HomeMy WebLinkAboutBuilding Permit #484 - Permits #484 - 129 COTUIT STREET 2/11/2004 i
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TOWWOF NORTH ANDOVER,
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4 Cert"ficate of occupancy,
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Foundatione
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TOTAL
Check #
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Building Inspector
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TOWN OF NORTH ANDOVER
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Foundation Permit FOther Permilt Fee
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TOWN' OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCTREPAIR,RENOVATK OR DEMOLISH A ONE OR TKO FAMILY DWELLING
�, �„ � ,_ .,,: � W�, „-,,�',-,�'.+'''. � ,.'�..�'r✓-moo� �1,�m �,,,v..'�„��,,;..... ,�,���o,,:,
B BLI I G PERMIT ER DATE ISSUED:
SIGNATURE*
Building Cam i n r I TEfor of Buildin2 'Date
SECTION I-SITE INFORMATION J z
L I Prop city Ad r _ 1 Ammer Map and ParcelNumber:
Map Number Parcel Tn!mb r
"� rytl1�
1.6 BIJKDIN`G SETBACKS
Front'Yard Side Yard Rear Yard
RSgtjired
We
Luured Prov*ded
'I Requi
.,
1:" V' t+ 1.5. 1 � A)n0 InfOM�wl�u�On " 1. Sewerage item:
Supply ,� ���
„pIC J w w
Public Private 0 Zone Outside Mood Zon 'unici a � n Site Disposal'Brier
SECTION 2-'PROPERTY RS I AEI AGENT
. Owner of Record
Nazi (Print) Address for 'sari
Telephone
2.2 Owner of Record:
Nees Print Address for ervic : 0
I C -CONSTMUCTION, SERVICE 00
3.1 Licensed Construction Su rvi ,r: Not Applicable
c
�w License Number
"
Address
ic
w .:4C' � ;' Expiration Date
Z)2.2 i t rc Home Iminovr;,nicat Contractor Not Applicable
Company Nam
Registration Number
► r
r%piration Date
i mature Tele2hone
m
l
FORM U LOT RELEASE, FORM opt+ kAcc Ncvv-4-
INSTRUCTION S w cess approval per 'from
µ ��
Board and Departments having Jurisdiction have been obta pi . This does not refieve the
applicant r latll �from comphance �applicAW requirements.ay
; aaaaaaawu no-om0 n ON0WN����� aara� ��� ■W ■ar�m as 0 a Won ME man Kamm0
APPLICANT
ASSESSORS MAC NUMBER LOT ER
SUBDIWSION LOT NUMBER
a
C
STREET
STREET R
wa■ aaar aaa�m's anon 0 xOma nwassommoww w�waWOWam0aaaaar{0*0maymosoalomOWN U SIXON swoon of Sao
USE ONLY
a a a S N as x a,0 as o'n a a 0 a way W aaaar a a a a a 01 0 M O'S a 0 W a W M 0 In a a 1W to a a 0 R W E.a WINa 0 a 0 0 0 a M a s a a a A a ,a
GENTS
a 0 0 a n in 0 a 0 a 0 0 aaaal IFW"Ot"n Is a WW R M 0 0a a 0 a a a aa a an a 0 a 0m0 a a 10 0 0ma 0 In 00 a a m
OVED
APPR
r;Q A
C �.� ,9 P
N M NT Sb
�
dm
i..Nr"wm mi
,.n
DATE,APPROVED
d
jbTrPLANNER DATE REJECTED
CQMMENTS
PRO
FOOD INSPECTOR-HE ALUI DATE RE
x IT APPRO
.E JECTED
CONNECTIONS
oe
RYVEWA
i :j
DAB AP,PROVED
� �F .
DATE.REJECTED
COMWNTS -------
... .. .....
UC H Y G INSPECTOR TT.
m N
i
Y' 1
'rown o over
No. Al JB Al (A)
4.
