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HomeMy WebLinkAboutMiscellaneous - 55 COCHICHEWICK DRIVE 4/30/2018 55 Cochichewick Dnve _ _ _ BUILDING FILE i LaMarche Associates 5 North Road, P.O. Box 256 Chelmsford, MA 01824 800-349-1525 Fax: 978-256-8596 1 February 19, 2015 I Building Commissioner/Inspector of Buildings North Andover, MA 01845 I Board of Health/Board of Selectmen North Andover, MA 01845 I NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B I Claim has been made involving loss, damage or destruction of the property captioned below, which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss, cause of loss and LA file number. I Insured: Bruce &Jane Russell Loss Location: 53 Cochichewick Dr North Andover, MA 01845 Policy Number: HP642776 Date of Loss: 02/16/2015 Cause of Loss: Ice and Snow LA File Number: MA-2-26268 On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. Bill Morris Adjuster I I I LaMarche Associates,Inc.-800-349-1525 Page 1 of 1 I APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION � Buildiniq Permit # 3 o o 4-,-3 3 04 ac a o ADDRESS/LOCATION OF PROPERTY : 51 44w 61 Cce N I . Map Parcel Lot Number I SUBDIVISION DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: I I FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS $20.00)WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET PPLICABLE CODES. I SIGNED i ROUTING CONSERI-MT110N qNb-)PLANNING � DPW -WATER-METE-R G Mr-i�'5 I SEWERIWATER CONNECTION NOTE i DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTA OF THE OCCUPANCY/INSPECTION REQUEST DPW Signature _-----_ I I File: OC form revised 2006 ( I i +cMus� I CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 304 Date: Januar 12, 2007 THIS CERTIFIES THAT THE BUILDING LOCATED ON 55 Cochickewick Drive j MAY BE OCCUPIED AS Attached Town House ACCORDANCE WITH THE i PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Campion Hall LLC 865 Turnpike Street Nog -,Xndover MA 01845 Building Inspector I i I I I I Town of Andover- Q) o , of O - L A E dover, A , Mass., COCHICHE WICK �.0 AD RATED 7 H BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT 7�C AMCAI ���I/V I N V� �a �N �g,� ... ........ Foundation L' .....- has permission to erect............... ............ buildings on. �� �� Rough,/ - �......... ....... . ..... ..... .. to be occupied as �1.......... .� V s �� ��G�rC� • Chimney ................ .............................................. ...................................................................... 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-Law relatin to the Inspection, Alteration and Construction of / (D 0 7 Buildings in the Town of North Andover. a �0 PLUMBINSPECT VIOLATION of the Zoning or Building Regulations Voids this Permit. �"2 C.WotV►•% • IT � PERMEXPIRES IN 6 MONTHS C'2�' UNLESS CONSTRUCTION T TS ELECTRICAL INSP R _ . l— /3 -- of -� .....i�................................... . Service BUILDING INSPECTOR Occupancy Permit Required to Ocmpy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough s� l No Lathing or Dry Wall To Be & � Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. w s Burner. Street No. Smoke Det. SEE REVERSE SIDE 2-�%� 1 Location--mAell'anL r �►��V ' `?o V Date 1. ot�D "T TOWN OF NORTH ANDOVER S �a Certificate of Occupancy $ �L s"AcMus Building/Frame Permit Fee $ a Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # J& V--- 19930 Building Inspector I i CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 304 Date: January 12, 2007 THIS CERTIFIES THAT THE BUILDING LOCATED ON 55 Cochickewick Drive MAY BE OCCUPIED AS Attached Town House ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER 1 REGULATIONS AS MAY APPLY. I Certificate Issued to: Campion Hall LLC ' .:;;;0 /993865 Turnpike Street 1 North Andover MA 01845 I i Building Inspecto i Y � 1 I 1 I =-� NO R Tly ( 1 F IP Town of _ ower O No. 36 '..yrs-.