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HomeMy WebLinkAboutBuilding Permit # 7/13/2015 tkORTH Town of Andover ® No. Q%- 2t+ - �AK. h ver, Mass, 3 COC MICNlw1CK y1' S U BOARD OF HEALTH Food/Kitchen ERMIT T L �D Septic System THIS CERTIFIES THAT ........ .. t\:�......6ALJ1A.K* BUILDING INSPECTOR has permission to erect buildings on .. 10.N.4141.^.....CQVW.#%*. , Foundation . Rough tobe occupied as .... . . ... .......................d. ... s................................................ chimney provided that the person acce$in 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 E I 6 MO THS ELECTRICAL INSPECTOR _ UNLESS CTIO S AR Rough Service .................... ..... .. .... .......................................... Final BUILDING INSPECTOR GAS INSPECTOR ccupancy Permit Required t® 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. Baystate Roofers,Inc. Proposal P.O. Box 189 North Reading,MA 01864 Date Estimate# Tel. 978-664-0668 Fax 978-664-4333 5/25/2015 16017 Name/Address HIC# 137193 Jane Bennett CSSL# 99895 59 Phillips Common North Andover,Ma.01845 Bay State Roofers Inc proposes: Remove approximately 3800 square feet of the existing asphalt shingle roof down to the wood decking. Install new ice and water shield along the 6' roof edge,valleys and around all the roof penetrations. Install new 151b felt paper throughout roof area. Install new white aluminum drip edge along the roof perimeter. A new Lifetime GAF Architectural asphalt shingle will be installed over the prepared substrate. A new ridge vent will be installed to ensure the proper roof ventilation. All roof penetrations and flashing will be installed according to manufacturers recommendation, specification and details. Install new pipe flanges. Bay State Roofers will properly dispose of all roof debris in our own waste containers. Any wood decking that needs replacement will be an additional $2.50 per lineal foot. Remove corner boards and clapboards on the section of roof above the deck to flash the sidewall propoerly and reinstall new primed pine and clapboards. Replace 3 sections of rotted rake boards with new 1x8 and 1x3 primed pine. This included in this proposal. The satellite dish will need to be re-adjusted after the new roof is installed. New Shingle Roof Authorized Signature: Total $13,860.00 Waste containers supplied by Bay State Roofers, Inc. are for sole purpose of roof debris. Under no circumstance is the homeowner to use these containers for personal use. 10 Year Workmanship Warranty on all roofs. (Except Repair Jobs) CONTRACT ACCEPTANCE r The specifications,prices,payment schedule are satisfactory and hereby accepted. Date: �2. O BAY STATE ROOFERS,INC.is authorized to perform work as specified. Payment will be made as previously outlined. Signature All bills over 30 days are subject to 1 1/2%finance charge per month(18% ! Color annual). PROVISIONS THE AGREEMENT I.PROJECT PROVISIONS e. Damage to Project:Contractor will not be responsible for any a.Guideline:The Project will be constructed in strict conformance damage caused by the Owner. or other causes beyond the control of to the plans and specifications which have been examined and the Contractor.Owner will pay for any restoration work. approved by the Owner. IV.CONTRACTOR'S RIGHTS AND RESPONSIBILITIES b.Compliance:The Project will be completed in strict compliance with all laws, ordinances, rules and regulations of the applicable a. Delay: Contractor will be excused for any delay beyond his government authorities. reasonable control. These delays may include,but are not limited to c. Control:The Agreement plans and specifications are intended Acts of God,labor disputes,inclement weather,acts of public authority, to supplement each other. In case of conflict,the plans will control the acts of the Owner.or other unforeseen contingencies. specifications and the Agreement provisions will control both. b. Right to Stop Work: If any payment under this Agreement is d.Charge Orders:As directed by the Owner,construction lender, not made when due,the Contractor may suspend work on the job until public body or inspector,any alteration or deviation from the specifications such time as all payments due have been made.Any failure to make that involves extra cost(subcontract, labor, materials)will be executed payment is subject to a claim enforced against the property in only upon the parties entering into a written change order. Expense accordance with the applicable lien laws. incurred because of unusual or unanticipated conditions will be paid for c.Substitution of Materials: Contractor may substitute materials by the Owner. without notice to the Owner in order to allow work to proceed,provided