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HomeMy WebLinkAboutBuilding Permit # 6/18/2015 BUILDING PERMIT TOWN OF NORTH ANDOVER o� - APPLICATION FOR PLAN EXAMINATION Permit N.#Vo Date Received CHASES Date Issued: PORTANT:Applicant must complete all items on this page LOCATION �S;8 J� Print PROPERTY OWNER1,-d-�':' ,' nt 100 Year Structure yes MAP PARCEL. ZONING DISTRICT: Historic District yes _nq Machine Shop Village yes 'gj TYPE OF IMPROVEMENT PROPOSED USE I Residential Non-Residential E New Building _ --1'pne family ❑Addition ❑Two or more family Industrial ❑Alteration No,of units: Ou Commercial ARepair,replacement ❑Assessory Bldg ❑ Others: ❑Demolition ❑Other PAWN 20 _ d a.: _ e •e- sr DESCRIPTION,P WORK TO BE PERFORMED: Identiific tion-Please Type n i.t Clearly OWNER: Name: lam v3 r Phone: Address: Contractor Name: 1114- /�"''fi Phone Address:a/ .-L, Supervisor's Construction License:CS 069Y Exp. Date:,;•. �-A/ _ I Home Improvement License: /'a�;a2 Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg.No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COSTBASED ON$125.00 PER S.F. Total Project Cost: FEE: 1 FEE:$ Check No.: �i�tP' Receipt No.: NOTE: Persons contracting with unregistered contractors do not have acceYs to the gua Panty fund f � � ORTH Town of Andover No. h ver,Mass, BOARD OF HEALTH tehe PERMIT T ILD 5:-tX,System ,),4, BUILDING INSPECTOR THIS CERTIFIES THAT... ...... .. .. �.'z......................... Foundation has permission to erect..........................buildings on............ 0� Rough ............ to be occupied as............ k ............................. 'h-ey provided that the person accepting i's'permit shall in every respect conform 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough I'mel PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS ri-I R-gh S—ee ............ ...........X.t BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildhiq Rough Display in a Conspicuous Place on the Premises—Do Not Remove Fi.1 No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. B"r" Street No, Smoke Del. Page No. / of Pages Supervisor CS 068461 Fully Licensed&Insured Home Construction Reg.#146722 r/ �� � B Crl ® s 3 coffecrlc" 978-276-3043 CatainTeetl C-0 nn nbu,�bM,TEn � _ s. STREET R cm, pbc bLOCAi ON w fly bm�spe tons and esrmt i .-. Recommentled Od"onal (Included in prioe) (Not included in price)li Rip&Remove all shingle debris from roof&job site::11 layer 1d2 layers :13 layers or more Repair/or Replace any roof decking;not to exceed 50sq.ft. Install e"aluminum drip-etlge/and rake-edge along entire perimeter.Choice of mill„white or brown Install ICE&WATER untlerlayment along horizontal eaves valleysky,ig y sitlewalls ands I ht5&chimne 5 lJ _ f Install-premium base sheet untlerlayment between roof deck and roofing shingles 8 15 Ib.felt O 30#.felt Install 25yr CertainTeed/GAF/IKO traditional3-tab roof shingles❑30 year s Install CortainTeed(GAF/IKO architectural IlLfRoldre roof shingles "See manufacturer warranty policy for more details Install ne aluminum vent pipe flange(s) Chimney(s)-counter-flash and re-step existing flashing Cut&Install new lead flashing Ridge-vent/exhaust vent with low profile design,hidden by shingle caps , ❑Soffit_ventilaticn J Roof louver-vents • Seamless style aluminum gutters-custom fabricated at job site ❑downspouts Other f( F v� O'Keefe roofers will properly dispose of all roof debris in our own dump truck. "Please Note:Al items in roof