HomeMy WebLinkAboutMiscellaneous - 157 CARTER FIELD ROAD 4/30/2018 n
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2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance-with the provisions of M.G.L.c.143,§3L,the
permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed
on the prescribed form.Ager a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an
electrical permit shall he issued to the person,firm or corporation stated on the permit application. Such entity shall be responsible for the
notification of completion of the work as required in M.G.L.c.143,§3L.
Permits shall-be limited as to the time of ongoing construction activity,and maybe_deemed.by--the.Inspector_of-Wires abandoned_and_invalid_ifhe
or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written
application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written
request of either the owner orthe installing entity stated on the permit application.
The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections.74 and 75 of Chapter 238 of
the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this
purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With
limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was
"in effect or existence"during the qualifying period beginning on August 15,2008 and extendingthrough August 15,2012.
ule 8—Permit/Date Closed: ����� ***Note:Reapply for new permit I�
mit Extension Act—Permit/Date Closed:
" Date �........."..11�..
} NOR7►r
°f'"'° '•�"� TOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
•O�•no•��'(•�
ACMUSE�
U
This certifies that ............. .............................................
..
ha's permission to perform .............. r.
wiring in the building of C.a.4. - Er, l..77 el ................................
at fS ..."�.�.�:�.�',.�.....�6........... ,North Andover,Mass.
mi Fee ......... Lic.No..?lr ..................... ..............
- � ELECTRICAL INSPECTOR
Check #
8414
1
l.ommonwealih o f Ma9lac4aietb OfficialUseOnly
c�
Permit No.
Apartment of3
ire Serviced
– _ Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527MR 12.00
(PLEASE 'PRINT OR TYPE ALL INFORMATION) Date: D 9
City o Town f: NiC7� rod)Vlr To the Inspect r of lyes:
By this applicatioi ndersigne gives notrce of his or her intention to perform the electrical work described below.
Location(Street&Number) /,/ -Ra
Owner or Tenant —5QJ V a4bfe, . Ah,,Jn0 y?,CO'j ky Telephone No. -I�7
Owner's Address �
+' 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
x !
New Service Amps / Volts Overhead❑ Undgrd ❑ No. of Meters I
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: 4 1 ala ym ni�
A _
Com letion of the followin table nral,be waived by theme Inspector of 11/fres.
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No. of Luminaires Swimming Pool Above In- o.o Emergency Lighting
rnd. ❑ rnd. ❑ Battery Units
No.of Receptacle Outlets No. of Oil Burners FIRE ALARMS No.of Zones
of Detection and
No.of Switches No. of Gas Burners No. InitiatingDevices
No.of Ranges No. of Air Cond. Total No.of Alerting Devices
Tons g
No.of Waste Disposers Heat Pum Number Tons KNo.of Self-Contained
i,
Totals: W Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Loc onnection er
No.of Dryers Heating Appliances KW Security Systems:
No.of Devices or E uivale
No.of Water KW No.of No.of1Data Wiring;
Heaters Signs Ballasts No.of Devices or Equivalent i
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent 4
OTHER: I`
Attnch additional detail if desired,or as required by the Inspector of fires.
Estimated Value of Electrical Work: 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 cove age is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE Y BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.J'7 g
FIRM NAME: r' 7 a Z I LIC. NO.: 7 Lzq C
Licensee:��h,1 (�lm(� Signature LIC. NO.:1 c�
(If applicable, enter "ex naps,,nr the icense nmrber li e. Bus.Tel. No.: 1 �3
Address: />s 1(1��s� 5 `J aI 1n'll0�� A (� �(�� Alt.Tel.No.:
*Per M.G.L. c. 147,s.57-61,security work requires Depar4ent of Nblic Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: S�,
Location
- .
No. ` Date 3�
140RT1y TOWN OF NORTH ANDOVER
f �
_ _ O
i a
Certificate of Occupancy $ nr
cMUsE<�' Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
,. TOTAL $ �.
Check # �
17133
� -
Building Inspect f
C/
4
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
`fi1S��BC#tOH.fOTorCiAXluBeogI
BUILDING PERMIT NUMBER. �� DATE ISSUED.
SIGNATURE: ...�
BuildingCommissioner/I for of Buildings Date Z
SECTION 1-SITE INFORMATION O
1.1 Property Address: 1.2 Assessors Map and Parcel Number:
cer $. iso (02- Z+ 13e
Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
R� s -�:R VIM
Zoning District Proposed Use Lot Area(sf) Frontage fl
1.6 BUILDING SETBACKS(ft�"
Front Yard N4Side Yard Rear Yard
Required Provide Required Provided Required Provided
Z-0 2 21 ' 2O Ll ' a
1.7 Water Supply M.G.L.C.40.§54) 1.5. Flood Zone Informatiou: 1.8 Sewerage'Disposal System:
Public je Private ❑ Zone Outside Flood Zone Municipal On Site Disposal System 0
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M
2.1 Owner of Record n
AQ
Name(Print) Address for Service: (�
re Telephone C
2.2 Owner of Record:
O
Name Print Address for Service: Z
M
Signature Telephone
SECTION 3-CONSTRUCTION SERVICES 90
3.1 Licensed Construction Not Applicable ❑
Licensetion Supervisor. O. 6�
_ l ' License Number
Address D
? _
J S' Expiration Date
Si ature Telephone r
3.2 Registered Home I, provement Contractor Not Applicable �0
Company Name rn
Registration.- um r
Address r
Expiration Date ^Z G)
Signature Telephone
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 building permit.
Signed affidavit Attached Yes...... No.......❑
SECTION 5 Description of Proposed Work(check au Ucable
New Construction " Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify
Brief Description of Proposed Work:
SECTION 6--ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY
Completed by permit applicant
1. Building
. ::. :.....
