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Home My WebLink AboutBuilding Permit #185 - 31 CANDLESTICK ROAD 9/8/2009 BUILDING PERMIT °t No DT a�'�o TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION * yy* y T Permit NO: Date Received ' `°`"""' SS�CHUS�� Date Issued: (*tot MPORTANT: Applicant must complete all items on this page LOCATION . C 1Xl1r '�f? �fiCa:11t� Q�` :f1Clt�ey PROPERTY OWNER, MAP.NO PARCEL- z ZON1NG' ISTRICT1�storic L3is#riot es nc Y 7 ;Machine Shap Village yes no. TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial repair, replacement Assessory Bldg Others: Demolition Other Septic Well HIJ FloodplainWettands 1lllatersFied District . .ti Water/Sev✓er } DESCRIPTION OF WORK TO BE PREFORMED. �S ,a reg h i G Z s )aej of hoji e- Identification Please Type or Print Clearly) OWNER: Name: Ln i�r i e-. Cann kn� Phone: q? Ok 8 q2- Address: 31 nof*k. n 1 6\Jer M(+ C) J Y J IN CONTRACTOR Name .PhAr�eS (� �. 3V ° IRr�UAU � SLpefAsors Constru;ctionate 4`Ha.rne�tr;�mp�ovementLicens� `y � Exp- spate w ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ J� FEE: $ Check No.: "12* Receipt No.: NOTE: Persons contrac ing with unregistered contractors do not have access to the guaranty fund i5�g atu�e of Agent/Owner _ t_. ,�r _„ Signat"ure of contractor _ :,�./ -_ - t. ._ a_- .. _ _ - . __ - - % :. Y_ ¢ _ -H .1.. vl�w ^ _ .- - - y F I - _ 2' ,f I.:. Location yi' e,R,7 �55�1-- No. i 5 Date D f MORTh TOWN OF NORTH ANDOVER O �,,G. y1. .h•- 3? �' - _ �L F ' �� , :; Certificate of Occupancy $ OM , . � � ifs',^°,,� Building/Frame Permit Fee $ �� .�..' _ . ..,rt _::': s4CMU5 ls Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 22 Building Inspector . I 19 1. . _ _ 1. .... .... .. .._.,., r ..: .., .. ... - _ ._..:: - .. ...... -.', ._ ... .... 4 --._ .— _ _'-:.. _ -_ N. ..._ '...9 - Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimmin Pools Well Tobacco Sales Food Pac agi ale - Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMN�-NTS 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 DPW Town Engineer: Signature: Located 384 Osgood Street T" FIRE i empDu Aster of sitel yes= ` a ' ll Fire D�ep�rtnenths�gr�a#ure%dae _ .r., _ Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1:000 fine NOTES and DATA— (For department use ❑ Notified for pickup - Date Doc.Building Pernut Revised 2008 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 ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified 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) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits.require sign off from Fire Department prior to issuance of Bldg Permit 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 ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 txORTH Town of 4 L Andover 8s0 A K E dover, Mass., C OC NICHE w ICK ADRATED PPa\ �C:) `S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....... (:A*%#.%.otxxA, ii""""""""""""' Foundation has permission to erec ....................................... uildmgs on ..�......... Gq. �...�. .�.►to........ , Rough • to be occupied as... .. .. ........... ... ........ Chimney provided that the pe on a opting this perm' shall in every resp conform to the terms of the app ica on file in Final this office, and to the provisions of the Codes and By-Laws relatin 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 MONS ELECTRICAL INSPECTOR UNLESS CONSTRU AR Rough ................. .. ..........................................................................:............ Service BUILDING INSPECTOR Final Occupancy' Permit Required to Ocmpy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough 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. DAVID CASTRICONE CASTRICONE ROOFING&SIDING INC. ROOFING,SIDING&REMODELING REPLACEMENT WINDOWS HOME IMPROVEMENT CONTRACTOR REGISTRATION NUMBER 104569 200 SUTTON STREET,SUITE 226,NO.ANDOVER,MA 01845 In North Andover 978-683-3420 In Boxford 978-887-6147 In Haverhill 978-374-7311 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 premises below described: r Owner's Name.........../........... ..... /.`.l-t„ ..... ... lr .............................,t�Tel one#...4o.�.A...-.f.. .L.�,.... Job Address..�1....... �%•c•Gi/k.•••..� .............City...... tx.�,/f wO t}.�ems.............State..... ..... Specifications: ................................................... ........................................................................... ................................................................... .,,Strip existing shingles. &Iply new drip edge to all.edges. g" �t!� e 6t- s 6 p,� ...................................................................................................................................................................................................................... „Apply L feet ice and water shield membrane to bottom edges of house. 3 feet ice and water shield membrane in valleys and bottom edges of any unheated areas of house. ,/�pply felt paper unde laym}slrt stall ridge vent to 't n y��t a, �no �� y._ '3 f?r �•��-- t�I.....;a .... . .........1�... ...............................1.J.............................................. W6roof using shingles with a 30 year warranty. so con e_ .............................................................................................................................................................................................v........................ Xounterflash chimney. ..New vent pipe flashing. -kegal disposal of all debris. ........................................................: ....... . ............. . ...................................... ................................................................................. Areas)to be worked on: �J .. c ... c �I r.4 ...... ........ ..LZ.44t k...... ........... ......... ... IV ....................................................................v:...................... .................................................................................................................... Roof board replacement if necessary @ CO /sheet o Y=/foot. ...................................................................................................:................................................................ ...... ..................... Two Year Workmanship Warranty(Not Transferable) 1 jitnufacturer's Warranty as s led by in ufacturerThe c tractor a�ees to perform the work a h the materials specified above for the S of$... ..V. ........••. PayabfK.3-00.0........on..;5 .other-.4............. �P"oble............................on............ 1................ ,2. alancepayable_on completion of job Owner or Owners are not responsible for property Damage or Liability whi a 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).Items in attic may need to be covered by homeowner.All materials are property of contractor. Any dumpster placed by contractor is for his use only.Upon completion of above work,all undersigned agree 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 owner(s)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 of the parties.The tmdenigned warunt(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 aro no represamtations,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 is excluded from the Guaranty Fund provisions of MGL c.142A. Approximate starting date of work................................................ Completion date......................................................... Receipt of a copy of this contact 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 not herein contained shall be binding upon the parties and that all of the agreements and understandings of said parries 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 (see noticeo of cancellati IN WITNESS WHEREOF,the parties have hereunto signed their names this...3r.'.":.pp......day of. rz 20..�. r Accepted: Signed...... . ........................... Owner Signed. a(lr Owner David Castricone,President /11 The Commonwealth of Massachusetts •s Department of Industrial Accidents Office of Investigations },- 600 Washington Street x ; Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): DAA t b CA�,mk j t?NE• 1300 F(N& I S PING IM. e. Address: Ann Su-i S-riz LE.-t 50 1Te, Z,2-(,. City/State/Zip: N. A N DDV&R M A 6 f w Phone#: 9 78 (o$3 3 q A0 Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 4 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp.insurance.# 9. Building addition required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL. 12:Z Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for any employees. Below is the policy and job site information. Insurance Company Name::%450(L NK r_ h-JIPft u V 6F STMT$- Policy#or Self-ins. Lic.#: w Cf�._`cjL��r(�J��► Expiration Date: q.A 3 -10 9 Job Site Address: ��d luJ I t C� ��(� City/State/Zip:N AnA 0 V-C/ �Jn 0 91 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under 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. Ido hereby certify under the p/ains and penalties of perjury that the information provided above is true and correct. signature: -`i«�✓ C Date: Phone#: 3 3 4..0 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#: Town of forth Andover e,owY, Building Department 0 27 Charles Street �' v North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542w �Q -0 ASSN c 1-I U DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of. Building permit # the debris re!::.�ILing from the work sluall be disposed of in a properly licensed solid waste disposal faeili-t., as defined by MGL cl1, s150a. The debris-will be disposed of in/at: Facility to 'ation -� Signature of Applicant Y�s�b9 Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector, �la,sachuutrs - Wparimcm Of PLJbIil Sifel Board trl'Builrliw, Kc2ul;itiurn ;incl ytantlartls <�a�., V��e ' nrrr.rrra�x.ru:rxl�� o.4:G(.rr wru;�iro1 s \ Board of Building Regulaliohs and Standards Y' Construction Supervisor Specialty License M 3 _ License: CS SL 99358 HOME IMPROVEMENT CONTRACTOR == — _ Restricted to: RF,WS 0 >7g Registration: 104569 fk Expiration: 7/14/2010 TO 270265 DAVID CASTRICONE '' Type: Private Corporation 31 COURT STREET D AVID CAST . f;;:nW RICONE ROOFING,SIDING b NORTH ANDOVER, MA 01845 David Castricone 200 SUTTON ST SUITE 226 Expiration: 12/16/2011 NORTH ANDOVER, MA 01845 Admin strator l' uuni..iuur Tr 99358 � f I ACORDrM CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDDIYYYY) 8/5/2009 PRODUCER Phone: 509-651-7700 Fax: 509-653-9099 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Eastern Insurance Group LLC -Commercial Lines ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE, 233 West Central Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Natick MA 01760 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA:The Insurance Co of State PA David Castricone Roofing & Siding Inc 200 Sutton St INSURER B:Citation Insurarce 40274 Suite 226 INSURER C: North Andover MA 01845 INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TIT9ffTAD POLICYEFFECTIVE POLICY EXPIRATION POLICY NUMBER OMITS GENERALLIABILITY EACHOCCURRENCE $ COMMERCIAL GE14ERAL LIABILITY DAMAGETORENTE PREMISES Eaoccurencu $ CLNMSM>DE OCCUR MEDEXP(Anyone rson) $ PERSONAL&ADV INJURY $ GENERALAGGREGATE $ GEN'LAGGREGATE LIMITAPPLIESPER! PRODUCTS-COMP/OPAGG $ POLICY JECT PRO LOC B AUTOMOBILE LIABILITY 09MMBCNGCV 8/1/2009 8/1/2010 COMBINED SINGLE LIMIT $ ANY AUTO (Ea acdclont) ALL OW NEDAUTOS BODILY INJURY $2 5 O X SCHEDULEDAUTOS (Per person) r OOO X HIREDAUTOS BODILY INJURY X NONOWNEDAUTOS (Peraocidern) $500,000 PROPERTY DAMAGE $100,000 (Per aockignt) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO EAACC $ OTHER THAN AUTOONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACHOCCURRENCE $ OCCUR El CLAIMSMADE AGGREGATE $ $ DEDUCTIBLE RETENTION $ A WORKERS COMPENSATION AND WC5877756 9/23/2008 9/23/2009 X WBYIIMITS I- FP EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACHACCIDENT _ $100,000 OFACER/MEMBEREXCLUDED? Il E.LDISEASE-EAEMPLOYEE $100,000 yes SPECdascribeunder IAL PROVISIONS below E.LDISEASE-POLICY LIMIT 1$ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SP ECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED David Castricone Roofing & Siding IncBEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER g g WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE 200 Sutton St CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO So Suite 226 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON North Andover MA 01945 THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE : u. . f ACORD25(2001/08) pACORDCORPORATION 1988