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Building Permit #728 - 57 LONG PASTURE ROAD 5/1/2018
M��►N f'O''.. 'tib F � # �d+4c CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER r Building Permit Number 728 Date: May 3, 2011 THIS CERTIFIES THAT THE BUILDING LOCATED, ON 57 Lona Pasture Road, North Andover, MA MAY BE OCCUPIED AS single-family home, garage, pool IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Howard and Marguerite Cooper 57 Long Pasture Road North Andover,MA 01845 Buil �Inspetor Fee: 100.00 previously paid Receipt: 21225 p-z(rev.vaq P.1'5 �31,5%r 97Tz e ,:Dacey; eto v." CERTFICATEOFOGIM City or Tawn /w D,i�✓/T �//Clod f/�_ ❑�a: —�� This Certifies that the property loc-Ated at J' 7 vZ/o,? has been equipped with approved smake detectors, and carbon monoxide alarms and was round to be In compliance 1 ••h Massachusett"General Law, Chapter 143 Sections 26F,26Fra and i CM 1, et sV*. Inspection/Testing completed on: B/: Insp_cccr Fee Paid; f Head ai Firs Department: i Mate:This certificate expires sixty (M) days after date issue. SELLER s copy µoRtH � ib yy 'mow ,p ��LK�{MLi1i•y1` �.9 °A4to� � • S$+IC"US�� APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION Building Permit# ADDRESS/LOCATION OF PROPERTY: CLS+z) M ap Parcel Lot Number SUBDIVISION DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: 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 DOLLARS$20.00)WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. Perot Issued to: Address SIGNED RO TING CONSERVATION PLANNING' l � l DPW,-WATER METER !SE%TzRMIATER CONNECTION EZ� NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST , DPW � Signature • File: Application for OC form revised Jan 2007 LAWRENCE H. OGDEN,P.E. 198 EAST MAIN STREET GEORGETOWN,MA. 01833 978-352-8318 fax 978—352-2858 Cell 978-502-5921, e-mail: lhogden(ii,)comcast.net DATE: 1 1 15 6t o I - MEMO TO: M R.S coo p 1a:. TOTAL# PAGES 3 FROM: Lawrence H. Ogden, -� PROJECT: PURPOSE: 13ue p; /r VIA: Fax to 9-70 6(4- 07Z,9 _ s r Lawrence H. Ogden CC: _ - -- -- ------Transmittal.doc---- ------------- -- -----.. ------ � i x: .'Alk A-RouisD; ,� 3 $ic.4j,x 5o�� I1 f Al f- 5���4 14307 tS- r SEM 01 : :C3 E i. Qui-i 6� a p,-i c.Aoo j� 4i� - 5 W 0.0 t7 Com`--t -JC 4-..-,L U 643 Utl AJ :_. A-3. 6 :3 E-t Lawrence H. Ogden P.E. `( x000 NAtl.in C-To &.n 1.98 East Main St, 2.4'1 R El 0"Q . 6F- FRAC L Georgetown, MA 01833. tz l.l,'�I��!1.1•+'•'ill SY�I.F� p°;tr j• .�...„� ...... _ .. ..!.,.ls�•.1 +_ +,bfQl'!'....?. .....,�,r{.���. .. i_. � ya�(4°!.x'A4, t•.�� ! '� j I i ...,.. I jq"'�.. ,�t,�M•�,; ~1,d.1�'i.(,i ! �.`�.iK"• ; ���i� !!�'• �4a1:�'•f i +AI•t "ql;•, ._.i,.... j__.^I......;,... ..�.,,,....�.....,.,,.:._ .,. ' _ .. .._. _i .. ...... _ .i .'� .�_,I. ... I ..:,,�"�••1h,;�'.'a*�.:T' ..�.•��,�"�'..�.�I .��Ifv:�::�P.SI�'.d!5�.\`�.,.�.f'd"I•'�I., ,•i '.,. ...._...... ..� :__....,.., +4tpN;V'r- I i ..s_ i t <rl` Ct : ' • I i , ... .,�...._.._._ `� . .. , ! � ���m.�a:�'`.�.,�:_�,._�� Mr;�:��.�. . . ���'�..,. .....•ter.t. ,�.�!�",.7 ,��.�,.,. .. ... . ._._ • .. : .._. . �...�. � .�� .�it;Y.J�•''°'��,_. ..��►hl etir'M',i:'. ;�::4A?.1:�•'�:•'�., w° , ±�. a�,�}-�. •i i I tea CL ilk 1p nw I1-7 __..... ,,. E2 •<d aQIaZ ?Se 816 h1aaDa .tiNw:s-i w4a::va 63ezz;"'Se:'6=•vE'Ib Coo F-I;L LIT Sir, ko !t tot I No LAO _ *4.................. - 1 d"eb — �..._. t ..�..._.!.__.. -- wp E .. ._ ri I _ � U33 : To cl SS13Z ZQT SL6 NBa!30 •1,NNId1 IAA 82C01 0Tl3z-4T—H3.3 Sit - 7. - - -- -- -------- --- - __--- 4eat 14.1 . If �,. I .,. 414 � �•3 0 �t . 5ri1�Ci1't A� 4�.4� TO .,.e! e. 'W c9!0. Lr•�C . ? .o 3 Cop V.P.A 1p 0 1044,�N�S $Mir-rep} Lawrenoe H. Ogden P.E. 4988 East Main St 36404-0 . rnw A S 6r- PRAN P, GwIr9et0Wil, MA OIM £6 'd 893Z Z92 846 N3Qo❑ ANNwi WzO 6b: OT 0T9Z-LT-93d AUG-30-2008 05:53 PM LARRY OGDEN 978 352 2E!58 r.►9I Csf it ( +�}ST`vx It 04.0 A^ plp.+1E, G p 3» 6 t* X C W! L Q e..4TE UIA Ad) UAW r, �,P'w 4 AI WL • ep%AroC.,r 'ToG*-T4f-1 a.,ae.tYN z. aw ISSS 'A it d6ig 1 641 lz To C-1 CAAL 04 ?9,4 4 D s a 10 IM 5T0 X 4% In Elot main so pang rn,MA 011133 µoRrN 2, TOWN OF NORTH ANDOVER a�04 4 s�o0 OFFICE OF A BUILDING DEPARTMENT 1600 Osgood Street �.qSs nt,o,.rye Building 20 Suite 2-36 AC14 North Andover,Massachusetts 01845 Telephone(978)688-9545 Gerald A.Brown Fax (978)688-9542 Inspector of Buildings AFFIDAVIT FOR FINAL COST OF CONSTRUCTION In accordance with the provisions o the Massachusetts State Building Code,Article 1, Section 110.4 and 114.2,the total estimated cost of the nstruction including all related construction costs`of the building located at Lcl�r K.54k/re 1�c( amounts to being the person referred'to as the owner identified be , do solemnly sw ar that thstat�emmenits made herein are strictly true and correct and made in-good-faith. *Related construction costs included all work done with or concurrently with the work contemplated by the Building Permit including demolition, plumbing;heating, electrical, air conditioning,painting, carpentry, landscaping, site improvement,etc. Furnishings and portable equipment are not part of the total construction.costs. Sign ure of Owner COMMONWEALTH OF MASSACHUSETTS 127 2011 . Then personally appeared the able named acid Made an oath that the above statement is true. JEAN P.ENRIGHT Notary Public commonweafth of Massachusift Before, Me, My commission E)q*m October 6,2017 Notary Public • C'��nrnissra� �x lQes ld/b�a�« 'i OFFICIAL'USE: Final Cost: Original Estimate cost'of general work:_ Cost Difference: Additional Fee Required: TO AMEND FEE UNDER PERMIT NO.: Inspectional services Department 2005 Fafinalcostaffidavitronn Strict code enforcement makes the town safer Before buying,renting,leasing check zoning BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 �- � J FF PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division ,rERTI(F1c4r,r-'E ®F COWPGI./�.�CE As of.- November f:November 14, 2008 This is to cert that the individuaCsu6surface disposaf system received a SA`4S1Z4C2012` 1XSPECY 0-rffof the: Instaff,ation of an Indi'viduaf On Site Selvage UoTosa[System By• gZyan Greenwich t• 57 Lou Pasture &ad a fia, .Got 5 flap-106.•, ~Tarcef--0216 210/106.A'0216-0000.0 jr ,orth Andover, AVIA 01845 The issuance of this cert cate shaff not be construedas a guarantee that the system will function satisfactoriCy. Susan�.f auyeq 2i;eQAS --ft6CtcJfeaftFi-0irectotY -----------.----_-_--_--- ---- 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 fax 978.688.8476 Web www.townofnorthandover.com TOWN OF NORTH ANDOVER f NORT#j Office of COMMUNITY DEVELOPINIENT AND SERVICES '20''..�°�� HEALTH DEPARTMENT ' 4M OSGOOD STREET ►off+ 3:.. ,>• r NORTH ,kNDOVER, MASSACHUSETTS 01845 �'ss CH„S s� Susan Y.Sawyer, REHS/RS 978.688.9540—Phone 978.688.8476—FAX Public Health Director E-MAIL: healthdept-atownofnorthandovercom WEBSITE: http:,.','www.townofnorthandovercom �. TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM - INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System ( constructed; ( ) repaired; by (Print Name) located at (Instalifation Address) was installed in conformance with the North Andover Board of Health approved plan, originally dated /17�7 1,o-7 and last Revised on s• X4,9,5With a design flow of gallons per day. The materials used were in conformance with those specified on the approved plan; the system was installed in accordance with the provisions of 310 CMR 15.000, Title 5 and local regulations, and the final grading agrees substantially with the approved plan. All work is accurately represented on the As-built which has been submitted to the Board of Health. Bed inspection date: Engineer Representative(Signature) L j� And-Print Name Final inspection date: l% Z�— Engineer Representative(Signature) A IV S a 'f And-Print Name z I r-Im V0 031 am 10 'X?.4+:S.F.7 :°�5t "dfT7F ZMA.�CLSt' •r3h�+ �,. Yrlr.,. .. Installer: J .�,,. (Signature) Date: /2,4 /D And-Print Name Engineer: ri� 1�' Signature D l� And-Pri t Name NOV 14 2008 TOWN OF ,'!ORT H ANW",!ER HEALTH DEPAR i roiENT tAORTIi E O 116 0 Or h'1r` A„ 6 .1 -2 ey O co—cLAKc. �9SSACHUS���y PUBLIC HEALTH DEPARTMENT Community Development Division May 18, 2009 Howard and Marguerite Cooper 409 Park Street North Reading,MA RE: Subsurface Sewage Disposal System Plan for lot 5 (57) Long Pasture Road,map 106A, i Parcel 216,North Andover,MA Dear Mr. and Mrs. Cooper, The North Andover Board of Health has approved the subsurface disposal plan that Christiansen and Sergi Prof. Engineers submitted,last revised plan dated May 14,2009. This plan has been reviewed and approved for a five-bedroom home,maximum eleven-room home. This approval is dependent on the installer obtaining from our office a copy of the stamped approved plans. There is no additional fee for this resubmitted plan,and the current installation permit remains in effect, however subsequent on inspections are subject to a fifty-dollar inspection fee which must be paid in full prior to any new inspections. All other conditions listed in the original approval remain as written. The Health Department has received the floor plans of the home,the foundation as-built and a new plan has been approved. Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you may have. � 1 SYan y; . S . Sawyer,REHS/R do 0 Public Health Director /d Cc: Christiansen and Sergi Prof. Engineers and Land Surveyors 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com F pORTy •O tLE D I 6 ' 3�. y�4�r q •6 �O O to _ L � # �A COCMIC M�WKK V ' ��SSAC HU5��4`, PUBLIC HEALTH DEPARTMENT fommunity Development Division October 27,2008 Howard and Marguerite Cooper 409 Park Street North Reading, MA 01864 RE: Subsurface Sewage Disposal System Plan for lot 5 (57)Long Pasture Road, map 106A, Parcel 216,North Andover,MA Dear Mr. and Mrs. Cooper, The North Andover Board of Health plan approval for the lot listed above was made null and void due to the conditions identified post foundation installation. The foundation was installed one foot lower than the approved plan,which rendered the gravity subsurface disposal system impossible as planned. Christiansen and Sergi Prof. Engineers submitted a revised plan dated October 27,2008. This plan has been reviewed and approved for a five-bedroom home, maximum eleven-room home. All other conditions listed in the original approval remain as written.. The Health Department has P . received the floor plans of the home,the foundation as-built and a new plan has been approved. Please note that a second problem regarding the location of the free standing garage is noted on the plan. Due to placing the building within the area of the reserve system designated by the engineer, recalculations and adjustments have been made in that area. The plan specifically notes the minimum grade on this area; however as the septic installation and the site grading may be completed by separate parties it is incumbent of the owner to be sure that the area of the reserve system is not compromised. Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you may have. Sincer S, an Y. Sa �,�REHSX Public Health Director ------------------ 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.towndnorthandover.com �9� eor12 THE SITE ON NOVEMBER 6, 2008 AND 0NOT TO SCALE SEPTEMBER 15, 2009 THE DATES OF THE AS-BUILT SURVEYS. 7 LOCUS G�aPR s ,rte � 1 ��. N/F t THOMAS F. McGRATH & 1 R JACQUELINE McGRATH 1 1 1 S�• 1 ----- - -- -- ...................------ Q t 2 ✓QQ.CJ5' I NIF LOT` 5 � D BOX GLEN G. & MARY H. AREA = 3.49 ACRES i PRYOR 00 s. P 0 SEPTIC 38.0' TANK �`- �� TP ®13 76.6' Fri QUICK- �O �Tti STANDA •o�S CHAMBI •��`�� (6 ROWS 9 CHAMl 4f F I TP NOTE: THIS PLAN IS NOT A WARRANTY OF THE SYSTEM. IT IS A RECORD OF THE LOCATIONS OF THE EXISTING STRUCTURES. i SEPTIC SYSTEM ELEVATIONS ` DESIGN AS—BUILT I INV. OF PIPE OUT OF HOUSE 153. 10 153. 14 I 1 INV. OF PIPE AT SEPTIC TANK INLET 152.90 152.95 1 I INV. OF PIPE AT SEPTIC TANK OUTLET 152.65 152.77 I INV. OF PIPE AT D—BOX INLET 152.54 152.68 N/F II INV. OF PIPE AT D—BOX OUTLET 152.37 152.49 LOUIS G. & I AMELA E. RESETTA INV. INTO CHAMBER 152.37 152.4E I I BOTTOM OF CHAMBER 151.70 151.79 I ALL ELEVATIONS SHOWN ARE BASED ON U.S.G.S. DATUM. � i PUMP SYSTEM ELEVATIONS EDGE DESIGN AS—BUILT OF SAND BACKFILL INV. OF PIPE OUT OF GARAGE 150.70 148.72 INV OF PIPE AT PUMP UNIT INLET 150.50 148.29 —. INV. OF PIPE AT PUMP UNIT OUTLET 151.00 146.61 ` P 96-12A INV OF PIPE AT SEPTIC INLET PIPE 152.90 153. 19 ALL ELEVATIONS SHOWN ARE BASED ON U.S.G.S. DATUM. 0 TP A X12 60.69 i 'OF PT --- °°' ryILlP G.P 96-12 N/h t;IVll_ cin STEVEN R. & No.28895 ,ANGELA MNo.28. JONES �` � � .�v`�� 95 MONITORING NAL ~� ' WELL F S) BENCHMARK 100 L.F. CUT SPIKE SET 1—40 SCH 14" OAK UP 1.0' FORCE MAIN EL.=151.72 ASSESS®R 'S MAP 106A., PARCEL 216 INTERIM AS-BUILT PLAN 27.6___ PUMP UNIT \ OF -10 L.F. 4" 1J FACE DISPOSAL SYSTI SCH 40 PVC Ji AjST�NG ;° PIPE AT R,�GE LOT 5 lih® 5� LGNG PASTURE RGA® v 0 23 3,� IN N®RTEI ANDOVER, MASS, FTP 2 TP 4 I PREPARED FOR ti HOWARD & MARGUERITE COOP, ` DATE: NOVEMBER 12, 2008 SCALE: 1" = 20' REVISED: SEPTEMBER 17, 201 <rI I M 20 0 20 40 FT TP 3 _ AREA ��Ei�B D PROPOSED RESERVEv./�e— �• PROFESSIONAL ENGINE) ,3,750 sf• S E�' 2 2 '09 CHR/S TIA NSEN &SERGI LAND SURVEYORS L ____- � 9c, . 160 SUMMER ST. HAVERHILL, MA 01830 TEL. 978-373-03t 0 OWN NOf-J A OVER I 75' ^_ !i:: F(C?EPARTM NT 02009 BY C14RISTIANSEN & SERGI, INC. Date LNDOVER fTM OoTOWN OF NORT PERMIT FOR GAS INSTALLATION r ACMUSEt This certifies that . . . . . . . . . . . . has permission for gas installation. . . . . . . . . . . . in the buildings of at North Andover, Mass. Feel4-1� . . . . Lic. No..(5�95/A. . :. • ���-GAS IN�SP 'TOR Check# (---�-- D l/ a 6591 MASSACHUSETTS uNiFORM APPUCATON FOR PERMIT TO DO GAS FTTT]NG (Type or print) Date ,0 c`"' Z p J NORTH ANDOVER, MASSACHUSETTS - -7 O r . Building Locations X©lo G, ��. 5 i--n- Permit Amount$ _Owner's Name New E Renovation D Replacement D Plans Submitted a wC9 m U vi c� a �, w _ o ° ° H W Q a h8` 1811 z (\ w e w w W Z.1! 1% Fwx• a a w G ww wwCA cZ 9 a 'tw w °SUB -BASEM ENT 3v > o o°, H O BASEMENT IST. FLOOR 2ND. FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR ,. 8TH .' FLOOR (Print or type Name C- Check : Certificaje, Installing Company Corp. Address74 Partner. Business Teleprione 'YJ U Firm/Co. .Name of Licensed Plumber'or Gas Fitter -:w,3Lk�� INSURANCE COVERAGE "1 have a current liability Insurance'policy or it's substantial.equivalent. Check one: Yes 13 If you have checked es please indicate the.type coverage by checking the appropriate box. No 13 Liability insurance policy Other type of indemnity D Bond 13 Owner's Insurance Waiver: l.am aware that the licensee does�_e the Insurance coverage required by Cha7of Mass. General Laws,and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent Check one: wner Agent hereby certify that all of the details and information 1 have submitted(or enOtered)in above application are true and accurate to the -13 best of my knowledge and that all plumbing work and installations performed under Pe it Issued for this application will be in compliance with all pertinent provisions of the Massachuse Stat as Code ter 142 of the General Laws. By: Signature of Licensed Plu er Or Gas Fitter Title 'lumberpc � City/Town, Gas Fitter License Num er vlaster APPROVED(OFFICE USE ONLY) �-journeyman Date. NORTH 3? �` TOWN OF NORTH ANDOVER p D . e ' PERMIT FOR GABS,INSTALLATION �9SSACHUSEt This certifies that . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . tc" �!_ ! ' . . . . . . . . . . in the buildings of . . . . G . 7 Uh !�r �h c at . . . . . . .�. . .,F. . . . . . . . . . . . . . . . . . . North Andover, Mass. Fee.M. Lic. No.. [.!`. . . - `.. . Wit . . . . . GAS INSPECTOR Check# 7 6737 MASSACHUSE M UNIFORM APPLIC kTON FOR PERMIT TO DO CAS (Type or print) D G NORTH ANDOVER, MASSACHUSETTS Building Loqations moi/ AYTL) 2� Permit# 3 Owner's Name Amount$ Aar s/ New Renovation Replacement plans Submitted W CZ W O p k OG C7 U W x W F. C C W W z Q W z H W W zz C7 W F W F y !Y (� w > z �.... arA C G z W p F W x . orA SU B -BASER ENT $ U C > c d FW. O BASEM ENT 1ST. FLOOR 2N D . FLO O.R 3RD . FLOOR 4TH . FLOOR r 5TH . FLOOR 6TH . FLOOR 7TH . .FLOOR a 9TH . FLOOREE (Print or type) Name L/�-� L ! � Check one: Cert' c Installing Company orp. Address !✓' �!/ !VI S Partner. usmess I a ep one Firm Name of Licensed Plumber'or Gas Fitter �= _ I INSURANCE COVERAGE I have a current liability Insurance,policy or it's substantial equivalent. Check one- If you have checked yes,please indicate the a cove' y Yes No Liability type �e b checking the appropriate box. insurance policy EY_ Other type of indemnity D Bond Owner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws,and that my signature on this.permit application waives this requirement. Signature of Owner or Owner's Agent Check one: Owner Agent C I hereby certify that all of the details and information 1 have submitted(or en r d)in above application are true and accurate to the best of my knowledge and that all plumbing work and.installations PC compliance with all pertinent provisions of the Massachusetts State Ga; rider Permit Issued for this application will be in d the General Laws. By: � ature of i sed Plumber Or Gas Fitter Title Plumber City/Ti wn 0 Gas ��. Fitter License �- Master APPROVED(OFFICE USE ONLY) Journeyman i P Date. . . . .�_ °o NORTH TOWN OF NORTH ANDOVER oL % PERMIT FOR PLUMBING SSACMUSE� This certifies that _ .. . �. . 1L?. . . . . . . . . . . . . . has permission to perform �4p. . . . . . . . . . . . . . . . . . plumbing in the buildings o . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . 7. . . . . , North Andover,.Mass. Fee%.11,Ff Lic. No41,6 : .��d . . . . . . . . . . . . . . . . . . . . . . . . _ PLUMB�NG_i SPECTOR Check # � o 7898 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS 0a o aCm_ Date d Z Building LocationS-7 Lo y G /7�—SsZ%YL Owners Name �� c,'TL77 Permit Type of Occupancy Amount —New Renovation Replacement Plans Submitted Yes No ' FIXTURES r to U H D O U U r� O q O a a � P � O U `J 5>:&B4VIC � q C5 q u: q M Him 20 FLi M 3M�+ AR 4!H FIA(Yt MR-UR 6M FLCM 91H FLOM Y (Print or type) 9 Check one Installing Company Name (_:7 i3 e--Xr ��7g. 147-e' Certificate _►g Address GZ- • -�- ZJQ _-774 L9 tj _(2,A—) o Partner. Business elephonef 7 _ O m Firm/Co. Name of Licensed Plumber. Insurance Coveraee: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Othera of indemnity mni ty � Bond insurance Waiver. I, the undersigned,have been made aware that the licensee of three insurance this application does not have any one of the above r Signature Owner a Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed un r Permit Issued for this application will be in compliance with all pertinent provisions of the Massach State Plu in de and Chapter 142 of the General Laws. By: fit- ignature of 1 icens um Title QType.oflumbing License City/Town O icense um er Master 304meyman ❑ APPROVED�o�cE usa ONLY f The Commonwealth of Massachusetts 1 Department of Industrial Accidents JI `'; .i Office of Investigations 600 W ashington Street Boston, MA 02111 www.maSs.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):_ LSL j �"� © / Address: /,5- C-Z-Z4 —,5*L=-;7.J /i:? City/State/Zip:;}d r3 o-iz,._j Phone Are you an employer?Check the appropriate box: l.❑ I an a employer with 4. ❑ I am a general contractor and I Type of project(required): employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- Iisted on the attached sheet 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance S. ❑ We are a corporation and its 9. E] Building addition required.] officers have exercised their 10:❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.7 Plumbing repairs or additions myself [`o.workers comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] 1.3.❑ Other *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. Homeowners who submii.this affidavit indicating tlrey art duipr eil c;;r rk atau then hire outside eoniraciors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am ann employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-.ins. Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). .Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. �Ido hereby certify er the p n penalties of perjury that the information provided above is true and correct artature: �--� (DcJ= Z 7� C v Date: Phone#: t5) pct Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers compensation for their employees. Pursuant to this statute,an employee is defined.as"...every person in the service of another under any contract of hire, express or implied, oral or written." e 'v' partnership,An employer is defined as an individual,parte s p,association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit-to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s), address(es) and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an.LLC or LLP does have ._. employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have anv questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the nntnber.listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. Tie Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/iicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or Iicenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-2645 Fax# 617-727-7749 WWW.mass.gov/dia NOR T#I O L ��SSgcHus���y CONSERVATION DEPARTMENT Community Development Division April 9,2009 Howard and Marguerite Cooper 409 Park Street North Reading,MA 01864 RE: ENFORCEMENT ORDER: 57'Long Pasture Road,Lot 5 Dear Mr. &Mrs. Cooper: On December 10,2008,I contacted you (Mr.Cooper) and we spoke concerning the potential for erosion on your property due to steep slopes and a large area of disturbed soils. At that time, your construction project was outside of the jurisdiction of the North Andover Conservation Commission (NACC),and did not require a permit from the NACC when you obtained your building permit.You agreed,according to my notes,that you would install erosion control at the limit of clearing on your lot between'construction and the wetlands. On April 4,2009,a rain event occurred and the Conservation Department received a complaint that soil was eroding off your property and entering the stormwater management system on Long Pasture Road. This system discharges into a Bordering Vegetated Wetland a jurisdictional resource area under the Massachusetts Wetland Protection Act(WPA)(MGL c. 131 §40) and the North Andover Wetlands Protection Bylaw. Under both the WPA and the Bylaw,"No person shall engage in the following activities: removal, filling, dredging, discharging into, building upon, or otherwise altering or degrading the wetland resource areas..." including any 100-foot buffer zone. Photos of the erosion event and the subsequent impacts are attached. I returned to Long Pasture Road to view the catch basin discharge area on Tuesday,April 7, 2009, to inspect for impacts to resource areas following the storm. During my inspection, I viewed piles of sediment in the discharge pipe and in the downgradient resource area. Prior to my inspection, I had spoken with you on the phone and asked that erosion controls be installed on the property immediately to protect the resource areas in impending future rain events. You did agree. At the April 8, 2009 meeting of the NACC,members receivedy hotos of m storm related site p visits. After viewing the photos of the storm and post storm inspection on your site, the Commission authorized me to issue an Enforcement Order (EO) as authorized in the Wetland Protection Act Regulations (310 CMR 10.02(2)(c)) which states: 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9530 fox 918.688.9542 Web www.townofnorthandover.com "In the event that the issuing authority determines that (an)activity has in fact altered an Area Subject to Protection under MGL c. 131 §40,it may require the filing of a Notice of Intent and/or issuance of an Enforcement Order and shall impose such conditions on the activity or any portion thereof as it deems necessary to contribute to the protection of the interests identified in MGL c. 131 §40." At the April 8,2009 meeting of the NACC,the Commission ordered the following: • The applicant/property owner shall cease and desist from all construction activity on the site with the exception of the following requirements of the EO. 0 Erosion Controls shall be established to prevent further erosion to downgradient wetland resource areas including the stormwater management structures in Long Pasture Road which discharge to wetland resource areas. • Erosion control materials shall consist of the installation of silt fence and haybales or other erosion control devices as approved by the Conservation Administrator. Installed Erosion Controls shall be inspected and approved by the Conservation Administrator prior to release of the EO. • The owner and/or his/her representative shall appear at the next meeting of the North Andover Conservation Commission scheduled for April 22 2009 a p t 7PM at the North Andover Town Hall, 120 Main Street North Andover. Failure to comply with this Order and the deadlines referenced herein will result in the issuance of additional penalties. MGL.C.131 S.40 and the North Andover Wetland Bylaw, C.178 authorizes the Conservation Commission to seek injunctive relief and civil penalties per day of violation. In addition, a violation of the Massachusetts Wetland Protection Act and the North Andover Wetland Bylaw constitutes a criminal act, which is subject to prosecution and the imposition of criminal fines, also per day. This Enforcement Order shall become effective upon receipt. Your anticipated cooperation is appreciated. Sincerel4Au ti J nniferghes onservation Administrator CC: Curt Bellavance, AICP,Community Development Director Gerald Brown, Inspector of Buildings MA Department of Environmental Protection, NERO Enclosure: Photographs I 1600 Osgood Street,North Andover,Massachusetts 01845 i Phone 978.688.9530 fax 978.688.9542 Web www.townofnorthandover.com L Massachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection - Wetlands WPA Form 9 - Enforcement Order Ll Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. Violation Information Important: When filling out This Enforcement Order is issued by: forms on the North Andover 4/10/09 computer, use Conservation Commission(Issuing Authority) Date only