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HomeMy WebLinkAboutBuilding Permit #490-15 - 21 COCHICHEWICK DRIVE 11/19/2014Permit NO: t -t Date Issued: LOCRTIQN PR0P8kTY,,bV_W' TYPE OF IMPRO1 New Building Addition Io bUILUINU vtt(mi ii TOWN OF NORTH ANDOVER -,---APPLICATIOIN FOR PLAN EXAMINATION Date Received low A ]MIAIN 1: pplicant niust complete all items on this ,Aw print Print NG DISTRICT: Historic c, Disit Repair, replacement Demolition PIAI 15r�l P17111- � I T, 21 PROPOSED USE cbmenuai Non- Residen—tia One family Two or more family ... - Industrial Na. of units: .'Commercial Others: �.Assessory Bldg KOther e- 0 FlOW01ain IJ Wetlands Ur fi 5 Identification Please Type or Print Clearly) OWNER: Name. 4�kk Z>JJag ,;5 Z Phone: �.5a Ir Address: N THAC T PDR - Name ' - Phone" SuperviWs. Construction License: "-alA 7, orn e4 Exp.,.Date 4 ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.- BULD'NG PERMIT: $12,00 PER $1000.00 OF THE TOTAL ESTIMATED COST USED ON 5125.00 PER S.F. �,� I & i Total Project Cost: Zoe> FEE: $_ � ( e) Check No.: Receipt No.: NOTE: Persons eon! �ac ing with unregistered COactors do not have access to the guaranty fund ftnature" fkibht 9 01; S.. no ar *re of contractor bU1LUINU FLKMI I TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date EMPORTANT: Applicant must complete all items on this LOCATION 21 OL109 PROPERTY S MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ,I Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ DemolitionOther>, ❑ Septic ❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District ❑ Water/Sewer sir sur �t � em sA-if -Z .- Identification Please Type or Print Clearly) OWNER: Name: -IZ>161f5- �LKJAJ� Phone: q799,0S Z��l�i Address: 21 ice- 'rJ� tt/ CONTRACTOR Name: Phone: `7118 -//2-5 -7 3 v Address: -7�, ��� o l a 62e> Supervisor's Construction License: GS Exp. Date: l �� Home Improvement License: %5:2�1 69 5 Exp. Date: 11-2,511 -2,5 /, ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE. BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ 152.2-o8. FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor Location(�� Date r l3 Check # TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ 1� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Building Inspector Location1 C 0,( ( C N E W" C �C"" ;v, NI V'r Date 0.l L— Check # TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee -T-00 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Building Inspector Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stamped Plans ❑ TYPE"OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private (septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature COMMENTS CONSERVATION Reviewed on Signature ,,COMMENTS HEALTH COMMENTS Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comm Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osaood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine ❑ Notified for pickup Call Emai Date Time Contact Name Doc.Building Permit Revised 2014 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. I Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit 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 ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit 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: Building Permit Revised 2014 Enter construction cost for fee cal - North Andover Fee Cakulat%on Construction Cost $ 5%200.00 m $ - $ 710.40 Plumbing Fee $ ' 88.80 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 88.80 Total fees collected $ 988.00 21 Cochichewick 490-15 on 12/2/2014 Basement Remodel M no H J LU Z ,L O p a m C N� Y Y \ O LL E= EW v ?O N U N N = U to Q) z o m O m O O LL L O K v CN t U O LL 0 u W z O z J a t O OC 0 O LL a Z Q u J YJ . L O d' _U N