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HomeMy WebLinkAboutMiscellaneous - 13 CHAPIN ROAD 4/30/2018 ` / moZmROAD \ / 210x0200-002-0000-0 \ \ .. / TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: 9— 3 Date Received Date Issued: 512-i l IMPORTANT: Applicant must complete all items on this page LOCATION (I'' /�/ �/�• Print, PROPERTY OWNER I� j Print 100 Year Old Structure yesno MAP NO: bz"o - �PARCELIZ-ZONING DISTRICT: Historic District ye no Machine Shop Village ye no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition El or more family Y ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement', ❑Assessory Bldg ❑ Others: ❑ Demolition El'Other p Septic []Well ❑ Floodplain: I]Wetlands [IWatershed District 0 Water%Sewer DESCRIPTION OF WORK TO BE PERFORMED: ew 1--dc Identification Please Type or Print Clearly) OWNER: Name: 1' ) -r e--- /�C-b�2 Phone: Address: C- X ` CONTRACTOR°"Name: -, -4� �Phone. �. ss _ Yv, _ Supervisors Construction License S /D. Exp Date: lj Home Improvement License: / 3 7.7 Ezp Date r. ARCHITECT/ENGINEER Phone: ` Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$1Z00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ c) b . FEE: $ -7 Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to g .ara fund _Signature of Agent/Owner Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ 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 ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW ToNv . Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at'124 Main Street Fire Department signatureldate Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: movement of Dieter location, mast or service drop requires approval of Electrical Inspector Yes No pANGER ®NE LITERATURE: Yes No MGL Chapter 166 Section 21A-F and G min.$100-$1000 fine NOTES and DATA— (For department use El Notified for pickup - Date Doc.Building Permit Revised 2010 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 o 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) o Building Permit Application o 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 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 appy al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submAted with the building application Doc: Doc.Buil ling Permit Revised 2012 if �ocatro, t aTN ANoov TOWN F N4 No, O $i c - � e cake°� G `� ocpup�`t Fee sti, • e �1l P �- guild�n9�Fra P rmlk Fee $/ e �°undak%on other perm JOIN /y \,Spector �) gur\dr,9 Gheck# 26q�28 4/23/2013 8 : 32 : 27 AM 8935 m 03/03 ~��*f DATE(MMRIDIYYYY) `rAC,R0 CERTIFICATE OF LIABILITY INSURANCE 0412312013 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). ACT PRODUCER 00474-001 NAMME, Doherty Insurance Agency Inc AIC.No.Ext): (978)175-0260 (FtX.No.: PO Box 1985 EMAIL Andover,MA 01810 ADD ss: INSURERS)AFFORDING COVERAGE NAIC# iNSURERA: A.I.M.Mutual Insurance Company 33758 INSURED INSURERS Damphousse Roofing LLP INSURERC: 87 Belmont Street INSURERO: North Andover,MA 01845 INS 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 TYPE OF INSURANCE ODL UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR MSR WV (MWD YY) MADIYYXW GENERAL LIABILITY EACH OCCURRENCE $ 'AGE TO RENTED COMAMERCIAL GENERAL LIABILITY P EM SES Ea occurrence) $ CLAIMS-MADE �OCCUR MED EXP(Any one person) $ PERSONAL 3 ADV INJURY $ GENERAL AGGREGATE $ EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ OLICY CT r_JOC INED AUTOMOBILE LIABILITY iECOMgoBdderdSINGLE LIMIT) $ ANY AUTO BODILY INJURY(Per person) $ AUTOS LWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS HIREDAUTOS NON-OWNED PeOPERTYDAMAGE $ AUTOS ( r accident) UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ DED I I RETENTION $ $ WC STATUU 0 H WpRKERSCOE(+PENSATION X TORYLIMRS R ANyD pERMOPpLRO�Y RS'LIIA}�BBILITY/E�E Y IN El.EACH ACCIDENT $ 500,000 /it OFFICERRv1E ER�EXCL 1p CUTIVE' NIA AWC-400-7028774-2013A 