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HomeMy WebLinkAboutSTRIP AND REROOF (5) OF %AORTH 9 BUILDING PERMIT TOWN OF NORTH ANDOVER ° ; o APPLICATION FOR PLAN EXAMINATION - Permit NO: i Date Received 4 r ��SSACH Date Issued: C° U77 sti��� IMPORTANT: Applicant must complete all items on this page / /, ✓,/,, / y / /, /,a./ ,ii,i / c ,r rl///,r i/// / // /r // / r/ ,, ,/',,?, r ;,. �.00AT�QN��/ P / 011/, of r/ MAP' TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Se tic Well C, Identification Please Type or Print Clearly) OWNER: Name: � "� 1 �M)4-vl neC4jlk 61 Address: ( °h 'CONTRA', i,,,,.. r/ „<4, ,/ �/� /,,,;r////�, / / :fi.,/ ✓ :,r �] o ..r,, // ✓ ,/i/a rj r t; .moi�G ,/i�.� /, :r,., / �✓,i" , 4./T�11 �+��� / ,///i r /i l% ✓r, r(�/�/�,/ //i� 1 r /��/�// j//,, /iJ, /�i,.ii/r� 1, /// / Ad r r rvisr;,, G.o ,, r,/"'1 S, I'''C ;.irj1!//1n�� �{�. / ,/ i/ ./ /r r r�,:"✓ �,ri; r� /� ///,�� r /j-/ ///�/L/"r. r/ij ////// /,/;.: / ,e„ 1 C ..,, ,:.. //J.. / / / / �r r ,., ( /✓ir„,XpX,/%i// /r./ ✓.it o�-✓ ///i%/ ,.�,.(� / /r ,/ / /; / / / it ! ✓ r / %a////r/// / rr;// /ijii/. / a � r//s %?//i r,, /,�/J /r/i //�%�%/ ori ,, 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: $ r FEE: $ Check No.: Receipt No.: ° NOTE: Persons con ith nregister con actors do not have acWs' o e guaranty fund 0 Signature of;Agent/O ignattare of colntrac#o ' ; , Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMENTS CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature&Date Driveway Permit Located at 384 Osgood Street FIRE DEPARTMENT Temp Durnpster on slte = yes no;: Located at'i24`Man Street Fire Depar#ment s�gna#ureldate CONIMEN� � Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A-F and G min.$100-$1000 fine NOTES and DATA — (For department use) ❑ Notified for pickup - Date i L.--_------------ ----------------- - ---------------------------- ------------ -----._..- -- ---- - Doc.Building Permit Revised 2012 rirl %A®RTH town ofAn dover •c � E. ...••IF, . _ z C verass a LAK. 7 1 COCNICK@WICK BOARD OF HEALTH Food/Kitchen P LD Septic System THIS CERTIFIES THAT BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on . elk .. . .... ........ ........... ........... .................. Rough tobe occupied as ... .. . .................. ..........................2A, Aes.. ... .................. ..................................... Chimney provided that the persona epting this permit shall in every res ct 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 ELECTRICAL INSPECTOR doop PERMIT EXPIRES LES C Rough Service ........... ...... ..... ................................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to 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 Approvedy the Building Inspector. Burner Street No. Smoke Det. Jun 30 2015 06:30PM HP Fax page 2 L. E. MORGAN CONSTRUCTION INC. 86 BILLERICA AVE., N. BILLERICA, MA 01862 PH: 978-670-4747 / Fax: 978-670-6477 PROPOSAL Submitted To: Affinity Realty Management Date: 6-15-15 Address: 39 Rear Farrwood Rd., (Clubhouse) N.Andover,MA 01845 Cell/Fax: 978-376-9687/978-685-0521 Job Site: Heritage Green Condominiums 52-54 Fernview Rd., N.Andover,MA,Approx. 5,179 SQ FT WE HEREBY submit our proposal for the following scope of work; 1. Remove the existing shingles down to the wood deck and dispose of off-site. 2. Install 6'of Ice&water shield at the leading edges and 3' in all valleys. 3. Install RHINO SHIELD synthetic underlayment to the remainder of the wood deck. 4. Install 8"white aluminum drip edge to the entire perimeter&mechanically fasten. 5. Install Certainteed Swiftstart shingles as a beginning course. 6. Install Certainteed Landmark Silver Birch architectural shingles&hurricane nail. 7. Install 4 new pipe flanges, 2 slant back attic vents, new lead on the chimney. 8. Install new ridge vent and matching cap shingles. 9. Remove the metal siding on dormers, &install 100%ice &water shield on the walls. 10. Install new white vinyl siding on 1 dormers with white vinyl corners. 