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Home My WebLink AboutBuilding Permit #295 - 59 NORTH CROSS ROAD 10/13/2006 TOWN OF NORTH ANDOVER NORTIy APPLICATION FOR PLAN EXAMINATION cFtt,.o ,6gti . o OL 1O A Permit NO:-on Date Received * i o Date Issued: SAED CHUs��y IMPORTANT: Applicant must complete all items on this page LOCATION RC1 /'09-1 14 CRO-S,& Print PROPERTY OWNER %SrEUF- ��✓-l�2lNC TU�>✓ Print MAP NO.: 36 PARCEL: I '?J ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building ne family ❑ Addition ❑Two or more family ❑ Industrial Iteration No. of units: epair, replacement ❑ Assessory Bldg ❑ Commercial r Demolition ❑ Moving(relocation) ❑ Other ❑ Others: P. Foundation only DESCRIPTION OF WORK TO BE PREFORMED R&y7gV,Z FXl &i In/C, 120CF Sr INGLES Identification Please Type or Print Clearly) OWNER: Name: \S 1 CvC&,, /`I o9 2�i,vt;r'cy Phone: My- 1-/30 qql? Address: CONTRACTOR Name: LaMaEzrr \e4µ6 Phone: �Zk -3_7y 5ZZY Address: 1g1gV(')Z l i t c.L )-71/1 Supervisor's Construction License: Exp. Date: Home Improvement License: )!!y�/ Z 21 Exp. Date: /2_/6/6_1 ARCHITECT/ENGINEER Name: Phone: :address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL EST/MATED COST BASED ON 5125.00 PER S.F. Total Project Cost S ai�7 FEE:$ Check No.:-- ) o? Receipt No.: l Hage W4 TYPE OF SEWERAGE DISPOSALSwimming Pools ❑ Tanning/Massage/Body Art El Public Sewer El Tobacco Sales Food Packaging/Sales ❑ Well Permanent Dumpster on Site Private(septic tank,etc. L Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the g aranty 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 ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS r �jfiuyfY+r. i FIRE DEPARTMENT - Temp Dumpster on siter y7es &Z no Fire Department signature/date 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 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) I'age 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan''006 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 Dor:INSPECTIONAL SERVICES DEPAR'1'31ENT:8PP0R�I05 Page 4 of 4 Location 1/• No. 1;25r Date �y 13' NORTIy TOWN OF NORTH ANDOVER 0 A 70 • : ; Certificate of Occupancy $ Building/Frame Permit Fee $ H/ �CMUS Foundation Permit Fee $ ` Other Permit Fee $ t TOTAL $ Check # t 1968 Building Inspector SORT Town of � � _ � Andover No. 2 9� _ dover, Mass.,• d G T 0 =y LAKE 2CoCMICHEWICK 7,9 A0 ATED PPa\ �5 H BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........... 6...... -1.0...Nto............................................................... Foundation has permission to erect........................................ buildings on...6 .....qj,00.0.4 .. . ......r!.4.0.04............ Rough to be occupied as.....sir ...........7......�.. .S.. Q Chimney . .................................................................................. provided that the person accept g this permit shall in everyect 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 E)PIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI ARTS Rough ....................... Service .. .. ..... ....... BUILDING PECTOR 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. CERTIFICATE OF INSURANCE1 08/29/2006 ISSUEDATE(MM/DD/YY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND PRODUCER CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE Boyle Insurance Agency Inc DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O Box 606 Woburn, MA 01801 COMPANIES AFFORDING COVERAGE INSURED T G L R C Inc COMPANY A.I.M. Mutual Insurance Co dba Lambert Roofing Co. LETTER A 265 Winter Street Haverhill, MA 01830 COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEI INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH' CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEI 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 LIMITS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/O?AGG. $ LAIMS MADEQ�CCUR PERSONAL&ADV.INJURY $ HOWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one lire) S MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUTO LIMIT S ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ MBRELLA FORM AGGREGATE $ THER THAN UMBRELLA FORM WORKER'S COMPENSATION ANDX WC STATU• 0TH" EMPLOYERS'LIABILITY 6009966012006 08/28/2006 08/28/2007 EL EACH ACCIDENT $ A ITHE PROPRIETOR' [YIEXCL NCL $ PARTNERS/EXECUTIVE EL DISEASE—POLICY LIMIT 500,000 OFFICERS ARE: EL DISEASE—EA EMPLOYEE S 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEIECLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TI EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR 7 MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO TF LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION C LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS C REPRESENTATIVES. AUTHORIZED REPRESENTATIVE I ✓die >°omr�rnovcurea�l/ a�✓uaaoac�u�aeCla -_�—_ ------ Board of Building Regulations and