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HomeMy WebLinkAboutMiscellaneous - 65 COTUIT STREET 4/30/2018 (2) 65 COTUIT STREET U-2 210/023.0-0046-0000.0 BuiLDINt"'i" FILE S•�f�t F �� *h n r� , ter._ t s Yu: �m I , Location � 5 �o ��,� S / 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 At\1'N(/. to I.OI.NO. 2. It E(ORI)OF(1\1'NLRS1111 DATE 1300K PAG PONE SUB DIV. I.OFNo . I Ol .\I ION 1'll{tf'C)dk:11=Bllll 171t1G �c l WNLIt'S NAME NU. (1;S FORILS /_ �(Q•` �Y SIZE t)WNER'S ADDItLSS BASEMEN L Olt SLAB 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, C(141li.l MAY 10 110 SllihJ�\Il)lot:tlt)1\'NI�.ItURAlllllt1121ZI:DA(il WI� ( i y li _. Pllu.nita2ANI1D � � _ r-;,t� �r;t� e 19 -f/ 4 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 i I . - . ' .:.: 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 (U 00 (U Cl CD i i I i i i i T� I J i I i 8' 5„ I I i i I I 1 i I I 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.