HomeMy WebLinkAboutBuilding Permit #737-2016 - Andrew Circle 12/16/2015TOWN OF NORTH ANDOVER ,r ►�
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued:
I ' IMPORTANT: Applicant must complete all items on this baize
LOCATION 9-32 Andrew Circle North Andover, Ma
Print
PROPERTY OWNER The Townhouse Homes at Andrew Circle Homeowners' Association, Inc.
Print
MAP NO:04� PARCEL: ZONING DISTRICT: Historic District yes
Machine Shop Village ves
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
New Building
One family
Addition
Two or more family
Industrial
Alteration
No. of units:
Commercial
Repair, eplacement
Assessory Bldg
Others:
Demolition
Other
Septic Well
Floodplain Wetlands
Watershed District
Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
strip and re -roof using architectural shingles, install new soffit vents
Identification Please Type or. Print Clearly)
OWNER: NameThe Townhouse Homes at Andrew Circle Homeowners' gsORi*tion, Inc.
AridrPcc- 9-32 Andrew Circle North Andover, Ma 978-794-0114
CONTRACTOR Name: Ann Marie Arone Phone: 978-835-9483
Address: 18 Mount Vernon Drive Pelham, NH 03076
Supervisor's Construction License:
Home Improvement License:
ARCHITECT/ENGINEER
103895
160710
Exp. Date:
6-23-2017
Date: 8-19-2016
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: $ 13 FEE: $ l(1 dS
Check No.: Receipt No.: N
NOTE: Persons contracting
/�with unregistered contractors do not have access to the guaranty fund
Signature of Agent/Owner ' I90 -_V Signature of contractor O
Plans SuhmittPrl Planq Waivari rpr ifiari Pint Plan gtamnari Plnnc
is
Plans Submitted ❑ Plans Waived ❑
Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer El Tanning/Massage/Body Art F1 Swimming Pools El
WOE 11 Tobacco Sales 11 Food Packaging/Sales 0
Private (septic tank, etc. F1 Permanent Dumpster on Site F1
THE -FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT
COMMENTS
Reviewed On Signature*,
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH
COMMENTS
Reviewed o
nature
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Gonservation Decision: Comments
Water & Sewer Connection Driveway Permit
DPW Town Engineer: Signature:
-," m
, Located 3
84 Osgood Street
-IRrEPPAR4TEN1=
- , 1, 4TeM�jbumer Ye� -
Located rMi a
1
rq,,
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Deparfinenf
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commW8,
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELEGTRIGALA Movement of Meter location, mast or service drop requires approval of
Electrical Inspector Yes No
®ANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine
Doc.Building Pei7nit Revised 2014
C
The followings is a list of the required forms to he 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
❑ Engineering Affidavits for Engineered products
DTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
❑ Building Permit Application
❑ Certified Surveyed Plot Plan
❑ Workers Comp Affidavit
o Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
❑ Floor/Cross Section/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
)TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family)
❑ Building Permit Application
❑ Certified Proposed Plot Plan
• Photo of H.I.C. And C.S.L. Licenses
❑ Workers Comp Affidavit
❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Copy of Contract
❑ Mass check Energy Compliance Report
❑ Engineering Affidavits for Engineered products
)TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit
n all cases if a variance or special permit was required the Town Clerics office must stamp the decision from the Board of Appeals
hat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
aust be submitted with the building application
Doc: Building Permit Revised 2014
Kermit No#-
Date Issued:
BUILDING PERMITo�Ri�Eo 11, , 6
TOWN OF NORTH ANDOVER _ -
APPLICATION FOR PLAN EXAMINATION
Date Received
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EVV80RTANT: Applicant must complete all items on this pag
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TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
❑ Addition
❑ Alteration
❑ One family
❑ Two or more family
No. of units:
❑Industrial
❑ Commercial
❑ Others:
t
TERater; bed ®stricfs �* ♦x
❑ Repair, replacement
❑ Demolition
`''`" Y'` %"""
❑ Assessory Bldg
❑ Other
❑ Floo taint ' t® Wetlands `}
L)tbuKir I ILAM Ur VVurkm I %J ®U -n
Identification - Please Type or Print Clearly
OWNER: Name: Phone:
Address:
c.a..•�- +rM:�.r v-, ,.��m�a- Nrt�s.., �y'{ � 47, �`� �' F °dr�� �r �. +5 y.y 'r �y=.�_��,...�}�,g.-_.r.:-,.r ...�a,.�...,.a—=���.,�,. ��i::
Su"pe��4sor`ris Constr cion Licensee w _ xExp
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ARCHITECT/ENGINEER Phone:
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Address: Reg. No.
