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Home My WebLink AboutMiscellaneous - 52 HARWOOD STREET 4/30/2018 52 HARWOOD STREET 210/007.0-0019-0000.0 Location 5Q 0AR W00 No. Date � ( '� 3 � Uc HCRTti TOWN OF NORTH ANDOVER + ; . Certificate of Occupancy $ ss�cMusEt Building/Frame Permit Fee $ Foundation Permit Fee $ t- Other Permit Fee $ TOTAL $ _1� Check # t/S 16011 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: X SIGNATURE: Building Commissioner/Inspector of Buildings Date SECTION 1-SITE INFORMATION z 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 0 S-d— W 10D (I I Map Number ParceTNum ber 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(st) Frontage(ft) 1.6 BUILDING SETBACKS(ft) Front Yard Side Yard Rear Yard Re red Provide RegWred Provided Required Provided 1.7 Water Supply M.G-L.C.40, 4) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: > 0 Public 0 Private 'It— *!�!' e Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSIUPIAUTHORIZED AGENT —q M 2.1 Owner of Record ISO-) At\L000 PIA Name(Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: 0 z Signature Telephone M SECTION 3-CONSTRUCTION SERVICES I Q* 3.1 Licensed Construction Supervisor: Not Applicable 0 ChST-AMDIV E RE&, +- SPG . Licensed Construction Supervisor: License Number 0 "n Address J > Expiration Date ic Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 DAVID C-46'rAir.b./off FE Company Name Registration Number M Li /0z z 729- 69-3-84.40 Expiration Date Si nature Telephone SECTION 4-WORKERS COMPENSATION(MG.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.......0 SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing P&uding Oir Repair(s) ❑ Ater ugns(V ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other 0 S eci Brief Description of Proposed Work: h'E2oa� SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be i z" �h pFI� Aw r C leted b pe it applicano t �i 1. Building (a) Building Permit Fee �_ rJ Multiplier 2 Electrical (b) Estimated Total.Cost of Construction 3 Plumbing Building Permit fee(+) x (b) O 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 p Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT _T 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 pennit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1> a✓ LP C,4.5 T1� d CL2A1 e> as Owner uthorized Agen f 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 PAY-LD C-145T-RICOVE PrintNe _ Si nature of Owner/A entDate to `—�— NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS IS72 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHEvINEY 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 c11, S150A. The debris will be disposed of in: L �Zi (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 Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR I Registration: 104569 Expiration: 7%14/2004 Type: Private Corporation DAVID CASTRICONE ROOFING,;S inir bawd Nstricone 7 Hillside Road Boxford,MA 01921 ' Administrator � o ACO. CERTIFICATE QF LIABILITY INSURANCE 09/23/2002 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE INTMWZT Exammict A=NICy HOLDER.THIS CaRlIFICATE DOES NOT AMEND,EXTEND OR 522 CHICJMRINTO ROAD ALTRR THE COVERAGE AFFORDED BY THE POLICIES BELOW, NORTH ANDOVn, MA 01.845 INSURERS AFFORDING COVERAGE tN6URED