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HomeMy WebLinkAboutBuilding Permit #277-16 - 68 FERNVIEW AVENUE 9/2/2015 d ' AORTH BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 4L Permit NO: Date Received o Date Issued: �9SSACHUS���y IMPORTANT:Applicant must complete all items on this page i LOCATION � rn 1 . rin PRORERTY OWNER Me4n C Print MAP NO: PARCEL` ZONING DISTRICT: Histone - trict yes no Machine.Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 0 One family ❑Addition 0 Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement 0 Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic 0 Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑ Water/Sewer Identification Please Type or Print Clearly), OWNER: Name: f. f� ne: Address: 21 0 CONTRACTOR Name:. ` Pone:akt n) Address: IA Supervisor's. Construction License ' s of� Exp.`Date: Home Improvement License: - - ' 12y ) Exp. Date: I _ ARCHITECT/ENGINEER Phone: 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: $ILH Q FEE: $_ j`�� Check No.: Receipt No.: c NOTE: Persons contracting wi nregistere actors do not have acce s o to guaranty fund Signature of Agent/Own contrac ignature o- 1 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 ❑ ❑ COMENTS CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals: Variance, Petition No: ZoningDecision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/S nature&Date Driveway Permit Located at 384 Osgood Street FIRE DEPARTMENT TempDumpster onsite, 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 NOTES and DATA — (For department use) ❑ Notified for pickup - Date Doc.Building Permit Revised 2012 r 1 F NORTH 0. ..c ve" ** 0 0 No. - � Z - a I , ver, Mass, _4jo coc�icNew�cK �1' S IPp�� S V - BOARD OF HEALTH Food/Kitchen PER Septic System THIS CERTIFIES THAT .........I)IL LD....................... BUILDING INSPECTOR 40 has permission to erect .......................... buildings on . .� . �... ,1!���fW. ...has �. Rough to be occupied as ..................�,1C ...... IO� ......................... 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 20020 'a VAN ELECTRICAL INSPECTOR UNLESS CONSTRUCTIS Rough Service .............. ............................................ Final BUILDING INSPECTOR 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. Jun 30 2015 06:30PM HP Fax page 1 L. E. MORGAN CONSTRUCTION INC. 86 BILLERICA AVE., N. BILLERICA, MA 01862 PH: 978-670-4747 / Fax: 978-670-6477 PROPOSAL Submitted To: Affinity Realty Management Date: 6-15-15 Address: 39 Rear Farrwood Rd., (Clubhouse) N.Andover,MA 01845 Cell/Fax: 978-376-9687/978-685-0521 Job Site: Heritage Green Condominiums 66-68 Fernview Rd.,N.Andover,MA,Approx.7,497 SQ FT WE HEREBY submit our proposal for the following scope of work; 1. Remove the existing shingles down to the wood deck and dispose of off-site. 2. Install 6' of ice&water shield at the leading edges and 3'in all valleys. 3. Install RHINO SHIELD synthetic underlayment to the remainder of the wood deck. 4. Install 8"white aluminum drip edge to the entire perimeter&mechanically fasten. S. Install Certalnteed Swiftstart shingles as a beginning course. 6. Install Certainteed Landmark Silver Birch architectural shingles&hurricane nail. 7. Install 4 new pipe flanges, 2 slant back attic vents, new lead on the chimney. 8. Install new ridge vent and matching cap shingles. 9. Remove the metal siding on dormers,&install 100%ice&water shield on the walls. 10.Install new white vinyl siding on 1 dormers with white vinyl corners. 11. Install white aluminum coil over all rake and fascia, and 100%vented vinyl on soffits. 5� WE propose hereby to furnish materials&labor,complete in accordance with the above i ecificatlons,for the sum ofr T enty Six Thousa�d Ei r Hu Oredff rs: $26,840.00 2 �AUTHORIZED SIGNATOR !j�,,j � Lawre . Mo n Jr. resident ACCEPTANCE of PROPOSAL:The above prices,specifications&UdItIons are satisfactory and are hereby accepted.You are authorized to do the work as specified. AUTHORIZED BUYER SIGNATURE DATE THANK YOU FOR CHOOSING MORGAN CONSTRUCTION LEMORGA-01 BBOYER i 7 DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 7/7/2015 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(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 certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: Welsh 8r Parker Insurance Agency,Inc./Hudson Office PHONE 978 562-5652 FAX No:(978)562-7120 131 Coolidge Street,Suite 100 Arc L Ext:( ) g E-MAIL Hudson,MA 01749 