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HomeMy WebLinkAboutMiscellaneous - 40 QUAIL RUN LANE 4/30/2018 ' 40 QUAIL RUN LANE / 210/060.0-0138-0000.0 i 76uu�' �� /it Date.�0 ... ... .. VONT 6'6 a� h` °� TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION SSACeHUSEt This certifies that . . . . . . .. /P� . has permission for gas installation .. . . . . . ...� ��:¢ . . .�P�/ Iw 1U) in the buildings of ./ v . . . . . . . . . . . . . . . . . . . . . . . . E U! mak at . �1�. . " .',t . . . . . . . . . . ., No h Andover, Mass. Fee ,.�U . Lic. No.. GAS INSPE Check)- v 4 U 0 0 i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town: 'tit©. ate MA. Date: z Permit# Building Location: �� ��� / Owners Name: 1 0 Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential E9— New: ❑ Alteration: ❑ Renovation: ❑ Replacement: [ Plans Submitted: Yes❑ No❑ FIXTURES W Lu Z < U) N U = m W 0= 0 0 LU W V N H O = W W Z H Zp W j ac W O h- W w W m 00 Q a H o 0 w X Lu rn v Z w _z = N 0 w W _ Lu W t- o Z W W Z U) J F- F O Z J C7 �- F = W - W W SUB BSMT. BASEMENT 1 FLOOR 2 N u FLOOR 3 FLOOR elFFLOOR ` --6'FLOOR 6 THFLOOR 7 FLOOR I Fr 8 FLOOR Check One Only Certificate# Installing Company Name: ���� , ;�� �ls�j,�✓ �if--�'� ^� ❑Corporation Address: 10 L l S 1� `�f City/Town: �l L1 Stater ❑ Partnership Business Tel: ?F6 F�L) FZ-0 Fax: 9'F'irm/Company Name of Licensed Plumber/Gas Fitter: INSURANCE COVERAGE: I have a current liability,insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes ®'No❑ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A 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 Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only ❑ Signature of Owner or Owner's Agent Owner EI Agent By checking this box❑;I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumb' Co and Chapter 142 of the eral La By Type of License: Q Plumber Title El Gas Fitter [Master Signature of Li nsed Plumber/Gas Fitter City/Town ❑Journeyman APPROVED OFFICE USE ONLY E] LP Installer License Number: 6 Date... .- . ..3, 03... . . HORTM p TOWN OF 0RH ANDOVER ' PERMIT FOR GAS INSTALLATION r AC14 s l This certifies that . . !t..�. � .� -Yy:':. . .'. ( 7. !r . has permission for gas installation �--?- .�i'�^. . . . . . . . . . . . . . . . in the buildings of C "-fry—z . :-. . . . . . . . . . . . . . . . . . . . . . . at '`fir.'. ---�- ! .�� �. . . . . . . . .. North Andover, Mass. Feed?t Lic. No. � . . . .�G . . . . . . . . . . . �. GAS INSPECTOR Check# 9i� 6567 MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date ��/Z 3/0 Building Loqations (.It r f✓ Permit Owner's Name Amount 0 IQ -414 New RenovationRep Dy lacement Plans Submitted ❑ � w � W C > W� x a � a c � � } � o > 0 SU B -BASEM ENT O 3 U O O W O w F U C a �. . BASEMENT- > O 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . .FLOOR. 8TH .' FLOOR (Print or type) Name �.�1/yj „� �� G Check one: Certificate Installing Company Address er Partner. usmess Telep one _ � [14irm>Co. Name of Licensed Plumber or Gas Fitter f�,j rINSURANCE COVERAGE a current liability Insurance,poi icy or it's substantial equivalentCheck one: Yes have checked es please indicate the type coverage by checking the appropriate box Noy insurance policy 0 Other type of indemnity D Bond . I am aware that the licensee doesnot the Insurance coverage required by Chapter 142 of the Owner's Insurance Waiver 13 Mass. General Laws,and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent Check one: Owner 13 Agent hereby certify that all of the details and information I have submitted(or entered) in above pplication are true and accurate to the best of my knowledge and that all plumbing work and ' ations p rf0d and r Permit ssued for s application will be in compliance with all pertinent provisions of the Mas achu Stat as Code Ch 142 of eneral Laws. Title gnature of Licensed Plumber Or Gas Fitt Plumber City/Town. Gas Fitter ' ' Icense hum er 13—Master APPROVED(OFFICE USE ONLY) D Journeyman � Location qQ aA /` ;?UV t No. Date y ? U NpRTFTOWN OF NORTH ANDOVER O' . o ,•'stip ?.• • ;L 16. 9 + ; , Certificate of Occupancy $ Building/Frame Permit Fee $ 70 1ACHUSE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # o7 6 18 '140 Building Inspector R TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING my }>f! - - BUII.,DING PERMIT NUMBER: DATE ISSUED: C ic SIGNATURE: —4 Building CommissionerAp9,Wor of Buildings Date z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Mxct A P�A Ln 10i 0 t Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Frontagp R 1.6 WELDING SETBACKS ft Front Yard Side Yard Rear Yard ReqWred Provide ReqWred Provided ReqWred Provided v 1.7 Water Supply M.G L.C.40. 