Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 197 CARTER FIELD ROAD 4/30/2018 (2)
J u. c� .m. 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: in accordance with the provisions of M.G.L.c.143,'§,3L,the Permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed' " on the prescribed form.After a permit application has been accepted by an Inspector of Wiresappointed pursuant to M.G.L c. 166,§32,an electrical permit shall be issued to the person,firm or corporation stated on the permit application.Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall-be limited as to the time of ongoing construction.activity,and maybe deemed_bythesnsp.ector_of_Wires abandoned_and.invalidMe or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the.permit application. ❑ The Permit]Extension Act was created by Section 173 of Chapter 240 oftha Acts of2010 and extended by Sections.74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job4rowth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain-pemits-and licenses concerning the use or development ofreal property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008.and extending"through August 15,2012. ule 8—Permit/Date Closed: — A/ Note:Reapply for new permit ❑Permit Extension Act—Permit(Date Closed: � � Date . . . . TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that . . . . . has permission to perform . . . . . . . . . . . wiring in the building of . . l= i! ./ �ti ,�r�. . . . . . . . . . . . . . . . al . 19�. �2'�,Zr{z h. /� . . . . . . . . . . North Andover, Mass. Fie .,S-57 F-Lic. No. . . . . . . . s., ELECTRICALINSPE°TOR Check # 1 3 Y�3— 11321 i Commonwealth of Massachusetts Official Use Only 1132- / Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(NEC),52CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATI0A9 Date: L L- City or Town of: NORTH ANDOVER To the Inspector o Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Owner or Tenant � C Telephone No. Owner's Address S vvt 67 Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate]Box) Purpose of Building Utility Authorization No. - Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity l Location and Nature of Proposed Electrical Work: LA)S T 19-� l-2 IC1� Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators 1 KVA No.of Luminaires Swimming Pool Above ❑ In- 11o.o mergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained ..................................................... Totals: Detection/Alerting Devices r No.of Dishwashers Space/Area Heating KW Local Municipal ❑ Other El Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent ` No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or E uivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wtres. Estimated Value of Electrical Work: coo. (When required by municipal policy.) Work to Start: (L ( L— Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RAGE: 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 cover a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify,tinderthe the and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: _ ^-LLTC.NO.:,,_4.,<C L,6 Licensee: /-'t.f.C;f kt7L- MA-r-�1DA4 Signature LTC.NO.: L Zkp (If applicable ente "exempt"in the licens timber line.) Bus.Tel.No.: S-Z= q Address: ;'l,t ��dvf�`>�� � `-DSrb • Vi'�S �1 yt wG � Alt.Tel.No.: � L *Per M.G.L c. 147,s.57-61,secu 'ty work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee doesfnot 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 PERMIT FEE.$ Signature Telephone No. ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance with the provisions of M.G.L.c.143,§3L,the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed �- on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall.be limited as to the time of ongoing construction activity,and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending through August 15,2012. ❑ Rule 8—Permit/Date Closed: ***Note:Reapply for new permit ❑ ❑Permit Extension Act—Permit/Date Closed: Trench Inspection Pass Failed 0 Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature- Date: SERVICE INSPECTION: Pass Failed 0 Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass Failed 0 Re-Inspection Required($.)❑ 14 Inspectors Comments: J. Inspectors Signature: Date: ROUGH INSPECTION: Pass[N Failed Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: FINAL INSPECTION: Pass 0 Failed Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: DEB WEINHOLD ...TOWN OF MERRIMAC,MA. .......dweinhold@townofinerrimac.com The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): C�C a C Address: City/State/Zip: Phone#: 32i' 8-6, L , AZZa n employer?Check the appropriate box: Type of project(required): 1. m a employer with 4. EJ am a general contractor and I 6. F1 New construction employees(full and/or part-time).