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Home My WebLink AboutBuilding Permit # 7/29/2015 (2) .............- %AORTH BUILDING PERMIT 4,�E 1 06 'V 6 TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION Permit No#: J �3 Date Received C Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION Wg ,V . &.,d K Print PROPERTY OWNER Print 100 Year'Structure Y!!s ria MAP PARCEL: ZONING DISTRICT: Historic District n Machine Shop Village yes" n) TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential Li New Building Li One family 0 Addition Li Two or more family 0 Industrial Li Alteration No. of units: Ll Commercial ;kDRepair, replacement 0 Assessory Bldg Li Others: L1 Demolition Li Other atdrs W DESCRIPTION OF WORK TO BE PERFORMED: a W Identification--Please Type or Print Clearly 16 OWNER: Name: Qr0 -,,A1ez Phone: 97e'9-642- Address: AlYKe Contractor Name: filo P,0^ Phone: 2, Email: ' Address: 3o F41;;°ZLOS A,1vr--7-,o;0 Supervisor's Construction License: 096 —Exp. Date: A9 010 Home Improvement License: /74 P 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. 1�2_94 Total Project Cost: $ Ao2 . 06) FEE: $ Check No.: 0 0 Receipt No.: ,:, NOTE: Persons contracting with unregistered contractors do not have access"te guaranty fund 7 gn, NORTH Town of Andover ® `•. c r soh ver, Mass, A COCHICAMACK U BOARD OF HEALTH PERMIT T LD Food/Kitchen /► Septic System Nom' BUILDING INSPECTOR THIS CERTIFIES THAT ..... .. ....... ..........41.............................................................. ........ Foundation has permission to ere t ....... .................. buildings on .....I.Q..... � ......��.......... ....... .: Rough Ae to be occupied as .. ... ... ..... 9ts.ppermit .... 1..... ......... .............. ®.... Chimney ........ ....s.... provided that the peZn cepting shall in every respect conform to the terms of he application Final on file in this office, and to the provisions of the Codes and By-Laws relating tp 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 EMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR /53 . UNLESS CO SRCS TS Rough Service .......... .. ..... .... ...... wwww•wr�—.................... 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. Kenewal by Andersen ' Ea WINDOW REPLACEMVNY ONPOMtw-um F'i5am sslo P,M FOrt f3U,�tNC P��tM1-r' #1nl i vtivCrrinrS�OW&"A p - f;exr u, w ab Kof k,p4iv� aft"A "at,form, Ls,j4.9w.&",,d,ruAw pv-vty C,r� o-c i a(i.o� 4Jer, Su#i Pov+aL C,crn,olovw� y,-e" fp f,d wt y as trv(,zed(� o f SwHv� Pow C d�xrtiir�4i wv,�, Mav,e,re Az wuo "y gtZjeL.wFi tr r irw�ta,-a ve ma►vty{�- 1-48 MaiA V- 1.1x1.Kl..2,2 N&rfP-A .r MA,t7 84s Own.e4 4 Slegakx w Com y, Tt53��iw trr yezk,p rpt a�40�f:r t. wry av*ff,&Pra pw�warka Sisnalvw&ofs�s3aGio�;rn,R ,�vr�tc� a I 30 Farbas Rd. Noxthbomu$h,AMA,01532 Phone(508)351-2233 Pax(508)985-7072 Web8 w aMw.renewaibm ersencoml I r112V�la� w MA Home Improvement Contractor .' '— License#170810(Expires 12/23/2015) �yAndersen. �- Renewal by Andersen Corporation �wtu Dow REPLA rn Enr ,�. 1 t.,�,,.,,,, Federal Tax ID#41-1918413 30 Forbes Rd. Northborough,MA 01532 (508)351-2200 Fax(508)-986-7072 I CUSTOMER WINDOW AND DOOR REMODELING AGREEMENT Buyers Name Date: j i STEPHEN COTTER - ROSE DELUCA MAY 5, 2015 Buyer(s)Street Address City State Zi Code 148 MAIN ST. UNIT K 112 NORTH ANDOVER MA 01845 Email Address Home Telephone Number Work/Cell Tele hone Number NONE 978-682-8955 978-421-7990 1 Buyer(s)hereby jointly and severally agrees to purchase the goods and/or services of Renewal by Andersen Corporation("Contractor"),in accordance with ,the terms and conditions described on the front and the reverse of this agreement and on the attached specification sheet(s)(collectively,this"Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. I Est.Start Date =Method of Payment Total Job Amount $ 12,724 Amount Financed$ 0 Deposit Received(33%)$ 4,241.33 Deposit at signing$ 0.00 Check/Cash j 8-10 weeks Balance Start of Job(33%)$ 4,241.33 Check N Balance on Substantial Est.Install Time Credit Card At Substantial Completion of Job(33%)$ 4,241.33 Completion$ 0.00 1-2 days [ifredit card is selected,please No final a ment shall be demanded until all anies are satislled e Credit Card Pa ment form Buyer(s)agrees and understands that this Agreement constitutes the entire understanding between the parties,and that there are no verbal understandings changing or modifying any of the terms of this Agreement. No alteration to or deviation from this Agreement will be valid without the signed,written consent of both Buyer(s)and Contractor. Buyer(s)hereby acknowledges that Buyer(s)1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was !orally informed of Buyer's right to cancel this Agreement. