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HomeMy WebLinkAboutBuilding Permit # 11/19/2015 ORTH BUILDING PERMIT TOWN OF NORTH ° APPLICATION FOR PLAN EXAMINATION Permit NO: a I Date Received 4" °►nTeo PPPy f�J Date Issued: cwu�� IMPORTANT:A licant must com fete all items on this a e 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 REPLACEMENT OF 5 WINDOWS AND ONE DOOR- NO STRUCTURAL CHANGES Identification Please Type or Print Clearly) OWNER: Name: WALTER DOWGIALLO Phone:078-975-4334 Address: 175 GREAT POND RD NORTH ANDOVER MA 01845 111 Gil I 10 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: $ 12,547.00 - FEE: $ Check No.: Receipt No.: 2-Y`.;1-"1 U�m1 NOTE: Persons contracting w' unregist ed contractors do not have access to the guaranty fund NORTH ..fown of Andover O (031 C,, h ver, Mass, q A- COC LAKE K WICK 1 7.es RATED 1 u BOARD OF HEALTH PER..MIT L DmlmmmftFood/Kitchen Septic System THIS CERTIFIES THAT .........W. . .� �, BUILDING 0 .... .. ........� G INSPECTOR has permission to erect uildings onj U.•....... Foundation .... ... 1... ..........&i14... ........................... Rough to be occupied as ............ .....0 ��MA ..... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Final Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT E I IN 6 MONTHS ELECTRICAL INSPECTOR LESS CO S CTI S Rough Service .................. ...... ............................................... BUILDING INSPECTOR Final Occupancy Permit Reouired t® Occupy Building Rough GAS INSPECTOR 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. �'- MA Home Improvement Gootractor C''i`lewal 1 � Licen4B 11170810(1 xpires 12123/2015) h�f�lldersen '-a - Renewal by Andersen Corporation Federai Tax ID"1-1916413 :Vlrrndw Cf.ittC f>•++r:1 . :,. ... 30 Forbes Rd. Northborough,MA 01502 (508)351-2200 Fax(,5kB)-986-7072 CUSTOMER WIFNDOW AND DOOR RFMODELING AGREEMENT Buyer(s)Name �- -------.��_--_-__,— _ Date: — WALTER DOWGIALLO - TON] DOWGIALLO _ - OCTOBER 18, 2015 Buyer(s)Street Address _ Cid_ _—_ State Zip Code 175 GREAT POND ROAD � NORTH ANDOVER MA_.— 018.45 Email Address ` Horne Telephone Number Work/Coll Telephone Number T0OWQSCREENPRINTDOW.C9 _ __978-436-0324 978-97S-433 Buyer(s)hereby jointly and severally agrees to purdlase the g(x)ds and,/or services of Renewal by Anderson Corporation("Contractor"),in accordance with the terms and conditions described on the front and the reverse of this agreement and On the attached Specification sheets)(Collectively,this"Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. _� _.�. — __� FSLitari©ate Method ofi Pay_me*lt Total Job Amount u Amount Financed --S______-------_--_-- Creposi!Race v�d(33ro)S 4,182.33 Dr, tats 0n S --------r-_- 0.00 Check/Gash — 10-12#seeks BalanoL Stan of Job(33%)$ 4,182,33 Check 9 Balanoa on Substantial Al Sabstan0ei11_N !_T»p]e ✓ Credit Card Completion of Job(3391.)S 4.182.33 coatoetion T� 1-2 flays `� If crr3dR czJti is se!ectec+pease See Coedit CaM Pa•rrx•-tt form Na 7 ni. a-rnr,snit ht tlt iunUsa un11 a nuke are san.f;C �__.