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Home My WebLink AboutBuilding Permit #1318-2016 - 6 LAVENDER CIRCLE 6/20/2016 V0nn ryry0� �iORTh 1� BUILDING PERMIT o� TOWN OF NORTH ANDOVER ,201h APPLICATION FOR PLAN EXAMINATION Permit NO: f/ Date Received �4SSATED Date Issued: o�z � AGHUS IMPORTANT:Applicant must complete all items on this page LOCATION 1 der ef.116� P int PROPERTY OWNER�i �i> Z-19 Print MAP NO: _PARCEL: I3—*;-70NING DISTRICT: Historic District yes Ono Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building KOne family ❑Addition ❑Two or more family ❑ Industrial ❑ teration No. of units: ❑ Commercial Repair, replacement Ci Assessory Bldg ❑ Others: ❑ Demolition ❑ Other i Septic [ i Well J Floodplain 1 Wetlands i a Watershed District I Water/Sewer 07 Identification Please Type or Print Clearly) OWNER: Name: r � �/��f7 Phone: Address: CONTRACTOR Name: O6ieOrffealls Phone: 9��yS�yLyZ Address: 96 Supervisor's Construction License: X05-- Exp. Date: /�_L� 7► y Home Improvement License: //�77Exp. 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. Total Project Cost: $ �7, �3D FEE: $ G� Check No.: / Y'a 1 3 Receipt No.: NOTE: Persons contracting wit unregistered contractors do not have access to the guaranty fund ignature of Agent/Owner nature of contractor ,IV NORTH E I Town of _ er . v O 0 20061 C, : `Aµ, h ver, Mass, 106 40 W16 COCKICK(WICK �qS RATED j'P�`,`,�5 U BOARD OF HEALTH Food/KitchenP E R� M IT T LD Septic System THIS CERTIFIES THAT ...�. ......H.iJ.AA.?##%oo0eBUILDING INSPECTOR has permission to erect buildings onC 4*.&*V- A?ff0-e Foundation Rough to be occupied as ........ .. ...®r.... ..... 49: 00 ............................................................ Chimney provided that the person accepting this permit shall in every respect conform to 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 CONST ION Rough Service . .. ......... .. ...... ..... . ..... . ........ ........ ...... Final BUILDIN SPEC OR 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. G ORGOULIS ROOFING & CONSTRUCTION, INC;. 96 Arlington Ave. Dracut,MA 01826 Al Greene-Director of Field Operations 1-978-453-4242 Office 1-978-888-1700 Cell georgoulisl4:l@aol.com -- t CONTRACT Jim Mullin 05/14/16 6 Lavender Cir. N.Andover;MA 1-978-884-0705 ; jwi-nullin@comcast.net Job Location:,6 Lavender Cir.N.Andover,MA Scope of Work: Remove all,layers.of shingled roofing down to wood deck on entire house,additions,and garage roofs,protecting-the landscaping and house body with heavy duty tarps as stripping is being done. Install 6'GAF Weatherwatch ice/water shield underlayment across all eaves,around chimney,around all protrusions, Top all rakes at all roof to wall locations,and full coverage on front porch roof: Install GAF Deck Armor synthetic felt underlayment on remaining exposed roof deck surfaces. Install 8".025 gauge heavy duty aluminum drip edge on entire roof perimeters. Install GAF ProStart starter strips across all eaves and up all rakes. Install GAF Timberline Ultra HD Lifetime Architectural shingles with Timbertex hip/ridge caps on roof. Install A ridge vent on all main ridges. Install new star c p°tpe o0 orlexisting plumbing pipes. 1 Inspect and properly sear all seams and joints of lead flashing on existing chimney. 'Thoroughly clean and magnet grounds and remove all job related debris from property on a daily basis and at jobs completion. $55.00 Per Sheet Extra Cost to replace any damaged plywood decking(if needed). Entire job includes GAF Systems Plus Warranty. First 50 yrs.Is non-prorated,full labor and material coverage from GAF,against any material or installation defect cause,and is transferrable one time. WE PROPOSE hereby to furnish material and labor complete in accordance with above specifications, for the sum of, h:41 r�(000.00 C0 �Cay114 Seventeen Thousand Eight Hundred Thirty Dollars $17,830.00 PAYM1^hrr TO 13l MADE AS FOLLOWS: $6.830.00 PAID IN ADVANCE TOWARD MATERIAL COSTS.$11,000.00 BALANCE PAID IN FULL WHEN JOB IS COMPLETELY FINISHED ACCORDING TO THE ABOVE LISTED PROPOSAL. All material is guamnteed to be as specified.AM work to be completed in a stibstanildi wc&manM-e manner according to specifications submitted per standard practices.Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire tornado and other necessary insurance.Our workers are fully covered by workers compensation insuran Georgoulis Authorized Signature This proposal be withdrawn by us if not accepted within 30 days. Aceeptatice rfl Sal-The above prices,specifications an satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will ma as ntlined above. Signature Signature Date of acceptance 6/.n/`4 The following is part of this contract: Contractor Reizistration All home improvement contractors must be registered with the Commonwealth of Massachusetts. Contractor Registration#117870 and Construction Supervisor License#058498.Inquires about registration should be made to: Director,Home Improvement Contractor Registration,One Ashburton Place,Room 1301,Boston,MA 02108(617)727-8598. Better Business Bureau, Inc. Georgoulis Construction,Inc. member ID#35522. Contact the Better Business Bureau (508)652-4888 or at memberservices@bosbbb.ora. General All outside work areas will be left rake clean.Roofing may result in dust or debris falling into the attic. This contract does not include clean up or protection of the contents in the attic.In the event a satellite dish should have to be removed to complete project,Georgoulis Construction,Inc.will not be responsible for repositioning after re-installation, should it be necessary.In addition,the Roofing contractor will not be liable for any damage,whether incidental or accidental,that may occur to any A/C,electrical or plumbing equipment that is installed or located in a place that interferes with the roofing or re-roofing process within normal standards&practices of a typical and reasonable roofing or re-roofing installation. Payments The maximum down payment or advanced deposit allowed by Massachusetts law is limited to whichever is larger: (A)One third of the total contract or(B)the entire cost of any special order materials.Final payment is required within 15-days of the invoice date or a late fee charge in the amount of five(5) percent of the said payment shall be assessed for every 30-day period for said payment outstanding.If non-payment becomes a legal matter,the Homeowner will be responsible for all legal fees incurred by both parties.All Credit Card Sales over$1,000.00 are Subject to a 2.0% Convenience Fee. Work Schedule The owner agrees the scheduling date is approximate.The contractor agrees to show good faith in meeting deadlines,but are not responsible for delays caused by weather. Suppliers, subcontractors, building officials.asbestos abatement,hidden damages or conditions,accidents,acts of God or anything beyond our control. Change Orders The owner is aware that the work may contain hidden damage,defects,or conditions such as decay, insect damage,or substandard construction practices,that may require additional work not included in this contract.In this case,Georgoulis Construction,Inc.will contact the owner and agree on an additional charge to the original contract price.In the event the owner can not be contacted,and it is crucial that work continue to protect the residence from the elements,(rain,snow, ect.)photographs will be taken to document the necessity of the additional work.The owner understands that any additional work will delay the completion of the project. Warranty The contractor,Georgoulis Construction,Inc. agrees to correct any work that fails to conform to the contract or workmanship that is defective within TEN(10)years from the substantial completion date of the project at NO CHARGE to the homeowner.The homeowner agrees to notify Georgoulis Construction,Inc. specifying the nature of any workmanship defect, immediately.No warranty is provided for ordinary wear and tear,fading, abuse,neglect or casualty, or minor cracking/shrinking of concrete or caulking.No warranty is provided for materials not directly supplied by Georgoulis Construction,Inc. or for used,re-installed materials,(including skylights not installed by Georgoulis Construction Inc)or work done by others.This warranty excluded consequential and incidental damages. Contract Acceptance Upon acceptance of the authorized parties at Georgoulis Construction,Inc.this contract and all work described herein will constitute the entire agreement between Georgoulis Construction,Inc. and the Homeowner. The Commonwealth of Massachusetts Department of Industrial Accidents a d I Congress Street,Suite 100 Boston,MA 02114-2017 ye J'W www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Leeibly Name (Business/Organization/Individual):Georgoulis Construction, Inc. Address:96 Arlington Av City/State/Zip:Dracut, MA Phone#:9784534242 Are you an employer?Check the appropriate box: Type of project(required): 1.Q✓ I am a employer with 10 employees(full and/or part-time).