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HomeMy WebLinkAboutBuilding Permit # 7/31/2015 ............,,,, p1ORT11 , 'e..-,"' . BUILDING PERMIT . 0 TOWN OF NORTH ANDOVER 0 0 APPLICATION FOR PLAN EXAMINATION V Permit NO: Date Received Date Issued: '�sACHU5 ERRy_ IMPORTANT: Applicant must complete all items on this page TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential El New Building s,6ne family 11 Addition 11 Two or more family 1:1 Industrial El AI eration No. of units: 11 Commercial IvAepair, replacement 11 Assessory Bldg El Others: 11 Demolition 11 Other Pul 6 Identification Please Type or Print Clearly) OWNER: Name. Jtlib t11`()P;,k1J Phone: q'76 HOZ- 61 Address: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BAS ON$125.00 PER S.F. Total Project Cost: $ I L1. 8 P,L FEE: $ Check No.: (Q1_I 1A Receipt No.: NOTE: Persons coWracti g it ur registered contractors do not have acre s t th g aranlyfiind 7_1111111711 191h F SORT H fown OfE ..h' -11ft d()v e r t _ / o LAK. h ver, Mass, �j COCHICKCWICK AERATED NPp,`�� S V BOARD OF HEALTH Food/Kitchen PERMIT T LU Septic System THIS CERTIFIES THAT 5?)6�............ � s ............................... BUILDING INSPECTOR .. Foundation has permission to erect ....... buildings on . ...�..1.... : !.�.. ........................... Rough to be occupied as ���dv� Chimney provided that the person accepting 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 E IN 6M THS ELECTRICAL INSPECTOR LESS C T CT10 S AR Rough Service .................. ............................................................. Final BUILDING INSPECTOR GAS INSPECTOR ccupanc]y 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. Project 31-60693 - Signed Sales Agreement https://nitro.powerhrg.com/project—docunients/5277485?pages=I Project 31-60693-Signed Sales Agreement 9 JPEG 0.8 MB,2448x3264) Device:iPad5,4 c anw E ea em" nor 2"5191*ae ,CNwswr, PNQ PO a @"@m4T0C NAL HEADO UARTER"5 Jo-3 L4�4 5 ��`✓hllf/JJ/ili,9 ;fid�!I�t;, 79,1!4uW,'.+ M�M3�- !`�11P1C>CI�L ��ou�t��,ya�l CUSTOM NEMODI=UNG AND IMPROVEMENT AGFA ENT sayeitY womwwn ww Onoodon of ow pmpemr PM)ed NuMber 31-60M A*16,2045 John Lftoftky om 1 Si Wlh 4 01646 �xiE A, <13 a Bu (M Woo above hazy ry�ob*"Homy �to puw tvm ,s� of� R and (-Gonvadon in nae with the plicas wid Wm dftaftd in oft a page dxumrd Spacklabons,wtkh are incorporated fed port of ft AWeement( A )Y wt"�..11ft Aweemot wvsetft 9 Oash (s)aww to fay#*oosf of"goods wd wrftw Affdwsed as dasortnd hersim,w9wdWs of timov or appmvw of any (s)may sook br purdlase Pam: $14,f .90 Re kouftow hispeefion Dow* Dom t: Balanoe Dtw on $14,fNDlf.90 EsUmted Start J to 4 SubstantW Corpoefion. Esftsded Pmjbd CanqAedw:I to 2 days owtwbe$to"oat * S noon Su s) " f3aa of 0*pot dsk of toad h n f to in 81 st 0 ft Buyw(s)recaNO Oft pwnphlot on the date of fts Agrownent betto 0wnMwVwwd of Work 1s t eae titan�s sn!and 1� tand lq ffao aw A ad asntirs hpr +arir,f pnd s unit a d e # ,V of fkan I�^ms,on ffaa dafs��at>te ? o+n►fly Mfr�alanlotf ofst ff10�I�� Euyor(e) ltd et per, cwftb,ed on , fa OOWMOn*feud Fvtwo prOinofk nre r 00 00T AM MO A00f M�11 f Ali AW'� ; ��nr� d fes, afp� laMC;�%�pia?�t�t�flultawaM. ��� Mf MM<Mfrttlf4p AafAy �� MM���{f�p ?I�M pvyM(MyMT�ydyMgYMVn (M Mq(�M � "l�M � �, ��"+��Ai7+7A7e�R'ii �n�?'>• AA91M1f�M+wM 'SP's' ' MIl?%9!���, r' e I I of] 7/29/2015 11:37 AM NATIONAL HEADOUARTERS John Lesofsky 2501 Seaport Drive,Chester,PA 1901331-60693 faz n 01888-REMOD, 1�%�%% G,, July 16, 2015 `:; #nv aiuird ., MA HIG#168616 PRODUCT SPECIFICATIONS Buyer(s)'Information and Description of the Property: Project Number: 31-60693 July 16,2015 John Lesofsky Date ofAgreement (978)682-9546(Home) 189 High St North Andover,MA,01845 County:Essex Township: Buyer(s)listed above hereby jointly and severally agrees to purchase the goods and/or services listed on the accompanying specification sheets, in accordance with the prices and terms described in the Custom Remodeling and Improvement and the Product