The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 125 CORTLAND DRIVE 4/30/2018 / 125 Cortland Dr. Unit 13 - f f %ORTN O`4, •0,•1,�,o I O _'... 1 TOWN OF NORTH ANDOVER TI APPLICAON FOR PLAN EXAMINATION + S�C64USE i Permit NO:=_/) Date Received: Date Issued: 2—C' 'g IMPORTANT: Applicant must complete all items on this page LOCATION Z C Co r'f(a, 0? G ti 17' L �C A414PROPERTY OWNER PIA MAP NO.: D5Pnnt PARCEL: ZONING DISTRICT: �.+ R I TYPE AND USE OF BUILDING j TYPE OF IMPROVEMENT HISTORIC DISTRICT YES ❑ PROPOSED USE Residential + XNew Building Non- Residential Addition One family E,Two or more family ❑ Industrial Alteration No. of units: + Repair, replacement ❑ Ssessory Bldg + Demolition ❑Commercial ' Moving(relocation) Other + E Foundation onl a Others: ' + DESCRIPTION OF WORK TO BE PREFORMED ! I i Identification Please Type or Print Clearl OWNER: Name: ,� V Phone:Cf 7FIe 3 Address: Z 1 ignature f � I / I CONTRACTOR Name: �t Phone: 87-263 Address: A it/1 Supervisor's Construction License: 41 Exp. Date: S ' + Home Improvement License: ti�i4 Exp. Date: ' ARCHITECTIENGINEER Name: Phone: + Address: Reg. No. + FEE SCHEDULE:BOLDING PERMIT:SIO-00 PER 5100 .00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. + Total Project Cost :$�' �L A � �� j xlt.Op—FEE:$ Z . � ) a' Check No.: Receipt No.: r',,re I r t qy$ . I NORT1y _ — — - - - - - — - 0 _own _ over LA over., Mass.,-?,./) ' O �A COCHICHEWICK ORATED P`Pa��S S BOARD OF HEALTH PER T Food/Kitchen M1 T Septic System THIS CERTIFIES THAT..... . BUILDING INSPECTOR f.�.lri1l�A>rlR.. raw rt Foundation has permission to erect.................................... buildings on ./. Rough to be occupied as 1 , Doo-& �.,,,�/ �� Chimney .... ........................................................................ provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to a In action, Alteration and Construction of Final Buildings in the Town of North Andover. �� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit.;IqpRough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRU N ST TS. EL E CTRICAL INSPECTOR 4< Rough ... ..... .......... ........ Service B G INSPECTOR Final OCcuc panty Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done Final Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT c Burner Street No. IL SEE REVERSE SIDLE��j Smoke Det. A') r 7 yi-off. Date............:.................... f NORTH 1 �a;�` ``°-;'�,•"�o� TOWN OF NORTH ANDOVER r ` ° PERMIT FOR WIRING ,SSACHUS� f�} This certifies that ..::.:.............. .... has permission to perform..,., . ...... �!.t.2...................r.............................. wiring in the building of 1........... r.- ...:.........✓.................... 1 - ��,� at....................................................... ....................... .North Andover,Mass. } Fee v�-7e ......... Lic.No. ... ..........................f �. ELECTRICAL INSPECT Check # 7021 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. 70A/ Occupancy and Fee Checked / BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] leaveblank' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 1'2.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: l 2� f p w I City or Town of. NORTH ANDOVER To the Inspector of Wires:', By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street& Number) Owner or Tenant (�,.