�_ Buyer(s)agrees and understands that this Agreement constitutes the entire understanding between the parties,and that there are no verbal understandings changing or modifying any of the terms of this Agreement. No alteration to or deviation from this Agreement will be valid without the signed,written consent of both Buyer(s)and Contractor. Buyer(s)hereby acknowledges that Buyer(s)1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed and dated copy of this Agreement,Including the two attached notices of Cancellation,on the date first written above and 2)was orally Informed of Buyer's right to cancel this Agreement. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Renewal by Andersen Corporation Buyers) Buy (6) / IT I Signature of Consultant Signature Sia ore X GREG ARSENAULT WALTER DOWGiALL0__ TONI DOWGIALLO Printed Name of consultant Printed Name � Printed Name YOU,THE QI/YER(S),MAY OAIICet'1 THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OE THIS THANSACTIOH, SEE THE ATTACHED NOTICES OF CANCELLATION PORUS FOR Ali EXPLANATION OF THIS R)GRr. .---- ---_____ .-_`.-_--_-._ NO'ITC:E OF C.ANC:ELI ATION N0710E OF CANCETJATION I I llateo("1'rann:uviou __. liw n—r:aa•+:l this, Date of Transadiaa ;U%;t_;5 .two nuycanrrl thh truvsartion,'stadruut any penalty or o#iligatiaty within there hasinr.,.day,,;hnin th+- I isan"action,without,any penalty ev abliw tion,adtbin the—b—iueas days from the abov,-dare If y nr can-L any prep,,rty traded In,any Payr—i-evade hyyon under• i ib—date.7f you cancel,any property ended in,any payment,mi:de by yon under d+e C'ii—et nr Sale;and any negotiable insert oneut rx ted by yiar win be 1 the.Conha ti a7 31e,turd any nrGntiahle i,ucrtnuenr ezrtaurd hyyau will be rrturatd widdu to da"!allowing—ipt by the Contractor("Seller")of Yom I rrtamed widrin 10 days.fop Aa;rr-ipr by the Cwatreetar{`+Sellrs")of your <-an llnftnn heti v,wed any a.+ eby lntereat a 4A g out of den trs coon»all he I teatNation notice,and"••y security inirremt rseia#eaf,nut of the u-au_.a tion will he .in-eled. if}ou cant,,!,yrnt noose make n ailahle to dzr Rrller at your maidroce,Ia caureled. If you cancel,you tanst make mailable to the 0ller at your ra•Sldente,is .ubatantaally as g+rod c ndidne.a�wilco t:v-•aired,any yrx+ds aielicerrd to yon uraaler Fubnt ad.IIy as guoJ condition es wfien received,any goods dlivetrd to you under thin Contract or side#or yon tun},if you wisb.—rattly wide Ii,r irrsteueiiOne of the t this Coutract or Sale;or yvtn,,nay,if ynuwaFlt,roitrply wide tlx:itistrutiions of the tieller regardi:�g Use return sltip:urnt of the g,iusi..at the SrLer's rspeuae.and risk. t Seller regarding the-ni.4 shipment of the goods at die SeUtr'e expense and rink, if you do make fhr.gnarls arttilahlr m der 8e11tr tmd tfie Scher dere+ant pick drrm asp i If you du make the gaoih-a—ibble to the Seller and the ieffer does ant pick them qP within 20 day.of the:data of your Yufice of Caarrllatiun,ruu assay slain ar dr..,yfr;.e I widtin 20 days of Ute date or year Natio:of Caaceltat#oa,you tru:y retain or dieyrof:e of tb<.g.xtds»ithout nap forth,,,,ukdiRntiou. Lf yonfail to make the.yvodc syaHatdr i of the gntals rsillrout nu}•furtber uhiigntion. ft you fall tit innke the.goods available in der Seller,ur if ytnt agree to tr:turn the saudv to d.c tr'+.11ar wvl Eaii to do na.dreer t to the Seller,or if yon agmr to n+urn Thr goods ro the Seller and fail to do sn,dren }vu,,,,.main liable,for perfnrrena S:ell obligation under the Contract,To raa.xl I you remain liable,for pertorntance of all nhllption.under tlrr Cnatitct. 