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HomeMy WebLinkAboutBuilding Permit # 12/9/2015 . _ TOWN F NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received Permit NO: Date Issued: IlVJ[PORTAI�IT Ap hcant must complete all items on t is page ;;; ///r� //� �/�/,% ii /,�/,, / q %� ,,,)/ /%/, , /fir // r % ,�✓ ;o �„ , �,, ,/ / - JfUCtufe -rc. ,PRO., Sh� age illno TYPE OF IMPROVEMENT PROPOSED USE Non- Residential Residential ❑ New Building drOne family ❑ Industrial ❑Addition ❑Two or more family ❑ Commercial Alteration No. of units: ❑ Others: ❑ Repair, replacement El Assessory Bldg [I Demolition [I Other ❑ Floodplain D Wetlands ❑ Watershed District,,, 'S'eptic `❑Well. DESCRIPTION OF WORK TO BE PERFORMED: t ° I entifiption Please Type or Print dearly) Phone: OWNER: Name: FL Address: —77777777, ,,,CONTRACTORName Phone AddressePr , Date e i .Exp 'sConstruction;Licens u ervisor /, / r�, %Il///�////�//rri//� ,i pi r %G/� r ,t , — Date: Home Improvement License,. `'.. Exp:,; ARCHITECT/ENGINEER Phone: Reg. No. Address: FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. �N . � ,� $ �--_ Total Project Cost: $ FEE: �. Receipt No.: .�� Check No.: ___ DOTE: .Persons contracting with unregistered contractors do not have access to the guaranty fund! _____ Sig-nature of contractor Signature of Agent/Owner - F-1 Din+ pian F, Stamped Plans ❑ 'Town o "a Andover O - Ae .1Y s `r� No. 2ooAlfi - - - COC"ICHE CK • U BOARD OF HEALTH Food/Kitchen PERM Septic THIS CERTIFIES THAT .................. r.......... .M. ......lit.............. BUILDING INSPECTOR Foundation Roughhas permission to erect .......................... buildings on .c;o....... . .....C;(................ Rough n— 4ng this permit shall in every erso acce *confor:to the terms of the application Final provided that the p 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 " y /N •> Zoning or i i Regulations Voids Permit. Final PERMIT EXPIRES IN 6 ST H ELECTRICAL y, P ,.R UNLESS CONSTRUCT A Rough Service ..................... ...qcwwo�............. Final BUILDING , . • - GAS INSPECTOR Occupy ., Occupancy Permit Required to Rough Display in a Conspicuous Place on the Premises - Do Not Remove Final .o Lathing o D; Wall o Be Done Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke PROPOSAL 170 Main St,North Reading,MA,01864 781-321-1991 Claudio Araujo—License CS 105185 www.winterhiilgc.com ROBERT F. MARIE JR mariebuying@yahoo.com 20 CARTY CIRCLE—NORTH ANDOVER-MA Phone: 978-687-9467 Date: 11/07/2015 Job Location: Shingle Roof Tear Off: The following paragraphs describe the work that will be performed. Remove existing shingle roof on Main house roof only(not front entrance,not garage) ® Install an 8 inch drip edge on all leading edges(Color: ) • Install 6 feet of ice&water shield on front leading edges&valleys Hurricane Nailing:6 Nails per Shingle Install starter strip on all leading edges. Install shingle mate felt paper on all areas not covered by ice&water shield • Install New Ridge Vent • Install new vent pipe flanges • Replace any rotten or damaged roof decking plywood(we allow 32SF at no charge,$65.00/sheet thereafter) • Replace any rotten or damaged roof decking ledger board(we allow 32 ft.at no charge,$3.50/ft.thereafter). • Install new GAF Timberline High Definition Architecture Shingles Remove existing lead flashing on chimney,install Ice&Water Shield,step flashing,and grind New Lead Flashing into Chimney Warranty included in contract -(x)System Plus • Shingle Color= • All debris will be removed from the property Cost for Labor&Material for New Shingle Roof: $5,800.00 Extra Labor cost to replace roof on solar panel section: $ 350.00@@ Payment Terms: c:. 1/3 deposit due upon signing contract: $ G- ✓� ` $y K �' ��� 113 payment due upon start of job: $ . 113 payment due upon completion of job: $ '2 U - Total Amount Agreed To Be Paid: $_6,150.00 Work Scheduled to Begin: TBD Job expected to be completed within 60 days of actual start date. Warranty:GAF.guarantees all material for lifetime and work performed for a period often(15)years.If any problems occur we will cover the cost of all labor and material to correct the problem and meet the customer's satisfaction. Claudio Araujo,Project Manager Robert F Marie Jr - V1, is Financing Payment types accepted: =—. � ` wsc�svex ;. Available The law requires the following FOURTEEN items to be included in any contract between a homeowner and a registered home improvement contractor for home improvement work subject to MGL c.142A: 1.The complete agreement between the contractor and the owner and a clear description of any other documents which are part of the agreement. 