Loading...
HomeMy WebLinkAboutBuilding Permit # 7/23/2015 � �OF2Yy � BUILDINGIT o AOR wo TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#: _ .� Date Received °RArEu P4" �ssgc Husti�c Date Issued: �� IMPORTANT: Applicant must complete all items on this page LOCATION ° .. Print PROPERTY OWNER ( " PrinU 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑Two or more family ❑ Industrial teration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other i / ,/Ir.!✓ / I /of / ,, ��/ /i, ,,, r / / , � /, 1 / ./, r. J / ❑ Se .tic/%❑W I„ , ,/ // /r❑ FI d lath, /,,,,❑ I d / ❑ h i trice ,� , DESCRIPTION OF WORK TO BE PERF MED: Identification- Please Type o Print Clearly OWNER: Name; " " Phone: Address: ° Contractor Name:` (- LA( Phone: Cil0, ?5111 Email: 1y\ ),Ay � R766,1r-)(A aCbnn Address: L&::�yJ-A," - N- 1Ay )i 1 �- cl�,. ` Supervisor's Construction License: 010') 150 Exp. Date: ') Home Improvement License: � ) Exp. Date:- ARCH ITECT/ENGI NEER ate:ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 7-5 FEE: $ , Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access ranty fund ti rac Per FORTH Town ofR E . ., Andover 0 h ver-ails r Mass, � 114 2.) 2;6,145 , O LAKE 1• COCNIC Nl WICN V �,9 A°Rgren C S U BOARD OF HEALTH Food/Kitchen - I Septic System L D IT 8 BUILDING INSPECTOR THISCERTIFIES THAT ............... 1.. ....1..... .. c.,... ....... 0......... ... ..................... 011 Foundation has permission to erect ............ buildings on .......6V.. � ...� �6. . ........ �... ............ .. Rough tobe occupied as ............ ..... ........ ... . .. . ........................................................................ Chimney provided that the person accepting is 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 E IT EXPIRES I 6 MONT ELECTRICAL INSPECTOR LESS CONSTRUCTION S Rough Service ................................................................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Islay 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. Lambert Roofing In Business Since 1932 T. amber! cafing ti:.atic�'a p, July 6,2015 Name:Alcott Village Condominium Association, 40 Alcott Way North Andover,MA 01845 Job Site: 1-39 Alcott Way including Mail and utility structure roofs New Residential Steep Slope Roofing System Contract TGLRC Inc. dba Lambert Roofing Company will provide certificate of insurances demonstrating that we are fully insured for workers compensation, general liability,automobile liability and a $5,000,000.00 umbrella policy. This documentation will be sent through the US mail or VIA E- MAI L&AX to the above named party if not already prates als to be utilized d. Work to be Performed And M Conditions: • Under no circumstance will the watertight integrity of the building be in any way compromised. • All work will be performed to the standards and expectations dictated by the(BCRB) (IBC)building code and proper roofing practices founded in NRCA roof covering and waterproofing manual and manufacturers specifications. Upon completion of the roof and final payment,a Certainteed manufacturers Sure Start Plus 5 Star upgraded integrity roof system warranty will be issued to the named party. This warranty includes the following: A 13 0 mph Wind Warranty A Thirty Year Full system Non Pro-rated Labor,tear off,material and disposal A 25 Year Workmanship Warranty Please refer to attached,S'ure,Start Plus Coverage page or visit www.certaiiiteed.com Scope of work 1) Apre-roof walk around will be executed to observe and document any pre-existing conditions and or any special considerations. 