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HomeMy WebLinkAboutBuilding Permit #930-2016 - 15 GREAT LAKE LANE 2/2/2016 JrD NORTf# BUILDING PERMIT OF�t�ev .6. TOWN OF NORTH ANDOVER 32 h '`- APPLICATION FOR PLAN EXAMINATION z 70 Permit No#: -"Z"� Date Received qSs ATED Date Issued: 2 2. 1 IMPORTANT: Applicant must complete all items on this page LOCATION C S C" Print PROPERTY OWNER: LU, f Print 100 Year Structure yes MAP PARCEL: S ZONING DISTRICT: Historic District yes Machine Shop Village yes o TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building ,KOne family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ater/Sewer DESCRIPTION OF WORK TO BE PERFORMED: ca Identification- Please Type or Print Clearly OWNER: Name: T K7 UC Phone:92g7- S Z-�cpZ Address: SLi�. A Jam *A Q Coiitractor Name:77Zo4 �. n1 D Phone: Email: Address:-" N. Supervisor's Construction License: O S"S / Exp. Date: y Home Improvement'License: Exp. Date: ARCHITECT/ENGINEER '-- Phone: J Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 410 r12S-. /see ho c) FEE: $�q21 �Sb IOD•�� �p2(.SD Check No.: X613 Receipt No.: �?OoV NOTE: Persons contracting with unregistered co tractors do not have access to the guaranty d -- i Location IN ^ l No. I 1 i 1 Date c • - TOWN OF NORTH ANDOVER 3 Certificate of Occupancy $ �LV Building/Frame Permit Fee $4�2 L`) Foundation Permit Fee $ Other Permit Fee $ TOTAL $ d Check# Building Inspector Plans Submitted K Plans Waived ❑ Certified Plot Plan , Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer Taming/Massage/Body Art ❑ Swimming Pools D Well 1 ❑ Tobacco Sales ❑ Food Packaging/Sales Private(septic tank,etc. ❑ Pennanent Dempster on Site ❑ THE FOLLOWING SECTION R� FICE USE ON INTERDEPARTMENTAL SIG U FORM PLANNING & DEVELOPMENT Reviewe n Sig r COMMENTS \\X L IV CONSERVATION Revi ed on Si nature COMMENTS HEALTH eviewed Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments �n Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street _ . �- �(FIREDEPA 4i G urnpsteron slte �yes� Ino _ art.,,,men�,signature/dafe ti�'C®MMEN�TS° _ Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: q3 a�S- ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) tf 5 Z 1 ZS,A IrZ ----------------------- TD 10 1 ZS f12 'r yRZLso ❑ Notified for pickup Call Email Date Time Contact Name F Doc.Suilding Pennit Revised 2014 i Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits Building Permit Application �. Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Building Permit Application Certified Surveyed Plot Plan �. Workers,Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Mass check Energy Compliance Report (If Applicable) Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) Building Permit Application Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Copy of Contract 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 °t ,• apo o • CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 930-2016 on 2/2/2016 Date:November 30, 2016 THIS CERTIFIES THAT THE BUILDING LOCATED at 15 Great Lake Lane MAY BE OCCUPIED AS a single family home IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: TKZ LLC 15 Great Lake Lane North Andover,MA 01845 Bui ing Inspector Fee: Prepaid$100.00 Receipt: 30067 Check : 1863 Oq0:TM,M . O CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 