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Miscellaneous - 130 MEETINGHOUSE ROAD 4/30/2018
BUILDING FILE ® MAPFRE The Commerce Insurance Companysm Citation Insurance Companyw Commerce " Gore Road,Webster,Massachusetts 01570 INSURANCE- 508.949.15001 www.commerceinsurance.com i April 27, 2015 BUILDING COMMISSIONER or Board of Health or INSPECTOR OF BUILDINGS Board of Selectmen TOWN/CITY HALL Town/City Hall NORTH ANDOVER MA 01845 RE: Our Insured: JUDITH M CHMIELECKI Property Address: 130 MEETING HOUSE ROAD Policyk BGLQKV Date of Loss: 02/22/2015 Filek JXPV51-BPJAHO Claim has been made involving loss, damage, or destruction of the above captioned property which may exceed $1,000, or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to my attention. Please reference the above captioned insured, location, policy number, date of loss, and file number on any correspondence. MELANIE CROWE Telephone: (508)949-1500 Ext: 15974 Sr Claim Representative,Property Toll Free: 1-800-221-1605, Ext: 15974 On this date, I cause copies of this notice to be sent to the persons indicated above, at the address above,by first class mail. April 27, 2015 CIC 254 (Rev.4/95) MAIL 787 • Date3.......... 03°•: 9 TOWN OF NORTH ANDOVER t , PERMIT FOR WIRING s+cImuss This certifies that 1 //..... ?� ........�•� / Ja... has permission to perform ,.2 �P is •� 3rJC..r/� /.(.,.�............. / .......................................... wiring in the building of...'.....��,��� l'1 ��✓ V ............................ ............................... at ......1.?n ..OP�7,. ��/)-�L �, ,N rthnAndover,Mass. Fee.... Lic.No.k..... ...Tf . .............I.... .. ....... ........... . . . . .... .. . J ELE ICALINSPECTOR Check# / 1 rr Conanonruaa[Ut of Ma6eat1tu6effi Official Use Only REDO c c� 7c7 �[JePa.rfnrenE o/,}ira�nruieai Permit No. BOARD OF FIRE PREVENTION REGULATIONSOccupancy and Fee Checked [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(NEC) 527 CMJR 12.00 (PLF 4SE PRINT IN INK OR TTP�/ INF �1TIONJ Date: 2 Z9- (�j City or Town of: /Uk/A ,=M ' j C11OV e ri To the Inspecto of Wires: By this application the undersigned gives notice ofhis or her intention to perform the electrical w rk described below. Location(Street&Number) 13U �, )� O Usk Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction withhuildingrr perm es No ❑ (Check Appropriate Box) Y Purpose of BuildingTl 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 Aaci m p ty C Location and Nature of Proposed Electrical Work: 1 k-e neio IXA -em r?U t Com letion of the blloi ving table n: be ivaived by the Inspector of J-tres. 1� No.of Recessed Luminaires No.of CeiI:Susp.(Paddle)Fans No.of Tota v Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Above In- o.o mergenc Swimming Pool rad. grnEl In- ❑ BatteryUnits Y t grn g No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners NoT-5TUetection ancl Initiatiniz Devices No.of Ranges No.of Air Cond. Total- No.of Alerting Devices Tons g No,of Waste Disposers eat Pump umber ons o e t-Contained Totals: Detectfon/Alertin \ Devices No.ofDishwashers Space/Area Heating KW Local Elumcrpa [IOther Connection No.of Dryers Heating Appliances KW Security oSystems: No.of Water f ,aNo. f Devices or Equivalent Heaters KW , Ballasts Data Wiring: Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP clecommunicattons Wiring: No.of Devices or Equivalent v ' OTHER: Attach additional detail if desired,or as required by the Inspector of 11'ires. Estimated Value of Electrical Work: (When required by municipal.policy.) Work to Start: ®- Inspections to be requested in accordance q with MEC Rule 10 and upon completion. p INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the Iicensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov ge is in force,and has exhibited proof of s e to the pZis it issuing office . �p CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) f' �Z ��I certify,«nrler the ails a rdpen t' of erjtrry,tl tthe in enation ori t Its a Ircatrbrue anrt om et�{ $ .�y--�� PP ,( ? FIRM NAME: v ,s IC C} -47,7 .,. LIC.NO.:��I Licensee: SJe r..i Signature LIC.NO.: (Ifapplicable,ent "exem t"in the license number li )) Bus.Tel.No.• - �y Address: - r 1 0 / 0 � Alt.Tel.No.: \ *Per M.G.L.c. 147,s.57-61,security w requires Dep eat of Public Safety"S"License: Lic.No. _ D(` OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the liability insurance coverage normally 'U required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑o_ wn_ er 0 owner's agent Owner/Agent Signature Telephone No. PERMIT FEE:S i r 2 - 2 �., � P a pll� s t c FcK Than Daaach Abap AN PwOmM ons COMMONWEALTH OF MASSACHUSETTS � BOARD ELECTRICIANS EL REG MASTER ELECTRIC1ANw. ? . 