HomeMy WebLinkAboutBuilding Permit # 12/16/2015 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION �
Permit NO: Date Received
Date Issued: _
1IV1POIT ANT:Applicant rnLst complete all items on this pa e
LOCATION 9-32 Andrew Circle North Andover, Ma
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PROPERTY OWNER The Townhouse Homes at Andrew Circle Homeowners' Association, Inc.
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MAP NO: PARCEL. ZONING DISTRICT: Historic District yes o
Machine Shop Village yes o
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building One familyr
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
DESCRIPTION OF WORK TO BE PERFORMED:
strip and re-roof using architectural shingles, install new soffit vents
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Identification Please Type or,Print Clearly)
OWNER: NameThe Townhouse Homes at Andrew Circle Homeowners' gpi-*;tion, Inc.
Address: 9-32 Andrew Circle North Andover, Ma 978-794-0114
CONTRACTOR Name:
Ann Marie Arone Phone: 978-835-9483
Address: 18 Mount Vernon Drive Pelham, NH 03076
Supervisor's Construction License: 103895 Exp. Date: 6-23-2017
Home improvement License: 160710 Exp. Date: 8-19-2016
ARCHITECT/ENGINEER Phone:
Address: Reg. No. '
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$12500 PER S.F.
Total Project Cost: FEE:
1 $ _
Check No. = Receipt No. c '
NOTE: l'er-sons contr-actrrrg rvztli rrnregrstered contr°actor:,v do not have access to the guarantv_frrnd
Signature of Agent/Ow
ner A —Signature of contra ctor--� ..�
Plans SuhmittPH Plan-, Waivprl C'.r rtifiprl Plrtit Plan q+mmni3rl Plnnc
F NOR'T H
Town ofnctover
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No.
h ver, Mass,
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S �J BOARD OF HEALTH
Food/Kitchen
PERMI T Septic System
J S 41.1
•^ �• BUILDING INSPECTOR
THIS CERTIFIES THAT ... ••• L•• ••••• """"""
.................. .
Foundation
buildings on . ...: ........ ... . .. ........ .....�t.
has permission to erect ......................... Rough
to be occupied as .... .. •••••• ••••••••••••••
.. . .:.... ............................................................. Chimney
provided that the person acc ting this permit shall in ev 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 PLUMBING INSPECTOR
Construction of Buildings in the Town of North Andover.
Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit. Final
PERMIT EXPIRES IN 6 MONTIiS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION A Rough
Service
.... .... ............................................ Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Reguired to Occupy Building Rough
Islay 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.
978.835.9483
www.AroneExteriors.com
Airone Exteriors Construction Supervisor License 10054
Horne Enhancement Specialists Home-Improvement Contractor Registration 160719
General Liability and Worker's Compensation
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Contract
Monday, June 29, 2015
The Townhouse Homes at Andrew Circle Homeowners'Association, Inc. desires to contract with
Arone Exteriors of 18 Mount Vernon Dr Pelham, NH, to perform work on the property located at:
9-32 Andrew Circle North Andover, MA 01845.
Our Commitments:
1. Job Description: See attached proposal.
2. Payment Terms: Full payment upon completion.
3. Time of Performance: See attached proposal.
4. License Numbers: See top of this form.
5. Permits and Approvals: Arone Exteriors will be responsible for determining and obtaining
necessary permits, as well as the costs incurred.
6. Materials: All materials shall be new, in compliance with all applicable laws.and codes, and shall
be covered by both the manufacturer's warranty and a. 15 year warranty on installation through Arone
Exteriors.
7. Change Orders: Should unforeseen events alter the original cost estimates, or should the
Homeowner decide to change any part of the attached proposal, those items shall be discussed and
a 'Change Order' form will be signed by both parties outlining the new details.
8. Site Maintenance: Please indicate any specific requirements:
Materials shall be stored in the following location:
Dumpster shall be placed in the following location:
Work shall be performed between the following hours: 7:30am - 7:30 pm
We agree to use equipment (generators, pneumatic guns, etc.) only during these hours.
We will use our own equipment but may request the use of an electrical outlet.
