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HomeMy WebLinkAboutBuilding Permit # 9/3/2015 tAORTH BUILDING PERMIT o��t,Eo ,ggtio TOWN OF NORTH ANDOVER ® APPLICATION FOR PLAN EXAMINATION 0x M1� Permit J0Date Received ��A�RgTEo Pea��S SSgC�us� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION J11tA /1f�_V) Print PROPERTY OWNER W"t1c' �C_' Print 100 Year Structure yes n MAP PARCEL: ZONING DISTRICT:_ Historic District yes n Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ane family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial epair, replacement [IAssessory Bldg Li Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain El Ian ❑ Watershed District Q.Water/Sewer= f ! fi DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: zi - 01 C- ,j Phone: Address: '1114, -73 Contractor Name: Phone' s" " Email: Address: Supervisor's Construction License: C)(,I -_Exp. Date: �zLllz"f Home Improvement License: / J _ Exp. Date: r 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.: S nc Ln n Receipt No.: DOTE: Persons contracting with u egister d contractors do not have access to the guaranty fund Siqnature of Aqt-nt/Owner -Sign-ati ire of contractor -- 1 FORTH ' town otndoverc . ...' . 0 No. xo_ ;kol� Y Jt- LAME `A�E h ver, Mass, q11) Soo 'Q COC KIc"t WICK �9 A�RATEO )"." `9 s L) OFMOOL BOARD OF HEALTH Food/Kitchen Septic System THIS CERTIFIES THAT ........PERI)!.... .L ,,, ,,, ,, ,,,,,,,, ,, ,, , BUILDING INSPECTOR . . ............ .... ........ Foundation has permission to erect .......................... buildings on .... . ........... ...... ................................................ ® Rough to be occupied as Chimney . . ................................... provided that the person accep ng this permit shall in eve 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 IES IN 6 MONTHS ELECTRICAL INSPECTOR LESS CONSTRUCTIO TA Rough Service ................ .... ...... ................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required t® OccupV 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 Approvedthe Building Inspector. Burner Street No. Smoke Det. ac G'h tlderp,tyia0 E' Conramerrclao Roofin l Types Of i 91-No NN HEYSPW''r- ->i$ Ka, A' EExpert Masonry Work mass Toll Free ' `'_ Licensed & Insured �-800-WAIT- US-t S Local]),Owfzed is Open,._ 1W,..�.. f; License#034200 ( 24-8487} `01-kV e-�J We- Mork Year Round r t � i r lar >✓i' � �9 i e, ;lJ ay rl � . 1 i t Proposal To: Roberta & Vinnie McBI Date 7/21/2015 CC Street: 15 Mifflin Dr. 978-609-4982 N.Andover, MA Roof proposal Certainteed Landmark 1. Extra caution will be taken to protect house and 12. Removal of all work related debris. Planks will be landscaping as best as possible. (tarps etc.) placed under dumpster to prevent any damage to �J Magnets run at final clean up. driveway. 2. Remove all shingles from entire house. 13. Building permit included. 3. Inspect and re-nail any loose or lifted roof boards. 14.Contractor workmanship warranty: 10 years under Any compromised roof boards will be replaced at normal wind and rain conditions. an additional cost of$3.00 per lineal foot of lx8 Spruce. lst 16' at-no additional cost. Total roof cost: $ $7,400.00 4. Install heavy gauge 8"brown aluminum drip edge to all eaves and rakes. Angie;s List discount applied and 5. Install 6' of Certainteed Winter Guard ice and included water shield along all eaves. / 6. Install Certainteed Diamond Deck synthetic underlayment to remaining sheathing up to ridge. Certainteed 3Star extended direct MFG warranty 7. Install all new pipe boots. A fully transferable 100% coverage against 8. Install Certainteed Swift Start starter shingles to material defects for a fully non pro rated period of all eaves. 20 years. Please refer to pamphlet left in estimate 9. Install Certainteed Landmark Limited Lifetime folder. Offered to our Angie's List referrals and ,✓ architectural shingles to entire house. 10 year included in this proposal at no additional cost. material MFG. warranty. (See extended warranty) All shingles will be installed and Balance due upon completion, no deposit required fastened according to mfg. specs. 