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HomeMy WebLinkAboutMiscellaneous - 466 WINTER STREET 4/30/2018Location yG G No./ �l Date 2 ` G- eo NORTol TOWN OF NORTH ANDOVER O FO?O• t, `,D .•,ho A i Certificate Occupancy • i ; , of $ s�cwust Building/Frame /Frame Permit Fee 9 $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $� Check #"/ 18835 �/ Building Inspect&* TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. /I DATE ISSUED. SIGNATURE: u n t Date SECTinN 1_ CiTF i1VFnDM,am>r aarai. ��i 1.1 Property Address: sk 1.2 Assessors Map and Parcel Number: b Map Number Parcell Number ©. ;/� 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Area Frontage ft 1.6 BUILDING SETBACKS M Front Yard Side Yard Rear Yard Required Provide red Provided Re uired Provided 1.7 Water Supply M.G.L.C.40. 54) Public ❑ Private ❑ 1.5• Zone Flood Zone Information: Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHMAUTHORIZED AGENT Ran IL bellor�c�,r,o Name (Print) Signature Telephone 2.2 Owner of Record: Name Print oiguarure) SECTIO 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone 3.2 Registered Home Improvement Contractor DAVIP C-145719 Company Name _ —4 o l0 Ul1iti*r S� Address for Service : Address for Service: _L2.3._ Not Applicable ❑ License Number Expiration Date Not Applicable ❑ Registration Number Expiration Date M M Z O m 0 Z M 90 O 8 ic r M r r z ^ 0 SECTION 4 - WORIERS 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 Description of Proposed Work check all applicable) New Construction ❑ Existing Building Repair(s) ❑ Alterations(s) ❑ Addition . ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: Vim I sim SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Com leted by permit applicant OICIAL USE gNI,Y 1. Building l Qo (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbin Building Permit fee (a) X (b) r✓ 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 pennit applicatioi . _ 1z 16 /6S Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, «I V / 7) C -A S r t✓D /V E as ONvneI/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 mid belief cs Print 16 Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS iST 2 ND 3 RD SPAN DIMENSIONS OF SILLS Dlly ENSIONS 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 c le a w a a ' a w a a w w z °uo cn !� cn I\4 w O O z O 2 c O .y N E O tv N o C � O CL Q~ O CML = O C •r CJ 10 cmN 10,443 O Ez z .4 06.-- 49 mi E h .0 dJ H C 7 C) CD C: C) C m O CD QC N • A O U O O v v •r.a di O! CO3 O -0 CD CD CL ci CL Cc O rL cc C Z0 CL � V y � C C ° CO3 Board of Budding Regulations and Standards killHOME IMPROVEMENT CONTRACTOR', RegiWatk 104569 Ezpi DAVID CASTRIC0,4 David Castdcone 7Hillside Road Bwdord, MA 01921 12006 ate Corporation SIDING & Administrator T DAVID CASTRICONE ROOFING, SIDING & REMODELING REPLACEMENT WINDOWS HOME IMPROVEMENT CONTRACTOR REGISTRATION NUMBER 104569 200 SUTTON STREET, SUITE 226, NO. ANDOVER, MA 01845 7 HILLSIDE ROAD, BOXFORD, MA 01921 In North Andover 978-683-3420 In Boxford 978-887-6147 In Haverhill 978-374-7314 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: (H) C//,Z 3 Owner's Name ......... i e.na.8!1........... �: ...+-- :.............................. Telep ne #.�.Z.-.�r.LrG?. ""..5 5......0 Job Address..... ................ .............. City...... ko......... �. �w,.� .......... State...... ...... Specifications: t/ pply vinyl siding and corners. Type: .............. . ........................4tt...-.-.................................................................. ................................................................. i..0 ........... i'..... `v' 1... �1 �-f ! / *f ` .,Cover fascia boards and rake boards. stall vinyl soffit -solid erforated ` ............................................................................................................................................................ ..........s.I..... . 1 t-tover wNod casings around vwilwfiers. aeplace any gable -vents and dryer vents with vinyl. s. .... P.)........................................................`..�.......... Areas to be f /� covered:........ �1 •......1'" ..........a1. J.........I......��.L�-.�..-. r! 14 wk_W One Year Workmate Manufacturer's Warr Materials and Labor tone Payable........... C..,,... ...... 2?- ....-....... d..l.........y ", *11ty �....................................................................................................................7. 1 �..�.....`..................................................................................................... . ....... R..................................................................... Y..t ........................................... �.X ........�......�,.� �:................................................................. t Tran erable) by manu acturer �.%.�.......... Payable ..... on ......'aJ.— .............. 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 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 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. 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. il IN WITNESS WHEREOF, the parties have hereunto signed their names this ..........1Z....... day of c �. c -t- -rt 4 'te r ; tlk:..a r Accepted: ''`;�" ,- ,Signed..... ..