Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 125 NUTMEG LANE 4/30/2018
Nutmeg Ln, 125 Map 38 Parcel 275 `. i II I r CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number �,5-0 e Date 3 (10 -30- 00) THIS CERTIFIES THAT THE BUILDING LOCATED ON 1 a-5-/U utm e� ZAVe- Clc,�c;23 ) MAY BE OCCUPIED AS S l Nb �s/c��"'�'� IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY /D Roc/n51 31SR,47h6l 3 SJ-1// vti ,er' off,"'"T;�,o CERTIFICATE ISSUED TO ADDRESS ',3 .4cwus Building Inspector TONMI. Of � over •� ':iia`= � �� '' ,"t`'u see _ o A't o dower Mass. a"4010 COCHICHEWICK ' ' AO'�'ATED Sc' _ _H, , E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System �� � BUILDING INSPECTOR THIS CERTIFIES THAT. A-A-#-Ak4 • - .......... Foundation has permission to erect............... ...................... buil 'ngs on.�'I ' � �� Rough 'I' r ... ..... ... c�"� to be occupied asi O. OQ 1 '!v.. a ....03 .'�..1�.. *111% �u l...Z� l�.... chi ne A, 11 y provided that the person accepting this permit shall in every respect confor o the terms of app�i aon on file in this office, and to the provisions of the Codes and By-Laws relating to the spection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. T s 2- PERMIT 1N EXPIRES 6 MONTHS SS ��TS�R�r'�. � -� `� ELECTRIC SPECTOR. ; BLDG. PERMIT FEE ` ° _Rough LESS FDA FEC— ........... .. .. ... .................................................................................. Service DUE FRAME PERMIT$ 22 BUILDING INSPECTOR - •• i ✓ 0ccupa-rtq,,,, lit GAS INSPECTOR ti L Display in a Conspicuous Place on the Premises — Do Not Remove Rugh S"LL On � No Lathing or Dry Wall To Be Done FIRE 1 Until Inspected and Approved by the Building Inspector. Burner Street No. ':r SEE REVERSE SIDE Smoke Det. i TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: I SIGNATURE: Building Commissionerfi for of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: i I' Zoning District Proposed Use I Lot Areas Frontage ft 1.6 BUILDING SETBACKS 11 Front Yard Side Yard Rear Yard Re red Provide Required Provided Required Provided 1.7 Water Supply N4.G.L.CAW0. 34) 1.3. Flood Zone Infortrution: 1.8 Sewerage Disposal System: Public 0 Private 0 1 Zone IOutside Flood Zone 0 Municipal ❑ On Site Disposal System C SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT r 2.1 Owner of Record /21 Name(Print) Address for Service ignature Telephone '� 2.2 Own of Record: `� cJ / Name Print Address for Service: C .Z R Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 .� Licen ed Construction Supervisor: C License Number ? Address Expiration Date Signature Telephone �. 3.2 Registered Home Improvement Contractor Not Applicable ❑ 5� Company Name m Registration Number '••. Address r Expiration Date z Signature Telephone j SECTION 4-WORKERS COMPENSATION(11ZG.L. C 152 § 25c(6) � i 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 building permit. Signed affidavit Attached Yes....:..0 No.......0 SECTION 5 Description of Proposed Work check all applicable) ! New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ i i Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify i f Brief Description of Proposed Work: t2 c i I I i 41 1 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be ` { R Completed b permit a licant t ' „� ,z.. 1 1. Building L� © 7Check uilding Permit Feeulti.lier2 Electricalstimated Total Cost ofonstruction3 Plumbin g Permit fee(s)x (b)4 Mechanical HVAC ,�5 Fire Protection 6 Total 1+2+3+4+5 Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 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. rbelief of Owner Date 7b OWNER/AUTHORIZED AGENT DECLARATION As Owner/Authorized Agent of subject Property clare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge ef Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIIv1BERS 1 2 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF C1-MV[NEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Jc+ U Date... .......... ......... . n ,&ORTM TOWN OF NORTH ANDOVER pF4«ao ,c1ti0 0 ° � `p PERMIT FOR GAS INSTALLATION SS CH This certifies that . . . . . . . ... . . . . . . has permission for gas installation . . . . . . . . ..... . . . . . . . . ... . . . . . . in the buildings of . .. . . . . . . . . . . . . . . . . . .. . . . . . at . . . . . .. . . . . . .. . . . . . . . . . . . . . . . . .. North Andover, Mass. Fee. . .'