HomeMy WebLinkAboutBuilding Permit #921-13 - 6 WALKER ROAD 6/26/2013TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
PermlitNO: Date Received
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCIATI
RROPERTY/OWNER.
MAPNO'bu.- PARG-EL021
Print! 100 Year Old'Structure, yes� Q%
ING E)4$JTRIQ T-:_ Histbric Di§trict ye& . no.
MachAe Shop Villa.ge yes, �(no_.
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
0 New Building
[] One family
El Addition
0 Two or more family
[I Industrial
11 Alteration
No. of units:
El Commercial
0 Repair, replacement
0 Assessory Bldg
D Others:
0 Demolition
El Other
0septic. 01'W&II,
EI.FIbodPlaih,. 1� Wetlands�
0 Watershedbistrict.
ElWater/S,0wer,
DESCRIPTION OF WORK TO BE PERFORMED:
dentifi tion leaseTy orpri tclearly)
OWNER: Name:
Address:
Q0,NTR,AQTOR''Nbme: Phone-.
Addeoss!
S,upervisor?t-Construction License- Exp. Rate-.
Homelmprovement,License�.,. Z�?:J E�P. Date: f -
ARCH ITECT/ENGINEER Phone:
Address: I -Reg. No
FEE SCHEDULE. BULDING PERMIT.'$12.00 PER $1000.00 OF THE TOTAL ESTIMATED COSTBASED ON $125.00 PER S.F.
Total Project Cost: $ /�� 6200 FEE:
Check No.: Receipt No.:
7
NOTE: Persons confracting with unregistered contractors do not have access to the uarantyfund
.,Signature -of A06rA1Owner';.. Signature of contracto�A
Pinne _(Zijhmiffnfq F-1 DI-nne 1AIniiimri F� ('inrf;fiznr1 Dlr%+ Din� F1 c+----,4 F-1
Permit NO:
Date Issued:
-.J � .
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Date Received
IMPORTANT: Applicant must complete all items on this Daize
LOCATION
Print
PROPERTY OWNER
Print 100 Year Old Structure yes no�
MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no
Machine Shop Villaqe ves no
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
0 New Building
[] One family
11 Addition
0 Two or more family
0 Industrial
0 Alteration
No. of units:
D Commercial
El Repair, replacement
[I Assessory Bldg
11 Others:
0 Demolition
11 Other
11 Septic 0 Well
0 Floodplain El Wetlands.
El Watershed District -
0 Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
Identification Please Type or Print Clearly)
OWNER: Name: Phone:
Adririncz,z-
CONTRACTOR Name: Phone:
Address:
Supervisor's Construction License: Exp. Date:
Home Improvement License:
ARCH ITECT/ENGI NEER
Address:
Exp. Date:
Phone:
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: $.
EE: $
Check No.: Receipt No.:
NOTE: Persons coptrac—Akig with unregistered contractors do not have access to the guarantyfund
ignatureof�Agent/Ow'ner
Plans Submitted Plans Waived D
cont'ractgr
Certified Plot Plan 11 Stamped Plans El
W-1
I
Plans Submitted
Plans Waived 11 Certified Plot Plan 11 Stamped Plans 11
TYPE -OF SEWERAGE DISPOSAL
Public Sewer El
Tanning/Massage[Body Art E]
Swimming Pools El
well El
Tobacco Sales El
Food Packaging/Sales 11
Private (septic tank, etc.
