HomeMy WebLinkAboutBuilding Permit # 4/4/2016 A.AO R TH
BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION o
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Permit No#: '. f®�% Date Received4,
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Date Issued:
*1MRTANT:Applicant must complete all items on this page
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LOCATION � �
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Print
PROPERTY OWNER TVA ,
Print 100 Year Structure yes %-0 MAP ) PARCEL — ZONING DISTRICT: � � Historic District yes o
Machine Shop Village yes nod
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building Nr One family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
Demolition ❑ Other
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DESCRIQTION OF WORK TO BE PERFORMED
104
dentification- Please Type or Print Clearly
OWNER: Name: S 11- , : ' _.. .. Phone: LL
Address: '`
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Contractor Name �Yc _ Phone: `
Email:
Address:
Supervisor's Construction License: 1E a.` Exp. Date: Y �,
Home Improvement License: Exp. Date:
ARCH ITECT/ENGINEER �� x �E „ , , � �� a >�. ,r Phone:
Address: 'p 5 rYj`L< Reg. No .
FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
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Total Project Cost: $ � � FEE.
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Check No.: Receipt No.:
NOTE: Persons cont acting with unregistered contractors do not have a ess to the guaranty fund
Plans Sub Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPEOFSEWERAGE DISPOSAL
Public Sewer ❑ Tanning/Massage/Body Art ❑ Swinuni'19 Pools L1
Well ❑ Tobacco Sales ❑ Food Packaging/Sales [I
Private(septic tard<, etc. Permanent Dwupster on Site F1
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT Reviewed On Signature
—4711�01-
COMMENTS -Al'-11 7, j*:),�/zr )z 6
CONSERVATION Reviewed onm Si nature
COMMENTS o-
HEALTH Reviewed on
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COMMENTS 44, , "f(" I
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Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
7-
A 1 1
Water& Sewer Connection/s
11
lqnaW A Drivewav Permit,
DPW Town Engineer. Signature.
Located 384 Qfsga d Street
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P-ARTMENTTemp ste,ron-site
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COMMENTS
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FORTH
Town of
ndover
No. -
C, : ver, SS'
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COC NSlC cna ME wets %-
`� !I BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
�� BUILDING INSPECTOR
THISCERTIFIES THAT ........ .�."� �:l..d��./.C�..............................................................................
_ � � S,� Foundation
has permission to erect.......................... buildings on .6........... �?:. Ua^af.................................
Rough
t® �e occupied a6 y��,! .... Chimney
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provided that the person accepting this permit shall in every respect conform to the terms of the application Final
on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and
Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR
Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit.
Final
I I ELECTRICAL INSPECTOR
PERMMONTHS
UNLESS I Rough
Service
............... ... . ...................................... Final
BUILDING INSPECTOR
�y g GAS INSPECTOR
Ccupa cE Permit Required t® ccupy LLZI Z�Z� Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing r II a FIRE DEPARTMENT
Until Inspected and Approvedthe Building Inspector. Burner
Street No.
Smoke Det.
Property HERS
Unknown Rating Type: Projected Rating Certified Energy Rater: Eric Wilder
602 Boxford St. Rating Date: 3/17/16 Rating Number:
North Andover, MA 01845 Registry ID:
Estimated Annual Energy Cost
Use MMBtu Cost Percent
FiERS 'C1deX: 54 Heating 37.0 $1670 52%
General Information Cooling 6.1 $85 3%
Conditioned Area 2672 sq. ft. House Type Single-family detached Hot Water 8.1 $432 13%
Conditioned Volume 24824 cubic ft. Foundation Unconditioned basement Lights/Appliances 23.1 $904 28%
Bedrooms 4 Photovoltaics -0.0 $-0 -0%
Service Charges $136 4%
Mechanical Systems Features Total 74.2 $3232 100%
Heating: Fuel-fired air distribution, Propane, 96.0 AFUE. _
Cooling: Air conditioner, Electric, 13.0 SEER. Criteria
Water Heating: Instant water heater, Propane, 0.82 EF, 0.0 Gal. This home meets or exceeds the minimum criteria for the following
Duct Leakage to Outside 98.00 CFM25.
Ventilation System Exhaust Only: 55 cfm, 21.0 watts.
Programmable Thermostat Heat=Yes; Cool=Yes
Building Shell Features
Ceiling Flat R-38.0 Slab None
Sealed Attic NA Exposed Floor R-30.0
Vaulted Ceiling NA Window Type U-Value: 0.320, SHGC: 0.300
Above Grade Walls R-21.0 Infiltration Rate Htg: 3.00 Clg: 3.00 ACH50
Foundation Walls R-0.0 Method Blower door test Eric Wilder
_ CLEAResult
Lights and Appliance Features 50 Washington St.
Percent Interior Lighting 100.00 Range/Oven Fuel Propane Westborough, MA 01581
Percent Garage Lighting 100.00 Clothes Dryer Fuel Electric 508-328-2760
Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 1448-184
Dishwasher(kWh/yr) 256 Ceiling Fan (cfmlWatt) 0.00 9901142
This information does not constitute any warranty of energy cost or savings. 0 1985-2015 Noresco, Boulder, Colorado.
The Home Energy Rating Standard Disclosure for this home is available from the rating provider.
Massachusetts -Department of Public Safety
Biard of Building Regulations g ns and Standards
construction Jupely
JSUI
License: CS-076.1.24
WilliamRLumbar
14 Bemis Circle
Tewksbury MA OWl"
Expiration
Commissioner 02/18/2017
• C��e cpa-»t�iaa�xuetcll�
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Office of Consumer Affairs&Business
Regulation eft
ME IMPROVEMENT CONTRACTOR
egistration 181651
., Type'x iration 561Q
Individual
WILLIAM H.LUMBARC7 '
WILLIAM LUMBARD
14 BEMIS CIRCLE
TEWKSBURY,MA 01876,
Undersecretary