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Home My WebLink AboutMiscellaneous - 1845 TURNPIKE STREET 4/30/2018N O Date ...... z ... 1-7- ... . 7 ........ ... .... TOWN OF NORTH ANDOVER PERMIT FOR WIRING If t -I - , k This certifies that ... ..........ra ., , . At.-/ ................................. ... ................................ has permission to perform .. ......... ...................................................... wiring in the building of .......... ......................................................................... at ..... Forth Andover,, Mass. fi4.............. Lic. No. ............ . ..... . . .......... ...... LECURPICAL INSPECTO Check # L i{. 11 °-� Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. — �'�Q� --{ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WOR All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASEPRINTWINK OR TYPE ALL INFORMATION) Date: City or Town of: NORTH ANDOVER To .the IZ D nspe ,tor o Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) I R(l i f i v,^ of Vo c1_ 0. j— Owner or Tenant Owner's Address Gn,.. ,. Telephone No Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Bog) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Und rd g ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of proposed Electrical Work: �c No. of Recessed Luminaires Completion o the ollowin table may be waived b the Ins ector o Wires. No. of CeiL-Susp. (Paddle) Fans No. of Total No. of Luminaire Outlets No. of Hot Tubs Transformers KVA Generators KVA No. of Luminaires Swimming pool Above E]in-❑ o. o Emergency lg g -- . No. of Receptacle Outlets d. rnd. No. of Oil Burners Battery Units FIRE A-LAiL1yT5No. of Zones No. of Switches No. of Gas Burners No. -of Detection and No. of Ranges No. of Air Cond. Total InitiatingDevices Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: umber --Umber ons KW --._.._. o. of Self -Contained No. of Dishwashers Space/Area Heating KW Detection/Alertin ry Devices Local ❑ Municipal Connection ❑ Other No. of Dryers o. of Water Heating Appliances KW Security Systems:* _ No. of Devices Heaters KW No. of No. of or Equivalent Data Wiring: No. Hydromassage Bathtubs 5i s Ballasts No. of Motors Total Hp No. of Devices or, Equivalent Telecommunications Wiring: OTHER: No. of Devices or E uivalent Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: I o�mp, (When required by municipal policy.) Work to Stark i� Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE CO E: 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 Covpruge is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND ❑ OTHER ❑ (Specify:) I certify, under the p ins and enaltie o p ) P fPTur that the information on this application is true and complete. FIRM NAME: ft ItD -Ti, LIC. No.: 3a Licensee: Signature n (If applicable, enter "exem t " in the lice a numb line.) r 6 �� LIC. NO.: 1 Address: �l�r� t l LSI Bus. TeL No.: 4 *Per M.G.L c. 147, s. 57 61, sec ty work requires Department of Public Safety "S" License: Alt. L cl. 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: 7- r a 6a The Commonwealth of Afassachuse& Department of Industrial Accidents Office Of Investigations 600 NMashington Street Boston, MA 02111 c j www -Huss govIdia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers n�►i:.....,� TQC-� _i -- Name Address: IL (` J City/State/Zip:_1at \ \ \ l 1 Q �� Phone #:_ Are you an employer? Check.the appropriate box: I . ❑ I am a employer with 4. �] 1 am a general contractor and I Type of pr®ject (required): employees (full and/or part-time).* have hired the sub -contractors 6. ❑ New construction 2. 1: am.a:sole proprietor or partner- listed ori the attached sheet t 1. ❑ Remodeling ship and have no employees These suli-contractors have 8. [] Demolition working for me .in any capacity. [No workers' comp. insurance workers' comp. insurance. 5. ❑ We are a corporation and its g, ❑ Building addition required.] 3. ❑ I am a homeowner doing officers have exercised their 10. Electrical repairs or additions all work right of exemption per MOL I I. Plumbing repairs or additions myself. [No -workers' comp. c. 1.52, § 1(4),'and we have no 12.7 Roof repairs insurance required.] t employees. [No workers' 13'❑.Other comp. insurance required-] -•jrr•• -�••• u.. w,� UUX ff i must also nu out the section below showing their workers' compensation policy information t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Cotmactors that check this box must Attached an additional sheet showing the name of the subcontractors and their workers' camp. poliR. to ssrW an. t am an employer that is providing: workers' compensation insuFancefor my. employees: Below it the information policy andjob site Insurance Company Name: Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaratiou page (showing the policy number and expiration date Failure to secure coverage as required under Section 25A of MGL c. 1 S2 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as wells:s civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert* under the p i and pen Ities f perjury that the information provided aj ve is true and correct Signature: Date. x/(J/ J /7 '7A/)G Official use only. Do not write in this area, to be completed by city or townoff — City or Town: Permit/License # Issuing Authority (circle one): I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the'foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or t mstee of an individual, partnership, association or other legal entity, employing employees. 'However the owner -of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a bnsimess or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence.of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) states "Neuer the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation• affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage.. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, notthe Department of Industrial Accidents. Should you have any .questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number. listed below. Self-insured companies should enter their self-insurance'license number on the'appropriate line. City or Town Officiais Please be sure that the affidavit is complete and printed legibly. The Department hes provided a space at the bottom of the affidavit for you to fill out in the event the Office of lnvestigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will he used as a reference number. in addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (.if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of'the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license; or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA €12111 Tel. # 617-727-4900 ext 406 or 1-8.77-MASSAFE Fax # 617-727-7749 Revised 5 -26 -QS YAW.Mass.gov/dia Date. P - . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that --'-1+L... Ca.r q d..... �v`M has permission to perform 74..:..... . plumbing in thebuildingsof .. �%��...' G y........ . at.. `........... , North Andover, Mass. Fee -2/ -� / PLUMBING INSPECTOR Check # 8227 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location I9 g 5 T V ILri V, kf- .91 Owners of Date Permit # Amount New Renovation Replacement r". Plans Submitted Yes No ❑ (Print or type) � �n�,l / Check one: Certificate Installing Company Name JA -t C r �IUL� Jct �L �t L=�7 Corp. Addressy � X 006 � Partner. '✓ in A, usmess Te ephone 94 k r! S- ,9 9 9.;?- Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy® Other type of indemnity 13Bond ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of tNe above three insurance Signature Owner ❑ Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts SAe Plumbing Code and Chapter 142 of the General Laws. Title VED (OFFICE USE ONLY Type of Plumbing License icense um er Master M Journeyman ❑ wwa-.:mj1=NMO......�.. 017T.- 9ONINN (Print or type) � �n�,l / Check one: Certificate Installing Company Name JA -t C r �IUL� Jct �L �t L=�7 Corp. Addressy � X 006 � Partner. '✓ in A, usmess Te ephone 94 k r! S- ,9 9 9.;?- Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy® Other type of indemnity 13Bond ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of tNe above three insurance Signature Owner ❑ Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts SAe Plumbing Code and Chapter 142 of the General Laws. Title VED (OFFICE USE ONLY Type of Plumbing License icense um er Master M Journeyman ❑ The Comman►s eaft of Afmachusefts Department of ,industrial Accidents Office of, ations 600 FMarvhingMH Street Baston,MA. 02111 www-nuus.gov%dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electrici$aslpff¢mbers Mh nt Information Name Address: P, can. CitytStaielip: Phone rt s7y t Are you an employer? Check.the appropriste.box: i. ❑ I am a employer with V employees (full and/or part time).* 2.P I am .a.sole proprietor or have bared the sub -contactors listed partner_ ship and have no employees on the attached sheet, i These sub -contractors have II ' workers' comp. insurance. 5. ❑ We are a corporation and its 3.