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Miscellaneous - 121 CARTER FIELD ROAD 4/30/2018 (3)
i ia� C�r.� � �P� � j C' Date.... .e.7..... .... . ......... .. .... ,,ORTII A TOWN OF NORTH ANDOVER 0 i PERMIT FOR WIRING This certifies that ..... ..................... ........ ................................. has permission to perform ...............................................d—x S.............................. wiring in the building of............ 7 ko ............ .............................................. • at.......................................................... ........; ............. .North Andover,Mass. Fee..'76............ Lic.No. ...... ................. ELECrRIC;�liNSP'E*'*r'***'*"*'*******' Check # 7533 AM Official Use Only Permit No. 753 . .1.JsParfman�o�.}irs�QrviCad Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 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 I (PLEASE PRINT W INK OR TYPE EVFORMATION) Date: 0 -O City or Town of: .�� 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) l2/ C��✓G�" �'�� ,r� Owner or Tenant . 04-' L� � �y%bS�t' Telephone No. Owner's Address r e, Is this permit in conjunction with a building permit? Yes ❑ . No (Check Appropriate Box) Purpose of Building 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: y� (� 2 Gur t p r trt Larrr S q s-n- t Completion of the followingtable inbe waived by the/ns ector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans o Total � Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ n- ❑ o.o Units Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE-ALARMS No.of Zones and No.of Switches No.of Gas Burners o.o ete Initiatingng Devices ces No.of Ranges No.of Air Cond. Total No.of Alerting Devices g Tons No.of Waste Disposers eat um er ons o.oSelf-Contained Pump p Totals ".. . Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Conecion ntOther No.of Dryers Heating Appliances KW curoity. stems: uivalent No.o atero.o o.o Data Wiring: Heaters KW Signs Ballasts No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP a ecommunications Wiring: No.of Devices or Equivalent OTHER: 9 7-a Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electri l Wor &d� ? (When required by municipal policy.) Work to Start:-- Inspections to be requested in accordance with MEC Rule 10,and upon completion. 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 ® BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury;that the information on this application is true and complete FIRM NAME: Avb-T Se✓e tur(: Sc-rvcceS LIC.NO.: S3 3 �- Licensee: 41;1h-1114-r TAY/0/Z Signature LIC.NO.: 06. (Ifapplicable,enter "e empt"in the license numer line.) '/ Bus.Tel.No.: & ` s -s 9' Address: L 1 NTQ� �+eQ4304?_ 1�/�ts , Alt Tel.No.: _ i *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. L Gt 7 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 hgreby waive this requirement. I am the(check one)❑owner ❑owner's a ent. Owner/Agent PERMIT FEE: $ S Signature Telephone No. i DOMMim f ✓ rG� Department Of Public Safety One Ashburton Place, Rm 1301 Boston, Ma 02108-1618 License: SEC SYS CERT. CLEARANCE Birthdate: 12/23/1974 Number: SS CC 002577 Expires: 12/23/2007 Restricted To: 00 WILLIAM M TAYLOR JR 18 CLINTON DR • HOLLIS NH 03049 • ==.: =- :. 67.0 Keep top for receipt and change of address notification. DPS-CAI u 5OM•05/06-PC8490 �e TOommaa�ueall� o�,/�«aaac�uaek2 DEPARTMENT OF PUBLIC SAFETY I UvLicense: SEC SYS CERT.CLEARANCE Number: SS CC 002577 Birthdate:'12/23/1974 Expi?es:'12/23/2007 Tr.no: 67 0 _ Restricted:,00 Commonwealth of Massachuselts Division of Registrabon: • °'. WILLIAM M TAYLOR�JR ,:i:t Board of Electrical Exa-R`ttf1€i';._ 18 C:II.TON DR HOLLIS, NH 03049 '^" ' DIG SAFE CALL CENTER: 888 344-7233 1 Commissioner ( f WILLIAM- 41E-" - -_ -TftYi FZ:_'�' 27 STONE11 APT 6 :-• LONDONDERP.)F:ENI ti3 218290 Systems Techn®r 10099-D 07/31/2007 — 003217 License No. Expiration Date. Serial No,, t07ov 40M e M M1 W I� .Ii�i�LVWVV VV ✓H//ALV Vr gv Deval Patrick Thomas O�IO�IOI� Thomas G.Gatzunis,RE Governor �j ex-�G/-Ofea/1 00�.G6 .G.G.G commissioner Timothy Murray /-/.G/-OOIeY Thomas P.Hopkins Lieutenant Governor Director Kevin Burke d6�' www.mass.gov/dps Secretary TO: Local Building Inspector Variance Number:os 129 Local Disability Commission Independent Living Center FROM: ARCHITECTURAL ACCESS BOARD RE: Meeting House Commons Clubhouse 121 Carter Field Road North Andover Date: 1/9/2007 Enclosed please find the following material regarding the above location: Application for Variance ZDecision of the Board Notice of Hearing Correspondence Letter of Meeting The purpose of this memo.is to advise you of action taken or to be taken by this Board. If you have any information which may assist the Board in reaching a decision in this case, you may call this office or you may submit comments in writing. W OOOL�LLL//// OV///` /✓-�/�j V/ IE�P��P�Q!L/K/'V 4 ale Deval Patrick '• llt�lt� Thomas G.Gatzunis,P.E Govemor el yp�O66O Commissioner Timothy Murray cl �i /.G /y yp7y- //� Thomas P.Hopkins Lieutenant Governor Director Director Kevin Burke 6 �/-066 " www.mass.gov/dps Secretary AMENDED NOTICE OF ACTION RE: Meeting House Commons, 121 Carter Field Road North Andover 1. An application for variance was filed with the Board by• David H. O'Sullivan (Applicant) on August 21, 2006 The applicant has requested variances from the following sections of the20 06 Rules and Regulations of the Board: Section: Description: 28.1 Petitioner is seeking a variance from the requirement of having to provide an elevator in new construction, and is proposing to install a vertical wheelchair lift serving two floors of a three story building. On December 8th 2006, O'Sullivan Architects Inc. submitted to the Board costs relating to an elevator installation and cost for the installation of a limited use elevator(Lula) 2. The decision was reviewed by the Board on Wednesday,January 8, 2007 3. After reviewing all materials submitted to the Board, the Board voted as follows: CONTINUE: this variance request for Section 28.1 so that the architects of record can provide some dimensional test drawings and cost estimates for an elevator, limited use elevator(lula) and vertical wheelchair lift. (this Decision was issued on September 11, 2007) .GRANT: the variance to use a limited use elevator in the new construction of Meeting House Commons,the Board voted that because of the"use" in this case a lula was better suited to the project than a vertical wheelchair lift. NOTE: If the work being performed is reconstruction, renovation, addition, or alteration, compliance with this decision must be achieved by completion of the project and prior to final approval by the building department. Otherwise, if the work.being performed is new construction, compliance with this decision must be achieved prior to the issuance of an occupany permit. Any person aggrieved by the above decision may request an adjudicatory Dearing before the Board within 30 days of receipt of this decision by filing the attached request for an adjudicatory hearing. If after 30 days,a request for an adjudicatory hearing is not received, the above decision becomes a final decision and the appeal process is through Superior Court. Date: January 9, 2007 cc: Local Building Inspector ARCHITECTURAL ACCESS BOARD Local Disability Commission Chairperson Independent Living Center. m d e// 40( I� Deval Patrick' a��2GGCiI�ti�QPlf'Q' ��7��7�1lI Thomas G.Gatzunis,P.E. Governor �+ ypO Commissioner Timothy Murray y yO y //� Thomas P.Hopkins Lieutenant Governor ���/-i/�G/-��liY Director Kevin Burke govld .Secretary www.mass. ps REQUEST FOR ADJUDICATORY HEARING RE: Name and address of building as appearing on application for variance h do hereby request that the Architectural Access Board conduct an informal Adjudicatory Hearing in accordance with the provisions of 801 CMR Rule 1.02 et, seq. as I am aggrieved by the decision of the Board with respect to Sections of the Rules and Regulations of the Architectural Access Board,521 CMR. I understand that I may request such a hearing within thirty(30) days of receipt of the Notice of Action. Date:. Signature PLEASE PRINT: Name Address City/Town State Zip Code Telephone PLEASE NOTE: This form must be received by the Board within thirty(30)days after receipt of the Notice of Action. F-vc� 13U1L.D1Nb ..AST, rr> L� NOTES: 1) THE BOUNDARY INFORMATION SHOWN HEREON WAS ' TAKEN FROM A PLAN ENTITLED "PLAN OF LAND, MEETINGHOUSE COMMONS AT SMOLAK FARMS, MAP 104A LOT 19 SOUTH BRADFORD STREET, NORTH ANDOVER, all MASSACHUSETTS"; SCALE: 1" = 80'; DATE: JULY 20, 2001 BY THIS OFFICE. RECORDED AS PLAN #14828 IN THE ESSEX COUNTY NORTH ti6�9 DISTRICT REGISTRY OF DEEDS. AS— Ul 2) THE INTENT OF THIS PLAN IS TO SHOW THE AS— CFOUNDATIO BUILT LOCATION OF THE FOUNDATIONS ONLY. UNIT #19 TOP=151.1 3) THE FOUNDATIONS SHOWN HEREON ARE NOT WITHIN THE 100 YEAR FLOOD ZONE AS TAKEN FROM THE ,66� FLOOD INSURANCE RATE MAP FOR THE TOWN OF t-4MAP104C LOT 30 NORTH ANDOVER MASSACHUSETTS COMMUNITY PANEL �f NUMBER 250098 0007 C, MAP REVISED: 6/2/83- FO DA /2/83.FOUNDA / \4k U14 #20 I T p=153.9 ` �S68'52'25"W 12.21' 1 HEREBY CERTIFY THAT THE FOUNDATIONS SHOWN HEREON ARE THE RESULT OF A FIELD SURVEY MADE ON JANUARY 3, 2006. I AS—BUILT L ' FOUNDATION CHRISfpPHER u� . UNIT #21 FRANCHER I PREVIOUSLY cs Q I CERTIFIED 9. co 3 I I a. LICENSED LAND SURVEYOR DATE V I I /FOUNDATION ' OI W PUNIT #22REVIOUSLY CERTIFIED FOUNDATION PLAN ,t? CERTIFIED r 5 J���� �.� GRAPHIC SCALE MEETINGHOUSE COMMONS — UNITS 19 & 20 I -j` J ' OOPo��o / 0 25 30 100 MEETINGHOUSE ROAD NORTH ANDOVER, MASSACHUSETTS J �� U37 PREPARED FOR �' (W FEET) MEETINGHOUSE COMMONS, LLC MAP 104C LOT 28 0°� �` 1 inch = 50 it. 121 CARTER FIELD ROAD NORTH ANDOVER, MASSACHUSETTS 103 Signs Road, SuNs One 00 BITUMINOUS CONCRETE\ \ \\ \\`^� i�N = Salem. Now HampsAlro 03079 o _ 603) 893-0720 MHF Design Consultants, Inc. ENGINEERS• PLANNERS•SURVEYORS i IN, \ IN \ SCALE; 1" = 50' DATE: JANUARY 18, 2006 DRAWING N0. DESCRIPTION BY DATE DRAWN BY: CHECKED BY: PROJECT NO. NAME a REVISIONS JAC CMF 108800 1088CFP.DWG 59U2 • Date..g=e............S� + TOWN OF NORTH ANDOVER PERMIT FOR WIRING CHU This certifies that .....AAA....e.QMP..................................................... has permission to perform ...... ......................... of.... .....CPAk..W.0..N..I wiring in the building .... ... .. ... . at. . ................... .North And Mass. ..................................... For— ...... Lic.No. ....... ....... ELECTRICAL IN Check # i i Official Use Only Permit NoT?& . ?wg ed7? Ld?2ZU£ffl'?