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Home My WebLink About- Plans - 131 COTUIT STREET 2/11/2004 i I� ll I i 13 J Location , No. J' / /� i 1 f 'i. �� c;err. of � M , r i Date TOWWOF NORTH ANDOVER, a 0i i 4 Cert"ficate of occupancy, I� i Foundatione ,Otheir Permit Fee TOTAL Check # r 1 i 1 e 77 Building Inspector f i i 1 i f o„ Location el No.+ 0 Date TOWN OF NORTH ANDOVER 1 41 � Certificate o6,-0 m ror Building/Frame Permit Fee U i Foundation Permit FOther Permilt Fee 1 TOTAL r Cher Building Inspector f l i �j 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 t 4 BOARD OF BUILDING REGULATIONS :.:.: ...'.. Lfcanse: CONSTRUCTION SUPERVISOR Number: CS 076963 Birt r �... Restricted To; 00 STEVEN SAFAClO h127 HIGH STREET r . W ENC , .NSA 01841 A&nR tratar { I I i i I I I I I I I i i s S. r r. "r 'r 3� s' S' I.� - the'Commonwealth Di9padment of IndusNal Ac&idents Office n r db s Boston, '"ass. 0211 } Workers"Compensation ur n e fad Name- Please Pfint Name: Location: citv 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. core name. MON r • ara Adds. • - _ _ �* FWDt r a re mum 2M 1UG. cm;wd#*tip wit n pet- `- OrAI66 arwor ors YMW Mwrb demtand thawt a copy cif this statement may-tom torvwarded to the Ci a-o I of th Ior do Inueby cw*y" ,w7dar Uie pis-and penahVes of pe6my fhat Me##bwA0&w provkWd abom is ftm and conwt s {ram L4 Print name tea!l use ohly _ - do nc write In this a to be conipleW by city or town vWidar + C orrrr - ft check ohnm diate Yespowe is mquked - F � + �e.ft Contact person: l �� } Other { 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 -r i i 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 f f r 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: f Solid Concrete or Mas my, . 'ht 5.0'b 3. ' insul 864 0.0 10.0 120 f f f f f f i 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 r 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 } 'r 'r r } 5 2 S: B i 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