7m ABOVE MatSE TO: TYPE STEPHEN M "BA III (e. _ W -A 555 SALEM ST NORTH :-ANDOVER- M`A 01845-3109 _ . - -t 855786 = 8 F Fold.Then Dem Along M Pmbra" "� Division of Professional Licensure: License Search Page 1 of 1 The Official Website of the Office of Consumer Affairs and Business Regulation(OCABR) Division of Professional Licensure Mass.Gov Mass.Gov Home State Agencies A-Z Topics Home>Division of Professional Licensure> ONLINE SERVICES ..........-........................................................................................................................................................................................._.......................................................... ............. Check a License Check A Professional License Locate a Licensed Professional By the Division of Professional Licensure Online Address Change Contact the Agency More... LICENSEE Name:STEPHEN M. JUBA III. REFERENCES& NORTH ANDOVER,MA RELATED INFO NL�Y SE 4 k~H Disclaimer Regarding **This Licensee has additional Licenses,click here to view them.** Website License Searches _ Enforcement Process Glossary Licensing Board: ELECTRICIANS Glossary of License Status License Type: JOURNEYMAN ELECTRICIAN Codes TYPE CLASS: E License Number: 24577 More... Status: CURRENT Expiration Date: 7/31/2013 Issue Date: Exam Date: School: This web site displays disciplinary actions dating back to 1993. This license has had no disciplinary actions taken during this time. The page above has been generated by the Division of Professional Licensure web server on Thursday,February 28,2013 at 2:39:59 PM. ©2007-2011 Commonwealth of Massachusetts Site Policies Contact Us http://license.reg.state.ma.us/public/pubLicenseQ.asp?board_code=EL&type class=_E&li... 2/28/2013 Division of Professional Licensure: License Search Page 1 of 1 4 The Official Website of the Office of Consumer Affairs and Business Regulation(OCABR) Division of Professional Licensure Mass.Gov Mass.Gov Home State Agencies A-Z Topics Home>Division of Professional Licensure> ONLINE SERVICES ................................................................................ Check a License Check A Professional License Locate a Licensed Professional By the Division of Professional Licensure Online Address Change Contact the Agency SEARCH CRITERIA More... Profession:Electrician Last Name:beginning with JUBA REFERENCES& 1 RELATED INFO First Name:beginning with STEPHEN i City:NORTH ANDOVER Disclaimer Regarding State:MA Zip Codee::01845 Website License Searches Nl`S ARCH Enforcement Process Glossary LIC. TYPE NAME CITY/STATE LIC. LIC. Glossa of License Status BOARD LIC. NUMBER STATUS Glossary Codes Master Electrician STEPHEN M.JUBA NORTH ANDOVER, Electricians x e Ctas A 9459 III MA Current ' More... Journeyman Electrician STEPHEN M.JUBA NORTH ANDOVER, Electricians I e 12621 JR. MA Current Journeyman Electrician STEPHEN M.JUBA NORTH ANDOVER, Electricians T la E 24577 Ill MA Current # Your search has resulted in 3 licenses Note:If the licensee cannot be found by name and the name typically has apostrophes,spaces, hyphens or periods try doing the search again without these characters.Examples: If the last name is"O'Donnell",try searching for"ODonnell"or"0 Donnell" If the last name is"McDonald",try searching for"Mc Donald" If the last name is"St.Helens",try searching for"StHelens"or"St Helens" If the last name is"Jones-Doe",try searching for"JonesDoe"or"Jones Doe" The page above has been generated by the Division of Professional Licensure web server on Thursday,February 28,2013 at 2:39:39 PM. ©2007-2011 Commonwealth of Massachusetts Site Policies Contact Us http://license.reg.state.ma.us/public/pubLicRange.asp?profession=Electrician&lName=JU... 2/28/2013 EDIT GeoTMS FOUNDATION PERMITS DRN ISSUED JAN 05 Date Permit Number Project Address Foundation permit cost Building Permit cost 73-115 Turnpike St Eaglewood Retail#3 12/14/04 414 Properties $3,335,578 73-115 Turnpike St Eaglewood Retail# 1 12/14/04 419 Properties 2,493,632 Eaglewood 73-115 Turnpike St J 12/15/04 420 Properties k etail#2 2,548,132 Meeting House 134 Meeting House e,12/15/04 422 422 Common Road Unit 86 $ 250.00 6 g Meeting ' House 122 Meeting House 12/17/10 427 Common Road Unit 83 $ 250.00 3e Meeting House 130 Meeting House X5� 12/17/05 428 Common Road Unit 85 $ 250.00 Meeting /,p House 144 Meeting House /12/22/05 436 Common Road Unit 88 $ 250.00 Meeting House 144 Meeting House / 12/23/05 437 Common Road Unit 88 $ 250.00 Meeting / House 126 Meeting House 1/ 12/23/05 438 Common Road Unit 84 $ 250.00 / f a all +rn CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number Date: THIS CERTIFIES THAT THE BUILDING LOCATED ON ���� 13c) I?c) MAY BE OCCUPIED AS S r^'�`1 �'� 7A w` /( D� 11AY ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGUALTIONS AS MAY APPLY. uT j2�oc� 9, Qt /3 A-7-41 S CERTMCA MUED TO: ,z s fs�i AfIAC.A *.0 ��e ivy �s (6AJi)cOAJS kA e. Building Inspector I NORTH - own of �.. 4 over 55 i L A K E dover, Mass., I� COCMICMEWICK V AQRq. ATED Pk- �Cy BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System N / A BUILDING INSPECTOR THIS CERTIFIES THAT...............N. R'1%iQxW.0Q. ....Co�r�!No�vS L(� �....... Foundation •�'�. (tom"" has permission to erect.........t.