. . . . . . Lic. No.. . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer jMASSACHUSETTS UNIFORM?,PPLICATON FOR PERMIT TO DO G.AS FITTING or print) Date NORTH ANDOVER, MASSACHUSETTS Building Locations j�/ �/ (� �✓�'//"� Permit 3 Y�'o - -� AA ount S �-- 1/�. /Owner's Name 471 New Renovation ❑ Replacement ❑ Plans Submitted ❑ 1 n Z n Z U2 - su SE .rt EN -r — BASE .M ENT 1ST. F L 0 0 R 2ND . FLOUR R D . F L O O R Tr If F L O G It 57 11 FI_ oOR 14-T If F L 0 0 R 7'T If FLOG It 3T Ii F L O O R (Print or type) ) ,J � / Check one: Certificate Installing Company Name / t v ❑ Corp. Address ❑ Partner. 711T Iq L G Business Teleh6ne �-' --1217 b/FirTn/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No ED Ifyou have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I herebv 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 ofthe Massh setts State As Cud je and Chapter 142 of the Gene,-al Laws. Bv: Signature of Licensed Plumber Or Gas Firter Title ❑Plumber / ��� City/Town ❑ Gas Fitter Lictrist, Nu oer j�IVI1JICr APPE�OVED(UFrir:=usF )vi.vl Journeyman Date. N° j ti TOWN OF NORTH ANDOVER 9 PERMIT FOR PLUMBING SSAcmus This certifies that . . . .0 .1.� fs°e -� . . . . . . . . • . . . . has permission to perform . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . at . ./� .). . /-!-. 1./.c f-�-1. . . . . . . . . . . . . . . North Andover, Mass. Fee.y���". .Lic. No.. . .'.! . . . . . . . ... . . !,_. . . .<... . . . . . . �. . �. . PLUMBING INSPECTOR Check # / `/' ' WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS l GDate � A16 Owners Name Perit�#�% g Building Location /j Ambount Type of Occupancy ���G�Cr ���� New / Renovation Replacement Plans Submitted"'Yes No FIXTURES Cr Cr w w r a s Q d R45EMu' M FLIM / ru mm 3M FLOOR 4M FLOM 51H R.CX t 61H FIDCR 71H ROM gm HI= (Print or type) Check one: Certificate Installing COMPany Name 1 / f �" Corp. aqAddressY Partner. f + �� � �Firm/Co. Business Telephone Name ofLicensed Plumber Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy F1 Other type of indemnity F1 Bond Insurance Waiver. I,the undersigned,have been made aware that the licensee of this application does not have any one Xofthe above three insurance ignature Owner Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of t Zig-Aa achus t lumbing Code and Chapter 142 of the General Laws. By: o kens um er Type of Plumbing License Title City/Town License um er Master V� Journeyman ❑ APPROVED(OFFICE USE ONLY u yu °" 2741 Date��...G .� ...�...... 3: <;�``_.;• 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING �,SSACMUSE� /J Thiscertifies that ............................................................................................. has permission to perform ....r... ................... ................................... wiring in the building of...'� '..`. ' ""`"� ....... ............................................ at,/, .5...... �1,� �O— ,�� ........................ .North Andover,Mass. Fee. ��............. Lic.Noll�`F.A. G i fel ........................... L ELECTRICALINSPECTOR Check # WHITE:Applicant CANARY: Building Dept. PINK:Treasurer 11WLWU1V V1U1VJVVVAL1.HUC OfficeUseonly DEPARTAfVTOFPUBLIC&4= Permit No. f y� BOARD OFFMEPREVEMONRWMTIOAS527CMR12.()0 Occupancy&Fees Checked UAVPPUCATIONFORMIT PERTO 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-- / lT) Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described bblow. y / Location(Street&Number) �� /U f t-F �Gr/d t� l� zoO — Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes No /(� (Check Appropriate Box) /� Purpose of Building lR C�r�pf[.'N� Utility Authorization No.0 r 78 f Existing Service Amps volts Overhead 1:3 Underground Q No.of Meters New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 012, No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above I Below Generators KVA ground 0 ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Wtiating 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.ofjWater Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER- irstrarroeCocaa�PtastrrY�thelagt>$ana� GalaalLaws Ihmeaama4L.mbkh-&m=PohcymmjingCan4)ieieCoag crtsahtittcdo,uwakit YES ® NO Iha%esthn±D.dvafidptoofofSamelothe0ffm YES ONO Ifjulha%echackWYES,pleaseudc&lhetAvofwmagebyd=kzngthe Wpopri*box WSURANCE BOND F-1 OTHER FJ (PmeSPeffY) Eviatim DaleSlart /( �` EstimatedValuecfl7eohA Wade Wodc� $ � Lit(( CaN Final FIRMgned r>r.