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Renewal by Andersen Corporation \�u,er(s) / Buyer(s) � 7� /�By: �77��ntcei L�ec Signature of Consultant Signature Signature i x BRUCE PECK STEPHEN COTTER ROSE DELUCA Printed Name of Consultant Printed Name Printed Name I YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION ATANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAYAFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT. NOTICE OF CANCELLATION i NOTICE OF CANCELLATION I I Date of Transaction 5/5/15 You may cancel this Date of Transaction 5/5/15 You may cancel this transaction,without any penalty or obligation,within three business days from the I transaction,without any penalty or obligation,within three business days from the above date.If you cancel,any property traded in,any payments made by you under I above date.If you cancel,any property traded in,any payments made by you under the Contract of Sale,and any negotiable instrument executed by you-ill be I the Contract of Sale,and any negotiable instrument executed by you avillbe returned within 10 days following receipt by the Contractor("Seller") of your I returned within 10 days following receipt by the Contractor("Seller")of your cancellation notice,and any security interest arising out of the transaction wiH be I cancellation notice,and any security interest arising out of the transaction will be canceled. If you cancel,you most make available to the Seller at your residence,in I canceled. If you cancel,you most make available to the Seller at your residence,in substantially as good condition as when received,any goods delivered to you under I substantially as good condition as when received,any goods delivered to you under this Contract or Sale; or you may,if you wish,comply with the instructions of the I this Contract or Sale;or you may,if you wish,comply with the instructions of the Seller regarding the return shipment of the goods at the Seller's expense and risk. I Seller regarding the return shipment of the goods at the Seller's expense and risk. If you do make the goods available to the Seller and the Seller does not pick them up I If you do make the goods available to the Seller and the Seller does not pick them up within 20 days of the date of your Notice of Cancellation,you may retain or dispose within 20 days of the date of your Notice of Cancellation,you may retain or dispose of the goods without any further obligation. If you fail to make the goods available t of the goods without any further obligation. If you fail to make the goods available to the Seller,or if you agree to return the goods to the Seller and fail to do so,then 1 to the Seller,or if you agree to return the goods to the Seller and fail to do so,then you remain liable for performance of all obligations under the Contract.To cancel I you remain liable for performance of all obligations under the Contract. To cancel I this transaction,mail or deliver a signed and dated copy of this cancellation notice I this transaction,mail or deliver a signed and dated copy of this cancellation notice 1or any other written notice,or send a telegram to Contractor:Renewal by Andersen,I or any other written notice,or send a telegram to Contractor: Renewal by Andersen, 30 Forbes Rd. Northborough,MA 01532. 1 30 Forbes Rd.Northborough,MA 01532. 11 HEREBY CANCEL THIS TRANSACTION. I HEREBY CANCEL THIS TRANSACTION, I Buyers Signature Print Name Date I Buyers Signature Print Name Date Renewal Renewal by Andersen Corporation o�o on MA Home Improvement Contractor byAndersen, a 30 Forbes rd Northborough,MA 01532 WINDOW REPLACEMENT ,,,: L ,,,, License#170810 (Expires 12/23/2015) (508)351-2200 Fax:(508)-986-7072 �Bu er s Name Window Specification Sheet Federal ID#a1-1918413 Date of Agreement STEPHEN COTTER ROSE DELUCA TU E, MAY 5, 2015 The buyer(s)listed above hereby jointly and severally agree to purchase the goods and/or services listed below,in accordance with the prices and terms described on the Specification Sheet and the front and the reverse of the accompanying CUSTOM WINDOW AND DOOR REMODELING AGREEMENT,of which the Specification Sheet is part. WINDOW&DOOR DETAILS App. App.Room p h n t �u.Pi,x Window/Door St le Detail ExteriorAnterior Color Hardware Hardware Casin s Ext-Int Color le Screens Smartsun Grilles sash Grille1/3 ash 2 Lifts O tions Famil 101 29 47 76 DB s rail a uai insert