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HomeMy WebLinkAboutBuilding Permit # 8/6/2015 BUILDING PERMIT TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION 11L Permit NO: All I' Date Received S r 4 Date Issued: U IMPORTANT: A pplicant must complete all items on this page LO'CAT[ON"' )�WAt k" 0�6P,ERT printAJIaP 0g, ' yes r1p; TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential i i New Building One family � i Addition El Two or more family [J Ind real Alteration No. of units: ii ornmercial Repair, r0ecement I I Assessory Bldg—'- -1 Others,—, IT Dem ion 1-1 Other �" El yl I VNO, 0 CL— I -7 jam Identification Please Type or Print Clearly) OWNER: Name: Phone. 18,G09 - 53-37, Address, 10 Fu6ex- veva CONTRACTOR qO JT'k'A�btd N, a, lot 'T Vi Suor At Home 77777777 M'prouerrl In n p 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: ETOO FEE: $ Check No.: Receipt No.: VC NOTE: Persons contracting withpni-egistered contractors do not have access to tie auaranty ,.(Iind Signature of genfiark Sig nature,of,dontract tkoRT H town of It 1 .71', ndover 0 p n 0% No. �620 � - LAK h ver, ass, Amuse 4 COCHIC H@WOGK ��' � 11a0R^TED R^TED P•?�`�.(� 7 BOARD OF HEALTH Food/Kitchen Septic System MTHIS CERTIFIES THAT C BUILDING INSPECTOR ............................ ....... ........................... .. .. . .... . ... ... has permission to erect .......................... buildings on ...�. .. ►rb.er 1...NfoffiA,....... Foundation Rough to be occupied as ................ ........ .. ....... '.&in R�... ....... ............................................................ Chimney provided that the person acceptingth s e.;m­ shall eve es ect conform`to the terms of thea licationp p pp pp 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 IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS T TI STARTS Rough ....... ... ..... Service ............ .. ............ ... . ' —� Final BUILDING INSPECTOR GAS INSPECTOR Occupancy 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. CONTRACT WORK SPECIFICATION ; Mass HIC# 177704 GAF Authorized Roofer CE 18650 r 11�,;lits/ :�i>d�e--•acn of rYi»d!?�r fE�:-; 354 Morrinlnck Street(Entry C,SWI.500) MA 01640 866.49BUDGET•Fax(978)299-0126•www.gu�get•E>.toriors.<r>m July 21, 2015 Joe Cuoto 70 Furber Ave North Andover, MA Proposed Vinyl Siding and Trim Project for Property: 1. Prepare exterior of home for foam insulation. 2. Install 318"expanded polystyrene underlayment to all walls. 3. Install heaviest gauge galvanized steel starter strip for installation of new vinyl siding. 4. Install Crane Market Square siding to home. Color �!,jf _ 5. Custom cover and counter flash into roof drip edge all wood rakes with aluminum coil stock. 6. Add custom "architectural style bends" to window casings for a more attractive appearance. 7. Custom cover exterior door casings in same manner as windows where possible. 8. Drill soffit vents for proper roof ventilation and close in gable vents. 9. Close in any eaves and overhangs with custom heavy gauge hidden vent vinyl soffit. 10. Color match foundation wrap with PVC coil 10. Add vinyl light blocks to all exterior wall light fixtures for a more attractive appearance. 11. Remove rear patio door and replace with window. Fill in space with 2x6 and sheet exterior for siding. Insulate remaining wall cavity and sheet rock interior. Tape walls in preparation for homeowner to paint . 12. Remove all work debris from job site upon completion. 13. When on premises, applicators will handle themselves in a professional manner at all times. 14. All manufacturer warrantees will be provided to homeowner. 15. Seven year quality workmanship warrantee by Budget Exteriors. 16. Budget Exteriors is !!responsible for all necessary permits. Corner Color 1c <:' 1 Mount Box Color _ ��- It 14 It Total Project Cost: Crane Market Square siding panel: $12,500(Vinyl Clapboard) 100%lifetime non-prorated Iransferuble warrowee. Accepted by. Homeowner LDate i` Budget Exteriors---.