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HomeMy WebLinkAboutBuilding Permit #752-14 - 51 STANTON WAY 4/25/2014TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION �lSz-_� Permit NO: Date Received- Date eceived Date Issued: IMPORTANT: Applicant most complete all items on this page TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ew Building Xone family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other QEF° b Se tic £ ❑ Well t � tJ'Sr' � _. i'-4 i ✓'�A t fZ 0 " Di,Floocl�lairi VVetlantlsx err} �� ''^! (M} "4� --y h 4 ;1� V1latershed pistrict �„ S ; ft cs ,� ,A T ?�•iiy'i# :,ate -.Ln l _ iV..}2'$�i^�e.c'E �.�gbt �, i} 8i`Re".-ss""...„''F-� _ r .0{tta.µi�`�Y.v'`iiA"S ,+?,:k.a. DESCRIPTION OF WORK TO BE PERFORMED: '�" ,� ,✓ s ✓ .3 NrL.) •fou Identification Please Type r Print Clearly) OWNER: Name:c� __ ARCHITECT/ENGINEER KALA& �++��'�/�� Phone: Address:. 4'0�''�L'i�'fJ9N� Reg. No. 3'c�i FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00.01' THE TOTAL ESTIMATED COST BASED ON $125.00 P R S.F. Oil Total Project Cost: $ `7/% Z' S FEE: $ Check No.: Receipt. Nor_>19454 o NOTE: Persons contracting with unregistered ontractors do not have access to the gum fund Signature of Agent/Owner-igature of contractor Plans Submitted Plans Waived ❑ Certified Plot Plan Stamped Plans Plans Submitted ❑ PlansWaived-11 Certified Plot Plan ❑ Stamped Plans ❑ TYPE -OF SEWERAGE:DISPOSAL Public Sewer El Tanning/Massage/BodyArt ❑ .. 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 - DATE REJECTED DATEAPPROVED PLANNING & DEVELOPMENT- ❑ ❑ /� 1 COMMENTS .CONSERVATION Reviewed on �' -a�A 1 k � SionaturP' COMMENTS HEALTH r COMMENTS Reviewed on Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes - Planning Board Decision: Comments Conservation Decision: Comme Water & Sewer Con nection/Sianature & Ddai DPW Town Engineer: Signature: FARE DEPARTI�iE. - Temp Dumpster on site yes Located -at 124 Mair, Street -- Fire Departme►-it signature/date" COMMENTS 0 Located 384 Osgood Street .no 0 Dimension Number of Stories: JI Totals square feet of q floor area, based on Exterior dimensions. .Total land area, sq. ft.:_ Y31 &63 ELECTRICAL: Movement of Dieter location, roast 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 NU 1 tg and UA I A — (For department use ® Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department The following is -a list of the requi-red .forms to be filled out for the appropriate. permit to be obtained. 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 o Building Permit Application o Certified Surveyed Plot Plan o Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract ` ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) o 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 a Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o Mass check Energy Compliance Report o 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 apo• -al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm.+.ted with the building application Doc: Doc.Buiiding Permit Revised 2012 LocationSt Z No. t"' Dat t� r Check #SE 96- 27494 TOWN OF NORTH A'ND'OVER Certificate of Occupancy $ �0 Building/Frame Permit Fee $ Foundation Permit Fee $IDU Other Permit Fee $ TOTAL Building Inspector North Andover Health Department Community Development Division November 4, 2014 New Homeowner 51 Stanton Way / North Andover, MA 01845 Re: Your new home and your 4- bedroom septic system Dear Resident, Congratulations on your move to North Andover and on your new home. The North Andover Health Department has overseen the design approvals and installation of the septic system on your property and believes that it is important that you understand the details of the system that