L10 ove
d r, Mass
OF�Ar;E C;
BOARD OF HEALTH
Food/Kitchen
septic 'System
BUILDING INSPECTOR
d � e �
THIS CERTIFIES THAT..... ..••...•... ...•.•+•t•.•.•.......r••.•. ..•a+•+•.•.•.•rn. a+a.••••.•t•.•.... ...........
Foundation 111 110 00,
F i #� � i }o ft .r•tCo . •.•.• 4*a•.•t•••••t.•+ tt•tyrt■#• ..•...•...•.•.• .... +•' i h
has permission to erect... ......r.. .t............. .t. .. .t .f
Chimney
i a•t . t.i #a\# a t•t.•.•••rt} #4 rt • t.t... ...a•a.•.........•••.••r 4 a 4#..........r......
•••a•••t.a t•+.+
to be occupied as.•.i f+aaFt.• ..Y4t•t.•.i.##ia t •.•.i#4a•.•t
provided that the poison acceptingthis ern shall in eve respect on rm to the terms o the application on file in Final
�
this office, and o the provisions the codes and By-Laws relating to the in ection, Aeration a construction of
North Andover. '0Jr," A � �.�ING INSPECTOR
u�i��n �n � o Torn o � �
VIOLATION of the Zoning or Building Regulations Voids this Permit. � � ���-•- `�
PER_V, IN� 6 MONTF-11S
ELECTiqNi'R4SPECT5R-,
UNLESS CONSTRUC N s"
ART ;
Rough. ...
AA,P
..}.}.rt.t.rrrt♦ .rtrta#t.....r.rtart.rt*a#.# �#.L•
BUMDING INSPECTOR
nfg
F rt
occupanzy
Display in a Conspicuous Place on the Premises Do Not Remove
Rough
No Lathing or Dry Wall To Be Done FlIki-TYR-PARTMENT
Until Inspected and Approved by the Building Inspector.,.
Street No.
Smoke Let.
SEE REVERSE SIDE
rrown of �tz
No. Alto Al 4
� --1 swap
� A. L
1190� dover, Mass.,---0?1w ..00
AERATED '''4�` ��
BOARD OF HEALTH
Food/Kitchen
Septic System
� BUILDING INSPECTOR
Ord? eIR&O �rN �THIS CERTIFIES THAT � ............... . . . ��
... . ......... .
FoundationwW ee
has permission to erect........... ........................... buildings on.��.9.....��.....W.............. .................................... Rough�
to be occupied as � � , ��/....�. ,/ ��/�r►�M� De........... ... ...�w Chimney
Provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final� `,�►lG��� �� f,� ��
this office, and to the provisions of the Codes and By-Laws relating to the In ection, Alteration aid Construction of
Buildings in the Town of North Andover. � O � �� asp (itOI` A PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. 0Gf
PERM7, EXPIRES IN- 6 MONTHS
UNLESS CONSTRUCT� N S �� � ELECTR INSPECTQYR�.-
� ♦ � Rough
...... ....... ...� .... Service
.. . . .. . .. .. .. . .. ..................
BUILDING INSPECTOR �t{/lCI��Q�r ,�'
Final l
Occupancy Ilermit Required to Oc ;�,) Bui 1ding GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove
No Lathing or Dry Wall To Be Done (1q ! ,
Fl PARTMENT
Until inspected and Approved by the Building Inspector. Burner
Street Na.
� smoke het.
SEE REVERSE SIDE
..............................................................................................................................................................................................
NORTH'Fown of FE -Andover
0 11%
No. Al io Al (A)
�. 0 +- L Pao dower, Mass.,
02
COCxiCM wiCK �
�d AORAT E B
l� G
BOARD OF HEALTH
Food/Kitchen
Septic System
I BUILDING INSPECTOR
THIS CERTIFIES �a�r..... *�� a �+��o ��s.1Tiwcito��r
has permission to erect...........�.................. . buildings on.��.�.....���f►i� S�/'�'''� Rout,
...... .. ...............................................................
t0 be QCCLIp19d�S � ���...�.!/�.. I....�. ��AC/�r� Dw�/I chimney
. . .. ..... .......... ................ .......... .............................. ..................................
provided that the parson 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 Odes and By-Laws relating to the7j*;
eration a d Construction of
Buildings in the Town of North Andover. � 3 � D� � ��'O/` A � � � PLUMBING INSPECTOR
VIOLATION of the Zoning or Banding Regulations Voids this Permit. Rough
Final
PERMU EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTIONS ARTS
� Rough
.. . . .. . .. .. .... . `. .......................... 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 Wail TO Be Done FARE DEPARTMENT
Until Inspected and Approved by the Building Inspector,. Bummer
Street No:
SEE REVERSE SIDE � Smoke De`.