FEE SCHEDULE. BULDING PERMIT: $12.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $925.00 PER S.F.
Total Project Cost: $ FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
griature of Ageni/Uvvrer __
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Arone Exteriors
Home Enhancement Specialists
Contract
Monday, June 29, 2015
978.835.9483
www.AroneExteriors.com
Construction Supervisor License 10054
Home -Improvement Contractor Registration 1607.19
General Liability and Worker's Compensation
The Townhouse Homes at Andrew Circle Homeowners'Association, Inc, desires to contract with
Arone Exteriors of 18 Mount Vernon Dr Pelham, NH, to perform work on the property located at:
9-32 Andrew Circle North Andover, MA 01845.
Our Commitments:
1. Job Description; See attached proposal.
2. Payment Terms: Full payment upon completion.
3. Time of Performance: See attached proposal.
4. License Numbers: See top of this form.
5. Permits and Approvals: Arone Exteriors will be responsible for determining and obtaining
necessary permits, as well as the costs incurred.
6. Materials: All materials shall be new, in compliance with all applicable laws and codes, and shall
be covered by both the manufacturer's warranty and a 15 year warranty on installation through Arone
Exteriors.
7. Change Orders: Should unforeseen events alter the original cost estimates, or should the
Homeowner decide to change any part of the attached proposal, those items shall be discussed and
a 'Change Order' form will be signed by both parties outlining the new details.
8. Site Maintenance: Please indicate any specific requirements:
Materials shall be stored in the following location:
Dumpster shall be placed in the following location:
Work shall be performed between the following hours: 7:30am - 7:30 pm
We agree to use equipment (generators, pneumatic guns, etc.) only during these hours.
We will use our own equipment but may request the use of an electrical outlet.
1 of 3
9. Point Person: Joe, our owner, is the contact person on your job. Should you (or your neighbors)
have any questions, concerns or comments during your project, please do not hesitate to bring them
up to him. After hours, his cell is 978-835-9483.
What We Ask of Customers:
1. Neighbors: Home improvement projects often generate inquiries from neighbors.. Please check
the box below if you agree to the following:
❑ Arone Exteriors may place one yard sign in front of the home for the
duration of work being completed. Once complete, it is the responsibility
of the contractor to collect the sign unless other considerations are arranged
up front.
❑ Arone Exteriors may give neighbors business cards or door knockers when it
appears their home may benefit from one of our services.
2. Payments: 1n general, we do not require any payments before work begins. The exception being
if products requested require a special order. In that instance, we would have to collect a' deposit for
the order.
3. Safety: Please be mindful to avoid construction areas, especially with small children and animals.
4. YOUR VALUABLES: (Roofing) Customers may want to cover items in the attic as unavoidable
small fragments of asphalt will fall through the deck boards. Items may need a vacuum upon
completion of work. (Roofing & Siding) Customers may want to remove fragile valuables from interior
walls.
5. Utilities: Depending upon the type of project, we may ask for access to an electrical outlet or a
hose.
6. Additional Notes:
Verbiage required in our contract by the State of Massachusetts:
All home improvement contractors and subcontractors shall be registered (which we are, see license numbers
at the top of this contract) and any inquiries about a contractor or subcontractor relating to a registration should
be directed to: Office of Consumer Affairs and Business Regulation, Ten Park Plaza, Suite 5170, Boston, Ma
02116 (617.973.8700).
Owners who secure their own construction -related permits or deal with unregistered contractors shall be
excluded from access to the Guarantee Fund. Failure to pay in full for the work completed may result in a lien
or security interest on the residence as a consequence of the contract for the sum of labor, materials and
lawyer fees.
The contractor and the homeowner hereby mutually agree in advance that in the event that the contractor has
a dispute concerning this contract, the contractor may submit such dispute to a private party arbitration service
which has been approved by the Office of Consumer Affairs and Business Regulation and the consumer shall
be required to submit to such arbitration as provided in MGL c 142A.
2 of 3
9. Point Person: Joe, our owner, is the contact person on your job. Should you (or your neighbor's:)
have any questions, concerns or comments during your project, please do not hesitate to bring them
up to him. After hours, his cell is 978-835-9483.
