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Home My WebLink AboutMiscellaneous - 135 CARTER FIELD ROAD 4/30/2018 �,pRty pe .sae*a "qy r 34'"^SRCHU�,'3 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number C�,2 98 Date S CERTIFIES THAT�^ THE BUILDING LOCATED ON /a 3 CZ / �N MAY BE OCCUPIED AS SI� �/ le- / l � ,Pa o pis d�a BAS, a S-[a // ,4 A/4 ,- �,- W IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO /�i4 °��' Ny A k G- Building Inspector NORTH E ToVM ofAndover . o /P-V742 ,o?007 o� CoC�,C1 Wig � dower, Mass., ORATED P? Cl S BOARD OF.HEALTH Food/KitchenPERMIT T ��j� Septic System �"r " • !� J BUILDING INSPECTOR THIS CERTIFIES THAT...... A. A.......... � ......y.'t..1��C/4P401"�RrVT........�SW. .. ....... has permission to erect............... ... buildings on . 03 }�Mr�#,uVnion1'111W. .................... A to be occupied as..�.ROO.M. ,OZtJa...B.Ath.t..��.....Stil��..f'�.. .! '� ....��. .I `C_ .M!!....I I.. Chimney n `l provided that the person accepting this permit shall in every respect conform to the terms of thapplication on file in� Final this office, and to the provisions of the Codes and By-Laws relating to the In ection, Alteration and Construction of ✓bW� ( �� Buildings in the Town of North Andover. ` ;j 6) + 138 9 t q O PLUMBING INSPE OR VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS y� UNLESS CONSTRUCTION STARTS ELECTR7/� SPE O ' ` ou .. ............ ..............�u..... ........ ................ - BUILDING INSPECTOR / in �j/l j 2` Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove No Lathing or Dry Wall To Be Done FIRE DEP NT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. /I v wOw11., � n 3; Town of NORTH ANDOVER O BUILDING PERMIT INSPECTION REPORT 10 PERMIT NO.: C>-2'--'9 PROJECT: 135'Cis , -ke Fey`{' Pd SSI tt9WDATE: UNIT NO.: t FLOOR: WING: BUILDING NO.: 3� of QP� 1/ tL .4- REMARKS: ��/ Excavation-depth and soil conditions Framing- Other: Date: Date: Date: Inspector Inspector Inspector Footings and foundations and drains- Insulation- Other: Date: Date: Date: Inspector Inspector Inspector Electrical-rough- Plumbing and/or gas-rough- Other: Date: Date: Date: Inspector Inspector Inspector Electrical-final Plumbing and/or gas-final Other: Date: Date: Date: Inspector Inspector Inspector �.rire Dept- oil burner,tank,stove,smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: -Cof 0# Inspector Inspector Inspector Form#995 Action Prow,885-7000 Date.. OF TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION A CON ..........."r This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . �3 at % North Andover, Mass. Fee-�A Lic. No�FfV. . . G7lSINSPECTGI TO, Check# 4723 f1 -7. MASSACHUSETTS UNIFORM APPLICATON FOR PERNIlT TO DO GAS FITTING i (Type or print) Date 4/22/04 NORTH ANDOVER,MASSACHUSETTS �; Building Locations 135 Carterfield Rd Lot #5 Permit# Amount$L �� ✓" Tara Leigh Development Owner's Name New Renovation ❑ Replacement ❑ Plans Submitted ❑ $30.00 W a rA . . un an ax o ° H un er ro nd W Z x o x z o w li e o a c 1pl b r' U EW+ z x W W 0 H w St o a d o° z o° a �' a o, F• o r4T UB-BASEM ENT ASEMENT T. FLOOR D . FLOOR D. FLOOR H . FLOOR 5TH. FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type) Check one: Certificate Installing Company / Name EASTERN PROPANE GAS R Corp. Address 131 WATER ST. , DANVERS MA 01923 ❑ Partner. Business Telephone 6628 Q Finn/Co. Name of Licensed Plumber or Gas Fitter "LC 777�- [INSURANCE COVERAGE Check have a current liability Insurance policy or it's substantial equivalent yes 1 No❑you have checked yes,please' dicate the type coverage by checking the appropriate boxiability insurance policy Other type ofindemnity ❑ Bond ❑ Owner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter Athe 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 ❑ 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 forth is application will be in compliance with all pertinent provisions of the Massachusetts �atoGas Cod a d Chapter 142 of the General Laws. l�-' — By: Signature of Licensed_Pluml, Or Fi . Title Plumber L J City/Town Gas Fitter License um er ❑ Master APPROVED(OFFICE USE ONLY) ❑ Journeyman Date.