HomeMy WebLinkAboutMiscellaneous - 65 COTUIT STREET 4/30/2018 (2) 65 COTUIT STREET U-2
210/023.0-0046-0000.0
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No. Date
HORTp TOWN OF NORTH ANDOVER
F OA Certificate of Occupancy $
t ' Building/Frame Permit Fee $ c:;? S
ss�cHusE<�' Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $ '—
Water Connection Fee $ _
TOTAL $ _
/ Building Inspector
05/17/99 14:06 25.00 PAID
Div. Public Works
I'I-1ZI\'11T NO. / AI'1'LICATION ICOR I'I:10,1IT TO BUILD* ******NOIZ"1'11 ANDOVI.R, NIA
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I.OI.NO. 2. It E(ORI)OF(1\1'NLRS1111 DATE 1300K PAG
PONE SUB DIV. I.OFNo .
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l WNLIt'S NAME NU. (1;S FORILS /_ �(Q•` �Y SIZE
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tit) RD
ARtI III E(-('S NAhl1: G�.,/ SM.OF I 1 C"t 1 R.IHERS k �/F ]� I 2 3
BI III DER'S NAME !lT S SPAN
DISI ANCki lO NEARES 1 HUII.DIN DIMENSIONS Of:Sit LS
DIS IANCEIROM S51RE1:f 2 UIhIEN51(1dS(M 1'()S1S
I71S I ANCE FROM LOF LINES-SIDES�S REAR DIMENSIONS Of GIRDERS
AREA OF LO FROM AGE I IEIGI IF(A:FOUNDATION T11ICKNESS
IS BNILDING NEW SIZE•OI I O(YI INC, X
1�a' 10,,i &�
IS BUILDING ADDI I ION MAIERIAL OF CI IIMNEY
IS BUILDING AL1 L-RATI(Nl IS BUILDING ON SOLID OWYIl L ED LAND
\1'1711.BUILDING CONFORM TO RE."11REMENI S O1'CoOE IS BUILDINGCONNECIED IOIOWNWAFER
BOARD OF APPEALS ACFION, IF ANY IS BUILDING CONNECT LD 10 FOWN SEWER � y
IS min i)ING CONNECT Ei)TO NA I URAL GAS LINE
INSI'II(-TIONS 3. PROPER FI' INFORI\IAIION L.ANDC0611 I
EST. Bt ix;. COSF
1'A61i I FII LOW l(SECT IONS 1-3 EST. BL )G. COS 1 PER SO. FT.
ES-I. BI IXi. Ct)S I I'Lit ItOOm
EI EC-F It IC L.IEI EIts I,ItIS F BE ON OU FI SIDE Of BUILDING SUM IC 1,1110.11 I NO.
AIIACIIED(-,ARA(iLSt,IIJSFC'(N11:(1th1 IOSFAIEFRtERE(II)I.AII()t4S a. Al'PROVED B1"
P1 ANS MUST BE FII ED AND APPROVE 1)BY Bt RIDING 1NSPECFOt BI111.1)ING INSPEC I Olt
DA FE I 11 1:1) (y � y OWNERS I EI.M
Cot I R.I l:l N O - S P,
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FORM U - LOT RELEASE FORM
f
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"***'""k****�'**"`i`**
APPLICANT PHONE
LOCATION: Assessor's Map Number
J PARCEL IV —
SUBDIVISION
VSUBDIVISION LOT (S)
STREET � ;G ST. NUMBER
USE ONLY ***** *** ***** ** ***
RECOMMENDATIONS OF TOWN AGENTS:
J�. MALA� A I
CO S RVATION ADMINISTRATOR DATE APPROVED
HATE REJECTED
COMMENTS AL b+(AJ1
A"4, o v , &:LawIU
TOWN PLANNER DATE APPROVED
DATE REJECTED
COMMENTS
FOOD INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
SEPTIC INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
COMMENTS
PUBLIC WORKS - SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR DATE
Revised 9197 jm
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. - . ' .:.: w. arnnnanure¢�n�✓ffiiu¢c�uu(.ta
HOME IMPROVEMENT CONTRACTOR „
Registration 128701
a Type - INDI'VIDUAL
Expiration 05/06/01
DWIGHT L. LANDRY
522 HILDRITH ST
G�ee�,eo &7< .; UT MA 01826
-
ADMINISTRATOR
.. � J�ie Cilanv�noruuea a Jac uJeG�i i.
DEPARTMENT OF PUBLIC SAFET
i� CONSTRUCTION SUPERVISOR LICENSE
Number: Expires: Birthdate:
CS 072529 09/12/2001 09/12/1965
a- l� Restricted To: 00
OYIGHT L LANDRY
l 522 HILDRITH ST
1 � RACUT, MA 01826 .. .
ACORD CERTIFICATE O F LIABILITY I N S U RAN C EI SR MH DATE(MM/DD/YY)
WIGH-1 05/07/99
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Gorman-Litchfield Ins. Agcy. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
1105 Lakeview Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Dracut MA 01826
Phone: 978-957-1234 Fax:978-957-2458 INSURERS AFFORDING COVERAGE
INSURED INSURER A: Zurich Group — Portland
INSURER B:
Dwight Landry Construction INSURER C:
522 Hildreth Street INSURER D:
Dracut MA 01826
INSURER E:
COVERAGES
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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD VZOW LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1000000
A $ COMMERCIAL GENERAL LIABILITY TBD 05/10/99 05/10/00 FIRE DAMAGE(Any one fire) $ 300000
CLAIMS MADE Fx�OCCUR MED EXP(Any one person) $ 10000
PERSONAL&ADV INJURY $ 1000000
GENERAL AGGREGATE $2000000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2000000
}( POLICY EO- LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS (Per Person)
HIRED AUTOS
BODILY INJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
OCCUR F CLAIMS MADE AGGREGATE $
DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND TORY LIMITS ER
EMPLOYERS'LIABILITY
E.L.EACH ACCIDENT $
E.L.DISEASE-EA EMPLOYEE $
E.L.DISEASE-POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSfVEHICLES/DCCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Caprentry - residential
CERTIFICATE HOLDER N I ADDITIONAL INSURED;INSURER LETTER: CANCELLATION
NANDOVE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL
Town of North Andover 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Attn: Building Dept. LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
ANY KIND UPON THE INSURER,IT GENTS OR REPRESENTATIVES.
Fr J. Gorman
ACORD 25-S(7/97) " ACORD CORPORATION 1988
TOP VrEW
CUMMEA -- DECK BU.'
DATE /2gAN CHEF DDBg100t
Tq.# Gq8#' 6127°5.7'0 TcfS JAe5SION �U,MBFR
Pr$ft Valid fer 30 Days. 215 ARKEt '5TR&ET
LAWRENCE, MA
9+78.6$6.4141
BEAM LAYOUT JACKSON LUMBER
CUSTOMER -- DECK BIG 215 MARKET STREET
DAVE 04/20/99 REF DDB91008 LAWRENCE, MA
978.695.4141
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3 2-
BEAM
BEAM BEAM POST POST
I-ABEL LENGTH COUNT SPACING
A 5' 10 114" 2 4' 5 3/4"
B 6' 9 1/2" 2 6' 6"
Post spacing is measured center-to-center.
Depth of post-in-concrete footers --- 42 inches.