slo etl sill Sto s H/W White Standard FFG martSu INTW 3/2 3/2 Yes Famil ]02 29 47 76 DB s rail a uai insert slo ed sill Sto s Livin 103 29 47 76 DB s rail a uai insert slo etl sill Sto s H/W White Standard FFG martSu INTW 3/2 3/2 Yes H/W White Standard FFG martsu INrW 3/2 3/2 Yes Livin 104 29 47 76 DB sq rail Is ual insertslo ads!][ Sto s H/W White Standard FFG martSu IN1W 3/2 3/2 Yes Livia 105 29 47 76 DB s rail a uaI insert slo ed sill Sto 5 H/W White Standard FFG martSu INTW 3/2 3/2 Yes Livin 106 29 47 76 DB s rail a uai insert slo ed sill Sto S Bed 1 107 29 47 76 H/W White Standard FFG martsu NTW 3/2 3/2 Yes DB s rail a uai insert slo ed sill Stc S H/W White Standard FFG Betl 1 108 29 47 76 DB s rail a uai insert slo ed sill Sto S martSu INTW 3/2 3/2 Yes H/W White Standard FFG mansu INTW 3/2 3/2 Yes Total 8 BAY BO{V&BUILD OUT DETAILS Style Detail/ Approx Room ow Count S le Flankers he(diht Casin s AApnprle Number ntenor Ext/ImdColor Grilles s shes sashes Screens Smartsun SoffitEnd Center LowE on/ Hardware olor SPECIALTY WINDOW DETAILS Roam Count Full/ Approx. iSpecialty BAY/BOW ADDITIONAL WORK NOTES S le Insert U.I. Smartsun Grilles Grille St le ExtRnt Color C-t-1 is a—,,thzt with ba/bow w;ndm�a under 72 inches there will be ei ificant I_Ione. ADDITIONAL WORK DETAILS: RBA will remove and re lace shades as Needed to a install m:d fs not res onsible w•dn»xn e. -- I No Contractor will wrap exterior Casings with coil stock color of Owner is aware that Contractor does not do an / or the homeowner to have the alarm system and window toatmen�/hardware Iremovled priorfto/nsta%aNbn.rm system oWefmake no guarantee aas toawhether alarms ors bard of w 2 treatments/hardware will fit after replacement. Customer is also aware in some cases there will be g/ass loss. if there is,the amount will be dependent on the type of existing windows,type of installation and window style.We make no guarantee as to the amount of glass loss.Customer is aware and understands any and all unseen rot is not included in this contract.Should any rot be found there will be an additional charge for time and materials unless so stated in this contract. 3 Yes Contractor will insulate,caulk and seal windows with 3-point system to prevent water and air infiltration.Removal and disposal of all job related debris, windows,doors,storm windows and vacuum nightly included. Upon completion of the job and payment in full,a limited warranty shall be issued. 4 Yes Building Permit--Contractor will secure any and all necessa 5 ry permits. The fee for the permit(s)is included in the total contract price. Yes All discounts have been applied to this agreement. 6 ✓ Yes No Owner agrees to be present on the final day of installation for final inspection and to deliver final payment/finance form(s). It is agreed and understood by and between the parties that this Specification Sheet,along with the CUSTOM WINDOW AND DOOR REMODELING AGREENILNP,constitutes the entire understanding between the parties,and there are no verbal understandings changing or modifying any of the terms.This Specification Sheet may not be changed or its terms modified or varied in IRany way unless such changes are in writing and signed by both the Buyer(s)and Contractor. Buyer(s)hereby acknowledge that Buyer(s)has read this Specification Sheet. enevval by Andersen Corporation &A, �uye1(s)10 Buyers) eY . rf�ce�eclG Signature of Consultant Signature BRUCE PECK Signature STEPHEN COTTER Print Name of Consultant ROSE DELUCA Pant Name Print Name Rene\& a .s� by ders-enc �� WINDOW, REPLACEMENT an Artdev3tTCornpaoy, Wood/Vinyl Composite IF I-,fa:F^M: $�c:. Dual Argon Low E4 SrnartSun Ew�4jt ,$as<.3, ; Double Hung 100-00473518-010 ERERGY PERFORMANCE RATINGS U-Factor(U.S)/I-P Solar Heat Gain Coefficient ADDITIONAL PERFORMANCE WINGS Visible Transmittance 42 Manutacturar stipulates that these ratings conform to applicable NFRC procedures for determining whole product pedormanee.NFRC mtkVs are determined for a feted set of environmental condilions and a specific product sae. NFRC does not recommend any product and does not warrant the auilabidy of any product fofany sPcili:use. Consua manufacturer's @arature for other product performance information. www rtirc.ow The product meats Green, - '�+e Sesl'c environmental senses ............. standardsgovernin9energyr•„� FLS efficiency,heavy Matats in '•the frame and sash . t',�.mateissl,packagnmg,and G';S/ �.Y?•-<-�'.+�4 consumer edvatbnal mlt.r t.a51,male'seb. DESIGN PRESSURE(PSF) WneowA.