What We Ask of Customers:
1. Neighbors: Home improvement projects often generate inquiries from neighbors.. Please check
the box below.if you agree to the following: .
❑ Arone Exteriors may place one yard sign in front of the home for the
duration of work being 'completed. Once complete, it is the responsibility
of the contractor to collect the sign unless other considerations are arranged
up front.
❑ Arone Exteriors may give neighbors business cards or door knockers when it
appears their home may benefit from one of our services.
2. Payments: In general, we do not require any payments before work begins. The exception being
if products requested require a special order. In that instance, we would have t6 collect a"' 16$osit for
the order.
3. Safety: Please be mindful to avoid construction areas, especially with small children and animals.
4. YOUR VALUABLES: (Roofing) Customers may want to cover items in the attic,as unavoidable
small fragments of asphalt will fall through the deck boards. Items may need a vacuum upon
completion of work. (Roofing & Siding) Customers may want to remove fragile valuables from interior
walls.
5. Utilities: Depending upon the type of project, we may ask for access to an electrical outlet or a
hose.
6. Additional Notes:
Verbiage required in our contract by the State of Massachusetts:
All home improvement contractors and subcontractors shall be registered (which we are, see license numbers
at the top of this contract) and any inquiries about a contractor or subcontractor relating to a registration should
be directed to: Office of Consumer Affairs and Business Regulation, Ten Park Plaza, Suite 5170, Boston, Ma
02116 (617.973.8700).
Owners who secure their own construction;related permits or deal with unregistered contractors shall be
excluded from access to the Guarantee Fund. Failure to pay in full for the work completed may result in a lien
or security interest on the residence as a consequence of the contract for the sum of labor, materials and
lawyer fees.
The contractor and the homeowner hereby mutually agree in advance that in the event that the contractor has
a dispute concerning this contract, the contractor may submit such dispute to a`private party arbitration service
which has been approved by the Office of Consumer Affairs and Business'Regulation and the consumer shall
be required to submit to such arbitration as provided in MGL c 142A.
2 of 3
The signatures of the parties apply only to the agreement of the parties to alternate dispute resolution initiated
by the contractor. The owner may initiate alternative dispute resolution even where this section is not signed
separately by the parties.
The homeowner has a three day cancellation option under MGL c93 s48: MGL c 140Ds 10 or MGL c255D s 14
as.
Roofing (3 sides, back already done):
./ Obtain all necessary town permits.
Install tarps from the edge of the roof to the ground to protect your home and landscaping.
J Strip roof to bare wood to reveal any defects that might otherwise go undetected.
✓ Nail loose deck boards and provide a flat surface to lay new shingles for a better looking roof.
✓ Replace any rotted wood (up to 32 ft. of material and labor free).
J Inspect chimney and install new step flashing to divert water away.
✓ Replace pipe boots with rust free aluminum boots on all vents.
J Paint vent pipes to match roof (when applicable).
J Remove old drip edge and install new eight inch metal drip edge along all rakes and eaves to
direct water off roof and prevent wicking under the shingles.
✓ Adhere 6ft (double Code requirement) of Ice & Water Shield to deck around wood roof and all
protrusions to protect against the elements as well as ice dam build ups.
J Apply synthetic underlayment to the remainder of exposed deck boards, offering a 600%
stronger tear strength than 30# felt paper while allowing your roof system to breathe.
✓ Install eight inch metal drip edge along all rakes and eaves to direct water off roof and prevent
wicking under the shingles.
J Lay a starter course at the base of the eaves to prevent leaks and wind blow off.
J Install the customer's choice of GAF Timberline, Owen's Corning Duration or Certainteed
Landmark architectural shingles, which includes a Lifetime limited warranty.
J Install ridge ventilation to prevent condensation problems, deterioration of deck, mold growth
and premature aging of shingles. (Note: soffit vents need to be installed on most houses for a
proper ventilation system).
J Cap ridge vent with matching shingles.
✓ Provide a dumpster to remove all nails and debris from the property and neighboring
properties.
J Remove debris from all gutters.
Proposed Payment: $13,999 for 3 sides, with no pre -construction deposit required unless there
is a special order item.
N'�9
/l/gh-g
T
Date Homeowner Signature
1,ol��l��
Date CbWractor Signature
There are no other documents as part of this contract.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
3 of 3
Wk.'l lArU&
NORTH ANDOVER BUILDING DEPARTMENT
Tel: 978-688-9545
DEBRIS DISPOSAL FORM
In accordance with the provision of MGL c 40 S 54, a condition of Building Permit
at: is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL
c11,S150A.
