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Miscellaneous - 230 APPLETON STREET 4/30/2018
/r ry2 230 APPLETON 210'064_0-0132-0000.0 f w i i i i C i I i i t i i PQ Box 55098 Boston,MA 02205_.5098 . 617-951-0600 Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B To: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectman City Hall City Hall NORTH ANDOVER, MA 01845 NORTH ANDOVER, MA 01845 RE: insured: BRIAN RANDONE and DARLENE RANDONE Property Address: 230 APPLETON STREET,NORTH ANDOVER, MA Policy Number: HMA 0386056 Claim Number: BOS00055091 Date of Loss: 2/21/2015 Company: Safety Indemnity Insurance Company Y Claim has been made involving loss damage or destruction of the above-captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be applicable. If any notice under Mass. Gen. Laws, Chapter 139, Section 3B is appropriate,please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim number. Allan Leavitt Claim Examiner 3/12/2015 Safety Insurance Company Homeowners Claims Unit P. O. Box 55098 Boston, MA 02205-5098 Phone: (617) 951-0600 EXT 3213 Fax: (617) 531-8891 Email: AllanLeavitt@Safetylnsurance.com of NQRth �A sQTr�eo. 1 * o w � S'Ic usel'i ORT 'a �� ALO T e1 978-68827� �UjLD Fes. 97 9545 ST G DEP 9542 SET T, I D ATE. I o � N � A1►� / 2G �� NTNG DIST o CT . TYPE OFBU � I STSs. DING LAY IAV o�PRG�DE AII,ABLE P D ANG Rk SPACES.. A W USAGE. NO • rp�� I: I S Np I �G INSPECT �- R SIGNAT i i J l N° 3 . 5 9 Date..... ... l (.......... NORT1� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING 4 t ; • o� tip# �O+•n° �y'(5 �,SSACIIus This certifies that ............................................................ �j has permission to perform ...... :.........� .<....................... wiring in the building of.......� ........ /1., ..................................................... at............................... ... .................................. ,North Andover, ass. Fee—.;'...:L`..... Lic.No. ............... . ......................... L/ EL'EGTRICAL INSPECTOR VCheck # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer nW C 0M4J0NWE4LTHOFMASSA(]WJSEM Office Use only DEPARTAiEWOFPUBLICS4FETY Permit No. i BOARD OFFIREPREVEM ONREGUT4TIONS527CMR1200 Occupancy&Fees Checked A UPPLICATIONFOR PERMIT TTO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes No r7l/ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service f—G-D Ampli Volts Overhead o Underground © No.of Meters New Service Amps Volts Overhead r--1 Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground 0 ground No.of Receptacle Outlets No.of0il Burners No.ofEmergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local a Municipal a Other Connections No.of Water Heaters KW No.of. No.of t Signs Bailasis f No.Hydro Massage Tubs /No.of Motors Total HP /I / OTHER �• ( L SG )tF1/1i1 /Gr.i���ry� I IASL n CCOMa Rasuantbthecegt�arta��Gaia�alLaws Ihaw aa ratLi h*h&r&xePbhqy nAxlingChq*ieOpwa6ons CoArdWc•itsstl3stribieWiv� YES � NO Ilmesthn advalidptoofofsmmotheOfre YES F1 NO If}mhmdiadWYES,pleases>d*tbetypecfamaWbydrdartgthe WStJRAN(,E M BOND F-1 ORi R r--J (PIeweSpacdy) E pidwDd e ` EtmF ed VakuedUecftxal Wo&$ WctkoSlatt• 1 // � )G I .�_. hq)eciwD&-RaWesWd Ra# FmW SignedunderlieNal pajwy. FIRMNAME / �` �*E' LitrneNa I�oaisae Sigwe Iicasel'lo rot 14 Business Tel Na 6pq- 9? 