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HomeMy WebLinkAboutMiscellaneous - 186 WEBSTER WOODS 4/30/20184212 . Dated• .. ... .. ...... ....... TOWN OF NORTH ANDOVER PERMIT FOR WIRING ......... .... This certifies that ..... C ............. ..... ....... has permission to perform ....... . ......................................... P wiring in the building of ....... m .......................................... al� A I -v C10 Of 1- o. at ... ..... . / ........................ ........ North r, Fee . .. .............. Lic. NO.4 . ....... ................ ........... .. - -i :r LECrRI AL INSPECTOR Check # 7 Consnsorturaa o` //%aaaat/ete4a(� For Office Use Only in c� cc77 (Rev. 11/99) �:JrpmEntsrsf o�.J`iro �aroica! I Permit Number. BOARD OF FIRE PREVENTION REGULATIONS if Occupancy BFee APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK (ALL WORK TO BE PERFORMED Wrn" THE MASSACHUSETTS ELECTRICAL CODE 527 CMR 12:00) PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: // – / Y Z= City or Town of:U/y z�4 w� /• To the Inspector of Wires: o: ; _:::•� � �- By this application the undersigned gives notice df his or her intention to perform the electrical work described below. - Location: (Street & Number) Xaa Owner or Tenpnt:_ ge Owner's Address: Is this permit in conjunction with a Building Permit? Yes .5-- O �o (Check Appropriate Box) Purpose of Building ,' e- . / u-r�Itft� Authorization #:_ 33 —7 Existing Service: Amps ^_I Volts Overhead ❑ Underground.❑ # of Meters s _. 1 New Service: Z�C Amps2-o' 12 yv Volts Overhead ❑ UndergroundZ-� # of Meters: Number of Feeders and Ampacity: Location and Nature of Proposed Electrical Work: 1;1./, No. of Recessed Fixtures �-- No. of Cell.-Susp. (Paddle) Fans No. of Transformers Total KVA No. Of Lighting Outlets 2 v No. of Hot Tubs / Generators KVA No. of Lighting Fixtures Swimming Pool: Above Around o In Ground o # of Emergency Lighting Battery Units - No. of Receptacle Outlets `v No. of Oil Burners Fire Alarms # of Zones # of Detection & Initiating Devices-� No. of Switchesv No. of Gas Burners # of Sounding Devices:--�c�-- # of Self Contained Detection/Sounding Devices ' No. of Ranges No. of Air Conditioners Z TOTAL TONS: S` Local a Municipal Connection a Other No. of Waste Disposals Heat Pump Totals: Security Systems: ( Number: TONS: KW: No. of Devices or Equivalent No. of Dishwashers Space /Area Heating: KW Data Wiring, No. of Devices or Equivalent: No. of Dryers -.- Heating Appliances KW Telecommunications Wiring: No of Devices or Equivalent: No. of Water Heaters KW No. of Signs: # of Ballasts: OTHER; Nyoro Massage Tubs No. of Motors Total HP iof INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including `completed operation' coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 9---B'OND ❑ OTHER ❑ Please specify: f --- 2 Pa 3 Estimated Value of Electrical Work $ (When required by municipal policy) Work to Start: // _ /,F-- eF r-- Inspections to be requested in accordance with MEC Rule 10, and upon completion. 1 certify, under the pains and penalties of perjury, that the information on this application is true and complete. ol LIC. # "/j - --k LIC. # I 4:E F3 a Alt. Tel. # 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 hereoy waive this recuirement. I am the (check one) Owner o OR Agent o ) U Signature of Owner/Agent Telephone # PERMIT FEES S - location /e�'�-� No. `2�3 Date �� d2 MORTq TOWN OF NORTH ANDOVER F 9 ` Certificate of Occupancy $ �.�S',^° • �cNuS Building/Frame Permit Fee $ s Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # JI 17,x3 T./ 1 5 4 2 9 /f Building Insp TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: a SIGNATURE: M (62��__ Building Commissioner/In for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: r'�� L! eavx �6� �F 1.2 Assessors Map and Parcel Number: i661 Map Number Parcel Number l� 1 Ue bsfer woods L n, 1.3 Zoning Information: Zoning District ProposedTfse 1.4 Property Dimensions: i_Tco 1 gam_ Lot Area so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided R red Provided 0/ ' 301 2 of 1.7 Water Supply M.G.L.C.40. 