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HomeMy WebLinkAboutBuilding Permit # 4/6/2015 Vt BUILDING PERMITa5 o II' TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATIO x �sy Permit No Date Received f 2 ACH f Date Issued:4 IMPORTANT:Applicant must complete all items on this page - I r „sli dt .gyp Y TYPE OF IMPROVE_M_ENT PROPOSED USE Residential Non-Residential —6-N—ew Building F]One family ❑Addition ❑Two or more family ❑Industrial ❑Alteration No.of units: ❑Commercial /`,'Repair,replacement f]Assessory Bldg ❑ Others: " ❑Demolition ❑Other rm. / n��' DESCRIPTION OF WORK TO BE PERFORMED: I enti5cation-PleaseT pe or Paint OWNER: Name:Name: �y���t (Da �letA 2t�1 Phone: 7 1—� 7a�7 Address: 6 ME EM I=0 I, I ARCHITECT/ENGINEER Phoned Address: Reg.No. FEE SCHEDULE:BULDING PERMIT:$1200 PER$1000.00 OF THE TOTAL ESTIMATED COSTBASED ON$125.00 PER S.F. Total Project Cost:$ C, a2r FEE:$..' ```Y/ Check No.: l l 1 Receipt No.: 4 Q ZA NOTE Persons contracting with unregistered contractors da not hav access tD thgal arty fiend �r�e,.� A n d o v e r Town o f No. T%—IC3 !II'� Mass,Aw zolJr' Ver, Food/Kitchen PE PIT TO BOARD OF HEALTH ILDSeptic System THIS CERTIFIES . ,17%.....PAIP.TC BUILDING INSPECTOR ........... ......I.................. has permission to erect..........................buildings on ............... F...d,tj- to be occupied as ��. 1;0 R-gh 4 Af................................................................ chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Finzl 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 rml PERMIT EXPIRES IN 6 MO THS ELECTRICAL INSPECTOR UNLESS CONSTRVUARTS R-gh .............................................. ............ ..;-;..-..-.-.-..-.-.-.-.-.- . BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinrz 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. F—�� St—N,. Smoke—, Salem Vinyl Siding&Windows LLC 46 Herrick Circle,Pelham,NIL 03076 a Glenn Cote.....603-893-8043 44 yrs.ccrlificd Name of Purchaser: Mr.&Mrs.Patrick Contermarsh Date: 03-28-2015 Address: 113 Greene Street Phone:781-325-7087 City: North Andover State:Mass in Code:01845 AAAAAAAAAAARoofprojeCt.$10,120.00 payment%AA AAAAAAAAAAAAAAAAA 1. Ship off existing 2 layers of asphalt shingles;includes removal and clean-up and supplied 15 yd.dumpster for haul away..................................................... 2. Furnish and install...Certainteed,,Landmark,...Life-Time warranty,organic/asphalt Laminated Algae Resistance shingle....2,640 sq.ft....[Color...Georgetown Gray 1 3. Winterguard Ice+Water shield,rubber membrane(340 lin.ft.)---two rows of 3 feet...6 feet of coverage...can only be done with the removal of existing shingles. 4. Furnish and install Synthetic underlayment product....1,020 sq.ft. 5. Trimline Ridge Roll Plus ridge-vent system,80 lin.ft.,with low profile-...black.... '.. 6. Install new vent stack flashing boots......2 boots....... 7. White aluminum 8"drip-edge on all sides......350 lin.ft... 8. Use existing flashing on chimney...apply ice+water protection. 9. Job site to be cleaned in to dumnster and dish is included. 10.Optional:If third layer exists...strip-off labor+disposal cost...additional$900.00 '.. 