❑required.) I am a homeowner doing all work officers have exercised their right of exemption per MOL myself [No -workers' comp. c. 152, § 1(4),'and we have no insurance acquired ] .t .employees. [No workors' tiu � comp, insurance aired_] i1 The Comman►s eaft of Afmachusefts Department of ,industrial Accidents Office of, ations 600 FMarvhingMH Street Baston,MA. 02111 www-nuus.gov%dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electrici$aslpff¢mbers Mh nt Information Name Address: P, can. CitytStaielip: Phone rt s7y t Are you an employer? Check.the appropriste.box: i. ❑ I am a employer with 4. ❑ 1 am a general contractor and I employees (full and/or part time).* 2.P I am .a.sole proprietor or have bared the sub -contactors listed partner_ ship and have no employees on the attached sheet, i These sub -contractors have working for me in any capacity, [No workers' comp, insurartce workers' comp. insurance. 5. ❑ We are a corporation and its 3.❑required.) I am a homeowner doing all work officers have exercised their right of exemption per MOL myself [No -workers' comp. c. 152, § 1(4),'and we have no insurance acquired ] .t .employees. [No workors' comp, insurance aired_] Type of protect (require): 6. ❑ New construction 7. [] Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.0 Electrical repairs or additions I I -JE Plumbing repairs or additions 12.❑ Roof repairs I3.❑.Qther 'Any appiicent that ebedcs bo)t}! f "M atso file out the sc Man ixfow showing ahthis atheir workrjV compmsetioe policy mformahoa ZCon t Homeowners who submit affidavit indicating they art.lioing an work end then hire otpside contractors tractors that erk this box rtnutatteehed an add:tiaaal sheet showmust submtt a new affidavit ind,"* such i-�g. cite name of tfK sub-cotrttactors and their workers' cervi. policy infnT=d0a. are an emplo),er rhm i pr e;dd ng:trwopkers' compensation insurance or inform adon, f �' m+3P�Y plow is the P05cy and job site . Insurance Company Name:_ Policy # or Self -ins. Lia. #: Ezpiiation Date: Job Site Address:_ Crt3'/staelZip: Attach a copy of the workers'. comtpeusation policy declaration page (showing the policy number and expiration date), Failure to secure coverage as required under Section 25A of MGL C. 152 can lead to the imposition of crnninal fine up to $1,500,00 and/or one-year imprisonment, as well as civil penal fies in the form of a STOP WORK ORDERS of a Of up to $250.00 a day against the violator. Be advised that a copy of this statement may f forwarded to the .. a fine Investigations of the DIA for insurance coverage verification. Office of I do hereby certify under t�h%e/aahu amend peva/ties of perjarY that the information provided above is true and corneet r WIciQl use only, do not write in this area, in be compler,E►d by eftJ' or town offuzdL City or Town: Permit/License # Issuing Authority (circle one): L Board of Health 2 - Building Department 3. City/Towu-Clerk 4. Electri b. Otber cal Inspector 5. Fiumbing Inspector Contact Person: Phone #: Information a nd Instructionsti- Massachusetts General Laws chapter 152 requires all emp Ioyem to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written" An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or mom of the'foregoing engaged in a joint enterprise, and includirig the lcol mpretentatives of a deceased employer, or the receiver ortvster-of an individual, partnership, associatioin or other legal entity, employing employees. 'However the owner. of a dwelling house having not more than three apa-rtments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of sucb employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state os- local iiednsing agency shad withhold the issuance or renewal ofa license or permit to operate a business or *o construct buildings in the comamonwealth for any applicant who has oot produced acceptable evidence.oV compliance with the insurance'coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither tike commonwealth nor any of its political subdivisions shall enter inn any contract far the performance of public work- until -acceptable evidence of compliance with the insurance requirements of this chapter have been preset ftd. tv the corrtracting authority," Applicants Please fill out the workers' compensation. affidavit compie✓tely, by checking the boxes that apply to your situation and, if necessary, supply sub -contractors) name(s), address(es). aund phone nuQnber(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the mem'uers or partners, are not requiredlo carry workers' cornpensafion insurance. Van LLC or LLP does have employees, a policy is required. Be advised that this aliidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage.. Also be sure to sign and -date the affidavit. The affidavit should be returned to the city or town that the .application for the permit or license is being mqueste not`the Department of Industrial Accidents. Should you have any .questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Departrnent at the nuraaberlisted below. Self insured co7pRni- ct±euld sm their self insumnce'Iieense number on the'approp iate lire. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Dgzrtment has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to con= you regarding the applicant. Please be sure to fill in the permit/license number which vvilI be used as a reference number. In addition, an appikant that must submit multiple penmit/lic anse applications in any given year, need only submit one affidavit indicating current policy;infonnation (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)." A copy of"tire affidavit that has been .officially starnped or marked by the city or town may be provided to the applicant as proof that a valid affidak is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license; or permit not related to any business or commercial venture (i.e. a dog license or permitto bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would idle- to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call.. The Depart rent's address, telephone and fax number. The Commonwealth of Massachusetts Department of lmdustrW Accidents Mee of Envestibsfions 600 Washington Street Basion, MA 02111 TeL # 617-727-4900 6Xt 406 or 1-977-MASSAFE Revised 5-26-05 Fax # 617-727-7744 www.mass.gov/dia SEP -01-2000 11:39 AM MARCHIONDA&ASSOCIATES 781 438 9654 P.02 ` 250.00' $55'17'29"E 36.4' LOT 1 F~h 50000 S.F. 69.2' 1,15 Ac. 46 `SO• �o� 115.3' Y N O 4 103,1' 250,00' S5517'29"E SALEM TURNPIKE - ROUTE 1 �t`� STEPHEN M. N � 4 MELESCIU(; * No 33049 WE HEREBY CERTIFY THAT WE THE PREMISES AND THAT THE011G,f 100 THIS PLAN IS INTENDED FOR ZONING AS SHOWN, THE STRUCTURE SHOWN CONFORMS PURPOSES ONLY, IT WAS PREPARED TO THE ZONING LAWS OF THE MUNICIPALITY FROM EXISTING PLANS AND RECORDS WHEN CONSTRUCTED. ALSO, ACCORDING TO THE WITH THE STRUCTURES SHOWN LOCATED F.E,M.A./H.U.D, FLOOD INSURANCE RATE MAP, BY AN INSTRUMENT SURVEY, THIS PLAN COMMUNITY PANEL NO. 250098 0015 C SHOULD NOT BE USED FOR PROPERTY DATED 6/2/1993 , THE STRUCTURE IS NOT LOCATED LINE DETERMINATION. IN AN ESTABLISHED 100 YR.FLOOD HAZARD ZONE. CERTIFIED FOUNDATION PLAN LOT 1 FOREST VIEW ESTATES MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR PULTE HOME CORP. OF NEW ENGLAND 62 MONTVALE AW. SUITE I STONEHAM, MA. 02180 257 TURNPIKE ROAD SUITE 200 (781) 438-6121 SOUTHBOROUGH, MASSACHUSETTS 01721 SCALE:1 "=40' DATE: 9/1 /00 N° 2 6 9 Date..../....: j.......'.:......... TOWN OF NORTH ANDOVER PERMIT FOR WIRING 4� This certifies that .......... a........... ...... `` • ' . '" : "....: ' ....1 -Ti ........... . has permission/to perform .............................................. wiring in the building of .. : J...:.x-.....!�-^r:?--................................. at .... ............... .::.r�_ �..... /� ............ . North Andover, Mass. .............. Fee.'�`'�... ....... Lic. N��T.0 ✓.... _ /'.:.. -Z.Z.................................... ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer i The Commonwealth of Massachusetts Ne 1, Nc. OffiCe "c;�o 9 Fw Checked D d. Qi ' Department of Public Safety Occupancy 3/90 (ttaw blank) BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12'00 APPLICATION toFORTePI All workERMIT TO PERFORM ELECTRICAL WORK accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN M OR YP AL INFORMATION) Date City or Town of To the Inspector of Wires: the undersigned applies for a permit to perform the electrical work described be ow cb . Location (Street Numr) Y ' LI n( � �� 0,mer or Tenant L S e�) Owner's Address 2 5 9 / CS>� Is this permit in conj ction wi h a building permit: Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization NO. DckQ - 7�7 Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No, of Meters New Service _Amps �1 / (% Volts Ove ead ElUndgrd� No. of Meters �_ Number of Feeders and Ampacity YK A 4f Location and Nature of Proposed Electrical Work No. of Hot Iubs Swimming Pool Above ❑ In- ❑ grnd. grnd. No. of Oil Burners No. of Cas Burners No. of Air Cond. Total tons No. of Heat Total Iota PumPs Tons KW Space/Area Heating KW Heating Devices KW No, of o. o_ Signs Ballasts No, of Motors Total HP No. of Transformers Tota KVA Generators KVA No. of Emergency Lighting Battery Units FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Local E] Municipal Connection❑Other