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Home My WebLink AboutBuilding Permit # 7/27/2015 FORTH BUILDING PERMIT 'TIE D bgtio TOWN OF NORTH ANDOVER 16 Q APPLICATION FOR PLAN EXAMINATION, 22--J Permit No#: Date Received spa�y TED �SSgCHU Date Issued: �71 1 t IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL:(-'>k7— ZONING DISTRICT: Historic District yes no Machine Shop Village yes no o TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ---krO—ne family [I Addition [I Two or more family F1 Industrial Ll Alteration No, of units: 11 Commercial VRepair, replacement [I Assessory Bldg Li Others: Ll Demolition 11 Other 'F 6p,1!,a,h o Wetlands te n a u rcl .", is l 0, ........... DESCRIPTION OF WORK TO BE PERFORMED: Re vi;eD- j/r� r ne.%s-- e, r-r-6/74 Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: Phonel,' Email: t! -p fp z cr-) Address:J Supervisor's Construction License: QJTJ -Exp. Date: 1 s Home Improvement License: 7 —Exp. Date: 0 'G' 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: $ FEE: $_c9l Check No.: Receipt No.: 165- NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund -7- 814naiure-4-A -Y Signature- of contract qent/Owner FORTH Town ofEAndover ® . - ..... ® a ?� 5 o - �AKe h � ver, M ss, COC NICNl W.CK V ADRPPp��(5 S V BOARD OF HEALTH PER IT T D Food/Kitchen Septic System THIS CERTIFIES THAT I ..�T��. ��. BUILDING INSPECTOR ..... . ..... ......... .... ............................... ........................ ., Foundation has permission to erect .......................... buildings on .. ...... .........••. to be Occupied as .......... ...►1 .. ..�r....... ...... ... ��.�. .�. .. . . ......�!`...!.!.C..... Chimney Rough e provided that the person accepting this permit shall in every res ct conform t 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 EXPIRES 16 MON HSELECTRICAL INSPECTOR LESS_ COSTR N A TS Rough Service ........ ... ..... ................................................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required t® 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. Pro Entry Installs LLC 7 Cassidy Ave Salem NH 03079 george@myproentry.com George Williams 603 7651312 Proposal for; Karen and Steve Knuepfer 155 Rept St No Andover Ma 01845 978 257 3397/978 376 9721 Siding project; Remove and dispose of shingled areas down to sheathing Repair all non structural rot Vertical area front of house will get Hardie wrap vapor barrier and side over Vertical porch area to get composite water table and door kick plates Composite material is (white) All other areas that are being sided that had shingles will get foundation cap Then they will have Hardie wrap vapor barrier seam taped Any questionable flashing issues doors and windows will be redone At this point house will be water and air tight with modern vapor barrier The Charter Oak panel has a special starter strip that we will use Siding will start from bottom up Alside Charter Oak panel/Siding color (Platinum Grey) 4 Y2 clapboard J channel for windows and doors to be 45%mittered (picture frame look) PVC coated aluminum custom bent(brickmold for windows and entry doors) Garage doors to get PVC coated aluminum over casing All spickets, electric and light fixtures in sided areas to get mini mounts New vinyl gable vents No work is being done to front porch beam and ceiling No work inside of back glass room No work to exterior of back glass room (it is only framed nails would come through) All roofline fascia is to be covered with PVC coated aluminum (white) All soffit roofline to get Premium Triple 3"hidden vent soffit Fifteen beams in soffit areas to get covered PVC coated aluminum Front door to get side flutes and mantle composite (white) Electrician included Reimbursement of permits added to completion There will be a job permit and electrical permit Composite attachment for clothes line (white) Five pairs of vinyl shutters louvered (black) Install four picture windows This will require interior stops and will take up the frame area of the openings Stops will need to be painted or stained Fiberglass insulation used between frames Windows to be used are Pro Series 3000 White interior and exterior Clima-Tech glass (exceeds energy star) Low E and Argon Doulbe pane/ double strength glass Glass breakage (condensation between glass or rock) Entry door Remove existing door Clean opening and repair all nonstructural rotted wood Grace ice and water shield flashing to sill and up sides 6" -8" Install custom sill pan/this will help with water management Seal sill to bottom of the door with premium sealant Install door into opening with proper shimming to maximize security Insulate door with hand stuffed fiberglass insulation Doors ordered with adjustable threshold Exterior casing to be covered with custom bent PVC aluminum New interior casing included New interior casing will need to be primed and painted or stained Install lockset and deadbolt Pro Via Door Company Model #006 door and#130EXT sidelites Legacy steel dipped galvanized 20 gauge smooth Factory painted door is Mountian berry both sides Sidelites are white both sides Sidelites have external grids Keypad lockset with handle (flat bronze) Bronze threshold and hinges/ Complete clean up Lead paint certified Two year craftsmanship warranty Manufacturer warranty Maintain proper insurance Dumpster and removal of all job related material included Total$24,200.00 deposit$8,000.00 completion$16,200.00 We need to call Rick Cloudier to get price for gutters 603 234 9709 j J I i PRO-ENTRY INSTALLS, LLC www.MyP'roEntry.com r 7 Cassidy Ave, Salem, NH 03079 (603) 765-1312 Date: Name Home Phone# Address Asll ,'., Work/Cell# r „ „ ��r "� .. p V �� A I T Work/Cell# Installation Address „ E-Mail r1 11W111 ,11 f I�1� i l� ,,� QTY STYLE SERIES INT COLOR EXT COLOR SCR ENS GRIDS WRAPS NOTES nu AA) A&�` i ,1>1� r�N11 t� LOCATION MODEL SKIN SIDELITE INT COLOR EXT COLOR HW FINISH LOCKSET INT KNOB OPTIONS o-”R, s"'"�"� Dn �.., .� ,F` ;" W� ." w a�" � ,:" ,�„ d7, 0�rn�,Ao� r'r/ "'¢ ',e,7'e'°N„�' 'a"��M�tf ,e,('"r,.,h '' �. c,f e'bgl �l' A'"�,�Y+!rt �rver, 7� 7 „.,,. � f A "I Pu �" 'i„ �'v” Nma ce'�," a '�", i SPe, 1 �rt 9„ .A�... R,-A, o�i� N '00171,a"-�"e„�w�.�� ” � ,r/ dd � w e, 4C � .e "u,r• � .-�"N .. a s �wwh:�t�"rr d ;�t ff�" ;,1' io""" r�w� ��'a(, ),,," rvi4G"o. m 7" ) �b N '4^A p' I I Any staining or painting as a result of project, removing existing blinds and curtains, moving any furniture or items that prevent access to the windows or doors to be worked on. Pro-Entry will remove and dispose all project related debris and provide material as specified above.Pro-Entry maintains proper liability and Workers'Comp Insurance.Binders available upon request.Pro-Entry has a two year craftsmanship warranty in addition to the manufacturer's warranty. Pro-Entry will obtain all permits and will be reimbursed by the customer for said permits and any city/town fees You may cancel this transaction,without penalty or obligation,within three business days(excluding Sundays and Holidays)of the date of this transaction.To cancel this transaction,mail or deliver written notice to Pro-Entry Installs,LLC,7 Cassidy Ave.,Salem,NH 03079 no later than midnight of the third day of this transaction(excluding Sundays and Holidays).After the third day there will be a service charge equal to 25%of the total contract. "7„� r" 6 my � Authorized By:e",- � ':�rvw ' °"t 1r T, Pe �� Pro Entry Installs.LLC �� ACCEPTANCE OF PROPOSAL III l J111��1111�11��1'1�� h�ui r1�i I �I 11111 �1 �� .JJ)191)III�� I I r ,.. The above prices,spe9'fications and conditions_ re satisfactory and are hereby accepted.You are TOTAL INVESTMENT TYPE author1 ed4to do the work as sped ie�.PNT a ayments will be made as outlined. „ at Dep 1/3 � ,�*�,°�'4�.,�°� ^� �° ^�'� „t�,..,„, �, ��, �� Balance at Signature. �. ._ Date: tit ( P �. Signature "(�� '„ '.� ��.�"� ��, �. Date: The Commonwealth of Massa,chusetts Department oflndustrialAccidents wa. 1 Congress Street,Suite 100 Boston,MA 0.2114--2017 sy;�wt www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers- TO BE FILED wJTH THE PERMITTING AUTHORITY. Applicant Information J Please Print Legibly NaMe (Business/Organization/Individual): k c' Address: City/State/Zip: i�� ! Phone#: l.r Are you an employer?Checktlie appropriate box: Type of project(x'equired): 1.6 am.a.employer with employees(full and/or part-time).