11.Optional:Third row of Ice&Water protection...9 ft.total.......additional$800.00 AAAAAAAAAAAAAAAAA,.AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA Roof project:...$10,120.00,save$500.00 cash payment of$9,620.04 '. We agree to pay for the aforementioned materials and labor the sum of�9,620.00 dollars, in the following manner:payment • First Payment$3,620.00 Dollars:The balance of$6,000.00 Dolki s-to'be paid in ...1...payments of$6,000.00 upon roof completion. This order is subject to acceptance by seller.The seller shall not be liable for delays caused by strikes,shortage of material or any other causes beyond his control. The seller warrants that it will perform the terms of this contract in a good and workmanlike manner and makes no other warranties expressed or implied other than those written '.. warranties of the manufacturer and furnished to the buyer by the seller of any goods or materials supplied by seller. This constitutes the entire agreement,no other agreement,oral or written expressed or implied shall qualify the tern herein. Mass Lie;#CS 035152 Accepted Date...03-27-2015...................Glenn C.Cote Mass H.I.C.#114134 Ins.Co-operative av &T eler's Accepting Purchaser.... .................................... e Mr.&Mrs.Patrick C termarsh ^ Salem Vinyl Siding&Windows LLC 46 Herrick Circle,Pelham,N.M 03076 � �'� Glenn Cote.....603-893-8043 44 yrs.certified Name of Purchaser: Mr.&Mrs.Patrick Coutermarsh Date: 03-28-2015 Address: 113 Greene Street Phone:781-325-7087 City:North Andover State:Mass Zip Code:01845 AAAAAAAAAAAR00fProjeet..$10,12000payment`.AAAAnnnnnnnnnnnnAAA 1. Strip off existing 2 layers of asphalt shingles;includes removal and clean-up and supplied 15 yd.dumpster for haul away..................................................... 2. Furnish and install...Certainteeds,Landmark....Life-Time warranty,organic/asphalt Laminated Algae Resistance shingle....2,640 sq.ft....1 Color...Georgetown Gray 1 3. Winterguard Ice+Water shield,rubber membrane(340 lin.ft.)...two rows of 3 - feet...6 feet of coverage...can only be done with the removal of existing shingles. 4. Furnish and install Synthetic underlayment product....1,020 sq.ft. 5. Trimline Ridge Roll Plus ridge-vent system,80 lin,ft,with low profile-...black.... 6. Install new vent stack flashing boots......2 boots....... 7. White aluminum 8"drip-edge on all sides......350 lin.ft... 8. Use existing flashing on chimney...apply ice+water protection. 9. Job site to be cleaned in to dumpster and disposal is included. 10.Optional:Ifthird layer exists...skip-off labor+disposal cost...additional$900.00 11.Optional:Third row of Ice&Water protection...9 ft.total.......additional$800.00 AAnAAAAAAAAAAAAAAAAAAAAAAAnAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA Roof project:...$110,120.00 save$500.00...cash payment of$9,620.00 We agree to pay for the aforementioned materials and labor the sum of$9,620.00 dollars, in the following manner:payment o First Payment 3 620.00 Dollars:The balance of 6,000.00 Dollars to be paid in I...payments of$6,000.00 upon roof completion. This order is subjectm acceptance by seller.The seller shall not be liable for delays caused by strikes,shortage of material or any other causes beyond Iris control. '.. Tho seller warrants that it will perform the terms of this contract in a good and workmanlike manner and makes no other warranties expressed or implied other than those written warranties of the manufacturer and furnished to the buyer by the seller of any goods or materials supplied by seller. "Phis constitutes the entire agreement,no other agreement,oral or written expressed or implied shall qualify the term herein. Mass Lie;#Cs 035152 Accepted Date...03-27-2015...................Glenn C.Cote Mass H.I.C.