the tab key to move To: your cursor- do not use the Howard & Marguerite Cooper return key. Name of Violator 409 Park Street, North Reading, MA 01864 ran Address 1. Location of Violation: Property Owner(if different) 57 Long Pasture Road, Lot 5 Street Address North Andover 01845 City/Town Zip Code 106A 216 Assessors Map/Plat Number Parcel/Lot Number 2. Extent and Type of Activity (if more space is required, please attach a separate sheet): Erosion of soil from single-family house construction site (57 Long Pasture) (non-jurisdictional project) into stormwater system on Long Pasture Road resulting in sedimentation of wetland resource areas and buffer zone. B. Findings The Issuing Authority has determined that the activity described above is in a resource area and/or buffer zone and is in violation of the Wetlands Protection Act(M.G.L. c. 131, §40) and its Regulations (310 CMR 10.00), because: ❑ the activity has been/is being conducted in an area subject to protection under c. 131, §40 or the buffer zone without approval from the issuing authority (i.e., a valid Order of Conditions or Negative Determination). wpaform9a.doc-rev.7/14/04 Page 1 of 4 Massachusetts Department of Environmental Protection p DEP File Number: Bureau of Resource Protection - Wetlands WPA Form 9 — Enforcement Order Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Findings (cont.) ❑ the activity has been/is being conducted in an area subject to protection under c. 131, §40 or the buffer zone in violation,of an issuing authority approval (i.e., valid Order of Conditions or Negative Determination of Applicability) issued to: Name Dated File Number Condition number(s) ❑ The Order of Conditions expired on (date): Date ❑ The activity violates provisions of the Certificate of Compliance. ® The activity is outside the areas subject to protection under MGL c.131 s.40 and the buffer zone, but has altered an area subject to MGL c.131 s.40. ❑ Other(specify): C. Order The issuing authority hereby orders the following (check all that apply): ® The property owner, his agents, permittees, and all others shall immediately cease and desist from any activity affecting the Buffer Zone and/or resource areas. ❑ Resource area alterations resulting from said activity shall be corrected and the resource areas returned to their original condition. ❑ A restoration plan shall be filed with the issuing authority on or before Date for the following: The restoration shall be completed in accordance with the conditions and timetable established by the j issuing authority. wpaform9a.doc•rev.7/14/04 Page 2 of 4 LlMassachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection -Wetlands WPA Form 9 — Enforcement Order Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 I C. Order (cont.) '❑ Complete the attached Notice of Intent(NOI). The NOI shall be filed with the Issuing Authority on or before: Date for the.following: I No further work shall be performed until a public hearing has been held and an Order of Conditions has been issued to regulate said work. ® The property owner shall take the following action (e.g., erosion/sedimentation controls)to prevent further violations of the Act: All construction activity on the property should cease and erosion controls shall be installed (see attached). The applicant shall appear before the North Andover Conservation Commission at their next meeting on April 22, 2009 to discuss restoration of the wetland resource area. Failure to comply with this Order may constitute grounds for additional legal action. Massachusetts General Laws Chapter 131, Section 40 provides: "Whoever violates any provision of this section (a) shall be punished by a fine of not more than twenty-five.thousand dollars or by imprisonment for not more than two years, or both, such fine and imprisonment; or(b) shall be subject to a civil penalty not to exceed twenty-five thousand dollars for each violation". Each day or portion thereof of continuing violation shall constitute a separate offense. D. Appeals/Signatures An Enforcement Order issued by a Conservation Commission cannot be appealed to the Department of Environmental Protection, but may be filed in Superior Court. Questions regarding this Enforcement Order should be directed to: Jennifer Hughes Name 978-688-9530 Phone Number 8:30-4:30 Hours/Days Available Issued by: North Andover Conservation Commission Conservation Commission signatures required on following page. wpaform9a.doc•rev.7/14/04 Page 3 of 4 Massachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection - Wetlands Ll WPA Form 9 - Enforcement Order Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 D. Appeals/Signatures (cont.) In a situation regarding immediate action, an Enforcement Order may be signed by a single member or agent of the Commission and ratified by majority of the members at the next scheduled meeting of the Commission. Signatures: 4 i, i I Signature of delivery person)or certified mail number I I wpaform9a.doc-rev.7/14/04 Page 4 of 4 J �y i n$_rb .STN• �` ,.* 3 '� -4 r - _ t r ` �,.."z�. IW fp v r r r y V91m t L Ain jT✓ "D gam' L�'' ,r _ w fr- 1 -61 .. .. t ... , S C w }S 2 � 11 i�i i i „.,� ✓ fi � 4 f � 5� � x� y Date. G ��c. 5...... . HORTM o= TOWN OF NORTH ANDOVER F F • PERMIT FOR GAS INSTALLATION SACHU This certifies that . . .` i has permission for gas installation . . f�/.3. . . . . . . . . . . . . . . . . . . . in the buildings of . . . . . . G �`. 2.�` . . . . . . . . . . . . . . . . . . . . . . . at . . . . .?. . . . G.� . ��/a t. �.t�. , North Andover, Mass. Fee. .).—. . . Lic. No., . c_ . . . . . . �n WAS INSPECTOR Check# ' 6903 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town: 1• Atj(abt/r _ , MA. Date: /v o% Permit# Building Location- S2 f OP6O UI& Jam!6AR&6E Owners Name: COC�j��l2 Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional❑ Residential New: Alteration: ❑ Renovation: ❑ Replacement: ❑ Plans Submitted: Yes❑ No ❑ FIXTURES W Z F N Y = c� mW 0 W W v CO) 1.- O x tY W O J } lz m O M W a CL Uj rn v w w x 9 � o w o = z W LjJl- W Z J_ 1— F- O Z J 0 u. fN.U) T � W F W W O � W W Q R W ul m > O z O ty z z w a WX v o o u. ca x x o a a� t- > > > O SUB BSMT. • BASEMENT 1 FLOOR 2 FLOOR 3 FLOOR 4 FLOOR 5THFLOOR -dTR FLOOR 7 FLOOR 8 FLOOR / Check One Only Certificate# Installing Company Name: _ � {?�.:' A C.-.- t-fitL-, Address: t-L 0/'J City/Town: lt' Aft-LState:�_ E]Partnership Business Tel: / 6)�cc�� n Fax: ❑Firm/Company Name of Licensed Plumber/Gas Fitter. v%jL INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes El,'No❑ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. E3-"' / I A liability insurance policy L� Other type of indemnity ❑ Bond ❑ I OWNER'S INSURANCE WAIVER:i am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only -Signature of Owner or Owner's Agent Owner EJ Agent ❑ By checking this box❑;I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type of License: By [-Plumber Title El Gas Fitter Sign._ �pfLicensed Plumber/Gas Fitter (3--Master 4 v Cityrrown ❑Joumeyman License Number: , APPROVED OFFICE USE ONLY ❑LP Installer LAWRENCE H. OGDEN,P.E. 198 EAST MAIN STREET GEORGETOWN,MA 01833 978-352-8318 fax 978—352-2858 cell: 978-502-5921 August 31,2009 Mrs. Marquerite Cooper 409 Park Street North Reading,Ma. 01864 RE:-Cooper Residence 57 Long Pasture Road,North Andover,Ma. 01845 Dear Mrs. Cooper As Mr. David Brown requested I visited the site to review the installation of the pre-engineered LVLs,post and Joist used in the framing of the above project. These are shown on plans prepared by G.J. Bruno Associates with the framing revised to meet the 7TH Edition of the Massachusetts State Building Code and certified by me June 7,2008. I visited the site 8/13/09 and met with you,Mr. Dave Brown and Mr. Gerry Bruno at that time it was determined that: 1.0 The Garage door framing were not constructed per the plans,I discussed with Mr. Brown that the interior of the framing should be sheathed with ply-wood and two additional anchors to the foundation should be added. This work will be complete once the insulation is installed. 2.0 A 2*6 will be added at the attic postunder the Hip Intersection. 3.0 I instructed Mr. Brown to check that all post are carried down to the foundation or Steel Girders and that Squash Blocks be added at all locations thru the floor framing. 4.0 Add Anchors at the comer panels at the Garage Doors 5.0 The Unattached Garage Framing was redesigned by National Lumber and would require further review. 