&a.w.60............ buildings on .. d` '........ �r'.�..3Q..jy. 'Z'�N� ,sss+.�. �. Rough 11114110 (6,3'`, to be occupied as................ 4'1o�."'+ aA'� d o2 S � 1himney provided that the person accepting this permit shall in e�lery respect conform to the termshe appli.. cat.ion on file in4-0."Ch 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. r PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. it V 6 MONTHS Final PERMIT EXPIRES / UNLESS CONSTRU T TS ELECTRICAL INSPECTOR ,010" � lot?, ................... ...............................................................��.............. BUILDING INSPECTOR Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove ( h , &— Final ��) 1~�--+e_ , No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. C•S• �►� o ��/ IF-S—EE REVERSE SIDE Smoke Det. i Town of North Andover RTh Building Department De BUILDING F q 6t 400 Osgood Street g � p North Andover Ma 01845 .4 (978) 688-9545 Fax (978) 688-9542 ��N, e" •pA c«.nc«.w.cw �• ��SSgcHus'���y APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS 3 d /"I �I $12 �,j LOT NUMBER SUBDIVISION DATE REQUEST FILED 7 Z S aS DATE READY FOR INSPECTION 7 ���5 TEN_(10)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE CO LETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENDFIVE ($25.)DOLLARS WILL BE CHARGED IF THE STRUCT RE DOES NOS/MEET ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY i ROUTING �L D.P.W. —WATER METER �Tg 1414 DATE r7- � os- D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. SIGNATURE/DPW AUTHORIZATION 1 TOWN OF NORTH ANDOVER •1 BUILDING DEPAiTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH ONE OR TWO FAMILY DWELLING BUILDING PE RMIT rANBER. JDATE ISSUED. N d` 2 1 2 w SIGNATURE: 2%—mbt `— I Daaaal Building Commissioneffl for of Buildings Date Z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 85 M ccs, c (,ST.,A X30 k) M6 0/FYI' Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: ej CH,v) )ent ej SI Rm� C_o►-iw Z AC 7.5� Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R red I Provided Required Provided b b► w 1ZOV ' 4' /V ' t o 1.7 Water Supply M G.I C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: D Public ci� Private ❑ Zone Outside Flood Zone �F- Municipal On Site Disposal System ❑ ra-4 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT r"b oric Uistrict: Yes N 0 m Owner of Record Z e�l n ��� S-C, �Sp v►1 S' L L C., /91 C"6,K veld I d, /j b: I�c�V��kele Name(Print) Address for Service l)f -6 ? - Z� 3s' Signa Telephone wner of Record: Name Print Address for Service: O Z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervi or: Not Applicable ❑ 6CLA,k kb Licensed Construction Supervisor: V SS t, I 0 11 12-1 C C m License Number M t (1 +K, yV Address 1� - b $7 - Z63S" N � s�" � ic Expiration Date Sig re Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ v. ,Iom*y Name M d`r Registration Number r Address r Z Expiration Date ^ Signature Telephone V 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 buildin permit. Signed affidavit Attached Yes ..... No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction Existing Building ❑ Repair(S) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost Dollar to beONLY . (Dollar) OFFICIAL USE Completed by permit applicant 1. Buildinga Zg 0-\3u ( ) Building Permit Fee z Multiplier 2 Electrical (b) Estimated Total Cost of i � Construction 3 Plumbing Buildinqg Permit fee(a)X tbl 4 Mechanical HVAC 4x� 5 Fire Protection i! 6 Total 1+2+3+4+5 S.5' OBD Check Number SECTION 7a OWNER AUTHORIZATI TO BE COMPLETED WHEN "OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT f-LA I V ;as Owner/Authorized Agent of subject property Hereby authorize ZA-U( c k t) to act on My be f,in al atters relative to k authorized by this building permit application /gyp _—�� elk S� ure of vner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION p ��^,a x Z a^aA,(t-o 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 Print e /z J Si e of Owner/Agent G Date NO. OF STORIES ! 2. SIZE qo X BASEMENT( SLAB S SIZE OF FLOOR TIMBERS 1' �( 2 2.� p 3RD SPAN DIMENSIONS OF SILLS Z Z x (, DRAENSIONS OF POSTS DMIENSIONS OF GIRDERS 2 E IlEIGHT OF FOUNDATION ' / THICKNESS i O " SIZE OF FOOTING 'Z-O t I X X J MATERIAL OF CIHMNEY c Loc IS BUILDING ON SOLID OR FILLED L v IS BUILDING CONNECTED TO NATURAL GAS LINE N°� N� O own of 4Andover C, y dover, Mass.,-bdC--7-a� COCMICMEwICK y 7d A0 ATED P'P�\ C5 7 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...............PAkCr1WiQ. .*s..f....Q�?h!!! /d !...L ..................................................... Foundation has permission to erect......... , ..ad�t............ buildings on .. ` ` ....... S'.�..3. ..1y,. ' Ncs��.i2��• Rough t to be occupied as.................J/..I ( ... .. ... .1. .I.. ..