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Home My WebLink AboutBuilding Permit #425 - 80 CAMPBELL ROAD 11/27/2006 i TOWN OF NORTH ANDOVER t►O R T!y APPLICATION FOR PLAN EXAMINATION 0-Toto i6 r •6 0 �° 'A ry b Permit NO Date Received 6) 1 T : '=1 oR^Teo•P`',�9 Date Issued: (J �SSgc►+uS IMPORTANT: Applicant must complete all items on this page j LOCATION CXJ C9�{�t AC�LL Print PROPERTY OWNER--t - IA. C1D� Print MAP NO.: 106 13 PARCEL: ZONING DISTRICT: { TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: Repair, replacement ❑ Assesso� Bldg ❑ Commercial ❑ Demolition ❑ Moving(relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO QBE PREFORMED Identification Please Type or Print Clearly) OWNER: Name: �.Q_ Phone: Address: t�O C-4 PK CONTRACTOR Name: l.ikl `Ai Phone: 7F 37 9- Y Address: R� �.1�r. e►'L �r-, fI1 J?. �, �/ ,�v' Q Supervisor's Construction License: o � � O Exp. Date: 6 a f Home Improvement License: N q a a I Exp. Date. ` / a ` 07 ARCHITECT/ENGINEER Name: 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 S 8000, do FEES Q& I Check No.: /53 Receipt No.: F- Page I of 4 �sT r-- TYPE OF SEWERAGE DISPOSAL Swimming Pools ❑ ❑ Tanning/Massage/Body Art ❑ g Public Sewer Well ElTobacco Sales ❑ Food Packaging/Sales [I Permanent Dumpster on Site ❑ Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty 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 ❑ ❑ i COMMENTS j DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS t � FIRE DEPARTMENT - Temp Dumpster on site es �'41 no Fire Department signature/date COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes i Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit F N0RTH Town of Oa.rr�b".'..' u:.1� .'moi".•_,t � - - dover, Mass., • COCFIICKEWICK 7,95 RATED BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......0...0-/h. ...... ...... ...................... ........................... Foundation has permission to erect..................... . . p buildings on..� ..................... ....44 . ......... ............. Rough t0 be Occupied es �. ...................................................................... Chimney .. .. .. ........ provided that the person acce ing t is permit shall in every respe 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 G .._ PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRU ON S Rough ...... .. ... .... .. . ...................... Service B DING INSPECTOR 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. T.G. JOLN M4,r Ein 1�Oi%3331 3 be am M c*1 -1; R . 21981 MA MAL' 78130 Roofing B9330 Single-ply Lic. #1711 2932 2 T. co` MEMBER 265 Winter Street,Haverhill,MA 01830 We are: V Licensed V Insured V Factory Trained v, Factory Certified Installers Date: A� Estimate for: mfi mw Telephone 1: Telephone 2: 4_1 State: ip- 1/4, --N City/Town: ALL Address: i f-I State: Zip: Job Location: City/Town I L R.C. agrees to commence described work on/or about hi 41- and described work will be completed in about working days. L.R.C. shall not be held liable for delays due to circumstances beyond our control. L.R.C. shall not be liable for any damage to landscape,attics,interior walls or ceilings and/or fixtures due to circum- stances beyond our control. L.R.C. can not and will not be held liable for any damage to the surface that the disposal container is placed on. L.R.C. shall not be held liable for pre- existing conditions including but not limited to mold and/or wood rot,defective,faulty,rotted or worn building counterpc�rts such asbt`567 ei no 7 dj7o i, M er,masonry,plumb- ing,and windows that jeopardize the watertight integrity of the building and are not covered under the roofing warrooty. The following work includes all permits,labor and materials needed to complete your job in a professional workmahship like miInner. J Stee"ope Quick-quote proposal to furnish and install the following: Approximate roof area 2. 5 �-- `' , '" — Gl'New Roof 0 Re-roof El Gutter Ell Repair Cil-Ve'ntilation wood,replacement will be performed at� 2"'Pre are for re-roofing by ensuring all safety measures are taken in accordance to OSHA standard regulations and landscape is properly protected. m Zove existing layers of roof material down to roof dock and inspect wood. If upon inspection we discover any rottl� per LF* If substantial deck rot is discovered,re-sheathing of roof deck can be performed at per SE* If wood is sound,we will re-nail any loose wood to rafters,sweep deck and prepare for installation. ZI"'Install 8'Drip edge 0 Install 5"Drip Edge El'Install Hug edge(Re-roofs only) Colo 1 Q"kpply ice&water shield(UNDERLAYMENT)as per manufacturers'specifications and or a,Apply ?, 7-' #felt paper(UNDERLATMENT)to the balance of the exposed wood deck. Cl,,,Reflash all stack pipes,tie-ins,chimneys and/or any roof penetrations as required and dictated by good roof practice to ensure water tightness. C3 Re-seal chimney base using cement&fabric. 0 Re-Lead El Re-point chimney 0 Re-build chimney $ /,;/,""t n - ©install a new L_Year EJ Traditional El-krchitectural style shingle roof system Color Manf. LI-Furnish and Install a new shingle over style ridge vent system 0 Soffit vent system $ ill debris generated by Lambert Roofing Co.,Inc. will be cleaned up and disposed of from the job site in a legal fashion. Under no circumstances will the watertight integrity of the building be compromised. Special Notes: W arranty options: aI-Standard LRC C3 Manufacturers Upgrade /A •Denotes additional costs above the total estimated price. UPON C.OMPLETION AND PAYMENT IN FULL,ROOF SHALL HAVE A WORKMANSHIP GUARANTEE FOR A PERIOD OF TEN YEARS HONORED AND ISSUED BY THE LAMBERT ROOFING COMPANY AND YEARS HONORED AND ISSUED BY THE SHINGLE MANUFACTURER. This document can serve as a contract,however if a more elaborate contrad is desired we will issue it at the owners request. m LR Please sign and return one copy upon acceptance. NOTE.if this contract is not accepted in—days,it may be withdrawn by C NOTE: We accept major credit cards* &financing is available! *Due to merchant related costs there will be a 2.3%service charge. A finance charge of 1.5%per month(18%per year)will be charged on past due accounts over 30 days. V Total Esti mate Price: oz) Date of Acceptance s--.4, /A Payment to be made as follows (Home/Business owner)— STgrTatu /)X 4'. k&,e;,t-L 4,Y/ 114, (LRC) Signature Haverhill MA 978 374-9224 • Lawrence MA 978-687-7339 Atkinson NH 603-362-9500 1-888-SOS-ROOF (767-7663) • Fax: 978 521-5791 "Our Proof is on Your Roofff 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 Expiration.: 1,$/,.