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Home My WebLink AboutBuilding Permit # 6/9/2015 %AORT)i BUILDING PERMIT 16 TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION 01- Permit No#: Date Received Date Issued: va, 00 ..& ACHUS "', J IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER -11 ")-e Print 100 Year Structure yes MAP PARCEL: ZONING DISTRICT: Historic District yes 0 Machine Shop Village yes zo TYPE OF IMPROVEMENT PROPOSED USE Reside tial Non- Residential 0 New Building ne family 11 Addition F1 Two or more family [I Industrial N-Aferation No. of units: 11 Commercial 1:1 Repair, replacement 11 Assessory Bldg 11 Others: U Demolition 11 Other g F.Illf�,f�151ilo"p,��(PtIl��il�,, g&�, gat�r S�'��'�f JtP %��/ �� '1� fi r/'��r'( �� r, y�J I r ��1� �j�i r��, l��i J� ul DESCRIPTION OF WORK TO BE PERFO E 41'r -4 Identification- Please Type or Print Clearly OWNER: Name: 1 1-. (:� -11 r t e, 4— Phone: J I Address: 5- 0,') -2L Contractor Name: E K) 6: I�F Phone: Email: Address: Supervisor's Construction License: AO 2 4,-, 3'�E: Exp. Date: 3r- l -2 Home Improvement License: I el `5r" —Exp. Date: b./- ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. el 4 Total Project Cost: $ FEE: Check No.: 5(op& Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund F XAORTH -Town oft _� �, Andover 0 No. bob- 1 W*`' ver, Ma O LAKE COCNICMEWICK N,!�A04ATEU S U BOARD OF HEALTH ERMIT T L �U Food/Kitchen Septic System THIS CERTIFIES THAT ..............ewt.va0"%........... ........................................................ .. • Foundation BUILDING INSPECTOR has permission to erect .......................... buildings on . .......... •• * ••�� Rough to be occupied as .......... .. .. ........ .............PM4.............. tcn .... ............................................ Chimney provided that the person accepting is permit shall in every respect rm 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final IT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR LESS CONSTRUel'10N ARTS Rough / Service ........... . ......................................... Final G INSPECTOR GAS INSPECTOR Occupancy Permit Reguired t® Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry (Nall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. VIOLA Raofl _ � � � f ince /81-� , -9 5 9-6/ello brle: 718 1 -,-02 5 Fax 78.1-925.-.915917 Job Location: 50 Cobblestone Circle North Andover,MA Price: Roof. $14,450 5 cu a Color: Payment Schedule: 1/3 DOWN (deposit) 1/3 HALFWAY POINT 1/3 UPON COMPLETION GAF CERTIFIED WARRANTY: Lifetime Shingle/Siding 1Oyr Workmanship 130 MPH Wind Coverage 1. Homeowner agrees to make all payments as scheduled. 2. Contractor agrees to provide all labor:and materials to complete job description. 3. Contractor agrees to work consecutive days weather permitting. 4. Contractor agrees to install all materials to manufacturer's specifications. 5. Workmanship is warranted for 10 years from date of completion. Option for GAF 25yr Golden Pledge warranty can be purchased for additional $850. 6. Homeowner is responsible for covering any storage items in attic and removing any pictures from wall. Page 1 of 2 Description of job to be performed and material to be used includes the following_ 1. Remove existing roofs and all debris from property into dumpster provided by contractor. Includes all roof areas. 2. Replace any rotted boards/plywood. Up to 100 sq./ft. is included additional will be $50 per sheet. Re-nail all loose roof boards as needed. 3. Install GAF WeatherWatch ice and water shield on bottom 6 ft. of roof and in all valleys and flashing areas. Rear low slope roof area will receive 100% ice and water shield coverage. Area over front door will receive 9 ft. of ice and water shield coverage. 4. Replace missing piece of step flashing at roof/wall intersection over front door. 5. Install GAF ShingleMate synthetic underlayment on all remaining roof areas. 6. Install 8-inch white aluminum drip edge and GAF Pro starter strips along the entire perimeter of house. Starter strips will be hand sealed to drip edge. 7. Install GAF Timberline HD Lifetime shingles using hurricane-nailing system on all areas. 6 nails per shingle. 8. Install GAF Cobra ridge vent and ridge caps using GAF TimberTex heavy weight caps, 9. Install new pipe flanges on all vent pipes. 10. Install new lead flashing and step flashing on chimney. 11. Protect all siding,windows, and landscaping using tarpaulins. 