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HomeMy WebLinkAboutBuilding Permit # 6/24/2015 BUILDING PERMIT o� NORry � .Ct LES �6 TOWN OF NORTH ANDOVER ,Q APPLICATION FOR PLAN EXAMINATION Permit No#: �I Date Received ArEpWP=P �5 �SSACHUSEt Date Issued: 4 IMPORTANT: Applicant must complete all items on this page LOCATION • Pr'nt - PROPERTY OWNER .S (2 � Print 100 Year Structure yes no MAP 0 PARCEL: q ' ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Resi ial Non- Residential ❑ New Building One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other rf yr ❑ Flood lam ❑Wetlands fes; Nr F` D WaterSied'Dstnct ' q , �❑ Septics❑W I r r p r r�rm�-, r` w` �,✓ �a. � :r .,, :.� '��k`.�;,�"rr�C k" r �r;� ,vi �; r�`� rimuf. ;../ r�r y•� Y'✓- :;�",?" r�' � ,.:., �'�t�'���'z� r.�.. ,q � .c s. t ��.: "�^s ,r, a, r ,r.f;.,�rt',7rr;,.,�, J r y `"w,y, iw,22r ��fr41�„�� .;✓.r a''.r�"" r� ���i'S'�� 1%,;. DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: IC-A0 Je���'� Phone: ' 2— Email: -Email: n) riC Address: � �d.� f Supervisor's Construction Licenser C�, ( Exp. Date: c Home Improvement License: t' C 9 Exp. Date: /2. ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ C� Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the uar f NORTH Town ofz EAndover ® .�. - = - ta � s ver, Mass, O coc NIc"tw.cK _1• �®AERATED p' 5 1`S Lj BOARD OF HEALTH Food/Kitchen Septic System PERM BUILDING INSPECTOR THIS CERTIFIES THAT """"" ............ .............. ......................................... . .............. .. ....... son r- 1 Foundation has permission to erect .......................... building .. .........11`�. ........ .. ......... ... �e............. Rough to be occupied as ....... .). ........L ........... ...................................... Chimney provided that the person accepting permit shall in every pect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and PLUMBING INSPECTOR Construction of Buildings in the Town of North Andover. Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMITE IES I 6 MON S ELECTRICAL INSPECTOR UNLESS CONSTRU N TS Rough Service .............. ....... ................................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final isplay in a Conspicuous Place on the Premises — Do Not Remove No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. N Michael R. Anderson E 75 Scobie pond rd. C Derry,NH 03038 Construction Licensed and Insured PROPOSAL: Jeff Todd 29 Waverly rd North Andover Ma After reviewing notes from your project,N E C Construction has completed a preliminary outline and estimated costs for your vinyl siding and blown in Insulation Project. This is a preliminary estimate only. Costs may go up or down depending on design,planning and specifications of the final outcome for the project. N E C can provide all plans, details,and materials and labor necessary for obtaining permits through job completion. We are looking forward to working with you on this project in the near future. RE: Required Permitting for Town Building Department is not included in this Agreement Separate charges will be applied RE: Job Description: Vinyl siding and blown in insulation R13 or better The Contractor agrees to do the following work for owner: Jeff Todd INSULATION: All Exterior Vertical Wall Living areas Drill Standard 2"holes 16"on center(home is assumed to be balloon framed) below bottom of top plate area,above and below all windows and doors Blow in insulation on all exterior vertical walls to achieve maximum R Values Vinyl Siding: (color to be gray) 4"Dbl vinyl gray siding panels Corner to be same as main body color(gray not white) J Channels to be Gray Any sill trim accessories to be gray No PVC Trim applies ITEMS TO CONSIDER NOT INCLUDED: Dump fees and Permits Window Tops Detail replaces the header lx stock and mini crown or remove and repair For future PVC detail to make square for vinyl siding Inspection of Roof structure and flashing at intersection of addition and main house Access panel to get to addition roof system PROPOSAL PRICING N E C Construction proposes to hereby furnish labor and materials—complete in accordance with above specifications for the Sum of $ 11,700.00 (Eleven Thousand seven hundred dollars) Payments to be made as follows: 1St Payment $4200.00 Due at signing for any and all ordering of Items 2d Payment $4300.00 Insulation completion and commencement of siding 3rd Payment $3200.00 completion vinyl siding Miscellaneous items may occur that were not foreseen or included in this proposal. N E C Construction can negotiate them while working on the project and complete them at the same time under separate agreement with the homeowner. All material is guaranteed to be as specified. All work to be completed in a substantial workmanlike manner according to specifications submitted, per standard practices. Any alteration or deviation from above specifications involving extra costs, will be executed only upon specific agreement by all parties. This will become an extra charge over and above this proposal. All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire,tornado and any other necessary insurance. Date of Proposal: June 10,21015 NEC Authorized Signature "NOTE: This proposal may be withdrawn if not accepted within 30 days. ACCEPTANCE OF PROPOSAL: The above prices, specifications and conditions are satisfactory and are hereby accepted. N E C Construction is authorized to do the work as specified above. Payment will be made as outlined in a separate payment schedule. Date of acceptance: Homeowner: ��' /" f 0612412015 10:04 Lauranzano Insurance Agency (FAX) P.0021002 DATE(MMIDD/YYYY) R ® CERTIFICATE OF LIABILITY INSURANCE 06/24/2015 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 certlficate 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). CONTACT PRODUCER NAME: PHONE (979) 927-8420 AIC No• (978) 921-9182 Lauranzano Tneurance Agency EMAIL _com 107 Dodge Street q,LL@LauranzanO INSURER(Sl AFFORDING COVERAGE NAIC# Beverly MA 01915^ INSURER A:Amarican Euro can Ins. Grou INSURED North East Construction INSURERB: 75 Scobie )?ond Road INSURERC: INSURSR 0: INSURER E i Der NH 03038 INSURERFt 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. INrR POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY IAMIDD/YYYY p(P2600720 09/22/2014 09/22/2015 EACH OCCURRENCE $ 1,000,000 A GENERAL LIABILITY DAMA E T RENTED $ PR o X COMMERCIAL GENERAL LIABILITY 5,000 CLAIMS•MADE 5Z OCCUR MED EXP(Any one person) $ PERSONAL 0 ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OPAGG S 2.,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: / / / NOWND $ PRO- LOC POLICY COMBINED SINGLE LIMIT 5 AUTOMOBILE LIABILITY • / / / / BODILY INJURY(Per Person) S ANY AUTO / / / / BODILY INJURY(Per soc dent) S ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE $ NON-OWNED / / / / rac ldan HIRED AUTOS AUTOS UMBRELLA LIAe EACH OCCURRENCE $ OCOUR' AGGREGATE S EXCESS LIAR bLAIMS-MADE DEO RETENTION / / / / WC STATU- DTHLIML - WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N / / / / E.L.EACH ACCIDENT S ANY PROPRIETONPARTNERIEXECUTIVE❑ NIA OFFICERIMEMBER EXCLUDED? E,L,DISEASE•E EAA EMPLOYE $ (Mandatory In NN) / / / / If yes,dVTO"N'under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS boiQw DESCRIPTION OF OPERATIONS/699ATION$/VEHICLES (ANaeh ACORD 101,Additional Remarks Schedule,if mora space Is raqulred) Job Located at: jeff Todd 29 Waverly Street North Andover MA 01845 CERTIFICATE HOLDER CANCELLATION ( ) _ (978) 688-9542 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 6E CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS_ North Andover Bldg Dept. 100 Osgood Street Suite 2035 AUTHORIZED REPRESS YIVE �tt�S North Andover IdP. 01845— 4 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration ty W �' Registration: 140940 o Type: DBA q mfl Expiration: 12/9/2015 Tr# 248942 l A N .� O o r w N.E.C. CONSTRUCTION o b MICHAEL ANDERSON 75 SCOBIE POND RD. 0 ° 6 DERRY, NH 03038 Update Address and return card.Mark reason for change. 1� c Address E] Renewal Employment Lost Card 1 Co o o � ' :3 ,�,. SCA 1 .:0 2OM-05/11 �0 � o ae oonnwaauen G a- C�/��a f JeL�o.` -- a � License or registration valid for individul use only U) CT � Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: e rn v �' IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation a m k07ME istration: 140940 Type: 10 Park Plaza-Suite$170 0 — xpration: 12/9/2015 DBA Boston,MA 02116 O u in rn N.E.C.CONSTRUCTION MICHAEL ANDERSON 75 SCONE POND RD. DERRY,NH 03038 Undersecretary Not valid without signature