3 A&ktm / �L�dil /V I`J/L _c,� c — Ak.TdNa OWNER'SPgRA NCEWAIVEt;IamawacetbattheLicatwtdo� �I d eitcstra> wyav eori mbWrAdewhaientasmqwWbyNbssxh&ascimmalLaws andfitmysigt mcnthspearkappficaimv iAsthismW'mnert (Please check one) Owner F-1 Agent a Telephone No. PERMIT FEE, $36, I Location r4wo No. Date t �Y NORTH TOWN OF NORTH ANDOVER � 9 Certificate of Occupancy $ E<� BuildinglFrame Permit Fee $ — S cHus Foundation Permit Fee $ , Other Permit Fee $ TOTAL $ Check # 19845 _ Building Inspector TOWN OF NORTH ANDOVER NORTH APPLICATION FOR PLAN EXAMINATION Of 4,�•� a 1tio 3? e._�+•_ � OL Permit NO: �O Date Received b +' i 41 47 Date Issued: SV CHusr`��g IMPORTANT: Applicant must complete all items on this page LOCATION ' 0? O A0 �b� SI CCGf Pript ^ PROPERTY OWNER 50 e— Camp / Print MAP NO.: PARCEL: �3 ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building �ne family ❑ Addition ❑ Two or more family ❑ Industrial Alteration No. of units: epair, replacement ❑ Assessory Bldg ❑ Commercial Demolition Moving(relocation) ❑ Other ❑ Others: i Foundation only i DESCRIPTION OF WORK TO BE PREFORMED 02 r CP i6tLCIY1Qg� W) rld o j (3u )(i-d /)J (QC� Identification Please Type or Print Clearly) OWNER: Name: 30e (��-Y�1� 6cl Phone: 0S -,330 y Address: 023 re.eA nh (+[, A r)�4 ✓C/ CONTRACTOR Name: ,J. AC��YLQ 206�N S � � Phone: Address: .9-OU SU'r)%r, 3 Ald bVell Supervisor's Construction License: Exp. Date: Home Improvement License: Lf �-b C1 Exp. Date: -1W ARCHITECT/ENGINEER Name: Phone: :address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON 5125.00 PER S.F. j Total Project rCost FEE:$ Check No.: c �` Receipt No.: 11age Ior4 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 DEP.%R'1'M1IEN'r:BPFOR�105 Paige 4 ot'4 TYPEO Public S F SEWERAGE pl ewer SPOSAC Well Pr T annnn91Nl ivate(Sept'.tank, et Tobacco Sa/essage/Body Art l� c. es S tVOTE_ petro L i Permanent pumpster o F F Ing Pools r Stgnahtre �s`Oitrroc f/ted'w`f!I n Site 11 Food packag;nglSales \ Puns Sub °t Agent/Own1snre�`srere�/eo Electric M mttted nfrel, Mo mor Profeet eter location to Plans Wat ved /t4ve��eeess to f/le THE 0 signatur gkr�,on F�LGpWIN Certified e°f contract `n� PLANNING 1 N ERDEP C SECTIO Plot Plan °r &D ART MENTAE SIGN 0"" �.. Stam CO EV ELDPMEN DAT CN AFF_ FORM iv�Y Ped Plans � a / � MMENZS T E IZE.IECTE , D 0 DATE ApPRO VED l CDNsknVA7,IoN N( COMMENTS DATE 1?,P CTED DAT E ApPR4V I KEAL1 ED N I CoMMENTs DATE RE JE CTED 1 FIRE DATEAPPROVE D Fire DEPART�IENT _ epartment si Temp DumPste COMA1,ENTS gnat"'c1date r on site Yes 1 Zonis, n0 P �Board ot'gppeals: 1 lanni ar�ance ng Board pecision: Petition No: conservation I � Decision: Water&Sewer connection,,, COn'menrs Zonin�pecis;on, rece. oniSi nature Comments 1pt Sub, ;"tted &pate Yes Dr,vcwa Permit �`.3 ot'4 1 Poe: /N.SPp , t _ a IR?Vic, T/18 TMFNrBp ' F�)RM05 ASeS` Qev <� �oo oe .� ,F i k ,z 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) i I Page 3 of# Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORMO> O caied JNIC hn_006 II TYPE OF SEWERAGE DISPOSAL Tanning/Massage/Body Art E] Swimming Pools Public Sewer Tobacco Sales L Well Food Packaging/Sales El Permanent Dumpster on Site � Private(septic tank,etc. _! Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty Ind 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 r r FIRE 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 NORTH Town of No. 4P 06F 70 0 o 2 COCMIC MEWICK 7,9 RATED % BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT 3.t*P�.......C.