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HomeMy WebLinkAboutBuilding Permit # 10/6/2015 TOWN OF NORTH ANDOVER ®� Nn o�H APPLICATION FOR PLAN EXAMINATION = y$'1 "OaL Permit NO: °f Date Received ts4AOwgreo nPpy(y 9S$�caus Date Issued: IMPORTANT° Applicant must complete all items on this page LOCATION p Print PROPERTY OWNER " 06/N - MAP NO.� PARCEL: ( Print 1 ^ )CI''" `;t ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential New Building ❑ One family 'Addition ❑Two or more family FJ Industrial _; Alteration No. of units: Repair,replacement ❑Assessory Bldg ❑ Commercial ❑ Demolition 1 Movin relocation ❑ Other J Others: Foundation only DESCRIPTION OF WORK TO BE PREFORMED w, A Identification Please Type or Print Clearly) a�: �� _. OWNER: Name: Phone: Address: m. � ll)-, VCONTRACTOR Name: - Phone: //��� i.. .._ fes ! Address: tltl.. ""- ✓ - Supervisor's Construction License ( �` Exp. Date: Home Tmprovement License: -Exp. Date: ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.. $12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST#,ASED ON$125.00 PER S.F. Total Project Cost :$ p x12.00=FEE:$ Check No.: Receipt No.: r� � Page lof4 X tAORTH Town of Andover . "I ago1d ver, Mass, O �CKF 1. COC MIC MF WICK y BOARD OF HEALTH PERMIT LD Food/Kitchen Septic System omrft THIS CERTIFIES THAT . BUILDING INSPECTOR . Foundation has permission to erect .......................... buildings on ... ....... .....i'd .. ... ....... .. .!�....... . Rough t® be occupied as .. .............................................................. Chimney .. ....... ...... e 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final EXPIRESPERMIT IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS TI :TARTSRough Service ............ ..... .f .. - ... r.,,:..,...................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lata or all oBe Done FIRE DEPARTMENT Until Inspected and Approvedthe Building Inspector. Burner Street No. Smoke Det. Mailing Address/Main Office: 377 Lowell Sheet,Wakefield,MA 01880 Tel: 781-245-4900 Fax: 781-245-4999 PETER RYA � and ON www.PeterRyanAndSonRooling.com ROOFING, Inc. Submitted To: lob Location: John Tortora ctf 86-88 Maple Avenue 86-88 Maple Avenue North Andover,MA 01845 North Andover,MA 01845 Phone#: 978-479-9541 Email: JCTortora@gmail.com Proposal date: August 18,2015 We are pleased to hereby submit this proposal to furnish materials and labor,completely in accordance with the below specifications: (Additional charges may apply for any change's not included below in proposal either by request of oivner, or•if Peter-Ryan and Son Roofing finds unforeseen ch-cuunstances that ivill affect the peiforrnance,quality or integrity of this job).In the event legal action is taken to enforce any provision of this agi-eement, theprevailing party shall be entitled to all its reasonable costs, including reasonable in-hoarse or outside attorney's fees. Not responsible for debris in attic. COPEOF:WORI�;. Strip entire roof to bare wood and re-shingle: $6,980.00 • Strip existing shingles down to bare wood .