�:m^ i:.••�k� .1" "' � _ _. _ if o LA E dower, Mass., COCMICHEW1CK A ,,' ORATE E H BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System 7�C �I�i1,t�V I u� �i�+ �N BUILDING INSPECTOR THIS CERTIFIES THAT � . Foundatio has permission to erect................I..................... buildings on . n 4./. .. ..... .... �� Rough�9, A" �9 to be occupied as s ,�' A ��G� Chimney ' provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final �D p-7 this office, and to the provisions of the Codes and law relatin to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBINSPECT VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION T TS ��,/ .................................. service BUILDING INSPECTOR Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough s� No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner w o Street No., FSEE REVERSE SIDE r. :Smoke Det. 6 /� ..;.day �srsv� „�'C• i APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION Building Permit # 30Y 8 �¢c. 804D ADDRESS/LOCATION OF PROPERTY : -51 44,v 61 C�C Map Parcel Lot Number SUBDIVISION DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEETALL-APPLICABLE CODES. SIGNED r ROUTING r►nNcEQVATION 0 PLANNING DPW--WATER METER 6 MG11_-- %&5 SEWER/WATER CONNECTION o NOTE ISPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTA OF THE OCCUPANCY/INSPECTION REQUEST DPW Signature 9e: OC form revised 2006 L-- I L-. ' . L Location -� �=-� ; ``ti._tr, ` No. `-38`/ -/3 c Date w TOWN OF NORTH ANDOVER Certificate of Occupancy $ ��b',•`°•'<� Building/Frame Permit Fee $ — �Ss�cNusE Foundation Permit Fee $ t � t ' Other Permit Fee $ TOTAL I Check # 1 8704 (/ wilding Inspeor I I I Date.! .............................�J NORTq TOWN OF NORTH ANDOVER PERMIT FOR WIRING i o� ice' SSS^cMU This certifies that ... 5 ............................ ...................... ................................ has permission to perform ...� .!�..�!::a...'.... v wiring in the building of...,��. - ........ t-.. ....,...r?- at� .... �� �� . ,North Andover,Mass. y{ Fee��'h.. � . Lic.No:7 !r?9 ..�'....2.?��.. ELECTRICAL,I;4PECT0R Check # "Z (� 6 i i I { Official.Use.Only i U Commonwealth of Massachusetts y Permit No. Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] leave blank) sti r i APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC;527 MR 12.00 (PLEASE PRINT IN INK OR W ,4rva,169 ALL INFORMATION) Date: City or Town of: To the Inspect r of Wires: By this application the undersigned gives notice of his or her intention to perform the e ectrical work described below. Location (Street&Number) 1 CX G4 1 Owner or TenantTer-4 Nic& 1 \Jj T'(n$ Telephone No. Owner's Address IS 5 069600 Is this permit in conjunction with a building permit? Yes Dd No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No. of Meters New Service Amps / Volts Overhead❑ Und rd No.of Meters 1; ❑ e s Number of Feeders and Ampacity i Location and Nature of Proposed Electrical Work: ' ' I i Completion of thefollowing table may be waived by the Inspector of Wires. No. of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No. of Total Transformers KVA No. of Lighting Outlets No.of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑ In- ❑ No. ot Emergency Lighting rnd. grnd. Batttu Units No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No. of Switches No.of Gas BurnersNo. of Detection and Initiatin Devices No. of Ranges No.of Air Cond. Tons No. of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained i Totals: I I I Det ction/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal El Other Connection No. of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No. of Water No.of No.of