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HomeMy WebLinkAboutBuilding Permit #023-14 - Permits #023-14 - 54 THIRD STREET 7/8/2013 t Location Date TOWN OF Nawm ANDOVER Certificate of Occupancy a _..... FOUndafio�r� Flermr t FeeOther Permit Fee �..... .__ m� TOTAL µ 1, Check a iVcin inspector ....... ........ ......... ...... ............ . TOWN OF NORTH ANDOVER JAPLICATION FOR PLAN EXAMINATION Permit NO: ;` ' Date Received Date Issued: cpi IMPORTANT:Applicant must complete all items on this page LOCATION Pnrit PROPERTYOWNER . � Pnnt: 100 Year Old structure e MAP NO PARCEL ONING DISTRICT: Historic District yes' n -6 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 Ft Others: ❑ Demolition ❑ Other ❑ Septic Well ❑'Floodplan ❑Wetlands 0 Wa ershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: ` a- �° Phone: -� Address: e CONTRACTOR Name:' �J Address: Supervisor's Construction License: Exp. Date � �� 3 Home!Improvement License, Exp Dateli� ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.MOO PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ ,max® FEE: $ Check No.: Sl0 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access o th uar ty_fun Signature ofAgent/Owner Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ %AORTfl Town of IT ­11� ndover 0 No. � _- h ver, Mass, E� coc.iFe v e�1 BOARD OF HEALTH T LDPE �RMIT Food/Kitchen Septic System THIS CERTIFIES THAT ........... .'..Cv............ .................... ..... . .... - ►.t.. ..... BUILDING INSPECTOR Foundation has permission to erect .......................... buildings an .... . ....... ........ ...... ........... ®r � r�.. .� . ►. Rough to be OCCUpled as ........ .. .....�!.�� ..,........... .....,.. ... ...... ... Chimney provided that the person accepting this mit shall in every respect conform to the terms of the a lication 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 PERMITEXPIRES IN 6 MONTHSELECTRICAL INSPECTOR UNLESS C T T A Rough Service ........ ...... ... ............................................... Final BUILDING INSPECTOR GAS INSPECTOR ccu anE Permit Required to QccypMfuilding Rough Display in a Conspicuous Place on the Premises -- Do Not Remove Final o Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE The Commonwealth of Massachusetts Department oflndustrialAccidents ®fjZce of Investigations 600 Washington Street Boston,MA 02111 vww.mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers A licant Information Please Print Le ibi �� Name(BusinesslOxganization)individual): Le. y J Address: 521,J—e, ,je:,, - City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.4I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have Hired the sub-b-contractors 7' El Now• ❑Remodeling ction 2.El am a sole proprietor or partner- listed on the attached sheet.T Remodeling ship aud'have no employees These sub-contractors have S. ❑Demolition working forma in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp,insurance 5. El We area corporation and its 10 ❑Electrical repairs or additions required.] officers have exercised their 3.❑ t am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers.' comp. c.152,§1(4),and we haveno 12.[q oofrepairs insurance required.]t employees.[No workers' comp,insurance required.] 13 ther *Any applicant that checks box#1 must also fell out the section below showing their workers'compensation policy information. i Homeowners who submit this affidavit indicating they h're 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 their workers'comp.policy information. d am an employer that is providing workers'compensation insurance for rtzy employees Below is thepolley and joh site information. Insurance Company Name:_46r Policy 4 or Self-ins.Lic.i: U 12 j "3 ,V 61-/L Expiration Date: -2�- 1 Job Site Address: 7 .,.,..