attic should be removed or covered due to falling roof panicles,at time of roof tear-off Price includes all items above that are checked only/others may be priced separately upon request. WE V—pusc hereby to furnish material and labor-complete in accordance with above specifications,fo c sum of: Total price not Including options.dollars($ Payment to be made as follows: 30%deposit required upon delivery of materials.Balance one in full per day of completion. _— Please make all payments out to Michael O''Keefe,21 Francis St.,No.Reading,MA 01864 -ale charges of$50 per week for all outstanding bills due up y o withdrawn by Us if not accepted w/ on da f Auth d complet on Signature Accept ng proposal means agreeing to the terms of the enclosed binder Note This proposal may,be l-rmbact y p within days „ f,>,,,,,,..„,Y.„nnr,�m/a„� trt rf t J! Z f 1 I d Off M fed, ll 11 1 =1(V 600ty 1 , "So-Z W,rltrrs'Con I e—lion o,"'tu ce Affidavitt Bald(. 4 ontI actoI /Flectl 1ci;l s/PIll fit lit Trial I ylrt 1, fyl"M1 1 t 1..,h....,it II I.l I;: h"d 1 t-z II .l ll I� �I WoUr-I Ll wI,,It1 II w�fk a n I.1 vl h f h, r, aar Pi 1 b 1 M p Id C:I u I R f iel�: a1 r 1a.Clou,rl a pl ytcs_(No k.:� rmi�_i„�:urantx.,e,lt�ved J l_r � poi,iv - IOY'-'.I cY r v a iha wciku. 4 Pol vY' �c� /n rployu'Ih,l /- irlinf,v, k__ c,mpu t r r�,,,or .for my ernpl,�vi Ifrlow Ir ynliiy urdlf6l,fr f y w.�,;,�_ u2rc,��, 12G�rtl�✓i,__ :�lla<li en l,y of Ih,.w s ,.oiny Inn Iruliey I el u,al I'g� (A—mg lir.yul-ey nt I i„I ex1 r: iii'I""). cd I� \ccl urn)SA uC' Wil” IS7 ca,Iczd to 11_ cl I:d I i�z„t.1 ul�l 61.00 Oh"'Id/ o y,.a,� l tnl, w r.11 a cvlicralle; the fr„ ufI 101'W(1R.K ORI').I. ...I.i r�(uO In A 00,day he violator Be od—,d at,,a copy of(his may he 101—Itif In (11 lli r ) .. ,fpj,,w mrn if ,,,d i 1 , ,o b ,ylcrad b, a onn oJf,mf ,,e 3 C lyl i I,-!'I 1 H, I ItI I"'p"I” I l i-.f, VnUN�/11/20t5/THU 10:13 AM A&K FOWLER INSURANCE FAX No.9786642209 P.061/061 � CERTIFICATE OF LIABILITY INSURANCE si�ai2o�5' THIS CERTIFICATE 15 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 dghls to the certificate holder in lieu of such endorsemenl(s). oUCR A6KFowler Insurance (9']8)664-D- 200 Park St INN REaISI AFFORDING covERACE North Reading BPI, 01864 RA:Penn America Insurance Co. OSK—Ee Roofing LLC 21 Francis St. North Reding MA 01864 COVERAGES CERTIFICATE NUMBER:CL1491907021URE 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 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. L U-111 NITS$ 1,000,006 XNc Rr.w-c IIly $ 50,000 A _ ms.NA Ur❑X o ILR 1Seas25 s/B/2o14 s/B/2o15 rxF lAny on peCrsonL y 5,000 I 1,000,000 I 2,000,006 cc g 1,000,000 XNP 3 o FILE LIAST11 C av lPerpeim—,,n) g D iYlPa� $ PIN 6AUE LED Aoro ..To0 $ g eRELLA LIAe g IT 11 AND EMFLOY RSE orkers Compensation c t H I ANY PEwNIM6CaP�wFRA%a1TIVF. N r j�xPi naaoryln Nm ofcllo,a from AIM Mutual _ -_ FI CFt56RlP T I mrn Al..nor,A-11—R.---1..vmo,..Paa m,.nm,.a� Insurance verification Ns-W Es 1A.—lease re Pfer to actual policy for all other terms, conditions and exclusions. CERTIFICATE HOLDER CANCELLATION (978)688-9542 SHOULDANY OF THE ABOVE DESCRIBED THE EXPIRATION O THEREOF, NOTICE POLICIES WILL ECA-ELLE—I.R. E DELIVEREDO IN Town of North Antlovex ACCORDANCEWITH THEPounY PROVISIONS. 120 Main St. North Andover, MA 01845 THowzeo REFRESEnrATrvE Nicole Orlanzo/NMO �" ACORD25(2010105) ©1988-2010ACORDCORPORATION.AlIdght--rued. INS025( Dodo The ACORD name and logo are registered marks of ACORD It y o o 9 n 3 i N� y