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Home My WebLink AboutBuilding Permit #299 - 15 MIDDLESEX STREET 10/16/2006 TOWN OF NORTH ANDOVER OORTH APPLICATION FOR PLAN EXAMINATION 00�,,•o 6�ti �j F p Permit NO:� / Date Received �1 4rao'P� Date Issued: ,SSACHUgE� IMPORTANT: Applicant must complete all items on this page LOCATION Arr, Print PROPERTY OWNER Print MAP NO.:—Y,�—PARCEL: ZONING DISTRICT: 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: Repair, replacement ❑ Assessory Bldg ❑Commercial Demolition Moving(relocation) ❑ Other ❑ Others: Foundation only DESCRIPTION OF WORK TO BE PREF RM T., 14) S J 12 d- Identification Please Type or Print Clearly) OWNER: Name: LPhone: Address: M,If) CONTRACTOR Name: UPhone: J A ➢ Address: E /1�b, Supervisor's Construction License: Exp. Date: Home Improvement License: lo? L5Z Exp. Date: ARCHITECT/ENGINEER Name: Phone: :address: Reg. No. FEE SCHEDULE:BOLDING PERMIT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COff T BASED ON 5125.00 PER S.F. Total Project Cost :$ .2-S-90 0 FEE:$ Check No.: E�y S/ Receipt No.: Page i or 4 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 ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract I ❑ Floor Plan Or Proposed Interior Work I Addition Or Decks ❑ Building Permit Application ❑ Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation 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) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ 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. One copy and proof of recording must be submitted with the building application Doc:INSPECT ZONAL SERVICES DEPARTNIEW:BPFORIN105 Page 4 of 4 TYPE OF SEWERAGE DISPOSAL Swimming Pools Tanning/Massage/Body Art Public Sewer Tobacco Sales L Food Packaging/Sales L Well Permanent Dumpster on Site Private(septic tank,etc. J Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fand r I Signature of Agent/Owner Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS 6 LIRE DEPARTMENT - Temp Dumpster on site yes no Fire Department signature/date COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer connection/Signature& Date Driveway Permit 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.: �I NOTES and DATA— For department use Doc:INSPECTIONAL SERVICES DEPARTMENT:BIIFo RM05 Created AW Jim 2006 _� r � GT1�e -�amm�.zeveo.�C� a�✓1�aaozcf,.ua Board of Building Regulations and Standarc HOME IMPROVEMENT CONTRACTOR Registration: 104569 Expiration,: ,,�14/2008 type: -Private Corporation DAVID CASTRICGNE'RO.OFING .8I0ING& David Castricone , 200 SUTTON ST SUITE,•226 NORTH,ANDOVER, MA 01845 Deputy Administra ,4, 'ORD' CERTIFICATE OF LIABILITY INSURANCE DA7II(MWO01 YYY) • '" 1 09/26/2008 PRo"O" THIS CeRTIf ICATB is IS$IlED AS A MATTER OF INFORMATION Internet Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 522 Chickering Road ALTER THE COV RAGE QFFOROEO SY THP:POLICIES S1:L0 .. North Andover, MA 01845 INSURER$AFFORCINO COVERAGE NAIL$ INOURCRi INSURER A; NORFOLK&DEOHAM DAVID CASTRICONE WBUP,ER M NORFOLK&DEDHANi ROOFING AND SIDING INC, NjumRc; AIM 200 SUTTON STREET,GTE,228 NORTH ANDOVER, MA 01845 INBURERO; INIIVAER:, COVERAGES THE POLICIES OF INSURANCE L;STED BELOW HAVE SEEP/ISSUED TO TnE INSURED NAMED ABOVE FOR THS POLICY PERIOD INJICATEO,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OP ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS OGRTIPIOATE MAY Sit ISSUED OR MAY PSRTAIN,THI INSURANCE AFFORDED aY THE POLIGGES DESCRIBED HEREIN 13 8U0,1EC7 TO ALL TME TARMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIE8.AGGREGATE LIMITS BHOWN MAY HAVil'BESN REDUC49 3Y PAID CLAIMS, f4 RO TYPEOPINSURANCI POLICY NUPJBCR LI tT8 A CiNERALLIARILITY ND-P-009867 6112/2008 8/12/2007 EACH OCCURRENCE 61,000.000.00 COWAEFeC4t_CXNERAL LIABILITY NT'�E�~ 50.000.00 a"LAIMB WADE OCCUR M60 GXP one Wwn) S 6,000-00 I� PERSONAL&ADI INJURY 6 °,DC0,000.00 I GENERiAI.A03Rf5GAT6 