7o­I tw,,vw+s_tiro,nail ar dlivcr a sipand cad dated<mpv of this ua[rHatioa notier I this tr—beton,mail nr deHrer a alsitm and elwied copy of this cnm 16tion native nr any other Iyritt.eo nota—,fir cent a telegram to Cont—tor Renerw+l by Andersen,I or any other written notice,or Fend a.telegram to Cant-tor: Renewal by Audetneu, 30 Fort—Rd. Nordihoraugh,NA 01532. Ie Feel—Rd.D-Olio—ini h,Ii3A 01532. IfIeREIIYC:ANC,El.7iilY TRdNSA<:]]ON. - i#If.REIIY G#NC:t:L 7]375 TIthN�ACTION. . . � | Renewal I Renewal bv Andemen Corporation MA j4o.me Improv "I byAnderse t-21-, (606)351-2200 FD�K:(S(M)-986-7072 Fedoial ID#41-1Q1?413j Window Switication Sheet III, Slic(ific.16-1 Sheet is Tm..'I DOOR DLTAIIS None M 63 101 VVIj !nVCxt MF Flat c,,qpti —E4! Ulm !(it ii-,' C&R fuI frim" 1nl,!Ext,MF Fbit cwpti-SatNickl i Estate FFG i LOIN,E4 7 Nw., Rpek-h I 1' 24 v G1:L f.11 fame Int/bi MF Flat cwPH Sat.Nicki F�Iate FFG I c—r.,r f 201, 4x,' -1-5 AN ivli;fai fill/Fxl MF Flat�!C.Vpf4i White, tandrrdi FFG T. � ! � ~���. � DETARS HAY/BOW AD ITIONALIVORKNOTES r^�o ^°~ St In ADDITIONAL WO,PJ(DETAILS I ` ' No Contlacior will wrap fAedor c3singswith"a color of | it ` � ~ 01 ex'stingofiristahalionandam, all , :u"=°tot~not~"^~~~this~~^~^ ~~~'~~'~~~~�J`~~^~~^~'~~~~^ ~~"^-------`-------'—'----- i N,� m= 1c)Lu 0,&final daym=tallator.for finai msf)aclion a,,dwdeliVe;fiflel V-2yMer)l1hflfillCe f0m-(S). � — ',�--_— � —',— - - -~— — ,— '� ` ` � The COMMMwe4uh of Manachamm Depanimnt of IMMSOW Aceidenft Orke of1`rtva llgatx = 600 Washington Street Boston,.AIA 0111 wwwmaugovldle Workers' Compenut3ion Insurance AMI-avit:BuOdere/Contmotom/Etedrkitinatr'Inmbers aura kkagadm 11swe PrWt. ° Dame(Busine,s/Orgmizutiowindividual): RENEWAL.BY ANDERSEN ^w - Address: 30 FORBES ROAD City/State/7,ip: NORTHBORO,MA 01532 _4 Phone#: 508-351-2200 M Are on an employer?Check the appropriate box: Type ofproject( q( 1. 1.aril a employer with 30_ 4. I am a sweral oonowor and Y b, Q New construction employees('full and/or part-time).* have hired the soli-contractors; 2.❑ I am a sole proprietor or partner- listed on the attached shetat,t 7.41temodeling ship and hove no employees These sub-contractors have 8. ❑Dmolition working for me in any capacity. workers'comp;insurance. 9, ❑Boilding addition [No workers'comp,insurance 5. ❑ We are a corporation and.its 10,0 BleririW repairs or additions required.) officers have exercised their 3.❑ 1 am a homeov►ner doing all work right of exemption pet.MOL l i.(:]Plumbing repairs or Additions myself,[No winters'comp, c. 152,§1(4),and we have no 12.[:]Roof repairs insurarace required.]t employees.