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HomeMy WebLinkAboutSTRIP AND REROOF (6) NORTH BUILDING PERMIT �2o`�t,@�"6''�°L TOWN OF NORTH ANDOVER ° �' ^ w * _ APPLICATION FOR PLAN EXAMINATION IL Permit NO: Date Received Date Issued: 4gcwuS�RR� IMPORTANT:Applicant must complete all items on this age LOCATION , 1'�n 1 . �„, doiVer'' int, 1 PROPERTY.OWNER Print MAP NO: PARCEL: ZONING DISTRICT; Historic trict yes no Machine Shap Village yes no 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 ❑ Septic p Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑ Water/Sewer Identification Please Type or Print Clearly), OWNER: Name: AUn'\A-v� AecAxA mrArYA ne:� � � Address: CA � QJv- CONTRACTOR Name:.' Pone: Lei W'rt.n Address: 1 !J,(QA� n 4- ) Supervisor's Construction License* Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT;$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S,F, Total Project Cost: $ t,, `1 FEE: $- ";;1 Check No.: Receipt No.:� NOTE: Persons contracting W nregistere actors do not have acce s 0 e guaranty fund Signature of Agent/Own6 ignature of contrac 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 Dumpster on site yes no Located at 1N Main Street Fire Department signature/date COMMENTS FORTH Town of ndover . � h Ver, ass, cocN'cNewecK y1' ADRATED P4a�,�5 S V BOARD OF HEALTH IJER kFood/Kitchen Septic System L D THIS CERTIFIES THAT ......... ... .. .. . ....... ...... ............... ...... ...... .......... .. ....................... BUILDING INSPECTOR ��1 a Foundation has permission to erect.......................... buildings on . .......... ........ .... .. .................................... Rough tobe occupied as .................. ....... ............... .. ............. ® ft.............................. ....................... 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 IT EXPIRES I ELECTRICAL INSPECTOR LESS C CTI S Rough Service .............. .. .... .............................................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required t® Occupy PuildinRough 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. Jun 30 2015 06:30Pi`1 HP Fax page 1 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 66-68 Fernview Rd., N.Andover, MA,Approx.7,497 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 underiayment to the remainder of the wood deck. 4. Install 8"white aluminum drip edge to the entire perimeter&mechanically fasten. S. 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. e `�I 11.Install white aluminum coil over all rake and fascia, and 100%vented vinyl on soffits. 5� J WE propose hereby to furnish materials&labor,complete in accordance with the above �pecificatio�,for m ofd T ent�y-Six Tho=Wm- Lawrence-f Dollars: $26,840.00 AUTHORIZED SIGNATOR Mo an Jr. resident ACCEPTANCE of PROPOSAL:The above prices,specifications&Uditions are satisfactory and are hereby accepted.You are authorized to do the work as specified. AUTHORIZED BUYER SIGNATURE DATE THANK YOU FOR CHOOSING MORGAN CONSTRUCTION LEMORGA-01 BBOYER DATE(MMIDDIYYYY) A ®" CERTIFICATE OF LIABILITY INSURANCE 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). CONTACT PRODUCER NAME: Welsh&Parker Insurance Agency,Inc.I Hudson Office PHONE 978 562-5652 FAX No):(978)562-7120 A1C No Extl:( ) 131 Coolidge Street,Suite 100 E-MAIL Hudson,MA 01749 INSURER(S)AFFORDING COVERAGE NAIC If INSURER A:Western World Insurance Company INSURED INSURER B:Safet7 INSURER C:Scottsdale Insurance LE Morgan Construction Inc PO Box 75 INSURER D Billerica,MA 01821 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO INDICATED. NOTTWITHSTANDWG ANY REQEIREMENT TERMF INSURANCE OR CONDISTED OT OTH NAOF ANY CONTRACVE BEEN ISSUED OT OR OTHER DOCUMENT WITH RNAMED ABOVE ESPECT TOR THE LIWHICTHE INSURED T HCY RIOS 