-Of r Y� wrmnuHclreMllesocLtion - www.wdma.com - RbA DB Sloped Sill DH IN Y.,wtotiAFS02orAN:tAAH1fAMM101ASlA4” MarsAac4ser at' tos wrtormartre to rasa rs2h1B3tarpa1ds. mleets or exceeds M.E.C.,C.F.C.R f.E.C.C.Ai wnlaratien requirements W Ch1A Hallmark Cediii:ation Program. r The Commonwealth of Massachusetts Department ofIndustrial Accidents Offke of Investigadons I Congress Street,Suite 100 Boston,MA 02114-2017 IV www.mass.govIdia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/individual): RENEWAL BY ANDERSEN Address:30 FORBES ROAD CityyState/Zip:NORTHBORO, MA 01632 Phone#:508-351-2200 Are you an employer?Check the appropriate box: Type of project(required): 1,K I am a employer with 30 4. F1 I am a general contractor and 1 6. New construction employees (full and/or part-time).* have hired the sub-contractors 2.El I am a sole proprietor or partner- listed on the attached sheet. 7. QQ Remodeling ship and have no employees These sub-contractors have 8. F] Demolition working for me in any capacity. employees and have workers, 9. n Building addition [No workers' comp.insurance comp.insurance.: required.] 5. E] We are a corporation and its 10.El Electrical repairs or additions 3.0 1 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.E] Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.n Other comp.insurance requiredJ------, *Any applicant that checks box it 1 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. 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-contractors have employees,they must provide their workers'comp.policy numbm lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:OLD REPUBLIC INS. CO. Policy#or Self-ins.Lie.4:MWC 30293800 Expiration Date: 10101/15 Job Site Address- 148 Main ST. Unit K 112 City/State/Zip:North Andover, MA 01845 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 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenattles ofperjury that the information provided above is true and correct. Date: ;7— pj=e#: - 1-2200 0J)k1al use only. Do not write In this area,to be completed by city or town offlicial. City or Town: ---PermittUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector . ther Contact Person: Phone#: ANDECOR-01 YADAVYO A�'a lRtd DATE(MMIDWYYYY) CERTIFICATE OF LIABILITY INSURANCE 101112014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),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 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 endomement(s). PRODUCER NAME: cerdficates@wlllls.com Willis of Minnesota,Inc. PHONE 87 945-7378 F c/o 26 Century Blvd IL Eri:( Arc No):(888)467-2378 P.O.Box 305191 ADDRESS: Nashville,TN 37230.5191 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Old Republic insurance Company 24147 INSURED INSURER B: Renewal by Andersen Corporation INSURER C: 30 Forbes Road INSURER D: Northborough,MA 01532 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. ILTR NSRTYPE OF INSURANCE POLICY NUMBER MM/O MMID LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE a OCCUR MWZY302940 10/01/2014 10!61/2015 PREMISES Ea occunence S 500,00 MED EXP(Any one person) S 10,00 PERSONAL&ADV INJURY $ 1,000,00 GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 4,000,00 X POLICY❑JECo-T IAC PRODUCTS-COMPlOPAGG $ 4,000,00 OTHER; $ AUTOMOBILE LIABILITY a aBI COMBIderD rr $ 5,000,00 A X ANY AUTO (Ea 10101/2014 10/0112015 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Par accident) S AUTOS AUTOS NON-OWNED PROPERTY—DA A E $ HIREDAUTOS AUTOS e S UMBRELLA UAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE DEO RETENTION $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIAWLnYSTATUTE I ER A ANY PROPRIETORIPARTNERIEXECUTIVE Y!N MWC30293800 10101/2014 10/01/2015 E.LEACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? FRI NIA (Mandatory In NH) E.LDISEASE-EAEMPLOYE $ 1,000,00 It yes,describe und DESCRIPTION 0 &E RATIONS Wow E.L.DISEASE-POLICY LIMIT $ 11600100 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schadt9a,may be attached H more space Is required) I i I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. I AUTHORIZED REPRESENTATIVE iEvidence of Insurance ®1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD i Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supervi%or License:CS-090125 i JA]aVfE L MORIN 86 GARDINER ST '' f .4 fi`• LYNN MA 01905 Expiration Commissioner 10/06/2016 - ��''�aaoaettl dice of Consumer Affairs&Business Itegulation OME IMPROVEMENT CONTRACTOR Replstration: 170810 Type:12/2312015 Supplement V RENEWAL BY ANDERSON CORPORATION JAIME MORIN 104 OTIS STREET NORTHBOROUGH,MA 01532 Undersecretary {fi i