CERTIFICATE OF USE & OCCUPANCY
�a -
TOWN OF NORTHANI)OVER
Building permit Number 484 A Date:Nov—eM-b—e—rl-7---,-2004
TMS CERTIFIES THAT
THE BUILDING LOCATED ON 129 Cotuit Street
�' IN
MAY BE OCCUPIED AS At#ached.D Family Dwelling
ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE
BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY*
Certificate Issued to: Saraceno Construction
68R Woodland- Street
Lawrence M-a--41841
IPA A
AI 9
Town of North Andover T
Building Department
40 Osgood Street 4
North Andover Ma 0 1845
i
(978)
- 5 Fax -- 52 , . ''
{HrL+IFCI'1 * i
APPLICATION FOR CERTIFICATE OF OCCUPANCY INSPECTION
ADDRESS �_ 4
LOT NUMBER SUBDIVISION
DATE REQUEST FILED &—e�5/ L
DATE READY FOR INSPECTION11—IZ,—�-471
TES 1 DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED
ALL WORK AND SIGN--OFF'S MUST BE COMPLETED WITHIN THIS TIME
FRAME. A.RE-INSPECTfON FEE OF TWENTY-FIVE2 . DOLLARS WILL BE
CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES.
SIGNATURE
OFFICIAL USE ONLY
RTMG
D.P.W. —WATER METER
I .Q .W. MUST"INDICATE THAT THE WATER METER HAS BEEN INSTALLED
PRIOR TO THE INSPECTION REQUEST DATE.
SIGNATURE DPW AUTHORIZATION
f
�tORTf f
Ot,i . Q ra�HO
Town of North Andover
Building Department
400 Osgood Street
North Andover MA 01845 ��SS,,Cµ�s�Ci��
APPLICATION FOR,CERTIFICATE OF OCCUPANCYANSPECTION
ADDRESS/LOCATION OF PROPERTY' ,,,
DATE REQUESTED FILED/READY FOR INSPECTION
CLO%SING DATE ON PROPERTY,., Ll 7- o, - -------
FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS RE Di
ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME
FRAME. A RE-INSPECTION SEE OF TWENTY DOLLARD $20.00), WILL BE
CHARGED IF THE STRUCTURE DIES NOT MEET ALL APPLICABLE CODES.
SIGNED
r�
DPW — WATER METER_
NOTE
DPW MUST INDICATE THAT THE WATER METER HAS BEEN
INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY
INSPECTION REQU EST.
Revised OC 11.96.2004
a
over
Town of
` . y p ;sip•' ''r,
No. 44841v)f
• `�
I A- n
t �� r&
lover, Mass.-,SIO
. BOARD of HEALTH
Food Kitchen
Septic System
BUILDING INSPECTOR
4L
'' C. � ..a.. /may•/
ir
+ .4#....•..F*q.......•.. .......t+.........fy�•rt4.........++ Foundation
nd C10
THIS CERTIFIES THAT..... . ..•.•.. •.• .•.•.....•.....a.a..... ..•......+#• Yi# • ;#i+aa+a..a.
f .......... .• ....... •.•... Rough
has sin tort...... ..... .............i..a.. buildings on .. .... ....0
.. .;#. ...
.. .rti*. ... ... #
ooccupied a a.a . ... +.. ....... ...... .a.+++.. ................. .....#a..., ..+#• ... ..#a.
provided is .o tin this rr shall i ogre respect conform to the terms of the application ou file in Final
that the person � � . � ■
. • - r� Alteration and Construction of
this of and to the provisions of the Codes and By-Laws relating to the Inspection,
INSPECTO
Buildings in the Torn of North Andover. AIJI� A,,.,.
