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HomeMy WebLinkAboutBuilding Permit # 6/16/2015 i NORTH BUILDINGPERMIT L TOWN OF NORTH ANDOVER ® � � APPLICATION FOR PLAN EXAMINATION Sao y Permit NO: LO - Date Received A�gAT@O PPP`�67 �SSACHus�� Date Issued: IMPORTANT: Applicant must complete all items on this page LOGATION; I=RpPERTY t i Prig# 11IIA� NO � PARCEL �ONI(�G DISTRICT � Histortc:D�str��t yds rr� s TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ ne family ❑Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial epair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ eptic ❑Well Cr Floodplain ❑1lllettantls ❑ V�lai<ershed D�stnct ❑i.Water/Sewer Identification Please Type or Print Clearly) OWNER: Name: 12 Phone: Address: COTRACTCR f Name Pita Address up '$""""/ -6i 's ruction Lt rise 1D < < Home Ir>I��rauem�nt,��cens� _ D��� 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. Total Project Cost: $ 6-/ �' r FEE: $ Check No.: Receipt No.: �2�T;e d - _ NOTE: Persons contracting with unregistereontractors do not have access to the guaranty fund ,9 $ignature'of Agent/Owner `� Signature of contractor,,,------: t%ORT H Town of ndover 0% No. CO LAKE h V�Y, a.SS, COC KICNEWICK 79 ADR�iYED S U BOARD OF HEALTH PE IT T LD Food/Kitchen Septic System THIS CERTIFIES THAT ml� .....4f'.01'odl. BUILDING INSPECTOR ..... ....................... .................................................... Foundation has permission to erect buildings on 9, sC /� .......................... .. .. ....... ......... y� Rough to be occupied as ..............� .........1`.:f..�lF/�.r:G?.�............................................................................ chimney provided that the person accepting this 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION S ARTS Rough Service ....... 4.,,..,.,..r............................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Burner Street No. Smoke Det. 4, LeClair Roofing & Weatherproofing Inc. 830 Livingston Street#13 Tewksbury MA,01876 (978) 851-8304 FAX (978) 851-98 PROPOSAL Pro,p,-,,-,i,3��z'.-m—;7ntd T,: Phone: Date: Jc,hn (978 ) 681-0638 May 15,2015 �Frtr, Salesman: Contact Person: "9 3� al� S rre et Gerard Nolan John Draper Job Location --'\-onh 393 Salem Street,North Andover MA Massachusetts Home Improvement Contractors Registration Number: 121050 Expiration Date April 1,2016 Federal Identification Number 04-314-1810 '�A'e hereby propose to furnish labor and materials to install new shingle roof to manufacturer's specifications by the following: This estimate covers the following roof areas: Fr n! --fain Roof, Two rear Side-lt,alls, Rear Dormer and Front and Side Bays. Preparation: 0 Tarp the building for the removal process. * Protect all shrubbery as required 0 Tarp and protect the rear deck as required 0 Leave any existing ice and water shield in place. 6 Cut a new opening in the existing sheathing for the new ridge vent on the main ridge only. 9 Inspect for and replace any broken,rotted, or missing roof sheathing. Any sheathing replacement cost depends on the type of sheathing. Any ledger board sheathing replacement will be installed at an additional $6.00 per linear foot and any plywood sheathing will be installed at an additional $75.00 for replacement of V2 inch CDX plywood per partial or full 4 foot x 8 foot sheet. We will try to match the existing sheathing as closely as possible. 0 Inspect and re-secure the any loose sheathing as required. Installation: • Install new White, Premium Brown o Mill finish 8 inch aliu-ninurri drip edge along all eaves and rakes. • Install Ice & Water Shield 6 feet along the eaves of the roof. • Install Ice & Water Shield 18 inches around all penetrations. • Install Ice & Water Shield at flush to the wall at all roof and wall junctures. • Install Ice & Water Shield 18 inches at the chimney. Install Ice & Water 100 %coverage over the rear dormer roof. Cover the balance of the roof with 15 lb. Felt. Install a starter course on all eaves. The shingles will be installed using roofing nails by pneumatic roofing tools. Page 1 of 6 srryn���es that will'ce used are GAF Timberline HD (Architectural). cuoice of standard manufacturer colors: a nl-w G:',F Cobra Rolled Ridge Vent at the existing ridge openings and extend to the ends of A A Ridge cap shingles on all ridge and bay hips. -e v rent pipe flashing up to 4 inches. Any larger will be properly sealed. _ _ems d seal the existing chimney flashing and counter flashing. Any new would result in an c,s€to the contract. seal the existing sidewall flashing. Any new step flashing replacement may require siding _lis would result in an additional cost to the contract. sea: the existing heat stacks and other penetrations. Any new would result in an additional -act. -e-secure existing gutters. Ski lizhrs: m the existing Veluex skylight and pitch kit. _x= nailer at the perimeter of the opening. r-e-, Veluex ECL skylight flashing kit. (Supplied by others.) The Veluex skylight. (Supplied by others.) ce and water shield as required and properjy tie into the new roof Our Proposal"Includes The Following: Clean and legally remove 99.9% of outside job-related debris. The jobsite will be cleaned daily. 