-------..__......__.... . Check for rotted wood and replace(at time&inalerial) • Nail down any loose wood • Install ice&water shield to first 6-feet,and in all valleys and around any protrusions • install premium synthetic underlayment(in place ofstandard 301b.felt paper) 4 • Install all new 8"white drip edge on perimeter and step flashing,where needed • Install manufacturer suggested starter course of shingles ' 0 Install II{O or GAF Lifetime/architectural shingles in color of your choice • Install ridge vent,where a ridge vent exists • Cap ridge vent properly with manufacturers suggested cap,where a ridge vent exists(GAF Timbertex(V or IKO Hip&Ridge 12) • Properly flash any protrusions and all new pipe flanges,if any on roof Clean Up: • Cover area with tarps to minimize debris and remove debris related to work n��//MMMMCC TTCCpNN��pp • NOTE: Please cover any belongings in the attic,as they will get dusty,ifapplicable PHI,IIIFNT,J, llltil; COst details: Includes cost of ermit,labor,darn &material Payment s6fiodnle. 1st payment due upon signing: $1,980.00 Total Cost: JOS80.00 Total balance due upon completion: $5,000.00 Peter Ryan" Respectfully Submitted by: Accepted by: Our craftsmanship is 100%guaranteed for l0-years. MI other s are through the manufacturer.All warran i"be null&void if job is not paid in full. Peter Ryan and Son Roofi c.License 4178871';,Thankyou for letting us e e you!!! cc: Paul Please mail all correspondence to our Main Office: 377 Lowell St,Wakefield MA 01880 1 Tel: 781-245-4900 New Location:352 Main St,Gloucester MA 01930 1 Tel:978-559-7333 ti The C"arrrrrrc�.rrti=errlr?�r af�llrrssrrrlrzrsEJ��,s I7 :rrrtr'rr, StOrd Ac(lrlt,r:r•t,s' - u Sued ,S rr 'r 7 0 x B"<�;S C1T?•, 11f,4 0.2114-20.17 ���-P.':�� t1�1t+JWP lrl6FSS,ti�"n'i'fl��f1 '•. � tll' t:'I`fi' C-p I:'IljlIl'Ii: 'j{'113 :zfi111't1I1GQ A ` 161ttj'i°ft ilfiT�( 1`fi� ;t :1L1'"r1-CtY�'I°<5� � '�fT"�C`"iii•!I`;/PC1ITli�f?2'4 Peter Ryan and Son Roofing,Inc. F Cr N:{�l�t�:#li �13116.311C SSI�1'�;iit:T'1.�iT'tJC�t[�31 1v ) , cfc.rey ; 383 Irear) Lowell Street,Suite 20 Wakefleld,MA 0188.0 P`ll�li� #; 617"571.9056 �;ity/5tl�t�/ lir . Are yooi an et3i;l�loye1''? 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[No 1�{orker +���n11,, ;C;k3t.of zx u.3l,t.iat� 1.ii,xhfi{-YL rt.?,❑.Rodrq.