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HomeMy WebLinkAboutBuilding Permit # 12/22/2015 BUILDING PERMIT %aoaary o��t,�o ,bq'�o TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION nO m" c . Permit No#: Date Received �RA�RATfD �Ssgcoaus�c Date Issued: 1 � �� IMPORTANT: Applicant must complete all items on this page LOCATION 333 iLoA,Je1-1,1 A> Print PROPERTY OWNER Print 100 Year Structure yesno MAPPARCEL: � ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building e`One family [I Addition ❑Two or more family 11 Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other F�O�Septic��❑Well ,, Flootlplam ❑Wetlantls r , ❑ Watershed Distract ' ,Water/Sewers. , DESCRIPTION OF WORK TO BE PERFORMED: Identificatiqn- Please Type or Print Clearly OWNER: Name: -J-ei n i'/eX T rA iedf Aefe- Phone: Address: 3 3 :7 w,#veld% , Contractor,, N me: 10-N"iv IVIX gw6lt� Phone: 9� 097, Email: 6.C , CW Address: S Sf �� / Supervisor's Construction License: OW 90* _Exp. Date: Home Improvement License: g/ K 1 3 Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.•$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. it Total Project Cost: $ �� $� FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund 1 � NORrh � town 0-1, ? Anc'lover 0 L ' ® qw _ h ver, ass d� t O LAKE , 1 '1 CoCHICNeWICK y1. S U BOARD OF HEALTH Food/Kitchen rERMIT T LD Septic System THIS CERTIFIES THAT .................................................... ....................................................................... BUILDING INSPECTOR 0�2 ......... Foundation has permission to erect .......................... buildings on . ..... . ....... . Rough tobe occupied as .................. ... ............ ..... .. ... ........ ....... .................................................... Chimney provided that the person accepting is permit shall in every respect co rm 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 IT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR 14 % UNLESS CONSTRUCTI TS Rough Service .............. .... .... ... .4 ................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occup-p Building Rough 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. ESTABLISHED 1991 PROPOSAL DATE:Monday,November 30,2015 ruLeV ws, R a Lia 978-692-8900 info@apexroofer.com II 3 Easy St.,Westford,MA 01886 Phone:978-692-8900/Fax:978-692-8828 PROPOSAL SUBMITTED TO: JOB LOCATION: Jennifer&Thomas Reese Some 333 Waverley Rd. North Andover,MA 617-281-6518 Construction Supervisors License#061982 jenniferd.oneil@yahoo.com Scope Of Work MA Contractor Registration#181413 STRIP ALL LAYERS OF ASPHALT SHINGLES FROM HOUSE,CLEAN UP AND HAUL AWAY DEBRIS TO RECYCLING FACILITY HANG TARPS TO HELP PREVENT DAMAGE TO EXTERIOR OF HOUSE, PLANTS, DECKS,WALKWAYS, ETC.. RE-NAIL SHEATHING AS NEEDED WITH 8D RING SHANK NAILS TO ENSURE SECURE BASE FOR NEW SHINGLES INSPECT AND REPLACE WALL FLASHING AS REQUIRED Install:CertainTeed Winter Guard(ice&water membrane)6'up from eaves Winter Guard around all pipe penetrations and install new pipe flanges Winter Guard along roof lines that intersect with vertical walls Winter Guard around skylights and under chimney counter flashing(if applicable) CertainTeed Diamond Deck synthetic underlayment(25x stronger than felt paper) CertainTeed SWIFTSTART Starter Strip Shingles,to ensure proper shingle adherence on all edges CertainTeed LANDMARK laminated architectural shingles(6 nails per shingle for 130 mph wind warranty) Cut 2"opening at all ridges and hand nail CertaOteed Shingle Vent,(This is a typical Upgrade for other roofing companies) CertainTeed SHADOW RIDGE AR Hip&Ridge Cap shingles on all ridges and hips. 8" Drip edge on all edges(when vented drip edge is existing on eaves, no replacement is typically required) All shingles will be fastened using 1 1/4"- 1 1/2"electro plated roofing nails BLOW OFF ENTIRE ROOF AND CLEAN OUT GUTTERS AND DOWNSPOUTS VARIOUS MAGNETIC ROLLERS ARE USED TO HELP LOCATE AND REMOVE NAILS AND DEBRIS FROM PROPERTY . 