* 7. New construction 2.E]I am a sole proprietor or partnership and have no employees working for me in 8. E]R.emodelirig any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.Q I am a homeowner doing all work myself,[No workers'comp.insurance required.]t 10 ❑Building addition 4.❑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,❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.0 Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.�ther, �4V?",1 '.oe%r�s 152,§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. f Homeowners who submit this Adavit 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-conlrac6s have employees,they must provide their workers'comp.policy number.' X am an employer that ispfoviding workers'compensation insurance for•my employees.'Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: C 7 ' 1 Expiration Date: // � 0% Job Site Address: j r City/State/Zip:1y A-4 dA � Attach a copy of the workers' compensation policy 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 WORD 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 verification. I do hereby certify nder ge ains penalties ofpei;jury that the inforination provided above is true and correct. Si nature: Date: ( j Phone#: v )313, 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): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.PIumbing Inspector 6.Other Contact Person: Phone#: CERTIFICATE OF LIABILITY INSURANCE T 0'7!I23, D20L. Y) FICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOTAFFIRMATIVELY 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 policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to he terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to he certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PLANRIGHT INS&FINANCIA PHONE FAX 224 MAIN ST STE 2A (A/C,No,Ext): (A1C,No): E-MAIL SALEM,NH 03079 ADDRESS: 76LJW INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: HARTFORD UNDERWRITERS INSURANCE COMPANY PRO ENTRY INSTALLS LLC INSURER B: INSURER C: INSURER D: 7 CASSIDY AVE INSURER E: SALEM,NH 03079 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 I ADD SUB I POLICY EFF DATE POLICY EXP DATE '.. LTR TYPE OF INSURANCE L R POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS '.. GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE F__1 OCCUR. DAMAGE TO RENTED $ PREMISES(Ea occurrence) ED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY D PROJECT [:]LOC PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINEDSINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCH EDULE AU TOS (Per person) HIREDAUTOS BODILY INJURY $ (Per accident) NON-OWNEDAUTOS PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB B OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ A WORKER'S COMPENSATION AND XWC STATUTORY OTHER EMPLOYER'S LIABILITY YIN UB-212565334-14 11/0612014 11/06/2015 LIMITS ANY PROPERITORlPARTNERIEXECUTIVENIA E.L.EACH ACCIDENT $ 100,000 OFFICERIMEMBER EXCLUDED? 17-1 (Mandatory in NHI E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED IO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE, CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED 120 MAIN ST IN ACCORDANCE WITH THE POLICY PROVISIO AUTHORIZED REPRESENTATIVE NORTH ANDOVER,MA 01845 ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORP)6M' 0W,'-OT110ts reserved. Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 181492 Type: LLC Expiration: 4/6/20.17 Tr# 264499 PRO ENTRY INSTALLS LLC GEORGE WILLIAMS 7 CASSIDY AVE SALEM, NH 03079 Update Address and return card.Mark reason for change. 20M-05/11 Address ❑ Renewal [] Employment Lost Card i - , � i C�fe CQOM11110)1wecAll,O/1 901MI-1—rd(1i C/6 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 181492 Type: Office of Consumer Affairs and Business Regulation xpiration: "'4/6/2017 LLC 10 Park Plaza-Suite 5170 Boston,MA 02116 VTRY INSTALLS LLC �E WILLIAMS iIDY AVE NH 03079 Undersecretary Not valid without signature i 4 Massachusetts Department of Public Safety ti Board of Building Regulations and Standards Construction Supcn i.+or Specialty �X License: CSSL-106033 GEORGE WILLIAMS 7 CASSIDY AVENUE _ Salem NH 03079, fi , +`' Expiration 5,-4 " '� 12/08/2018 Commissioner k