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HomeMy WebLinkAboutMiscellaneous - 188 FRENCH FARM ROAD 4/30/2018N O_ N g 0 0 0 0 0 \ / r /� 09797 Date PLUMBING INSPECTOR Check #_ TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING C This certifies that has permission to perform .. ................. plumbing in the buildings of ----�-Ja.roorJ ...... . . . ...... . .. . at ..-4-� . i`.A t ,North Andover, Mass. Fee ..3 c2. Lic. No... 00K. i ................ ... PLUMBING INSPECTOR Check #_ , M—ASSAC-HUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY C ► /'i Y10� MA DATE ;� PERMIT # (Ir"') JOBSITE ADDRESS �r �i -i�i�h . t../. 4.... C�. f iih.. .. OWNER'S NAMEI '��?1V.. .. P OWNER ADDRESS I SAME I :..........._.._....._._.-.__-_. _j .. ._ _w .. W.. j TEL FAX I -...__._`_.._._...._._.. TYPE OR ... ........... J OCCUPANCY TYPE COMMERCIAL E-1EDUCATIONAL RESIDENTIAL ( f PRINT q CLEARLY NEW: RENOVATION: 0 REPLACEMENT: �,► PLANS SUBMITTED: YES D NO FIXTURES 1 FLOOR— BSM 11 2 3 4 5 6 7 s s t0 tt 12 13 14 BATHTUB - - CROSS CONNECTION DEVICE - - - DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SANG SYSTEM---- -- - _. DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM i - "--- I - -- --- - DEDICATED WATER RECYCLE SYSTEM i - DISHWASHER_ -_-,, - -- - -. -- - - - - S. DRINKING FOUNTAIN _ -- =- FOOD DISPOSER FLOOR / AREA DRAIN - - INTERCEPTOR INTERIOR --'� -- ::....... . .. KITCHEN SINK ,, . _......:...--- ..........- LAVATORY - -- - -- - _:. ... . . ... ROOF DRAIN ,' � SHOWER STALL SERVICE I MOP SINK I �. TOILET _ --- --- .. . ---_ - URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES - WATER PIPING ... OTHER = -- - - J� l ; ,I ,r INSURANCE COVERAGE: I have a current li bili insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES [✓ NO L] IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY ✓ OTHER TYPE OF INDEMNITY E] BOND OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER Ej AGENT [_l I hereby certify that all of the details and information I have submitted or entered regarding this application are tr wl nd accurat the best of my knoedge 'Ind that all plumbing work and installations performed under the permit issued for this application will be in aPe ine a wi plian of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAMEDAVID SILVA LICENSE # 10965. ; �. . SIGNATURE MP.✓ JP i.. +-- CORPORATION i •. `" " f`�- �— # PARTNERSHIPi ' --- -� LLC O# ( -------- - _ COMPANY NAME D.A. SILVA PLUMBING &HEATING ADDRESS 124 SEQUOIA DR. CITY I TYNGSBORO -- - --- - -. STATE MA ZIP ! 01879 TEL 978-6491588 FAX I Y�� CELL 508-517-6234 j EMAIL , LTH OF.MASSACHUSETTS P.,00*11f0ERS AND GASFITTERS l�C,E'NSED AS A MASTER PLUMBER ISSUES THE ABOVE LICENSE TO: R'VYD A SILVA JR i SEOUOIA RD 9'N;GSBORO MA 01879-2116 05/01/14 17268.5 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(13usiness/Organization/Individual): D. A. SILVA PLUMBING AND HEATING Address: 124 SEQUOIA DR City/State/Zip: TYNGSBORO, MA. 01879 Phone #: 978-649-1588 Are you an employer? Check the appropriate box: 1. ❑ l am a employer with 4. ❑ 1 am a general contractor and I r�employees (full and/or part-time).* have hired the sub -contractors 2. tr1 I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. [No workers' comp. insurance required.] 3. ❑ l am a homeowner doing all work myself. [No workers' comp. insurance required.] t 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. F1 Electrical repairs or additions 1 1.❑ 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. t 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: Policy # or Self -ins. Lic. #: Job Site Address: Expiration Date: City/State/Zip: 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 cerci fy e e the paigs and penalties o f perjury that the information provided above is true and correct. 