1 require space for a dumpster. The placement area will be agreed upon before placement. P-o--ide standard GAF Limited Lifetime shingle manufacturer's warranty. P-o.-ide standard LeClair Roofing & Weatherproofing Inc. (2) year workmanship warranty. C=.- all necessary workers' compensation and liability insurance. Contract Requirements: V-' '.1"i require electrical power in close proximity to the work site. `-_i• electrical wiring on rakes, eaves or other areas that will endanger LeClair Roofing & '1� eatherproofing Inc. personnel will be removed or covered by others before the start of the project �__ reinstalled by others after completion. Unit Pricing for Unforeseen Conditions: ® To cut a reglet and install new lead counter flashing on one chimney would be an additional $395.00 du Lng the roofing project. r - .- idewall flashing will beat $25.00 per linear foot. Additional Labor and Material Costs for Unforeseen Conditions if there is NO CHAGE ORDER: s _Tned change order with a description of the work and the proposed cost will be provided before ,HC work is started. If there is no signed change order any additional work beyond the above scope of % ,irk v ill be done at a rate of$75.00 per man per hour for roofing and $80.00 per man per hour for sl<eet metal and carpentry (rates subject to change),plus materials,portal to portal and $.58 per mile tray el expense and any per diem charges UNDER N C CIRCUMSTANCES SHALL ANY ADDITIONAL WORK TAKE PLACE WITHOUT THE OWNER'S AUTHORIZATI®N Page 2 of 6 �j Contact Notes: 0 This proposal is subject to change unless acceptance is made within 30 days of the date of issue. * _U 'Viassachusetts Sales taxes are included in our proposal. a Sutject to manufacturer's price increases as they occur. a U ,vork- Nvill be performed per OSHA safety standards. Skvllaht Notes: Afftter consulting Veluex about the pitch kits the solution expired above was way to install new Veluex skylights on a pitch of 2 percent or greater. Required Permits: Our proposal covers the cost of any required permits and will be secured by the contractor as the hcimeo,wner's agent. (O-wners who secure their own permits will be excluded from the Guaranty Fund provisions of MGL chapter 142A.) Contract Acceptance Upon signing, this document becomes a binding contract wider law. Unless otherwise noted within this document. the contract shall not imply that any lien or other security interest has been placed on the residence. Review the following cautions and notices carefully before signing this contract. Eslirnaed Start Date: Estimated Completion Date: T'he Start Dates Given Are Weather Dependant And Will Be Decided'Upon Acceptance Of The Proposal. TVe propose hereby tofurnish materials and labor, complete in accordance ivith above specifications, J;gr the sum of. Fight Thousand Six hundred Twenty Five Dollars ($8,625.00) Pavinent terms are to be as follows: 1 -)sit 3 Depc $ 2,875.00 13, At Start $ 2,875.00 'Balance Upon Completion $ 2,875.00_ 'Total Pavrnents $ 8,625.00 DO NOT SIGN TIIIS PROPOSAL IF THERE ARE ANY BLANK SPACES LeClair Authorized Signature - Sign Here Date: Mav 15.2015 Date Here ACCEPTANCE OF PROPOSAL—The above prices, specifications, conditions and additional terms are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance '5� Signature: Date here Signature: e��91'1']4ere Sign Here Please Make Cheeks Payable To Steve LeClair Pane 3 of 6 Contract Arbitration The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract, the contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided in Massachusetts General Laws, chapter 142A. Ho e�) v� Si Contractor's Signature Sign Herergl�lr Sip Here NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Additional Proposal Conditions Proposal Contingencies • All agreements are contingent upon strikes, floods, accidents,fires and other delays beyond the control of the roofing