�t�iePa�alties 1 ��� FIRM NAME /_ ` Lkaisee C-14r;5L4%��N<A Li=wl b Addrri�c 222 /`�G��S�(.��'G � / i "`" - J^` �Te1Na OWNER'S IINSURANCEWAIVER;Iamawafit the License does nut the itararo awelaW rilss>l UtialequNalatasm4mWbyMassadsedsGaalLam and that mysigrutur--on ftpamitTpliaabonwimsthis re"iatient. (Please check one) Owner = Agent w Telephone No. PERMIT FEE$�d r— Location 0 No. 5-88 — Date a NORTIy TOWN OF NORTH ANDOVER 3? . OL Certificate of Occupancy $ /] 3 ��SSACMUs<�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ I3 3' Check # / . J , 0 Building Inspector PLAN OF LAND /N NO* A ND 0 VER, UA 55, SCALE.• 1 = 40' NOVEMBER 10, 2000 HAYES ENG/NEER/NG INC ► 60-Y SALEM STREET C/V/L ENGINEERS & WAKEfJELD, MASS. 01880 LAND SURVEYORS TEL. (781) 246-2800 / CERTIFY THAT THIS FOUNDATION /S L004TED ON 7HE GROUND AS SHOWN, AND THAT /T CONFORMS TO THE SETBACK REOU/REMENTS OF THE ZONING BY-LAWS OF THE TOWN OF NO. ANDOVER. / FURTHER CERAFY THAT TH/S PROPERTY DOES NOT L/E WITHIN A FLOOD H Z4R0 AREA (ZONE A OR V) AS SHOWN ON FLOOD INSURANCE RATE MAP COMMUN/lY PA46R NUMBER 250098 0010 B,• EFFECTIVE DATE: 5, 1983. `ZH OF Mq DATE NOVEMBER 10, 2000i�q Ssgcy -------------------- PROFESS/O LAN� � -- #33604 y LOT 47 150-51 "E N21-40P45 ,j T �8 0 N� LOT 23A CIA ��N s�r�� 25 076 S.F. A C�1 -4� LOT 228 v 18.0 _ 0 24.0 N °i •0 23 4 v 0 EX NST,1ON ° Zg•o FOU 1 4. 24. 150 N MAP .38 PARCEL 197\ 1.5 �., 6•g N/F STEPHEN ✓. & ' L/S4 B. CAREW 20•$ c F.0 0 \ 21. �EL=20°z / v,\ \ FR D � ZONE.' R-3 MIN/MUM SETBACKS.• MAP J8 PARCEL 196 z '�� l G FRONT = 30' N/F SR/AN D. & S/DE = 20' FEL/TA M. CARR `` REAR = 30' V M/N. LOT AREA = 25,000 S.F. M/N. FRONTAGE = 125' _ Date..... ... . .v ...No 50 t �10RTM q TOWN OF NORTH ANDOVER PERMIT FOR WIRING �SS�cmusE� This certifies that ........ has permission to perform .......,—le... .......................................... wiring in the building of......../. . r- / ' ll� /Z- ...............................................7 ................... at...... ............. .... ... �...✓l?..F .......... ,North Andover,Mass/ Lic.No..?.l ..�...... { LLECIMICALINSPECTOR Check # I-IJ 3 / "x WHITE:Applicant CANARY: Building Dept. PINK:Treasurer T1&0QMM01 WE4LTHOFAM"QA1SE77S Office Use only DEPARTAMWOFPUBLICSAFM Permit No. BOARD 0FFIREPREVEM70NREGUL4H0NS5270MR 120 Occupancy&Fees Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED 1N ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 1- 23 — _ 2 � _ G / (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) �' SCJ 7'M 0 Owner or Tenant� z- y/rL! Owner's Address Is this permit in conjunction with a building permit: Yes�No (Check Appropriate Box) Purpose of Building �S / el-P/'l 7 /X� Utility Authorization No. Existing Service Amps� Volts Overhead Underground No.of Meters New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work y r/ Ot%" A No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground 0 ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units 4 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 a Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER• A7 7 IrstrmtoeCaeaga Rnsmtttpttxrm nmoAsd viasmdusftCo aalLaws IhawaamutLiabtlityknra=POI ymdudingCm#At C maWcrits leWia eknt YES NO Iha%tabnmedVdWRCOfOfsanetotheOTMYES M NoF-1 If}(uhmedwdWYES,p1meu>dc*thelWofwmaWbydicdagthe INSURANCE E'' BOND onER (I'mspeffy) B#afim D& Esti T a d valued Wade$ j CJ!,, G-Tj WakmStat !- Z j " 0/ Inspects tD&RoWeslad Ra# Fetal sipped underT-c R3taltks of, FIRM NAME �t1//�yarh I��y %trs"1 Li .No Y�G Lioasee /Gd �f/6//t/6Y�_ dG�1/ oly .