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 with signature Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Co-ntractor 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-CAI 0 soM-oa/os-Pcass6 E] Address Renewal Employment Lost Card I I V 6 Board p " oard of Buildingy Regulations One Ashburton Pgace, m 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Number: CS 078130Expires:06/02/2008 Birthdate: 06/02/1972 Restricted To: 00 RICHARD J LAMBERT 95 MAPLE AVE ATKINSON, NH 03811 Tr.no: 27100 DPS-CA1 0 SOM-04/05-PC8698 Keep top for receipt and change of address notification. CERTIFICATE OF INSURANCE ISSUE DATE(MM/DD/YY) 09/29/2006 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND 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, 06 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 PERI01 INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THII CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM: 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/OP AGG. $ LAIMS MADE=JOCCUR PERSONAL&ADV.INJURY $ OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Anyone lire) S MED.EXPENSE(Anyone 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) S GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ MBRELLA FORM AGGREGATE $ THER THAN UMBRELLA FORM WORKER'S COMPENSATION AND V WC STATU- OTH- EMPLOYERS'LIABILITY X TORY LIMIT 6009966012006 08/28/2006 08/28/2007 $ A THE PROPRIETORi X INCL PARTNERS/EXECUTIVE EL DISEASE--POLICY LIMIT $ SOO OOO OFFICERS ARE: EXCL EL DISEASE--EA EMPLOYEE S 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEIUCLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE r7 ACORDDATE(MM/DDM'YY) TM. CERTIFICATE OF LIABILITY INSURANCE 10/16/2006 PRODUCER Phone: (781)933-3100 Fax: (781)933-9048 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION SALEM FIVE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BOYLE INSURANCE SERVICES HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 445 MAIN ST BOX 606 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WOBURN MA 01801 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: NAUTILIUS INSURANCE CO T G L R C INC INSURER B: COMMERCE INSURANCE COMPANY DBA LAMBERT ROOFING INSURER C: 265 WINTER ST HAVERHILL MA 01830 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 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSR DATE MMIDD DATE MMIDD/YY GENERAL LIABILITY INC 609679 10/12/06 10/12/07 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 1,000,000(Ea occurence) CLAIMS MADEFX OCCUR MED.EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. $ 1,000,000 PRO- POLICY JECT LOC AUTOMOBILE LIABILITY ZT6915 07/16/06 07/16/07 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ 500,000 B X HIRED AUTOS BODILY INJURY $ 1,000,000 X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ 500,000 (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR FICLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION$ $ WC STATU- OTHER WORKERS COMPENSATION AND TORY LIMITS EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ ANY PROPRIETORMARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ lif yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1$ OTHER: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS WORK COMP CERTIFICATE WILL BE SENT DIRECT TO YOU FROM A.I.M.MUTUAL WORK COMP CERTIFICATE HAS BEEN REQUESTED. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE i/// Attention: / Gerard F Bo J� ACORD 25(2001/08) Certificate# 6694 ©ACORD CORPORATION 1988 The Commonwealth of Massachusetts k jr_'B� Department of Fire Services Office of the State Fire Marshal P.O.Box 1025 State Road.,Stow,MA 01775 PERMIT Date: North Andover Permit No nig:;/�7;1 r (Cityof Town) (if Applicable) In accordance with the provisions of M G. _l 4 8 Chap.ter__l_Q_as provided in section 5 7 7 CMR 3 4 Start Date This Permit is granted to: f Full name of person,Finn or Corporation Permissionto locate dumpster for construction/renovation/demolition of building. Comments: dumpster must be . 25 ' from structure if unable to place with required Restrictions:clearance dumpster must be covered with plywood or tarp end of work day at (Give location by street and no.,or des in suc m�r as to provied adequate identification of location) FeePaidS 50.00 Fire Chief This Permit will expire (Signature of offical granting permit) Offical granting permit (Title) i Building Setback(ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided Dimension N 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 I i I it i I h Page 3 of � Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 i i 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 I ❑ Building Permit Application t ❑ Surveyed Plot Plan 4 ❑ 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) I � I New Construction (Single and Two Family) F ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses j ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract j ❑ Mass check Energy Compliance Report i In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the j 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 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Page 4 of 4