>7f d��3fS.S�f( l.Sc�7S Det �uCli�Sa6ity Occupancy&Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00< APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK � J All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 r (Please Print in ink or type all information) Date L-� To iiw lnSpc-avr of Wires: Town of North Andover The undersigned applies for a permit to perform the //electrical work described below. ((�� Location(Street&Number Owner or Tenant ` _ -- Owner's Address k, n- Is this permit in conjunction with a building permit Yes 0 No 0 (Check Appropriate Box) Purpose of Building 4 e M+ Gi2 vw-X2 Utility Authorization No. Existing Service Amps Volts . Overhead 0 Undgmd 0 No.of Meters New Service Amps Volts Overhead 0 Undgmd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work -E w c-4--C,_k 1 c A-f,- VLf, S IQ-C Y z Total No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA Above 0 In 0 No.of Lighting Fixtures Swimming Pool gmd 0 gmd 0 Generators KVA No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners Battery Units No_of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Inflating Devices Heat Total Total No.of Diposal No. Pumps Tons KW No.of Sounding Devices Not of Self Contained No.of Dishwashers Space/Area Heating KW Detection/Sounding Devices 0 Municipal 0 Other No.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Signs Bailases Wiring No.wydro Massage Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE_ Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivale GY )= NO ha valid proof of same to the Offi S NO - If you have checked YES please indicate the type of coverage by checking the appropriate box. SURANCE BOND - OTHER a (Plea�ify) ti 5 U 9-O-r.e_..Q r vp (Expiration Date) Estimated Value of.Electrical Work$ /)0 D Work to Start 1- L -D ' Inspection Date Resquested Rough Final Signed under the Penalties rlury: FIRM NAME `f� _ 015N \�- +- �% a LIC.NO. �t Licensee A Lin, L ! A•StS� $2.Ljj i a r� Signature i_ LIC.NO. ?7S-7 3 I Bus.Tel No. -7qf Address 7th Ilk Yi0 O i!Ey(/2 0�/] Aft Tel.No. S 79 do C Q 7&r OWNER'S j NSURANCE WAIVER: I am aware that the Licenses bbes not have the insurance coverage or its substantial equivalent as required by Massachusetts General Labs.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE $ (Signature of Owner or Agent) � O t Town of `�'�,�,�+�'• NORTH ANDOVER O BUILDING PERMIT INSPECTION REPORT f 3 �y q/a� ��Q f`� qA PERMIT NO.: 7 PROJECT: Ipl VECT404 DATE: UNIT NO.: 1 FLOOR: WING: BUILDING NO.: I'2 REMARKS: Excavation-depth and soil conditions Framing- Other: Date: Date: Date: Inspector Inspector Inspector Footings and foundations and drains- Insulation- Other: Date: Date: Date: Inspector Inspector Inspector Electrical-rough- Plumbing and/or gas-rough- Other: Date- Date: Date: Inspector Inspector Inspector Electrical-final Plumbing and/or gas-final Other: Date: Date: Date: Inspector Inspector Inspector Fire Dept- oil burner,tank,stove,smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: C of 0# I Inspector Inspector Inspector Form#995 Action Press,885-7000 � M h• .. 7A w is # 'SSA NUv.t~y CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number Date 3 "a o -a oD THIS CERTJMS THAT THE BUILDING LOCATED ON -/-£i2 -,Z 7l F l / MAY BE OCCUPIED AS cS //v q �/2 IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATTONS AS MAY APPLY. CERTIFICATE ISSUED TO C r � Building Inspector I NORTH Town of f 4 over No. Fr ,X _a 0 O C_Odower, Mass., 3 ' DRATED S E BOARD OF HEALTH PERMIT T D Food/Kitchen _ Septic System 41 el o ��e BUILDING INSPECTOR THIS CERTIFIES THAT. 1...,).ra...... ! ....... .......... . Co r 10 Foundation /WN�-� --� has permission to erect..............1........................ buildings on. o .. .... /a �A�y���'�%l ��l .I . ..... .......................................................... Rough to be occupied as Rpqrn, ,:P'J& BATH Sfa �Gh�� Iro y 9DC'... ...................................... ............................ .............................S.... . .J.t.��►.�.�r....i.�... e-A J �" 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 relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. f a 5�yo — PLUMBING INSPE OR VIOLATION of the Zoning or Building Regulations Voids this Permit. ou n;�--0•� PERMIT EXPIRES V I 6 MOS final �;�c2 ^U y UNLESS CONSTRUCTION STARTS ELE c sP� , - OUR If............................................✓......................................................... BUILDING INSPECTOR Occupancy Permit Required t0 Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove ina �3-Lz" �y 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. l a r Location V oA 3 4 l oa� CA��*f t i, �C�l No. ! Ct Date Cf- (o- O 3 MORTIy TOWN OF NORTH ANDOVER 0 •. • pw i • Certificate of Occupancy $ Building/Frame Permit Fee $ s�CHus Foundation Permit Fee $ — Other Permit Fee $ _ TOTAL $ 4 t Check # ( 3 116 65 5 M AA Building Inspector Inspector i TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ecfi0�.fo'r(3tlFia1 BUILDING PERMIT NUMBER: ` DATE ISSUED I SIGNATURE: Building Commissioner/1for of Buildings Date Z SECTION 1-SITE INFORMATION I O1.1 Property Address: 1.2 Assessors Map and Parcel Number: Lc 3, 17- 1 CAR-' F i ap gb 6Z 2 Map Number Parcel Number N,74ND6))w A. 1.3 Zoning Information: 1.4 Property Dimensions: __ R1 —SEK— 3`f, W2 (Pta) toy Zoning District Proposed Use Lot Area(sf) Frontage(ft) 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided ' ZS T-0 ,ro' 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Infotmatiou: 1.8 Sewerage Disposal System: Public 1K Private ❑ Zone Outside Flood Zone Municipal On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT m 2.1 Owner of Record LLC _ 1�S �C Yo4 hi I-L VV Name(Print) 5. Address for Service: Si re Telephone O 2.2 Owner of Record: 4' Name Print Address for Service: O m Signature Tele bone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor. Not Applicable 0 6 s sV y17 Licensed Construction Supervisor. O 5tJ� Y)� / license NumberIn Address T / p i 1/l Y l v IQ D r`, "a 7��7J E�:piration`Da ttee Si ure Telephone r 3.2 Registered Home Improvement Contractor Not Applicable �( v /� Comp�tiy Nam �,V m Registration Number r Address r Z Expiration Date 0 Signature Telephone Y♦ SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the buildina Ermit. t. Signed affidavit Attached Yes...... No.......t7 SECTION 5 Description of Proposed Work check all applicable New Construction Existing Building 0 Repair(s) ❑ Alterations(s) ❑ ° Addition ❑ Accessory Bldg. 0 Demolition 0 Other ❑ Specify Brief Description of Proposed Work: 3 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAtUSE ONLY Completed by ermit applicant 1. Building (a) Building Permit Fee Multiplier F 2 Electrical / Z,UDR (b) Estimated Total Cost of —a ? a a Construction 3 Plumbing 1z' b d b Building Permit fee(a) x (b) _ 4 Mechanical(HVAC) Z 40ab � S a 9 ' 5 Fire Protection -o 6 Total 1+2+3+4+5) 3 W.,rd'p • Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Ov<mer Date SECTION 7b OWNER/AUTHORIZED(AGENT DECLARATION -4 1, I D2"��i7//(" as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Z14,a Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB g .5sti4N/t SIZE OF FLOOR TIMBERS l Z 2' 3 SPAN 1 M x DIMENSIONS OF SILLS DIMENSIONS OF POSTS 3 DIMENSIONS OF GIRDERS zeeyo I IEIGFIT OF FOUNDATION THICKNESS SIZE OF FOOTING 2 X •� MATERIAL,OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BU 1,13NG CONNECTED TO NATURAL GAS LINE � IIS FORM U'- LOT .RELEASE FORM 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 APPLICANTS /-Q�Q� (/I,°(OyX1')_ � 12-C PHONE(I7?-687�-Z63.S LOCATION: Assessor's Map Number (OZ PARCEL Z-4 13 S SUBDIVISION CA++r_r 7���'DCJ LOT(S) 3 STREET Ca�-�e� i�I� t\009ST. NUMBER. 1,2 USE ONLY ** REC MENDATION. F TOWN AGENTS: CONSERVATION ADMINIS ATOR DATE APPROVED DATE REJECTED s► COMMENTS ' T PLANNER DATE APPROVED DATE EJECTED COMMENTS �7 6", 7lt CoC FOOD INSPECTOR-HEALTH DATE APPROVED �j DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED. /! Q DATE-REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT 721h . FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9W jm i Town of North Andover Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. FOR ROOFING, SIDING, INTERIOR REHABILITATION PERMITS 1) BUILDING PERMIT APPLICATION 2) DEBRI REMOVAL FORM 3) WORKERS COMP AFFIDAVIT 4) PHOTO COPY OF H.I.C. AND/OR C.S.L. LICENSES 5) COPY OF CONTRACT 6) FLOOR PLAN OF PROPOSED INTERIOR WORK FOR ADDITIONS /DECKS 1)BUILDING PERMIT APPLICATION 2) FORM U 3) MORTGAGE PLOT PLAN (MINIMUM) 4) DEBRI REMOVAL FORM 5)WORKERS COMP AFFIDAVIT 6) PHOTO COPY OF H.I.C. AND C.S.L. LICENSES 7) COPY OF CONTRACT 8) FLOOR/CROSSSECTION/ELEVATION PLAN OF PROPOSED WORK WITH SPRINKLER PLAN AND HYDRAULIC CALCULATIONS (if applicable) 9) MASCHECK ENERGY COMPLIANCE REPORT (if applicable) FOR NEW CONSTRUCTION (SINGLE AND TWO FAMILY) 1) BUILDING PERMIT APPLICATION' 2) FORM U 3) GROWTH MANAGEMENT BYLAW 4) CERTIFIED PROPOSED PLOT PLAN 5) PHOTO COPY OF H.I.C. AND C.S.L. LICENSES 6) WORKERS COMP AFFIDAVIT 7) TWO SETS OF BUILDING PLANS (one to be returned) TO INCLUDE SPRINKLER PLAN AND HYDRAULIC CALCULATIONS (if applicable) 8) COPY OF CONTRACT (if applicable) 9) MASCHECK ENERGY COMPLIANCE REPORT In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the board of appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with application. ✓r rr anr��w�zr a v .aavar�.�caeda BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 055417 - Birthdate: 04/05/1960 Expires: 04/05/2004 Tr.no: 21586 Restricted: 00 THOMAS D ZAHORU'IKO 185 HICKORY HILL RD N ANDOVER, MA 01845 Administrator Town of North Andover Planning Board This form represents the schedule for allowing the following lots to be considered as eligible for permits under the Town of North Andover Management by-law Section 8.7 of the Zoning by-law. U.) to 8.7 this Development Schedule must be filed in the Registry of Deeds and be referenced on the deed of each of the lots below and be filed with the Planning Board prior to the issuance of any buil} u 'tip' ` t: permit for construction. Name and Address of Applicant for Lots.- Name of Development: i�RA LE16\� D�Ut;LcRuENI L1 C ItRTtP, F1£t pS kos H\(-Yok HILL (_o AD (oFF BRAbFGRbSTUIO NoRTh fi+Jboot1 MA oq�y 7 1 1 Map and Parcel of Original: M ft P 6 2 LOT Z 4 Date of Application for Lot(s) Division: �u G UST 2 002 Lots Covered by this Schedule T, —t_4 -he Planning Board by theL signature below,or a signan,re of a duly authorized repres._rttative, do hereby • ;-i>� establish for the above named development the following Development Schedule for the purpose of Section 8.7 of the Growth management By-Law. The applicant;their assignees,successors and or subsequent property owners shall conform to the following schedule that limits the eligibility of the following lots for building permits. This form must be filed in the Registry of Deeds by the property owner or representative '"-d and be referenced on each deed for each of the following lots. Such deed reference for the deed of each lot shall at minimum reference the book and page in which this Development Schedule is filed and contain the language;"'This lot is subject to a Development Schedule pursuant to the Town of North Andover Zoning �. By-Law all owners, representatives, and future purchasers should avail themselves of said restriction by +.v reviewing the approved Development Schedule as filed in Book insert here and Page insert here. The fact that a lot is eligible for a building permit is subject to the limitation of the number of building permits per year pursuant to section 8.7?d of the Zoning By-Law." The Planning Board hereby schedule the lot(s)for the above development as follows: YearElig bio Nurnber of Lots Building Office Use Buildin,Office Use Elibg;ble Date Lot EligibiliNotes i Completely Utilized F Y 2 oc3 i :o I FY 20041 s l 2005 S i I Signa f P] ' g+Board member or Authorized Representative I Date Signature of Properly Own or Authorize esentative Date J'��' (�G�f"/� ✓ /�l 4 L J .. .. .... .......gin'. e'�:'-..