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HomeMy WebLinkAboutMiscellaneous - 119 HICKORY HILL ROAD 4/30/2018 (2) 119 HICKORY HILL ROAD 210/062.0-0116-0000.0 i it I 6/30/2016 C 5 I Date: June 30, 2016 20814 This is an e-permit.To learn more,scan this barcode or visit northandoverma.viewpointcloud.com/#/records/20814 1 • 4rTTUn r TOWN OF NORTH ANDOVER PERMIT FOR WIRING D This certifies that UNITED SOLAR ASSOCIATES LLC has permission to perform Installation of 39 Solar Panels wiring in the buildings of EQUI. MICHAEL V at 119 HICKORY HILL ROAD , North Andover, Mass. Lic. No. 184392 i 1 1/1 f' r I I ',p t><n.ed perms naso % �,I .f' a' �• -'.:`+*?' .-, yc,xt • a ; .1;. E -' C' �h.yns:/;nortllardovtrma.vlewpolnkloud mmjK(recm;;,"10514 .._...... _...._.....__ -._ q •_ ACPs ,p v.*ok t Toam of North Andover,MA .4MD MaL.1-3 ii p' 20814My F'cfil? . 1 -Electrical Permit-IN Conjunction with a Building Permit(Commercial or Residential) O�e::•.i;tz>�ed Records TIMELINE 0 Submission received � Jun 30,2016 et 7:3eam 1 Electrical ReOt- r/yj Completed lun 70,2016 et].Seem O k ••----•-�^^•^^---- ® Daniel n permit fee res McGrath 179 HICKORY HILL ROAD,NORTH ANDOVER,MA edJu 30,:076 et8:00am <617-778-3904 permits@sun1776.C._ Permit Lsuance EQUI,MICHAEL V 0 I._1Jun 30,2016 at 7:59em 7 Attachments -OTRV101001F ThuJun 30_2016 11:47:.PDF Iw" Uniteo_Schr licences ThuJun 30 2016-i 1:57:.pdf Primary Contractor aenge... Search for your contractor using the search bar belmx.Either the Firm's Nome or license A is required. prtr.teu4rezzl Ye:re ucensee' UNITED SOLAR ASSOCIATES LLC ..c.nze C" uren.e_, �cn Cote 184392 OIIW2018Fea elMlzo 6 @ Thursday,Jun 30,2016 11:40 AM 6/30/2016 i Date: June 30, 2016 1 20814 This is an e-permit.To learn more,scan this barcode or visit northandoverma.viewpointcloud.com/#/records/20814 i TOWN OF NORTH ANDOVER r ' PERMIT FOR WIRING " � D i This certifies that UNITED SOLAR ASSOCIATES LLC has permission to perform Installation of 39 Solar Panels wiring in the buildings of EQUI. MICHAEL V at 119 HICKORY HILL ROAD , North Andover, Mass. Lic. No. 184392 1/1 1C11OUNF01W W Nf!Gq 0L1Hml4l MO OIIEII MpIIQCM OOMOYIm 110191 NE GUI®fl®q AbH�IIIY IID M F10111M i1pi01M as AVllGVI GVIrII DEVI 11G aD lU11 11or a FUe1IDfA AMmo119D.0011FD.00L1DSD.ort 11gD.a Dlolt oA N roar.rart AW gRPa[a111101R M 0PI®6•1!119 POEM O�0.!Y g111q®Ip1�MIR2 a IL[IQ9plMML BGIIR.UG zz'—s' SYSTEM SIZE 11.115 KW DC ENERGY 10,457 kWh a—z PRODUCTION 9 10 11 12 13 MODULES (QTY. 39) 285W PANELS 1 2 3 4 INVERTERS (ON. 1) 10.OKW 13'—a• ❑ 14 15 16 17 STRING INVERTER 5 6 7 8 18 19 20 21 22 23 24 25 26 27 28 _ 5 z 29 30 31 32 33 34 35 36 37 38 39 ! SOLAREDGE P300 POWER OPTIMIZER PI AR o 00o0A-US 30OW INPUT POWER • 13,500W MAX INPUT POWER • 48V MAX INPUT VOLTAGE • 500V MAX INPUT VOLTAGE . 12.5A MAX INPUT CURRENT 30.5A MAX INPUT CURRENT • 42A MAX CONTINUOUS OUTPUT • 15A MAX OUTPUT CURRENT CURRENT 60V MAX OUTPUT VOLTAGE 120251 YEAC AR WARRANTY ERR OUTPUT . 8-25 OPTIMIZERS PER STRING • 25 YEAR WARRANTY REAR ROOFS DIMENSIONS TO BE FIELD VERIFIED e X3.22-t �. I A aa, PV ARRAYPV ARRAY 280'9AZIMUTH „ ' 280' AZIMUTH _. ° 24' SLOPE SLOPE 5.42 c„"- n F • LOCATION OF UTILITY ROOM WITH MAIN PANELBOARD LOCATION OF UTILITY METER SUNIVA (OPT285-60-4-1BO) AC DISCONNECT � + Pmox (W) Vmp (V) Imp (A) Voc (V) Isc (A) "a" J,p� wli• +m” r,'. � 11 '"1 `i3sA�m` 285 31.80 8.96 38.80 9.48 w�h"+ �� � � Awl �• ��{a�^ ,W T w"3, • DRAWN er APPROVED BY DESCRIPRON KILEY RESIDENCE-119 HICKORY HILL RD. owc s: ACE ACE Residential Solar,LLC KGF 119 HCKORY MLL RD-NORM ANDOVER.MA-w ARRAY 3„2N-hM-s1.1,1F1oo. PV ARRAY LAYOUT ROOFMOiJN1'EDSOLARARRAY PV-1 RESIDENTIAL SOLARw� COPYRIGHT 2D16 ACE RESIDENTIAL SOUR,LLC. Ph—. W-223-1962 6/3/16 ALL RIGHTS RESERVED REV 1.0 01 06 . CONFIDENTIAL iI1D POYND NA NN ORA R9RFIIJE YD OIIQ EREWgl1 CORWm NFIRl1 AH W®FIED AS MNWlTIRY Ab M O;YR,F NCMAIY R NIDN:111 GNIK OW,Y MG MD AWL IDT E NRARE0.NDIIOOULm,InIFR ODDAD>ED.OR IRA N NiNL QE N MRI.E011 MN NRBP<NDCR M DPI®.WfIW PEIA69PI R A PRY AVIIOI®RD•E®RiRMC R Mi R�DDVL 9.1'Ill.UL 119 HICKORY HILL RD. • 10.0 KW AC • 1 1.115 KW DC • QTY(39) 285W PANELS SOIAREDGE SO(AREDGE SOLAREDGE • 1 X 1OKW STRING INVERTER PWO SUNNA 285W PJDD SUNNA 285W PJ SUNNA 285W OPTIMIZER OPTIMIZER OPTIMIZER DG OPTIMIZER DC OPTIMIZER DC OPTIMIZER 41 /14 /2] LfLld DC OPTIMIZER DC OPTIMIZER DC OPTIMIZER /2 /15 /28 DG OPTIMIZER r DC OPTIMIZER DC OPTIMIZER /3 /16 /29 DG OPTIMIZER DC OPTIMIZER DG OPTIMIZER /4 /1] LILId /30 DC OPTIMIZER DC OPTIMIZER DC OPTIMIZER /s 41e 431 NEW utxm NEI uETER ® DG OPTIMIZER DC OPTIMIZER DG OPTIMIZER (ExISm anon RMNUE—ES—Er) SOU EDOE 10 M-INVWTER#S-1 /6 419 432 ® 330 VDC INPUT 24 1 PHASE OUTPUT DC OPTIMIZER OC OPDMIZER OC OPTIMIZER �l /] /20 /33 dSCdY1ECf SYtx DC OPTIMIZER DC OPTIMIZER OC OPTIMIZER (uro>�tAUGERT uErt4g /21 /34 R7 OD GROUNDED DG OPTIMIZER DG OPTIMIZER DG OPTIMIZER CONDUCTORS 49 /22 /35 DC OPTIMIZER DG OPTIMIZER DC OPTIMIZER /10 423 /36 DC OPTIMIZER DC OPDMIZER DO OPTIMIZER /11 424 /37 DC OPTIMIZER DG OPTIMIZER DC OPOMIZER •• 412 425 438 LeLld UNE SIDE C.NE-N DC OPTIMIZER DC OPTIMIZER 00 OPTIMIZER �e�x 413 426 /39 Da RD (2DDA 2—) JIXUML�S �R ACE ACE Residential Solar LLC DRAW+B1 APPROVED BY DESCRIPTION KILEY RESIDENCE-119 HICKORY HILL RD. ow0 0: 342 N.Ih Af.sl.,1,.IF]— ' KJP 119 HICKORY HILL Ro.-NORTH ANDOVER,NA-w ARRAY ROOF MOUNTED SOLAR ARRAY PV-2 – — '- RESIDENTIAL.SOLAR .�Uo.e..\A MR70 DATE COPYRIGHT 2016 ACE RESIDENML SOUR, LLC. Phone 800-223-1462 6/3/16 ALL RIGHTS RESERVED SINGLE LINE DIAGRAM Rev 1.0 CCOONRIDENM Alff GQA OO[NCIIOII MO 011ER MIViM110N COIII4m IE11pM NR 00161001m A9 YtlRi.T/R/ND M DrDl9�[iRDOUIY W AYp0Ui1 GWOr DQQY ILL'AMD NW W YIY®EO,IR0.W116D.CYfD.LCGOLD.CR U9FD.Y VIAE A Y NAI.EYI NN RY6tlEE YMOUf M GAea1 YTDf GA690N W A DAY AURDDQD D91®IYIAL W AR 1®DIIYL YANL LIG YONRDGE CLAMPING /uiD uANG RANGES IRownocE DS RAL 0.2 vm 9. 3 WR O w� N000uua 6. 0 RUL END CLAMP - MID CLAMP 285W 285W DETAIL DEMI CLAMP SCA-Q INSTALLATION 3338 MODULE MODULE (NOT To scUE) (NOT To DETAIL (NOT TO SCALE) 6.)0 20 1 6 diij L 0.5 arWooD ( I I I FLASHING ' 6.)0 Roar uwRRwE RAnERS _ O �, RAFTERS 285W 285W I I_ 3338 MODULE MODULE RAIL CAG SCREW - SRR LOCK TM TENDER WASHER SEALING WASHER 6.)0 Post .... ..,.. L-FOOT 9.33 LAG ROLr - °: FLASHING oat III `` TYPICAL MODULE INSTALLATION DETAIL H.,E& (DIMENSIONS IN INCHES) QUICKMOUNT LOW SLOPE STANDOFF DETAIL (NOT To SCAU L—FOOT AND FLASHING INSTALLATION DETAIL NOT TO SCALE) ACE ACE Residential Solar LLC �+ APPRovED BY DESCRIPRON KILEY RESIDENCE-119 HICKORY HILL RD DWC 0: KJT 119 HICKORY HILL RD-NORTH ANDOVER.MA-PV ARRAY 14_'Nan6 N1> 1L,1,1 T1— ROOF MOUNTED SOLAR ARRAY PV-3 -.RESIDENTIAL SOLAR .wd. .,NfA 01810 DATE COPYRIGHT 2016 ACE RESIDENTIAL SOLAR,LLC. RACKING DIAGRAM Ph.—800-2z1--102 6/3/16 ALL RIGHTS RESERVED REV 1.0 CONF1DENnAL 11115 MMNO xO.VII DILA OEEY�IIDI BD ORQ MgDIl.TIOM GLMWm M'SREI MC fAl®D®.S YROOIZI/AY ND M OtdllM IROIIXIY N9RNI VAf OF1Rt xe xo SWLL M01 E 0.HOIW IFPItDu11ClD.OOOED.06CDYD.pe u5£D.x wall dt x vxrt.iaR NfI RINOSE wDx111 M DPwS3 M511DI R1D�59Lx R�0.lY IIIIN01®wJ#5914VM 6 A4 IE4AlIW.SA/ll Ill. 22'-6" STRUCTURAL ONLY 14'-2" tN OF E- T. A 1M 13'-8" 06/02/2016 U1977-0014-161 ECTOR L• 1l. B I fl E E R 9 Ad=44 9I3B 5.BT4T£B1REer,Sidi£101 (B01/990-1775 5-01,UTAH B4070 /BO I/990-1776 FAx EXISTING (2x10, 16" O.C.) RAFTERS [III Fill 1] 00 WITH (2X4, 48" O.C.) COLLAR TIES AND (2X10) RIDGE BEAM 51111 1 Fill I 15'-2" IRONRIDGE XR100 RAILS I FLASHING AND STRUCTURAL SCREW (SEE DETAILS BELOW) EXISTING (2x10, 16" O.C.) RAFTERS RACKING DETAIL NUT AND BOLT FLASHING I�III DIMENSIONS AND LOCATIONS TO BE L—FOOT 3.28' BOLT FIELD VERIFIED FLASHING I BILL OF MATERIALS MAX ALLOWABLE SPANS SEALANT 37t" LAG PORTRAIT 4'-11' I I I I I BOLT 10 11' RAILS PORTRAIT 8 14' RAILS CANTILEVER 2'-0" EXISTING 2 17' RAILS LANDSCAPE N/A LAG BOLT I I RAFTER 78 FLASHING LANDSCAPE N/A EXISTING RAFTER CANTILEVER II�I LAG BOLT DETAIL j FLASHING DETAIL ACE ACE Residential Solar LLC DRAWN BY APPROVID BY DESCRIPTON KILEY RESIDENCE-119 HICKORY HILL RD. Dwc aa: n_ 342 N—I-X1�SI.,I,1n— Y KJF 119 HICKORY HILL RD-NORM ANDOVER,NA-PV ARRAY ROOF MOUNTED SOLAR ARRAY PV-4 RESIDENTIAL SOLAR .11—.1 AUI"In DATE COPYRIGM 2016 ACE RESIDENTIAL SOLAR, LLC. STRUCTURAL LAYOUT M.-500-223-1.2 6/t/16 ALL RIGHTS RESERVED REV 1.0 Commonwealth of Massachusetts Official Use Only Permit No. Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 6/21/2016 City or Town of. North Andover To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 119 Hickory Hill Road, North Andover, MA 01845 Owner or Tenant Mark Kiley Jr. Telephone No.