1.5. Flood Zone kformation: 54) Public jr Private ❑ 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 C a&� l ���s;- ��� �d� e� v,� s� 5u;fes moa Name (Prints Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: C, Licensed C nstructiou tiperv/i�sor: R �{y t' 0, i V f 1�� 611zl Address - (75 S�S%'310Z S}�� 0 Telephone Ar 6757 7 Not Applicable ❑ CS (veI2310A License Number ` 5 �/J1/03 Expiration Date . 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name _ Registration Number Address Expiration Date Signature Telephone . .K SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes ...... No ....... 0 SECTION 5 Descri tion of Proposed Work check all applicable New Construction Existing Building ❑ 1 Repair(s) ❑ Alterations(s) ❑ 1 Addition ❑ Accessory Bldg. ❑ I Demolition ❑ l I Other ❑ Specify Brief Description of Proposed Work: slar v Crr/crn , a c, ln7Tl11►T !•/ACTc Item ----- Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE" O yLY 1. Building f , J 3 6o Q (a) Building Permit Fee Multiplier S p K ® b 71 + 5-0 0 e 2 Electrical (b) Estimated Total Cost of Construction o2 [ / 8 yJ 3 Plumbing SPAN Building Permit fee (a) x (b) Q 2 4 Mechanical (HVAC) (o 5 Fire Protection DIWNSIONS OF POSTS 6 Total 1+2+3+4+5) © Check Number SECTION 7a OWNER AU1HOKILA11O1N 1V155I,ViV1rLZJLrJVVr=0 OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property eb�/authorize to act on behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1 ' - as mar/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 Print Na * Signature of Owner/A e 1161a.2 Date , WINE NO. OF STORIES SIZE 3 2n J BASEMENT OR SLAB SIZE OF FLOOR TIMBERS1sr " RD i y-2ND%','r�Tdsst'3 SPAN DIMENSIONS OF SILLS (o DIWNSIONS OF POSTS " 5�� e DIMENSIONS OF GIRDERS a — -I-eel" HEIGHT OF FOUNDATION F THICKNESS %o r� SIZE OF FOOTING 4. d X Z-0 MATERIAL OF CHIMNEY 6L)a IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Vle FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verity that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from complianc.- with any applicable or requirements. t****************************AP P L IC ANT FILLS OUT THIS APPLICANT Cc?>t�h?if� �O��Sf LLC' PHONE 68.7 -6,7,0 LOCATION: Assessor's iN1ap Number J�C7 PARCEL SUBDIVISION�` �Aejll LOT (S) STREET p�Si Lt�UI)�S �'1 ST. NUMBER /S * �, *************************O F F IC IAL USE ONLY*********************** RECOMMENDATIONS OF TOWN AGENTS: 1 CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS V ti WN PL KER COMMENTS *E FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED Y� — DATE REJECTED-•-� DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTO Revised 9197 jm DATE ! X 6a z»aancuealllz v � 6tfrasarluse l } a BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR ' Number: CS 042318 Birthdate: 08/31 /1952 Expires: 08/31/2003 Tr. no: 989 Restricted: 00 ROBERT A MESSINA 44 GT POND DR BOXFORD, MA 01921 Administrator The .Commonvvealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, plass. 02111 Workers' Compensation Insurance Affidavit FN—ame Please Print I Name: Location: City Phone # ❑ 1 am a homeowner performing all work myself. F7I am a sole proprietor and have no one working in any capacity 1 I am an employer providing workers' compensation for my �e/mployees working on this job. LA'S/ / (�,e � co7 Address %00 /V20 -5-S30 5U ft'_ D City" /U�'>T`�l/t lea i1 ���SJ Phone # Insurance Co.. 5tRr Policy # to G_ O / 6-6-6 Y Comoanv name: Address Citi: Phone #: Insurance Co. Policy # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties or a fine up to $1,500.00 and/or one years' imprisonment as well as qinalties in the form of a STOP WORK ORDER and a fine of (3100.00) a day against me. I understand that a copy of this statement 7fay be fo rded to the Office of Investigations of the DIA for coverage verification. I do hereby