(a) Building Permit Fee
Multiplier
2 Electrical 1 Zt (b) Estimated Total Cost of xo �y
Construction �J
3 Plumbing / Building Permit fee(a) r (b)
4 Mechanical HVAC Z-/
7
5 Fire Protection d -7 v
6 Total 1+2+3+4+5) Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I' as Owner/Authorized Agent of subject property
Hereby authorize to act on
My behalf, in all a tters relative to wo a lorized by this building permit applicat
Si n of Owner Det
S ION 7b OWNER/AUTHORIZED AGENT ECLARAT.ION
i
I' as Owner/Authorized Agent of subject
property
Hereby declare that the statements and ' fo ion on the foregoing application are true and accurate,to the best of my knowledge
and belief
Prin
Si ature of Owner/A ent ate
NO. OF STORIES SIZE X
13ASEMENT OR SLAB
SI7_E OF FLOOR TIMBERS ] 2 2' Z Z 3
SPAN ) 4,
DIMENSIONS OF SILLS '
DIMENSIONS OF POSTS --
4' S G L
DIMENSIONS OF GIRDERS Z O
10 IGIIT OF FOUNDATION l TI-IICKNESS d
SITE OF FOOTING Z O'' X
MATERIAL OF CHIMNEY
IS BUILDING ON SOLID OR FILLED LAND L
IS 131JIILDING CONNFCTED TO NATURAL GAS LINE /l,iU
i t
FORM U - LOT RELEASE FORM
INST-RUCTIONS: 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 PHONE 6170- 6%7'?,G3�
LOCATION: Assessor's Map Number 6Z PARCEL 7-¢139
SUBDIVISION (�G r � � — LOT(S) ?
STREET �r e�4' RO�R� ST. NUMBER fS7
************************************OFFICIAL USE ONLY********************************** l
REC MENDATIONS O/F TOWN AGENTS:
CONSERVATION ADMINI RATOR DATE APPROVED
DATE REJECTED
COMMENTS
v�Y.tfc
TO PLANNE DATE APPROVED / (}
DATE REJECTED
COMMENTS
FOOD INSPECTOR-HEALTH DATE APPROVED
CDATE REJECTED
DTIC INSPECTOR-HEALTH DATE APPROVED K Q
//,, - \ C DATE REJECTED
COMMENTS V
PUBLIC WORKS- SEWER/WATER CONNECTIONS !
d¢
DRIVEWAY ER JT 5
T
FIRE DEPARTMENT °
RECEIVED BY BUILDING INSPECTOR DATE
Revised 9\97 jm
GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT
TOWN OF NORTH ANDOVER BUILDING DEPARTMENT
This form shall be used to assist the Building Department in their determination of exemption under section
8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the
necessary information as requested low.
int �s7Permit App Property address
Map/Parcel
q -6,F7-z,-
Applicant's Phone Number Single Family Two Family
I the undersigned applicant for the above property attest that the building permit for which this form is completed
attached
does comply with the EXEMPTION section 8.7.6 of the Growth Management Bylaw.I also understand providing this form does not
absolve me or any,party to this permit from the requirements of obtaining other permits required prior to the issuance of the building
permit.Further I understand that my interpretation of the exemption status is subject to review by the Building Departm 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.
tJ
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"setrior"shall mean persons over the age of 55.
This application is part of a development project which voluntarily agreed to a minimum 40%permanent
reduction in density(buildable lots)below the density permitted under wring and feasible given the environmental
conditions of the
tract,with the surplus land equal to at least ten buildable acres and permanently designated as open
space or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation
Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism approved by the planning .
board that will ensure its protection
This application represents a tract of land existing and not held by a Developer in common ownership with
an adjacent parcel on the effective date of this Section 8.7 and shall receive a one time exemption from the Planned
Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit
ona parcel.
This application represents a lot which is ready fora building permit(all other permits from all other boards
and commissions have been received and the project is in compliance with those permits),and the Development
Schedule does not accommodate issuing a building permit in that year.One building permit will be issued per year per
Development until such time as the development schedule accommodates issuing building permits Applicant must
submit an approved FORM U with this EXEMPTION
PLEASEDETERMPROVIDE
ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A
IIVATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS.
BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED
BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE.
FURTHER I UNDERSTAND THAT SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE
CHECKING OFF OF A ABOVE ON WHICH DOES NOT COMPLY,WHETHER DONE TO MY KNOWLEDGE OR
NOT IS GROUNDS FOR REFUS B THE BUILDING DEPARTMENT TO ISSUE A BUILD / P
jAlCANTS SIG ATURE
FORM TO BE ATTACHED TO THE BiJILDING PERMIT APPLICAT ONS
y
Town of North Andover Planning Board
This form represents the schedule for allowing the following lots to be considered as eligible for
permits under the Town of North Andover Management by-law Section 8.7 of the Zoning by-laver
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 � t"dj''� �Vi
permit for construction.
Name and Address of Applicant for Lots: Name of Development:
MRA L.EJ(.4 DlaU&LGI?M 'I LLC. Lh9, eP, FIFui�5
18S t�.\t Y,&9,Y H 1 LL ROAD laRAbFVRZ ST&VV
f NORTH A�JDOVt1R MA O I��(�
Map and Parcel of Original: MNP G2, L-of z
!'~ Date of Application for Lot(s) Division: flU G uS-r 9 2 002
Lots Covered by this Schedule 1 —
rJ
- 'The Planning Board by theY signature below, or a signature of a duly authorized representative, 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 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 pux-suant to the Town of North Andover Zoning �.
By-Law all owners, representatives, and future purchasers should avail themselves of said restriction by J ��
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 permits per
year pursuant to section 8.7.2d of the Zoning By-Law."
The Planning Board hereby schedule the lot(s)for the above development as follows:
Year Eligible Number of Lots Building Office Use Building Office Use
Elibsible Date Lot Elia-ibiliNotes
j Completely Utilized
FY 2oo1-i
C-! 20oS S
I I
Sigma f PI ' g,Board member or Authorized Representative
All
Date
Sipatureof Property Own or Authorize esentative
Date
✓fie Uomvmoou�iP,a,�,C�i o�._/Gl.�woaclzcae�ia
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number: CS 055417
Birthdate: 04/05/1960
{
Expires:04/0.5/2004 Tr.no: 21586
i
Restricted: 00
THOMAS D ZAHORUIKO
i
185 HICKORY HILL RD
N ANDOVER, MA 01845 Administrator
J -
1
1
u The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
K
1 yw Boston Mass. 02191
workers'Compensation Insurance Affidavit
Name Please Print
I1
I Name: a
Location: S' 1tsZ
Ci �Jb
I am a homeowner rforming all work. Phone # tel
® I am a sole proprietor and have no one working in any capacity
1 am an employer providing workers' compensation for my employees working on this job.
Company name.-
Address
ame:Address
city-,
Phone#:
Insurance.Co.
