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Miscellaneous - 168 SUMMER STREET 4/30/2018
168 SUMMER STREET 210/038.0-0042-0000.0 ;1 1 i Location /L, 3 3 No. Date RC2 3 D 3 � NORTM 1 TOWN OF NORTH ANDOVER F A �, •, Certificate of Occupancy $ 'ss�►cMusE<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee t�A2 $ TOTAL $ Check # bg` s 6 s8 7 Building Inspector Jj lr TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. /�� DATE ISSUED: SIGNATURE: Building Commissioner/inspector of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 3e ya � SU M -41 -P— r— Map Number Parcel Number ` fp\. 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided v 1.7 Water Supply M.GL.C.Q. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System ❑ J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT m 2.1 Owner of Record &Record ,Ios1 ` l 1I r ri A& 1 V 6. 48A W tQr f]. tame(Print) Address 0 Se i 2 ` c-7 Signature Telephone 2.2 Owner of Record: �J Name Print Address for Service: O z Si naturet Tele hone - SECTION 3 CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O License Number M Address Expiration Date Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ v s Company Name rn i 1 Registration Number r Address r Expiration Date ^ Signature Telephone V/ SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result. in the denial of the issuance of the building unit. -Signed affidavit Attached Yes.......0 No.......❑ SECTION 5 Descri tion of Proposed Work check au applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be UI?FICIAL ISE ONLY, ,,. "- Completed by permit a licant :�„ ` 1. Building (a) Building Permit Fee Multi lier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(8) X (b) �D 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number ®9' SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf;in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Herebv declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of Owner/Agent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS I 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS —DIMENSIONS OF GIRDERS HIEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIlvINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL,GAS LINE Town of North Andover & t%o oTH Building Department ?0t ;` • *6�°0 27 Charles Street o North Andover, Massachusetts 01845 -V (978) 688-9545 Fax (978) 688-9542 � U �. IfATIO Building Demolition Affidavit SSACHI!`-+���� DATE /Uv vEm/jey= , q 2 oo 3 Cin}rac-I v�` 19NMO55NAME &ADDRESS ,' d1Mjj G!i N o F� 0ePiG)S)'o DF rn(; )144 o ti 2Y8 Cvr�r 14ve, CLSC-1, MA CMZ �Sc> PROPERTY LOCATION 57R��"r �o. � c vex, In,4 a>s y S DESCRIPTION ►�v�ci� e(L _ AME&ADDRESS '3 ilk (:;\kkkv- DEPARTMENT SIGN-OFFS D.P.W./WATER ,---?-, GAS ELECTRIC Ila TELEP146E � C ,LE //I/I - TAXES �' a�►� f - �s �,�� a . POLICE FIRE % d�T BJP A7 jl d�F910 4 Ilk fri t/ ; " �u�,/c° 11( CVd �t dhG� EXTERMINATOR DUMPSTER-ON/OFF STREET DIG SAFE NUMBER-n,."-r - oZ oo3 - y a13 8y BLDG. INSPECTOR DATE RECD I 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 properly licensed solid waste disposal facility as defined by MGL Chapter 111, S 150 A. The debris will be disposed of in. je xg& U+ 601571N� Al#- (Location of Facility) 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 FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits fr, Boards and Departments having jurisdiction have been obtained. This does not retie the applicant and/or landowner from compliance with any applicable.or requirements. *APPLICANT FILLS OUT THIS SECTION APPLICANT PHONE LOCATION: Assessor's2�O Map Number PARCEL_ SUBDIVISION ` LOT(S) STREET-___/(!/P yalY�iLnoi3 ST.NUMBER ****x***OFFICIAL USE RE , DATI OF TOWN AGENTS: CON RVATIO ADMINISTRATOR DATE APPROVED / DATE REJECTED COMMENTS O (f lam - Com/ TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED C i_,) Lt I SEPTIC INSPECTOR-HEALTH DATE APPROVED. DATE REJECTED COMMENTS uu(G Q r..v 7---v- u n 4-- c f,.3(.-.e a PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm i i NORTIy ® of 6Andover O ' .;;. ;;�: 0 No. (4 3C, � o dover, Mass., 0 COC MIC ME WICK A. oe.. BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT.....�..0)/.........CA.//*.Ow................................................................................................ Foundation has permission to am*....7.Z Z.......... buildings on ...