[No workers' 11(]Other comp.insurance required.j1. *.Any applicant that OwAs box 41 must also Fill out the suction todow 9xnft their worhrs"compensation policy itd'omation, t Ho meowrim YAw submit 04 affidavit indicia$they am doing all work and that hire outaule watratm mot sabrrttt a ttow Admit tw&atits s-wh. +Conb,adom that deceit this box meat attwAod an additional sheot showing the name of the subqxrnlraatar.and their workers`comp,policy inparmatiom I am an employer that is provMbig workers'conoensadon insurance far a V eaarplvyees. Below is the pelt aadM alts informadoat. Insurance Company Name: OLD REPUBLIC INS.µCO. Policy#or Self4ns.Lic.#: MM 305437p � L`xpiration Date:�10-01-16 Job Site Address: 175 GREAT POND RD - CitylStt ,tZip:NORTH ANDOVER, MA 01845 Att$ch a ropy of the workers'compcnssttion policy declaration page(showing the pulley,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 o46-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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification, I ala herb �' palm and penaMes of perjkry that the Worm&1on provide'above 6 trace and cones% T ' -AM r Phone 508-351-2200 Of ela1 use vrrly. Do not write in this aura,to be ronrteted by c*,or rowan aJ1j icdaC City or Town:. permitllt.dcease# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone M ANDECOR-01 YADAVYO F [A-MiMMIODNYMCERTIFICATE LIABILITY INSURANCE 101112015 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 erxiorsement. A statemant on this certificate does not confer rights to the certificate holder In Ileu of such endorsement(s). PRODUCER NSE cT Willis Certificate Center Whirs of Minnesota Inc. PHONE c/o 26 Century Biva UM.No. •(877)945-7378 FAX w: 888)467-2378 P.O.Box 305191 ;Certlfica illlS.com Nashville,TN 372305191 ENSU S)AFFORDING COVERAGE NM# 1NSURERA:Old Republic Insurance Company 24147 INSURED INSURER B: Renewal by Andersen LLC INSURER C: 30 Forbes Road INSURER D; Northborough,MA 01632 INSUREIRE: _ 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 SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTR TYPE OF INSURANCE POLICY NUMB /DADDL o ER MMMM/o llNRe A X COMMFJ ciAL GENERAL uABIuTY EACH OCCURRENCE d 1,000,000 CLAW-MADE U OCCUR MWZY 305440 10101/2015 10/01/2016 PREMISES Eaoccurrerloa 9 600, MED EXP one Person) $ 10,0 PERSONAL&ADV INJURY 8 1,000,00 GEML AGGREGATE LMITAPPUES PER; GENERAL AGGREGATE S 4,000,00 X POLICY JEC FILOC PRODUCTS-COMPIOP AGG b 4,000,0 OTHER i AUTOMOBILE LIABILITYOMBINEDISING ! 6,000100 A X ANYAUTO MWTB 306438 10/01/2015 10101/2016 BODILYINJURY(Per peraon) $ ALL OWVNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per eoolderd) $ HIRED AUTOS NOW0IV4ED AUTOS Per 4P__ ; i UMBRELLA LIMB HOCCUR EACH DCCURRENCE >; EXCESS LIAE CLAM84AADE AGGREGATE 3 DED I I RETENnONS S WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN X 6TATUTE R A ANY PROPEM ORIPAME XEUM� I N� NtA X30543700 10/01/2015 1010112016 ELEACHACCIDENTOFFPCERIMS 1,000, (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE b 1,000,000 It yea,describe under DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LMR 1$ 1,000, DESCRIPTION OF OPERATIONS/LOCATIONS?VEHICLES(ACM 11N,Additional Ramarim Schedule,maybe attached if 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. AUTHORIZED REPRBSEINTA WE EvIdence of Insurance e�r ®1888.