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HomeMy WebLinkAboutBuilding Permit # 9/3/2015 SCA.,­'f-P q/J//,-s H ORT OE���a° 6'gti0 BUILDING PERMIT TOWN OF NORTH ANDOVER ° APPLICATION FOR PLAN EXAMINATION ey' Permit NO: Date Received ^' ��SSATRI; Date Issued: I RTANT: Applicant must complete all items on this page Mm PRUPI=RTY OUIJER r lUlAP Noj_r._. y PAF2GEL�� zol<w1NG Aii��' 1CTF=..f I�� T f 1 �tor�c t trlct no . ire tlla 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 ept�c C7 U1/ell Flo dplam U V1le#lads Yate shed S �stft 7 Ullats�r,ISe�nter r :. . 1. _ Identification Please Type or Print Clearly) OWNER: Name: � ) .�� Phone: �A C5 Address: CONTRACTOR N�me� � Pone h Address r Supervisor's Consfirtaci©n Lacertse Exp Dafie � Homy lmprouernerifi L�cen�e= f t f , ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT.$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ `�_ FEE: $ Check No.: Receipt No.: Z 12 NOTE: Persons contractthg will: unregistered contractors do not have accYMoWie guaranty fund Signature of Agent/C)wrier Signa#ure of contractor: 'i f FIORI CONSTRUCTION LLC 26 p rhawk Drive Londonderry New Hampshire Construction Lic. CS104036 Horne Improvement Lic. 162527 7 i 3 Fullylnsure orkrnans Comp Work Submitted to: Shirley Whitley Job arse: ....Shirley-North Andover Address - 1- 'L\ S--Ln Y. Phone Number: .1-978-685-6404 "Proposed Work to be Completedlw lw 1 -Remove all belongings from the area around the horse prior to removing any shingles off of the roof. I will cover the entire non ' gable sides with a black plastic material to eliminate any damage to the Thome r - emovo all layers of the existing shingles off of the front of the main house's hip roof only -Once the shingles are removed, I will inspect the plywood for an signs of rot p p Yw Y 9 1f or decay on the entire roof. l will charge an additional charge of $50.00 per { sheet for the replacement of any plywood. This charge will include the Y2" cdx (not particle board)plywood, nails disposal fees, and labor 1 -Install new ice and water shield six feet up from the bottom of the roof 't The reining areas of the roof will be covered in synthetic roofers papers Install view 8" mill finished aluminum non vented drip edge over all bf the:facia boards and rake boards on the entire roof. The drip edge protects the top of the boards from being saturated with water from the roof. Currently the only boards that have drip edge on them are the facia boards -Install new 20 year three tab shingles. The color will match the garage roof as close as possible. The entire roof besides cap shingles will be installed using pneumatic nail guns with six nails per shingle. -Cut an 1 % inch slot along both sides of the ridge of the main house roof to receive the new ridge vent. -The ridge vent is part of the National building code and part of the of Lifetime Roofing System. This allows the attic area to breathe, and allows the shingles to last longer. - I will also replace the down spout on the front left side of the house that is missing. I will also reattach the other three downspouts on the other sides of the house. I will also remove and replace the rotted Masonite siding on the bottom right hand side of the home with new pre-primed cedar clap board. You are responsible for painting the siding. � -All shingles will be recycled at Re-Energy in Salem New Hampshire. 1 will also dispose of the wood and branches on the left hand side of the house - I will purchase a building permit prior to starting the job Total Labor and Material for the strip and installation of new shingles on the front roof $3,500.00 E, i i f: PPP PPP;' r The amount of $1500.00 is due upon signing, understanding the contract, and receiving all roofing material. No money is due until the day that we start the job. The balance is due upon completion of the job'. 1 accept an understand this con c . 4 , Pate k w t FIORIA OP ID:SS DDIYYYY) TE(MMI CERTIFICATE OF LIABILITY INSU RICE DATE 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 NAMEACT : Appletree Insurance Agency Appletree Insurance PHONE 603-881-9900 FA/XCNo Indian Rock Road AIC No Ext Windham,NH E-MAIL Appletree Insurance Agency ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A-The Hartford INSURED Rod Construction LLC INSURER B:Safety Insurance Company 33618 26 Sparhawk Dr Londonderry, NH 03053 INSURERC: 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 DDL UBR POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MWDD MM/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE 1-1 OCCUR PREMISES(Ea occuence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ JECT POLICY❑ PRO LOC PRODUCTS-COMPlOPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 500,00 Ea accident B ANY AUTO 6233851 05/26/2015 05/26/2016 BODILY INJURY(Per person) $ ALL OWNED :X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PerOadenDAMAGE $ X HIRED AUTOS X AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY STATUTE H EER A ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 6S60UBOG05733515 05/28/2015 05/28/2016 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe uEEL- 1 000,000 DESCRIPTION OF OPERATIONS below .DISEASE-POLICY LIMIT $ r DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION NORTH13 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Department of Public Works 384 Osgood Street AUTHORIZED REPRESENTATIVE North Andover,MA 01845 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD �q�®�®-per" DATE(M tA;DDr'(YYYj l-9 Vii' CERTIFICATE LIABILITY INSURANCE 08,3„20,5 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 riot confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTANAME; DAN SEAMAN SEAMAN&TOOHEY INSURANCE AGENY.INC ' j f �M e of Codsom r Aff�rrocrrllf r/ f E iMPR p airs&B �ijtrrn� " egistratio VEMENt �s;uessRe �snr'lz h: Cp gala Expiration: 162628 NT�'CTpR tfon' MlCiigEL FIORI Ns 6120 pgA Type;.. M(CHAE TION 26 L FiORi LONOONDAwK DR ERRY, NH 03053 ' U4d erSeer et ary �ft � xs qty} y r ,.Z c" .-70Qp 3 < ra a �ctj 1 0126y r tl k3R,; 16