__ -� City/StatelZip: !'/• ,�ea��' vw. �4�'`/$" Attach a copy of the workeers'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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DTA for insurance coverage verification. Arlo hereby ce u r tTze ai grnclpenalties ofperjury that the information provided ahove is true and correct. Si nature. Date; Phone 4. Y Official use on1y. .Do not write in this area,to he completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person• Phone 9: s ,- s� 1nC$Stnet www.ajshomeservices.com i �yh AJ LtJrECltt1Y.QIJALITYAND REIIA$[U7Yw s BB .I' 1565 Lakeview Ave.,Suite 204 lather5lopperRaormg Contrsclgr I Dracut, Ma.01826 Aaron Beaudoin Cell:(978)807-4336 Office: (978)7354308 Fax:(978)7354327 NAME/ADDRESS PROPOSAL Richard Mooradkanian 54 Third St. DATE ESTIMATE# North Andover,MA 01845 �'� w 4/16/2013 2013-1847 Customer Phone JOB SITE (978)685-5202 54 Third St.,North Andover t; y JOB DESCRIPTION QTY COST SUBTOTAL iRoof -Remove&Replace Roof(all pitched roofs)Including wrap around porch 21,666,00 21,666.00 -Set up tarps to protect siding&grounds -Remove roofing down to roof boards,prep roof(bang in or pull out any { protruding nails)(If 1/2"plywood overlayment is needed because existing roof substrate is in poor condition,we charge$55/sheet to install -Apply 6'GAF Stortnguard ice&water shield along lower edges of roof(s7 and in all valley's and at all roof/wall junctions Apply GAF TigerPaw synthetic underlayment to remainder of roof area 3 -Install 7"(.025)aluminum drip edge to all perimeter edges of roof s:White -Replace all applicable pipe flanges E -Reuse existing lead flashing at the chimney,adding additional flashing as needed (If new lead flashing needs to be cut into chimneys add$475 per chimney) -Apply lifetime warranty GAF Timberline Architectural shingles to entire roof areas COLOR:Optional E -Clean up&dispose of all roofing debris -Any rotted wood that needs replacement will be an additional charge Misc. Carefully remove wood fence at top and reattach after completion 600.00 600.00 Misc. Trim back branches on trees as needed 400.00 400.00 Misc. Remove and replace roofing at 8 pedestals at top 800.00 800.00 Misc. Supply and install 20 oz.copper valley's at all valley's throughout roof. '(approx. 5,000.00 5,000.00 200') I �� , .. 1 ` t s TOTAL $28,466.00 Acceptance of Proposal:The above prices,specifications and conditions are' satisfactory and are hereby accepted. You are authorized to do the work as SIGNATURE \ specified. Payments will be made as outlined above. Office of Consumer Affairs and Business Regulation q 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Hama Improvement Contractor Registration Registration: 122560 Type: Private Corporation Expiration: 9/17/2014 Tr# 229851 A.J.'S HOME SERVICES INC AARON BEAUDOIN 1565 LAKEVIEW AVE. #201 DRACUT, MA 01626 Update Address and return card.dark reason for change. ;address ❑ Renewal 7 Employment L Lost Card SCA 1 G 20M-0511 Office of Consumer Affairs 73usiess Regulation License or registration Valid for individul use only DOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: l egistration: 122560 Type: Office of Consumer:affairs and Business Regulation ai, =' 10 Park.Plaza-Suite 5170 . xpiration: 9/17/2014 Private Corporatio; o' Boston,MA 02116 A.J.'S HOME SERVICES INC AARON BEAUDOIN 1565 LAKEVIEW AVE.#201 � DRACUT,IAA 01826 Undersecretary � Ikot valid without signature ZL6S £L0Z/84104 690£0 HN 'NosanH OV08 al3IJ�i0OZtl8 ZI, N iocinV38 NO�JVV SM'9?J :04 669001 `IS S :asuaz4. 