1,000,000.00 66N'L AGORISGATE LIPAIT APPLIH3 PER; PRCDUCTS•COMP/OP AO;.i 6 1,008000,60 POLICY rl PRO4807 LDC B AUTORYIORILI LIMOLITY 44508400001 08/0112006 08/01/2007 Cpe lJJ BD INOLE LIMIT 6 ANY AUTO A A:LOVINEDAUTOS rejoDILYIN uRY 6 260,000.00 Yf SChEOULEDAUTOS ss HIREDAUTOBlParlOLocidanl)Y $600,000,00 NoN-OWNED AUTOa lPa d I (P!OPERJY.)A%iAU $100,000,00 OARAf,E.LIIIgq,nY AUTO ONLY-G ACCIol4T A'VY AUTO AUTO OTNLY EA ACG 6 EXOBBsiVURELLALIABILITY I 94HOGOURNNICE 6 OCCUR 'GLAIMS MADE AGGREGATE E I 9 OEDU4iTIBL2 $ RETENTION $ C uVy/p�RK�cpkPEILITY NAND VWC 6009480012004 09/2312008 09/23/2007 I LOPIAYERo UAI6I A ANY PR�pR16TORIPARTNERIGXECUINI! EL.EACH ACCIDENT Zr-1100,000.00 UOPGICE�RIhrIriMDER 99CLUOE04 6 600.000.00 SP CIAL PROVI810N8 below000�GO II.L.bIE:AOE•POLICY LINITi i OTHER CERTIFICATE HOLDER CANCELLATION 3NOULo ANY OP THE ABOVE DIAORMD PWJCM u omcmjw BEFatR THN EXPIRATION DATE THEREOF,THE IS&WnlFr INBUR ER WILL ENbiAVOR TO MUL 030 DAYS,WRITTEN NOTICE TO THE CERTIRRCATS HOLDER NAMID TO THE LEFT,BUT PAILUPA TO DO OO SHALL NMI:NO COL"TION OR LUIBILPTY OF ANY KWO UPON THC INSURER,ITS AAANTS OR REpRE€EN7ATIVER3, AUfl10mo RIAi1RIENTATIVE O CORPORATION I M AGGRO 25(2001-108) R NORTH Town of : �_ � Andover 10 No. L A IS E dover, Mass., COCMICME WI CK y1. ADRATED P'Pa� �G) `S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT............darry 10--oloo.............................................. ............................................... Foundation has permission to erect........................................ buildings on ..... �� •..�.......................... Rough to be occupied as.......... 4.................St. . . Chimney t.. �.�� .... O.�J........ provided that the person accepting this permit shary respecT conform to the terms of the application on file in 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 3 � PERMIT EXPIRES IN 6 MONTHS FinalELECTRICAL INSPECTOR UNLESS CONSTRUCTI STARTS Rough .......... ..................... . Service .. ... .... ... �61N�GIN�SPE6 TOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on Rough 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. SEE REVERSE SIDE Smoke Det. Location No. 7 Date � r NORTIy TOWN OF NORTH ANDOVER F419 , Certificate of Occupancy $ " s' MuS t� Building/Frame Permit Fee $ s Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # �Y 19692 Building Inspector DAVID CASTRICONE ROOFING,SIDING &REMODELING REPLACEMENT WINDOWS HOME IMPROVEMENT CONTRACTOR REGISTRATION NUMBER 104569 200 SUTTON STREET,SUITE 226,NO.ANDOVER,MA 01845 7 HILLSIDE ROAD,BOXFORD,MA 01921 In Norte Andover 978-683-3420 In Boxford 978-887-6147 In Haverh U1 9 78-3 74-7314 Uwe the owner(s)of the premises mentioned below,hereby contract with and authorize you as contractor,to furnish all necessary materials,labor and workmanship,to install,construct and place the improvements according to the following specifications,terms and conditions,on pre&1-f ises below described: q C� n 4 Owner's Name.... . ... . ..L( ............. ...............A.4 Telep ne#... .1....�..G. .f ... Job Address.... .. .. .� � ......,..�. ,e.......City... r.... ..L?..Uti.�z�. ..State.../..:.1�'. .. Specifications: t................ .... �.l...l...! .`................. ,. �...... - ..f.. ..r.. . . ..... ". .... ..�, ......1� ..� ..r......0 ...... ....... ........... .�. .. ........................... . .................................. .... ... ........ nA..:- ti,�.. . ..( , ..,a14t ......... ..� .. . ...5..........W. ............. r ' ...... .,..�. , . .. ... .. ........... ........ .......... ,ra.. .�..... ........ .x ..�s.. ,.�.., .. 2I.... ... u...... ... ............. I••�.. ..�,0..6..ft..� .. .. �• � ................................ .... Q..,.�............. .......................K4.1* .......... ... .... J. .......I ............ .a .... 5rA.JAI..... ............................................ ... ........................ ..... ..................................................................................... . .... ...... ..... One Year Workmanship Warr - Trans e / 96 0 Manufacturer's Warren s s ectfi b cturer Materials and Labor to c t$....,x ' ....... Payable.. on ..... . ........ Payable....................... ............&A.. ......... Balance p ya a on completion of job Owner or Owners are not responsible for Property Damage or Liability while job is in operation. Contractor is not responsible for any damage to the interior of property,including pre-existing conditions(i.e.water stains,crumbling plaster,exposed nails)or conditions resulting from application of materials specified above (i.e.objects coming loose from walls,crumbling plaster,exposed nails,dust in attic or other living spaces,water stains when roofing shingles have not had adequate time to cure). Upon completion of above work,all undersigned We to execute and deliver to contractor,their joint note in accordance with his(their)above obligation as requested by contractor. Upon refusal to do so,contractor may at its option declare the entire contract price or so much as then remains unpaid,immediately due and payable. It is agreed that,if permitted by law,contractor shall be paid by the owners)all reasonable costs,attorney fees and expenses,in addition to the amount due and unpaid, that shall be incurred in enforcing the terms and conditions of the contract and/or any lien in connection herewith. It is further agreed that this contract may be assigned by contractor,and also that the obligations hereof shall bind and apply to their heirs,successors or estates. The undersigned warrant(s)that he,is(they are)the owners(s)of the above mentioned premises and that legal title thereto stands of record in his(their)names(s). There are no representations,guaranties or warranties,except such as may be herein incorporated,if any,nor any agreements collateral hereto,nor is the contract dependent upon or subject to any conditions not herein stated.Any subsequent agreement in reference hereto shall be binding only if in writing and signed by all parties. All Home Improvement Contractors shall be registered and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director,Home Improvement Contractor Registration One Ashburton Place Room 1301,Boston,MA 02108 Tel:617-727-8598 Any and all necessary construction-related permits shall be obtained by the Contractor. Any Owner who secures his own construction-related permit or deals with unregistered contractors shall be excluded from access to the Guarantee Fund. Approximatestarting date of work..................................................................... Completion date.............................................................. Receipt of a copy of this contract is hereby acknowledged,and it is further acknowledged by the undersigned that the foregoing provisions have been read and-the contents thereof-understood and that-no representation or agreement nothereiri contained shall be binding upon the parties and that all of the agreements and understandings of said parties are contained herein. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Owner has three business days to cancel this contract and incur no penalty. IN WITNESS WHEREOF,the parties have hereunto signed their names this.........l .. . ......day of....14 .. .....,20...JO1�. Accepted: Signed.J..e.'��.. .`La......Q... . . ...... ... .......................Owner Signed .................... ........ ..i..... ......................................Owner Per....................................................................... Representative T� �� Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR i Registration-. 104569 Expiration:._-7114/2008 Typer_ Private Corporation DAVID CASTRICONE ROOFING;SIDING& David Castricone 200 SUTTON ST SUITE 226 NORTH.ANDOVER, MA 01845 Deputy Administrator