4/17/2013 4/17/2014 (Mandatory in NH) u E.L.DISEASE-EA EMPLOYEE $ 500,000 DESSCRIPI IOIJ DF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 TT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) No partners are covered by the Workers compensation policy. CERTIFICATE HOLDER CANCELLATION Town of North Andover 1600 Osgood Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE North Andover,MA 01845 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD I 4454 APR-22-2013 MON 12;24 PM FAX NO. 9784750303 P. 03 Client#:14415 FDoherty CERTIFICATE QEL�ggjLlT�IN DAMPHOUSSESURANC E ( M/pQryYTY) I 04!22113Insurance g9enGy,Inc. THI CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIONON AND CONFERS NO RIGHTS UPON THE CERTIFICATE. . x 1985 HO' ER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 21 Elm Street ALT R THE COVERAGE AFFORDED By THE POLICIES BELOW. Andover,MA 01810 — INLIURED INSURPRS AFFORDING COVERAGE NAIC AI Damphousse Roofing LLP IN_su Atain Specialty Ir►surance Company INgIIIZE�R 87 Belmont St _.�. •— .—.._— — •� '—' North Andover,MA 01845 INsuFrlr. — -� ---- - - INSUR6t(n COVERAGES —r —_• _ THE POLICIES OF INSURANCE LIS rEn BELOW HAVE BEEN ISSUEC)TO THE INSURED NAMEQQ'ADwr;FOR THE POLICY PERion INUICnTEu.NOTWI rr+STANOING — ANY REUUIREMCNT,TERM OR GONOITION OF ANY CONTRACTOR OTHER DOCUMENT WIT KE8PECr TO WHICH THis CF.RTIFICATE MAYBE ISSIIED UR MAY PERTAIN THE INSURANCE AFrORDEU(LY THE POLICIrS DESCRIBEU HEREIN IS SUS-1•CT 10 ALL THE TERMS,EXCLUSIONS AND CUNDITIONS OF SUCI1 POLICIES.AGCREGATE LIMITS SHOWN MAY HAVL"BEEN REr.)UCED By PAID CLAIMS LTR NSR TYPE OF INSURANCEROucr NUMBER —�' POLIEY EFfH TING r'OLICY ExPIRATION — oA MMID _DAT_ E IMM1p0/YY1 LIMITS A GENERAL uAkilU7Y CIP169387 04/12/13 I 04/12/14 EACH OCCURRENct X COMMERCIAL GENERAL I IABILITV $1,000 ___'000 i IIAMAGE 10 RENTF.n CLAIMS MAUI; OCCL,k ' rS IEA nra,•m.ura 11001000 Mtu FXf IAny nnr ueron) 3Jr�t)0 _ X BIlPO Ded:1 0ox 00 ! i PF_R&ONAL 6 AUV IN•IUkT $1000000 r.CNEHALAGGRErnrt_ 32,0004000 GEN1 n1cr,RCGmE LIMO APPLIES PER: 1 X P01 Ir.Y JFC 1 OC PROuur.l,..COMf>t?F;nts(: S2L000,O00 —-, ALROMOBILG uABILRY ANY AUTO I COMBIW A)SINW F•LIMIT I (Er arrulaPJ Al 1.OWNED AUTO:; I __ SCHEMAI BOOn Y IN.1 rY ED Au TOS i 11. IPrr HIRED AIIT0 3 panlvq S NON OWNFU AMOS i 00n11 Y INduHY 1 (Prr x.Nd_,�p f PROPNR TY FJAMAI:C (f•rl:vrnlanQ S GARAGE LIAOILITY A117L717NIT•LAAI: I ANY AUZ U � 0IDIN -_ EITHER I'HAN [A A(`a S AUTO Onj Y ExcsssnrMDREu.n LwE3u,nY 1 EACII OV URR1:NCE T. OI:CUR C)CLAIM:,MADE b RETCN I ION b x—T ,• ,_ WORKERS COMPENSATION AND $ TORY LI `'• EMPLOYERS'LIAMILr1y I I Mj OT41 _LLIL _ ANY PHnrRICT0H/PARTNEI Ill XECUTiVt OrFIE.L.LAr.HACf:ulpNr g CF RIMEMHI-R CXl:L LIRC D9 _ If vnx_dcr t a„ndcr ! E.L.UIgEASG E.A EMPLOYE L ;F SPI-CIAL PROVISIONS Nlrov •-_ OTHER L.L.UI:iFA^L Nn11CY LIMI j $ i I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED ilY ENDORXEMENT/SPECIAL Pt9OVIS1ONS - Covering operations usual to Damphousse Roofing LLP... I I 1 i i CERTIFICATE HOLDER CANCELLATION SHOULD ANY C F THE ABOVE DESCRIBCO PnIJCIES RE CANCELI.EU OEFORE THE EXPIRATION Town of North Andover DATE YHEREO .THE ISSUING INSURER WILL ENDEAVOR TO MAIL 40_ DAYS WRITTEN 1600 Osgood Street NOTICE'r0 TH CERTIFICATE HOLDER NAMEU TO THE LEFT.Dur FAILURE TO 00 SO SHALL North Andover,MA 01845 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER.ITS AGENTS OR REPHESENTAY E5. AUTHORIZEDPRtEN�T N - —-- I ACORD 2512001/08) of 2 #S29121/M29119 OM E2 AC CORPORATION 1988 Y - y` a`sachuselts- Departnnent of Public SafetN p Boaird of Building- Re<aulations anti-Standards ons--LSol.ion ji! c'F?rlac�F CE?i15B License: CS 67560 SHAUN M TWOMEY 61 PATRO(T ST N ANDOVER, MA 01845 _' Expiration: 10/25/2013 C t,amti..ittn�r Tr#: 4913 y \moi' ITiQssacrouse is -Depat—U-ne;t=i1i`f3:3iic Sa ebjl Board ol Buildfina, Rec4ulatioins and Standar Ci Comirucrion Supervisor _:cense: CS-055108 DOUGLASJLEq x 79 GARY AVE HAVERHILL MA 01830 r f ` F' Cor:: issicnC-7 09102/2014 e rca�u.»zazuaeall�a/P/l�cruac�zclell ...