services your home. Enclosed is information on how to care for your septic system and notification of restrictions in case you intend on finishing additional spaces, which are currently designated as "unfinished space", in your home. The house plans that were submitted prior to construction of your home show multiple unfinished areas, but this system can only serve a 4 -bedroom home (maximum 9 -room). A home with this sized system, which as defined by the MA Department of Protection regulations 310 CMR 15.000, will have a maximum of a 9 rooms in total (not including bathrooms; laundry rooms etc). According to our file, your home is currently at eight (8) rooms, therefore only one additional room could be finished for use. This assumes you did not finish more than the plans originally identified. If you have gone over the approved number a violation to MA DEP code may already exist. The multiple unfinished areas in your home are allowed by state code and are not counted until finished. The inclusion of this amount of square footage, as unfinished space, was discussed with your builder. The Green Co. chose to inform homeowners upon purchase, that if you plan on finishing any of the areas for living space, above the 9 -rooms, the expansion of the septic system and the compliance with the code will be done by the new homeowner. No building permits, to finish additional rooms, will be supported unless compliance is achieved. North Andover Health Department, 1600 Osgood Street, Suite 2035, Page 1 of 2 North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 51 Stanton Way November 4, 2014 ��. If at any time you do plan to inhabit any of these multiple unfinished areas, please contact our office and we will be happy to discuss the options with you. As the homeowner, we want you to be fully informed on how disposal systems work. The document provided will help you care for your system. You can also access numerous guides to assist you on the MA DEP website, http://www.mass.gov/eea/agencies/massdep that will help you maintain your system in good working order, so it will protect you and the environment for many years to come. Finally, it is important to note that this septic system is not designed for use with a garbage grinder. Installation of a garbage grinder will cause damage to your septic system and will void any guarantees for its proper service by the septic installer from the date you install the grinder. We hope you are enjoying your new home in North Andover. The Health Department staff members are here to answer your questions on septic systems or any other Public Health related subject. Feel free to contact us. /Sincewy r, S/RS Public Hea th Director Encl. "Caring for your Septic System: A Reference Guide for Homeowners" Page 2 of 2 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 C" Ot HORTM ,� 'f17 �O4n. sr",�9 SSMCNUSE� CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 752-14 on 4/25/2014 Date: September l� Zo►`'( THIS CERTIFIES THAT THE BUILDING LOCATED ON 51 Stanton Way — Lot 2 MAY BE OCCUPIED AS a single family home IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Cranfield Inv. LLC c/o Green & Company P.O. Box 1297 North Hampton, NH 03862 Fee: PrePaid $100.00 Receipt: 27494 Check: 87976 Buil 'ng Inspector V tLED � 3? ytsyb*6 �d �w APPLICATION FOR CERTIFICATE OF OCCUPANCYANSPECTION oP �RA7ED 0r 15 9SSACHUSE�,( BUILDING PERMIT # ADDRESS/LOCATION OF PROPERTY: SiFA.