KW Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: i Attach additional detail if desired,or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. ' CHECK ONE: INSURANCE VO BOND ❑ OTHER ❑ (Specify:) Q�i (Expi tion Date), Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify, under the ins and pen-alties of perjury,that the inforutat* i n this application is true and complete. FIRM NA / y / LIC.NO.: , Licensee: Signature /1/(/� LIC.NO:: Z e5' I a lic e r "ex i t"it thelicen e t (f pp p s nut t line. l Bus.Tel.No. �7� ZS Address'," J �QD�1X�b 1D /ehr� N 4 Q36� Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,,I hereby waive this requirement. I am the(check one)El owner owner's agent. Owner/Agent i Signature Telephone No. PERMIT FEE: _ 7 I i i i I a Date.�. A& NORTH °f TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION SSACHU5E This certifies that . . . . . .P' -�- has permission for gas installation . . . . . . . . in the buildings o . . . . . . . . . . . . . . . . . . . . . . . . . . at � . . . . . . . . . . . . . . . . . orth Andover, Mass. FeeA� .'. . Lic. No... . 'et . . . . . . . . . . . GAS INSPECTOR Check# Y 5455 I I i I I 1 I MASSACHUSETTS UNVORNI APMCATON FOR PERMIT TO DO GAS (Type or print) Date �7i3 o b 11 NORTH ANDOVER,MASSACHUSETTS ,1 Building Locations ��C�n�C �\A�\� �� Permit# Amount$ /&C . . � C �r���,►t�`` Owner's Name t�` \ �lfa►r/A �`�2t����l\ New Renovation Replacement Plans Submitted i o U C7 PP E. E' z C, o a r� F G z SUB -BASEM ENT / BASEM ENT P 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR i 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR STH . FLOOR • I' (Print or type r C one: Certificate Installing Company Name ►lGn uks �����'?1 1 W1�i2 �i1 11�,i / I� Corp. Add ss , �' Partner. II znz ?,0 Business Telephone Firm/Co. j n. ` I R Gas Fitter " L Name of Licensed Plumber or �, �► INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 13 NoO If you have checked Les,p as indicate the type coverage by checking the appropriate box. D Liability insurance policy Other type of indemnity 13 Bond ' I I Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner 13 Agent 13 I I hereby certify that all of the details and information I have submi (ore )in above application are true and accurate to the j best of my knowledge and that all plumbing work and installatio pert nder Permit Issued for this application will be in compliance with all pertinent provisions of the lklassachusetts, ate G e and Chapter 142 of the General Laws. I i Signature of Licensed Plumber Or Gas Fitter / Title Plumber Titl City/Town Gas Fitter License. um er iVlaster ��PPROVED iOFRCE USE ONLY) Aourneyman r.' ,•-" �,.",��T:'�a TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 40 cwus� This certifies that 1. . . . . .. ... . . .... .. . . . . . . . ._..T{. . . . . . . . . . . has permission to perform . . . . . --. . . . . ... .3�¢. ��. . . . . plumbing in the buildings at . ./. North Andover, Mass. Fee/. y'r� '/Lic. No.. . . . . . . . ... . . . . . . . . . . . . 7l L ur/ PLUMBING INSPECTOR Check # 68ul � � i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print Ono,N OVER,MASSACHUSETTS YY��G1V Ono, I Date Building Location C)A( lC�-� Owners Name 12� ��W3nnlh XWA h, Permit# 0 `I V N kr :IAmount T pe of Occupancy e I New Renovation � Replacement � Plans Submitted Yes ❑ No ❑ I 1 FIXTURES Q > proU w w x a � w z a a o et E., H Q -it z 3 w = A H a Q a as RAWY yr Ise:Rjolm M HDD 3t Flt M 4IH FLOOR y sm Rfm i 6IH HfM 7M HfM i s>x� (Print or type) Check one: Certificate Installing Company Name ��ame_\ Q�4SS ',QW aAc�, ZL ` u Corp. Address � G)Nk S QQ\j e- \`�� 3 13 Partner. Business Telephone rl Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate e ofinsurance coverage b checty king appropriate box: Liability insurance policy Other type of indemnityP- 11 Bond Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above threeinsurance i Signature Owner ❑ Agent ❑ i I hereby certify that all of the details and information I asge ed)in above application are true and accurate to the best of my knowledge and that all plumbing work and innder Permit Issued for this application will be in compliance with all pertinent provisions of the Massachode and Chapter 142 of the General Laws. BY' igna ur IWVng License i Title City/Town icense um er Master ❑ Journeyman APPROVED(OFFICE USE ONLY i �rss� G A, �-t- RECEIVE TOWN OF NORTH ANDOVER BUILDING DEPARTMENT MAY 2 3 200 APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOL ANY BUILDING I ` OTHER THAN A ONE OR TWO FAMILY DWELLING Tu >.�� �, z - +. r t'� .._[ NOW � F x This Section for Official Use Oni ,�,;. W 9- BUILDING PERMrr NUMBER: C BIC DATE ISSUED: 1 b „Z© 6 SIGNATURE' ( — BuildiB&Comms oner/I or of Buildings Date 1.1 Property Address: ld Assessors Map and Parcel Number: t 0N1C wtcK -� w d r 84� er Map Num cel Number 1.3 Zoning Information: 1.4 Property Dimensions: e v 4- G + tom— > ZoningDistrict Proposed Use I.a Ar�— Frontage(ft) RI 1.6 BUILDING SETBACKS(ft) p Front Yard Side Yard Rear Yard Required Provide Required Provided ReqWred Provided 1.7 Water SupplyM.GL.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zoae Outside Flood Zone ❑ Municipal On Site Disposal System ❑ 2.1 Owner of Record - : MCA N t GA1. <i"(�Pll�►r! .�o cJ�AA t�a� I Ste( Os(ro0 0 �Sr�' O Name(Print) Address for Service: No�'C� Signature Telephone 2.2 Authorized Agent , Name Prin Address for Service: ^ w! n O v & z, M O 1�A� N /�'V Y a\. .. O`er o Signature Telephone Z M 90 3 1 Licensed �Construction Supervisor Not Applicable ❑ :::!Zy N A) `� r�A:swn Q 'mss License Number o i Licensed structron Supervisor. /,0/311 61r� Expitat ,. Signa Telephone 3.2 Registered a Improvement Contractor Not Applicable ❑ v A15s0 C,141-421-c co 1r✓G 015/50 Company Name Registration Number % '(- t1RN �(K� s�' lN��r�f Address D� Expiration Da ^Z. Signature Telephone D v, t^ 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 Yea...... No.......❑ SECTIO&5�4Pt carrsCol c�� � a2. + Y 01 ► � ate ►sA � 5.1 Registered Architect: a �R M ��� ���►�Ec�� s Name: Q MIA 10 s _�N 6�0 d"\ MA Ad&ess Signature Telephone --Ll �\�' ► nL�s �'� L �' S L � Area of Responsibility Name: tJ r Registration Number ` Address: / , Y 3 R •6 1,;2 I Expiration Date Signature Total i Not applicable ❑ Name: 2 SVt)c VRA L (54CRX"K ✓ Address MAIN A)f W 2 l�-A), PA .Registration Number ; ` SignatureTelephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date f Name_ - _ ,Area of Responsibility, r * Address Registration Number Signature Telephone Expiration Date Nw U I n N Ch J!y C Noi Applicable ❑ Company ame: n Responsible in Charge of Construction Addition ❑ p Al atlons(s) � ,,� RSA ❑ is r <'fF �.,..,�, E�stingBwidinB ❑ Specify palet ..� suction ❑ New Connolition Bl� 3 1 Accessory �wotk: tion►of pr°p° cJ u\ TYPE CONSTRUCTION ❑ OIL lA ❑ '.. livable 1B ❑ GROUP Check a ❑ 2A ❑ USE A-3 p F� 2 2B ❑ M, A- C ❑ A-1 N-5 ❑ A5 ❑ 3B ❑ A As�,bly 3 ❑ ❑ 4 B Biness p ❑ F 2 ❑ 13 ❑ 5A ❑ C F�ucational ❑ F-1 p ❑ 5B ❑ 12 F Factory 11 ❑ lZ 3 a F[B1oual�'Fl ❑ R 2 p GE IN U5E Mole S 2 ❑ DITJON s AND OR CSN ❑ S-1 ONS, g resiaeutial specify,, INGNOV ATI S Storage ❑ specify uNDEgGO Use Group: U Utility ❑ specify: IJp,IDING proposed CMR 34. LJse G B d�►dex I80 S SPec�al Use Tis S CTION EgISTIN pr0p°SedKazar COMPLETE pgO-0SED CnouP' E sting Use d X'(80 CN% 34:. OGif a livable E��,u►g Ba7'ar E� � ,`. INC AREA cluae Bor Stories N�l�er of Floors t levels -gl� 11111 1 0 FlpOrMea s ::. es 0 No s Y Area t R y Total Hel p�R�eW_ -D wgEN St�ctutalBp CO�,I,ED�G pERM� ndent sct A�tbotio TOTR�ppy�S