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. ADD BR POLICY EFF POLICY EXP LIMITS ITR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD MMIDD/YYYY EACH OCCURRENCE S 1,000,000 A X COMMERCIAL GENERAL LIABILITY RE TES 1 OO,000 NPP8237995 04/13/2015 04/13/2016 PREMISES Ea occurrence 5 CLAIMS-MADE a OCCUR 5,000 X Contractual Liabilit MED FRCP(Any one person) 5 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 2 000 000 PRO- PRODUCTS-COMP/OP AGG $ POLICY F1 JECT LOC $ OTHER: __COMBINED LIMIT S 1,000,000 AUTOMOBILE LIABILITY Ea accident B ANY AUTO COM6230688 10/13/2014 10113/2015 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS NON-OWNED PROPERTY DAMAGE $ XPer accident HIRED AUTOS X AUTOS $ EACH OCCURRENCE $ 5,000,000 UMBRELLA LIAR X OCCUR 5 000,000 C X EXCESS LIAB CLAIMS-MADE XLS0096729 04/13/2015 04/13/2016 AGGREGATE $ 5 DED RETENTION$ tEACH OTH- WORKERS COMPENSATION ER — AND EMPLOYERS'LIABILITY YIN NT SANY PROPRIETORIPARTNERIEXECUTIVE ❑ NIAOFFICERIMEMBER EXCLUDED? EMPLOYEE $(Mandatory in NH)If yes,describe undeLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I 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 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 1600 Osgood Street,Bldg 20,Suite 2035 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 81 0 CERTIFICATE OF LIABILITY INSURANCE DATE(710M 2 JYYYY) TkWX.*RTIFICATE 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 endorsement(s). PRODUCER CONTACT NAME: BALDWDAWELSH PARKER INS PHONE FAX 131 COOLIDGE ST,SUITE 9100 (AIC,No,Ext): (AIC,No): E-MAIL HUDSON,MA 01749 ADDRESS: 27KLD INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: AMERICAN ZURICH INSURANCE COMPANY L E MORGAN CONSTRUCTION INC INSURER B: INSURER C: INSURER D: PO BOX 75 INSURER E: NORTH BILLERICA.MA 01862 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 EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE F_�OCCUR. PREMISES(Ea occurrence) MED EXP(Anyone person) $ PERSONAL&ADV INJURY I$ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE Is POLICY 0 PROJECT 0 LOC PRODUCTS-COMP/OP AGG I$ AUTOMOBILE LIABILITY COMBINED SINGLE �$ ANY AUTO LIMIT(Ea accident) _ ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY I$ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE I$ (Per accident) UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE is RETENTION S ($ A WORKER'S COMPENSATION AND XWC STATUTORY OTHER EMPLOYER'S LIABILITY YIN UB-58738312-14 12/14/2014 12/14/2015 LIMITS ANY PROPERITOR/PARTNER/EXECUTIVENIA E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-E4 EMPLOYEE I$ 1,000,000 If yes,describe under 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 MGNIT-52-54 S:66-68 FERNVIEW RD,NORTH ANDOVER,MA 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 1600 OSGOOD ST;BLDG 20,STE 2035 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRF7TAjjVE NORTH ANDOVER;MA 01845 ;5 ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. All rights reserved. Massachusetts-Department of Public Safety Board Of Building, Regulations and Stanch .RS <71�ee s�t'onstimc`rr�(tail;s L��31t.4rr eSs Rem 'i ulrtiion -,-,.HOME IMPROVEMEN`i CONTRACTOR' License: CS-079476 — Registration: 137913 T ype: i�z� Expiration: 1/7_7/7017 Individual JLAWRENCE E rig � �? LAWRENCE E.MORGAN JR: 96 BU LERICA N I3HJ.ERICA AA ON "T 1 r LAWRENCE MORGAN JR. SG BII-LFRICAAVE UNIT'i 954— S J1 Expiration N.BILLERICA, MA 01862 Commissioner 06103/2017 EJn dctsecrc to ry ,y-h'g"� -occupslTannl. 0' l�d ''+at a anit f!oniSh Ij - Adm1a1s2ritia,- � r1 -• This card acknowledges that the recipient has successfully completetl'a 30•hour Oceupationai Safety andHealthTraining Course in Construction Safety and HealtFr s c RC_ -{� 1 S ics_ Health t jAr >� � L # Trainer name- not or -�i i c- LOUIS Rc g, lL ( p i type) (Course end date) - --— -- ----