-TdIj 4•1 A y Map A0 Parcel Lot Number 0z SUBDIVISION: 4p z j 6a�$ DATE REQUESTED FILED/READY FOR INSPECTION: /7h<✓/j 9 -11 - CLOSING -/l' CLOSING DATE ON PROPERTY: 'gx,'S*j 9-, 19-/ FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A REINSPECTION FEE OF TWENTY DOLLARS ($20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. APPLICANT SIGNATURE Permit Issued to: Address: 10-a- 44:> lo7g7 A/o • A���� N a3�iGrL ROUTING TOWN ENGT_NEER, SITE PLAN — DRIVE -WAY VVIEW CONSERVATION . f PLANNING DPW -WATER METER V to SEWER CONNECTION DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW SIGNA File: Application for OC form revised Jan 2007/2011 I V fmo A O 0 CL (-D �. o u.- C. M .♦ c o E a� o = �N (� C� O' J CUD) m c r O .= am > U) o c � t U L o o a� Z Q. _ ♦� T) O O a' 0 0. a� D o o -O m o c = !-- v y O V m co W_ _ 'a +�•• O O LL. N •41 � �N O N =ui w — 4- LU W E v " 0 c,�.=_2 V g O'0 o ; co °'5 c N -o O 2 0.ov ti 0 v v O w C co O Q � Q ca J -0 O CD z cn a W I. VU O ui 1 O \cal E JkA UUI LLJ uj ui LL \ U O Q �l m v 1 �6 j c6 3 c0 �o i Z Q NO S O (11 V) O N-9 I\LL O K LL C O O 2' LL 7 Oa E VI V1 IQLL O 0 CL (-D �. o u.- C. 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CL) >a) Qy o O N g Q O C t C L cu LL }� c u LL U U Z O O O) O O p 0 p O 0 0 O m 0 V 0 0 O Q � V � N � O � m A J J� T O vi m > O O ` N � cc O Vl ° �U O U ui T O C O O a+ U m as o co c c m 1° TO co 3 ° U T LO m m Q c cm .' w N m d O LU U U O. m C L C N ` 0 y ON d Q' m co E� aL _o A C M F- W It I i0 U m L L m LL •C >m m A J J� T d U LL 5 0 m a) 1 c a c c ` t ° Q 2 of 3 _ N Q Li c a A am c O 'C = �7 Cf m J O vi m > O O ` N � cc O Vl ° �U O U ui T O C O O a+ U m as o co c c m 1° TO co 3 ° U T LO m m Q c cm .' w N m d O LU U U O. m C L C N ` 0 y ON d Q' m co E� aL _o A C M F- W It I CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 752-14 on 4/25/2014 Date: September P , 7/t 1'� THIS CERTIFIES THAT THE BUILDING LOCATED ON 51 Stanton Way — Lot 2 MAY BE OCCUPIED AS as single family home home IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Cranfield Inv. LLC c/o Green & Company P.O. Box 1297 North Hampton, NH 03862 Buil 'ng Inspector Fee: PrePaid $100.00 Receipt: 27494 Check: 87976 v tq.e.. X67 N� to APPLICATION FOR CERTIFICATE OF OCCUPANCYANSPECTION 5RICH U`-+ BUILDING PERMIT # SACH ADDRESS/LOCATION OF PROPERTY: SiA�iaIJ 4,14cl Map l� Parcel Lot Number OZ SUBDIVISION: '�d��d�°. Li '�S DATE REQUESTED FILED/READY FOR INSPECTION: /�f�✓/ /'�l ' CLOSING DATE ON PROPERTY:_ _ _b �4 -J 9-. rg'� FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A REINSPECTION FEE OF TWENTY DOLLARS ($20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. APPLICANT SIGNATURE Permit Issued to: Address:— 16NI A40 TOWN ENGTIITEER, CONSERVATION PLANNING ROUTING SITE PLAN —DRIVE-WAYREVIEW DPW -WATER METER W to L J I "1 SEWER CONNECTION 0 DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW SIGNA File: Application for OC form revised Jan 2007/2011 • __ O R O L r� N V E °' c N 2 a0 E v, o = c a o 7E <� N m Q" J � m _ O N (>D N O C _ U Q OEM N = = d - W t 0 c o a) z CL_18 - CO) c o �O0 Q N (1)( � � c o = _ Q (OL) cc �(•5 E— 0 y v m N W = a +�+ O O uml U: Q to N M C V V ao W E .�� V Q 0-0 m cn as N .O o F-- Z CLov 0 W CL z z 0 m H H 0 � O Z V W a Z W O cn W LLI —j a z A 00 a Moo Q.p ti z 5 E O O Z C I d r 00-0 CD O Q. F Q �a O _ .V J 0-0 U)z � O V N tQ � c U) 0 l� W w ! O W kz d Q EA � CW ^ e • 0\ m V cu m � ((�y�� V = 0. � ui WkA J V N J ��\' �, ` \ u W a' LL v \� O Q O 0 LL to LL �\ 7 to cv K LL ® O O co O N O I (% n • __ O R O L r� N V E °' c N 2 a0 E v, o = c a o 7E <� N m Q" J � m _ O N (>D N O C _ U Q OEM N = = d - W t 0 c o a) z CL_18 - CO) c o �O0 Q N (1)( � � c o = _ Q (OL) cc �(•5 E— 0 y v m N W = a +�+ O O uml U: Q to N M C V V ao W E .�� V Q 0-0 m cn as N .O o F-- Z CLov 0 W CL z z 0 m H H 0 � O Z V W a Z W O cn W LLI —j a z A 00 a Moo Q.p ti z 5 E O O Z C I d r 00-0 CD O Q. F Q �a O _ .V J 0-0 U)z � O V N tQ � c U) 0 Of NORTH AN . O s 'j17.O4r.. ..