•.... ger,1-:............................... Owner Signed......................................................................................... Owner Per..................................................................... Representative NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. Also,.note Permits are required under Fire Prevention laws Chapter 148 Section I OA. The debris will be disposed of in: Fire Department Sign off: Dumpster Permit - LL Q-V� S II (Location of Facility) 9 Signature of Permit Applicant Date Location No. Date 14ORT1y TOWN OF NORTH ANDOVER O�"•o •,h0 • . 1 • OL SI9 Certificate of Occupancy $ ��s ^� • E�� Building/Frame Permit Fee $ �ACNUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $� Check # MA(C 'I 63z7 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: SIGNATURE: Building Commissioner/Inspektor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 4�6 (-Jj/V-j/. k C A/ 6,f 72 n Lz�k 1.2 Assessors Map and Parcel Number: /d MapNumberNumber Pare Number 1.3 Zoning InfInformation: Zoning District Proposed Use 1.4 Property Dimensions: Lot Area (sf) Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard ReqWred Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public 0 Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSIIIP/AUTHORIZED AGENT 2.1 Owner of Record T it �F–U-�l6f 0 7G6 �d(%L Name (Print) Address for Service. Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor CA lUA2F- ,FFG, (1)y -,DAVIT) Not Applicable ❑ Company Name 9 O Q I ( , o Registration Number if 11v10 6 Ad r Expiration Date Signature Telephone I-- 0 z M 90 0 J� M G) 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 Description of Proposed Work cher applicable New Construction ❑ Existing Building V Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: ndl / oe SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be C9 p.npleted by permit applicant UFFICIAL IISE E?NLY 1. Building(a) �J q ? 0 Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 PlumbiEE Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 0 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, PO4 1Z LP CAS r& Z 6'8 A24 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 F— Prre Si ature 6"ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS iST 1ST2 ND3 RD 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 North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be. disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S.150A.. The debris will be disposed of in: P 0 (Location of Facility) Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through. the Office of the Building Inspector 9x. Board of Building Regulations and Standards, HOME IMPROVEMENT CONTRACTOR Registikla:104569 DAVID CASTRICON U,a'XR Nstricone,: 7 Hillside Road Boxford, MA 01921 vate Corporation Is Administrator CO". CERTIFICATE OF LIABILITY INSURANCEo9/zs/2c z . PRODUGEA TH18 GERTIFICATti IS ISSUED AS A MATTER OF INFORMATION ONLY ANP CONFERS NO RIGHTS UPON THE CERTIFICATE UMXM>CT IDI&VJUWCR A =VCY MOLDER. THIa CERTIFICATE DOES NOT AMEND, EXTEND OR 527 CHICimAiNa st0hp ALTIR THE COVERAGE AFFORDED BY THE POLICIES BELOW, WaTH AMOVIR, ba 01845 INEURM AFFORDING COVERAG<i DAVID CJIATRICO3fi ROOFitiG HOBO SIDING INC. 200 W7TTGN II2il42, SUTTZ 216 ]BOATS ANDOM N& 01845- COVERIGFA WSURER A: Ayz,Lk INSURER e: AMLLA PROTICTION INSVRAR C: ROM SUN ALLI"C!Z INSURbR D. TYPE OFINSU ! POLI NUMBER - INSURER E. Thi POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDIN4 ANY RCGUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RfiSPCCT TO WHICH THIS CERTIFICATE MAY DE ISSUED MAY PERTAIN, TME INSURANCEAFFORDED BY TMG POLICIES DESCRIBED OR HEREIN POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, 13 SUBJECT TO ALL THE TERNS, EXCLUSIONS AND CONDITIONS OF SUCH TYPE OFINSU ! POLI NUMBER - fOUCylfPECTIVi POUOY EItPIRATION GrNlRu Lulrlun LIMITS A BS00012710 CONAIERCIALGENERALIIABIIfTY EAGHOGGURReNce s 06 06/2002 06/06/1003 1 000 000 CLAIMS MADE OCOUR FIREDAMA"(Any orefiroE 50,000 MED EXP (An ani Person) s 5 , 000 Ll PERSONALa)ADVINJURY 6 ]„ QQQ ' 000 GENERALAGGREOATB ; 11000,000 ni"GiNIAGGREGATEUMITAPPLIESPER: POLICY 70P fa Loc PR)DUCTS-COMP/OP AGO ; 1 000 OOO AVTOMOS" LIABILITY ANY AUTO COMBINED SINGLE LEd1T (FA ) B ® ALL OWNED AUTOG fACHEDULEDAUMS 44506400001 08/01/2002 Ot/01IZ003 BODILY INJURY (Prf WWI y, 250,000 HIREQ AUTOM NON -OW KQAUTOS 6PW W1Y t 500,000 PROPERTY OAAfAGE (PrrtJd@ft) 100,000 OARAO! UANUTY ANY AUTO AVrO ONLY - EA ACCIDENTE i OTHER THAN 4A ACC — — axCFJIB UAmWTY AUTO ONLY: AGO ; .. -- OCCUR CLAHA MADE EACH OCCURRENGiE AGGREGATE i ❑ DEDUCTIYLk 0 ACTIOTION _ MIOIIKEIti GOMPEN3ATI01 AND � CMPLO7i110' 1IM11.1TY T -H C 79=9781W1 09/23/2002 09/2312003 E.L EACH ACCIDENT s 100, 000 - E.LD16 4" F,AEWLOYE ; S00,000 OTHER --T 100,000 iEL.018EASE-POLICYUMIT DJ]irGMIPTIC>N OF OP/RATIW�ILOQA7IGNA/VEHIOII�tGLURIf]A1B ADDED EII iM1D01�1MGMiNT13MCtAL PROVIWOMs CERTIFICATE HOLDER Ao04TIOWAL INSUP:En• WSun" LETTEfi• CANCELLATION 9k0ULPAAIY a TN! AEYiVE OEBORNiED POLWIEB AE OANGlLLEO REFORE INE EXPIRATION OATS T?IEAiOF, THE INIANQ Y1SUXR Y/ILL RaDBALDR TO MAIL 02.0 QA.Yi W KITTEN N071G! TO TM! CERTIRCATi hQWM NAMID to 'HE LEFT, BUT FAILURE TO DO 90 SHALL IM"F NOOYUpAMONpR LIANUTYDFANY KING UPON THE IN9VRER, ITEAGENTS OR Rl►REBlNfATIViA AUTHDRVA D P4EPAaWATM AWERRY aA R RATION 90 cn m M m m 0 m COD CDZ CD O ar Co CO CL n� � O o p CL cr CO CD O ccCDD Qv CO CD CA CD 0 CD P. 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