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 #: Division of Professional Licensure: License Search t The Official Website of the Office of Consumer Affairs and Business Regulation (OCABR) Division of Professional Licensure Mass.Gov Home State Agencies A -Z Topics Home > Division of Professional Licensure > .......... ............_..................._........__........... ............._...................................._. Check A Professional License By the Division of Professional Licensure LICENSEE Name:DAVID A. SILVA JR. TYNGSBORO,MA Licensing Board: PLUMBERS it GASFITTERS License Type: MASTER PLUMBER License Number: 10965 Status: CURRENT Expiration Date: 5/1/2014 Issue Date: 11/22/1988 Exam Date: School: This web site displays disciplinary actions dating back to 1993. This license has had no disciplinary actions taken during this time. The page above has been generated by the Division of Professional Licensure web server on Tuesday, February 05, 2013 at 9:46:00 AM. O 2007-2011 Commonwealth of Massachusetts Page 1 of 1 Mass.Gov ONLINE SERVICES Check a License Locate a Licensed Professional Online Address Change Contact the Agency More... tEFERENCES & tELATED INFO Disclaimer Regarding Website License Searches Enforcement Process Glossary Glossary of License Status Codes More Site Policies Contact Us http://license.reg. state.ma.uslpubLiclpubLicenseQ.asp?board_code=PL&type class=_M&li... 2/5/2013 Date.... 0, TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ................. CjP)Wl, .. . ....... has permission to perform ....... 5,E-&vm.F ... wiring in the building of .......... ....... /- 47. A/ ................................ at ...... 9 North Andover, Mass. Fee.S Lic. No.2.ELECTRICAL NSPECTOR Check # 6981 10 Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS i ' M Official Use Only Permit No. � `f/ Occupancy and Fee Checked [Rev. 9/05] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code EC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 0 bo p City or Town of: j (3 -(L -T1¢ d�eVC-� To the Ins ecto of Wires: By this application the undersigned gives notice of is or her intention to perform the electrical work described below. Location (Street & `Number) -F OAP -t -G E F&tZ M 5 t� Owner or Tenant�f /UV1A-W( P 1�QQAI - Telephone No. Owner's Address I"A Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Services Amps 2 / Volts Overhead ❑ Undgrd V No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ rnd. grnd. o. of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS. No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pum Number Tons KW No. oSelf-Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal El Other Connection No. of Dryers Heating Appliances KW Sec ri of Devic s or Equivalent No. of Water Kms, No. of No. o Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penatlties of perjury, that the infor tion on this plication is t ue and complete. FIRM NAMEal- IEL, 'C 42.LIC. NO.: Licensee: , t rg-ZSignatu LIC. NO.: -- (If applicable, ter "exempt" in the license number line. Bus. Tel. No . 40„ZI kT- / -yJ Address: -� . ^ S Q� �� WTO A20.17� Alt. Tel. No . — O *Security System Contractor License required for this work; it applicable, enter the license number here: OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ OcmE mz0=� MD>W ME O T =37� O O —�— �— m O z m i D i iC D. ❑I mD m j0 - C:, El c m m z -/I ■ 1 _ Location No. .2sy Date 1-.2 f- 5;, 3 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ aler Connection Fee er Connection Fee TOTAL $ d_ l b6co 6208 Building Inspector Div. Public Works WI (9 a Y rl 0 J 0 m W F - Q O p N U) N d X a ap W W Z 0 0 p Z W 0 p a M W O 0 W to W a I� g° p N d z m 0 1� 1� X 01 IY d � 1 Z Q z u d to � Q 0 !