FOR er°f the sub3 pYoPeT�' IndCON IOa O T erR CONT�'C as ' OWNERS AGEN to act°n i. - t appv�ation _ I th>s��ngpen� � e two a°rk autlion� He °fie � �V Dat °f mer gignatu� �• E' iaboa D$ 0 Z New Construction Existing Building ❑ Repair(s) ❑ TAlterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: 1 d W 6v iLDAJ kk c X19 USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ IB ❑ B Business ❑ 2A ❑ C Educational ❑ 2B ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ IInstitutional ❑ I-1 ❑ I-2 ❑ I-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R residential X R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IlV USE Exist' Use Group: Proposed Use Group: � P Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: X R., r BUILDING AREA ru EXISTING if applicable) PROPOSED Number of Floors or Stories Include. 'Basement levels Floor Area per Floors e Total Area s Total Height ft Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑ SECTION 10a Owner Authorization- TO BE COMPLETED WHEN OWNERS AGENT QRCONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner of the subject property Hereby authorize to act on My behalf;in-all matters relative two work authorized by this building permit application Signature of Owner Date I .RAW ' I, as Owner/Authorized Agent Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury Print Name 49 Signature of ent L Date SO, v - Item Estimated Cost(Dollars)to be Completed by permit applicant :'mak 3Y 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction from(6) 3 Plumbing Building Permit fee (a)x(b) 4 Mechanical(HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) Check Number ..c. sxr>..J.*,r..e-,i t�,;1yY.1, �,�, �;g,�an ,.d ,�'�..u,;t�..,x� i f t ��z,,.tt� ?u'`..ft'+, �-.,°. '�'ar.2 -• �.'�- .� 4�z.�'t`�,r c., r '3vc ,b� r�: s.,r e�` rr •�. � 4oca4 ,.S�n;� .'i .Su s. .� -�ati,.�.,a�� ,uF,�, f; �vp .,v,.� .�' ��;�. �`ds�� f..e`'a fix" NO.OF STORIES SIS BASEMENT OR SLAB SIZE OF FLOOR TINIBERS j 2ND 3 RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CBRvINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 4. f Location No. `�' y - c = Date MORTIy TOWN OF NORTH ANDOVER • • , Certificate of.Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # ?�`��� or c � f' Building Inspector NORTH Town of _ 4 over 0 .­,­.. ­�� V" -...... ....... *&/.a *At jw - o z=- LA E over, Mass., COCMICHEWICK y` ADRATE D I"? Cl H BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT... ��� V� �i �� Foundation bye J�ww�� k......]� Rough has permission to erect................ ...................... buildings on : ............. .......... g ....... ....... ........... .. � w� vS �t.. t0 be OCCUpled as......................... �i�Gk� • Chimney ........................ .................. .................................................................................................. Ch' e 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-Law relatin to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. OZ �� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION T TS ELECTRICAL INSPECTOR ough .............................. .......... ...lid 9 .. .. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough -��--- - - - - Final No Lathing or Dry Wail To_ Be_Done�- - - --------�---------- Until Inspected -and Approved'-by the Building Inspector. FIRE DEPARTMENT -J_�_�---- Burner - - Street No. SEE REVERSE SIDE Smoke Det. I (8L' ldwt �-' ' et Location No. -.J . Date /Q-�Q �oRT►, TOWN OF NORTH ANDOVER 41 'wwwqw f s Certificate of Occupancy $ ',y•,;_ =-_:,..