6.0 The tall wall designat the Family Room appears to be constructed properly. I revisited the site 8/27/09 and met with you,Mr. Dave Brown and Mr. Gerry Bruno at that time it was determined that: 7.0 Item 1.0 and 4.0 it was determined that this work will be complete once the insulation is installed prior to the installation of the plywood and anchors. This will require a re-inspection when complete. �tN OF im C 8.0 Item 2.0 was completed �� ay 9.0 Item 3.0 a 3.5*7"Versa-Lam post needs to be added under the post from LA ARO0 a� above at the Study/Living Room with blocking to the steel beam. v 2776 Bf311 6 FSSION N II Mrs. Marquerite Cooper pg.2 RE: Cooper Residence 57 Long Pasture Road,North Andover,Ma. 01845 10.0 Item 5.0 Mr. Brown will contact National Lumber to determine if they will certify the installation of their design. I explained they should verify the capacity of the second floor joist to support a floor load since this space has access stairs and cannot be designed for an attic floor load. They should also verify the roof revision from a truss to conventional rafter framing with LVL hips bearing on a raised plate and that its capacity to resist the thrust from the roof be verified. I revisited the site 8/31/09 and met with you. 11.0 Item 3.0 8/27/09 has been completed. 12.0 Item 5.0 Remains as above. Based on the above site visits and based on what I could visibly see I can certify that to the best of my knowledge the LVL's-Engineered floor joist and Tall Wall at the Family Room utilized in the construction of the main house structure appear to be installed properly and meet the loading conditions of the Massachusetts State Building Code for 1&2 Family Residences. This certification assumes that all other framing requirements of the code including but not limited to materials and nailing schedules were properly complied with by the licensed construction supervisor responsible for the project. Please contact me when the Garage Door framing modifications are complete so that I can re-inspect and certify same. Also please furnish me a copy of National Lumbers certification for the unattached Garage structure. Should you have any questions please do not hesitate to call. Yours truly, AN OF Mgrs Lawrence H. Ogden P.E. Structural 27765 o u►wc0 � R fn Cc. Mr. Brian Leathe North Andover Building Department o�F , 7e X411 Please furnish Mr. Brown a copy. �F �oN �NG`e i f G GS Date. NORTH TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING lo ! 'r►,SSgCHUSE� rThis certifies that . . . . . . . . . . . . . • • . . . . . . . • has permission to perform . . ./l!,k. .7 .-.' • F/. . . . . . . . . . . . . plumbing in the buildings of . . .G.c. /' r/ . . . . . . . . . . . . . . . . . . . at . . . . . ., North Andover, Mass. Fee.d. ► . . . . .Lic. No.. .L?.? .�. � . . . . . . . . . . PLUMBING INSPECTOR Check # 1 8209 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) ,Mass. Date C1110 20 Permit# Building Location�a Lpju G &M-0 68)s{ Owner's Name__coo f'6/I Owner Tel# Type of Occupancy l?L-S/ ,, New ff Renovation ❑ Replacement ❑ Plan Submitted: Yes ❑ No ❑ FIXTURES rW x .7 W x U O ri E U > F 0 _ v H 3 a M o A a 3 x H SUB SMT BASEMENT I IST FLOOR 2"OFLOOR 3RD FLOOR r. 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR ATH FLOOR # Installing Company Name__� 1 t '11,4-A.) / f: WrCheck one: Certificate Address 5/f //-1_�/'�6 Q / Corporation ' �l 6 �� o 6q6' ❑Partnership Business Telephone# c� f��'� ❑Firm/Co. Name of Licensed PlumberafG ' INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes xf No ❑ If you have checked M,please indicate the type coverage by checking the appropriate box. A liability insurance policy [fi Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws,and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under thr t issued for this application will be in compliance with all pertinent provisions of the Massachusetts State PlumbingCode and Chapter 142 of th' al s. By Signa a cen 1 Title I Type of License:Master IT Journeyman ❑ City/Town APPROVED(OFFICE USE ONLY) License Number j � Date..` ..... .. VAORTPI f 1 ° 0TOWN OF NORTH ANDOVER 41 PERMIT FOR GAS INSTALLATION �9SSACMUSEt I This certifies that . . . . . . : .1`� .T � . ". .!. �f'�L° `. • . has permission for gas installation . . . . . . . . in the buildings of . . G,c f. . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . NNorth_Andover, Mass. . v j.. Fee. . Lic. No.. .�`'.? ? ,c 1 . . . . . • • . . . GAS INSPECTOR Check# Tj 87 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) rI — NORTH ANDOVER ,Mass. Date APRIL 20 2010 Permit#' r 57 LONG PASTURE RD. MARGUERITE COOPER Building Location Owner's Name Owner Tel# 978-664-0777 Type of Occupancy RESIDENTIAL New 7 Renovation❑ Replacement❑ Plan Submitted: Ye[]No[:] FIXTURES - � s U zLu 0 x 0 W �' w ° o w �" z z o �~ w Q m rn F w w O O x O w F Of w ¢ w F v, a x ¢ w Q W z W z H o > o W U a ~ w a z a w ¢ cG V) w z O z O cn x w = 0 0 =w 5 3 A c¢7 a °U °cC > A aLu O w SUB-BSMT BASEMENT / 1ST FLOOR 2ND FLOOR 3RD FLOOR r 4T"FLOOR 5T"FLOOR 6T"FLOOR 7TH FLOOR 8T"FLOOR Installing Company Name Eastern Propane & Oil, Inc Check one: Certificate Address 131. Water StreetCorporation Danvers, MA 01923 Partnership Business Telephone# 800-322-6628 Firm/Co. Name of Licensed Plumber or Gas Fitter AL BETTENCOURT INSURANCE COVERAGE: I have a curfaillI liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. Yes ✓ No ❑ If you have c ecked ygs,please indicate the type coverage by checking the appropriate box. A liability insurance policy ✓� Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all ertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By Type/f License: -;,P9umber Signature of Li6ensed Plumber or Gas Fitter Title •-Gas fitter /� • -Master License Number gy/ �)O y q L City/Town •-Journeyman APPROVED(OFFICE USE ONLY) Date. ` ppRTM TOWN OF NORTH ANDOVER PERMIT�4R GAS INSTALLATION (7 ,. �9SS�ICMUSE4t This certifies that . . . 1. .. . . . . . . . . .1�. .1.`. .�. . . . .`�. . . . has permission for gas installation . . . . . r.N . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . 5..7. . .�-o ). . . �. .+'. .. . . . . .., North Andover, Mass. Fee.30 . . . . Lic. No.sP 3 4. . . . . . . . .hS-PECTOR GA Check# j t/ 6538 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) NORTH ANDOVER ,Mass. Date 9/22 2008 Permit# 57 LONG PASTURE RD MARGUERITE COOPER Building Location Owner's Name Owner Tel# 978 664 0777-978 375 1868 Type of Occupancy RESIDENTIAL New Renovation❑ Replacement Plan Submitted: Yet No[:] FIXTURES C4 a w �j underground s line U R; W a U) W W W a O U x x aj�. rj� O W w .� a a w ¢. . m w ¢ x F > z W w z W z z x W W W E A E. x � � :i Z Q W = Q M E. F vz a0 z O z uV. Uy O W W 2 O C�7 i w 3 A C7 1 8 a > Ga a �W_ o w SUB-BSMT BASEMENT 1ST FLOOR 2ND FLOOR • 3RD FLOOR 4T"FLOOR 5T"FLOOR 6T"FLOOR 7r"FLOOR 8T"FLOOR Installing Company Name Eastern Propane & Oil, Inc Check one: Certificate i Address 131 Water Street VCorporation Danvers, MA 01923' Partnership II Business Telephone# 800-322-6628Firm/Co. Name of Licensed Plumber or Gas Fitter d i j 11a.6 INSURANCE COVERAGE: I have a cur liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. Yes ✓ No 11If you have c ecked yes,please indicate the type coverage by checking the appropriate box. A liability insurance policy ✓❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)in above a lication are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued fo thi applicati will be in compliance with all ertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General L ws. By Type of License: Plumber Signature of Licensed Plumber or Gas Fitter Title '4 as fitter ••Master License Number 7z� City/Town •-Journeyman APPROVED(OFFICE USE ONLY) I I _ 57' 240'+/- . i � 77' rn 99' T.O.F. EL-1UO 500'+/- TO LONG PASTURE ROAD LOT 5 420'fI FOUNDA TION LOCA TION PLAN I CERTIFY THAT THE PRIMARY STRUCTURE SHOWN CONFORMS TO CUENT. COOPER THE HORIZONTAL SETBACK REQUIREMENTS OF THE LOCAL • APPLICABLE ZONING BY-LAWS IN EFFECT.WHEN CONSTRUCTED. (THIS CERTIFICATION DOES NOT CONSIDER ANY OTHER THIS CERTIFICATION /S MADE AND LIMITED RESTRICTIONS SUCH AS COV£NANTS,WETLANDS,EASEMENTS, TO THE ABOVE CL/ENT. THIS DRAWING SHALL NOT BE USED BY THE CLIENT FOR ANY PURPOSE OTHER THAN THAT OUTLINED ABOVE,EXCEPT WITH THE WRITTEN PERMISSION Of CHRIST SERGI INC. FURTHERMORE THIS DRAWIN TED PROPERTY OF CHRISTIANSEN & SER G HORIZED USE LOCATION: NORTH ANDOVER,AM 1S PROHIBITED.CHRISTIAN ERG/ TA ESPONSIBIUTY FOR THE UNAUTHORIZE �Of�Afb1 AMtn ANY INFOR- SCALE. 1=�®� DATE.8�a0/OB M SE I rrnn -i CHRIST/A NSEN IQ SE®G/�� PROFESSIONAL ENGINEERS N 1 �h �{1LAND SURVEYORS OFEP� 0 160 SUMMER ST. HAVERHILI„MA. 01830 TEL 978-373-0310 <,14Dgg1 VD g s ©200B BY CHRISTIANSEN & SERGI INC. DW 94080025 9 240'+1- 140' rn 53' GARAGE FND. T.0.F. EL-1540 500'+/- cu TO LONG PASTURE ROAD LOT 5 6kl �. 420 FOUNDA TION LOCA TION PLAN I CERTIFY THAT THE PRIMARY STRUCTURE SHOWN CONFORMS TO COOPER THE HORIZONTAL SETBACK REQUIREMENTS OF THE LOCAL CUENT. • APPLICABLE ZONING BY-LAWS /N EFFECT WHEN CONSTRUCTED. RETRICTIONS SUCH AS RnnCAT ON £S NOT CONSIDER ANY OTHER COVENANTS,WETLANOs EAsEM£NTS, THIS CERTIFICATION /S MADE AND L/M/TED TO .THE a,EOuE CLIENT. ;NIS DRAYiINu^ SHALL NGT BE , .