1-1-m-[ It ;, It € suo t €r a € lin ) jh oa GJ s ' -te : 4/1/2013 Time : 11 : 41 AM To : @ 19784467103 Page : 002 .y DATE(tir0,DD1YYYY) CERTIFICATE LIABILITY INSURANCE 4,1,2 a 13 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 endorse-ment(s). PRODUCER CONTACT NAME NAMEi Teri Davis AAx ACSR Foy Insurance Group - Nashua HONN.Ext: (603)883-1587 AfC,No: (603)981-8506 350 Main St h-MAIL teri_davis@foyinsurance.com ADDEPESS- INSURERS AFFORDING COVERAGE NAIC Nashua NH 03060 INSURERA-Ptain Street America Assurance 29939 INSURED INSURER8:** Trav'elerS . A—T. 'S HOME SERVICES INC INSURERC: 1.565 J�A,FCEV.IK� A.VT, STE 102 INSURER INSURER E: IDPACUT MA, 018 2 6-3 3 2 4 1 I NSURER F: COVERAGES CERT[FICATE NUMBER:Master 7/2012-2013 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"iHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE FOLIC€E5 DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS_ :LTR TYPE OF INSURANCE AI3I7L SU9R POLICY Nlftp�BER f POLICY YYYY M�lDDlYYYY LI1,11TS LTR GENERAL LI.ABILfTY - I - SOD,000 500,000 A -A.:MS-�ADE ® B00764 /30/201z /30/2013 _ Ei= y 10,000 s v 500,000 000,000 _V'- ,.. GAT- - -5=_.. - - -s_c0,.:,, s - 1,000,000 AUTON10BtLE LIABILITY �'JS ED NI A":J ALL AJ UMBRELLA LIAR - EXCESS LIAS �,I sic - AGGREGnvl-- C-^ RETEI ON8 5 WORKERS COMPENSATION O :'AND EMPLOYERS'LIABILITY Y 1 N - A':1'FRr--ETA=;F-'A� �=nr= ,=❑ N:A B (Mandatory In NH) -_ _--,_ -A E -_ "E e ' CR f--J.1 - T_Ss Z;'. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks SCheduie,irmore space is required) Operations Usual and Customary to a Carpenter Contractor. *A request has been submitted directly to Travelers Property L Casualty to issue a certificate of insurance as regards workers Compensation Coverage for the Commonwealth of Massachusetts. This certificate w±ll follow under separate cover. CERTIFICATE HOLDER CANCELLATION (978)446-71-03 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLE0 BEFORE THE EXPIRATION DATE THEREOF. NOTICE VVILL BE OELIVEREO IN City of LoVrt ll Massachusetts ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Building Inspectional services 375 merrinack Street ALIT!-EO RIT E3 REPR-SENTATIVE , Lowell, MA 01852 Teri Davis, A41, ACSR ACORD 25(2010105) G 1988-2010 ACORD CORPORATION. Ali rights reserved. INS02S _ :: The ACORD flame and logo are registered marks of ACORD 03/21/2013 19:46 FAX 603 861 650E FOY INS NASHUA Zil 001;001 ! i-taghtf"ax C3-2 3/22/2013 4 : 48 : 1.6 Ali PAGE 2/002 Fax Server I CERTIFICATE F LIABILITY IN U C DATE(MNVDDIYYYY) TWSX-WTIFICATE IS ISSUED-AS A MATTER OF INFORMATIM DNL'YAND CQNFERS NO RIGHTS UPON THE CERTiFICAT CERTIFICATE DOES NOT AFFIRP ATiVELY OR NEGATIVELY AMEND, EXTENo OR ALTER THE COVERAGE AFFORDED BY THE POLICIES HELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PPODUC R ANDTHE CERTIFICATE HOLDER. IMPORTANT-ITthe certificate holder is on ADDITIONAL INSURED,the policy(ies)most be endorsad. If SUBROGATION 15 WAIVED,subject to he terms and conditions of the poticy.certain pol!cles mayrequire and endorsement A stalemerd on this Certificate dohs not canter rights to the certificate holder in lieu of such endorsernent(s). PRODUCER CONTACT NAME: FOY NSURANCL GRbUP PRONE FAx 350 kv1:P{N ST (AIC,Na,Ew: I&1C,NO: F-MAIL NASHUA,NI;1 03060 A00RES& 72WST INSURERIS)AFFORDING COVERAGE NAfC� INSURED INSURER A: TRAVaRRS PPOPU.TY CASUALTY CONU ANY OF ADdLRICA A,1,'S HGMLS SERVICES.114C, INSURER H: i INSURER C: R L7: 1565 LAKE!VTHW AVHNUE SUITE 102 INSURER V: DRACUT,MA 01,826 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER,. T KAVEBEEP4 ISSUEDTO TWEINSURED NAME'S?ABOVE FOR THE POLICY PEIRFOD 10101GATED, NUTWITHSTARQING ANY REUVNtEMETIT.TERM OR COPNQrTM GF ANY 00TRACT OR OTHER bOtV IMT WITH RESPECT TO WIWW THIS CERTIFICATE MAY BE ISWED OR MAY PERTAM- T14MIRSSUPAMCC AFFORDED BY r0r