\ Office of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR _: legistration: 174377 Type: expiration: 2/4/2015 LLP DAMPHOUSSE ROOFING LLP - SHAUN TWOMEY 87 BELMONT ST N.ANDOVER, MA 01845 Undersecretary Th e Commonwealth of Massachusetts Department.of£ndusb-ial Accidents Office of Investigations. 600 K%ashington Street .Boston, JIWA 02111 www massgov/did ©Yorkers' Compensation Insurance Aftidav'lh, Builders/Conte-actors/Electricians/Plumbers Aoolica>ut-Information Please Print'I;egibly Name(Business/0rgan=tionIbdivrdiral):` /✓jI�A UJ S-e- Address City/State/Zip: Phone#: 7�� Are you an employer?Check the appropriate box: I am a employer with ?. ❑ I am a gType of project(required): I.❑ eneral contractor and I employees(full and/or part-time).* have hired the sub-contractors 6- ❑Nev,construction 2.❑ I am a sole proprietor br partner- listed on the attached sheet t 7. ❑Remodeling ship and have no employees These sub—contractors have 8. ❑Demolition working for me in any capacity. workers' comp,in�re. o workcrs' �p 9. ❑Building addition (N comp.insurance S. ❑ We are a c oration and its required.] Officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption.per MGL 11.❑Plumbing repairs or additions myself o workers'co c. 15? 14 Ll`I comp. —,§ ( ),and we have no 12. Roof rep airs: insurance required.]fi employees- o workers, P (N13 El Other comp.ina„ ince required.] Mus!Oso.i l Out Encs ty. �o[! ``^�a erl vs`cv mp— Iioaeowuers wao submit fnis affidavit indicating they d„^iag.all-or],and mea hire outbids contacto s must submit a new affidavit indicting such. +Contractors that chi this box must attached an additiono sheet showing the name of the sub-contractors and their workers u comp•policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policjr and job site information. Insurance CompanyName: U 74�ft_ Policy#or Self-ins.Lic. yU o 76'z f 7 2013 Expiration I?ate: � Job Site Addr ss: 3 CA A712) Ci is ty tate/Zip: Attach it 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 51;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 5250.00 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. .1 do hereby edify enalties of perjury that the info rmathon provided ab a is axed correct Simlatzu Z/ Phone#: Official use only. Do not write in this area, to be completed by city or town of icraL C /Li City or Town: Permitceitse tv Issuing Authority(circle one): Z.Board of Heath 2.Building Department 3.City/Tomm Clerk: 4.Electrical Inspector Plumbing Inspector 6. Other Contact Person: Pitons r. HOME IMPROVEMENT CONTRACT TERMS AND CONDITIONS(MGL 142A) 1.WORK:Provided the Homeowner performs under this agreement,the Contractor shall perform the work on the Property as specified Proposal,attached incorporated herein.The work does not include extraordinary conditions of which the Contractor could not reasonably be aware.If such conditions are encountered,this shall be an additional cost to the Homeowner.Materials selected by Homeowner may have to be ordered or custom made,which items are specified in the Proposal.The Contractor is not obligated to agree to any modifications,extras or change orders unless such items are agreed to in writing by the Contractor.All extras and changes shall be at an additional cost to the Homeowner.Contractor shall perform the work in a good and workmanlike manner using materials consistent with this contract.Lawn or Driveway may be damaged by dumpster or equipment.Due to material shortages Contractor may substitute materials of equivalent grade. 