-mvj's c., 1' '., �1(4),.n31c1 N.Y.-c.11qwe t1c:, l`, EJ Q tlwx. illst:u a.nce a zciiltti tl'`J t :3i31�loyzes [N�i +:>t,tl�l:,..i1 {iTiEl174e• i�quir�t;l,] ",alt)'01)pl'.If:a111 tli1f Gliecic bOx. •1 rtlll�rt.nts+T Tltt Oitt'11-e 5<.Gttlil3 l�'1C�Fv>t1OF�,�111gttiul.w0flife Quasi e.C�ntradO S,nlWil-RIN1Y3tt11d1e1V 11ridavit inl't.i(ml ng Skic11. t}i011.T..w.N\71er.5'Fvlio S11t311361 til{5 affit#iYV.ut i1l.Ct:SCtltltY 'f1lYy tTi't'{tl7.pilg i111 F,C11.1 1t1�t t13e:n.11itP c ttirci t'C�otltractors t11n1 diecli'this W",trlTtst.attimbe fall.nttdtt:ioll-al sllee.t slx�Fticitl;tiYe aan;tiz o:t the"sciG CV•tbll'tTCt+r i ilt3£t�l"it{'e'F4'1Tet11ei'or nO'1:1IlOSz zlYl:.11`I*S llit'1e etlil�dayzea. Tf t11e sat@ eoutractors llstF+e e�}3 1oy�e alae;'111vist. .rtSV111e 111Qtt' w.qO err Cnll1 .1?l�ltC,y flfTolbe.1'. I.rtrrt r�rJ errTY�l:c)ler'tlrr►,t.lslrr'vt+r:rilir:� ,i+c rlc r�sf corn-len.- cr:rlvtr,lrr.sira�rirr:cre vr,rrtl �rtrra lvlc�E'r, B:�lvra' 1;s tlrt'��°v°ttcl7111111�vlJ.slt� 111 f vJ'rti rr7lbrt, NSA (I am not requlred•to carryWC,as l have no employees)_Please see the Sub•COntYactOY'S W,C..affldavlt attt Insiu'lirai:e Go I y N"/A l j?irlt:tio:31 Da.tc.; C`ihll�+t�lterZti�; Job `�itc.Allrlte5,;. ... .,. :.. .., . J?;.ttli.it n:coley r:Ct:lle lSrarlter.s' cf -1.Per�stlfi all I�nTlc:� c1:er'la>�atio:t3 IJa`�e (shcJN1,. fire P-olid 11t13nJaei illxcl er.l)i�Vntion d t:e),. Fn.ilcaee to,seccTae�rrvea:� .e A5 tGll3;iiaekl ttticiel �yCtltilrtl Z>,e>L �+f M.C'rL G• 1 a 1n l�•n.ci.to t.ka rllalat�sitt3 t,# t tita3it1�,1 lYen�l.tics of i #it:t.e up to .},500.0()iiti:el�oa t,faC�yCe11' tllini=�c,aut3+rrlt, li.s 1vrl,l �, Civil I)ei�;Y;lttas iJ1.t13 f�,�111 o a STOP N\!(.)F�I� c.�RT�I:11 aJt�:l of 11-1) to$250,00 a dRy ti-go ast the s'il7:latc,t. B� t1.11�i4e.c! that a v:4:lJy 11:f tlaiy siwt�n1�a3t. i13a.y -be .folFaiircl�cl tri ths: t�tttcC of lia.vest:i atiatts of the DIA for in >rt�131u� clti tl��c vettttartti'on Z dolr.f�rc?:la,� c�r,'a��l• rr•JJ,rI�c+J'r/tc+_jJrar':rr:s.rrrJrf,rJc>rrrr�dr'Y:� {�fl�.c.>t�cri;� rlcrr�1'it�e :are;��iar�rrrrrtic)ta.I�.rnn'r'l�err�rcGc��-�e f!�5''ll+:r'r•{? 11111.1 cc)t!r�.a,��1. ,.. 53Jni�.ture; 1....:,,,...... ........... f ,�. 617-571-9060 PI3o:i1 : w............._......,...w..._..,.....,..._...... ....M............... >)�/ c:t:rr1'ras'c>o:rrllr, i?o rt.at",>l3r't`t� ler. Gl7ls{1"Pea, io b'e rE7112:J1�'i.�=r lJ� c�.#tl� art' tn'i�rr cr fig 1111.. (:.;itY or'I'c,i'l'rtl P`er:i�.ut.1Llr.e.i-3�e # Is'Stil':i:tg A-101:tll.`lt}'{c3i cle oile):I 1. BUnitl €t#'Het�l°tlt 2,Bietdllir 17e1�r�.tt>t�:elrt 3', C't '/Tn1�`tl• C_,le 'l 4, El:e.c'tr3ca:l In17e:rtt�T' S,.P"1>r°irilrl=li.„Iu�lrect.c,r d nasE:nrt.P.eJ's:oa, Tla:e C o'rrr>r°ran rfpe.a.lflt of Massac/rtr.,sefts' '� I.