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Home My WebLink AboutMiscellaneous - 44 LINCOLN STREET 4/30/2018 / -44 LINCOLN STREET J -210/056.0-0022-0000.0 L A� � �� yLocation yy k-- No. --No. �� Date �oRT� TOWN OF NORTH ANDOVER 3? i • o Certificate of Occupancy $ s's�cMut° sBuilding/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ _ `K TOTAL Check # 15372 ' Building Inspect/ i i t TOWN OF NORTH ANDOVER �I BUILDING DEPAIITMO ENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR.DEMOLISH..A ONE OR TWO FAMILY DWELLING i All AUE BUILDING IPERMIT NUMBER: DATE ISSUED: SIGNATURE: A ry `' Building Commisdoner/Inspector of Buildings Date *T:IO:N: 1-SITE.INFORMA,TION , .1 Property Address: 1.2 Assessors Map and Parcel Number: C(q 110 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions. Zonin District Use' ... Lot Area Frontage, ft 1.6 BUILDING SETBACKS tt Front Y-ard..,...., Side Yard_ . . Rear Yard R .red . ;:. _ Provide Provided Provided _ .1.9 SaweraW Disposal Sym la water supply M.G.1,.c.ao: sad l.s. Flood Zone lnfo®ahon: Public: .❑ Private ❑ Zone Outside Flood Zone.. ❑ Municipal ❑ Onsite Disposal Sym ❑ i SECTION 2-PROPERTY OWNERSE IPIAUTHORIZED AGENT 2.1 Owner of Record N tint) Address for Service Signa' Telephone 2.2 Owner of rd: Name Print Address for Service: SiTelephone 1 3 Tel hone SECTION 3-CONSTRUCTION SERVICES •. 3.1 Licensed Construction Supervisor. Not Applicable 0 Licensed Construction Supervisor. License Number C OT t Address r is ��ai k ur x t 4 >: r'•t-e,aye,s ti 4E�"'r` h- t xE -+" fit }-ems l$ r�-ie''��a +` T«> i a'� .a. Y` i,Y .3't i. "' ~_{�•^ e. S,n� 4;i't s.,•w1 ws,-� ka, f �t �-�''--„ '�., �Wi ,� �� S.."a 6 k 3 kt rx Expiration Date. Signature-._ Tel hone _. S, 3.2 Registered Home Improvement Contractor Not Applicable [J ego :ompany Name Registration Number r I',address r i nature Telephone Expiration Date - v SECTION 4-WORKERS COMPENSATION(AML. 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.......0 SECTION 5 Description of Proposed Work check all a Ilcable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify. �^ Brief Description of Proposed Work: ` /,0 / CVCI6Se e .i,S4l'`1 av� l `'dn-/i IN �l��n hti 5 SECTION 6-ESTIMATED CONSTRUCTION COSTS' Item Estimated Cost(Dollar)to be Com leted bpennit applicant. 1. Building O / (a) Building Permit Fee �• �- .:,. Multi"lien 2, Electncal :, Estmiate To aLCb&of ,> �), r CotM cttai.. _ 3 Plumbing Buildmg Kermit fee(a)x(N) 4 Mechanical AC 5 Fire Protection - -6 Total ;,I+2+3+4+5 .Check Number. SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES_FOR.BUR DING.PERMIT I I, er orized Agent of subject property Hereby authorize Itis to actor Mh?f, in al ma rel to rk authgrized b 's building permit application. 04 }i ld�2-- 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 bw and accurate,..to the best of my knowledge` and belief Print Name Si attire of Owner/A ent Date NO.OF STORIES _ SIZE BASFA4ENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 3RD SPAN r. DRVIENSIONS OF SILLS DDAENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X . MATERIAL OF CH 4NEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Town of North Andover �° ��•• ..1h o - Building Department 27 Charles Street r North Andover, MA. 01845 :' - '-- D. Robert NiCetta 'Ssc►n;5�{' Building Commissioner (978) 688-9545 978 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print DATE . JOB LOCATION �— r . Lilu o V Number Street Address Map/lot "HOMEOWNERLZ.1 ame Home Phone Work Phone PRESENT MAILING ADDRESS ::a�� City Town State 1 S i Zip Code The current exemption for"homeowners"was extended to include owner-(=upied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does. not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two family dwelling,attached or detached structures ac- cessory to such use and/or farm structures. A person who construes more thatt one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned"homeowner"certifies that he/she understands the Town of No.Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and r uirements. a C HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL own - of _ over 0 No. qqb d"A s C% = A E 6 dover, Mass., COCMICMEWICK V Ids RATED ok C7 r 7 BOARD OF HEALTH Food/Kitchen PER IT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....................... .... ................................... ........................................ �•••• Foundation has permission to erect......................................eas on ..��f�:. ....... Rough t0 be Occupied as...�! ........ ....pme ...../7!L�....... . ................... ........................................................................ Chimney e provided that the person accepting this permit shall in every aspect 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 Final PERM][T EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION T Rough . Service ................................................................................................................. BUILDING INSPECTOR Final Occupancy .Pe'rmit Required t0 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. Smoke Det. SEE REVERSE SIDE NOKTH F ® ® WIL over T C' � - LA E o � over, Mass., COC MICMEWICK V ADRATED `S BOARD OF HEALTH Food/Kitchen Septic System • BUILDING INSPECTOR PER IT THISCERTIFIES THAT........................ .... ......... ................................E.9: ............................................ Foundation om . . has permission to erect........................................ uildings on ..!....& ..... ... Rough to be occupied a ........ .... ....... Chimney ...... .................................................................. provided that the person accepting this permit shall in every aspect 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION T Rough ................................................................................................................. Service ' BUILDING INSPECTOR Final Occupancy .Per 11it Required t0 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' , r Location 17/el- Z16 r0 No. Date -� MaR,M TOWN OF NORTH ANDOVER O�i« u , 1ti0 i Certificate of Occupancy $ �7y '•C°'�"t 9 cHuse /Frame Permit Fee $ s� � Building/Frame Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 6� Check # 15391 Building Inspector t w TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: � /� DATE ISSUED: � i rn 62 SIGNATURE: Building Commissioner/In or of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: I Zoning District Proposed Use Lot Area(sf) Frontage ft 1.6 BUR DING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Re aired Provided 1.5. Flood Zone Information: 1.8 Sewerage System: 1.7 Water Supply M.G.L.C.40. 