e. Allowances: If the Agreement price includes allowances, and that the substituted materials are of no lesser quality than those listed the cost of performing the work is greater or less than this allowance, in the specifications. then the Agreement price will be adjusted accordingly. d.Salvage:All salvage resulting from work under this Agreement 11.FINANCIAL RIGHTS AND RESPONSIBILITIES is to be retained by the Contractor unless other agreements are contained in the written specifications. a. Labor and Material: Contractor will provide and pay for all e. Insurance: Contractor will maintain workers' disability labor and materials necessary to complete the Project. Contractor is compensation insurance for his employees and comprehensive public released from this obligation for expenses incurred when the Owner is liability insurance policies. in arrears in making progress payments. b. Permits:Contractor will obtain and pay for all required building V.COMPLETION OF PROJECT permits and licenses. a. Notice: Owner agrees to sign a Notice of Completion within 5 c.Taxes,Assessments and Charges:Taxes.special assessments days after completion of the project. If project passes final inspection of all descriptions, and charges required by public bodies and utilities and the Owner does not sign the Notice,the Contractor may act as the will be paid for by the Owner. Owner's agent and sign the Notice. d. Deposit of Payments: Contractor is required to deposit all b. Clean-up: Contractor is responsible for removing debris and payments received prior to completion in an escrow account. In lieu of surplus material from the property, and leaving the property in a neat such a deposit,the Contractor may post a bond or contract of indemnity and orderly condition. with the Owner guaranteeing the return or proper application of such VI.CONFLICT PROVISIONS payments to the purposes of the contract.All advanced.funds will be a. Arbitration: Any controversy or claim arising out of this deposited as indicated under Special Provisions. Monies used in Agreement that cannot be resolved, is subject to arbitration, with escrow become the property of the Contractor when they are applied an arbitrator of mutual agreement, and all parties (including according to the Agreement payment schedule, when a breach of Owner, Contractor, Architect and Sub-Contractors) are bound to contract by the Owner occurs, or whet) the Agreement has been this arbitration, If any party does not appear at arbitration substantially performed. proceedings, the arbitrator is empowered to decide the controversy e. Bankruptcy: It either party becomes bankrupt. the other party in accordance with whatever evidence is presented by the has the right to dancel this Agreement. party(ies)that do participate. 111.OWNER'S RIGHTS AND RESPONSIBILITIES b. Attorney Fees: If either party becomes involved in litigation a. Cancellation: Owner has an unconditional right to cancel the arising out of Agreement, the Court shall award costs/expenses Agreement, without penalty or obligation, until midnight of the third including attorney fees to the party justly entitled to them. business day after the Agreement was signed. Cancellation must be c. Limitations: No action related to this Project may be made done in writing. Upon cancellation, any property traded in, any by either party against the other more than 2 years after the payments made under this Agreement, and any negotiated instrument completion of work. executed will be returned within 10 business days following receipt by VII.GENERAL PROVISIONS the Contractor of cancellation notice. b. Property Lines: Owner shall locate and point out property a. Notice:Any notice required or permitted under this Agreement lines to the Contractor.Contractor may,at his option,require the Owner may be given by certified or registered mail at the addresses contained to provide a licensed land surveyor's map of the property. in the Agreement. c. Liens: Failure to pay persons supplying materials or services b. Prohibition of Assignment: Neither party may assign this according to the terms of this Agreement may result in the filing of Agreement or payment due under this Agreement without the written mechanic's liens on the affected property. Owner has the right to ask consent of the other party. the Contractor for lien waivers from all persons supplying these c. Qualification:This document constitutes the entire agreement materials or services. In the event any mechanic's lien is filed through of the parties. No other agreements exist. This Agreement can be no fault of the Owner, then the Contractor agrees to take all steps modified only by written agreement signed by both parties. necessary for the release and discharge of such lien. d.Insurance:Owner will maintain property damage insurance at d.Governance:This Agreement shall be construed in accordance least equal to the Agreement price. with and governed by, the laws of the state in which the Project is located. The Commonwealth of Massachusetts Department of IndustrialAccidents 1 Congress Street, Suite 100 ' Boston,MA 02114-2017 s�;V�t wwwanass., dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Le 'bl Name(Business/Organization/Individual): :�> Address: City/State/Zip: Phone#: Areyou an employer?Checktfie appropriate box: Type of project(required): 1. am a employer with"^ : employees(full and/or part-time).