�.�I .ay ".O R7M TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSAGMUS� / r r This certifies that . . . . . . . ":': ':�. f . . . . . . . . . has permission to perform .../". . .. ?. . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of ''r !��.��--.!. '. . . . . . . . . . . . at . . . . . . . . .. ._ . . . . . . . . . , North Andover, Mass. Fee . . . .Lic. No.. . . . .. . �,1}. . : . . . . . . . . . . . . " PLUfU181NG INSPECTOR Check # �?�� 5545 i MASSACHUSETTS UNIFORXAP . CATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date c� l e 4 Building Location ' vim' Ow rs Na rt Permit# w _ M Amount 1"a�r el Type of ccu c t' w )W cv A New 6 Renovation Replacem 0 Plans Submitted Yes No ! FIXTURES F t Cn W O w a SLIMSNK MSEMEW 2M it" 5M1F1" sM H-C t 7MH- t 8M IWM (Print or type) Check one: Certificate Installing Company Name a ftj Corp. r. Address t artner. Business Telephone - `., "Xs o Firm/Co. Name of Licensed Plumber: �r g-a h (S Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy LJ Other type of indemnity ❑ Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent ❑ I hereby certify that all of the details and information I hysub tered)in above application are true and accurate to the best of my knowledge and that all plumbing work and inunder Permit Issued for this application will be in compliance with all.pertinent provisions of the Massac Code and Chapter 142 of the General Laws. By: SignatuiVoll LiwriscaFlumBer Type of Plumbing License Title 1,3141 ity/Town cense mer Master E],-- umeyman ❑ APPROVED(OFFICE USE ONLY Date. ... . .. . ,40RTH TOWN OF NORTH ANDOVER X PERMIT FOR GAS INSTALLATION SACHUS EI This certifies that . . . . . . . . . . . . . . . . . . . T-1 has permission for gas installation.,. . . 7 in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . North Andover, Mass. . . . . . . . . . . Fee. . . Lic. No. ��1�-P TOR Check# 1030 4680 MASSACHUSETTS UNIFORM APPLICATO R PERMIT TO DO GAS FrITNG (Type or print) Date 3 NORTH ANDOVER,MASSACHUSETTS Building Locatio s F" Permit# �Vrr Own VName New Renovation ❑ Replacement ❑ Plans Submitted ❑ CA w W F4 p U z Cn z o W ¢ F a o H W w F o a cw7 H z H zz � F W o w &W " a F04 0 a UO a P a F O SUB -BASEM ENT BASEMENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR I 5 T H . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type) Check one: Certificate Installing Company Name A'tic-Jt�#4 Corp. Addressj-fa�rtner. e Business Telephone �, . 4.ry` •� >+� � ❑ Firm/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 [g No❑ If you 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 (OnV ❑ Agent ❑ I hereby certify that all of the details and information I have submitted t ed)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts S e and Chapter 142 of the General Laws. r Signature of Licensed Plumber Or Gas Fitter By: ❑ Title Plumber ` lt4`1. , City/Town Gas _atter License um er ® Master APPROVED(OFFICE USE ONLY) ❑ Journeyman I Location No. =P YY Date " aoRT„ TOWN OF NORTH ANDOVER 41 0- 9 Certificate of Occupancy $ sACMUS t� Building/Frame Permit Fee $ 471f, /20 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # + 1 a 1 0 01 /� Building Inspector '4 r Da to m veu m r s CD N CD sk LD NOTES: N r m 1) THE BOUNDARY INFORMATION SHOWN HEREON WAS m TAKEN FROM A PLAN ENTITLED SPECIAL PERMIT AND a DEFINITIVE SUBDIVISION PLAN, CARTER FlELDS f ,Li'QI SUBDIVISION, SCALE. 