930-2016 on 2/2/2016 Date: November 30, 2016 THIS CERTIFIES THAT THE BUILDING LOCATED at 15 Great Lake Lane �1 home IN ACCORDANCE WITH THE MAY BE OCCUPIED AS a single family PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: TKZ LLC 15 Great Lake Lane North Andover,MA 01845 Bui ing Inspector Fee: Prepaid$100.00 Receipt: 30067 Check : 1863 f • • a NORTH Town of Andover No. t � z - h ver, Mass 3 COCMIC NE WICK 1' U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System m1A THIS CERTIFIES THAT ............................. BUILDING INSPECTOR .......... ...... .... ..... ................................................................. „ Fou ion // n has permission to erect buildings on ................................ ��. �.. � 1 :. s .................. e Jr Rough tobe occupied as ......................�.�.�..... ... ....................................................................................... ney 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. P UM�IONG l�, INS EOR •✓t' l VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIONTARTS `Rough rvice ............. ..... c :Lk: ,....:..................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry YYalI To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. i NORTI� Town of _ Andover , No h ver Mass 1:.41C y1' x,95 RA V BOARD OF HEALTH i Food/KitchenPERMIT T LD a Septic System THIS CERTIFIES THAT ............................... BUILDING INSPECTOR ..................................................................................... has permission to erect buildings on Foundation Rough tobe occupied as ................................................................................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Finals 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough)OK4�� Gf ervice .............::................................................................. • BUILDING INSPECTOR Fin . . GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Burner Street No. Smoke Det. 1 NORTH own of t E ,, ndover O to I No. 800 2bi 10 ti �`y Z h ver' Mass T O IAKE COC KI C HI wlC K S U BOARD OF HEALTH Food/Kitchen PERM -I.T T LD Septic System THIS CERTIFIES THAT ...........:................................................................................................................ # BUILDING INSPECTOR . has permission to erect .......................... buildings on .............................................................................. Foundation Rough tobe occupied as ................................................................................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final FG--- Q 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,4 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final ,! 1 PERMIT EXPIRES IN 6 MONTHS ELECTR^IC,(A�LLIINSP C�TOR UNLESS CONSTRUCTION STARTS Rough Service u ........................ Final l Z BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy-Building Rougn Display in a Conspicuous--Place on the Premises — Do Not Remove Final �, l No Lathing or Dry Wall To Be Done FI_ 11 RTfWENT Until Inspected and Approved by the Building Inspector. Burner Street No. i Smoke Det. 1 � NORTy Q �tlEO q�r 3� "`'fit- • M,atb O '' _ APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION "C "PHUS CEK'`y BUILDING PERMIT# 30--Zo I(a A ` A.DDRESS/LOCATION OF PROPERTY: I S tea* Ma 9 6 Parcel S'/sy Map Lit Numbor. SUBDIVISION: T-k e 6)ads DATE REQUESTED FILED/READY FOR INSPECTION: i t r q i�, /P/3046 CLOSING DATE ON PROPERTY: FIVE (5)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED W HIN THIS TIME FRAME. A REINSPECTION FEE OF TWENTY DOLLARS ($20.00) L BE CHARGED IF THE-STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. APPLICANT SIGNATURE Permit Issued to:— Address: i 'SiW/t5Ut-VQ Z01 1. 1Veef�N Ay1 mr WA O )pr ROUTING TOWNS NGINEER, SITE PLAN— -W VIEW CONSERVATION ( `� 1 � it Zai 2ui(o PLANNING DPW-WATER METER i I� SEWER CONNECTION L►�J DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW �— SIGNAT File:Application for OC form revised Jan2007/2011 Home Energy Rating Certificate Property HERS Rating Type: Confirmed Certified Energy Rater: Eric Wilder 15 Great Lake Lane Rating Date: 7/15/2016 Rating Number: North Andover, MA 01845 Registry ID: . 091804212 Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 51 Heating 36.1 $1654 48% General information Cooling 6.7 $109 3% Conditioned Area 3135 sq. ft. House Type Single-family detached Hot Water 4.2 $365 11% Conditioned Volume 26501 cubic ft. Foundation Unconditioned basement Lights/Appliances 26.2 $1181 34% Bedrooms 4 Photovoltaics -0.0 $-0 -0% Service Charges $137 4% Mechanical Systems Features Total 73.2 $3446 100% Heating: Fuel-fired air distribution, Propane, 96.0 AFUE. Heating: Fuel-fired air distribution, Propane, 96.0 AFUE. Criteria Cooling: Air conditioner, Electric, 13.0 SEER. This home meets or exceeds the minimum criteria for the following: Duct Leakage to Outside 108.59 CFM25. Ventilation System Exhaust Only: 69 cfm, 11.0 watts. Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat R-44.4 Slab None Sealed Attic NA Exposed Floor R-30.0 Vaulted Ceiling NA Window Type U-Value: 0.280, SHGC: 0.260 Above Grade Walls R-21.0 Infiltration Rate Htg: 2.18 Clg:2.18 ACH50 Foundation Walls R-0.0 Method Blower door test Eric Wilder CL EAResult Lights and Appliance Features 50 Washington St. Percent Interior Lighting 80.00 Range/Oven Fuel Propane Westborough,MA 01581 Percent Garage Lighting 90.00 Clothes Dryer Fuel Electric 508-328-2760 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 1998-184 Dishwasher (kWh/yr) 258 Ceiling Fan (cfm/Watt) 0.00 9901142ND"' r Analysis and Rating REM/Rate- Residential Energy ys g Software v14.6.3 This information does not constitute any warranty of energy cost or savings. O 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. nome Energy RaUng Certificate Property HERS Rating Type: Confirmed Certified Energy Rater: Eric Wilder 15 Great Lake Lane Rating Date: 7/15/2016 Rating Number: North Andover, MA 01845 Registry ID: 091804212 Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 51 Heating 36.1 $1654 48% General information Cooling 6.7 $109 3% Conditioned Area 3135 sq. ft. House Type Single-family detached Hot Water 4.2 $365 11% Conditioned Volume 26501 cubic ft. Foundation Unconditioned basement Lights/Appliances 26.2 $1181 34% Bedrooms 4 Photovoltaics -0.0 $-0 -0% Service Charges $137 4% Mechanical Systems Features Total 73.2 $3446 100% Heating: Fuel-fired air distribution, Propane, 96.0 AFUE. Heating: Fuel-fired air distribution, Propane, 96.0 AFUE. Criteria This home meets or exceeds the minimum criteria for the following: Cooling: Air conditioner, Electric, 13.0 SEER. Duct Leakage to Outside 108.59 CFM25. Ventilation System Exhaust Only: 69 cfm, 11.0 watts. Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat R-44.4 Slab None Sealed Attic NA Exposed Floor R-30.0 Vaulted Ceiling NA Window Type U-Value: 0.280, SHGC: 0.260 Above Grade Walls R-21.0 Infiltration Rate Htg: 2.18 Clg: 2.18 ACH50 Foundation Watts R-0.0 Method Blower door test Eric Wilder C L EAResult Lights and Appliance Features 50 Washington St. Percent Interior Lighting 80.00 Range/Oven Fuel Propane Westborough, MA 01581 Percent Garage Lighting 90.00 Clothes Dryer Fuel Electric 508-328-2760 Refrigerator (kWh/yr) 550 Clothes Dryer EF 3.01 1998-184 Dishwasher (kWh/yr) 258 Ceiling Fan (cfm/Watt) 0.00 9901142L REM/Rate - Residential Energy Y 8 Analysis and Rating Software v14.6.3 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Enter construction costifor fee cal - North Andover Fee Calculation Construction Cost $ 410,125.00 m $ - $ 4,921.50 Plumbing Fee $ 615.19 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 615.19 Total fees collected $ 6,251.88 15 Great Lake Lane 930-2016 on 2/2/2016 Single Family Home Plans Submitted Ed` Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEVFRAGE DISPOSAL r Public Sewer ,Z, Tanning(Massage/BodyArt ❑ Swi=ingPools ❑ well Tobacco Sates ❑ Food Packaging(Sales ❑ Private(septic tank,etc- ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR.OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF e U FORM PLANNING & DEVELOPMENT Reviewed On i -1tl Signature :i COMMENTS ;; ��-, id. . =_ b` ' 'A"t LOT �`-A CZJJVI�tCti 'r' Lc! 1 4� 17c� �=i_1 �VLl.`�i'G':` 1 1 CONSERVATION Reviewed on '0 js Signatu11, COMMEN 1 S .rt.,,v i , � ;c A' HEALTH Reviewed on s SignatureL Z 2 �J COMMENTS >; !p-j Zoning Board of Appeals:Variance, Petition No: ."---,`1 Zoning Decision/receipt submitted yes i Planning Board Decision: o5u ui tag L° Comments Conservation Decision:;s,-p Zq Z 14n?, Comments � Water&Sewer Connectionisi nature Dae - IlialDrivewa ermit DPW Town Engineer: Signature:�-,/ Located 384 Osgood Street FIRE DEPARTMENT i Ternp .Dumps !. onsite es.Y` � no _ Located at x124 Main Street t s Fire " - Department signature/date ':. COMMENTS NORTIy Town of � ndover o - to �h � ver, Mass, 0A bc COI C.l WIC."1' �qS RATED U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT BUILDING INSPECTOR .. . .... Foundation has permission to erect .......................... buildings on .....�...........r..'n�"� °..�: F................................... Rough �!'G`amu.v %/���UfF to be occupied as �. Chimney 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 C Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR i - VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMI T EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough - Service ............. ..... ......... .. ..................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancv Permit Required to Occupv Building - - - 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. Burner P Street No. Smoke Det. rt NE GLADE 1...01 ` A- �Z ►2�/ 10 �1 �ZII�1 Q1�1. 