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Home My WebLink AboutBuilding Permit #298 - 84 PINE RIDGE ROAD 10/16/2006 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Of NORTil 1 0 r" Permit NO: Date Received Date Issued: ACHU i IMPORTANT: Applicant must complete all items on this page LOCATION q F, R,1 rint 9, 6, &L A32171,&O-J- PROPERTY OWNERy Jit, Cint Print MAP NO.: 6,!;— 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: C Repair, replacement ❑ Assessory Bldg ❑ Commercial Demolition Movin (relocation) ❑ Other ❑ Others: i Foundation only DESCRIPTION OF WORK TO BE PREFORMED r Identificatiov Please Type or Print Clearly) a 4 OWNER: Name: Phone: 93 Address: �2q 22 16.4 it= r CONTRACTOR Name: Phone: to Address: l/, dry b fT n V-a4- Mj� O ,$ Supervisor's Construction License: Exp. Date: Home Improvement License: ! b Y'S--L 7 Exp. Date: 9 bd o 2 ARCHITECT/ENGINEER Name: Phone: .address: Reg. No. FEE SCHEDULE.BULDING PERMIT.•S12.0()PER 51000.00 OF THE TOTAL ESTIMATED COST BASED ON SI25.00 PER S.F. Total Project Cost FEE:$ JQ (�-- Check No.: �O / Receipt No.: 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:INSPU TIONAL SERVICES DEP ARTNIEN'r:BPFOR4105 Paige 4 ot'4 J I TYPE OF SEWERAGE DISPOSAL Swimming Pools Tanning/Massage/Body Art Public Sewer Tobacco Sales IJ Food Packaging/Sales 0 Well '. Permanent Dumpster on Site Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contracting with irnre istererI contractors do not have access to the g antyfil 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 ❑ ❑ i COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS FIRE DEPARTMENT - Temp Dumpster on site yes no Fire Department signature/date COMMENTS i 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.: NOTES and DATA— For department use Parc 3 of'4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM0 5 OuteJ JNIC Jan 2006 r<. Location No. Date �G it TOWN OF NORTH ANDOVER 3� .• . ., of 9 Certificate of Occupancy $ �'sJ^cMus`� Building/Frame Permit Fee $ , 'a Foundation Permit Fee $ Other Permit Fee $ f TOTAL $ ?r Check # s 19691 y Building Inspector NORTIy Town of - Andover O �^ No. 198 dover, Mass.,�� T O - LAKE COC MIC ME WICK 2 V 7 ATE D PPS` 5 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System II�� P 0 BUILDING INSPECTOR THISCERTIFIES THAT......... .................................it.............. ............... ..�i...r��......................................................... ...... Foundation has permission to erect........................................ buildings on.... .......... L� .....xf. .��...... ......... Rough tobe occupied as.........S , ........t...... ............�C ................................................................... Chimney provided that the person accepting this permit shall in ry respect conform to the terms of thea lication on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough 13 f a PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTI ST S Rough ........ service .. .. . . ... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal 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. ''lae �omv»aoozroea�l/r o��/�ilaaoac✓uca Board of Building Regulations and Standarc i HOME IMPROVEMENT CONTRACTOR Registrations 104569 Expiratoric:=x/14/2008 Type: Private Corporation DAVID CASTRICGNE ROOFING;SIDING& David Castricone 200 SUTTON ST SUITE.-226', NORTH.ANDOVER, MA 01845 Deputy kdministra AC^CIRD4 CERTIFICATE OF LIABILITY INSURANCE lya7n(MmrDyYYYr, 06/26/2006 INtooVOER THIS CERTIFICATE IS ISSUED As A MATTER OF INFORMATION Internet Insurance ggen°y ONLY AND CONFERS NO RIGHTS UPON THR CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AMEND,WIND OR 522 Chickering Road ALTER THE COY RAGE AFFORDED BY THE POLICIES BELOW. North Andover, PAA 01845 'INSURERS AFFORDING COVERAGE zNAIL IM INGURO N9uAERA; NORFOLK&DEDHAM DAVID CASTRICONE WSUReR g; NORFOLK&DEDHAM ROOFING AND SIDING INC, NBU"Ikc: AIM 200 SUTTON STREET,STE,223 148URERD: NORTH ANDOVER, MA 01645 INEU ER S, COVERAGE& THE POLICIES OF INS'JRANC@ L;BTED BELOW HAVE SEEN ISSUED TO TnE INSURED NAMED ABOVE FOR TH6 POLICY haft=INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OP ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS OLRTIPIOATE MAY BH ISSUED OR MAY P91tTAIN,THE INSURANCE AFFORDED aY THE POLICES DESCRIBED HEREIN IS 9Ue4ECT TO ALL TAE TARMS,EXCLUSIONS AND CONDITIONS OR SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVS,BEEN RirDUGFO BY PAID CLAMS. 