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Home My WebLink AboutBuilding Permit #128 - 125 CANDLESTICK ROAD 8/17/2006 - -- TOWN OF NORTH ANDOVER %10RTH APPLICATION FOR PLAN EXAMINATION o�tt,•o ,6 �ti o o ' �, - I Permit NO: f � Date Received Date Issued: v ' / SSACHUS�� i IMPORTANT: Applicant must complete all items on this page .LOCATION Print PROPERTY OWNER V11 Sz— S Print MAP NO.: PARCEL: ZONING DISTRICT: f 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 ❑ Industrial ❑ Alteration No. of units: E ❑ Repair, replacement ❑Assessory Bldg ❑ Commercial ❑ Demolition ❑ Moving(relocation) ❑Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO B�E PREFORMED Identification Please Type or Print Clearly) OWNER: Name: v-) o S c SC woe � �� Phone:(;', ii Address: CONTRACTOR Name: v�C� r Phone:--? 1-3 h Address: CDC Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ! ARCHITECT/ENGINEER me: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.•$1 00 PEIZ$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ l ° 6�� x12.00=FEE:$ 33 Check No.: XReceipt No.: - (� Page Iot'4 I Location No. Date - �-D M°"Th TOWN OF NORTH ANDOVER ° L • 9 Certificate of Occupancy $ CNUSE<� Building/Frame Permit Fee $ Foundation Permit Fee $ I _ Other Permit Fee $ TOTAL g Check # 334 sv j i '19,37 Q wilding Inspector J i- TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools 11 Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Permanent Dumpster on Site ElPrivate(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contractin gistered c- actors o not have access t le guaran and Signature of Agent/O er Signature of c ntract Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stam ed Plans THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ - _ , - - - �. COMMENTS Zoning Board of Appeals: Variance,Petition No: Zoning Decision/receipt submitted yes ! Planning Board Decision: Comments Conservation Decision: Continents Water&Sewer connection/Si2nature& Date Driveway Permit _ Temp Dumpster on site yes_no Fire Department signature/date r. Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area,sq. ft.: NOTES and DATA—(For department use) i a t s t i p t t r r i 'r Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BI)FORM05 ('rented.IMC.Jan 2006 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits o Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract o Floor Plan Or Proposed Interior Work Addition Or Decks a Building Permit Application o Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract ❑ Floor/Crossection/El i evat on Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) o Building Permit Application o Certified Proposed Plot Plan o Photo of H.I.C. And C-.S.L. Licenses o Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o . Copy of Contract _ ❑ Mass check Energy Compliance Report In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. j One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPAR"rN1EN'r:BPF0Rh105 The Commowwealth of Alassachnsetts J Department of Industrial.Iecidents a; cl R Office of Investigations ti 600 Washington Street Boston .1'!.-102111 ivww.nutss.c ovidia Workers' Compensation Insurance Affidavit: BuilderslContractorsiElectriciansJPlumbers Applicant Information Picase Print Legibly �tllllt: illus,inc»,ttrtarii:,lirn,lndi�i'.IualY d1- Address: _l C7 t k v\ _ City.Statc,Zip:� � - , b Phone Fr e you an employer?Check the appropriate ho . Type of project(required): ❑ Iam a employer with 4• I am a general contractorand 1 6. ❑ New construction employees(Full and'or part-time).* have hired the sub-contractors❑ I am a sole proprietor or partner- listed on the attached.heet. ` ❑ Remodeling ship and have no employees These'Aub-contractors have S. Demolition workin For me in an capacity. workers' comp. insurance. q g Y [] Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its Irequired.] officers have exercised their 10. Electrical repairs ur additions 3.❑ 1 .am a homeowner doing all work right of exemption ppr N'IGL I LF Plumbing repairs or additions m self. No workers' con c. 152• §I(4),and we have no y l� +' p employees. Vo workers' � I`�❑ Roof repairs insurance required.] [ 13.❑ Other comp. insurance r:quired.] I ---- �nv liplicuia Thad diccks box:i I nuts!.11-10 fill••:u1 the:.cclion helaw,howing their workers'compen_ati0n policy intirrmalioa f i.meosuas whn,IIt/1111I lhlti;Itlilho it indicating Ther are Juing all work and Then hire outside ct ntrncturs must suhmit a new allidavil indicating itch. 1 :ntr ldcrl Ihat.heck Iltis hox nuisl:1ltadwd an.additional,heel ;howing the name nP the',uh-conlnctors and their�Nurkers'comp.policy mti:enation. I am un employer that is providing workersc'olnpensalion insurance far my employees. Below is the policy and job,Fite i n%ormation. Insurance(_'ump',uty V;.une: Policy ' itt Self ins. Lic. _ _--__ _ Expiration Date: !ob Site address: City State.Zip: attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration (late). f .Blore to .e:cure coverage as required under Section 25.1 of%ML c. 152 call lead to the imposition of criminal penalties of.t tine up to`61.500.00 and,-or one-,-_ar imprisonment, as well as civ it penalties in the form of a STOP til'ORK ORDER;tnd a tine .f up to.S2`0.00 a slay against the v iolator. Be adv is cd that a copy of this tatenient may be forwarded to the Office of !n t,,;-tigations r:f the DLI for in urance cuvcrat_e erificution. 1 to here the pains nl penalties /' ury that,he it brnnation provided rlhuve tree nl rl v�rrecl. 1 c -- -------111_1. _ v. Pis .i',,{ Yr X14' ii II .. M . ' '-: � is ^.�. _.- __ •A 4�t, h;:...t1::.� - -- ----- ------'--- ,) h . .t!t :. ?i�ildinF s'.^iia Ai`u?L;'t _. C '•r i., t�_ at ;d I ,r ta.r . 1111 • : I� • 1.111— -----___ .�—.._----_—_........_ i A. F. B. SERVICES 17 Collins Road • Wakefield, MA 01880 Licensed& Insured Tel. 781-710-3297 Denise Scutellaro May 11, 2006 125 Candlestick Road North Andover MA 01845 Re: Roof Dear Denise Below is pricing and a description of work to install a new roof on your home. Based on our site visit we recommend the following Job Description 1. Remove existing roof down to roof boards, replace any damage wood,re-nail wood as needed. 2. Install ice and water shield at all eaves, walls, pipes and chimneys. 3. Install 15 lb felt paper over remainder of roof. 4. Install 8" aluminum drip edge at all eaves and rakes. 5. Install GAF 30 year timberline shingles( color by owner) 6. Clean and remove all debris from job site. 7. 5 year warranty on all work 0 r� If you should have any questions or require any father information please feel free to call me Thank You Anthony Balzotti cell# 781-710-3297 f �/:e{oomv�nazcaea o�,/ aaoaclzuaelld " `'` 6/10 �i o ✓� aac�u�aelCa { ! Board of Building Regulations and SUIT dai ds i: BOARD OF.'BUIl;DIN'G REGiJL"ATIONS License -CONSTRUCTION SUPT=R!IS'OR HOME IO,VEMEIVT CONTRACTOR i 031489 `t :Numbef SOS F Re tstralill nn -: 22563 L:" rtr Lt= /2006 } �Bir # 1�{18i1957 + 99 idual �7r tl/QB/ bOZ Tr.no: 10992 + � � � - `.'� ��,a;, ar�•�c ,�� "ice—'�.-�� -' '. ANTHONY F.B ANTHONY F BA r r 3. ANTHONY :BALZ =rte 17 COLLINS RD Gom WAKEFIELD,,MA 01880msign is er Administrator i. WAKEIEI-D `MA 018D'=' • License or registration valid for individulu_se otiv.. before the expiration date. If found.return to: }. Board of Building Regulations and Standards One Ashburton Place Rm 1301 - I Boston,Ma.02108 `' `00 35 000 c f enclosed space (MGL G112•S.60L) 4 94soriry:only. 1 G 1&2 Family Homes i `Failure to possess a current edition of they -Ma ssadhusetts State Builtling Code is:cause for vocatiodof this license. Not val' thout signre I. 1� DIG SAFE 04L-CENTER`. *-3444Z3-3 c N®RTM Town of _: R RAndover ® � M-.• tib:.�•� /�y'l 't... No. lie -: - - - - = LAKE o dover, Mass., � COC KlC KE WICK y�. A0RAT E O PPS\ �� BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System pp BUILDING INSPECTOR THIS CERTIFIES THAT.....1.OLC......�l.> ... ...fl... !..................... Foundation has permission to erect........................................ buildings on ... �/. .�l�. ......Sew- ............................v Rough • idto be occupied as 5 .......... .� a►� Chimney that the arson acce in this permit shall eve respect conform to the terms of the application on file in provided P 9 P rY P PP Final 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 of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS LESS CONSTR V TARTS Rough ........ 4 ................................ Service LDCTOR _ Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.