-Cr BY TME CLIENT ^OR ANY PURPOSE OTHER THAN THAT OUTLINED ABOVE,EXCEPT WITH THE WRITTEN PERMISSION OF CHRIST SERGI INC. FURTHERMORE THIS DRAWIN TED PROPERTY OF LOCATION: NORTH ANDOVER MA. S PROHIBITED ENSERG A� OR/Zf0 USE • .CHRISTIAN � fRGI TA ESPONSIBIUTY FOR THE UNAUAFAA ANY 1NFOR- SCALE: 1"-80l J. DATE: 10�8�08 SERGI m CRISTIPA'1 NEN ��R�I PROFESSIONAL ENGINEERS a A v 4 y .h LAND SURVEYORS 160 SUMMER ST. HAVERHILL,MA. 01830 TEL 978-373-0310 E1p @2008 BY CHRISTIANSEN & SFRGI INC. R DW 0. 94080025 A , l ION IVA,- 18ANSF1ELD•NCI18I<DFOlRID-NP-WTON•BERLIN•SA1,EM I NH: BW;CAWEN � T'r»riis ':wnc':lutd<ItnvstluclSin �J�.i4 Mr. Gerald Brown, Inspector of Buildings Town of North Andover Building Department 1500 Osgood Street North Andover, MA 01845 September 1, 2009 Ike. National Lumber job tC705130 Geragel�..rafts Room :_ 4-`'57 Long Pasture Road- North Andover, MA On august 31, 200q, Bill Wal cer, a Natlonai Lumber Company employee under mX responsible control, visited the above referenced building. The engineered wood products appear to be installed in accordance with the Massachusetts State Building Code and applicable product recommendations. Roof trusses, as specified on the original documents were replaced by conventional stick frarnintg' for lie roof. Please contact me if you need any farther assistance. Vers truly yours, NATIONAL LUMBER COMPANY Cotton, Lawrence S. Cotton, RE. CORPORATE HBADQUARTERS.171 M;,iple St.P.O.E0xW32.Wnsfioh4,M4,02044 &0+,33G,k1G20 F;5Q$�3�i,�5'}'• Serving Mew ee"nplcnp frp:•S'rrItaq mlly IGCatod faMilitin MA:Marisriola,Na:wjon,New Bedfcra,6cr0el,Salm,,NH.;Boom. r.-n eVe%r., fiw,, !rt 5j2klir Uaterl iS PLUS ilio,SERVICES y00 7,r :nc. d 8t1?000009V0H/30:0t 'iV90:0l, 8002 Z d3S(G3M? WOt AUG-31-2009 07 :46 FK LARRY OGDEN 978 352 2658 P. 02 Mrs,Marqueritae Cooper pg-2 RE: CooW Residence 57 Long Posture Road,North Andover,Ma. 01$43 10.0 Item 3.0 Mr, Brown A ill contact Natiorml L Luber to detesxaine if they will xrtify the installation of their desilp. I explained they should vel the capacity of the second floor joist to support a floor load since this space has access stairs and c;aanot be designed for an attio floor load. They should also verify the roof revision from a truss to conventional rafter frarn.hg with LVL hips bearing on a raised plate and that its rapacity to resist the thrust from the roof be verified. I revisited the site 3/31/09 and met with you. Item 3.0$!27109 has boon completed. 1 t.Q 1 p 12.0 Item 5.0 Remains as above, Based on the above site visits and based on what I could visibly set f can certify that to the best cif my knowledge the"'.VL's Engineered floor Joist and Tall Will at the Family Room wilized in the construction of the main house!smactme appe it to be installed properly and meet the loading conditions of the Massachusetts State Building Code for 1&2 Funily Residences. This certification assumes that all other framing requirements ofthe code including but not limited to materials and nailing sohedoles were properly uamplied with by the licensed construction supervisor responsible for the project, Please o mtaot me when the Garage boor framing modifications are complete so that I can re-inspect and certify same.Also please furnish rate a copy of National Lumbers certification for the unattached Garage structure, Should you have any questions please do not hesitate to Call. Yotus truly, lawtence H. Ogden P.E. Structural 27765 � LA UNC§ OLD Cc. Mr.Briars Limthe North Andover Building Department � !! Plesse f u tiah Mr.Brown a copy. k ��At tN 1 AUG-31-2009 07 :445 PIS! LARRY OGDEN 978 352 2658 P. 01 a LAWRENCE K OGDENo F.E. 198 EAST MAIN STRUT GEORGETOWN9?M►01833 978.352.8318 it z 978-352-28,58 all:978-58921 August 31,2001/ Mrs.Marquerittb Cooper 409 Perk Street North Reading,Ma, 01864 RE: Cooper Residence 67 Long Pasture Road,Nora Andover,Ma. 01845 Dear Mrs. Cooper As Mr.David Brown requested I visited the site to review the installation of the pre-enginoered LVLs,,post and Joist used in the ming of the above project. These are shown on plans prepared by G.J.Bruno Associates with the ming revised to mat the 77�1 Edition of the M sachuscttts State Building Code and certified d by me;curie 7,2008. 1 visited the site 8/13/09 and root with you,Mr.Deva Brown and Mr. Gerry Bruno at that time it wiz detcrrmined that: 1.0 The Garage door framing were riot constructed par the,plans,I(liscuned with W.Brown that the interior of the framing should be sheatbed adth ply-wood and two additional anchors to the foundation should be added. 11us work will be ccaaaplete once the insulation is installed. 2.0 A 206 will be added at the attic post under the Hip Intersection. 3.01 instcu d Mr.Brawn to check diet all post are cm-ded down to the foundation or Steel Girders and that Squash Blooks be added at all loratiom tau the floor fin aing. 4.0 Add Anchors at the comer panels at the Garage Boors 5,0 The Unattached Garage Framing was redesigned by Nation!Umber and would require further review. 6.0 The tall wall design at the family Room appears to be constructed properly. I revisited the site 8/27,'09 and met with you,Mr.Dave Brown and Mr. Gerry Bruno at that time it was determinc d that: 7.0 Item 1.0 and 4.0 it was deternived that this work will be com;lets once the insulation is installed prior to the installation of rhe plywood and anchors. �w OF /his,M).1 require a reinspection when complete, ` wRaNcs 8.0 Item 2.0 was completed HAP 9.0 Item 10 a 3.5*7"Mersa,-Lam post needs to be added ander tho post fmm above at the Shady/Living Room with blocking to the steel beet. 2r, 1 BION 9 I Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,.association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the.occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to,operate�a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contiactor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit.. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 1122-06 Fax# 617-727-7749 www.mass.gov/dia The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' a 600 Washington Street r Boston, MA 02111 wM s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): &A& f Address: 4/0 • City/State/Zip: P tsi: Phone.#: �� Areyou an employer? Check the appropriate box: Type of oject(required):, 4. I am a general contractor and I 1.❑ I am a employer with ❑ g . employees(full and/or part-time).* have hired the sub-contractors 6. 5 l�ew construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp, insurance. $ required.] 5• E] We are a corporation and its 10.:0 Electrical repairs or additions 3X I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no q ] employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and jab site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under thepain and penalties of perjury that the information provided abo a is ue and correct. Signature:- Date: S� 8 (� Phone#: ? 979 ��.7� Z�.;?P Official.use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact.Person: Phone#: E —NOTE S GENERALS.PECIFICAI IONS ENERALSPECIFICATIONS I . QPPLI CIA BLE CODES 0S ACI 316- 89 MASS REO -310 C/A R sec:90N 12 POOLS AND SPAS, INC. Da��T H LOCAL 5U jL_l>i N6 CODC-S 7 MIDDLESEX RD., TYNGSBORO, MA 01879 • (800) 322-0001 V� UIvIE 2.. CONGA 7` st. t.l.. 13E, C � c Ut�JptS7URF3� . - - _ SOIL � �T G�,p�/' ..OIC �'tbia� '. —MosTcc sEAtANT �y osc�C SO_ r i_ . PERi1l'r��I NOTES WPI fir..-MINIS CoN)RACTOF ccWcRI=3E DEICY, .OR AFFW WATff� LV4 nLEBOX Z �c Hcno t L— DECK f _ U01V 17E B-&1D 8 3/4"OR r CONDviT CDN-nNUoc,- ri ' L-EC K C0?C 6 DOST P Roams I � � i I TILE Wl-rii pEPTH - , JKARKE�S i NICHE GROUND#8 BAFF CoPPF-R AND uAW (ORAS mR CME) Ti �� 8"' EI �E LIGHT NICHE�STA)hlLF=-S STEEL spur FOV--,w lTH t � PLASTFN r , b'�AL-r NA BARS =' UT�R WAS LIGHT, GHT NO R I ZVNTALLY PSD INJ i �� �T'IiCAL-L tHRo11G ti- � _ NAME: OUT D E Epi El-:D AI�I E) "� t1� To BR I=Ah AREA I 1 Q" U'7= ,.,_ =_r ADD?E _f�, :_:►: �S: IN 5HALLON EAt D FLpQ {YETI VOR,r3c NAI NZ RAf/q 9 V ?fY?.i A0 7118E VA vE t 3/4 WASHE PCK SUMP I - f DRA�i�I UGHT sECT�Oi� OF PQOL W,��.L, WIN PHO IDS —m t2- 6��: ��LZHOFtygss Uv GNI2 q2_ 1 �� PAUL A. 