���e'�(�G/i�<: Lit�erlseNo --2 Y-7 D Bt;simTd.Na c178-(o 901-6 tf 7 AIL Tel Na OWNER'S WSURANCEWAIVER,IammmethattheLiarisec not thei>stranaea witsdsWW t ,Jo>tastegtmWbyMmxbzeZCaiaallaws anddatmysigtvAnaithspennita mv4aimsd ista*t mutt I-,- (Please check one) Owner 1:3 Agent ID Telephone No. PERMIT FEE � �d611- N° i 5 �� Date.. ...... f �aORTN, 3?;.t;�`"-:•-:"�o� TOWN OF NORTH ANDOVER o = p PERMIT FOR WIRING 40 ,SSAcllus� This certifies that ... .:!.:..!.....J............................................... has permission to perform .......1.' `� l! �'��� `e ............. . ......................//......................... wiring in the building of.. .... 1............ ...................... at....L%?:...........f......�.t..�1.!.....:�...�.-.�v.....,....:t .1. ,North Andover,Mass. dee ........./..i.J... Lic.No.O?z. ........... Etscrtetcr►[.Itvsracrott Check # WHITE:Applicant CANARY: Building Dept. PINK:Treasurer JIM(,VLIMUJVWPAL1.H UP JUILJk". h VWJ 1,1 """'e u'C°'°y DEPARTAMW OFPUBLICS MY Permit No. BOARD OFMEPREVE W0NREGU AT10AN527CMR 12.00 Occupancy&Fees Checked UAPPLICATIONFORPERAff TO PERFORMELECTRICAL WO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,S27 CMR 12:00 /K, (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date V Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) 2 s (�_FI--OLR, (0L,� �0-� �43 Owner or Tenant Owner's Address )es ()Vt& Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) f Purpose of Building 10 CU 4I.AJ 0 Utility Authorization No. Existing Service Amps Volts Overhead p Underground No.of Meters —�---• New Service I-O�D Ampst7.v` Volts Overhead M Underground No.of Meters I �_ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work' A ���(�� S� No.of Lighting Out]ets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA rground ound No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.o7' witch 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 Municipala Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis NVydro Massage Tubs No.of Motors Total HP 07N€R IrmraroeCovaage.Pt�trartto�dietentwf3rartat$�O�II��vs IhacaomatLiablityh&rmxPobLymk&gCaTvkleOmat*anComagecrtsWxMrtdmpvaJat YES NO Thaw%hn,wdvandptoofofsameiotheOffm YES NO F-1 IfyuuhmectrdWYES,ple%eir thetypeof'eota bydrekznglhe II,ISURANCE ,rj BOND F-1 66MIER. gimeSpa* ExpirationD,* EAmatedvatuec E6cfiWWak$ Work IDStat �' - /,�� hgx6onD&-ReWesWd Rough t`AJ(I( aa_I( Final Sigrcd undff&Rnaltks ofpajtay; FIRM NAME '�•! e It"c C Co . Lioe�seNn //7 9 74 BusirmsTd.Na Zct -� AkTel.Na • OWNER'SN9JRANCEW •tarnawaluhtthel-kansedog not ethe irararoeowaaWailsskslantialegivakriasta#WbyMbadusettsCaeralLaws and@itmysigttatiseanlirispmt�q��bt�di�.._I ttlisra�manad. F-1 � (Please check one) Owner `�L? Agent Telephone No. PERMIT FEE 71)-^ z a The Commonwealth of Massachusetts Department of Industrial Accidents d Office of Investigations Boston, Mass. 02111 •�+M 5�lb Workers'Compensation Insurance Affidavit Name Please Print Name: Location: Ci Phone 0 # I am a homeowner performing all work myself. 71 1 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. I Com an name: Address ,i Ci : Phone#: { Insurance Co POlicv# t Company name: 't Address Ci - Phone#. Insurance Co Policv# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of cnminal penalties of a fine up to$1 500.66 and/or one years'imprisonment_as well_as civil.penalties in-theformcf-a STOP WORK ORCIER and a fine of($)-00..00)-ashy against me. I 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 certiry under the pains and penalties of perjury that the information provided above is true and correct. � Signature �' '� Date �U f _ Print name Phone# y�.5 " do not write in this area to be completed by city or town official' Official use only 1 City or Town Permit/Licensin Building Dept 0Check if immediate response is required Q Licensing Board E] Selectman's Office Contact person: Phone A Health Department Other El --------- u Location f�-S ---- i i I (i No. .. ' Date M°^T� TOWN OF NORTH ANDOVER F 9 Certificate of Occupancy $ �f • °mob+„.::.. .