111��1 SRO M-r Lr--V AT 10 lJ LOT � , lS GkeA-T vwkni Am.DoVER, MA -TK—L LLC. -C41NU `lau = t'o" OciogER .p. 1 R GHT : ELUA— 10 I t 4 , 1 ( t 1 r s loT 4 , IS GRENT 1--AKE UANE r �q-6 a 8-0 4-0 o 89'�yxt,s 69x6s 4� x42 3�t�/yxs� .Q ("�'� u ? 3d�q x(.S i 1ttTCHEIJ P GR'ehT Roots 3ex65 38yZx83 ctit,►R 2 -C AP, GARflC , ti Atti.L � p Foyep, PATIO •O Ltv)t lb I o w D ��CA t F1 Fl 1 54y? x g3 t ayks b.� 69x 65 34/E{x2$ ro9x 65 d►- 0.-o 2Z-o S-0 2-• S-o S-o Y ° 3-6 .o +3-� F�,RsT R-OOR YLAt,l 1-01 li E it I I �' i il, I 4 l3-0 13-V !i-o a 10 rix$fir a+��irx S� .D i � �} i3E,dcsoo 3 (WIC ` - . Bleb"aM Z o c I ? ' to.o N-o , 6 M AST l=R s•: O12£.Drtoo y 0 -- 3yYyx s3 t� ,. (09 x 53 - - -- - - - - vv c - - 3.b SS- � W-T li , t5 GPfhT LAKIE SCCo M-D woR Pt�,�I IA Liq-6 30-0 -------------- laapP ro — w W*L,�Adr f cJ M M li�eWtT , -to$" Z.o - o 0,-3 9'&1 PCL-IST• Z.Q oU�DJaz 101 PLAM �T 4 a US GP ahT I-P KE t—kNlF _-- - -- --__----- - - m L k I i i I l �' F r » r I '1 o 1 b 0 � i \ 2 ` _ ` 1 I Fl RsY FSR 5kAAT- s 6yc b I 1d1. ' IJV I I S1 Cot�� 'Loo?, r' c r - �— - ev�TFS'• 01 FLIOOPIT Pa�IN6 Zx1Zet6'�oG + �vf St�.DSTh1l. Jtll.lVL-'s f^S-3otsTS rI . I t a� i fi'• 1 1 +! QL W DL Q Q c GREXC LAKE I-ANE, a n� ��L 3oiST � '--x H E A��Z• 16 �• (� J o.J C�YP�1 wl:1 9so7f IT cor+'tN OTF S t 2 I/Z'zrYWNLL oQ mmsUl hyl oao REPoIKT L►tNT14hTtOtJ YeR co.De I � 0 � K`N6TF►�� �n�s o 2x M WD ,. LCL x 4 • • -t'A�a(. 3000 PSI . 31K"R'Dv.A•�s'r Ex, � OIL x% K �yc to C?11X6 PT a (?YP) O 314,5lc. GALLY a C4 ro Lill QVG SC C� 1 p 1J Cry�•� .DR.A10"'' lOPc Fo�T��G w�Kh-1Fy 3t{u / sro"Js 3ouo psY2u RIEE3-OR, V ai 1\. i I GREAT.SAKE LAM DRIVEWAY WALKWAY I PROPANETANK LIMIT 14'X 18'PATIO AND STONE WALL BUFFER ZONE 1 (TYP.) 1 1 jai'c- 10p 1 AIC CONDENSERS DRAINAGE EXISTING ' 1 1 FOUNDATION EASEMENT 1 (TOP FND.=190.8') I/ LIMIT OF 50' LOT 3� � yct �-S0' �� NO BUILD (1'YP.) i�1 I aza� EXISTING STONE 2S as WALL 26 Bm >¢ a ez2 EXISTING 17 CONSERVATION LIMIT OF 25' 820 SIGN POST(TYP.) NO-DISTURB ZONE B21 B,s (TYP) LOT 5 EDGE OF BORDERING VEGETATED WETLAND LOT 4 AREA=43,651 S.F. 4 I 149.V 61.74• \ NIF KEVIN DOUOUGHERTY TOWN OF NORTH ANDOVER MAP 98 LOT 6 MAP 96 LOT 5 PROPOSED MINOR SITE PLAN REVISION FOR LOT 4 GREAT LAKE LANE IN NORTH ANDOVER, MASS. PREPARED FOR TKZ, LLC 78 GREAT POND ROAD NORTH ANDOVER,MA 01845 DATE:NOVEMBER 25,2015 PROFESSIONAL ENGINEERS&LAND SURVEYORS CHRISTIANSEN& SERGI, INC. 150 SUMMER ST. HAVERHILL,MA 01830 WWW.CSI-ENGR.COM TEL.978373-0310 FAX.9783723980 COPYRIGHT2015 DWG.NO.13114016 •••••Verizon LTE 11:05 AM 67%WD, All Inboxes 1Q� LOT 4 / EASEMENT i 0 60 BVW SETBACK 6 6 / -- 10' 21.2' EX.FND. ' EL.=190.8' GFNS 46.2 MICHAEL C'' 30.8` ___.__.. 0 J. GI N "T / 81.6' ROFESSIO�PQ GREAT LAKE LN. I I CERTIFY THAT THE PRIMARY UCTURE SH FOUNDATION LOCATION THE HORIZONTAL SETBACK REQUIREMENTS OF THE LOCAL CONFORMS TO APPLICABLE ZONING BY-LAWS IN EFFECT WHEN CONSTRUCTED. CLIENT: TKZ LLC (THIS CERTIFICATION DOES NOT CONSIDER ANY OTHER RESTRICTIONS SUCH AS COVENANTS,WETLANDS,EASEMENTS, THIS CERTIFICATION IS MADE AND LIMITED TO THE ABOVE CLIENT ORDERS OF CONDITIONS,ETC.)THIS DRAWING SHALL NOT BE USED BY THE CLIENT FOR ANY PURPOSE OTHER THAN THAT OUTLINED LOCATION: NORTH ANDOVER,MASS. ABOVE,EXCEPT WITH THE WRITTEN PERMISSION OF CHRISTIANSEN &SERGI INC.FURTHERMORE THIS DRAWING IS THE COPYRIGHTED DATE: 11/22/15 SCALE: 1 =50' PROPERTY OF CHRISTIANSEN&SERGI INC.AND ANY UNAUTHORIZED USE IS PROHIBITED.CHRISTIANSEN&SERGI TAKES NO RESPONSIBILITY FOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANY INFORMATION CONTAINED HEREON. ` PROFESSIONAL ENGINEERS & LAND SURVEYORS CHRISTIANSEN & SERGI, INC. 160 SUMMER STREET, HAVERHILL, MASSACHUSETTS 01830 WWW.CSI-ENGR.COM TEL. 978-373-0310 FAX.978-372-3960 DWG.NO.:13114.001.014 Home Energy Rating Certificate itw"" "tits tae�r,tA7Xpa i4a}Fciee4�irt3 CartNrr3Ctxr;tAF#n: .