Low Voltage Wirinp INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES® , NO ❑ I have submitted valid proof of same to this office. YES[3 NO 0 If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ® BOND ❑ OTHER ❑ (Please Specify) Estimated Value f Electrical Work $49-00— 0(Expiration ate WILL CALL Work to Start oI] Inspection Date Requested: Rough Final Signed under the penalties of perjury: FIRM NAME_— JAMES E. BUCHMAN ELECTRIC INC. A15616 Licensee JAMES E. BUCHANAN Signature_ Address P.O. BOX 544 SUTTON MA 01590 OWNER'S INSURANCE WAIVER! I am aware that the Licensee St3ntial equivalent as required by Massachusetts General application waives this requirement. Owner Agent LIC. NO. LIC. NO. E32062 Bus. Tel. No. 508-865-3335 Alt. Tel. No. J.he the insurance coverage or its sub- aws, and that my signature on this permit (Please check one) Telephone No. 01Signature of Owner or Agent PERMIT FEE $ No. of Lighting Outlets U Z No. of Lighting Fixtures z iNo. of Receptacle Outlets No. of Switch Outlets cNo. of Ranges X m No. of Disposals W J D rc No. of Dishwashers No. of Dryers LL No. of Water Heaters Ki f n No. Hydro Massage Tubs rt' OTHER: R �y No. of Hot Iubs Swimming Pool Above ❑ In- ❑ grnd. grnd. No. of Oil Burners No. of Cas Burners No. of Air Cond. Total tons No. of Heat Total Iota PumPs Tons KW Space/Area Heating KW Heating Devices KW No, of o. o_ Signs Ballasts No, of Motors Total HP No. of Transformers Tota KVA Generators KVA No. of Emergency Lighting Battery Units FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Local E] Municipal Connection❑Other Low Voltage Wirinp INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES® , NO ❑ I have submitted valid proof of same to this office. YES[3 NO 0 If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ® BOND ❑ OTHER ❑ (Please Specify) Estimated Value f Electrical Work $49-00— 0(Expiration ate WILL CALL Work to Start oI] Inspection Date Requested: Rough Final Signed under the penalties of perjury: FIRM NAME_— JAMES E. BUCHMAN ELECTRIC INC. A15616 Licensee JAMES E. BUCHANAN Signature_ Address P.O. BOX 544 SUTTON MA 01590 OWNER'S INSURANCE WAIVER! I am aware that the Licensee St3ntial equivalent as required by Massachusetts General application waives this requirement. Owner Agent LIC. NO. LIC. NO. E32062 Bus. Tel. No. 508-865-3335 Alt. Tel. No. J.he the insurance coverage or its sub- aws, and that my signature on this permit (Please check one) Telephone No. 01Signature of Owner or Agent PERMIT FEE $ No 45 7 NORTH FO S �,SSACNUSE� TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .rA0q. Z�f'�2 ,,� ,!�!t!t 4• •( •r• • • • • • has permission to perform .. %U. e.!... t*py,�/t .. • .... • • • • plumbing in the buildings of .. P� • • • • • • • • • • at .� .`�s ?�!�hfi'!�� ` ��!� • •! • • �• • • , North Andover, Mass. Fee --Z 5-4.7. Lic. No..Air ?�. .......I\....rc. / ......... %PLUMBING INSPECTOR Check # D) l 7 t� fJ WHITE: Applicant CANARY: Building Dept. PINK: Treasurer S ubauRy - / / x; 'q r I� a)O MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) hibe)t✓E2 Mass. Date•/-4��D ermit# - Building Location /$4.5 Z—+2 1,eF Sr A% 3/70wner" ame PU�TE HOME Cam Type of Occupancy New Renovation O \,RepZement ❑ Plans Submitted Yes No FEATURES W V) Z Z (0 V) Z _ c LU i j J } l— Z z U 0== LU O Z `n w cn U 0 cn O� = a. Z 4 •k v z(r CO CO¢ W w w cn Z CL n. 1 O W= LIJ O= Q =C. Cr Z_ Lu tl g Ir Q ZZ�t-OCA=� Y W� Y W a Q v7 cn W o¢ .O ¢ ¢ m m¢ Q O Q t- � Y� m cn o o� 3=� cn u. O o SUB-BSMT. BASEMENT ' 1ST FLOOR 2ND FLOOR Z Ll 2 3RD FLOOR 4TH FLOOR 5TH FLOOR I 5TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name 6-9A2/E9 er l)Ea-S 1g2(:1)4A)1C/1L Check one: Certificate Address /� 160 lCorporation. 2 c! //� O Partnership Business Telephone 978` 7%'8!-7` 0 Firm/Co. Name of Licensed Plumber NHA/1C£S /;�0!1/10S INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes O No ❑ if you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy O Other type of indemnity ❑ Bond O OWNERS INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass, General Laws and that my signature on this permit application waives this requirement. Check one: Owner O Agent ❑ Si nature of Owner or Owner's Agent I hereby certity that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under the permit Issued for this application will be in compliance with all pertinent provisions of theMassachusettsState Plumbing Code and Chapter 142 of the General Laws. Signature oTceLi nsedPlumber Thee Type of Llcense: Master, Journeyman O Ciry/Town Llcense Number APPROVED OFFICE USE ONLY) Date ..... ;. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that . �& ..... 7a-�f?W6 ...................................................... has permission to perform7,-e..P c wiring in the building of .......... I'Q!!YJ ...... H. .......................................... k P�/ 5 - at .............. .......... —.. North Andover, Mass. Fee.. Lic. Non.. ............. .ro PLECMCAL INSPEcro Check # 85 U-8 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. �_,5_F81 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07) tIPAVP �I�onLi APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PMINT flV M OR TYPE ALL INFORMATION) Date: Fe b lbs ZA &q City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) I $ 49 bf O Oi ke , Owner or Tenant ftmQ inq alp Owner's Address Telephone No. s�ryle Is this permit in conjunction with a building permit? Yes ❑ No © (Check Appropriate Boz) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Und rd g ❑ No. of Meters New Service Amps / Volts Overhead ❑ Untigrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Estimated Value of Electrical Work: 00-.1 u ueurea, or as required by the Inspector of Wires. (When required by municipal policy.) ' Work to Start: -b pInspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVE GE: 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 clerage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE .El BOND ❑ OTHER ❑ (Specify:) I certify, under the aims andaxpena�ltie�;s^ofperjury, that the information on this application is true and complete. ,FIRM NAME. �14u LIC. NO.: if Licensee: Signature , LIC. NO.: %%3d (If applicable, enter "exempt " jn the license Amber 1' e.) Address: �secu J Bus. Tel. No.: qJJ Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61,ty workrequires Department of Public 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: $ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Tfrashington Street Boston, MA 02111 { ' www.mass.gov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Name Address: `J City/State/Zip: ,IUV i((►� Phone #:. Are you an employer? Check the appropriate box: I-❑ I aro a employer with 4. ❑ I am a general contractor and 1 zemployees (full and/or part-time).* have hired the sub -contractors 2. I am a.sole proprietor or partner. listed on the attached sheet t ship and have no employees These sub -contractors have working for me .in any capacity, workers' comp. insurance. [No wOrkers' comp. insurance 5. ❑ We are a corporation and its required.] 3. ❑ 1 am a homeowner doing all work officers have exercised their right of exemption per MGL myself. [No -workers' comp. c. 1.52, § 1(4), and we have no insurance required.] t .employees. [No workers' eomn. insurance renitireri l Type of project (required): 6. ❑ New construction 7. ❑ Remodeling S. ❑ Demolition 9, ❑ Building addition 10.7 Electrical repairs or additions 11.0 Plumbing repairs or additions 12. [] Roof repairs 13.❑ Other *Any applicant that checks boz # l must also fill out the section below showing their workers' compensation policy information, I homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box rtrustattaehed an additional sheet showing the name of the subcontractors and their workers' c_.^,ap, p^cuin r , adon. lam an employer ikat is providing:workers' compensation insurance for my employees: Below is the information. policy and job site Insurance Company Name: Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL e. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to 5250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert�y under pants and penalties of perjury that the information provided abpve is true and correct �rf l' Officiat use only. Do not write in this area, to be completed by city or town officiaL City or Town: _ Permit/Liceuse # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the'foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. *However the owner -of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence.of compliance with the insurance 'coverage required." Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public woric until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation• affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of industrial Accidents for confirmation of insurance coverage.. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, notthe Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy; please call the Department at the number. listed below. Self-insured companies should enter their Self-insurance Iicense number on the'appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. in addition, an appiicant that must submit multiple permit(license applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or town)" A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston; MA 02111 Tel. # 617-727-4900 ext 406 or 1-8.77-MASSAFE Fax # 617-727-7749 Revised 5-26-05www_mass.gov/dia Location 4Y / 0 / �? (/S %u "F S No. Sats Date /0-3-0D Check # 3 t 1 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ /f ?`5 " Foundation Permit Fee Other Permit Fee TOTAL I t - Building Inspector SEP -01-2000 11:39 AM MARCHIONDA&ASSOCIATES rvt.t,4 3 a I-s's0c-d �-'� O — Co p 781 438 9654 ' �-4,11,4-p - /,D P.02 250.00' $55'17'29"E 36.4' LOT 1 50000 S. F. s� 1.15 Ac. 46 V) �� cw �Dy L4 A• 115.3' N N S 0 Q 103,1' 250.00' S55'1 7'29"E SALEM TURNPIKE STEPHEN IUCM. ,�a^ MELES 39049 j WE HEREBY CERTIFY THAT WE MIL �!LNLOCATEOqtf THIS PLAN IS INTENDED FOR ZONING G 1po AS PREMISES AND THAT : SHOWN. THE STRUCTURESHOWN CONFORMSE 4 PURPOSES ONLY, IT WAS PREPARED TO THE ZONING LAWS OF THE MUNICIPALITY FROM EXISTING PLANS AND RECORDS WHEN CONSTRUCTED. ALSO, ACCORDING TO THE WITH THE STRUCTURES SHOWN LOCATED F.E,M.A./H.U.D, FLOOD INSURANCE RATE MAP, BY AN INSTRUMENT SURVEY, THIS PLAN COMMUNITY PANEL NO. 250098 0015 C SHOULD NOT BE USED FOR PROPERTY DATED 6/2/1993 , THE STRUCTURE IS NOT LOCATED LINE DETERMINATION. IN AN ESTABLISHED 100 YR.FLOOD HAZARD ZONE. CERTIFIED FOUNDATION PLAN LOT 1 FOREST VIEW ESTATES MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR PULTE HOME CORP. OF NEW ENGLAND 62 STONONEHAAM, AVE. SUITE I , MA. 02180 257 TURNPIKE ROAD SUITE 200 (781) 438-6121 SOUTHBOROUGH, MASSACHUSETTS 01721 SCALE:1 "=40' DATE: '9/1/00 0• H4 erh ,y l 0 Town of �;__,��'• NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT / F �4d DATE: b �� oo PERMIT NO.: PROJECT: �Sl�;��% a'� VA AW""' NO.: FLOOR: WING: BUILDING NO. Z i?Y S' Aor l ` ooulp► 16a % J REMARKS: UAP Excavation - depth and soil conditions Framing - Other: Date: w7_ a O � Date: �a' �� Date: �0' Inspector AA 11A.t� Inspector Inspector Footings and foundations and drains - Insulation - Other: ° 0 ��`� Date: Date: Date: InspectorJVI /1n Inspector Inspector Electrical - rough - Plumbing and/or gas - rough - Other: Date: �`' '� Date: ''a °may Date: Inspector z' ` Inspector Inspector Electrical - final Plumbing and/or gas - final Other: Date: `'P`db Date: a•- `�''� Date: Inspector Inspector ` Inspector -ire Dept - A burner, tank, stove, smoke detectors Final inspection Certificate of Use and OccupancyDate: /a`` i" Date: 107-I — Date: 0 -�Y` C of Z�l Q_ Inspector Inspector��,,a"� /p Inspector Form X995 Action Press, 685-7000 CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 3 R � Date l,� - / � - 6 THIS CERTIFIES THAT / L THE BUILDING LOCATED ON 1 � / A / 9 q� 111 114- QS T MAY BE OCCUPIED AS (SIM je---F-A'0' /� f �l'�� IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHERi REGULATIONS AS MAY APPLY. �(e�?t�! a�l� t3 ��r a sia[( 0 N&ti°, 0f Mp,o*h 1 CERTIFICATE ISSUED TO v1 � �° COle ADDRESS S^7 l u r1v)o1 s��` k �✓y�l , `,. E; 41 cc � s�cMus�� Building Inspector V m ul m m U) n CO) .0 a Z CD O ar d O nco .o .o 0 CD o v CL cr ME_ ,... CL O co CD O CO) n� O CO) d n CD O •"F CD CD y CD CO) O CCD O CCD I cn cn n O cn 1 „ C/) 2 o� O cn C c , ?cd --4 = z N o Q h So E m C/! � a o o c7 d `R n n C m ® Z' sy fN '_'I —m'1 m d G y H � N o O m 00 cc 0 ZS .� 00 m c ?� R. CL CL m co o CD C=D N : CD C7= m o m m CD CA o p) H: C� �dtc N CCD O CD: `� Ca tt__ ca N :V' = 1 m cc -D, =11, o n co 0 CD CD I1f C C m C. m '» : Z 03 m dw o� n o - P7, o ac uc ��., p'- o�n w CW; � R. e x Gd �i'� �q �' C 3 O "" 14_ fl\- ^ n 0 hd w zz En , Qt 0 � a , -NN , - \ W W I oliq 0 g. 0 c CD TOWN OF NORTH ANDOVER . DIVISION OF PUBLIC WORKS 384 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845-2909 Timothy J. Willett Staff Engineer December 18, 2000 Ms.. Heidi Griffin Town Planner 27 Charles Street North Andover, MA 01845 RE: Forest View Estates: Water and Sewer Lines Dear Ms. Griffin: J. WILLIAM HMURCIAK, DIRECTOR, P.E. KQRTq 3xv ° �c �1•0 `*t SSACMUS� h Telephone (978) 685-0950 Fax (978) 688-9573 Please be advised that the water and sewer lines in Phase I of Forest View Estates have been accepted by this office and are ready for service. The off-site sewer for this subdivision on Route 114 is also functional and ready for service. Very truly yours, Gf/G2�%`V Timothy J. Willett Staff Engineer CC: Bill Hmurciak Jim Rand Dennis Bedrosian RECu VErj DEC 1 8 2000 PLANONovcR IIG p� AR11 ENT Town of North Andovero� NORTH q Building Department 3? y°�� . .bib o 0 27 Charles Street o North Andover, Massachusetts 01845 (978)688-9545 Fax(978)688-9542L o COC MIc"4...ED 1\ ��Ssac�+►�S��y APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS 18 "I S% 0 kNj ' kf_ S - LOT NUMBER SUBDIVIISION FokeQ- 1/ � (..) DATE REQUEST FILED Z — 4 V— 00 DATE READY FOR INSPECTION 12 —J —00 P„/ FIVE (5) 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 STRU-C-TVIIE DOES WT MEET SIGNATURE U //z, ��.. OFFICIAL USE ONLY ROUTING CODES. CONSERVATION/ /_k 1A DATE PLANNING(dJAV. L DATE D.P.W. - WATER"R TERi DATE l 2 /2 GCS D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIG 0 THE INSPECTION REQUEST DATE. SIGNATURE / DPW AUTHORIZATION Location l y U r ti F+ VP S- No. & Date S 00 TOWN OF NORTH ANDOVER n �,�. Certificate of Occupancy $ Building/Frame Permit Fee $ S 0 s Foundation Permit Fee $ Other Permit Fee $ TOTAL $— Check # 11300 �l Building Inspector r r 1 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 1 BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: /VA ( Date I SECTION 1- SITE INFORMATION I 1.1 Property Address: 2.1 Ownelit-1Z f Record Name (Print) S0k---7fr7 1.2 Assessors Map and Parcel Number: / k L/S—O- R ki pl k- , Rct 10 7 r3 77 2.2 Owner of Record: Name P Address for Service: V est 1/� c✓ /�St/� tJ�s Map Number Parcel Number 1.3 Zoning Information: 00 7 1.4 Property Dimensions: -R Shc-/t & I& We),w,.&S Expiration Date aH�i _ Not Applicable ❑ Company Name Zoning District Pr os se Registration Number Lot Area (so Frontage ft 1.6 BUILDING SETBACKS ft Expiration Date Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 2S' !S 30 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private 0 Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System 0 NEUI luiN 1 - rK4JrEK1 Y UWINEKStUF/AU'1'HUKIZED AGENT 2.1 Ownelit-1Z f Record Name (Print) S0k---7fr7 Address for Servic4l: — 000Z 12 Signature Telephone 2.2 Owner of Record: Name P Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Cis uction Supervisor: 1St� Soh Licensed Construction Supervisor: 27-z Sem p'n-w DrL2,q Addre --- -,-1---,z Z-�� — 127 Signature Telephone 00 7 Not Applicable ❑ 7 7 License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone f . 14 , SECTION 4 - WORKERS COMPENSATION (MG_L C 152 s 2Serm1 Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction IY Existing Building ❑ Repair(s) 0 Alterations(s) 0 Addition ❑ Accessory Bldg. 0 Demolition 0 Other 0 Specify.. /O X Ve G k, Brief Description of Proposed Work: 10 X 17 C& Ere7 Fa. {, SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated CostDollar ( ) to be Completed b permit apphcant OFFICIAL USE ONLY ; 1. Building t (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical (HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, , as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building pen -nit application. Signature of Owner Date SECTION NER/A19HOR1ZFD AGFXT ID)FIGEA TION 1, _ as Own Authorized Agent f subject property p Herebv declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Lis f (t/%s all Print Name %—�� Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TRvIBERS I -2ND 3RD SPAN DRAENSIONS OF SILLS DIMENSIONS OF POSTS DMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MA"TERLAL OF CHNINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Oct -12-00 03:30P P.01 4;I41r'Irl-IL I G n" M- -V,-1 , .. ........... .. .. .... ...._ . ... . .. .. Y CERTIFICATE of INSURANCE ISSUE DATE; 57zsQQ THIS CERTIFICATE IS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CEAT(FICATL HOLOCR, THIS CFRTIFICATE DOES NOT AMEND , EXTEND OK ALTER THE COVERAGE AFFOROQp SY THI= POt,ICIE$ BELOW. 9 INSURED COMPANtI.S AFFORDING COVERAGE Puhe Home 09(par0a t of NL COMPANYA Padflc Employen Irwwanca Company 257 TwnplKe Rodd, Suitr- 200 COMPMY b La&n IOfiuranCe Company Southboroyn, MA 01712 COMPANY C COMPANY D Ace Marlton Inaualnae Company THIS IS TO CERTIFY THAT THF POLICIES OF INSURANCE LIM11 BELOW HAVE d£GN ISSUFCD TO THE I48WE0 KAWO A0Ve. FOR TIE POLICY PERI013 INPIC4 7ED, NOTWITHSTANaINO ANY REQUIREMENT, MM OR CONDITION OF ANY CONTRACT Op OTMAR DOCUMRNT NTH (RESPECT r0 WHICH THIS CERTIFICATE MAY BE ISSUID 08 MAY PERTAIN, THS 141VRANCE AFFORDED QYTHP POLICES O"CAIRED HEREIN I� 9U9jEGT TO ALL THE TERMS, MLIIBIDNS AND CONDITIONS Of SUCH POLICIES. LIMITS SHO" MAY HAVE SEEN REDUCED BY PAID Cl Nm$, I PPFPCIIVR I FiXPIRATIPN I Tl'PP. Q7 INSUR{1NGE — POLICY NUM GENERAL LIABILITY I COMMERCIAL GENERAL LIABILITY GL.4.0292043 ON AN OCCURF( 41;1` RA9IS _ APPITIONAL INSURED AUTO(4IOBILE _ ..._ t (ISS PAYE' 0 ADDITIONAL INSLIKeD: MESS LIABILITY CAL Ma 7682049 WGRKER'S COMPENSATION endI WLR C4 301197A AI EMPI DYERS' LIA0ILI i'Y MA, NN' SOF CA 9011887 PjiOPCRi Y LASS PAYEE, I MORTGAGEE: OTHW aut dmilon Winter meiafus, worcestar. City or Wa"sssr OSS 4tasn SWW Worcester, MA O1taD8 w/00 I 511/01 611mD ; 511101 911100 � 511101 Y140 1 511101 QFNETRAI. AOORMATIE PRODUC7�0OMP4P AQG. PaRSONAL 6 APV. INJURY EACmi =Ul1RENCE FIRF. PA"IE (Aar o" ft) MED. M(PENBE (Orn ona Damon) caLLISION AfrQW►CTIBLE COMPREHANSIVF OKbUCT)BLP, COMBINED SINGE 00ILITY WMIT (Wwm4, HIM 6 Non-cwnedl OAC14 OCcURR6NCF AGGREGATP 513,004,000 $15,000,000 $15,000,000 Woo f1,ap0,p00 6TATUT0jtY UMITG ! , EACH ACCIdr±NT 1 OOb,J]00 o1SFASlic.POLICY LIMIT 81,000,000 DISEAStt.EACH EMPLOYEE S1,p00,t700 HEAL ANP PBRSONAL PROPERTY, INCLUDING WHO.