_ Z 0 0 N W f Z < 0 Z 0 W a. W 0 0 w wIa O It; 0 z N F U) a IK W In f F IC 0 J LL 4 0 W N a z 0 H < 0 Z 7 O LL LL 0 F I W I x I 17 Z O 0 LL LL O W N a W Z O W < a IC LL 0 Z W Z Z O H Z 0 fC F- W j O H 0 Q H 0 fC O ul a J U < 0 0 Z<< Z d J Z_ Z_ _Z J_ LL U U LL o 0 0 5 0 Z Z O J J J m C < < W m m m J < O O< a a a 3 m N Z 1 u' � D 1 1 f � 1 f Z 1 1 � of 6 j 1 0 O n 0O .�.�.-..._... _.._.. .. 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Ixh � v N 0 I � 1 1 W- �+ 10 " ' W Cv r 1 p O F z < W W W C J U. d =�-- ---- -- - - DOI OWN NDN zm MMO y0 NZZ "°c XX -1 D t1 0�0 Nvi mim mx -1 z > IN_0 mao �z_ MOK 50z W mW0 NCz N Dr oo -+G)6 TNO r - -+ D y ?�z xv N Ms 0z x0 mm N� �0 DO 3 N y OQ) A y N D T O O Ny Nyn N W N N m D D* v NNA Z_DC m n n D; N DCZ0DOoD mo ??x n nnyDOT OO A ,v vm D A SIC) A m DN; O O OA G) N IN 000000ND ZZAZZOO6NN2OA NO N "; 0 OA Amm y y T m T ZD -i- 0 N C1 y Z C m Z= T A (_) D a i Z Z Z N Z Z v o 0 3 P r N y N 0 N ;_ - n' O A NOn P T 0� m Z `^ 3 Z A C 30 z mmODN 3 Z 'C)N p Z KK a T NmDv �1 mZA Zm0 O m y O N N a v D K K { N ~ Z l9l '^0 T I LLL I I I Zm O OoCADx�T� 2 A O A m -�-�3yZ7C m O D 0 n ym D 0 y _ Dom' O V D y Df1S V O f1 A Z I^ W 3T Q TT COTZv T{ D p Z� W C n iy N y D m ypyS iiA Cl A SSv=m m?? Z`mam _0 m A y n SZO��pm m y Z --1 fN/� pTArT2 D O Z 2 C Z p n A W D O y A y O Z O Z y H S O A O O O T A C O W N K 3 _T X m N m m n n y H O G) A •-1 y 0 y A I X f Z Z O r C T ^ m D A L N 0 O A D D Z T y A ox T m 1 T D D 70 I I Im I I I Ia T C m Z N x 2 Z 10 O 0 0 O Zoz T II Irr I I I I I V DOI OWN NDN zm MMO y0 NZZ "°c XX -1 D t1 0�0 Nvi mim mx -1 z > IN_0 mao �z_ MOK 50z W mW0 NCz N Dr oo -+G)6 TNO r - -+ D y ?�z xv N Ms 0z x0 mm N� �0 DO 3 LCT 1 45, R�&1✓H FARrg M This plan was not prepared from an instrument survey. Offsets and distances shown should not be used to establish property lines, This plan is intended for mortgage. purposes only. I certify that the structure a2E shown on this Plane, in conformance with the zoning setbacks in effect at the time of construction. I certify that the parcel shown is _N 0 7 located within a flood hazard area' as depicted on FEMA Flood insurance Rate Maps for Community No: _2_y24ORq LOT la Job No. ')Z173 w tv f�a�tH OF. M PAUL G z r, MORTGAGE LOAN INSPEOTV LOCATION: -132, ERF EP, aRM lit NnRm4 A IDC MA SCALE: 1SQ-DATE:9 REGISTRY:_ TIC)F_c&Lj TITLE REFERENCE:. SKI -Q12 PS 2 PLAN REFERENCE:_RL COREY & DONAHUE, INC. Engineers & Survernra V)8 Cambridge Road, Wohe:ra, MA 01 Sol AROUSEL NEW p o 0 01 Inch ° 0 Q5OWall Height W-TheftgnatureofQuafity" and Larger Swim Areas "... like a resort in our own backyard." Enhance your life as you improve your home's value ... Now, you can turn your backyard into a vacation resort. You'll relax and enjoy endless hours of fresh air and sunshine as you and your family build lasting memories. Your Esther Williams swimming pool is a great investment in your home and your family. AVAILABLE WALL COLORS: BLUE/WHITE TAN/WHITE FEATURES: ❑ All Aluminum Construction AROUSEL -C eliminates rust forever ' ❑ Patented Interlocking Wall Sections make Esther Williams the o D o oO strongest pool available w Patented Deluxe, The Signature of Quality" Beaded, 22 Mil. Virgin New, Larger Vinyl Liner resists mold, Walk Deck mildew and bacterial fungi New, 22 Mil. Virgin f -160 -Year Warranty Vinyl Liner with Stainless Steel In -Pool Ladder New Pool Fencing 220 -Year Warranty meets or exceeds ❑ New, 50" Wall Height most building codes and larger pool sizes and standards add more swimming area ... for more fun and comfort OPTIONS: -y-s ❑ POOL FENCING o Top Quality, Durable, Extruded Aluminum o Meets or exceeds most Building Codes �.. and Standards -�, Including BOCA, NSPI, UBC, SBCC ` o Virtually Maintenance Free ❑PATIO DECKS 50" Wall Height �. Extruded Aluminum Interlocked