14 R0 TYPG OP N9U C POLICY NUMUR Ll ITB A ciNiRALNADILITY ND-P-0098678112!2006 8/1212007 EACHOCCUARENCE s �,DoO.000.w so,000.00 �/ CONAgERCLt_GENERAL LIABILITYRml CLAIMS MADE [] OCCUR MSD G%P wy qAe PIM2) 9 5Ap0A0 PERSONAL&ADV INJURY i 4,000,000.00 -- I GENERAL AGORBGAT5 1,000.000.00 I PRCDUCTE•CObINOP AOI:r 1,000,000,00 ZAWL AQWWQ*TE LIMP APPUeS PER POLICY PRoJEOT LOC g AUTOMOBILK LIABILITY 44508400001 08!01!2006 08101!2007 c�pMB�11 0 1NCLE Luer s ANY AUTC A`LOYINEDAUTDS 80«ILWN URY s 210,000.00 ./ BCHECUL60AUTOS (PP HIRED AUT09 (Par iLy V 1600,000.00 NDN-OWNED AUT0a !Par da+l $ AUTO ONLY-EA ACCIOEyT OigRAtiE LW;ILITY Ty EA ACC E ANY AUT° AI7T0 OAL 6 axam APA"ALIABILITY eACHoCCURRMNOE i OCCVR CLAIMS hIADE AG3REGATE E I s DEDUCTIBLE HETEh71gN S C vroPt�KrI cpe�PelrL�wnTwNAND VWC 800$480012004 09/23/2006 09/23/2007 I 00400.011 F.L.EACH ACCIDENT s ANY PRR��ppRIeTO V0ARTN5RfMCUTIVf ei DE&SE-NAEM2-OVIN 1 500 000,00 OPiICBRlN�ihIDER RXCLUDE09 ,000.00 y� be under II.L.DIAWS•POLICY LIN! i PGC L PROVIB17N8 belcv OTHER ' CERTIFICATE HOLDER CANCELLATION SNOULo ANY OF THE ABOVE DE80RIRRD POL10161 sm OANGRLLflD EEFORR THE BXMPAT10N DATE THiREOF,THE Ia0UW6 INSURmR WILL ENDEAVOR TD MAIL 020 DAYi WRITTEN NOTICE TO THE CERnFICA S HOLDER NAMED TO THE LEFT,BUT PAILURRI TO Do 60 SHALL IMPOSE NO ObUGATION OR LIABILITY GF ANY KIND UPON THE INSURER,ITS AM40TS OR REPREt:6NTAT1Yfi4. AUTNDRI2ED REPRESENTATIV! *A RO CORPORATION 19", ACCORD 25(2001108) 'I I I `1 161,6 /0 DAVID CASTRICONE ROOFING,SIDING&REMODELING REPLACEMENT WINDOWS HOME IMPROVEMENT CONTRACTOR REGISTRATION NUMBER 10456 D g 200 SUTTON STREET,SUITE 226,NO.ANDOVER,MA 01845 7 HILLSIDE ROAD,BOXFORD,MA 01921 ocl 2401 In North Andover 978-683-3420 In Boxford 978-887-6147 In Haverh111978-374-7314 BY---------------------- I/we -------------------- 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.....f �11.S.drx� ......1.•Y .hl. �.. .............TAephone#... g Job Address..... 1 aeras.... .. ..... . C.......City.. b.,.......... . .,-CX...................State....../.......:.. Specifications: I TIUNDELS7MM GEE ............................. .............. .. . . . ... ... .... ........ . ............... .. Strip existing shingles/) +&pply new drip edge to all edges. .pl..........................f.eet......ice... ...an......................................................................................................:................................................................. y_� d water shield membrane to bottom edges of house. 3 feet ice and water shield membrane `ap in valleys and bottom edges of any unheated areas of house. y .................................... Apply felt paper underlatw-- ant. ✓Install ridge vent to � S� ^n-.:c �n roXs �G .a ............ i ...... ................................... ................................................................... eroof using shingles with a 30 year warranty. .... ..........................................................IV................................................................................................................................................ ounterflash chimney. 4>9W vent pipe flashing. &4;6gal disposal of all debris. ....................................................... a............;...... ....................................... ......................... Area(s)to be worked on: t ...... . ............ .... 1. . . ..... ....Q .. .l l k..KS..�... .................................... ... i .i.9.A. ......1�. Cr( ......kt-e.` .. .................................... .....................................................................................................................................................:................................................................ One Year Workmanship W ransferable) Manufacturer's War ty as specified b a f urer Materials and Labor to ost$..10."f s..b........ . ayable..i.!..2-�Q.......on .... ....... ............ Payable............................. ..............................<0 Balance payable 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 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 terns and conditions of the contract and/or any lien in connection herewith. Wfurther 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. e 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 waminties,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•rclated 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 farther 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 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...........�. .......day of.C},C.F'.................20.0k...... e Accepted: SignA �r^....................Owner Signed................ :.......................................................................Owner Per....... ........................................................... Representative