%i ti C The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 c�O+M 5,•`� Workers'Compensation Insurance Affidavit Name Please Print Name: / �-S j I Location: / � IT CW City �J- ��R/t�r . A4 A Q 1� Phone # I am a homeowner perfo ing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: Address City: Phone#: Insurance.Co_ Policy# Company name: Address City: Phone#: Insurance Co. Policy# Failure to secure coverage as required.under Section 25A or MGL 152 can lead to the imposition of criminal penalties o(a fine up to$1,500.00 and/or one years'imprisonment as y elLas_civil-penatties Snrm-d a STOP WORK ORDERar)d a fine_cf_(.$IDDM)atlay.againstme. I understand that a copy of this statement may be forwar ed the Office of Investigations of the DIA for coverage verification. l do hereby certify under the pains nd penalties of er, that the information provided above is true and correct. Signature Date Print name KAYtt<//D Pbnne# f 7?-,6V9-aS_ Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing O Building Dept ❑Check it immediate response is required [:] Licensing Board Ej Selectman's ice Contact person: Phone#: E] Health Department Ej Other Proposed Lot Plan Carter Field Road Lot 3 Scale 'A = 1" n \ O� 1/� / //`♦ PROP j aa� \ LOT 1 \ 04,882 J.JSFIi a.So QAC \ NT E=104' \ \ HDPE 50LF // i 5=0.02 �T/FT —2 DRAINAGE EASEMENT,, \ PAEA-041 SF. Tel: 978-687-2635 Pax: 978-689-2310 THOMAS D. ZAHORUIKO T m\ LF1(-,H DFvFu)PMFN v LLC MEETINGHOUSE COMMONS LLC IAS Hickory Hill Road, North Andover. MA 01845 E-mail: iz_eke;@comcast.net GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVERBUELDING DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption tinder section 8.7.6 of the Town of North Andover Growili Management Bvlaw. The applicant shall provide all of the necessary information as requested below. Permit A licani Property address Map/Parcel 77- tis 'Z6 �.Z — Applicant's Phone Number Single Family Two Familv I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the E.X MPTION section 8.7.6 of the Growth Management Bylaw.I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the building permit.Further I understand that my interpretation of the exemption status is subject to review by the Building Department and is only officially accepted when the building permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot,in the building permit application and associated attachments,complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement_restoration or reconstruction of a dwelling in cxistence as ofthe effective date of this bylaw,provided that no additional residential unit is created. The lot(s)was/were created prior to May 6, 1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and or moderate income families or individuals.where all of the conditions of 8.7.6 are met and or represents dwelling units for senior residents,where occupancy of the units is restricted to senior citizens through a properly executed and recorded deed restriction running with the land.For purposes of this section"senior"shall mean persons over the age of 55. This application is part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density(buildable lots)below the density permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction.dedication to the Town,or other similar mechanism approved by the planning board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 and shall receive a onetime exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for a building permit(all other permits from all other boards and commissions have been received and the project is in compliance with those permits),and the Development Schedule does not accommodate issuing a building permit in that year.One building permit will be issued per year per Development until such time as the development schedule accommodates issuing building permits.Applicant must submit an approved FORM U with this EXEMPTION. PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT N MAKNG A DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EIEMPTIONS. BY SIGNING BELOW I A"ITEST TO THE ACCURACY OF THE NFOR.,IATION PROVIDED AND THAT THE ATTACKED BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE. FURTHER I UNDERSTAND THAT THE SUBMIyJL OF MISLEADING OR INACCURATE fNFOR fATION OR THE CHECKING OFF OF A ABOVE EXEMPTION� H DOES NOT COMPLY,WHETHER DONE TO�tY KNOW`LEDGE OR NOT IS GROUNDS FOR REFUSAL,BY THE DING DEPARTMENT TO ISSUE A BUILDING PE qI -OR'M, SIG A" DATI TO BE ATTACHED TO DIE BUILDING PERMIT APPLICATION Permit Number MECcheck Compliance Report Checked By/Date Massachusetts Energy Code MECcheck Software Version 3.3 Release lb Data filename:Untitled TITLE:Lot 3,#121 Carter Field Road CITY:North Andover STATE:Massachusetts HDD:6322 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE:Other(Non-Electric Resistance) DATE:09/07/03 DATE OF PLANS:9/01/03 PROJECT INFORMATION: Carter Fields COMPANY INFORMATION: Tara Leigh Development LLC COMPLIANCE:Passes Maximum UA=702 Your Home=620 11.7%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 1984 0.0 38.0 50 Wall 1:Wood Frame, 16"o.c. 3780 0.0 19.0 256 Window 1:Vinyl Frame,Double Pane with Low-E 630 0.340 214 Door 1: Solid 63 0.340 21 Floor 1: All-Wood Joist/Truss,Over Unconditioned Space 1840 0.0 19.0 79 Furnace 1:Forced Hot Air,90 AFUE Air Conditioner 1:Electric Central Air, 10 SEER 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 MECcheck Version 3.3 Release lb and to comply with the mandatory requirements listed in the MECcheck 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' ons 780CMR 1310 and J .4. Builder/Designer Date MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.3 Release lb DATE: 09/07/03 TITLE:Lot 3,#121 Carter Field Road Bldg. Dept. Use Ceilings: [ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 continuous insulation Comments: I Above-Grade Walls: [ ] I 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 continuous insulation Comments: I Windows: [ ] I 1. Window is Vinyl Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: I Doors: [ ] I 1. Door 1: Solid,U-factor:0.340 Comments: I Floors: [ ] I 1. Floor 1: All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 continuous insulation Comments: I Heating and Cooling Equipment: [ ] I 1. Furnace 1:Forced Hot Air,90 AFUE or higher Make and Model Number [ ] I 2. Air Conditioner 1:Electric Central Air, 10 SEER or higher Make and Model Number i Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I When installed in the building envelope,recessed lighting fixtures shall 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 cfin(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. I i Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ) I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating I equipment must be provided. [ ] I Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on I the building plans or specifications. 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 ductwork located outside I conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed I using mastic and fibrous backing tape installed according to the manufacturer's installation I instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] i The HVAC system must provide a means for balancing air and water systems. I I Temperature Controls: [ ] I Thermostats are required for each separate HVAC system. A manual or automatic means to I partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I I Heating and Cooling Equipment Sizing: [ ] I Rated output capacity of the heating/cooling system is not greater than 125%of the design load as I specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. I I Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% I of the heating energy is from non-depletable sources. Pool pumps require a time clock. I IHeating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 120°F or chilled fluids below 55°F must be insulated to the I levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) U�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. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range(F) 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" -)Heating Systems Low Pressure/Temperature 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, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) ORTH Town o Andover 0 �Q +- O ;L LAKE dover, , —a 00 3 COCMICMEWICK ADRATED p'P�,`�5 SS�4C HO FOR EXCAVATION AND FOUNDATION THIS CERTIFIES THAT ....................... .... .......................... has permission to excavate and pour foundation at J ..? ��R....ti°� for the purpose of....�I. DOM�,�c,�/ot , !7i......S�ol- �4 h G! C�/� �:; FA .......... 3 . ...�... .. ......... .f........................ . y The person accepting this permit must return to the office of the Building Inspector a certified plot plan show of building thereon before Foundation will be inspected. a/a VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. BLDG. FERWT FEE s 6a 9 6' LESS FI}A, FEE t o P - 155 ./ . ....................................................... DISE FRAME PERMIT$tel Al BUILDING INSPECTOR NORTH ` Town OE over 0 -0o 0 0 cocLA w��� � dover, Mass., RATE D p'P��,�S S BOARD OF HEALTH PERMI.T T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT. 1... .l�c�...... .l..q.. ....... � v- �/` P_, .. ...........c...... ... """""': Foundation has permission to erect.............. o? r'fe.r p buildings on . o...... .......... �A.......... Rough to be occupied as .. RPqMja ala a��h Sfa1 ,�Gh�oQ cc N f ���1... ..... ................................t....................'... .............................CJ.... .U.)e...A1!.�.lY..✓""....... Uy 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 relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. & a14 � 5�c�p — PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Fina' UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR /. .... ............................✓....:."..C.............. .......... Rough . ..... . ........... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFina, No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. SEE REVERSE SIDE Smoke Det. D e f e -IL.L-LJ0.0 73 6j q' STRtE:T LOT 39 #121 CARTER FIELD ROAD NORTH ANDOVER, MA 01845 SCALE: 1/8" = 1'0" DATE: 9/01/03 TARA LEIGH DEVELOPMENT LLC NORTH ANDOVER, MA 01845 r I r I i i O s � ASK SPhCE 1 co DoRrn�R �' LDY:T 7 I BEDP,aDv. N; , j I E l `i-o 8-o -o I tt-o �_o �-a S i LOT 39 #121 CARTER FIELD ROAD sc co N1) FLooR YLA, J NORTH ANDOVER, MA 01845 SCALE: 1/8" = 1'0" DATE: 9/01/0 TARA LEIGH DEVELOPMENT LLC NORTH ANDOVER, MA, 01845 8-0 a-o 40-0 24-0 1 - ------------""0 ao 6 � o ', wo �x1261b"OG WAX.11-3 SM*4 a N 9 Q I d O d � 2-0 d O O T j � � o N 10-0 94-0 10-0 �T, DEc,K 90-0 � FOU tJ�.h't'1at�1 WEE i Y i 1i � llil 1 � l « l 1 'Zn12el+o+OG � taA1c.17-3 SPAN i �- — — — 2c60►b"oG - ST DSC ROOK 10 ovc�%UD 2 x(o C.oCL;KK + 25yf'.MOA.SliWGL- • 2� I's tto FtrL.TDu U-7 3�c" 131Tt,'t�1E.�f (,qLv.bRIP. `x3 vp - — C,�11 t>JG 1UtsT t tJTRY boo?, W� IDELC,}TS ?,o.(.B Y2 X 83 Z)(sh o � iC 9,39 F-G "l�) �'P ��vn � P��zE IX3 sT��4e�nt� Vx7eRloR OoCk 0NUY R.o. 39 12 X e3 Y2"BLuFBo*,D, PL+lsT£R y lxy PP U N 17 R-a Pt-�wS REF. 2 3 y (05 34 414 x (1 69 A 0 3/4" hDVAVTecN T,& 3`i(9S -2 N c£�w�« slMKE I Z x\()1)2 3i{b5-3 101'/2 x ltgS '/y C TYWY,/EQUN. i sii '/Li x S 7 Va"Cnx ci S?-Z 2x10/t2 BLOC Yl(6? OGE i V ` Cal a x 10 HDR 1 3'-1 5?-3 lot 1 2 k 22(�S 22 /'-lX Co5'/K G T311V3Li�S 3`i'/�{ X �`� H r � _ 22-345-ZZ --F8 x 57 '/L{ 'T _ 2 FRAME U--7A1I- o'/H X '�2'/�{ K DecK+ t'KN-• 4 4 4Ytil L£cS. O T TZ (O06 t 1 7 2 x 8Z V2- 4%Li 24x1 l WUVED 11, zXa/,a rr {31...ocK(SRI►.X�E (Zflf' R Iq FG zNT�RtDRDaaRS 2.-9 UuLEsS NoTCD f tau \rtv- loxco{ri (2)2x(aPT SILL L`►)2X10 13Epnr� ��N o c �� -7'I0 x10a �- J cLQAN 8Rc 11-, -3040 psi and 4 3�''r SIC LP,LL)/ 3/T�*ReRBRk' wALL r y y � 4 STowsf �- No PERF.DKA b +i' `l G-b b 4"P.C.,sL A13 3 000 P S.L �-'600 o KFYw�Y I z G 0 Lill o�o°c vO 2�'�x lo' p c. ti,ac cS�u + 4 P.C.SLM3 o`r pa�c� co T-ooTn-1GST CG 84c> SZo►�►E LOT 39 #121 CARTER FIELD ROAD NORTH ANDOVER, MA 01845 SCALE: 1/8'" = 1'0" DATE: 9/01/03 k 0 CT Y 'p. Fou�IDA-7�n 1 Ac'T1d 1� TARA LEIGH DEVELOPMENT LLC NORTH ANDOVER, MA 01845 Location /,, / 3 -,I=/ /a / (A 2 l£R FtrlaP 124 No. f �' Date i NORTN TOWN OF NORTH ANDOVER f �,y 16. Certificate of Occupancy $ _ JuMusE<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ U TOTAL $ Check # 16824 Building Inspector r �► S.q rrte of 16 -a o -v 3 LOT 4 I / 01/ C1qR71:'/z FWD P�,, � - S18'31233"E ; 136.60'- NOTES. A=58'22'26" 60 R=102.50; a 0 1) THE BOUNDARY INFORMATION SHOWN HEREON WAS L=104.43 ---_a? ____-__- DELINEATED WETLAND TAKEN FROM A PLAN ENTITLED SPECIAL PERMIT AND DEFINITIVE SUBDIVISION PLAN, CARTER FIELDS SUBDIVISION; SCALE: 1" = 40'; DATED: AUGUST 9, I � � 1 I 2002 (rev. 1/1703); PREPARED BY THIS OFFICE. 2) THE INTENT OF THIS PLAN IS TO SHOW THE AS- 0 73 $6, I BUILT LOCATION OF THE FOUNDATION ONLY. QOJ •I \ I NO pISTURZONE 6 1 - 150.00 \\ LOT 3 1 I HEREBY CERTIFY THAT THE FOUNDATION SHOWN HEREON \ I IS THE RESULT OF A FIELD SURVEY MADE ON � wr \% "` o SEPTEMBER 18, 2003. Vy_ I \s I It 0 \�� I 6D \\nom I N �P�jt% OF 114�s \\ J o� CHRISPHER '0 0 FRANCH'eR -4 No. 36116 LOT 2 w 1-t 'M \\ // LICENSED LAND SURVEYOR DATE C5 \\,'/ CERTIFIED FOUNDATION PLAN CARTER FIELDS SUBDIVISION — LOT 3 CARTER FIELD ROAD NORTH ANDOVER, MASSACHUSETTS �- arOrO PREPARED FOR C �. TARA LEIGH DEVELOPMENT, LL S HILL ROAD o �. NORTH ANDOVERYMASSACHUSETTS o esOM 103 StUes Road. sults one GRAPHIC SCALE ' c_ _ __ Salem, Now Hampshire 03079 j 0 20 40 80 �— — (603) 893-0720 ENGINEERS—PLANNERS-SURVEYORS 0 a MHF Design Consultants, Inc. SCALE: 1" = 40' DATE: SEPTEMBER 19. 2003 DNAMEG FEET) (IN t NO. DESCRIPTION BY DATE DRAWN BY: CHECKED BY: PROJECT NO. Q. 1 inch = 40 itJAC CMF 110900 1109ABF.DWG REVISIONS ~Location Flo. b Date J ! • N°RTN TOWN OF NORTH ANDOVER Certificate of Occupancy $ cNus Building/Frame Permit Fee $ sw Foundation Permit Fee $ Other Permit Fee Pco $ a o �\ TOTAL $ X21 J i Check # i 17290 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING �7 ictioia:f r C1►lfitciiil s SLI = V BUILDING PERMIT yNUMBER. g3 DATE ISSUED. rn SIGNATURE: Building Commissioner/I for of Buildings Date Z SECTION I-SITE INFORMATION O 1.1 Property Address: ,, 1.2 Assessors Map and Parcel Number: (21 �'a � fro-w1 ln 2 _ Z N ' A Map Number Parcel Number 1.3 Zoning hiformation: 1.4 Property Dimensions: C A dew !�T— _ 3y1T82 16 v Zoning District . Proposed Use Lot Area(sf) Frontage 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided zD 20 1 310 %-r:> v 1.7 water Supply M.G.L.C.40.tj 54) 1.5. Flood Zone Information: 1.8 S w e Disposal System: Public Private ❑ Zone Outside Flood Zone Municipal On Site Disposal System ❑ J SECTION-2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record Karen 7;7,karaL% Azi (A rfov 5o mA Name(P t) Address for Ser—vice: Si re Telephone 2.2 Owner of Record: -4 O Name Print Address for Service: Z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 Licensed Construction Supervisor. _ n � ?' O 2 r /J J/ v ' nQ�/y License Number 11 Address (ff���! u�IJI' 41160_5 Expiration Date ic Si ture Telephone r J 3.2 Registered Home Improvement Contractor Not Applicable ❑ 0 f — Y Company Name rn Registration Number r Address r Z Expiration Date ^ Signature Telephone �l/ SECTION 4-WORKERS COMPENSATION(M.G.L.C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the buildinpermit. —Signed affidavit Attached Yes...... No.......❑ SECTION 5 Description of Pro osed Work check all 6cable 1; New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ -s Accessory Bldg. ❑ Demolition ❑ Other Specify 5—AAAA1A P 06L /�Q� Brief Description of Proposed Work: QR I V 1 1� &M LbeW I AL Stu AA MI M 6 f riq0 6 ,r SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL:USE ONLY. ' �. Completed by permit applicant f° Building (a) Building Permit Fee ZD On) Muiti tier 2 Electrical ' (b) Estimated Total Cost of Constriction 3 Plumbing Building Permit fee(a) r (b) 4 Mechanical(HVAC) L9 ;z© �- 5 Fire Protection 6 Total 1+2+3+4+5) Z Z O 1ro Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS_AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 4I, Ka r.h ��6YU) as Owner/Authorized Agent of subject property Hereby uthorize `T n � aY(,II t to act on y beI< f, in all tter relativ o work authorized bF this building permit application. ionature of O i Date SECTION 7b OWNERS IAUTHORIZED�l,(,AGENT DECLARATION l' K4'�n k6Y�UI Y 6 as Owner/Authorized Agent of subject property , Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Za. o n N• e _ S attire of r/A ent Date 11311 I= NO. OF STORIES (V SIZE 13ASEWNT OR SLAB SIZE OF FLOOR TIMBERS I 2' 3RD SPAN ^f DIMENSIONS OF SILLS ` D9vIENSIONS OF POSTS /V IM DENSIONS OF GIRDERS IQ:IGIIT OF FOUNDATION THICKNESSSIZE OF FOOTING X MATERIAL,OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND S fS BiJII,D0 CONNECTED TO NATURAL GAS LINE FORM U - LOT RELEASE FORM 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 PHONE9W_- 7—Z-6 LOCATION: Assessor's Map�Nulmber�Z- PARCEL SUBDIVISION CO r ,e r T)el S LOT(S) STREET CGI nfe/' F;�l� Raa� ST. NUMBER ************************************OFFICIAL USE RECO . ENDATIONS TOWN AGENTS: CONSERVATION ADMINI RATOR DATE APPROVED a!6 DATE REJECTED COMMENTS PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COS O HEALTH DATE APPROVED_ ' Z a DATE REJECTED COMMENTS S«� r PUBLIC WORKS- SEWER/WATER CONNECTIONS A 4 DRIVEWAY PERMIT A/& FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm The Commonwealth of Massachusetts " w Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 ��O+M Sv•,, Workers'Compensation Insurance Affidavit Name Please Print _6 Name: z 1 Location: 1211 (' rVL�4J City XVJ6t efr , kA JJ` Phone # kI am a homeowner performing all work myself. F-1 I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: Address City Phone#: Insurance.Co. Policy# Company name: Address City: Phone#: insurance Co. Policy# Failure to secure coverage as required.under Section 25A or MGL 152 can lead to the imposition of criminal penalties c(.a fine up to$1,500.0o and/or one years'imprisommnt as motelLas_civil-peflattieslnsbeltxmAda_STOP]NORK ORDER-and afxieti_(,3lD0_00)aAayzgainstme. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification, l do hereby certify undo the pains and pe aloes f perjury that the information provided above is true and correct. Signatur A 0 Date i Print name Kq ten_�7 �o/'U I�(O_ PbQne# qAF:6�'�I Official use only do not write in this area to be completed by city or town official' City or Town PermiULicensing O Building Dept ❑Check d immediate response is required Q Licensing Board E] Selectman's ice Contact person. Phone#. E] Health Department Other i I __i,^'r+: ✓l� 1JO97LIY2O92LUC2LLiL �il���CZCbJiiGC.�LLLdP.LC6 i BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR I i Number: CS 055417 Birthdate: 04/05/1960 Expires:D4/05/2004 Tr.no: 21586 Restricted: 00 THOMAS D ZAHORUIKO 185 HICKORY HILL RD N ANDOVER, MA 01845 Administrator NORTII Town of No. f3 dower, Mass. �— I AI _C906 Y CLAKE ' ' COC NIC NE WICK V S RATE D �J BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......... J!+., /v...........2...e�...... i. .. .. ............................................... � Foundation has permission to erect. �, ~ ,.lCbuildings on ....1A.I.......G.4. .4....r4114.....it..... Rough to be occupied as �i s V N ........Ca.�t!!!!. .....Pip(.......1.N........N a ,r r. •..... chimney .............. .................... ..... .................... ... provided that the person accepting this permit shall in every respect conform to the terms of the application on flie in Final this office, and to the provisions of the Codes and By-Laws relating o the Inspection, Alteration and Construction of Buildings in the Town of North Andover. (40aL 1 01 ail v 40M PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STmARTRough A0&40j................................... A............................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burnet Street No. SEE REVERSE SIDE Smoke Det. Date. .6, C;)�. . . .... . MO/t Try Of o ,h o� TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION �9SSACHUSEt� 1 This certifies that . . .. ��-`. . . . . has permission for gas installatiocr r.% . . . . . . . . in the buildings ofr-�: . - !� �-�-.. . . . . . . . . . . . . at / `�� . . , North Andover, Mass. Fee' .Q. . . . . Lic. No.79-�. . . . . . . . • �� GAS�INS�. . Check# 4776 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) 1f'I ' Aoy�r €c -Mass. Date � A4 7 ?4p } �f �' Permit* / Building Location 12.1 Carter Field lid Tara Lei h Devel Leta owner's Name men Map: Lot: Zone: T Told Zahmrui 4 Type of Occupancy New Renovation .LJ y -- R placement ] Plans Submitted: Yes O No Fee: N ti Y Q En W N z 3f�a 0%,' n S �.�n O N a J - ¢ o l h e z o ¢ w < e Q � a > z ¢ ¢ m m W a X ¢ z O O Z w w w O o O t- w N ¢ ¢ W a = Z F - a ¢ a . a w z j = a = ¢ ¢ w a ¢ ¢ _ H W V ¢ W W z Q W J ~ Z h- w W O y U. U h Cr Q W z >. N m 2 O ¢ W = a o = ¢ x 0 v = w 3 o c7 o o ¢ O w SUB- 0 O . EASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR I 6TH FLOOR 7TH FLOOR BTH FLOOR I . tInstalling Company Name—gyp�rPFRTTJ ptr(1 % lT Q nTT Address 131 WATER ST 1Dr1jgT,j�;R,S Mn 01923 NC� Check one: Certificate Estimate Value of Work: Corporation I Business Telephone_ s�i7r Partnership �� hF,Cci Name of Licensed Plumber or Gas FitterFirm/Co. Kenneth Baron INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.