POISCIPS DPSCRSED MEERRN 15 SUBJECT TO ALL THE TERMS,ERCLUSIMS AND CON(IITUNS OF SUCH POLICIES. LIPAIT5 5}IQVJW MAV RAVESE'04 REDUCED BY PAID CLAIMS. WSR ADC} SUB PDLF;Y EFp OATS POLICY OW DATE LTR TYPE OFIN5V14AHCf L R POLICY RUMER (#AtiflDowyYYl (PAPAumyyYY) LM%TS GENERAL LIABILITY ACH OCCURRENCE g COMMERCIAL GENERAL LIAL3ILITY AMAGE TO RENTED S CLAIMS MADE ®OCCUR. REMISEG IEa acrurrance) ED EXP(Any cno Parson) i 5 ER,90MAL&AOV INJURY Is GEN'L AGGP.EGATE LIMIT APPLIED PE1R: ENERAL ACGREGATE S POLSCY 0 PROJECT ®LOG ODUCTS-COMPIOP AGG s AUTOMOWLIE L IAB1LIT'Y 111 COIVi6jNEp SINGLE 2 ANY AU I'Q _IMIT(Ea accilaem) ALL OWNEfa AUTOS BODILY INJQRY $ SCHC-DIJi-G AUTOS {Per per3nn) HIRED AUTOS ODILY INXRY $ NON-OWNED AUTOS ;Pet accident) FROPERTY DAMAGE $ (PeT aaciderg) UMBRELLA LIAB OCCUR F4CiOCCURRENCE 0 EXCESS LIAR CLAIMS-MADE AGC FRFGATE DEDUCTIBLE RETENTION S ' A WORKER'S COMPENSATION AND v wCSTATITr�r aT�� EMPLOYER'S LIABILITY YIN E,18-0527N139.12 0012312012 00123/2011 LIMITS 1 ANY AR0PFRfTMpARTNERIEXECVTIVE E:] NIA E 1. EACH ACCIDENT 5 100,0L}0 OFFICERNEMSE2 EXCLUDED? (Mund.lwy in NH) E.L.DISEASE-EA EMPLOYEE S 100.000 s'Yee,alFnOe Or er U E-L.OMEAsE-I>OLICY LIMIT 1 500,()X E7c9CRIr�rrOf+r AF 4P8�ArIO�IS L•alow DESCRIPTION OF OPER.14TiQNwLoO :ATIONSIVE4CLMPESTPJC ONSlSPECIAL ITEMS 7:rI5 RT:PLACPS ANY I?!(Tp?L C&RT,MrAT.E I35UE D TO TEM CSItTMCA7E3 HOLDER AFFECTING WORKEaS COMP QQVF—RASE, TIU UgZIURHP'S N:A Wr)RKSR9 CGhSPEN ATiO.N PoueY AND rf.3 T.I2✓M2D OTHER STATES 3NDORSE MRNT AtrT 01t 25S T"1HE:PAYMENT OF BiNEE T•-$ CIt UAW.5 d FAUE$Y'i ri'E??S9Y1k1?TJ'S haA 731VIYLC7Y20q G^r STATB9 07 ER THAN.NA. NO AUTEiOR2ZATiON IS OTV�AT TG PAY CLAIbL.FOIt IIEIIEFITS IN STATES OT iE', TISAN N.A rb'TLxT DISSJP.L-D f•iLR>"S,(TR ISAS TI ..ED B LnYEE;±OVT9I175[x�4:R THI4?OLICY DOI) S N(W vkOVrr7R COV-Tt.AGP_FOR ANY STATE CITE ER TFAN%IA— TUC T TQTmunrc©a nr vc^D=Tn[Yuc—.rnT -Ar T::rlV l.rta CQa!`r1rT4Q TT^- MWONWEALTHOF) MSSARUSEM Office Use only a DEIR77Ol�PUI3IC�1 FL'1 ' Permit No. 9 Ct BOARD OFFMEPREVEVIYONRE"GL A770AN527CW?12-00 Occupancy&Fees Checked A_p pL[C4.i7oNFORFFJ?A47TTO-PFRFORNIELECTMC4L WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH I7-IT tAA.SSACHU SSTS ELECTRICAL CODE,527 MIR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date � Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. MAP 1 PARI'EL Location(Street&Number) Owner or Tenant '' Owner's Address ' Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building 51 m l f �I Utility Authorization No. Existing Service �0_ Amps / `�IU Volts Overhead U I JUnderground No.of Meters New Service Amps Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electncai Work No.of Lighting Outlets No.of Hot Tubs No,of Transformers Total KV A No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FRZE ALAP-AS No.of Zones Tons No.of Disposals No.of Heat Total 'rotal No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.ofDryers Heating Devices KW Local Municipal Other Connccttons No.^f Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER' Ir�.stiu�eCa�-age.Ptustlattttott��tl�ar�a�2safNalse4tsCset�aliaws IlaaaureLaL�litylr>stuael'olYnrl€xfsgCcn>pk� Cac[�a �iiss€I�tarltialet �ivalEr�t YES NO lbawa x EdvandptoofcfsmT&toit-t YES L�JNO lfywhawdmiuiYES,p�eitaliCatel4�etyFe�ca�e�agebsl qpqTialebm r f r �'-' Y tllL1P,(7� C.d1 WViCi.0 Wta ko&ut .� ..� R Far1a1 �� J7't Sgiodun3ffTePet lti sofPT FIRNiNAlV1E Liaet�eNo �/ r �� Y - � , AIL T(i No. OWNER'SIlN15tJRANC.BWAIVE[-' iaznawaieaiA€JwI iunsedoes rithaye iirmsmir=Xu agecricss�It u55a1 uvak stasrec dhyMa > tsC xiallaws a>�i thatmy 5zg�¢e cai this�i�it a �wdi�Es tins � (Please check one) Owner Agent El Telephone No, PERMIT FEE,S 1gnatu—re cat wncr or r 7gent