The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 59 COTUIT STREET 4/30/2018 59 COTUIT STREET U-1 210/023.0-0080-0001.0 Location ( o 'U�� s4 No. Date b u1 r�c NORTIy Mv TOWN OF NORTH ANDOVER p Certificate of Occupancy $ + , . Building/Frame Permit Fee $ Foundation Permit Fee $ ss�cNuss Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ a TOTAL $ a s Building Inspector 09/16/99 09:19 2100 Div. Public Works PERMIT NO. VI-14 APPLICATION FOR PERMIT TO BUILD******** RTII ANDOVER, NIA NLU'NO. b LOT NO. TO / �� N 2. RECORDOFOf\'NERSIIIP DATE BOOK PAGE ZONI: l t SUIIDIV. LOT NO. l .� 1.0(`:,110N 5`( C`cam k 9-t- PURPOSE OF BUILDING OWNER'S NANIF. `�^- �. �/�+G _ NO.OF STOI-NRIES SIZE O\1'NEIi'S:\DDRESS ✓✓ll�C t�l Gr 1lio � ASf.n1EN R SLAB .UtCl11"I'EC.T'S NAn1E �^ V� SIZE OF FLOOR TIn1BERS 1 1 +U zNn inn ❑IIILDER'SNAME vol I/. / SPAN ( ! DISTANCE I'O NEAREST BUILDING V/� DiMENSIONS OF SILLS 1 f DISTANCE FROM STREE"f i UV DIMENSIONS OF POSTS DISTANCE FROM LOTLINES-SIDES l� REAR Iv V DIMENSIONS OF GIRDERS AREA OF LOT ^ FRONTAGE 11EIGIITOF FOUNDATION i TIIICKNESS IS BUILDING NEW PS SIZE OF FOOTING x ISBUILDING ADDITION MATERIAL OFCIIININEI' A/oNe IS BUILDING ALTERATION ��`' IS BUB.DING O SOLI OR FILLED LAND WILL BUILDING CONFORNI TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER � P BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SE\VER 1S BUILDING CONNECTED TO NATURAL GAS LINE 1�J INS UCTIONS 3. PROPERTY INFORMATION LAND COST EST. BLDG. COST PAGE I FILL OUT SECTIONS 1-3 EST.BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM ELECI'RIC NI ETERS NIIIST BE ON OUTSIDE OF BUILDING SEPTIC PERMff NO. ATI'ACUEI)G:\RAGES MUST CONFORM TO STATE.FIRE REGULATIONS 4. APPROVED BY: PLANS N111ST BE FILED AND.APPROVED BY 111111-DING INSPECTOR BUILDING INSPECTOR IAITE FILED OWNERS TE1.# CONTR.TELH SICN 'fUl2F: O1: ONVNF12 O12 AUTHORIZED AGENT CONTRAACH .A FEE S i PERMITCR:WTED G/ 19 / 12c�-isc11 S/S/99 J�1 _ - r -mum - :; t E yl ia`4r' I t :,�_ y1 �! d rt i p `a 'S. 7F 733 'd3 ywt�'etl:t WK t 4 ,i t - y r .2 : r ! � r S ��. -F ! �t E'-•�•� � yy.�f ti2tt 1 i if"x`T t` 4 '; 4 t :: - .. - -- e i 4 !�f} :ga:rt r 11 s t �. t 5 t s ta.,. E! „ 'i_ •, SA � Y .,: . -•2 L id..« ) ,.r -,' � .Ss !� �e t -t � t -�•? f � t Too 2 41 • i 1 iih ,�}9t 4t7 k: t i�l jt i!,#ii ? ff(' 1 41 f t €•��( 3iy52 {} i{. t •t ) _ ` - ' 1 t sy i r - F e •7 r }'- i.�.F E .. -t.t -. - r "14, t � S y t �` ' tl}S}s� -�i�k 4.r`'!,' 7 f i• _ Apo Oo 1 3 t ..: tii7�•- - •. }{ son � z 2 oilhv� } iA W 3 KOM ! �o ��4 a d ,� W �o o. uydslit mr; OEM Vim W { t�UU fi t� o � r11LL�i. 1✓i\. m 1- _ v r s E f00 - cr IT DR Sy t 2 - � - lett tr -} t. 3 Y2, r.i'•.:� .. _ - } navy. O } _ h f t wo - n r r; r. A t r . fow WOOL - TWO Tel vivor AORTH Town of dover O .npw. !r n'•{� �` No. A1/6 - 0� COCHI E Q dower, Mass., ADRATED S 54 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT....:,!4...?... , _T7( G BUILDING INSPECTOR ..........................................................................................:.... Foundation has permission to erect�"../O�/O g �°� C...C..... buildings ........... ........... O 119 f O /` Rough to be occupied as....D. PIN E ! S o N �v7p1 e)c D w P 11�N G 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough lYl B PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR R Rough Sg 3 ................................(. .'. ............................ 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. Location �m v ✓ S No. 0 3 Date NORTFTOWN OF NORTH ANDOVER O:�r�•o ,•,•t•0 0 •. • O%* 0. jAiNkid& 9 ` • : Certificate of Occupancy $ Eta' Building/Frame Permit Fee $ s JAc m0 Foundation Permit Fee $ Other Permit Fee $ W TOTAL $ �— neck # r 67 1 ', OBuilding Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 'y BUILDING PERMIT NUMBER. 1 g�� DATE ISSUED. SIGNATURE: Building Conungsioner/Inspector of Buildings Date z SECTION 1-SITE INFORMATION 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Covrl Sf ro j � o v r+h Y1 d cJ V O r r1 /J- . Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 4 — 6', `7 3 2 o a y Zoning District Proposed Use Lot Area(so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided jo_ v 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 4.11 Zone Outside Flood Zone Municipal On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes No M 2.1 Owner of Record H arra n ine- L e-u IS 19 9 S'><a hPClPaU2 >1CI tv. Name(Print) Address for Service: O— t a U1 VLA L.,pniij I Signature �/Z/ C�` , A / lepho>}e _ ! c, O Cd 2.2 Owner of Record: b�f Name Print Address for Service: O Z M Si Iture Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ To 3�e a h (,- r (� 3 C� s Licensed nstruction Supervisor: (o O / l /p ��^ License Number mn to 5 cA Address LU tv '_l CL • t' 2 Expiration Date ic Signature Telephone r 9"7 6- 6 6--7 227 t-,� -< 3.2 Agistekd Hom4krmprovement Contractor Not Applicable ❑ v Company Mine( I CS 9 77 M I� Registration Number e v (s CX, 1�, p res w� s S�,lD Yn S Address / C/�� (� -7 o"7 3 Expiration ate nZ Si afore Tele hone _/ SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: 11 s-� f 1 V t h�.l S t�( ► to q .To e X L 54 1 ns, tic* ► (c; l tit% V. 7-A :5 hew- Roo f- a h Pevr nd it A SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee �Vr G O d Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(8)X(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 O Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTMI OR APPLIES FOR BUILDING PERT I, tj a r l cr o K 2 S L e. V L S as Owner/Authorized Agent of subject property Hereby authorize L--e V LS (_v YYl 0 o h t S - 11C, to act on My behalf in all matters relative to wor authh�this building permit application. a /n r. -Signature of Owner o Date S U SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION as Owner/Authorized Agent of subject property �r Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name y- IS3 Signature wner/A ent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS iST2ND 3RD SPAN DINIENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS s SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Landmark. Insurance 9789753987 07/31/03 04:47pm P. 001 AcoRoM1 CERTIFICATE OF LIABILITY INSURANCI�.oP�D s DATE(MMIDDTYYI 3 1 07/31/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Landmark Insurance Agency, Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND.EXTEND OR 198 Massachusetts Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. North Andover MA 01845-4190 i Phone: 978-688-8829 Fax:978-975-3987 INSURERS AFFORDING COVERAGE INSURED INSURERA: Western Herita INSURER H: Saget Insurance Co. Joseph Levis Levis Companies Inc. IN$UktK( Guard Insurance Group _ 65 Salem Street INSURER D: - -- Lawrence MA 01B43 INSURER F: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW MAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TME 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED SY PAID CLAIMS. ---••---------------_----- .- -.._. .... _. .._. POLICY EFFECTIVE POLICY EXPIRAT .—__...—._._.-•- •---......__.... _... LTR TYPE OF INSURANCE POLICY NUMBER DATE MWDOIYY DATE MmM LIMITS GENERAL LIABILITY I EACH OCCURRENCE S1000000 A X COMMERCIAL GENERAL LIABILITY SCP0474264 06/23/03 06/23/04 —FIRE DAMAGE(Any oneOrel $50000 CLAIMS MADE OCCUR MED EXP(Anyone per_on)_ $5000_ —� PERSONAL&ADV INJURY $1000000 GENERAL AGGREGATE S2000000 GE`L AGGREGATE LIMIT APPLIES PER;' PRODUCTS_COMPIOP AGO $2000000 POLICY JECT LOC AUTOMOBILE LIABILITY COMP,INFDSINGLE LIMIT j S ANY AUTO 821254 01/01/03 01/01/04 (E"xc10Pnd S _ ALL OWNED AIJTOZ BODILY INJURY $500000 X SCHEDULED ALITOS (Pet person) X HIRED AUTOS BODILY INJURY �X NON-OWNED AUTOS (Per xciecng $500000 f -......... --_--- PROPERTYOAMAGE S 250000 (Par accident) GARAGE LIABILITY —� AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC 5 — OTHER THAN AUTO ONEY: ACC S _._.—._._...-- F�fCESS LIABILITY SACH OCCURRENCE S OCCUR I- I CLAIMS MAOG ACCRECATE T DEDUCTIBLE S RETENTION 5 S WORKERS COMPENSATION AND I TORY LIMITS TH EMPLOYERS'LIABILITY --..._......