£ IN CGURS6 OF CONSTRNCTICIN; PIER OCCURRENCE LIMIT SPECIAL FARM pr/CLL IPINa F"= AND EARTHQUAK9) PIEDUCTIOLE PER OCCURRFRU WOULD ANY OF T}Irt AIME DE$GRIWr) PO+, r4p PE F+1NCUI.Lt-0 BEFORE THR EXPIRATION DATE THEF*0P, WF WILL ENPAAVOR TO MAIL A PAY" WVRITTEN NOTIPF TO Tmr- cuitT1FicATE MOLDER NAM99 Tp TYIA LJ!FT. REt'�iEBENTTAYI� � — e` _ SEP -01-2000 11:39 AM MARCHIONDA&ASSOCIATES 781 438 9654 P.02 250.00' $55'17'29"E 36.4' �ti LOT 1 F, 50000 S.F. 1,15 Ac. I� 69.2's>j,` IN �A\ Ss�y�O/L 115.3' dY i N g O 8 0 Q 103,1' 250.00' S55'17'29"E SALEM TURNPIKE STEPHEN MMELESCIUGNo - ROUTE 1f4i 39040 c WE HEREBY CERTIFY THAT WE THE PREMISES AND THAT THE IL GIS LOCATEDart 100 THIS PLAN IS INTENDED FOR ZONING AS SHOWN. THE STRUCTURE SHOWN CONFORMS PURPOSES ONLY, IT WAS PREPARED TO THE ZONING LAWS OF THE MUNICIPALITY FROM EXISTING PLANS AND RECORDS WHEN CONSTRUCTED. ALSO, ACCORDING TO THE WITH THE STRUCTURES SHOWN LOCATED F.E.M.A./H.U.D, FLOOD INSURANCE RATE MAP, BY AN INSTRUMENT SURVEY, THIS PLAN COMMUNITY PANEL NO. 250098 0015 C SHOULD NOT BE USED FOR PROPERTY DATED 6/2/1993 , THE STRUCTURE IS NOT LOCATED LINE DETERMINATION. IN AN ESTABLISHED 100 YR -FLOOD HAZARD ZONE. CERTIFIED FOUNDATION PLAN LOT 1 FOREST VIEW ESTATES MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR PULTE HOME CORP. OF NEW ENGLAND 62 MONTVALE AV£. SUITE I STONEHAM, MA. 02180 257 TURNPIKE ROAD SUITE 200 (781) 438-6121 SOUTHBOROUGH, MASSACHUSETTS 01721 SCALE:1 "=40' DATE: 9/l/00 i JJI -1 1 f 4y, _ INA00 7 S> t IMI.=135.15 1 ROUTE 114 J H S o I L s ,CONAL PULTE HOME CORPORATION RESERVES THE RIGHT TO MAKE FIELD CHANGES TO THIS PLOT PLAN IN ORDER TO ACHIEVE PROPOER SITE DRAINAGE, MEET SETBACK REQUIREMENTS, AVOID LEDGE OR ACCOMMODATE THE CONSTRUCTION OF THE HOME IN THE MOST OPTIMUM WAY. THESE FIELD ADJUSTMENTS MAY BE MADE WITHOUT CONSULTATION WITH THE BUYER IN ORDER TO EXPEDITE THE CONSTRUCTION OF THE HOME. PROPOSED SITE PLAN LOT 1 FOREST VIEW ESTATES MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR 62 MONTVALE AVE. SUITE I PULTE HOME CORP. OF NEW ENGLAND STONEHAM, MA. 02180 257 TURNPIKE ROAD - SUITE 200 SCALE: 1°=40' (617) 438-6121 DATE: 6/14/00 SOUTHBOROUGH. MASSACHUSETTS 01772 ly \ \�• \ ' S s /S � ice/ 1 1 FD \ \ 1 l 11 1 I �F / 50000 SFS _ INA00 7 S> t IMI.=135.15 1 ROUTE 114 J H S o I L s ,CONAL PULTE HOME CORPORATION RESERVES THE RIGHT TO MAKE FIELD CHANGES TO THIS PLOT PLAN IN ORDER TO ACHIEVE PROPOER SITE DRAINAGE, MEET SETBACK REQUIREMENTS, AVOID LEDGE OR ACCOMMODATE THE CONSTRUCTION OF THE HOME IN THE MOST OPTIMUM WAY. THESE FIELD ADJUSTMENTS MAY BE MADE WITHOUT CONSULTATION WITH THE BUYER IN ORDER TO EXPEDITE THE CONSTRUCTION OF THE HOME. PROPOSED SITE PLAN LOT 1 FOREST VIEW ESTATES MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR 62 MONTVALE AVE. SUITE I PULTE HOME CORP. OF NEW ENGLAND STONEHAM, MA. 02180 257 TURNPIKE ROAD - SUITE 200 SCALE: 1°=40' (617) 438-6121 DATE: 6/14/00 SOUTHBOROUGH. MASSACHUSETTS 01772 m m m Cie 10 CD CD O w. ww CO) CD O 71 CO) d d O COD C C COD v CDd c� 0 rF CD CD a, H CD CO) C2 O O CCD O CD 00 � c CD C y nom �c o s C d CDm ..� y O m y y n?i cr a CL r y C1 CD • t0 �. IE CD. CO) to co m d CD N CO � w O WCD o :� y oj� IF o m ir ;w N CD C: 0 dd J . n m�: o ft c CADo oz h O CS N rO n m a coo » m y w m m C2 CS C') T C O Z Cl) y y H .�.� O o' TI r CD �n..a CD y O �O m H o p C�9 N o 3E m m - a r 0 0 c C2 -� �. o U2 o 00 � c CD C y nom �c o s C d CDm ..� y O m y y n?i cr a CL r y C1 CD • t0 �. IE CD. CO) to co m d CD N CO � w O WCD o :� y oj� IF o m ir ;w N CD C: 0 dd J . n m�: o ft c CADo oz 7Gr�b w � x C O a n r CD cp 0 C�9 r O y M o o o ci W rA H 0 0 c Location 87 �y��' �` S No. a Date NORTiq TOWN OF NORTH ANDOVER 10 .1 A Certificate Occupancy $ # ; . of cMuSE< Building/Frame Permit Fee $ -•� Foundation Permit Fee $ Other Permit Fee 1"11'r $ a S TOTAL $ Check # .i J~ Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVAT5 OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: a� DATE ISSUED: �^ / �-,_ tJ o SIGNATURE: Building Commissioner/Ina=tor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R red Provided ReqWred Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public 0 Private 0 Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record f 31, Ile-.4e� � a s/2 i0 -,lie tel i5 �,C� ao0 Name (Print)Address for Service : S`-c'lf1 rJbrO22 IV /79 Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: j� GTurj/7r'e Licensed Construction Supervisor: Address s Signatur Telephone Not Applicable ❑ �� 2 License Number Expi ation Date 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name Registration Number Address Expiration Date Signature Telephone 00 rn X Z O ,a SECTION 4 - WORKERS COMPENSATION (XG.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 all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ 7 Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: J o / �cM vrz^ vN�1` �i�1 /�2�2 SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed bypermit applicant OFCIAtiUSE1YLY 1. Building (a) Building Permit Fee Multi Tier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbinj Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 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 matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER//AUTHORIZED AGENT DECLARATION I, L, tom/ -, L e� 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 � o C" � .S�f� n e, C'4 G/ Print N Si a e wner t Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2ND 3 PM SPAN DM ENSIONS OF SILLS M ENSIONS OF POSTS DM4ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE rr Z 364 027 663 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do notjule for International Mail See reverse Sent to t Stre& Post ce, ate, ZIP Cade dy , ax ver MA `[ Postage $ 0 Certified Fee , Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to Whom & Date Delivered Retum Receipt Showing to Wham, Date, & Addressee's Address TOTAL Postage & Fees $ Postmark or Date *Janad) 5661 I!jdd `0088 wjod Sd 'O C E d 7 V d r N d _N y r U N d r N t n O m O O _ C al w d N U L U y ro c 0 p co m 'E 'D co C cE Oyi Eoo _ d ro c d m E_E m "LL m0=m 'rnC 00 'cood N° f o ro Em y O zrc ca m N_2 m U- r.- 72 -E Nd Y UE 0 m 7� )C S O f.O N C E E_O o OdV_C: )N E O . ��tU N 0OL�c d ro LL N U� v, j,� '� N ro t�II¢ > Z m o ° ro E ° y aci Y j d d E O ` U o ro d U t.. M N W J O W L y U 7 0 u 0 cu E c� .� d 3 m S W W .r N N cc'(C n f, f` N - N F d F U)y 'N .« H L% N 7 V Q C y o v a n'a� 2 v_ CO W N LL dao d¢ N d a 0 CL U .d- 0 ~ N E d W N N W d v _a c E a 2a� m N 2 d N .L. rod �i L 7 ro ¢ N U CO. F >¢ z N d d m d E� c _ 00 gin md'_w cv0 of 103m m ro m a o f an d W 3 d dN 3 E d¢ 7 d _ ..t-. a N o N 3 0 m 0 7 2 d ¢ O N T d m` `—c` m EF _ d ca cn U) U � l�0 3 N� f7 O m¢ V N U 6 2 6 � _ R � c � \ 0 o 1� o eCD ƒ0 \Co. 2C/) §r 8 \ z p 2. n � c \ 2 w o2 ,AJ q \ �'T. J + 2(?UMP � .:.:.:i ƒ g §' S o c r m® \ � o c q $/�kCD ƒ «.) e e &�3 r r / '71c)\ L o q 0 , � _ R � c � \ 0 o 1� o eCD ƒ0 \Co. 2C/) §r 8 \ z p 2. n � c \ 2 w o2 ,AJ q \ �'T. J + 2(?UMP � .:.:.:i fie Ui amm�uuealC� a�,i�Gaaaac�uulP,it6 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR y Number. CS 065420 Birthdate: 01/24/1961 Expires: 01/24/2002 Tr. no: 15801 f. Restricted To: 00 DAVID C SCHREYACK 590 WASHINGTON ST HAVERHILL, MA 01832 Administrator r C/) 71 U) 0 m _ CA Cl)co Z CD O ar d m a� O o p a� Q co o .... d tmO _ CC = CD CO) d �G d O CO) 0 C CO) Er C7 CD 0 �h CD v co CA CD CO) 0 O CCD O G CD ?al 0 0 I O �• H O Q N dO O y m n m C) oy�ac m Z m �yC y 0, a) °:m o -7n m nod y o i Cm m = > >CD o CD � O aZ y: n W O CD CL UR m O N C.)= p� m O d N CL d N O d CL .N.r X m : CO) -1 Airb N O m O CD CD o CA, � D C =r W N d = W c , n� � D O = : O CD VVV 6 S l� O Cn 0 cn 0 W C m Ill 0 UQ ncn M GO ;z O aq n m w 7C1 O uQ .