Poli #
Company name:
Address
City:
Phone#:
Insurance Co. /T
policV#
Faiture to secure coverage as required.under Section 25A or L
and/or one years'imprisorunent_as_ eil_as_cxvJt can to the imposition of criminal penalties of.a fine u to 1,
Penalties in l�rm a S7OP.INORK ORDFRand_afine_cf_(s1D0M .a P $ 500.00
understand that a copy of this statement may be forwarded the rce of In �y�gainstme_ i
vestigations of the DIA for coverage verification.
l do hereby certify under the pains and pe tties of peg that informaGnn
provided above is true and correct.
Signature
Date
Print name
Pbor #4
6 7-7.63
Official use only do not write in this area to be completed by city or town cffxxial-
City or Town
Pemrit/LicerTsi
❑Check d immediate response is required El Building Dept
Q Licensing Board
Contact person: Ej Selectman's Office
Pt'O"e# Ej Health Department
(] Other
i
MIL
so,7.,x,
7S' 7a MC
oof
_ �FRQNTA'CE-1 QO' J—
P Ro EbSe o `
awr�•�►uG
I �
/
STOPI
P RoRbSeD Sire PLA t1
L1O
1 _
j
Permit Number
MECcheck Compliance Report Checked By/Date
Massachusetts Energy Code
MECcheck Software Version 3.3 Release lb
Data filename:Untitled
TITLE: Carter Field Lot 8
CITY:North Andover
STATE:Massachusetts
HDD:6322
CONSTRUCTION TYPE: 1 or 2 Family,Detached
HEATING SYSTEM TYPE: Other(Non-Electric Resistance)
DATE:03/15/04
DATE OF PLANS:March 1,2004
PROJECT INFORMATION:
Carter Fields
COMPANY INFORMATION:
Tara Leigh Development LLC
COMPLIANCE:Passes
Maximum UA=590
Your Home=576
2.4%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 1996 0.0 30.0
Wall 1:Wood Frame, 16"o.c. 62
3492 0.0 19.0 245
Window 1: Vinyl Frame,Double Pane with Low-E
504 0.340 171
Door 1: Solid 35
Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 1996 0.0 19.0 0.340 12
Furnace 1:Forced Hot Air,90 AFUE 86
Air Conditioner 1:Electric Central Air, 11 SEER
Furnace 2:Forced Hot Air, 80 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 MECcheck Version 3.3 Release lb and to
comply with the mandatory requirements listed in the MECcheck Inspection Checklist.
The hearing load for this building,and the cooling load if appropriate,has been determined using the applicable
Standard Design Conditions found in the Code. The HVA ment selected to heat or cool the building shall
be no greater than 125%off sign loa specified in ns 780CMR 1310�x►d 4.
Builder/Designer Date j/��
., /
i
i �
MECcheck Inspection Checklist
Massachusetts Energy Code
MECcheck Software Version 3.3 Release lb
DATE:03/15/04
TITLE: Carter Field Lot 8
Bldg. I
Dept. I
Use I
I
Ceilings:
[ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 continuous insulation
Comments:
I
I Above-Grade Walls:
1. Wall 1: Wood Frame, 16"o.c.,R-19.0 continuous insulation
Comments:
Windows:
[ l I 1. Window 1:Vinyl Frame,Double Pane with Low-E,U-factor:0.340
I For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?[ ]Yes[ ]No
Comments:
I
I Doors:
[ ] I 1. Door 1: Solid,U-factor:0.340
Comments:
I Floors:
[ ] I 1. Floor 1: All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 continuous insulation
Comments:
I
I Heating and Cooling Equipment:
[ l I 1. Furnace 1:Forced Hot Air,90 AFUE or higher
Make and Model Number
[ ] I 2. Air Conditioner 1:Electric Central Air, 11 SEER or higher
Make and Model Number
[ ] I 3. Furnace 2:Forced Hot Air,80 AFUE 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
I leakage must be sealed.
[ ] I When installed in the building envelope,recessed lighting fixtures
shall meet one of the following requirements:
I 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 cfin(0.944
I L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture
shall have been tested at 75 PA or 1.571bs/ft2 pressure difference and shall be labeled.
I
I Vapor Retarder:
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.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piying 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)
ORTH
Town oo-, Andover
O
No. ~
�o ' dover, Mass., 3 - /A -o�GOLAKEy
COCMICMEWICK ^
�d ADRATED FPa��S
SSACHUS�
FOR
EXCAVATION AND FOUNDATION
THIS CERTIFIES THAT ..TA.RA.....kkf. 4.......41. '...........�..�..�...............................................
has permission to excavate and pour foundation at i4r /��
................................................... . . .. ................
for the purpose of Aftmj..z!10 1�/.�*A...S.fj// AO/4CA�4t ��� �.... ............................... .................... ............................
The person accepting this permit must return to the office of the Building Inspector a cert ied plott plan show
of building thereon before Foundation will be inspected. 6 a/024 X 3 8 Ash
VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS
The holder'of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS
assurance that a permit for entire building structure will be granted.
BLDG. PEWffl11' FES y�� � S��
LESS FDA FDF
g400000/
..... ..... .. .......... .................. ..... ............................................
DUE FRAME PERMIT$ BUILDING INSPECTOR
NTown of ORTH
= Andover
°�A COCHIEw,C � dover, Mass., 3-/6-a ao Al
0 ATEO Cl
U
BOARD OF HEALTH
Food/Kitchen
I
Septic System
PERMIT D
THIS CERTIFIES THAT... /" 4!jey4 e� BUILDING, INSPECTOR
has permission to erect.. Foundation
F d .
......... ................�......... buildings on.�.0.. � ..../.,5...'r +�'A..RT�'R '/el /Q
.... .......
to be occupied as.. Od m a. /�.. . �h /I n
I..... .... /.. ........ �...t.. �. ��...
Rough
provided that the person accepting this permit shall in every respect conform to he ter � ` " ly chimney
this office, and to the provisions of the Codes and B -Laws rela i ms of the a ilication on file in
Buildings in the Town of North Andover. tmg to t e Inspection, Alteration and Construction of Final
VIOLATION of the Zoning or Building Regulations Voids this Permit. PLUMBING INSPECTOR
�{138 '� y 30 —
Rough I
PERMIT EXPIRES IN 6 MONTHS
Final
UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR
Rough
... ,. Service
BUILDING INSPECTOR
Occupancy Permit Required to Occupy Building Final
GAS INSPECTOR '
Display in a Conspicuous Place on the Premises —
i Rough
Do Not Remove Final
No Lathing or Dry Wall To Be Done
Until Inspected and Approved by the Building Inspector.