— r_, 1 Date CONTRACT TERMS AND REQUIRED NOTICES Notice: All home improvement contractors and subcontractors engaged in { home improvement Contracting,unless specifically exempt from registration by the provisions of Chapter 1 42A of the general laws,must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the director,Home Improvement Contractor // Registration,One Ashburton Place,Room 1301,Boston,MA 02108. Q6ldllt/ ag1 peace Of)WIeU f0/- le'5s 354 Merrimack Street(Entry C,Suite 500)•Lawrence,MA 01840 888-49BUDGET•Fax(978)299-0128•www.Budget-Exteriors.com I/We hereby agree and authorize you as contractor,to furnish all necessary materials,labor and workmanship,to install,construct and place the improvements according to the specifications,terms and conditions,on the premises below described which I/We represent that we have good record title in our own name. Owners Name: Home Tel. No. r' Bus.Tel.No. e-mail Job Site Address lr `}-_, 7 fit. .. City ST i-1'14 Zip Massachusetts Contractor Registration# 161932 Work Specifications described attached on pages of -j- Permits: The contractor agrees to apply for and obtain all construction related permits(building/electrical/plumbing)but shall not be deemed responsible for delays in the work described in this agreement caused by regulatory,permit granting,or inspection agencies,authorities or individuals. Notice: The homeowner who secures his own permits will be excluded from the guarantee fund of MGL Chapter 142A. Price:The contractor agrees to do all work described by the contract for the total price of$/-z x T 'c-,u Notice: No agreement for home improvement contracting work shall require a down payment(advance deposit)of no more than one-third of the total contract price or the total amount of all deposits or payments which the contractor must,in advance,to order and/or otherwise obtain delivery of special order materials and equipment,whichever is greater. Payment Terms: Advanced Deposit $L1c) 1) Payable on signing of contract Interim Payment 1 $ct 14 t Payable , 4c. � Final Balance $9 -�Gj �.` Payable on completidh un ess otherwise specified. Work Schedule: The contractor will not begin work or order material before the third day following the signing of this agreement unless specified in writing. The contractor will begin work on or about` l `7L�(date). Barring delays caused by circumstances beyond the contractor's control,the work will be substantially completed in weeks/ ys. The homeowner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by t tractor shall not be considered as violations of this agreement. The contractor shall not be liable for any delay or non-performance caused by strikes,accidents,weather or any other contingency beyond its control. Insurance: The contractor agrees to maintain workers compensation and comprehensive general liability insurance during the operation of this job to cover the acts of its employees and or agents. Warranties: The contractor warranties its workmanship for up to a period of�years and assigns the rights to any manufacturer's warranties to the homeowner after substantial completion and payment of the contract terms. You may cancel this agreement if it has not been consummated by a party thereto at a place other than an address of the contractor,which may be his main office or a branch thereof,provided you notify contractor in writing at his main office or branch by ordinary mail posted,by telegram sent or delivered,not later than Midnight of the third business day following the signing of this agreement. See the reverse side of this form for an explanation of this right. The instrument and any and all other documents attached hereto and signed by the parties set forth the entire contract between parties and may be modified only by written instrument executed by both parties. Receipt of a copy of this contract and duplicate notice of cancellation and explanation thereof is hereby acknowledged. Notice: Cancellation of this agreement after three business days will result in a restocking fee of up to 33°/a on custom products and 25%on non-custom order products. HOMEOWNER: Do not sign this contract if there are any blank spaces. A IN WITNESS WHEREOF, the parties hereunto signed their names this!L-day of , 201 - . Budget Exteriors, Inc. Representative Homeown Accepted Budget Exteriors, Inc. Homeowner Page Of The Commotr-wealth of Massachtcsetts Department of biditstrial Accidents Office of htvestigations 600 Washingtoit.Street Boston, N1A 02111 ian.