contractor. LeClair Roofing& Weatherproofing Inc. maintains required levels of Workers Compensation and General Liability Insurance. • It is agreed that all payments will be made when due. Warranties will be void if full payment is not received. It is further agreed that the customer will pay all costs of collections incurred by LeClair Roofing& Weatherproofing Inc. including but not limited to attorney fees, any cost associated with recording liens,and any other associated charges. It is also agreed that any late payments will accrue finance charges a 1.5%per month finance charge will be added to all invoices on the 31"day. All legal and/or collection fees will be paid by Buyer. • Any alteration or deviation from the plans and specifications involving extra costs not specified in the contract will be agreed upon in verbal or written format prior to performance of additional work. • All materials to be as specified (or equal to or superior in performance). • All work to be conducted in a workmanlike manner. • This proposal MAY NOT be used for any legal or lawsuit cases unless approved by LeClair Roofing & Weather proofing Inc in advance and any costs approved in advance. ® Although the execution of this contract does not initiate the filing of a lien,LeClair Roofing& Weatherproofing Inc. reserves the right to file liens for non-payment as allowed by law. Structural Concerns • Contractor is not responsible for structural soundness and shall have no liability whatsoever for the supporting structure to support men,materials, equipment, ice, snow or water. This clause shall apply regardless of the timing between the occurrence and the performance of the work. • Contractor is not responsible for interior damages resulting from structural deficiencies as outlined above. Exclusions 0 Contractors scope of work shall not include the detection, abatement, encapsulation or removal of asbestos or similar hazardous substances. The contractor has the right to discontinue work if and when hazardous materials are discovered. Contractor shall be entitled to receive compensation for changes in the scope of work or length delays encountered as a result of hazardous materials as detailed above. 0 Bonds, snow removal, painting and cleaning of dust and or particles in attic after roof removal, acts of nature, "inter conditions and snow shoveling. Page 4 of 6 Cancellation: Under sections, MGL c 93 s 48; MGL c 140D s 10 or MGL c 255D s 14 as may be applicable, you may cancel this agreement if it has been signed at a place other than the contractor's normal place of business, provided you notify the contractor in writing at his/her main office or branch office by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement. See the "Notice of Cancellation Form" as well as the"Waiver of Right to Cancel Form" below for additional information. NOTICE OF CANCELLATI®N REQUIRED BY FEDERAL and STATE LACI Date of Transaction �� L' l You may cancel this transaction without penalty or obligation, within three business days from the above date. If you cancel, any property traded in, any payments made by you under the contract or sale, and any negotiable instruments executed by you will be returned within ten business days following receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel, you must make available to the seller at your residence, in substantially as good condition as when received, any goods delivered to you under this contract or sale; or you may, if you wish, comply with the instructions of the seller regarding the return shipment of the goods at the seller's expense and risk. If you do make the goods available to the seller and the seller does not pick them up within twenty days of the date of cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the seller or you agree to return the goods to the seller and fail to do so,then you remain liable for the performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other any other written notice, or send a telegram to: LeClair-Roofing& Weathei pt•oofing Inc. 830 Livingston Street Tewksbury MA, 01876 Not later than midnight of I hereby cancel this transaction. Date: Buyer's Signature: Page 6 of 6 u The Commonwealth ofMassachusetts Print Farm Department of Industrial Accidents Office of Investigations I Congress Street, Suite 100 Boston,AM 021142017 www.mass.gov/dia Workers' Compensation Insurance affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly NaTTiB(Business/Organization/Individual): LeClair Roofing&Weatherproofing Inc. Address:830 Livingston