&.M. {.LL........................................................................................... Foundation has permission to erect................ ..................... buildings on.�w �. �. .%n.........�.q............. Rough `` '' p to be occupied as �� �t •.T............QIr . ............................................................... Chimney .... ........ ....... . ...... . provided that the eon acce tin tis permit shall in eve respect conform to the terms of the application on file in P P P g P every P PP 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR 1� UNLESS CONSTRU 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 Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. ?,1.2-9P166 DAVID CASTRICONE ROOFING,SIDING&REMODELING REPLACEMENT'WIN OWS 5� HOME IMPROVEMENT CONTRACTOR REGISTRATION NUMBER 104569 D g C ITdS V M D 200 SUTTON STREET,SUITE 226,NO.ANDOVER,MA 01845 7 HILLSIDE ROAD,BOXFORD,MA 01921 OCT 18 2006 In North Andover 978-683-3420 In Boxford 978-887-6147 In Haverhill 978-374-7314 B y.---------------- --- Itwe 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: Owner's Name...........i h.�........ .....................................Tel hone#...G.. :.. .r, ......... Job Address..., 3. .... �...� rim .... .....,r..............City... m t ............State...—A[ ........... Specifications: ............................................... . . ............ . c /.rx. .. ................. s� f.Y .�........(/.t.rLs�. ..r . ......tS� / ..fir .�.� ..... t u3S........� i....... .A.�,.i.......!........... .... ,s}... .. ...,r.r�......s ...lnScnx�.xs, .. ........ ` r . l.. �1/ ........................................................................................... �P i .......CyS ........ .... '........................................................................................ �. ......w.�.. �. ...................................................................................................... ..........I......... ..... ..... ..................................................................................... ...................................................................................................................................................................................................................... ..................................0-ZI.. ........�.V..V.2 ................................................................................................................ One Year Workmanship War t Transferable) Manufacturer's Warradl as specified- p-y--m—an-ttfqcturer e ; Materials and Labor to t 9. s....... ..7.�,.U.. ...... Payable...'t"�.�.lo.. ........on.. / Payable............................. ............ Balance payable on colfvFc, pletion of job Owner or Owners arc not responsible for Property Damage or Liability whilejob 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 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 pemilts 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. Approximate starting 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 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. f IN WITNESS WHEREOF,the parties have hereunto signed their ttames this.... .. .X.......day of... ....................20...IQ.tr... Accepted: Signed... ... ........................................Owner