{.... 4�.� L 1. .�.................................................... . . Chimney provided that the person accepting this permit shall in eatery 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU / T TS Rough ................... ....................................................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Ocavy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. C'S• IF--SEE�►� 0���/� REVERSE SIDE smoke Det. 1 GENERAL BUILDING NOTES/CHECKLIST-NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS,ADDRESS, AND PERMIT(COPY OK)..or no inspections INSPECTIONS: (Minimum) Excavation , Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing Foundation drain-pipe/stone/fabric filter/cover and outlet connection. FRAME:Fireblock-over girts/plates between floor joist Penetrations for plumbing, heat, elec, etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters-watch bearing at walls. Ridge&Hip-Provide proper connections. Cathedral roof rafters provide proper connections and use"Hurricane Clips"tie to plate. Stair stringers-watch cuts and heal support. Joist hangers-fully nailed w/hanger nails. Sill plates 2-2X6(1 PT)w/sill seal. Girls-solid brick or steel plate bearing at foundations '/3" air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances-stairways, under beams Attic Access. (min. 2240 w/3'headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior(not in soffit).. Firecode S/R wood frame of"0°clearance fireplaces&stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8%of floor area. `/z of required glazing shall be openable. Bedrooms required min. 20x24 egress window or door. Vent attic spaces-"proper vent", soffit and required ridge vents. Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing-Smoke Chamber-Finish Smooth parging,dean joints, 8" solid @ combust. Surf. DECKS: Separate permit required: Lag to house, provide flashing. Rails min. 36" high, Baluster max space 5"on center. Over 8' above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re-inspection fee- $30.00(Be Ready). Certificate of occupancy required prior to occupYin9 structure. ti i Location No. Lj ' '3 Date �- NORTH TOWN OF NORTH ANDOVER �? o • OA 9 ` Certificate of Occupancy $ ♦ i „ ; Building/Frame/Frame Permit Fee $ ?s2s JncMust 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # 18146 //"---Building InVe or y Location 401OS' � �•� ;hAt_lMoud-90Y-5—f!6ftF':'0 1 i No. 424 - Date fl MaRTM TOWN OF NORTH ANDOVER + , , Certificate of Occupancy $ Building/Frame Permit Fee $ J�cwust Foundation Permit Fee $ Other Permit Fee $ TOTAL $ o v-t� o Check # _ r 7 S, 2 0 V�) BuildingInspector S , TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING r BUILDING PERMITrn NUMBER: DATE ISSUED:IX N o� 2 . 1 2 r, __ AA•• i SIGNATURE: 17., „ a `7 Building Cominissioner/I for of Buildings Date SECTION 1-SITE INFORMATION IZ 1.1 Property Address: r 1.2 Assessors Map and Parcel Number: C to Map Number Parcel Number r 1.3 Zoning Information: p jj 1 1.4 Property Dimensions: SZoniC N•V06, )e76,W Sl l��� �✓iw , L A C 731— Zoning n District Proposed Use —Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard R red Provide R jr ed Provided Required Provided 1.7 Water,S�up"ply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public pY Private 0 Zone Outside Flood Zone ':?F— Municipal gL— On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT IS o ICDistrict: 8S 0 M . rn 2.1 Owner of Record lllee ,n (,�>,cs-e, ��► s Lc.c, !21 C'�t reld 0- Ankri? Name(Print) Address for Service Signa Telephone wner of Record: Name Print Address for Service: rn Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 .1 Lijensed Construction Supervi or: Not Applicable ❑ fin, ✓laS 4 oc kAk k ) icensed Construction Supervisor: 0 L, I2[ C License Number aan Address / S O � Expiration I xp n Date Sig re Telephone i i 3.2 Regist5ed Home Improvement Contractor Not Applicable ❑ Compel 'me �, rn Registration Number I••a Address r Expiration Date Signature Telephone a ECTION 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 tht issuance of the buildin2 permit. Signed affidavit Attached Yes..... No.......❑ SECTION 5 Description of Proposed Work check alta ticable _T New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: S , _bC16XW Col.,L SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be f;aFFICIA .USE ONLY Completed by permit applicant i 1. Building I Zg t COU (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of v g a Construction � .,3 Plumbin Building Permit fee(8)X (b) 14 Mechanical(HVAC) g g� . �bts : �-�o c'� (�p'5' 5 Fire Protection CvE' 4�'3 6 Total 1+2+3+4+5) UVO • Check Number -SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN "OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT h I,-- 7`'t '`a S • Z©' O f-to i K V as Owner/Authorized Agent of subject property Hereby authorize �s,�,L� J� L Za L){ „c p to act on My be f,in al afters relative to authorized by this building permit applicat- ion y/� � Ga S' e of wner Date ION 7b OWNER/AUTHORIZED AGENT DECLARATION , 1, 76,wa x I d ?