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Home My WebLink AboutMiscellaneous - 141 WATER STREET 4/30/20181 � O L I CA Q D M p cn O Om -m-I O 9669 Date.... TOWN OF NORTH ANDOVER PERMIT FOR WIRING Thiscertifies that ............................................................................................. has permission to perform ........... ... . .. :SYS. wiring in the building of ...... .......................... at ..... . ...... 5J':- .......... ...... ,North Andover, Mass. Fee ... Lic. No .............. .41 ............... -`k�i� " i��L;6� 7 Check, ti l.ommonwea& o f Mabjackadeffi 2efiartment ol5ire Serviced BOARD OF FIRE PREVENTION REGULATIONS Official Use Only --� Permit No. O Occupancy and Fee Checked [Rev. 1/071 (leave blank) - APPLICATION FOR -PERMIT TO PERFORM ELECTRICAL_ WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYP ALLA07 TION) Date:— % U - 5 –/!J City or Town of: /r%!�I U84e— To the Inspector of Wires: By this application the undersigned gives notice of his or her in ntion to perform the electrical work described below. Location (Street & Number) �� /" ST. Owner or Tenant Owner's Address e as Telephone No. Is this permit in conjunction with a building permit? Yes ❑ No. (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead [_J Undgrd No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: �S` 4 UY) D1= Se.eti r t o r —t re Completion of the following table may be waived by the Inspector of IVires. No. of Recessed Luminaires P• (Paddle) NQ. of Ceil: Sus Fans o. of Total Transformers _ KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ rnd. grnd. - E oI'Esnergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total No. of Alerting Devices _ _ Heat Pump Number Tons KW o. of Self -Contained No. of Waste Disposers Totals: ""' ' "_.........._ .............__..........._._........... . .Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other No. of Dryers rT Heating Appliances KW Se rity S stems: %G _ or Equivalent TT No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or E uivalent No. H dromassa a Bathtubs Y g No. of Motors Total HP Telecommunications `'wiring: �I No. of Devices or E uivalent _l OT� HER: oZ �i�i'.� J S 1 ifi, Attach additional detail if desired, or as required by the Inspector of {Vires. Estimated Value of Electrical Work: �02 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Q BOND ❑ OTHER ❑ (Specify:) I certify, under the pains andpenalties ofperjury, that the information on this application is true and complete. FIRM NAME: (N:,�) Se C,u r1,i vRk es LIC. NO.: -)JcS_' Licensee: Mnf lL.y-c-)ON I _ Signature LIC. NO.: SC. (If applicable, enter exempt" in the lrcen umber line.) ; Bus. Tel. No.:�,O 3 Address: SrD 1 C L I n i t n -t61^. V - 1 l t S. C 0 ` Alt: Tel. No.: *Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lie. No.-��`1�� OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one)❑ owner ❑ owner'a agent. Owner/Agent PERMIT FEE: $ Jam' Signature __ Telephone No. 077 E d�Yl/1i2�?2Clr2CCCI�yZd �, ��a�1�it'��,�>• Department of P blic Safety One Ashburton Place, Rm 1301 Boston, Ma 02108-1618 License: S - License . Number: SS CO 000953 Expires: 02,W1201 1 Restricted To: 00 � t r ;MARK -A BRUE'HY SR _ X0F%",V00D. NIA 02062 Tr. no: 1170 Keep top for receipt and change of address notification. GFS•... G ,.'-Og':;j-OB:�UFG�tdCA'C1fi1�_lL•. ,�,ar/vnerrlrit c!: lr..:�uv:rurlt9 DEPARTMENT OF PUBLIC SAFETY S • LicPn3e rr Number: SS CO 000953 �-''; Expires: O2:07.-011 Tr. no: 117.4 :Vj S -License: ADT SECURITY SERVICE p:IARK A BROPHY SR 111 h.IORS ST ` ORV,iOOO, MA 02002 ��'�� — DIG SAFE CALL CENTER: (888) 344.7233 Commissioner -- t. , Fold, Then Detach Along All Perforations _. COIVIMONWEALTH OF MASSACHUSETTS BOARD SYSTEM CONTRACTOR ,ti; FA A REGISTERED = (S$UES THE.ABOVE-LICENSE TOr 4 TYPE ADT SECURITY SERVICES, I�lG.0: BROPNY :SRS`, -•C U'wli/Eoc.TTY.-AVF N, i . WESTWQOD MA 02:090 2311 849174 45. C 07./31/13 849174 [. - r�- - - Fold, Then Detach Along All Perforations t. , ^;1.iRT1, TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING Pis certifies that r" ({ 2 �= i r ift ' `1 ............... ...................................... ,has permission to perform ......�.P f , � ,yto/ f 1 ?�J............. �....................................... c��v;eu� (,l -C wiring in the building of................................................................................. at ....kel ..... . I . /p.....S1 ........ ............... . North .A., n.d..ove Mj9V; v Fee ..../ ............. Lic. No. 07........... . ........... ELECTRICAL INSPECTOR Check # 5231 THE C0AW0NWE4L7H0FMASS4CHUSETTS Office Use only 9 DEPAITAffiVT0FPUBLICSf1FETY Permit No. �4` 31 BOARDOFFIREPREVENHONREGULATTONS527CMRT2' �f Occupancy & Fees Checked APPLICATTONFOR PERMIT TOAPERFORMELECTRICAL 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) t Date S' 26 •• 4# c Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrial w / rk described below. Location (Street & Number) Iql Owner or Tenant Owner's Address MA Is this permit in conjunction with as building permit: Yes �No � (Check Appropriate Box) Purpose of Building AA-1kA.r,,,,11- Utility Authorization No. Existing Service Amps/ Volts Overhead M Underground No. of Meters New Service I L)b_ Amps Volts Overhead 2rUndeFground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of .i�hting Outlets No. or ,fighting Fixtures No. of Receptacle Outlets No. of Switch Outlets No. of Ranges No. of Disposals No. of Dishwashers No. of Dryers 10 No. of Hot Tubs F 0 lSwimming Pool Above Below round round No. of Oil Burners No. of "rranstormers Total KVA Generators KVA No. of Emergency Lighting Battery Units No. of Gas Bumers No. of Air Cond. Total FIRE ALARMS Tons No. of Heat Total Pumas Tons Space Area Heating Heating Devices No. of Water Heaters KW I No. of No. of No. Hydro Massage Tubs of Motors Total HP Total No. of Detection and. KW Initiating Devices KW N9. of Sounding Devices No of.Self Contained Detection/Sounding Devices KW I LocalFi Municipal Connections No. of Zones huxanceCovalage. Parmatttothe re rtentsofMassachusetts GencralLaws [haveaamtrtliabl7ityh>stnancePolicyiWhxbgComplete Operations Coverageori(ssubslanUequivalent YES NO [have subnvttedvalidpmofofsametothe Offm YES r --T ifyouhavedododYES,pkasemcicatedletyWofcoverageby Jmldngthea INSURANCE BOND r7 MIE R F-1 (Pleas Specify) EcphtionDale Vahreofl alWodc$ JloiktoStart w r� 9�, f &4'— InspectionDaleRegtiested Rough L e E`10 FvW Other IRMNAME LicanseNo. &K—X,142 �1 n Signaafzue 124..._ Lio=No BusinessTelNo. Alt Tel No. )WMR'SINSURAN AWED,IamawaethatthelicmsedoesnothavetheinstrrancecovaageoritsatslmualegtuvalentasreqmedbyMassathu-ttsCaletallaws j xl thatmy sipalm on this peri it application waives this regtram)a t , I Please check one) Owner ® Agent ® Telephone No. PERMIT FEE $ � rgna ure 7T Owner or 7gent The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation insurance Affidavit Name Please Print ——I Name: Location: City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: Address City: Phone #: Insurance. Co. Policy # Company name: Address City: Phone #: Insurance Co._ _ _ Policv # Failure to secure coverage as 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 Htell_as_civiLpenaltiesin lbeformnfa_STOP WORK_ORDER..and_a.fine_cf.