*142. Yes`$( No .i If you have checked Yes, please indicate the type coverage by checkingthe appropriate box. !, A liability insurance policy Other type of indemnity Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does n_ of 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 Signature of Owner or owners Agent Owner Aone:gent❑ 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 knowledoe and thatall plumbing work and installations performed under the all pertinent provisions of the.Massachusetts State Gas Code and Chapter 142 of the Gerjeral Laws, li permit issued for this applic�ion will be in compliance with 77ide V ,// —7 Type of License: Plumber Signal re or Licensed Plumber or Gas Fitter Gastitter t� Master License Number #993 (APPROVE') CF-;C^ SE L. .:ournevman ;J -.,JL, i I GHuntress Associates,Inc. I , z I2nd rapeArCMW=&ImdPlaming Aadlmr.MuschueW 01810 978 470 8882•PAX 976470 8890 k '.,I 1i t \ / RETAINING WALL " `LOAM 4 5EEO\ I \ \ \ 4'CHAIN LINK \CE \ �4'_5L FE,�MEET EXI5TING AT NON-D15TURBAN6E LINE \ ZAHORUIKO RESIDENCE GATE I G 4a 40 v 1 \50 �C�ZO ;e'• j SWIMMixG � ' � .fie 1 North Andover,Massachusetts FOOL Drawing Title. / LOAM d SEED o Pool Layout Plan / I 0 OT 2 4/517:170 232 $Fl. 5TONE TRENCH LOAM l. / CONCRETE TERRACE(TYF), ��\�SFt{Ee6fielliiB/6� 7 n i / 1 I *01' AG =11.3" r LOt 3 / a3C. 34,882 SF. �b 0.80 AC. r / FRONTAGE=104• I �' 1 % ,,� � � / i` �� � it •� Revblon Date I r 2o4: / j/ � � ) �• 0 64 ht I 0F Mqs� FRANK C. 9cycGh / / :rE �' MON IRO IVI Scala: I"=40' Drawing No. ooao % % % o. 36 41 D 5.02.04 i'` ;i I �Fc�s V Job, 00-1017File. PR_mp1 NOTE:-LOT#3 15 LOCATED WITHIN THE NON-DI5CHARGE ZONE yjAL�� 8 -OF THE LAKE COCHICHEWICK WATER5HED PROTECTION 015TRICT Drawn. ccH 2 L(j i checked: — r I � - 3"OD.CORNER,6ATE, j AND END POSTS ED6E OF CHAIN LINK FENCE 1 5/8"OD.TOP AND BOTTOM RAIL 2"O.D.LINE P05T SWALE Huntress Associates,Inc. 10' O.C. MAX 3'-6" FABRIC TIES FIN15H GRADE, SLOPE z AarwaPlwmft -------- -------------_ ---- -------------------- "AT 12O.G. OPENING I AWAY FROM 5TRUCTURE 171bnkimysned Aodma,Mune mmem 01810 y n�,% y \v v l y I`M IM79U�UIIUW�1f0N YB(Il 9784708682•PAX 978470111890 1801,6 OFFSET HINGE(TYP) >� >. FORK LATCH TYP. 0 0° 0 0 0 111�I I 0 0 0 0 0 1L1 0 o 00 Oopo X000 II11=I I Il _ ` 0000 'b 000 Oo I I l= I i 11= N 0°� 0°goo 0 091,141,4 �11 =1 I COMPACTED Su�GRADE \ p p°o 0 000 p� NON--WOVEN POLYPROPYLENE FABRIC ` 0 0 0 II(I=IIII—_ LAP END 5PLIGE5 W MIN. Z ( 0.00 po a OoOo o—IIII STAPLE 5PLIGE5 6" O.G. ALONG 5EAM. Project: TENSION WIRE WITH TIE WIRES a - - — — SPACED t12"O.G.HORIZONTAL -1111- III=II I1- GRUSHED STONE ZAHORUIKO o N q GAUGE FUSION-BONDED FABRIC, e e _I TOP OF CONCRETE FOOTING LOCATED 2"DIAMOND,KNUCKLED SELVAGE,TOP AND BOTTOM o.. •r b"BELOW BASE OF 3/8"x 5/I6"TEN51ON BANDS z T PAVEMENT COURSE 24" RESIDENCE WHEREVER FABRIC EN05 � I CONNECTOR BANDS CONCRETE FOOTIN6- IS DIA.REQUIRED AT ALL CORNER AND END POSTS, North Andover,Massachusetts ALL LINE P05T5 SHALL BE 15"DIA. 1. 4' FUSION BOND CHAIN LINK FENCE AND GATE ON TRENCH �TEDGE�OF POOL Drawing Title. 2 SCALE: N.T.S. Terrace Details 1/2"F-XPAN51ON JOINT WITH PRE-MOULDEDFILL ROVIDE JOINTS S5 FILLER I/ S AT 50'ON CENTER MAX. .UNLESS NOTED. " \ a V +rJs/gyp' 2,15 vf PROVIDE EXPANSION JOINT WHERE PAVEMENT ` �� C. rl �` ABUTS STRUCTURES,VERTICAL SURFACES, °L AND AS NOTED.5EAL ALL EXPAN51ON JOINTS WITH APPROVED WATERPROOF SEALANT NTOO } v LD CONTROL ON WH JOINT 1/4 TIMES E DEPTH E T � J ® OF EV EACH SIDE. LAYOUT AS INDICATED ON PLAN. EXPOSED A66RE6ATE o o p CONCRETE PAVEMENTn$t'I`� ;;e/`y;'� •• 0 0 0 •:n FIBER MESH REINFORCEMENT,SEE SPECIFICATION. y REINFORGIN6.2"MINIMUM COVER. 4 M7 • ■ ° Q° Revision Date °O ° ° o°O0 ° COMPACTED GRAVEL BASE OF ����=I1I1=����, - = _ RANK C. �Gn o IIII ONTEIRO "'i d (ri COMPACTED 5UB6RADE CIVIL ti .O NO. 3 1 Scale, AS NOTED Drawing No. JS Date. 9.02.04 L /� Job. 00-109 1 EXPOSED AGGREGATE CONCRETE PAVEMENT AEAG pile, M-Mp 3e Drawn. GGN of Checked. — L Date... NORTH TOWN OF NORTH ANDOVER 0 I- PERMIT FOR WIRING SA US This certifies that .......ba.0M.q C .. .................. ...... .c...�. h av,permission to perform .......... ........... .... . .......................................... wring in the building of.......... ..... ..... .. ................. .... .. ....... ....... at... North Andover ............ . .... FeeA6 ............ .....4........ Lic.NA :w. .. Check 4, /,j 0 C9 -7 rEMICAL INSPECTOR 5285 i THECOjVI[VIONWL+ALTHOFIVIA.SSACfIIISETTS Office Use only DEPARTAMTOFPUBLICSAFETY Permit No. BOARD OF FM PREVE MONREGUTATIONS 527 CMR I2.V Occupancy&Fees Checked 1 APPLICATTONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSETTS ELECTRICAL CODE,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 des 'bed below. Location(Street&Number) Z A,�--}�� � L t Owner or Tenant Owner's Address S•A-v`'L(� Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead Underground No. of Meters New Service Amps / Volts Overhead M Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work c K IPpp L__ No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total V KVA No.of Lighting Fixtures Swimming Pool Above BelowGenerators KVA round ground M , 1 No.of ReceptaVe 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. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW InitiatingDevices No.of Dishwashers Space Area Heating KW Nq.:of Sounding Devices Y Nik of Self Contained Deiection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Othe Connections No.of Water Iriaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP THER• x=mCovetage.Pt>tauatrtt drmgtmmentsofNb%ac usemGenaalLaws aveaamentLd) ityksrmwFbkyinchxbgCompi�e Covuageoritsa*stanialapvalent YES NO aveatn ittedvandproofofsametotbe0ffim YES ffyvuhavechedodYES,Pleasein&alethetypeofco by SURANCE L-JBOND F7 OTHER (Plea9eSpecify) Expiration Date Es&nat0d Vak-e ofElocftiCal Wcdc$ xktoSlatt d h>SpafimDateRequesW Rough Final neduANE esofpajuty M n/.zZ> Signahue\LL, LicenseNo 7-7 0 BushmTel.No. ��F 1 Vs�� j S�nJ A1tTel No. 77 MR'S INSLTANCEWAIVER;Iama that theldcm--does nothavethemr -oov�tecritsst>bs1atealequMlentasiegtmedbyNkosachus2tt.sGaietalLawss thue atmysigmhon thispemrit appEcadonwaives this wgtiue �ent o :ase check one) Owner ® Agent ® R Telephone No. PERMIT FEE$ lgnature oT Uwner or gen u h The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 SJ1b Workers'Compensation insurance Affidavit Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity aI am an employer providing workers' compensation for my employees working on this job. Company name: • r Address ' 'r City: Phone# Insurance.Co. Policy# Company name: Address City: Phone#: Insurance Co. Policv# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to$1,500.00 and/or one years'imprisonment_as well_as_civil..penaltiesjn.-thefnrmof-a_STOP WORK ORDER..and_a.fine_cf.(.$1DO..W,)_a day-against_me. understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. l do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature Date Print name Phone.# Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing Building Dept ❑Check if immediate response is required p Licensing Board r� Selectman's Office Contact person: Phone#: E] Health Department O Other Date NORTPI 3:��.� •�,;.��oot TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACHUSE� This certifies that . . . . . . . . . . . . . . . . . has permission to perform . . . .1 . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . at . . • . . . . . .�. . . . . , North Andover, Mass. r ` ' Fee./. L ,.. . .Lic. NoJ. :Y.�. `. . . . . . . . . . PLUMBING INSPECTOR Check # AG/ 5849 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS /^� „^ Date Building Location \ l�%kNjr �t Owners Name \UM leyt, Permit# Amount Type of Occupancy New Renovation Replacement 1:1 Plans Submitted Yes ❑ No FIXTURES z Con w a w a w w A ; w a w w SWIER IC R4SIIV M .. �D FIOQZ 3M FLOQ2 4M FIOCR 5M FLOCK 6Il3 FIOQ2 7I1•i FIOM gm mw (Print or type) Check one: Certificate Installing Company Name Corp. Address artner. m�t�lh Business Telephone qryX Firm/Co. Name of Licensed Plumber: fi R Insurance Coverage: Indicate the type suiance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity El 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 informationWhave ' (or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work anperformed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massalumbing Code and Chapter 142 of the General Laws. By igna cens um er Type of flumbing License TitCit/Town ❑ tY icense um er Master Journeyman APPROVED(OFFICE USE ONLY Date. . .� /1.���t. ? .. ,MOR Try TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION � y AC Nh"5Et,( This certifies that .��+� c;��-.[-t. <-t�. . .:� . . . .���. . �. . . . . . . . . . . . has permission for gas installation . . A.f.c.t.. .4 N. . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . at . ./).t . . ..0. . . . . . ., North Andover, Mass. Fee. .6�6?. . . Lic. No.. . . . . . . . CCAS INSPECTOR Check# / Z- 4582 4582 MASSACHUSETTS UNDDRMAPPLICATONFOR PERMIT TO DO GAS G (Type or print) Date )a a� p NORTH ANDOVER,MASSACHUSETTS t� ^y�— <c ��` \�11� 0 o Z Building Locations \�` r h r Permit 1# mount$ Owner's Name New Renovation Replacement Plans Submitted x w U z N w w x U `� d a H z z H a r4 x O WWxz zz z tz H Aw� o o A a a u a H O SUB -BASEM ENT BASEMENT 1ST. FLOOR \ 2 N D . F L O O R 3RD . F L O O R \ 4TH . FLOOR } 5 T H . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or typ Check one: Certificate Installing Company Name \1 @ Corp. Address �� artner. Business Telep one Firm/Co. Name of Licensed Plumber or Gas FitterY.,n INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes f' No E If you have checked}_es,please indicate the type coverage by checking the appropriate box. Liability insurance policy E] Other type of indemnity Bond 0 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 requ' ment. Check e: Signature of Owner or Owner's Agent wne � Agent i hereby certify that all of the details and information I have submitte ente d)in above application are true and accurate to the best of my knowledge and that all plumbing work and installatio orme nder Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts as C and Chapter 142 of the General Laws. By: Sign re of LZ ensed Plumber Or Gas Fitter Title ❑ Plumber aL4 13 City/Town Ga fitter License Number aster APPROVED(OFHCE Use ONLY) Journeyman • Date...... ...................... r N°R7q °ftp``°;•�"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ;SSS^C04US This certifies that ...... ../?P/h1,4 C f C- .................................................................................... has permission to perform �� �(/ . .................................... ..................................... wiring in the building of ! 