34) 1.3. Flood Zone Infotaution: 1.8 Sewerage Disposal System: Public ❑ Private ❑ zow Outside Flood Zone ❑ Municipal ❑ ++ On Site Disposal System ❑ _t SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Lokxt5-t Caveman kN Name(Print) Address for Service 1 Signature Telephone ( ^ V�2. ner of Record: 4Name 66q-46y� � � Address for Service: Signature Telephone 90 SECTION 3-CONSTRUCTIO ERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: 'Q-p/ License Number r Address Expiration Date z Signature Telephone 3.2 stered Home Improvement Contractor Not Applicable ❑ C - �coCeJS I'Company N e� 13� ' 93 l a g r � � � � � Registration Number dd ss 0 �� i`' ENNIS r 4 `�'lU " & Expiration Date G) Signature Telephone a 14 SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) 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.......❑ No.......❑ SECTION 5 Description of Prosed Work check aH a bk New Construction ❑ Existing Building 0 Repair(s) 0 Alterations(s) 0 Addition 0 Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Pro sed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed b permit applicant 1. Building '-7 O(-V*-, (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee t,l x (b) D '_ 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PER I, �`"'� as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTIOA 7 b OWNER/AUTHORIZED AGENT DECLARATION I, Vb�ei� ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are t-:e and accurate,to the best of my knowledge and bqkf Prin F Si ature of wner/A ent V L Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIIv BERS i ST 2 NU 3 SPAN DINIENSIONS OF SILLS DUVIENSIONS OF POSTS DMIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CfMvINEY 1S BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ' Bay State Roofers, Inc. P.O. Box 189 North Reading, Massachusetts 01864 978-664-0668 MAILING ADDRESS: Louise Corman 40 Quail Run Lane North Andover, MA November 23,2004 RE: New Shingle Roof I Dear Louise, Bay State Roofers Inc.; proposes to furnish all material, labor and equipment necessary to perform the following scope of work: 1. Remove approximately 2700 square feet of the existing asphalt shingle down to the wood decking. 2. Install new ice and water shield along the 3' roof edge and around all the roof penetrations. 3. Install new 15 lb. felt paper throughout the roof area. 4. Install new white aluminum drip edge along the roof perimeter. 5. A new 30-year GAF Architectural asphalt roof shingle will be installed over the prepared substrate. 6. A new ridge vent will be installed to ensure the proper roof ventilation. 7. All roof penetrations and flashing will be installed according to the manufacturers recommended specifications and details. 8. Bay State Roofers, Inc. will properly dispose of all roof debris in our own waste containers. Total Price for this Work: $7,020.00 Deposit: 3,510.00 Note: Any wood decking that needs replacement will be an additional $2.00 per square foot. Any fascia that needs replacement will bean additional $3.00 per lineal ot. Authorized Signature: Waste containers supplied by Bay State Roofers, Inc. are for the sole purpose of roof debris. Under no circumstance, is the homeowner to use these containers for personal refuse. CONTRACT ACCEPTANCE The specifications,prices,payment schedule and attached Date: /.Z fele Conditions are satisfactory and hereby accepted. BAY STATE ROOFERS, 1Ne.is authorized to perform work Signature: as specified.specified. Payment will be made as previously outlined. NOTE: Unpaid bills over 30 days are subject to 1 112%finance charge per month(18%annual)Title: v PROVISIONS OF THE AGREEMENT I.PROJECT PROVISIONS e. Damage to Project: Contractor will not be responsible for any a. Guideline:The Project will be constructed in strict conformance damage caused by the Owner, or other causes beyond the control of to the plans and specifications which have been examined and the Contractor.Owner will pay for any restoration work. approved by the Owner. IV.CONTRACTOR'S RIGHTS AND RESPONSIBILITIES b. Compliance:The Project will be completed in strict compliance a. Delay: Contractor will be excused for any delay beyond his with all laws, ordinances, rules and regulations of the applicable reasonable control. These delays may include, but are.not limited to government authorities. Acts of God,labor disputes,inclement weather,acts of public authority, c. Control:The Agreement plans and specifications a(e intended acts of the Owner,or other unforeseen contingencies. to supplement.each other.In case of conflict,the plans will control the b. Right to Stop Work: If any payment under