Panels Welded for maximum Thick, Interlocking �. %�� „-+ Strength Wall Sections yS„ ,��w �'¢� :� Virtually Maintenance Free strengthen your pool -r-_, o Comfortable, Color Co-ordinated Weather New, Larger Coping Swing -Up Resistant Carpeting with Duracron Slip- Entrance Ladder o Includes Swing -Up Resistant Finish Entrance Ladder and Stainless Steel In- OVERALL POOL SIZE SO. FEET MAXIMUM OPERATING GAL. Pool Ladder DIMENSIONS: CAPACITY (GAL.) o Large Patio Deck 17' 214 6,671 5,870 ❑ WALK DECK 20' 299 9,320 8,202 o Spacious 18" wide 23' 398 12,406 10,917 (including coping) '-�6' 511 15,928 14,017 e Durable Extruded 29' 638 19,887 17,501 Aluminum o Duracron Slip- HEIGHT: 50" Wall Height Resistant s Fini h will not crack or chip TOP RAIL: 7 Inches Specifications Subject to Change MADE Id Ask Your Dealer About Special Prices on e Deck and Fence Packages T 1892-29-B ON W cd OE: �¢ x w o c u5,] p O w e1 v Cf)w o GO z z A. m G : p m O r� .0 U m G x x o m p w is C u. x w U W 0 O r� > cn G w x o V co � O 04 m w w w A w w w v) O cn •ui!C7 cla O Z. :.4,toc�- 0 m c o o o c • vv �alo �►: ev ecoco. o � N r m cr o c. N 7A c �o m INC v CD Ile . . CD c CL= H R m M m m L 0 N N � 3 = eA r eT � m � H cCo i �Cc =C CO) ) C EO Ce CL -L-3 mCD m 2 c c :o • n c = m :mom V y O L C.) CD tm O c Q � : i m c •O CD n m r0.. ~ m _ r O •ClisD 'a �O.Z W C Z • o `; m .y LU p O C3 m C y_ n m '> o °o = 0 2 _ _ H 'O O . F- = $ c. 9 y i J a Eco Q O ~ � O Z c LLJ O Q Q y c } CD c z z u✓ CA 03 Q yLJLJ O O m m C/2 z > �LCLU O cc: C Q o ,_5 G3 R Ld O CL CA o 4-0 c O to a CJ —J .Q CA O C Z C z LL O Q CA c ca u CA Q CD z \ z z � u u CL u r Location f� O '— I f*`° Aj C k' ("Ilk Rd v (�;�, No. r•- � _ •-� Date IS— 0-3 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $.-- Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 13v it Check # � 7 Z I V 16 Tv V Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: ` n DATE ISSUED: �^ / 6-3 SIGNATURE: �C Buildin Commissioner/I for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and b a Map Number Parcel Number: (0 Parcel Numbeir 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide ReqWred Provided Required Provided 1.7 Water Supply M.G L.C.40. 54) 1.5. Flood Zone Information: Public ❑ Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes No 2.1 Owner of Record �1%"g24 5cf.t .e Name Tint) Address for Service: Signature Telephone 2.2 Owner of Record: A Namef rint Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: ,-I- r TWO T Rt `�.� Licensed Co struction Supervisor. 0 r -,O t Ul! f/'��9% Address f / Sig r Telephone SiZ7 Not Applicable ❑ c �. y ® I � /f License Number?— i/g Zz a e 5 Eviration Date 3.2 gistgred Home Improvement Contractor Not Applicable ❑ Company7t�Iame // 0 11,e7e� Registration Number X Expiration Date Address to 0,el 1L t4 Si nature Tel ne Ma �q M z O 9 SECTION 4 - WORKERS COMPENSATION (NLG.L C 152 & 2506) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes ... _.0 No ....... ❑ SECTION 5 Descri tion of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Cgfiipleted by permit applicant 60WIAL TSE'f NLlt I . Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (e) X (b) 4 Mechanical (HVAC) 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WREN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Ownereuthorized Agent o subject property Hereb authoriz o act on y h f, in rs relative to work authorized by this building permit application. tore of Date CTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TMMERS 1 2 RD 3 SPAN DRVIENSIONS OF SILLS DIMENSIONS OF POSTS DIWNSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE JOHN T RYAN 360 Merrimack Street Building 5 X,. `' C61M --m iu_ s -oleo -*d ul>4tvd i Lilt- Am (_t/5-9f4EA_ W1 }t0 5-vc F"d flee Lawrence, MA 01843 1 -888 -ROOF