'p i�`t Y a at... ......................1....4...� ............... .r ............... ,North Andover,Mass. Fee.... ..... Lic.No.( )?J'E?.... ��C01!1.. ./....'�.CC-`�--....... ELECTRICAL INSPECTOR Check # 4780 7hECOMMONWE4L7HOFAlASS4CHUSE77S Office Use only DEPARTMENlOFPUBL1CS4FETY7&9ermit No. BOAROOFFIREPREVEMONREGUT47IONS527CW 12.O10 Occupancy&Fees Checked APPLICA77ONFOR 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 t Town of North Andover To the Inspector of Wire The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) 4 E 2 Jai Lp J / Owner or Tenant \VA A-A L&t,b" Cgo,if, Owner's Address P4( G✓-to C Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building s/-L-�e"T 4-c— Utility Authorization No. _ Existing Service AmpsVolts Overhead M Underground No.of Meters New Service �,o U Amps Zol Z�(uVolts Overhead r,-1 Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work UJ 1 vl/-_ 1-to t)S6 No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round 2round 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. 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 Municipal r---J Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP t OTHER tr histiianceCovt�.Ptusuantiotheragtm�r�tsofMassxln>SettsGa�aalLaws Tbawaa uritliabildyhuwmwFbhcyinchxlatgCompleb-- Covageoritsakstmtalcgxvalatt YES NO IbavesubrrnwdvafdptoofofsmrtDdrOffioe.YES IfyouhavecheclodYES pl�eilxbcaethetypeofcovwageby bo WSURANCEE BOND MIE4Z (PleaseSpeafy) ExpiratioriD& Woiktoslatt to I(-, to 3dva F�m&. lueofflectacalWolk$ IlTectimDateRapested Rough Final Signeduixla•tiie altiesofpajtiry: BRMNAME —tLti\ ut ce LioawNo.VA A A Lim LLLu lf�Et, �l><k c-- t,/) Sigriattue L.NoS— BusmessTeI No. ti14 D 3 h kl Alt Tel No. S tr 37<'—v fs6 OWsUCSINSLTANNCEWAMT,lemawatedilftLmwdoesnothavetficins mnmoc)m�qporitssubstantialequivalerttasiegtmedbyMassachusettsCenc at Laws acidthatmysigria ireonthispermitapplicationwaivesthisregttitenic it (Please check one) Owner F-1 Agent �� Telephone No. PERMIT FEE igna ure o _ wner or Agent a The Commonwealth of Massachusetts Z J a Department of Industrial Accidents Office of Investigations a w Boston, Mass. 02911 ' tion Insurance Af-davit Workers Compensation l �M S� p Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers'compensation for my employees working on this job. Company name: Address City- Phone#: Insurance.Co. __ Policy# Company name: Address City Phone#: Insurance Co. Policv# Failure to secure coverage as Zuired.under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to$1,5w.00 and/or one years'imprisonment as welLas_civil.penaltiesinshefan ota-STOP VV.ORK ARDFRond_a fine.-of_($I-OD D)-atlay.against_me I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the infonnation provided above is true and correct. r r Signature Date Print name P.bone.# Official use only do not write in this area to be completed by city or town official' City or Town Permit/L.icensincl O Building Dept QCheck if immediate response is required .0 Licensing Board p Selectman's Offres Contact person: Phone#. E] Health Department Other i I TARA LEIGH DEVELOPMENT LLC 185 Hickory Hill Road North Andover,MA 01845 978-687-2635 Fax 978-689-2310 June 26,2003 Michael Maguire,Building Inspector Town of North Andover Community Development and Services 27 Charles Street North Andover,MA 01845 RE: Construction Hours of Operation at Carter Fields Dear Mike, Thanks for call yesterday to let me know that there may have been a"too early"work start in the past two days. I am aware of the 7 AM start restriction,and have made it clear to the subcontractors on site that they can arrive and prepare prior to 7 AM,but should not commence construction activities until then. It may have taken until this morning to get the word around to the many trades people on site, so I apologize if there was any early work again this morning. Mike,even though there may have been an early start recently at our site,you and others should be aware that the Towns'utility work on Great Pond Road has resulted in a tremendous amount of traffic being detoured past our site during every work day since we began in April. The usual traffic of 800-900 cars per day has increased to over 5000 per day,including many large trucks and service vehicles,which traffic and resulting issues are not a result of the development work at Carter Fields. This increased use has clearly bothered many neighboring residents and caused noticeable wear to Bradford Street. Just to let you know,we may need to have an early start on the paving day in the next few weeks,due to the logistical constraints of delivering enough asphalt on that day to complete the job. If so,we will make the request and also notify the NAPD prior to that day. Sorry for the disruption and inconvenience if in fact there was early activity at our site,and I will do my best to continue to keep the work schedule acceptable. Sincerely, mas D.Zahoruiko,managing member RECEIVED JUN 2 6 2003 BUILDING DEPT. LOT 4 •I - •- S18'31'33"E 136.60'-. NOTES: �-58'22'26" 0 i R=102.50 a+ 1) THE BOUNDARY INFORMATION SHOWN HEREON WAS L=104.43 /----—ni ______ DELINEATED WETLAND TAKEN FROM A PLAN ENTITLED SPECIAL PERMIT AND CIDDEFINITIVE SUBDIVISION PLAN, CARTER FIELDS SUBDIVISION; SCALE: 1" = 40'; DATED: AUGUST 9, i 2002 (rev. 1/1703); PREPARED BY THIS OFFICE. r 2) THE INTENT OF THIS PLAN IS TO SHOW THE AS- BUILT LOCATION OF THE FOUNDATION ONLY. 73.86`- Z X226 �° i I p1STURB ZONE 150.00 NO \\ LOT 3 I HEREBY CERTIFY THAT THE FOUNDATION SHOWN HEREON IS THE RESULT OF- A FIELD SURVEY MADE ON \\6 I o SEPTEMBER 18, 2003. N I o I \6 j � OF Mq i \r' J N CHRISTOPHER j \ o FRANC HER -4 No. 36116 co LOT 2 i ' �'y v _ 0-3 W \ i 00 C \\\ moi' �' LICENSED LAND SURVEYOR DATE CERTIFIED FOUNDATION PLAN a� • 4j`�� CARTER FIELDS SUBDIVISION - LOT 3 O CARTER FIELD ROAD sa+ ��'�� NORTH ANDOVER, MASSACHUSETTS a PREPARED FOR .• TARA LEIGH DEVELOPMENT, LLC / 185 HICKORY HILL ROAD NORTH ANDOVER, MASSACHUSETTS Road, Suits Om GRAPHIC SCALE ? _ 103 SM Nls�w Hampshire 03079 o so ,o so = _ -= _ -- (eoa) asa-ono o _ ENGINEERS•PLANNERS•SURVEYORS MHF Design Consultants, Inc. SCALE: 1" = 40' DATE: SEPTEMBER 19, 2003 DRAWING (IN FEST) NO. DESCRIPTION BY DATE DRAWN BY: CHECKED BY: PROJECT N0. NAME i 1 inch = 40 fi~ REVISIONS JAC CMF 110900 1109ABF.DWG Q Date..... �nn�........ f �aORTH, TOWN OF NORTH ANDOVER PERMIT FOR WIRING CHU This certifies that �~� ............................................................................................. has permission to perform ....... ...... .. ........... ............................ ' wi:ring in the building at... ..... ,North Andover,Mass. Fee.&/...�....... ...................... —ELECTRICAL INSPEMR Check # 4731 THE COMMONWEALTH OF MASSACHUSETTS Office Use only DEPARTA1ENT0FPUBL1CS4FEIY Permit No. BOARDOFFIREPREVEMONREGUT4T70NS527CM12.M Occupancy&Fees Checked .��. APPLICATIONFOR 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 v3 Town of North Andover e Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) �� �-Z-� �� A:t-) C "T_ 3 Owner or Tenant ,1 a17 P 6-,Z77 Owner's Address F F(C,a t7 .tea 1/C-.e, A4 �- Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead 1:3 Underground M No. of Meters New Service Amps / Volts Overhead [= Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work S t.yl vtC,�S No.of Lighting Outlets No_of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground groiinrf 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. Total FIRE ALARMS No.of Zones Tons rNo.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 Municipal Other Connections No-of Water Heaters KW No.of No.of Signs Bailasis No,Hydro Massage Tubs No.of Motors Total HP OTHER• IimanceCowrage,PtUS=ttotheMWrit DMNOfMassa�Gmia d aws Iba,&aal ulLik itykw anaePblicyn)ckxhngCo� Co oritsabWntWequivabt YES NO .. /Ihawabnit>edvabdptoofofsametotboOlhce.YES F 71 IfyouhaNedni dYES,pleasein the typeofcoVa`ageby f INSURANCE ' , T BOND r7 CRIER F (P]ea�Sl�afj) •� •• • Expnahor►Da>E q ff E1m&d VakrofE1echical Wodc$ Wodc to SM i' c G ,O�j h>spechon Date Requested Rout / 1 Q/ f o3 Final FIANIEie ofperjtuy FRM IRMNAME / �"��lC �✓'L� ,L�—S Iicer>tseNo. .,/"I Lic�nsee/�11G�(.A�U nit c7,tJ,Ft—.> Signahue 7-7 S-O� BmnessTel.No. g�Z-ZqR Addt ,c AIL Tel No. 37!-0�6 L, OWNER'S INSURANCE WAIVER;I am aware that the LiccM does not have the mattanc e oovctage or k3 sr>�tial equivalent as mquited by Massachaset>s General laws and drat my signahue on this permit application waives this Iequicu tlL (Please check one) Owner O Agent ® o� Telephone No. PERMIT FEE$ «_ Signature ot Uwner or Agent The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit �7M see Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity FII am an employer providing workers' compensation for my employees working on this job. Company name: Address City: Phone#: Insurance.Co. Policv# Company name: Address City: Phone#: Insurance Co. Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of.a fine up to$1,500.00 and/or one years'imprisonment_as_wtelLas_ciAl.penaltiesln2heSnrm-fa_ST_OPwDRK ORDFR,arid_a.fin.e_of.($10-0 D)arlayagainst mF, l understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. !do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct. Signature Date Print name Phone.# Official use only do not write in this area to be completed by city or town cfficial' II City or Town PermitA_icensigg i El Building Dept nCheck if immediate response is required Licensing Board p Selectman's Office Contact person: Phone#. F-1 Health Department Ei Other n � Fire Protection by Computer Design TRI-STATE SPRINKLER CORP. P.O. BOX 968 DERRY NH 03038 603-647-0600 Job Name 121 CARTER FIELD ROAD Building SINGLE FAMILY RESIDENCE Location NORTH ANDOVER. MA System 1 Contract Data File TOMZ.WXF Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 TRI-STATE SPRINKLER CORP. Page 2 121 C.ARTER'FIELD ROAD Date 9/29/03 HYDRAULIC DESIGN INFORMATION SHEET Name - 121 CARTER FIELD ROAD Date - 9/29/03 Location - NORTH ANDOVER. MA Building - SINGLE FAMILY RESIDENCE System No. - 1 Contractor - TARA LEIGH DEVELOPMENT Contract, No. - Calculated By - CHRIS Drawing No. - FP lofl Construction: (X) Combustible ( ) Non-Combustible Ceiling Height OCCUPANCY - RESIDENTIAL S Type of Calculation: ( )NFPA 13 Residential ( )NFPA 13R (XX)NFPA 13D Y Number of Sprinklers Flowing: ( ) l (X)2 ( )4 ( ) S ( )Other T ( )Specific Ruling Made by;r ,\:_ Date E M Listed Flow at Start Point - 18 Gpm System Type Listed Pres. at Start Point - 18.4 Psi (X) Wet ( ) Dry D MAXIMUM LISTED SPACING 20 x 20 ( ) Deluge ( ) PreAction E Domestic Flow Added - 0 Gpm Sprinkler or Nozzle S Additional Flow Added - 0 Gpm Make CENTRAL Model LFII FLUSH I Elevation at Highest Outlet - 18 Feet Size 1/2" K-Factor 4.2 G Note: Temperature Rating 162 N Calculation Gpm Required 36.33 Psi Required 65.152 At Test Summary C-Factor Used: Overhead 150 Underground 150 W Water Flow Test: Pump Data: Tank or Reservoir: A Date