54) Disposal ys Public 0 Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record &0 ag4, Name(P#)) Address for Service f ire Telephone ge Z4,162 la& &iW:iL 2.2 Ow r of Recon c� lt � arl Name Print Address fo Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed C?nstruction Supervisor: �D��q 7 7 License Number Address /7 ®O` Expira ion Date Signature Telephone 3.2 egistered Home Improvement Contractor Not Applicable ❑ &:�Str( c Company Name Registration Number Address v "� Expiration Date Si nature Telephone _� i s ti 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.......❑ No.......❑ SECTION 5 Descri tion of Proposed Work check aD applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: ke/`�/0 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be MEE'FICIAL USE�(31�ILX " Completed by 2ermit applicantAp, x w� 1. Building (a) Building Permit Fee �J Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(e)X (b) e ,� 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 1, 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 1, as Owner/Authorized Agent of subject property Herebv 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/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS 1 s 2 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS DIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING. X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 1 r Castricone Roofing & Siding REPAIRS FREE ESTIMATES Telephone (978) 6824266 MARIO CASTRICONE 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.... .G .... .... ! . , Job Address...y� �... .. .......................................................City.,.). ,�! .. .......State.,W. -k............. SPECIFICATIONS 11 AV... .. . .. .... .. �.................................... ... .�......... .......... .......... .... . . ` F .�. ................ ... ............. ......... ..................................................................................... n............ ........... .. ...................................................... ............... .......... .............................................................................. ............................................................................................................................................................................................................................................................. ............................................................................................................................................................................................................................................................. CA..:L........ ........................................................................................................... ..... .. Materials and labor to cost$ .........L.. 4' and balance in........... Payable .........................................on ... .. ... . 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 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 unpai 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, i 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 estate 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 th 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 signE 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 ar 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 ar understandings of said parties are contained herein. Owner or Owners are not responsible for Property Damage or Liability while job is in operation-- IN WITNESS WHEREOF, the parties have hereunto signed their names this ......., rS...f!'! ......day ................ Accepted: , Signed.... ....f . Owner (OWNER HAS 3 DAYS IN WHICH TO CANCEL CONTRACT) i ✓ Signed...................................................................................... Owner Per... J.:.' JY .......................... Signed..................................... ......... ....................................)�a- Representative x40RTh Town of � 4 over 0 No. L) - :_ o = LAdover, Mass., COCHICM WICK V RATED PP��S BOARD OF HEALTH y PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ...... ......................................... .........................• ................ ....................................... Foundation .. .. has permission to erect.................. p .......... buildings on .........�. eel Rough ............ �' �� `?I himney to be occupied as.................................................................................................................................................... ................... 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-1jws relating to th Inspection, Alteration and Construction of Buildings in the Town of North Andover. G 62 a Y.T PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR L Rough ..................... . .............. ........ ......................... ....... .. ... .... ... : BUILDIN ..G INSPECTOR Service 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 d Street No. SEE REVERSE SIDE Smoke Det. 9E-Commonwealth of%assachusetts (Depattm=t of IndustrialAccidents off=of Investigations w..�� 600 Washington Street Boston, WA 02111 Workers' Compensation Insurance Affidavit APPLICANT LNFORMATIO Please PRINT Lembly «h4i�LC , Name: � i Location: V61 City: Telephone#: 11;17f711*, a5f I i ❑I am a homeowner performing all work myself. ❑ I am sole proprietor and have no one working in my capacity i ❑I am an empl er providing workers' co pensation for my employees working on this job Company Name: Address: City: Telephone#: Insurance Company: Policy#: D I am(circle one) sole proprietor,general contractor or homeowner and have hired the contractors listed below who have the following workers' compensation policies: Company Name: Address: City: Telephone M Insurance Company: Policy r: Company Name: Address: City Telephone#: Insurance Company: Policy#: Attach additional sheet if necessary Failure to secure coverage as required under Section 25A of MGL 15B can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK OP.DER and a fine of S 100.00 a day against me. I understand that .a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the gins and penalties of perjury that the information above is true and correct, �3 Signature: Date: gd Print Name: Phone Official Use ONLY-Do not write in this area 0 Building Department City or Town: Permit/License r: o Licensing Board o Selectmen's Ofii—_e 0 Health Department 0 Check if Immediate response is required 0 Other