FIRE DEPAR'T'MENT
Bumer
Street No.
SEE REVERSE SIDE
Smoke Det.
i
LOT 8 , 4157 CRRTF-9, FIEL-D ROAD
NoRT1-1 AwDOvl� IZ , MA
OL OEI DO
+1
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2�t`o Pin LOTS 1 THRU 17, CARTER FIELD ROAD
NORTH ANDOVER, MA 01845
SE�T`t o �l CT y �> �out� "��o�i S��T�o�I SCALE: VARIES DATE: 8/05/03
TARA LEIGH DEVELOPMENT LLC
ATnD`PTT ANMnNMD rare ()152,15
Date.. :./ :.� a ......
NORTH
°f, °;•1"� TOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
�,SSACMUSE�
This certifies that -r- .........Cv--r...............................
has permission to perform ..,: ....f....� .....'._ .......................
wiring in the building of........ r
at... .........),North Andover,Mass.
Fee... 1............. LIC.Nor.1.7...E
J i
A ��ELECTRICALINSPECTOR
Check # b/3
4730
THE COMMONWEALTHOFMASSACHUSETTS Office Use only
DEPARTAIEWOFPUBLICS4MY Permit No. 14 73 p
BOARD OFFIREPREVEVHONREGUTAHONS5270IRI2 Q0
Occupancy&Fees Checked
APPLICATIONFOR PERMIT TO PERFO ELECTRICAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS E CTRICAL CODE,527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date C
Town of North Andover To the Inspector of Wires:
The.undersigned applies for a permit to perform the electrical work described below.
Location(Street&Number) /� -] (� ¢� C—( rti ( La
Owner or Tenant -7p t r h ( J -D•�
Owner's Address I I � Ir� 1 C�Ov�-� 4-l(..( �� � �� - /✓O }1 ti :,lJC-rT"-, /tom
Is this permit in conjunction with a building permit: Yes® No (Check Appropriate Box) 7 3
Purpose of Building 4—C, Utility Authorization No.
Existing Service Amps / Volts Overhead Underground No. of Meters
New Service Amps / Volts Overhead Underground ® No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total
KVA
No.of Lighting Fixtures Swimming Pool Above Below Generators KVA
round ground
No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units
c
L No.of Switch Outlets
No.of Gas Burners
No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones
Tons
No.of Disposals No.of Heat Total Total No.of Detection and
Pumps Tons KW Initiating Devices
No.of Dishwashers Space Area Heating KW No.of Sounding Devices
No.of Self Contained
Detection/Sounding Devices
No.of Dryers Heating Devices KW Local Municipal Other
Connections
No.of Water Heaters KW No.of No.of
Signs Bailasis
No.Hydro Massage Tubs No.of Motors Total HP
OTHER
s butnanceCovaage.Ptnsuanttodleiagttitarot ofMassitdRMMGeroallaws
IhawacziumLmhhtyLmnanoePbkyuichldngComplete 6vaageoritssubsbritialequivalent YES NO
Ibawsubma5dvalidproofofsarnetodie 0ffiof-- YES YfmhaAechwedYES,plaseindicah:�thetypeofcoWgPby
chXW%the*PJB
INSURANCEBOND r--J OTHER (Pleage*61y)
FViratiornDale
t Fr>atedValueofElectriralWodc$
worktoStart `� Ir iDaleRWXsted Rough R oc U3 Final
SignCdurtixffrFtRdfiesofpeWi
FMMNAME �/L z�C��t e S�./�v t C��� LicenseNo.
Licensee/`1(x.-1 A-0 Lam- AA-ACE�)D,4i Signahue licenseNo
Busmessllet No.
✓' A tet� C73 b'6 AlTNo. -9-)'? 37.<--O t t.
OWNER'S W CE WAIVER;lam aware that the Lime does not have the instuu>ccooverage orits stnbstantial equivalent as ragttited byNk&achusetts Gerieral Laws
"dial my sigrnature on ails permit application waives dais requtrerrffnt
(Please check one) Owner O Agent
Telephone No. PERMIT FEE$
Signature ot Uwner or Agent
Y
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
Boston, Mass. 02111
Workers'Compensation Insurance Affidavit
Name Please Print
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 rryemployees working on this job.
Company name:
Address
Cifir 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 irnposition of criminal penalties of.a fine up to$1,500.00
and/or one years'imprisonment_as_weU_as_civil.penaftiesinshefonn-f-a_STOP W9RK_ORDFRand_a.fine_cf-($1DO-0D)-a day against-me,
understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
l do hereby certify under the pains and penalties of pedury that the information provided above is true and correct.
Signature tate
Print name Pborle#
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
E)Check if immediate response is required 0 Licensing Board
F1 Selectman's Office
Contact person: Phone#: Ei Health Department
Other
I
Fire Protection by Computer Design
TRI-STATE SPRINKLER CORP.
P.O. BOX 968
DERRY NH 03038
603-647-0600
Job Name 157 CARTER FIELD ROAD
Building SINGLE FAMILY RESIDENCE
Location NORTH ANDOVER. MA
System 1
Contract
Data File TOMZ.WXF
i
Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087
I
TRI-STATE ,SPRINKLER CORP. page 2
157 CARTER FIELD ROAD Date 3/24/04
HYDRAULIC DESIGN INFORMATION SHEET
Name - 157 CARTER FIELD ROAD Date - 3/24/04
Location - NORTH ANDOVER. MA
Building - SINGLE FAMILY RESIDENCE System No. - 1
Contractor - TARA LEIGH DEVELOPMENT Contract No. -
Calculated By - CHRIS Drawing No. - FP lofl
Construction: (X) Combustible ( ) Non-Combustible Ceiling Height
OCCUPANCY - RESIDENTIAL
S Type of Calculation: ( )NFPA 13 Residential ( )NFPA 13_R (XX)NFPA 13D
Y Number of Sprinklers Flowing: ( ) l (X)2 ( ) 4 ( )
S ( )Other
T ( )Specific Ruling Made by Date
E
M Listed Flow at Start Point - 14 Gpm System Type
Listed Pres. at Start Point - 11.1 Psi (X) Wet ( ) Dry
D MAXIMUM LISTED SPACING 20 x 20 ( ) Deluge ( ) PreAction
E Domestic Flow Added - 0 Gpm : Sprinkler or Nozzle
S Additional Flow Added - 0 Gpm Make CENTRAL Model LFII FLUSH
I Elevation at Highest Outlet - 18 Feet Size 1/2" K-Factor 4.2
G Note: Temperature Rating 162
N
Calculation Gpm Required 28.21 Psi Required 58.114 At Test
Summary C-Factor Used: Overhead 150 Underground 150
W Water Flow Test: Pump Data: Tank or Reservoir:
A Date of Test - 8/29/03 Rated Cap. Cap.