(.$1DO.DD)-a dayagainsi..me. understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature Date Print name Phone # Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing ❑Check if immediate response is required Contact person: Phone #.- LJ Building Dept E] Licensing Board p Selectman's Office E, Health Department Ei Other This certifies that ... ' . !`.Prx.. // .Pd:. 0.. . has permission for gas installation .. /2. T.q pke y... E7. in the buildings of .. A. b: f`A-) .............................. at ...J't% �... P'L- A+c— ... �.'....... North Andover, Mass. Fee. % .. Lic. No...�n�n1. 3�izZihiLL+r` GASINSPECTOR Check # q3 -7S- 4725 375 4725 Date ... y� q @ ...... 1 H0/tTH = TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION This certifies that ... ' . !`.Prx.. // .Pd:. 0.. . has permission for gas installation .. /2. T.q pke y... E7. in the buildings of .. A. b: f`A-) .............................. at ...J't% �... P'L- A+c— ... �.'....... North Andover, Mass. Fee. % .. Lic. No...�n�n1. 3�izZihiLL+r` GASINSPECTOR Check # q3 -7S- 4725 375 4725 I. (e-5 .3' MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING ( rint or Type) InC. Jdl/" , Mass. Date Building Location / q i `j jq T t= 2 S) New LAS Renovation ❑ Permit# t_Owner's Name /L Li S S� �� ✓�l% l Aj 4' le A4 n? t Type of Occupancy lacement ❑ Plans Submitted Yes ❑ No ❑ Installing Company Name `-S e / ii a� / Check one: Certificate / Address // &�-v 1j o e V A;—, ❑ Corporation d�--® fi(i� L� Y•c-l� r d 495-2— ❑ Partnership Business Telephone "� IoW O Firm/Co. J' Name of Licensed Plumb@C. or Gas Fitter J fin? ST �Da v INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes Ct—.. No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy lam- Other type of indemnity O Bond LJ; OWNERS 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: 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 the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Cha ter 142 of the General Laws. By TTypa of License U Plumber Title ❑ Gasfitter Sig ature of Lice ed lumber or s Fitter ❑ Master f` Citrown 0 Journeyman cense Number_ iy-1- r Ay PROVED OFFICE USE ONLY) Cc . • • .. . • . . . .- . .: .. ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■ Installing Company Name `-S e / ii a� / Check one: Certificate / Address // &�-v 1j o e V A;—, ❑ Corporation d�--® fi(i� L� Y•c-l� r d 495-2— ❑ Partnership Business Telephone "� IoW O Firm/Co. J' Name of Licensed Plumb@C. or Gas Fitter J fin? ST �Da v INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes Ct—.. No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy lam- Other type of indemnity O Bond LJ; OWNERS 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: 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 the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Cha ter 142 of the General Laws. By TTypa of License U Plumber Title ❑ Gasfitter Sig ature of Lice ed lumber or s Fitter ❑ Master f` Citrown 0 Journeyman cense Number_ iy-1- r Ay PROVED OFFICE USE ONLY) w Date.. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .. c I t?.� C -e `t ....?.� has permission to perform plumbing in the buildings of ... k'!. r''........................ It - at. . I `{ .�. W j° + 2 S .............. , Ngrth Andover, Mass. ................ Fee. a/,P-... Lic. No..1�.�J PLUMBING I SPECTOR Check # � � 3 5999 MASSACHUSETTS UNIFORM APPLICA (Print or T e) U = -Mass. Date. iy V Building New 141� Renovation ❑ FOR PERMIT TO DO PLUMBING Permit # O9 _Owner's Name _Type of Occupancy—L/ --1 ❑ Plans Submitted: Yes ❑ No ❑ RES i Installing Company Name-�14Of,6�5 J Di"? Check one: Certificate Addres❑ Corporation ®kiC (�, f �Z ❑ Partnership Business Telephone_ 9 — �!S"�Z� S�` ❑ Firm/Co. Name of Ucensed Plumber coq � T, b a eA �,c— INSURANCE COVERAGE: I have a current l4baay insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes LY No ❑ If you have checked Yes. please Indicate the type coverage by checking the, appropriate box. A liability insurance policy &-- . Other type of indemnity ❑ Bond Q 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. 1 Check one: Owner ❑ Agent ❑ i nereoy cerury utat 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 ormed under the permit issue this appfication will be in compliance with all pertinent provisions of the Massachusetts State Plumbing a and Chapter 142 o th enera Laws. By Title Signat re of censed lum r City[Town T of License: Master Imo— Journeyman E]I r / APPROVED OFFICt USE ONL) License Number z N z y H N H N z O Y z < F z y N W ' W Y z N J Q N rr >' < 0< ~ H z O z H W 7 O — ¢ rr 2cc _ a 3 x o 0: z W CC 0 00 7 rt N < W Y< ¢ F- < W z — r O a < tlr cti z <—< G a rt O LL W = r-. < r... i W 3 � O C z S J Y N a C F- <— < Y O C W O LL LL S < 3 f- > F O y y 7 J N f z O O N z z W f. O V 2 Y O O 3 = h (a 4. 0 a 4 .3 C N O SUB—SSMT. BASEMENT / 1ST FLOOR % 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR BTHFLOOR i Installing Company Name-�14Of,6�5 J Di"? Check one: Certificate Addres❑ Corporation ®kiC (�, f �Z ❑ Partnership Business Telephone_ 9 — �!S"�Z� S�` ❑ Firm/Co. Name of Ucensed Plumber coq � T, b a eA �,c— INSURANCE COVERAGE: I have a current l4baay insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes LY No ❑ If you have checked Yes. please Indicate the type coverage by checking the, appropriate box. A liability insurance policy &-- . Other type of indemnity ❑ Bond Q 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. 1 Check one: Owner ❑ Agent ❑ i nereoy cerury utat 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 ormed under the permit issue this appfication will be in compliance with all pertinent provisions of the Massachusetts State Plumbing a and Chapter 142 o th enera Laws. By Title Signat re of censed lum r City[Town T of License: Master Imo— Journeyman E]I r / APPROVED OFFICt USE ONL) License Number �� ws.: W�;M,�IkI I -1 � Fd � � I IP lvf+S �1-L ol im a ,I a i I I I �A n 4 'd I � d J 17 t1 - cc IL ' N t 1 1,41 �Otusk"J- M- AOI y, -an � -�n vl -ryc-1, - �S- 3L Jo m 7;�7'dwwof 1pki ARk-OUX-C o� µoarti � �< Zoning Bylaw Review Form Z I dq d. �O Town Of North Andover Building Department e 27 Charles St. North Andover, MA. 01845 Ary p°44Rc AV'.(e7 "sfq`"°SES Phone 978-688-9545 Fax 978-688-9542 .Street: Item Map/Lot: Applicant: /- w a a Request:ioa a.