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HomeMy WebLinkAboutMiscellaneous - 9 COCHICHEWICK DRIVE 4/30/2018N OOO fI N �� Q �I O 4 O O O O O TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: , Building Commissioner/I for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: G Ld 1.2 Assessors Map and cc a Map Number Parcel Number: 93 Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided R red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public ❑ Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: i Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record ,44aoyVAAsso cj Cochltc�ewicl�, Name (Print) Address for Service: a-,,J� -3S3 Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES nsed Constructs Su rvssor: 3.1L'�R,00A-c� pe�6w®�-Y Licensed Construction Supervisor: 75 0dutm uG ( (Ad , Ad �Llq Signature Telephone Not Applicable ❑ CS d 7 5 License Number 700-2-_ Expiration Date 3.2 Re ' t ed Home vert ntractor Company Name — —7-5 66G rc IL) l� (� tact t- ak-T4 aww 1 Not Applicable ❑ 5,56 a� Registration Number 2 ©O Addre ` Expiration Date Signature ki Telephone 00 M Z O MA Claim # 2526554 Advantage Claim Services Adjuster Assigned: Glenn Guarente 522 Chickering Road #B North Andover, MA 01845 Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws, Ch. 139, Sec. 3B To: Building Commissioner Inspector of Buildings Town Hall North Andover, MA 01845 Re: Insured: Anthony F. Grasso Property address: 9 Cochicewick Dr. North Andover, MA 01845 Policy #: 2526554 Loss of: 2012/04/29 File or Claim No. AD 9706 Board of Health or I Board of Selectmen y Town Hall North Andover, MA 01845 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. _Gen._Laws,_Chapter_143,_Section_6 to be applicable. If any notice under Mass_ Gen_ Laws, _ Ch. _139_Sec. _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 and claim or file number. Glenn Guarente Title: Adjuster On this date, I caused copies of this notice to be sent to the persons named at the addresses indicated above by first class mail. 05-07-12 Signature and date Claim # 2526554 Advantage Claim Services Adjuster Assigned: Glenn Guarente 522 Chickering Road #B North Andover, MA 01845 Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws, Ch. 139, Sec. 3B To: Building Commissioner or Inspector of Buildings Town Hall North Andover, MA 01845 Board of Health dry Board of Selectmen Town Hall North Andover, MA 01845 Re: Insured: Anthony F. Grasso 1 Property address: 9.Cochicewick Dr. North Andover, MA 01845 Policy #: 2526554 Loss of: 2012/04/29 File or Claim No. AD 9706 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause ' Mass. _Gen._ Laws,_ Chapter_ 143,_ Section_6 to be applicable. If any notice under Mass_ Gen_ Laws,_Ch._139_Sec._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 and claim or file number. Glenn Guarente Title: Adjuster On this date, I caused copies of this notice to be sent to the persons named at the addresses indicated above by first class mail. 05-07-12 Signature and date Location Date 11-/7 9,3 TOWN OF NORTH ANDOVER Certificate of Occupancy $ J` Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee` $ Sa,y Sewer Connection Fee $ ��— Water Connection Fee $ TOTAL $ S; ,��- U Building Inspector 4 �`� �III6't i- 9,42 52. C3 ;%D672.5 Div. Public Works G' v L f f APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. ', PAGE 1 MAP 4-40. I LOT NO. 2 RECORD OF OWNERSHIP IDATE !PAGE ZONE SUB DIV. LOT NO. (BOOK i — LOCATION G / ! / y. PURPOSE OF BUILDINGlA���/ L" WNER'S NAME NO. OF STORIES SIZE WNER'S ADDRESS /7 &eae- BASEMENT OR SLAB AR ITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD UILDER'S NAME G SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS i DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES - SIDES REAR GIRDERS 1 AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER } BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 0 PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR l DA FILED 3 SIGNATURE OF OWNER OR AfdfHORIZED AGENT FEE `-0 a d PERMIT GRANTED /AL,, /2 19 �K3 P OWNER TEL. CONTR. TEL._j/7»� CONIR. LIC 3 PROPERTY INFORMATION LAND COST ST. BLDG. COST EST. BLDG. COST PERQSQV. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN wwg&"IM%o mwiric:Tvw i BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY 11 STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES �LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- 1 APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. ` 0 • a tf i CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW'D PIERS PLASTER DRY V✓A-LL _ UNFIN. 3 BASEMENT AREA FULL 1/1 1/2 N_O B M'T HEAD ROOM 4 WALLS I FIN. B'M'T'.AREA _ FIN. ATTIC AREA _ FIRE PLACES _ MODERN KITCHEN 9 FLOORS CLAPBOARDS B _ 1 22 J 3 I_ _ _ DROP SIDING WOOD SHINGLES CONCRETE EARTH HARDIV D COMMCN ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR _ CONIC. OR CINDER BLK. WIRING SUPERIOR I� POOR AD _ EQUATE NONE 10 PLUMBING STONE ON MASONRY STONE ON FRAME S ROOF GABLE I HIP BATH 13 FIX.) _ GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ ROLL ROOFING 11 MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. S COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ 1st I-T-dj ELECTRIC NO HEATING ` 0 • a tf i 6 J � W W QO •CI _ W Q 2 - ffl ,-1 < $ Z Z i^! ` . Z 1— ,� N2 « \ N i Eli Z i 1 y a. .......`..... ....... _ _ - .L _ _j! ' o s C.g° ' o � cr •c � = m r' � a, � � m ..�.,.� U T J O T � � !�•. 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' o s C.g° ' o � cr •c � = m r' � a, � � m ..�.,.� U T J O T � � !�•. '0110 2<O� ,Z. las Z o O ¢ ~ ...1 11 O cy� W O i C W C --r = zu� 2'_ -ay .•\ U 20 O F .,��, H CD o 115 ui C7 co \ x m W VXIT w> - o o w 010 0> W LLO if .i c<i w = ►- w •-a ti to E LL v7 <1 1 ,4 0 I op 3 u W z l J 1 7 T+ ) z a h �• w 1 o m a n 1 � J' LL\ LL 2 i Q _ ✓ Z ,— z 6 J � W W QO •CI _ W Q 2 - ffl ,-1 < $ Z Z i^! ` . Z 1— ,� N2 « \ N i Eli Z i 1 y a. .......`..... ....... _ _ - .L _ _j! ' o s C.g° ' o � cr •c � = m r' � a, � � m ..�.,.� U T J O T � � !�•. '0110 2<O� ,Z. las Z o O ¢ ~ ...1 11 O cy� W O i C W C --r = zu� 2'_ -ay .•\ U 20 O F .,��, H CD o 115 ui C7 co \ x m W VXIT w> - o o w 010 0> W LLO if .i c<i w = ►- w •-a ti to E LL v7 <1 1 ,4 0 I op 3 u OFFICES OF: TOw: S APPEALS : ; NORTH ANDOVER BUILDINGCONSERVATION DIVISION OF . HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR 120 Main Street North Andover. Massachusetts O 1845 (6 1 7) 6854775 1. In accordance with the provisions 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 liccnscd solid waste disposal facility as defined by MGL c 111, S 150A. The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant � � 3 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. O z • R,; .o :moo c �i ev a � DC w o a. y'' N O GD :oma CO)ts cm Cc M m CD CL co y O c O m E v o CL �i co CD: N i cm Qf O c 0 yV H O O Z o -o f- cm c. Q m :cmc .o _ m m y0, , N CAy... H• •N oc 'E co, 4 •N o LU m c m= c g y m O. 'O O i h �O H r S CL-,= 12 0 CD 0 E O i � O O v Z O O y � C co cm to p y CD O �E mco 0 CD m CL F" CD O i � Ivo _ca o a �Q co C C) Cc vCc J 'C .y Z w CD C� CO) R C CD Q. J z cc w z 0 U a a a' w w �, z O u x z Z � 1%� � O 0 � w a z � U A v 0 ;. O IS I dcz v Q v �bD ° z o a ro W to Qj .� w cn w° C U w 1:4 w a° C/) w aq C40 w cn � .o :moo c �i ev a � DC w o a. y'' N O GD :oma CO)ts cm Cc M m CD CL co y O c O m E v o CL �i co CD: N i cm Qf O c 0 yV H O O Z o -o f- cm c. Q m :cmc .o _ m m y0, , N CAy... H• •N oc 'E co, 4 •N o LU m c m= c g y m O. 'O O i h �O H r S CL-,= 12 0 CD 0 E O i � O O v Z O O y � C co cm to p y CD O �E mco 0 CD m CL F" CD O i � Ivo _ca o a �Q co C C) Cc vCc J 'C .y Z w CD C� CO) R C CD Q. J z cc w z 0 U ACORD. CERTIFICATE OF LIABILITY INSURANCE - PRODUCER THIS CERTIFICATE IS ISSUES Matthews Insurance Agency ONLY AND CONFERS NO 182 Parker Street HOLDER. THIS CERTIFICATE Lawrence, MA01843 ALTER THE COVERAGE AFF . 