1" - 40'; DATED: AUGUST B, pi g $ 2002 (rev. 1/17/03); PREPARED BY THIS OFFICE• c.) r 00 2) THE INTENT OF THIS PIAN IS TO SHOP! THE AS. cr I _ ` BUILT LOCATION OF THE FOUNDATION ONLY, 213 49" m + w co I ,D ! w I b� m I / r / ^ w r I HERESY CERTIFY THAT THE FOUNDATION SHOWN HEREON "' ••1 I IS THE RESULT OF A FIELD SURVEY MADE ON OCTOBER 1— _... / 23, 2003. iAll r LOT 6 LOT 8 t i Y 3�'cxRatoPaD: mvc+<a C 1 � a ! / / LICENSED LAND SURVEYOR TE Ti - 1 °t 4CERIUM FOMATION PLAN m, CARTER FIELDS SUBDIVISION — LOT 5 ~ CARTER FIELD ROAD Z N19'35'439M NORTH ANDOVER, MASSACHUSETTS ? PREP#=FDR CAR= RjQ,p 144D TARA LEIGH DEVELOPMENT, LLC 185 HICKORY HILL ROAD NORTH ANDOVER, MASSACHUSETTS a $ GRAPHIC SCALE -31 2o'3z^ ,w Sobo m 4 m R=102.50' 0 0. " L=86.07 (mg)awr. NSF MWp Comutmb.Int. OIRNm17•Y{tllmli.lYM'/AS ♦� = (Dr fm SCALE_ 1'-401 OAT[ OC7OEIER24,2003 DRAh41C 1 bah- 40 TL N0. DESCRIPTION BY GATEGRAWN or CM gCfD B7: PRUjt=T NQ NAME REVR90NS dAC cw 110900 1109A8F.0W0 D ) m CS) N Ci! N Date.. ... t NORTH °f'• TOWN OF NORTH ANDOVER p PERMIT FOR WIRING 41 ;,SSACMUSEt This certifies that .......__ .......... -...- .......................................................... a jhas permission to perform—,....... ..... ..................................................... wiring in the building of..�-!-�? ' ..r at.. r... ..................... .North Andover,Mass. Fee..&. � .W... Lic.No, ........................................ <ELECTRIc NSPECMR Check # 0 5.096 Official Use Only Permit No. Occupancy&Fee Checked BOARD OF FIRE PREVENTION REGULATI S 527 CMR 12:00 II APPLICATION FOR PERMIT TOP FORM ELECTRICAL WORK All work to be performed in accordance with the M ssachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) Date Z S O To the Ins ector of W r es: Town of North Andover The undersigned applies for a permit to perform the electrical work described`bel Location(Street&Number ' , Owner or Tenant Owner's Address C I c�i �1 f li Is this permit in conjunction with abuilding permit Yes 4/ No 0 (Check Appropriate Box) of Building 5(—Z)C-IV i7 t!�(�= Utility Authorization No. C�Purpose g � rty Existing Service Amps Voits Overhead 0 Undgmd 0 No.of Meters New Service 7c)U Amps (121'LL Voits Overhead 0 Undgmd i0l-1- No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 1 L4_ �! Total No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA Above 0 In 0 No.Df LightingF6Rures Swimming Pool gmd 0 gmd 0 Generators . KVA ` No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners Battery Units 1 No.of Switch Outlets No of Gas Sumers FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No.of Diposal No. Pumps Tons KW No.of Sounding Devices NoJ of Self Contained No.of Dishwashers Space/Area Heating KW DetectiordSounding Devices 0 Municipal 0 Other No.of Dryers Heating Devices KW Local Connection No.of No_of Low Voltage No.of Water Heaters KW Signs Bailases Wirin No. ro Massa Tuds No.of Motors Total HP OTHER: —a INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including teted Operations Coverage or its substantial equivalent NO have b[i>;�ed valid proof of some to the Office��NO a If you have checked YES please indicate the type of coverage by checking the appropriate box. SURANC n BOND a OTHER b'1(Please Specify) (Expiration Date) Estimated Value of.Elical Work$y J'D Work to Start 1 Inspection Date Resquested Rough Final Signed under a enattres o perjury-. �1� FIRM NAME �✓�A NL'4['1 C�Tu fC/l�(�ShK✓t G��pS/ LIC.NO.!