� LZ� E�%� Telephone No. 61$ -2636— Owner's Address J`LI CAkTZ-51t (-7&(�b A/O, J e*,_ Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building S iE.v�..4-{__ Utility Authorization Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service � Amps [1p / Z`{C)Volts Overhead ❑ Undgrd � No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion of the followin table ma be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers ! KVA No.of Luminaire Outlets No.of Hot Tubs Generators ' KVA No.of Luminaires Swimming Pool Above ElIn- ❑ o.o Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets No. of Oil Burners FIRE ALARMSNo.of Zones o Detection and No.of Switches No.of Gas Burners No. Initiating Devices No.of Ranges No.of Air Cond. Total No. of Alertin Devices Tons g No.of Waste Disposers Heat Pum Number Tons KW o.o elf-Contained Totals Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection Other No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No. of WaterKW No.o No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecom municahons irmg: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of flectrical Work: Jg0010 - (When required by municipal policy.) Work to Start: O -t ( 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 Covera is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify,under tl: pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: t.�L ce kt— -5E42V% S LIC. NO.: ,hi 9A o Licensee: lC.CkAL-L �ZW Signature LIC. NO.: C_,Z?f�0� (/f applicable,ent "exempt"in the licens number line.) \ Bus.Tel. No.: 3>SZg Address: t w5 Alt.Tel.No.: 7 *Security System Contractor Lice se required for this work; if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent FPERMITFEE: $ Signature Telephone No. r � e7-/0—o? - I ' I I CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER ' Building Permit Number Date: Auger 10.20-07 THIS CERTIFIES THAT THE BUILDING LOCATED ON 125 Cortland Drive I MAY BE OCCUPIED AS Single FMft Dwelling__ IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: htwu Hown 125 Cortland Drive lka AndomMA 01845 2n, i Building IfispKtor r I I I i i I ' I ' I i NORTH Town- of Andover No. 0I I( o '� dover, Mass., O LA COCMICHEWICK 7�ps RATE D 7 BOARD OF HEALTH PERMIT T D Food/Kitchen N Septic System J01— • BUILD G SPECTOR THIS CERTIFIES THAT..... /1�.5.... .R�0A . ....... i1e� ..��..�....... � �..,: �' ..... ............ Fou on / has permission to erect........................................ buildings on ./2.37...COlihl�!f .h�i ....�.., oug to be occupied as Da*-AL-cud....... �^.. ......................................................................... - 0'V <9-el provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Fi ----� { this office, and to the provisions of the Codes and By-Laws relating to he Inaction, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTO , 7 :_ VIOLATION of the Zoning or Building Regulations Voids this Permit. Rou �J � , 67 �, PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC N ST TS ` ' ..... ....... ............................. .. ........................... Service B G INSPECTOR Fin e�L Occupancy Permit Required to Occupy Building GAS INSPECTOR 7 Display in a Conspicuous Place on the Premises — Do Not Remove Rnugh No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. - ----- - - - -.SEE- REVERSE-SIDE- -� _ � --- J1 Smoke-Det �r 'f µORTF# s 01 q 07 onunt.-i• 1• 4°trao CHu`-�� APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION Building Permit# C71 ADDRESS/LOCATION OF PROPERTY : iZS Co r+16 j Zr( Ma o , Parcel 3 � Lot Number 0 W `j' p I C i i SUBDIVISION C',71 DATE REQUESTED FILED/READY FOR INSPECTION FX 6 0 CLOSING DATE ON PROPERTY: �y I FIVE (6) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPL T D WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS $20. 0 WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APP ABLE CODES. SIGNED � ROUTING 1 CONSERVATION NA � PLANNING Nl D DPW -WATER METER SEWER/WATER CONNECTI0k1l NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW (��t e_u. �+G�- _ �Tc� 0J6 '�' Signature File: OC form revised 2006 Date. /l' 7 0.4 "oR'M TOWN OF NORTH ANDOVER < ' � w PERMIT FOR PLUMBING Y i ,SSACMUS� This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,1 or has permission to perform . .