T Time of Test - 10:45AM @ Psi Elev.
E Static (Psi) - 92 Elev.
R Residual (Psi) - 70 Other Well
Flow (Gpm) - 1350 Proof Flow Gpm
S Elevation - 0
P Location: CARTER FIELD ROAD
P
L Source of Information: RESIDENTIAL SPRINKLER CO.
Y
Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087
TRI-STATE SPRINKLER CORP. Page 3
157 CARTER FIELD ROAD Date 3/24/04
City Water Supply: Pump Data:
Cl-Static Pressure: 92 PSI
C2-Residual Pressure: 70 PSI
C2-Residual Flow: 1350 GPM
150
D1-Elevation: 7.796 PSI
140 D2-System Flow:28.21 GPM
D2-System Pressure: 58.114 PSI
Hose ( Adj City ) :0 GPM
130 Hose ( Demand ) :0 GPM
P 120 Safety Margin: 33.869 PSI
R 110
E 100
1
S 90
S 80 . .
C2
U 70
R 60 2
E 50
40
30
20
10
200 400 600 800 1000 1200 1400 1600 1800
FLOW ( N ^ 1.85 )
Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087
TR-I=STATE• SPRINKLER CORP. Page 4
157 CARTER FIELD ROAD Date 3/24/04
Fitting Legend
Abbrev. Name
A Generic Alarm Va
B Generic Butterfly Valve
C Roll Groove Coupling
D Dry Pipe Valve
E 90' Standard Elbow
F 45' Elbow
G Gate Valve
H 45' Grvd-Vic Elbow
I 90' Grvd-Vic Elbow.
J 90' Grvd-Vic Tee
K Detector Check Valve
L Long Turn Elbow
M Medium Turn Elbow
N PVC Standard Elbow
0 PVC Tee Branch
P PVC 45' Elbow
Q Flow Control Valve
R PVC Coupling/Run Tee
S Swing Check Valve
T 90' Flow thru Tee
U 45' Firelock Elbow
V 90' Firelock Elbow
W Wafer Check Valve
X 90' Firelock Tee
Y Mechanical Tee
Z Flow Switch
Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087
TRI-STATE•SPRINKLER CORP. Page 5
157 CARTER FIELD ROAD Date 3/24/04
Unadjusted Fittings Table
1/2 3/4 1 1 1/4 1 1/2 2 2.•1/2 3 3 1/2 4
A 7.7 21.5 17.0
B 7 10 12
C 1 1 1 1 1 1 1 1 1 1
D 9.5 17 28
E 2 2 2 3 4 5 6 7 8 10
F 1 1 1 1 2 2 3 3 3 4
G 1 1 1 1 2
H 1 1.5 2 2 3 3 3.5 3.5
1 2 3 4 3.5 6 5.0 8 7
J 4.5 6 8 8.5 10.8 13 17 16
K 14 14
L 1 1 2 2 2 3 4 5 5 6
M 2 2 3 3 4 5 6 6 8
N 7 7 7 8 9 11 12 13
O 3 3 5 6 8 10 12 15
P 1 1 1 2 2 2 3 4
4 18 29 35
R 1 1 1 1 1 1 2 2
s 4 5 5 7 9 11 14 16 19 22
T 3 4 5 6 8 10 12 15 17 20
U 1.8 2.2 2.6 3.4
V 3.5 4.3 5 6.8
W
10.3
X 8.5 10.8 13 16
Y 2.0 4.0 5.0 6.0 8.0 10.5 12.5 15.5 22
Z 2 2 2 3 4 5 6. 7 8 10
5 6 8 10 12 14 16 18 20 24
A 17 27 29
B 9 10 12 19 21
C 1 1 1 1 1 1 1 1 1 1
D 47
E 12 14 18 22 27 35 40 45 50 61
F 5 7 9 11 13 17 19 21 24 28
G 2 3 4 5 6 7 8 10 11 13
H 4.5 5 6.5 8.5 10 18 20 23 25 30
I 8.5 10 13 17 20 23 25 33 36 40
J 21 25 33 41 50 65 78 88 98 120
K 36 55 45
L 8 9 13 16 18 24 27 30 34 40
M 10 12 16 19 22
N
0
P
4 33
R
S 27 32 45 55 65 76 87 98 109 130
T 25 30 35 50 60 71 81 91 101 121
U 4.2 5.0 5.0
V 8.5 10 13
W 13.1 31.8 35.8 27.4
X 21 25 33
Y
Z 12 14 18 22 27 35 40 45 50 61
Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087
i
TRI-STATE' SPRINKLER CORP. Page 6
157 CARTER FIELD ROAD Date 3/24/04
Hyd. Qa Dia. Fitting Pipe Pt Pt
Ref. "C" or Ftng's Pe Pv ******* Notes ******
Point Qt Pf/UL Eqv. Ln. Total Pf Pn
1 14. 00 1.109 10.000 11.111 K Factor = 4 .2
to 150
2 14 .00 0.0340 10.000 0.340 Vel = 4.650
2 14 .21 1. 109 3T 9.906 43.500 11.451 K Factor = 4.2
to 150 29.716
3 28.21 0.1241 73.216 9.087 Vel = 9.370
3 1. 109 lE 3.962 9.000 20.539
to 150 3.962 3.898
4 28.21 0.1241 12.962 1.609 Vel = 9.370
4 1.109 lE 3.962 21.000 26.045
to 150 3T 9.906 33. 678
5 28.21 0.1241 54. 678 6.786 Vel = 9.370
5
1.109 2E 3.962 11.000
32.832
to 150 1T 9.906 17.829 3.898
6 28.21 0.1241 28.829 3.578 Vel = 9.370
6 1.049 4E 2.000 16.000 40.309
to 120 1T 5.000 13.000
TASR 28.21 0.2459 29.000 7.131 Vel = 10.472
TASR 1.049 lE 2.000 6.000 47..440
to 120 2.000 2.599
BASR 28.21 0.2459 8.000 1.967 Vel = 10.472
BASR 1.049 2.000 52.006
to 120 5.866 Fixed loss = 5
BKFL 28.21 0.2460 2.000 0.492 Vel = 10.472
BKFL 1.245 1G 40.000 58.364
to 150 1T 5.492 5.491 -3.465
TEST 28.21 0.0707 45.491 3.214 Vel = 7.435
28.21 58.113 K Factor = 3.70
Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087
Page 2 of 4 '11 FP420
Minimum Flow(b)and Minimum Flow(b)and nstallation
Maximum Maximum Residual Pressure Residual Pressure
Coverage Spacing For Horizontal Ceiling For Sloped Ceiling The Series LFII (TY2284) must be in-
Area(a) Ft. (Max.2 Inch Rise (Max.81nch Rise stalled in accordance with the follow-
Ft.x Ft. (m) for 12 Inch Run) for 12 Inch Run) ing instructions:
(m x m) NOTES
The Protective Cap is to remain on the
162'F/72°C 162`FI72'C sprinkler during installation until the
ceiling installation is complete. The
12x 12 12 13 GPM(49,2 LPM) 22 GPM(83,3 LPM) Protective Cap must be removed to
(3,7 x 3,7) (3,7) 9.6 psi(0,66 bar) 27.4 psi(1,89 bar) place the sprinkler in service.