(617) 861 - 7637 Owner's Address 119 Hickory Hill Road, North Andover, MA 01845 Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building residential Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install an 11.115kW DC solar electric system consisting of 39 solar modules onto existing roof structure. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA Above In- o.o Emergency Lighting No.of Lighting Fixtures Swimming Pool rnd. ❑ rnd. ❑ BatteEX Units No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal El Other Connection No. of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Si ns Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 2S BOND ❑ OTHER ❑ (Specify:) 7/23/2016 Estimated Value of Electrical Work: $6,669 (When required by municipal policy.) (Expiration Date) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under the pains and penalties of perjury,that the infor "ionthis application is true and complete. FIRM NAME: United Solar Associates LLC LIC.No.: 20616A Licensee: Daniel J McGrath Signature LIC.NO.: 11467B (Ifapplicable, enter "exempt"in the license number line.) us.Tel.No. (855)-786-1776 Address: 376 Washington Street Suite 104 Malden A 02148 Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE. $ ACE RESIDENTIAL SOLAR HIC#182429 MASTER PURCHASE AGREEMENT This Master Agreement ("Agreement") is made June 1, 2016 by and between ACE Residential Solar, LLC (the "Company")&Mark P Kiley Jr("Client"). 1) Purpose and Scope.This Agreement is a master agreement between the Company and Client for the design and installation of a photovoltaic solar system(the"PV Solar System"),as outlined in Schedule A: Scope of Work(the"Work")on Client's property located at 119 Hickory Hill Rd,No Andover,MA 01845 (the"Property").This Agreement and all related schedules,exhibits or attachments govern all services performed by the Company for Client. 2) Compensation.Client shall compensate the Company(the"Payments")according to Schedule B:Price and Payment Schedule, and all amendments thereto. Client shall pay all invoices in accordance with Schedule B:Price and Payment Schedule 3) Responsibilities of the Company.The Company shall furnish any and all materials,labor,expertise,and supervision necessary for the performance and timely completion of the Work as outlined in Schedule A: Scope of Work.The Company shall act in good faith and perform the Work in a good and workmanlike manner. 4) Responsibilities of Client. Client shall make the Payments according to Section 2 and at all times act in good faith. Client hereby covenants and agrees that Client shall reasonably cooperate with the Company and its representatives, including structural or environmental engineers, to permit them to carry out the Work,including providing reasonable access to the Property. 5) Building and Electrical Permits. The Company will obtain the necessary building and electrical permits. This Agreement is contingent upon successful attainment of the necessary building and or electrical permits from all applicable jurisdictions (city, county, or state). If the Company is unable to commence Work due to permitting issues, this Agreement shall be null and void and the Company will refund to Client the Deposit received less a fee not to exceed$500.00(the "Administrative Fee").The Administrative Fee shall cover administrative costs incurred with the Company's efforts to obtain proper permitting. 6) Acceptance of Interconnect Application. This Agreement is contingent upon acceptance of the Interconnect Application (Net Metering). If the Interconnect Application is not accepted by the local utility, this Agreement shall be null and void and the Company will refund to Client the Deposit received less a fee not to exceed $500.00 (the Interconnect Application Fee). The Interconnection Application Fee shall cover administrative costs associated with the Company's efforts to obtain all necessary approvals for the Interconnect Application. If both the Administrative Fee and the Interconnect Application Fee are due under Section 5 and Section 6,respectively,then the Company shall only charge Client a total amount not to exceed$500.00,which amount shall be deducted from Client's Deposit. 7) Warranties. The Company warrants that the Work performed and the PV Solar System shall be free of defects from installation. The Company shall repair or replace any faulty equipment that is covered by an applicable manufacturer warranty for a period of 10 years at the Company's sole expense. The Company shall also resolve any system-related problems caused by improper installation for a period of 10 years at the Company's sole expense. This warranty is expressly in lieu of any other warranty, express or implied, including,but not limited to,merchantability or fitness for a particular purpose,and all other obligations or liabilities. It is understood that Client accepts and agrees to comply with the terms of this warranty. This warranty shall not apply to any damage caused to the PV Solar System due to misuse,maintenance neglect, abuse,vandalism,abnormal operation,or weather-related damages. Photovoltaic Modules.The photovoltaic modules installed by the Company are warranted by the 4.13.16 ` v ACE RESIDENTIAL SOLAR HIC#182429 i module manufacturer. The Company shall provide a copy of the manufacturer warranty to Client. The Company hereby disclaims any and all liabilities and warranties relating to the modules except those provided in Section 7. Inverters .The inverter(s)installed by the Company are warranted by the manufacturer.The Company shall provide a copy of the manufacturer warranty to Client. The company disclaims any and all liabilities and warranties relating to the inverters except those provided in Section 7. 8 Delgy by Client. If after the Company has delivered d substantially all materials necessary for the Work to the Property ("Delivery p rty ( De very of Materials"), a Delay of more than 30 days occurs, the Company reserves the right to invoice Client for the Final Payment(as set forth in Schedule B: Price and Payment Schedule, and all amendments thereto).A Delay includes,but is not limited to the following: (i)Client's,property owner's or associated contractors'request to delay or reschedule the Work; (ii) Client's, property owner's or associated contractors' repeated lack of responsiveness or failure to communicate with the Company upon request by the Company at any point after signing this Agreement; (iii) Client's, property owner's or associated contractors' repeated delay, omission or failure to correct a flaw on the Property that is necessary to be corrected, in the sole judgment of the Company,for the Company to complete the Work or to pass Inspection(as defined below);and (iv) such other delays by Client, property owner or associated contractors that may be reasonably related to the foregoing. 9) Completion of Work. The Work is deemed complete when the Company passes the final electrical inspection(the"Inspection")of the PV Solar System. 10) Start Date of Installation. Start date of installation refers to the first date the Company arrives at Client's site to begin all aspects of installation including site preparation. 11) Notices.All notices,requests,statements,invoices and other communications hereunder shall be in writing and shall be given(and shall be deemed to have been duly given upon receipt)by delivery in person or by U.S.mail to each other party as follows: Company: Client: ACE Residential Solar LLC Mark P Kiley Jr 342 North Main Street 119 Hickory Hill Rd Andover,MA 01810 No Andover,MA 01845 mkileykACEresidentialsolar.com FED ID 47-3332910 Mass HIC#182429 12) Client Consent for Inclusion in the Company's Marketing Materials. The Client gives ACE Residential permission take and display images of the System as installed on your Home to show to other customers or display on our website. 13) Solar Credits. The customer will be entitled to any credits associated with the installation or operation of the PV Solar System. The Company, if requested, will assist the Client in establishing the necessary accounts. 4.13.16 ~ W ACE RESIDENTIAL SOLAR HIC#182429 14) No Representation or Warranty of Availability of any Tax Credit, Deduction or Rebate. Notwithstanding anything herein to the contrary, the Company makes no representation or warranty as to the Client's eligibility for receipt of any tax benefit,credit,deduction or rebate from any governmental agency or offset against any federal, state or local tax or charge based on the PV Solar System or completion of the Work. Nothing in this Agreement shall constitute legal or tax advice to Client.Client should consult Client's legal counsel, accountant and other advisors as to legal,tax, business, financial and related aspects of the Work and Client's purchase of the PV Solar System. 