this Agreement is specifications and the Agreement provisions will control both. not made when due,the Contractor may suspend work on the job until d. Charge Orders:As directed by the Owner,constriction lender, such time as all payments due have been made.Any failure to make public body or ins payment is subject to a claim enforced against the property in pector,any alteration or deviation from the specifications that involves extra cost(subcontract; accordance with the labor,materials)will be executed applicable lien laws. only upon the parties entering into a written change order. Expense c. Substitution of Materials:Contractor may substitute materials Incurred because of unusual or unanticipated conditions will be paid for without notice to the Owner in order to allow work to proceed,provided by the Owner. that the substituted materials are of no lesser quality than those listed e. Allowances. If t-he Agreement price includes allowances,and in the specifications. the cost of performing the work is greater or less than this allowance, d. Salvage:All salvage resulting from work under this Agreement then the Agreement price will be adjusted accordingly. is to be retained by the Contractor unless other agreements are Il.FINANCIAL RIGHTS AND RESPONSIBILITIES contained in the written specifications. a. Labor and Material: Contractorwill provide and pay for all e. Insurance: Contractor will maintain workers' disability labor and materials necessary to complete the Project. Contractor is compensation insurance for his employees and comprehensive public released from this obligation for expenses incurred when the Owner is liability insurance policies. in arrears in making progress payments. V.COMPLETION OF PROJECT b. Permits:Contractor will obtain and pay for all required building a. Notice: Owner agrees to sign a Notice of Completion within 5 permits and licenses. days after completion of the project. If project passes final inspection c. Taxes,Assessments and Charges:Taxes,special assessments and the Owner does not sign the Notice,the Contractor may act as the of all descriptions, and charges required by public bodies and utilities Owner's agent and sign the Notice. will be paid for by the Owner. b. Clean-up: Contractor is responsible for removing debris and d. Deposit of Payments: Contractor is required to deposit all surplus material from the property, and leaving the property in a neat payments received prior to completion in an escrow account. In lieu of and orderly condition. such a deposit,the Contractor may post a bond or contract of indemnity VI.CONFLICT PROVISIONS with the Owner guaranteeing the return or proper application of such a. Arbitration: Any controversy or claim arising out of this payments to the purposes of the contract.All advanced funds will be Agreement that cannot be resolved, is subject to arbitration, with deposited as indicated under Special Provisions. Monies used in an arbitrator of mutual agreement, and all parties (including escrow become the property of the Contractor when they are applied Owner, Contractor, Architect and Sub-Contractors) are bound to according to the Agreement payment schedule, when a breach of this arbitration. If any party does not appear at arbitration contract by the Owner occurs, or when the Agreement has been proceedings,the arbitrator is empowered to decide the controversy substantially performed. in accordance with whatever evidence is presented by the e. Bankruptcy: If either party becomes bankrupt, the other party party(ies)that do participate. has the right to cancel this Agreement. b. Attorney Fees: If either party becomes involved in litigation 111.OWNER'S RIGHTS AND RESPONSIBILITIES arising out of Agreement, the Court shall award costs/expenses . a. Cancellation: Owner has an unconditional right to cancel the including attorney fees to the party justly entitled to them. Agreement, without penalty or obligation, until midnight of the third c. Limitations: No action related to this Project may be made business day after the Agreement was signed. Cancellation must be by either party against the other more than 2 years after the done in writing. Upon cancellation, any property traded in, any completion of work. payments made under this Agreement,and any negotiated instrument VII.GENERAL PROVISIONS executed will be returned within 1.0 business days following receipt by the Contractor of cancellation notice. a. Notice:Any notice required or permitted under this Agreement b. Property Lines: Owner shall locate and point out property may be given by certified or registered mail at the addresses contained in the Agreement. lines