�' � cHus`� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ ' Check # J43 , Building inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: JT� � /b- cab —DO � i SIGNATURE: Building Commissioner for of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: �j Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT m 2.1 Owner of Record A, T /der 4f --7 1-T o Name(Print) Address for Service O Signature _. A Telephone 4�1476-7 3 !�'? 2 Owne Record: -1 g Y Name Print Address for Service: O Z M Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ t ns/� C nstruction S�u rvisor: ( r 1 O �i License Number V J �1N ` l nn Address S—13 _O Expiration Date Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name M Registration Number r Address r Expiration Date ^z Signature Telephone tl/ o- 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!4uilding permit. Signed affidavit Attached Yes....... No.......❑ SECTION 5 Description of Proposed Work check all a licable) New Construction QY' Existing Building ❑ Repair(s) ❑ Aiterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: Aa- SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be _ OFFICIAL USE ONLY Completed by permit applicant = 1. Building , (a) Building Permit Fee (3-0 Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Phunbing Building Permit fee(a) x(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AU17HORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1,A 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 Owner Date /O s Gt-O SECTION 7b O NER/AUT ORIZED AGENT DECLARATION s I, 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 --�—. `�/1- �cn o �'✓ �d r/'1 Print NapM N. Si tune of O er/A ent Date NO. OF STORIES SIZE 174-7,40 BASEMENT OR SLAB SIZE OF FLOOR TIlvIBERS1 2ND 3 SPAN /% DMIENSIONS OF SILLS , DAiIENSIONS OF POSTS DIN ENSIONS OF GIRDERS v -- ,� HEIGHT OF FOUNDATION ZTHICKNESS 8 'f SIZE OF FOOTING X MATERIAL OF CHIMNEY z IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE IIIt7 liUllllllUUWCdiL11 UJ IVId66dGIIUJUJJs Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name ' Location. _City Phone 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 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 penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day 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 herby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature '2 -��- Date d 11 C7 Print name d ��lll°i� Phone# =7cJ��`� Official use only do not write in this area to be completed by city or town official' Ei" Building Dept []Check if immediate response is required Building Dept El Licensing Board p Selectman's Office Contact person:_ Phone A- Health Department Other FORM WORKMAN'S COMPENSATION GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVERBUILDING DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary information as requested below. Permit Applicant Property address IVMap/Parcel Applicant's Phone Number Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION 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 existence as of the 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 redudion 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 one time 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 IN MAKING A DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS. BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE. FURTHER I UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE CHECKING OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY,WHETHER DONE TO MY KNOWLEDGE OR NOT IS GROUNDS FOR REFUSAL BY THE BUILDING DEPARTMENT TO ISSUE A BUILDING PERMIT. c a �'4��.�s'�_ S f J APPLI S SI N'A A THIS FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATIO FORM - U - LOT RELEASE FORM r INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. ..............................`... 7.�-........ ............................... APPLICANT 04.OT ���/�//— / PHONE ASSESSORS MAP NUMBER 3 . LOT NUMBER SUBDIVISION ��/ �� ` > LOT NUMBER STREET In eq � STREET NUMBER Z Cj OFFICIAL USE ONLY RF,qOMAIENDATIONS OF TOWN AGENTS ,. . .. ... ..................................................... ........... r DATE APPROVED CONSERVATION ADNIINISTRATOR DATE REJECTED CONRvfENIS !