�.4.8....... Rough ........................................ ......... tobe occupied as........R,A 2& W*#I AJ (9Chimney........................ ...................................................................................................I...................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By- ws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 361A $ Sav OWP PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS.CONSTRUCTION ST ELECTRICAL INSPECTOR c S Rough ............................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. ' SEE REVERSE SIDE Smoke Det. " Date. 4 .0 R7:1�a TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING ;,SSACNUS� This certifies that '���. �u�. "� . . . . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . ... . . . . . . . . . . . . . . . . at . . . f . . . . . . . . . ., North Andover, Mass. Fee. c6`l' Lie. No.. . . . . . . . . . -:.������. . . . . . . . . . PLUMBING INSPECTOR Check # 6403 Date. . . 'A RTpj TOYVN'OF NORTH ANDOVER � p PERMIT FOR PLUMBING ��,SSACNUSE� This certifies that . . . . .� . . . . . .. L(... . . . . . . . . . . . . . has permission to perform . .` . .%1 r � .plumbing in the buildings of _ hy.�`i.:U _ �.�.j.� ,�:. . :. . . . . at f ,fI 1�?l!-�: .e. . . . . . . . .. North Andover,.Mass. t7 Lic. No. PLUMBING INSPECTOR', Check # c 637 MASSACHUSETTS UNIFO M APPLICATION FOR PERMIT TO DO PLUMBIP (Type or print) NORTH ANDOVER,MASSACHUSETTS _ Date C7S Building Location to �� O ners Name Q.P'2 Permit#� Amount T f Occupancy New ® Renovation Replacement Plans Submitted Yes ❑ No ❑ FIXTURES StSBfiVIC BASffVEvr f I au lI,oaa; 3 3 1 W 3Mr1fm a>H FLOCR 5ffl F"aR s>FUXR 7fflKJ00R gm Blom (Print or type) Check one: Certificate Installing Company NameC j)tAR�1i—fQlA zp� El Corp. a(o2yc> Address I`7�t`-I "V'1S.-v��1A--3315 11 Partner. O 4 usmess Te ep one Gt 79 -GN"7-7 C Firm/Co. t. Name of Licensed Plumber: Mkt(. M AAA-- Insurance Coverage: Indicate the type.of insurance coverage by checking the appropriate box: a Liability insurance policy FLI Other type of indemnity D Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent El I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massacchu�etts StatePlum Jing Code and Chapter 142 of the General Laws. By: igna ure or Licenseaum er Type of Plumbing License Title k\1`�� City/I'owni1✓cense NumDer Master El Journeyman ❑ APPROVED(omcE usE ONLY } i !. r� �, /oS a a ` �� ��- � �-�� � /D � `�Sd �� �i II� I JJ li C �, i� �� Date.. . . . F - h?: �h OF ,O°TM 1�0 �t of TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION �9SSHCNUSEt ' '``//l1/ ` � 'J/" This certifies that . ./. . (�:f . . . . . � . . . . . . . . . . . . . . . . . . . . has permission for gas installation -. . . . . . . . . . . . in the buildings of � . . . . . . . . . . . at . . . ., North Andover,ver, Mass.- Fee.` . . . ,. Lic. No..�� GAS INSPECTOR �C/ Check#.� s 5071 C MASSACHUSETTS UNIFORM CATON FOR PERMIT TO DO GAS FTiTING (Type or print) Date NORTH ANDOVER,MASSAC USE TS 7 Building Locations Permit# l / Amount$ �a Owner's Name �- New® Renovation ❑ Replacement ❑ Plans Submitted ❑ CA a o go go H X94 Z x a v� O a a (s� F z W C 04 � z OwW z rn OA� V O En G O w A C7 0- a A a H O SUB -BASEM ENT BASEMENT 1 1ST. FLOOR 1 v 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type Check one: Certificate Installing Company Name i�� rta I C «-1 Tr�L El Corp. 3C. Address 17� � �� J e ck 44'- 3 36 ❑ Partner. �- t4-. usiness a ep one q 7-`7$U3 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter t INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes No❑ If you have checked yes,please indicate the type coverage by checking the appropriate box. ❑ Liability insurance policy ED Other type of indemnity ❑ Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ i hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. Signature of Licensed Plumber O�s Fitter Plumber Tit Title City/Town Gas Fitter License Number ❑ Master APPROVED(OFFICE USE ONLY) ❑ Journeyman 3302 Date../.".� �1 .... H°R7M TOWN OF NORTH ANDOVER 3? "� PERMIT FOR GAS INSTALLATION ii m fp 9 i `aso .a T ggg1..D�I•,`,�R7 SSACMUSEt This certifies that . . • . . . • • . has permission for gas installationf in the buildings of � at . . ., North Andover, Mass. Fee. : . . Lic. No.