Signed.........................................................................................Owner Pei Representative Town of North Andover o* tAORTH � o Building Department � = 27 Charles Street North Andover, Massachusetts 01845 41 $ „i. (978) 688-9545 Fax(978) 688-9542 °� <°<;�;;,.K .V � Art DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of. Building permit # the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in/at: AW Facility location Signature of Applicant <� 6 �t3 L Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 °'M s• www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):Dav i CJ Cas+(1 cone— RpoA-�hG h Address: IDO &4Lr\ S�C_+ - S-A� ZZ(o City/State/Zip: N d. A060f 0 t%qS Phone#:-9-7 6 8 3 3`{ o Are you an employer. Check the'appropriate box: Type of project(required 1.)6 I am a employer with % 4• ❑ I am a general contractor and 1 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. I ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for in any capacity. workers' comp. insurance. 9. E] Building addition [No workers comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.[:1 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12•❑ Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] 13.�Other Gam_ '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 their workers'comp.policy inforTnation. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ! t • � • I� ,11,xVY' G n Policy#or Self-ins. Lic. #: V C / 00 lp4 0 OQ I "Q b`f Expiration Date:_ Job Site Address: A20 A-pp k-hh 3fyce-t City/State/Zip: n at"k &Or(/✓(5, aayy 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 tine up to$1,500.00 and/or one-yearimprisonment, 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: C Date 11/30 / (C Phone#: ! 7 0 6 f 53 Oficial 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#• Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number-listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in I (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax#617-727-7749 www.mass.gov/dia 00/06/2006 08:53 FAX 6038937584 APPLICATORS SALES 0003 f Portland 400 Warren Avenue,Pordand,UX 04104 207497-7950 Fax 207497-5846 1113 Bangor 35 Godsoe Road,Bangor,MB 04401 207.947.8112 Fax 207-947.4386 Auburn 80 Kinybawk Avenue,Auburn,ME 04210 207-7844525 Fax 207-7$4-0569 i FAW W Augueta 14 rxabriel Drive,Augusta,ME 04330 207.622.2224 Fax 207-n2.4841 � 15 Keewaydin Drive,Salem,Mi 03079 603.893.6454 Fax 603-893-7484 APPLICATORS SALES & SERVICE, INC, 4 DuOts PAGE Stock Order 6033083-00 1 .}'' :y;:>:.. nj' $>' .9 �;�; >.��.. 2 "t"'�r5°((++��gqyy,''t :u:it.d:.....,e..m.r.�.o;ivf`a+"•"iF'�:•' ,., ., :<W%+:4}f..;4.%+::::i:�:��v::.::...>..:w,.,�oo..:..}. .. fir:.•:n?.Y.O:: -..}m.�:�..:';... .� n , .. .. .....::...t.:.%>//}:tt[?.'�t.x;:4':';}:�:.�I..,....ru.,.>•S,%.a.r:..a.r:..,...e:,;;.q...<•;�i�Y4;}.W; ..wr..!.ee:.v '• :% I�w:..:.ii ri:a:� •� �:�;�';�:w::''yti:;a�,a,aea:'�:Y:: ,ry I:y.. :•4T:.� <.W>. .!. xW.: .:W>. :x%+:,..Y'n '}h:t •,M, ,•xh:�}•,�:$. 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F ✓` k,,, ..� � '._. �N I`:,� NOT,CaS1rf �,?9-•�!�' t?3irii�iiiir�flr ilir:�,x�,iir.iirrrsrir"r a �flx JtJrJ• 7YY//I/ I =. 1 TA[3!Z�OuNOQEp v 30 0 30 -489.90--i uY �ki '_" 4 HHrwat `Xan�,'. 10H ..�.3 0 Hf �?L.5M1 s hJ � k 1 � � �t � 'f a 1, r t han 3 1;TAh32NO: 6 C � i �x , t a ITAMKO H0ISTURE GlIARO ICE-AND WATER 51L0 h0 80X ! s , fit 4 445o►+Oj FFA€li'� '�FhS.!