978-681-1112 INSURERS AF1 Bn'"SD Gagnon, Ronald INSURER AC.C. In8 0f r DHA Tri-State Property Maintenance INSURERS 'Travelers Prc 75 Cochrane Street ;NSURER� Methuen, MA 01844 INSURERD _ COVEReI;Fc DATE (MMIDDNY) 04/15/2002 (ATTER OF INFORMATION UPON THE CERTIFICATE NOT AMEND, EXTEND OR BY THE POLICIES BELOW. COVERAGE Carolina L Casualty I THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN )SSUED TO THE 'NSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO MAY PERTAIN, WHICH THIS CERTIFICATE MAY BE ISSUED OR THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUB POLICIES. AGGREGATE LIMITS SHOWN MAY l CT TG ALL THE TERMS, EXCLUSIONS AND CONDITIONS HAVE BEEN REDUCED BY ?AID CLAIMS. OF SUCH TYPE OF INSURANCE POLICY Id MBER LI FE l±r'PCU Y EXP( ION i GENERAL LIABILITY LIMITS X COMMERCIAL GENERAL LABILITYEACH i EACH OCC RENCE S 1, 0 0 0I, 000 OAMA {My one 11re) CLAIMS MADE � $50,000 OCCUR � MED EXP ( one person) $5,000, 1228CG000056- 0 03/09/02 ; 03/09/03 PERSONAL AOV INJURY 31,000-1-000 GENERAL AlREGATE _S11-000, 0 0 0 OEN'L AGGREGATE LIMIT APPLIES PER: POUCV PRO PRODUCTS OOMP/OP AGG S1 000 QQQ JFrT LOC AUTOMOBILE LIABILITY NY AAUTO - I COMBINED GLE LIMIT S (EeeccWenl) ALL OWNED AUTOS _ BODILY INJU tYS SCHEDULED AUTOS HIRED AUTOS .(Perpereon) ` NON-OWNED AUTOS j BODILY INJ Y 3 P1 !I (Pariaben, PROPERTY MAGE ` (PW W. S GARAGE LIABILITY +f ANY AUTO AUTO ONLY ACC' I OTHER THA -t EXCESS LIABILITY AUTO ONLY: _ OCCUR ❑CLAIM$ MADE EACH OCCU ENCEI S AGGREGATE S S DEDUCTIBLE I S RETENTION = I i WORKERS COMPENSATION AND EMPLOYERSLJABILITYTQRY i W I U' H - 7P UB757X153-6-01 1 06/06/01 106/06/02 X E.L.EACHAC (DENT $100,000 E.L. DISEASE EA EMPLOYEE $500,000 E L. DISEASE POLICY LIMIT S J 0 0 0 0 0 OTHER _ I 1 OWROrnON OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS � ADDED BY ENDORSEMENTlIpECiAL I PROVLSlOtii CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER; GMAC Construction Lending 4 Walnut Grove DR Horsham, PA 19044 (7/9%) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 54 CANCELLED BEFORE THE EXPIRATION OAT* THEREOF, THE 133UING ENSURER WILL ENDFAV R TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THO LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND PON THE INSURER, ITS AGENTS OR 1/ 01 CORD CORPORATION 1988 A;0 a Ric TELECOMM CORP. Certifwd Solutions Prom'der Voice, Data, Video and Fiber Optics PlnA-' LE 0 � i M. r �Trr� rno(Zrt6A3 C"('10 I si t� 1+01sA9't- MW P.O. Box 1330 17 Batchelder Road Seabrook, NH 03874-1330 TEL: (603) 474-3900 PAX.' (603) 474-7755 _i FORM U LOT RELEASE FORM !��t05 is X 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 ,W P1U PHONE_71>1-15 LOCATION: Assessor's Map Number @— PARCEL SUBDIVISION LOT (S) STREET_ �GnC `!/ C`i•ory � C � � t %� ST. NUMBER ONLY*********************************** MENDATIO ATION wee lz 5 q_ . COMMENTS FOOD INSPECTOR -HEALTH OF TOWN AGENTS: SEPTIC INSPECTOR -HEALTH COMMENTS TOR DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTO Revised 9\97 im 0 TE 3 § t *�. k3 qq P R� it t , 'lex ✓ * _ y '.� \' ; �!�?��� �� ,��,�i ���, moi' -< ,,,>;:• .,' .r � � ,,, �.%,,� ' 'a�1M Yrliirr+' I f1f kjj - `..... r-^ .sem• � ey � .or.�� ,,,:�.rb;,w,.� ;pZ„ f w�.. ..%¢�"�"`"'"r- ,� - y/_w,�a,.ss.enR ads rI ,tAM I, Alma � Ir.rrrrrrrirlt 3 § t *�. k3 qq P R� it t , 'lex ✓ * _ y '.� \' ; �!�?��� �� ,��,�i ���, moi' -< ,,,>;:• .,' .r � � ,,, �.%,,� ' 'a�1M Yrliirr+' I f1f kjj comnanv name: -� have �••�• ••• -- — ua gc as rcquircu unuer aecuon ISA 01 MUS til can lean to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' impristntment.as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certi der the painsand penalties of perjury that the information provided above is truce and correct. Signature ``�� Date V r17 V -Z Print name GIJBIv Phone #__R official use only do not write in this area to be completed by city or town official city or town: permit/license # nBuilding Department OLicensing Board p check if immediate response is required pSelectmen's Office ❑Health Department contact persoe:. phone #; 00ther (revised 3/95 P3A) N pp M F n o LU 0 �y 8 'E o Z ` v OZ oo a V O F pN� ;. CC F d Oz w r y a O U a S o K U .. .. .. Q ;I V Or- E a O co v,m � z w U c 0 awa U' Z a9z p., o U w t: i a