-.A�OX-L.,t V_0 ,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 ^� c l N11 v. S —h . Za b Print N=e %Z /L/ G - Sigraftffe of Owner/A ent Date NO.OF STORIES SIZE 0)r ro BASEMENT OR MRS SIZE OF FLOOR 1 ?� 2NDO 3 SPAN DIMENSIONS OF SILLS T Z x L DIMENSIONS OF POSTS 3 /-Z " 'T C DIMENSIONS OF GIRDERS 2 O DIGHT OF FOUNDATION / - THICKNESS J() SIZE OF FOOTING xX MATERIAL OF CHIMNEY e loll COG IS BUILDING ON SOLID OR FILLED L S v IS BUILDING CONNECTED TO NATURAL GAS LINE I 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 i 1-LC PHONEX11_43S� LOCATION: Assessor's Map Number 10'qC PARCEL 3� SUBDIVISION ax Gr'Y)I) ans LOT (S) UP /T' 85 STREET (R (O�T Ai 5t) ST. NUMBER �?J� *'�* ****"""OFFICIAL USE ONLY"****------- RECqPMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINIS/kATOR DATE APPROVED DATE REJECTED COMMENTS_ TA65zj N PLANNER DATE APPROVED DATE REJECTED COMMENTS /,v FOO 1 SPECTOR-HEALTH DATE APPROVED 7 DATE REJECTED SEP IC NSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS �� Q PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT d�` FIRE DEPARTMENT_ e/l40✓ri► ;f S Ycc, ,,;� �,Q�,� 8 ✓�L�p� � �Q z7 Oi.� RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm The Commonwealth of Massachusetts d Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 . y Workers'Compensation Insurance Affidavit Name )J Please Print Name: �,y1�rs �lt?YU I Location: ti WI C iti • Phone # �7 `6S Z63,S 0 I am a homeowner performing.all work myself. ® 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. Comoanv name: Address City Phone# Insurance.Co. Policy# Comoany name: Address Criy Phone# Insurance Co. P li Failure to secure coverage as required under Section or L 152 can lead to the imposition of criminal penalties of,a fine up to s1,500.00 and/or one years'imprisonment_as wedLas.duil.pen in fmn,ofe..STOP WDRK ORDER..and..a.fine.of.(.s100.00)-aj&W against_me. I understand that a copy of this statement may be f and to the Office of Investigations of the DIA for coverage verification. 1 do hereby certify under the pa' and pens ' s of p ury that the information provided above is true and correct. Signature Date Z J� / I Print nam �ii .r.e �A `1OY l(�j Phone#R7,?-,KF7 Z63r Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensi no []Check if immediate response is required ❑ Building Dept ❑ Licensing Board E3 Selectman's Office Contact person: Phone#: ❑ Health Department ❑ Other i i� I F I . I BOARD OF BUILDING REGULATIONS Lioense: CONSTRUCTION SUPERVISOR j Number-CS: 056417 ' Birthdate: 04/06/1960 Expires'-.'04'/06/2006 Tr. no: 21033 Restrioted: 00 THOMAS D ZAHORUIKO 121 CARTERFIELD RDS,, N ANDOVER, MA 01845 Acting COMMmuoner 1 I I 1 1 { I i I 1 PL FRotIs ELXVAT W q FA ort at Meetinghouse Commons dover, MA o 1845 = PO' pate: 12/14/04 nit #85 1 Meetinghouse Commons LLC { (vorth Andover,MA 0 18+5 ` S2 -0 -o 09 DROP 70% W M-Y'ou'r o TDD O I P .oECK PteRS(7 0 k(.-o �o e1--` 4HcKoR yr O-M At. AL ftbVr ►0`f �2pit f wNt'Y'Our I f 2 3000 Pstl �y" Co*sGreeZE �+ T 8.D 0 i+ ?' O VLT ER in, TAS RIG ct" KEYWAY 2o�w oEt T14 U yt'��a moo"; J-3 i_ W' P.C.SLAef 300o PSI O ' ' O 9 9 � SE,RRING SotL O s Q DRoP O t S`i N ' N O FN �[ewport at Meetinghouse Commons Nor-t6 Andover, MA O 1 ,6+5 i2-0 : 1/8" = i'0" Date: 1 2/14/04 nit #85 Ivl `7 M �+-3 = -3 ►'k-o nghouse Commons LLC rODUt>kj�C) SflsEMr.?Jl Andover, MA O i 845 THOMAS D. ZAHORUIKO MEETINGHOUSE COMMONS LLC 121 Carter Field Road, North Andover, MA 01845 Tel: 978-687-2635 Fax: 978-689-2310 Mr. Robert Nicetta Building Commissioner Town of North Andover 400 Osgood Street North Andover,MA 01845 March 2, 2005 Dear Mr.Nicetta: As a follow-up to the foundation permit#428 which you issued to me for Unit 85, Meetinghouse Road, on December 17, 2004, attached is the follow-up complete set of plans and Masscheck report which you indicated you needed to issue the building permit. I have also enclosed a copy of the original permit application documents for your reference, including transqrtt�alV =V1 o t a plication form, license, ZBA correspondence, and foundation permit. (#h)so A�e,W 1T�i(j P^) Please let me know if you require anything further in order to issue the building permit for this Unit. Thank you for your help and consideration. Sincerely, omas D. Zahoruiko, Manager Meetinghouse Commons LLC n E C E Q E V MAR 4 2005 BUILDING DEPT. Permit Number MECcheck Compliance Report Checked By/Date Massachusetts Energy Code MECcheck Software Version 3.3 Release lb Data filename:Untitled TITLE:The Newport 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:03/04/05 DATE OF PLANS:2/15/2005 PROJECT INFORMATION: Unit 85 Meetinghouse Commons at Smolak Farm COMPANY INFORMATION: Meetinghouse Commons LLC North Andover,MA COMPLIANCE:Passes Maximum UA=521 