2) Ensure landscaping and dwelling is and will remain properly protected. Please take special note that during demo of the existing roof system all valuables non- fastened are subject to falling during demo and debris will fall in the attic so preparing 1 EDN If 51-05033313 265 Winter St Haverhill,MA MA Reg.Hic#149221 Phone(978)374-9224 Fax(978)521-5791 MA Lic. #UCS 078130 E-Mail at lambergoofinsnaol.com Single-Ply Lic. 91711 Please visit us on the Web at www.lambertr od,112.1et Inc. dba LambertRoofing In Business Since 1932 2). Fabricate and install new .032 Aluminum Water Collection Miter's in areas where water is causing damage to lower roofs and walkways. $450.00 each. NOTE: These are not calculated in the price below, if desired please add the price to the job cost below. Roofing Warranties: UPON COMPLETION AND PAYMENT IN FULL A MANUFACTURERS 25 YEAR WORI<MANSHIP WILL BE HONERED AND ISSUED BY"CERTAINTEED". A THIRTY YEAR.NON PRO-RATED WARRANTY WILL BE ISSUED ON ALL MATERIALS,LABOR., TEAR OFF AND DISPOSAL BY MANUFACTURER. NOTE:No generic roofing materials are being utilized on this project. "All"Approved Certainteed materials are to be used on this project. TGLRC Inc. dba Lambert Roofing Company agrees to: ry • Commence the described work on or about lf'�,*' ® The described work will be completed in about(18+or-)working days e Shall not be held liable for delays due to circumstances beyond our control such as but not limited to weather and pre-existing conditions. ® Shall not be held liable for any damages to landscape, attics and or fixtures due to circumstances beyond our control o Shall not be held liable and roofs are not covered under the workmanship warranty, for pre-existing conditions including but not limited to: o Mold and or wood rot o Defective,faulty,rotted or worn building counterparts such as,but not limited to: siding, gutters,masonry,plumbing and windows, all of which may jeopardize the watertight integrity of the structure if not in sound condition ® Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence Required Permits A building and dumpster permit may be required to remove and replace your roof. It is our obligation to secure these permits if required as the homeowner's agent. Note:Homeowners who secure their own permits or deal with unregistered contractors are excluded from the Guaranty Fund provisions of MGL c.142A Additional Attached Documents;Agreements or Provisions ® Insurance Documentation if not already provided a Arbitration Agreement ® Contractor Registration Information ® Notice of Cancellation Form 3 EN#51-05033313 265 Winter St Haverhill,MA MA Reg.Hie#149221 Phone(978)374-9224 Fax(978)521-5791 AIA Lie. #UCS 078130 E-Mail at lambertrooiing@aol.com Single-Ply Lie. #1711 Please visit us on the Web at www.lambertroofingy.net TGLRC Inc. dba Lamberti n In Business Since 1932 for this will reduce a disappointment and inconvenient clean up. Lambert.Roofing will NOT be responsible for the above-mentioned preparation. 3) Prepare for re-roofing by ensuring all safety measures are taken in accordance with OSHA and CMR Standards. 4) Remove existing layers of shingles down to the wood roof decking and properly dispose of debris from the jabsite. Al ' ' a �' �IIEI 5) Inspect wood roof decking,if we discover any rotted wood,removal and replacement will be performed at an additional cost of: e ,$3.95 per foot for rough pine removed and replaced. i $65.00 per sheet of CDX Plywood removed and replaced. 6) Labor Rate$65.00 an hour,per man,plus materials. If we discover any pre existing conditions we will notify owners for approval, No work will be started without notification and owners approval If wood roof decking and trim is sound,we will re-attach any loose wood to the rafters,sweep deck and prepare for installation. 