15) Amendments and Change Orders. Any and all amendments and change orders to this Agreement, schedules, exhibits or attachments must be in writing and signed by the Company and Client. If any subsequent amendment or modification of law, rules or regulations materially alters a party's obligations hereunder to its detriment,the parties will negotiate in good faith a mutually-acceptable amendment of the affected obligations. 16) Assignment.This Agreement is not assignable by Client without the prior written consent of the Company. 17) Governing Law. This Agreement shall be interpreted and governed under the laws of the Commonwealth of Massachusetts(without reference to conflict of laws principles). 18) Relationship of the Parties. This Agreement creates no agency relationship between the parties hereto,and nothing herein contained shall be construed to place the parties in the relationship of partners or joint ventures, and Client shall have no power to obligate or bind the Company in any manner whatsoever, nor shall the Company have the power to bind Client in any manner whatsoever. 19) Injunctive Relief, Other Remedies. The parties hereto may seek injunctive relief from the courts if necessary.In the event of non-payment the Company may pursue any and all remedies to enforce payment of the obligations created hereunder,including recording a mechanics lien. 20) Waiver. The waiver by either party hereto of a breach of a provision of this Agreement shall not operate or be construed to invalidate the balance of the provisions contained in this Agreement,which shall continue to remain in effect. 21) Severability. The finding by any court that a provision of this Agreement is invalid shall not operate or be construed to invalidate the balance of the provisions contained in this Agreement, which provisions shall continue to remain in full force and effect. 22) Counsel. The parties hereby expressly acknowledge that each Party has been given the opportunity to consult with separate legal counsel for advice on this matter. 23) Counterparts. This Agreement may be executed in any number of counterparts, each of which when so executed and delivered shall be deemed an original and all of which taken together shall constitute one and the same instrument. 24) Force Majeure. Neither party will be responsible for any failure to perform its obligations under this Agreement due to causes beyond its reasonable control,including,but not limited to,acts of God,war,riot, embargoes, acts of civil or military authorities, fire, floods, accidents, stones, lightning and earthquakes, sabotage or destruction by a third party of the Work,or a strike,walkout,lockout or other significant labor dispute,or a shortage in the supply of photovoltaic solar panels,or other causes beyond the affected party's reasonable control. 25) Headines.The headings of the sections of this Agreement are included merely for convenience of reference and shall not affect the meaning of the language included herein. 4.13.16 ACE a: RESIDENTIAL SOLAR HIC#182429 I 26) Entire Agreement.This Agreement contains the entire agreement between the parties relating to the subject matter hereof,and all prior proposals,discussions or writings are superseded hereby. 27) Binding Authority.Each of the persons executing this Agreement represents and warrants that he or she has full right and authority to execute this instrument on behalf of the Company or Client, as the case may be, and to bind such party to the fulfillment of all of the provisions hereof. 28) Succession. The terms of this Agreement shall be binding upon and shall inure to the benefit of the parties and their successors,heirs and assigns. 29) Cancellation. You may cancel this contract at any time prior to midnight of the third business day after the date you sign this contract by notifying the Company in writing. IN WITNESS WHEREOF,the parties hereto execute this Agreement by their duly authorized representatives on the dates set forth below. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Ace Residential Solar,LLC Client By: By: Signature Signature: Date: Date: All home improvement contractors and subcontractors shall be registered and that any inquiries about a contractor or subcontractor relating to a registration should be directed to:Office of Consumer Affairs and Business Regulation,Ten Park Plaza,Suite 5170,Boston,MA 0211.6 Phone:(617)973-8700 4.13.16 STATE 10F CONNECTICUT STATE OF, CONINMICUT ELECTRICAL UNLIMITED JOURNEYPERSON ELECTRICAL UNLIMITED CONTRACTOR DANIEL J MCGRATH DANIEL J MCGRATH 376 WASHINGTON ST 376 WASHINGTON ST ( MALDEN,MA 02146-1300 (( MALDEN,MA 02148-1300 I LIC./REG NO. EFFECTIVE EXPIRES LIC./REG NO. EFFECTIVE EXPIRES ELC.0199933-E2 03/11/2016 09/30/2016 ELC.0201855-E1 08/31/2015 09/30/2016 SIGNED i a, COMMONWEALTH OF MASSACHUSETTS -V 'COMNIO 4TH`OF MA35ACHUS S L w • • • . • t 0 LIM DOMM 01: BOARU OF ELE;GTI2iCIANS ELECTR'I C'I ANS ISSUES THE FOLLOWING l.iEJSE ASA ISSUES THE FOLLOWING LICENSE ASA #. REC#.1©li tPtEYMAN ELECTRICIAN = REGISTERED D MASTER ELECTRICIAN, ja DANIEL J MCGRATH" 37$WASHINGTONIST { -� UNITED SOLAR ASSOCIATES LLC• r DANIEL J MGGRATA MALDEfrI,MA :0148 1371 -� / 114 BOYtST011 ST �. y 11467 117131/2016 28315 1 .HALDEN' 9A 02148-7931 . .. 20616A 0 _ 6 07292 I STATE OF MAINE I ('I'' JP ,!C+JI7711f.,.t7NK'/Y��li DEPARTMENT OF PROFESSIONAL AND FINANCIAL f�GULATgN Jf OFFICE OF PROFESSIONAL AND OCCUPATIONAL REGULATION ELECTRICIANS'EXANNING BOARD Of1;Ce of Cons.-cr Affairs&�nsiness Regulation OME IMPROVEMENT CONTRACTOR Type: ' - egistration: 1B4392 on- 115/2018 Corporation License Number MS60020703 I Exp irati I DANIEL MCGRATH i UNITED SOLAR ASSOCIATES LLC MASTER ELECTRICIAN I I I I I DANIEL MCGRATH ISSUED 03/14/2018 EXPIRES 06!31/2017 i 376 WASHINGTON ST SUITE 104 _ _ _ _ _______ MALDEN,MA 021 U 48 ndersecretary STATE 07R ��s BOASHIRE a MEW] fig NAME'. DANIEL. J MCGRATH HOME IMPROVEMENT CONTRACTOR =4 12906 M:Y: ,� DANIEL MCGRATH .r :' 376 WASHING'T'ON ST ```�^`' "� MALT)EN,MA 02148-1300 ,'A EXPIRES: a9 '"� EFFECTIVE EXPIRE Ll .1R NO. 10/21/2015 11/30/2016 HIC.0643912 si�NEo %VEI IST -= ENS �- Massachusetts Department of Public Safety w «or..,,, sw, ®Jt Board of Building Regulations and Standards 4dLicense:CSFA-104676 arNow SiO332806 Construction Supervisor 1 & 2 Family DANIEL J MCGRATH _ ^N . _ S .� 376 WASHINGTONT i MALDEN MA 02148 rj i Eld TH �X W1Ii s 114 BOYLSTON ST MALDEN,MA 021494931 5OD1842_a.Ra..47•15-2441 C Expiration: Commissioner 09/1612016 ,eco CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 12/8/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: IFAX Asset One Insurance AJCD,NNo,Ext: 714-625-8204 (A1C,No): 714-625-8290 575 Anton Blvd.,3rd FL ADDRESS: ara@solarinsure.com i INSURER(S)AFFORDING COVERAGE NAIC# Costa Mesa CA 92626 INSURER A: Westchester Surplus Lines Insurance Company 10172 INSURED INSURER B: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERK 25674 United Solar Associates,LLC INSURER C: American Zurich Insurance Company 16535 452 Pleasant Street,Second Floor INSURER D: INSURER E: Malden MA 02148 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AIJUL 5UM POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR PREMISES(Ea occurrence) $ 50,000 MED EXP(Any one person) $ 10,000 A G27527966001 11/10/2015 11/10/2016 -PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑X JERK [7] LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITYUOM $ (Ea ONE ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED tid P BODILY INJURY(Per accident) $ AUTOS AUTOS ( ) HIRED AUTOS NON-OWNED $ AUTOS (Per accident) $ UMBRELLA LIAB ��( OCCUR EACH OCCURRENCE $ 5,000,000 A X EXCESS LIAB CLAIMS-MADE G27527966001 11/10/2015 11/10/2016 AGGREGATE $ 5,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION - AND EMPLOYERS'LIABILITY YIN X I STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 B OFFICER/MEMBER EXCLUDED? NIA 7PJUB-5850763-8-15 7/23/2015 7/23/2016 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 C Property ER07771654 5/26/2015 5/26/2016 $522,302.00 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Building Department AUTHORIZED REPRESENTATIVE 1600 Osgood St., Building 20,Suite 2035 // 97f// North Andover MA 01845 we 4 �O,tCGIZ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Date. . .! ,, . . . . ... .... 7-" NORTH o� °•° TOWN OF NORTH ANDOVER f p • PERMIT FOR GAS INSTALLATION s oq _ �• to 11 -4 S�CHUS-4 This certifies that . . . . �� �C? . has permission for g installation .. . . . . . . . in the buildings of !. . . . . . . . . . . . . . . . . . . . . . at .�f. ?. . .?