� U t -E- Date: .u._ v� nU V 100U that al ter review or your Application, and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning -y RemedY for the above is checked below. Item # I Special Permits Planning Board Site Plan Review Special Permit Access other than Fronta e Special Permit Frontage Exception Lot Special Permit Common Drivewa Special Permit congregate Housing Special Permit Continuing Care Retirement Special Permit Independent Elderly Housing Special Permit Large. Estate Condo Special Permit Planned Development District Special Permit Planned Residential Special Permit R-6 Density Special Permit Watershed Special Permit !!T±_[-Varia Setback Variance Lot Area Variance Height Variance Variance for Si I- ---Special Permits Zoning Board Special Permit Non-Contformirm Use ZBA Earth Removal Special aArr„i+ SQA §pecial Permit Use not Listed but Similar Special Permit for -Sign Special permit for preexisting nonconforming The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file. You must file a new permit application form and begin the permitting.process. -3 it-a�-o3 uildrng Department Official Signau{�e Application Received Application Denied Item Notes Item Notes A Lot Area F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexisting 2 Frontage Complies L( -e- 5 3 Lot Area Complies Lj'e S 3 Preexisting frontage 4 Insufficient Information 4 Insufficient information B Use 5 No access over Frontage 1 Allowed y �e. S G Contiguous Building. Area 2 Not Allowed 1 Insufficient Area 3, Use Preexisting 2 Complies 4 Special Permit Required 3 Preexisting CBA 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies 3 Left Side Insufficient 3 Preexisting Height 4 Right Side Insufficient- 4 Insufficient Information 5 Rear Insufficient I Building Coverage 6 Preexisting setback(s) 1 Coverage exceeds maximum 7 Insufficient Information K e S 2 Coverage, Complies. D Watershed 3 Coverage Preexisting 1 Not in Watershed A -t e S 4 Insufficient Information 7-�5 2 In Watershed j Sign 3 Lot prior to 10/24/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District K Parking 1 In District review required 1 More Parking Required 2 Not in district `(e S 2 Parking Complies 3 Insufficient Information 3 Insufficient Information S 4 Pre-existing Parking RemedY for the above is checked below. Item # I Special Permits Planning Board Site Plan Review Special Permit Access other than Fronta e Special Permit Frontage Exception Lot Special Permit Common Drivewa Special Permit congregate Housing Special Permit Continuing Care Retirement Special Permit Independent Elderly Housing Special Permit Large. Estate Condo Special Permit Planned Development District Special Permit Planned Residential Special Permit R-6 Density Special Permit Watershed Special Permit !!T±_[-Varia Setback Variance Lot Area Variance Height Variance Variance for Si I- ---Special Permits Zoning Board Special Permit Non-Contformirm Use ZBA Earth Removal Special aArr„i+ SQA §pecial Permit Use not Listed but Similar Special Permit for -Sign Special permit for preexisting nonconforming The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file. You must file a new permit application form and begin the permitting.process. -3 it-a�-o3 uildrng Department Official Signau{�e Application Received Application Denied Plan Review Narrative The following narrative is provided to further explain the reasons for DENIAL for the APPLICATION for the property indicated on the reverse side: k Referred To: JFire Police Conservation Plannin Other Health Zoning Board Department of Public Works Historical Commission Building Department 4 U E1 Town of North Andover Building Department 27 CHARLES ST 978-688-9545 Project: + APPLICANT: !,_,l ,,, et a P L A,--' RE: W Ai-?eC s+ DATE: I I_;;x t— n 3 Title of Plans and Documents: Please be advised that after review of your Application and Plans that your Application is DENIED for the following reasons: Plan ReVieW The plans and documentation submitted have the following inadequacies: 1. Information Is not provided, 2. Requires additional information, 3. Information requires more clarification. 4- Infnrmatinn. is inrrrrar t # --- -. #•. 1 Foundation Plan 12 mbin Plans 2 Y 3 Subsurface investigation Construction Plans r 18 14 Certified Plot Plan with proposed structure 116 Affidavit 4 Mechanical Plans and or details 15 Plans Stamped by proper discipline 5 1 Electrical Plans and or- details 1 16 Framin Plan 6 Fire Sprinkler and.Alarm Plan I 17 Roofing Plan I' 7 Footing Plan l 18 Plans to scale 8 Utilities 1 19 1 Site Plan 9 Water Supply 20 Sewa a Disposal 10 Waste Disposal 21 Driveway Entry App. DPW 11 ADA and or ABBA requirements 22 Other: Administration The documentation submitted has the following inadequacies: 1. Information is not provided. 2. Requires additional information. 3. Information requires moreclarificatinn a Informatinn inrnr + I --All s.1.,. # --- -. ___...__._...._...__........ ... ... # ...nvawrc. 1 Water Fee 5 State Builders License 2 Sewer Fee 6 Workman's Compensation 3 S 4 Building Permit Fee Building Permit Application 7 8 Homeowners Improvement Registration Homeowners Exemption Form 9 Other: The above review and attached, explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. Any inaccuracies, misleading information or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file. You must file a new building permit applicati n form and begin the permitting process. c uilding Department Official Signature Application Received //' 2 `1/ Application Denied //— a (, If faxed: # Date Sent Referral recommended: Fire Health Police Zoninq Board Conservation Planning Department of Public Works Historical Commission v. . VIVI —19.11 Revised 9197Im CA; 4 - 1.0 Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the permit for the property indicated on the reverse side: r r,. �� r �� ,� �� U-24 22003—MO --�03 46-PM_rema;x--Papar—r-tners FAX NO. 9784703040 W. 1.1 Atrpetty AddrM 1.2 Ascasom Map and Parcel Numbw. S� 41 A.* £ Z Mop Number pal Number 1.3 Z0t1 ft E tf*rnmtlon: 1.4 PropeA.y Dunes Mms: 7ming Maid pr UMLm Araa Franta A 1.6 BUIIDING SETBACKS R Front Yard Sick Yard Rear Yard cited Provide Provided Ftovitied 42:22rYJ /9- J-0 �? G v I.7 W&W Sally MG.L.CA4 3Q 1.3, z1oft Rood Zw�a 1afa 1.8 Pvwor� Ri�.I Syme ankmk Fludd z oc ❑ Unflicip t ❑ OILSMDMMI Sptram 0 Public ❑ Prs M 0 --- SECTION 2 - PROPERTY OWNERSHIPtAUTHORIZED AGENT 24_0='of Rxard Na Print) Address for rtiem m : ` 3 Tdaphow 2.2 Owner of Rmwd: Name Prim Addrem for Service: Si tufa T l - SECTION 3 - CONSTRUCTION SERVICTS 3. t Licensed Construction Supervisor. Not Applicable 0 L�ps 0-75S?,0 S ()1 /--7 /� ,� n i S 7—, T — S !� cfav � � License Number Address - d , / 0, (� I�,s _.. l EW, 'an nate Signature Telopbone 3.2 Ragrstered flame Impravement Contractor Not Applicabla ❑ Company Name ......� - — Rcgistration Number Address Esgaratios! Data Signature T L01 s rM 0 0 z M ic r N V-24,2003 M N-03 AI PM r e m a s partners FAX N0. 9784703040 P. 07 4 - 'SECTION 5 Descrit New Construction Q Ace�.ssory Bldg, f_I Bricf Description cd? co r / COiHMSATION �cc affidavit must be cc the buildisitt 2=it. .......G No ....... 