'CyGcP JA1= C-PAWN: 1 p - PHELAN JR- mi /'�'P P u STRUCTURAL r^�i �� L' No. 42538 � JC�Ic—NE c 1 A�°FSS�ONTE�U�f�.0 OWN= :. Z -off SCAj E I 5/6/2008 8:24 AM FROM: Brown Brown _Brown Insurance TO: +1 (978) 2511851 PAGE: 002 OF 003 ACO�M CERTIFICATE OF LIABILITY INSURANCE osjo/2 8 PRODUCER 978-433-2728 FAX 978-433-8658 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown of N H, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 3 Hollis St ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P 0 Box 1497 Pepperell , MA 01463 INSURERS AFFORDING COVERAGE NAIC# INSURED Aquatime Pool & Spas, Inc. INSURERA Peerless Insurance Company 24198 7 MIDDLESEX RD. INSURERS: Commerce Insurance Company 34754 Tyngsboro, MA 01879 INSURERc: Associated Industries of MA 33758 INSURER D: 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,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY 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 REDUCED BY PAID CLAIMS. INSR D' TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE POLICY EXPIRATION LIMBS LTR NS DATE MMlDD DATE WDO GENERAL LIABILITY BOP9844018 04/25/2008 04/25/2009 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED"S(Fn orrijrpnrp I $ 300,000 CLAIMS MADE OCCUR MED EXP(Any one person) $ 5,000 A [P-- PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY P" LOC AUTOMOBILE LIABILITY N34214 11/03/2007 11/03/2008 COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) 500,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ B HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑ CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND AWC7015968012008 01/03/2008 01/03/2009 TOR LIMIT ER- EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 100,000 C ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL AQUATIME POOLS & SPAS,INC. 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ATTN: PAM BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 7 MIDDLESEX ROAD OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. TYNGSBORO, MA 01879 AUTHORIZED REPRESENTATIVE Cynthia Valiton/CP3 ACORD 25(2001/08) FAX: (978)251-1851 ©ACORD CORPORATION 1988 Boar o uil ng egula ons an tan ar s 01 One Ashburton Place Room 1301 Boston. Massachusetts 02108 x Home ImprovementCbntractor Registration Registration: 124884 Ez ` Type: Private Corporation ral, Expiration: 9/8/2009 Tr# 132537 Aquatime.Pools �x .w, Peter Whitez'4 7 MIDDLESEX RD.' Tyngsboro, MA 018791 k ,t s Update Address and return card.Mark reason for change. " Address �:Renewal E] Employment 0 Lost Car( DPS-CA1 0 50M-07/07-PC8490 J l i - S I. + �oRrp TOWN OF NORTH ANDOVER :o�'••��,,�'o� OFFICE OF BUILDING DEPARTMENT + 1600 Osgood Street Building 20 Suite 2-36 C °.�� North Andover, Massachusetts 01845 SSAldist� Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please ndut DATE: C) JOB LOCATION: : 7 G 0 A S t(d.rz Rd Number Street Ad&essMap✓Lot HOMEOWNER L ouj) rCL4 R''6 i✓ Name Home Phone Work Phone PRESENT MAILING ADDRESS W. A p) City Town State Zip Code The current exemption for-homeowners-was extended to include owner-occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the ' owner acts as supervisor). State Building (Code Section 108.3.5.1) I DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family structures, A person who constructs more that one home in a two-year period shall not j be considered a homeowner. The undersigned"homeowner''assumes responsibility for cxm>pliances with the State Building Code and other Applicable codes,by-laws,ndes and regulations. The undersigned"homeowner"certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will fly with said procedures and r- HOMEOWNERS SIGNATURE a APPROVAL OF BURRING OFFICIAL Rid 10.2005 Form Homwmas Emmption FIOARD OF \PPE:V_S 699-9541 CONSERVATION 633-9530 1IE.ULT11688-9;40 PLANNING 488-9535 I Board of BuildiMace, egulations One Ashburton Fpm 1301 Boston, Mq%02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE '^•~�� Birthdate: 07/26/1959 Number: CS 059582 Expires:07/26/20;0:8 ` 4y Restricted To: 00 PETER F WHITE 440 MIDDLESEX RD#102 TYNGSBORO, MA 01879 �;.;• .. _.,..- ..��,%Tr.no: 27159 I Keep top for receipt and change of address notification. DPS-CA1 as 5OM•04/05-PC8698 f i c k� i J ',F t �ORT'Iy � Town of And o No. C,o o� � dower, Mass., /a o LAKE COCKICHEWICK �� ORATED S BOARD OF HEALTH PE R" MIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THA .............A . ..r. ..:�!!L� ....... d �L� ...... ... ................... . Foundation p ......... buildings on 67.. .........�on �i►,11'?'1� /� has permission to erect............................... ... .�. ..... . . .. . ........... ...... . ............ Rough to be occupied as-031.q.4......... .r!'�1..... �"4fr�.r... ..... • L..,....................... Chimney provided that the person accepting this per it shall in every respectconform terms of the application on file-in Final 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 PERIv U EXPIRES IN 6 MONTHS T T ►gyp y �-q ^ ELECTRICAL INSPECTOR UNLESS V LESS CO �l S 1 L�V C i IO l D TS 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 Fina, No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. t, 1,0REScheck Software Version 4.1.4 �vfi Compliance Certificate Project Title: 0705130 - Park Street Report Date:05/16/08 Data filename:L:\Work2007\0705_May\07051301ArchitecturaRMascheck\MC_0705130.rck Energy Code: Massachusetts Energy Code Location: North Reading,Massachusetts Construction Type: 1 or 2 Family,Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: 16% Heating Degree Days: 6268 Construction Site: Owner/Agent: Designer/Contractor: 409 Park Street Cooper North Reading,MA Compliance:19.1%Better Than Code Maximum UA:1008 Your UA:815 • Ceiling 1:Flat Ceiling or Scissor Truss 138 30.0 0.0 5 Ceiling 2:Flat Ceiling or Scissor Truss 3285 30.0 0.0 115 Wall 1:Wood Frame,16"o.c. 2209 19.0 0.0 102 Window:CA-CX25/U2-2555(63 x 60)-Low-E:Vinyl Frame, 52 0.350 18 Double Pane with Low-E Window:TR-CTR5216(63 x 19)-Low-E:Vinyl Frame,Double 17 0.350 6 Pane with Low-E Window.OVL-OVL2030(25 x 37)-Low-E:Vinyl Frame,Double 6 0.350 2 Pane with Low-E Window:CA-CXW15/U1-3155(37 x 60)-Low-E:Vinyl Frame, 31 0.350 11 Double Pane with Low-E Window:TR-CTR3010(37 x 13)-Low-E:Vinyl Frame,Double 7 0.350 2 Pane with Low-E Window:CA-CXW25/U2-3155(72 x 60)-Low-E:Vinyl Frame, 30 0.350 11 Double Pane with Low-E Window:TR-CTR51110(72 x 13)-Low-E:Vinyl Frame,Double 6 0.350 2 Pane with Low-E Window:CA-C235/U2-1935(49 x 41)-Low-E:Vinyl Frame, 14 0.350 5 Double Pane with Low-E Window:TR-CTR4610(49 x 13)-Low-E:Vinyl Frame,Double 4 0.350 2 Pane with Low-E Window:CA-CW25/U2-2355(57 x 60)-Low-E:Vinyl Frame, 24 0.350 8 Double Pane with Low-E Window:TR-CTR4810(57 x 13)-Low-E:Vinyl Frame,Double 5 0.350 2 Pane with Low-E Window:CA-CX15/U1-2555(32 x 60)-Low-E:Vinyl Frame, 13 0.350 5 Double Pane with Low-E Window:CA-CXW15/U1-3155(37 x 60)-Low-E:Vinyl Frame, 31 0.350 11 Double Pane with Low-E Door:DR-3070-Glazing(Over 50):Glass 47 0.350 16 Door:AT-6030(72 x 36)-Low-E:Glass 14 0.350 5 Door:DR-3070-Glazing(Under 50):Solid 24 0.280 7 Door:DR-3068-Solid(No Glazing):Solid 22 0.160 4 Door:HPD-50611(60 x 83)-Low-E:Glass 104 0.350 36 Project Title:0705130-Park Street Report date: 05/16/08 Data filename:L:\Work2007\0705_May\0705130Wrchitectural\Mascheck\MC_0705130.rck Page 1 of 8 Door:SPD-50611 (60 x 83)-Low-E:Glass 35 0.350 12 Door:INT-2868-Solid(No Glazing):Solid 20 0.540 11 Wall 2:Wood Frame,16"o.c. 2397 19.0 0.0 124 Window:CA-CX25/U2-2555(63 x 60)-Low-E:Vinyl Frame, 105 0.350 37 Double Pane with Low-E Window:PW-P6040(72 x 49)-Low-E:Vinyl Frame,Double Pane 24 0.350 9 with Low-E Window:CA-CX14/U1-2543(32 x 49)-Low-E:Vinyl Frame, 11 0.350 4 Double Pane with Low-E Window:CA-CX15/U1-2555(32 x 60)-Low-E:Vinyl Frame, 53 0.350 19 Double Pane with Low-E Window:CA-CXW15/U1-3155(37 x 60)-Low-E:Vinyl Frame, 15 0.350 5 Double Pane with Low-E Window:CA-C25/U2-1955(49 x 60)-Low-E:Vinyl Frame, 20 0.350 7 Double Pane with Low-E Window.AR-AFFW506(60 x 80)-Low-E:Vinyl Frame,Double 67 0.350 23 Pane with Low-E Door:HPD-50611(60 x 83)-Low-E:Glass 35 0.350 12 Wall 3:Wood Frame,16"o.c. 282 19.0 0.0 17 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 2575 19.0 0.0 121 Floor 2:All-Wood Joist/Truss,Over Outside Air 20 30.0 0.0 1 Floor 3:All-Wood Joist/Truss,Over Unconditioned Space 816 19.0 0.0 38 Floor 4:All-Wood Joist/Truss,Over Outside Air 12 30.0 0.0 0 Boiler 1:Gas-Fired Steam 87 AFUE Compliance Statement: 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 REScheck Version 4.1.4 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.