�.-!�: . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of at . . . .,!/. . . �=-!1--. .. . .. . . . . .. . .. .,'North Andover, Mass. Fee's-"-"//.G=.Lic. No./0/iT . . . . . . . . . . . . `—PLUM IN,(n INSPECTOR Check # ?� � r 7456 1 MASSACHUSETTS UNIFORM APP KATION FOR PERMIT TO DO PLUMB (Type or print) ING NORTH ANDOVER,MASSACHUSETTS Building Location Name Date Permit# T e of Occu an Amount r New Renovation Replacement \ ❑ Plans Submitted Yes No FIXTURES 41 rA >Ei44MW 1K>t� \ Z ELOIR �FIOQt SM ELOCR s> ROR 7IH RaR SIH ELDER =tloinr= pany Name Check one: Certificate Corp. Address r ❑ Partner., Business Telephone q Firm/Co. Name of Licensed Plumber. Insurance Cove a e: Indicate the type of insurance coverage by checkingthe Liability insurance policy LJ Other type of indemnity ❑aPpmpriate box: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 herecertify that all by fy of the details and information I have submitted or en best of ( tared)in above application are true my knowled a and that all a and accurate to the g plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State P um;—etr ode an a 142 of the General Laws. By: r .� rgna o rcens Title Type of Plumbing License lCity/Town7 1 nse um er Master Journeyman APPROVED(OFFICE USE ONLY o' ORT TOWN OF NORTH ANDOVER .> F PERMIT FR PLUMBING40 ," ,SSACMUSE� �A✓ This certifies that has permission to perform . . . . ..4. . . . . . . . . . . . . . . . . . plumbing in the buildings of at . . . . . . . . . . .. North Andover, Mass. Fee. .7Lic. No.. � /. 7). . . . . . . . . . Q -- -... . . . PLUMBING INSPECTOR Check # 7393 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMB&G (Type or print) NORTH ANDOVER,MASSACHUSETTS T Date �� Building Location �°l�� elb/ Owners Name 71 Q��— Permit ._?31 Type of Occupancy / Df Amount New Renovation Replacement Plans Submitted Yes No FIXTURES CrI � S�H4V11C i H��IIVi' M HaR �t � aD HDQi 3MROCK 4M EWM sM>H = I 6M RO R 7M ROM MHDM +4 ' I (Print or type) Check one: Certificate Installing Company Nam e /� / p� ❑ Corp. Address —1--) !��/ hu H _� ��l6 ❑ Partner. Business Telephone Firm/Co. Name of Licensed Plumber- Insurance lumberInsurance Coverage: Indicate thea of insurance coverage by checking the appropriate boat Liability insurance policy Other type of indemnity ❑ Bond Insurance Waiver I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ ❑ Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the I best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Phunbin Code and Chap 42 of the General Laws. r By: b.gnAU 0L L►wnuw riumoer Title Type ofPlumbing License ��7 City/Town APPROVED(OFFICE USE ONLY icense um er Master ❑/ Journeyman � i Date. . Oq NQRTM TOWN OF NO H AN VER ° P PERMIT FO PLU ING 40 SACNUS� 1 This certifies that .'. `."�". . . L .,.-� ..�✓ has permission to perform . ...-/!-r-rat a'-�'..... . . . . . . . . . . . . . . plumbing in the buildings ooff ./.�- . . . . . . . . . . . . . . . . . . . at ` . . . -d`-r . +--D. . . . ... . . . .�. . North Andover, Mass. Fee6./. .-. .Lic. No.rw 7 1. ``r-- . . . . /. . ./. . . . . . . . . . . . . . . C PLUMBIN/G"�INSPECTOR Check # �f l°��' 7401 i I MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) j NORTH ANDOVER,MASSACHUSETTS �'� Date k/0 Building Location y C�,r 1c� Lh Owners Name Permit# Type of Occupancy fesa"ki� Amount j New Renovation Replacement Plans Submitted Yes No FIXTURES V. I StBRM R4SRWW 4M NDM 5MILaR I QHKaR II . 