* have hired the sub-contractors 7. Remodelin 2.Lproprietor] I am a sole ro rietor or partner- listed on the attached sheet. I ❑ g ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. workers'comp.insurance. Y P tY• 9. ❑Bu mg addition [No workers' comp.insurance 5. F1We are a corporation and its required.] officers have exercised their 10. Electrical repairs or additions 3•.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.] employees.[No workers' comp.insurance required.] 13T]Other Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :�ontrajtors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site Zfonrltion. isurance Company Name: L-� A N �,_N 5 . olicy#or Self-ins.Lic.#: Expiration Date: :ib Site Address: �� �4�n f���t �t[�c� V1� City/State/Zip: t�_ ^ l��•1 G t1E Uc �� — .ttach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ne 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 Cup to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of ivestigations of the DIA for insurance coverage verification. do hereby certi underr thepains and penalties of perjury that the information provided above is true and correct. i nature: Date: -L– hone#: Q[ 7 —��6 7 Official arse only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# 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#: I je 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 work until acceptable evidence of compliance with the insurance rr 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 f 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,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 Department at the number listed below. Self-insured companies should enter their self-insurance license 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 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 burn 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 1-877-MASSAFE Fax#617-727-7749 evised 5-26-OS xxmr%xr mace rrnxz/Ai A Date . . �� ./. . . . TOWN OF NORTH ANDOVER R- a� PERMIT FOR GAS INSTALLATION Y , This certifies that 1 .`1 SM . . . . . . . . . . . . . e-- . . . . . . . . . . . . . . . has permission for gas i sta11 tion . . . �L�! . . . . . . . . . . . . . . . . . . in the buildings of. C �'-A . . . . . . . . . . . . . . at . . A ?.q` ;North Andover, Mass. Fee '. . . . Lic. No. ,I� b. . . !�'��. . . . . . . . . . . . . . . . . . . . GASINSPECTOR Check# � 8553 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK NOW - CITY /� _ }�� ��n MA DATE %-/S 1Ajj PERMIT# � JOBSITE ADDRESS _ 7 !2 i e a OWNER'S NAME GOWNER ADDRESS S A7P2 C— _ TEL — —_ FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ® RESIDENTIAL PRINT CLEARLY NEW:IRr RENOVATION:El REPLACEMENT:El PLANS SUBMITTED: YES Q NO APPLIANCES Z FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER _ _ CONVERSION BURNER 1 _ . T— _ I _ J _ _ _J _ _! —�1 _ COOK STOVE 1.L_. DIRECT VENT HEATER _ L -f _1 —J �.. ! ! —. r� I DRYER FIREPLACE _.a( _ f FRYOLATOR -_ -I FURNACE GENERATOR GRILLE - INFRARED HEATER LABORATORY COCKS I — J{ _) ! —1 - -_.-I I _ MAKEUP AIR UNIT OVEN — POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT -- TEST J 1_ UNIT HEATER - UNVENTED ROOM HEATER WATER HEATER OT ER INSURANCE COVERAGE have a current liability insurance policy or its substantial equivalent which meets the requirements of MOL.Ch.142 YES NO []) 1 IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY u OTHER TYPE INDEMNITY El BOND OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER E AGENT I SIGNATURE OF OWNER OR AGENT 1 hereby certify that all of the details and information I have submitted or entered regarding this 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 co lance with a rtine vision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME LICENSE#//S"` SIGNATURE MP fff MGF Lj JP JGFLPGI 0 CORPORATION 0# PARTNERSHIP D# LLC[J# COMPANY NAME: CTS c -- C --- --I ADDRESS CITY /l/C'us 0 A_1 _. ._� STATE ZIP 3 TEL Co is 3 3' -a 7 a p FAX _� CELL 03 7bS� MAIL _ :W ---- �� , 1 exp '617411�I w,C�,,_,�, f6t1 2-011 ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# d£� PLAN REVIEW NOTES a r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information iiPlease Print Legibly Name (Business/Organization/Individual): .0 61c.,pr j 1� 1�cJ b e Address: C-x/ A City/State/Zip: AjL,uj`Ta /C/ S Phone#: 6 d Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6 ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.# ? E]Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.El Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11. 