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Home My WebLink AboutMiscellaneous - 432 JOHNSON STREET 4/30/2018 (2) 432 JOHNSON STREET 210/038.0-0017-0000.0 Location 4.3a No. o213 Date NaRTM TOWN OF NORTH ANDOVER f 9 Certificate of Occupancy $ s��Nus Building/Frame Permit Fee $ S' Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # Building Inspector , TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED. M SIGNATURE: AA ( BuildiCeqgwr(hissioneiffMator of Buildings Date Z SECTION i-SITE INFORMATION 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: X13 > Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R red Provided R red Provided 1.7 Water Supply M.G.L.C.40. 34) 1.5. blood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record Name(Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O Z rn Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O � License Number Address Expiration Date ic Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ 0 Company'Name V rn Registration Number r Address �� r f ' � a- z Expiration Date �y S n�ature Telephone r• SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. -Signed affidavit Attached Yes.......0 No.......❑ SECTION 5 Description of Proposed Work check all a h'cable New Construction ❑ Existing Building ❑ Repair(s) V Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: 01 COOZ SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building Ck�l (a) Building Permit Fee V Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief '\ Print Name Signature of Owner/A ent Date t NO.OF STORIES SIZE BASEMENT OR SLAB RD SIZE OF FLOOR TIMBERS 1 2 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ��J Castricone Roofing & Siding REPAIRS FREE ESTIMATES ib Telephone (978) 682-4266 MARIO CASTRICONE 1. 31 Court Street,North Andover,Mass. 01845 I/we,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 ..................... .>. 1 -..........................:................................................................................................................. XJob Address.. ..1. .......... . J. .... .........................City.\ .,..., /. ...Sta ....................... SPECIFICATIONS t i ..-....................... ............�. ....... ................................ .............� -................ .......................................... ....................................................................................... .............. .............. ......................... .... ................ . ....... a-........ ....r ..... '. �. .s........� �.... .. . .. .. ...... ... ............... e......................................................... ................... . ........ .............................. .................................... ... ................................................ 1--Ir.......... V. .� `. .u,.... .:...........:_: ...... j..... .. ..........:........... ............................................................................................................. ../ ..... ....X. ......�; ...... ..................... ...................................................................... .. .. ................................................................... ...� .. ................. . ..... ....Y.. :,d........................................................................................................................................................... .............................................................QQ............................................................................ ................................................................................................................ Materials and labor to cost$. .�..4 .......................... PayableQl ...... .. ... ?.............................and balance in............ monthly installments of$.........................................each, payable on ........................................day of each and every month thereafter until paid in full (..............%charge per year is to be added to above cost of labor and materials and is included in monthly payments.) Contractor will do all of said work in a good workmanlike manner. Upon completion of above work,all undersigned agree to execute and deliver to contractor,their joint note in accordance with his(their)above obligation and a completion as requested by the 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 this contract and/or any lien in connection therewith. 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 undersigned warrant(s)that he is(they are)the owner(s)of the above mentioned premises and that legal title thereto stands of record in his(their)name(s). PROVISO:This contract shall be void and of no effort if credit approved of owner(s)is refused. There are no representations, guaranties or warranties, except such as may be herein incorporated, if any, nor any agreements collateral hereto, nor is this 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. Cover attic storage cleaning not included. 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. Owner or Owners are not responsible for Property Damage or Liability while job is in operation.`i IN WITNESS WHEREOF,the parties have hereunto signed their names this ....................L.6...... day o ....�. Accepted: Signed....../`.