Your Home=440 15.5%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 1968 38.0 0.0 59 Wall 1:Wood Frame, 16"o.c. 2456 13.0 0.0 173 Window 1:Vinyl Frame,Double Pane with Low-E 285 0.340 97 Door 1: Solid 56 0.340 19 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 1968 19.0 0.0 92 Furnace 1:Forced Hot Air,90 AFUE Air Conditioner l: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 in Sections 780CMR 1310 and J4.4. t Builder/Designer Date /�� 3 s MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.3 Release lb DATE:03/04/05 TITLE:The Newport at Meetinghouse Commons Bldg. Dept. Use I Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Walls: [ ) I 1. Wall 1: Wood Frame, 16"o.c.,R-13.0 cavity insulation Comments: I Windows: [ ] 1. Window l:Vinyl Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ J Yes[ ]No Comments: i Doors: [ J 1. Door 1: Solid,U-factor:0.340 Comments: ( Floors: [ ] I 1. Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] I 1. Furnace 1:Forced Hot Air,90 AFUE or higher Make and Model Number [ ] ( 2. Air Conditioner 1:Electric Central Air, 10 SEER or higher Make and Model Number Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] ( 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 cfm(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. 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 equipment must be provided. Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ] All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. � Heating and Cooling Equipment Sizin : [ ] Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/offheater switch and require a cover unless over 20% of the beating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120°F or chilled fluids below 55 OF must be insulated to the levels in Table 2. c Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pie Sizes Heated Water Non-Circulating Runouts Circulating,Mains and Runouts Temperature(F) U to o 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) .'RTIy� Town o �_ `o gAndover No. 1 ]Y( ndover, Mass., -- Y' ;^ LAKE T COCHICHEWICK V ADRATED A �(2 SSACHUSH IT FOR EXCAVATION AND FOUNDATION THIS CERTIFIES THAT ............................WzK 1W..�c... .?1.Y.1.C.yl.iep.C, U-d.................... has permission to excavate and pour foundation at /'.QT i<..R ..... for the purpose of.........al4cCl..S.?. .. tTr[/.?1?.lg 5A4.f--PA— 1.ti.te t:....4.54", The person accepting this permit must return to the office of the Building Inspector a ceftified plot plan show of building thereon before Foundation will be inspected. VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 5 MONTHS i 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. ...........--------... SEE REVERSE SIDEil BUILDING INSPECTOR ................ NpRTH Town of t RAndover 0 y Y C% LAKE over, Mass., COC MIC MEwICK V ADRATED S BOARD OF HEALTH Food/Kitchen PERMIT T Septic System THIS CERTIFIES THAT BUILDING INSPECTOR M..rj% ,. rds.t ...... "�.,, .�s LCA. ado has permission to erect.......... .. .. . ep .. . . F oundation n .......... buildings ugh to be occupied as $ 0 o rh � ,........5J.'11 Chimney provided that the person accepting this permit shall in a ery respect conform to the terms of the application on file in a� h�9r�ch this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRU T TS ELECTRICAL INSPECTOR `001" Rough .................... .................................................. ...�.....-. . ..... .. Service BUILDING INSPECTOR Final I Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. f �'S L'P'Uo4�4/? SEE REVERSE SIDE Smoke Det. i 4 I 10, T-1 l l L'j 1i 1 0 clu i I jI I r K O M T L U AT 1 b� Tke Newport at Meetinghouse Commons, Nortk Andover, MA 01 845 nit #85 Scale: 1/4" = 1'O" Date: 02/1 5/2005 Skeet 1 Meetingkouse Commons LLC, Nortk Andover, MA 4 t -o &o2-o _ c i--o 16-_0 iL -1�1 ' I AkPC TER bWImcw DECK S i I BEaRncM i �i I WArtI�D fl i Lf 10 X to — n N � --' t_tv►H6 � ' BR�LofT(2 Ft oto N OA _ URIIF1Nt�t,'im ARBA 'cr wsuy- o 4; ° 4 0 8 i P- � CV, - E . '( ut F0YE4Z n 0 11 ° 2-Cly GAkA&E N Coo RC A r ra = — — — — of ml 9x9 off fix@ &A / Z o y-o 3 v 3-0 The Newport at Meetinghouse Commons, �{o-o SCotsD FLOOR North /�ndover, M,o, 01845 nit #85 PL AN l5c-ale: 1/8" = 1 'O" Date: 02/1 512005 Skeet 2 F•ST F�— R. PLAN - _ Meetinghouse Commons LLC, North Andover, MA i(b-b DROP FoA W ht-KoU'c ,s W D E'Ctt PIERS Il s� A"oko0. ,r STA AP ok aw--i- R - — Zv rOQiIUCz 4Qr X2Qtt ,7[ZoP� � s � WALL LO" '�' 7lprt wRtKoc�r 30oQ 4Si� �{ct CAUGikeTF 14 s .9�F1►� 10 6R f3�� of t - �tl.T ER KfzrMAY oc-s s oR ey. Li ?e.SLAB, 3aooPsl ' 9 f O 40 1 �cu 9RoP a t Set O N } N O flFto P The Newport at Meetinghouse Commons, North Andover, MA 01845 nit #85 t r, Scale: 1/8" = 1 '0- Date: 02-/1512005 Sheet 5 M 13 Meetinghouse Commons LLC, North Andover, MA t 4O -b t-OUtJL�h 1lbrS B+�SEM�?� l G-a tL-o r b- tb-b o If 10 2 x tZ O 16j'b c- o N ;x o ,. 