#
� �r4
VIOLATION o the Zoning or Building Regulations Voids this Permit. 00
in —
7
v - �--
1_ MON'—
ELECTMC-AL
�x;
ON lz�'T/d T)
4 S r r
"Rough
arc •
.wit.♦a...♦ . rt ..rt�.r..a.r srt.a.ar..*.a rt�.t..a..• + _
a BIDING INSPECTOR xr,
ninalL/
�r
N� GAS INSPECTOR
r 0/
0
Rough
Display in a Conspicuous Place on the Premises Do Not Remove F 101 D-o-oo
WallNo Lai orF11UE DEPARTMENT
rn r
!.�� �� insApproved
Street No.
Smoke De
SEE REVERSE SID
` � �
p
NoO
{
'rovvn over
Of
0 -1.
s 9
n 4 0 d �� ' Mass.
4
r 1ROAR HEALTH
T
Food/Kitchen
Septic System
4 BUILDING INSPECTOR
AUX
1
•#a t.t...r.y 4 i#.t.r a...rt a+a+.+..+.+i rt a t.......y t i#+a.........y t �+A.iMM #I4 �4
THIS CERTIFIES THAT..... +.... •+.....rt......+........rti#....... .a ....44,..+. .• .rt •a......• A�(z <3
Rough 4PK �.2
has permission to erect..............r •................... buildings on .......i.##ra....ai,a#, .,..t ...+,#..sari.. .iT• r,...............4....... ,.# - �
rtitia
0
1
7>
... .a.
• . ...... I3y
.ri &. I* Aod....3)6'
.a. ..ra.i t i
�# i,+ •......ra�*i+,a.ra► . .r.r.r* ,.
_
to be ed provided that person tin this permit shall in every respect conform to the terms of the application file i Final � �� 4
this ode, and tot
be provisions o the Codes and -Lays relating to the Inspection, Alteration and Construction o
Buildings in the Town of North Adover� PLUMBING INSP �A
5-':�tZt-e—
VIOLATION of the Zoning or Building Regulations Voids this ermitwL �—,
i
rr�Bt22EN,s� 6 MON
ELECnUCAL INSPECTOR
r. 3 �Ivi
-TS yy
i a d Y .A .fir. U + �.ON
S
'Rough
+.rrt!•r.i#.i i#rt.r+.#rt*##.ram#rt.rt+r.r
Service
.•rt###ii#rt • • ri in#.aa+irt}a ra r•rti rt•r�i in rt#ra ri a.•i r#i##r•
rBUILDING INSPECTOR �:!im!n:al.
nL, CT
Reauir. ed fL-.o Oco,.�t)N BuiLd'
0C0AP, a7'1C-"Y -D07r,1,,
GAS WSPECTOR
Rough
Display in a Conspicuous Place on the. Premises Do Not Remove
No Lathing or Dry Wall To Be Done 11RE DEPARTMfNT
Until Inspected and Approved by the Building Inspector.
Street No.
Smoke e! y'
IE: --
SEE ES SIDE �� �
................
---------------
k .kww�._.......,,,..W.r......,.,r..............n....x................n..........................v........vv.......................-......-......--...-..............
NORTH
over
�. z
7rown of 1:
VIM
0
No.
�� .moo o SI
\"
o,�A dower, Mass.,.Oo?
t \
0�� RATED P"?
H BOARD OF HEALTH
Food/Kitchen
Septic System
BUILDING INSPECTOR
Ab
............... ... ............................
THIS CERTIFIES THAT..... ........ ... ...0 AD .......................... ....... ...... Foun&fion
7�' � S'�
Rough
has permission to erect........... ....................... buildings on............�....... .................... ............................
to be occupied as..7rmt...;A' ............... Chimney........ .... ... ... ......
provided that the person-accepting this permit shall in every respect conform to the terms of the a p p licatio n on file in Final
this office, and to the provisions of the Codes andBy-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. ?a/5 ID Aloe r/ PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES. Ilv 6 MONTHS ELECTRICAL INSPECTOR
CONSTRUCTIONS AR S
zC
Rough
A&A
................ 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. Bumer
Street No'.