Also, note Permits are required under Fire Prevention laws Chapter 148 Section
I OA.
The debris will be disposed of in:
89 Lowell Rd Salem, NH
(Location of Facility)
e
Signature of Permit Applicant
Date
The Commonwealth of Massachusetts
Department of Industrial Accidents
u Office of Investigations
d 1 Congress Street, Suite 100
t Boston, MA 02114-2017
www massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual):
Address:
Arone Exteriors
18 Mount Vernon Drive
Pelham, NH 03076 Phone #: 978.835.9483
Are you an employer? Check the appropriate box:
1. ® I am a employer with 2 4. ❑ I am a general contractor and I
employees (full and/or part-time).* have hired the sub -contractors
2. ❑ 1 am a sole proprietor or partner- listed on the attached sheet.
ship and have no employees
working for me in any capacity.
[No workers' comp. insurance
required.]
3. ❑ 1 am a homeowner doing all work
myself. [No workers' comp.
insurance required.]
These sub -contractors have
employees and have workers'
comp. insurance.+
5. ❑ We are a corporation and its
officers have exercised their
right of exemption per MGL
c. 152, § 1(4), and we have no
employees. [No workers'
comp. insurance required.]
Type of project (required):
6. ❑ New construction
7. ❑ Remodeling
8. ❑ Demolition
9. ❑ Building addition
10.❑ Electrical repairs or additions
11.❑ Plumbing repairs or additions
12.❑ Roof repairs
13.❑ Other
*Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information.
' 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: Chase and Lunt
Policy # or Self -ins. Lic. #: R2WC5151 16 Expiration Date: 10/31/15
6.-2,I i\b
Job Site Address: 68 - em, tral-St City/State/Zip: spm, 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 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 under the pains and penalties of perjury that the information provided above is true and correct.
Signature: Xt Date: 5-27-15
Phone #: 978.835.9483
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 #:
-F l
ARONE-1 OP 10: AC
A'RE' CERTIFICATE OF LIABILITY INSURANCE DATEIAI
,0/066/20, 5/2015
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 poticy(ies) must be endorsed. U SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate sloes not confer rights to the
certificate holder in lieu of such endorsement(s).
LIMITS
CONTACPRODUCER NAME: T Nicole BOggOCII
Chose & Lunt LLC
65 Parker Street
HE
(Atc�, No. EX14:978-462-0434 FAX NQl: 978-465.6204
Newbu port, MA 01950
EMAIL
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ADDRESS:
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INSURERiS) AFFORDING COVERAGE NAiC +
5.00
INSURER A : R -T Specialty, LLC
INSURED Joseph Arone d9ba
INSURER B :AmCjUARD Insurance Company.
Arone Exteriors
.... _ -
18 Mount Vernon Drive
INSURER C r .
Pelham, NH 03076
INSURERO:
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INSURER F ,
COVERAGES CERTIFICATE NUMBER: REVISIGN Iw HURFA.
THIS IS TO CERTIFY THAT THE 'POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOT'AnTHSTANDING 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 TYPE OF INSURANCE ADOL SUER POLICY EFF POLICY EXP
LTR POLICY NUMBER MM+DNYYYYJ (UWDWVYYYI
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE S
1.000,00
A X COMMERCIAL GENERAL LIABILITY WS225370 10n0/2014 Ol/Ot/2016
DAMAGE TO RENTED
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DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES {Mieeh ACORD 101. AddAKtnat Remmks Schedule, It more space Is taiiuged)
ACORD 2S (2010105)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
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(9 19BO-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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Massachusetts - Department of Public Safety
Board of Building regulations and Standards
�.un�►u�uuu auuc;t r taut +w�
License: CS403895
.,1Il
ANN MARIE A `
18 Mount Vernon�ri�;
Pelham NH 03077
Y` �4
Expiration
Commissioner 06123/2017
Office of Consumer Affairs and Business Regulation
10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
ARONE EXTERIORS
Ann Marie Arone
18 MOUNT VERNON DRIVE
PELHAM, NH 03076
SCA 1 0 20M-05!17
Registration: 160710
Type: Supplement Card
Expiration: 8/19/2016
Update Address and return card. Mark reason for change.
Address Renewal Employment — Lost Card