INSURER A DAVID Ch8TRICC6IE INSURER E: MMLLA PROTZCTION ROOFING AND SIDING 10C. INSURER Q RAYAL SVN ALLIANCA' 200 GUTTON 921=2, SUTTZ 226 NORTH ADIDOVEIR 1D► 01865- INSURER D INSURER L- COVERAGE8 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDAOOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY OONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 13 SUBJECT TO ALL THE TERMS,EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, TYPO OF IN6U ! POLICY NUMBER FOU lfPEC Vi PONOY tDtPl TION UMIT6 Gb1NlRALLIAEIUIY EACHOCGURRENCE S 1,000,000 A COMMERCIALGENERALLVIBILOY 8500012710 06/06/2002 06/06/2003 FIRE DAMAGE(Any are firi 9 50,000 CLAIMS MADE �❑ OCouR MED EXP(Any one pamoN is 5,000 PERSONAL AADV INJURY 6 1,000,000 GENERAL AOOREOATS S 11000,000 GEWL AGGREGATE LIMIT APPLIES PER: 'PRo0UCT8-oOMPlOPAGG 1 000 000 POLICY 29 0 LOC AU1*100INLE LIAOU rTY ANY AUTO (EA BINED amkwd) LE EMIT 6 $ ALL OWNED AUTO$ 44506400001 08/01/2002 08/01/2003 BODILY INJURY $CHEDULEDAUTOS IPwpwwnI 6 250,000 HIRED AUTOS Y INJURY NO"V44 AUT06 (p� d) t 500,000 PROPERTY DAMAGE (P---w") 6 100,000 tTAIVItiE UAettm OTHER THAN EA ACC AUTO ONLY•EA ACCIDENT 6 ANY AUTO 9 AUTO ONLY: AGO EXCESS LIAEILITY EACH OOCURRENCA OCCUR ®CLAIMS MADE AGGREGATE i ❑ DEOUCTIOLE ROTC ION S WNMINEIIS COMPENSATION AND EMP60YERO'LIAaam C 791X978A01 09/23/2002 00/23/2003 E.L.EAOHAOCIDENT $ 100,000 E.LD1811ASE-EAEMPLOYES 500,000 � E.L.0189ASF POLICY UL41r Is 100,000 OTHER P260k MON OF OPMATIOMUIXATIWNWOH10LlOIEMUNOM ADDED BY ANDORNMENTMPBCIAL PROVWtoBy I CERTIFICATE HOLDER 11711 AQIX— AL IN RRD INSURER Lrrmll CANCELLAYION SHOULD ANY OF TRE ABOVE DESORIBED POtdoiU 08 Otoicou o BEFORE THE UUMIRATION DATE THEREOF,THE Mtfiko INSURER WILL RMDEAVOR TO MAIL 010 myo wm-rm NOTIC!TO THE CERTIFICATE HOLDER NAMED TO TMS LEFT,BUT FAILURE TO DO 60 6HALL IMPOSE NO ODUSA110H OR LUENUTYOFANY KIND UPON TME 1N]WRER,ITS AGENTS OR MPARA MATIVR4 AUTHORISED WRUBNTATIV �FIRRY ACORO 2"(T/YTy mA fj60M TION 9#111 NONTM 0" . ® over 0 No. 77 * � - � �` 11 . 13 • o � �A�o�� ,y dover, Mass., ORATED S H E BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.... gAewato& .. �................................................................ � Foundation has permission to erect... ..... 4 g s � wradQ......s buildings ... ....................... ............ Rough to be occupied as.............. `Q r0 � C.ti Chimney ........................... . ............................................ ........................... y 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 an By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. ry ( at 4 i d �. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST ELECTRICAL INSPECTOR Rough L&21"0%N_ ................................................................. 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. iI� t Location s�2? No. .� Date 7- r3 �O - ------BUILD _ NORTH ANDOVERMASS - 2 RECORD OF . ,ORTq TOWN OF NORTH ANDOVER OwNERSH�p AGE of ,..° �ao DATE •r 4' Dc --.`�'«" PORP BOOK `pqG p Certificate of Occupancy $ OSE OF BUILDING n�—I��I� E — (,^ �„�,..�-- — NO. OF STORIES � C 1 BuildinglFrame Petit Ft 7* �7E,c/7` I BASEMENT OR SLAB 512E ! '�/ °•ono��•�•ty }.�. .�,�...�� e SIZE I 7S SES Foundation Permit Fee $ l OF FLOOTIM@ERS SACH R ! - ,,�,.t7.