•`49 SSACRUSEI CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 752-14 on 4/25/2014 Date: September I1, 7A I� THIS CERTIFIES THAT THE BUILDING LOCATED ON 51 Stanton Way — Lot 2 MAY BE OCCUPIED AS a single family home IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Cranfield Inv. LLC c/o Green & Company P.O. Box 1297 North Hampton, NH 03862 Buil 'ngv Inspector Fee: PrePaid $100.00 Receipt: 27494 Check: 87976 ry AK APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION At <ocwc e< w 1• -� �9SSgcHuss�ty BUILDING PERMIT # 75d-H' ADDRESS/LOCATION OF PROPERTY: Siwo"17a j 4,14V If Map �Parcel Lot Number OZ SUBDIVISION: ��3�`�: `ice"�'s DATE REQUESTED FILED/READY FOR INSPECTION:_ CLOSING DATE ON PROPERTY: bA y -. 19'l FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A REINSPECTION FEE OF TWENTY DOLLARS ($20.00) WILL, BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. APPLICANT SIGNATURE Permit Issued to:_ -rteV , a4, CIO 6 ;�-'/J d' al"e h -y Address:- f'� AKS 16717 4ya . i�lw l � N// � 31iG,X- ROUTING / TOWN ENGINEER, SITE PLAN — DRIVE -WAY REVIEW CONSERVATION J�vv�- ,' PLANNING to, DPW-WATERMETER � SEWER CONNECTION DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW SIGNA' File: Application for OC form revised Jan 2007/2011 11 '•Z Sa. v \ J 7 V \ U V W ' O O W ,) `. wuj LL i o N m1 N \ U uj Ui tA Iz S a0C1r < � uci Y U to o O O go N EOE U ba = i..� Co YO_ �1 O N to y r L' O C � o � L ca .CL Ccc Q �■ 1` 0 yU E Q E CM occ = 0 (i L Q I 4v � 0 cc Alk J L m O TD o tm ��OCA♦♦ CD a Ems' L o 0 a> z CL04- - y 0 o a''� o L C t; or - C -' c 0 = Q 0 _ C 4) N .v m W C O O uml F- 2 (n w w W U L- O Na =d �i • o Qd>=c FE o oU I-- =SCLov, O U W CLN C9 0 IM Cl)� H OQ E O MA Z U r_ Cl) LUo CL z o X O LU0 W CL z ca0 c N N t 4- z (490 0 moo > J Z w ft CD O 0 O 0 0 z o � i 0 .- N 'a W ^WO �+ ` O caV O Q � Q O a M V J � •�0 �z O CL U) 0 J.J LOT 16-2 6 \ co EASEMENT \ / � \ f r jNOFMN(01.21 oti zN M 0 S6-1 M 40 EASEMENT \ �s \ 3 6g. 26 STANTON WAY FOUNDATION AS -BUILT CLIENT: GREEN & COMPANY THIS CERTIFICATION IS MADE AND LIMITED TO THE ABOVE CLIENT LOCATION: NORTH ANDOVER,MA. DATE:6/25/14 SCALE: 1"=100' cid 7 EXISTING FND. EL.=105.9' I CERTIFY THAT THE PRIMARY STRUCTURE SHOWN CONFORMS TO THE HORIZONTAL SETBACK REQUIREMENTS OF THE LOCAL APPLICABLE ZONING BY-LAWS IN EFFECT WHEN CONSTRUCTED. (THIS CERTIFICATION DOES NOT CONSIDER ANY OTHER RESTRICTIONS SUCH AS COVENANTS,WETLANDS,EASEMENTS, ORDERS OF CONDITIONS,ETC.) THIS DRAWING SHALL NOT BE USED BY THE CLIENT FOR ANY PURPOSE OTHER THAN THAT OUTLINED ABOVE,EXCEPT WITH THE WRITTEN PERMISSION OF CHRISTIANSEN & SERGI INC. FURTHERMORE THIS DRAWING IS THE COPYRIGHTED PROPERTY OF CHRISTUWSEN & SERGI INC. AND ANY UNAUTHORIZED USE IS PROHISITED.CHRISTIANSEN & SERGI TAKES NO RESPONSIBILITY FOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANY INFORMATION CONTAINED HEREON. PROFESSIONAL ENGINEERS & LAND SURVEYORS CHRISTIANSEN & SERGI INC. 160 SUMMER STREET, HAVERHILL, MASSACHUSETTS 01830 WWW.CSI-ENGR.COM TEL. 978-373-0310 FAX. 978-372-3960 DWG.NO.: 12007.001.012 Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost 440)1) 5,0.00) m $ - $ 4,923.00 Plumbing Fee $ 615.38 Gas Fee 100 comm. $3 TGO)OU Electrical Fee $ 615.38 Total fees collected $ 6,253.75 51 Stanton Way 752-14 on 4/25/2014 New Single Family Home \� a) N O K M 0 0 0 d a 1-1 y � � U V « 9 � 69 to O y A n IS rn C r C _C L T Y� IM 0 l6 ~ N Cd w N 3 LC) IC7 Lo rr-: I- O O C w N �O V LU m O r- L6 O N N a) � Q Q N Q U g r y Q 3IL p O o ay o 0 y N N LL _ E E r ❑ -0 z La O a E W T Z 0)C 01 . a) N � U w M C CA 2) a' c WQfp co ® a `—� U M -O C 01 O) C N m o (7 N �Q O U_ M N (6 O .U) t O +� 7 U "f CL N 1-1 a o T • a 3 c O 0 2 LL 6 N E E Q 3 O C > N o m v o c 0 U c 0 U 0 Cn V O O U) 60 2 O (n