HomeMy WebLinkAboutBuilding Permit #913-13 - Exception 6/26/2013TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit N0: Date Received
11-JU 11-17
Date Issued.v
: I�
IMPORTANT: Applicant must complete all items on this page
a
LOCATIO.N'_. IP , .1 � vv el
P.nnt}
PROPERTY/OWNERS
�} Print 1 wYear0ld'st�ucture T
Z. yes Frno
MAP` NO065 PARCEL:oZ _. ZO:_I.NG'DISJTRRICT:. Histonc;pistrict yes.
Machi�le Shop Village yes
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
❑ One family
❑ Addition
❑ Two or more family
❑ Industrial
❑ Alteration
No. of units:
❑ Commercial
❑ Others:
❑ Repair, replacement
❑ Assessory Bldg
❑ Demolition
❑ Other
❑`Septic' ❑ Well}
❑ Floodplain: D,Wetlands;
❑ 1Natershed!District
1 0 Water/Sewer
OWNER: Name:
ArIrlrPcc•
utbL;KIF i 1UN OF wURK TO BE PERFORMED:
lip ee /-0,*
lease TYRAA'or, Prit Clearly)
GONTRACf AOR Name:
_ _.Phone::
Supervisor si Gonstruct on L• icen1se:. Exp: Date; _.1�'
Home,ImprovementsLicenge:. / -( 2'-y Ekp: Date:
ARCHITECT/ENGINEE
Address:
Phone:
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: $ 1, �'®y FEE: $_ 2o4n-
-�eceipt
Check No.:No.:
NOTE: Persons contracti g with unregistered contractors do not have access to the guaranty fund
Signature of Agent%Owner . Signaturef .contracto
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plan's ❑
Permit NO:
Date Issued:
LOCATION
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Date Received
IMPORTANT: Applicant must complete all items on this page
Print
PROPERTY OWNER
Print 100 Year Old Structure yes no -
MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
❑ One family
❑ Addition
❑ Two or more family
❑ Industrial
❑ Alteration
No. of units:
❑ Commercial
❑ Repair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
❑ Septic ❑ Well
❑ Floodplain ❑ Wetlands
❑ Watershed District
❑ Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
Identification Please Type or Print Clearly)
OWNER: Name: Phone:
ArirlrPGq-
CONTRACTOR Name:. Phone:
Address:
Supervisor's Construction License: Exp. Date:
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER 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: $ FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
t/O
A ,_.
SI nature of enwner S� .9 _.9 Sion-aturerof contractor _
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
c Ir
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑
Stamped Plans ❑
TYPE�.OF .SEWERAGE DDISPOSAL
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 ❑ ❑
COMMENTS
CONSERVATION
COMMENTS
HEALTH
COMMENTS
Reviewed on Signature
Reviewed on
nature
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comm
Conservation Decision: Comments
Water & Sewer Connection/Signature & Date Driveway Permit
DPW Towo Engineer: Signature:
Located 384 Osgood Street
FIRE OEPARTMi_NT - Temp Dumpster on site yes no
Located at 124 Mair, Street
Fire Departmerrt signature/date
.x
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 2010
Building Department
The foR".3wing is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofiv,g, Siding, Interior Rehabilitation Permits
o Building Permit Application
o 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
NOTE: 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
❑ 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)
❑ 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)
o Copy of Contract
❑ Mass check Energy Compliance Report
❑ 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 apoaal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be subm.tted with the building application
Doc: Doc.Buiiding Permit Revised 2012
'3
Loc� �,)OJO LA -f -
-5 Cj 17 -A-�)
No. Date
1�11 CZ I —1�
-409M7.1bb, TOWN OF NORTH ANDOVER
Check#
2 5 b 6 �
Certificate of Occupancy $-
Building/Frame Permit Fee sZL3,Le
Foundation Permit Fee $ I,&
Other Permit Fee $--*
TOTAL $
Building InSI36A
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24 13 02:23p
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4
FROM:
MGS Construction LLC
MGS Construction LLC
2 Lake Avenue
Derry, New Hampshire 03038
Office: (603) 216-2633
Cell: (617)293-7287
Fax: (603) 432-3282
PROPOSAL SUBMITTED TO:
Shaw nut Management
27 Charles Street
Nortb Andover, MA 01915
ATTN: Matthew D`keman
6034323282
PROPO SALIC11ONT]RACT
Meadowview Condominiums
5 walker Road
N. Andove,r, MA
Roof Installation
PAGE NO. 1 OF 2 PAGES
DATE: June 13.2013
P.1
ADDRESS: Meadow View Condominiums
5 Walker Road
(?4 5., 6; 8, 10; 11, 12, and 13%ilding Contract)
CITY/STATE: North Andover, MA
JOB NAM -1: Roof Replacement Project
We hereby submit specifications and this proposal/contract for the :folloix ng:
BREAKDOWN:
NIGS Construction will remove 2 existing layers of roofing and flashing materials from roof field including the chimney lead
MGS Construction will supple and install 6' of ice and eater shield at roof eaves and valleys, 18" to either side of hip, 3' at
all pipe boots/roof penetrations
