HomeMy WebLinkAboutBuilding Permit #851 - 31 COURT STREET 6/28/2006O� 00RTh 1ti
TOWN OF NORTH ANDOVER 3 :y ,
p 9
APPLICATION FOR PLAN EXAMINATION
,SSACHR5�4
Permit NO: V l Date Received
Date Issued:a F v 6
IMPORTANT: Applicant must,complete all items on this page
LOCATION
wPrint
PROPERTY OWNER
Print
MAP NO.: t PARCEL: Z ZONING DISTRICT:
TYPE AND USE OF BUILDING
HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
C�ddition
❑ Alteration
ne family
❑ Two or more family
No. of units:
❑ Industrial
❑ Repair, replacement
❑ Demolition
❑ Assessory Bldg
❑ Commercial
❑ Moving (relocation)
❑ Other
❑ Others:
❑ Foundation only
DESCRIPTION OF WORK TO BE PREFORMED
6/9
0,07
Identification Please Type or Print Clearly)
OWNER: Name: 0,q4ILPhone:2ZE-'
Address:
CONTRACTOR Name: Phone:
Address: /S
�xa� -& kr,q //
Supervisor's Construction License: C36�?v-® 6 Exp. Date:
6,0 /45
Home Improvement License: / Z �UL4,-" Exp. Date: 411Ma -7
ARCHITECT/ENGINEER&c-!/ Name: Phone: f7e-�' �-40VO
Address:/0/,f- < +f Reg. No.
FEE SCHEDULE: BULDING PERMIT. • $10.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost :$ 14C c6 "00 x10.00=FEE:$ 3 6.4114 0
Check No.: Receipt No.: / 417f
Page Iof4
Location
No. Date
,40RTPI TOWN OF NORTH ANDOVER
Certificate of Occupancy $
cwu Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
--7 -7 el
Check # - --*'
4 7
I Bulilding Inspector
TYPE OF SEWARGE DISPOSAL
Art E]g
Swimming Pools 11F1Tanning/Massage/Body
Public Sewer
Well F1Tobacco
Sales ❑
Food Packaging/Sales 11
Private
Private
Permanent Dumpster on Site
(septic tank, etc.
Electric Meter location to
project
NU YE: Persons contra cti th unregistered contr cto s do not have access to the guarantyfund
Signature of A t/ er Signature of
Contractor
Plans Submitted Plans Waived ❑ Certified Plot Plan Lg Stamped Plans
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT
COMMENTS
CONSERVATION
-COMMENTS
T
DATE REJECTED
❑ ❑
❑ Water Shed Special Permit
❑ Site Plan Special Permit
❑ Other
HEALTH 1❑
COMMENTS
Zoning Board of Appeals: Variance, Petition N
Zoning Decision/receipt submitted yes
Planning Board Decision:
Conservation Decision:
DATE REJECTED
DATE REJECTED
Comments
Comments.
Q
DATE APPROVED
DATE APPROVED
DATE APPROVED
Water & Sewer connection/Signature & Date Driveway Permit
Temp Dumpster on site yes—no— Fire Department signature/date
Building Setback (ft.)
Front Yard Side Yard Rear Yard
Required
Provided Required
Provides Required
Provided
ION
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
NO FES and DATA — (For department use)
Page 3 of 4
Doc: INSPECTIONAL SERVICES DEPARTMENT:BPFORM05
Created JMC. Jan.2006
DIM
ENS
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
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: INSPECTIONAL SERVICES DEPARTMENT:BPFORM05
Page 4 of 4
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ACDIf?D CERTIFICATE OF LIABILITY INSURANCE
Ora/22/2 0
PROCUGPR (803)898-6500 FAX '(603)870-9444
C & G Insurance:
288 North Broadway
Salem, NH 03079
Kathleen Wyatt
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC #
INSURED Gary Liss
DSA: Gary Liss Construction
13 Stonewral I Terrace
Atkinson, NH 03811
INSURERA• Guard Insurance Company
INSURERL:
INSURER a
INSURERIP
INSURER I -
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE MR 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, TME 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.
INSR
ADDI
TYPE OF INSURANCE
PtX:ICYNUTABER
POLICY EFFECTIVE
POUCYDIQIRATION DATE aMIDD=
iJM1TF
GENg RAL LIABILITY
EACH OCCURRENCE $
COMMERCIAL GENERALUMI1t1Y
S
Mow=
CLAIMS MADE E-1 OCCUR
MED EXP (A nY QM pmw) $
PERSONAL&ADVINJURY $
C3ENERALAGGREGATE S
AGMECATELIMIT APPUESPER
PRODUM-COMPIOPAGG $
PoucY j LouEl
AUz1'OMODILE
LIABILITY
ANYAUTO
COMBINED SINGLE LIMIT 3
(PM gmt)
ALL OME? AUTOS
SCHEDULED AUTOS
BODILY INJURY S .