0 0 Rw�Rs S � 8�4•h r O O N t Q, N 6• N o N O o Ox O FNort6 wport at Meetinghouse Commons, 22-� tWO K-o Andover, MA 01845 nit #85 1/8" = i'0" Date: 02/1512005 56cet 4 F 1 RST 1DE C S CO tv D TjEGY, house Commons LLC, North Andover, MA V tkhv ARBA WINDOW & DOOR SCHEDULE 1 Interior Doors, 2-8 X 6-8 unless specified 34 %2 X 82 1/2 D-1 Entry Door, Twin Sidelights 68 1/2 X 83 D-2 Entry Door 38 1/2 X 83 ' D-3 Slider w/transom 72 X 96 1/4 D-4 Slider 72 X 82 1/2 1 A Double-hung single 341/4X 65 1/4 i B Double-hung twin mull 68 X 65 1/4 C Double-hung triple mull 101 1/2 X 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 101 1/2 X 57 1/4 I L Double-hung w/transom 34 1/4 X 79 M Glider 601/4X 42 1/4 N Double-hung twin mull w/transom 68 X 79 JtT P Transom 34 1/4 X 30 1/4 Q Transom twin mull 68 X 30 1/4 _ S Double-hung 30 1/4 X 49 1/4 1 T Double-hung triple mull w/transom 101 1/2 X 79 U Double-hung twin mull 68 X 49 1/4 The Newport at Meetinghouse Commons, R4 O� Nord, Andover, MA 018+5 nit #85 Scale: 1/8" = Po" Date: C2/15/2005 5kect 5 Meetinghouse Commons LLC, Nortk Andover, MA _o J ALT. RAPTOL 1Z 41 I� f CD �tV CTYP� �vvl �fi � .Tots' GE1L���`C.00K � s u�ui X12 3L�ARD r Zz� �LAst-�R SK�� zF sruD (T-)a c'a c o++.pos t:Q r GLA�jsZlt�l,� � Y�2�ixV. sLr: t ffaU(U- eLhs� >`.avN.t 4-C f Ed UIV. �SILL.sF.4l_M 'INCrt�su �R ' T�T♦� �i n VT X �oiLt trs ReQ. 3rlSUi� t $1'C p UI.LY co PukTE 4 PC SUSS P TYpICAt- SrcTlo1`1 .yJ>jCA\_ DF�ZNVL- r y• , T6 Newport at Meetinghouse Commons, North Andover, MA O1 845 nit #85 � Scale: varies Date: 02/15/2005 Sheet 6 iMeetinghouse Commons LLC, North Andover, MA t Date.. . HORTIy of °� TOWN OF NORTH ANDOVER 1, F • PERMIT FOR GAS INSTALLATION �9SSACHUSE� This certifies that . . . . . . . . . . . . . . . . . :�'% ( 4, !�`. . . . . . . . . . . . ihas permission for gas installation -�'3. . . . . . . . . . . . . . . . in the buildings of . . . �� .. . . . . . . . . . . . . . . . �. . . . at .� �. :. . . . . Q - �-, North Andover, Mass. Fee. ., . . . . Lic. No��F5�,. C ... . . . . . . . . INSP Check# )163 �S MASSACHUSEMUNUMMAPPUC NFOR PERM TODO GAS FrrrI iG (Type or print) Date NORTH ANDOVER,MA/S'SACHUSETT Building Locations `�' Permit# v- ' /y Amount$ ��= Owner's Name �h,,1 ��un��� New Renovation Replacement Plans Submitted U � vi v� ti W W v� 04 O O p'7q F x x Cn fx F F" y z p H a w W� dO O a' O W E CW7 F Z E; zdz , W Vpq 0 WU F Z d' W d ai -" C a @ C O• O , O W E' 9 O fs+ A C7 a U x A a H O SUB -BASEM ENT B A S E M ENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type) Check one: Certificate Installing Company / Name uw1i �I uAA i i 0 Corp. i A Address t.�, C-� S f V�'tQ "` '°''"�"J� Partner. Business Telephone Cp - Cpl 1 ,3 IS q Firm/Co. Name of Licensed Plumber or Gas Fitter SIL "cc Vlitj IG e1, INSURANCE COVERAGE Check on . I have a current liability Insurance policy or it's substantial equivalent. Yes No D If you have checked Les,please ndicate 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 `c 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 Massachusetts tate as ode d C a ter 142 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title Plumber J'(p- l cam( City/Town Gas Fitter iCense Num er aster APPROVED(OFMCE Use ONLY) Journeyman 7 A / Y-46— Date. . . . . . . . . . . . . TOWN OF NORTH ANDOVER 0 PERMIT FOR PLUMBING SACHUS This certifies that . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform plumbing in the buildings of . . . . . . . . . .-A� . . . . . . . . . . . . . A42 at . . . . . . . . . . . North Andover, Mass. .Fee Lic N0.. . . . A .. . . . . . . . PLUM INSPECTOR Check 6503 MASSACHUSETTS UNIFORM APP ICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS �- _ — 'A Date (//7/01 Building Location M Ec t� v Own s Nam �cyn ��rl���� Permit# 'v �� �� � Amount Type of Occ a c OS'giS9- 1b New 0� Renovation 1:1 Replacement Plans Submitted Yes No FIXTURES Cn s�s>savlC ]SlC]HIDCIt � 3�II I�ID[R 3]HJDCCR 4IH FI�[R SII3 PID(R 6MHDM 7MRCM CM SIH lium (Print or type) Check one: Certificate Installing Company Name (/n'I ! Corp. Address w°"� ��'� E] Partner. Business Telephone ��(p— �0�1 1 S6 Firm/Co. Name of Licensed Plumber: r v L��k- 11 Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy © Other type of indemnity El Bond 1 4 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 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 Massactts S to Pmbing d hapter 142 of the General Laws. BY Signature Of icenseriumoer Type of Plumbing License Title Q&S 5/4 City/Town ricense Numver Master ❑ Journeyman APPROVED(OFFICE USE ONLY 1� /L5`yr 78 x-33 1 + Date...{ G. ..... f NOR7M 1 TOWN OF NORTH ANDOVER p PERMIT FOR WIRING b�Ss^cwu E�h This certifies that A I�aC q (c C f. .................. .......... .................................................. has permission to perform ' " � . 