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9. Point Person: Joe, our owner, is the contact person on your job. Should you (or your neighboeu)
have any questions, concerns or comments during your project, please do not hesitate to bring them
up to him. After hours, his cell is 978-835-9483.
What We Ask of Customers:
1. Neighbors: Home improvement projects often generate inquiries from neighbors.- Please check
the box below_if you agree to the following: .
® Arone Exteriors may place one yard sign in front of the home for the
duration of work being completed. Once complete, it is the responsibility
of the contractor to collect the sign unless other considerations are arranged
up front.
® Arone Exteriors may give neighbors business cards or door knockers when it
appears their home may benefit from one of our services.
2. Payments: In general, we do not require any payments before work begins. The exception being
if products requested require a special order. In that instance, we would have to collect a deposit for
the order.
3. Safety: Please be mindful to avoid construction areas, especially with small children and animals.
4. YOUR VALUABLES: (Roofing) Customers may want to cover items in the attic as unavoidable
small fragments of asphalt will fall through the deck boards. Items may need a vacuum upon
completion of work. (Roofing & Siding) Customers may want to remove fragile valuables from interior
walls.
5. Utilities: Depending upon the type of project, we may ask for access to an electrical outlet or a
hose.
6. Additional Notes:
Verbiage required in our contract by the State of Massachusetts:
All home improvement contractors and subcontractors shall be registered (which we are, see License numbers
at the top of this contract) and any inquiries about a contractor or subcontractor relating to a registration should
be directed to: Office of Consumer Affairs and Business Regulation, Ten Park Plaza, Suite 5170, Boston, Ma
02116 (617.973.8700).
Owners who secure their own construction-related permits or deal with unregistered contractors shall be
excluded from access to the Guarantee Fund. Failure to pay in full for the work completed may result in a lien
or security interest on the residence as a consequence of the contract for the sum of labor, materials and
lawyer fees.
/A
The contractor and the homeowner hereby mutually agree in advance that in the event that the contractor has
a dispute concerning this contract, the contractor may submit such dispute to a'`private party arbitration service
which has been approved by the Office of Consumer Affairs and Business Regulation and the consumer shall
be required to submit to such arbitration as provided in MGL c 142A.
i
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The signatures of the parties apply only to the agreement of the parties to alternate dispute resolution initiated
by the contractor. The owner may initiate alternative dispute resolution even where this section is not signed
separately by the parties.
The homeowner has a three day cancellation option under MGL c93 s48: MGL c 140Ds 10 or MGL c255D s 14
as.
Roofing (3 sides, back already done):
J Obtain all necessary town permits.
./ Install tarps from the edge of the roof to the ground to protect your home and landscaping.
J Strip roof to bare wood to reveal any defects that might otherwise go undetected.
J Nail loose deck boards and provide a flat surface to lay new shingles for a better looking roof.
./ Replace any rotted wood (up to 32 ft. of material and labor free).
J Inspect chimney and install new step flashing to divert water away.
J Replace pipe boots with rust free aluminum boots on all vents.
J Paint vent pipes to match roof(when applicable).
J Remove old drip edge and install new eight inch metal drip edge along all rakes and eaves to
direct water off roof and prevent wicking under the shingles.
J Adhere 6ft (double Code requirement) of Ice &Water Shield to deck around wood roof and all
protrusions to protect against the elements as well as ice dam build ups.
./ Apply synthetic underlayment to the remainder of exposed deck boards, offering a 600%
stronger tear strength than 30#felt paper while allowing your roof system to breathe.
J Install eight inch metal drip edge along all rakes and eaves to direct water off roof and prevent
wicking under the shingles.
J Lay a starter course at the base of the eaves to prevent leaks and wind blow off.
J Install the customer's choice of GAF Timberline, Owen's Corning Duration or Certainteed
Landmark architectural shingles, which includes a Lifetime limited warranty.
J Install ridge ventilation to prevent condensation problems, deterioration of deck, mold growth
and premature aging of shingles. (Note: soffit vents need to be installed on most houses for a
proper ventilation system).
J Cap ridge vent with matching shingles.
J Provide a dumpster to remove all nails and debris from the property and neighboring
properties.
J Remove debris from all gutters.
Proposed Payment: $13,999 for 3 sides, with no pre-construction deposit required unless there
is a special order item.