/'( IQSZ 90 Licensee�LI C;-tA-1`i(._ /`/V A-t�a n,A l�Sign re W \ � _ LIC.NO. l l�S t� N-7 Bus.Tel No. 727 3?,5- o Address r � �A S f Alt Tel.No. 1103 Y ` '3169-1 OWNER'S INSURANCE WAIVER: I am 4ware that the Licenses does not have the insurance coverage or its substantial uivalent as required by Massachusetts General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE $ 16 (Signature of Owner or Agent) f.. 5 so The Commonwealth of Massachusetts Department of Industrial Accidents ;i 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: it Address City Phone#: Insurance Co. Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as 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 poury that the information provided above is true and correct Signature Date r Print name Phone# 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 p Licensing Board p Selectman's Office Contact person: Phone#: ❑ Health Department Other FORM WORKMAN'S COMPENSATION Location !�� 1"`� No. Date -ef2� HORTN TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ /w s�CHus Foundation Permit Fee $ Other Permit Fee $ w TOTAL Check #16834 r---Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT• APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING +ec#ioiasor tcial� b>ut BUILDING PERMIT NUMBER. DATE m o28 8 ISSUED. ��--aC�? - V r � SIGNATURE: Building Commissioner/Inspector of Buildings Date Z SECTION 1-SITE INFORMATION 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 13S LOT 5) 64r tr � �• Z , z Map Number Parcel Number 13 Zoning Information: 1.4 Property Dimensions: _ (�K►� S� 3 Z, 5�1� Zoning DistrictPr osed Use Lot Area(sf) Frontage fl 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required V54) vide Required Provided Required Provided 1.7 Water Supply M.G.L.C.4U. 15. Flood Zone Information: 1.8 Sewerage Disposal System: Public of Private ❑ Zone Outside Flood Zone It(- Municipal On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT m 2.1 Owner of Record Name(Pri ) Address for Service �� _j -7-27 F7�Za �j gnalure Telephone 2.2 Owner of Record: R, Name Phnt Address for Service: O r Z M Signature Tele hone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable 0 Licensed Construction Supervisor: O�S I�� O /f7 �l //4W. 4al'AM ' License NumberAddress 7` v . 7 0 ✓ o / (�3S_ Expiration Date lure Telephone.5&0 r 3.2 Registered HomAe Improve ent Contractor Not Applicable It v / V Company Name Registration Number r Address _r Expiration Date ^^� Signature Telephone Y♦ SECTION 4-WORKERS COMPENSATION M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the buildin rmit. -Signed affidavit Attached Yes... No.......❑ SECTION 5 Description of Proposed Work(check au ticable New Construction 1K Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: Nr�w SSR• �Rfl�� Go�S�tllA'lotn� G�.v�D � , ' 011 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated CostDollar ( )to be OFFICIAL:USE ONLY. . Completed by perrrut applicant Q. Building a q! as , ( ) Building Permit Fee ,f p, Multiplier S� e3p Electrical (b) Estimated Totato, l O� Construction3 MechaPlumbn Zow Building Permit fee4 Mechanical(HVAC) q,5 Fire Protection 6 Total 1+2+3+4+5) Z S'77� . Check Nrunber SECTION'7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT z`�"�n,, as Owner/Authorized Agent of subject property Hereby authorize - to act on My behalf, in all matters relative to work authorized by this building pennit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZ GENT DECLARATION �; 1' �)` 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 V1, ' Print Name Si of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB B $ SIZE OF FLOOR TIMBERS Z ,yld I JD 2" 3 KNENSIONS OFSILLSIFNSIONS OF POSTS S L/9LtENSIONS OF GIRDERS GHT OF FOUNDATION —7 G " TTUCKNESS SUE OF FOOTING Z X MA-FEIUAi,OF CHINIlVEY 43MC IS BUILDING ON SOLID OR FILLED LAND IS BUILDNG CONNECTED TO NATURAL GAS LINE p c 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 