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 heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Name-Title Signature Date Project Notes: NLC#0705130(EDJ) -Plans Designed By:G.J.Bruno Associates -Plans Dated:3/30/07 -Revision:N/A(Dated_/ /_ -Remarks: -Walls: >2x4:R-13(If Applicable) >2x6:R-19(Per Plan) -Ceilings: >Flat:R-30(Per Plan) >Vaulted:R-30C(if applicable) >Attic Access:R-6(if applicable) -Floors: >Over Unconditioned:R-19(Per Plan) >Over Outside:R-30(if applicable) >Over Garage:R-19(if applicable) >Unheated Slabs:R-10(if applicable) -Heating&Cooling: >Heating Type:Boiler-Gas-Fired Steam -Manufacture:Unknown -Model No.:Unknown -Efficiency:87%(AHUE)Per Customer >Cooling Type:N/A -Manufacture: -Model No.: -Efficiency: (SEER) -Basement Unfinished(Per Plan) Project Title:0705130-Park Street Report date: 05/16/08 Data filename:L:\Work2007\0705_May\0705130Wrchitectural\Mascheck\MC_0705130.rck Page 2 of 8 -Attic:Unfinished(Per Plan) -Windows:Andersen 400(Per Customer) -Doors:Therma-Tru(Per Customer) I Project Title:0705130-Park Street Report date: 05/16/08 Data filename:L:\Work2007\0705_May\0705130Wrchitectural\Mascheck\MC_0705130.rck Page 3 of 8 i REScheck Software Version 4.1.4 Inspection Checklist Date:05/16/08 Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments:1 st Floor Ceiling-Breakfast Area ❑ Ceiling 2:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments:2nd Floor Ceiling Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments:2x6 Walls-1st Floor ❑ Wall 2:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments:2x6 Walls-2nd Floor ❑ Wall 3:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments:Floor System Insulation at Perimeter Windows: ❑ Window:CA-CX25/U2-2555(63 x 60)-Low-E:Vinyl Frame,Double Pane with Low-E,U-factor.0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Casement Window-Low-E ❑ Window:TR-CTR5216(63 x 19)-Low-E:Vinyl Frame,Double Pane with Low-E,1.1-factor 0.350 For windows without labeled U factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Casement Transom Window-Low-E ❑ Window:OVL-OVL2030(25 x 37)-Low-E:Vinyl Frame,Double Pane with Low-E,U-factor:0.350 For windows without labeled LI-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Oval Window-Low-E ❑ Window:CA-CXW 15/U1-3155(37 x 60)-Low-E:Vinyl Frame,Double Pane with Low-E,1.1-factor 0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Casement Window-Low-E ❑ Window:TR-CTR3010(37 x 13)-Low-E:Vinyl Frame,Double Pane with Low-E,1.1-factor 0.350 For windows without labeled 1.1-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Transom Window-Low-E ❑ Window:CA-CXW25/U2-3155(72 x 60)-Low-E:Vinyl Frame,Double Pane with Low-E,U-factor.0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Casement Window-Low-E ❑ Window:TR-CTR51110(72 x 13)-Low-E:Vinyl Frame,Double Pane with Low-E,U-factor.0.350 For windows without labeled Ufactors,describe features: #Panes Frame Type Thermal Break? - Yes No Project Title:0705130-Park Street Report date:05/16/08 Data filename:L:\Work2007\0705_May\0705130\kchitecturahMascheck\MC_0705130.rek Page 4 of 8 Comments:Casement Transom Window-Low-E ❑ Window:CA-C235/U2-1935(49 x 41)-Low-E:Vinyl Frame,Double Pane with Low-E,U-factor.0.350 For windows without labeled U factors,describe features: #Panes Frame Type Thermal Break? Yes No t Comments:Casement Window(2 Units)-Low-E ❑ Window:TR-CTR4010(49 x 13)-Low-E:Vinyl Frame,Double Pane with Low-E,U-factor.0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Casement Transom Window-Low-E ❑ Window:CA-CW25/U2-2355(57 x 60)-Low-E:Vinyl Frame,Double Pane with Low-E,U-factor:0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Casement Window(2 Units)-Low-E ❑ Window:TR-CTR4810(57 x 13)-Low-E:Vinyl Frame,Double Pane with Low-E,U-factor.0.350 For windows without labeled U factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Casement Transom Window-Low-E ❑ Window:CA-CX15/U1-2555(32 x 60)-Low-E:Vinyl Frame,Double Pane with Low-E,U-factor.0.350 For windows without labeled U-factors,describe features: Wanes - Frame Type Thermal Break? Yes No Comments:Casement Window-Low-E ❑ Window:CA-CXW15/U1-3155(37 x 60)-Low-E:Vinyl Frame,Double Pane with Low-E,U-factor.0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes - No Comments:Casement Window-Low-E ❑ Window:CA-CX25/U2-2555(63 x 60)-Low-E:Vinyl Frame,Double Pane with Low-E,U-factor.0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Casement Window-Low-E ❑ Window:PW-P6040(72 x 49)-Low-E:Vinyl Frame,Double Pane with Low-E,U-factor:0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Picture Window-Low-E ❑ Window:CA-CX14/U1-2543(32 x 49)-Low-E:Vinyl Frame,Double Pane with Low-E,U-factor.0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Casement Window-Low-E ❑ Window:CA-CX15/U1-2555(32 x 60)-Low-E:Vinyl Frame,Double Pane with Low-E,U-factor.0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Casement Window-Low-E ❑ Window:CA-CXW15/U1-3155(37 x 60)-Low-E:Vinyl Frame,Double Pane with tow-E,U-factor.0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Casement Window-Low-E ❑ Window:CA-C25/U2-1955(49 x 60)-Low-E:Vinyl Frame,Double Pane with Low-E,U-factor:0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Casement Window(2 Units)-Low-E ❑ Window:AR-AFFW506(60 x 80)-Low-E:Vinyl Frame,Double Pane with Low-E,U-factor.0.350 Project Title:0705130-Park Street Report date:05/16/08 Data filename:L:\Work2007\0705_May10705130\Architectural\Mascheck\MC_0705130.rck Page 5 of 8 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments:Arch/Segment Head Window-Low-E Doors: ❑ Door.DR-3070-Glazing(Over 50):Glass,U-factor:0.350 Comments:Exterior Door-Glazing(Over 50) ❑ Door:AT-6030(72 x 36)-Low-E:Glass,Ufactor.0.350 Comments:Arch Top Transom-Low-E ❑ Door:DR-3070-Glazing(Under 50):Solid,U factor:0.280 Comments:Exterior Door-Glazing(Under 50) ❑ Door:DR-3068-Solid(No Glazing):Solid,U=factor.0.160 Comments:Exterior Door-Solid(No Glazing) ❑ Door:HPD-50611(60 x 83)-Low-E:Glass,Ufactor:0.350 Comments:Hinged Patio Door-Glazing(Over 50)-Low-E ❑ Door:SPD-50611(60 x 83)-low-E:Glass,U-factor:0.350 Comments:Sliding Patio Door-Glazing(Over 50)-Low-E ❑ Door:INT-2868-Solid(No Glazing):Solid,U-factor:0.540 Comments:Interior Door-Solid(No Glazing) ❑ Door:HPD-50611 (60 x 83)-Low-E:Glass,U-factor:0.350 Comments:Hinged Patio Door-Glazing(Over 50)-Low-E Floors: ❑ Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 cavity insulation Comments:1st Floor Over Basement ❑ Floor 2:All-Wood Joist/Truss,Over Outside Air,R-30.0 cavity insulation Comments:1st Floor Walkout Bays ❑ Floor 3:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 cavity insulation Comments:2nd Floor Over Garage ❑ Floor 4:All-Wood Joist/Truss,Over Outside Air,R-30.0 cavity insulation Comments:2nd Floor Dormers Heating and Cooling Equipment: ❑ Boiler 1:Gas-Fired Steam:87 AFUE or higher Make and Madel Number. Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed. ❑ When installed in the building envelope,recessed lighting fixtures meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 ctm(0.944 Us)air movement from the the conditioned space to the ceiling cavity.The lighting fixture has been tested at 75 PA or 1.57 Ibs/ft2 pressure difference and shall be labeled. I Vapor Retarder: ❑ Installed on the warm4n-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R-values,glazing U-factors,and heating equipment efficiency are dearly marked on the building plans or specifications. ❑ Insulation is installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a manner that achieves the rated R value without compressing the insulation. Duct Insulation: Project Title:0705130-Park Street Report date:05/16/08 Data filename:L:\Work2007\0705_May\0705130Wrchitectural\Mascheck\MC_0705130.rck Page 6 of 8 Ducts are insulated per Table 6106.4.4.3. Duct Construction: L) All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavkies/spaces used to transport air,are sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions.Mesh tape may be omitted where gaps are less than 1/8 inch.Duct tape is not permitted. The HVAC system provides a means for balancing air and water systems. Temperature Controls: L] Thermostats exist for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or doling input to each zone or floor is provided. Heating and Cooling Equipment Sizing: Lj Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 6106.4. Circulating Hot Water Systems: O Circulating hot water pipes are insulated to the levels in Table 1. Swimming Pools: ❑ All heated swimming pools have an on/off heater switch and a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps have a time clock. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2. I I I Project Title:0705130-Park Street Report date:05/16/08 Data filename:L:\Work2007\0705 May\0705130\ArchitecturaRMascheck\MC_0705130.rck Page 7 of 8 i Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sues Non-Circulating Runouts Circulating Mains and Runouts Nested Water Temperature(°F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2.,Minimum Insulation Thickness for HVAC Pipes Insulation Thickness in Inches by Pipe Sizes Piping System Types Fluid Temp.Range(°F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4" Heating Systems Low PressurefTemperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) Project Title:0705130-Park Street Report date:05/16/08 Data filename:L:\Work2007\0705_May\0705130\Architectural\Mascheck\MC_0705130.rck Page 8 of 8