0 f P Work d C 152 § 25e(6) 1 rid submitted with this apphcu6on. Failure to p "dn F--46fug Building Q Rep$ir(s) Q AJterations(s) Q 1 Addition Q81110litirni o Other Q Specify — d Work ertt • . , frY1u : r' t r : wY; i rYY • . �rs.�fti Item EstimatexiCosi(Da}Iar)t®tie Corn leted wmtit liuttet ::ti::. � :•��'xC{iCiS1E:�[i'X'•t;;�. ? =1:._ 1. BIdIding (a) Buildtug Permit Fee mwo lien 2 Elecu ical (b) EstinwhA Total Cohl of Cnnsulgon 3 Plum " ,v aiL02 Building Permit fee (7) w m) 4 Mwhanic:al (HVAC) ,0 tiny I i Fire Protection 6 Total (1+2+3+4+5) Check Ntunber SECTION 7a OWNER AUTHORIZATION TO COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIESVOR WELDING PERMIT i L _ -- m owner/Authorized Agent of subject pmpertY 1ie:reby antiSarize � � a" 7 G' to act on My hehslC ut all matters relative to work authoriaAd by this building pcsmit application. Siname of Owner I Date SECTION 7b" OWNWAUTHORUED AGFNT DFCL ARATION [ON$ OF POSTS ICONS OF G1RDE1 Or FOL NDAM is x G> c;u.rN ec j - i � FA—IR MORTOAQE INSPECTION PLAN City/Town - !tra ' ,a �1 s�'�' :_. _ ---�.. -- _._,M�► Date: --1 t� Ea' Scale: Owner: P VL �A L A!d Buyer: t -A A Deed Ref. 4 ®'1 tPlan No._ I VV -N 7 Drawn par City/town of N / h Assessors Map `- = 17-441" WCN0D -*tAt A 15.'a�� +p: ; 0 �9 A. ==1 '.S IN WATER ST. To. 1-A v.1 ft1- N c I hereby certify that the above Mortgage Inspection Plan was prepared for use in connection with a new Mortgage and is not intended or repres be a property line or land'survey. It cannot be used for establishing fence, hedge, walls or building lines, No responsibility is extended to I owner, occupant or buyer, The location of the original building(s) as shown herein was in compliance with the local applicable zoning bylaws when constricted, with respect to horizontAl dimensional requirements, to lot lines or is exempt from violation enfoteement action under Mi Title VII, Chap. 40A, Sex. 7, unless otherwise shown herein. Subiect building(s) lies in a flood zone designated Zone:_ X' shown on FIRM Map Community -Panel 4 Dated: C:017-1 � Job No.�� JCD, .WCOUPORATFD, LAND USI: & DEVELOPMENT CONSiJLTANTS P.O. 119, METI-IUEN, MA 0184 978{,g3 -99a2 V.A> 97Rfi; 0V-24-2003 MOH. 45"P�� ax partners FAX N0, 9784703040 P. Ol MU1�'t'ttAr3E_IIi'L�pECTt��I �ityR®win �Q„�T � 't�t.�,S?Seie�tl�.p►e . ---..,�....,..��► 0w4w EM6r RuYee Da '14 ito per city rmm Gf I i 4 Ars so> a p L6T A-1 LN i WATER' ST To: s 4WIR,MtyeE l wft certify t�het t�tc above Iv}otsge�e [nsp tion P!>gt v -pra rcd For uae caatu astivn with .e w M -aad isrmut iin> niW or bra rented W Cbtr o pcopaty line or Iaod'�arey, It cannot be ugad for eatnbUdft Vie. hedge, v0s or buildipg ti , No MgMloibility is rxtmdW to the land awttet, oa ttpattt or buyer. Tbc Mriittost of an otigind Wdj* j jid%w'jw wasIn ca�nplianie vuitli ttte fora{ eppticable whing-hyiows in elfe( who adttaltudW, with respect to borizontiJ ddmenaitArai reqs« to tut HUM ar ie exatnpt *W vi*tiCn eafotceafent aetiasr WV'" MMM G'Ll ride VD, Chep. 40A, Set. 7, tt&m etheiwiee dowm harain. Mied bug&*x) lie$ iit It Rood x0m designated Zane; X• and drawn aft FIRM Map Ccssu =4 tml 4 *Z Dated: 7 Jab No. - �'1� 7c D. IIcom DRAT= L4ND U4>; do buvLlAl�r 9ULT p o, 119, WTHM. MA 01944 97"83-993ZVAX T7S-+6SS-9932 �a LN i WATER' ST To: s 4WIR,MtyeE l wft certify t�het t�tc above Iv}otsge�e [nsp tion P!>gt v -pra rcd For uae caatu astivn with .e w M -aad isrmut iin> niW or bra rented W Cbtr o pcopaty line or Iaod'�arey, It cannot be ugad for eatnbUdft Vie. hedge, v0s or buildipg ti , No MgMloibility is rxtmdW to the land awttet, oa ttpattt or buyer. Tbc Mriittost of an otigind Wdj* j jid%w'jw wasIn ca�nplianie vuitli ttte fora{ eppticable whing-hyiows in elfe( who adttaltudW, with respect to borizontiJ ddmenaitArai reqs« to tut HUM ar ie exatnpt *W vi*tiCn eafotceafent aetiasr WV'" MMM G'Ll ride VD, Chep. 40A, Set. 7, tt&m etheiwiee dowm harain. Mied bug&*x) lie$ iit It Rood x0m designated Zane; X• and drawn aft FIRM Map Ccssu =4 tml 4 *Z Dated: 7 Jab No. - �'1� 7c D. IIcom DRAT= L4ND U4>; do buvLlAl�r 9ULT p o, 119, WTHM. MA 01944 97"83-993ZVAX T7S-+6SS-9932 NOV-24-2003 MON 03:45 PM remax partners FAX NO. 9784703040 P. 02 GROWTH MANAGEMENT BYLAW EXEWTION STATEMENT TOWN OF NORTH ANDOVER BUILDING DEPARTMENT 'ibis firm shall he used to assist the Build hent in their detaerm�in of amttptim under section 8.7.6 of the Town OtNortb Audover Growth MimAgMellt Bylaw. The NppleCW shall provide allof the kifinnWent as requested below. • f Li C ��- ST Permit Applicant F perry addiesg Map / Parcel Applicues Fbwe Number Single Fanu7y Two Family lrz, P I the audmeigaed applicant for the above preparty arrest **t the attached buil ft; permit for wbich this ftmn is completed does comply with the EXEMPTION ea cbm 8.7.6 ofdta Growdt Mat spintatt Bylaw. i also understand providing tl is form doers not a WWvc me or any. part}+ to this permit therm tteG requumcats of obtaining caller permits rc Orcd prior to Ata ire of the building permit. Foram I Understood *At ray iategnetation of the exerap"on Iwo is Mkjeet to review by the auilding Department and is only officially accgited wbm the budding paemit is bmicd. Based on section 8.7.6 offt Noith Audaver Grew& Bylaw the abave lot and dee work as applied fb r an the above lot, in the building permit application and asweiated auucbmeots, complies WK orae or snore of the following stn as indicated by a cheek marts. This is an application fbr a buldiing pernih fm the cnituoeme4 rt ,add or remstruction of a dwelling in cxidskvoe as ofthe elective date of this bylaw, provided that no additional reel unit is excited. The leit(s) was f were created p6w to May 6, 1996 and are exempt fmm the pruvisiorm of socoon 8.7 of the Zoning Bylaw. _-.. This apgliontion is for dwelling aunts for low and or moderate inea= funflics or individuals, where all of the caiiditions of 8.7.5 are met and or nvreww dwelling runts for senior res1donts, where ooctipaney of°the units is restri ite d to seaior citizens through a properly a xe Mod, aril recorded deed rchietion running with the land. For purposes offt section "seagur" shall mom powns over the aw of 55. - This application is pwt of a development project which voluntarily agreed to a intrdmum 40 % pcimantan reduction in density (buildable lots) below alta density pmuuftd under zmdng and feasible given the environmental [,�✓) cx"tie w of the tract, with the surplus land equal to at least ten buildable acres aril permanently designated as open apace oc Omlmrd. The landto be preserved shall be probx te$ from development by an Agricultural Preservation Restriction, Couscrvation RC9triexitm, dedication to the Town, or other similar mutism approved by the plenming board that will ensure its protection This application represents a tract of land existing mid trot held by a Da doper in common