Smoke Det.
SEE REVERSE
00100 ego,sr
d"tTT�E4W tjFqj_,jUUPAN%"-1
� -
RTIFICATE
OVER
rw"OWN 'F N H A
0
004
Date: N
Building
TMS CERTIFIES THAT
THE G LOCATED ON 131 Cotuittree
BUILDIN
OCCUPIED AS Attached Du Fam& Dwelling
MAY BE - -
IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE
BUILDING CODE
AND SUCH OTHER REGULATIONS AS MAY APPLY,
Certificate Issued to: Sace co
68R Woodland Street
Lg)51ence Ma 1841AFN
inspectorDig
AWF
AF
i
rown of North Andover
Building Department
400 Osgood Street
North Andover Ma o 1845
R
i+**
North Andover Mss ius is 01845
(978) 68 -9 Fax 78) 688-9542
APPLICATION FOR CERTIFICATE of OCCUPANCY INSPECTION
--
ADDRESS � �
LOT NUMBER SDTISIN
DATE REQUEST FILED
DATE D INSPECTION
"IeO `
TES I DAYS NOTICE PRIOR TO CLOSING DATE IS REQLARED
ALL WORK AND SIGN-OFF'S MUST BECOMPLETED WITHIN THIS TIME
FRAME. A.RE-INSPECTION FEE OF TWENTY-FIVE $ 5. DOLLARS WILL BE
CHARGED THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES
SIGNATURE
OFFICIAL USE ONLY
RATING
D.P.W. —WATER MET ' . �._...� DATE �
4
D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED
PRIOR TO THE INSPECTION REQUEST DATE.
SIGNATURE R. DPI' AUTHORIZATION
lAoRTF/
OfK 0e�N�
31► by ii` .'R 6 0,
Town of North Andover �
Building Department
400 Osgood Street �" °+,����wK•,°'
North Andover MA 01845 s ""t'°
� SACNU5�
AP,P ICATION FOR CERT!,F'lC&TE-",0.F OCCUPANCY11INSPECTION
ADDRESSILOCATION OF PROPERTY : ��� ��%'��'�� ���z
DATE REQUESTED FILED/READY FOR INSPECTION
CLOSING DATE ON PROPERTY-.-- 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 DOLLARD $20.00) WILL BE
CHARGED IF THE STRUCTURE DOES NOT MEET ALA.APPLICABLE CODES.
SIGNED
ROUTING
CONSERVATION �
PLANNIIN.G—
DPW ,—WATER METER c,
NOTE
DPW' MUST INDICATE THAT THE WATER METER HAS SEEN
INSTALLED, PRIOR TO SUBMITTAL OF' THE. OCCUPANCY
INSPECTION REQUEST.
Revised OC 11.15.2004
ORTii
Town o
d ndover
.rr
•�+{f F 4 n
0.
■ _.• —
- 0 n
C% dover, Mass.,
LAKE
coc schEWICK
'3'SAC SFOR
EXCAVATIO N AND FOUNDATION
THIS CERTIFIES T ftlilp
■ ........... ■� kboc i
�
i#iiM .w.s.....s4..#ii f iY*L a.■#ifi wAi isw.W 0 0&i..t.a•fa.■#fif Y#iY■WY■
D 1
haspermission Y excavate an pour foundation at ...... ..r.a 4.r*a ...........■ .�a...i Mrt�r S
IFf Lf IY lMi i*#si.r.s.i a.s�sa.sa■
for the purpose l♦}
ofM#■F#MffiRf Li#YY...f..el. Ya....i Fifi Mii YaYai.ss.s■Li7FlFf�ifili.■r...rs..■Y......i4a##Milo iY.a............L*MYi#FYr V.w...■■.■■.a..�#44#ffifiikf•!i#r......�
The person a ccepting this permit must return to the office of the Buildi Inspe c or a certified plot plan show
f building thereon before Foundation will be inspected.