certify and the ins and nalti s of pe ry that the information provided above is true and correct. Signature Date 0.2 Print name Phone ('0 Official use only do not write in this area to be completed by city or town official' City Town P=rmit/Licensinn or Building Dept ❑Check if immediate response is required Licensing Board 0 Selectman's Office Contact person: Phone #: Health Department 0 Other F - Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building 0epartment in their determination of exemptions under section 8.7.6 of the Town of,North Andover Growth Management Bylaw. Tile building applicant shall provide all of the necessarl information as requested 'below. Name of Applicant on cuilding Permit (below) Address of Property Per Permit (below) Mao and Parcel: Purpose of Application (check below) Phone Number of Applicant Single Family _ Two Family 1 the undersigned applicant for the above property attest that the attached building pe.=it ror which this form is completed does comply with the E{EiMP71ON section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me cr any party to this permit from the requirements of obtaining other permits required prior to the issuance of the =uiiding Permit. Further I understand that my interpretation of the EXEMPTION status is subiect to review by the Building Oepartment and is only of8cally accepted when the Building Permit ig issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement. restoration, or recanstructren of a dwelling in existents as of the erfiec*rve date of this by-law, provided that no additional residential unit is created. The lot(s) were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning _ffylaw. This application is for dwelling units for low and/or moderate income families or individuals, where all of the gnoitions of 8.7.6.care met and/or represents Dwelling units for senior residents, where occupantl of the units is restricted to senior persons through a property executed and recorded deed restriction running with the land. For purposes of this Section "senior' shall mean persons over the age of 55. i! This application is a part of a development project which voluntarily agreed to a minimum a0% permanent reauction in density, (buildable lots), below the density, (buildable lots), permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently designated as open spate and/or farmland. The land to be preserved shall be protected (ram deve!coment by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 6.7 shall receive a ane -time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the Parcel. This application represents a lot which is ready for building permits,(i.e. all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that Year, one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved fame U with this EXEMPTiON. Please provide any and all information that would assist the Building Department in making a determination' that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to ccuracy of the information provided and that the attached building permit is allowed an EXEMPTioN s cited ave. Further I understand that the submittal of misleading and or inaccurate information, 'r the checki g off of an above item which does not comply, whether done to my knowledge at, is gyounds for re' at by the Building Department to issue a Building Permit. 