O O CO N M +O' M � C5 U o o -0 O 7 c0 M q 6 O Z Ix ❑ Z m N O I'- 0 2 O C in 0 m = co la a) Z (M o w O 0 E to (LOO W L (0 U) - c M O `2 m C9-2 U V O N N O O W W M O N N LL W .. ❑ W LLLL W U `o N d -0 < Q O O t N O Z' 190 Lo w N O o N W N c wO O N w C6 C6 N O C @ c t O LL co CL m 0) o W Ltxl c V U c m m w p.3• 3 " (n ca U CO O 3 Z @ C -i O O N Cj .c C _ O 3 z U O N U co a) w m L N LO N T N co 2 f6 Ca ._ LL p O O N 3:'O U N O 0 0 0 C O O O k- C O O @ •C � p O O CU O NU f6 LL S Q W 2 of Z it Q' w to (M O L L to 0) m 0) � E - N U CT _N .0. to LL < N C6 la J J > ami a`ai o > 0 ..rn M .� it o a� o u _ M U p U C a) U 0 C lA M m C o c m r 6 v -o .o .0 m w °� N 0 2 c c m 0) m ~ M U m C7 .0 ea _ C7 •tM LL c a c s m Y C a - >O 70 Q Ca J E N Q E -0W C a d w AM .0 d ? 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MM M North Andover Health Department Community Development Division June 18, 2013 Green & Company 11 Lafayette Road North Hampton, NH 03862 RE. Re: Subsurface Sewage Disposal System Plan for Lot 16-2 Saracusa Way Salem (Man 61, Lot 16-2) Dear Property Owner, The North Andover Board of Health has completed the review of the septic system design plans, for the above referenced property, submitted on your behalf by the Christiansen & Sergi, Inc. dated April 17, 2013, received on May 3, 2013 and revised June 12, 2013. The design has been approved for use in the new construction of a 4- bedroom, on-site septic system. This plan is good for 3 -years from the date of approval. During this time, a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance be endorsed by the installer, designer and the Town of North Andover. 1. Prior to the issuance of the Disposal Works Installers Permit, the applicant must submit a foundation as -built at the same scale as the approved plan. 2. Prior to the issuance of the Disposal Works Installer's Permit, the applicant must submit the floor plans of the home showing no greater than four bedrooms or a total of nine rooms. 3. If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation, the originally issued Disposal System Construction Permit is void, installation shall stop, and the applicant shall reapply for a new Disposal Systems Construction Permit (3 10 CMR 15.020(1)). Page 1 of 2 North Andover Health Department, 1600 Osgood Street, Building 20, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 Lot 16-2 Saracusa Way June 18, 2013 4. It is the responsibility of the applicant and/or the applicant's septic system designer, septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission, Zoning Board, Planning Board, Building Inspector, Plumbing Inspector and/or Electrical Inspector. The issuance of a Disposal System Construction Permit shall not construe and/or imply compliance with any of the aforementioned requirements. Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you might have. Syat� Sa er, REHS/ Public Hea th Director cc: Phil Christiansen, PE file encl: Installers list Page 2 of 2 North Andover Health Department, 1.600 Osgood Street, Building 20, Suite 2035, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 I day If i x ell I%j cf.Z Z ora- CG } T Town of North. Andover Office of the Planning Dep _ ' CT _2 �` 1 6=2 Community Development and Services Division 1600 Osgood Street { 1 North Andover, Massachusetts 01845'' ` Definitive Subdivision Decision — Insubstantial Change Date of Decision: September 30, 2013 Michael Green Cranfield Investments LLC c/o Green and Co. P.O. Box 1297 North Hampton, NH 03862 Premises Affected: 1679 Osgood St., North Andover, MA 01845, Map 61, Parcels 16 and 34, and Map 31 Lot 4 within the R-2 and CDD3 zoning districts. INSUBSTANTIAL FINDING On September 20, 2011, the Planning Board