VIOLATION the Zoning or Building ing Regulations Voids this Permit,. PERMIT EXPIRES IN 6 MONTHS
The holder of this Foundation Permit pFoceeds of own risk and without UNLESS CONSTRUCTION STARTS
assurance that a permitfor entire building structure will be granted.
r
, F"El 0 P!�,11"W-f C sr:�:E C00
.... ... ........................ .. ......................................................W F;EN=MC=W=0*
..
y� �'=R 1 ` BUILDING INSPECTOR
L
GRO"'WTH M BYLAW EXEMPTION STATEMENT
TOWN OF NORTHR BUILDING DEPARTMENT 1
This form shill e used,t assist the ui1 g ear � �� � �� � gem u ����ti
. . '�t� e Town N rth A r Growth Manage ent Bylaw. The � � ant �� � � of ,
necessa�ry mformation as requested below
eat Applicant Property address Map Parcel
Applicant's Phone Number Smigle Family Two Family
I the undersigned applicant for the above,prop rt°Fattest that the attached building permit for which this form is aorripleted
does comply with the EXEMPTION section 3. of the Growth Management Bylaw.I also understand providing this:form does,not
absolve r any,partyto this permit from the requirementsof obtaining other permits rr ulr d prior to than issuance,oftho building
permit,Further I understand that my interpretation oft.h x tion status is subject t r vi w by the Building Department is only
officially acce; t d,when the building permit is issued.
Base,d on section 8.7.6 of the North Andover Grog Bylaw the above,loot and the work as appliedfor on the above lot,in the building
penni lication and ass ociated, tta hments., m liwith one or more of the following win sections as indicated by a checkmarl.
°° is an application for building permit r the enlargement,,,restoration or reconstruction dwell'l�u�� .
cxi t ce off"the effective date o this bylaw,pr �rl lc that additional al resid r�tx l � created.
The logs was were created prior to May 6, l �96 and are exempt from,the provisions of section 8.7 of the
n1n ]a . Aj
ThIs application as for dwelling units for low and or moderate income familiesor individuals,whereall of
the condition f .7.6 are met and or represents dwelling units for senior residents,,where occupancy of the units is
restricted to senior citizens through a properly executed and recorded deed,restriction running with the land.,For
purposes of this section"senior"' al.l persons over the age of 55.
application is part of a development project*which voluntarily agreed to a ri u permanent
reduction in density(buildable lots below the density permitt d tmd r zoning and feasible given the environmental
conditions,ofth+ trac„with the surplus land equal,to at least tenbuildable' nacres and permanently anentl shed as open
space or farmland.The land to be preserved shall be protected from development y an Agricultural Preservation
Restriction. sery ati n Restriction.dedication to the Town,or other similar rnechanisin,approvedy the plaming
board that will ensure its protection
This ;pplic ation represents tract ofland existingnot held by a Developer ire common..ownershii p with
n adjacent parcel on,the effective date of this Section 83 and sh l l receive a one time exemption from the Planned
Growth Bute and Development Scheduling prov`isions for the purpose of r tru ;, one sIngle fanuilydwelling U,mit
n.the cel.
application represents a lot w i n is ready,for. a building s rmit all other permits from, all other boards
and commissionshave been received and,the pro ct'is in compliance with trace permits), and the Development
Schedule dues not accommodateissumig,a building permit in that year.One building n Perron will be issued per year per
De
velopment until such ti the development scheduleaccommodate, issuing building permits.Applicant must
submit as approved FORM U with this EXE� TI 1 .
PLEASE PROVIDE ANY AND ALL II'F I MAXI N TI-N!"WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING
DETERMINATION THAT THIS APPLICATION IS ALLOWED,UNDER ONEF,TBEABOVE EXEM,KFIONS,
BY SIGNING BE W I ATTEST TO 11 CURAC'OF THE INTORMATIONPROVIDED AND T "I,TTIE ATTACHED
BUILDING PERMIT I CROWED MVrION AS C17FED ABOVE.,.