O LL 0 W Z i bo O W 76 C LL z NJ a w `C LL. L m , iz ++ .v 'N 0 Y O N 7m • O O v w •� L CL as �a E cL 3 LU) s C o t 3; � J N1 >Cc �N� c d > -0 0 _ •,�0a U) E "+ Loo Z CL_". � O c0 L _ QCL0 r .r •N �. am O = _ Q. CD •� F- cn N 2co cu m uj_ _ +�+ O WO LL '0 5 N = •� t O W V -o aV V a`r v� oas ma_ � cn -O o=,c H$CLos V CL 0 W :a z Z 0 CO co nc o� N V N Cl) > —CL �O V Cl) = W J az In Lo a� c .E O N N t y.. O • Z O O Q O 9 s E DC ,o p d� z W o� - Emm CL �0 0 `—vow U) o� =cam J .y p 4 � z � V N c cc U) 0 The Cammonwealth of Massachresetts - _ Department o, f �ndustYzctMecident�s Office of Investigations 600 Washington Street Boston, MA. 02111 www mass.gov/dia 'workers' Compensation Insurance Affidavit: Sunders/ContractorslElectricians]Plumbers Applicant information Please Print Legibly Name (Business/Organiza&n/Individual): � C�����/ I-/zCi Address: j• CityjSt,tejZip: a& p Phone Are you an employer? Check the appropriate b 4• , a general contractor and I 1. ❑ I am a employer with employees (full and/or part-time).* have hired the sub -contractors listed on the attached sheet. 2111 am a sole proprietor or partner- ship and.'have no employees These sub -contractors have working .for me in any capacity. workers' comp. insurance. 5. ❑ We are a corporation and its [No workers' comp. insurance officers have exercised their required.] 3. ❑ 1 am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c.152, §1(4), and we have no insurance required.] i employees. [go workers' comp. insurance required.] Type o£project (required): 6. [] New construction 7. t2fRemodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.❑ Roofrepairs 13.❑ Other *Any applicant that checks box#1 mustalso fill outthe section below showingtheir workers' compensation policy information. ''Homeowners who submit this affidavit indicatingthey kdoing all work and then hire outside contractors must submit anew affidavit indicating such. tContractors that cheekthis box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. X am an employer that is providing workers' compensation insurance for my employees: Below is the policy and job site information. insurance Company Name: Policy # or Self ins. Lie. #: �2� 3 Expiration Job Site Address: 7i _rte, 1 ; ( JlQ2— Egm- City/state/Zip: )4 Ab�b2e IfML WW el$ �S Attach a copy of the workers' compensation -policy declaration page (showing the policy number and expiration date). Failure to secure coverage as requireclunder Section 25A of MGL o. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one=year imprisonment, as well as civil: penalties in the form of a STOP WORK ORDER. and a Enc of -up to $250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office -of Investigations of tho AIA. for insurance coverage verification. X do lieYeby eqt under pains Pena perjury that the information provided a�ove/s tate anti correct. ... Gfi,5 U Official use only. Do not write in this area, to be completed by city or town official. City or Town: PermiffAcense # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town. Clerk 4. EIectrical Inspector 5. Plumbing Inspector 6. Other - Contact Person: phone KARAT -1 OP ID: NB ACQRU" �„� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYYj 1110412014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Planright Insurance -Salem 224 Main Street Suite 3C Salem, NH 03079 James A Santo CONTA NAME; CT James A Santo PHONE Alc rvo Ext :603-890-6439 (FAME, No): 603-890-6521 ADDDRESS: Jamie santoinsurance.com INSURER(S) AFFORDING COVERAGE NAIC 1 INSURER A: Travelers Casualty Ins Co Am 19046 INSURED Karatzas Contracting INSURERS: Guard Insurance Group Timothy Karatzas 7 Shore Rd INSURER C: Merrimack, MA 01860 INSURER 0: 68076894550 INSURER E : INSURER F DAMAGE TO