approved a Subdivision Plan so as to construct a nine -lot subdivision, including the construction of a roadway with a cul-de-sac, a private right- of-way with a hammerhead turn -around, a private shared driveway, the installation of stormwater management infrastructure, the installation of underground utilities, the installation of separate septic systems and separate water supplies and substantial grading in the R-2 and the Corridor Development District 3 Zoning Districts. Condition "6" under "PRIOR TO ISSUANCE OF A BUILDING PERMIT", the decision states that "All lots shall have a Saracusa Way address." Michael Green of Cranfield Investments LLC, the current owner of the property, has requested and received a street name change from the North Andover Police Department, dated September 26, 2013. The street name to be used as _the_address for all lots in this subdivision shall be "Stanton Way". e�r�ni .. rrrr.r006 -s behalf of the orth If Planning Board Judith Tymon, AICP September 26, 2013 Mr. Michael Green Cranfield Investments LLC C/O Green and Company P.O. Box 1297 North Hampton, N.H. 03862 Dear Mr. Green; This letter will confirm your request to change the proposed street name of "'Saracusa Way" to "Stanton Way" in a new subdivision being built off the lower end of Bradford Street., The name has been reviewed by public safety and the Department of Public Works; and does not present a problem. The use of this street name is acceptable. A copy of this letter has been forwarded to the Fire Chief, Town Planner and .Department of Public Works Operations Manager. ectfully, ichard C. Boettc er, RPL Director, Administrative Services Division E-9-1-1 Coordinator Cc: Andrew Melnikas — Fire Chief Timothy Willett — DPW Operations Manager Judith M. Tymon —Town Planner 1475 Osgood Street, North Andover, Massachusetts 01845 Telephone: 978-683-3168 Fax: 978-681-1172 f Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Superiisor License: CS-045719 ,1 MICHAEL P GRE IV PO BOX 1297 11 LAFAYETTE RD - h North Hampton NH 03861IfC- r<i Expiration Commissioner 08/10/2015 GREEKA-2 OP ID: Mh .`� OF LIA MTY INSURANCE DATEYY)CERTWICAT 1012112013 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 Phone: 207-725-2797 Bilodeau Insurance Agency, IncPHONE 92 Pleasant Street Fax: 207-725-6001 Brunswick, ME 04011 Ann Tourtelotte CONTACT NAME: Melissa Holt FA AlC No E :207-725-2797 AICNo): 207-725-6001 E-MAIL ADDRESS: mholt@bilodeauinsurance.com INSURER(S) AFFORDING COVERAGE NAIC R GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I—XI OCCUR INSURERA:ACadia Insurance Company 31325 INSURED Green & Company, Inc.: Prime Properties Inc; Green & Co INSURER B: 05/04/2014 Real Estate iii Development Inc; INSURER C: Cranfield Investments 11 Lafayette Road, PO Bax 1297 North Hampton, NH 03862 INSURER D: INSURER E INSURER F GEN'L AGGREGATE LIMITAPPLIES PER: POLICY PRO - T LOC COVERAGES CERTIFICATE NUMBER: RFVISInIU lul Irma/=sz- 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INS POLICY NUMBER MMIDD POLICY EXP MM1DDlYYYY LIMBS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I—XI OCCUR CPA0284851 05/04/2013 05/04/2014 EACH OCCURRENCE $ 1,000,000 DAMAGE TO PREMISES Ea occurrence) $ 250,000 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: POLICY PRO - T LOC PRODUCTS- COMPIOP AGG $ 2,000,000 $ A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS X AUTOS HIRED AUTOS X NON -OWNED AUTOS CAA 0284853 05/04/2013 05/04/2014 EOeBINdEeDtSINGLELIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY Per accident) $ PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE CUA5122663-10 09/26/2013 05/04/2014 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DED