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Date Homeowner Signature Date Go ractor Signature
There are no other documents as part of this contract.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
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NORTH ANDOVER. BUILDING DEPARTMENT
Tel: 978-688-9545
DEBRIS DISPOSAL FORM
In accordance with the provision of MGL c 40 S 54, a condition of Building Permit
at: is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL
c11, S150A.
Also, note Permits are required under Fire Prevention laws Chapter 148 Section
1 OA.
The debris will be disposed of in:
89 Lowell Rd Salem, NH
(Location of Facility)
O(A,ak-,
Signature of Permit Applicant
Date
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
_mow k I Congress Street, Suite 100
Boston, MA 02114-2017
wwminass.govIdia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Narne (Business/Organization/individual): Arone Exteriors
Address: 18 Mount Vernon Drive
City/State/Zip: Pelham, NH 03076 Phone #: 978.83 5.9483
Are you an employer? Check the appropriate box: Type of project(required):
4. rj I am a general contractor and I
1.® I am a employer with 2 6. n New construction
employees(full and/or part-time).* have hired the sub-contractors
2.r_1 I arn a sole proprietor or partner- listed on the attached sheet. 7. F� Remodeling
ship and have no employees These sub-contractors have 8. n Demolition
working for me in any capacity. employees and have workers' 9. E] Building addition
[No workers' comp. insurance comp. insurance.'+
5. F] We are a corporation and its 10.El Electrical repairs or additions
required.]
3.F-1 I am a homeowner doing all work officers have exercised their I Ln Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.R Roof repairs
insurance required.] c. 152,§1(4),and we have no 13.Fj Other
employees. [No workers'
comp. insurance required.]
*Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information.
Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
+Contractors that 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-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site
inforination.
Insurance Company Name: Chase and Lunt
Policy#or Self-ins. Lic. #: R2WC515116 Expiration Date: 10/31/15
Job Site Address: NrtleritraFSt City/State/Zip: stentham, Ma
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required tinder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties ofperjuij?that the information provided above is true and correct.
(
Signature I " Date: 5-27-15
: "LA, �
Phone#: 978.835.9483
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License #
Issuing Authority(circle one):
1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
ARONE-1 OP ID:AIC
, ,►► DATE(r
CERTIFICATE LIABILITY INSURANCE 1II06/2015
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ,ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: It the certificate holder is an ADDITIONAL INSURED, the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER COINTACT
Chase&Lunt LLC NAL1E: Nicole Boggoch
65 Parker Street { c°No rpt},978-462-4434 t i�.Na}: 978-465-6204
Newburyport,PAA 01950 EMAIL
Select Business Unit ADDRESS:
INSURER{S}AFFORDING COVERAGE NAIL r
INSURER A:R-T Specialty, LLC
INSURED Joseph Atone alba INSURER a:AmGUARD Insurance Company
Atone Exteriors
18 Mount Vernon Drive INSURER C:
Pelham, NH 03076 INSURER D:
INSURER E:
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS €S TO CERTIFY THAT THE POLICIES S OF IN$URAN(:E USTFf)8FIOIN HAVE BEEN ISSUED TO THE INSURFD NAMED ABOVE FOR THE POLICY PFRIOD
INDICATED NOT1N(THSTANDINCS ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMEtdT YVITH RESPECT TO)AIHICH THIS
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GENERAL LIABILITY
FAc.rt r,CCdltR€NC.L s 1,000,00
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OESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES(Attach ACORD 101,Additional Remarks Schedule..II,twe space is tc=quitodl
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE T)JEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REP(R�ESENT�A71VE
ID 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
Massachusetts Department of Public
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Licensee CS-103895
ISI MARIE �
18 Mount Vernon r' z Mo
Pelham lei 0307 L
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t t Expiration
commissioner
/ 3/ 017
a Office of Consumer Affairs and Business Regulation
Y 10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 160710
Type: Supplement Card
Expiration: 8/19/2016
ARONE EXTERIORS
Ann Marie Arone
18 MOUNT VERNON DRIVE
PELHAM, NH 03076
Update Address and return card.Mark reason for change.
Address Renewal Employment Lost Card
SCA 1 =:5 20M-65111