�e�rrr•r•r:�salcr°rJ n,�'Ir�rrli�sfr'�rr.JAoc�i'<l:�r°rfs� . • �.� i�.M.... * C)'f,�%ce vf.Irr,t�e:sff�rrf�vrr,s ' a S(ret'l, Sulk, 100 �• } `'" }tk}'►1vtl,li'rlr.-55';gc�:}��crter. Workers' C ttll�etl4:btFiGll I.t1,ltl.l'tt we Affi.d.,n rit; BitiltTe7 y/(;o�ltrttCtol,5lE1er1t i1S �Piprt1L�, � Ali.cats#.Izt.foz`i��l�t�#.ioit: L• ma Construction, NYl.11le(Blthtltess/nrgallizntio111I11�ivelalal);. . Address; 71 Pr0-51)(;ut Struet Phutltr #; 608-232-'1'191 C:it1'Itiltal.eJZil�: Brockton, MA 023.0`1 Are yon stn e:lrllrio�'el'? C:lh'ee1S file.nl')In"oPl.l.€tte box; Tl'l�e of j�loje:ct (1 ecjtYire.el}, cl, I W11 Al.rerrcr11.1 Guntrtl.ctor aalti I 6 ❑Newv con4tl dation 1. I.am a enllalc7�'zr Nutt11 1___------- 111' e. hired-tile suh•GontrtictwS tlllltloyees{hili alacl/o.r jaart-t.i'ine;},�` 7. Relltocle:l.ill . listed.on t.1re.ix.ta.G1}:ed sliest, ❑ :2:❑ I aril it 541 j)1'OjJI'1Ctol•or.lal}t't11er= These Stt1r=CEill TROtllrs li:lve g, []Dei�aol.'t#i��n sllil? ailCl Ilave CYI�Z1YlI3EfJyt<es elnpt0yees imad Itltve q, Q Building addit''toll workilig for Im ill ally 413:j�rlLit�'. etlly, illS 1?41.1'SCe•:1 (1`tQ 1VQi"kCi'S° CQlrlla, ulStll'M1Gt r--� QVC £lre f� 'xllj)t�l':i1:fiCn.l.a}1C1 itS �0,�. 1 4t.1iclil rgxlirs or arlclit.iolls or stfielitiolrs recjuired.] LJ �aitiGers'l.la..N'e:exelei 1�:c1 tl7e.ir 12,[].P.tttlilliirl 'repasrs 3,❑ I.ai11 a tUallwaNwlzl' dQillt.X11 Nva11` right of exemption pe:r n'1:CiI .12-Ell~u�i#repz:irs llly5elf. [Nc>workers' ct�lllja. o. 152, :l(4),ami Nve.Ilitz'e n.o j';,❑ (:stiller ia4tu'arlce reeltliretl. t niployee�: (No wurl er5' 4unlp, in:utar'ata+ae regllil�d;] iou ',�11y gVitcalltthat:cheek. boti#t rnast.atso fill utttE,e. aresecfloi>l t�Itrwtu}crmid then hire.otttstde ratltractors lust Sttt4lnitlai!ew a o cthosewil telltitPes Dave 11, t jiotneonmers tubo submit tliiS atfldal'il illdie 1tln Y tt::ontrartars th,�t�herk this bv�:angst:atiaclled itlt•at4dit.ionat sheet.Shots�lug the ilanre oF`the:stlb�r,•olltr�tc:tt�rs alld!;t1`.te whether or u aillployers. if rdle ssub•c•antrart�ra llavz•eniptoyE es,thea'cnust},rcl provide 1116T 1v��ress"cs�lnp,poliaynuuitaer, s ilv'E'r tlarrt ls'I�r'c»'1rF.lrrg r,'orli�r'.r'evn�.Jaers;srr.tl'on.lYs.s:u.r'tr-rrc e fur'nap frrrlpGvl'r'f's BO-0y" �lrf'�avlftY�trr:d f vb sr:rE' I n.rra all Err t t lrsfoitmation. Insurer A: Northland Insurance, Ensurer B. Arbella Protection, Insurer C, Travelers A/R _ InstlranGz (;Qrllpailk\laude: 6S6OUB-5B86069-2.15 Bxpiraticsn Dlat.c, 03-01-2016 Self•ins, Lie. Joh Site.AddreSyt... ._...._..... _........ ..... .:.:..:. .... .__. ... ll a.ao.>v of the tivol keg's' ccr�nj�e lsrlt1011 Polic:�' cleclxl'atton l�tl�5.