7MFLOM SM F[OM 4��F I I (Print or type) �� y�� I � Check one: Certificate Installing Company Name FYyA, S(A ❑ Corp. Address 0 4 L 0 Partner. W. 030-)--}- Business T lephone 377 7 73 T Firm/Co. Name of Licensed Plumber. Insurance Coverage: Indicate the type of insurance coverage'by checking the appropriate box: Liability insurance policy Is Other type of indemnity � Bond ❑ I, 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 I Signature Owner ❑ Agent ❑ I I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the , best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massa e Pluming e and Chapter 142 of the General Laws, �! r By: SignAture o ►ceps Title Type of Plumbing Li se i 07�- , lCity/TownPROVED(OFFICE USE ONLY DUMBe u er Master Journeyman APPRI I I I -94 Location /d�- "a DrV No. 0//(- Date NORTH. TOWN OF NORTH ANDOVER 0 O s. F, p #. Certificate of Occupancy $ �f �'�s'•^�E<� Building/Frame Permit Fee $ ACMUS Foundation Permit Fee $ _� Other Permit Fee $ ' TOTAL $ Check # i Bul:lbtng Inspector Q NORTN 1 p ti�ao.a NO r e.� .....�a p 3 t p TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION I 9`c I CHU�49 1 Permit NO: 1--4-- '�f �/ Date Received:-21--' Date Issued: L IMPORTANT: Applicant must complete all items on this page pp LOCATION I Z S (�14 I owl N T l� 1 N44& Pri t ) �c PROPERTY OWNER (, Print p MAP NO.: is�C PARCEL: �� ZONING DISTRICT: R TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential , New Building XOne family ❑ Addition ❑Two or more family ❑Industrial ❑ Alteration No. of units: 11Repair, replacement ❑Assessory Bldg ❑Commercial { ❑ Demolition ❑Moving(relocation) ❑ Other ❑ Others: I I ❑Foundation only DESCRIPTION OF WORK TO BE PREFORMED Aa-Q, I Identification Please Type or Print Clearl I I OWNER: Name: ' L Phone: RS; 6 . 35 ignature Address: 2-1 CONTRACTOR Name: 1 Phone: 87��63S . Address: j Supervisor's Construction License: � r7/ Exp. Date: 61( Home Improvement License: �J/44 Exp. Date: I ARCHITECT/ENGINEER Name: Phone: Address: Reg.No. FEE SCHEDULE:BULDING PERMIT.$10.00 PER$100 .00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ KL 71 YLS )ddb x11.00=FEE:$ f ��....� 1 -Check No.: T Receipt No.: g2� Page Iof4 Department p The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application d Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work Addition Or Decks ❑ Building Permit Application ❑ Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract Of Proposed Work With Sprinkler Plan And Hydraulic ❑ Floor/Crossection/Elevation Plan Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report In all cases if a variance or special permit was requin�dntu t then etlthks reffice must stamp the corded at the Registry of Deeds. One copy and ecision from the Board of Appeals that the appeal period is over. The applicant g proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENTMITORM05 Page 4 of 4 TYPE OF SEWARGE DISPOSAL Swimming Pools ❑ Tanning/Massage/Body Art F1g Public Sewer x Well 11 Tobacco Tobacco Sales Food Packaging/Sales El Permanent Dumpster on Site ElPrivate(septic tank,etc. 11 Permanent Meter location to project NOTE: Persons contracting with unr gistered c n actors do not have access to the guaranty fun Signature of Agent/Owner Signature of Contractor Plans Submitted lans Waived ❑ Certified Plot Plan ❑ tamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE O INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ []Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED A CONSERVATION ❑ ❑ r r COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ i COMMENTS Zoning Board of Appeals: Variance,Petition No: Zoning Decision/receipt submitted }l,�'s x,33 W Planning Board Decision: Comments Conservation Decision: Comments i Water&Sewer connection signature&date Temp Dumpster onsite yes�no_ Fire Department signature/date .Building Permit Approved and Issued by: Page 2 of 4 Building Setback(ft.), N1n C A09 Permli Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided 0 A 0A lj)A DIMENSION `` Number of Stories: 1 /'Z Total square feet of floor area,based on Exterior dimensions. Total land area,sq.ft.: NIA `(-6NA30 ftoa Ne-) NOTES and DATA—(For department use) Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jan.2006 I Building Setback(ft.) A C -A Ug QerMIi Front Yard SiZle Yard Rear Yard Required Provided Required Provides Required Provided 0A 0A DIMENSION Number of Stories: �Z Total square feet of floor area,based on Exterior dimensions. 