(P- P)
QED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Peteeddenq S
PROPERTY DAMAGE $
(PetscadeM
_
GARA0EIJABILITY
AUTO ONLY-EAACCIDENi S
OTHMTI'" FAACC $
ANYAUTO
AUTO ONLY- AGO S
Ex4CE6WW40R9UALIABILITY
EACH OCCURRENCE $
OCCUR ❑ CLAWS MADE
AGGF=ATE $
S
-
$
DEDUCTIBLE
$
RETENTION $
WOR>MRS COMPENSATION AND
GAWC702099
06%15/2006
06/15/2007
X wC SIATIF OTI i
TORYLIMrTSI
A
EIAPLOYERS'LIMLITY
ANY FROPRIETORPAR fV6
OFFICERWEMBEREXCLUDED?
F -L EACH ACCIDENT $ 100,00
E.LDISEASE-EAEMPLDYE $ 100,600
It�+8� describe under
SPECIA ul'S10NSIel.
E.L. DISEASE -POLICY LIMIT $ 500,00
OTHER
DFSG UMONOFQF99ATIONSILOCATIONSIVEMICL95tEXCLU510N$ADGEDBYENOORSEMENTISPECIALPREni,DNS
INSURED COPY
ACORV 25 (2001l0a)
SHOULD ANY OF TME ABOVE DESCRIBED PMIM96 N CANCELLED BEFORE THE
EXPIRATION GATE TmREOf,THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 bAYS VMTM NOTICE TO THE CERTIFICATE NGLM NAMED TO THE LEFT,
BLIT FAI W RE TO MAUL SUCH NOTICE SHALL IMPOSE NO OB//W1�JATION OR LIABILITY
OF ANY KIND UPON THE IN5WKEI%JT T$ Oji REPRESE?!f/ mr;'-' I
AuNORMI) REPRESENTATIVE " . // &. _'4" Vii- _. A
CORPORATION 7988
T001A SNI ONIIIN30 v NINOND 9999 V69 yvi ZZ:fT IIH1 90O2/ZZ/90
the Commonwealth of Alassachnselts
Veliartmertt of lndrtstrial Accidents
Office of Investigations
r 600 N'ashingtorr Street
13oslort, -ASA 02111
tvlvtv.ntass.gor1din
Wotictt•s' CalNjiirNS:ttitiii ltitsitranee Affidavit: 63uiltiers/C:attlractors/1?iectticiatts/Pittaetlbers
_APlease Print Lep_ibly
Naille (Businesslotganizatioti!Individual):
Address: a/ r-hl---
CitylStalelZip: /> > 54!9
Arc yuh nit Ctnti]ojiW tbkFk t(it-tipptopriate box:
i.Eli ani a etitplojra with
4. ❑ 1 am a general contractor anti I
enrployees (Mil aitdloi patt-titne).*
have hired (lie sub -contractors
2. ❑ 1 am a sole proprietot of partner-
listed on the attached shed. I
ship and have no employees
These sub -conte actors have
working rot tie ill any capacity.
workers' comp. insurance.
(No woikew comp. institatice
5. ❑ We ate a corporation incl its
requited.]
officers have exercised Itteir
3. ❑ I ani a hotticowhet doing ail work
right of exemption per MGL
myself.:tNb wotkets' comp.
c. 152, § 1(4), and we have no
insurance tehuikA.j f
employees. [No workers'
c'31111). insurance raluircrl.]
'Typt: of project (required):
6. ❑ New conslniction
7. ❑ Remodeling
8. ❑ Demolition
9. trilding addition
10.1-1 Electrical repaits or additions
1 i.❑ Plumbing rc{rairs or additions
12.❑ Roof repairs
13.❑ Other
•Auy applicnnt ihai checks buil ill Mimi also till out the section below showing Iircir worked' compcn:mtion pedicy iufimrtation:
llortteowners who suthnit this emt4vit inticating they ere doing all work and then hire nutsidc conlincturs ramal �alnnit a new onidavit indicnt ing such.
iConhoctors nml ctiixtr this trox lanae! ehedred en additional sheet slrowing rhe name or the sulrcmtfracrarsarid (heir workers' cotrip. policy infortrwtion.
'lath art ernp►oj,er that islitoi+idiitg raorkets' comperisation insurance for nrp erryrlopees. Belo Iv is the poiiq arrd',job site
infornmation. i _ _
Insurance Company
Policy If of ScU ihi . l..ic. #l: G7�"C%402 09 f Expiration Date:_
Job Sitc Address: - � � '!rt Cit /Statc/zi I IN
Y p� �n,��ryeir' .
Attach a copy dt flit wilEkti•s' Fbtnpthsation policy declaration page (showing the policy nuinber anti expiration slate
failme to secure coverage as tcquited under Section 25A of MGL c. 152 can lead to the imposition ofcrinlinal penalties of a
fine up to $1,500.00 and/or otie-year imprisonment, as well as civil penalt'scs in the form of a STOP WORK ORDER and i fine
of up to mom i day against die violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations oftli6 MA Cot insutatice coverage verification.
1 do herehlt reiiify
nrid penalties of peifitry that they hi rination prorided above is true and correct_
Datc-
Phone A: �6 �� 3 � Z -..5�/�':S � •
Orein beat 0116,. Do not iyrite br this arca, to be co►irpletcd LJ� c itp or town of ficial.
City or T6i*h:
issuing Ail DAty (circle ons~):
1. hoatd of llealtii 2. building Department
G. bdtet __
Permit/l,iccnse N
3. Cityf Town Clerk 4. i?tectrical inspector 5. Plumbing Inspector
Conttict 1'eisoit: Phone i1.
ENERGY CONSERVATION APPLICATION FORM FOR
LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS
780 CMR Appendix J
Applicant Name: 677ar./ ! i ft
• -rr-•—�--- .....��. /t gyp+
j 6heOle i1 re
'; h .<cn ,x/1.1
Applicant Phone: 663 3Q 2 rl8 $'
Compliance Path (check one):
Site Address:
r"'-,
Use Group: _
Date'ofApplication: 4//6/04
Applicant Signature:
❑ Prescriptive Package (Limited to 1 --or 2 -family wood frame buildings heated with fossil fuels only)
Package (A through KK from Table J5.2.1 b): Heating Degree Days (HDD65) from Table J5.2.1 a:
(For items d. through i., fill in all values that apply from Table J5.2.1 b:)
a. Gross Wall Area sq.ft f. Wall R value R-
b. GIazing Areal sq.fL g. Floor R value R -
c.. Glazing % (100 x b: a) % h. Basement wall R---
d.
=d. Glazing U -value U- i. Slab Perimeter R=
e. Ceiling R -value - R
j. Heating AFUE
❑ Component Performance: "Manual Trade -Off' (Limited to wood or metal framed buildings only)
Climate Zone (from Figure J6.2.2) ❑ Zone 12 ❑ Zone 13 ❑ Zone 14
Attach Trade -Off Worksheet from Appendix J, [and HVAC Trade -Off Worksheet, if applicablej
0 MAScheck Software
Attach Compliance Report and Inspection Checklist printouts
❑ Home Energy Rating System Evaluation
Attach Home Energy Rating Certificate (HERS rating score must be 83 or higher)
❑ Systems Analysis OR ❑ Renewable. Energy Sources
Attach Mass Registered Architect or Engineer Analysis
ALTERNATIVE FOR AMMONS ONLY:
a. G ss WaU T Ceiling Area -2 1 lid sq.ft. b. Glazing Areal /6Z sq.ft. c. Glazing % (100 x b= 0 t/y
ADDITION with Glazing % (c.) up to 40% may .use. 780 CMR Table J1.1.2.3.1 below.
I
2
3
Glazing Area may be either Rough Opening or Unit dimensions.
Based on NFRC listing. Applies either to every unit, or to area -weighted average af. all units
R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R value over the entire ceiling area
(Le.- not compressed over exterior walls, and including any access openings.)
❑ "SUNROOM" addition (greater than 40% glazing -to -wall and ceiling gross area)
Attach "Consumer Information Form" from 780 CMR Appendix B.
Official's Name: Official's Signature:
THE ZONING DISTRICT IS R-4.
THIS LOT IS MADE UP OF LOT#6
PLAN #869 AND PARCEL' F'
OF PLAN #3164 AT THE N.E.R.D
DEED BOOK 3238 PAGE 271.
MAP 58 PARC
N�F4ETq,4TE 29
PLAN OF LAND
1N
NORTH ANDOVER, MASS.
OWNED BY
DAVID AND PATTI CASTRICONE
SCALE. 1"= 20' DATE.6/20/2006
01 20' 40' 60'
15 COUv A 58 p
N Tg'24���It REETC0 ���/
N104
112 5�,
R-4 DIM, REQUIREMENTS.
12,500 S.F. AREA
100.00' FRONTAGE
30' FRONT SETBACK
ORA VE. SETBACK
250' EACH SIDE OF
LOCUS. cn MAP 58 PARCEL 2
15' SIDE SETBACK. � 14,215 S. F.
30' REAR SETBACK.
35' MAX. BUILDING
HEIGHT
m
MAP 58 PARCEL 13
N/F MACDONALD
o)
V
MAP 58 PARCEL 12
N/F FOULDS
CS310ERT.DRG
hl
EXIST
SHED
EXISTING HSE.
FND.