-A,",KN �t? Fdtt�i 1 0 W Z f�M :s 0 X � 4 15 24 il5 ATER FTT;Fp1trt74, �3 yS 7� ii �M 4. :.]SSU � 11� �I � �1:°f/✓�Jrf �f' tll �.n1 - t+ I 2 7 f fcojftq mgke. SLre r" I r iC r. sft7i� µ24 �� f _ vt4 oo i.96,90 � (� ° 14stEI�EiDRIrROG6 M[t F1r{d €1 s r t i r {Y v ,4 r �� 5>>L'ld ,fatal � ''Jt ;'to!r!!r;!.f/l1AJt! 7� Tied.ra'V.�1Ar;J;1 63 i Tot�1 tsar w,B97.27. .. f 4- „ >ra2;/05 Total 27 W ai ti stir rj��Tj ax�ii+Eh r q 4 T.. ,� ti Lt ,i;'{ t + '! •+r ti..i� r'� € 2-- q� �til r /' P .d;��.,JY'i..''CvYt 446 6... . ROLEfl a ::OQn ryfi61 �a �1.'AM1 ii!UPE GUARD iGt•AND"WA 1ER. S,f j{-1.0 NO 80K d II f C N h- .5 R ''7 ��f,.•�4111,W'p NST" �NS F' I M f t'dentn;fl'cA'r�y,!pgv) Tlixsii'HC J015 f r, r` ;f / w I' k ldq Peg4A ` ( - ; 1 i' , � (, ,1fX 1 •_cwt. �, i..- 7.�'�A rs �.t��i �tlr�a' 24 E4Lr�; ii, S �;. MATERI K ' dTEFrwL R$CEi/EO BY DATE REGErvEO.. CARTONS . p' C� t, s;i• "L{i .' Yr F'f'/4': ^' T -:7: : . , t: <).l � '�:pa7r` •��y .5 ti s lrtal � 1. ij .i ri NFA Hi3 Xl; �t iAr: Ot t' ..:. ?" FI •` 11 4 vk -r y.r,n ri � �r i �. .«,.a, `-°c� t 1 r0 ."r?i'.i.F; i'F'' .'.`•m 7F t.0 1 t°q'+' a� 92. l.'O'iIUIIGlY7f.Il6CLUi1 O`f�!"�,1X3:1(LC�,CLdG'C�0 Board of Building Regulations and Standards _ HOME IMPROVEMENT CONTRACTOR 1 Registration: 104569 Expiration: 7/14/2008 Type: Private Corporation DAVID CAS"fRICONE ROOFING, SIDING& David Castricone 200 SUTTON ST SUITE 226 NORTH ANDOVER, MA 01845 Deputy Administrator' Location -Z 3o awls-m*i No. CA-Z— DateOt Z NORT01 TOWN OF NORTH ANDOVER -vAbLCertificate of Occupancy $ • �� : Building/Frame Permit Fee $ SACHUSE�� Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ z� / (Z), Z �3 wilding Inspector ' ~� 7 9 0 ami/93 o9t19 26•x► "57 Public Works PERMIT NO. �> APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE i MAP h40. i/ LOT NO. 3 2 RECORD OF OWNERSHIP DATE BOOK iPAIS — ZONE "T I SUB DIV. LOT NO. LOCATION2?-,Q A?''PLW1 ; i PURPOSE OF BUILDING OWNER'S NAME -3,q meJ +�U AM �) I NO. OF STORIES SIZEE Vf61 �U C_ OWNER'S ADDRESS Fjf aQ r)rjja�fTi�A/ `�L BASEMENT OR SLAB ARCHITECT'S NAMED Alo AJE- �(yY SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME An4e-lo ff. (�/YLLIJ/��1i/ SPAN -- DISTANCE TO NEAREST BUILDING JF DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR "' "" GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATER;AL OF CHIMNEY IS BUILDING ALTERATION 4 IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO 11EQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION �DrI.S'1'i�C�T sTA WCAfIY LAND COST SEE BOTH SIDES ���^`p 'T�^� ���(� ST. BLDG. COST y�(OI�.( E Ja � i�! y' _ PAGE 1 FILL OUT SECTIONS 1 - 3 {� J EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 jr;6-Lo EST. BLDG. COST PER ROOM J1 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING "R� 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED 2, 'l (0, BUILDING INSPECTOR SIGNATURE OF 6<VNER OR 15THORIZF-D AGENT 5 F E E -Z f� OWNERTELJ PERMIT GRANTED CONTR.TEL.N 7--3s76 7 nn 1 19 q CONTR.LIC.N 05 /J> H.I.C.