2.The full names,federal I.D.number(if applicable),addresses(NOT P.O.Box numbers),of the parties,the contractors registration number,the name(s)of the salesperson(s)involved,if any and the date the contract was executed by the parties. 3.The date on which the work is scheduled to begin and the date the work is scheduled to be substantially completed. 4.A detailed description of the work to be done and the materials to be used. 5.The total amount agreed to be paid for the work to be performed under the contract. 6.A time schedule of payments to be made under the contract and the amount of each payment stated in dollars,including any finance charges.Any deposit required to be paid in advance of the start of the work SHALL NOT exceed one-third of the total contract price or the actual cost of any material or equipment of a special order or custom made nature,which must be ordered in advance of the start of the work to assure that the project will proceed on schedule.No final payment shall be demanded until the contract is completed to the satisfaction of all parties. 7.All parties must sign the contract. 8.A clear and conspicuous notice stating: a.That all home improvement contractors and subcontractors shall be registered and that any inquiries about a contractor or subcontractor relating to a registration should be directed to: Office of Consumer Affairs and Business Regulation i Ten Park Plaza,Suite 5170 Boston,MA 02116 Phone:(617)973-8700 b.The contractor's registration number must be on the first page of the contract. o.The homeowner's three day cancellation rights under MGL c 93 s 48;MGL c 140D s 10 or MGL c 255D s 14 as may be applicable. d.All warranties on the owner's rights under the provisions of and MGL c.142A. e.In ten point bold type or larger,directly above the space provided for the signature,the following statement: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. f.Whether any lien or security interest is on the residence as a consequence of the contract. 9.An enumeration of such other matters upon which the owner and contractor may lawfully agree. 10.Any other provisions otherwise required by the applicable laws of the Commonwealth. 11.Permit Notice:Every contract shall contain a clause informing the owner of the following: a.any and all necessary construction-related permits; b.that it shall be the obligation of the contractor to obtain such permits. c.that owners who secure their own construction-related permits or deal with unregistered contractors shall be excluded from access to the Guarantee Fund. 12.Acceleration of payment:No contract shall contain an acceleration clause under which any part or all of the balance not yet due may be declared due and payable because the holder deems himself to be insecure.However,where the contractor deems himself to be insecure he may require as a prerequisite to continuing said work that the balance of funds due under the contract, which are in possession of the owner,shall be placed in a joint escrow account requiring the signatures of the home improvement contractor and the owner for withdrawal. 13.No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of such contract. 14.Arbitration:If the contractor determines that in the event of a dispute,the contractor wishes the dispute to be settled by arbitration,this fact must be signified on the contract and both the contractor and owner shall sign this clause separately.The following format is acceptable(in 10 point type or larger); "The contractor and the homeowner hereby mutually agree in advance that in the event that the contractor Inas a dispute concerning this contract,the contractor may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and lite consumer shall be required to submit to such arbitration as provided in MCL c 142A. Owner: Contractor: ....... NOTICE:The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiated by the contractor.The owner may initiate alternative dispute The Cottltnottivealth ofMassuehttsetts ' Department of Industrlat,Acei(lents - I Congress Street,Sut'te 100 Boston, HA 02114-2017 c Ivww.nlass,gop/((!a IN'orkers'Compensation Insurance Affidavit:Ilullders/Cotttfaetors/E Iectricinns/plumbers. ro B FILED11'IT'I!'I'#II PERNMITING AUTHORITY, Applicant Information please Print Legibly Name (I3usuressK)rpuniraliunl/Individnal):`s �Jl A" , )A Address: City/State/7,ip: Phone l� '�r Are you an employer?Check th xpproprtafe box: F7, ; ject(required): t t a a employer with..- �emplayees(fid)and/or pan-time). construction 2.Q I am a sole proprietor or partnership and have no employees working for me in any capacity.(No workers'comp,insurance required.) deling 3.Q I am a homeowner doing all work myself,(Nn workers'comp.insurance required.)t lillon A.