#114134 In". Co_oporativo&Travelers Accepting Purchaser.................................................. Mr.&Mrs.Patrick Comennarsh . The Commonwealth ofMassaehusetts , .44 Department of LedustrialAccidems I Congress Street,Suite 100 Boston,MA 02II9-2027 wwminass.gov/dia Workers Compensation Iasnrance Affidavit.Buildms/Canhxetors/Eleotiicians/Plumbms. TO BE FILED WITH THE PERWRTfING AUTHORITY. ApiAhm.t Information Please P int Le ib] Name main./orgaoh,aaemTrdMdwI) _ i Address: Kz 1�41_r?Ic-�C City/State/Zip: ��r1,111 A�_�r/ Phone#: X03—f�/,/3—�5°©q3 elreyoo an employoR Check tfie appropriate box; Type of project(required): 1.❑Iamaomptoyer with employees(IDll and/or Par4lime).* 7.❑New construction 2.❑Iam sole pmprie or parhrembip and hav employees workivg formem $,E]Remodeling any rapacity.INo wordrem'comp.Insuranoer egni.d j 3 tamahomeownerdo' 1l workm self kers'eom.hremuneere aired. 9.El Demolition .❑ urge Y [Nawar p q ]t h.❑Iam a homeownerandwill be retlrst allcontractors eithehr uhiave workers'compensation irvuvameoro esole10❑Buildingaddition Il.❑Electrical repairs or additions prop4fomm wurnn employees. 12.❑Plumbing repairs or additions 5Jarsurra general contractor el I I—hhed thosubconhactors lislesonisbfisrhHsheet. 13.❑Aoofrepais `—'�'b sub- .fn tors have employee and in,workers omp.imm�wt 6.❑Weo corporation and itsofficers have exercised thew rirJrt.Ue ption pe,MGLa 14.❑Other 152,§3(4),audwehavenoemployees.[No workers comp.insurance required.] •Any appfc lh.checks box#I most also GIl out the sec[ionbelowshowing thcirworkers'compensotionpnicy hrfonnotion. t wn whosa6mitthis affidavit iridicaturg they am doing ellwork andthenhire ou4side contractors mustspbmftanewaffidavit indicaliag such. - kConna�tmstlw[checkth box must attachedanadditmalsheet showing tlu:name oftire sub-conhactomand state whetherm not those entities have emVloyees.]fthe sob-coritmctorsliavd employees,they must provide[heir workeis'comp.policy number I aan an,employer that is providing workers'copensation insurance f r my en ployees.'Below is the policy sad job site information. Insurance Company Namc: hal,lf�, Policy#or Self-ins.Lie.It: ExpirationDate: Job site Address:/ '111 City/State/Zip:/,/A SAL 1 1APS o/9(0� Attarhacopy of Cheworlcms'eompepsatimr policy dedaratimrpage(showing Lhe policy number and expiration date). j: Failure to secure coverage as required under MGL a.152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year impriso.unat,as well as civil penalties in the form of a STOP WORK ORDER and a fine ofup to$250.00 a day against the violator.A copy ofthis statement may be forwarded to the Office oflnvestigations of the DIA for insurance - coverage verification. Ido hereby certfyusn 8 'ofpeijury U:at the ii¢ormattm:in•ovided above is nue and cm,ect ✓C Sienane: �`r( �`� Data