Tom' �e�re- In LL PHONE'f7�"68 7 z63S' LOCATION: Assessor's Map Number �c PARCELZ¢ ,g � SUBDIVISION 4 6�v--_ T I LOT(S) S STREET CQ rtRfl- 'I-)y-Ids ROJ ST. NUMBER 135 ************************************OFFICIAL USE ONLY******************** ******* **** REC MENDATIONS %,TPAN AGENTS: CO SERVATION ADMINISTR OR DATE APPROVED14410 1 DATE REJECTED COMMENTS } T LANNER DATE APPROVED DATE REJECTED COMMENTS -FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED d DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTION 11 DRIVEW �( d3 FIRE 6ERMIT P�` d RE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE- Revised Revised 9197 jm Proposed Lot Plan Carter Field Road Lot 5 Scale '/4" = 1" 150 ' :f±L \ 1 �Pgar.bwkLt4 M& \ TY 1 2 9 s, W pLK r LptRT�`0. 4r\£1.D R Ab Tel: 978-687-2635 Fax: 978-689-2310 THOMAS D. ZAI-IORUIKO TAm\ b:i(ltI DIiVla.cn>NII;Nr LLC MI:-VING (x ISI. O WINl()NS LLC: I 185 I lickory I(ill Rom 1. Nc rlh AM.Jrwer. NIA 01845 I:-rywil: 17.(`k-c n(;or7)caSI.nct Town of North Andover Planning Board "'1 k1rN This form represents the schedule for allowing the following lots to be considered as eligible for Yt permits under the Town of North Andover Management by-law Section 8.7 of the Zoning by-law. WSU-! to 8.7 this Development Schedule must be filed in the Registry of Deeds and be referenced on the deed of each of the lots below and be filed with the Planning Board prior to the issuance of any build; vU�• f't" ''' ;VE" permit for construction. Name and Address of Applicant for Lots: Name of Development: i ARA Lej(64 DaU&LOPMUit LLC c h;z GEZ 1HILL Roo!:) (oFF IaRAaF6aasTflFf7� f NORTh po,)Doot?, MA O q�s- Map and Parcel of Original: - M f,P 6 2 LOT Z 1 Date of Application for Lot(s) Division: flU6us-r 9 2 002 Lots Covered by this Schedule fJ The Planning Board by their signature below, or a signature of a duly authorized repres,_ntative, do hereby establish for the above named development the following Development Schedule for the purpose of Section 8.7 of the Growth management By-Law. The applicant,their assignees,successors and or subsequent property owners shall conform to the following schedule that limits the eligibility of the following lots for- building orbuilding permits. This form must be filed in the Registry of Deeds by the property owner or representative and be referenced on each deed for each of the following lots. Such deed reference for the deed of each lot shall at minimum reference the book and page in which this Development Schedule is filed and contain the language- `°This lot is subject to a Development Schedule pursuant to the Town of North Andover Zoning By-Law all ovmers, representatives, and future purchasers should avail themselves of said restriction by reviewing the approved Development Schedule as filed in Book insert here and Page insert here. The fact that a lot is eligible for a building permit is subject to the limitation of the number of building perrr.its per year pursuant to section 8.7.2d of the Zoning By-Law." T he Planning Board hereby schedule the lot(s)for the above development as follows: Year Eligible Number of Lots Buildiin Office Use Buildin Office Use I Elibgible Date Lot EligibiliNotes Completely Utilized =Y 2 00 FY 2oc�-1 I � S% -zoos S I I I Sigzra f PI ng Board member or Authorized Representative a 1 Date Sigrratureof Property Own or Authorize esentative Date '-Czo eel� j I BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 055417 Birthdate: 04/05/1960 Expires: 041051.2004 Tr.no: 21586 Restricted: 00 THOMAS D ZAHORUIKO 185 HICKORY HILL RD N ANDOVER, MA 01845 Administrator ,I i I Z The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations W Boston, Mass. 02111 ��°+M Sv•�. Workers'Compensation Insurance Affidavit Name �+ 1 Please Print Name: Location: 3 S 64 6Y City N „ 1�11I �M� Phone # Q7�68' Zg3S� I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity ElI am an employer providing workers' compensation for my employees working on this job. Company name.