� r r� m °= n 'itJ O OQ `t7 0 o C UO (D �^ N 171 0 a CA v z N N 1 Omq 0 0 c Pulte Home Corporation May 1, 2000 Mr. Robert Nicetta Building Commissioner Town of North Andover 27 Charles Street, 2nd Floor N. Andover, MA 01845 RE: Forest View Estates Dear Bob, of New E s �,� Pursuant to our phone conversation of Friday, April 28, 2000, I am writing this letter at your request to officially notify you that Pulte Home Corporation of New England is in the process of purchasing the above referenced subdivision and to request the issuance of the trailer and sign permits we previously applied for. As you are aware several weeks ago we applied for permits for a sales/construction trailer and a subdivision entry sign. As of this date we have not received either permit. April 18`h we began work on the roadways. This work requires a construction trailer as a base of operations for our superintendent. It also serves as a place to house phones, fax, computer and records; all of which are essential to oversee and manage this operation. The trailer and sign are also necessary for the success of our pre -construction sales operation. I thank you in advance for your cooperation in this matter and ask that you issue the necessary permits at your earliest opportunity. Sincerely, Patrick S. Cone X aSI Direction of Construction PGpo 257 Turnpike Road, Suite 200, Sout borough, Massachusetts, 01772 508-787-0002 Fax: 508-485-4295 `19W 7 . PULTE HOME CORPORATION OF NEW ENGLAND 257 Turnpike Road, Suite 200 Southboroi4gh, MA 01772 .Ptmr m, Fit/ )(cars of BAding The Good Life FAX COVER SH EET DATE: /j'71 TIME: 9:00 W am 9?��VFI TO: �FAX:7� II BUSINESS; FROM ;r;,H nt. „ PHONE; 508-787-0002 Number of pages including cover sheet: n Message 0 i� -o Z -oo Pulte Home Corporation of New England May 1, 2000 Mr. Robert Nicetta Building Commissioner Town of North Andover 27 Charles Street, 2d Floor N. Andover, MA 01845 RE: Forest View Estates Dear Bob, Pursuant to our phone conversation of Friday, April 28, 2000, I am writing this letter at your request to officially notify you that Pulte Home Corporation of New England is in the process of purchasing the above referenced subdivision and to request the issuance of the trailer and sign permits we previously applied for. As you are aware several weeks ago we applied for permits for a sales/construction trailer and a subdivision entry sign. As of this date we have not received either permit. April 10" we began work on the roadways. This work requires a construction trailer as a base of operations for our superintendent. It also serves as a place to house phones, fax, computer and records; all of which are essential to oversee and manage this operation. The trailer and sign are also necessary for the success of our pre -construction sales operation, I thank you in advance for your cooperation in this matter and ask that you issue the necessary permits at your earliest opportunity. Sincerely, Patrick S, Cone Direction of Construction PC/PC 257 Tumpike Road, Sulte 200, Southborough, Massachusetts, 01772 508.787-0002 Fax: 508-485-4285 I CC W 0 Z Q 2 O z LL. Z 0 H F 0 Z O U_ J CL W CL 0 l .E L L 0 O O 0 < cr- m .Q U _0 c m E ° C: .N c C: co 0 °)o a; c ° E N C N .O N >, O >, O ` > L -C C (D -0 O O O - E cn .0 G M Q+ 0 U u) ,j � U O O — U) _ N cu c to C C CB r m m N m U En E Fn o_ E a) cm a) m cn O— >O U C w O > N C .. o a) ° O Q.v - E O` U MU C m p O0Q -q Q a m in aci m CM W o o cn O ?y cn L N _ z ca -7 0. N G V (u [2 L N C CL 0) C) CO 0 O to U C Z m Q ° U) �i U) C: .N c C: co 0 'II C ca -0 O_ C. „'; w- 0 Q 0 O M Q+ 0 U u) E O Q M (II CL to c L C .� _ N 0 § O �a�Ucn�O 0 z C m M W a w U Q W Cfl O J O U J CL W H W J CL 0 U Z Q Q L Ia 0 UJ rn J co ��` 100+ SW58'5CX1 — A Oil V4- ►_ ,J Z W w Y a I , � iG / IJ 'I I , I i co r W Z E, C7 N W I' I Uj W U A x W l� 4r.•"'1 .r '4 a• A Oil V4- ►_ ,J Z W w Y a I , � iG / IJ 'I I , I i co r W Z E, C7 N W I' I Uj W U A x W l� 4r.•"'1 woo apnd c Ilepuaj6. 96Z4 -S96 (fto;) xeJ . 9;Z 1x3 Z000-L9L (80S) lei ZLL lO Vn 'g6nojogylnoS • OOZJk o)InS . P2j o�!dwnl Lr,Z lielmall *fl ^6.1.1.1019 PUDIx'�113 AtdjVj° L'011u'Od'OD z)LWH aItn(I X116 �.T"ICI�i 5 W,24,k a7 fv :).`1) 9 Town Of North Andover Project: Building Department*`ID° Forest View Subdivision 27 CHARLES ST 978-688-9545 Sign Application �•i eo rf APPLICANT Pulte Home Corporation: SS�c►+ug�` 257 Turnpike St. Suite 200, Southborough, MA 01772 DATE: 1 b/21/99 Title of Plans and Documents: Please be advised that after -review of your Building Permit Application and Plans that your Application is DENIED for the following reasons: Zoning Use. not allowed in District Not in conformance with Phased Development Violation of Height Limitations. X . Sign exceeds .requirements . Violation of Setback Front Side Rear Insufficient Lot Area Insufficient Parking Violation of. Building Coverage Insufficient. Open Space Userequires permits prior to Building Permit Sign requires permits prior to Building Permit -Form U not complete by other departments Not in conformance with Growth By- Other insufficient frontage Remedv for the above is checked below.. Dimensional Variance Special Permit for Watershed Review Special Permit for Site Plan Review X Special Permit.for sign Complete Form U sign -offs Copy of Recorded Variance Information indicating Non -conforming status Copy of Recorded Special Permit Other Other Plan Review The plans and documentation submitted have the following inadequacies: 1. Information Is not provided, 2. Requires additional information, 3 Infnrmatinn ranuirac mora rlaririrafinn A Infnrmnfinn is inrnrrcrt S All of nca nhnvn # # Foundation Plan Plumbing Plans Subsurface investigation Certified Plot Plan with proposed structure Construction Plans 116 Affidavit Mechanical Plans and or details Plans Stamped by proper discipline Electrical Plans and or details Framing Plan Fire Sprinkler and Alarm Plan Roofing Footin q Plan Plans to scale Utilities Site Plan Water Supply Sewage Disposal Waste Disposal Other see reverse ADA and or ABBA requirements Administration The documentation submitted has the following inadequacies: 1. Information Is not provided. 2. Requires additional information. 3. Information requires more clarification_ 4_ Information is incnrrart 5 All of tha ahnva # # Water Fee State Builders License Sewer Fee Workman's Compensation Building Permit Fee Homeowners Improvement Registration Building Permit Application Homeowners Exemption Form Other Other The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled "Plan Review Narrative" shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file. You must file a new building permit applicatiTform and begin the permitting process. i ui&g Department official Signature Application Received Application Denied If faxed: { Denial Sent Referral recommended: Fire Health Police X Zoning Board Conservation Department of Public Works Planning Historical Commission Other BUILDING DEPT cc: uviittam scori Revised 9197 jm Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the building permit for the property indicated on the reverse side: man rri.�cx�j; �Y�� rg� r � .�� r � ��a �..:, e; ,.: $ ,5'^�.fiAX@ 3 Permitted signs: 6.6 (A)(5) One (1) unlighted identification sign at each public entrance to a subdivision not exceeding twelve square feet in area; to be removed when the subdivision roadway is accepted by the Town. Section 6.6 w N Sign permit worksheet Sign Permit work sheet /T c /h�. ( Property Owner (� 'e- �/!�j®/' t�y Property owner Address o,7S /% FurA)PI %Y id ,Sui 67DO So,—A 6onvcdd 4 MA Business name f�� //0 /),? 'e- c" rJ9ara-4COA Sign Location Address p1 U lea-) �S' S Y5- rvfp, Sf Zoning District V-)R�� b m2 5 ado` mR iaD' L a 4 asp' /-,` §S JaR. Allowed area 35- 1.20 Proposed area 67 y ' Allowed height Proposed Heigh Allowed setback /D Proposed s tback ��f eJY-Al2 Sign Allowed yes or no Estimated cost $ ? Fee $ a5". yfitiaah Notes 5 ��y�frn�e, � /��uw-�� z /3 /1 14PvPvI1 tl, S C, / t OW.V S! z -c. ¢-V /a C7/ Page 1 P-. OD D m m r m 0 z n r m m r D z r z O `^J l J m m 0 (D v (D 0 D (n (D m 0 0 O Q (D v U - U) C) 0 0 (D 0 0 ON 0 v (D P- Ln. C/) o -o o• m Z J CD J O n J C O --c CD O-0 o(c --0 7 v (Da Z (D (D O' O C/) cn o o o CD = CD — Cn (D (D J C cn v (D O0 (D _O n O J `G CD W _� o O -0 CD (D (D V (J J E3 oo _ �_ cn C7 (L' (D 2) LO _- v o cncn o 9] 0- C O o�rn C 70 (n 3 CD orn0-v l< o--, (D < (D o N 0 0 \✓ o (D EJ CD o c� CD o _ o� �'?•�o CD o -CD CD Q w (n J. CD Q � O w — E- -0 �- •,•, ((DD - (� N �_ cD 3 J f= v o w S y cn C/) Cl) , k cn 2 Q) 0 _0 Z C7 O G CP A m 6R�C^J C -t txle-S PUI..,l E Muster Builder � ' r Estates U 94 It 97' CL a Z IS35'58'SO�W� kh ZO c� } z F-- �, o i 97' CL a Z I I i I t � 7 ": E ! � t � � ► II i COO lig iii it, LI I 1 D by/ � E 4 \ o� � 4'Fjb RO Kimballe �y�9 E NG1ME ` IDS I Fond cF i I': \ c I y, 77 k PD `L �"�9 J> pp„ Yl B� {m ST �y 'fS5 tx { ST IANROm, ! y ST r EBO,rFORD S I'YN I r Em 4 J U sy\gRr krY SuxIMRp 0{i STATE "W dT'J I FOREST I � 114 a Gw It 4 a ROERNS �tl NERH !i LA TOa/ne 0 1 on 11 yah pESt 5� i SNARPNERS 1 `1 OFDOV, I I �7IE Sr j POND S` �y I RES STATE Cedar 1 OREST` ( \ 11 `�_ 1Mbp 5 \`�/1 Pond N� CROSSBOW 91 E pti5 RE �~ �pStOR 5<ti yvN9 sr D�` ` ' sox [5 \ ! 3 2 S STATE \\ I ��0 bI STATEF J FOREST A h RV �^ `\fgl t G� I ■ ■ It \ < sA a. Zb4 I O Sharp— t11'' t1ERgy �' S $ Pond 000 \ \ \ VVVJI WlSOR a VA Y �\ ¢�„/ `\\ i 0 .25 .5 MILE I I 1 1 0 .25 .5 KILOMETER MIDDLE ON Berry`.� ` \ I 1/ I N (Page �R7) One inch equals approx..7 Mile F / © Copyright ARROW MAP, INC k"xr HAROLD \\ PARKER \ESTATE FOREST Stearru d \4)1 A k. / 1 ' - 1 \k . RD \;� outQY.Y �`" �qay' .II FOP d 6 EN ?. FONNES 0 I x a z FS O O 41-- m � i ¢� w Q x O G v $ w E " v cn O u z z q "a W C O G o w o rz v :c Uw" cz c u ra., o c� m c w 0 o W u l W o a v a, cn G w x o z ¢ o n; c w W A w a w v c w cA z - cn v o u 0 o cn Y> yy E a 0� G mC 3 �: �• i w r V Z r - °E 2 CQ Q A:rh P V VI :�= GO �' C ... 