- r-'SjkCt-(()f/J ("f— DATE APPROVED_12212 5--ZaL)_ TOWN rR DATE REJECTED CONM4ENTS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED CONDAENTS e- C, PUBLIC WORKS-SEWER 1 WATER CONNECTIONS DRIVEWAYPERMIT `f/zGG✓�� $fuv�c%/c?Cr�.�� /c'/idfci? DATE PROVED FIRE DEPARTNEN T DATE REJECTED CONUVIENTS RECEIVED BY BUILDING INSPECTOR DATE 5 yd 1:F N2 I I ` 59 15 0 • '� p or 25,07-46 -c' c� �cri illy� rn Nu /IrIC� I .. 'kv MA'M tRS ARIA A9 eE �o616g. �6� L or NORTH AA00PEP �. r.Ain 171W N/k Town of North Andover of tkORTH . �SL4D ICY •y� O Building Department o 27 Charles Street North Andover Massachusetts 01845 Z y (978) 688-9545 Fax (978) 688-9542 44TED/.Pay,t5 9SSACHUS�4 DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and.a condition of Building permit# the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, s150a. The debris will be disposed of in/at: eA eo-' L5 Facility location ignature of pplicant b (5 Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. i 1016 APPLICATION FOR WATER SERVICE CONNECTION North Andover, Mass. ! 1 Y Application by the undersigned is hereby made to connect with the town water main in L4xe' Street, subject to the rules and regulations of the Division of Public Works. 1 The premises are known as No. Street or subdivision lot no. X75 ti 7 A,7- me5 4f 49t PIZ Owner Address Contractor Address pplicant's Si ature ISS , 4 eier 200-00 10 PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to / to make a connection with the water main at Street subject to the rules and regulations of the Division of Public Works. Board of Public Works By !dam Inspected by Date See back for rules and regulations See 1140,l> 0'7 � E�� � {� Ci Cl APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. Application by the undersigned is hereby made to connect with the town sewer main in 1` V14 2 _Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. z1-4, Street or subdivision lot no. ` � .-- Ile, Lc-� Ile Owner Address Contractor Address l pplicant's S' ature PERMIT TO CONNECT WITH/SEWER MAIN J,� J The Division of Public Works hereby grants permission to to make a connection with the sewer main at �`(/ d�'Z(��'i !���l j1 Street subject to the rules and regulations of the Division of Public Works.. Division of Public Works By til Inspected by Date See back for rules and regulations + DPW 282 Date . pORTH TOWN OF NORTH ANDOVER RECEIPT J.INILLIAM HMUR( ,SSACMUS�t ao� lephone(978)685-095G DIRECTOF - Fax(978)688-9573 This certifies that .....:............� r-- ..... -z4-00 ..................................... haspaid... ... . ... .................../.......................... �Z5 �� '...... for . : �� .>�r....... ...... .. ... Received b ................. �9....L�................................... ,1� ��� Department ........................... �`............................. ........ .. WHITE: Applicant CANARY:Department PINK:Treasurer DRIVEWAY PERMIT DATE LOCATION BUILDER phone —OWNER �� l<�¢ hone �7S s7 THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM STREET . CALL THE SUPERINTENDENT'S OFFICE BEFORE FINISH GRADING AND SURFACING FOR APPROVAL OF SUCH ENTRY. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. l. i ROBERTS INSURANCE ADEN TEL :508-6833147 Oct 26 ' 00 8 : 33 No .005 P .01 ' :.. � w � r.nr Vgrr Ummw.rrr r/ 111. : GERT#FIGATE: CSF: IN:�:�J:�i 1:Wh .. ... . .' :.. w 10/26/00 FRdoue" THIS CERTIFICATE IS ISSUPD AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTFR THE COVERAOE AFFORDED BY THS POLICIES BELOW. M.P. ROBERTS INS AGCY INC COMPANIES AFFORDING COVERAGE 1060 OSGOOD ST NO ANDOVER MA 01845 `SPRY A MARYLAND INSURANCE CO ......_............_.................................. LETTER COMPANY B 1o►Rsp MERCHANTS INSURANCE CO COMPANY A J MAI LLET CONST CORP LETTEf1 C 3 WESCOT RD COMPANY D ANDOVER MA 01810 LETTER NUMBER ONE INSURANCE ................................. ... .. ............ PAN LI M A Y E :...:....:..::..........::; :,:.:.:,..,... THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 13E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 9Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEMIMS, FJ(CLUMONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .............................. ....... ..... ................................... CO: POLicy POLICY EXPIRATION LTR* TYPE Of NiSURANCE POLICY NUMBER DATE 6ATE(MM/DD/VYI . LIMITS GYRAL LIA8.RT TO BE ISSUED .10/26/00 10/26/01 :GENERAL AGGREGATE •i2 f Q 0 0 f 000 ................................................. X COMMERCIAL GENERA,LIABILITY PRODUCTB•COMP/OP AGO• $I .................................. CLAIMS MADE. OCCUR.. XPERSONAL&ADV.INJURY 41, b 00 l b O O 1 000 000 OWNWIS&CONTRACTOR'6 PROT EACH OCCURRENCE f / ............. . FIRE DAMAGE1.(My oM Ani 47-OO.I OO"b....... MEG.EXPENSE(My OM perern) $5, 000 wromos"L mLffr AMO 2 7 7 013 0 4 8 3/05/00 3/05/01 COMBINED SINOLE ANY AUTO LIMIT 6.�.L.a. .d./.d.00.. ALL OWNED AUTOS BODILY INJURY i 30HEDULEP AUTOS (Por porton) HIRE AUTOS BOPILV INJURY }( 'NON-OWNED AUTOS (Por sooldsnt) GARAGE.LIABILITY PROPERTY DAMAGE i UIG1Eii LUU?bILITX EACH OCCURRENCE i ...................................... ........ UMBRELLA DORM ...................... AGGREGATE i OTHER THAN UMBRELLA FORM .:.......::.:..:.::.,.::.>::.:::.: WC5-0025131 4 WORKRR'*COMPRNBATION �0.1 STATUTORY LIMIT9 :.;:...:.:.:::.::<.,.:,::..:.:.. ......................................................I......` ...:::::::r:::.'::'�.^^::::: AND EACH ACCIDENT...................:.;1QO./. .Q.�.......... .. ......................... DISEASE--POLICY LIMB 500 0Q 0 0 0 EMPLOVERS'LLAGWY .................................................... ..l 1. DISEASE-EACH EMPLOYEE 5100 000 OTmm —- - Glr•CRMtION OF OPERATIONSAACATIONS/VeNIGLEAIBPECfAL RIIM>i Cl�.�F'.ICA7L HC1L15 ............... ....... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIQATTON OR TOWN OF NORTH ANDOVER LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES, MAIN STREET NORTH ANDOVER MA 01845 AUTNORDED REPREBENTA , Michael P its p4pATION1>i06 BOARD OF BUILDING REGULATIONS h License: CONSTRUCTION SUPERVISOR Number: CS 016511 Birthdate: 05/15/1937i� jExpires: 05/15/2002 Tr.no: 26814 + i Restricted To: 00 ALVIN J MAILLET 3 WESCOTT RD ( %� ANDOVER, MA 01810 Administrator 1, 00-35,000 d enclosed space (MGL C.112 S.601-) 1A-Masonry only 1 G-1&2 Family Homes Failure to possess a current edition of the i Massachusetts State Building Code is cause for revocation of this license. - i i DIG SAFE CALL CENTER: (888)3447233 } h I i MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 Release 3 I I Checked by/Date I i TITLE: PLAN NO. 645 CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 10-26-2000 DATE OF PLANS: 10-22-93 PROJECT INFORMATION: COLONIAL HOUSE COMPANY INFORMATION: BRUNO ASSOC. 28 BERKELEY ROAD N. ANDOVER, MA 01845 COMPLIANCE: Passes Maximum UA = 937 Your Home = 832 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 3324 30.0 0.0 116 WALLS: Wood Frame, 16" O.C. 3568 13.0 0.0 293 BSMT: Conc. 8.0' ht/7.0' bg/8.0' insul 3324 19.0 0.0 150 GLAZING: Windows or Doors 660 0.350 231 DOORS 120 0.350 42 HVAC EQUIPMENT: Furnace, 87.0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. n Builder/Designer Date TITLE: PLAN NO. 645 MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 DATE: 10-26-2000 Bldg. { Dept. { Use I I { CEILINGS: [ ] { 1. R-30 Comments/Location I { WALLS: [ ► 1. Wood Frame, 16" O.C., R-13 Comments/Location I BASEMENT WALLS: [ ] { 1. Conc. 8.0' ht/7.0' bg/8.0' insul, R-19 interior cavity Comments/Location I WINDOWS AND GLASS DOORS: L l I 1. U-value: 0.35 For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location I DOORS: [ ] { 1. U-value: 0.35 Comments/Location I I HVAC EQUIPMENT: [ ] I 1. Furnace, 87.0 AFUE or higher Make and Model Number I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When { installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: { 1. Type IC rated, manufactured with no penetrations between the I 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 I more than 2.0 cfm (0.944 L/s) air movement from the the i conditioned space to the ceiling