�c . . . . 4` _. y "�f1°.y�"Y�r •-. . . . . . . . f GAS INSPECTOF( WHITE:Applicant CANARY:Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) y . �Cld es fi ,MA Date. my. i 19cf q Receipt# Permit# Building Location f $ l'u MMS-r— . OwnersName�a�v a C �- 1` k op_ Y19 CA-"r Map: Lot Zone Type of Occupancy U-'F ` \C kewX Renovation ❑ Replacement O Plans Submitted: Yes❑ No ❑ Fee: q co Y C7 WWOF N W N OO V N H N ' m z Z x O W _ M Z O C OLU N H Q Z O LU 0 W CW ZJ _ cc LU x F- Z W W O O > W F W J F W z Q W J Q �- > H m 2 Z S O N x Q W > Q W Z Q Q Q Q O O W O W f" x x 10 10 xLL. 2 3 o t7 -j U ¢ > 'o a E- O SUB—BSMT. BASEMENT III 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR III 7TH FLOOR 8TH FLOOR InstallingCompany Name 4'- t- 14 Checkone: Certificate P AAs t•rr� � o o r�� -:r � � ir�� Address 13I LO&4 F-r f't -D anyF-r's 1133 01 4 3 Ig Corporation EstimateValueofWork: ❑ Partnership Business Telephone 1- rl OO O Firm/Co. Name of Licensed Plumber or Gas Fitter, INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 21' No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy Ir Other type of Indemnity❑ Bond ❑ OWNER'S.INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Checkone: " Owner 0 Agent O Signature of Owner or Owners 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 ap lication will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of th ral La s. f j By Type of License: Plumber gnature o censed PLLimber or Gas FVter Tide Gasfitter Master License Number. City/Town Journeyman APPROVED (OFFICE USE ONLY) BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. APPLICATION FOR PERMIT TO DO OASFITTINO NAME A TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIC.NO. PERMIT GRANTED DATE 19 i GASINSPECTOR r Location f No. Date 49- S t4 No"T.Of ,ti TOWN OF NORTH ANDOVER 3? :. .• c b h 9 } Certificate of Occupancy $ s�CMUs t� Building/Frame Permit Fee $ a Foundation Permit Fee $ A . Other Permit Fee $ h TOTAL $ Check # Jo 24 � 17891 'Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPAR'TMEN'T APPLIC T1GN TO CONSTRUCT REPAIR,RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING ,gyp Sectaos';; r fifi �se t)�i , r41 � _ V BUIWING PERMIT NUMBER: DATE ISSUED: ` C / � 7 SIGNATURE: Building Commissloner/Ins for of Buildings Date z SECTION 1-SITE INFORMATION -- _ _ 1.1 Property Address: 1.2 Assessors Map and Parcel Number: ( (,Os LOT I Map Number Parcel Number 1.3 Zoning Information: $tj Q du( y 1.4 Property Dimensions: v -� eSc� S. (A© Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R 'red Provided Required . Provided it 5Lf 1.7 1.5. Flood Zone Infomnation: l.g Sewerage Disposal System: publi.Water :7*M.G.L.".. 34) . S. e Public �/ Private ❑ lone Outside Flood Zone C� Municipal ❑ On Site Disposal System SECTION 2-PROPERTY OWNERSHIP/AUTHORIZEDAGENT " ,=i:Gfl.'.: U(Sti1Ct: Yt3S J,10 o/ M 2.1 Oicner of Record or+� ��.©r�e� .�.� �d� . �..� �,3 ��y,�ar��►�� �,����� �, Name(Print) Address for Service: l" Signa \,( /` Telephone .2 Ow r of Record: t� Name Print Address for Service: M Signature Tel hone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ y 3�5 \1 CA FT011 50 Licensed Cp;truction Supervisor: a r (n�`� /'1Q� 1 /� �I �� r �,/► �C.I ®l��� License Number Address 7 / '1COS Expira on Date rg ture Telephone " v 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address i Expiration Date Signature Tele hone y SECTION 4-WORKERS COMPENSATION(M.G.L.C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......V No.......❑ SECTION 5 Descri n of Proposed Work check au a Hcable New Construction Exist Building Building ❑ Repair(s) ❑ Alterations s)r ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: e) coo m 5 Ila 13.A-IA 5 _3 S &I A-9 r . � SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost Dollar to be t (Dollar) OFFICIAL VISE f?A Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical i vt 000 (b) Estimated Total Cost of Construction 3 Plumbing f Lit®®O Building Permit fee(a)-x-(b) 4 Mechanical HVAC ( 1 UD 5 Fire Protection 11000 � ') o �� 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 h_ as Owner/Authorized Agent of subject property Hereby authorize_ to act on I My behalf,in all matters relative to work authorized by this building permit application. _ t Signature of Owner Date t SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION C. ATO , ( IC as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief 1 nn 1 W0 Prt ame WON Si tire of Owner/A ent Date NO. OF STORIES >^ SIZE (a y X Co BASEMENT OR SLAB I SQ SIZE OF FLOOR MJIBERS 15 X 0 a 2 ,C 3KD O SPAN l DIMENSIONS OF SILLS l DIMENSIONS OF POSTS 1 DIIVIENSIONS OF G.IIZDERS _ HEIGHT OF FOUNDATION ATHICKNESS + SIZE OF FOOTING X MATERIAL OF CHININEY IS BUILDING ON SOLID OR FILLED LAND i IS BUILDING CONNECTED TO NATURAL GAS_LINE {$ I I. wS /3 f- 34 a 3a 3 � L4 3- co V L-2 I 4 � (00 f? �a� 5~ APPLICAEON GUIDELINES (see Ap 1. Town/City Name(s)of Town or Cit 2. State Highway route numbers and of allSTA2tt-"h7G rWATS where we 3. Description of property... Submit description of property for which acce conditions plan. PLEASE NOTE: 1 they givST be signed and dated 6y A include Town/City and Sate 9fighwa, 4. Description of work... Submit Cc of AGG proposed workwithin the Rn 5Kass ighway wfcord BaseCne Static Applicant,may caff Wass9fighway s 1 Include property boundaries and Stat 5 ilio Cafe nnmhPr ngtiin l Ciro cnf, FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. ******APPLICANT FILLS OUT THIS SECTION***-******************* APPLICANT (V PHONEcI'1 9 19 _o)�� i LOCATION: Assessor's Map Number— PARCEL i SUBDIVISION—S\3 m/MQX S-1 Q�` LOT(S) — l STREET �Q i)5. d' S�7_i S —_- ST. NUMBER 40 S OFFICIAL USE ONLY RECOM DATIONOF TOW ENTS: CONSERVATION ADMINISTRATOR DATE APPROVED D DATE REJECTED COMMENTS � u?����� l'�L�✓1-�0�/ -- ------- — TOM/MMR DATE APPROVED DATE REJECTED COMMENTS FOOD YCTOR-H H DATE APPROVED — -- DATE REJECTED— -- _ STIC INSPECTO -HEAL DATE APPROVED _ DATE REJECTED—T--__—__—______ COMMENTS �z�a_ 1--•�- — ! a `7� �`f �^Z�1. ��9'/0�l PUBLIC WORKS-SEWER/WATER CONNECTIONS_ c DRIVEWAY PERMIT FIRE DEPARTMENT 911 Perm,�S� RECEIVED BY BUILDING INSPECTOR —_—_ ------DATE --- i Revised 9497 jm Permit Number REScheck Compliance Certificate Checked By/Date 2000 IECC RES checkSoftware Version 3.6 Release I Data filename: Untitled.rck PROJECT TITLE: PLAN NO. 9426 CITY:North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: Single Family WINDOW/WALL RATIO: 0.10 DATE: 12/06/04 DATE OF PLANS: 5-30-00 PROJECT DESCRIPTION: COLONIAL HOUSE DESIGNER/CONTRACTOR: BRUNO ASSOC. 28 BERKELEY ROAD N.ANDOVER,MA 01845 COMPLIANCE: Passes Maximum UA=615 Your Home UA=440 28.5%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-ValueU Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 1878 30.0 30.0 32 Wall 1: Wood Frame, 16"o.c. 3784 13.0 13.0 164 Window 1: Metal Frame:Triple Pane with Low-E 312 0.330 103 Door 1: Glass 52 0.330 1! Basement Wall 1: Solid Concrete or Masonry 1728 19.0 0.0 124 Wall height: 8.0' Depth below grade: 7.0' Insulation depth: 4.0' 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 2000 IECC requirements in RES checkVersion 3.6 Release I (formerly MECchecl and to comply with the mandatory requirements listed in the RES checkInspection Checklist. REScheck Inspection Checklist 2000 IECC REScheckSoftware Version 3.6 Release I DATE: 12/06/04 PROJECT TITLE: PLAN NO. 9426 Bldg. Dept. Use I Ceilings: ( ] l. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity+R-30.0 continuous insulation Comments: Above-Grade Walls: [ ] 1. Wall l: Wood Frame, 16"o.c., R-13.0 cavity+R-13.0 continuous insulation Comments: I Basement Walls: [ ] 1. Basement Wall 1: Solid Concrete or Masonry, 8.0'ht/7.0'bg/4.0' insul, R-19.0 cavity insulation Comments: Windows: ( ] 1. Window I: Metal Frame:Triple Pane with Low-E,U-factor: 0.330 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ] Yes[ ]No Comments: Doors: [ ] 1. Door 1: Glass, U-factor: 0.330 Comments: I Air Leakage: [ ] Joints, penetrations,and all other such openings in the building envelope that are source's of air leakage must be sealed. [ ] Recessed lights must be 1)Type IC rated,or 2) installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials. If non-IC rated,the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I Materials Identification: [ ] Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] 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. [ J I Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. I Duct Insulation: [ ] Ducts in unconditioned spaces must be insulated to R-5. I Ducts outside the