>nv.mass.g o v1dia Workers' Compensation Insurance AffidaAU: Builders/C'ontractors/Electllicians/Plumbers Applicant Information Please Priltit Legibly Name (Business/Orgaruzation/lndividual): Budget Exteriors—C/O Lou Milano Addi-ess: 354 Merrimack Street( Entry C,Suite 500 ) City/State/Zip: Lawrence, MA 01840 Photie #: 860-753-0452 Are you an employer?Check the appropriate box: Type of project(required): 1.p] I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).' have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working forme in any capacity. workers' comp. insurance. g. ❑Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs _l insurance required] t employees.[No workers' 13f�2] Other / ' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeownerswho submitthis affidavit indicating they are doing all work and then hire outside contractors must submit a new attrdavrt indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. 1 ant aii entplt�lter that is providing ia,orkers'cotazpettsation insurance for my employees. Belmv is the policy and job site in/ormation. Insurance Company Name: Atlantic Charter Insurance Co. / 781-593-1200 Policy#or Self-ins. Lic. #: WCV01161200 Expiration Date: 06105/2016 I,rJob Site Address: /0 �(,�(,r � /—r V l'�14 Ute.., City/State/Zi - 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 imprisomnent,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby cer 'y t r the pail ndpenalties of petjut)r that the information provided above is true and correct. Si na (Budget Exteriors Auth. Agent) Date 4 )� Phone #: Home—Fax: 860-315-5266 / Cell: 860-753-0452 Official use only. Do not write in this area, to be completed ky city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: DATE(MMIDDIYYYY) ACORD, CERTIFICATE OF LIABILITY INSURANCE --] o$�o3�zo15 HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ,ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED ;EPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. VIPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to quire an endorsement. A statement on this certificate does not confer rights to the he terms and conditions of the policy,certain policies may re ertificate holder in lieu of such endorsement(s). ACT )DUCER NAME: "- PHONE 7-81.593...1200------ E-MAIL 81,593.1200 1a,IN 1.593.7260 ;Iffy Insurance Agency, Inc. IMA No Ext: - ----- l7 Broadway ADDRESS: __—_ --- -- INSURER(S)AFFORDING_COVERAGE NAIC p yoma Square _ Endurance American Insurance C ynn, MA 01904-2602 — INSURERA: -- uttEo Budget Exteriors INSURER __Atlantic Charter Insurance Co. 0005 -- C/O LOU Milano INSURER C: -- — 354 Merrimack St Entry C S 500 INSURERD: __. - Lawrence, MA 01840 INSURERS: -- - ------ INSURER F OVERAGES CERTIFICATE NUMBER: 74 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TFIE INSURED NAMED ABOVE FOR THE POLICY PERI 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, PO ICY EFF POLIC EXP LIMITS RT TYPE OF INSURANCE —�INSR WVD POLICY NUMBER MMIDD/YYYY MM/DDIYYYY OOO,OOO GENERAL LIABILITY CBC20000017410 07/31/2015 07/31/2016 EACH OCCURRENCE — $ 1, PREMISES-Ea occurrence _ 100,0 COMMERCIAL GENERAL LIABILITY MED EXP(Any one person) $ _ 5,0 0 —I I CLAIMS-MADE OCCUR PERSONAL 8 ADV INJURY $ 1,000,0 0 GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMPIOPAGG $_ 2,0001000 r GEN'L AGGREGATE LIMIT APPLIES PER'. ' POLICY -1 PRO LOC �AUTOMOBILE LIABILITY I I (Ea accident) $ —_---- BODILY INJURY(Per person) $ ANY AUTO _ I DILY INJURY(Per accident) $ — ALL OWNED I SCHEDULED I I (���� _j AUTOS -1 AUTOS i t)FE T D>AA�� $ NON OWNED Pe r accident) HIRED AUTOS — J AUTOS ` $ EACH OCCURRENCE $ UMBRELLA LIAB OCCUR I i _ AGGREGATE _ $ 1 EXCESS LIAB CLAIMS MADE ~DED I RETENTION$ WC STATU-—1 -7 OT - WORDERS COMPENSATION WCV01234100 06/05/2015 06/05/2016. .TORY LIMITS ER - AND EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ _S00,000 i ANY PROPRIETOR/PARTNER/EXECUTIVEF( NIA _ B OFFICER/MEMBER EXCLUDED? u