to the Contractor.Contractor may,at his option,require the Owner Agreement- to provide a licensed land surveyor's map of the property. b. Prohibition of Assignment: Neither party may assign this c. Liens: Failure to pay persons supplying materials or services Agreement or payment due under this Agreement without the written according to the terms of this Agreement may result in the filing of consent of the other party. mechanic's liens on the affected property. Owner has the right to ask c. Qualification:This document constitutes the entire agreement the Contractor for lien waivers from all persons supplying these of the parties. No other agreements exist. This Agreement can be materials or services. In the event any mechanic's lien is filed through modified only by written agreement signed by both parties. no fault of the Owner, then the Contractor agrees to take all steps d. Governance:This Agreement shall be construed in accordance necessary for the release and discharge of such lien. with and governed by, the laws of the state in which the Project is d. Insurance:Owner will maintain property damage insurance at located. least equal to the Agreement price. CERTIFICATE OF INSURANCE 04/QAATl (MA'SlDD/YY) 4/?005 uDUCER THIS CERTIFICATE IS ISSUED AS A NUTTER OF INFORAIATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE Brewer R.Lord LLC DOES NOT AAIENI),EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P U Box 91.46 Norwell, MA 02061 COMPANIES AFFORDING COVERAGE_ i INSURED I Bay State Roofers Inc !COMPANY A.I.M. Mutual Insurance Co P 0 BOX 189 ILETTER A North Reading, MA 01864 i i COVERAGES _ -- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOV,HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TER..M OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO 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. CO! POLICY EFFECTIVE POLICY EXPIRATIONS LEMITS 11Ri TYPE Of INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATL'(Sf\UDD/YY) jGENERAL LIABILITY i i I GENERAL AGGREGATE _S COMMERCIAL GENERALLIAuiLITY PRODUCTS-C0\1F'/OPAGG. i --- �- �LAIMS MADE! OCCUR; i PERSONAL&ADV.INJURY S —DOWNER'S&CONTRACTOR'S PROT. EACH OCC_iRRENCE 5 -- (FIRE D.ASSAGE(Anv one fire) ! S MED.EXPENSE(Any one person) S I !AUTOMOBILE LIABILITY i ! COMBINED SINGLE LIMIT F MY AUTO I j -- _-- --- i IALL OWNED AUTOS BODILY INJURY i S i�SCHEDULED AUTOS (Per pe,son) _ --- I �HIRED AUTOS i iBODILY INJURY —J (P.r aceidcno NON-OWNED AUTOS GARAGE LIABILITY � PROPER7 Y DAMAGE i S ! EACH OCCURRENCE EXCESS LIABILITY i ! - ---- AGGREGA"IF ! S I UMBRi:i_LA i:ORM bTHER THAN UMBRELLA FORM ! e C STATUTORY ; OTHER WORKER'S COMPENSATION AND i _1-IMITS — X' ---- ;EMPLOYERS'LIABILITY 'EL TACH ACCIDENT S 500,000 6008315012005 04/03/2005 04/03/2006 ------------- — A il'IIE PROPRIETOR/ F j INCL EL DISEASE--POLICY LINIrr s 500 000 PARTNERS/EXECUTIVE '� --- — OFFICERS ARE: ;X I FXCL Fi.DISFASF--EACH FMI'LOYEE $ 500,000 !OTHER I ! i ! I iI � I DESCRIPTION OF OPERATIONS/LOCATIONS/VEIUCLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE BAY STATE ROOFERS, INC. 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 240 PARK STREET LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. P.O. BOX 189 AUTHORIZED REPRESENTATIVE NORTH READING, MA 01864 p� ✓1e�omvnao�uuea a�,/L/aaoaclucael2a l \ Board of Building Regulations and Standards HOMEIMPROVEMENT CONTRACTOR Registration: 137193 Expiration: 10/15/2006 f Type: Supplement Card i BAY STATE ROOFER INC. _ ROBERT O'KEEFE f F 240 PARK ST. N.READING,MA 01864_ Administi I NORTH Town of over No. 10s13 WNW over, Mass,., 'Y/qf 1 /0700 4r COCH, ME WICK Ids RATED BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR .......... ... ...... .... ..... THIS CERTIFIES THAT......... .........co.r..M.04.6i Foundation has permission to erect....%1..* ............ buildings on ....Yo.......4* .......�t W pi . ....................................... Rough tobeoccupied as + ....... .......................................................................... Chimney . .. ......... ......... .. .. provided that the person**i��Oing*i�Wpermft s.hall.in.every..respect.conform to the terms of the application on file in Final this office, and to the provisions of the Codes and BY-Laws splating to the Inspection, Alteration and Construction of Buildings In the Town of North Andover. 161 ( %39 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES N 6 MONTHS UNLESS CONSTRUCTION STARS ELECTRICAL INSPECTOR $A ** ( Service ............................................................................ BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner P Street No. SEE REVERSE SIDE Smoke Det.