- Address ame:Address City-. Phone#: Insurance.Co. Policy# Company name: Address City: Phone#: Insurance Co. Policy# Failure to secure coverage as required under Section 25A or 152 can lead to the imposition of criminal penalties of.a fine up to$1,500.00 and/or one years'imprisorunent as_ttiell_as_civil-penalties in 1 pfa STOP WORK ORDFRand a fxie_cd_(31D0 Df))a day.againstme, l understand that a copy of this statement may be forward o the ice of Investigations of the DIA for coverage verification. I do hereby certify under the pains d penalties p uryth the information provided above is true and correct. Signature Date Print name Pbone Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing O Building Dept ❑Check d immediate response is required I] licensing Board F1 Selectman's ice Contact person: Phone#: Ej Health Department Other GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVERBUZLDING DEPARTMENT This form shall be used to assist the Bujlding Department in their determination of exemption tinder section 8.7.6 of the Tovm of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary information as requested below. Q �3SGr��l�• �Z�Z�13g Permit Apflicant Property address Map/Parcel -6 zr-7 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 ENEMPTION 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 sity(buvoluntarily agreed to a minimum 40 4/o permanent reduction in denildable lots)below the density permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction.dedication to the Town,or other similar mechanism approved by the planning board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 and shall receive a onetime exemption from the Planned Growth Rate and Development Scheduling provisions for thepurpose of constructing one single family dwelling unit on the parcel. N<�- 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 m accomodate 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 MAKENG 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.SND THAT TIE ATTACHED BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE. FURTHER I UNDERSTAND THAT THE SUB OF MISLEADING OR INACCURATE INFORMATION OR THE CHECKING OFF OF A ABOVE ElMMPTI � WHI DOES NOT COMPLY,WHETHER DONS TO MY KNOWLEDGE OR NOT IS GROUNDS FOR REFUSAL BY BUT ENG DEPARTMENT TO ISSLT,A BUILDING PERMIT. APPLl. S SIG n DATE ORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION Permit Number MECcheck Compliance Report Checked By/Date Massachusetts Energy Code MECcheck Software Version 3.3 Release lb Data filename: C:\Program Files\Check\MECcheck\Lot 5 Carter Fields.cck TITLE:Lot 5 Carter Field Road CITY:North Andover STATE:Massachusetts HDD:6322 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE: 10/15/03 DATE OF PLANS: 10/01/03 PROJECT INFORMATION: Carter Fields COMPANY INFORMATION: Tara Leigh Development LLC 185 Hickory Hill Road North Andover,MA 01845 COMPLIANCE:Passes Maximum UA=616 Your Home=546 11.4%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 1722 0.0 30.0 53 Wall 1: Wood Frame, 16"o.c. 3318 0.0 19.0 225 Window 1: Vinyl Frame,Double Pane with Low-E 561 0.330 185 Door 1: Solid 42 0.330 14 Floor 1: All-Wood Joist/Truss,Over Unconditioned Space 1614 0.0 19.0 69 Furnace 1:Forced Hot Air,90 AFUE Air Conditioner 1:Electric Central Air, 10 SEER COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in MECcheck Version 3.3 Release lb and to comply with the mandatory requirements listed in the MECcheck