ownership with an adjacent parcel an the offesxive date of this Section 8.7 and shall receive a one time exemption from the Planned Growth Rate and DcWopmwd SehedWing proAmtous fair the pwpose of eortstrtmting one single family, dwelling utnt tin the parcel. dam. This applicod*n represents a lot which is moo for a build permit ( all atbw permits frmrr all other beards and commissions biwe leen received and tbi: project is in compliance with thme petmits}, and the Development Seluet#tde does not aeoummuA to ruing a bWkbn permit in d* year. One building permit will be issued per year per Development until such time as the development schedule accarmodate s issuing building permits. Applicant must subtait an approved FORM U widt this ECAffq C K . PLEASE PROVIDE ANY ANA Al. 4, DWORMAnON THAT WO UW ASSIST TIM RUIIDINO DRpARTACWT IN MAENG A Du ImNA fION THAT TICS APPLICATION IS ALLOWED UNDER ONE OR MORS OF TIE ABOVE MMMONS. By SIONII G REWW i ATTEST TO THE ACCURACY OF THE INFORMATION PROVTl M AND THAT TBE ATTACHED BUILDINQ PERMIT IS ALLOWED AN EIM I"'IION AS CITED AROV6_ FORTII;R i UNDERSTAND THAT THS SUBMITTAL OF MISLEADTNG OR INACCURA'T'E INFORMA'nON OA TDI; . iCHFCIQNG OFF OF A AAOVE E7tEAVnON WHICH DOER NOT COMPLY, WHETFIER DONE TO MY KKQWLNPC E OR NOT IS 8 BtDING QEPAR`t Adwr TO MUS A BIJI DWtl PERMLT. W-1- j- 9 t5f, f -j IT nN A-1. 17,wy THIS FORM TO BE ATTACHED TO THE BLIR DINO MW APP.i KATION 0 NOV-24-2003 MON 03:46 PM remax Partners FAX NO. 9784703040 North Andover Building -Department DEBRIS DISPOSAL FORM P. 05 Tel: 978.688-9545 In accordance vAth the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this 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: ��✓��' S;-e�� (Location of Facility) Signature of Permit Applicant (rAS /',, Date MOTE: Demolition permit from the Town of North Andover' must be obtained for this protect through the Office of the Building Inspector Ee � � �'` ✓/ze Zno�rzi�zanureti�U a� /�faa:�a�ecee.C�a BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR - € Number: CS 075590 Birthdate: 09/08/1949 Expires: 09/08/2005 Tr. no: 1872 Restricted: 1 G ` ROBERT K AHERN 1501 MAIN ST #47 TEWKSBURY, MA 01876''-rr� Administrator HIGHVIEW LLC 1501 Main St.,Unit 47 Tewksbury, Ma. 01876 1-7 978-851-3048(offic:e) 978-858-3851(fax) N L F_D S cet4,.e c - ? (& 0 s �ow,tiy i (PAN) —Tcf P`e f �� • MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS 66 PARK STREET • ANDOVER, MASSACHUSETTS 01810 • TEL (978)475-3555,373-5721 • FAX (978) 475-1448 • E-MAIL: merreng@aol.com November 21, 2003 Mr. Robert Ahern Highview LLC 1501 Main Street, Unit 47 Tewksbury, MA 01876 RE: 141 Water Street North Andover, MA Dear Mr. Ahern: Regarding the subject property and the setback of the existing house from the front property line, please be advised that I have reviewed the Assessors Maps and the properties located along the street within 250' each way of the 141 Water Street property and find that the existing houses are located closer to the street line than the 141 Water Street property. Therefore, the 141 Water Street property has the most conforming setback to the front property line of all of those properties. It is my understanding that you may provide this correspondence to Mr. Robert Nicetta, the North Andover Building Inspector, for his consideration in granting you a Building Permit. Given the above please do not hesitate to contact me should you have questions or comments. President TI] SERVICE'S Page 1 of 1 Griffin, Heidi From: Griffin, Heidi Sent: Friday, December 05, 2003 10:53 To: Rees, Mark; McGuire, Mike Cc: Santilli, Ray; Nicetta, Robert Subject: 141 Water Street Hi Mike: I just spoke with Jamie, the woman who lodged the complaint at 141 Water Street. I explained to her that her sister's application had been denied, as outlined in the denial because she needed to submit to sets of construction drawings for the proposedi conversion of a one family to a two family; and also because she needed to submit a certified' plot plan, showing the existingi dwelling and' proposed dwelling as well as parking for 4 vehicles. She was fine with that, and acknowledged that you were very forthright and courteous in explaining what was requiredL a Her next issue was that she wanted to know if you could review the'building permit application in 'Bob's absence. I asked her why wouldn't you since you processed the original denial? She thought maybe you would have to forward it to Bob. I told her if she submittedyou the needed information as outlined in the denial, that you could process the request and I would be fine with that Finally, she began asking me whether or not her proposal for the conversion would be approved or would have to go to the ZBA. She began rattling off a list of properties that were approved as proposed vWitEiout reaguinii g, LuA appy oval_ I explai-ed to her that to the best of my knmwledge iso to^g as the proposal was =mn' ��€�E "J�R�Ert" oar i iF�.. _ };- L. :t.E• s V LVC2 ',--5... Las L -H YU.V : L .,..•.t -...s s �S_ Ui a:... 3-2�-E! .- lsol5Fo1Fk4�FEg ii� I££G ^G4[JFF[€� tiii4i F4�c"„{., FF€4s-.[rG4$SFE{'GCi sG45.E£iirii�, GF.4. Gii.n. �i4_ �F3 _+%ci€�? €i£ s�ir€v'.�xF€ __a. =£i 4i€r L_`___•__ r"i ft er l qr f fi yv Community Development & Services Director 27 Charles Street North Andover, MA 01845 (978) 688-9531 (978) 688-9542 fax 12/5/03 Location No. �� Date '`� ,.... f „ORT„ TOWN OF NORTH ANDOVER p Certificate of Occupancy $ A CL Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fe $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ k r Building Inspector c {, 0 821.9 Div. :Public Works WIa Y 0 0 m w Q 0 a u=i a W Z 0 IL 0 0 C 0 U w N m I _j 0 m f J Ul O J J F N 0 m W N C O C O 0 O LL O Z IL O W N Z d0 W W Ir N N a i L Z m N 0 O z O < O 0 Z 7 O LL LL 0 F I t7 W x W C � a a W z C 0 4 x 0 z O 0 LL LL O W N N a N f � z W Z QQr 0 G L U O I 2 O � f \ V 9 K O Z60mO w r 6 m 8 r d 2 m 0 w 0 � O dm u O u O u O f W a - I-- I.- -J M u O m W O m W 0 m W d u m 'Q cc W Z z z j O L) V A� > N f � z W Z I 0 U O I \ V N 1 � Z r V�LP � N Z OIL N � 1 I W 0 W 1- Z N N I m I- r Z Z I t w O _O I Ff � W W , N N L p 0 0 N J J F It LL � 0 N m W W t7 W O L m d d l 1 f � z W 7 O I \ V 1 � C O W r V�LP 1 Z OIL 0 1 I W 0 W 1- Z m I- r < N ` W w IL t w N-1 A tiN D 71 C)C) 00 d1 OrA�O=y;� f71 m A O O C) N + N 3 O O A = N N N T< z 2 Po w z m C1 Z .o C) r N = 0 0 ; N N m D v �N = oN C1 D v IIT_ IIIIIIIIII = N T O , 3 N Z n G , w D N O D 0 m m m 6 D 0 n< y 2> 0 m m i y nr rmmam"= O„ 3 min O T A o A 'i — C _! =N Dp 0Zx r)mW 1A !A pT OOT oC. 3'-' '^ I A D z 1n <<A lc y N C < A ,1 ~ m T m .