10. Install new GAF Cobra ridge vent where References available upon request applicable and cap with color matched Certainteed Shadow hip and ridge shingles. Highly rated member of the accredited BBB and 11. Counter flash existing chimney lead with ice and Angie's List water shield,tied into new shingles and seal with ���,� clear sealant. Thank you! 12. Top dormer: Existing rubber membrane is an good condition an will remain. All compromised seams around chimney area will be repaired and sealed. X-he Commonwealth of Massqchusefis . Department oflndlush larlAceldents V, Z Congress Street, Svelte 100 Boston,MA 02IJ4. 017 'y www-mass.go-p/dia sy. W01:kers'Cornpensatio-a.InsuranceAffidavit:Builders/Contractors/Electricians/Plumbers- TO BE FH,ED VffTE(THE PERI9%L MNG AUTHORITY. ,Aplilicant Information Please Print Legibly Nam-e(Business/Organizaf on/Xndividual): .Address: City/State/Zip: fA __�Iv Phone##: Are-yon an employer?Checkt&appropriate box: Type of project(required): lof am a employer with_ __employees(full.and/orpart-time).* 7. ❑New construction 2,❑I am'a sole proprietor or partnership and have no employees working for mein 8. Remo delirig any capacity.[No workers'comp.insurance required.] 9. El Demolition 3..[]Tam a homeowner doing all workmyself.[No workers'comp.insurance required.]t 1.0 FIBuilding addition 4.❑lam a homeowner and will be hiring contractors to conduct all work on my property. swill ensure that an contractors either have workers'compensation insurance or are sole J J.❑Electrical repairs or additions r pr "iietors with no employees. 12.0 Plumbing repairs or additions J 51 a general contractor and I have hiredthe sub-contractors listed on the attached sheet. 13.0 Roof repairs ese sub-contractors have employees and have workers'comp.insurance. 14.L-Othbr 6.E]we are a corporation and its officers have exercisedtheir right of exemptionperMGL c. 152,§1(4),and we have na,employees.[No workers'comp,insurance required.] "'Any applicant that checks Box-*l must also fill out the section below showingtheirworkers'compensation policy information. 7 Homeowners who submit this affidavit indicating they are doing all work andthen hire outside contractors must submit a new affidavit indicating such. YContractors 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-coniracfors have employees,they rinust protide their workeis'comp.policy number. .1 am an employer that isprovidingvorkers'compensation lusur'ancefor•my employees.'Belo v is thepolley andlob site information. Insurance Company Name; J 1Vy Policy#or Self-ins.Lic.#: ExpirationDate: Job SiteAddress:_ 7 )� /��� G i`ti � v� City/State/Zip: Attach.a copy of the workers, compepsatiorcpolicy declaration page(showing the policy number and expiration elate). Failure to secure coverage as required undex MGL c.152,§25A is a criminal violation punishable by 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.A copy of this statement may bP forwarded to the Office of Investigations of the DI.for insurance coverage verification. X do Iter•eby cert u r triepains andpenalties ofperjury that the inforrnationpr•ovided above * true andcorrect nature: Date: l Si #: / official use only. Do not-Write in this area,to he completed by city or tolvn official.• City or Town.: Permit/License# Issuing Authority(circle one): 1.Board of health 2.BuildingDepartm.ent 3.City/Town Clerk 4.Electrical Inspector 5.PlumbiugNspector 6.Other Contact Person: Phone 4: DATATIVE 1` rM s MA MWI � d3�tCD ----------------- RCUM 407-A R,Y.#•RASK c2�{3�.�r7_� 3:i= -5 C)R i } sr,%, DRBd UNNG.N)i t-4042 y� Lam- ia� _ $�PVl 'lt.Ht�4d�.PanCE PA9 list 48� es. 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R a"n$•nj. =woumaD ' i WUV Au IjNVER M-M RMF Zl1 t-g:iVltYL lr T9R t� Massachusetts -Department of Public Safety Board of Building Regulations and Standards ctlri§$3'ueffliin paz�cef¢ License: CS-M1120 JORN ` 30 TEMPLE DR e_ METS MA 618.4 f Expiration Commissioner W0312017 ,7Fratt;rr rtt�iauarr.� Click on the registration number to view complaint history, You can also view arbitration and Guaranty Fund histo The list i current as of Wednesday, October 8, 2014, Search Results REG 5� NT RE3t'ONSIE3is~fW REGISTRATION RA`t lOhi EXPIRATION INDIVIDUAL NUMBERADDRESSDA�� STATtJ. ALL UNnER ONE Roof: LANZAFAME, 137057 166 A MERRIMACK ST 10/0212016 Current JOHN METHEt.N, MA 01844 ©2012 Commonwealm of Massachusetts. Mass.Gov®is a registered service mark of the Commonwealth of Massachusetts, it