7) Furnish and install aluminum F8 drip edge to all leading edges. Color(White). We are using .032 Aluminum in the valleys and the open cut method will be practiced. Color (Bronze)Kynar.Upper main roof valleys only. All new step flashing will be installed. 8) Apply Starter Course and ice and water shield to the leading edges 9'up in some areas and at all roof to walls, chimneys and penetrations. Cover the balance of any low-sloped roof decks with ice and water shield. We will also be using enhanced ice and water shield methods on all roof eaves. The balances of the deck with receive a synthetic roof paper. We use, as our standard, a hurricane nailing system recommended in northeast regions. This means, we install six(6) nails per shingle to reduce the risk of shingles being damaged by high winds and the weather changes we encounter It also increases your wind uplift warranty to 130 MPI. See details at CertainTeeiLcom 9) Install a new Certainteed Landmark Charcoal Black limited lifetime Architectural style shingle roof system. 10) Furnish and Install new Air Vent PowerCool plus CFM Power Vent to each unit complete with Thermostat and Humidistat(Excludes Electrical). 11) Install Broan Roof cap Bard piped from the roof flange to the fan device located in the attic. 12) All debris generated by TGLRC Inc. dba Lambert Roofing Company will be cleaned up on a daily basis and properly disposed of from the jobsite. ADD ALTERNATES: 1). New Velux FS skylight complete with flashing kit $650.00 (interior work not included if needed). $350.00 Removal, elimination and disposal of the existing skylight 2 EW#51-05033313 265 Winter St Haverhill,MA MA Reg Hie#149221 Phone(978)374-9224 Fax(978)521-5791 M,4 Lie. #UCS 078130 E-Mail at lambertroofinGt aol.com Single-Ply Lic. #1711 Please visit us on the Web at- nbertroofmG.net ,«v.la Inc.TGLRC rRoofing Company In Business Since 1932 This contract is the complete contract unless a signed Change Order has been executed between TGLRC Inc.dba Lambert Roofing Company and the Homeowner Contract Price and Customer Obligations The total cost for all permits,warranty, labor and materials is: $403425.00 —Four Hundred and Three Thousand,Two Hundred Twenty Five -- Payment Terms: 1/3 down upon signing, progressive payments and payment in full upon completion. • A finance charge of 1.5 %per month(18%per year)will be added to all invoices on the 31 day. All legal and or collection fees will be paid by the binding holder of this contract s The law requires that any deposit or down payment required by TGLRC Inc. dba Lambert Roofing Company before the work begins may not exceed the greater of: 0 1/3 of the total contract price or: o The actual cost of Special or Custom made materials which must be special ordered in advance to meet the completion schedule Acceptance of the Contract Proposal DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES OR ANY UNRESOLVED ITEMS NOTE:Due to volatile pricing on building products,this contract is valid for 15 days of receipt_ You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller, which may be the main office or branch thereof,provided you notify the seller in writing at the main office by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of the agreement. Because of the three (3) day Notice of Cancellation, work may not commence for a minimum of seven (;9 days after we receive this signed contract unless the contract is signed at our office. Signature Date: r/ / Please sign, keep a copy and return-one copy upon