Street Unit 13 City/State/Zip:Tewksbury MA, 01876 Phone#:(978)851-8304 Are you an employer?Check the appropriate box: Type of project(required): 1.R✓ I am a employer with 25 4. ® I am a general contractor and 1 6 ®New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ®Demolition working for me in any capacity. employees and have workers' 9 n Building addition [No workers'comp.insurance comp.insurance.t required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself. [No workers' camp. right of exemption per MGL , 122]Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are 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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Star Insurance Company Policy#or Self-ins.Lie.#:WC0707947 Expiration Date:1/01/16 Job Site Address:- -° City/State/Zip: Attach a copy of the workers'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 DIA for insurance coverage verification. I do frereby cert! under tlse mass and ertalties ofperjury thatthe fn ormation provided above is true and correct. Signature. / Date Phone#:(978)851-8304 Official use only. Do not write in this area,to be completed by city or town offaciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: OP ID: AT IFICATE OF LIABILITY INSURANCE DATE(MMIDD(YYYY) f 01/14/15 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 endorsement s). PRODUCER Phone:781-935-8480 CONTACT DeSanctis Insurance Agcy,Inc. NAME' 100 Unicorn Park Drive Fax: 781-933-5645 PRONE Fax — Woburn,MA 01801 (E-MAIL No-Ext): --- ADDRESS: PRODUCER CUSTOMER_@#_.LECLA-1 SURER(S)AFFORDING COVERAGE - NAIC# - wsuREo LeClair Roofing& INSURERA:Acadia Insurance Company 31325 Weatherproofing,Inc. _ y - _ _-- - 830 Livingston Street INSURE :a Star Insurance Company 012245 Tewksbury, MA 01876 wsuRER-c: - - - INSURER 0: INSURER E INSUREftF; COVERAGES CERTIFICATE NUMBER: 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. LTRTYPE OF INSURANCE --POLICY EFF POLICY EXPIUSR MD INSR POLICY PVUPdaER LIMITS GENERAL LIABILITY EACH OCCURRENCE _ ,^y 1,000,00 ,lMERC,IAL GENERAL LIAHILITY ' ;CPA5077662 01/01/15 COI 01/01/16 MMS(Ea occurrence. $,_ 250,000 A X CLAIMS-MADE X OCCUR MED EXP(Any-one.person) S 5,00 X Blkt Contractual - - ---- ------- ---- ,PERSONAL&ADV INJURY S 1,000,00 X ''XCU Hazards --- _....._._ GENERAL AGGREGATE S 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER !, '_PRODUCTS-COMPIOP AGG S 2,000,00 POLICY' X 1 PRO- LOC ! - ------- -5--- --- .-_ AUTOMOBILE LIABILITY ! !COMBINED SINGLE LIMIT A i'ANY AUTO (Ea accident) $ 1,000,000 BODILY INJURY(Per person) $ ALL OWNED AUTOS ! ,-- _--_-- j A X SCHEDULEDAUTOS !CAA507766412 01/01/15 01/01/16 -CiODILYINJURY(Poraecidenq S A X I HIRED AUTOS PROPERTY DAMAGE {(Per accident) S A X I NON-OWNED AUTOS __--- X }UMBRELLA LIAB X j OCCUR - I EACH OCCURRENCE S 5,000,00 EXCESS LIAB -- - -R - A -- — CLAIMS MADECUA5077665 01/01/15 01/01/16 !AGGREGATE g 5,000,00-. DEDUCTIBLE --- - -- -- XRETENTION $ NONE S WORKERS COMPENSATION WC STATU ;.OTH, AND EMPLOYERS'LIABILITY Y/N '.X—TORY LIMIT __L ER OFFICE MEMBERiPXCLUDErEXEt:UTIVF !.WC0707947 01/01/15 � 01/01/16 E.L EACHACCIDENT 5 1,000,00 OFFICERIF.tEMBER EXCLUDED? r�I N IA. (Mandatory in NH) 'MA N H - __. -.. If es describe uncle; , E DISEASE EA EMPLOYEE S 1,000,000 DESCRIPTIONl OPERAIIGNS balow E DISEASE-POLICY LIMIT', S 1,000,00 k A {Installation Float CPA5077662 01/01/15 ! 01/01/16 ,Limit 10Q00 ,Stored Materials 1 Deduct 500 DESCRIPTION OF OPERATIONS/ OCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) ILLUSTRATION OF COVERAGE CERTIFICATE HOLDER CANCELLATION ILLUS-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ILLUSTRATION OF COVERAGE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. H. AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATIO . All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD Massachusetts --0epartryient or PUDflc Swety Board of Building Re r;iato ria and Standards License: CS-079509 '�'I;16 w '" STEM NP LEC ^ ti 38 TT CIR '!p I (A '-- 4L PBLHAM NH 03076 4, Expiration Conimission r 09/27/2016 O• ��, rrrartgrkrrrrrr�ra�f�c,„„//�'"''t'��es;srrr�aiact"�'s ffice of Consumer Aft"airs c�c Busir'iess Regulation i ME IMPRtOVEMENT CONTRACTOR I egis#ration: 121050 fpe; ipiration: 4/1/2016. Private CorporaNc LECLAIR RbOFING&WEA'THERPR INC I r STEVE LECLAIR i 830 LIVINGSTi3N ST �7 TEWKSBURY,MA 01876 = � �Jf(if�rsecretary :gip Nip i s TH OF M 1 T fi V�P4R SWEEP METAL "4JQR1{ S 155U! S; WCOLLOWI W ,. I CEhiSE 1ASTER U.NR S! CTEb S.T ,NEN P LE CLAIR 3$ BRETT CIS REWAl IW 03076 $ 11f7 ®9/ Rlf .r 315347