building must be insulated to R-6.5. Duct Construction: [ ] I All joints, seams, and connections must be securely fastened with welds,gaskets, mastics(adhesives), mastic-plus-embedded-fabric,or tapes. Tapes and mastics must be rated UL 181 A or UL 181 B. I Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g. (500 Pa). [ ] 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 I partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I Service Water Heating: [ ] I Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the i water heater has an integral heat trap or is part of a circulating system. [ ] Insulate circulating hot water pipes to the levels in Table 1. I Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: ( ] I 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: [ ] I HVAC piping conveying fluids above 105 OF or chilled fluids below 55 °F must be insulated to the levels in Table 2. 4 Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runoutsirc latin Mains and Runouts Temperature.(Fl Up to 1„ Un to 1.25" 1.5"to 2.0" Over 2„ 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Ranae(Fl 2"Runouts V 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 1z120-200 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) Builder/Designer Dated BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 063503 Birthdate: 07/19/1965 11 Expires: 07/19/2005 Tr. no: 13375 Restricted: 00 JAMES V CARROLL 12 PIPERS GLEN —� ANDOVER, MA 01810 Administrator FROM :R03ERTS INSURANCE FAX N0, :9786833147 Mar. 11 2004 05:07RM R2 ACQRD,w CERTIFICATE OF LIABILITY INSURANCE DATFi,MMiDOM 03/11/2004 PROOVCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION M.P. Robcr�s Innurarice Agoncy Tnc ONLY AND CONFERS NO RIQHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 10.60 Osgood S:reet ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. North Andover MA 01848 INSURERS AFFORDING COVERAGE 978 883'807:1 INSURED NORT11 ANDOVFR REALTY COTP- IN^URCRA WESTERN WORT�T) IN5URANC:E CO INSURERS .HANOVER INSIURANCF CO 100 JOENNYC:A.KE ROAD TZURCRC. NO, ANDOVT.R, MA 01695 INSURERD, UN TF, 3TATv5 LIROUP'1'Y :I:NSi1RANC.F _ — ,978-686 '/'/2.4 N.SUREkE' GUA.Rn INSURANL'L' GROUP COVERAGE& THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REOUIRCMENT, TERM OR CONPITiON OF ANY CONTRACT OR OTHER DUCUMEN7 W17H RE.rPECT 1'0 WHICH THIS CERTIFICAT=MAY BE ISSUED OR VAY=ERTAIN,THE INSURANCF. WFORDED BY THF POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE-1ERM-.,EXGLU5I01`0 AND CONDITIONS OF SUC'r. MOUC ES,AOGRFGA'"E LIMITS SI-C-WN MAY HAVE BEEN REDUCED BY RAID CLAIMG, 1 —Cy — ,bR TYPO OF INSURANCE I POLICY NUMBER I POLICY EFFECTIVE POI,ICY EXPIRATION DATE DATE MM/DD(WI I UNITS OENERALLJA6ILITY i A(:HO000RRCNCc — : $ 1,000, 000 X ArII:I'r rIRC 0WAnF(Al.v mc nrai_ f 5 U,O U 5 000 LLniNC MnOE C�acCUG ! MRCP RX�^.._Any ono pcnr,r,; I i , 71 NPP77Gh'I4 0:3/13/04 0{/.7.;t/(':s pC,gONPLEADVIr,JVR 1 , 00D,000 • I?ENERALaf.CJ'�F:AATF I S 2,000,OOU 1 00o 000 (Er;-nOuRC0)k7E UNIT•!•Nt i1;�NLG. I iR00:DCT'?•COMFgR<0G S r r AU"OMOSILE LIABILITY I:gNIgI;JFr;!?naL;LH LIMIT b (Fn Arnlnon') � 1,000, 000 A-OYVAIFr)AW 1 UUI oODILY ItJ:VI Y (Pe,p.rvn ,; 1 B �X HRruauTo AMN-5069646 02/06/04 02/06/08 Do�LvuaxlR I X I 1 (PGr sc,,00^I) r)N-owNEDAUTOs --. --- I NKc)N�.RT'rt,nMnG[ 4 1 AjTC,ONI V.HL At Irl Drld'f S '.A RAO E:IABIUTV .... ._.__ Ar ANS.9L''J I AI1'ro ONLYIJ F4 AQ(C CxcalaOACILITvEPIMCR?:.:uHI:ENS:E g 1,0 1.00 000 X 101CLI r Allenw�:c AGcac:0T. a 1.,000,000 — TO HE ISSUED 03/13/04 03/13/05 X FETc�...i'Y�' y lUr(!UI) S NORKBRSCOWENSATION AND TOP,Y 1.1 MITd CMDLOYFRS'LU.B41Tv - 500 000 NOWC:T13096 (1:3/:(.3/04 03/13/OJ5 FI rAGHA7cici5Nr � r TT, C.I. GiC/tSC-CA EA4FLPYEG i 5 500,000 E L.OIOEAti;-.• soo,coo, 07HER I I I �E/CAIPTION XF OPERA7104aLOCA'K)N6NeHI0LEBfEXCLURIONA ADOGO GY CNOORSEMENT/99F.CIAI.PROVI610N2 FAA: 9*/8-475-0942 CERTIFICATE HOLDER j ADD:-ZONAL INSURED; INeuRGR LCTT;R: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED D[PORC T1E RXPPtAVON TOWN nF AWn0VTlA OAT#T1•IRn CO!',THE IBSURNG INSURER WII.I.FNWlrl V—T.IA—L I0 OA C WRITTGN 36 R.ATITT.,FTT STRLZT NOTICE TO THE r,€RTI6ICATE HOLDER NAMED TO THE LEFT,BUT FAILJRE TODD 30 SMALL ANDOVER, MA 01.