RENTE5_ PREMISES Ea occurrence $ 300,00 rn\/FRAQFS CERTIFICATE Nt1MEiERr REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. !ITR TYPE OF INSURANCE 21 Cochichewick Drive North Andover, MA 01845 AUTHORIZED REPRESENTATIVE �J POLICY NUMBER MMIDD MMIODNM) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE FlOCCUR 68076894550 04/2512014 04/25/2015 DAMAGE TO RENTE5_ PREMISES Ea occurrence $ 300,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY ❑ PRO JECT r LOC PRODUCTS- COMPIOP AGG $ 2,000,00 $ OTHER: AUrOMOSILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICEPJMEMBER EXCLUDED? 17 1 (Mandatory In NH) NIA R2WC593885 3A. MA 01/0412014 01104/2015 X I STATUTE 1 717 E.L. EACH ACCIDENT $ 100,00 E . DISEASE - EA EMPLOYEE $ 100,00 E.L. DISEASE- POLICY LIMIT $ 500,00 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Timothy Karatzas has elected to be excluded from workers compensation coverage. & Mrs. Jeffrey Gwynne & Campion Estates Condominium Association are included as additional insured on General Liability when required by written contract. rCCTICIreTC uni nCR rANrFI I ATInN ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Mr. & Mrs. Jeffrey Gwynne ACCORDANCE WITH THE POLICY PROVISIONS. 21 Cochichewick Drive North Andover, MA 01845 AUTHORIZED REPRESENTATIVE �J ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD R 2 F �I ;cac r� W CL Ca i CPCc 0� Im _ �t 0 VAN V co q G CL ># E Yj 1 CD J^C V J Co W 4� O Q t!- 0 � t'7 Z co tl1 w Ln •~ ti ^6' tri � N C ccc e C�q — M c3 < O w� •0, •CL z U r: 0 4) x 0 R 2 F �I ;cac r� W CL Ca i CPCc 0� Im _ �t 0 VAN V s c t co E CD J^C V J Co W 4� O Q t!- 0 n O L3 C ccc e C�q — M c3 < O ca > r: O ca Q i x s c t i x f i 1� ro v ro ® to O Z a � o L �� � nRCL ' #! om ci U %p W 0 c p 1 x a/ of of 7 m— J pr i!, O O O J V Lia C U v:2 Q 9T 0 X Z (n t w; LL.z Z w W 0 Q N CL � cEi a w ¢; o v ; O z O s m � cn 't7 !6x N Q) a O M Z 0 it O. PAP, w J Q U � o w = w a U �L cprnnE ap2O m Nm O OU I Z O Q C v L x O CL cn X 4 C tYl I X Uwtn� e LU `0 aEoao � m ovv�o v'� i l I: Date I UNIT # ROUGH I PASS [FAIL] I INSP I FINAL PASS I FAIL I ROUGH I PASS I FAIL FINAL i - Lfocation --,;?/ rJo. 1 Check # X f6 ei 25228 Date 411:9 Z -- TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ " Foundation Permit Fee $ Other Permit Fee $ t TOTAL $ / 1 wilding Inspector �_.L p/ �1p eTH 1ti �SSACHUSEI CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 154-2012 Date: April 25, 2012 i THIS CERTIFIES THAT THE BUILDING LOCATED ON 21 Cochichewick Drive MAY BE OCCUPIED AS 1 Single family home in a 4 unit townhouse building; IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Campion Estates LLC 28 Morgan Drive Methuen, MA 01844 i a Building Inspector Fee: 100.00 Receipt: 25228 Check: 4864 A z ki v .� 'lk m c /. �l C C.) O O L QCJ •dam C. .`, �: C c �■- v cc l4� N\ y [`a ! E c L O m C2, O �c E ca cc d rt+ L m m y t y „� � 3 •. Q! C W cam C C o ca E m _ mo o, o.c� �: m _ N! t Zm O C1 D I O L"■ 3 N Z O c o. m y ..'COL .m c c = m m w p N r=.+ WNA-SIG M L C .0 m •NlCm U 'm y C. m' O _ C43 L ti O F- z C. 0 m PA .� - O ` ■ IL Z aL Q. O CO D C w cm CO2 O CD — y O O 'E m m L O O -Z CD O O C O O O d CL cma ca c ev C.3 'EL O CD O Z tsCD d C ■� C cc _) y LU LU 0) V9 W LU 09 W LU U) M w a o v w cn cz o o w w U w"" a o G a� w( o G � o � w" c�4 ci W. w x P2 CO .� 'lk m c /. �l C C.) O O L QCJ •dam C. .`, �: C c �■- v cc l4� N\ y [`a ! E c L O m C2, O �c E ca cc d rt+ L m m y t y „� � 3 •. Q! C W cam C C o ca E m _ mo o, o.c� �: m _ N! t Zm O C1 D I O L"■ 3 N Z O c o. m y ..'COL .m c c = m m w p N r=.+ WNA-SIG M L C .0 m •NlCm U 'm y C. m' O _ C43 L ti O F- z C. 0 m PA .� - O ` ■ IL Z aL Q. O CO D C w cm CO2 O CD — y O O 'E m m L O O -Z CD O O C O O O d CL cma ca c ev C.3 'EL O CD O Z tsCD d C ■� C cc _) y LU LU 0) V9 W LU 09 W LU U) M .. V GENERAL BUILDING NOTES/CHECKLIST- NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS, ADDRESS AND PERMITP (CO Y OK)..or no inspections INSPECTIONS: (Minimum) Excavation, Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Q~' Continuous strip footings for interior columns FOUNDATION: Rebar as required \ S Anchor bolts or straps Damproofing " Foundation drain - pipe/stone/fabric filter/cover and outlet connection. t �. FRAME: Fireblock - over girts/plates between floor joist Penetrations for plumbing, heat, elec, etc., .�. Walls at stair stringers. N Windbrace corners and center bearing partitions. — Size ridge to provide full bearing at rafter cuts. `\ Hip and Valley rafters -watch bearing at walls. r idge &Hip -Provide proper connections. lV ' Cathedral roof rafters provide proper connections and use "Hurricane Clips" tie to plate. Stair stringers - watch cuts and heal support. Joist hangers - fully nailed w/ hanger nails. l� W Sill plates 2-2X6 (1 PT) w/sill seal. irts -solid brick or steel plate bearing at foundations +/Y " air space at sides in foundation pockets. Lateral bracing at ends. s v Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances - stairways, under beams Attic Access. (min. 22x30 w/3' headroom above). ` Crawl space access. (min. 18)24). Bath exhaust fans to have metal duct to exterior (not in soffit). yj _ Firecode S/R wood frame of "0" clearance fireplaces & stoves . Window Schedule or Every Habitable Room Must Have: w Natural light equal to 8% of floor area. of required glazing shall be openable. Bedrooms required min. 20x24 egress window or door. Gg Vent attic spaces - "proper vent", soffit and required ridge vents. ' (4 k, N Firecode under stairs if used for storage FIREPLACES: Separate permit required.r I r Inspections at Footing - Smoke Chamber - Finish \ Smooth parging, clean joints, 8" solid @ combust. DECKS: Lag to house, provide flashing. .� Rails min. 36 " high, Baluster max space 5" on center. Over 8' above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. �►� Pier footings down 48", Conc. pad at stair base. a FINISH: Handrails returned to wall/newall post. N Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re-inspection fee - $30.00 (Be Ready). Certificate of occupancy required prior to occupying structure. APPLICATION FOR CERTIFICATE iDF OCCUPANCYlINSPECTION' BUILDING PERMIT #.: $$ACHUSK ADDRI?SS/I,OC.&TIONOFP,ROPF,RTY: 2lCochibheWllGkDrive Map—E---Parcel 74' ' JotNumber S'LTJ3DlVPSI0N:_.-.., Campion Estates DATE, REQUESTED FILMYRFA DY FOR INSPECTION: March 5,2012 CLOSTNG DATE ON PROPERTY: March 16, 2012 UNTE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS ]RE0171 RIED ALL WORK AND SIGN -OFFS MUST IT COMPLETED NUFBIN THIS TAIR ERLAME. A REWSPECTION FEE OF TWENTY DOLLARS (520.00)'MU, BE CHARGED IF THE STRUCTURE DOES NOTMEET` ALL APPLICABLE CODES. APPMAINT SIGNATURP Penuit Issued to: Campion estates, LLC, Joseph A Leone, Manager Address- 28 Morgan Drive, Methuen, MA 01844 Rouml G 11OWN' ETNTGINEER, SITE Pl,A;N---DRIVE-WAY REVIEW CONSERVATION PLANNING DPW -WATER METER SEIVER CONNECTION DPW WATFR METER HAS BEEN INTSTATLED PRf OR. TO SUBMITTALOF THE OCCUPANICYANSPFCTION. fZ-EQU118T DPW. 31 1 (R I 1� SIG-NiNCLIkE Pilo: Application far ()C.farm rEmscd Jan 2007!2011 3= w.:e. �• '•• `• got r � �8S4CNUSt4 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 154-2012 Date: April 25, 2012 THIS CERTIFIES THAT THE BUILDING LOCATED ON 21 Cochichewick Drive MAY BE OCCUPIED AS 1 Single family home in a 4 unit townhouse building IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Fee: 100.00 Receipt: 25228 Check: 4864 Campion Estates LLC 28 Morgan Drive Methuen, MA 01844 Building Inspector