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HomeMy WebLinkAboutBuilding Permit # 7/10/2015 BUILDING PERMIT t%oRT#1 TOWN OF NORTH ANDOVER 11", e, APPLICATION FOR PLAN EXAMINATION 4 Permit No#: Date Received SSACHUS Date Issued: IMPORTANT: Applicant must complete all items on this page �10 1; 7— LOCATION ) ( Print PROPERTY OWNER /�-ftj-e-- S AJ t-1) co Print " 100 Year Structure yes no MAP 6 PARCEL: / ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 0 New Building One family El Addition El Two or more family 11 Industrial El Alteration No. of units: [I Commercial 0 Repair, replacement El Assessory Bldg D Others: El Demolition El Other -a (J '-d"I 0 petid'hi R It Th" (Oh No "w DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly yo' OWNER: Name: -zl A"PA e J- Phone: Address: L <A Contractor Name: Phone: Email: Address: 'T 0 &M CI )"i Supervisor's Construction License: (2�7--, —Exp. Date: � ' ( I Home Improvement License: Exp. Date: 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: $ 3o ( 0 FEE: $ 2&e Check No.: Receipt No.: o NOTE: Persons contrac 9 1 un istered ntraetors do not have access to the guaranty fund jre�b ,con rac FORTH ndover Town of ® to ® D41 . 4 _ y102,6115 41, ��K� h ver, ass, COCP41CHEW,CK ��• �T� u LD LI BOARD OF HEALTH Food/Kitchen Septic System PEKMI �"` BUILDING INSPECTOR THIS CERTIFIES THAT ... .. ... .. . . .... . ...... . y ......................... Foundation has permission to erect .......................... buildings on .. .. .......I.. .. .......... � � Rough CLI ied aS ...� ........te .. �................ Chimney to be occupied ® ... ...... ............ . ..... ....... .... ........ ... provided that the person accepting this permit sh every respect conform to the terms pplication Final 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 PERMIT EXPIRES I MONTHSELECTRICAL INSPECTOR UNLESSTI Rough Service ® ................................... ............ Final .... BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occum Building Rough Final Display in a Conspicuous lace on the remises — o of Remove FIRE DEPARTMENT No Lathing or Dry Wall To Be Done Burner Until Inspected and Approvedthe Building Inspector. Street No. Smoke Det. 4 , Chi F 1 r a w i rj r 4 n r r rrie eya> All Types Of CH9MV'4EYS POE HT ED-REBURLT-CAPPED Experts Masonry Work Klass Toll FreeLicensed & Insured 1-800-WAIT-4-US �..ocally�>'Vn�'d't: Opereried .r <e .i£»s c" � License#034200 x; (924-8487) ;r � C?a 5' d"�'lwe c 10vie-00 � We- �1 Work Year Ror. nd 1�✓ Y. rr 5 V Y t 41 sf a a Y � £t iii +, ° � yi r sr� dr 3 � 7 s✓,, a �". � � ,.� � f t. ,Y d f ' f ,, c ' t `a�,:. {ata jt i° . �o,r.-� Y .£.•�S; `r,. ' R rvv. ,'6,e,� r�r, „£, =,°E.. Proposal To: James Lynch Date 418/15 Street: 268 Rae St. 978-852-7800 £s, N. Andover, MAS Vinyl Siding Proposal James.lynch@gmail.com 1. Remove all existing siding and corner boards 13. Removal and installation of light fixtures and from entire house. doorbells included.New fixtures and doorbells must 2. Inspect all wood components of entire house. be provided by homeowner if wanted. Any compromised material will not be left. Any 14. Install composite kick plates under all entry doors existing damage or rot will be discussed, where applicable. confirmed with homeowner and replaced at an 15. Proposal does not include any painting or staining. additional cost of time and material. 1st 32sq/ft of Existing front entry mantel to remain. plywood at no additional cost. 16. Building permits included 3. Install housewrap to entire house. All seams will 17. Removal of all work related debris be taped. 18. Limited Lifetime vinyl siding warranty from 4. Install 4"vinyl traditional corners to all house MFG. , not contractor. corners. (white or colored) 19. Contractor workmanship warranty: 10 years under 5. Install Mastic Carvedwood .044 double 4"vinyl normal weather conditions. siding to entire house. Standard colors only. Total COSH: 1 0��.�� ,//'. .. � 6. Soffit area: Drill holes in all rafter bays for added ventilation where or if needed. Install white vinyl Optio!mt' perforated Invisivent soffit panels. Gfnstall louvered or raised panel vinyl shutters. 