_-_-.... . C LEWC405112 02/27/03 02/27/04 EJ_.FACHACCIOFNT _ $100000 E L.DISEASE-EA EMPLOYE S 10 0 0 0 0 E.L.DISEASE-PJLICYLIMrT S 500000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLEStEXCLUSIONS ADDED BY ENDORSEMENTISPECUIL PROVISIONS CERTIFICATE HOLDER i3 ADDITIONAL INSURED;INSURER LETTER: CANCELLATION NORTHAI SHOULD ANY OF THE A80VE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL ,.Q--DAYS WRTrTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 'town of North Andover IMPOSE NO OBLIGATION OR UASILITY OF ANY KIND UPON TME INSURER,ITS AGENTS OR 120 Main Street North Andover MA 01845 REPRESENTATIVES. AUTHOR ESENTATIV ACORD 25-S(7197) (OACORD CORPORATION 1989 BOARD OF BUILDING REGULATIONS I` License: CONSTRUCTION SUPERVISOR - Number .",'-CS, 030651 Birthdate:01%07!7954 Expire"s;,01/07/2004 Tr.no: 13385 Restricted:'0.0` JOSEPH G LEVIS PO BOX 952 - LAWRENCE, MA 01842 Administrator ✓!:e {�ii�aoozufealC/ a�./�craoac/u�aella - Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 103772 Expiration: 7/9/2004 Type: Individual JOSEPH G. LEVIS Joseph Levis 65 Salem St/ Box 952 p Lawrence, MA 01842 . A 4 mi"i.ef r?j 4.r X UARDr Workers' Compensation and Employer's Liability Policy NorGUARD Insurance Company jANS INSURANCE Policy Number LEWC405112 GROUPRenewalNCCI No. [25844] Policy Information Page Endorsement [1] Named Insured and Mailing Address Agency LEVIS COMPANIES INC. LANDMARK INSURANCE AGENCY Joseph Levis 198 Massachusetts Ave. 65 Salem Street North Andover, MA 01845 Lawrence, MA 01843 Agency Code: MALAND10 Federal Employer's ID 04-3144874 Insured is Corporation Risk ID Number 000306080 [2] Policy Period From February 27, 2003 to February 27, 2004, 12:01 AM, standard time at the insured's mailing address. Endorsement CEndorsement #1, effective on the date shown below, 12:01 AM, standard time, changes the listed items. All other terms and conditions of the policy remain unchanged. WC890415 - RATES - Eff. 02/27/2003 [3] Coverage A. Workers' Compensation Insurance - Part One of this policy applies to the Workers' Compensation Law of the following states: Massachusetts B. Employer's Liability Insurance - Part Two of this policy applies to work in each of the states listed in item [3]A. The limits of our liability under Part Two are: Bodily Injury by Accident - each accident $100,000 Bodily Injury by Disease - each employee $100,000 Bodily Injury by Disease - policy limit $500,000 C. Other States Insurance - Part Three of this policy applies to all states, except any state listed in item [3]A. and the states of North Dakota, Ohio, Washington, West Virginia, and Wyoming. D. This policy includes these endorsements and schedules: See Extension of Information Page - Schedule of Endorsements [4] Premium The Premium Basis and, therefore, the premium will be determined by our Manual of Rules, Classifications, Rates, and Rating Plans. All required information is subject to verification and change by audit. (Continued on another page) Total Estimated Policy Premium $ 3,414 Total Surcharges/Assessments $ 141 Total Estimated Cost $ 3,555 INTERNAL USE XX Page- 1 - Endorsement MGA : LEWC405112 WC890600 Date : 03/23/2003 P.O.BOX A-H,WILKES-BARRE,PENNSYLVANIA 18703 N0RTH Town ofAndover 0 No. O� COCL A w,o� dover, Mass., q-�� Ivo 3 HICH ORATED S G BOARD OF HEALTH Food/Kitchen -PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...J"Ati.10.14.11111�............ ..v f ... .............................. Foundation p 1 C• ............f.. .. ... ..a g has permission to erect... . .................. buildings on .................. .................... ............... ....................... Rough to be occupied as...5, 44 1....A ...- ....:. ... :1.W..ft I V%....... 00 f0 0 N` � ChimneyN V .... ........ . ..... .provided that the person acceptithis 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 relating to the nspection, Alteration and Construction of Buildings in the Town of North Andover. SON/ � Q 400WPLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STAR S ELECTRICAL INSPECTOR Rough .......... .. ...... ................................................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No SEE REVERSE SIDE Smoke Det.