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 3 m Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supervisor i License:CS-090125 •� J JAMS L M08IN N GARDI M ST .� LYNN MA 019K r rr �� Expiration Commissioner 1010812018 TO ( d IV J JAWE 1�+�'��`'v'.rfKCI syr—•,_., '�"slr .�� NK1AtTl IBf)iRa4JGiH,MA 01932 Y, I a -- i Do W remove until 904 eork inspection, Saye libel fo ture reference' •i cr '.m�. � F• .ux�k.u. (•. �. W •�, t tab l� . Renewal tZYicC b Anderse , ' _MAboYr AtPUGttOCXT --�UmNN t s�w� sM AND-N-403 ijtxex�c�: ' WoodMnyl'oomPd$LowE4 -- — Dual Argon product Type: AWhlhg EfiGy pEPFORMANCE RATINGS U-Factor Solar Heat Gain Coefficient - 0.29 1 1.65 0.2-8 j U.SJI-p MehidSl A,DOITIONAL pERFopMANCE I1ArIOG1 Visible// ` 8TT�ranssr-Wance V. i . waem.at.rte.�.n�w�mgwaarlBnC pxwwe.rt�e�ntii*nobn�. �v.�m�sacnn;+�[.nm++mlm•Am+xid AµMmK�hltAdRotrtvNy,V�M iFnomn r.tirmv.rn+.yP�°1�a�eaoe ntramvRen.�o.dn mowa�a iar m m�m•. tr,,,=�rnmv,•,ev.e.e�mcpwaam�mznrt..i.ev� • fmxaacwp - . ersen ah; h Standard Rating m.uuwnoµ�t I071,62miaas QP psf DP40 4R a � 1 ' na mks eene ------------------ b � • ' �nee vii � '.. • 100-00518940.015 , M ., C.� HalvkEvin'afb� i `!I i 9 A l Do not remme until 4nel code Inspedllon. Save label fortuture referenda c rj rn L a rho I d Renewal byAndersen • WINDOW R"LACKURNT —A-d—mnP•M- c�p�s AND-N-1 02 'hlua8t as '. Wood/VlnyI Composite j Dual Argon . Low-E4, - product Type: Casement I ENERGY PERFORMANCE RATINGS U Factor Solar.Heat Gain Coeffrclent 0-.29 1 .65 0..28. U.SA-P MelrtrJBl ADDITIONAL PERFORMANCE RATINGS Visible Transmittance • - � � •• 0.48 - N.w•mna,.w.m,�.,s.�.mil.Wrra�me.o-,�aa.lmcw•�•+�+�a.u•a�.u� I 1Ftic dori noenmmmnA•n�'v�•�•^a don notnmrtm.+dL.Y��'110 �'•w��•- den.:.ar•.mnn lrnusarsmr}rewa7--- l+. - - wwN+neaq ersen C=orWDrU seine eommmwnm .. Standard Rdng ire a=QAwanwN ucsA touavAuoas DP psf DP36 of ' 40 ,� �nMw•renlrine . Qhle mne•nesnh •Qi'A�1� �I•h.�sJ ioo-OW3972-001 • - we.e v.vae•NF�,CEL,A .Ar Mtr.eOn RmAeea'a N9N•ANY�I1 C+NamNE�ran. . f a i f ` as zm '. f .1UALf CIL 9 I tWO+4W WLFu4W.ryl.wY en M/aar]G�cr�+mV ANO-N-!37 ~ � Vinyl/Wood Composite Miiterial Dual Argon Low-E4 SmartSun Product Type, 1-ialvre ENraRra f PERFORMANCE RATINGS U-F ICtf�r Solar Heat Gain Coeff101e t 0.27 11 . 53 . l.i.a^.A-P Meuic/sl AMITIONAL PERFORMANCE AA9°INGS Vieibie Trenemittanoa id.rratte�itu stpuuus auNmut ramps caMarrnnf tPPl�aala NiRC �larae6smWW+6�P�� pattnr~O&NNW.roan"am aafGllilhea lG'i/DSe0�9SafNM dm+fa faai.parx prea�ce�. NFRG aaea nac rasarnnarua arty p�vducttnd tWot n�]Ya++ aa mJ®aYfl+�ua'Pr�✓aPaodta uaa• . garw.Mi wrwacan.rs ta�.ee■aye auysr t�tnteua pvlortewm Mdormadon. ' YMW1ate.IXq CIL 129 �srsan o Mon Gore ndow Manuar c ''...... %Andard Rating RAM02 a rlAMAAFr*Wi!!4A,a,A SAW10 s DP psi F-050 4 t 1 �.�„ `SiE E€,� rwa pmaueTmmm Oman gears '�' erp'�1'a1'Arlenial 1pndProa � ''.... tyt ytr+W'Ma6.a6�y .k eitfdaeKy np�,,,Y� �In th�irire�vnd atih ''... r ly� mLTaMi„pfWll��,ffiIO '.,. �r.,l��.�'�i m�OCW1a.Aa1Ki0a(li! 10Q-fS0514t30B-00'I Maem or msbeai .,csc,aGe.c.aa`vnaraaan rep+rmardvrcAu,r.taeatwx rte+• '...... r 9