2. PERMITS:If a building permit is required for the work,the Contractor shall obtain same as Homeowner's agent.Contractor is not responsible for any other permits that may be required for the Work,and Homeowner is responsible to determine whether any zoning,planning or wetland related permits or approvals are necessary.Homeowners who secure their own permits or deal with unregistered contractors will not have access to the Guaranty Fund. 3. COMMENCEMENT AND COMPLETION:Homeowner acknowledges the commencement date of the work is fluid,and is subject to numerous factors such as scheduling other contractors,delivery of materials and weather.Contractor and Homeowner shall determine the commencement date of the Work when a more definite determination can be made and shall execute a written acknowledgment of same.The Work shall be substantially completed within 7 days of commencement,except for longer periods as may apply to particular projects as Contractor shall notify Homeowner in the Proposal,and subject to delays for circumstances beyond Contractors control.Notwithstanding,the commencement date and substantial completion date may be extended,and the Contractor will not be liable for delays caused by,labor or material shortages,delays in delivery of items selected by the Homeowner,governmental action, and unforeseen events beyond the Contractors control,including but not limited to weather,strikes,war,the acts of third persons or the acts of the Homeowner.The Homeowner recognizes that the commencement date may be delayed due to scheduling or the completion of Contractor's other jobs. 4. PAYMENTS:Contractor agrees to perform the Work and to furnish the materials and labor specified in the Proposal for the amount as stated in the Proposal.Thirty percent(30%)of the total is to be paid as a deposit with the signing of this contract.Upon cancellation prior to commencement of the Work,any remaining deposit will be returned less the costs for materials ordered for which Contractor was unable to cancel.Final payment shall be due upon completion of the Work and Homeowner agrees it may not hold any retainage.Late fees may be applied for late payments.Homeowner shall pay Contractor's reasonable costs of collection,including attorney's fees and costs.Time is of the essence hereof. 5. WARRANTY:For a period of l year after substantial completion of the Work the roof will be free of leaks caused by defects in workmanship, but not those caused by ice backing-up or extraordinary weather events,including blizzards,tornadoes,hurricanes or storms of greater than a twenty-five year duration or intensity.Contractor gives no warranties with reference to any materials or equipment installed in the Premises,passes any such warranties directly to Homeowner,and Homeowner agrees to look only.to the manufacturer with reference thereto.This limited warranty extends to the Homeowner only and is not transferable to succeeding Homeowners.This Limited Warranty specifically excludes(i)all consequential and incidental damages;(ii) damage due to ordinary wear and tear,abusive use,misuse,or lack of proper maintenance;(iii)defects which are the result of characteristics common to materials used;(iv)defects in items installed or supplied by anyone other than Contractor;(v)work done by anyone other than by Contractor;and(vi)loss or injury due to the elements.There are no other expressed or implied warranties or representations made or given. 6. ENTIRE AGREEMENT:This contract and all documents referenced herein constitute the complete and final agreement between the parties.In the event that any of the provisions of this contract shall be held to be invalid,the remainder of the provisions of this contract shall remain in full force and effect.Two identical copies of this contract have been completed and signed.Homeowner acknowledges receipt of a completed contract signed by the Contractor. 