Standards License or registration valid for Individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 149221 Board of Building Regulations and Standards Expiratioi►: 12/6/2007 One Ashburton Place Rm 1301 Type: Private Corporation Boston,Ma.02108 LAMBERT ROOFING CO RICHARD LAMBERT 265 WINTER STREET �� HAVERHILL,MA 01830 Administrator Not valid without signature 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•CA1 is 5OM•04/05•PC8698 � Address Ej Renewal f-� Employment Lost Card q-lke ,, p Board of Buildingg Regqulations One AshbUrton Place, Ism 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Number: CS 078130 Expires: 06/02/2008 Birthdate: 06/02/1.972 Restricted To: 00 RICHARD J LAMBERT 95 MAPLE AVE ATKINSON, NH 03811 Tr. no: 27100 DPS•CA1 0 SOM•04/OS•PC8698 Keep top for receipt and change of address notification. OCT-05-2006 THU 03:02 PM ASAHI-AMERICA FAX NO, 17813218467 P. 02 02/17/2015 23:39 FAX im002/002 Fin#51-05033313 T. O.P MA Reg. His#121981 Mbe tr,cyG MA Lic. #UC5 018130 Rp, a Single-ply LiL #1711 �.�srrs �' fiMg 265 Winter Simi,Haverhill,MA 01850 MEER We are: ✓ Licensed ✓ Insured ✓ Factory Trained ✓ Factory Certified Installers Date 2,004 1Estrmate for: SS-My E H isi—ew wi'om Telephone% 976 yid-q9/8 Telephone 2: FA Address. G�1�2 -- CilylTown: M- f�N])oyaeJL Stat"'1#4 Zip: ,sob Locailon: C'a mir- Clly/Town- State'—Zip:— L.R.L tate Zip:L.R.L agrees to commence described work on/or about and described work will be completed in about working days- I.R.L shall not be hal liable for delays due to circumstances beyond our control. L.R.C. shall not ba linblo for any damage to londscapo,attics,interior walls or ceilings and/or 111mras due to drmm sionces beyond our eantral. L.R.L can not and will not be held liable for any damage to the surface that the disposal container Is placed on. L.R.L shall not be held liable for pro o4sting conditions Including but not limited to mold and/or wood rot,defective,foully,railed or worn building counterparts such as bur not limited to riding,gutters,masonry,plumb Ing,and windows that leopardize the watertight integrity of the building and are not covered under rhe roofing warranty, 76 following work Includes oil para lls,labor ad Nmdwkls Needed to complete year lob in a proiewa■■l workmanship like monner. Stec lope Quick-quote proposal is feralsh oud install the Foila ring: Approximate roof area 00 T 21"Naw Roof Cl Re-roof ❑ Gutter Q Repair Ci Yantilarlon Oir�pare for re-roofing by ensuring all safely measures are taken in accordance to OSHA standard regulations and landscape is properly protected, EB'Kemove existing layers of roof material down to roof deck and inspect wand. 0 upon fespectian we discover any rotted wood,replacement will be performed at S 3 __—bar LE' If substantial deck rot is discovered,re-sheothing of roof deck can be performed at S-?'s per SF.' It wood is sound,we will e° nail any loose wood to rafters,sweep Mede and praparo for installation. v s� §Ey-t S^r rJ6 (g stall B-Drip edge. L3 Install 5'Drip Edge Ca Install Hug edge(Re-roob only) �/@e3Tc�TE��(re Color tlil, ly ice&water shield(UNDIERLAYMENT)as per monufactureri.speirfiealioas and or ; Apply A IT #felt paper(UNDERLAYMENT)to the balonra of the a Med wood deck. C3 Reflash all stack pipes,tie-ins,chimneys and/or any roof enelrotions as required and dictated by good roof practice to ensure water illiMnem :4tse al ey ase omont A fabric [f� Re- °ad C3 Re-point chimney 0 Re-bulld chimney S a 000 G�SSAfLy al a now--!k—Year C3 Traditional �Architodural style shingia roof system Color, Monf. r&mlh✓-T� �-- zilurnls ngle over style ridge vont system C3 Soffit vont systam S " All debris generated by Lambert Roofing Co.,Inc. wil I be cleaned up and disposed of from the job site In a legal fashion. Under no circumstances will the waterti4ht integrity of the building be compromised. �,0 E, Spada[Helen Warranty options; Wrlfandard LRC G! Manufacturers upgrade S ' •Donates additional coats above&total 011imatmll price. UPON COMPLETION AND PAYMENT IN FULL,ROOF SHALL HAVE A WORKMANSHIP GUARANTEE FOR A PERIOD OF TEN YEARS HONORID AND ISSUED BY THE LAMBERT ROOFING COMPANY AND YEARS HONORED AND ISSUED BY THE SHINGLE MANUFACTURER. This document auto serve as a catm,homes if a more elaborate contract 0 desired are will issue it o►the owners(Wan. Please sips and retum one copy upon arreptance. NOTE tithe conhd h not accap►odin—days,it may be w 0thdrown hY LRC ROTES We accept major credit cards*&financing is available , A finance charge of 15%per month(10%For year[Wt116o charged an past due accounts over 30 day.. Total Estimate Price; S IS00 Date of Acceptanke ' DEPas iT 13 -J9gVG� Homo/Bosinau owner ) re to be Wade es foflmre: ( ) gn re (LRC) 5 gra u .....a.,,+ u• OTS •s1 r/441 - --•------ ua a,'a s4's 'eS& _ •.h.r-.-_-. uu 1w'J 914 eeww - t see !AO ewne ITIV 1«e. r_-.. nwa .w• FVR-