��'� . . `�:.f�./�f. . ., North Andover, Mass. Fe&* � . Lic. Noy-ar?5 . . . . . . . GAS INSPECTOR f Check# 7067 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING ('Type or Print) NORTH ANDOVER,MASSACHUSETTS Date Building Location j IN ;1\ l,.a Permit# T_T Amount Owner fAi\r,'P— New [j Renovation El Replacement Plans Submitted Yes No FIXTURES 1l �jj a SC NEW Bsmw �IIUQt 21 1 EWM 4IH ELM SIH FiIIi� 6IH EWM 7IH RDM SIH)H DM (Print or type) Check one: Certificate Installing Company Name rroje , P J El Corp. Address –tl �'C"^��'�+' - vO, FlPartner. Business Telephone 6p3 -3q-Z _ S 7 3,3� El Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy LTJ Other type of indemnity ❑ Bond Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent I hereby certify that all of the details and informs ' submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing w and ins la' perfo under Permit Issued for this application will be in compliance with all pertinent provisions of th Massac sett tate Pl ing Code and Chapter 142 of the General Laws. -v=- By' i kens um Title Type of Plumbing License City/Town icense�, APPROVED(OFFICE USE ONLYer El NumSer' Master ❑ Journeyman APPR The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, A"-02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly A Name (Business/Organization/Individual): Address: City/State/Zip: Phone#: Are you an employer? Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. New con structionemployees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working forme 'many capacity. workers' comp. insurance. 9 Building addition [No workers' comp. insurance 5• ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp. insurance required.] *.:r y 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. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information- A"am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job 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 the pains and penalties of perjury that the information provided above is true and correct Signature: Date: Phone#: Official use only. Do not write in this area,to becompleted 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." 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 th`eN1 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-contractors)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 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 bum 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. 0:2111 Tel # 617-7274900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax# 617-727-7749 w vm-%mass..gov/dia fDate.....��?...` .'.r' .... i HORTI{ °�<"`°;•�"� TOWN OF NORTH ANDOVER 0 p PERMIT FOR WIRING S^cHUS This certifies that ....... ����.C C .ti...............-.. .-:. .................... has permission to perform ....�N���'`�x� ` 8� �9yT .................................... ... . wiring in the building of....................... ..Q.U ........................................ at... .� 1....!7.�G r� �/../7�G 115 ,North Andover,Mass. l ^4 � o9 S� Fee......S.! Lic.No. Z -� r.$Q. .................PLEiIC��MICAL..... . . .................... ..... T031 / INSPEC M Check # 7 7433 7HECOli I ONWF4LTHOFj?PUMCHLSETIS -- —--- office Ube on►y DEPART<YIBNTOFPUBLICS4FETY Permit No. BOARD OF FVEPR&EVfl0NREG11A 770AS 5.77 ai IR 12-M Occupancy&Fees Checked APPUCATIONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wire: The undersigned applies for a permit to perform the electrical work described below. Location(Street& umber) �� - l� Owner or Tenant �` x-';_7 Owner's Address Is this permit in conju ,with a building permit: Yes �No a (Check Appropriate Box) Purpose ofBuilding �`��, Utility Authorization No. Existing Service Amps / _volts Overhead Q Underground Q No.of Meters New Service Amps�i Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical rk i\,R-)ym c FwC No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total i 16 No.of Lighting Fixtures KVA Swimming Pool Above Below Generator, KVA and round No.of Receptacle Outlets ' No.of Oil Burners No.of Emergency Lighting Battery Units t No. of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tans No.of Disposals No.of Heat Total Total No,of Detection and Pum s Tons KW Wtiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained No.of D ers Defection/Sounding Devices ry Heating Devices KW Local Municipal Other' No. of Water Heaters KWConnections No.of No.of Signs Bailasis No. Hydro Massage Tubs No.of Motors/ Total HP j I LL-r l�uarloeCot�-age Ptastart>Dthen�glmar,a�sc#11�adt>st�calaallaws Iha%,eaax=tLiabtldyhnz mmPbhymckdffgCaT#At ' COM.aWQdsahsbntd * YES NO lha,,es bnodval dpmofofswrlothL-OT=YES a 'f mhnededodYES plmemk*thetypeofc byd=iangthe NSURANCEa BON°M °MER a ftmSIeffY) 7 Tse Workto&mt �1 �� aVcskd Rao EsmtmtadvalydMwicalWak$ Sigtcd Lni ramie y t'a>al IRtit. d W"1 i� Utz C,�-(' L+oenseNa / �3 BtTdNo � �-y��-,Y�� Q�L��.w C,i�,�� ( AILTetNa � f —7s?7-�5—" Okt siNSLRANCEtiv1 ANFR,tamm=d=drr msediot:snothaRfetheirstranceoo Ortie aasm7mudbykbsmdx �CardLaws � �d�Itrnysigr�traernthispt�rr>2tappfi�icitthis reclllirt�rla�. - (Please check one) Owner Agent a Telephone No. ,,_„_,PERMIT FEE$ / r t �/ � �� . . , Iy y3 � a s�vy FORM U - LOT RELEASE FORM Ada INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT PHONE 6 0 3(00? LOCATION: Assessor's Map Number PARCEL(0 SUBDIVISION ( LOT(S) STREET I WC �O V L l ST. NUMBER_ ************************************OFFICIAL USE ONLY*********************************** RECOMMENDATIONS OFT6AN AGENTS: CONSERVATI ADMINIST A OR DATE APPROVED Z)12 41 e2 Z DATE REJECTED COMMENTS_ TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT i , J FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm LOT EMVIRONEERS t�1�CKoRy N►L�Rd�.�.iti' /�N��„c ALFRED A. SHABOO, P.E. P.O. Box 516,160 Pleasant Street, North Andover, MA 01845 • (5081683-3893 S(=v�=MBAR 1481 X40 c G 49 42- /6G' NIt to i i-22� ICo� ���v,. � r , OD IGO �y2 011 1 N r a cp 'N A ' ijj / ---- M �7 � /� 1� J •A r M 0. �Z co 1440)44 01 1 r r A SD UTILITY ROOM CLST FAMILY ROOM LAUNDRY Yr SPRINKLER (TYP) BATH Existing Basement Plan Equi Residence 119 Hickory Hill Road North Andover, MA. �i �I UP LIVING ROOM DINING ROOM BASEMENT STAIRS CLST SD KITCHEN BATH f SPRINKLER (TYP) Existing First Floor Plan Equi Residence 119 Hickory Hill Road Horth Andover, MA. CLOSET WALK IN uP BED ROOM 3 CLOSET 1 MASTER BED ROOM (S D� Yr HALL LINNEN Y U BATH BED ROOM Z MASTER BATH CLOSET SPRINKLER (TYP) _j L__ n Existing Second Floor Plan Equi Residence 119 Hickory Hill Road North Andover, MA. ENV140NEERS �'i�c►co ALFRED A. SHAeoo, P.E. RY int L.1.PC •P•0.Elm 516,160 Pteasant'Street,Morth Andover, MA 03_84_5 �_ (508)683.3893 1'�1ovGMa�RNt)A,rtoN PLAN - H } G bCOr-tY HILL %.4 .1 q q i • .T-1 I G K p R ...... 4 I v S ty 3-,I' 1s E100 n+ M • . s to-Iso. 2 IV dy . M 5HOW N.....`rUNP R.M. TVN L ' + � N6..�►�tFcijtMaT'Y a 17 1 1' 0 o . . . r North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: `.P�MP�C�C �w�S@OSPr� , a,3 cties�s� �a ��NSsQoc p (Location of Facility) r Si ature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector Date: 10/16/02 09:16 AM Sender's Fax ID: 9789880038 Page 2 of 2 ACORD- ^CERTIFICATE OF LIABILITY INSURANCE HUNTd ID °Aso i6T 12 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION C J McCarthy Ins Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE A Hub International Id mi ted Cc HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 229 Andover Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Wilmington MA 01881 Phone: 978-657-5100 Fax: 978-658-9185 INSURERS AFFORDING COVERAGE INSURED INSURERS National Grange Mutual Ins. Co INSURER B: Safety Insurance Company John J. Hunt Construction INSURER C: Associated Mmployers Ins.Co. 32 Birch Street INSURER D: Lowell MA 01852-3043 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 TYPE OF INSUMNCE ROLICY NUMBER FOLICY EFFECTIVE POLICY EXPIRATION LTR DATE MMRDDlY DATE MlDOlYY LIMITS GENERAL LIASHUTY EACHOCCLRRENCE S 1,000,000 A Z COMMERCIALGENERALUADILITY IgP$00751 03/22/02 03/22/03 FIRE DAMACE(Ary one llrE) £500,000 CLAIMS MADE ®OCCUR MED EXP(Any one perean) S 10,000 PERSONAL&ADVINJURY 51,000,000 GENEPALAGGREGA,TE S 2,000,000 GENLAGGREGATE LIMITAPPLIES PER: PRODUCTS-COMPIOP AGG S 2,000,000 POLICY PE a 7 LOC AUTOMOBILE LIABILITY COMBNED SINGLE LIMIT S B ANYAUTO 2415633 10/12/01 10/12/02 (Ea accident) ALL OWNED AdrOS BODILY INJLRY £ 100,000 Y SCHEDULEDAUTOS (rcr perocn) X H!REDAUTOS X NON-OWNED AUTOS (perac iaenq'�` S 300,000 (PerRRcddenp — ' PROPERTYDAMAGE $ 100 000 (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO EA ACC $ OTHFR THAN AUTO ONLY: AGG S FXC6SS LIABILITY EACHOCCLRPENCE S OCCUR ❑CLAIMS MADE AGGREGATE S S DEDUCTIBLE RETENTION 5 S WORHERS COMPENSATION AND WC TIATLL. JO TORY L'MITS ER EMPLDYERS'LwBILITT C BINDER 03/22/02 03/22/03 E.L.EACH ACDDENT 5 100000 E L.DISEASE-EA EMPLOYEE S 100000 E.L.DISEASE-POLICY LIMIT S 500000 OTHER I DESCRIPTION OF OPERATIONSILDCATIONSIVEHICLESIEXCLUSIONS ADDED BY EN'DORSEMENTISPECIAL PROVISIONS 119 Hickory Hill Road, North Andover. CERTIFICATE HOLDER N ADDITIONALINSURED;INSURER LETTER: CANCELLATION l SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO 50 SHALL 1 IMPOSE NO OBLIGATION OR LIABILITY OF ANY HIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES, AUTHORIZEDR SENTATNE ACORD 25-S(7l97� Ir ORD CORPORATION 1988 BOARD OF BUILDING REGULATIONS _icense: CONSTRUCTION SUPERVISOR 4 V Number: CS 059489 ' Birthdate: 08/19/1961 " Expires: 08/19/2004 Tr.no: 1267 Restricted: 00 JOHN J HUNT 32 BIRCH ST LOWELL, MA 01852 Administrator _ ``.