1,2 ignature of Owner o A art d A e ho signed the Attac. ed Budding Permit ate This form must be a ched to the Building Permit upon application far such permit BUILDING DEPARTMENT DEBRIS DISPOSAL FORM In accordance with the provisions 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 properly licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: _{ v<�,p sfer - lUo�k:C�s� ,12ec�' �/��. �'�t'P_ %f/�i•�s�%�-iY /� Location of Facility 2-! Si e dYPermit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector r- N � FORM J LOT RELEASE The undersigned, being a majority of the Planning Board of the Town of North Andover, Massachusetts, hereby certify that: a. The requirements for the construction of ways and municipal services called for the Performance Bond or Surety and dated Dec I1W, 19 Iq and/or by the Covenant dated Maw al , 19 39 and recorded in District Deeds, Book 4 S$0 , Page laq or registered L-4 No. Land Registry District as Document and noted on Certificate of Title No. in Registration Book Page has been completed/partially completed,�to the satisfaction of the Planning Board to adequately serve the enumerated lots shown on Plan entitled " Campbell roreSj DeflNih Subciiytl' PI4N Section (s) Sheets J_-7 Plan dated De n� ber 'i 19 recorded by the - ,c Ex` Nart�, District egistry of Deeds, Plan Book or registered in said Land Registry District, Plan Book Pian -* / a7 84 , and said lots are hereby released from the restriction as to sale and building specified thereon. Lots designated on said Plan as follows: (Lot Number (s) and street(s)) b. (To be attested by a Registered Land Surveyor) (.orS Lars ! 7p,-, It 3 LoTS I`` hereby certify that lot number (s) Larl, ZS Tl+eAj 31_ 84 s1�ar1�G eA'J'r Awa wSMSS-e Woow "..,) Z *-mw Z'ruuv! Street (s) conform to layout as shown on Definitive Plan entitled L 2 Section Sheet (s) ZV,ZS on do OF MAssq ALBERT T. GJ TRUOEL 4Rg4ilsttered Land Surveyor 4 No.36869 0 a `F �FCIST ,R�� QJ� NA( LANA SJ 1 of 2 --V".?� t -.-t /) I" w,.. , wn C. The Town of North Andover, a municipal corporation situated in the County of Essex, Commonwealth of Massachusetts, acting by its duly organized Planning Board, holder of a Performance Bond or Surety dated , 19 and/or Covenant dated 19 from of the City/Town of County, Massachusetts recorded with the District Deeds, Book or registered in Land Registry District as Document No. and noted on Certificate of Title No. in Registration Book, Page acknowledges of the terms thereof reof and hereby releases its right, title and interest in the lots designated on said plan as follows: EXECUTED as a sealed instrument this S day of Ig /Ily i ' Majority of the Planning Board of the Town of North Andover COMMONWEALTH OF MASSACHUSETTS ESss �1-11\ Z1, 19 q5 Then personally appeared _ Al i:2)1 -I %ZGai-cq W one of the above members of the Planning Board of the Town of North Andover, Massachusetts and acknowledged the foregoing instrument to be the free act and deed of said Planning Board, before me. Notary blic %I 141 z00/o My Commissi n Expires 2 of 2 1754 APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. Y9� Application by the undersigned is hereby made to connect with the town sewer main in (.(/�� 7�/Lh Stfeet, subject to the rules and regulations of the Division of Public Works. n The premises are known as No. -74or subdivision lot no. Owner Contractor Address Address 1 �/ Applicant's Signature PERMIT TO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants permission to to make a connection with the sewer main at subject to the rules and regulations of the Division of Public Works.. Inspected by Date we Street Street D'Vonof Public Works By See back for rules and regulations 112' APPLICATION FOR WATER SERVICE CONNECTION 'T�r-z North Andover, Mass. t Anolication by the undersigned is herehv made to connert with the town water main inCtrAct— subject to the rules and resulations of the Division of Public Works. The premises are known as No or subdivision lot no. Owner Contractor Z' Street 14 40 Address Address Applicant's Sig re PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to to make a connection with the water main at "t/ subject to the rules and regulations of -the Division of Public Works. Inspected by Date Street Board of Public Works By v See back for rules and regulations J.WILLIAMHMURCIAK, P.E. DIRECTOR TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 o ;. m a x i. # DRIVEWAY PERMIT Telephone (978) 685-095C Fax (978) 688.9573 k DATE LOCATION ��� Wc: moi" BUILDER phone OWNER ��� FEt hone%—S''c THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM STREET. CALL THE SUPERINTENDENT'S OFFICE BEFORE FINISH GRADING AND SURFACING FOR APPROVAL OF SUCH ENTRY. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. � � `� �� ✓die -r�' _ _�_ lf.�i .�'✓�aa�ac� �a�A - ,.: anvrrea�zurea a to !. BOARD OF BUILDING REGULATIONS ` f.. License: CONSTRUCTION SUPERVISOR Number. CS 069234 { Birthdate: 05/09/1954 Expires: 05/09/2002 Tr. no: 23903 Restricted To: 00 ALAN G RUSSELL 400 MAIN ST GROVELAND, MA 01834 Administrator MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.01 Permit # Checked by/Date CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 1-16-2002 DATE OF PLANS: September 26, 2001 TITLE: Lot 28C Lincoln PROJECT INFORMATION: Campbell Forest Subdivision North Andover, Ma. COMPANY INFORMATION: Campbell Forest, LLC / Mesiti Dev. Corp. 100 Andover Bypass Suite 300 North Andover, Ma. 01845 COMPLIANCE: PASSES Required UA = 594 Your Home = 591 Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value U -Value UA --------------------- CEILINGS 1752 30.0 0.0 -62- WALLS: Wood Frame, 16" O.C. 2356 11.0 0.0 210 GLAZING: Windows or Doors 542 DOORS 0.350 190 94 0.490 46 FLOORS: Over Unconditioned Space 1752 19.0 HVAC EQUIPMENT: Furnace, 92.0 AFUE 0 0 83 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 equipelected to heat or cool the building shall be no greater than 2 0 of the esign load as specified in Sections 780CMR 1310 J Builder/Designer Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Lot 28C Lincoln DATE: 1-16-2002 Bldg. Dept. Use I CEILINGS: 1. R-30 Comments/Location WALLS: 1. Wood Frame, 16" O.C., R-11 Comments/Location WINDOWS AND GLASS DOORS: [ ] I 1. U -value: 0.35 For windows without labeled U -values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: [ ] 1. U -value: 0.49 Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location HVAC EQUIPMENT: [ ] I 1. Furnace, 92.0 AFUE or higher Make and Model Number AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: [ J I 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: [ ] I 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 1250 of the design load as specified in Sections 780CMR 1310 and J4.4. [ ] I SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. [ ] 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 [ ] I CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.): PIPE SIZES (in.) NON -CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F): RUNOUTS 0-1" 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 I 0.5 1.0 1.5 i m z 0 A. Do ID CO o OD X2.5'co CD pDD= m eo co OD / C,I \ mD x 11 COM W \m m C6 F Z m CD \ \ �• 1 f I � I \ / r/ Cg9 ' C O CO l? I1 1 m1 ` A �1 a w co o 1 ' �CO co 0 > > .j (Dl 1 zz <'� \ � 0 K co g ONmCID (D m Ya 1 8 pp W00 �XI13 SQO so 8 m to o Ul m O . al o CL O Z ° o � m ai �D C (D13 ? H N CL A 9 P X > > D 0CL PO c 3 m 0 p -+ W p -� (D D O _' K -1 Q t3 CD -n LD ntQ cCDc� p Wit. m c � 3 ;� a h� :12. m CL ni CL :3 rw �.' ,n. C p y '` 9 .v -F C > > m O 0 E o<N �, tD � Ln cr z La V� , Oaj CL loo N fD (D 91 D W D (D 23 1 m Ll 0 co CD 'n s CL D��� �( a;�; CD v y O �� 91 m m m C/) 0 v y CO) n n Z H CL o '0. O CL =• y DCO O n o CD CDCL O cr O !D CD CD ww C O V!• d v y �• o CC C Q dH = So Ro -0 CO) _ O O m Cl) C y om m Z O ._► .d.► m H T �n-►n m ? m 0 H .+ y C9 -40 CD O �m :0 n CD •a-i --ft1 O C y: 00 'D oo o o 6co). o) �3 r' a =pmt �3 CL V) m m y :M cn - C., R14 CL 1 ►Li N C :V'cc,\1 RJ � v � y >" m:co O CO � :C Z3 OQ O O O ,C/'� z \Doi m�: CD co�y o C: d 3� ter: _� �n CL Cly) L y O CD:� LW w (A w ?1 � '� 1 ,t7 't7 i� ?7In O ^ Z O ' ►ri ~ M m G w C T Crf w '' c� w P T.. S Caq O cn to x ~ Q o 0 0 L W 7 0 c Town of North Andover V%ORpff , Building Department �0�4►�n rgw6�� e� 27 Charles Street 0 ' North Andover, Massachusetts 01845 _ (978) 688-9545 Fax (978) 688-9542 '� O LOCH t pivcK 1\ APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS 18' -, W ony 3 LAP 6 LOT NUMBER 2-2�k— SUBDIVISIONT;Ye J DATE REQUEST FILED �/7/6 DATE READY FOR INSPECTION TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE N OFFICIAL USE ONLY ROUTING D.P.W. — WATER METER ATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED P R TO THE INSPECTIOI$REQUEST DATE. Q /� AUTHORIZA s. Date ... � :b:?.A.