4x-S Total land area, sq.ft.: `66KA30 (30.2 Ne—) NOTES and DATA—(For department use) I i i 1 I i I I Page 3 of 4 i I Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created IMC.Jan.2006 I I TYPE OF SEWARGE DISPOSAL Swimming Pools El Art ❑ Public Sewer Well F1Tobacco Sales ❑ Food Packaging/Sales ❑ ❑ ❑ Permanent Dumpster on Site Private(septic tank,etc. Electric Meter location to project NOTE: Persons contracting with unr gistered c n actors do not have access to the guarantyfun Signature of Agent/Owner Signature of Contractor -I"t-4 JA/ Plans Submitted KX Tans Waived ❑ Certified Plot Plan ❑ tamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE O INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ r COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ ` COMMENTS Zoning Board of Appeals: Variance, Petit ion No: Zoning Decision/receipt submitted } YO j3 Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer connection signature&date Temp Dumpster on site yes—no— Fire Department signature/date Building Permit Approved and Issued by: Page 2 of 4 J i � Building Department I i The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application Li Workers Comp Affidavit ❑ Plioto`Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work i Addition Or Decks ❑ Building Permit Application ❑ Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) ❑ Building Permit Application { ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ' ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check 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 the building application { Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 f f Page 4 of 4 f 2 f NORTH 1 O 4,�ao a.ti0 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION C usEt Permit NO: Date Received: Date Issued: c IMPORTANT: Applicant must complete all items on this page LOCATION—1 Z S CGr l (PJ D &N 1 T 13 I ALWL - t L> C PROPERTY OWNER C� Print p MAP NO.: le�C PARCEL: 3 ZONING DISTRICT: (� TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential JKNew Building KOne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Repair, replacement ❑ Assessory Bldg ❑ Commercial ❑ Demolition ❑ Moving(relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED s S R Ja,AA CW C&Jo o' Identification Please Type or Print Clearl OWNER: Name: L v Phone:'17,F"dF7Z 3-'�' ignature Address: Z-1 ca ta,4 Cr ,iV�v9 CONTRACTOR Name: CQt Phone: 87'Z63� Address: J7/ ✓"` f Supervisor's Construction License: �(��7/ Exp. Date: Home Improvement License: �J/14 Exp. Date: ARCHITECT/ENGINEER A-yNe Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.•$10.00 PER$100 .00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ ZSRS �L Y} 7Z S �)�lb x1 .00=FEE:$ 2 . } ll- 1 �1 r sS. Check No.: i I Receipt No.: `l` y Page I of 4 NORTH - - - - - - - - - - - - - - - - - T0 0 : ... 4 over No. 70 over, Mass., COCMICMEWICK V s RP' ATED Pa �CS l BOARD OF HEALTH PERM. IT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..... {r /l1 S!.... ......�.Ir ....... 1�AAA!�!�..� ........ .... ............. Foundation has permission to erect........................................ buildings on ./1. a _ �.. �!. .�.