# /o3g0 Ik`19.O2— Cwt iC 2-4q:1 BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY srORIES I THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE d 1 2 In CONCRETE 8L K. PINE BRICK OR STONE HARDWD _ PIERS PLASTER _ DRY WALL UNFIN 3 BASEMENT AREA FULL FIN. B M AREA _ FIN. ATTIC AREA _ MO 8 M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARDI"J'0 _ ASBESTOS SIDING _ COMMON _ VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I__� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLEHIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO g FRAMING I 11 HEATING n WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM F STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC Isr 13,d I NO HEATING 0 f F[ r ' Town of l' ( `f ' ` fir\ over �� - ` �O No. 04 2 � f t y �, _� -Nord ;At ndover, Mass., FxAgc�a� 1 199s* "1_ O -°� LAKE 1� �1 0 14 1 E p �f` 's BOARD OF HEALTH I L Food/Kitchen PERM IT TO B D Septic System ^ BUILDING INSPECTOR THIS CERTIFIES THAT �L ?'�!� .. �mMEL'�' .... ............................................................................................................................ Foundation has permission to erect... N—,MR_................... buildings on ... .......NPP * . .....�................................... Rough Chimney to be occupied as.&©.....!. ..... v". .--Y..... �' Y1....0-�AQA.G ...' ... RII... .. �4g E. C ney provided that the person accepting this permit shall in every respect conform to the terms of the app ication n 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 Final PEmvi rr E.XP1FZ ES ,,1N 6 I\'I0 t�' FJ S ELECTRICAL INSPECTOR UNLESS CONS 1 ,I J,N �, l,/` I_ �> Rough ... ..... ........ ...... .................. Service BUILDING INSPECTOR Final Occupancy Perrnit Required to Ocatpy Building GAS INSPECTOR Rough Display in a Conspicuous Place on 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 PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT f 8 ince . ,1k t1\ MT, 1:i 1 5111. OF PUBLIC SAFELY CONSTRUCTION SUPERVISOR LICENSE Ausber: Expires. 07/0111966 CS 054418 07/01/1995 Restricted TO' 00 ARGELO R 53 BELLEVOE RD 02184 HOME IMPROVEMENT CONTRACTOR Registration 103981 Type — DBA 07/10/96 Expiration Angelo R. GalluzzO Angelo R. GalluzZO '�iellevue Rd ADMINSTRATOR Braintree MA 02184 DRIVERS -ICE RIVER,S .#;A05-03-99 "995433— -J 5 5 Dup Luzzo ' I +c10 ANSF I-LSVUE RD go *z 0 R 53 BE fkEF MA ------------- Licensed & Insured A.R. Galluzzo 617-356-3717 General Carpentry Braintree,Mass 02184 Proposal To: Jim & Sue Campbell 9-22-1994 230 Appleton Street 1-508-685-3304 N.Andover,Mass 01845 Frame stairway going into the garage area from the first floor area. Blueboard new walls to match the existing walls and skimcoat plaster. Supply and install all finish trim needed to match the existing trim. Supply and install 1 flush steel door unit at the base of the proposed stairway. Remove all the job debris from the jobsite. Total job cost stock and labor: $3, 145.00 Price does not include any: Painting or staining Plumbing or electrical work needed Thank you, Angelo R Galluzzo r 61q,356-3g1q 1 11u22o ' p.R•`� Li G 'entry d aCarpMass InsureGegntr8�ral1 cense Prposal 22 199 4 9 330 � To • sue cam sb reet Sim & leton 230 app el: ��4aSS O1 45 the first from e garage area walls and going into title the existing to match the Fra°je ar away Walls to matcl' h trim needed at the base of floor rd new r • finis unit Bk eb °at d anstall all ush steel door Site , Supply a trim•install 1 f l the fob Supply a osting a ed stair debris ay f r°m the 'Prop the J 45 .00 1 R m°e all d labor .$3 . 1 ob cost Stock an Total J de any es not inin9 work needed P ice do °r sta rical ing °r elect 'Pain l mbin� p u Thanb you- Gallu7ZO R Angel° l