> m Z N X Z iQp Z W y C) -(N N n= =0> 30 l A Z Oo T T T m Z z Dp T A N D Zi Cx C 'D C e ` t z<< NC* m p3m mx -(z> W I- D L' N D c z A H y r 3 m m 2 < < °s 0 2 0 _ 0 p z II c W C ON /� n mo Z � Z N N 0 H A z O Z S a01 y C) -(N N n= =0> 30 l A Z Oo T T T m Z z Dp T A N D Zi Cx C 'D C �Xi D n 0�0 z<< NC* m p3m mx -(z> I(A0 (nao �z— mN3 '0Z m0°0 W NDN r v_ F w �jNmD 2 -0N0 . r Day_ J� I I I Iw A X0 X0 O -Oy.. 0.4 D D ,oZ , 2 O O Z r 00 Dp —LL I I I I I- S II II I J A N H H I_LI _ IL- II I Iv — D L' N D c z A H y r 3 m m 2 < < °s 0 2 0 _ 0 p z II c W C ON /� n mo Z � Z N N 0 H A z O Z S a01 C) -(N N NrN zm Dp NZZ Cx C 'D C �Xi D n 0�0 NC* p3m mx -(z> I(A0 (nao �z— mN3 '0Z m0°0 NDN r v_ F r00m. 2 -0N0 . r Day_ m ?—Z. A X0 X0 O -Oy.. 0.4 „ v ,oZ , x0 Nm . m r 00 Dp 3 aN T. POP." O CD c3z co > F. C.3 C.2 rn E CL= cc cc Jt; co Q CD ts C2 LU Cl - m CD CL CO) >- 0 0 x-co 0 w° E U) U) Go Go z a z 00 �a Oc :3 0 0� w1:4 00 CM G = —co Cl) 7,mm U) U. •E w g2 U)LLJ z ;L4 V) o U) POP." O CD c3z co > F. C.3 C.2 rn E CL= cc cc Jt; co Q CD ts C2 LU Cl - m CD CL CO) >- cmoz z LLJ ca s CL. CM G = 7,mm CD •E U)LLJ z :> POP." O co > F. rn E z Jt; co Q CD ts C2 LU Cl - m CD CL CO) >- cmoz z LLJ CO2 co CM G = 7,mm •E U)LLJ z :> C3 o co C) C) G3 CD 0 Q POP." F. Jt; r =.. ,WU� ;� ViiimOoo� cm aZ`oNco U! .. ` U N JN J _ O U 2 J ¢ z w ¢a m a ... x i o z is Ya O w0 w t .aWcw__ ® .. ``_ > < v v v v 3i �m F . .. L r r. O. X X X X X - w �.� am =xXxx MAI ra4466 Q Q A N N N m x LL cl x / I N LU LU > ¢ i a H Q O u7 0 w ¢ y w2 w aCCl Nn0 V z ¢ w z x- O U 7 N h 0 m T U 6 d Z 3n Z ¢ 0 IL o a ¢ a E E ? E c E E Zr c a � � d - ~ 3 2 8 :N \ D z O c c c c c c �CD Co CO m Co 00 LL, v v v v v v x x x x x x C\1 LO OD N N N E d ai E m CU y �n c m a m Z5 U R L (0 cmc CL 0 �: mt3i c cr ov Q r3*,3_S�%!_o...E T a N m t 00 O T T m :O - j U - 7 U C m �'I7 m >^O O ` 1 p . o. - m ', ' - Q G 'O W O. E IC x o a0 J O')frdLL' 7 ID cmc CL 0 �: mt3i c cr ov Q r3*,3_S�%!_o...E � T a ET 00 O T T m :O - was � -s -Rsra >^O O . 00 a) 0 d lr V v E IC x o � T a ET 00 O T T m :O - C(Ot7T N >^O 00 a) 0 d Q _ V co N � ¢ ry N U IC — t O XB T :1S c co c J O')frdLL' 7 0 ca a J N O N C _ c m c0 00L -o Q c N C C U N O � O ac O 7 E_ L6m E cc� CO �N F O N a E m m u) „W _d C - c 3 O Z O C. x m me 4 .m0- y U �. .//Q++ ..W co. Vv y _ CCC .t. L_ w O zo3 z0, m Oat c C - eF O w <,z � z N Z w .0 CD O- rn m cn Z C C209 Go r rn O O p 3CL Z � N N c W N Z�Q az3 m I D C .� Z Z c s � A . c m �N 3 0 0 E (D m = 0= foo � O a. H• Location. t 4t a A No. t'Z'- Date �....� &ORT#1 TOWN OF NORTH ANDOVEPe Certificate of Occupancy $ } Building/Frame Permit Fee $ —ter Foundation Permit Fee $ ss�c►+use z-! Other Permit Fee~ $ .•- Sewer Connection Fee $ Water Connection Fee $ TOTAL I , Building Inspector .� c� ty Div. Public Works 82-2.1 IW w < a Y 0 0 m W O- W N_ N '^ _. .9 VI d W N Z a z Z W o m p J J W_ N x Ix m m ea LL m ° 0 p o F Z WN N W I d LL I 0 W p N d 'z m m O H n Ir M 0 z N r N N K m E r K 0 O J LL LL 0 W N N z CL N a KNC W O x z 0 } F W a z n i z 0 Z 7 Z u 0 F LL U. LL 0 ° 0 LL < LL Z 0 K w W w W N < Z N i w r 0 J LL 0 < W a a 0 W d u1 Z\\\\A j O z 0 F' Z Z i VF N N ° z � ^ ^ N Q 0 1 z z I Z 0 O I m � m Q 0 w N i g W Z p 0 f m Z < Z N J J O LL d W < w p . Z u. z z i .N W 0 O W W < N E a l Z C W F-. I- WIa 0 L o0 o t n Ir M 0 z N r N N K m E r K 0 O J LL LL 0 W N N z CL N a KNC W O x z 0 } F W a z n i z 0 Z 7 Z u 0 F LL U. LL 0 ° 0 LL < LL Z 0 K w W w W N < Z N i w r 0 J LL 0 < W a a 1 I 0 u1 D j z 0 Z i H N N ° z � ^ ^ N N 1 z z I 0 O I m r r � 0 w N i g Z p 0 m m N J J C LL i, r 0 a'K . m � W w i W W < N a a l Z W F-. I- 0 L o0 o t O U U U ir a W w V n� a pn n o d oLU m m m u �_ . z Z V Z Z IR Ph j W W W to I 1 I 0 u1 D j N Z i N N � ^ ^ N N 1 z z I 0 O I r r � w N p 0 0 N J J LL i, r 0 N I m W W 1 W < < N a a l 1 I 3 V O m 3 O A-�N�DT00 ADO i D D D NNna- ~~ O ZZznnnnpm C.NN<DD:EOn A A C m N N A w mZ_'D I O A W vU. A nn 0 0 N DAN T C I Z -1 O '^m Or O C r �O=--I�m D mn7c 7c (")n y 204 D V~ p D NnZZ 7C �py0 D N O AppmO O p x mm Z Z n z Z O O o 0 S p O A m m z D T ~ Z= n„3zzEL N ZZON 3 �m T 0 in�3 z�P^ NOn w �r mZ Nm232 A DDZDN�o;O�Z�O F > �r N 0 27c Z C <j as T 0 > ; N D V O T m°m,,,ODN Z p Z 3 0 OON r 3 m y 10 z H o 10 0 z M C ON O I�F_ IIIIIIIIII I I ISI I ZmOGICD 0 NZOpo D_2yTo -�-�; ml110DO~<DO� y Z7_[D�IT DC 2T D ti. Dn2 SODAO n _��_ W �TTT OAzZ CATS z<DD vi Zi Am r . n V i m 0 Q p ; O= Z o '^ n O m T ^ Z, m JO S Z 0* Z y y N O T�- D O Z C Z y A y A W y N S ~ O m p Z T D D ti a+ Z` D m A N N S O A O 0 0 2 T O m N_ A n < 3 T n m N r Z m n n y O y O A~ O ~ A S p X< Z Z_ x r 9.2 T ti N D D 7s Z N "z� 0. D Z pmZ �^ -+p Glx y N C ` m DD A O IIII�O W III I "° X - s Z T_ • A X00 A IL Imo" I III"Z p Z IIIII" m p I i 1111!111 I IIIIIW IIII � 0ON N (mryrN m mmo nN DO NZZ T°c MX1 D n 010 Nva p3m m -1za xon NO -1 �z_ m�%!3 5�z mW0 NCZ Fol og0 -+mr 19 y.0 r -� D ? z =v 0� nz In mm N-4 � m 00 3 lu �g .M x !n: m V � A _ ] Cd �g .M x !n: m G. I yui--. J rbrcl-1 OAJ 1 17)4-5 -7 :. :. err' N � _ as - VO L r` 1.�^rxSca- S"sm. j. 1 r � 15. L Ai r. t Town of North Andover BUILDING DEPARTMENT Homeowner License Exemption —se pr-nt j DAA c 3 c:. _= 1 '4 l W A+&Z., Ste" It• ,r••... It .:............ , : , ...... tiu:r..__ :'1 a.-. I Z tree_ address HCme ?hone ec:ion or tCWTI Wr.. ??,one Ci- ; _✓;V„ Stata Z -p cots "homecwners" was extended to include _-c--�u_ oL s_x un_..s or less and to allow such homeo�ne__ t for 'hire who does not possess a license. pro. oNner ac_S as super"iso_. (State Build_ns Code, SEct_Cit 07 7 w-- oa pay1 of land on whith he/she resaor on w�i: �`'tera is, or is intended to be. a one to six �aT-«:,' d'�e--- e,-' or or de tac:te d struc_uras accessory to suC.- use and/ -s A Derscn who constructs more than one home in a t;:c-•�_- shomeownerbe considered a hoeowner Such "homeowner sn'a per 3uGld_t�a�0 on a corm acceptable to the Bu1d_no Ut:«_�_. be res-onsforble for all suc:7 wor:. Der_Cr e^ uI 1 - 7er7,_ _ ( ef— _oil C'.vi,c'_'tt ac i«- rasvCns�Di for C .1C...0 -= _ _`. _ _ �.. __�._. � �. .. �.0 do c ... - - __.__.✓ _ t.1C cC'r..c=11 si.e ur.. e r S _a :)e-ar _nsve=_101 ?r osaiz C=C' z Z'v Cl - o_ Lar_=r Foundation Permit Fee $ Other Permit Fee $ _ �t. TOTAL a Check # 1 % i 2 % Building Inspector LVA AQ It-S :j Location A4 t �Co� No. Date MORTM TOWN OF NORTH ANDOVER F i - Certificate Occupancy of $ sCMUs < Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ _ �t. TOTAL a Check # 1 % i 2 % Building Inspector Pei 'i it r) o I V, �3—Is-6� WATER STREET S59006'27"E 120.00' L 00 cd 00 39.01' i' 28.0' #141 16.52' EXISTING EXISTING o 0FOUNDATION 1 1 /2 STY WF 6 00 N6.306' � of10 ..�. N/F 2.0 YOUNG 38.08'�- 22.0' -! �o LOT A-1� Z Z AREA= 13,039 S. F. =0.30 AC. w `� N..1 W Loto � - 73 M1 Z N /F .O !� YOUNG Cly N M 1 / (n N59'06'27"W 48.32' PLOT PLAN OF FOUNDATION #141 WATER STREET 0 IN N NO. ANDOVER, MASSACHUSETTS DRAWN FOR ; HIGHVIEW LLC. 0 1501 MAIN STREET — UNIT #47 CL TEWKSBURY, MASSACHUSETTS 01876 � r ►--°rd1-'"'r a.P - SCALE: 1"=20' DATE: MARCH 12, 2004 o 0 10 20 40 60 (Q t%i 11h�C; 1t MERRIMACK ENGINEERING SERVICES 3112104 66 PARK STREET i STEPHE -R.L S. DATE ANDOVER, MASSACHUSETTS 01810 ry Oz cn Q COJ W d W o > N O� oa- z a� _ 0 �o O Y z m 0 UJ Li_ Z o cn 0 W I- uj O Lj- Op z �'' O 0 O J z r^ 0 LO W n O o i i8noo A31IM 0 O o6 LL -z ,z z 0 0 0 ,96'OZ 6- C141 W Q w �.L V J W F-- ,06.6Z l HVH033N 3/ N �0 �z z ,00.9Z N N 00"d - LO z 3„52,9-0.02N so/s/n omo*�o-bsos\isos\soma\bta\..,k Location / - / W A� Na I Date NORTN TOWN OF NORTH ANDOVER O:t�•o r•,ti0 ?