14x 14 14 13 GPM(49,2 LPM) 22 GPM(83,3 LPM) A leak tight 1/2 inch NPT sprinkler joint
(4,3 x 4,3) (4,3) 9.6 psi(0,66 bar) 27.4 psi Q,89 bar should be obtained with a torque of 7
16 x 16 16 14 GPM(53,0 LPM) 22 GPM(83,3 LPM) to 14 ft.lbs. (9,5 to 19,0 Nm). A maxi-
(4,9 x 4,9) (4,9) 11.1 psi(0,77 bar) 27.4 psi(1,89 bar) mum of 21 ft-lbs- (28,5 Nm)of torque
18 x 18 18 18 PM 68,1 [P–MT- 22 GPM(83,3 LPM) is to be used to install sprinklers.
(5,5 x 5,5) (5,5) 18.4 psi(1,27 bar) 27.4 psi(1,89 bar) Higher levels of torque may distort the
20 x 20 20 22 GPM(83,3 LPM) 24 GPM(90,8 LPM) sprinkler inlet with consequent leak-
(6,1 x 6,1) (6,1) 27.4 psi(1,89 bar) 32.7 psi(2,25 bar) age or impairment of the sprinkler.
Do not attempt to compensate for in-
(a) For coverage area dimensions less than or between those indicated,it is sufficient adjustment in an Escutcheon
necessary to use the minimum required flow for the next highest coverage area Plate by under-or over-tightening the
for which hydraulic design criteria are stated. Sprinkler.Readjust the position of the
(b) Requirement is based on minimum flow in GPM(LPM)from each sprinkler.The
sprinkler fitting to suit
associated residual pressures are calculated using the nominal K-factor.Refer to Step 1.The Sprinkler must be installed
Hydraulic Design Criteria Section for details. only in the pendent position and with
TABLE A the Sprinkler waterway centerline per-
NFPA 13D AND NEPA 13R HYDRAULIC DESIGN CRITERIA pendicularto the mounting surface.
FOR THE SERIES LFII(TY2284) Step 2. Install the sprinkler fitting so
RESIDENTIAL FLUSH PENDENT SPRINKLER that the distance from the face of the
fitting to the mounting surface will be
nominally 29/32 inches(23,0 mm) as
manding sprinklers.The minimum re- shown in Figure 1A.
Design quired discharge from each of the four Step 3. With pipe thread sealant ap-
sprinklers is to be the greater of the plied to the pipe threads,hand tighten
Criteria following: the Sprinkler into the sprinkler fitting.
The Series LFII (TY2284) Residential • The flow rates given in Table A for Step 4. Wrench tighten the Sprinkler
Flush Pendent Sprinklers are UL NFPA 13D and 13R as a function of y the. Sprinkler Socket or using only Listed and C-UL.Listed for installation temperature rating and the maxi- Wrench l Socket Combination
in accordance with the following crite- mum allowable coverage area. Figure 4).The wrench recess of the
ria. . A minimum discharge of 0.1 gpm/sq. Socket is to be applied to the sprinkler
ft.over the"design area"comprised wrenching area(Ref.Figure 1A).
NOTE of the four most hydraulically de-
When conditions exist that are outside manding sprinklers for the actual Step 5.Use the"ceiling level tolerance
the scope of the provided criteria,refer coverage areas being protected by limit"indicator on the Protective Cap to
to the Residential Sprinkler Design the four sprinklers. check for proper installation height.
Guide TFP490 for the manufacturer's Relocate the sprinkler fitting as neces-
recommendations that maybe accept- Obstruction To Water Distribution. sary.If desired the Protective Cap may
able the local Authority Having Jurus- Locations of sprinklers are to be in also be used to locate the center of the
diction. accordance with the obstruction rules clearance hole by gently pushing the
of NFPA 13 for residential sprinklers. ceiling material against the center
System Type.Only wet pipe systems point of the Cap.
may be utilized. Operational Sensitivity. The sprin-
klers are to be installed in the flush Step 6.After the ceiling has been com-
Hydraulic Design. The minimum re- position per Figure 1 with the provided pleted with the 2 inch(50 mm)diame-
quired sprinkler flow rate for systems escutcheon. ter clearance hole, use the Protective
designed to NFPA 13D or NFPA 13R Cap Removal ToolRef. Figure 5 to
are given in Table A as a function of Sprinkler Spacing. The minimum remove the Protective Ca and then
temperature rating and the maximum spacing between sprinklers is 8 feet p
push on the Escutcheon until its flange
allowable coverage areas.The sprin- (2,4 m). The maximum spacing be-
just comes in contact with the ceiling.
kler flow rate is the minimum required tween sprinklers cannot exceed the Do not continue toush the Escutch-
discharge from each of the total length of the coverage area(Ref.Table eon such p
tit lifts a numberof"design sprinklers"asspeci- A)being hydraulically calculated(e.g., of its normalpositin. IftheEscutchpanel -
fied in NFPA 13D or NFPA 13R. maximum 12 feet for a 12 ft.x 12 ft. eon cannot be engaged with the Sprin-
For systems designed to NFPA 13,the coverage area,or 20 feet for a 20 ft.x kler,or the the Escutcheon cannot be
number of design sprinklers is to be 20 ft.coverage area). engaged
sufficiently to contact the
the the four most hydraulically de- ceiling,relocate the sprinkler fitting as
necessary.