�' / oma/' ,SJR SE< Building/Frame Permit Fee $ y 3C r Foundation Permit Fee $ Other Permit Fee $ ----�� $ TOTAL Check # I I 18704 V ilding inspe or I I I I I I Volpe Center Enter construction cost for fee cal L $ 194139000.0 Construction Cost Building Fee $ 14,130.00 Plumbing Fee $ 2,119.50 G� �30 Gas Fee ! it Electrical Fee $ 2,119.50 Total fees collected $ 18,369.00 Z Add 165. For 3 ops Add 165. For 3 ops Bldg 15 maplewood reserve C i i 1 xAORTH Town of � ' _ 4 Andover No. o = LA E Y dover, Mass., J*&,/dZ *,/0 I� COCMICHEWICK �t ORATED P`Y C" 7 H BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System `� BUILDING INSPECTOR THIS CERTIFIES THAT ` t P. ANI CA� ��I��N�N r*V~ �+' � 0� - ...........................W. ......... ........ Foundation has permission to erect..... . buildings on . foe Rough ...................... i; to be occupied as W� V.. �i Chimney p ................ r........`............................... 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-Law relatin to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. &OZ PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough c`w't V4 0 1PERMIT EXPIRES IN 6 MONTHS Final ���� UNLESS CONSTRUCTION , TAIJTS ELECTRICAL INSPECTOR ough clmService BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Fnal No Lathing or Dry Wail To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Bume< street No. SEE REVERSE SIDE smoke Det. AORTH 0VM Of 4Andover 0 No- 304 LA E dower, Mass., o COC HICHEMCK 7�S RATED p' C BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System l BUILDING INSPECTOR AJ T THIS CERTIFIES THAT....rs�1N...................... M. ~� . ..... fiVcjf ...... .+ .......... . Foundation c. has permission to erect.............1dw .......................... buildings on .............. .... � � ..... �� Rough to be occupied as............A.IIA 4.r.... e........ wN ..y............................................... Chimney ............................... 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. 4 0*1 ./ of PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids thisPermit. Rough PERMIT EXPIRES IN 6 MONTHS Final � V ELECTRICAL INSPECTOR d Cv �. LESS CONSTRU N ARTS C' C Rough ........ . ..........Roof...................... ... ........ ............................. 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. NORTH omm Of gAndover No. q�O o _ z A K E dower, Mass., 0 m" COCHICMEWICK -� 7�ADRATED I,- E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT .t...v- -R BUILDING INSPECTOR Foundation . ...�............ OC�IG�C�at�� has permission to erect......... . buildings on ... .. ........ ............................................ .......� Rough to be occupied as......... 4.4) ., . � 44��� Chimney ..... ........ .....7V.WAD..................................................................................................... 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 relatin 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 C0"%4 ft�` ELECTRICAL INSPECTOR UNLESS CON STRU O S Rough . . ................... ...................................caob*� ........... 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. NORTH ovm Of 4., w ,4•r,.�,•, TO No.30 4 lb jib_ oY dover, Mass., d L D COCHICHEWICK A�RA7ED APS\ �5 S BOARD OF HEALTH_ Food/Kitchen ERM T Septic System P T THIS CERTIFIES THAT.....T I F WJVJgc4e I� BUILDING INSPECTOR . ...... ... ........�......�~� Foundation has permission to erect............ ... ............. buildings on ...6--y C. �R Rough ....... ....... g to be occupied as.. � W/V V ,1 V. .............. ........ ... .................................................................................................:..... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final Buildings in the Town of North Andover. `01,0 (6/111 s PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough C oN4 to Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU N T S Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done Final Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. - - - -- SEE-REVERSE SIDE - smoke Det. 1 OMO et•,M1 Town of ';,t�CMUSnt'• NORTH ANDOVER 0 BUILDING PERMIT INSPECTION REPORT I PERMIT NO.: 30q PROJECT: UNX TOWA kovsr— 5S 04F DATE: Zd 6 UNIT NO.: 4/ FLOOR: Cz WING: BUILDING NO': C.404 �ck��: EcK REMARKS: i C( 000 ��z i Excavation-depth and soil conditions Framing- Other: i Date: Date: Date: Inspector Inspector Inspector Footings and foundations and drains- Insulation- Other: + Date: Date: Date: + Inspector Inspector Inspector I Electrical-rough- Plumbing and/or gas-rough- . Other: Date: Date: ! Date: Inspector Inspector Inspector i Electrical-final Plumbing and/or gas-final Other: I Date: Date: Date: i Inspector Inspector Inspector +II Q'ire Dept- E oil burner,tank,stove,smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: -C of 0 _ i Inspector Inspector Inspector 1 Form/995 Action Press,585-7000 i ON 11' S , ia `3 4.4 FORM U - LOT RELEASE FORM i i INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. """APPLICANT FILLS OUT THIS SECTION APPLICANT -MC44 0j r-AL RA1 A�r �rnu�(� OAf PHONE LOCATION: Assessor's Map Number_ h G PARCEL i SUBDIVISION LOT (S) STREET_ QOGUG KE W 1 GK 19 a _ ST. NUMBER 5 57 57 61 OFFICIAL USE ONL RECO ENDATIONS OF OWN AGENTS: CONSERVATION ADMINIST TOR DATE APPROVED DATE REJECTED COMMENTS -------------- w TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS I i FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED + SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS ' I I j ! /PUBLIC WORKS-SEWERMATER CONNECTIONS DRIVEWAY PERMIT I�23-tj /FIRE DEPARTMENT ^c' 7IS RECEIVED BY BUILDING INSPECTOR DATE Revised 9197Im I I North Andover Building Department Tel: 978-688-9545 I DEBRIS DISPOSAL FORM I 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. I The debris will be disposed of in: I (Location of Facility) &Wang I I I ignature of Permit Applicant Date ' I NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector ' I i I i I I I 1 1 I � I The Commonwealth of Massachusetts i Jr Department of Industrial Accidents Ofte of Investigations Boston, Mass. 02111 ! Workers Compensation Insurance Affida ' v►t Name ^ Please Print Name: Location: City p ' I am a homeowner performing all work myself. � I 0 I am a sole proprietor and have no one working in any capacity I am an employer providng workers'® compensation for my employees workin on this'ob 9 job. Company name: ,A•S s,D t'n cr' ca Address City: 01; Phona Insuirance.CoICAA hlPolicv v� C. 00 ?�IS7 Jam/0v CornpaMf name: ! Address City: Phone i i . Failure to secure coverage es required under Section 25A or MOL 152 can lead to the imposition of airninal penalties d,a fine up to si,=.00 andlor one yam,impriaorxnant_as.wao- s_chdl,pmakiWJnlhehm dAsT.C1P VVDM.ORMR.W.a.fine d.(,$1II lq-AAW epalrW.ma I understand that a copy of this statement may be forwarded to the Office Of Investigations d the MA for coverage varification. I do hereby certify a pains and penalties of perjury that the Imbm►atlon R pnsvlded above is true said correct i Signature Date 0 Print name 0 SO Phone# I i Official use only do not wrfte in this area to be completed by city or town official• City or Town P enai []Check d immediate response Is requhd Building Dept ❑ Licensing Board ❑ Selectman's O(/ke Confect person: Phone tk ❑ Health,Department Other i i I I I I I I � I _ I c7 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number- 'CS 022988 I Birthdate:10/31/1943 1 Expires: 10/31/2005 Tr.no: 6077 Restricted: 00 i ,I ( JOHN GRASSO 865 TURNPIKE ST NO ANDOVER, MA 0184'5 Administrator J i EI I I s i ��. ✓fie �anrmwnurea�i o�;,/l/taaa�ivaeba �� - pava;so7 ❑ }uam s a;�uega to;uoscaal -- Board of Building Regulations and Standards s HOME IMPROVEMENT CONTRACTOR ! _ Registration: 