�fe ��anv�ruy�uue�lll• ul. l(iruiir•�,iJe[�i I,-�a Board of Building Regulations and Standards ` ; I HOME IMPROVEMENT CONTRACTOR Registration: 116953 Expiration: 8/8/2004 Type: Individual JOHN J HUNT CONSTRUCTION JOHN HUNT 32 BIRCH ST. LO\n'ELL, 01852 Adroinistiator , r " ESTIMATE (978)454-6830 Date Estimate# Lic.#059489 10/12/2002 29 Reg.#116953 ji Customer Company Mike&Janet Equi JOHN J HUNT CONSTRUCTION 119 Hickory hill rd 32 Birch street No,Andover,MA Lowell,MA, 01852 Description Amount Estimate for 1008 sq ft addition INCLUDES: Building,electrical and plumbing permits Removal and disposal of existing 12'x 11'sunroom Removal and disposal or preasure treated deck and stairs Trench 4ft hole for footing&foundation Backfill and grade as needed Supply fill to raise floor height to existing Compacted stone floor 64'of 10"x 20" concrete footing 64'of 10" concrete foundation Damp proofing of foundation 4" concrete floor to match existing Complete frame(materials and design per plan) Remove and relocate existing windows per plan #2 2832 Anderson tilt wash windows #I 6'x 6' 8'steel double door #1 tw 2852 triple Anderson #1 tw28310 double Anderson #1 32"x 6' 8" steel 9 lite door #1 A31 double Anderson awning All Anderson windows H.P glass,full white screens(no grilles) Tyvec housewrap exterior Cedar clapboard siding to match existing Rubber roofing with drip edge Total Page 1 y ESTIMATE (978)454-6830 Date Estimate# Lic.#059489 10/12/2002 29 Reg.# 116953 LfL�RJ L1 �7:�LJ�L�1 U L�1�Jt7 LI LJ�_JL.P.3 Customer Company Mike&Janet Equi JOHN J HUNT CONSTRUCTION 119 Hickory hill rd 32 Birch street No,Andover,MA Lowell,MA,01852 Description Amount Stain exterior,painted trim addition only(color may vary) Preasure treated landing with stairs and railings per plan Electrical outlets and switches per code 3 phone jacks 3 cable outlets 6 recessed lights with white down trims family room Wire gas fireplace Dimmer for recessed lights Switches for fireplace&blower Vented fan/light lst fl bath 2 side lights, 1 spot light 1 exterior outlet Baseboard heat, add 1 zone, add onto 1 existing zone 48" shower with seat Shower valve Wide spread faucet $150.00 allowance New seat for existing toilet Change or relocate waterlines and drains as needed Sprinkler heads and piping 2 floors Gas line to stove Insulation walls and ceiling per plan Blueboard and plastered addition and lst floor bath Smooth walls,textured ceilings and closets Suspended ceiling family room to match existing #I 6'x 6' 8" interior frenchwood with hardware Total Page 2 r ESTIMATE R (978)454-6830 Date Estimate# � folio Lic.#059489 1.0/12/2002 29 I Reg.# 116953 CustomerCompany Mike&Janet Equi JOHN J HUNT CONSTRUCTION 119 Hickory hill rd 32 Birch street No,Andover,MA Lowell,MA,01852 Description Amount #12'6"6'6"door with knobset to match existing #1 9'triple closet door setup Interior trim windows,doors and baseboard to match existing Gas fireplace installed family room.mantel,Tile floor front$2500 allowance 1st floor bath vanity/sink $1000.00 allowance 1 st floor bath floor $400.00 allowance Family room carpet$680.00 allowance White oak flooring bedroom&dining room 504 sq ft Prime&paint interior addition and 1 st fl bath Bedroom closet shelve/pole Dining room buffet counter Formica allowance$400.00 Removal of all debris INCLUDES MATERIALS AND LABOR TOTAL 89,200.00 Does not include electrical fixtures, steam bath unit, finish loam or seeding $89,200.00 Total Page 3 -Alai LttRJLnJ U c� u 32 Birch Street Lowell,MA 01852 (978)454-6830 Lic.#059489 Reg.# 116953 ACCEPTANCE OF PROPOSAL All material is guaranteed to be as specified , and the above work to be performed in accordance with the specifications submitted for above work and completed in a substantial workmanlike manner with payments to be made at completion of the following items: Building permit in hand: $ 14,866.00 Excavation,foundation,& demolition: $14,866.00 Completed Frame: $14,866.00 Rough plumbing, electrical,siding&windows: $14,866.00 Plaster,interior paint,finish plumbing& electrical: $14,866.00 Interior finish & flooring: $14,866.00 An alterations or deviationfrom above specifications will result in additional charges. Y fg Respectfully Submitted: The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments to be made as outlined above. Signature• a Lw Date: 0' (0' 0 J Signature: Date: MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Equi Residence DATE: 9-21-2002 Bldg. 1 Dept. 1 Use I I I CEILINGS: [ ] I 1. R-30 I Comments/Location I WALLS: [ ] 1 1. Wood Frame, 16" O.C., R-13 I Comments/Location I I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.32 For windows without labeled U-values, describe features: I # Panes a Frame Type 4trl bo D Thermal Break? [ ] Yes [ ] No I Comments/Location I I DOORS: [ ] I 1. U-value: 0.09 I Comments/Location I I I FLOORS: [ l I 1. Over Unconditioned Space, R-30 I Comments/Location /a -80 O(,f' 5-7-5KdC Cy� l EAL I I SLAB-ON-GRADE FLOORS: [ ] 1 1. Unheated, 2.0" insul., R-14.4 I Comments/Location S t AC F— I Slab insulation to extend down from e top of the slab to at I least 2" OR down to at least the bottom of the slab then I horizontally for a total distance of 2". I HVAC EQUIPMENT: [ ] I 1. Boiler, 96.0 AFUE or higher I Make and Model Number I I AIR LEAKAGE: [ ] ( Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: 1 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. 1 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values, glazing U-values, and heating I equipment efficiency must be clearly marked on the building plans I or specifications. I I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. i I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. i I I TEMPERATURE CONTROLS: [ ] I Thermostats are Y required for each separate HVAC system. A manual q P I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is not greater than 125°% of the design load as specified in Sections 780CMR 1310 and J4.4. i I [ ] I SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I [ ] I HVAC PIPING INSULATION: I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.) : I I PIPE SIZES (in.) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I [ ] I CIRCULATING HOT WATER SYSTEMS: { Insulate circulating hot water pipes to the following levels (in.) : ' I I PIPE SIZES (in.) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 I 1.0 1.5 2.0 1 140-160 0.5 I 0.5 1.0 1.5 I 100-130 0.5 { 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- . I I MAScheck COMPLIANCE REPORT I Massachusetts Energy Code Permit # I MAScheck Software Version 2.01 I I I Checked by/Date I I CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 9-21-2002 DATE OF PLANS: 9-16-02 TITLE: Equi Residence PROJECT INFORMATION: 14' X 36' Addition On The Rear Of The Existing 119 Hickory Hill Road North Andover, MA. COMPANY INFORMATION: HUNT CONSTRUCTION Lowell, MA. COMPLIANCE: PASSES Required UA = 338 Your Home = 334 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 504 30.0 0.0 18 WALLS: Wood Frame, 16" O.C. 654 13.0 0.0 54 GLAZING: Windows or Doors 130 0.320 42 DOORS 17 0.090 2 FLOORS: Over Unconditioned Space 210 30.0 0.0 7 SLAB FLOORS: Unheated, 2.0" insul. 210 14.4 213 HVAC EQUIPMENT: Boiler, 96.0 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 requirements of the Massachusetts Energy Code. 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 d J40.4. Builder/ esigner lu' ' Date — a "OCR IAORTH E Town of Andover No. Z dower, Mass. O • O �(� /D -z3 • � O oc����.tw1cX� � � A4R DRApP� S TED S E I BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT.jBUILDING INSPECTOR //..�.�'... '. ��.0................ .... .�..�.......................................................... Foundation has permission to erect...�y..�. L..�.. b ildings on ....l�. ..... �.0&0�'Y. #40%/!. . .RAI Rough to be occupied as.... .jecipr..... .. �........r ......�� ....4Ort' ,......................