SOS We Are: OLicensed NInsured poral SubmittedT : C lakmm WOOS a �LrnA • CERTIFIED Mass Reg. 113183 MasterEtite Federal ID 02-489422 Wactory Trained Wa Phone Vs Job Name rPrA11-A City, State, Zip Code�� (� jgS Job Location < :tory Certified Installer. W: Proposal to furnish and install the foilowint ❑ New Roof VRe-Roof Soffit Work ❑ Fascia utter Corgplete Roof Preparations — Services provided to help you avoid hassles and to protect your home Home exterior to be protected by tarps and plywood Shrubs, landscaping, trees to be protected from damage 9 Entire existing roofing material to be removed to existing decking. (� ite to be cleaned everyday, debris removed at project mpI tion G Eff Deteriorated existing decking replaced at a cost of:'K -i'trSq. Ft.� ❑`Metal drip edge installed at eaves Metal drip edge installed at rake edges "A e( &l Q VNew metal step flashing will be installed where necessary VNew plumbing vent flashing will be installed and flashed Shingle valleys will be installed Ckontractor will pick up building permit IL Complete 5 -Part Weather Stopper@ Roofing System - Earned the Good Housekeeping Seal! Q GAF Leak Barrier installed at all eaves to protect from ice dams (and meet codes in the north) - Provides the best protection for your home 2(GAF Leak barrier installed in all valleys, around penetrations, and chimneys to protect critical areas ,�,/ - Protects the most vulnerable areas on the roof L9 GAF Shingle -Male@ reinforced underlayment installed over entire decking (the best underlayment available) - Serves as a second line of defense {/GAF Ridge Vent System will be installed Ensures that your roof system will last, your utility bills will be lower, and your warranty will be valid Quality Shingles ❑ GAF Sovereign `s Series ❑ 25 year $ ❑ 30 year $ Color WGAF Timberline* Series ❑ 25 year $ ❑ 30 year $ ❑ r $ Color Other Shingle UfGAF Hip and Ridge that matches shingle warranty will be installed Warranty Options: Cl GAF Smart Choice@ DESCRIBE WORK: Golden ❑ Repair Ask us about affordable financing options `4 0141 U ` k. LA 601L LoAlL _ L A cmc) Est. Start Date: 4 Est. Comp Date: ` P4 Total Contract Price: $ � 2 / 'aga Security Interest: Yes ❑ No -1 With Payment to be made as Follows: �20t' 13oWEy ' �2 06 '/�-W,4 q�� vAJ (� DO NOT SIGN THIS PROPOSAL IF THERE ARE ANY BLANK SPACES. Date of Acceptan2-� Contractor _X Property Owner:*M'' - . - Additional Terms On Back NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-954 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in properly licensed solid waste disposal facility as defined by MGL Chapter 111, S 150 A. The debris will be disposed of in: J - of Facility) y Signature of Permit c Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector t [ Board of Building Regulations and Standards 1 q . P HOME IMPROVEMENT CONTRACTOR l j Registration: 113183 Expiration: 5/24/2005 Type: DBA RYAN BUILDING CO. JOHN RYAN 12 EMERSON WAY�ra.� SALEM, NH 03079 Administrator ✓fe. loanz�nan�avtr�lir. ©� �l�nauu%u�e� -- BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 04$118 Birthdate: 06/20/1957 Expires: 06/2012005 Tr. no: 385 Restricted: 00 JOHN T RYAN 12 EMERSON WAY SALEM, NH 03079 Administrator A ,!.> ,. CERTIFICATE OF LIABILI I Y 1N0Ui Imvc L�„�J,lUU3 TFIIs GERM IFiCATE Is ISSUED AS A MATTER � INFORMATION o'Du+ ONLY AND CONFERS t+lD R1G`mT5 t poo THE CERTIFICATE I.P Roberts Insurance Agency Inc HOLDER. THIS CERTIFICATE WES NOT AMEND, EXTEND OR ALTER THE C RA aGE AFFORDED BY THE POLICIES .BELOW. L06 ' Osgood 5=66t �- jor :h Andover MA 03845 INSURERS AFFORDING COVERAGE 97$ 683-80-,73 TT.INSURAXCF COATFRN( WRC RYAN CONW,,,CTT-Nr- & RUOF'IXG Itd"'UIiER A; JOHN RYAN DDA. INSURER a: 350 MERRIMACK STREET INWRER C.' 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