'r ".. FN. `4CLUDEs:ALL LABOR, MATERIAL AND BUILDING PERMIT FOR THE ABOVE WORK 20 YEAR WORKMANSHIP WARRANTY&CEiRTAINTEEID LIMITED LIFETIME TRANSFERABLE WAR N All material Is guaranteed to be as specified,and the work to be performed in accordance with the specifications submitted for above work and completed in a substantia/workmanlike manner for the sum of. $5,988.00 We won I be outsold! NOMONEYDOWN ""NOWTHATSAROOffy PAYMENT DUE IN FULL UPON COMPLETION OF JOB d Respectfully Submitted: gon W DR11;4W 9C Note:This proposal may be withdrawn by us if not accepted by us within 30 days ACCEPTANCE OF PROPOSAL The above prices,specifications and conditions are satisfactory and are hereby accepted.You are author/zed to do the work as specified Payments will be made as outlined above.Any additional work than the above will be an extra charge. Date ?1P - 15 Signature Shingle Color _Nor 'Homeowner is responsible for protecting and cleaning content of attic from possible dust and debris during the roofing project. #'* Note:no warranty on problems or damage caused by ice back up Possible Extras: Any roof board replacement will be a charge of$4 per lineal ft.or$1.78 per square ft.for 1/2"plywood,lab.&mat.included OK We recommend replacing counter flashing(lead)an brick chimneys on all roofs for an additional charge of$445.00 each 1P aplaae the backside of iow pitched roof with Ef'i3MR1iSf3Eft EifaflF SYSf _f9'_ ts�tionahcharge°of a f; BO t38(�b 24 Square tofai) Skylight Replacement As follows:Velux MODEL#C01 Fixed=$700.00 and anted=$1,000,00 EACH INSTALLED(NO INTERIOR WORK INCLUDED). 1 • The Commonwealth of Massachusetts Department of Industrial Accidents a I Congress Street,Suite 100 Boston, MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information. \/ Please Print Le ibl Name (Business/Organization/Individual): �j jai oo W 2 j N Uc G Address: 5 5- &G f City/State/Zip: W65f 0 MA Q� Phone#: 97g �j�2 8q(, Are you an employer?Check the appropriate box: Type of project(required): L❑I am a employer with employees(full and/or part-time).* 7. []New construction 2.®I am a sole proprietor or partnership and have no employees working for me in $, ❑Remodeling any capacity.[No workers'comp.insurance required.] 3.®1 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Q Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.Q Electrical repairs or additions proprietors with no employees.. 51(' 12.E]Plumbing repairs or additions I am a general contractor and 1 have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs 555Ldddd�These sub-contractors have employees and have workers'comp.insurance.t 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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 and job site information. Insurance Company Name: Policy#or Self-'ins. Lic.#: Expiration Date: Job Site Address: 333 &i qye ZL / /?0 City/State/Zip: nlyX�14 lqn t,o 4K rq� Attach.a copy of the workers' compensate n policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL 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 of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify t e ai a d enal `s of perjury that the information provided above is true and correct Si ature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: From Rapo Jepsen Insurance 1.508.875.5885 Mon Oct 19 16:31:19 2015 EDT Page 1 of 1 '� ����V� �� ■ .i�E1fi1_�� � 1✓ 1�Ce. 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AINCEti.ATtON 9Fl0[RpANY OF TfiE ABOVEDEgCR)BERpDLI IE$B�CAf1GSLLED HEFgRE' iF!EERPiRA?tON�ATETHS(2EOF!(OTICSY,L ,Sp.DS:IVEREq,IN ACC�RDaNC6 W1fIf THEPDLICY PROVISfQN S..: �AKX It00FIki & 1 ESTORATION LLC AlfrobRIYE6RERR>=SggtA'mrnE 3 BAST SB. @3 f9�8;,20#0 ACi(1R©C-OR�+O�iA'Pi AC."O:RD 2�(2tfiDlD�),;.: ,.: 7#�8�CQI�U�a„'rte atrtl logo art t�glsit$red�ntaik8 t�tisP�CO�i[5'` Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-061982 Construction Supervisor JOHN W NORMANDiE IIL�,... 3 EASY STREET �� ; WESTFORD MA.018 ;r, Expiration: Commissioner 09/08/2017 (%fie`�ariuircurulealf� urrc�u�e��� ` Office of Consumer Affairs&Business Regulation OME IMPROVEMENT CONTRACTOR egistration: 181413 Type: Expiration: 4/1/2017 LLC APEX ROOFING&RESTORATION LLC. JOHN NORMANDIE 3 EASY ST WESTFORD, MA 01886 Undersecretary