�(.Fhoti 01�� �'11 70?�1tI01171 t L1'lllllf tlllt'pei E+ltieslQf tl Attn< 1 Fallill'G to SeGGtfZ GPN'G1;nkK aS rGtjtlU`�dl t1l1ClC1' CGtYQ11.z� V1 IvIUL G. 1..� call fine 111 to$1,500,00 all.(Vo1:olio-.yeas i111pritipiUlleiTt. a.s t�rell as civil 11f t11i5 stzitenleill �tt nl�ny L,e fol vi�lclev�Tc (.tt�ll e.Of it Rk: d l a fele 1 �,f t1j7 tc,X2.50,00 a qtly a�ai-rust the�'io.ltt.tol'. Be <�et��ised that'l copy.o Iuvesti.'atious of the DIA for ivatUa:rloe QllYe.ta;C N''$1`1fIG'iltll,tl, I.rly/rErrob,Y'evttfl) c+.rrfr'r tli.fr1rntra,s' .,� trr,trrl>rJ�:aa tlr:e ltrfnr'rrr.rr•ttarl pt'vl'drlert above �s rr°ecc' n.rtc�tYorrEresF. F?[tc�r.�..?�.r..,�•..."�..08:232-1,194..,,.........................,...,,......,........,, •...•.,......._.....,..:..,............,..,.•....,.•...._...,.,�.,..,...,•......,...._...�...._..�, ..,,•....,,,..._. .,...,,..,.... ..•_........ C)ffi'c:tn_l.ns'E7 only, Do not a^i'rlre lrl !lrl:s raven, to be aollipleter!by oltt'.U,y toMW vffrtlal' Pe.rjrlltJLiGe.11se # Olty o.l,Tol'111 Sfidt1.1.1 Ant:1103.`!f�'(civ-ale ones 1.Boa.rcl of Hear.ktll :2,.$�llldinr.DePai•tl'rr.elrt. 3,'C:it;'JTovl'rl C.:terk. �,.E.Fer:tl'lenl Iu.slrertol' h. P�ia�rtllrl:v;�In.gp�ecfor. G, 0 V e.r 1'llor>re.#t C:ot[til'.Gt Perso`Ltt DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCEGHTS UPON- Og10912015 .. �. FERS NO THISCERTIFICATE CERTIFICATE IC OE$, NOTUED pS A MATT—FzROF INFORMATION ONLY AND AFF RMATIVEI Y OR NEGATIVELY AMEND, EXTEND NOR ALTERTHEO VERAGEEAFFORDED BY TOHE POLICIES CERTIFICATE DO AUTHORIZED BELOW, THIS CERTCFIC/�TE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), , REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, INSURED IMPORT ANTI if the certlficalo,holdor Is an ADDITIONAL. , tho policy(los)must be endorsed, If SUBRdGATION IS WAIVED, subject to the terms and conditions of the poilcy, certain policies may require an ondorsemsnl, A statement on this cortlflaata does not Confer rights to the certificate holder In lieu of such endorsement u). Go TACT Joyce M Keller PRODUCER NAME:, -4---4 — _...__._..... MassPayinsuratTce Ser�Aces,LLQ P.HONF 1 (978)77A•A338 x115 i jac,No);(978)77h 1x18 L en Street,Unit 10 MVI• o e mass a nsurance.com . s,MA 01923 AnDREss; 10 @ p N NMC a INSURFR(5)MPORDING COVERAGE NOR _ INSURER A; Northland Insuranao 81360 INsuRER a; Arbella PrWBc11Dn — _---- TRC onstruction,Inc TRAVELERS AIR LomaINSURERspect 5lreel INSVR'Ran,MA 02301 INSURER E I INSURER P REVISION NUM5ER1 COVERAGES CERTIFICATE NUMSERI PERIODE LISTED BELOW iA' BEEN ISSUED TO THE INSURED NAMEO ABOVE HIS 18 TO,CERTIFY ANYIREClOR OTHER DOCUMENT W TH RESPECT TO WHICH TH UiR M MNT[RM OR CQNDI nN OF ANY CONTRACT S CERTIFICATE MAY [)E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDB.D GY THE POLIOIES DESCRIBED HEREIN I$ SUBJECT TO ALL THE .TERMS, EXOCOSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN Rr000f q By AID CLAIM L gy FF $. E P ~T LIMITS 011 TYPE OF INSURANCE. POLICY NUMSC•R (MMIDD yji(MMIDD/YYYY — 2,000,( �W8230181 01!3112015 0113112016 EACHOCCVRRENCE T $ 100,( A GENERAL.LIABILITY o o 5 P E ISES Ea occurrent \ COMMERCIAL GENERAL LIABILITY MEDEXp lAn one person) CLAIMWOE ©OCCUR2,000,( � PERSONAL 8 ADV IWURY S 3,000,( oENERAL A0GREC A_TTE 5 3,000,( j pRODUCTS•coMP1OP AGO S GENL AGGREGATE LIMIT*APPLIES PER; S PRO` LOC —^ co 0 S NO E L MIT 1,000,1 ✓ POLICY' 102000927q 111201201Q ' 1112812015 a accIden Q AUTOMOBILE LIABILITY BODILY INJURY(Pa(person) 5 ANY AVTO SOOILY INJURY(Per accident) $ ALL oWNEO SCHEOULED PROPERTY DAMAGE J AUTOS v AUTOS IPer acc� Idem) -- — ✓ wNED 5 ✓ HIREOAUTOS AUTOSi EACH OCCURRENCE _ s VMBRELLALIAB, OCCUR AGGREGATE $ EXCESS LIAR CLAIMS MAOE $ _. 0150 RETENTION a 6S60UB 5886069^7-^15 03/0112015 f 0310112016 WCSTATIJ oTt+ C WORKERS COMPENSATIQN .LEACHACCIDENT ___ 5— _ 500 ANO EMPLOYSRE'LIABILITY Y 1 N E _ 500 ANY PROPRIETOR)PAR1NER/EXECVTIV1r I�I 1 NIA E.l.DISEASE•EA EMPLOYEE ^S DFFICEIVMEMBEREYGLUDEO7 J 500 (MendelorylnNH E.L.L.DISEASE•POLICY LIMIT 5 II Yes,deselibe UnIr DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Vlach ACOR0101,Additional Romarke Schedule,II more space Is required) Proof of Insurance CANCELLATION CERTIFICATE H OI.DE R --•--•-------' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORC THE EXPIRATION DATE THEREOF, NOTICE WILL, of DELIVERED IN Peter Ryan and Son Roofing,Inc ACCORDANCE WITH THE POLICY PROVISIONS, 383(Rear)LOYRII Slrvet Sults 20 AUTHORIZED RFPRESaNTArive WakeOeld,MA 01880 n 1988.2010 ACORD CORPORATION. NI rights reser ACORD 20(2010105) The ACORD name and logo aro reglstored marks of ACORD LICENSURE Peter Ryan and Son Rooflnu, Inc, PNI1C.t. 1<78.8711 Pleltter Ryainl /1;%u 'fl rin7nopurr,7rll�c/ ',��irn a6n.m/A (tlilac of Ctnruwnar hlTulrx Rih,eln r�llagulnllnn LdoNso nr roul9n udon vniltl ra'Indlvidul uta only �•� Irnlbrv.ilio arplrn(hm dme,'ff Purmd rnturn!vs >r. pMt1IMPROVOMENT OONTRAOYOR ryPa ()ffSaarf Couvumvr Aflldrt 111141 0usino5s RUPOuNnn 4 oyletmllont 178071 onrpvr Typo JQ Park 1111111kr 5ullu 6170 i xpltaltvni 012012010; 11(i 61A 02.11.6 �. PUT CN RYA( 8 80N•hV0FINl3,INC. r•; PfsTGR RYAN 101(RHAR)4oWt 8P.8Ui'tC 7, rl'` rpnT.4....... ;I &KeTir••40.MA MON tindernearamr) Nm rnihl e•illy 451tiunuiry Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CSSL-106054 Construction Supervisor Specialty PETER RYAN l 377 LOWELL STREET WAKEFIELD MA 01 l r-j Expiration: Commissioner 05/17/2019 � i