Town of North Andover
Building Department ,a
27 Charles Street o �`
North Andover, Massachusetts 01845 _
(978) 688-9545 Fax(978) 688-9542
O COCN1[ZfVECM 7'`
APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION
-. ADDRESS
LOT NUMBER SUBDIVISION ( 4rfe
DATE REQUEST FILED
DATE READY FOR INSPECTION 1 S
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 DOES NOT MEET ALL APPLICABLE CODES.
SIGNATURE
OFFICIAL USE ONLY
ROUTING
9�z7/
D.P.W. —WATER METER DATE
D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED
PRIOR TO THE INSPECTION REQUEST DATE.
SIGNATURE/DPW AUTHORIZATION.
Location oj i5 r1 CA r`�er Tt,4cl �d
a No. — Date -?— T
NORTH TOWN OF NORTH ANDOVER
F
Certificate of Occupancy $
����
�sJwcHusEs Building/Frame Permit Fee $ 4930
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
109Check # f O
/ Building Inspector
t
z `
(51) C,d'_ _Find ?C� o ,
o NOTES:
�s 1) THE BOUNDARY INFORMATION SHOWN HEREON WAS }
,l TAKEN FROM A PLAN ENTITLED SPECIAL PERMIT AND
, • a DEFINITIVE SUBDIVISION PLAN, CARTER FIELDS
LOT 9
0 p, SUBDIVISION; SCALE: 1" = 40'; DATED: AUGUST 9, 1
C 2002 (rev. 1/1703); PREPARED BY THIS OFFICE.
• • CD 2) THE INTENT OF THIS PLAN IS TO SHOW THE AS- I
BUILT LOCATION OF THE FOUNDATION ONLY.
. N71'24'17"E . • 218.00' 'r
� r
Z c';_ R o N
—► p N
N N OD
— —— —— BUILDING SETBACK LINE (TY— — W �
— —— —— — —— —— —— ——--- — —— —
25.23' / i 0
Eli LAr
M I HEREBY CERTIFY THAT THE FOUNDATION SHOWN HEREON
IS THE RESULT OF A FIELD SURVEY MADE ON
20 LOT S
20MARCH 22, 2004.
25.22' I OONDAT10
j
INO OAR I �azH OF hiss
NE p �° CHRI5iOPHER m
Q
ANCHER I
p o ro O O
N
0 0 I N
y � 1
w
N71'24'.17"E 218.00' j
A LICENSED LAND SURVEYOR DATE
I
CERTIFIED FOUNDATION PLAN
o LOT 7 DELINEATED WETLAND
PER PLAN REFERENCE CARTER FIELDS SUBDIVISION - LOT 8
M ` CARTER FIELD ROAD
M NORTH ANDOVER, MASSACHUSETTS
PREPARED FOR
TARA LEIGH DEVELOPMENT, LLC
185 HICKORY HILL ROAD
NORTH ANDOVER, MASSACHUSETTS
i
GRAPHIC SCALE = SalemSNNow Hampshire les Road. Suite03079
0 15 30 60 G 7� _ (603) 893-0720
a MHF Design Consultants, Inc. ENGINEERS•PLANNERS•SURVEYORS
U
SCALE: 1" = 30' DATE: MARCH 23, 2004 DRAWING
a (IN FEET) NO. DESCRIPTION BY DATE DRAWN BY: CHECKED BY: PROJECT NO. NAME
i I inch = 30 ft REVISIONS JAC CMF 110900 1109ABF.DWG
r�
Date..`..... ...... 1.....
ti &ORTH
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
US
Thiscertifies that ..... ................................................................................
has permission to perform .......... ..
6...............................................
. ..................................
wiring in the building of... ..... ....... ...........
at.. ............. .NorthAndover,Mass.
--�ELEcrjucAL I ...............
Fee ..... Lic.No.�Cq,.F ..............
Check #
5095
i
Official Use Only
Permit No.
VO4%6--e 4 POO/-Sapp# ` Occupancy&Fee Checkec!O i"
BOARD OF FIRE PREVENTION REGULATIONS 5� CMR 12:00
APPLICATION FOR PERMIT TO PERF M ELECTRICAL WORK
All work to be performed in accordance with the assach tts Electrical Code 527 CMR 12:00
(Please Print in ink or type all information) Date 32
To the Inspe6tor of i Cres:
Town of North Andover
The undersigned applies for a permit to perform the electrical work describedbelow. L
Location(Street&Number CL4-,i —� 6 `L�- � It
_�� d
/� O
Owner or Tenant s A C-4---(h d L C=��P'M�� �� C3.10.
Owner's Address r-2 eL 'J 11L t�
Is this permit in conjunction with a building permit Yes 0✓ No 0 (Check Appropriate Box)
Purpose of Building S t'bti�✓l�-� Utility Authorization No. Z- 6 4632
-
Existing Service Amps Voits Overhead 0 Undgmd 0 / No.of Meters
New Service I(-) O Amps I L4 L-ti�Voits Overhead u Undgmd 1- No.of Meters.
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work ly t moi.
Total
_No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA
t
Above 0 In 0
No.of Lighting Fixtures Swimming Pool gmd 0 gmd 0 Genera6ors KVA
No.of Emergency Lighting
No.of Receptacles Outlets No.of Oil Burners Battery Units
No.of Switch Outlets No of Gas Burners 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 Detection/Sounding Devices
0 Municipal 0 Other
No.of Dryers Heating Devices KW Local Connection
No.of No.of Low Voltage
No.of Water Heaters KW Si rrs Bailases Wiring
Wo.Hydro Massage Tuds No.of Motors Total HP
OTHER:
INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws 4i;?
