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