* 7• []New construction 2.Q I am a sole proprietor or partnership and have no employees working for me in 8. 0 Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.Q I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10[]Building addition 4.Q I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.F1 Plumbing repairs or additions 5.❑1 am a general contractor and I have hired the sub-contractors listed on the attached sheet, These sub-contractors have employees and have workers'comp.insurance.t 13.[]Roof repairs 6.Q We are a corporation and its officers have exercised their right of exemption per MGL c, 14.[�Other 1S2,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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-c6n6c46rs have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurancefor nay employees.'Below is the policy and job site information. I qe Insurance Company Name: 1 — Policy#or Self-ins,Lie,.#: PIID Expiration Date: _ Iti "Job SiteAddress: .. City/State/Zip:Attach a copy of the workers' compolicy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verificatio.. I do hereby ce of un r•the ai it e It s ofp jury that the information provided above is true and correct. Signature: Date: a � Phone#: k . Official use only. Do not write in this area,to he completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): i l..Board of health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Rightfax C2-2 4/15/2015 10:30:49 AM PAGE 3/004 Fax Server AC®® CERTIFICATE OF LIABILITY INSURANCEDATE o,s 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 policyiles)must be endorsed. if SUBROGATION IS WANED, 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 endorsoment(s). PRODUCER CON/ACT NAME: A 8 K FOWLER INS LLC PHONE FAX 200 PARK STREET TAX.No ■1 A1C No NORTH READING,MA 01864 E-MAIL INSURER(S)AFFORDING COVERAGE NAIL'p INSURERA:ACE AMERICAN INSURANCE COMPANY INSURED INSVRER B: BAY STATE ROOFERS INC INSURER C PO BOX 189 NORTH READING,MA 01864 INSURER D INSURER E INSURER F 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. INSR ADD SUB POLICY EFF POLICY EXP LTR TVPEOFINSURANCE INSR WVD POLICYNUMBER MMMDNYYV) (MWODIYYYYI LIMITS GENERAL LMLITY EACH OCCURRENCE S COMMERCIAL UENERAL LIABILITY DAMAGE TO RENTED, R M ES a oocunenca S CLAtARStNAOE OCCUR MED EXP(Any one person) S PERSONAL 6 ADV INJURY S GENERAL AGGREGATE S GENL AGGREGATE LIMIT APPLIES PER. PRODUCTS-C.OMWOP AGG S POLICY PRO • JEOT LOC 5 AUTOMOBILE LIABWTY O8,1tEDISINGLE LIMIT S ANYAUTO BODILY INJURY(per person) S ALL OWNEDSCHEDULED S AUTOS AUTOS BODILY INJURY(Peracudenl) HIREDAUTOS AUTONONS �cQaFuPa% AMAGE S UMBRELLALIAB OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS-MAOE AGGREGATE S OED, I RETENTIONS S WORKERS COMPENSATION WC STA OTH, AND EMPLOYERS'UABILnY Y Ir X TORY LIMITS_I ER ANY PROPRIETORIPARTNER.'EXECUTNk FNIA E EACH ACCIDENT $1,000,000 OFFICERUMEMBER EXCLUDED' N 6S62U8 04-12-2015 04.12.2016 (mandatorydescribe under If yes,s.dcsa4c under 4609PO62 E.L.DISEASE-EA EMPLOYEE $1,000,000 OESCRIPTION OF OPERATIONS Derow E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OP OPERATIONS)LOCATIONS)VEHICLES(Anach ACORD 101,AddMonal Remarks Schedule,If more space Is ro"IreA CERTIFICATE HOLDER CANCELLATION BAYSTATE ROOFERS INC. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES B P.O BOX 189 CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NORTH READING,MA 01864 NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE /�,,I YL, L, I 2010105 ©1988.2010 ACORD CORPORATION.All rights reserved. ACORD 25 ( ) The ACORD name and logo are registered marks of ACORD 1 Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supers icor SPccialtN License: CSSL-099895 ROBERT E OKEEFE 21 FRANCIS STREET NORTH READING MA'41864 Expiration Commissioner 09/29/2015 ✓xl ell"v1.1"ta/ea/UL a�✓��aalac�uael�a ( Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR . Registration: 137193 Type:; j Expiration:`10/15/201 Supplement f {} BAY STATE ROOFER INC. ROBERT O'KEEFE PO BOX 189 i N. READING, MA 01864 Undersecretary