I have a current Liability Insurance Policy includin eted rations Coverage or its substantial equivalent 4t E&=NO =
dY Y PI 9
�°� eq
have subqitted valid proof of same to the Office(YE8r=NO n If you have checked YES please indicate the type of coverage by checking the appropriate box.
NSU v BOND - OTHERK
ease Specify)
(Expiration Date)
Estimated Value .Elect ical Work ,<)0 0
Work to Start b O —Inspection Date Resquested Rough Final
Signed under a enalt es of rl'u : ' L
FIRM NAME
q Imo. D C��Lt LIC.NO.
Licensee+,"\( (,aA--1✓(_ Signature UU LIC.NO. Z 7
n S-✓6 5-,'D/---I!,t i"1 Bus.Tel No-77 - 37 - ir 6 .
Address f�� ( 5 "L� Alt Tel.No. �Z=
OWNER'S INSURANCE WAIVER: 1 am#ware that the Licenses does not have the insurance coverage or its substantial equivalent 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 $ 7J-
(Signature of Owner or Agent)
The Commonwealth of Massachusetts
Department of Industrial Accidents G
Office of Investigations
5, Boston, Mass. 02111 G �_-------
Workers'Compensation Insurance Affidarrit
Please Print
Name:
Location:
City Phone
F1
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. 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 perjury that the information provided above is true and correct 3
Signature _ Date
Print name Phone#
Official use only do not write in this area to be completed by city or town official' ri Building Dept
❑Check if immediate response is required Building Dept p Licensing Board
p Selectman's Office
Contact person: Phone#: E Health Department
Other
FORM WORKMAN'S COMPENSATION
a
Date.. '*7l
Of NO D7M 11, .
of TOWN OF NORTH ANDOVER
� P
41
' PERMIT FOR GAS INSTALLATION
. 9
SS�ICH 5
This certifies that . . ! S r-,ov 1
has permission for gas installation . . . . . . �. . . . . . . . .! y
in the buildings of . . .T�° . . `r r Y 1�'f t'
at . �.u.f �. .# � �� Q ! �/�. ., North Andover, Mass.
Fee. . Lic. No.At 71�?. :.t�ry 2� ✓,l4 N( C'---
GASINSPECTOF
� Check# —777 )
4777
- MASSACHUSETTS UNIFORM AN FY�R
PERIlT TO DO GAS FITTNG
(Type or print) Date 6/30/04
NORTH ANDOVER,MASSACHUSETTS
Building Locations _- 159 (;ar erfi e-ld Rd Int' WES, Permit# �+ t
Amount
Tara Leigh Development Owners Name Tom Zaheruike
New❑ Renovation ❑ Replacement ❑ Pians Submitted ❑
1 Un her re d.
$25.00 W w x
w w z as e e
c N °° a z c w be Is st b
a v w x a m a z w
>
F �l
[7T
UB-BASEMENT Gx O a F O
A SEM ENT
T. FLOOR
D. FLOOR
D. FLOOR
H . FLOOR
H. FLOOR
H . FLOOR
H . FL OOH . FLOOR
(Prii t or type) Check one: Certificate Installing Company
Name EASTERN PROFANE GAS
Corp.
Address 131 WATER ST. , DANVERS MA- 01923
❑ Partner.
Business Telephone6CPR 1 8Q0 322 ❑ Firm/Co.
Name of Licensed Plumber or Gas Fitterr��41��
j
INS Check
have a current liability Insurance policy or it's substantial equivalent yes No❑
Ifyou have checked yes,please' dicate the type coverage by checking the appropriate box
Liability 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 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 0 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 is application will be in
compliance with all pertinent provisions of the Massachusetts State Cpde and Ch pter 2 General Laws.
t'✓iW�
By: Signature of Licensed Plumber Or Gas Fitter - ---
Title Plumber GP/Zl�
IC i tyfro-17n Gas Fitter License Number
❑ Master
APPROVED(OFFICE USE ONLY) ❑ Journeyman
I
Oa N�RTM'1.y
b.p
F 9
k Y
SSRCNug CERTIFICATE OF USE & OCCUPANCY - '!
TOWN OF NORTH ANDOVER E
Building Permit Number 9' Date
—
TT7�
s CERTiF�s
THE BUILDING LOCATED ON �C o /y 7 �2 f r�/ �C 2�
MAY BE OCCUPIED AS
mos, a la 6,-r�s, a � i �tA���Q° cA
�e, �
IN ACCORDANCE WITH TRE PROVISIONS OF SHE MASSACHUSETTS STATE BUILDING
CODE AND SUCH OTHER REGULATIONS AS MAY APPLY.
CERTIFICATE ISSUED TO
Building Inspector
i
NORTH
Town of A-ndover
LAK dover, Mass.,
G OC MIC HEMCK
s RATEP'P
D
1 V BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System S� `U'e /Z
`••�' // BUILDING INSPECTOR
THIS CERTIFIES THAT......./.a x40.......11. .!1��......:... V• A.........: Foundation
has permission to erect.........../......................... buildings onj.01.48..'015.7.01.G1.'0../.,5...'1!' �' RTE'R FW44.Rol Rou z-�Y
.... .... ......... ............. .
o m ��• c n��I ��'��
to be occupied as. .. ....d......I............��. ... .p4........:..�..�.. A.......... ...f�?.�. � ..�1�..........!f Chimney
Ch'
provided that the person accepting this permit shall in every respect conform to the terms of the a lication on file in Final
this office, and tc the provisions of the Codes and aws relating tot yy3O a Inspection, Alteration and Construction of
Buildings in the Town of North Andover. & :Q7;4139 PLUMBING.INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. =�/--�
PERMIT EXPIRES IN 6 MONTHS
ELECTRIC INS .
UNLESS CONSTRUCT .ION ST TS
.. .. . . . ..........
BUILDING INSPECTOR ® y
Occupancy Permit Required to Occupy Building GAS INSPECTOR
ou
Display in a Conspicuous Place on the Premises — Do Not Remove
No Lathing or Dry Wall To Be Done Fi DEBAR
Until Inspected and Approved by the Building Inspector. Burner
r Street No.
SEE REVERSE SIDE "STmToke /J