The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #293-11 - 64 COCHICHEWICK DRIVE 10/12/2010 f BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION �+ oeweMwncw y� s Permit N41- L-4— — Date Received �SS�c►+u5�� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION' I' int PROPERTY OWNER �b U c'�`� y 5 (\A a(\I' MAP NO:(2�2-0 PARCEL:OU ZONING DISTRICT: HISTORIC DISTRICT:, . yes no i TYPE OF IMPROVEMENT P OSED SE Residentia Non- Residential ❑ New Building ®—One-family Y ❑ ' 'on ❑ Two or more family ❑ Industrial eraf No. of units: ❑ Commercial ® Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Public:. :,❑ Sewer'`:.❑Water 0.Flood Iain Wetlands G7: Watershed.District ' DESrP-ON OF WORKSTO BE PREFORM: I 10 Identification�vvncio lease Type or Print Clearly) OWNER: Name: L O L) -e n Phone: b O � � Cdc 1c �, vvvi �L r No4� , Andov-er Address -e � r } , CONTRACTOR Name: �e W �� a S Phone. . d� $;� , � b AddressJ�'j S111a`rL�e ,�' ': Q r.�4JIn lv Supervisor's Construction License Exp Dateu" �6 i Home Improvement License Ex Dade. N ARCHITECT/ENGINEER Phone: I Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT. $12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ "I ?J 5 0 , 0 O FEE: $ J7,de) Check No.: �� Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund) y Signature of Agent/Owner Signature of contractor / ._._. Location d G n�Ci✓iG�G�/I tJ No. Date NORTq TOWN OF NORTH ANDOVER Oi� .•a ,•,1.0 3 F w a Certificate of Occupancy $ 1'uMUs<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ # TOTAL $ Check # 235 Building Inspector . , l License or registration valid for individul use only j Affairs&Business Regulation i before the expiration date. If found return to: Office of Consumerb er Affairs and Business Regulation _ Consumer i o R of C OME IMPROVEMENT CONTRALTO Office -_:" i 10 Park Plaza-Suite 5170 Registration;-;164960 , Boston,MA 02116 Expiraliion 1212/2011 ®, Card p u lett e .�.T e: p i EAGLE NEW ENGLAND AND CONTRACTING / �� MARK BOGOSIAN - uG nature 2001 BEACON ST#309-Y: Not valid without g BRIGHTON,MA 02135 Undersecretary i �lassachusctts- DePartinent Of Public Sarm $oard ter Buildit:. Rc•"Ulatitins and Stilt](lar Construction Supervisor License tl� License. cS 92856 Restricted to: 00 PATRICKA BUCKLEY I 50 FRANKLIN ST APT02 r WORCESTER, MA 0160 , 8 Expiration: 5/1/2011 (onuni..i,.na•r T` r`. 16056 i b i i r The Commonwealth of Massachusetts Department of Industrial.A.ccidents Off rce of Investigations 600 Washington Street Boston,MA. 02II1 ��. s�• www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly; Name(Business/Organization/Individual): l.( Pei (0'^ 4 C�' Address: NA City/State/Zip: r 0a3 Phone Are you an employer?Check theappropriate box: Type of project(required): 1.)-I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7• E]Remodeling . ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. []Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its officers have exercised their 10.E]Electrical repairs or additions required.] 1. Plumbing repairs or additions o per MGL 1 ❑ g p 3.❑ I am a homeowner doing all work right of exemption p myself. [No workers'comp. c. 152,§ (4 1 ,and we have no ) 12. oof repairs insurance required.] employees.(No workers' 13.❑Other comp.insurance required.] j *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. i Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. 1 Insurance Company Name: Policy#or Self-ins.Lic.#: C c1 31Expiration Date: a 6 Job Site Address: h Ll re I��"' Cor f City/State/Zip:AA��b�-e< l� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify the pai and naldes of perjury that the information provided above is true and coir a t. Si ature: Date: 0 Phone Official use only. Do not write in this area,to be completed by city or town official I City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: • I 6/4/2010 9:00:18 AM PST (GMT-8) FROM: itnsurancevisions.com-TO: 17819321174 Page: 2 0 2 ACS CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 6/4/2010 PRODUCER STEPHEN W GERSH INSURANCE AGENCY THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 9 MONUMENT AVE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MARLBOROUGH, MA 01752 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 508 485-1926 1 508 485-8579 INSURERS AFFORDING COVERAGE INAIC# INSURED GENE WILLIAMS INSURER n: LIBERTY MUTUAL GROUP DBA EAGLE PAINTING CONTRACTING INSURER B: 345 MARKET ST UNIT 3 INSURER C: BRIGHTON MA 02135 INSURER D: � INSURER E: COVERAGES 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 MAYj 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION 1M hm-TYPE OF INSURANCE POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ I DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occ irrence $ I CLAIMS MADE �OCCUR MED EXP(An one person) $ PERSONAL&ADV INJURY $ j GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COIVIP/OP AGG $ POLICY PRO- LOC FCT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ f ANY AUTO (Ea accident) IE ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY. $ NON-OWNED AUTOS (Per accident) PROPERTYDAMAGE SI (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ + ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $I OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $i A WORKERS COMPENSATION WC2-31 S-378023-010 6/2/2010 6/2/2011 ,/ TNRYT MT - OTH- i AND EMPLOYERS'LIABILITY ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT SI 100000 OFFICER/MEMBER EXCLUDED? ❑Y (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100000 If es,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $� 500000 OTHER I i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS THE WORKERS COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR GENE WILLIAMS Workers Compensation Insurance: Part One of the policy applies only to the Workers Compensation Law of the State of MA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 130ORE THE EXPIRATION ANDOVER RENOVATION SOLUTIONS INC DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL_�0 DAYS WRITTEN ATTN: BILL PENNEY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILIURE TO DO SO SHALL 110 WINN ST IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR WOBURN MA 01801 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE d.. '-�k'r•�w. �..�/i�-.SLI i'l'r.i Jeff Eldridge r .. ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. • .-nT Hp.: 5,l n-1, ❑?r.•;hxncait /G/.'n1n ... i I i i i i i i i r I I f i i i I _ Eagle New Fnnlanri Prnnncal PROPOSAL SUBMITTED BY: PROPOSAL SUBMITTED TO: Mark Bo osian o U f 1 e PHONE NUMBER FAX NUMBER PHONE NUMBER 1-508-981-3209 508-869-33730 , ADDRESS CITY STATE,ZIP ADDRESS CITY STATE,ZIP I ! 378 Water StyCochichewick Dr Brid ewater MA 02315 North Andover MA Today's Date 8/17/2010 Project: Exterior RoofingI and Painting Scope of work: Painting: • Power wash entire house with TSP and bleach • Scrape and sand all loose and flaking paint • Caulk all cracks with high quality exterior grade latex painters caulk • Prime all bare wood • Paint all trim, siding, shutters and doors with Duration lifetime warranty paint • 2 coats i Roofing:• I Tear off and denail existing roof down to bare wood,hanging heavy duty tarps from eaves of roof to protect house and yard from debris • Clean all debris on a daily basis into onsite dumpster to be removed at completion of job • Replace any damaged or rotting plywood at no additional cost • Shingle roof- Install oofInstall GAF weather watch ice and water shield 6' up from all eaves of roof, in all valleys, around all roof protrusions(chimneys,pipes, skylights and vents)and against all side and vertical walls • Install GAF shinglemate premium roof deck underlayment to remainder of roof • Install 8" aluminum drip edge to perimeter of roof I • Install GAF pro start self sealing shingles to perimeter of roof • Install GAF timberline prestique 30 year shingles to roof using six 1 1/4" round head galvanized roofing nails per shingle for maximum wind warranty (110 MPH) • Ensure 13/4" gap is cut on each side of all ridge beams • • Install GAF snow country externaly baffled ridge vent continuously to all roof ridges I Cover all roof ridges with GAF enhanced hip and ridge cap shingles ' • Replace flashing around all chimneys(aluminum step flashing and lead counter flashing) I • Replace flashing around all vent pipes • Replace any flashing at side or vertical walls as needed • Go over property numerous time with magnetic sweeper to ensure no nails are left on I property 0 All work guaranteed 10 years i I I I • Includes GAF Svstems Plus Weather CtnnnPr IN7prrniif, I Carpentry: • Remove all old rotten trim boards and siding • Install new siding and trim boards as needed making the entire house problem free I Gutters: I Remove old gutters around house • Install new 6" gutters • Install new down spouts Job Site Expectations • All work areas will be left clean at the end of each work day I • All roofs, walkways, and exterior landscaping will be covered fully with drop cloths • All work will be completed i i p n a safe workmanlike manner I I Eagle New England will provide all materials and equipment necessary for the job Price: $43,850.00 Including all labor and materials Acceptance o r osal a above prices, specifications and conditions are satisfactory and are hereby ac pte . You a authorized to do the work as specified. Signature Title Date of Acceptance I I i I i I