MGS Construction will overlap the ice and water shield 1" over fascia/rake boards to help protect against from ice dam
damage
MGS Construction «FI11 supply and install 301b felt paper to Elie remaining roof field
MGS Construction will install all new drip edge and flashings
MGS Construction will re -lead 1 chimney per building
MGS Construction will 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 1
MGS Construction will hurricane nail 6 nails per shingle to protect against blow offs
Meado%A.z,iew Condominiums 1
2013 Roofing project
Jun 24 13 02:23p MGS Construction LLC 6034323282 p,2
In the event that unforeseen rot is found. A plywood replacement charge in the amount of $45.00 per sheet (labor and
material) will be billed additionally to the contract amount.
Any items not stated. above are to be considered as an extra charge and will be invoiced separately from this biping. All other
agreements to be made in writing between the customer and MGS Construction.
SINGLE BUILDING PRICING:
Each building will be re -roofed according to the above specb:ications
Labor and material: $17,000.00 per building
TERMSINOTICES: RESIDENTIAL
MGS Construction is not responsible for any shrub, landscaping lawn or loose personal property damage while work is in progress. It is
the home owner's responsibility to ensure that prior to the start of the project all arms of concern are prepared for start ofproject. Any
shrubs, plantings, should be pulled away from the house to ensure teat no damage will be endured by work in progress. All planters, grills,
patio furnishings, and other precious objects should also be moved prior to the start of any roofing or vinyl siding project Ali vehicles
should be parked at least 20 feet away from the home during all wank in progress thus 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 formal notice. All interior wall
hangings, including shelving, pictures, and other precious objects should also be removed due to heavy hammering until the project has
been completed.
MGS Construction takes extreme care in the setting up of the equipment, scaffolding, and tarps used on each project in order to protect all
property and landscapes. Any exterior damages to property incurred by MGS Construction will be remedied repairedfresolved by MGS
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 for cracked or damaged d iywall or for any interior objects that may vibrate, shake, or fall due to
heavy hammering or normal construction work.
MGS Construction estimates that this project will be started and conaplen,d within 14 business days weather permitting
WARRANTY:
MGS Construction will warranty their craftsmanship for 5 years from thedate 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 furnish labor and materials to complete in amordarice with the above specifications, for the sutra of One Hundred
Fifty Three Thousand Dollars ($153,0M.00 ) per building with payments to. be made as follows:
A deposit in the amount of $76,500.00 is due upon completion of four buildings
The remaining balance in the amount of $76,500.D0 is due within 7 days .from the completion of final building
NOT& A ten percent (101/6) of the f6maining balauce'inay be held :laic rel.ainage in the event of unusual circumstances such as minor
property damage incurred by MGS Construction or in the event of liackordered materials. Please note it is unlikely that a retainage would
need to be held in most cases.
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices_ Any
alteration or deviation from above specifications involving extra costs will be ex,:cuted only u on written orders, and will become an
extra charge over and above the estimate. All agreements contingcnt upion s, accident or delays beyond our control. This proposal
subject to acceptance within 30 days and it is void there r et the i iption o tmdle signed.
Authorized Signature
Meadowview Condominiums
2013 Roofing project
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3/19/2013
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 1014LY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, E1,;TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NCT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICAI'E HOLDER:.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the PClicy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require act endrorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CC'
NJIMNTACT Patricia Blais
:
Financial Insurance Services Inc WONE (603)432-6414 ac Nei- (603)
PO Box 950 leas
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NH 03038
INSURED
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Derry NH 03038 1lIliURERF:
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIS' -ED BELOWHAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION 01 -'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.
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