� .......... ......a... Rough to be occupied as s.Ac. AoAL-cua ... . .................................................................. 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 Vq, a In action, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR 7 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRU NST TS Rough ... .... .............. Service .. .. . ..... . .. .......................... B G INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. _ _ Burner ------ - - -- ---- Street No. SEE REVERSE SIDE Smoke Det. 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. l *** *****APPLICANT FILLS OUT THIS-SECTION******************,**** M APPLICANT avt t i� j , i�dI1S LLC PHONE C8 -z(,I�j LOCATION: Assessor's Map Number /�yC PARCEL 3 SUBDIVISION l" t� < �oL� /�n7 t/ LOT (S) )3 STREET �ttIq _ i ST. NUMBER USE ONLY *n R OMMENDAT OF TOWN AGENTS: CO ERVATION ADMIN RATOR DATE APPROVED i DATE REJECTED COMMENTS j9#0- g,r iJ S ISp Acd to+ TOWN PLANNER• DATE APPROVED DATE REJECTED COMMENTS l NIA I FOOD IN ECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED j DATE REJECTED COMMENTS o" S aW E Gam(/ PUBLIC WORKS - SEWER/WATER CONNECTIONS �' l I�G• DRIVEWAY PERMIT 7 FIRE DEPARTMENT d RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm i i ' I i I � ✓rie t�anvnvoacu�ea.�� ✓vcc�aaac�ivaP.(�a � BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 055417 f / Birthdate:04/05/1960 Expires:'04/05/2006 Tr.no: 21033 i Restricted: 00 THOMAS D ZAHORUIKO I 121 CARTERFIELD RD w II N ANDOVER, MIA 01845 Acting Ca nmis oner I I � I I I i i I, The Comnionwealtli of Massachusetts i Department of Industrial Accidents i � Office of Investigations 600 W ashington Street ' Boston, MA 02111 www.mass.gov/dia t Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print,Le ibl Name (Business/Organization/individual): At Address: 2..,Z City/State/Zip: G�S-P,�� ✓12 aJ�� Phone #: Cl ),g';;; 7-Z 4 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ i am a general contractor and 1 I employees(full and/or part-time).* have hired the sub-contractors 6. �New construction i ell a sole proprietor or partner- listed on the attached sheet. + 7. E] Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. [No workers'comp. insurance 5. 9. Building additions, p ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs br additions 3.❑ i am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs br additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' comp. insurance required.] 13-El Other *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. Homeowners�vlio submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lie.#: Expiration Date: � Job Site Address: Ci /State/Zi ty p: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDERiand a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of investigations of the DIA for insurance covera rification. I do hereby certify under th ains and pe alties perjury that the information provided bove is true and correct. Si nature: �ze_)4 Date: Phone#: 35/ Official use only. Do not write in this area,to be completed by city or town ofc/al. j i City or Town: Permit/License# i Issuing Authority(circle one): 4 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: I ' Phone#: i i Permit Number I MECcheck Compliance Report. Checked By/Date Massachusetts Energy Code ME Ccheck Software Version 3.3 Release 1 b Data filename:Untitled TITLE:The Nantucket at Meetinghouse Commons CITY:North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE:Other(Non-Electric Resistance) DATE:02/23/06 DATE OF PLANS:2/07/06 PROJECT INFORMATION: Meetinghouse Commons i North Andover,MA 01845 COMPANY INFORMATION: Meetinghouse Commons LLC COMPLIANCE:Passes Maximum UA=477 Your Home=447 6.3%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 