'n ................................. ....................................... wiring in the building of ''� ��' sa ..... -� ,at 13 0 /A%o--e+(k, (tiov S'C ` ,North Andover,Mass. ............................... ............................... r Fee... a ...... Lic.No. � ......�16....... ` /` c�N�1�t(�/M,U................. "...... ... _ 1 ELECTRICAL INSPECTOR Check # o sao 5bi 1im uuimylvtv"rAL!n yr it nv.ua AL3 �••• ,r•�� L1EA1R71►g1Yl'OFP(IBUC Permit No. I�pARDOFFIREPREV©1t1TON ONSSl7( 12� Occupancy&Fees Checked APPUCATTONFOR PERMITTO ERFOECTIMELE=CAL WORK ALL WORK TO BE PERFORMED IN ACCORDAN WITH T ASSACHUSSTICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATTO Date k 7 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electric ork described below. Location(Street&Number) (� /✓16 1 6 < y w t Owner or Tenant .tit t-,Af I CJ Owner's Addressj +^ ` �- t "t�- '00 � � ' permit in conjunction with a building permit: Yes No (Check Appropriate Box) Is this 1 P Purpose of Building 1—b Utility Authorization No.• �� Existing Service Amps Volts Overhead Underground No.of Meters New Service Amps 12../cYolts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work (' u l-l.6 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 171 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 Tool Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwasher 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 Message Tubs No.of Motors Total HP v OTHER- t Ir�rdroeCoverag�Pltm�>antblteteg�erc�afNlassaduse�aG�lLaws Ih,neacwatLiabt6tyhwmreFb6cYirrludrgCarlp)* orilssi acr"kn YES NO Ihmakrritlkdvaidptoefafs=lDd e0ffim WS 1)eu1aredW1,1YES,pk=id etHr feo�wVby r SURANM BOND OAR y) E&r>ar9dValleafDacmcalwadc$ Wakbstalt 6bale i� Reglew+ Ra* 13r1d Sgmd ofF1#y. EMM KV. �t M.rK_ f�c l_!,d t. C J� LES LmwNa �M A I�1-(b Buskms'Ie1 Na b C) 6 y 6&y AL'IdNa cry fr :3-2,S^—,0T-67 )WNER'SP61RANMWAIVER;Iama4aedgftiioernedonnotltm drimxaroeoomWcrgs le*valentmm4xodby MCalaallaws Mand that my signatlae rn this parrit ap}>iratiorl waives this tec}iremat (Please check one) Owner a Agent Telephone No. PERMIT FEE Signature Owner JIM l ivilintAv rrrd i"n yr it nvLm-&i u � , DEPARIMWOMBIIC Permit No. BOARDOFFIREPIPEVEN7101V 27C1�Ili!120 Occupancy&Fees Checked APPUC47TONFOR PERMUTO ERFORMELECMCAL WORK ALL WORK TO BE PERFORMED IN ACCORD WrrH T ACHUSST3 ELECTRICAL CODE,527 CMR 12:00 I (PLEASE PRINT IN INK OR TYPE ALL INFORMATI0 Date ,&I � ` 05 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electric ork described below. Location(Street&Number) /�/t 1,i,��{ 5 rl �zy Pu c '— s Owner or Tenant L ti! co" Owner's Address AJ0 Is this permit in conjunction with a building permit: YesNo [:3 (Check Appropriate Box) Purpose of Building �l.(�S r�l v i t�'C� Utility Authorization No. Existing Service Amps I Volts Overhead Underground [M No.of Meters New Service 00 Amps �2u/ IqcNolts Overhead Q Underground tff No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work LA/(-,k-6 No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures ?j Swimming Pool' Above Below Generators KVA grdundj. and ,.•, i No.of Receptacle Outlets No.of Od Burner No.of Emergency Lighting Battery Univ No.of Switch Outlets No.of Gas Burner No.of Ranges No.of Air Cond. Tota FIRE ALARMS No.of Zones �1 No.of Disposals No.of Heat Total TonsTotalNo.of Detection and Punys Tons KW Initiating Devices No.of Dishwasher Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices _ No.of Dryers Heating Devices KW Loal Municipal Other Connections -No.of Water Heater KW No.of No.of Signs Ballads Hydro Massage Tubs No.of Motor Tota HP R• C Pl�mtblheteq�ier�cfM�>selbC�ei!®lIa1e3 �� aClIIHY1l�1$Y)II=t�I Yltt tgCQTlp]C� cri951*dmd giVaJn YES NOathrniftdvddpcoafofsam iDft0llkz YM ffyauhared�d1zdMPl!=ittdr�drty'pec' b' ftV uLLEMMJ BCM rl0111FR MC4,1 � Y) BomdooDde ID )rapectiorlD*Pjute*d Raft Estirria�dValreofEbcticalWadt$ I nder c( NAME J' C. Lio wNo.MEW Lime em 6 Z � &>siu's TdNa bc)-� b Gr Z 3 6&y AkMNa Cr?it 3 5-08-6 Z. 'SR4SURAN(EWA1VEtt;Izn dgdzLiowd�harelhefr lceo�,� ffim#e byMmm dinGa�aaiLawa L' mysig�erndisptsr,tappicadonwai�estiategiiesr,�,t check one) Owner � Agent a �a Telephone No. ..........PERMIT FEE t Sent Pt e4v o s- EDIT GeoTMS FOUNDATION PERMITS DRN ISSUED JAN 05 Date Permit Number Project Address Foundation permit cost Building Permit cost 73-115 Turnpike St Eaglewood Retail#3 12/14/04 414 Properties $3,335,578 73-115 Turnpike St Eaglewood Retail# 1 12/14/04 419 Properties 2,493,632 Eaglewood 73-115 Turnpike St 12/15/04 420 Properties k etail#2 2,548,132 Meeting House 134 Meeting House 12/15/04 422 L Common Road Unit 86 $ 250.00 -36 9Aar Meeting House 122 Meeting House 12/17/10 427 Common Road Unit 83 $ 250.00 Meeting House 130 Meeting House 12/17/05 428 Common Road Unit 85 $ 250.00 Meeting /, Z� House 144 Meeting House ® ,12/22/05 436 Common Road Unit 88 $ 250.00 c.3G�P i Meeting House 144 Meeting House / 12/23/05 ,437 Common Road Unit 88 $ 250.00 Meeting ` House 126 Meeting House I/ 12/23/05 J438 Common Road Unit 84 $ 250.00i/�U