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Home My WebLink AboutBuilding Permit #164 - 60 EAST WATER STREET 8/31/2009 BUILDING PERMIT of NORTH qti TOWN OF NORTH ANDOVER or '. - -'6'° oZ. APPLICATION FOR PLAN EXAMINATION 7° Permit NO:-Aa Date Received p�N^7E0 I.PP` .�5 �SSACN�IS�� Date Issued: ` IMPORTANT:Applicant must complete all items on this page LOCATION-4$ F 0-5f OcLt_r -Se-A- Print PROPERTY OWNERC"DtS�CSlde Me6W '1S t1SSd��ho Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop 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 Floodplain Wetlands Watershed District T Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: 4(1 Identification Please Type or Print Clearly) OWNER: Name: '-bXMI s Ibe- V\'oyleoww� ASsa c r -h d— Phone: q-)8 `7aS00 Address: a ea s+ l06*f S`V-e--t' n c H. R r'deve< (V\/'V CONTRACTOR Namel &TI?1Cc�O�- &--I N6 }1 S1 D 1A Phone: 9 Lo a N 0 Address: aOO SOAAT;\ S'ATf- A &ui-)Cp Z-Ii. Nb(-k' -TTS t4ye/ 0I'P.- Supervisor's Construction Licenser C.Sc.S?aVe) Exp. Date: -!ka 'd-O 1 Home Improvement License: 10 L4 20'w Exp. Date: 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: $ 1 "1 ESD �J FEE: $ �- Check No.: Receipt No.: C�� NOTE: Persons contracting with unregistered contractors do not have access to the uaranty fund ........... . c :Signature of Agent/owner Signature of contractor Location "F No. f Date 05 NORT1y TOWN OF NORTH ANDOVE' 3?O�t•`•o I•,MO F a . i Certificate of Occupancy $ NUBuilding/Frame Permit Fee $ — SACSE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #daC/ 22" 5 `/ '! Building Inspector Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales '•.--_ .; 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 NOTE: HEALTH Reviewed on Signature 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 'DPW Town Engineef:.Signature: ' Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS 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-$1000 fine NOTES and DATA— For department use) i ❑ Notified for pickup - Date i Doc.Building Permit 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 o Copy of Contract ❑ Floor Plan Or Proposed Interior Work o 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 o 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 o 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 o Mass check Energy Compliance Report o 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 06/24/2009 12:29 9786833097 PAGE 02/02 DAVID CASTRICONE CASTRICONE ROOFING&SIDING INC:. a,U`.i ROOFING,SIDING&t REMODELING REPLACEMENT WINDOWS HOME IMPROVEMENT CONTRACTOR REGISTRATION NUMBER 104569 ��e . . . 200 SUTTON STPXXT,SUITE 226,NO.ANDOVER,MA 01845 In North Andns;r 97"5-342U In flo#0d 978-88761[7 In HaverhW 978-994-9311 Vwe 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 nod conditions,on pre;mi�beloZ )"o—, bed: � �.�� L,y�t�7P! Owner's Name------- .. .Lt p ---1tas..2AW..YW.C.f.SC .$.A/.i.............Telephone#.............- Sob Address-fJ� " .tk tr,.,.l..�,.• .... ..� o.k k�.-- ity...,., ay... ,> aV-e-le................Sulo......MA U Specrficcula»s: ................. [✓Strip ez;atlnq abingles ,,Apply new drip edge to all edges. J?" ................................................................................................................—-.......................................--•--•--..............................................--- ✓Apply-_,feet ice and water shield membrane to bottom edges of house. 3 feet tee and water ab membrane in valleys wad bottom edges of stay unheated areas of pause. R t� rpt rs-.., r s L . t re ................ ................ .. ..--..... ....... ...........__.... i4pply felt papcir atnderlaymeot t.Inatall ridge vent to ff ................................................. -......• ....................d......_........... ioof using r shingles with a Lz year warranty. ....................................----..._.,........,.................................... ....................,......-----------.............................,............,.................. ..Gaunterttlash e6lmtoey. rAicw v nt pt�hashing. ._.begal dispoa}aI of all debris ;......•.........................3..::.. 7`ca, ...--..................................,..•..,.........................................:2,............................................ Area(s)to be /..•a >ti worked4....o...:.... ............ 1—........� .,....�., -•-•-- , ...-........................ Ii. ......................................... ................ ...... , ....... ..............................CV2.7 J..,...-- -----•----br..I.....L1 '..... �....--�...... .. .�.i ... .................... ............., ...... , Roof board replacement if necessary (t7 /Sheet or !foot. Two Ycar Workmartsli.p Warranty(Not Transferetltle) iV(buufacturer's Warranty as%Pee e y fo nufa rer00 I[l The c to agrees t perform the work d f lisle the materials specified above for the SUM o �.. �(�.:,...... ayable.....;�...........:...on...S�u. ............ Payable......................------on......................,...- .....d2 i1B1L le nn c Ictitm of lob Owner or Owners arc not mponsible Jot fir perty DiunUc or l labaity wht ejob is in opetwoo. Conkactw is not rvspaulblo fbr ww damage to the irWTior of property,inoluding pre-existing eonditims(ix,water aaim,onu.bling plata,ctpowd.oils)ar WRdj4Qn3.salting frtnn applteatio.R of rgazaiars specified above(kc objects coming loose from walls,au WAS plaster,axpoced nails,dual 61 attic a other ii,ri% spam).Items in attic stay need to be covered by homeowner-All materials aro property of contractor.nay dumpstor plaid by 9munaor ie for his awe only.Up.. gwnplotioq of above work all wdasiaoed agree to execute end deliver to contractor,their joint note in awordm,ce with his(thea)above obligmlon as reQuested by contractor.Upon tufinel to dq so,contractor may at its Option declare the entire contract price or so much as teat reinahw unpal(t immcdiawly due sad payable. It is agreed that dpataitrcd by tow,ooRxn=r shat!be paid by the owrm(s)oil fawnable costs.attomey Ibcs and expanses,in gdrtition to the anwont duo'iod anp'aid,that shall be incurred in enforcing tea Wee s and conditions of the cwut w and/or any lien in connection herewith It it f offw agreed Jim this contim moy be sniped by contmaor,and also that ate oblipations haoof shall bind and apply to Ikir heirs,succown or.states of the panles.7hc undmig od wmnint(a)that he is(they aro) the owoers(a)of die above o m ioned pmrnisos and that legal tide tbemto stands of nxord in his(their)naw a(s}71we aro no mpresentatioru.p araadea ar wertnntias,except succi R3 may be herein incorporated,it any,nor arty aglomicnts collataltl Woo,nor it the contract dependent upas w subj6d to eery conditions sot axl Wet 3ta .Any subsequent agmampt in%feamoc hereto shall be binding only If In writing bald signed by all parses. All Home Improvement Contractors shall be registered and any inquiries about a contractor or subconuutof relating to a i*savlion should be directed to:Director,Home Improvement Contractor Registration; One Ashburton Place, Ronan 1301,ao=ui,MA•62108 Tei:617-727-8598 Any and all necessary construction-rclarcd permits shall be obtainod by the Contractor, Any Owner who secures his own oonskuction- relatod permit or deals with unregistered a inumetors is excluded from tho Guaraoty Fund prhvvisions of MGL e.142A. Approximate starting date of work................................................ Completion date.............. Receipt of a copy of this contact is hereby acknowledged,and it is further aclmmvlcdged by the undersigned that like foregoing provisions have beau read and the contents Illcroof understood and chat no ropreseritation or agtrcment not heroin coutaioed shall be binding upon flu parties and that all of the agcemtemts trod Imder9widings of said parties are contained herein, DO NOT SIGN TWS CONTRACT IF THERE ARE,AIt(Y ALANK SPACES Owner has tbu-ee busieaess days to cancel this contract and ittry r no penalty (ace notice of cancelMon). IN WITNESS WIIEREOF,the:patties have bereunto signed their names this 1 14.day of .1r4? ...,200- Accepted: � I' Signed r ,..._......... .. kAahaer S " Jut�s1- Sighed--------------------......----................. ..... . ..... ... Owner David Castricone,President �, I S C pig f� Ml of�'a Ur+a q(C-1 ��' 'CUP bi � `�j� t V)e, �c�f- b!") C o plutdc, seg C + �� I t ✓tom �� .� i- �C I ark CS l�U�, u�v �j/� a IS•© -� NORT#q Town of Andover 1: ed z-- o dover, Mass., �� g 2 COC MICKEWICK S BOARD OF HEALTH PERM , IT T D I Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT....f . ?J ...5". °......... ................................................................................. Foundation .......... buildings on .-..�s. ....... 7-.... ��` - ..... has permission to erect............................. g ! _..... Rough tobe occupied as.... . ...... . ...... ....