� .G :......... ................. . � Owner (OWNER HAS 3 DAYS IN WHICH TO CANCEL CONTRACT) Signed...................................................................................... Owner l � .................. ..... ... .......... Signed...................................................................................... Representative HOME IMPROVEMENT CONTRACTOR Registration 103317 Type - DBA Expiration 07/07/00 CASTRICONE ROOFING & SIDING C Mario T. Castricone G� �o 6L COurt•St. ADMINISTRATOR N. Andover MA 01845 • r The Commonwealth of Massachusetts Department of Industrial Accidents ' Office nffMS1192119ns 600 Washington Street Boston,Mass 02111 I Workers' Compensation Insurance Affidavit III IMPI 1;1_4 plain name: c ti a . t1l am a homeowner performing all work myse f. ❑ I am a sole proprietor and have no one working in any capacity ❑ I am an employer providing workers compensation for my employees working on this job. AH rntiddressh ' insurance c 02LFY r� r � . ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers'compensation polices: T cottioanv narnt*. . .... ....... ... - n t. ) ) Z t f ) . �. pone S .. .. ..r...:...... S � 3 h � ; r s insurance co. r '.:. � A. Y /y4]tYF S Y L) T .. ..... .. ... : ..:: ..:..;..f.: .. :..: .. :... :... i:;. ... -... w a' S1tY• , phone e # Failure to secure coverage as required under Section 25A of MGL 152 can lend to the Imposition of criminal penalties of a fine up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Office of investigations of the DIA for coverage verification. /do hereby certify under the pains and pen lies of perjury shat the information provided above is truelid c rrec C Signature /2 /e2r z;-- -�—�^ e9—:( Date Print name Y �l�•R L C �� t_0 t'!z Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license#_ OBuil:dDcpartment ❑Liceoard O check if immediate response is required oSeleOffice �11eaartmentcontact person• phone#; nOth (revised 3/95 PIA) NORTH Town of Andover y No. �/3 _ Y AS o �` dower, Mass., COCMICMEWICK ADRATED P? CJ 3 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......��.A..e.��...........0 r..l ............. Foundation has permission to erect..S. .V.p............. buildings on .... 3.. ..... ...�ps '..... . .. .............. Rough to be occupied as..4..�C.IV OO. .. .......................... Chimney ...... ..... ..................................................................... ......... provided that the person accepting this permit shall in every 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. A 1#407 4�, 00mv PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STAR 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. Date. .;? /9)��G.l..... NORTH o? TOWN OF NORTH ANDOVER f D • PERMIT FOR GAS INSTALLATION i o i SACHUS This certifies that . . . . . lye,,, . . . . ."-.-.. . . . . has permission for as in � . . . . . . . . . . in the buildings of . .J111-14 . . . . . . . . . . at . . . .. . . . . . .North Andover, Mass. Fee. . Lic. No..7 ?.� . . . Y ct� j -, . . . . . . WAS INSPECTOR Check# a G -" MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING JV6 rJl (Print or ype) �( / l t�" Mass. Date t� 201 Pemid ^�G! Building Location owners Na a k,150 AAIA I/y"fl , Type of Occupancy New❑ Renovation❑ Replacement: Plans Submitted: Yes p No❑ W 0 ao /G t�o/ m tu_ O W W Z < S tY. W > .LL J W O o _ 0 Cal LU 1 > a O OF SUB-BSMT BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR. 4TH FLOOR STH FLOOR bTH FLOOR r 7TH FLOOR - 8TH FLOOR 9r>5tailing Company Name yy! A -,4tjoC,L--Check one: certificate Address I/` 0 Corporation 2h A) p Partnership Business Telephone irnvCo. Name of Licensed Plumber.orCas Fitter INSURANCE COVERAGE: I have a currentli blilty insurance policy or its substantial equivalent, which meets the requirements of MCL Ch. 142. Yes No ❑ if you have checked yes,please indicate the type of coverage by checking the appropriate box. A liability Insurance pollcylrr� other type of Indemnity ❑ Bond ❑ owNER's INSURNACE wAPJERt: 1 am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permitappllcatlon Waives this requirement Check one: Signature o Owner or Owners Agent Owner ❑ Agent ❑ 1 hereby certify that all of tate detalls and Information 1 have submitted for entered)Ina application are true and accurate to the best of my knovNedge and that all plumbing work and Installations performed under the pe t ued for this a ation will be in compliance with all pertinent provisions of the Massachusetts State Cas Code and Chapter 142 of thean Type of License: By p Plumber nlilhature of LitMec Plumber or Cas Fetter Tick p Gasfit:ter cityrro— meter License Number 9&M APPROVED(OFFICE USE ONLY) 0 Journeyman Liberty Mutual. Liberty Mutual Insurance New England Region Central Property Unit INSURANCE 75 Sylvan Street Danvers,MA 01923 Tel:(800)566-0323 November 13,2015 Town of North Andover Attn: Building Inspector 120 Main Street North Andover,MA 01845 Re: Property Address:432 Johnson St,North Andover,Ma 01845 Policy Number: H3121823869340 Underwriting Company: Liberty Mutual Insurance Company Claim Number:032573191-0001 Date of Loss:1/25/2015 Attn: Town/City Official Pursuant to M.G.L. c. 139, � 313, please be aware that a homeowners insurance claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or causes the condition of a building or other structure to render Mass. General Laws, Ch. 143, § 6 applicable. You are required to notify Liberty Mutual by certified mail in accordance with Mass. General Laws Ch. 175, §99, if you intend to initiate proceedings designed to perfect alien pursuant to Mass. General Laws, Ch. 139, § 3A &B, or Mass. General Laws, Ch. 143, 5 9, or Mass. General Laws,Ch. 111,§ 127B. This letter should not be construed as a waiver or estoppel of any of the terms, conditions or defenses afforded by the policy or applicable law. Please direct your notice to the attention of the undersigned and include a reference to the above captioned property address,policy number,claim number,and date of loss. Sincerely, Liberty Mutual Support Liberty Mutual Insurance New England Region Central Property Unit 1-800-566-0323