FUR:FHER I UNDERSTAND ITI T THE,SUB TTAL OF MISLEADING OR INACCURATE E FORMAI
CHECKING OFF OFE 'ION H DOES NOT COMPLY,,W rBE T DGE 'w t..
NOT IS GROUNDS FOR REFU�AL BY THEBU1LD1NG DEPARTMENT TO ISSUE A BIJILDING PERMIT.
IC SI DATE
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BOARD OF BUILDING REGULATIONS
:.:.: ...'.. Lfcanse: CONSTRUCTION SUPERVISOR
Number: CS 076963
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Restricted To; 00
STEVEN SAFAClO
h127 HIGH STREET
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W ENC , .NSA 01841 A&nR tratar
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Di9padment of IndusNal Ac&idents
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Workers"Compensation ur n e fad
Name- Please Pfint
Name:
Location:
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Phone #
I am a homeowner performing all work myself.
I am a sole proprietor and have no one mrking in any capacity'
I are are employer providing v*era'compensM n for rrry employees mmrMng om thisjob.
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DATE(MMIDWY)
ACOR-PCERTIFICA�T OF LIABILITY INSURANC O1 1 004
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
_R. RobertsInsurance Agency IncONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1060 Osgood Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
North Andover MA 01845 INSURERS AFFORDING COVERAGE
7683-8073
INSURED SARACENO CONSTRUCTION TRUST INSURER A.- WESTERN WORLD I NSURANCE
ALFRED & STEVEN SARACENO, TRUSTEES INSURER B:
WOODLAND STI E' INSURER ;
LAWRENCE MA 0 18 41 INSURER D. LIBERTY MUTUAL INSURANCE CO
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,UIf EME 1T, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED O
{AAY 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 DEDUCED BY PAID CLAIMS.
4NSR POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR TYPE OF INSURANCE POLICY NUMBER DATE MM1ODfYY DATE MMlDDlYY
GENERAL LIABILITY EACH OCCURRENCE 1,000,000
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) 0 0,000
CLAIMS MADE IFJ OCCUR MED E P(Any one person) S 5 or 000
NPP 19077-1 01 l 0 01/1,5/05 PERSONAL&AD INJURY 1,000,000
-.-.......... GENERAL AGGREGATE ,000,00
EIV L AGGREGATE LIMIT APPLIES I IBA PRODUCT 4 OMPIOP AGO 1"0 0 0,0 0 0
POLICF7
Y PRCT LOC
AUTOMOBILES LIABILITY COMBINED SINGLE LIMIT
(Ea accident)
ANY AUTO
ALL OWNED AUTOS BODILY INJURY
(Per person)
0HEDULED AUTOS
HIRED AUTOS BODILY INJURY
(Per accident)
NON-OWNE# AUTOS
PROPERTY DAMAGE
(Per accident)
ARAC LIABILITY ONLY-E AC I0E T
ANY AUTO THE R THAtiN
E ACC
C
AUTO ONLY, A
EXCESS LIABILITY EACH OCCURRENCE $
OCCUR 171 CLAIMSMADE AGGREGATE $
OEDUCTIBLEt
RETENTiO
WG STATU- X QTH-
WORKERS COMPENSATION AND TORY LIMITS ER
EMPLOYERS`LIABILITY Thy —31 S— 3 0 6 —013 0 9 15/0 09/15/04 E.L.EACH ACCIDENT 0 0#0 0 0
Et,L-DI EASE-EA EMPLOYEE 500,000
E 1.DISEASES-POLICY LIMIT7s 500,000
OTHER
DESCRIPTION OF 0PERATIDNSlLOCATI0HS/VEHICLESIEXCLUSEONSADDED BY ENDORSEMENTISPEOIAL PROVISIONS
FAX: 978-687-1394
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CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIR TiON
TOWN F NORTH .N ER DATE THr=REOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL �0 DA WRITTEN
'"X'IF: LT 3 ( NOTICE TO THE CERTIFICATE HOLDER NAMED TO TEE LEFT,BUT FAILURE TO ISO SO VALL
7 CHARLES STREET IMPOSE No OBLIGATION OIL LIABILITY OF ANY K114D UPON THE INSURER,ITS A I=NTS OR
. ANDWER, INS 01845 REPRESENTATIVES.
} AUTHORIZED REPRESENTATIVE
} A CID 5- '1 7} A R CORPORATION'198
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Permit Number
MECcheck Compliance Report
Massachusetts Energy Code }
MCk Software Version 3.2 Release I a Cheeped By/Date
TITLE: 129 Cotuit Street
CITY: North Andover i
STATE: Massachusetts
CONSTRUCTION TYPE: 1 or 2 Family,Detached
ched
HEATINGSYSTEM TYPE: Other(Non-Electric Desistance)
DATE: 1 16/ 4
DATE OF PLAINS:January 15,2004
PROJECT INFORMATION-
Construction of a two family,duplex style townhouse
with two single Mall attached garages, one for each
unit.Town water and sewer.
COMPANY INF R,MATr :
SARACENO CONSTRUCTION TRUST
6D WOODLAND STREET
LAWREl C ,,MA 0 1841
TL: 97 -67-377
FAX: -6 '-1394
NOTES:
THIS PARCEL HAS AN EXISTING SINGLE FAMILY
RANCH STYLE HOME THAT WILL BE RAZED FOR
THE CONSTRUCTION F THE NEW DWELLING
COMPLIANCE:Passes
Maximum UA=580
Your Home—540
6.9%Better Than Code
Gross Glazing
,Area or Cavity Cont. or Door
Perimeter Value R-Value U-Factor UA
Ceiling 1-Attie: Flat Ceiling or Scissor Truss 10 30.0 0.0 3
Ceiling 2-Bedroom#4:Flat Ceiling or Scissor Truss 330 30. 0.0 110
Skylight 1:
Metal Frame with Thermal Break,Double Pane with Low-E 8 0.373
Wall 1: weed Frame, 16"o.c. 2385 13.0 0,0 169
Window 1-Dwelling:Vinyl Frame,Double Pane with Low- 4 0.37 1.
} Window 2-Basement:nt:Vinyl Frame, Single,Pane .9 0 7-�
Door-Front,Rear,Basement: Solid 68 0.350 4
Wall 3: wood Frame, 16"o.c, 36 19. 0.0 1
Basement Fall 1:
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Solid Concrete or Mas my, . 'ht 5.0'b 3. ' insul 864 0.0 10.0 120
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Floor 1-Over Basement:
All-Wood Joist/Truss,Over Unconditioned p 19.0 0.0 4
Floor -Over Garage:
All-'mood Joist Truss,Over Unconditioned Space 288 30.0 0.0 1
Floor -Overhangs,Front,Rear:
All-Woad,Joist/Truss,Over Outside Air 134 30.0 0.0
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Furnace 2: Forced Hot Air,90 AFUE
Air Conditioner 2:Electric Central Air, 10 SEER
COMPLIANCE STAT ENT: The proposed building design described here is consistent with the building plans,
specifications,and other calculations submitted with the permit application. The proposed building has been
designed to meet the Massachusetts Energy Code requirements in MECeheck Version 3.2 Release la.
The heating load for this building,and the cooling load if appropriate,has been determined using the applicable
Standard Design Conditions found in the Code. The HVAC equipment selected to beat or cool the building shall b
no greater than 12 %of the design load as specified in Sections 780CMR 13 10 and J4.4.
Builder/Design-... _._,. ..._.�: ,�
Date
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Ni NOW%- dover Bu"Ung Department
Nur'Th Aia-%i
Tel 978-688-9545
DEBRIS DISPOSAL FORM
I c with the provision of M GL c 40 S 54 a cond iti on offtilding Permit
n aco rd'
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
c 11, S 150 A.
The debris will be disposed ofin:
0, Cr
(Location of Facility)
W,r
-ofPermit Applicant
S 11 g n dtufe-
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the is olf'the Building Inspector