�......../ ' -............................................................................................. Chimney provided that the persona opting this permit shal41eve"r"y 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 C�43 PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough `-� Service BUILDING INSPECTOR 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 Will To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. The Commonwealth of Massachusetts 1. Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 F www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print.Legibly Name(Business/Organization/Individual): �J�V I n� slal C0 9E Q00F 19(r 1- SJ of 1.1&, 1 &)C Address:_ ADO Sc)-rTDN ,C-rftb&-T Su 1 T i.. Z 2-b City/State/Zip: N•AN W V61Z NA Q i N T Phone#: 918 03 34�0 Are you an employer?Check the appropriate box: Type of project(required): 1.2 I am a employer with_ 9 4. [] I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. E]New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have g, E] Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp.insurance.$ 9. Building addition required.] 5. [I We are a corporation and its 10.0 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.[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. tContractoes 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: ,C1 Suf0.RCC Wth t)rx/t u o E �� Policy#or Self-ins.Lic.#:_ WC-601775L Expiration Date: Job Site Address: oZ I,IJ0, S+rec-+ City/State/Zip: ��01 Mb 6 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. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature: Z� - Q lj� r I,-,es- Date: b? O Phone#: 17T (o 9 3 31 d o 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#: ACORQ. CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDD/YYYY) 8/5/2009 PRODUCER Phone: 508-651-7700 Fax: 508-653-8089 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 Cc of State PA David Castricone Roofing & Siding Inc INSURER B:Citation Insurance 40274 200 Sutton St Suite 226 INSURERC: 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. IMSK LTR INSRL TYPE OF INSURANCE POLICYNUMBER POLICYEFFECTIVE PODCYEXPIRATION LIMBS GENERALLIABILITY EACHOCCURRENCE $ COMMERCIALGENERAL LIABILITY PREMISES DAMAGE TO RENT r2r $ CLAIMS MADE OCCUR MEDEXP(Anyore person) $ PERSONAL a ADV INJURY $ GENERALAGGREGATE $ GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS-COMP/OPAGG $ POLICY PRO LOC B AUTOMOBILE LIABILITY 09MMBCNGCV 8/1/2009 8/1/2010 COMBINED SINGLE LIMIT $ ANY AUTO (Ea acciclerp ALL OW NE D AUTOS X SCHEDULEDAUTOS (Pet person) URY $250,000 X HIREDAUTOS BODILY INJURY X NONaWNEDAUTOS (Peracckiern) $500,000 PROPERTY DAMAGE $100,000 (Per accMent) GAR AGE LIABILITY AUTOONLY-EAACCIDENT $ ANYAUTO EAACC $ OTHER THAN AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACHOCCURRENCE $ OCCUR FICLAIMSMADE AGGREGATE $ DEDUCTIBLE RETENTION $ A WORKERS COMPENSATION AND WC5877756 9/23/2008 9/23/2009 }{ myLIMU- OTH- EMPLOYERS'LIABILITY ANY PROPRIEiOR/PARTNER/EXECUTIVE E-L.EACHACCIDENT $100,000 OFFICER/MEMBER EXCLUDED? El-DISEASE-EA EMPLOYEE $100,000 If yesPE6un tler dgscdbetlerSIAL PROVISIONS below E.L DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL 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 01845 THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) oACORD CORPORATION 1986 `i:►ss:►rhuscll� - Dcllartnunl ui' Public �afct� uu�� ' 1� � ✓�e "C�!nrremnnruealr/ o//,'..�A"U"uraiiee�rii BO.11'll Ilf Bllllllln- (Zt! t11;It1(111s ;111(1 titJllUal'(is Board of Building Regulatiods and Standards Construction Supervisor Specialty License ".= License: CS SL 99358 HOME IMPROVEMENT CONTRACTOR _- -_ - R = Registration: 104569 Restricted to: RF,WS Expiration: 7/14/2010 Tr# 270265 Type: Private Cor DAVID CASTRICONE Yp potation 31 COURT STREET DAVID CASTRICONE ROOFING,SIDING& NORTH ANDOVER, MA 01845 �4' .. David Castricone 200 SUTTON ST SUITE 226 Expiration: 12)1612011 NORTH ANDOVER, MA 01845 Administrator t'umni..i n•r Tm: 99358 y 1 Town of North Andover °£�t��° 6"tio Building Department �'� 61.0- 27 27 Charles Street North Andover, Massachusetts 018 `Y 5 (978) 688-9545 Fax (978) 688-9542 �SNCNUS�� DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of. Building permit # the debris re:;i.;Ming from the work slutll be disposed of in a properly licensed solid waste disposal facilit as defined by MGL c11, s150a. The debris will be disposed of in/at: Nd Facility h , Signature of Applicant r/?//09 Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector.