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HomeMy WebLinkAboutBuilding Permit # 9/15/2015 GILDING PERMIT OO pT 6 + °6 °0 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION73 Permit No#e; Date Received �Q$s�"TEDUs�cL C as Date Issued: C i IMPORTANT: Applicant must complete all items on this page LOCATIONL_141,% � , " PROPERTY OWNER �' �" ,;✓ w Print 100 Year Structure yes EnoMAP PARCEL. ZONING DISTRICT: Historic District yesMachine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 1 ,''"One family ❑Addition ❑ Two or more family ❑ Industrial ( Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑ Wetlands ❑ Watershed District ❑Water/Sewer IDE�PRIPTION F WORK TO E PE771MED: ell, OWNER. Name Phone -YP w Ident anon P ase e or Print Clearly Address: L� , µ� Contractor Name: � ., Phone: . . Email: - Ua � Address: "_ �,". MoT4,771,E — Supervisor's Construction License: Exp. Date: Home Improvement_License: �w�_0 mm Exp. Date: 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: $ D O ., FEE: $' Check No.: °~ Receipt No.: µ NOTE: Persons contracting watt unregisteredcontractors do not have access to the parantyfund M Signature of Agent/Owner Signature of contracto " t%O R TH E --wrer n au, V 0 L_ `'o h h V�I'9 SS9 COC MIC N@WICK y�• TE0 S V BOARD OF HEALTH PER Food/Kitchen IT T LD Septic System THIS CERTIFIES THAT ....... BUILDING INSPECTOR ... .................r.kr... ........................... ........ .......... a M � FV has permission to erect buildings on Foundation JJ ............ Rough to be occupied as ............%... ........ ....................7 ........ .� ... .... Chimney provided that the person accepting is permit shall in every ect conform to terms of the apolication 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. Ad PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT E I ES IN 6 MONTHS ELECTRICAL INSPECTOR LESS C T TIO TA S Rough Service ............... .. ..................................................... Final BUILDING INSPECTOR GAS INSPECTOR ®CCupancV Permit Required t® Occupy Bulldin 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. Caiaita� Capital Contracting Inc. Estimate PO Box 3189 °ntracting t"` Wakefield, MA 01880 Date Estimate# www.capital-contracting.net 6/13/2015 437 Name/Address Ken TarbelI 41 Cedar Lane N.Andover MA 01845 Description Total Customer to cover and/or remove any items in the attic to protect them from dust/dirt that may fall. 10,200.00 1. Tarp off house and yard as needed to protect against falling debris. 2. Strip existing shingles from all roofs on house. 3. Remove all of the sheathing from both sides of the roof. 4. Remove the existing roof rafters from both sides of the roof,and replace with new roof rafters. 5. Install new roof sheathing over the new roof rafters, . 6. Remove and replace the wall studs and the sheathing from both gable ends. 7. Install new,eight-inch,aluminum drip edge on all edges. 8. Install six(6)feet of new ice&water shield on all lower edges,and three(3)feet in valleys and around dormers. 9. Install new premium synthetic roofing underlayment over all remaining exposed roof boards. 10. Install new,limited lifetime laminated roofing shingles on all roofs being re-roofed.(Customer to choose color) 11. Cut peak of main roof, if needed. 12. Install new Cobra ridge vent where roof peak was cut. 13. Install new ridging over new ridge vent.(Color to coordinate with new shingles.) 14. Seal all flashings with Karnak fibered roof cement and/or Geoeel tripolymer sealant. 15. Remove debris from any gutters where new roofing was installed. 16. Remove all other job related debris and dispose of properly. ***Payment terms: 1/2 down when job starts,the balance when the job is complete. ***All debris will be removed daily by truck.No dumpster is to remain on site. Tot Phone# Signature � � 781-587-0066 Page 1 Capital Contracting Inc. Estimate PO Box 3189 �ontiactin�loc Date Estimate# Wakefield,MA 01880 www.capital-contracting.net 6/13/2015 437 Name/Address Ken Tarbell 41 Cedar Lane N.Andover MA 01845 Description Total 1--Set up necessary staging to complete job in a timely manner, 9,800.00 2--Remove all of the windows from the entire house. 3--Fur out and install new windows in the existing openings.The new windows will be new construction,and will be sealed to the house. 4--Cut a new hole in the kitchen and frame for a new window.There will be no interior finish done for the new window. 5--Install new I"insulation over the entire siding area of the house. 6--Install a new vinyl siding system over the new house wrap.The new system will include standard double 4inch siding, standard corner posts, window and door areas will either have a built in J-channel or will have one added to it.Vinyl soffit panels and aluminum coverage on all soffits,fascias and rakes. 7--Install new seamless aluminum gutters and downspouts on the house where currently existing. 8--Install any new lights,numbers,doorbells and mailboxes if provided by the homeowner. 