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Western World Insurance Company INSURED INSURER B:Safety LE Morgan Construction Inc INSURER C:Scottsdale Insurance PO BOX 75 INSURER D: Billerica,MA 01821 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: TIS IS TO CERTIFY THAT THE POIES OF ID NHD C TED. NOTWITHSTANDING ANY R REQUIREMENT, TERM TERMNCE I OR CONDITION STED BELOW AOF ANYVE CONTRACT OR OTHER DOCUMENT WITH RESPECT TOISSUED TO THE INSURED NAMED ABOVE FOR THE LIWHICH T CY IS 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 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFF POLICY EXP LIMITS INSRTYPEOFINSURANCE INSD WVD POIJCYNUMBER MM/DD MWDD LTRA X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000'OOU CLAIMS-MADE a OCCUR NPP8237995 04/1312015 04113/2016 PREMISES Ea occurrence $ 100'000 X Contractual Liabilit MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 4GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY❑PRO LOC CTS-COMP/OP AGG 2,000,000 OTHER: NED SINGLE LIMIT AUTOMOBILE LIABILITY dent $ 1'000'000 BkXEXCESS UTO COM6230688 10/13/2014 1011312015 BODILY INJURY(Per person) $ WNED X SCHEDULED BODILY INJURY(Per accident) $ S AUTOS PROPERTY DAMAGE NON-OWNED Per accident $ DAUTOS X AUTOS $ RELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 C LIAB CLAIMS-MADE XLS0096729 0411312015 0411312016 AGGREGATE $ 5,000,000 $ DED RETENTION$ PER OTH- WORKERS COMPENSATION STATUTE ER AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ N/A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yeESs,describe under E.L.DISEASE-POLICY LIMIT $ DCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Proof of Workers Compensation coverage will be sent directly by the carrier. Job location: Affinity Realty Management-52-54 Fernview Road& 66-68 Fernview Road,North Andover,MA 01845 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Osgood Street,Bldg 20,Suite 2035 North Andover,MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDmm) TML%ZERTIFICATE 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 PROUCER.AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: BALD WINIWELSH PARKER INS PHONE FAX 131 COOLIDGE ST,SUITE#100 (A/C,No,Ext): (A/C,No): EMIL HUDSON,MA 01749 ADDRESS: 27KLD INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: AMERICAN ZURICH INSURANCE COMPANY L E MORGAN CONSTRUCTION INC INSURER B: INSURER C: INSURER D: PO BOX 75 INSURER E: NORTH BILLERICA.MA 01862 INSURER F: COVERAGES CERTIFICATE NUMBER: 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,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE D OCCUR. PREMISES(Ea occurrence) MED EXP(Any one person) $ PERSONAL&ADV INJURY Is GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PROJECT E]LOC PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE I$ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKER'S COMPENSATION ANDWC STATUTORY OTHER EMPLOYER'S LIABILITY YIN UB-5B738312-14 12/14/2014 12/14/2015 X LIMITS ANY PROPERITOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT Is 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE I$ 1,000,000 If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT ($ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIRESTRICTIONSISPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. JOB:AFFINITY REALTY MGMT-52-54&66-68 FERNVIEW RD,NORTH ANDOVER,MA CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 1600 OSGOOD ST,BLDG 20,STE 2035 BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPR TA O -- ---- NORTH ANDOVER-MA 01845 _ ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. All rights reserved. I r �• Massachusetts-Department of Public Safety _Qo:ra of Building RI-eguiattVJ Is'C6)t VlRIt4A IVJ Officeii to 1Cvl. ocisumerr( rrs iu rness�t2egu7rr�i�n IMPROVEMENT CONTRACTOR License: GS-079476 x_ r Registration: 137913 Type: Expiration: 112712017 Individual LAWRENCE E MOR LA�rotz> NCE E.MORGANiR: 86 RELLERICA ASE N BULERICA NFA til ` tis -€ LAWRENCE MORGAN JR. 86 BILLERICA AVE UNIT 1 t`S 1osG � 1 E,<piration N.BiLLERiCA,MA 01862 Commissioner 0610312017 Undersecretary i VSHAsar�haadroatsn t- - This card ac"orviedges that the r�ecipieh:has successfully Completed'a.n -- 30-hour armaiSaf and:HealthTrainin Course in p- $ i Construction Safety and.Health LARRY MOR&AtJ ;'as u e l.r"i;. i0.`;,,;. - i - 1101,Safety�,°,Hea tt? e � ---- _ {Trainername—printortype� i Cis j^Dyt {Course end date} "Trainer! - -- _ -- -Date! i I I l j f i i ,j f I I t 1 i i f 1 1 I