+triteln.A,tms I&attt Lam U" Rata*PAR: 1,3:_VIS AsIns'Ladwr. tbith tnds,asr,VA 01115 Projected Rating, Based on Kam-fleid Confirmation Required, Lstenatcd Amuti bleW t,ast UM Yalu rat Rarcwt Eli: index: 57 st,5 13141 523 Ckneral Gifa ma6on fading IDA 11" 4% SaidrttaratlMall 3Y?JV4 es: trona 5004aeaiYdatxleeil 'at W**r 4.9 1426 Is Mraltxamlwzt�.ra c1lac:t. I'uadaiitr ts'1i-0Lvrwdlanaos..* e%ft.s1ARtartaa 31A MCI 32% 5a4aarts ataxaraltsaca AA 11•0 -td :oats Cwtva s11T 3i Mechanita rSr!stms FeA�ur!'s Tatai 93.1' $1531 tv`4Yi slaattal; hbmt,tragi Aft Cafrla l",'1°mfww,515.f Aral ZVWd l: Ar"rCkb"s,QwIri,13.03 11. Criteria Htrw NFstisl: Irstrstsastartaarlrt,Prc�arss,O.4Tta',L10+,trt avniFa,nvftr#ftfwts#foAx-if Zu—L*a"p to tatatda IMM 13 MS. lrark%&bL"Syriwn WWRIl I stt:5'5dO,ltA VF#la. Ptr{'atztwb*tumattal ftsl-Ul;{m+Ym QIA3�S31�Shelf reatures t:N�r;fLnE R-#7.2. I"t berm S1.tvd Atixc FLl. b4atart riaar n•lixa YFcltad Ca1131 KA 'Mrd"Twv L 411w:0.'P;M3.UCr-,0.333 Ab&m Grath HMt:r R•21,f Witrattrr M" MF 4 r33 CIC,4.W ADM ... !'Twe tt m Mill RQ.0 V&eod. Rbtaar ckwr tat . .. . . darrpwriy `'' '�.,,d�,y A ppilww&features pampa ��Ix�3G",�►�f "s i61C! Pwrc it twtr L owt mw _. tarrAlt,/Csm rut P"Ww £ttir,Slats..Mp Ptmvttl:Iars uolbl am 'flathtwUFMrUO CBCJrJt Meas! RatttlImtir KOM.Y►1 Mi CbthawM"€r las 1.Fs Otlwar.gtth Ctawl,t rt. a-A crar4 7sa icta+'+h4ttt M03 tMOAS-Il"Mtrdtai OHRM C"Ild"kftw"04.1,.1 All trfwrwsm Limavt.cofttrts F.Wmrtwarf a'MWIF norma.C"r-MI3 tcnrssa,tivaiaar Cwwzft. Thv M ww rAw V Matt IUD"trl Ititctoil"NW On tam It rwfWA horn th#mica!prroxI&v. I Alk NOTICE NOTICE x TO a TO EMPLOYEES Yf EMPLOYEES l� t The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 1 Congress Street, Suite 100, Boston, Massachusetts 02114-2017 617-727-4900 As required by Massachusetts General Law, Chapter 152, Sections 21, 22, & 30, this will give you notice,that I (we)have provided payment to our injured employees under the above mentioned chapter by insuring with: Associated Employers Insurance Company NAME OF INSURANCE COMPANY P.O. Box 4070 Burlington, MA 01803-0970 ADDRESS OF INSURANCE COMPANY WCC-500-5006517-2015A 10/01/2015 - 10/01/2016 POLICY NUMBER EFFECTIVE DATES 1060 Osgood Street M P Roberts Insurance Agency North Andover, MA 01845 (978)683-8073 NAME OF INSURANCE AGENT ADDRESS PHONE TKZ LLC 78 Great Pond Road North Andover, MA 01845 EMPLOYER ADDRESS 08/12/2015 DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer, if the treatment is necessary and. reasonably connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NEAREST AND BEST MEDICAL FACILITY HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER �I Massachusetts-Department of Public Safety Board of Building Regulations and Standards iCWlstruction Sulso ►' License: CS-055417 P , Thomas D Zahoruiko 78 Great Pond Road North Andover MA 01845 �''�"" �� • `" "" `\ Expiration Commissioner 04/05/2016 i I i