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Home My WebLink AboutBuilding Permit # 9/14/2015 ................ �aanTH n�'Vq, 10 '6 By® BUILDING PERMIT �•� � ,�'` a� TOWN OF NORTH ANDOVER ° APPLICATION FOR PLAN EXAMINATION Permit NO: w Date Received41 Date Issued: C us IMPORTANT: Applicant must complete all items on this page ,;>; ,, r, /„ / .lr .err r I r � /, ,. /,// %✓ / ,./ ,:. / / /.. // // / r ,/ / L��r�„ -.., r��nrr,/�,,,I,�,lr��„r ./rrl,,,/f��r,/rrlJ,�,�/e/,r,rr/,luii�,,.,✓I a/r,,;:/,/ f ,J,,,,, r, /1/,,,C. vol/�i/iI/rllr% �l/c/� ,i�„.,/,/ ,//iii,,, / , ,/ ,r ,.//i J ,,, ,.., .,., / r ,,, / ,, .r l r/ ,///.., ,/, ,r/ // /l /,r,,,......,. r / ,.,/e, /til✓ ...D � /„ ,,,,. ,,; r r / /,r, .,1 r /.., r/�.,, ✓ r,. /, r/i / ,/ �...,r Vii. ,.rl�✓':, / i�-/./ / f ✓„ I / J✓ l ! /r//�// / l // %/, //i //�/�r�//�//J rr///, //// ,� h� 4"i f/ �� Ilr,,l, /✓r/ � //1/��/1/r,rl/// TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential [] .New Building One family ❑ ddition ❑ Two or more family ❑ Industrial I: Alteration No. of units: ❑ Commercial 1-1 Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other r / r r / ❑ Septic »U�/ II ❑ Icdpl �n r Watershed Distict// / 1, / Ulr Gy r � /✓i%�ri�ri/ // / / / /i/ir// Yk CLsS J- Cek t -A]-evvqa PO)v i1id V3 A-a- At (� VAS'1 Identification Please Type or Print Clearly) OWNER: Name: Noo VA-'- Phone: 1 w Address: � r, .r G E / i //// /rr/ i / .r /! /� ;A`� / !/rG,� ,,, ,,, ,✓::, ,,/,.-. „✓,,;:rr G, r, ,.✓IA it r,�/ // r / /✓ / ri / i/ f r/, o r // / , r r / ',r r /��/ / ,,,.; /,,�/Gc�,%r%V, �✓"4 Mr / r /ir/i /// r f „. �'�/ /, �?� /i r!, �+"`` /� u//i/////i(/r/fvl<r,/i1/f//�/I/Ilf✓�i//// rr./ ,,.' r..,, i / ./ / 1 � e rf�, of/,. ,�„a r, /i,✓,/ , / / / ,, r ,„ / f, !„<�'�„�,,,,��,rri�1 /�, ,,, ,, I�,. rT1 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: $ `i FEE: $ Check No.: / E,mm Receipt No.: Z a NOTE: Persons contracting with unregistered contractors do not have access to, u r n fund Sigr�ature,6f'.4,6' ntlgnature of'confraetor � 6x®RTH Town of ndover A- _n ��K� h ver, ass, COCMICK!WICK y� AERATED AP�,��C� S V BOARD OF HEALTH Food/Kitchen Pv= RMI 1 Tu LD Septic System THIS CERTIFIES THAT .......... ............................... BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on ... ....... .. .. .. .. ..... ............ Rough to be occupied asilm Won . . ....... .... ............... w� ....W. .... ....... ............ 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 EXPIRES IeMOTH ELECTRICAL INSPECTOR ® LESS T CTIRough Service ............... ..... ..... ..... ............. Final ILDING 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 Approved by the Building Inspector. Burner Street No. Smoke Det. ROBERT F. CALNAN Cell 774-222-2848 CALNAN'S ENERGY SYSTEMS, INC. 105 Harvard St., #5, Waltham, MA 02453 Office(781)894-9626 rfcainan@gmaii.com Steve Noone September 11, 2015 40 Woodbridge Road North Andover, MA 01845 978-808-5176 sjnoone@yahoo.com RE: Contract for Wall.+ basement perimeter Insulation Insulate shingle covered first and second floor exterior walls as described below, Seal basement as needed to help contain insulation materials. Drill holes as needed for access on interior side of exterior walls to be insulated. Insert tube into wall cavity. Fill exterior wall cavities to capacity with Class 1 Blown-in Cellulose (Dense Pack). Seal all holes weather tight. Any areas that are sufficiently insulated will be deducted from cost of job. Install 2" Thermax over open gable wall accessible through garage ceiling access. Total Cost = $5786.00 Insulate overhangs between first and second floors as described below; Same description as walls. Total Cost ® $816.00 Insulate basement perimeter as described below; Seal accessible bypasses, install 2" Thermax Polyiso on all band joists and sill boxes. Total Cost ® $1332.00 Grand total ® $7934.00 + Cost of permit We are not a Mass Save Contractor Payment Terms: $100.00 upon acceptance, balance tin full upon Completion ofjob (Same Day) We accept., Cash and Checks as forms of payment We provide a One-Year Warranty on Labor&Materials. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from the above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control.Registration#108453-Home Improvement.Owner to carry fire,tornado&other necessary insurance. Our Employees are fully covered by Worker's Compensation Insurance. Authorized Signature: Acceptance of Proposal: The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined. Customer Signature. The Commonwealth ofMassachusetts Department oflndustrialAccidents F Office of Investigations a I Congress Street, Suite 100 s` Boston, MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Calnan's Energy Systmes Inc. Address: 105 Harvard St. Unit 5 City/State/Zip-Waltham, MA 02453 Phone #:781-894-9626 Are you an employer? Check the appropriate box: Type of project(required): 1.M I am a employer with 4 4. E] I am a general contractor and I 6. ❑New construction employees (full and/or part-time).