S �S ���/S• Ph ik 03_ 9 -_ 91-)43 Official use only.Do not write in this area,to be completed by city or ham;ohiiciaL. City or Tow: Permit/Licenae# Issuing Authority(cirds one): 1.Board of Health 2.Building Department 3.City,.,-Clerk 4.Electrical Inspector 5.Mulling Inspector 6.Other Contact Person: Phone#: r 061510:04I. Pappathan Insurance 603-635-1328 ° p.1 Are Ixim°omTN 16CERTIFICATE OF LIABILITY INSURANCE p4 O6/2015 I—i THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 5 CERTIFICATE DOES NOT AFFlRMATIVELY OR NEGATIVELY AMEND,E1(TENO 0A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.TH75 CERTIFICATE OFINSVRANCE DOES NDT CONSTITUTE AGDNTRACT BETWEEN THE ISGUING INSURER(Sj,AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT:If the certiflcete holder rs an ADDITIONAL INSURED,the poliglies)must be endorsed.If SUBROGATION IS WAIVED,subject to thetenasandconditlons of die policy,certain P°Iid.may require an erMorsement.Aslatement an Lhis cer0ficata tlees noL confer rlgM1ts to the certificate M1Pltler in lieu of such end°rsemenNsl wmEncr Chip Pappathan T aaepucan px°xe 6031695-1099 `jar_c,J,x�3J6]5-1338 Pappathan insurance Agency,Inc pmrzEss_ -'r PaPPathanlnsuancc.com.._ PO Box 878 -- aFR ArFOR°�Hd covew�c Pelham,NH 03076 Conco d Grouo ti I eComoanies._.. Vpeo Glenn Cote T velers Ind mn'tu m C nv DBA:Salem Vinyl Siding IxwaeRD_ 46 Herrick Circle ,nwxERa. - Pelham,NH 03076 mwxsa F: COVERAGES CERTIFICATE NUMBER: 00000000A REViSiON NUMBER: 1 5 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW NAVE sEEN ISSUED TO?HE INSURED NM1ED ABOVE FOR THE TOLICV PERIOD SSEE INDICATED.NOTWITHST1HO-ANYREODIREMEHEINSURANDEAFFDRDE BVTHE POLICIES OES-REDOEREIN S,SUeJECT TO ALI T�FTERMSHIS iIFlC NS MADCOISSUED OR MAYPERTAIN,T .P CEO PY PAIOo eRMS umT E%CLNSIONS ANO CDHDIHONSOF SUCH POLICIES.LIMITS SHOWN MAY HAVE fiE CDNw� r � "w SUPA"� M 0611112014 06/1112015 u- 1 DOO OOD vp.x c aAL uTM E189239-0 x 50 000 ,nsn�ADe XoccuR s q^ acx 5000 —I s 2 000 000 2000000 x`Pp�ro oSN j CAU169203 I65nTnoow'--5 cD" eurna 1000000 B ailEUAelurr arlPe.ano�l .xn e°oav m,u s .wr nmo scHeou�eo soouT,wuavlma�xm)s Au.oevaE° �-' x P6oPExn wxacE s Auros sonuro _Auros UC0969467 0511912014 05119r2015 8Ac __ 1,000,000 wR s B x xNSxeLLaLIAa� x ocDUx Her^�RxE"°E , aX°ESat,Aa GAIa_M4�� 050!Xr:<rexncrva 10000X �"- C H 6JUB-2E13212-3-14 wrznlzots oal2azo16 s — 100,000 nm, T L x,A 100,000 500,000 eHlPnaxnrnPrnAn«,a,�«An°"e,vEHKLSeIIecHe,m..aaa�o�sla�,e�M4�,�.�,x am�n�4a.,.,e��n„Rn.�e, CERTIFICATE HOLDER CANCELLATION 9NOVLD ANY OF E. ReeDPOLICIES BE CANCELLED BEFORE THEEXPIRA EWITi THE POLICY PRO 61 WILLBEOEDVEaEOIN Patrick COutermarsh Cceao4Nc — 113 Green Street North Andover,MA 01845 "TMOI pEP ” I: ©1 8-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) The AGORD aameand loge are registered marks of ACORDPHTn by ADP on Apri106,2015 ar 11:22AM I� �'\Office ofC Aff it&B sRcgul h n !'� �.OME IMPROVEMENT CONTRACTOR glstr t 114734 TyP 4 ( xpireCon B/6120'�5 DBA Salem V nyl,Siding 8 W ndows SII GLENN COTE 46 HERRICK CIRCLE PELHAM,NH 0306 tl d reecre } Massach I ttg epert t and St J f ds i B and of B Id9 Re9W w ns Co .t t Sipe .CSfm -035152 GLENN C COTE t II 46 AERRICK CIRCL&�,s� PELHAMNEi 03076 �" � _ r / ERpiration 0 813112 01 5 Commissioner