£17.0 IMPOSE NO OBLIGATION OR LIABILITY OF AN'KING UPON THE INOURBR,ITS AGENTS OR REPR511IENTATCVE6 AUTHORU.ILO REFRE'SENYATIVE I � ACORD 25-5(7191) a ACORD CORPORATION 1869 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. The debris will be disposed of in: ! (08 5J�✓1M'L� S i l�3 1 (Location of Facility) V Sign ture.of Permit Applicant a T7 0 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit 6m= Please Print Name: Location: City Phone am a homeowner performing all work myself. 01 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: V r+k 1--F 0JCfL � (-Of� Address q5- Rtt A�1 32tJDA13 4,y City: ma 018, 3,0 Phone#: Q 7 Qf �/7 q ' a7 7 6 Insurance Co. 6,vmea D"SJ/'A'ucQ Policv# QV Company name: Address City: Phone#: Insurance Co. Policv# Failure to secur`e,coveiage 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 cert" under the pains and penalties of perjury that the information provided above is true and correct. Signature V Date I 3L/-7 a Print name •maw S V Urfa ( Phone# 76 q 7�-J-7 I C Official use only do not write in this area to be completed by city or town official' ❑ Building Dept ❑Check if immediate response is required Building Dept ❑ Licensing Board. ❑ Selectmarr's..Apffice Contact person: Phone#: ❑ Health Dep4dmerit ❑ Other FORM WORKMAN'S COMPENSATION APPLICATION FOR WATER SERVICE CONNECTION • North Andover, Mass. 7 Application by the undersigned is hereby made to connect with the town water main iny k17 y��� Street, subject to the rules and regulations of the Division of Public Works. t The premises are known as No. 6l t3o dmf Street or sulpclivision lot no. Owner Address Contractor Fppliant's Yre J VI`2- PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to with th to make a connection wi '""re/ Street e water main at H? •�J subject to the rules and regulations of the Division of Public Works. Board f Public Works By Inspected by Date See back for rules and regulations JJ � V �J FROM C PHONE NO. : 508 6867724 99 Dec. 07 22004 01:10011 P2 1VLASSACIRTSETTS QUITCLAIM DEET) I, William Gillen, of.North Andover.,Massachusetts, for consideration paid, and in full consideration of Six 1-iundred Twea.tyFive Thousand (8625,000-00) dollars grant to: North Andover 'Realty Corporation, a Massachusetts Business Corporation having a principle place of business at 459 East Broadway,Haverhill, Essex County,Massachusetts, with QUITCLAIM COVENANTS: Two parcels of land situate in North Andover, Essex County, Massachusetts being more particularly described as Lots 1 and 2 as shown on a certain pl=: of land entitled "Special Penuit Flan in North Andover, Mass., record owner and applicant William and Lynne Gillen, 54 Spring Hill Road, Noah Andover, Christiansen & Sergei, Engineers, Scale 1"=40', dated January 26, 2004 revised April 1, 2004" said plan recorded in Essex North Registry of Deeds as.Plan No.: 14887. Being a portion of the premises conveyed to the Cnairtor herein by Deed of Helen Notet and Elizabeth LeTourneau, Trustees of the One Hundred Sixty Eight Summer Street Trust, dated October 2, 2003, recorded in Essex North Registry of Deeds Book 8308,°Page 228. WITNESS my hand and seal this l day of October 2004. William Gillen COMMONWEALTH OF MASSACHUSETTS Essex, ss. October / —, 2004 On this day of October, 2004, before me, the undersigned notary public; personally appeared William Gillen, proved to me through satisfactory evidence of identification, which was a Driver's License, to be the person whose name is signed. on the preceding or attached document, and acknowledged to me that he signed it voluntarily for its stated purpose. MICHAEL E.LOMBARD VC NOtnry PublioComma wEartn;! +�a� chusensExpJe�`•'-, i' NOt u lic � G <{t L ommission expires: �' tJolay.Publa ' Coramonr�lth of AAataach L. p M $� 1�J tAy-CatmbebnE�i�M�r21 I IAORTH ONM Of 19 Andover No. &1p.3 4 1.4.10 dover, Mass., COC HICHEWICK ORATED P"e C7 BOA"OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT. ..... NY BUILDING INSPECTOR AT ............................................. ......779VAT• ......................... .... ........... Foundation has permission to erect. buildings on /42...... ................... IA -3 8411 off fa 0.................. to be occupied as 1.1)R4..OM�.•3......... 31�... i ,*...*** .... Rough vw&.. ........................... . ...... *44M V Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 38/y -k PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR e Rough . .. ...................4.................................. .ft .............. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough nal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. R Tly Town o y - Andover 0 to dover, Mass., eZ — 9'� ddre _ = 30 __ o� COCHICHEWICK ADRATED OPa` -`C7 �SSAC Htuj FOR EXCAVATION AND FOUNDATION THIS CERTIFIES THAT �0!�n ,,�N�Ov r' ��:Z � ....... ................... . .............. .... ..... .... ...................................................-� has ermission to excavate a Xdf ��� . SVM C I` tS �' pand pour foundation at ........................................................................................... .. for the purpose of...�� 1p111I...3.Y0.8Jn!I.. ..S.f�jj vAP A�*r S tis �...............Aw The person accepting this permit must return to the office of the Building Inspector a certified plot plan show of building thereon before Foundation will be inspected. 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. .`..... .......................................... SEE REVERSE SIDE "" """""" BUILDING INSPECTOR Date... .......................... WORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING US This certifies that ......... has permission to perform ... wiring in the building-of........................ .. ... at... v-.. -; ............. North Andover,Mass. :7� '& ��-:� .. .. 7— ''*�--' .e,.,.. ..... ; .4. /) "d Fee ........ ... Lic.No�.eF,9.. .......... ELECTRICAL INSPECTOR! jt # ' 5615-�-.. �� ���0 ,/D k r v ,� i jjw t,t✓mmuiv r►r�n yr iy&iaL3e6ilL,"uLus:1 u �- DF.PARTA1VVT'0FPUXJCSAFE7Y Permit No. BOARDOFFIREPREVEMONREGUL HONS5VO R12.0 Occupancy&Fees Checked APPUCA77ONFOR PE1 T TO PERFORMELECMCAL WORK ALL WORK TO BE PERFORMED ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL FORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permi o perform the electrical work described below. Location(Street&Numb ° '+ Owner or Tenant 2a- ck/572 cpl'? ,�V Owner's Address Is this permit in conjunct n wjA a buil ing permit: Yes[rf No (Check Appropriate Box) Purpose of Building buil Utility Authorization No. Existing Service Amps I Volts Overhead Underground No.of Meters New Service acv Amps4a >v /� Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work W112-,)V6 No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA 1 round round No.of Receptacle Outlets I 0 No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets / No.of Gas Burners No.of Ranges / No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals / No.of Heat Total Total No.of Detection and Pumps . Tons KW Initiating Devices j 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 I No.Hydro Massage Tubs No.of Motors Total HP +, r OTHERS - I1�aanoeCavaage.P1aa>antoodletegtmanalso�GenaalLaws IhaNeaamatLmbkyhmnameFbkymdu&gComplee Comr,WcritsmbgmtWe uivalart YES NO IhareslbmiidvafidprcdofsamelDdZO KZ YES ffyouhiNedrd®dYFS,plea9eink*thetypeofaNwpby NK ANCE F-V-1 BOND O HER ID (PleaseSpscdy) + ExQiaationDW I dVa1ueofE1a=ca1Wadc$ W01k1 tat hWecfionD*FWWmWd Ralgh 5� Final �14� Pl safpelltry �i U i L�° Lio=Na P9 Z- _ i Iicer>see Sigilllure LioalseNo ��g z ~ Bttsiss'Ibl.Na 9 7cill f/S_—1,6 V Ak Tel Na OWNER'SINSURANMWANEI;lamawatethattheLio wdotsmt theilntaanoeoor *crilsatsunWegtuvalentasmgtmadbyMassadlusmCanWLam and thatmysigna ireenthispmTkapplicationwanesftlagtmeml (Please check one) Owner a Agent Telephone No. PERMIT FEE$ Signature or Owner or Agent Location a� I S Sy M A4 P r No. 4/0-3 Date `p ^TM TOWN OF NORTH ANDOVER O f 9 * ; ; Certificate of Occupancy $ bis' EZ'� Building/Frame Permit Fee $ 0130 s�CHus Foundation Permit Fee $ Other Permit Fee $ r TOTAL $ �. Check # /0 7 179 41 ,�--- ✓ Building Inspector N/F p EMIL Y & LORR.41NL` KOZDRAS ma LUT 1 \\, efft p� ARS = 45,&V S.F. 1.0475 ACRES l — Fol1NA"ON3 — T. 1 X EL =217.2' .'� LUT 2 i LOT 2 of ` �♦ tN mss � �p 4 FOUNDATION LOCATION PLAN , r rmwom r 7w 'S�nw ry woumams or w"" alE37 C MN oast M07 OOMMO,Wy 07Mr 000M w CLE°NT: NORM ANDOVER REALTY PW MAWN Uau Mor BE LM AW JW cuxr MR Mr OD" ftW THIS CrOlY CAMN IS MADE AND UMffo or CCyiWMAM MM /Mc TO lHE A80Yf CUNT. ate'a t MW we TW, � Is MR pwk MW FAKO LOCAMW. SUMMER SM7 NORTH ANDOVER MMM CMrAM W or aR� SCALE: 1" = 60 DATE: 12/23/04 CHRISYUNSEN &SERGI mnm'wu IW si.wor Sr aaM nL D, , ra DRAWING NO. 97066005 w 1170 LUIVvylv[v rrcfu.