessary on other areas. G� OTHER: Install 6'on the front of the house and 9'on the rear terminated the ice&watershield aproximately 3"down the facia. FLASHING DRIP EDGE: Install drip edge on all perimeters. WALL JUNCTION: Install or rework flashing where the roof meets the wall. VENT PIPES: Install new boot or flange around vent pipes. OTHER: Chimney: Reflash as necessary on the left hand chimney and completely on the right chimney. VENTILATION RIDGE VENT: Install ridge vents. ROOFING MATERIALS ASPHALT SHINGLES: Install architectural shingles either Certainteed Landmark or GAF Timberline HD PRICING Basic $ 11360 Sales Tax $0 Total Price $ 11360 including Labor&Material Payment Term .20%deposit(day of start);30%progress; 50%end of job McNisa/Amex Se 'Connor Customer Signature ADDITIONAL TO ABOVE ESTIMATE: BID 1: Install aproximately 132 2"round soffit vents 16"on center on the house. Price$650 Including Labor and Material Installation Note: If you have an older home that has dimensional lumber for roof decking you will need to cover your attic because shingle debris may fall into the attic and create a mess. *Above additional prices includes all discounts and coupons discussed prior to estimate. The above quote is valid for 60 days. *Warranty: Craftsmanship:ftsmanship:Kyron Inc.DBA Preserve Services warrantees all work performed for a period of 2 years. If any problems occur we will cover the cost of labor and materials. For the warranty to be valid the invoice that was presented at the time of completion must have been paid in full. Materials:The duration of the manufacture's warranty is specified in the materials section above. Licenses: Home Improvement Contractor(RIC): 123553 Protection: It is required by law that roofing contractors have a home improvement contractor license. If a contractor is properly registered,you are entitled to limited protection by the Residential Contractor Guaranty Fund up to$10,000. (The above is a only a summary of Massachusetts General Law 142A)To check our license or our competitors go to: http://db.state.ma.us/homeimprovement/licenseelist.asp and license 123553. Constructor Supervisor(CS): 93403 The construction Supervisors license is under an individual's name,not a company name. To check Sean O'Connor,owner of the Kyron Inc.DBA Preserve,license go to: http://db.state.ma.us/dps/licenseelist.asp select Construction Supervisor and license 93403. Insurance: Worker's Compensation: Our policy is under Kyron Inc.DBA Preserve Services Protection: Covers the injury of a worker employed by the contractor doing work at your home. To check our policy or our completions go to http://mass.gov/dia/ on this page go to`'check worker's compensation proof of coverage"our license is under Kyron Inc. Liability Insurance Our policy is under Kyron Inc..DBA Preserve Services and has limit of$1,000,000. Protection: Covers your property in the event of accidental damage up to a dollar limit specified on the policy. To check our policy we will have to contact our insurance company. DATEIN�D►vYYY) CERTIFICATE OF LIABILITY INSURANCE 5rZ LDFJL THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON T'HE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELYAMEND, 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 POlicylies)must beendorsed. B SUBROGATION IS WANED,Subject to IMPORTANT: if the certificate holder is an ADDMdii L INSURED, the the Semis and conditions of the PORCy,certain Policies may require an endorsement A Statement on thtS certificate does not confer rights to the certificate holder in lieu of such endorseme s• Boynton Insurance PRODUCER ME: Boynton Insurance Agency PHONE (781)449-6786 FAX (781)449:- 269 72 River Park Street PRODucER 0004109 Needham MA 02494 I S AFFORDING COVERAGE NASO INSURED IRER A MOX S Ci a1. NSU Kyron Inc. I(suRERs:Hartford Insurance DBA Preserve Services INSURERC: 203 Washington street,#2S6 INSURER O: Salem,MA 01970 INSURERE: INSURER F: f COVERAGES CERTIFICATE NUMBER:14-18 Vnion St. Condo 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 VIMICH 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 SHOVM MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILS POLICY EFF PO EXP TYPE OF RMRANCE POLICY NV98ER (M arc" M LIMITS GENERALLIABLLITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES a oowtralf S 50,000 A CLANS4&DE ❑x OCCUR 013100002122 !23/2011 /23!2012 MED EXP(A,one p=w $ _ 5,000 PERSONAL B AOV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMB APPLIES PER PRODUCTS-COMPfOP AGG $ 2,0000000 E POLKW PRO LOC $ AUTOMOBILE LIABLLTTY COMBINED SINGLE LIMB $ (Ea aseidam) ANY AUTO BODILY INJURY(Par pmon) $ ALL OWNED AUTOS BODILY INJURY(Per eCCldellt) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per eceldam) NON-0NMED AUTOS $ S UMOMLAUAS OCCUR EACH OCCURRENCE S EXCESS Me CLAIMS-MADE AGGREGATE _ $ DEDUCTIBLE $ RETENTION S $ �� $ WORKERS COMPENSATION WCSTATU- OTH- AND EMPLOYERS'LIABILITY Y/N X L�[[I,S ANY PROPRIETORlPARTNERIEXECUTIVE OFFlCER111EMBEREXCLU10 NIA EL EACH ACCIDENT $ ZOO OOO (hand NK) S60DB0523H00910 /20/2011 /20/2012 yes EL DISEASE•EAEMPLOYE $ 100 000 " DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 500,00C i DESCRIPTION OF OPERA710NS I LOCATIONS I VEHICLES(ARach ACORD 1(H,Ad=Iwai Renar(a Schedule 8 nmro epow raqufred) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELPMJM IN ACCORDANCE WITH THE POLICY PROVISIONS. AU714DRMED REPRESENTATIVE i213.am Rohr/WRIT ACORD 25(2009109) D 1988.2009 ACORD CORPORATION. Ali rim reserve INS025(2009w) The ACORD name and logo are registered marks Of ACORD i 0 Afft cl��tr'ttncnt()f Public.Safety Bn.3rtl of Building kct;uhltinns�tncl Stancl<tr Cnslructi� .Supervisor License As License: GS 93403 Res ricted t.q 00 SEAN OCONNOR 26 CHESTNUT ST` I SALEM, MA 01970' C'r,mmi.sir,ner Xp#ration: 12/31/2011 Tr#: 10208 � c/�LC Lr'b'JT17ltO?Ettr 6�'t,� � . Board of l3rs rnb itCgulati@hs and Sari;. yt3r='ifi IMPROVEMENT CONTRACTOR 5. Regrstrafr Dik Expiration �'� �* w K 31612011 . Tri 282379 Type DBA Et serve Panting } " Sean G,Connot 1Fi'N�TON 5T #256 SALEM,;MA 0197A _ Admmistrator