1 aF " Q' E 0 m C y .: ?mm p a h CA 3 O O. C=Mm N C — c 'fl C m `J _ N y C C p O E m •a :oo C CLU b.:m y m ; m W+- v c - = o a m m Q V ;,2 pZ C CL c H m N m C C = m mom, p N N ~ y m� m r LU c = N �. •ca a= W C Z CLM m o"r m.y O • V •m` omc Q = a m0o� J R R m C4) 0 �- r $ aim O C/) W PL4' 0 O 4 P4 a O O Q Z O cm y CDM O L CLQ O co 0 Q r.7 CO2 O 0 0 C.3 .n H O R L O V co CL y C O CM C OCD C o m m C C _c CL CO) w LLI 0 U) w cr LU LU cr LijW CO c c CD c : C H O r C 0 o p, C p CDW C h Y> yy E a 0� G mC 3 �: �• i w r V Z r - °E 2 CQ Q A:rh P V VI :�= GO �' C ... 1 aF " Q' E 0 m C y .: ?mm p a h CA 3 O O. C=Mm N C — c 'fl C m `J _ N y C C p O E m •a :oo C CLU b.:m y m ; m W+- v c - = o a m m Q V ;,2 pZ C CL c H m N m C C = m mom, p N N ~ y m� m r LU c = N �. •ca a= W C Z CLM m o"r m.y O • V •m` omc Q = a m0o� J R R m C4) 0 �- r $ aim O C/) W PL4' 0 O 4 P4 a O O Q Z O cm y CDM O L CLQ O co 0 Q r.7 CO2 O 0 0 C.3 .n H O R L O V co CL y C O CM C OCD C o m m C C _c CL CO) w LLI 0 U) w cr LU LU cr LijW CO Locations , �, No. S- Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ \,� "'% Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee TOTAL Check # 40% 9nn 7_ !' ((4,o" y C Building Inspector AMesiti Dev Group Fax:978-5578160 Jun 13 2000 12:43 P.02 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP.A IR, RENOVATE, OR ^DEMOLISE A ONE OR TWO FAMILY DWELLING • L...., -r _� ��... :�' Y�1Z _ _�_�1 `{•vrR. �• rI<'�Yl..... �wi� . BUILDING PERMIT NUMBER. C-/C>l DATE ISSUED: (2�) --30 �l 77 SIGNATURE: Building Commissionerffnspector of Buildings - Date c «rTTnN 1- STTR TNF0 RMATT0N l I 0%-r- f 1.1 Property Address: — 1.2 Assessors ,\iap and Parorl Number: /x yS rA-1 rm /076 77 ,fap Numbc Parcel Numbs F4RaS- V/rr W Egtffa S_ 1.3 Zoning information: 1.4 Property Dim=ans: V S; nr w l� F�tin i, Rrsid s�J,00a esti: o� Zonis g Distrix se _. Loi Ares(sf) Frccii= R) 1.6 BUILDING SETBACKS (ft) -� Front Yard Side Yard Rear Yard Required ProNride R ed Provided Required Provided 1.' Waren SappiyM G.LC.40. 5 54) Zone ]S. Flood Zana Iatioa: Outside Flood Toon 0 1.s munic4w Sewer Disposal Sys..,.,. Q on Site Disposal system a Public o Prvata ] AUTHORIZED AGE''(T SECTION 2 - PROPERTY OWNERS 2.1 Owmer of Record Nla soiti - Moaet s FA& LLC a3/ Sgu#ou Stn Suii e 2-E N Amdo—yrk Name (P nt) Address for Service i s Si3rrature Telephone i.. 2 2 Owner of Record: Name Print Address for Service: Signature Tele hone SECTION } - CONSTRUCTION SERVICES 3.1 LicenscJConstiructioa Supenisor: -- I �A � '� Licensed Cc _ s'�ructwn Supervisor. k�M ✓r e Address Sisnature Telephone �I 3.2 Registered Home Improvement Wnumctor �; Company Not Applicable 0 oz��sy License Number ,r - z3- 700 z -- Expiration Date Not Applicable 0 Rcgstradcn Number Expiration Datc M X Z O D M 0 v. _. Rr Ir+� r .c Mes i t i Dev Group Fax :978-5578160 Jun 13 2000 1243 P-03 (sloe, SECTION 4 - WORKERS COMPENSATION (NtQL C 152 § 25 (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 ......A No ....... 0 SECTION 5 Description. of.Prn osed Work check all a Mabte New Construction l$ Existing Building 0 Repair(s) ❑ Alterations(s) ❑ Addition 0 - Accessory Bldg. 0 Demolition 0 Other 0 Specify Brief Description of Proposed Work: Qao m . 0'la 3 4A 2 s4a u ADx Re L., %.e- SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item,a,�..,..... Estimated Cost (Dollar) to be ., Completed by t applicant �Mtr, 1. Building (a) Building Permit Fee 7- U 00 Multiplier 2 Electrical (b) Estimated Total Cost of Zoo, 00 Construction 3 Plumbing 000 , 00 Building Permit fee (_) z (b) _ 4 Nfechanical (HVAC) 1.7-.00100 5 Fire Protection 6 Total (1+2+3+4+5) 1$" Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN G PERT OWYERS�AAGENT OR CONTRACTOR APPLIES FOR BULLDLYMI I, ' 1f4,`a12 as Owner_u�onzedAgentf subject property Hereby authonzg to act on a all rive to .v rk authorized by this building permit application. - 2h Sizia e of 0 er Date SECTION 7b RIA THORIZED AGENT DECLARATION as Own Authoriz�Aggenf subject prooerty Hereby declare chat the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print N. e _� lv 010 40 Siannature- of Owner A en D�— NO. OF STORIES SIZE �f aqz- ZZ/t L BASE;vfEN-T OR SLAB -- SIZE OF FLOOR TI�i fBERS ' 1' -' 2' 3 DMENSIONS OF SILLS 2A6 D11ENSIONS OF POSTS �( DMENMNS OF GIRDERS `2"' 1 Afq A 9 74 L V FM[GKT OF FOUNDATION =CiG�rESs SIZE OF FOOTING � 20 " X " ivLATERIAL OFC O — N , IS BUU-DL\fG ON SOLID 012 FILLED LAND ` l IS BUQ,DLIfG CONNECTED TO N�AIZIRAL GAS LLNE IC-:) I.L. l LIC'! IJI UUN I QA ..:If O JJf olUll ,)UI I 1.! [UUU 1,4 ' JU FORK[ - U - LOT RELEASE FORK[ INSTRUCTIONS: This form is used to verify that all -necessary approval / permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. i.■ .. • r■ .. ■. r a■• ■ r r r .■ r. a r r ■ r r r . r r r .• r. r r■■ r a r. r a r r it .. it a r a a a r r a a a a r r a.a ■ r a r e AT PLIC HINT�/li ��0/J1� ��2� dim �J �/t�/a��1 PHONE ASSESSORS iNIAP NUMBER 07 LOT NUMBER. 77 SUBDIVISION;26sj ///� �ci LOT NUMBER 1 STREET 7 /t'rVf e_ STREEI'NUMBER a a a a r a a. a a.• ■ a a a ... r ... r. .... .. .... ■. r ..... r r r ...... r .. r r. r. r■ r.• . r r K• r■ OFFTCL�L USE ONLY �. r r r a r a+ r a .... r• .. ■ ... • ... a r r. r r r r a r r r r r r .rrrr .rrrr ■ a a a. a r r. r r r r r r r a r a r r a r■ RE MvIENDATIONS OF TOWN AGENTS •• ■ r {.a ■ r a■ • .. • • ...... r.• .. r ... r r. r. r r r r a• .. ■ r r a a a a a a r a r a a a a a•• a r a r. r a DATE APPROVED b -Z6Itc> CONSERVATION ADMNSTRATOR DATE DEJECTED - DATE APPROVED U� TOWN P R DATE REJECTED C O MVENTS DATE APPROVED FOOD INSPECTOR FTALTH DATE REJECTED 274J&t DATE APPROVED D� SEPTICNSPECTOR - HEALTH DATE REJECTED PUBLIC WORKS - SEWER / WATER CONNECTIONS DR'V WAY PER/MjTr ,/ L DATE APPROVED FIRE DEPART DATE REJECTED RECEIVED BY BUILDING INSPECTOR DATE L �j(�`.< r_ W/ I(D \ o\ \ r T l 1 \�1� X69 X 7 \oc ' ru / +h po \ '3 , i 0 I 1 \ / 1 tOT 1 50,000 SF — IM/.=135.00 1 � ' I 12" IMI.=135.15 \\ 1 i RCP 0 (CLASS V) � � r v ,�O J H s --__ ROUTE 114 1 L s �, ---------o- LE PULTE HOME CORPORATION RESERVES THE RIGHT TO MAKE FIELD CHANGES TO THIS PLOT PLAN IN ORDER TO ACHIEVE PROPOER SITE DRAINAGE, MEET SETBACK REQUIREMENTS, AVOID LEDGE OR ACCOMMODATE THE CONSTRUCTION OF THE HOME IN THE MOST OPTIMUM WAY. THESE FIELD ADJUSTMENTS MAY BE MADE WITHOUT CONSULTATION WITH THE BUYER IN ORDER TO EXPEDITE THE CONSTRUCTION OF THE HOME. PROPOSED SITE PLAN LOT 1 FOREST VIEW ESTATES MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR PULTE HOME CORP. OF NEW ENGLAND 62 MONTVALE AVE. SUITE I STONEHAM, MA. 02180 257 TURNPIKE ROAD - SUITE 200 (617) 438-6121 SOUTHBOROUGH, MASSACHUSETTS 01772 SCALE: 1'=40' DATE: 6/14/00 i Mes it i Dev Group Fax: 978-5578160 Jun 13 2000 1253. P.18 L BUILDNG DEPARTN EI T DEBRIS DISPOSAL FORM In accordance with the pravisions of MGL c 40 S 54, a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in a proper17 licensed solid waste disposal facility as ` defined by MGL c 11, S 150A the debris will be dismsed of in: Location of Facility SiPTCure oTPermit AppliC= Date Ni =r-: Demolition permit .from the Town of North Andover must be obtained for this project through the QfEce of the Building Insce-c-tor w.. i I GROWTH MANAGEMENT BYLAW EXEMPTION`STAENiENT TOWN OF NORTH ANDOVERBUILDING :DEPARTME1�iT . This form shall be used to assist the Building Department in theu determination of exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw.: The licant shall provide all of the .. necessary information as requested below. 1,. / �ar �� c ur �y R�t. 74 7 - Permit Applicant Property address l� / Map /Parcel 7 a 0 a S" Applicant's Phone Number Single Family Two Family 1 the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the ENEMPTION section 8.7.6 of the Growth Management Bylaw. I also understated providing this form does riot absolve me or any party to this permit from the requirements of obtaining other permits required prior to the isste�nce of the building permit. Further 1 understand that my interpretation of the exemption stews is subject to review by the Building Department a¢id�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 u applied for on the above lot;. in the Wilding 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 orreconstruction of a dwelling in existence as of the effective date of this bylaw, provided that no additional residential unit is created. •lite lot(s) was / were created prior to May 6, 1996 and are exempt from the provisions of section 8.7 of the Zoning,Bylaw. This application is for dwelling units for low and or moderate income families or individuals, where all of the.conditions of 8.7.6 are met and or represents dwelling units for senior residents, where occupancy ofthe units is restricted to senior citizens through a properly executed and recorded deed restriction running with the land. For purposes of this section "senice,' shall mean persons over the age of 5 5. This application is part of a development project which voluntarily agreedto a minimum 40 %permanentredudton m density (buildable lots) below the density permitted under inning and feasible given the environmental conditions of -the tract; with the ' surplus land equal to at least ten buildable saes and pertnaneraly designsted as open space or farmland. The land to be preserved shall be protected from development by ate Agticvhural Preservation Restriction, Conservation Restriction, dedication to the Town or'ct}ier similar mechanism approved by the planning board that will ensure its protection. This application represents a tract of land a fisting and not held by a Developer in common ownership with an adiaceat parcel on the effective date of this Section 8.7 and shall receives onetime exemption from the Planned Growth Rate and ` Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the.parccl.. This application represarts a lot which is ready for a building permit ( all other permits from all otherboards and commissions have been received and the project is in compliance with those permits), and the Developmerrt Sdtedule'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 aceommodaes issuing building permits Applicant. must submit an approved FORM U with this EYE.LfPTION. PLEASE PROVIDE ANY AND ALL LNFOR'�IATION THAT WOULD ASSIST THE BUILDING DEPARTMENT N MAKING A DETER.VIINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS: BY SIGNING BELOW I .ATTEST TO THE ACCURACY OF THE INFOR.