Specifications (collectively,this"Agreement"). Pre Installation Inspection Date:Your pre installation inspection is tentatively scheduled for Tue 7/28 between 2:40p and 3:40p. Roofing -GAF Inclusions: Includes Timberline Ultra HD Lifetime shingles with 50 year non prorated labor warranty. Also includes removal of existing shingles, installation of F-Style drip edge,Weather Watch ice and water shield, Deck Armor breathable roof deck protection, Pro Start starter strip, Snow Country ridge vent exhaust,Timbertex premium ridge cap shingles, PowerVent intake ventilation, all flashing where needed and 6 nails per full shingle.All steep slope installation applications used only where applicable, Low slope roofs, ones below a 4/12 pitch and flat roofs do not apply. Clean up and haul away all job related debris. *Low slope roofing installations include a 15 year non prorated labor and material warranty, removal of all existing roofing materials, new decking, TriBuilt base and cap sheet, drip edge and flashing where applicable. To protect our clients, Power HRG includes at no additional cost, the removal and replacement of up to 300 square feet of soft or rotted roof decking if needed. Low slope roofs below a 4/12 pitch and roofs with cedar shingle removal do not apply as they will include all new decking as part of the installation. Any additional wood replacement needed, over and above the 300sq/ft we provide, will be done at a cost to the homeowner of$3.57 per sq/ft. (Buyer initials ) For Example:After the shingles have been removed, if we find there is a need to replace 325 sq/ft of wood, Power HRG will pay for the first 300sq/ft. It is the responsibility of the homeowner to pay for the cost of 25sq/ft of replacement wood at$3.57 per sq/ft, which in this example is$89.25 It is agreed and understood by and between the parties that the Product Specifications,along with the Custom Remodeling and Improvement Agreement, constitutes the entire understanding between the parties,and replace any and all prior negotiations, representations,or agreements, either written or oral. The Product Specifications may not be changed, modified,or varied in any way unless such changes are in writing and signed by both Buyer(s)and Contractor. Buyer(s)hereby acknowledge that Buyer(s)has read the Product Specifications. have read and received each page of this 2 page agreement. Power Home Remodeling Group Buyer(s) /07/16/15 /07/16/15 Signature of Remodeling Consultant Signature Daniel Roachford John Lesofsky YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. July 16, 2015 14:15 I(VIII IIID III)VIII)VIII IIID IIID IIID IIII III) Page 1 of 2 NATIONAL HEADQUARTERS John Lesofsky 2501 Seaport Drive,Chester,PA 19013 31-60693 dOingG fv July 16, 2015 H n i,IlN7ff( ;,, ., „ .,1,,..,.. a r r r�"rr gym,, o• r a MA HIG4 16FS616 Project Specifications Roofing: Whole House 1 1625.0'x1.0" ROOFING: Models GAF Styles Architectural Shingles Types None Configs None OPTIONS: Color Pewter Gray I Removal Standard Shingle I Installation Details None CORPORATION P Grafi ;I July 16, 2015 14:15 I VIII)IIID IIII VIII)VIII IIIII IIIII VIII(III IIII Page 2 of 2 If j- /COT-, *<,-,,O T- 7 7- J-%7 -1 D 1 Ci P.H f Address: '2S-0 l' j""' 0 af:e- PhoTle;t'J: -'5 r Cc box. T C �Pky—(LiAll andlbj-pwvllmePEDNew congmetioi) Pa'm=I*=6 hfwt Mo f0j mt in any-P-R)...rN'O workers`CGInp.iwuranCe 7'qui'�&j 9. ElDemolition boTnt*vmfj au-6 Vad b,-111trEC Ontmctojs - -aildimg addition 3,0 Ej 'y property. IC pm;t3 :M IB -witl zo cuploy4-M, 3 3 7ePzi-'-Cy a4i6Y m'- Lez OZ-A� h-C MP)OYOU-aMd have ap.mei • Roof o: Tepai ,s 6. 52 )-andweanti is fflerauv- Ofc-MPOM per IOGL c, Othel- ire 4 ) .00have no employs.