'lumbing repairs or additions myself.[No workers'comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.]t employees.[No workers' comp.insurance required.] 13T]Other Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 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 must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site !formation. isurance Company Name: olicy#or Self-ins.Lic.#: Expiration Date: ib Site Address: City/State/Zip: .ttach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ne 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 F up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of ►vestigations of the DIA for insurance coverage verification. do hereby cert' under thepyhl and penalties of perjury that the information provided above is trice and correct. i natur . Date: zI zone#: 3 J' FP, 2W Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# 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#: S' C 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 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-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,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 Department at the number listed below. Self-insured companies should enter their self-insurance license 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 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 burn 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. #617-7274900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 .evised 5-26-OS www_mass_¢w/dia __ 11 COMMONWEALTH OF MASSACHUSETTS PLUMBERS ASND GASFITTERS LICENSED AS,A.MASTER PLUMBEF ISSUES THE ABOVE LICENSE TO �NORMAND. P BERUBE 12 LINCOLN RD N1=WNH 03858 3103 3 '41-115 88 05/01%14 COMMONWEALTH OF MASSACHUS_ETTS PLUMBERS AND.GASFITTERS LiCEIMSED ASA JOURNEYMAN PLUMB= }{} ISSUES THE ABOVE LICENSE TO cv )(} NOR-MAN D: P -'BERUBE - 'T , k` 12 ,LINCOL.N ROAD t { NEWTON N6. 3858 3103 �.w ': Z23i0 05/01/14 1T1795 i Town of North Andover Page 1 of 1 � I 6 V,- • s - • Base�Ma zonin 2012 Aerials Watershed zoneFUtilities Size❑ Selection Le end Location M rk p g ❑ a u © ❑ 9P Help Scale 1"=192 ft Select Parcels a(show all) .... . ................P . ....... Owner IPro ID -_- Address MACDONALD,PAULI 062.0-015 0 197 CARTER FIELD R Basford rf t 4 21 .4 1 selected To Mailing Labels To Spreadsheet Al. r [] Property Building Permits Planning Septic PuFj Print Ownerl MACDONALD,PAUL Owner2 MACDONALD,KELLEY ' 1 Address 197 CARTER FIELD ROAD PropertyID 062.0-0153-0000.0 Lot Size 22215.6S Fiscal Year 2013 r'• Land Use 101 Code Get Pictometry Imag Go v3.2.0 AppGeo Save Ma as Imo e ! ' Mc-tmack%W*tlar.AV Csan.tdw does=make anywaranty.espv%morIII mr essumeeny IeVL3brty mmspp>tiSitY W me ereunxy.cetttplmV-q% p'iS@t1A.ne54 Ct ttw Gee9rscar o Vdpmatkn SY:nm(G(S'J fasts brant'OtRerdata prorid !tsetein.She data dD nut uxe the pace of a ptok-warial many am has no ,..�+ leg f basing m uw_trre MAP-,JZ-,tOWinn,a eds!e�-e at a 9ea9WW WI,"-POPe'eyk-W o P%&al rvpMelt.&M WfmI ek Vauey PAnn'uy Csrmis%'W requests go Muse Of m Immnalon be 80mffq)24--d by a t 4&wce to fta= a aM"Le hte r awkVa"wxut 9 Ccnvniasamt'scaveX msi n makes m Wman'Jes a MMEMmtAftM as tO tIM_MWacy a Sala mtdtnaU011 Any kmat m mram9tI ism the rs1P'-nr50cn tisk http://mimap.mvpc.org/NorthAndovermimapNiewer.aspx 1/15/2013 i Town of North Andover Page 1 of 1 • a - 4 0 0 Base Map Zoning 3012 Aerials Watershed Zone Utilities El Size O©� Selection Legend Location Markup Help Scale 1"= 92 ft — ; Select Parcels ..__, (show all) Owner Prop_ID (Address MACDONALD,PAULI 062.0-0153-0000.01197 CARTER FIELD R $bzford 1 selected To Mailing Labels To Spreadsheet Rater Protection UO/ j ] 52 Property Building Permits Planning Septic Purr #791/ Print Ownerl MACDONALD,PAUL RY Owner2 MACDONALD,KELLEY / Address 197 CARTER FIELD ROAD L., PropertyID 062.0-0153-0000.0 0015 15 'x,^ pad /�j Lot Size 22215.6S Jnie�d. #1 3 Fiscal Year 2013 Land Use 101 2:00150 code 1 �Get Pictometry Imagii ��Go v3.z.o nppceo Save Ma as Imager, ,t— . l .', p...._.. `•1, Mettnreck%Wley RaM^9 Common 6C rmt make any*ananty,eWes&edw..wpred.=e=w*any Lupi rah04 cr nx�bxty W um acauracy.co=P.enem a' !ub*-°ss c4 the Geogrrpxc tNarmatipn Sy�i'sn kG13}O�ia crany oL�eeaata proMd?tl herein.The data abs^;nct take tttepnce W e hm m te9�beadrrg an ate acre S�Pe.