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relati g to the Inspection, Alte�tion and Construction of Buildings in the Town of North Andover. 6 �//, ( ' CDIa 6 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit.® Rough PERMIT EXPIRES IN 6 MONTH$ Final UNLESS CONSTRUCTION S.T. TS ELECTRICAL INSPECTOR Rough .........10000* ..................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. - srw'd3/OariV i Q?J 'Hitt lc�Joy]IH bil . �h E' F1 a a a -- -_ _ 0 O Do ___.-_._.__ --_-_1_- ------- c�H L?(N�s Ix3 I =„+7/i 37-1s I i � I - ---------- ------------ i i 7 =IL - - %/ Gj/ -- -- - / / -- -:. L i i +(141c, 1-7 44 P�lf�"A� ISTD �E�-tiT��cls'iltJ� I.JINR'TtJS );c+cYAT��xi� .tJl tixJ A31- FKKDM FWKI 1pt 1 �!piz.x tJrtJ Frn-Fic.IQ EyLsr Wlot�ow - Lc�Tla�l r. m s ExisT,1,-[A-LLS-To FEHNNS. --'` ----- ---- I o k, 1 IN -o i m�- , to lP � �iclsr Ci��To�EM�I� I i N�� 0 7, I tilEk1.W�1-�STo �15T CT } t : N 9 +� 41 C5L)r--F7C7r 01 — p 6PSEf�l L t�1T R�� to I la'ou�tuuc 6TY6 t/u =1 t11, -I'io ' of o }—��u1r\IT �✓r�i5"fC� Tion tine: c/4"_ILp,� .Pve411Eoe✓ J.5-N3� Exls`n n> Tlol�l ��e^^9-I(o- oZ C,r JI RE IDC"L-E 119 HicKoi,�,/ HILL FD. I�l.A1JLb/EK I (A LYA4,�v4 NVMBEC ��Tat� �1=t. Pty►,! Z oF- .3 I i i 1 { 45PN4L-(SEIIn LFS � Ki�ggE�. �cvFiNC-� IlZ"Gr�X Pty f�l��j sNEsmUt .. i Zx I' -- 2y I?j6ll D INsi� Tull RIK0S-T�PPil1C 5 51-11r�ES-.8 F'IuJIMu�;:►�---- j Frt1z 'I i i DQE i IZ { { Ix8 Iv�IX3 FI,� E rsT N��E �'�TI�Y�Vg :50FFIT 510 IJc---1 (M.A.C I%VEK EI, t_l��p Iff yLUEp 0'4 LG>--Fy I/Z�F�f� smuos I R- 19 rleEKc��Ss II.1SUt gT10� JoIS-M IG P�FPr n1Cu G, 'sr 7 e 16 0.c, INS�-i-ION i i n 2 CI ��10E_EfC.S�6 R-1911UE1zL�LSSS IkjSU;krOjj ! a � "LL "ASILL 5 2.'lC 1 ►aktD I^IS��.TiorJ DSP AL�4rklbl�Ep--rO �I.1CA-�tp�f, 6p Ig,4� z l Calie LT kAv L 10" I IJEt a r s E ,/y I a-ok.IC�L TKL)r- rJ SCALE: I Af II_I!O n APPROVED 8Y: - DAiE:4- t(p-OZ ORAWN BY�t S.H EQUIIDEt�IC Hit 1� r.I ORAWINO NUMBER X1 , 6 �aORTIi °ft"`°:•1"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SSACMUS� Thiscertifies that ..........::.......................'�,1 .... .......................................... has permission to perform .�...-:�?....��...............................�i. ........ wiring in the building of.....: .....././.. -!:.....�, ern i7r..............V............. at............... ...��..!. ..........(J..... ,North Andover,Mass. r Fee..1 .. Lic.No � ?;.:'� ....... :. - - ... �P :......... ELECTRICAL W pEcm �r G � 01/21/99 14:25 75,00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer TDEC0W0NWE4L7H0FARMCffVSEM Office Use only DEPARTMFM'OFPUBLICSAFM Permit No. BOARD 0FMEPREVEM70NRE9JTAT10AN5r04R 12* I 5Z J Occupancy&Fees Checked APPLICATION FOR PERMIT TO PERFORM 11LEWORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE IV ACHUSSTS ELECTRCOD 527 CMR 12:00 }� (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) n 'ZO Owner or Tenant ��� j�.0 Owner's Address Is this permit in conjunction with a building permit: Yes No a (Check Appropriate Box) Purpose of Building 1 W e—*i 1k Utility Authorization No. Existing Service D00 Amps/�Qvolts Overhead Underground E No.of Meters New Service Amps Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of LightingOutlets No.of Hot Tubs No.of Transformers Total 1 KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA Rround ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Bumers No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local —7-1 Municipal r7 Other _ Connections 4,1I.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER I InstrarceCo�R�ttotheragtmanaisafMGer�alLaws Iha%eaama#LmbtYharrxPdxyQrdt ¢gCartple>ae ota'a C �critssialac�ivalmt YFS NO �x Ihawsthnaedvalidptoofofs&nekrthe0Tm YES [Z NO r IfjouhmedvJwdYES,plemi�theNrc(wmagebydl�gthe bcx INSURANCE M BONDo C� o � ) � ,,,� oh� I VAiec(E�ical Wak$ / Wodci�Ssatt htsl>�irxtDa�Regt�sted Rtxgh I .� Foal ltd,'l/ ��A Sigrred ur&TX FIRMNAME LWWNTC, Z6DS�E Voeri9ee��AIQ/1 ��,,(I� t � Siglahae -� �_ Lioer>SeNo AddremCs Ae- ca AItTdNa OWNER'SPWRANCEWAIVER;IamawatethattheLio= the maraneammWrosaiAwtoleWvaiartasmgLmWbyMa%xhm%GerraalLam andiAnTy eaiftpemikWpfimdmwaiASthisrgl'mnart. (Please check one) Owner Agent Telephone No. PERMIT FEE$ Date. 3T. �7 6 To 3973 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING cmus This certifies that . . . . . . . .��.� . . . . . . . . . . . . . . . has permission to perform . . t?G kvv.4e? !0. .�.�. . . . . . . . . . . . . . . . plumbing in the buildings of . f! . . ./` i . . . . . . . . . . . at I-It C.�1.0 l. . . , North Andover, Mass. Fee. Yj�?.. Lic. No..c? -f.7 . . . . . . . .. LUMBING INSPECTOR 03/22/99 16:09 40.00 RAIU WHITE: Applicant CANARY: Building Dept. PINK:Treasurer wan CC n r,U 1 1 C 7 TC 11 n r-1'k,j T ION 7 n P q"'A I T Ti7) DO P tJ%, l F I N1 r- Mass . Date 19 r)erM-.- owne -oca:t ion M N I- q A7 a--e \ 9'. Type o f 0 c C 11,;0�'n C 7 FIXTURES S u b m i ed: ver. ❑ No Z' ul >- i Q, 01 1 :<j LM < a W z CL L6 LW cc -j - = 0 l- -I- < tid LL LLI/ - : ; 3: 0 < W LL Y. LLI 1 Z l.-. U < CL '4 0 0 < > < 0 z -.1 0 < M ¢ m a 0 I.Loza < SUB-BSMT. BASEMENT a IST FLOOR, 2ND FLOOR 0 3RDFLOOR :E x 4TH FLOOR 0 5THFLOOR 6TKFLOOR 7TH FLOOR 8TH FLOOR (Print or Type-) Check One: Certificate Company Name P FERRAKU PUG.- Corp. Address 72 HEMLOCK ST ❑ Partnership LEICESTER, MA 01524 [Firm/Company Business TelephcneSC8 694-4M Name of: Licensed Plumber -?N — I hereby certify that ail orulic dctaiisand in(omna:ion I lmvc;ubmiticd (or entcrvJ)in ahovc nrpfic-itiori arc trite and ncci!rve to the but of 111Y knowledge and that all iflunibing work and installations performed under Permit issucd for Uits application will be in compliance with all pertinent pio- yisions or the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. BI Title ;: Signature of Licensed Plumber of Plumbing License Citty/Town: ;Z0,+61 I i APPROVED (OFFICE USE ONLY) License Number El master journeyman Location No. ` Date ���' A NORTH TOWN OF NORTH ANDOVER „ Certificate of Occupancy $ * �� a Buildin /Frame Permit Feer CIL .^0— 9 J $ eta Foundation Permit Free/r3`�$""'! s�CHus Other Permit Fee $ Sewer Connection Fee $ r r /I/pA Water Connection Fee $ r'! Rq -' i� fz )11,9/jAL r $ Nop 2 /Vp And S 19y1 Building Inspector ®�erl�o// Div. Public Works r 14c� l ` . .!` . . . Location No. // r ( Date /� -'-�� NORTN TOWN OF NORTH ANDOVER f �,� 3? ��� • p . - p Certificate of Occupancy $ . s Building/Frame Permit Fee $ Foundation Permit Fee $ /G o. 00 Must Brtr ,R ,Vnnnii 7Fee $ Sewier Con'Tition Fee $ �h�d-jam � ,* ear-Connection Fee $ 1dl �• 0• Q!' �+t'C� OTAL Buil trig Inspector �, Div. Public Works PERMIT 11r0. 7` % PAGE 1 y APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. 0A +4 0. LOT NO. 2 RECORD OF OWNERSHIP iDATE (BOOK PAGE ZONEp��Z CI.51�— SUB DIV. LOT NO.� LOCATION tj PURPOSE OF BUILDING OWNER'S NAME nQ S -1-(� '7 n 1[Ty NO. OF STORIES SIZE OW. ER-S ADDRESS BASEMENT OR SLAB Z.y G�c�czDLd.�IJ ,P K. , HITECT'S NAME 11_ � �I SIZE OF FLOOR TIMBERS 1ST '7-Vv 2ND- +l 3RD BUILDER'S NAME �1 "7 ^ SPAN i�/ " �/I v • K/ LJ DISTANCE TO NEAREST BUILDING ys) DIMENSIONS OF SILLS\ Lk / QI DISTANCE FROM STREET ''r j„lO ' POSTS 3I/7_tl b iL t 2 (1, DISTANCE FROM LOT LINES-SIDES t Z2 REAR } I d4,��' GIRDERS //) ? (� AREA OF LOT x-71-7 021 L FRONTAGE 100) HEIGHT OF FOUNDATION (`] ( ) THICKNESS lot') t IS BUILDING NEW I(.J SIZE OF FOOTING �� X vee V IS BUILDING ADDITION A 1 MATERIAL OF CHIMNEY l IS BUILDING ALTERATION No IS BUILDING ON SOLID OR FILLED LAND SdL I WILL BUILDING CONFORM TO REQUIREMENTS OF CODE y�S IS BUILDING CONNECTED TO TOWN WATER y6Ts BOARD OF APPEALS ACTION. IF ANY / IS BUILDING CONNECTED TO TOWN SEWER >/6S5 IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION PERMIT FOR FOUNDATION ONLY LAND COST �-- SEE BOTH SIDES - �J IU[�� REGULATED Y PARA: 112.7 S.B.C. EST. BLDG. COST PAGE I FILL OUT SECTIONS 1 - 3EST. BLDG. COST PER SQ. FT. DATE: FEE PAID: y© l?7J EST. BLDG. COST PER ROOM 9 Z os'2 PAGE 2 FILL OUT SECTIONS 1 - 12 1 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED! BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS l PLANS MUST BE FILED AND APPROVED BY UILDING INSPECTOR DATEFILED �v u © BOARD OF HEALTH NATURE OF// NER OR AUTHORIZED AGENT F EsE00 //11 PE!IT GRANTED PLANNING BOARD Cam k;,t TEL. 373-176 1 BOARD OF SELECTMEN BUILDIN SPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY SiOR1Es THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE B 1 2213 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS I PLASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL S. FIN. 8'M'TAREA _ ,/i 1/7 l/. FIN. ATTIC AREA _ NO 8-M'T FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARD\'J'D _ ASBESTOS SIDING _ COM/AGN VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR II POOR ADEQUATE NONE 5 R OF 10 PLUMBING GABLE I Vl HIP BATH Q FIX.) Bi GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES i _ TILE FLOOR TILE DADO 8 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN. TIMBE MS &COLS. STEAM STEEL BMS. &15 L HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS '7 NO. OF ROOMS GAS OIL B'M'T 12nd I ELECTRIC 1st 3rd NO HEATING t a � ti FU IU-1 U TOWN OF NORTH ANDOVER LOT RELEASE FUM SUBDIVISION ASSESSORS MAP SUBDIVISION LOT(S) P)rRMA ENT ADD t 'S AS GNLD 13Y U.Y.W. STREET �G APPLICANT �. ti� PHONE �j-� -/�(>� DATE OF APPLICATION r �I (alp TOWN USE BELOW THIS LINE PLANNING BOARD A �Jjun'rE AF'PRUVI:U TOWN PLANNER DATE REJECTED CONSERVATION COMM S ON DATE APPROVED b/91 CON SER ION ADMIN. AT& REJECTED BOARD OF HEALTH DATE APPROVED /0// ` HALTS Ik,1 DATE REJECTED •;; DEPARTMENT OF PUBLIC WORKS �, •:�,' DRIVEWAY PERMIT SEWER/WATER CONNECTIONS FIRE DEPT. �64 �1 RECEIVED BY BUILDING INSPECTION DATE This form shall be signed by the agents of the Planning and Health Boards , the Conservation Coaunission prior to the issuance of any building; permits for the subject lot. This form shall not releive the applicant from the fill 1 LOT III !y � EIVVIRONEERS tl�CKoFzy HIL.L-Rota,N.ANDovt--R, ALFRED A. SHABOO, P.E. P.O. Box 516,160 Pleasant Street, North Andover, MA 01845 • (508) 683-3893 �RO POs Q � ITE- -D5-Vr--L,0r-Mf=-nfT - S czCt=M S LcR 19(4 1 IS 44�17L_ p-pwV G . ��� ��•� �� 1.5,E W c 170 ((08 d 2to '.' J,r 5XJ { IA 0 10) 44 1 �y2 /N `— N i — rr a 4.1 )�� - f / • u 0 ,14 1 / �—� lag N Lp Lp A , L OT &j (2-1, -1 8 b t ENVIRONEERS 14.,IC GOR`< HL_L_ Rc_%Ao,M.QNb0VER ,!' A' ALFRED A. SHABOO, P.E. *P.O. Box 516,160 Pleasant'-Street, North Andover, MA 01845 • (508)683-3893 - �Er(2TIFIELI FoUKjr_>AT1oN 1 ,LA AcKOT--kyHIL-L . L4 pi D� H H C K0 1 LL_ 0 A,lb _�I'RI v4TE:) I L4 w N I4v� 2 9 , �� �1 .y2, UL , , �!. N f GWJ�. ~ l 1J .SET: r N C�rRrtFY ` NA-r NA`t..... HE cJ .36 r _..._. .. .......... �•. , N S S{-�UWN__.. V.2O1kM . ��7 IH-tz ONLN� � � � ---�Y-.._-�A•WS.. .OF NO'RTH� ANDc1VER,.1. . tA.. .9 0 r ANk. N ovJl�t. t�E, c:, U5E_ F . 5AQ .. autLplNG EN5'PEGTU'_ .QNL. �N LNG ZNtNG 1 .UNFo'RMLTY 0- 0 ., l F. >�,•� ,•. o� per- A `�� N T � r N �lhvo L� 1� o,g A -_ SEWER/V'JATER _ _FINA L %0V1110WZ1-aVF 1 IV 9V _r11MAL rL.ANNINU_ JINAL jAORTFj 9 Town of 60 Andover No. 468 0 DRIVEWAY ENTRY PERMIT - - erMass. 19�� A C H HEWICK y OR P�\ SS BOARD OF HEALTH FERMI L 0i THIS CERTIFIES THAI, 7W#Mfi$.... .. � ,� �.......................... BUILDING INSPECTOR 49 has permission to . mp .;fJjjf/1jjFingson/jJ.f.A KA r(,e. �...... Rough . ... y Chimney to be occupied as ,,,, "' Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. PERMIT.F,OR-FOUNDATION ONLY Final VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA: 111.7 S.B.C. PERMIT EXPIRES IN MONTHS DATE/0'2-J"9/ FEE PAID: M'� ELECTRICAL INSPECTOR NN�LESS CONST C N S ARTS SeryePERMIT FOR FRAME/R1.III. Final �. l/ 5 .. .. ..... ... . . ............. ......... FEE " J ��� BUI SPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildin Rough i Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by STREET Nrt, Smoke Det. Building Inspector a CERTIFICATE OF USE ft OCCUPANCY i Building Permit Number 468 ( 1 9 9 1 ) Date F F B R U A R V 26 , 1 9 9 2 1 THIS CERTIFIES THAT THE BUILDING LOCATED ON 119 H I C K U R V HILL ROAD ( Lot 8 ) MAY BE OCCUPIED AS SINGLE F A M I L Y DWELLING IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. i Of VAORTF{ . qN o 4. CERTIFICATE ISSUED TO T h o m a.5 Z a h o t u i k o oodtand PaAk DAive ADDRESS 2i,9SSgCFH usE" Building Inspector.- 1 i SE�IV�RI �TERc � INA�, ��d� lb �_� ► ,ti-�—fIVA1. rJ..A141 9NU ICA _FINAL TN own of ndover No 468 ;^ DRIVEWAY ENTRY PERMITower, Mass. 19 � AA CHEWICK E r ! BOARD OF HE H 01 PERMI r9 THIS CERTIFIES THAI. rWOMAI.$ „ . ..� . nP .... . . ... ........................... WFFi TOR has permission to �0P. ... ings o�� �oer yO. WeV to be occupied as .. ..... .... 5ww .... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in MBIN?�INP CT this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of ffg �\\( � y Buildings in the Town of North Andover. PERMIT FOR FOUNDATION ONLY ?� VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA: 111.7 S.B.C. inC ✓ � PERMIT EXPIRES IN MONTHS DATEXII.2d"I/ FEE PAID: ��'� ELECTRIF77 OR I�IEESS CONST C N S ARTS Se�ice PERMIT FOR FRAME/Rtlll_AING Final FEE F 1 _2'_,C�_SG.� BUI SPECTOR - GAS INSPECTOR Occupancy Permit Required to Occupy Buildin Rough Display in a Conspicuous Place on the Premises Do Not Remove Burner ©IREDT. No Lathing to Be Done Until Inspected and Approved by SSTREETmoke et`' Building Inspector ector � Ii Town ol, C:c)NtiI.I(VATION �'`' I►I�'I:;r►►rv►►I li;l 'r ;ti'.� I „ I Il:i\1,'1'11 - I'ANININ(; I'L,INNINI; Kc (;Of1ll�ll!NI'I'1' 1)l;�'l;1.O!'111liN"1' •\Itl:1�' I LI ', Nlil tir )N, I )Iltl:(: I OIt CHIMNEY APPLICA11014 ANU IT13111' • 0'E 'CATION ��a8 'NER'S NAME: ILDERIS NAME: ��Jy��Z SOWS NAME: SON'S ADDRESS: SON'S TELEPHONE:_ .VERIAL OF CHIMNEY: rERIOR CHIMNEY: BILIZIOR CHIMNEY: MER ANP SIZE OF FLUES: [CKNESS OF HEARTH: '.e cfIALIrliley an. (�Aepeace con(pun to Vie 11equ,iJ(erne114:5 v() the core and have ,uiCe3 alid Iutati=6 been hece�ved: _E. NATURE OF MASON: :MIT GRANTED: FLL Z5 'ERT NICETTA LDING INSPECTOR ;PECT-ED: (ARKS: SOLID BLOCK Hl qulItI U THIS PERMIT M(ISF GE VISPLAYLU 014 111E 1TIMISES Date.. ...... . . ..... .... ORTM o� TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION �,SSACMUSEI 1 This certifies that . \. . . . .er. . . . . .l. . . . . . . . . . . . . . . . bias permission for gas installation �!. . .. U—tit IJea.� in the buildings ofS . .� � �.�( �.l . . . . . . . . . . . . . . . . . . . at . . .o 1. N.l�. . . ..i , North A dover, Mass. s� Fee. . Dt Lic. No.� oSy� . :'Dkoz?%IPA . .g .---- GAS It PEC R Check# 4272 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS Ffrr]NG (Type or print) Date e(? d003 NORTH ANDOVER,MASSACHUSETTS ,. Building Locations / 'L Permit# -°' Amount$ 3 0 , S O Owner's Name Are, 4 29/7e4 U New[3"' Renovation ❑ Replacement ❑ Plans Submitted ❑ w � oF O w cG p O a O F O O A O F a' SUB-BASEM ENT BA SEM ENT - 1ST. FLOOR 2ND. FLOOR 3RD . FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH . FLOOR 8TH . FLOOR N(Print ame or )• V m h +�, one: Certificate Installing Company Lj Corp. Address 6 JF:7Co i Business Telephon -^ F . Name of Licensed Plumber or Gas Fitter 93 4- � l INSURANCE COVERAGE Check one: I have a cuffmt liability Insurance policy or it's substantial equivalent. Yes No❑ If you have checked yes,please and a-the type coverage by checking the appropriate box. 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 ofthe Mass.Gen9ml Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ 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 Permit leeued for this application will be in compliance with all pertinent provisions of the Massachusetts Sta a and Ch er 14 Gene 1 Laws. By: ature of Licensed Plumber Or Gas Fi er Title Plumber / City/Town itter License Number j--Master APPROVED(OFFICE USE ONLY) ❑ Journeyman Date. .. . . . . . .. .. . <<"•ORT:�ti, TOWN OF NORTH ANDOVER 0 M00 PERMIT FOR PLUMBING SSACMUS� r This certifies that . .�0�V. . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . e 0. �. . . . . . . . . . . . . . . . . . . . . plumbinin the bui dings of . . . t.��`& . . .�{.u at. . . I . . .� V.. �. . . . .�� �. . . . , NT;- ' Andover, Mass. Fee. yU. . . . .Lic. No.)C!.�10 . -s.•.'D,v�-2 ; � PLUMBING INSPECTOR Check # °� 5488 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS kers / DateRBuilding Location �� (}� Name i ? 57 e7- Jvi Permit# /� i✓�Amount z/ Q Type of Occupancy 1)P5 J SPH q l•'' New Renovation �/� ReplacementEr" _ Plans Submitted Yes No ❑ FIXTURES V. SLRF &LS�1vIIv' lS)C)HIDOI2 FLOCIZ "M MOOR 4M M 5II3)NIt 6M.MOM — 7M FLOC!!t 8M H-OOIZ (Print or type) Check one: Certificate Installing Company Name Corp. Address +aParte .r cyl D usmess Tee one — 7 Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature ; Owner ❑ 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 perfo ed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachus nbing Code 2! ha of a General Laws. B y: igna ure oi Lxenseuum er Title Type of Plumbing License a City/Town License mer Master ZI/Journeyman APPROVED(OFFICE USE ONLY 11 �1 Date....�.......'3... ..... N°RTH TOWN OF NORTH ANDOVER ° p PERMIT FOR WIRING ,SSACMUS� This certifies that ......... .................t -................................ ,.—....... has permission to perform ....: ............ wiring in the building of...:... €, .................................................. ' ,North Andover,Mass. Fee...Z`?.....,...... Lic.No:�.:..:{ � �.. .....:. ........................... ELECTRICAL INSPECTOR Check # ` 9,5' 43 - 5 THE COA 1ONMALTHOr'AASSACHU,SM,S Office Use only DEPA)UA1FNNI0FPUBIICSAF= Permit No. 13(j5 BOARDOFFMPREVFVTIONRWULAHONS527CMR12..VO �- ee Occupancy&Fees Checked APPUCATTONFOR PERMIT TO PERFORM ELECTRICAL WO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the dspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) 412 4Lchl)e" ` Gt . Owner or Tenant , Owner's Address ✓M Is this permit in conjunction with a building permit: Yes r7l No (Check Appropriate Box) . Purpose of Building equ X/A- Ci Utility Authorization No. Existing Service �,,-aAmpV oIts Overhead © Underground No. of Meters New Service Amps / Volts Overhead Underground ED No. of Meters Number of Feeders and Ampacity Q Location and Nature of Proposed Electrical Work — 19 4 (Jjr/ y� QCi No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA . No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ID ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. TotalJ J FIRE ALARMS No.of Zones Tons ,. - No.of Disposals No.of Heat Total al _ No.of Detection and 11 Pumps Tons KW Initiating Devices �'��• No.of Dishwashers Space Area Heating KW No.of Sounding Devices �------ No.of Self Contained Detection/Sounding Devices �- No.ofbryers �.. Heating Devices KW Local Municipal er � e- - �Connections No.of Water Heaters KW No.of No:of _ Signs ate- Bailasis No.Hydro Massage Tubs No.of Motors Tnral HP OTHER- 0-1��; [� R* 7nAualoeCo�Puts<ranttnthe ofN1GalelalLaws 1haNe aa=tLmbkykmancrFbhLymduftCarpleeOpwwmCDmxaWoritssubstmWe rivalat YES NO IhaVmbm tedvandptoofofsa=1DtbeOffm YES � If}ouha%edr l(edM plea9einr)i�ethetypeofCDWrJgeby d>�gt�--- box _ IIVS'[lI2AI�K'E BOI�ID O�IElt Y) r 1,21, l/,5�7 t Q EVi�6onDale 0 WodcRou�I / P ValreofflettricalWork$ toStart 0 � Dai SignedundcrTr of FMMNAME �/Y v ,� _ o LicenseNo 2 3 [ioensee LiceMNOillJ UG lel Ait Tel No. - C DWNER'SINSURAM1WAIVII2;Iamawarethatthel-iomsedoesnothave111eir>stuanoeoovaageoritsstbtan equivalent asWmedbyNbssachusetts Cieneral Lam nidthatmysignahueondmpmntapp}kationwaives(trisrm memalt .Please check one) Owner Agent �J Telephone No. PERMIT FEE Signature of Uw-n—er Or gen Location No. Date M0RT1y TOWN OF NORTH ANDOVER Certificate of Occupancy $ ' Building/Frame Permit Fee $ = Foundation Permit Fee $ ss�cHusE Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL #` C71 Building Inspector 91/04/99 'j 13:3'2 58.00 pATD t 2 0 3 1 Div. Public Works II , j PI?RMIT NO. 60 APPLICATION FOR PERMIT TO BUILD*****/NORT11 ANDOVER, MA At(I'ND. 1.0 f. 2. RECORD of O%YNLRSIIB' v DATE BOOK PAGE 7OhE SUB DIV. 1.0['NO. y 1.()(:.Arl(IN lici iA1�r RM ���l )14 PURPOSE OFBUllDING tfNl k aykm I� NO.Of:SrORIES SIZE OWNER'S NAME 1"I►ct�k�.i z JdI'12t _ 111 ( WNER'S ADDRESS 119 r l I `{t t l ej& BASEMENT OR SLAB RD ARCI IITECCS 1`IANIE SIZE OF FI.00R TIMBERS I ST 2 3 lit DEN'S NAME Ari6re.►v i' , for Cijcr Nie SPAN DIS 1 ANC E TO NEAREST BUILDING DIMENSIONS OF SILLS DIS FANCE FROM STREET DIMENSIONS(N:POISTS DISTANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LOT FRONTAGE I IEIGI IT(N'FOUNDATION THICKNESS IS BUILDING NEW =SIZE OF.L(X7rING a X IS BUILDING ADDIIION II MAIERIAL OF CHIMNEY IS BUILDING ALTERATION Fin (S Y I SLme� IS BUILDING ON SOLID(NrFI1.LED LAND WILL BUILDING CONFORM TO REQX HAMENI S OF CODE IS BUILDING CONNECTED 10 TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING C014NECI ED TO TOWN SEWER IS BUILDING CONNECTED TO NA FURAL GAS LINE INSITCI'IOJVS 3. PROPkR'n,INFORNIA"ION LAND COST ES i'. BI.rxi.COST I SECTIONS PAGE I FILL O( r SECTIS 1-3 ' ��� EST..BLDG,COS r PER SQ. FT. { ,cro _ oil- c22/1 ES). dl.IXi.Cl)SI'PER H(XNd EI ECTRIC 1.-IE'I ERS I.4(IS'► BE ON(()'(SIDE OF BUILDING SE'PT'IC PERMIT NO. 01 AI-1ACIIEDGARAGESNIIJSTC(NJFORtt I FOSTATEFIRE RECULATI NJS J. APPROVED H1': .( PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECr(Nt Hlll NG INSPECI'OEt --f Y DATE ICED as � OWNERSITII915 CONTRA FLH CYNJTIt.I.ICI� 0 I��I� ��: 1; r J ,JAS_..._•.----_ >I A rl IRE lN=ON'NGR(I A(I II I)RI' )AOI:N'I' _ ILLC.N �� 111. I'IIt1,llr(B(ANIPU Q oZ 19 Y V 34, � s - Iry Cci I i Qf maLe 5a Itom —j ! i I i I � • / SCP I I ! f C i0c.t ! — Nom% SW u)aIlS FID O �c�St�►� s��p4�ts V(cw fr om 1.0-4A 1.1 qf.()c�Ul X(P" 5�4 W611 Y re.lbcc,:L cimr rNuR 5ccovld n616W -tl> arnIna-( am t �►xdo I' Ick+oma orlon l c6 r i t4ORT Town of over .. p - L a3 19C( S * AL. dover, Mass., 1 *1 O s LAKE .- 9—COCH11 HE WICK L �' i -qs '9a r E D AP BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT. �../..' ... v!'! �'........... ...v.. ..................................................... ........... Foundation has permission to erect....RA)1.444........ buildin s on ....1.. .... ......... . . o:r. ....'.1- I R Rough PbMEMO%uildings 1;�J�0 Chimney to be occupied as.... provided that the person accepting this permit shall in every respecl conform to the 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 cc #& Final 1 q3 PERMIT EXPIRES IN 6 O THS ELECTRICAL INSPECTOR ✓ UNLESS CONSTRU N ART Rough ........ ... .. ................... ..... ..... ... .... ..... Service - BU.. IL G INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. 3 ,1 5 ; /. .. /. Date.. "�`? •••• NORTH TOWN OF NORTH ANDOVER o �2 PERMIT FOR GAS INSTALLATION F 9 i • ACHUSEt n This certifies that . f .r. . . ... .l3AA<2 /n�<�. . . . . . . . . . . . . . . o• has permission for gas installation . . r. . . . . . . . . . . . . . . . . . . .. in the buildings of . �2? ft.�. . . . �'.l. . . . . . . . . . . . . . . . . . . . . . at .l�y. .fi�!r.0 L+.`/. . .,� !. �. �. . . . . . .;,North Andover, Mass. Fee. vl.7. . Lic. No.2 a S!:Y7. . . . /dAS INSPECTOR f WHITE:Applicant CANARY:Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAG (Print for Type) NA\ t�11(Jl(��� , Mass. Date 3 �� 19� Permit #'j; Building Location . Owners Name_m Z tQ�__ Type of Occupancy_- InZ�Qf�Q+r1�\(� ' New p( Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No d N N WN Y Z cc of N N V U3 Iz W ¢ 0 0 N = 2 W W N Q O s m Q Z, 0 W 4 k < ¢ Z ' O W ¢ O O I. < m N F y W Od C W ¢ Y1 < I, y � 4 W W 0 J Z < S ¢ W ¢ W H cc W I-� XfA cc 0 F 2 J h Z r.. W W � O � LL. H W J Z < W < C I >- to m 2 0 Z O y~ i < W > W O 2• < ¢ < < O O W E O W 1•- c L 3 a oj c., ¢ > c 0. F- a SUB—BSMT. BASEMENT IST FLOOR • 2ND FLOOR ' 3RD FLOOR I 4TH FLOOR I STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name R FERRARO PLG. Check one: Certificate Address 72 HEMLOCK ST. ❑ Corporation CEICES I ER, MA U1 024 ❑ Partnership Business Telephone 89 _14&10 Firm/Co Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE: I have a tortenYfiability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 191 No ❑ If you have checked yes. pie-a—se Indicate the type coverage by checking the appropriate box. A liability insurance poli ( Other of policy type 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: Signature of Owner or Owner's Agent Owner❑ Agent C3 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 pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the al Laws. BY T of License: Tie Plumber Ng—nature of Licensed Plumber or Gas Fitter fitter rt er License Number City/Town Journeyman I NL BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE r NO. APPLICATION FOR PERMIT TO DO GASFITTING NAME & TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIC. NO. - t PERMIT GRANTED DATE ,19 OASiNSPECTOR r CERTIFIED PLOT PLAN LOCATED IN NORTH ANDOVER, MASS. SCALE:1"= 30' DATE:4/16/2007 6/11/2007 LOT*7 6/20/2007 Scott L. Giles R.P.L.S. 299 97' Frank. S. Giles R.P.L.S. a50 Deer Meadow Road WETLANDS Z North Andover, Mass. 107'+/- i DRAIN V EASEMENT W i 4°1' LOT#8 w PLAN#11,911 56 57' AT THE N.E.R.D. 27,788 S.F. w Q w 2¢2 g2a PRo cr I 18' "006i ' E 86 35, v o v o OFFSETS SHOWN ARE FOR THE USE tH OF q I CERTIFY THAT O THE OFFSETS OF THE BUILDING INSPECTOR ONLY may' SHOWN COMPLY AND SUCH USE IS FOR THE �" S WITH THE ZONING DETERMINATION OF ZONING BY LAWS OF CONFORMITY OR NON-CONFORMITY g �• NORTH ANDOVER WHEN CONSTRUCTED. WHEN BUILT 1L LAt�g CERTIFIED PLOT PLAN \� LOCATED IN NORTH ANDOVER, MASS. SCALE:1"= 30' DATE:4/16/2007 6/11/2007 612012007 Scott L. Giles R.P.L.S. C> .97' Frank. S. Giles R.P.L.S. C> 50 Deer Meadow Road WETLANDS Z North Andover, Mass. / 107'+/- J DRAIN / EASEMENT w LOT#8 �� PLAN #11,911 56 57' AT THE N.E.R.D. L 2 7,788 S.F. Lu i / Q w i 242. a c"- I 2 16' POO P EX)WD.HSE Q 40 Cb 86.35, o o OFFSETS SHOWN ARE FOR THE USE V 1 CERTIFY THAT THE OFFSETS OF THE BUILDING INSPECTOR ONLY SHOWN COMPLY AND SUCH USE IS FOR THE WITH THE ZONING DETERMINATION OF ZONING V BYLAWS OF CONFORMITY OR NON-CONFORMITY L NORTH ANDOVER WHEN CONSTRUCTED. 5972 WHEN BUILT ER `�� IAIM