�, • O F - w ` Certificate of Occupancy $ Building/Frame /Frame Permit Fee $ s�cHuse 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ i« Check # i 17032 114 Building Inspector r TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING �15.for#iisetI BUILDING PERMIT NUMBER: n DATE ISSUED: SIGNATURE: "" `Building Commissioner/Inspector of Buildin Date SECTION 1- SITE INFORMATION 1.1 Property Address: C 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: rL Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 17,3? ,2-1, v / p ' 1.7 Water Simply M.G.L.C.40. 34) 1.5. Flood Zone Information: Public Private ❑ Zone Outside Flood Zone �\ 1.8 Sewerage Disposal System: Municipal On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSIiIP/AUTIIORIZED AGENT 2.1 Owner of Record Name (Pri _ Address for Service l "l Sig re Telephone 2.2 Owner of Record-,,', Name Print t Address for Service: Si nature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: l� 6 ",( k ti ,n-trt Licensed Construction Supervisor: S O / fG 076 Address % y !1 d Sign re v Telephone Not Applicable ❑ V —590 License Number /U s Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ CompanyiName Registration Number Address Expiration Date Signature Telephone ou M X ic z 0; \N V 1 3 SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 & 2506) 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 .......❑ No ....... ❑ SECTION 5 Description of Proposed Work check all licable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition 15,, Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: Aje ()A � T SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit a ltcant UF'1CCIALIISENLY�" z '� I . Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction ,! 3 Plumbing Building Permit fee (a) x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 iJ'U"U Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property I I-ereby authorize�c �'" %� /�i'�^' �, F fL //d Ga L�C to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 77b OWNER/AUTHORIZE AGENT DECLARATION I, G[e —5 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 ''acrd belief Af Print Nam Signature of Owner/A ent Date Maw - NO. OF STORIES SIZE } �/ BASEMENT OR SLAB P3 SIZE OF FLOOR TEVIBERS IS1 1S1 v 2ND x U 3RD SPAN ' DIMENSIONS OF SILLS DM4ENSIONS OF POSTS DIMENSIONS OF GIRDERS IMIGHT OF FOUNDATION / THICKNESS /v SIZE OF FOOTING X MATERIAL OF CHEVINEY 1S BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM U - LOT RELEASE FORM 3- INSTRUCTIONS: This form is used to verify teat a I necessary approvals/permits from Boards and Departments having jurisdiction ha,/e been obtained. This does no the applicant and/or landowner from com liane , t relieve P with any applicable or requirements. * ***************************APPLICANT FILLS CUT THIS SECTION APPLICANT�2T��?� PHONE_ ?3s" LOCATION: Assessors Map Number SUBDIVISION STREET - - OFFICIAL USE RECOM E A 10 b F WN AGENTS: COI`4�51 R ATION AD ! ISTRATOR DATE APPROVED rr DATE REJE L0TED COMMENTS OWN PLANNER0 DATE APPROVED DATE REJECTED COMMENTS DOD INSPECTOR -HEALTH DATE APPROVEC, DATE REJECTED Sf1PTIC INSPECTOR -HEALTH DATE APPRoDVED DATE -REJECTED COMMENTS PARCEL` LOT (S) ST. NUMBER VZPUBLIC WORKS - SEWER/WATER CONNECTIONS tr DRIVEWAY PE IT ' FIRE DEPARTMENT0 RE CE BY BUILDING INSPECTOR _ DATE Revised 9197 jm North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. G The debris will be disposed of in: lel i/v/,,v 0 lj,4r O c/��/L-►z?�'/f — %� �� O ✓f�ii" J_ (Location of Facility) C� 'Z� Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector [19632820] To: 9788583851 f 2004-01-09 11:06:09 ET 003 of 4 1000 LEGION PLACE ORLANDO FL 32801 TOWN OF •-ANDOVER BUILDING DEPARTMKNT •M HALL ANDOVERNORTH A 01810 101 ACO RU CERTIFICATE OF INSURANCE (On Revme) 101 [196328201 To: 9788563851 2004-01-09 11:06:09 ET 004 of 4 DATE (MMIDDIYY) A41whO SDO --CERTIFICATE'OF'1N15t1RANCE .. .. 01-08-04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE FRED C CHURCH INC HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO BOX 1665 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. LOWELL MA 01853 COMPANIES AFFORDING COVERAGE COMPANY 229FJ A CONTINENTAL CASUALTY COMPANY INSURED COMPANY ORANGE STREET DEVELOPMENT INC B 1501 MAIN STREET #49 TEWKSBURY MA 01876 COMPANY C COMPANY D COVERAGES-.. .:.:... ..:.:....:.:... ...:.:.. - ..:.. .,-:.:. ..::.. - .:.:... ...:.:...._- . _... • ..... - ._... ...:: :. - 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 BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POKY NUMBER POLICY EFFECTIVE DATE (MNIIDDIYY) POLICY EXPIRATION DATE (MMIDDIYY) LIMITS GENERAL LABILITY GENERAL AGGREGATE $ PRODUCTS-COMPIOP AGG. $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE FIOCCUR PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ OWNER'S & CONTRACTOR'S PLOT. FIRE DAMAGE (Arty one fire) $ MED. EXPENSE (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGE $ LIMIT BODILY INJURY (Per Person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (ParAcddent) HIRED AUTOS NON -OWNED AUTOS , PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY. . , I,.,.-. ANY AUTO EACH ACCIDENT $ AGGREGATE $ — - EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM OTHER THAN UMBREU-A FORM A WORKER'S COMPENSATION AND THEErAPROPRIETOR/ LIABILITY THE PROPRIETOR/ X INCL PARTNERSIEXECUIIVE (UB -995X814-8-03) 01-15-03 01-15-04 STATUTORY LIMITS EACH ACCIDENT $ 100,000 DISEASE -POLICY LIMIT $ 500,000 DISEASE-EACHEMPLOYEE $ 100,000 OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONSILOCATTDNSNENICLESAMSTRICTIONSISPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. CERTIFICATE HOLDER . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL TOWN OF NORTH ANDOVER 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE BUILDING DEPARTMENT TOWN HALL NORTH ANDOVER MA 01810 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE APPLICATION FOR WATER SERVICE CONNECTION Inspected by Date 1937 APPLICATION FOR SEWER SERVICE !CONNECTION North Andover, Mass.— Application by the undersigned is hereby made to connect with the town sewer main in �L�/ Street, subject to the rules and regulations of the Division of Public Works. ' The premises are known as No. Street or subdivision lot no. Z -z Owner Contractor Address Add Signature PERMIT TO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants permission to to make a connection with the sewer main at ��' Street subject to the rules and regulations of the Division of Public Works.. Division of Public Works Y412f " Inspected by Date See back for rules .and regulations , , TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 J. W I LLIAM HMURCIAK, P.E. DIRECTOR ( �� eo � L D Telephone (978) 685-0950 Fax (978) 688.9573 DATE a r LOCATION BUILDER phone OWNER. 