of Test - 8/29/03 Rated Cap. Cap. T Time of Test - 10:45AM @ Psi Elev. E Static (Psi) - 92 Elev. R Residual (Psi) - 70 Other Well Flow (Gpm) - 1.350 Proof Flow Gpm S Elevation - 0 P Location: CARTER FIELD ROAD P L Source of Information: RESIDENTIAL SPRINKLER CO. Y Computer Programs by Hydratec Inc. Route 111 ,,W ndham N.H. USA 03087 TRI-STATE SPRINKLER CORP. Page 3 121 CARTER FIELD ROAD Date 9/29/03 City Water Supply: Pump Data: C1-Static Pressure: 92 PSI C2-Residual Pressure: 70 PSI C2-Residual Flow: 1350 GPM 150 D1-Elevation: 7.796 PSI 140 D2-System Flow:36.33 GPM D2-System Pressure: 73.471 PSI Hose ( Adj City ) :0 GPM 130 Hose ( Demand ) :0 GPM P 120 Safety Margin: 18.502 PSI R 110 E 100 S 1 F"` '�`' °rte/• 90 S 80 _ 2 C2 U 70 R 60 E 50 40 30 20 10 TI 200 400 600 800 1000 1200 1400 1600 1800 FLOW ( N 1.85 ) Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 TRI-STATE SPRINKLER CORP. Page 4 121 CARTER* FIELD ROAD Date 9/29/03 Fitting Legend Abbrev. Name A Generic Alarm Va B Generic Butterfly Valve C Roll Groove Coupling D Dry Pipe Valve E 90' Standard Elbow F 45' Elbow G Gate Valve H 45' Grvd-Vic Elbow I 90' Grvd-Vic Elbow J 90' Grvd-Vic Tee K Detector Check Valve L Long Turn Elbow M Medium Turn Elbow N PVC Standard Elbow 0 PVC Tee Branch P PVC 45' Elbow Q Flow Control V41-ke,,- R PVC Coupling/RunATte` S Swing Check Valve T 90' Flow thru Tee U 45' Firelock Elbow V 90' Firelock Elbow W Wafer Check Valve X 90' Firelock Tee Y Mechanical Tee Z Flow Switch t Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 TRI-STATE SPRINKLER CORP. ;Page 5 121 CARTER*FIELD ROAD Date 9/29/03 Unadjusted Fittings Table 1/2 3/4 1 1 1/4 1 1/2 2 2 1/2 3 3 1/2 4 A 7.7 21.5 17.0 B 7 10 12 C 1 �. =.. D 9.5 17 28 E 2 2 2 3 4 5 6 7 8 10 F 1 1 1 1 2 2 3 3 3 4 G 1 1 1 1 2 H 1 1.5 2 2 3 3 3.5 3.5 I 2 3 4 3.5 6 5.0 8 7 J 4.5 6 8 8.5 10.8 13 17 16 K 14 14 L 1 1 2 2 2 3 4 5 5 6 M 2 2 3 3 4 5 6 6 8 N 7 7 7 8 9 11 12 13 0 3 3 5 6 8 10 12 15 P 1 1 1 2 2 2 3 4 Q 18 29 35 R 1 1 1 1 1 1 2 2 S 4 5 5 7 9 11 14 16 19 22 T 3 4 5 6 8 10 12 15 17 20 U 1.8 2.2 2.6 3.4 V 3.5 4.3 5 6.8 W 10.3 X 8.5 10.8 13 16 Y 2.0 4.0 5.0 6.0 8.0 10.5 12.5 15.5 22 Z 2 2 2 3 4 5 6 7 8 10 5 6 8 10 12 16 18 20 24 A 17 27 29 B 9 10 12 19 21 C 1 1 1 1 1 1 1 1 1 1 D 47 E 12 14 18 22 27 35 40 45 50 61 F 5 7 9 11 13 17 19 21 24 28 G 2 3 4 5 6 7 8 10 11 13 H 4.5 5 6.5 8.5 10 18 20 23 25 30 I 8.5 10 13 17 20 23 25 33 36 40 J 21 25 33 41 50 65 78 88 98 120 K 36 55 45 L 8 9 13 16 18 24 27 30 34 40 M 10 12 16 19 22 N 0 P Q 33 R S 27 32 45 55 65 76 87 98 109 130 T 25 30 35 50 60 71 81 91 101 121 U 4.2 5.0 5.0 V 8.5 10 13 w 13.1 31.8 35.8 27.4 X 21 25 33 Y Z 12 14 18 22 27 � 5,v, 40 45 50 61 Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 TRI-STATE SPRINKLER CORP. Page 6 121 CARTER FIELD ROAD Date 9/29/03 Hyd. Qa Dia. Fitting Pipe Pt Pt Ref. "C" or Ftng's Pe Pv ******* Notes ****** Point Qt Pf/UL Eqv. Ln. Total Pf Pn 1 18.02 1.109 1T 9. 906 23.000 18.400 K Factor = 4.2 to 150 9.905 3 18.02 0.0542 32.905 1.782 Vel = 5.985 18.02 20.182 K Factor = 4.01 2 18.31 1.109 1T 9.906 11.000 19.015 = K Factor = 4.2 to 150 9.905 3 18.31 0.0558 20.905 1.166 Vel = 6.082 3 18.02 1.109 1T 9. 906 38.500 20.181 to 150 9.905 4 36.33 0.1982 48.405 9.593 Vel = 12.067 4 1.109 lE 3.962 9.000 29.774 to 150 3.962 _;: 898 5 36.33 0.1982 12.962 ,, 9 Vel = 12.067 5 1.109 lE 3. 962 9.000 36.241 to 150 2T 9. 906 23.773 6 36.33 0.1982 32.773 6.495 Vel = 12.067 6 1.109 lE 3.962 10.000 42.736 to 150 1T 9. 906 13.867 3.898 7 36.33 0.1982 23.867 4.730 Vel = 12.067 7 1.049 lE 2.000 18.500 51.364 to 120 2.000 TASR 36.33 0.3926 20.500 8.049 Vel = 13.487 TASR 1.049 lE 2.000 6.000 59.412 to 120 2.000 2.599 BASR 36.33 0.3926 8.000 3.141 Vel = 13.487 BASK 1.049 2.000 65.152 to 120 5.866 Fixed loss = 5 BKFL 36.33 0.3925 2.000 0.785 Vel = 13.487 BKFL 1.245 1G 40.000 71.803 to 150 1T 5.492 5.491 -3.465 TEST 36.33 0.1128 45.491 5.132 Vel = 9.575 36.33 -<'4,70 K Factor = 4.24 Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 tqcclFlow ControlTyco Fire Products Technical Services:Tel:(800)381-9312/Fax:(800)791-5500 Series LFI► Residential Flush Pendent Sprinkler 4.2 K-factor General standards of any other authorities hav- ing jurisdiction. Failure to do so may Description impair the integrity of these devices. The owner is responsible for maintain- The Series LFII (TY2284) Residential ing their fire protection system and de- Flush Pendent Sprinklers are decora- vices in proper operating condition. Tztive, fast response, fusible solder The installing contractor or sprinkler X T . sprinklers designed for use in residen- manufacturer should be contacted tial occupancies such as homes, relative to any questions. apartments, dormitories, and hotels. When aesthetics is the major consid- pS rinkler odel y oration, the Serres LFII {TY2284) should be the first choice. Identification The Series LFII are to be used in wet pipe residential sprinkler systems for Number one-and two-family dwellings and mo- bile homes per NFPA 131); wet pipe SIN TY2284 residential sprinkler systems for resi- dential occupancies up to and includ- ing four stories height per NFPA Operation 13R;or, wet pipe sprinkler systems for Data the residential portions of any occu- The sprinkler pancy per NFPA 13. p inkler assembly contains a Approvals: small fusible solder element.When ex- The Series LFII (TY2284) has a 4.2 UL and C-UL Listed. posed to sufficient heat from afire,the (60,5) K-factor that provides the re- Maximum Working Pressure: solder melts and enables the internal m qui red residential flow rates at reduced 175 psi m W bar) components of the sprinkler to fall pressures,enabling smaller pipe sizes away. At this point the sprinkler acti- and water supply requirements. Discharge Coefficient: vates with the deflector dropping into The flush design of the Series LFII K=4.2 GPM/psil/2(60,5 LPM/barl/2) its operated position (Reference Fig- (TY2284) features a separable es- Temperature Rating: ure 1C), permitting water to flow. cutcheon providing 3/8 inch (9,5 mm) 1620F/72°C vertical adjustment. This adjustment Vertical Adjustment: reduces the accuracy to which the pipe 3/8 inch (9,5 mm) drops to the sprinklers must be cut to help assure a perfect fit installation. Finishes: The Series LFII (TY2284) has been Sprinkler and Escutcheon: designed with heat sensitivity and White or Chrome water distribution characteristics Physical Characteristics: proven to help in the control of residen- Body . . . . . . . . . . . . . . Bronze tial fires and to improve the chance for Deflector. . . . . . . . . . . Copper occupants to escape or be evacuated. Button . . . . . . . . . . . Brass Orifice Seal . . . . . . . . . Copper WARNINGS Heat Collectors . . . . . . . Copper The Series LFiI(TY2284)Residential Flush Pendent Sprinklers described herein must be installed and main- tained in compliance with this docu- ment, as well as with the applicable standards of the National Fire Protec- tion Association, in addition to the Page 1 of 4 JUNE, 2002 TFP420 Page 2 of 4 TFP420 Minimum Flow(b)and Minimum Flow(b)and Installation Maximum Maximum Residual Pressure Residual Pressure Coverage Spacing For Horizontal Ceiling For Sloped Ceiling The Series LFII (TY2284) must be in- Area(a) Ft. (Max.2 Inch Rise (Max.8 Inch Rise stalled in accordance with the follow- Ft.x Ft {m) for 12 Inch Run) for 12 Inch Run) ing instructions: (m x m) NOTES The Protective Cap is to remain on the 162°F/72°C 162°F/72°C sprinkler during installation until the ceiling installation is complete. The 12 x 12 12 13 GPM(49,2 LPM) 22 GPM(83,3 LPM) Protective Cap must be removed to (3,7 x 3,7) (3,7) 9.6 psi(0,66 bar) 27.4 psi(1,89 bar) place the sprinkler in service. 14x 14 14 13 GPM(49,2 LPM) 22 GPM(83,3 LPM) A leak tight 1/2 inch NPT sprinkler joint (4,3 x 4,3) (4,3) 9.6 psi(0,66 bar) 27.4 psi(1,89 bar) should be obtained with a torque of 7 16 x 16 16 14 GPM(53,0 LPM) 22 GPM(83,3 LPM) to 14 ftibs. (9,5 to 19,0 Nm). A maxi- 4,9 x 4,9 ( ) (4,9) 11.1 psi(0,77 bar) 27.4 psi(1,89 bar) mum of 27 ft.lbs. (28,5 Nm)of torque 18x 18 18 18 GPM(68,1 LPM) 22 GPM(83,3 LPM) Is to be used to install sprinklers. (55 x 5,5) (515) 18.4 psi(1,27 bar) 27.4 psi(1,89 bar) Higher levels of torque may distort the 20 x 20 20 22 GPM{83,3 LPM) 24 GPM(90,8 LPM) sprinkler inlet with consequent leak- (6,1 x 6,1 age or impairment of the sprinkler. (6,1) 27.4 psi(1,89 bar) 32.7 psi(2,25 bar) Do not attempt to compensate for in- (a)For coverage area dimensions less than or between those indicated,it is sufficient adjustment in an Escutcheon necessary to use the minimum required flow for the next highest coverage area Plate by under-or over-tightening the for which hydraulic design criteria are stated. Sprinkler. Readjust the position of the b sprinkler fitting to suit. O Requirement is based on minimum flow in GPM(LPM)from each sprinkler.The associated residual pressures are calculated using the nominal K-factor.Refer to Step 1.The Sprinkler must be installed Hydraulic Design Criteria Section for details. only in the pendent position and with TABLE A the Sprinkler waterway centerline per- NFPA 13D AND NEPA 13R HYDRAULIC DESIGN CRITERIA pendicular to the mounting surface. FOR THE SERIES LFiI(TY2284) Step 2. Install the sprinkler fitting so RESIDENTIAL FLUSH PENDENT SPRINKLER that the distance from the face of the fitting to the mounting surface will be nominally 29/32 inches (23,0 mm) as manding sprinklers.The minimum re- shown in Figure 1A. Des Criteriaign qui red discharge from each of the four Step 3. With pipe thread sealant ap- sprinklers is to be the greater of the plied to the pipe threads,hand tighten following: the Sprinkler into the sprinkler fitting. The Series LFII (TY2284) Residential • The flow rates given in Table A for Step 4. Wrench tighten the Sprinkler Flush Pendent Sprinklers are UL NFPA 13D and 13R as a function of using only the Sprinkler Socket or Listed and C-UL Listed for installation temperature rating and the maxi- Wrench & Socket Combination (Ref. in accordance with the following crite- mum allowable coverage area. Figure 4). The wrench recess of the ria. • A minimum discharge of 0.1 gpm/sq. Socket is to be applied to the sprinkler ft.over the"design area"comprised wrenching Figure NOTE ' ' g area(Ref. 8u e 1 A). When conditions exist that are outside of the four most hydraulically al Step 5.Use the"ceiling level tolerance of the manding sprinklers for the actual limit"indicator on the Protective Ca toethe Residen�alvSerinkleer/Desf n refercoverage areas being protected by check for proper installation height Guide TFP490 for the manufacturers the four sprinklers. Relocate the sprinkler fitting as neces- recommendations that maybe accept- Obstruction To Water Distribution. sary.If desired the Protective Cap may able the local Authority Having Jurus- Locations of sprinklers are to be in also be used to locate the center of the diction. accordance with the obstruction rules clearance hole by gently