cavity. The lighting fixture { shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. i VAPOR RETARDER: [ ] { Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. I { MATERIALS IDENTIFICATION: [ ] ► Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating { and cooling equipment and service water heating equipment must be I provided. Insulation R-values, glazing U-values, and heating I equipment efficiency must be clearly marked on the building plans I or specifications. I I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. I I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified i in Sections 780CMR 1310 and J4.4. I I SWIMMING POOLS: [ ] I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I I HVAC PIPING INSULATION: [ ] I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in. ) : I PIPE SIZES (in. ) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I I CIRCULATING HOT WATER SYSTEMS: [ 7 I Insulate circulating hot water pipes to the following levels (in. ) : I I PIPE SIZES (in. ) NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 I 1.0 1.5 2.0 I 140-160 0.5 I 0.5 1.0 1.5 I 100-130 0.5 i 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- Building Value Calculation - for Property at..... 7 7 =7 77 7 77 Room Length Width Sq.Ft. Cost per Sq.Ft. Total Cost Kitchen 17.5 14 245.00 15,925.00 Living Room 15.5 14 217.00 14,105.00 Dining Room 17 14 238.00 15,470.00 Family Room 23 24 552.00 35,880.00 Study 14 14 196.00 12,740.00 Laundry 12 10 120.00 -651 $ 7,800.00 -4 Garage 24 36 864.00 $ 30,240.00 Entry 14 14 196.00 12,740.00 Basement Finished Deck Screened Porch $ Breakfast Nook 10.5 16 168.00 4", ,,�,A;O- $ 10,920.00 Bedroom 1 24 13 312.00 6 $ 20,280.00 Bedroom 2 19 14 26600 $ 17,290.00 Bedroom 3 21 14 294.00 r.� 19,110.00 Bedroom 4 16 14 224.0 0 14,560.00 Bedroom 5 14 14 19600 12,740.00 Bathroom 1 14 10 140.00 9,100.00 Bathroom 2 13.75 14 192.50 12,512.50 Bathroom 3 12 10 120.00 7,800.00 Bathroom 4 14 14 196.00 12,740.00 Bathroom 5 - 281,952.501 1D � lX� rz-- "3 DATE INVOICE AMOUNT 5-7515/0110 A.J. Maillet Construction Corp. 3 WESCOTT ROAD 691 ANDOVER, MA 01810 PAY DOLLARS 'IME DATETO THE ORDER OF GROSS INCOME SOC. NET AMOUNT iK'D AMOUNT TAX SEC. Sovereign NIP 11'00069 1v 1:0 L LO 7 S L 501: 596000 LL, 3 2411' ORT#i Town o �� �� ,0Andover "91 * t_� y z _soil old ndover, Mass., /jV �3 0 Q T O . LAKE COCHICHEWICK RAEDP*' `C;1 SSACHUSE I T FOR EXCAVATION AND FOUNDATION ' �THIS CERTIFIES THAT . .. ..it... ..t....(.)A. / d� • ......... ........................................................ . ... ..... .... i a� �• has permission to excavate and pour oundati n at .. .. .......................... J. Lwo for the purpose of..�. �. �.. .� ......L .. ,�.��.�tw► ...s.�.. .. � ......9.. •�I�t�t The person accepting this permit must return to the office of the Building Ins ector certified lot plan show P P of building thereon before Foundation will be inspected. 1 vO 4 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. r BLDG. EERMY1 c': 8 3 c LESS FDP, FEE— DUE EE DUE FRAME PERMIT $ BUILDING INSPECTOR NORT1y Town of ... r. 1 over 0% No. I f �o o dower, Mass. /D630- 2O COC MIC ME WICK > / A�RA7ED PPY1V S H E BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT ......A.-A-9.7 �• BUILDING INSPECTOR /y� Foundation has permission to erect.............../..................... buil 'ngs on .�!I...!?$...... �5....�.�r�.,/�fJ � Rough to be occupied as��.r 130!o a�....03..��i���..1�.... r �N� 1l I � Chimney provided that the person accepting this permit shall in every respect confor o the terms of ire application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the spection, Alteration and Construction of Buildings in the Town of North Andover. / -' PLUMBING INSPECTOR 733• VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final SS CONS-IRUC-�IO ELECTRICAL INSPECTOR BLDG. PERMIT FEE Rough LESS FDA EEE ...................... .......................... DUE FRAME PERMIT � . �s BUILDIN .. G INSPECTOR Service •• 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 r Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. j