* 7. F1 New construction 2.n I am a sole proprietor or partnership and have no employees working for me in 8. []Remodeling any capacity.[No workers'comp.insurance required.] 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑BuildDemoing 10 �Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.[]Electrical repairs or additions proprietors with no employees. 12.n Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ p Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Admiral Insurance Company Policy#or Self-ins.Lic.#:WC009774283 Expiration Date:9/25/16 Job Site Address:6 Lavender Circle City/State/Zip:N. Andover, MA Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify and the p 'ns nd penaltie of perjury that the information provided above is true and correct. Si nature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: TE Acro' CERTIFICATE 4F LIABILITY INSURANCE DA 03/112016 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 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. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Phone: (978)263-3500 Fax: (978)263-1438NA .ACT Gallant Insurance Agency,Inc. GALLANT INSURANCE AGENCY,INC. PHONE 978)263-3600 Fax (978)263-1438 199 GREAT ROAD/P O BOX 975 EMAIL ACTON MA 01720 ADDRESS: PRODUCER 36702 sro ro• INSURER(S)AFFORDING COVERAGE NAIC N INSURED INSURER A , James River Insurance Company GEORGOULIS CONSTRUCTION INC. C/O SCOTT GEORGOULIS INSURER e : Chards Insurance Company 96 ARLINGTON AVENUE INSURER DRACUT MA 01826 INSURE D: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 48658 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 WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ONUITIONS OF SUCH P1111 MITS SHOWN HAVE RFIFN REDLJCFD BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD'L SUER POLICY EFF POLICY EXP LTR INsR wvo POLICYNUMBER LIMITS A GENERAL LIABILITY 000706700 03/05/16 03/05/17 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAPREMISES O a oNTED $ 100,000 CLAIMS MADE l7 OCCUR MED.EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY(Per person) $ BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (Per accident) $ NON-OWNED AUTOS $ $ UMBRELLA LU1B OCCUR EACH OCCURRENCE $ EXCESS LIAR UMBRELLA AGGREGATE $ DEDUCTIBLE $ i RETENTION $ $ B WORKERS COMPENSATIONWC009774283 09/25/15 09/25/16 X we STA oTH AND EMPLOYERS• LIABILITY YIN 1 ANY PROPRIETORIPARTNERIERECUTIVE E.L.EACH ACCIDENT $ 100,000 OFFICERIMEMBER EXCLUDED? I7 NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes•describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. i AUTHORIZED REPRESENTATIVE Attention: ; ,VWe . r!h ACORD 2 (2 9/09) 0 1988-2009 ACORD CORPORATION. rights reserve . The ACORD name and logo are registered marks of ACORD �Zf1�1.11w947/we" f1 Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 117870 Type: Private Corporation Expiration: 12112/2016 Tr# 260054 GEORGOULIS CONSTRUCTION, INC. SCOTT GEORGOULIS 96 ARLINGTON AVE DRACUT, MA 01826 Update Address and return card.Mark reason for change. Address ; Renewal Employment j ? Lost Card SGA 1 0 26M-05111 ffice of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: istration: 117870 Type: Office of Consumer Affairs and Business Regulation piration: 12112!2015 Private Corporatior. 10 Park Plaza-Suite 5170 Boston,MA' 2116 GEORGOULIS CONSTRUCTION,INC. 9 SCOTT GEORGOULIS 96 ARLINGTON AVE DRACUT,MA 01826 -� Undersecretary Not valid without signature ty Y Massachusetts Depa u ent o and Standaf Public f Public rds ty Board of Building Reg 151:11010-6955849 License: CS-058498 `UCSariDie O.(Extension Am Z Construction Supervisor isor SOfEf 1111, INTEMAMONALSAFETYEDUCATONIUMTUfE(ISM) `�� r r SCOTT C GEORGAULIS.,.r This card certifies that: 96 ARLINGTON AVE�IUE�s SCOTT GEORGOULIS EE DRACUT MA 01826 rj has completed a 10-1-1our OSHA Hazard Recognition Training forthe Construction industry. �Ce-- 08/23/2013 " LJ— Expiration: � Director:Scott MacKay Trane�TaylorSikes Grad.Date: Commissioner 10/21/2017 i I 1 Location 'No. Date Date d,4/ 20 • - TOWN OF NORTH ANDOVER m; Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 13; -LAr �� f� , Building Inspector