pushing the of NFPA 13 for residential sprinklers. ceiling material against the center System Type.Only wet pipe systems point of the Cap. may be utilized. Operational Sensitivity. The sprin- klers are to be installed in the flush Step 6.After the ceiling has been com- Hydraulic Design. The minimum re- position per Figure 1 with the provided pleted with the 2 inch(50 mm)diame- quired sprinkler flow rate for systems escutcheon. ter clearance hole, use the Protective designed to NFPA 13D or NFPA 13R Cap Removal Tool (Ref. Figure 5) to are given in Table A as a function of Sprinkler Spacing. The minimum remove the Protective Cap and then temperature rating and the maximum spacing between sprinklers is 8 feet push on the Escutcheon until its flange allowable coverage areas.The sprin- (2,4 m). The maximum spacing be g tween sprinklers lust comes in contact with the ceiling. kler flow rate is the minimum required cannot exceed the p Do not continue to push the Escutch- discharge from each of the total length of the coverage area(Ref.Table number of"design sprinklers"as speci- A)being hydraulically calculated(e.g., eon such that it lifts a ceiling panel out maximum 12 feet for a 12 ft.x 12 ft. of its normal position. If the Escutch- tied in NFPA 13D or NFPA 13R. eon cannot be engaged wish the Sprin- � coverage area,or 20 feet for a 20 ft.x kler, or the the Escutcheon cannot be number of design sprinklers is to be For systems designed NFPA the 20 ft.coverage area). engaged sufficiently to contact the nt the the four most hydraulically de- ceiling, relocate the sprinkler fitting as necessary. F jjjg�;l I e`C ala Mitt Romney //•qq�yypqq ��/ p�6ylQ�pp Governor Thomas G. nr P.E. Commissioner Kerry Healey 1>>.r>OD�O Lieutenant Governor Thomas P.Hopkins Director Robert C.Haas 61��.�>D66�' Secretary www.mass.gov/aab I i TO: Local Building Inspector Variance Number:06 129 Local Disability Commission Independent Living Center FROM: ARCHITECTURAL ACCESS BOARD RE: Meeting House Commons Clubhouse X121 Carter Field-Road North Andover Date: 8/21/2006 Enclo ed lease find the following material regarding the above location: P 9 9 9 Application for Variance Decision of the Board Notice of Hearing _Correspondence Letter of Meeting The purpose of this memo is to advise you of action taken or to be taken by this Board. If you have any information which may assist the Board in reaching a decision in this case, you may call this office or you may submit comments in writing. Docket Number. VOL-129 `yC Mitt Romney w % Thomas G.Gatzunis,P.E. Governor 0�����06�60y�G���O/D/-�d,2�>,�,�� Commissioner Kerry Healey � Thomas P.Hopkins Lieutenant Governor wx lDirector Robert C.Haas 51. 6'/��Ca� www.mass.gov/aab Secretary 7 G APPLICATION FOR VARIANCE In accordance with M.G.L., Chapter 22, Section 13A, I hereby apply for modification of or substitution for the rules and regulations of.the Architectural Access Board as they apply to the facility described below on the grounds that literal compliance with the Board's regulations is impracticable in my case. PLEASE NOTE: If you are a tenant seeking variances, a letter from the owner of the building is required, authorizing you to apply on behalf of he/she. 1. State the name and address of the owner of the building/facility: rJG qdosp 0$_ Lt.c t%1 �RXC� _%A-V ( D Nd, ps�oV h� HA D1 09 f Tel: 2. State the name and address or other identification of the building/facility: Mtn WA. HoJSt 60MM005 CL_OC44ouSE NoWcta tq jVj>1rjL.(� 3. Describe the facility:(Number of floors,type of functions, use,etc.) G_.vl3lrW5F_ W tti4 Z FLOC)ILS . E:YE:WyEl or-tck ANO $r8t2�GtE LO�AlE2LE l.� Ott3� Lr_vNPAeMEDIC! Qik NO-POSE Re'or1 I VtTC.lAfNt 5MACAE1 3uStNt35C.t-TL-rL N� MAttr REA F'i2STFWo2) 4. Total square footage of the building: 53`07 Per floor: ?1112;2'-111.-t x66 S is ) a.total square footage of tenant space(if applicable): SF 5. Check the work performed or to be performed: ,-New Construction _Addition _Reconstruction, remodeling, alteration_Change of Use 6. Briefly describe tete extent and nature of the work performed or tWbe performed: (Use additional sheets if necessary). t;l i c: �7:�-f3 c:J� o1J SiA� tlt.P3E, Gi .. iAL+F 1PULI . r_—Q N04VC104 1ti�w5. 2 s•�aR-� But t..p t�ti w itkt >ruc.+r (3�bt��r tX�, _ 7. State each section of the Architectural Access Board's regulations for which a variance is being requested: q 7a. Check appropriate regulations: 1998 Regulations 2002 Regulations y 2006 Regulations SECTIgN�IUMBER LOCATION OR DESCRIPTION 2$.1 h j a, L 3Y 1 Garlalc'c� Z S� At�yf Jffx Po"or Kr dr e'ttvgap jA f1LLo.� �.}ars►�Lj �� Llxv of FjayeaalZ 8. Is the building historically significant? yes _X—no. If no,go to number 9. 8a. If yes,check one of the following and indicate date of listing: National Historic Landmark Listed individually on the National Register of Historic Places Located in registered historic district Listed in the State Register of Historic Places III r Eligible for listing 8b. If you checked any of the above and your variance request is based upon the historical significance of the building, you must provide a letter of determination from the Massachusetts Historical Commission, 80 Boylston Street, Boston, MA 02116. 9. For each variance requested, state in detail the reasons why compliance with the Board's regulations is impracticable. State the necessary cost of the work required to achieve compliance with the regulations. PLEASE NOTE THAT YOU SHOULD SUBMIT WRITTEN COST ESTIMATES AS WELL AS PLANS JUSTIFYING THE COST OF COMPLIANCE. Use additional sheets if necessary. Qui�y�,lj� Js_ ti 510 At/ w.7_N &ZAurC of Lv CIC a Argo wJ<c ArOQJ� �Qoar. FAC���`,Q,� RED2�P.�7Y AF �,q.,�M)/J/✓w.� R•J �� •V ACCI"rrl e9i E Ga.atll �r uJL'r P/!d►ny�- wo UCV Btr gra pi4-F.17jX'Al -0k Alm,ViF aAA1 40AY 1.J�rTrY JIV` VJf I&AV 0 ri l4 A 10. Has a building permit been applied for? 11,4 o Has a building permit been issued? 10a. If a building permit has been issued,what date was it issued? 10b. If work has been completed,state the date the building permit was issued for said work 11. State the estimated cost of construction as stated on the above building permit. 11 a. If a building permit has not been issued,state the anticipated construction cost: _!__fa,e_6 12. Have any other building permits been issued within the past 36 months? 1146 12a. If yes, state the dates that permits were issued and the estimated cost of construction for each permit: 13. Has a certificate of occupancy been issued for the facility?k_If yes,state the date: 14. To the best of your knowledge, has a complaint ever been filed on this building relative to accessibility? yes ✓ no. 15. State the actual assessed valuation of the BUILDING ONLY, as recorded in the Assessor's Office of the municipality in which the building is located. Is the assessment at 100%? If not,what is the town's current assessment ratio? 16. State the phase of design or construction of the facility as of the date of this application: Eivo^L 9E•51bJ I-r apq OF C6"NYCEI.1/G'Tt6 J -P lalNdj 17. State the name and address of the architectural.or engineering firm including the name of the individual architect or engineer responsible for preparing drawings of the facility: o' %r L ►IJ tot wb nQ, Zt r-i�U, 11� IffiO TEL: - 18. State�the name and address of the building inspector responsible for overseeing this project: V1�1��+b TSQU1.�Cy - 1a� 1�N4CT1EfZ.-BQI ,f�kNk - i'�00 OVG-L0005 TEL: WE &OZ-915(45 PLEASE NOTE: The Board may, in its discretion, hold a hearing on your application for variance. The Board may also decide your application without a hearing, based upon the information you submit. You should therefore include all relevant information with your application. At minimum the plans should include a site plan, all floor plans, elevations,sections and details. Photographs of existing conditions are extremely important. Date: S ! �bG PRINT: Qs a;,"Ly d R �`fE�rS - -�-- p Name of owner� authorized agent L C' SAF=cTY EV-GC J�gine(�- gyp.• SV1Y(e l _ DEPARTf41c.N� Address 1 206 AUG 2 City/Town State Zip Code 1 �1 • L��'1 CG'7 RC'r1i i�c gnature Telephone PLEASE ENCLOSE: A FILING FEE OF $50.00(CHECK/MONEY ORDER)MADE PAYABLE TO THE COMMONWEALTH OF MASSACHUSETTS, AS WELL AS THREE ADDITIONAL COPIES OF THE ORIGINAL APPLICATION FOR VARIANCE AND ALL SUPPORTING DOCUMENTATION. I UP /q P LIFT 54'X36' I = `MEN ® WOMEN OFFICE IFFUL STORAGE EXEPCISE 13'-8'X 22'-4' 29'-2" X 32'-4" ENTRY II I I STORAGE. 16'-8" X 13'-0' EXERCISE LEVEL PLAN 2412 S.F. MEETING HOUSE COMMONS NORTH READING, MA -17-OB Oft O'SULLIVAN ARCHITECTS, INC. ARCHITECTURE C7ESIGiN . PL_ANNINO 201 EcIQ—tar Ori—. SuJt-21 S•VV.k.fiald, MA 01 860 Tel: (781)246-1667-F—: (781)246-1683•WWW.OSULLIVANAFCHITECTS.COM O 2008 oSNu—M ftM. 1 r- UP I I \ \ � LIFT - \ MEDIA CABINET 54'X36" _ n _ _ � \ `'� � -` \ � MAIL - - - - - - - - - - - - ` MEN 0OMEN I COATS LINE of 10'CLG. I DN READING/ I I LOUNGE MULTI-PURPOSE I I 13'-6• X 15'-4' ROOM 20'-4"X 35'-0" I I ENTRY 14'-O" X 15'-2' I I I I LINE of 10 ma I I I o BUSINESSI I I o ° STOR. CENTER L - - - - - J U) KITCI-IEN 10'-4" X 12'-10" TO CRA0 MEETING ROOM LEVEL PLAN 2412 S.F. MEETING HOUSE COMMONS NORTH READING, MA e-17-08 O'SULLIVAN ARCHITECTS, INC. ARCHITECTURE • OESI(3N PLANNINC3 207 EdQ.wat.r Priv., Suit.21 5 W.K.fi.td, MA 01 880 Tet: (781)248-1667•F—: (781)248-1583•WWW.OSLILLIVANAFCHITECTS.COM 0 2006 OSUHV nrcNwm Inc s F— — — —� — — — — — — — — — — — — — — — — — — — — ZQar=N STORAGE iQ 25'-2" X 20'-10' BELOW ASI C FLOOR PLAN 566 S.F. MEETING HOUSE COMMONS NORTH READING, MA 8-17-08 O'SLILLIVAN ARCHITECTS, INC. ARCHITECTURE . OESIC3IV . PLANIVINC3i 201 ECIQO—tar Oriva, Suites 215.WakWiald, MA 01880 Tel: (781)248-1687.F": (781)246-1883.WWW,OSULLIVANARCHITECTS.COM 02008 O8WAv-Al hit..Wlit. 1 , FBI BE HBVEE LILL] PIP mi I=RONY ELEVATION MEETING HOUSE COMMONS NORTH READING, MA 8-17-W C O'SULLIVAN ARCHITECTS, INC, ARCHITECTURE • (DESIGN . PLANNING 201 Edpawatar OrNe, Sulta 215•Wakaflald, MA 01880 Tel: (781)246-1667•F—; (781)246-1683•WWW.OSULLIVANARCHITECTS.COM O 2008.C'SL"v Archfte l6 ft. w E REAR ELEVATION MEETING HOUSE COMMONS NORTH READING, MA 8-17-08 Q O'SULLIVAN ARCHITECTS, INC. ARCHITECTURE � OESIG3N PLANNING 201 EClOmwatar Orly . Suites 21 5•W.1-1181d, MA 01 880 Tel: (781)246-1667•F— (781)246-1683•WWW.OSULLIVANARCHITECTS.COM 02008 O'SUBv Arc"ecls Ino. 2ND FLOOR IST FLOOR II u BASEMENT IV 07RIC#�iT ELEVATION MEETING HOUSE COMMONS NORTH READING, MA 8-17-06 O'SULLIVAN ARCHITECTS, INC. ARCHITECTURE - OESIGIV - PLANNING 201 EclQ—mt—Orly . Suit.21 6-WakWiolcJ, MA 01 880 Tel: (781)246-1667-F": (781)246-1683-WWW.OSULLIVANARCHITECTS.COM 0 2000 cls m— Pt�lleda Nc. h 2ND FLOOR IST FLOOR pH Fm ElliRYI it Li ABASEMENT �- LEFT ELEVATION MEETING HOUSE COMMONS NORTH READING, MA 6-17-06 O'SULLIVAN ARCHITECTS, INC, ARCHITECTURE • OESIGN . F-LANNINC3 201 EdOaW®tar Oriv , Suites 21 6•Wako11a10, MA 01 BBO Tel: (781)248-1887-F— (781)248-1863•WWW.OSULLIVANAFtCHfTEC7S.COM 0 2008 O'SUA—ArChM=Mo.