7. HOME IMPROVEMENT REGISTRATION:In accordance with M.G.L.c. 142 A,§9,Contractor is registered with the Bureau of Building Regulations and Standards Registration No: 174377.Homeowner may verify by contacting the Director at(617)727-3200,ext.25205.A Homeowner's rights under the Home Improvement Law(M.G.L.c. 142A)and other consumer protection laws may not be waived in any way.Homeowner acknowledges receipt of a copy of 780 CMR R6 and Massachusetts General Laws chapter 142A,and which are available online at www.mass.gov.Questions may be directed to tie Consumer Information Hotline,(617)727-7780. 8. ARBITRATION:Contractor and the Homeowner hereby mutually agree in advance that in the event the Contractor has a dispute concerning this contract, the Contractor may submit such dispute to a private arbitration service which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulations and the consumer shall be required to submit to such arbitration as provided in M.G.L.c. 142A.No lien or security interest is imposed on the Property as a consequence of this contract,but Contractor has the right to record this contract or a notice of this contract,or seek a lien if the Homeowner breaches this Contract. 9. HOMEOWNER COVENANTS:The Homeowner agrees,represents and warrants that(a)the Homeowner grants permission to the Contractor to enter the Property to perform the work as covered by this contract;(b)the Homeowner has funds available to make full payment under this contract to the Contractor upon completion;(c)the Homeowner understands that construction as contemplated by this agreement creates a dangerous condition,and agrees not to enter portions of the Property under construction until the Contractor advises the Homeowner that the construction is completed;(d)Contractor may need use landscaped areas of the yard during the Work and Homeowner is responsible to provide protection for landscaping and(e)that code requirements may result in roofing nails penetrating through roof decking and will be visible on the underside of some surfaces.The Homeowner indemnifies,exonerates and holds harmless the Contractor from any loss,damage,claim,liability or expense(including reasonable attorney's fees,deposition costs and court costs)resulting from a breach of this provision.Contractor is not responsible for damage to landscaping that will grow back during the next growing season. 10.CANCELLATION:Homeowner ma c4ncqVhis reg nt provided Homeowner notifies the Contractor in writing at the address listed in the Proposal not later than midnight of the third busi owl th fining of this agreement. HOMEOWNER: DATE: 5-44 7i'v J3 " Shingle: //�G© DEPOSIT: "��– r Proposal l HIC#174377 Damphousse Roofing «P A trusted name since 1938 Roofing - Siding -Windows 87 Belmont Street- North Andover, MA 01845 P: 978-683-4588 - F: 978-685-7446 NAME OF OWNER /k9 /G 'Ito L- ADRESS OF JOB 13 r CIS � V TEL. DATE: We will remove all roof shingles off total roof area, up to two layers. Replace any boards or sheathing at additional cost. A new 8" white aluminum drip edge applied on all edges. Approx. 6ft of ice and water membrane applied on eaves, 3ft in valleys, strips around skylights, along chimney flashing and sidewall junctions. Existing step flashings to remain. A new base sheet applied. A 30yr architectural roof shingle installed. Install new vent pipe boot flashings. Waterproof existing chimney flashing and remove debris. Shingle Color: 1�4 - Ridge Vent Upgrade$8.00 per ft. Wood Sheathing Repair$8.00 per ft. s r> Shy We Propose herby to furnish material and labor-complete in accordance with above specifications,for the sum of: l dollars($ �9�4• ' ), �" ! " Payment to be made as follows (/y P�^- 6 e ey/—^ Authorized Signature NOTE:This proposal may be withdrawn by us if not accepted with in_days Acceptance of Proposal - The above prices, specifications and conditions are satisfactory and are herby accepted.You are authorized to do the work as specified.Payment will be made as outlined above. Signature Date of Acceptance: �� �" Signature NORTIy E Town of �* Andover 0 A.