Permanent Dumpster on Site
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
. DATE REJECTED
PLANNING & DEVELOPMENT 11
COMMENTS
CONSERVATION
COMMENTS
HEALTH
COMMENTS
DATEAPPROVED
Reviewed on Siqnature
Reviewed on Siqnature
Zoning Board of Appeals: Variance, Petition N
Planning Board Decision:
i
Conservation Decision:
Comments
.Zoning Decision/receipt submitted yes
Water & Sewer Con neCtionisig nature & Date Driveway Permit
DPW Tow�_, Engineer: Signature:
Located 364 Usgood btreet
FIRE DEPARTM,L-NT - Temp Dumpster on site yes no
Located at'l 24 Main� Street
Fire Depa'rt.i-h'iDi"it,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
NOTES and DATA — (For department use
0 Notified for pickup - Date
Doc.Building, Permit Revised 20 10
Building Department
The foli"Ming is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofivg, Siding, Interior Rehabilitation Permits
Li Building Permit Application
Lj Workers Comp Affidavit
u Photo Copy Of H.I.C. And/Or C.S.L. Licenses
o Copy of Contract
u Floor Plan Or Proposed Interior Work
u Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
Lj Building Permit Application
• Certified Surveyed Plot Plan
• Workers Comp Affidavit
Lj 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)
o Building Permit Application
Li Certified Proposed Plot Plan
c3 Photo of H.I.C. And C.S.L. Licenses
Ei Workers Comp Affidavit
ci Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
Lj Copy of Contract
o Mass check Energy Compliance Report
Lj 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 app,,al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submAted with the building application
Doe: Doc.Buil.iing Permit Revised 2012
4 Location'
No. Date
Ci 2
_w, TOWN OF NORTH ANDOVER
Certificate of Occupancy $-
Building/Frame Permit Fee s-IS3.4p
Foundation Permit Fee
Other Permit Fee
TOTAL
Check #
V7
26566
Building Insp6&A
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1h 24
FROM:
13 02:23p MGS Construction LLC
MGS Construction LLC
2 Lake Avenue
Derry.. New Hampsliire 03038
Office: (603) 216-2633
Cell: (617)293-7287
Fax: (603) 432-3282
PROPOSAL SUBMITTED TO:
Shawmut Management
27 Charles Street
NorLb Andover, MA 01845
ATTN: Matthew Dykeraan
6034323282
PROPOSAUCONTRACT
Meadowview Condominiums
5 Walker Road
N. Andover, MA,
Roof Instaflation
P NGE NO. I OF 2 PAGES
DATE: June 13,2013
P.1
ADDRESS: Meadow View Condominiums
5 Walker Road
(gq 5, O� 1� 1.9� 1.1, !�, ana 13Building Contract)
CITY/STATE: North Andover., MA
JOB NAM: -7: Roof Replacement Project
We hereby submit specifications and this proposal/contract for die -.1ollo.1ing:
BREAKDOWN:
MGS Construction will remove 2 existing layers of roofing and flashing materials from roof field including the chiraney lead
MGS Construction will supply and install 6' of lee andwater shield at roofeaves and valleys, IS" th either side of hip, 3' at
a pipe boots/roof penetrations
NIGS Construction will overlap the ice and water shield I" over fascia/rake, boards to help protect against from ice dam
damage
MGS Construction v-611 supply and install 301b felt paper to the remai-aing.-roof field
MGS Construction will install at] new drip edge and flashings
MGS Construction will re -lead I chimney per building
MGS Construction vAll supply and install manufactured leading edge to complete the roof perimeter as the manufacturers
suggest
MGS Construction will supply and install limited lifetime architectural shingles. Color to match new roof (completed by
others) on building I
MGS Construction will hurricane nail 6 nails per shingle to protect againsi bloiv offs
Meadou.-%dew Condominiums
20 13 ). Roofing project
Jun 24 13 02:23p MGS Construction LLC 6034323282 p.2
In the evere, that unforeseen rot is found. A plywood replaceirient charge in the amount of $45.00 per sheet (labor and
matQrial) will be billed additionally to the contract amount
Any items not stated above are to be considered as an extr& charge and will be invoiced separately from this biUhkg, All other
agreements to be made in writimg between the customer and MGS Construction.
SINGLE BUILDING PRICING:
Each building will be re -roofed according to the above specMcations
Labor and material: S17,000.0 per building
TERMSINOTICES: RES30DENTIAL
MGS Construction is not responsible for any sbrub, landscaping, la,;m or lorose personal property damage whiIe work is in progress. It is
thebome owner's responsibility to ensure that prior to the start of the prqject all arcis of concern am prepared forstart ofpmject. Any
shrubs, plantings, should be pulled away from the house to ensure 6at ne, damagewill be cndwed by work in progress. All planters, grills,
patio furnishings, and other precious objects should also be moved prior to the start of any rooting, or vinyl siding projecL All vehicles
should be parked at least 20 feet away from the home during all wa&in progress thris is due to debris that could fall and or hit the vehicle.