9--Seal any areas on the aluminum coverage that may require it. 10--Remove all job related debris and dispose of properly. WINDOWS To remove and replace the existing windows in the house,the labor cost is$125.00 per window for the double hung windows, $250.00 for the picture window,and$500.00 for the new window that will be cut into the existing wall. Total labor for windows$2,250.00 **Homeowner will make arrangements to remove all of the existing siding on the house.Homeowner will supply all materials needed to complete job.This above price is for labor only.Homeowner will supply all materials. All materials are guaranteed by the manufacturer. All work is to be completed in a professional manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed upon written orders,and will become an extra charge over and above the original contracted price. All agreements are contingent upon weather and/or delays beyond the control of Capital Contracting Inc. Total $20,000.00 Phone# Signature 781-587-0066 Page 2 i The Commonwealth of Masse ehusetts Department of Indr�,�t��aZAcczdent� {d X Congress Street, Suite 100 Boston,MA 02114-2017 F www.mass.govldia sy. Wavlrere Compensation Insuran:ce,Affidavit:Buildexs/ConEnactors/EXectaricians/Plumbexs. TO BH FILED VnTS THE PFI2Ni_TTING AUTkIORiTY Aptilicautlnformation Please Print Le 'bl Name(Siisiness/organizatiordudividual): '14 ot., A .Address: w. N City/State/Zip: Phone#• M Areyou an employer?Checktlie aplixopriatebox; Type of project()Vequired): 1. I am a employer with-.1. . employees(Bill andlorpart time).* 7. ❑Now construction 2.Q I am a sole proprietor or partnership and have no employees working for me in 8. [1 Remo delirig any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.F1I am a homeowner doing all work myself[No workers'comp.insurance required.]t - 10 FJ Building addition 4.❑I am a homeowner andwill be hiring contractors to conduct alt work on my property. Twill ensure that all contractors either have workers'compensation insurance or are sole 11.E]Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. ROof repairs"•. These sub-contractors have employees and have workers'comp.insurance, 6.Q We area corporation and its officers have exercised their right of exemption perMGL c. 14.[Other 152,§1(4),and we have nQ employees.[No workers'comp.insurance iequired.] *Any applicant that checks box4i must also fill out the secflonbelow showingtheirworkers'compensation policy information. T Homeowners who submit#his affidavit indicating they are doing all work andthen hire outside contractors must submit anew affidavit indicating such. ?Contractors tbat 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-c6n6cf6rs fiaveemptoyees,fliey must provide their workers'comp.policy rmmber.' X am an employer tlxat ispiovidingworkerscompensation insurance fon my employees'Below is thepolicy and job site information. Insurance Comp yarr Names Policy#or Self-ins.Lie.#: Expiration Date: "` w w .. ,w ..._. Job Site Address: � ��. E city/State/zip Attach a copy of the workers'CbMPePqatiOu'Pol1cy declaration page(showing the polleynumber and expirationdate). Failure to secure coverage as required under MGL o.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 foam of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A,copy of this statement may be forwarded to the Office of Investigations of the DTA.for insurance coverage verification. X da hereby certify dear the pains andpenaldes ofpeiju,y that the information provided above is true and correct: Si nature: „ . Date: Phone Official use only. Do not-write in this area,to be completed by city or town of lcial. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Tort Clerk 4.Flectrical Zuspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: MIDDIVVY ACCERTIFICATELIABILITYI DATE 12/24/2014 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(les)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 Tarpey Insurance Group NAMEPHONE FAX PO Box 567 E-MAIL A«"e Wakefield, MA 01880ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Libert Mutual Insurance 23036 INSURED i, INSURER B: k.apital Contracting Inc 73 Renwick Rd INSURER : D: Wakefield, MA 01880 INSURER D 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICYEFF POLICY XP LIMITS L COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S DAMACLAIMS-MADE FIOCCUR PREMISES Ea RENTED occurrence) S MED EXP(Any one person) S PERSONAL.if ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY[:]jECT M LOC PRODUCTS•COMPIOP AGG S OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLELIMIT S Eaaaccicctdent _•,__ _ ANY AUTO BODILY INJURY(Per person) $ AALLOOSWNED SA��ULED BODILY INJURY(Per accident) S NON-OWNED PROPERTY DAMAGE 5 HIRED AUTOS AUTOS Per accident 5 UMBRELLALIAB HOCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE AGGREGATE S DED I I RETENTIONS _ S WORKERS COMPENSATION P ER AND EMPLOYERS'LIABILITY STATUTE ER _ ANY OFFICERIMEMBER EXCLUDED?ECUTIVE � NIA W C2-31 S-600141-014 11/26/14 11/26/15 E.L.EACDISE ACCIDENT $ 100,000 (Mandatory In NH) E.L DISEASE-EA EMPLOYE S 100000 It yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It 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. AUTHORIZEDREPRESENTf1TiVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ��e U�.�7�a7�wrrurecr�o���asae�rcr . �. Office of Consumer Affairs cg°Business Regx's;=fir OME IMPROVEMENT CONTRACTOR eg.s`.rabon: 162Gt 2.. Tx xr,• Anion: 1/12J2d15;,, Partnershit CAPITAL CQNTRACTING JASON GPRi 73 RENEWICK FAD.. VVIAKEFIELD, MA 01880 Undersecrei Massachusetts -Department of Public Safety Board of Building Regulations and Standards License; CS-091615 JASON GOBI -�� _ WAKEFIELD MAA I Ol - Commissiio�nTerr Expiration 03/30/2017 j