- _n No. l I t - *��o hver, Mass, COC NIC NlwKw y1' S U BOARD OF HEALTH Food/Kitchen PER,: MIT T LD ,. Septic System V ` a(� BUILDING INSPECTOR THIS CERTIFIES THAT ...................... .............................rte.R 2."Z.....?................................................ has permission to erect .......... buildings on 1-3Ck.V. Foundation Rough to be occupied as 'I1!: .,14Dr"R ............................................... Chimney provided that the person accepting this permit shall in every respect form 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 f PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIOST TS 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. SEE REVERSE SIDE Smoke Det. Date..?./A .( .. .. .. MORTN ,e,'Yp < ` TOWN OF NORTH ANDOVER O D 41 • PERMIT FOR GAS INSTALLATION - h SSACHUSEtS This certifies that . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . i -I... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . .?. .0 f:`n::- /1 !. . . . . . . . . . .. North Andover, Mass. Fee.:3.0. . . . . Lic. No.P.q:f?. . . . . . . t.. . : . _ . . . . . . . . GAS INSPECTOR.' Check# 3 t ,, r MASSACHUSEM UNIFORM APPUCATON FOR PERMMr TO DO GAS F1TT/ING (Type or print) Date �2 re NORTH ANDOVER,MASSACHUSETTS Building Locations (- N-d�' �'� / ld�� Permit# J Amount$ Owner's Name '!� 6re- /�,a a 2 c New❑ Renovation Replacement Ef" Plans Submitted ❑ x � v� U z 0 a H z m o 0 ] O w c� w z H c x da WWx 1-4 z G0 ' z 9 z � 0 O A OU oa1 A Oa O SUB-BASEM ENT B A S E M ENT IST. FLOOR 2ND . FLOOR r 3RD. FLOOR 4TH. FLOOR 5TH . FLOOR r 6TH . FLOOR 7TH. FLOOR 8TH. FLOOR font�allin Company YPrint ortYe) ChWile" Cet � C �Name orp. Address E' e 2,-11, /Xr h9 Partner. Aff /Wkiy mousiness Telephone 7,Y G, Y�r T j �✓ � Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one I have a current liability Insurance policy or it's substantial equivalent. Yes No If you have checked yees,please indicate the type coverage by checking the appropriate box. Liability insurance policy 13" Other type of indemnity 0 Bond 13 Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner 13 Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations pe ormed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachuset Sta as Code and Cha 42 e ral Laws. By: ignature ►censed Plumber O Gas Fitter Title IEJ Plumber l City/Town as Fitter tcense umber Master W APPROVED(OFFICE USE ONLY) o Journeyman Date./�. . .. . . . . .... . .. . r WORTH �j TOWN OF NORTH ANDOVER o � A • - PERMIT FOR GAS INSTALLATION SACHUSES This certifies that . . . .�.<!.C. C. . . . . . . . . . . . has permission for gas installation . . . .%.'.°! l. ` . . . . . . . . . . . . . in the buildings of . A t. !. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . .,� .�. .G l !�,h�.°.. . . . . . . . . . . . . . . ., North Andover, Mass. G Fee.?. ' . . . . . Lic. No.. . %. 5 !. . . . . . . . ` . ... . GASINSPECTOR Check# C 4. 5 ` MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) Date j/ lf3 NORTH ANDOVER,MASSACHUSETTSBuilding Locations Locations �3 ��J'�/��/l� Permit# Amount$ Owner's Name �� New❑ Renovation ❑ Replacement Plans Submitted ❑ 0 v W FaO+ a z F SUB-BASEM ENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH . FLOOR -FRA i I ffEp I I (Print or type) �yne: Certificate Installing Company Name Aa l40 r P.w/JJ :�/ro f� ivYo r- yorp. 02/ 0 Address U /� ❑ Partner. D Business Telephone ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check on I have a current liability Insurance policy or it's substantial equivalent. Yes ff No❑ If you have checked M please in 'cate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code d Chapter 142 of ft General Laws. By. ignature ofLicenseaAumber Or Gas Fitter Title City/Town ❑ Gas Fitter License Number MIM- aster APPROVED(OFFICE USE ONLY) ❑ ourneyman