�iATION PROVIDED AND THAT THE ATTACHED BUILDING PERMIT IS ALLOWED AN E��LPTION AS CITED ABOVE. FURTHER I UNDERSTAND THAT THE SUBIAITTAL OF MISLEADING OR INACCURATE INFORMATION OR CHECKING OFF OF A ABOVE E: MMPTION WHICH DOES NOT COMPLY, WHETHER DONE TO NIY KN0 DGE.OR NOT IS GROUNDS FOR REFUSAL.. BY THE BUILDING DEPARTMENT TO ISSUE A BUILDING PERI 41T. PLICANTS SIGNATURE DATE THIS FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION i i . -10.le tK';�'':I.� ' r 3Yar,.1.c(lazJy; t 'I -l` �iJ-G`i r k 8 ,.F`�"1 �� ;�,�: r,� r •--r?�—r- r r• \1r y i i,� �' `; .. � _ 3 1 3t GaP t .:Y.:•,.. ,.r'r ;.Jct. --' it "3l^......_�q 4a ... .. .. '' �..�� -.�_a.,... t. MUM .. ... _.,.,.. MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.01 Checked by/Date CITY: Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 6-19-2000 TITLE: Lot # 1 Sudbury levation #1 Forest View PROJECT INFORMATION: Forest View Andover, MA. COMPANY INFORMATION: Pulte Home Corporation New England Division NOTES: Customer purchased elevation #1, 3 add'1 windows, 2 sklights, transom pack, and a walk out bay. COMPLIANCE: PASSES Required UA = 505 Your Home = 504 Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value U -Value UA ------------------------------------------------------------------------------- CEILINGS 1746 38.0 0.0 52 WALLS: Wood Frame, 16" O.C. 2447 3.0 0.0 201 GLAZING: Windows or Doors 469 0 330 155 GLAZING: Skylights 24 0.420 10 DOORS 44 0.280 12 DOORS 20 0.180 4 FLOORS: Over Unconditioned Space 484 30.0 0.0 16 FLOORS: Over Unconditioned Space 1218 21.0 0.0 53 FLOORS: Over Outside Air 16 30.0 0.0 1 HVAC EQUIPMENT: Furnace, 80.0 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 requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 04. of t e design load as specified in Sections 780CMR 1310 a Builder/Designer Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Lot # 1 Sudbury Elevation #1 Forest View DATE: 6-19-2000 Bldg. Dept. Use CEILINGS: Comments/Location WALLS: [ ) 1. Wood Frame, 16, O.C., G I� � Comments/Location ion WINDOWS AND GLASS DOORS: [ ] 1. U -value: 0.33 For windo s without label d U -values, describe featur # Panes Frame Type The mal Break? [ Y s [ ] No Comments/LocationI IF SKYLIGHTS: 1. U -value: 0.42 For skyli hts without label d U -values, describe featu s: # Panes Frame T e Therma ?Break? [ Yes [ ] No Comments/Location DOORS: 1. U -value: 0.28 Comments/Location 2. omments 0.18 / C CommentLocation rTi FLOORS: 1. Over Unconditioned Space, R-30 Comments/Location {� 2. Over Unconditioned Space, R-21 Comments/Location 1 �^I �i�� 3. Over Outside Air, R-30 Comments/Location HVAC EQUIPMENT: [ ] 1. Furnace, 80.0 AFUE or higher �� I Make and Model Number �— �%ll AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. Vr 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: [ ] Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R -values, glazing U -values, and heating equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts shall be insulated per Table J4.4.7.1. DUCT CONSTRUCTION: [ ] All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic -and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. [ ] SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 200 of the heating energy is from non-depletable sources. Pool pumps require a time clock. [ ] I HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids •below 55 F must be insulated to the following levels (in.): PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 [ ] CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.): PIPE SIZES (in.) NON -CIRCULATING CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F): RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 I 1.0 1.5 2.0 140-160 0.5 I 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only)------------------------- �O 0tj (52 � 5-7 1 ROOF WNMWS Precision Engineered and Built to Last a Lifetime 75too, zt ROOF WNDOWS Precision €aeifleci'ed and Built to Last a Lifetime CERTIFICATE O F INSURANCE ISSUE DATE: 6/16/00 THIS CERTIFICATE IS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED COMPANIES AFFORDING COVERAGE COMPANY A Pacific Employers Insurance Company COMPANY B COMPANY C COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EFFECTIVE EXPIRATION Co TYPE OF INSURANCE POLICY NUMBER DATE DATE LIMITS GENERAL LIABILITY GENERAL AGGREGATE COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. ON AN OCCURRENCE BASIS PERSONAL & ADV. INJURY EACH OCCURRENCE ADDITIONAL INSURED: FIRE DAMAGE (Any one fire) MED. EXPENSE (Any one person) AUTOMOBILE COLLISION DEDUCTIBLE COMPREHENSIVE DEDUCTIBLE LOSS PAYEE: COMBINED SINGLE LIABILITY LIMIT (Owned, Hired & Non-owned) ADDITIONAL INSURED: EXCESS LIABILITY EACH OCCURRENCE AGGREGATE WORKER'S COMPENSATION and WLR C4 301187A 511/00 5/1/01 STATUTORY LIMITS A EMPLOYERS' LIABILITY EACH ACCIDENT $1,000,000 MA,NV SCF C4 3011881 511/00 5/1/01 DISEASE-POLICY LIMIT $1,000,000 DISEASE-EACH EMPLOYEE $1,000,000 PROPERTY REAL AND PERSONAL PROPERTY, INCLUDING WHILE LOSS PAYEE: IN COURSE OF CONSTRUCTION: PER OCCURRENCE LIMIT MORTGAGEE: SPECIAL FORM (INCLUDING FLOOD AND EARTHQUAKE) DEDUCTIBLE PER OCCURRENCE OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED s BEFORE THE EXPIRATION DATE THEREOF, WE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. AUTHORIZED REPRESENTATIVE \ JK \ t � 1 � \ \69' 1 \ \ c'- 41 a / Fb `\ ► 1 ► �� -L�---lam \ '80T.A34Lo (\\ L 1 � I tOT 1 ; 50000 SFS ; `\ �T INV. -135.00 �' INV. 135.15 \\ 1 CP (C[ASs �\ \ --------- --- n ------- PULTE HOME CORPORATION RESERVES THE__ RIGHT TO MAKE— FIELD-- CHANGES-- TO THIS PLOT PLAN uw IN ORDER TO ACHIEVE PROPOER SITE DRAINAGE, MEET SETBACK REQUIREMENTS, AVOID LEDGE OR ACCOMMODATE THE CONSTRUCTION OF THE HOME IN THE MOST OPTIMUM WAY. THESE FIELD ADJUSTMENTS MAY BE MADE WITHOUT CONSULTATION WITH THE BUYER IN ORDER TO EXPEDITE THE CONSTRUCTION OF THE HOME. PROPOSED SITE PLAN LOT 1 FOREST VIEW ESTATES NORTH ANDOVER, MA PREPARED FOR PULTE HOME CORP. OF NEW ENGLAND 257 TURNPIKE ROAD — SUITE 200 SOUTHBOROUGH, MASSACHUSETTS 01772 0� A s 31111DA MARCHIONDA & ASSOC.,L.P. ENGINEERING AND PLANNING CONSULTANTS 62 MONTVALE AVE. SUITE I STONEHAM, MA. 02180 (617) 438-6121 SCALE: 1"=4-O' DATE: 6/27/00 i --1 w -I < Z Ulm O o ® 5 CM) CLz cl oj °� O-+ -* z aj m ,.* .., O O 't1 N a m C7 ® �. > > �' o c 3 e O ur cm n CD cn PD M MG O o =� =rp. D M -• 0-3 ' X CD � M y a' u3 n cp c�•„ m c 0 3 ;., o, t m0. C Ln a'oc o® 1- 3oCq -� E 5 o ; ; � a r®�, c� d ti o U3 M CD (� (DFL O rF O:4 : v N O CD mn s r :q: .'K 3® C (� (0�._ o r 5 CD 0 --I oi W o ® o 57. (PD �0 y U) M C M CD 0 M 0 vi 10 C � CO) Cl) 10 0 CD n Z CA Q.O �. r o CO) � O � -t CD o p CD O c=r %c CD CD O CS CD ww C CD y� CD CLO CA 5. O I CO CD O p b C/) n O z c cn O — N O w w ESC Q' � O y W7o n• oCa ='m0 m n rd w CM (A C � m goo ��^• O m 7C .d.►m CL 0 T = =rm a?m p y o �Omy yo n 74 IP6. cc kc CA n n O CL ;Q� moC,Au m itF` _ CD O d y H C=Q d C W CL CO) O [� ` t0 CA,CO) = iCDrCWD too C, 0 co J CD 05: � :s c L: ltd C! .� C.2 :Ao: CO o= cn.: ��co w = W7o n• oCa = ao or -c rd w oGa goo ��^• 0. 1 omi 0 0 c Mesiti Dev Group Fax:978-5578160 Jun 13 2000 12:54 P.19 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 41 Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print Name: Location: City Phone F7 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity F7 I am an employer providing workers' compensation for my employees working on this job. Yo Company name: GI L TS ey 2,o, V/` /UG"uJ 6Wz,:e.1d Addresso�S% %�l�.4/kE Ied. ;u/rE aUO City: SSQU7& 34.P�u4f1 /%%/,�. O /77� Phone#: 5-0 9—,'i��- �jC)aoZ X � 5-5 t' Comggnv name: Address CRY 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 #y be forwarded to the Office of Investigations of the DIA for coverage vefcadon. 1 do herby certify under the pains and penalties of perjury that the information proviced above is true and correct. Signature Date z' Print name Phone *-S yo/� Official use only do not write in this area to be completed by city or town official' ❑Check if immediate response is requvsd Building Dept Contact person: Phone 9: i i iRMWORKMAN'S COMPENSAT70H i i t t t� I