113130 j Expiration: 5/18/2005 i Type: Private Corporation GRASSO CONSTRUCTION CO.,I U01181, J6HN GRASSO 865 TURNPIKE ST N.ANDOVER,MA 01845 Administrator i I i I I I I { � I 1 II I i OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER ' CONSTRUCTION CONTROL. PROJECT NUMBER: PROJECT TITLE: "r�( 05 1,C vJC _ 4 ('—*'AF1 fj 0 r1J AtWLL i PROJECT LOCATION: C O GIt I G14C W i C k' T) NAME OF BUILDING: 1J K i Ct �j L9 usr- NATURE OF PROJECT: '�W,hJ ,�U I IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, A >rZ4 LN, lA a, 1 REGISTRATION NO. �-Zor BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECH HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROJECT 0 ARCHITECTURAL STRUCTURAL 0 MECHANICAL FIRE PROTECTION 0 ELECTRICAL OTHER(SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT,TO THE BEST OF MY KNOWLEGE, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE.AND OCCUPANCY. 1 FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFESSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 - 1. Review, for conformance to the design concept, shop drawings,samples and other submittals which are submitted by the contractor in accordance with theuirements of the mq documents. construction I 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become, generally familiar with6the progress and quality of the work and to determine, in general, if the work is being i performed in a.manner consistent with the construction documents. I PURSUANT TO SECTION 116.2 .2 1 SHALL SUBMIT WEEKLY, A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR O PANCY. C I SUB IGNATUR RIBED AND SWORM TO BEFORE ME THIS Z2 DAY OF OJ JAAt;,160 SONIA M• GRIECO fall Notary Public ,�J TARY PUBO C MY COMMISSION I Commonwealth of Massachusetts 3 /3/0 Mr Come-ion Expires Mar 3,2006 i "°"'" OFFICE OF BUILDING INSPECTOR TOWN OF NORTH ANDOVER ,;,,- ' CONSTRUCTION CONTROL c use I PROJECT NUMBER: I I PROJECT TITLE:_ i r ES I flcx�C 1' tq�- �r8 H PI0 ) i4 1J PROJECT LOCATION: NAME OF BUILDING: G.A R fl I'4 400-39 NATURE OF PROJECT: <'—to Lo 1J 4 0'j Sr S IN ACCORDANCE WITH ARTICLE 116 OF THE MASSACHUSETTS STATE BUILDING CODE, REGISTRATION NO. cep BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECIfHEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: i i r ENTIRE PROJECT ARCHITECTURAL STRUCTURAL MECHANICAL I I FIRE PROTECTION 0 ELECTRICAL OTHER(SPECIFY) FOR THE ABOVE NAMED PROJECT AND THAT,TO THE BEST OF MY KNOWLEGE, SUCH PLAN$, COMPUTATIONS AND SPECIFICATIONS MEET THE APPLICABLE PROVISION OF THE MASSACHUSETTS STATE BUILDING CODE,ALL ACCEPTABLE ENGINEERING PRATICES. AND APPLICABLE LAWS AND ORDINANCES FOR THE PROPOSED USE.AND OCCUPANCY. I FURTHER CERTIFY THAT I SHALL PERFORM THE NECESSARY PROFS SSIONAL SERVICES AND B EPRESENT ON THE CONSTRUCTION SITE ON A REGULAR AND PERIODIC BASIS TO DETERMINE THAT THE WORK IS PROCEEEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 116.0 1. Review, for conformance to the design concept, shop drawings,samples and other submittals which are submitted by the contractor in accordance with the requirements of the Constnicdon documents. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become, generally familiar wiffi the progress and quality of the work and to determine, in general, if the work is being performed in a.manner consistent with the Pe construction documents PURSUANT TO SECTION 116.2 .2 1 SHALL SUBMIT WEEKLY, A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE NORTH ANDOVER BUILDING INSPECTOR. i UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE I SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. i IGNAUREA o�00S SUB RIBED AND WORM TO BEFORE ME THIS DAY OF SONIA M. GRIECO Notary.Public OTARY PUBL C MY COMMISSION Commonwealth or Massachusetts 3 3 `O W Corm*sim Expires Mar 3,2006