� .... Of ,,a 1+ ar o� TOWN OF NORTH ANDOVER PERMIT FOR WIRING �,SSACNU �� Thiscertifies that ........ 6.Dl.................................................................... has permission to perform : -��%;� : :...i--.......... wiring in the building of..........................(/......��. . ........................ at ... tZl........ `: --' a �- e=Z ...................................:...-1/.�......... . North Andover, Mass. Fee. �w.................. Lic. Nod .3, � \ /C... , •......................... ELECTRICAL INSPECCOR Check # i-,:' 14 AQP Official Use Only Commonwealth of Massachusetts Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 M 12.00 (PLEASE PRINT IN INK ORT AL FO ATION) Date: City or Town of -To the Inspecto of Wires: By this application the undersigned g yesToticq o tis or,her inAntiop to peFfQrrry3he electrical work described below. Location (Street%uber) Owner or TenanTelephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps i Volts Overhead ❑ Undgrd ❑ New Service Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity No. of Meters No. of Meters Location and Nature of Proposed Electrical Work: Installation of Security system Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Fixtures No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures AboveIn- Swimming Pool rnd. ❑ rnd. ❑ o. o mergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o Detection and No. Initiating Devices No. of Ranges No. of Air Cond. Tonal No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number Tons KW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances g pp Kms' Security Systems: No. of Devices or E uivalent No. of Water KW Heaters , No. o No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify) (Expiration Date) Estimated Value oaf/ ectrical Work:_ (When required by municipal policy.) Work to Start: / R5 0 Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under th pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: LIC. NO.: 1 Sqq(' Licensee: John S. Bassett Signature LIC. NO.: 1533C (Ifapplicable, enter "exempt"in the license number line.) Bus. Tel. No.: 603 594 5928 Address: Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Licl9hsee 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 tent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 1 z Q CL �oC V � 9� V o 4 z 06 W �9 �o a4 U. J 4 0� W z r' � � e Q o z � A 0 W V a a 1-0 " "ER »•� a e .• Y.t•� rd Pa ,Y C HM01- » yX H C/) m m C/) 0 m CO) CD O O CO) Cf� 0 C* d CO) CD O CD CD H CD O CCD G CD O Cy�0 d —1 aO 5.m = W 1 »m n m C7 co m z _ 7° O N m =rm. H' =w m H T * a o' ir CL Mn m �®mm p y N O? m` m 2 > >� o n O m �o� � n o o y' c w0 CD C N C -4 O _a � CO CR 9 r. �c tTle? ? ,^ .,w V) ry m t/J ami-: i n—m V � y zPO / N �d d C C pp !^^ o _c VJ y � C ft.0CD � .� VJ cm C d yite� � 4 Q �00 o z Er o ®oma CD z 3 CD $fir. cn m t cn cn a O' nm o CDo MA cn cn toc/)81� T o tz tz tz O M 1p .: on 0 0 c Location �J io C I,Uo,=JS GN No. 9 83 Date P-6-03, TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ 03-3 Foundation Permit Fee $ Other Permit Fee TOTAL Check # �� 4 15764 C Building Inspector LOT 31A A ''Pej 4,5 3 �s Iss"d, q- ?j - O -0% TM -4-&, f�e Lo-C)Q \,C w Q b 5 r woods LA ulp_ LOT 27C OF LOT JOA .16 EXISTING FOUNDATION ELICK -- 147.1 \ LOT 28C LOT 29A r•..,.r,,,�f7.3 7'.t w 59' FASEITA r w Q 0 3 j EASEMENT I o� I I I LOT 28B FOUNDATION LOCATION PLAN ms„µ `AMsMmMwrw= so W w MW a*WMVM WO MOT COMMU AW ODW -0 CLIENT: MESSINA DEWLOPMENr SUNI AS cowwwkwhAWAMNOM on= OF faAMWIaI UM) IAmsCFRnnc,4WN IS MME AND UA/M VINdMWM SWU Not K lemic V P' MW W ANr TO THE ABOVE CUENT. 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