` have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' insurance.$ 9. ❑ Building addition comp.[No workers' comp. insurance p' 10.❑Electrical repairs or additions required.] 5. � We are a corporation and its 3.❑ I am a homeowner doing all work officers have exercised their I LF❑Plumbing repairs or additions myself o workers' com right of exemption per MGL y � P- 12.❑ Roof repairs insurance required.] f c. 152, §1(4),and we have no Insulation employees. [No workers' 13101 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such- $Contractors 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-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Liberty Mutual Policy#or Self-ins.Lic. #:WC2-31s-384495-015 Expiration Date:2-4-16 Job Site Address: L40 City/State/Zip:nfLi,`I k A1tJ1"1 -) "`f C t L�-t 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 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. Bed v'sed that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurancove ge rification. Ido hereby certify under the pai nd p nal ' s ofperjuty that the information provided above is true and correct Signature: Date: C1 Phone#: Official use only. Do not write in this area, to be completed by 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#: 3/13/2015 7:42:05 AM PST (GMT-8) FROM: 100005-TO: 19785214669 _ Page: 2 of 2 CERTIFICATE OF LIABILITY INSURANCE DATS(MM/DDNYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.2015 S ORDED THE POLICIES TE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFF BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING ORDED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. R(S), AUTHORIZED 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 COWAN INSURANCE AGENCY INC 359 MAIN STREETS r HAVERHILL, MA 01830 PNONE FAX E-MAIL A/C No): ADDRESS: INSURERB)AFFORDING COVERAGE NAIC 91 INSURED NSURERA: Liberty Mutual Fire Insurance 33600 CALNANS ENERGY SYSTEMS INC NSURERB: 105 HARVARD STREET UNIT INSURER C: WALTHAM MA 02453 NSURERD: NSURERE: INSURER F COVERAGES CERTIFICATE NUMBER: 23805888 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. fia LLTTR TYPE OF INSURANCE DL SUBR POLICY NUMBER POLICYEFF POLICY EX WLIABILITY MMNp/YYYY LIMITS P COMMERCIAL LIABTV '. EACH OCCURRENCE $ CLAIMS�IADE M OCCUR RE ED a u $ MED EXP(Any one person) § PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER. P - LOC OENERALAGGREOATE $ POLICY❑ PRODUCTS-COMP/OP AGO $ OTHER; '.. AUTOMOBILE LIABILITY Caemitlent I G I $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS AUTOS BODILY INJURY(Per ae6denq $ HIRED AUTOS NON-OWNED AUTOS PPReOPE tlmrY DAMAGE $ UMBRELLA LIAROCCUR EXCESS LIAR HCLAIMSMADFEACH OCCURRENCE $ ''. DED RETENTION AGGREGATE $ A WORKERS COMPENSATION WC2-3i S-384495-015 § AND EMPLOYERS,LIABILITY 2/4/2D15 2/4/2D16 PER OTry- ANY PROPRIETORIPARTNERIEXECUTIVE Y/N STATUTE ER OFFICER/MEMBEREXCLUDED? N NIA E.L.EACH ACCIDENT $ SOOOOO (Mandatory in NH) Use,describe under E.L.DISEASE-EA EMPLOYE $ 500000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 _- DESCRIPTION OF OPERATIONS lLOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more upscale required) Workers compensation insurance Coverage applies only to the workers compensation laws of the state MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION TOWN OF ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 36 BARTLETT STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ANDOVER MA 01810 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Lib Mutual Fire Insurance 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD CERT NO.: 23805888 CLIENT CODE: 1582096 Anne ChandLer 3/13/2015 10:39:07 AM (EDT) Page I. of 1 Board of Building Regulations and Standards License: CS-058232 Construction Supervisor ROBERT F CALNAN 105 HARVARD ST.#5 WALTHAM MA 02453 CA_ Expiration: Commissioner 08/07/2017 _Officeof Consumer Affairs&Business Regulation I NOME IMPROVEMENT CONTRACTOR } ,. *egistration: 108453 Type Expiration: 8/18/2016 Private Corporation. CALNAN'S ENERGY SYSTEMS INC. ' Robert Calnan 105 HARVARD ST UNIT 5 gam,P WALTHAM,MA 02453s— Undersecretary vt°