MGS Construction is not responsible for any damages to this property as this should'be considered as a forrnal notice. All interior wall
hangings, including shelving picttres, and other precious objects should also be removed due to heavy hammering until the project bas
been completed.
MGS Construction takes extreme care in the setting up of the equipment; scaffolding and tairps usedon each project in order to protect all
�0
property and landscapes. -Any exterior damages to property incurred by MGS Const-tiction will be remadied repairedfresolved by MOS
Construction. However, we cannot be held liable for damages to phint and or flower beds, shrubbery, etc located within 15' of the
perimeter of the work area,
MGS Construction will not be held liable fbr cracked or damaged drywall or for any interior objects that may vibrate, sbake, or fall due to
heavy hammering or normal construction work.
MGS Construction estimates That this project -will be stu d and coiapletu-d wididn 14 business days weather permitting
WARRANTY:
MGS Construction will warnmity their ciallsmanship for 5 years from the date of completion- This does not include acts of nature and or
damages incurred by others.
Manufacturer's warranty: The manufacturers all carry limited waminties on all products used (usually pro rated after 5 years)
We hereby propose to fi=isb labor and materials to complete in amurdmice with the above specifications, for the sum of One Hundred
Fifty Three'lbausand Dollars ($153,00100 ) per building with payments; to, be made as follows:
A deposit in the amount of $76,500-00 is due upon completion of f(iur buildings
Ile remaining balance in the amount of S76,500.DO is due within 7 daysbrom the completion offinal building
NOMA t6Ti *pe�b6ftt (10%) of th6r;wnaffiink b�la&6'm6y be'h6ld lbirretairiige in'W'eivent of uniisbil cir6jinsiari'des'sh'ch as* m" m''ar ........
pmper� damage incurred by MGS Construction nr in the event of iiackardered materials. Please note it is unlikely that a fetainage would
Deed to be held in most case .
All material is guaranteed to be as specified. All work to becompleted in a workmanlilce manner according to standard practices- Any
alteration or dc;�iation ftm above s
pecifica.tions involving extra -wsts will be ex.-cuted only upon written orders- and will become an
extra charge over and above the estimate. A] I agreements contingimt.urion -shikes, accident or delays beyond our Control. 11is proposal
subject to acceptance within 30 days and itis void the -Iptior' 0 lersigned.
Authorized Signature
Meadowview Condominittins
2013 Roofing project
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CERTIFICATE OF LIABILITY INSURANCE
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TYPEOFINSURANCE
"I 19/2013
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORIAATIOM OtILY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEMD, ErTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NCT CONIST1111TE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICAVE HOLDER.
IMPORTANT. If the certificate holder is an ADDITIONAL INSURED, Vie policy(ies) must be endorsed. If SUBROGATION IS WAIVED, 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
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PRODUCER
Financia.31- insurance Services 3:nc
PO Box 950
-E1;.NTACT patriaj& ]31aiS
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PHONE
uj,,� (603) 432-6414 Iq0I. (603) 432-3852
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Derry ITEI 03039
KIURERA:Peerless Insurance Co
INSURED
MGS Construction, LLC
VO Box 1024
213/2013
013URER C.,
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INSURER E:
,Derry NH 03038
0.13URER F:
THIS IS To CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER!OO
INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF* ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO k1VHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFR:'-RDr=D 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.
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PROPERTY DAMAGE
(Per accicient) $
U1111PIELLA LIA
EXCESS UAB
HCOcc
UR
LAIMS-M ADE
EACHOCCURRrENCE S
AGGREGATE
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WORKERS COMPENSATION
AND EMPLOYERS'LIABILtrY VJN
ANY. PROPRIETOPIPARTNERIEXECUTIVE -1
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E.L. DISEASE - EA EMPLOYEE S
E.L. DISEASE - PO
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addifional Reia:arks S:Iiedufa, if more space is required)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE MLL BE DELIVERED IN
ACCORDANCE VATH THE POLICY PROVISIONS.
.A)JTHORIZED REPRFSIENTATIVE
Fragala/P.A-T
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