[No VvDkeml romp. ins='na -"Uired "'Any applicant'I"PT box W1 MIMI also M out the section b0mv showing their workej-F,compensation L Homeowum-,IVhO mb-if this affidavit indicating they P-11cy MIOnuatiom 'Couft-dctms la QbMk this tIOX must attached an additionalsheat doing 8-11 WoAc and then him Outside'vontm6tas must submit a new affidavit indicating suzk hmt showing the MMD of Ibr sub-wnarw1or,and state'B'hahu Or 110't thDse,entities have =910YOCS. If the sub-c*nfrarjon bOIT'rMPJ')ye.,thry In"St provide tbi, A- I - M'O IOM COMT).VDIkV numher am an eflo"r that is ProyhhWg"'Orkers'coIRPensatiOn insurance for rM,enjpjoyce& $eEPrar is thePolky andjob Me Insurgence company NML ame: P" C- LE CC Policy#or Self-ins,Lie. EXPiMdDU Mtej yob Site Address: A"ath a COPY Of the Workers' CA]UPPMR116DII POUDy � deDIOTM6DO PUge[Nino WiDgtine PDl!vYRUMbbr and exp"tilm date). FOUMt()gemweovcrag(',asrequired tender MGL c. 152, �ZSAis a orhDinal violation PUbLi`haT)lDbYft fine UPto SI,5DD.DD and/or one-year il:nprisonment,49 Well BR DiVil penalties in thD form of day against the Violator.A cD R STOP WORK ORDER Pad E,rmD of UP,to SZSD,DD a coverage Ve tI I n Py of statement may be forwarded to the,OffirX,Df'IIIVD9figafiDD9 of tine J)A for insurance I do hereby rd r the pains rant/penalties ofperjury that rite ilt Vor'na4fon ProvUed above is true and correct pay ,s -Date,: Anon D ff r0 OffficW�use onfy. Do,rept WrUe fn this arra,MO be completer/Iy ally or 10fir"ofmw City or Town: Permit/lAcense# Issuing AuthorRy(dre-le one�). llcsi�zr ATIV)Owthl I.Board of Health 7.RuDdIng DePftrtwent 3�.Cfty(TDwv Clerk 4.EIDdricril 1uppeCtDr S.Plu Mbing Inspetfor G.Other CDutmet Perpon.. pbone(h POWER-1 OP ID: EL ACOR®% DATE(MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 09/11/2014 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 policy(ies) 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 endorsement(s). PRODUCER CONTACT NAME: Lacher&Associates Ins Agency PHONE FAx Lacher Insurance Group AIC No Ext:215-723-4378 Alc No: 215-723-8604 632 E Broad St P O Box 64398 E-MAIL Souderton,PA 18964 ADDRESS: Chad Lacher INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Harleysville Preferred Ins.Co 35696 INSURED Power Home Remodeling Group, INSURER B:Harleysville Worcester Ins Co 26182 LLC INSURER C:Nationwide Mutual Ins Company 23787 2501 Seaport Drive,Suite 8110 Chester,PA 19013 INSURER D:Pennsylvania Manufacturers 12262 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. ITYPE OF INSURANCE ADDL SUB POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DDIIYYYY /Y MM/DDYYY LIMITS LTR A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE Al OCCUR MPA00000089793N 10/01/2014 10/01/2015 DAMAGE TO RENTED 1 000 000 PREMISES Ea occurrence S > > MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY[X]JECTPRO-- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000 000 Ea accident B X ANY AUTO BA 00000089796N 10/01/2014 10/01/2015 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS - NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Per.c.dent $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 C X EXCESS LIAB CLAIMS-MADE CMB00000089794N 10/01/2014 10/01/2015 AGGREGATE $ 10,000,000 DED RETENTIO NEDN$ $ WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY STATUTE ER Y/N D ANY PROPRIETOR/PARTNER/EXECUTIVE 2014006620967 10/01/2014 10/01/2015 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000 B Mass Auto BA 00000018227P 10/01/2014 10/01/2015 Auto Liab 1,000,000 B NY Auto BA 00000074849R 10/01/2014 10/01/2015 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION NANDOVE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of North Andover 120 Main Street AUTHORIZED REPRESENTATIVE North Andover,MA 01845 A��_ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD MARK E, MORDITNT1 IS NE4R'ELL DR IST A't'TLEBORO , 02760 0911612015 ffice of Consumer Affairs 8a Business Regulation OME IMPROVEfViEhIT CONTRACTOR Registration: 16561 Typ<. ( Expiration* 311Z 017 Supplement POWER HOME REMODELING GROUP LLC. MARK MORDINI 2501 SEAPORT DRIVE STE B110 ' , CHESTER,PA 19013 Undersecretary 9Z m. 4d NUMBER . �O568019494 , n+ d�ypt J k 1r,4 �l tib 3 t#138t i �n 18 NEVtrt:LIL DR N RiTLE801101)Ctl,MA02760-3W 6 pD 09.11-201§Rev DT-IS20D9 r` I