[n Ur DF.PAR73 T0FPUXJCSAFM Permit No. B0ARD0FF=PREVFW0NRDGU H0NSS17(W 12W Occupancy&Fees Checked APPLICAR ONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 / ( LEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to pe9ft the electrical work described below. $; Location(Street 8t:Number) 17XI& ryl/yf� t Owner or Tenant /L/� q f sj �p� -J��/ Owner's Address (f Is this permit in conjunction with a buil ing permit: Yes No (Check Appropriate Box) Purpose of Building N> r Utility Authorization o. Existing Service Amps �Volts Overhead Underground No.of Meters New Service a� d� Amps4.-)-v to O Volts Overhead Underground No.of MetersEl Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work //L No.of Lighting Outlets No.of Hot Tubs No.of Transforrners Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA and gro anti No.of Receptacle Outlets No.of OU-Burners G No.of Emergency Lighting Sattery Units...' No.of Switch Outlets b No.of Gas Burners No.of Ranges / No.of Air Cond. Total FIRE ALARMS No.of Zones, Co. 61 Tons [ ; of Displs / No.of Heat Total Total No.of Detection and �� Pumps Tons KW Initiating Devices No,of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices III V.of Dryers Heating Devices KW local �.�..� Municipal � Other o.of Water Neaten: KW No.of No.of Connections Si Bailasis o.Hydro Massage Tuba No.of Motors Total HP • ER• ` COVW, a Ptnsratitotheffl#ar>rs�Gmimd1aws atamaiLia6�yhts+>tartcePb6cYittr�dr>gCarripl Qi<ssubtItialegtrivalalt YES NO ahniodvMptoafofsatnebdrOfm YES ff}whmectgadedYFS,plea9eindrale(hetypeoftx Wby d�e�poptralebcioc BOND �ER III��J.J.1( ) o a E#WmDe e d ValydEl cmeal We do$ DStart hspxdonDateReq Ra>gh � 5 Final under Pemii sofptxjiry11 -7 NAME all-10 Lice wNa cam/ 2- Wi=Ti'1.Na 97cC-- �EIt'SINSURANCEW AkTdNa AIVE[2;IamavmdudieL=wdDonot theirmmncecoraagrtrgsRkSUrialgivWmtasla ikWbyMmmbmmCeMWLaws mi'sigrtaaae on dfs pearit app5cxtirn waives dlis tegllite�rlait ease check one) Owner Agent signature of Own—e-For Agent Telephone No. PERMIT FEE i o .4 r l K02 S f EL 233.31 ' EXISTING EASEMENT (N.E.R.D. BK. 1968, PG. 172' HELD BY DAVID AND SUSAN LETOURNEAU J BENCHMARK: BOLT ON HYDRANT ELEV. = 206.96 - - - - - - - - - - - - - - - 53' (NGVD 1929 DATUM) TP TP - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - o4-z � _ PT r TP N i - O PERC 04-10 / i M 04-2 EXISTING 4 ^ �, FO LINDA TION L4j (AJ 37.5' LONG LEACHING / f TOP FND. TRENCH (TYP.) ! = 217.28 (6 HIGH CAPACITY ! 1 1 INFILTRATOR CHAMBERS ®/- 'OX -_="�� LOT 2 EACH TRENCH) TP T __J .J 04-1 + � � \ , PERC 04-1A01 LOT 1 1 1500 GALLON Tt SEPTIC TANK AREA = 45,630 S.F. 46'- 2 , 65.52' 4.93' JAN 104 �I 1f :I T4V'tiVN OF NU.:i r1/A jER LOT 2 i i NOTE. THIS PLAN IS NOT A WARRANTY OF THE SYSTEM. IT IS A RECORD OF THE LOCATIONS OF THE EXISTING STRUCTURES. CYYOW'7H 9ti .. s CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number Date 6 311,;o©S THIS CERTIFIES THAT THE BUILDING LOCATED ON 7(- SU M In MAYBE OCCUPIED AS S/ j �A L `� 7�> l oda�2s`. 3`1� 6XT1zs, ,3 S1---l/ Uvq�,i— IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. _ CERTIFICATE ISSUED TO c Building:Inspector � NpRT►1 0 0 . _ 4 over ® ,_ � ;........ ..... .�, . , o y 9� LA O � dower, Mass., /a � '� COC MICHEWICK TED pC S BOARD OF HEALTH PERMIT T Food/Kitchen Septic System % 4" S m ...... BUILDING INSPET R THIS CERTIFIES THAT..w. R.�.... .No1Otrar' �e& N ..... l) v&ar ......................... ........................ ......................................... Foundation ,/Mt C�-^-- Cr � d I A /L � v�Innn*r S�• has permission to erect. .................. buildings on ........................................... ....................................... Rough E%�� ���� c' to be occupied as oOM� 3............................................�1 3 l� ,� �t�� Sr��► /+c �s�o��uic chimn provided that the person accepting this permishall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of J Buildings in the Town of North Andover. I 38/y ; PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. 00-2 3 —c s ` Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR ough .. . .. .................. ...t............ Service BUILDING INSPECTOR 2- jn Occupancy Permit Required to Occi cpy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. 616 SEE REVERSE SIDE J1 Smoke Det.