acceptance. "Quality Workmanship You Can Trust" Sinc Lambe in . a Lambert Roofing Company 4 ERN#51-05033313 265 Winter St Haverhill,MA MA Reg.Hic#149221 Phone(978)374-9224 Fax(978)521-5791 MA Lic. #UCS 078130 E-Mail at lambertroofing@yao1.co Single Ply Lic. #1711 Please visit us on the Web at pit,vlv.lainbertroofing.net Lr. The Conznzonwealth of Massachusetts De�JaYtl72e1Zt of 772C�TistYial ACCdCleiZts ^ Office of Investigations 'rf-`�r 604 Washington Street =y Boston,IMA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): « % Address: 49 4L City/State/Zip: Phone#: � Aou an employer? Check the appropriate box: Type of project(required): 1. I am a employer with W 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. F1 New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g_ ❑Demolition working for me in any capacity. employees aizd have workers' insurance.? 9. ❑Building addition comp.[No workers' comp.insurance required.] 5. F1 We are a corporation and its 10,E]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No—workers'. comp, right of exemption per MGL 12.❑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#I 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. lContractors 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 einployees. Below is the policy and Job site information. .n Insurance Company Name: (►�1� Policy#or Self-ins.Lic• Expiration DateZ _� Job Site Address City/State/Zip: Attach a copy of the workers' compensation polity 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 hereby certify undeand penalties of perjury that the information provided above is true and correct Signature: Date: Phone#: � �a cl- Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuinb Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town'Clerk 4.Electrical Inspector 5.Plumbinb Ins aertor 6.Other Contact Person: Phone#: . TOWN OF NORTH ANDOVER of to.RTh Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT Susan Y. Sawyer, REHS/RS 1600 OSGOOD STREET; BUILDING 20; UNIT 2035 Public Health Director NORTH ANDOVER, MASSACHUSETTS 01845 C I 1"tu Phone: 978.688.9540 Fax: 978.688.8476 E-mail: healthdept@towiiofnorthandover.com APPLICATION FOR DUMPSTER PERMIT PURSUANT TO SECTION 31A AND 31B OF CHAPTER III OF THE GENERAL LAWS, AND RULES AND REGULATIONS OF THE NORTHANDOVER BOARD OF HEALTH DATE: 06 Application is hereby made for a permit to maintain a dumpster(s) on property located at in accordance with the rules and regulations of the Board of Health. cc Applicant:Lami)-oA . -0 Property Owner: f-Vi V1 m 4- Owners Address: 1-3q n4cr_�� Vjd��R Name of Contact:�z1AVU"ATL_1a_%M Address: 9(0 S b tt /K.), J�M"I I KU Oj 6, 0 Owners Phone 9 _c? q Telephoneg:.,��1 Federal ID or SSff: Dumpster Company: -sk bn Telephone#: (rD?)- Pc 4 Pick-Up Schedule: On the back of this form, please sketch an outline of property,showing the proposed location of the dumpster(s). Give distance from dumpster to other buildings and lot lines or boundaries. Annual Dumpster Permit Fee: $60.00 per establishment Payable to: Town of North Andover. LATE FEE AFTER JANUARY 1St WILL BE DOUBLED -$120.00 *Please note that all contact information and the associated fee is required upon application submittal. Page 1 of 1 DAYS QAIAIDDIYYYY) 15 © CERT LCAT OF LIABILITY INSURANCE NFERS N RIGHTS UPON THE CERTIFICATE ZaOLDER�fH S TtiIS CERTIFICATE IS ISSUED AS A+ MATTER OF INFORMATION ONLY EXTEND OTRAAL BETWEEN THE iSSEJ[AIG INSURER(S), AUTHORIZED CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMETUTEXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. a wire an endorsement A statement on this ceYtificate does not