11. Install white aluminum coil over all rake and fascia,and 100%vented vinyl on soffits. WE propose hereby to furnish materials&labor, complete in accordance with the above specifications,for theFL:Thle- hteen Thousand Six Hundred Twenty Dollars: $ 18,620.00 AUTHORIZED SIGNAT2 A Lawrence E. Morgan Jr. President ACCEPTANCE of PROPbove prices,specifications& conditions are satisfactory and are hereby acce291ING tedYh work as sp cified. ' AUTHORSIGNATURE THAMORGAN DATE____ CONSTRUCTION -�� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY1 TNI a 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 and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT NAME: BALDWIMWELSH PARKER INS PHONE FAX 131 COOLIDGE ST,SUITE#100 (AIC,No,Ext): (A/C,No): HUDSON,MA 01749 E-MAIL 27KLD ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: AMERICAN ZURICH INSURANCE COMPANY L E MORGAN CONSTRUCTION INC INSURER B: INSURER C: PO BOX 75 INSURER D: NORTH BILLERICA,MA 01862 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. INSR ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS GENERAL LIABILITY ACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR. DAMAGE TO RENTED $ PREMISES(Ea occurrence) MED EXP(Any one person) $ GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL&ADV INJURY $ POLICY E]PROJECT LOC GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE $ ALL OWNED AUTOS LIMIT(Ea accident) BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAR OCCUR EACH OCCURRENCE Is EXCESS LIAB CLAIMS-MADE AGGREGATE is DEDUCTIBLE RETENTION $ $$ A WORKER'S COMPENSATION AND WC STATUTORY OTHER EMPLOYER'S LIABILITY Y/N UB-58738312-14 12/14/2014 12/14/2015 X LIMITS ANY PROPERITOR/PARTNER/EXECUTIVE NIA OFFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT $ 1,000,000 (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. JOB:AFFINITY REALTY MGMT-52-54&66-68 FERNVIEW RD,NORTH ANDOVER,MA CERTIFICATE HOLDER CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 1600 OSGOOD ST,BLDG 20,STE 2035 BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. NORTH ANDOVER,MA 01845 AUTHORIZED REPR TATfV E _f� ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. All rights reserved. LEMORGA-01 BBOYER ,4�oRv CERTIFICATE OF LIABILITY INSURANCE DAT7/712 D/YYYY) 7/7/2015 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: Welsh&Parker Insurance Agency,Inc.I Hudson Office PHONE 978 562-5652 AX No; 978 562-7120 131 Coolidge Street,Suite 100 A/C No Ext): ) ) Hudson,MA 01749 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Western World Insurance Company INSURED INSURER B:Safety LE Morgan Construction Inc INSURER C:Scottsdale Insurance PO Box 75 INSURER D: Billerica,MA 01821 INSURERE: 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 TYPE OF INSURANCE ADDL S BR POLICY EFF POLICY EXP LIMITS INSD WVD POLICY NUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR NPP8237995 04/13/2015 04/13/2016 PREMISES Ea occurrence $AMAGE TO RENTED 100,000 X Contractual Liabilit MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 '.. POLICY ]PRO- F—]JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY Ea e'.daDISINGLE LIMIT $ 1,000,000 B ANY AUTO COM6230688 10/13/2014 10/13/2015 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 '.. C X EXCESS LIAB CLAIMS-MADE XLS0096729 04/13/2015 04/13/2016 AGGREGATE $ 5,000,000 DED RETENTION$ $ WORKERS COMPENSATION PER OTH- '.. AND EMPLOYERS'LIABILITY STAT Y/N UTE ER '... ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Proof of Workers Compensation coverage will be sent directly by the carrier. Job location: Affinity Realty Management-52-54 Fernview Road& 66-68 Fernview Road,North Andover,MA 01845 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1600 Osgood Street,Bldg 20,Suite 2035 ACCORDANCE WITH THE POLICY PROVISIONS. North Andover,MA 01845 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Massachusetts -Department of Public Safety Board of Building ;; s and Sta nda�� e uiationd / .i5 Op.�» A - Prlr(f� r `• rJ _ 3 G3ffiee of l on,tumrF �tarr:s f3uSineas7R;int»fianf ,,r;r HOME IMPROVEMENT CONTRACTOR License: CS-479476 = Registration: 137913 Type: Expiration: 1/27/2017 LA�VRI�I�CEhIt�g�C� - Individual 86 BMLERICA AVE LA'VVRENCE E.MORGAN JR: N RffiLERICA TWA zi y LAWRENCE MORGAN JR. `0 86 BILLERICA AVE UNIT'i Expiration N.BILLERICA, MA 01862 Commissioner 06/03/2017 [ladersecrrtary Oeaupattocial SarMYand .fth AdmL�icb-pliw _ This card acknowledges that the recipient Ila$successfully compicted a — 30-hour Oct;upationai Safety and Health Training Course in Construction Safety and Health )Jems TrmnIC,Crn�e in i C'r:rnstrtcin���f<<v�I icai,h (Trainer name—print or type) L 6VI 5 RC>" (Course enddato) t t i