Inspection Checklist. • The heating load for this building,and the cooling 1941 appropriate,has been determined using the applicable Standard Design Conditions found in the Code. TKe HYAC equipment selected to heat or cool the building shall be no greater than 125%of the de ' load as ecifi in Sections 780CMR 1310 and J4.4. Builder/Designer Date MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.3 Release lb DATE: 10/15/03 TITLE:Lot 5 Carter Field Road Bldg. Dept. Use I Ceilings: [ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 continuous insulation Comments: I Above-Grade Walls: [ ] I 1. Wall 1: Wood Frame, 16"o.c.,R-19.0 continuous insulation Comments: I Windows: [ ] I 1. Window 1:Vinyl Frame,Double Pane with Low-E,U-factor:0.330 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: I Doors: [ ] I 1. Door 1: Solid,U-factor: 0.330 Comments: I Floors: L ] I 1. Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 continuous insulation Comments: I Heating and Cooling Equipment: [ ] I 1. Furnace 1:Forced Hot Air,90 AFUE or higher Make and Model Number [ ] I 2. Air Conditioner 1:Electric Central Air, 10 SEER or higher Make and Model Number I Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: L Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfin(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. I Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I 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. [ ] I Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] I 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. [ ] I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] I 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 Sizing: [ ] Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. I Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. • Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pike Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) U�to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range(F) 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) ®RTH Town o .,. Andover 0 No.c) b 8 To dover, Mass., /O —o�.*) —o &)0 3 O� LAKE COCKICMEWICK AORATE0 F'? '9SSA CFiU5�� FOR EXCAVATION AND FOUNDATION kkij. 4. ......�... CO I»wu kliliTHIS CERTIFIES THAT ... 7 r ........, .. .. o ♦ �� lel�'�! has permission to excavate and pour foundation at .1. � ...�.......... .....�.�.. �........�..��..... for the purpose of...... ... ./... . a... A .. ... !��1.... .C! ... �.N. .�t The person accepting this permit must return to the office of the Building Inspector a certifiedlot Ian show fr of building thereon before Foundation will be inspected. / �f al � ' 3 S p p� . Is's VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this f=oundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. BLDG. PERMIT PEE S--- y $ y 5 e � LESS FDA EES DCBE WME PERMIT$ � � BUILDING INSPECTOR NORTH Town ofAndover No. � � � _ Z dower, Mass. 742 N9 00� o f f COC NICK WICK � ADRATED S W BOARD OF HEALTH PERMIT . T D Food/Kitchen Septic System THIS CERTIFIES THAT...... .I.QA..........� �.....,. .'�..�!�./� �/ t:!�!V� L l BUILDING INSPECTOR .. .. . ........ .. ........�!/..'�!..�....... � has permission to erect................/...................... buildings on .�.� 3 �,a7�i eA ��#untion , to be occupied as.. ..��.00Y!! .J..a��11...B.A�^.o..��.....C�til)!..A..4*. !� ....1.?.U119 Chimney provided that the person accepting this permit shall in every respect conform to the terms of thapplication on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Ins ection, Alteration and Construction of Buildings in the Town of North Andover. ` 1 0) + 13 8 9 6 9 O — PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR n Rough • l . Service ... ............... .......................................................... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE I Smoke Det. I . t JTIFFF Uji i El ST R EST E LF-V AT 104 r LOT 59 #135 CARTER FIELD ROAD NORTH ANDOVER, MA 01845 SCALE: 1/8" = 1'0" DATE: 8/05/03 • TARA LEIGH DEVELOPMENT LLC NORTH ANDOVER, MA 01845 M CO A o d 00 O U N�1a 2LQ0'�� 1ST Z o�0 O-ZIr"�='21 9-E a 9 o-£i o-L N „I fil V Eol piiW 9tij �y go � Fil a �a�od c Z �+ 0 d� � � o �9tf�� p 9NIhl`► � n 0130-1 O N 1 N i 9 0 o-'2 - O-Zt o-2 t r �C'11vtY� p LC -L� o 0 o- o-$ o- o•Z o•a o z o-►, h OLj .0 o-C5 o_2j o.l t g-L o-G 9 s o-9 a 9 O-L o-L o-h t o.2t o-to t z�nootiV3�4 Auoa. o Mao i 0 M-k7vM '�1M O (� wo�a�g � � � 3•SSV W . a v o-z1 � o�ht 0- 2( o-Zto- I '+o-0 2K-o 4 H 0 � f 0 O 9_ u o w -o -o a► O � O O c�1 :r O � N O a o , N 9 f ,N N ?� R-o r oU WD NT 10 N PL Anl LOT 59 #135 CARTER FIELD ROAD NORTH ANDOVER, MA 01845 • SCALE: 1/8" = 170" DATE: 8/05/03 TARA LEIGH DEVELOPMENT LLC NORTH ANDOVER, MA 01845 t 1 V �\ QRS 17S-ki 10 [� 2Syt.AnC�i.S�ill1C�-� vuj 3G" �.lZ�'I1lEyE — \x3 'PP C.�\LI�JU 3p15T y2„ 8we8oARD,ot.�,s� R lxyee JQ0TE5 : I` 2 Off{ v�tQfl6� 90 ks q x 8t T.NTF9,10R DbORS 2-$ SFWIiD i TYVtY,IEWAV y ��2'cflx sx�:�z� , �XTER1oR w R1.L F RAJ+�� 2 x (� GxlO/1L BLoc4�(t3Ri`JC =TJT�fI�OIZ t�RLLirR1�1�� ZX l ' (2�2x1o�iDR ; I � FR�Mi' �+✓i�1L u , i 0/kZ [3L0cY, 8RID:E �v R1gFG 2 Y-sh PT n�vER lc x(o fT �(2)2x6pT5\LL L`1�ZXlQ �3EA,+� j , " cLiRA J 8tc1(F\L�, 9 3WALL 4 S�Q SJC L flLLy F1x-1YR f l�BR1G wId To u i< J �p bD MIN �v P.C.S+`A� 3000 PS1 -- �ao U�UV sI411 SToMF ' a4qa 3000P T u� , y« P.C. SLAB �dooG`c986o T-°OTl+�)G � `C,`=a✓ati6 4 L4�LLY LOTS 1 THRU 17, CARTER FIELD ROAD + NORTH ANDOVER, MA 01845 SE�r�o (T y P> Fou "��o�i S GT\o �1 SCALE: VARIES DATE- 8/05/03 TARA LEIGH DEVELOPMENT LLC -KnRTu ANnnVR.R MA 01945 r ' f ` r j . w 5 ,n V w i v ' LAS 7 x x ' LOT 59 #135 CARTER FIELD ROAD NORTH ANDOVER, MA 01845 SCALE: 1/8" = 1'0" DATE: 8/05/03 TARA LEIGH DEVELOPMENT LLC NORTH ANDOVER, MA 01845 s 4 a d � J -711 O5D - d v x I I LOT 59 #135 CARTER FIELD ROAD NORTH ANDOVER, MA 01845 SCALE: 1/8" = 1'0" DATE: 8/05/03 TARA LEIGH DEVELOPMENT LLC NORTH ANDOVER, MA 01845 Date. TOWN OF NORTH ANDOVER 0 • PERMIT FOR GAS INSTALLATION SACHUS'-� This certifies that . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation a. V,t.p. . . . . . in the buildings cf . . . at . . . . . . . . . . . . . . . . . . . . . . . North Ayover, Mass. At Fee. .qtt.�r Lic. No.b"31 --T-. D Y.(6..". . . . . . . . . . . . . . . . . . . GAS INSPECT/ Check 0 4-c.,. 4 3 I MASSACHUSETTS UNIMRM APPUIATON FOR PERMIT TO DO GAS ffITNG (Type or print) Date 11/29/04 NORTH ANDOVER,MASSACHUSE Building Locations 135 Carterfiel Rd Permit# 3 _ Randy Welch Owner's Name 978 725 5568 Amount$ 41.50 New❑ Renovation Replacement ❑ Plans Submitted ❑ .... w a i. e z ro $41.50 CIO a o cea an e z d Fw. ° ; z c w fi ep ac a 0 Fw» w o 0 o w F» a og se a d a c w a c a > la ri 1 � e x x a� U 0w � H w "1 O w 3 A 9 2 � a A a F. O [7T UB-BA SEM ENT ASEMENT T. FLOOR D. FLOOR D. FLOOR H . FLOOR H . FLOOR H . FLOOR H . FLOORH . FLOOR (Print or type) Eastern Propane Gas one: Certificate Installing Company Name check Corp. Address 131 Water S t. ❑ Partner. Dan rPrs MA Q12P3 Business Telephone 1 J-m �S P 2 hh pR ❑ Finn/Co. Name of Licensed Plumber or Gas Fitter g v" i INSU7acurrent NCE COVERAGE Check I havliability Insurance policy or it's substantial equivalent. YesNo❑ Ifyoue checked yes,please i dicate 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 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 State Gas �ha 42 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title Plumber City/Town Gas Fitter Icense Number W ❑ Master A.PPRO VED(OFFICE USE ONLY) ❑ Journeyman I