Banger eights to the RTANT: If the certificate holder is an AD®IT(ON `L iNSUURED,the policY(ies} must be endorsed. If SUBROGATI®N i8 WAIVED,sublet u INFO clic certain policiesY the terms and conditions of the Policy, certificate holder In lieu of such endorsement(s)- CONTACT Jerrold xameras FAX NAME: 1978) 745-5463 'RODUCER PHONE7 §-5905 AIC No �I� 3NSURANCE ;LGENCY SNC. E-MAL ,7errolagallaninsurance.cam. S' 53 1/2 Jefferson Avenue 2nd r100r ADD INSURERS AFFOROINGCOVERAGE iVA1C it P.O. BOX 511 INSUREr:A:As3oicatP_d Igc� Ins Co SALEM �1A 019 0-0 511 e _ INSURER :EaL�t insurance CO INSURED iNSUReRC:wat:LorLa1 TJaiOn Fire Ins CQ. TGLRC INSURER D.Ac American 1-a urance CO. dba: Lambert R00fing CO- {,SURERE.-Ace American Insurance Co. 265 Winter Street KA 0183 0- INSURERF: REVISION NUMBER: Haverhill COVERAGES CERTIFICATE NUMBER: ECT TO EMENT,TERM OR CONR)Tlard OF ANY CONTRACT DESCRIBEDHE HEREIN IS SUBJECT TO ALL THE TERMS, THIS IS TO CERTIFY THAT THE POLICIES O I IRNSURANCE LISTED BELOW HAVE BCH THIS EEP)ISSUED T©DE OTHER DOCUMENT NAMED ABOVE FOR THE PQLICY PERI INDICATED NMAY BE ISSUED iNG ANY REQU CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED I3Y THE PIJLICIE., tifAlYS AD S B POLICY EFF POLICY f.XP C RT[IFI 0NS AND CONDITIONS OF SUCH POLICIES.LIMI TS SHOWN MAY HAVE BEEN REDUCED BY PAID ay DomM 1,000,000 INSSR POLICY NUMBER TYPE OF INSURANCE / / / / EACH OCCURRENCE 8 TH: DHNLA "TOR: ED S 50,000 GENERAL LIABILITY PREMISES En ocnurrence X COMMERCIAL GENCRAL LIAUILIr( 11/12/2014 11/12/2015 MED EXP(Any one Person} 1r QQQ 51028029 / / / � CLAIMS MADE �: OCCUR PERSONAL t;AOV INJURY 5 1,000,000 X Per Project Agg ! ! GENERAL AGGREGATE 2,000,OQ0 PRODUCTS-COttPIOPAGG S 2,000,000 i / / / S GEN't,AGGREGATE UNIT APPLIES PER ! / / / COM91HE0 SINGLE LRAIT POLICY x PRO- LOC 1 000 000 � 'Ea acc:de t AUTOMOBILE LIABILITY I / / / [IODILYINJURY(PerWsc4) S ANY AUTO 6203919 1 / 60UILY INJURY tPeraxident) S B ALLOV'MED X SCHEDULED 7j16/201.07/16/2015 PROPERTYDAMAGE S AUTOS AUTOS tf'erax.�denl N-OWNED S X HIRED AUTOS xNOAUTOS S 5,000,000 818930331 EACH OCCURRENCE X UM RELLA UAB X OCCUR 11/12/2019 21/1212015 AGGREGATE 5 5,000,000 C EXCESS LIAR CLAIMS-MADE / / 1 / / / � VVC S'rATU- UTH- DEO RETENTION S WORKERSCOh1PENSATION / / / ! E L EACH ACCIDENT S 1 000 s 000 AND EMPLOYEP,S'UABiLITY Y I N ANY PRIPRIETORIPARTNERIEXECUTIVE(AT} NIA �3/25/LO1So3125/Zo16 ELpISEASE-EAEk1PEOYE S 1 000 000 OFFICERIMEMBER EXCLUDED' I�`"�, S62US- B (Mandatary In NH) / ! / 1 EL 0 000 DISEASE-POCKY LMA[T S 1 00 if yyos,descnire under 1,000,000 DEs'GRIP110N01 i1PERATIONS ;01c r 2/22/201•: I2/22/20I5 same Em+tsar W worlter,s Compenstaion NH �6562UB-8D81311-6-16 NRI ! / / I pnheyaCnve 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES(Attach ACORD 161,Additional Remarf:s Schedule,if more space Ic rsqulred) CANCELLATION CERTIFICATE HOLDER ( } - ( } _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TGLRC dba Lambert R00f iIIgHE EX;eIRATION HD T POLICY THEREOF, ONCE NOTICWILL BE DELIVERED IN ACC RDNCE 265 Winter Street AUTHORISE REPRERENTATNE ¢� b NA 01830- "- �> Haverhill � O 1988-2090 ACORN CORPORATION. All rights reserved. ACORD 26(2010105) INS025(Z0100b)01 The ACORD name and logo are registered marks of ACORD C"78130 255 R TT Vol $ HaverM KA 0108 55 Office.of Consumer Affairs and Business Regulation 10 Park Plaza e Sure 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 149221 Type: Private Corporation Expiration: 1216/2015 Teo z4an T.G.L.R.0 dba Lambert Roofing Company RICHARD LAMBERT 265 WINTER STREET HAVERHILL, MA 01830 Update Address and return card.Mark reason for change. 0 Addren Renewal Empeayine at ❑ Lost Card