I E.L.DISEASE-EA EMPLOYEE $ -- 5OO,OOO (Mandatory In NH) i I I — , E.L.DISEASE-POLICY LIMIT $ 5OO,OOO If yesdescribe under DESCRIPTION OF OPERATIONS below it I DESCRIPTION OF OPERATIONS(LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) 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. AUTHORIZED REPRESENTATIVE Joe Cuoto 70 Furber Ave North Andover, MA 01845 �~ c 8-201 Y ORD CORPORATION. All rights reserved. Ar.nRn 25(2010105) The ACORD name and logo are registered marks of ACORD CORDTCERTIFICATE OF LIABILITY INSURANCE DATE(MM/D2015) /"" " 06/22/2015 T 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: Duffy Insurance Agency, Inc. PHONE— 781,593.1200 Fax - A/C Ne E#): (vc N .781.593.7260 317 Broadway E-MAIL — -- Wyoma Square ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Lynn, MA 01904-2602 -- ----- - _ INSURER A: Endurance American Insurance C NSURED Budget Exteriors INSURER B: Atlantic Charter Insurance Co. 0_005 c/o Lou Milano INSURER C: 354 Merrimack St Entry C S 500 — – SURER D_: _ Lawrence, MA 01840 ININSURER E INSURER F: OVERAGES CERTIFICATE NUMBER: 71 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. -- --- .T R TYPE OF INSURANCE _45O ICY F --POLICY EXP --- -- .TR INSR WVD POLICY NUMBER MM/DD/YYYY) MM/DD/YYYY LIMITS GENERAL LIABILITY CBC2000001740 07/31/2014 07/31/2015 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY PREMISES1Ea occurrence $ 1001000 _ CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5,000 A 4� _ PERSONAL&ADV INJURY $ 1,000,000 --�--------- I GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: — PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO �� LOC --- AUTOMOBILE LIABILITY COMBINED SINGLE LIMI I 4_(Ea accident) _$ _ ANY AUTO BODILY INJURY(Per person) $ -�ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ � i NON-OWNED HIRED AUTOS AUTOS I I $ j Per accident ___ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ f EXCESS LIAB CLAIMS-MADE AGGREGATE $ t— — — ' — —_ DED RETENTION$ $ WORKERS COMPENSATION TBD 06/05/2015 06/05/2016 7 WC STATU- TH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETORlPARTNERlEXECUTIV I E.L.EACH ACCIDENT $ 500,000 B 1 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) i E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under ___ _— DESCRIPTION OF OPERATIONS below j E.L.DISEASE-POLICY LIMIT 1 $ 500,000 I I i ESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) ERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Budget Exteriors ACCORDANCE WITH THE POLICY PROVISIONS. c/o Lou Milano 354 Merrimack St AUTHORIZED REPRESENTATIVE,-,e Entry C S 500 La rence, MA 01840 ©1.088-2010 ACORD CORPORATION. All rights reserved. CORD 25(2010/05) The ACORD name and logo are registered marks of ACORD CONTRACT TERMS AND REQUIRED NOTICES Notice: Alf horne improvement contractors anrf subcontractors engaged in fro no improvement Contracting unless specifically exempt from registration ' by the provisions of Chapter 1 42A of the general laws,mut be e,istered with the Commonwealtta of Massachuaetis, Inquiries about rcgistra0on an:1 rags should he mado to the director,Home improverraent Contraianr R oistration,One Ashburton Place,Room 1301,Bo51on,MIA(12108 ;JJ��I I! 1fP�3�)f.'/7r''.? o?/ /�vkd Aw, 352 Merrimack Stroet(Entry c,Suite 500)<t_awrenc€,SSA 01840 888.49BUDGET 9 Fax(9378)299-0128>www,Budget•Exteriors.coni r Yieq'eli/f sltt'i'+?f/ll f registration License or revalid for individul use onl Office' of C'ansuntcr,�(fairs 5z t3u5ine9S Roguitition � Y t, OME IMPROVEMENT CONTRACTOR before the expiration date, if forurtt return to: agistratian: 177704 Type: Office of Consumer Affairs and Business Regulation expiration: 112712016 DBA 10 Park Plaza-Sirite 51 70 [Instan,MA W t1r 3 BUDGET E.XTEf IOPS 1 i LOUIS MILANO � :354 MERRIMACK ST ENTRY L LAWRENCE,MA 01840 Uodersefrctary Not valid wititout signature r I E I `1 Massachusetts -Department of Public Safety ' Burd of Building ".zrgudation; ince Standards €'lztastrarctsr}to �ariac3a�iseEr- � :� License: CS-097519 ti LUBOS SVEC 827 THOMPSON ROA'b�aw Thompson CT 06277 , r Expiration uotrlriissicar, t 08/31/2016 f 6;r�a� Ext A 9 )Ors 113 � 7 (