LOCUS
NO SCALE
'4A AM Si
ocus
-1
a
qC9
o�
Scott L. Giles R. P. L. S.
Frank. S. Giles R. P. L. S.
50 Deer Meadow Road
North Andover, Mass.
THE AVERAGE SETBACK 250'
EACH SIDE OF LOCUS IS 16'
HSE. NUMBER FRONT SETBA
#59
14'
#49
24'
#37
14'
#15
10'
#7
18'
d0
O
3.8'Z C
w
co
14.6'
'C
m
m
i
i, p. {fnd.)
i.p. (fnd.) 108.90'
N 87 55 08 E
MAP 58 PARCEL 3
N/F WEAVER
THE PROPERTY LINES SHOWN ARE THE
I CERTIFY THAT
OFFSETS SHOWN ARE FOR THE USE
LINES DIVIDING EXISTING OWNERSHIPS, AND
THE OFFSETS
OF THE BUILDING INSPECTOR ONLY
THE LINES OF STREETS AND WAYS SHOWN
SHOWN COMPLY
AND SUCH USE IS FOR THE
ARE THOSE OF PUBLIC OR PRIVATE STREETS
WITH THE ZONING
DETERMINATION OF ZONING
OR WAYS ALREADY ESTABLISHED, AND NO
BYLAWS OF
CONFORMITY OR NON -CONFORMITY
NEW LINES FOR DIVISION OF EXISTING
NORTH ANDOVER
WHEN CONSTRUCTED.
OWNERSHIP OR NEW WAYS ARE SHOWN.
WHEN BUILT
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JUN -2','-2006 14:46 LH`. LUHS ! LU111's C.
TOTHL F.O2
w-
9
Date: 5/10/06 Page: 1 of 2
Mr. and Mrs. Dave Castricone
7 Hillside Rd.
Boxford, MA 01921
Liss
:ontractor
ewall Terrace
>n, NH 03811
362-5185
www.garylissbuilders.com
Quote includes labor and material (unless otherwise stated) to construct a 2nd level on existing house
(31 Court Street); kitchen addition and garage with room above and behind according to plans
submitted by owner; which entails:
- Excavation
- Foundation
- Poured concrete floors
- 2x6 walls
- 2x10 floor joists and floor trusses
- % T&G "Advantech" subflooring glued and ringnailed
- Attic roof trusses on 2nd floor addition allowing for a 12' x 46' storage area w/subflooring
- 1/2 fir plywood for wall sheathing
- 2 x 4 partitions
- Ceilings to be strapyed with 1 x 3
- Stairway to new 2° level and stairway to room above garage (prepared for carpet)
- Redo existing basement stairway (prepared for carpet)
- Install windows and exterior doors in new construction and existing house=where indicated. (owner to supply
windows and doors)
- Electrical receptacles and switches installed according to code; 12 recessed lights; smoke detectors; new 200
amp service; necessary demo; three fanlights in bathrooms. Apt. to have separate service.
- Insulate new construction to code
- Install kitchen cabinets and vanities (owner to supply)
- Tile floors in kitchen and baths (owner to supply tile and grout)
- Construct "archways" as indicated in existing house
- Remove basement ceiling as needed and install new 2 x 2 suspended ceiling tiles
- 5x7 balcony
- Remove debris
- Remove existing garage and dispose
- Remove existing roof and dispose ($2800.00 allowance included)
Does not include:
building permit (cost to be determined by inspector), plumbing, heating, sheetrock, interior trim, flooring other
than tile in kitchen and baths, siding, roofing, windows, doors, painting/staining, landscaping, or driveway.
Page 2 of 2
$207,850.00 Total cost
P4Ment Schedule
$20,000.00
Deposit/work begins
$20,000.00
Foundation poured
$30,000.00
Addition frame begins
$30,000.00
Second story frame begins
$30,000.00
Plywood on roof
$20.000.00
Electric begins
$20,000.00
Insulation begins
$15,000.00
Basement/archway work begins
$15,000.00
Kitchen work begins
$ 7,850.00
Completion/checklist
Acceptance of Proposal
The above prices, specifications and conditions are satisfactory and are hereby accepted.
You are authorized to do the work as specified. Payments will be made as outlined above.
.5-10-06
SU ed by: date:
t 6 ,lt•,
Accepte by: date:
f
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BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR #
Number: CS 053506 ,
Birthdate: 03/30/1957
Expires: 03/30/2007 Tr. no: 10574
Restricted: 00
GARY E LISS t
13 STONEWALL TERR G—
ATKINSON, NH 03811`
Commissioner
�iie T�omN�zon�.uea`�i o��ivladlac�ucGeL�6
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration: 112595
Expiration: -4/9/2007
Type: Individual
GARY E. LISS -
GARY LISS
13 STONEWALL TER