1628 0.0 30.0 50 Wall 1: Wood Frame, 16"o.c. 2356 0.0 13.0 186 Window 1:Vinyl Frame,Double Pane with Low-E 379 0.340 129 Door 1:Solid 35 0.340 12 Floor is All-Wood JoistfTruss,Over Unconditioned Space 1628 0.0 19.0 70 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 Ib and to comply with the mandatory requirements listed in the MECcheck Inspection Checklis The heating load for this building,and the cooling load if appr ri ,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipme s cted to beat or cool the building shall be no greater than 125%of the design load as spec' in Sections 78 1310 and J4.4. L/ Builder/Designer Date �/( i i MECcheck Inspection Checklist Massachusetts Energy Code MECcheck.Software Version 3.3 Release I b i DATE:02/23/06 TITLE:The Nantucket at Meetinghouse Commons Bldg. J Dept. i Use J J J Ceilings: [ ] J I. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 continuous insulation { Comments: { Above-Grade Walls: [ j { 1. Wall 1:Wood Frame, 16"o.c.,R-13.0 continuous insulation { Comments: J J Windows: [ ] { 1. Window 1: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 J Comments: { J Doors: [ ] { 1. Door 1:Solid,U-factor:0.340 J Comments: { J Floors: [ ] J 1. Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 continuous insulation { Comments: { { Heating and Cooling Equipment: [ ] { 1. Furnace 1:Forced Hot Air,90 AFUE or higher J Make and Model Number [ ] { 2. Air Conditioner 1:Electric Central Air, 10 SEER or higher { Make and Model Number { J Air Leakage: i { ] { Joints,penetrations,and all other such openings in the building envelope that are sources of air { leakage must be sealed. [ ] J When installed in the building envelope,recessed lighting fixtures { shall meet one of the following requirements: { 1. Type IC razed,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 cfm(0.944 i J L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture I { shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. i J � { Vapor Retarder: [ ] { Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. J J Materials Identification: [ ] { Materials and equipment must be identified so that compliance can be determined. [ ) J Manufacturer manuals for all installed heating and cooling equipment and service water heating { equipment must be provided. Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on J the building plans or specifications. J J Duct Insulation: [ ] J Ducts shall be insulated per Table J4.4.7.1. I J Duct Construction: [ ] All accessible joints,seams,and connections of supply and return ductwork located outside J conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed J using mastic and fibrous backing tape installed according to the manufacturer's installation i J instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] J The HVAC system must provide a means for balancing air and water systems. J J Temperature Controls: [ ] J Thermostats are required for each separate HVAC system. A manual or automatic means to J partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. J Heating and Cooling Equipment Sizing: [ ] Rated output capacity of the beating/cooling system is not greater than 125%of the design load as J specified in Sections 780CMR 1310 and J4.4. J Circulating Hot Water Systems: [ ] ) Insulate circulating hot water pipes to the levels in Table 1. J Swimming Pools: [ ] J All heated swimming pools must have an on/off heater switch and require a cover unless over 20% J of the heating energy is from non-depletable sources. Pool pumps require a time clock. J J Heating and Cooling Piping Insulation: i [ ] j HVAC piping conveying fluids above 120 T or chilled fluids below 55 OF must be insulated to the J levels in Table 2. i �I i II I i r Table 1: Minimum Insulation Thickness.for Circulating Hot Water Pipes. Insulation Thiclrness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 1'70-180 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 Rance 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 i 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) I 1 ' I MEETINGHOUSE COMMONS AT 5MOLAK FAKM e 7111 El _,�- [ [ LTi 1. I II ! I Ti . 