•�M ::c.l+LR' - SPAN IST Other P�rmlt Fee $ < <' 2ND DIME=F SILLS JRp Sewer Connection �'e� ��►b^v`^�`'�--- i r_ U�..1 ��'' POST ---- Water Connection Fee _$ ---_ rGIRDERS ` TOTAL $ v�, G� �� HEIGHT OF FOUNDATION SIZE OF FOOT, f I di`/ ,r�.,� ',.�- . fi .-f�.i'£ NG THICKNESS { J� Building Inspector MATERIAL OF CHIMNEY X f• IS B- /� }• Ilr« U/LDING pN SOLID OR FILLED 6 3 U 7 Div. Public Works -J 18 BUILDING CONNECTED TO LAND I IS BUILDING CTOWN WATER ONNECTED TO TO 'NST IS BUILDING CONNECTED T WN SEWER SEE BOT RUCTIONS O NATU I H SIDES RALI GAS LINE ' PAGE 1FILL OUTSECTIONS 3 PROP ' Q ERTY INFpRMATIOty PAGE 2 FILL OUT COST SEC1 - y LAND TIONS 1 12 EBT. BLDG. COST I ELECTRIC METED@ O EDT. O _ i} MUST Be ON OUTSIDE OF BLS' COST PER ATTACHED GARAGESBUILDING EST. BLDG. CO w FT. MUST CONFORM TO STATE FI PER ROOM PA S MUST BE F SEPTIC'PERMIT NO. I ILEA AND App RE REGULATIONS ROVED BY BUILDING 1 4 DAT JLEO INSPECTOR AppRpVEO By I � SIGN URE OF O ER OR AUTHORIZED AG I FEE I . v PERMIT GRANTED fOARD OR HEALTH j i Ir OWNER TEL k � CONTR. TEL. --- CONTR. LIC.M ftANNINp SOARD I I I BOARD OP•ELEcr i' MEN I - BUI IND INSPECTOR ' I ------ -- - ---- ---- -- - - - BUILDING RECORD OF LOT AND DISTANCE FROM 1 EXACT DIMENSIONSOF L S. WITH PORCHES' GA 12 OCCUPANCY THIS SECTION MUST SHO EXACT DIMENSIONS OF PLOT PLAN I STORIES LOT LINES AND ERIMPOSED• TV 41S REPLACES INGLE FAMILY OFFICES RAGES. ETC' MULTI. FAMILY i APARTMENTS CONSTRUCTION i Ei INTERIOR FINISH i 3 I ?I3 2 FOUNDATION CONCRETE PINS CONCRETE BVHAR�_ BRICK OR STONE PLASS _ PIERS DRYS ` UNFIN. i 3 EASEMENT I FIN B'M.T. AREA ` FULL FIN. ATTIC AREA p AREA 1/ FIRE PLACES `I NO B M T MODERN KITCHEN EAD ROOM H� I 9 FLOORS 3 4 WALLS B 2 CLAPBOARDS CONC l DROP SIDING WOOD SHINGLES HARD ASPHALT SIDING COMB (DING ASP L ASBESTOS S VERT. SIDING MASONRY -- �I ON I� STUCCO � FLOOR � STUCCO ON FRAME ATTIC STRS. r i BRAN R E BRICK ON FRAMWIRING CONC. OR CINDER BLK. MASONRY POOR STONE ON FRAME STONE ON SUPERIOR NONE i ADEQUATE � 10 PLUMBING BATH 3 F i i ROOF IX. cj � HIP 2 FIX. GABLE TOILET WATER RM.ER CLOSET � GAS M SHED LAVATORY FLAT KITCHEN SINK ASPHAl1 SHINGLES O PLUMBING N WOOD SHINGES STALL SHOWER SLATE FIXTURES TAR &.GRAVEL MODERN ROLL ROOFING TILE FLOOR I i TILE DADO i i It HEATING FM►AING FURNACE 6 PIPELESS OT AIR FURN. JOIST FORCED H WOOD STEAM &COLS. HOT W'T'R OR VAPOR TIMBER BMS&COLS. — ITIONING STEEL BMS. RAD ANtDH'T'G WOOD RAFTERS UNIT HEATERS GAS ROOMS OIL 7 NO. OF ELECtRIC r 2nd NO HEATING BB M� 3rd - 1st __- NORTFI F ` p Town of over No. A4 331 o� =COCHI Q dower, Mass., TSL 'I.P 7 19 t-1 A0RATED F'PP\��G� `` BOARD.OF HEALTH Food/Kitchen PERMIT T D Septic System �' � e �� BUILDING INSPECTOR THIS CERTIFIES THAT..... ....... ...................:....................... Foundation has permission to erect. f e./.�1...&..... buildings on ...s�.��0•�.Q.••r...r........... Rough �1#0�for.. 1. is. ��*4��4ro9A#A.A. .�.*.!Or Chimney 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-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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough .. Service UIL IN CTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove F na h No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION CONSERVATION FINAL Street No. Smoke Det. RFWFR/WATFR _FINAL 3Q 12 DRIVEWAY ENTRY PERMIT