42- phqne -360 4 ' 35 THE: NORTH ANDOVER SUPERINTENDENT OF OPERATIONS MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM STREET. CALL THE SUPERINTENDENTS OFFICE BEFORE FINISH GRADING AND SURFACING FOR APPROVAL OF SUCH - ENTRY. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS- PERMIT. X A L CA ti -F �5 5/G/JA-r L/.P-E Vo7r reaizuiea � . • l t BOARD OF BUILDING_REGULATIONS` , 'l •m. •` License CONSTRUCTION SUPERVISOR j Number• CS 075590 j i Birthdate 09/08/1949 g EzP�res ,09/08/2003 Tr no 75590' , es Tb1 G 4'. ROBERT K AHERN 6 - 1'501 MAIN ST UNIT #49 = TEVVNSRY MA 01876 'Administrator U) �Z a . JOf o U) O Q w O p of a n- Z cn Q� z _ 0 J F- n Z m Z OLjH X W zoFA O�oO oho z 000 Z V Lno w _�� F- Lj d 0) J F— Q F- w w Ld Q a z can^ z V Q z F- LLIV X W W V) A°° i8noo ,k3 -11M 0 1� w A � � o SR z z 0 ZYV)o< Ix Lit F— Q o F— W — �aQ(n> X 0-XFx W N U)W 0 !. ,00'S8 ISO WO > oN (w�V) Q O X aF- W w¢w aU)(f) (.0 VM3nl2Jal _ ONIlSIX31 J CD z N � w� 0 N >- O 000 ma~ Q_023 0�a Q_ 60 z 0 ui OCQ Of a CL N (n ,-VZ ,06'6Z (n U �- M Q 00 o 0 II II J Q Q NVHa33N 3/ N Z �:D Z 0 M.22,29.02S ,00'92 3„5C,9-V.00N Eo/s/I t. N N 0 I 00 114;, LOz IN\ .A d 0 O z am I lu c L- m E1 �aj C 10 ccu 3 C m *� u in N a) u C �:2 E� ai as EL c w r c E ®a, LL a In N t N .. C a1 1 u — C 6 m 0! 9d9 m . F rA Cd tP oa v w � cn a co w o r is a w a is a w w w W x o w A w G 2 .� cn v o cn 3,0 c:% CO C lipO O C�i V •d � Q, C O W W.= ;= O D t D 0 O V _ U ` o a c 19 ISO E n N � : ; cm m N —m 9�Em o a, m ��coa CD m CJ y O . O C d Q 40 y m C O = m o 3 N � $ y283. �� m t •H dZ O C Z ac •ELU ., CO) CMo 15 CCD N CL®� O� O Co. O D 5 2 co O 0 c L d O y ® C cm C W a CD •E cc M CD en L env o a s- �a oCc "FL C3 _Cc C � C.3 V y c C � C cc d CAE LU U/ ul U) W W w W I e.. e q< a ,f.• q.FILE SSCHu'-t� CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number Date 042 610 cl THIS CERTIFIESTT THE BUILDING LOCATED ON / J Of GC -1.4-r . MAYBE. OCCUPIED AS C� �� 3 ,4 r 1 57id/ I ✓4/lA C k o" W , IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Building Inspector O z Fl. w �jj Cf) C/) 0 O E CD cm i CD E cc CO CD 0 co L- CL CCc C Y. CM< o O C.3 .5.0 "r= o G3 ca Z ts co U ca cc C C cc — y 1% V U) w U) 19 LLI W I% uj uj CA 0 ro. �jj Cf) C/) 0 O E CD cm i CD E cc CO CD 0 co L- CL CCc C Y. CM< o O C.3 .5.0 "r= o G3 ca Z ts co U ca cc C C cc — y 1% V U) w U) 19 LLI W I% uj uj CA 0 is Town of North Andover F NORTH q� O Building Department 27 Charles Street o North Andover, Massachusetts 01845 4- 978 688-9545 Fax 978 688-9542 C"D 41 APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION 1y1 Woftr S-+� ADDRESS LOT NUMBERSUBDIVISION DATE REQUEST FILED -T DATE READY FOR INSPECTION TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUTRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL. BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODE:. SIGNATURE IAQAA Uwe OFFICIAL USE ONLY Rn1 TTTNG "Ll) `-t'1ll D.P.W. — WATER METER DATE ;2 an D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. SIGNATURE / DPW AUTHORIZATION Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 VtORTM ,qw. (� ,aSitD !6* "YO o '- -�� APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION D' -A e p ADDRESS +tom LOT NUMBERS 57 SUBDIVISION A-1 DATE REQUEST FILED DATE READY FOR INSPECTION TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF THE STRUCTURE ROES NOT MEET ALL APPLICABLE CODES. SIGNATURE ROUTING D.P.W. — WATER METER OFFICIAL USE ONLY DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. SIGNATURE / DPW AUTHORIZATION REScheck Compliance Certificate Massachusetts Energy Code RES checkSoftware Version 3.5 Release I Data filename: Untitled.rck CITY: North Andover " } STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 01/05/04 PROJECT DESCRIPTION: Robert Ahern 141 Water St. No. Andover, MA COMPLIANCE: Passes Maximum UA = 244 Your Home UA = 239 2.0% Better Than Code (UA) Permit Number Checked By/Date 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 RES checkVersion 3.5 Release I (formerly MECchec)� and to comply with the mandatory requirements listed in the RES checkInspection 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 r design load as specified 1n Sections 780CMR 1310 and J4.4. v 1 ��i�''DateS^ i/ 'Builder/Designer, Gross Glazing Area or Cavity Cont. or Door Perimeter R -Value R -Value U -Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 536 30.0 0.0 19 Ceiling 2: Cathedral Ceiling (no attic) 206 30.0 0.0 7 Wall 1: Wood Frame, 16" o.c. 1283 13.0 0.0 85 Window 1: Vinyl Frame:Double Pane with Low -E 160 0.350 56 Door 1: Solid 47 0.450 21 Door 2: Glass 40 0.390 16 Floor 1: All -Wood Joist/Truss:Over Unconditioned Space 672 19.0 0.0 32 Floor 2: All -Wood Joist/Truss:Over Outside Air 56 19.0 0.0 3 Furnace 1: Forced Hot Air, 90 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 Massachusetts Energy Code requirements in RES checkVersion 3.5 Release I (formerly MECchec)� and to comply with the mandatory requirements listed in the RES checkInspection 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 r design load as specified 1n Sections 780CMR 1310 and J4.4. v 1 ��i�''DateS^ i/ 'Builder/Designer, REScheck Inspection Checklist Massachusetts Energy Code RES checkSoftware Version 3.5 Release I DATE: 01/05/04 Bldg. Dept. Use Ceilings: [ ] I 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation Comments: [ ] I 2. Ceiling 2: Cathedral Ceiling (no attic), R-30.0 cavity insulation Comments: Above -Grade Walls: [ ] I 1. Wall 1: Wood Frame, 16" o.c., R-13.0 cavity insulation Comments: Windows: ( ] 1. Window l: Vinyl Frame:Double Pane with Low -E, U -factor: 0.350 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: 0.450 Comments: [ ] I 2. Door 2: Glass, U -factor: 0.390 Comments: I Floors: [ ] 1. Floor 1: All -Wood Joist/Truss:Over Unconditioned Space, R-19.0 cavity insulation Comments: [ ] I 2. Floor 2: All -Wood Joist/Truss:Over Outside Air, R-19.0 cavity insulation Comments: I Heating and Cooling Equipment: [ ] 1. Furnace 1: Forced Hot Air, 90 AFUE or higher Make and Model Number Air Leakage: 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: 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. 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 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. 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/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 T or chilled fluids below 55 OF must be insulated to the I levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non -Circulating Runouts Circulating Mains and Runouts Temperature ( F) Up 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. NOTES TO FIELD (Building Department Use Only) 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)