4 I tI! I I �, I i. i i1 c I i' I �j .��' It I {-'. j s� I ,► I , :I I _ : i _ ! J._, 1 ; '----I �— ! , � I I I - - ,•� it I _ .—rr 1 I L.� -----_—1 ' —..—_ I ! I The Nantucket at Meetinghouse Commons �IANT .ICKL_� - -Nord,-Andover,MA i-25-Cortland-]rive tC�Init-}3) _. — — — — -- Scale: i/4" = 1'O" Date: 07/07/2006 `jheet i Meetinghouse Commons LLC, North Andover, MA Z`9 2-9 i s o , -Z 12-1 1131 12-3 T - l I , n-3 p a o bIZ Ir,V, o • f MASTg?k. T Rlcy - - - - 0-6 - - - L( 0- C -- - , D1N1NGr �O a h � _ 1M.1.( . 4r M a h 1L yr t 11 c 1� N V) 1� p UM 4rr- fr 1 .D O \\ .i g OPF� vUeST o° Fo7CR 1L8X ROow TO y su1; � �•aysli ' I —--- 41 o Y • cov�xr.� PoRck � � r9 r ri 9x8 OVA �i x6 off `{4 o Tke Nantucket at Meetinghouse Commons j North Andover, MA 125 Cortland Drive ((A_nit 1 Scale: 1/4" = 1'O" Date: 07/07/2006Skeet 2 Meetinghouse Commons LLC, North Andover, MA i li I li k i tto • O S- 6 S�O - 5-�- t2 -o - -,. ,ate o � UL---: . r LALLY PhD Fog co*N.$A-A.M PRO o>,s»ate Lvt. 1'o Sa+i*1� TB.D O � 1 � gticHoR I U �' g ,-6` a- — !-- - -a — — — �— — - — —• `— ♦- —�-� — I t �UOittlCz SQrf �2art L u cf n S VJ 0.1L 40" 7 10 N 3000 pst -Yq'f cat�ckezC J i AY Q o I , _ ~o FLa3R�G v3-� i 'f - yO `✓ '' t '� P-C- SL ALa 3co0 C,clalll�� ic� �I �E;�?i�iG Sort_ O N 4 9 -- T6c Nantucket at Meetinghouse Commons, North Andover, MA 125 Cortland Drive An1 3) Scale: 1/8" = 1'O" Date: 0710712006 56cet 3 _ —Meetinghouse Commons L�CNort{�Andover, M Z-0 zv Z•6 hl 0 I a a s I 2 x ID (_P) l ►t o o LH III lie ` 1 cJ - sal O i o t o 0 r SEGO "-b bCrK • �i�ST �t�K F��E , The Nantucket at Meetinghouse Commons, -North Andover, MA 125 Cortland Drive (( nit i 3� - - 1/8p = ,'on Date: 07/07/2006 Sheet 4 Meetinghouse Commons LLC, North Andover, MA WINDOW & DOOR SCHEDULE Interior Doors, 2-8 X 6-8 unless specified 34 1/2X 82 1/2 D-1 Entry Door, Twin Sidelights 681/2X 83 D-2 Entry Door 381/2X 83 D-3 Slider w/transom 72 X 96 1/4 - - - - D=4 -Slider - - - - - - - - 72 X821/2 _ - D-5 Entry Door, Single Sidelight 531/2X 83 A Double-hung single 341/4X 65 1/4 B Double-hung twin mull 68 X 65 1/4 C Double-hung triple mull 1011/2X 65 1/4 D Double-hung single 34 1/4 X 57 1/4 E Double-hung twin mull 68 X 57 1/4 F Double-hung triple mull 1011/2X 57 1/4 G Double-hung single 22 1/4 X 65 1/4 I H Double-hung single 34 1/4 X 53 1/4 I Double-hung twin mull 68 X 53 1/4 L Double-hung w/transom 34 1/4 X 79 ZY M Glider 60 1/4 X 42 1/4 N Double-hung twin mull w/transom 68 X 79 P Transom 34 1/4 X 30 1/4 Q Transom twin mull 68 X 30 1/4 S Double-hung 301/4X49 1/4 T Double-hung triple mull w/transom 101 1/2 X 79 U Double-hung twin mull 68 X 49 1/4 Rod' Ve JSJJ`Z X Round stationary 24 X 24 The Nantucket at Meetinghouse Commons, North Andover, MA 125 Cortland Drive (Unit 1 3) -- - Scale: 1/8" = 1'0" Date: 07/07/2006 Sheet 5 Meetinghouse Commons LLC, North Andover, MA - - a� J ALT, RKFTfiSL �ns� 2^��wo[Z ,ac-g• ��'�, � c _ - vv �� 4 '3-otsr , CULL-gIF Looms 4R I kW PN' 1-7cz.i�a r o f— s ars ou- c S. AaNP2SiGGL �EzQGt\1- ?�G_ SL'C3 1----- DS1LL � S k .. e l•�5:�1 _ �2�Z��P� BRi�6tuC �Lt�t X Z;-Qt--T hs S S.L t a - — LAA-Ly - 'r� P�Yt•E 41, Pc sLAu !Yt'tCAL �EGTloti -'j F, The Nantucket at Meetinghouse Commons, - — — - — —, North Andover, MA 12-5 Cortland Drive ((,Init 1 3) .5cale: varies Date: 07/07/2006 Sheet 6 Meetinghouse Commons LLC, North Andover, MA