I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y / N OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A CA024854 05/04/2013 05/04/2014 WCSTATU- OTH- X TORY LIMITSER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE- EA EMPLOYEE $ 500,000 E.L. DISEASE- POLICY LIMIT 1 $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) Stranton Woods off Bradford St., North Andover Tax Map 61 Lot 16 & 34 Tax Map 34 Lot 31 CERTIFICATE HOLDER (,,anlrGi I ATIr)KI ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Michael Green THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE �f ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD The Commonwealth ofMassachusetis Department o f Industrigl Accidents Office of Investigations Uf 600 Washington Street Boston, MA 02111 1Lvww. mass gov/dia Workers' Compensation. ]Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print I,eWbly Name (Business/Organization/Individual): Address: e•Sex, ld� City/State/Zip:A . f;-aj IUW Phone #: )J- Are 3s Are yo an employer? Check the appropriate box- 5i�m Type of project (required): 1. I am a employer with 4. a general contractor and I 6. 2<ew construction employees (full and/or part-time)." 2. ❑ I am a sole proprietor or partner- have hired the sub -contractors listed on the attached sheet. 1 7• ❑ Remodeling ship and'have no employees These sub -contractors have 8. ❑ Demolition working for me in any capacity. [No workers' comp. insurance workers' comp. insurance. 5. ❑ We are a corporation and its g. E] Building addition required.] officers have exercised their 10.0 Electrical repairs or additions 3.01 am a homeowner doing all work right of exemption per MGL 11.(] Plumbing repairs or additions myself. [No workers.' comp. c. 152,1 , and we have no §4 () 12.[❑Roofrepairs insurance required.] t employees. [No workers' 13.[J Other comp. insurance required.] -Any applicant that checks box#1 must also fill out the section below showingtheir workers' compensation policy information. 1 -Homeowners who submit this affidavit indicating they aie doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name ofthe sub -contractors and their workers' comp. policy information. I am an employer that isproviding workers' compensation insurance for my employees. Below is thepolicy and job site information. _ Insurance Company Name:. Policy # or Self -ins. Lic. #: 1,0644)a y95 i' Expiration Date: y, (v , Job Site Address: �i /-��/`;zyj /,i, pcu f�.eIN i City/State/Zip: �4�. »i0 �>�°�'��® VIP -t T Attach a copy of the workers' compensation policy declaration page (showing.the policy number and expiration date). Failure to secure coverage as requiredunder Section. 25A of MGL c. 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 fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert!Qtnder the Pains andp al es ofperjury that the information provided above is true and correct. Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License Issuing Authority (circle one); 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other - - Contact Person: Phone #: a = LL.? 0 D Q m v Y \ O LL v tT U Q N W H z Z _ m O m -O 7 LL t :3ai U' > v C..0 E U C LL OO a to z Z ^Z d t C t0 LL O u a to z Q U u W W L M O Q' N Ln LL U a Ln Z Q (D GO O K C U- z W F - x W W cc ty •- C CO z N (n 0)Y Y O (n O � O i Q. a� o N V ECL d 1 � N • N d O C E CD O = a 4t C O d Q' M J L m .a _ _ O,c d > N — o C N E s L 0 O d z Q C N C O t 'N r- 0 0 CL a, N F- v O = _ a L cc CD 0 -� N m ujN W ='C +�+ O O W40_ .� .EL W E 0 4) L U n 0.0 a� a) 1- t CLo Q o 0 O W CL z z m v! r O Z U Cl) 0 X Z d G W c W J a Z m 0 0 N m t O z O mooF- 4opm *AMP O_ w ft E O Z CL O ' CD 0) � 0 U) Qi •� CL Ham.+ ca O d v O c CL a a ai a O� i v_ J0 Cc �CL O 4)(j) Z0 CL � V N c r — .c U 0