7. Install j-channel to all areas that need to accept $ 60.O .per pair additional cost. new white.032 seamless aluminum vinyl siding. All j-channel will be self-flashed �'Iasfidl'all gutters and downspouts to all existing areas. and angle cut for clean professional appearance. $750.00 additional cost 8. Install custom bent Alcoa white aluminum trim coverage to all fascias,rakes, applicable entry *Note's Tudor style area: Remove all existing pine door casings,window casings and sills. trim. Install Mastic Cedar Discovery double 7" 9. Install white composite PVC 908 to garage door vinyl cedar shake panel to entire area. Remove all frame, casing and weather bands. shingles from roof wings, counterflash with ice and 11. Install all new vinyl accessories: light blocks, water shield, install new aluminum step flashing gable vents, split blocks, meter block etc. (Removing and install all new shingles to match. and re-installing electrical meter by licensed electrician and permit included in proposal) Payment schedule: 12. Install sleeve over existing AC exterior pipe. 1/3 on project start date 1/3 at project halfway point Final balance including any extras due upon project completion The Commonwealth of117assachusetts Department of Industrial Accidents Office of Investigations 600 TMashington Street Boston, J4IA 02111 mmv.ntass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Inforination Please.Print Legibly Name (Busines s/Organization/lndividual): & /pL19-eA 1Z>6./', Address: 7 :-4 City/Stale/Zip: 44vvx �^^)�"'` �yt��2s' � Phone#: 1) Are you an employer? Check th'e•appropriate box: Type of project(required): 1.�1 am a'employer.witb`� 4. ❑ I am a general contractor and I employees (full and/or part have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. t �• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp, insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their •10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I I.❑ Plumbing repairs or additions myself. [No workers' comp, c. 152, §1(4), and we have no 12.[] Roof repairs insurance required.] t employees. [No workers' - 13.❑ Other comp. insurance required.] *Any applicant that checks box#I must also fill out the section bclow showing their workers'compensation policy information.' t Fiomeowncrs who submit this atrrdavit indicating they are doing all work and then hire outside contractors must submit a new atGdavit indicating such. XContraclors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy idforrnation. I am an employer that is providing workers,compensation insurance for my employees. Below is the policy and job site infonnafion. Insurance Company Name: A 0-- Policy#or Self-ins. Lic. #: Expiration Dale: Job Site Address: Lt `�> }r�' City/Stale/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 cruninal penalties of a fine up to$1,500.00 and/or one-year itnprisomnent, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement.may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ceififj�_ aide tie pain's and penalties of peijw),that the infor•rnation proi,ided above is true and correct S i a tore: Date: Phone#: Oficial rise only. Do not write in this area, to be completed by city or towh official City or Town: PerrnitfUcense# Issuing Authority(circle one): 1. Board of IIealth 2.Building Department 3. City/Tbwn Clerk 4.Electrical Inspector 5..Pluutbing Inspector 6..0 tit er Contact Person: Phone#: OF LJAMJW INSURANCE CERTIFICATE f321��i?r)f$ v #!Gl Of � # AUTHORIZED Olt s �AND TM COMMATE MX8M D, jscY !n - flt�i}t.tsa the psi IRF U5 --- "A ott4s Nair,4 Mm- la nd'atC One l.ak LTi3�:e human. MA 01944 —' YiIItS M TO C TAY MAT THE `'-'ULA E L TO ME MMMED MPAMM ABOVE FOR THE MUCY PER KAi WDCATEO, NOTMMSTMOMANY RE T OP O T WITH RESPECT TO WHICH TW- CMTW-ICXTE MM BE MMED OR MAV PERTAK THIS U HERON #'; SAMEG TO ALL THE TERM r-w X PAND G las- _ E fTY s Lms e.4_ .... t' n a k7'r ei�b'il" :-?SfYY Fa P-F f• '�.^' S �(�I}E}�.�! 5: E tY 9 §. dam 8F 3F - 9 zr%ets F .owWwvsonoo dos=eV t CAftCeLLEO 991704S 1 i s 'F f 9 Massachusetts-i�eparitrrnr as Public Safety i \V" Board of.Building Regulations and Standards License: CS-069120 j JOHN W LANZAkME 30 TEMPLE DR 1 METHUEN MA 31844 r t ./..D�,�'.' +i"'�• Expiration C o7ttn7issicrc r 04/03/2017 iD/NDDDV City/Town estate Zip carte Search Registrant Click on the registration number to view complaint history,You can also view arbitration and Guaran Fund histor . The list is current as of Wednesday, October 8, 2014. j Search Results REGISTRANT RESPONSIBLE REGISTRATION ADDRESS EXPIRATION STATUS NAME INDIVIDUAL NUMBER DATE ALL UNDER ONE ROOT' LANZAFAME, 13757 166 A MERRIMACK ST 10/02/2016 Current JOHN METHEUN, MA 01844 I 02012 Commonwealth of Massachusetts. Mass.Gov@ is a registered service mark of the Commonwealth of Massachusetts. 1nrnrr)III,r