❑t am a homeowner and will he hiring contractors to conduct all work on any property, I will I�❑Illlllrling addition ensure that all contractors either have workers'compensation insurance or are sole r proprietors wish no employees. 1 I.❑Electrical 1-cpairs or additions 5,Q I ata n geue(nl conlructor alit,I have hired the sub•conlructors listed on the attached sheet. 12.0 Plumbing repairs or additions these sub•coalroctors have cmployccs and have workers'comp,insurance.= 13.C]Roof repairs 60 We are a corporation and its O iccrs have exercised their right ofexentption per MGL C. 14.❑falter 152,§l(4),and we have no employees.I No workers'comp.insurance required.) `Any applicant that checks Ixrx N I must also till out he section lklow showing their tvurkerspenatio ' n coms t Itourcnwners who submit(his affidavit indicating nhcy arc doing all work and then hire outside contractorPolicy inlbrmation. s moil submit n new affidavit indicalurg sucl#. tCmnractors that check this box must attached an additional sheet showing the name of the sub-contractors and state tvhclhcr or out thosu entities have cmployccs. Ifthe sub•coMractors have employees,they must provide their workers'comp,policy number. I oar air employer that Is p rovI(llltg workerscornpeasallo►t Insuraance for my employees. Below Is the policy and Joh,elle lrtfornuNian. Insurance Company Nante:__ t ms's 4- Policy h or Self-Its. Lie, fl: V-�'C -"7f�'- UO 3 1 ?-t•( e2 Is,piradon Date: ........... Job Site Address: eAj <` � i City/Stake/'Lip: rf m f tt( Atlnch a copy o6—he workers'�001111p1satioil policy declaration page(showing the policy number and expiration do(e). Failure to secure coverage as required under MOL c. 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 form ofa STOP WORK ORDER and a fiuc 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 DIA for insurance coverage verification. I(t0 hereby cerfoy rltr ,rthe, it and penallles ofperfary(hat the lnfornra(larf provided above Is true anti correct. `?)g1i1 rr ' i Date: � �- 0I � 1 Phone / L 11 Offlelal use only. DO 1101 write/to this area,to be Completed lap city or tolvii offlclal. _ City or Town: i Pertnit/License Al Issuing Authority(circle one): I. Board of health 2.Building Deparhnent 3,City/rows Cleric a.Electrical Inspector 5. Plumbing Inspector G.Other Contact Person: Phone#: WINTE-2 OP ID:JJ CERTIFICATE F LIABILITY INSURANCE DATE(MMIDDIYYYY)o3/1si2o15 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). CONTAPRODUCER NAME: Crown Insurance Agency,Inc. Bradly S.Michels Insurance PHONE .....- — ]Ac — - Agency,inc. (A/c,No Ext1617-924 1100 ]A/RNs) 617-926-2162 85 Main Street E MAIL Watertown,MA 02472 ADDRESS: Crown Insurance Agency,Inc. INSURER(S)AFFORDING COVERAGE NAIC# — _ INSURERA:Acadla Insurance Company .._...... _ .........— — INSURED Winter Hill General Contractor INSURER B:Essex Insurance Company Claudio Mcuhna Araujo __-- __- _.._ - 170 Main St INSURER.c.Arbelia Insurance Co. 17000 North Reading, MA 01864 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. -- —._ —__- DDL SUB _. POLICY EFF POLICY EXP /LTR TYPE OF INSURANCE I Sp WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 AMATE7`0 RENTED CLAIMS-MADE X1 OCCUR 3DX7960 02/1312015 02/13/2016 PREMISES Ea occurrences $ 100,000 .__ ------ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 _ ...............— .... ..--- —..— —.-...--._ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY 1-1 PRO Il LOC PRODUCTS-COMP/OP AGG $ 2,000,000 JECT I� $ OTHER: AUTOMOBILE LIABILITY Ea acccideD,SINGLE LIMIT $ 1,000,000 C ANY AUTO 1020001551 04/09/2015 04/09/2016 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS ROPER X HIRED AUTOS X NON-OWNED Perr a cident DAMAGE $ AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X STATUTE ER AND EMPLOYERS'LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVE Y�N/A WC-20-20-003174-01 03/26/2015 03/26/2016 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:Operations of The Named Insured CERTIFICATE HOLDER CANCELLATION XXXXXXX SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN FOR BIDDING ONLY ACCORDANCE WITH THE POLICY PROVISIONS. FOR BIDDING ONLY FOR BIDDING ONLY AUTHORIZED REPRESENTATIVE FOR BIDDING ONLY FOR BIDDING ONLY FOR BIDDIN ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Massachusetts -Department of Public Safety Board of Budding Regulations and Standards �Ii TiaiTu Cii6Ti��u=ieir'iSO� �nkiil��Y1X71�1�iC !♦•NIf(f(r;UG%0�¢^ License: CS405185 �r%` Claudio M Araujo.a " 163 Hancock Strecrt-N Everett MA 0214 Expiration Commissioner 07/13/2017 � Office o�e�anaoraa�uve�x�f�o�'C�/��«w�rcx�nar//1 — Consumer Affairs&Business Regulation OME IMPROVEMENT CONTRACTOR egistration 168583 Type: " ry� Expiration: 3/8/2017 Corporation WINTER HILL GENERAL CONTRACTOR, INC. CLAUDIO ARAUJO 170 MAIN ST NORTH READING, MA 018.89 Undersecretary, I