12. Perform magnetic sweep over driveway and lawn. 13. Clean out all gutters. Expected work schedule to begin: NOTES: this job will take approximately 1-2 working days to complete. Job cost covers permit fees. Please call me with any questions that you may have. CONTRACTOR X ~. = DATE. 's..,. ..., ; HOME OWNER X .. ° f, ... DATE: Page 2 of 2 rn U" 71-r,r111 « "v' cost NO 1 APTRps"Am! I YWAMTO wSwo =n W AM? in, ?"WMAG! 441=5 I py"l-M, COME" INAMM W 1"UNQ 4 QH" xl' mmsonvo! 140 MOPS,' I Q "Ol 45 my 0251", P t"r 'q j. , 'My"A", MMAW OuAl, "n!�r A, 7. 4: ----------- NO,, Ttl- 7747 ' The Commonwealth of Massachusetts Department of Industrial Accidents n pM, 1 Congress Street,Suite 100 i d Boston,M4 021142017 w� www.mass.govtdia ntractors/ Workers' CompensationlnsuranceAfdavit:Builders/CoIilectricians/k lumbers. TO BE T,LED WITH THE I"ERMITTING AUTAORITY please Print Le "bl A licant Information Name(Business/Organization/Individual): h � , 217'x, c Address: " '' City/State/Zip: : i 'hone Are you an employer?Checlr the appropriate box: pe f project(yeguired); (Rill and/or part-time).* ' dristruCtion 1. ° I am a employer with--4---"' employees 2.❑I am a sole proprietor or partnership and have no employees working for me in ]P.yE10N-w`' . F1 Remodeling any capacity.[No workers'comp.insurance required.] , ❑Demolition 3.Q I am a homeowner doing all work myself.[No workers'comp.insurance required.]t10 Q Building addition 4.n I am a homeowner and will be hiring contractors to conduct all work on my property. Electrical repairs or additions ensure that all contractors either have workers'compensation insurance or are sole12.Q plumbing repairs or additions proprietors with no employees. 13.o Ro6f repairs 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. / r 0These sub-contractors have employees and have workers'comp.insurance3 14. Other — 6.Q 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.] *Any applicant that checks box#1 must indicating they are out the ion below showing their workers'compensation policy doing all work and then hire outside contractors must submit an w affidavit indicating such. t Homeowners who submit this tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities ave employees. If the sub-contractors have employees,they must provide their workers'comp.policy number, r^my employees. Below is the policy and job site I am an employer that is pr^ovidingworker's'compensation insurance fo information. Insurance Company blame: .� .m Expiration Date: Policy#or Self-ins.Lie.#• � �,. City/State/Zip: m Job Site Address: Attach a copy of the workers' compensation policy declaration page(showing the policypunishable number . a fine up to$1,500 00 Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation pun Y and/or one-year imprisonment,as well ascivil at mentimaies in the form of a STOP be foxwaided to the Offi e O InvRK O t�igat ons of the DIA for irisuiER and a fine of up to 5a 00 a ce day against the violator.A COPY of this st Y coverage verification. I do hereby certify under thepains andpenalties of perjury that tlae infofmation provided above is true and correct. Date: 46 —Z . Si nature Phone#: r[Issuing ficial use only. Do not ivr ite in this area,to be completed by city or town official. Perm7it(License# ty or Town: Authority(circle one): Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Phone#: Contact Person: Cy Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 i Home Improvement Contractor Registration Registration: 178475 Type: Individual Expiration: 4/16/2016 Tr# 251161 BRIAN F. O'NEILL BRIAN O'NEILL 6 LANDMARK DR. METHUEN, MA 01844 Update Address and return card.Mark reason for change. Address n Renewal ❑ Employment Lost Card 41 C; 20M-05/11 ��2 /JO.717//ILOOLCCtgfL��11Q11jjctcXwjeffj Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTORbefore the expiration date. If found return to: stration: 178475 Type: Office of Consumer Affairs and Business Regulation xpiration: 4/16/2016 Individual 10 Park Plaza-Suite 5170 jo Boston,MA 02116 :IAN F.O'NEILL tIAN O'NEILL _ANDMARK DR. g _ a i THUEN,MA 01844 Undersecretary Not valid without signature I ? Massachusetts, Departrnent or Public Safety , %L7 .d &o.,e W n.., �_c._ ucattun19-r��yuiattuns and Standards Cor�structio�S•Supct,F:itior :Licerae: CS=.107638 BRIAN O'NEILL = �. 6 LANDMARK DiIVE Methuen MA 01844. 'r n+ a Expiration Commis-sioner 10/23/2017 :1