�.Ncatbn,as exls�.ce�a g�gtaplt�t�ttse.War�tY�.arpoltical 2pt�t+YJon.R�rlfmatk Vatley ptvmka3 Cantdssan rdtu�i ^, s� mgt ettfl t�d thffi kdnmoflcn pe ecoxryaanwd trya�errsce to I*ssmtce anti ttw-McMmacte.Vatiey platmin9 Ccrrmissiat'scaven tn�d mak2s ro vamarrJes a. '�... MMWAntaftMesto theacttracydt semWuttatiml,Any useM tors rd"uuan Ise!Ve rKoenrsrn d5k. http://mimap.mvpc.org/NorthAndovermimapNiewer.aspx 1/15/2013 GENERATOR APPLICATION DATE: �q' LOCATION: OWNERS NAME: GENERATOR kw NO INSTALLATION OR GROUND DISTURBANCE BEFORE APPROVALS* CONTRACTOR: PHONE NUMBER: ELECTRICAL GAS RESIDENTIAL COMMERCIAL TEMPORARY LOCATION OF GENERATOR: tM p w, Q � *ZONING DISTRICT: *CONSERVATION APPROV i Date.... ........................... ,40RTN TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING SAC$4US This certifies that ................B.c.mxC.................. ................................ has permission to perform ..........4:t 7 OZ., 6-4.,n 7 7�� .......................... wiring in the building of... M ............................... at..... ......Pb............ .North Andover,Mass. Fee... ... Lic.No.Au.tN............. j2 INSPECTOR Check # /06 7024 Commonwealth of Massachusetts Oficial Use only Permit No. '70 v2 Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/051 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:_ IQ I Zb(of" 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) C,� t . Owner or Tenant p - ,v,�, Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building 4:6 el 64.- .� Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: r Completion of the folloiving table inay be waived by the Inspector of Wires. No.of Recessed Luminaires 7� No.of Ceil.-Susp.(Paddle)Fans No.of Tota S Transformers KVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin Pool Above ❑ In ❑ o.o Emergency Lighting g rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.o Detection and 3 InitiatingDevices No.of Ranges No.of Air Cond. Total Tons g No.of Alerting Devices No.of Waste Disposers Heat Pum Number Tons KW No.of Self-Contained Totals Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local El P1 ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.o Water KW No.of No.of Data Wiring: Heaters Si ns Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP a eco of Devices or Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: o (When required by municipal policy.) Work to Start: L(� Inspections toberequested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cover e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE OND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: L LIC. NO.: "Z o Licensee: JAS CA4.&L— f � Signature LIC. NO.: e2-7 Fr OS- (/fapplicab ear "exem t"in the lic nse number line. Bus. Tel. No.: b03 1:'g-L-16�tQ Address: i'' wS�0 yl n lC�,t, IJ .�vi-Q Alt.Tel. No.:`?')78 *Security System Contractor Lidense required for this work; if applicable,enter the license number here: 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, 1 hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. 7,06o 0 ,'W r r r'` t1C t,V MVIV!v rrE.- ...n Vr�nritaxra�cx u.u.:, e BaARDOFFIREP T1i�I ONREGVL M7aa1 1W Permit No. I Occupancy tit Fees Checked APPUCATTONFOR PERWIDtHMMEC"ELE=CAL WORK ALL WORK TO BE PERFORMED 1N ACCORDANCLi wr17H THICAI CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the el cal or Location(Street&Number) L°l Owner or Tenant L_— Owner's Address S A%^AtC- Is this permit in conjunction with a building permit: yes No (Check Appropriate Box) Purpose of Building (It S •—,)a,— —L--,A .%-- Utility Authorization No. Existing Service Amps / Volts Overhead � Underground a ' No.of Meters New Service Amps Volts Overhead Q Underground No.of Meters — Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work c�� v No.of Lighting Outlets No.of Hot Tubs No of m ranaformen, Tool • No.of Lighting Fixtures D Swimminj Pool AboveBelow � t� KVA `\ and and KVA No.of Receptacle Outlets No.of Oil Burners No.of Emer �"�'Lightlng Battery Units No.of Switch Outlets No,of du Homers No.of Ranges No.of Air Cond. Totai FIRE ALARMS Tont No.of Zones ,do.of Disposals No.of Hat Total Total Pn Tons No.of Detection and j No.of Dishwashers Kw Area Heating Kw Initiating Devices �'�� No.of Sounding Devices No.of Self Contained No.of Dryers Heating Devices Detection/Sotuding Devito KW IOCai Municipal other �r f o.of Water Heaters KW No.of No.of Connections Si Bailasis Hydro Massage Tube No.of Motors Total HP C'rnaW R=w1DdXfflWmar10*cf Cff Laws Q=W1WAty1aaamaeFbLyndudrVC7ornpiee Yl� � vafdlmafafsamebdleCl�YES NO time L.J >tiouhamecfiadmdYE�pl= edropeof timeby BOM CTma (Please omy) 31pac anD�eRecr>ebd Estim�dVakmedElmwcWWhkS of I 13a1 l 0.� n paj�Y C7-e � (A r C S LiammseNa /"t. c�, v6,,ti . LioQmseNo e WAM-lam dmetdletiowdhme At•el.Na ? -3)s'-b£s 6 Z rndisptmirappicah—m iKsdiaregt>iem�it o asax]tliedbYMes�chatsls(alaalLawa one) Owner Agent ED Telephone No l uwfflr or r�•.....�� . PERMiT FEES �� i Jim wininulvVY&W-an Ur Aa DERLVNW0FPUB1KS4FE7Y t., PermitNo,,,,^^s BOARD'6,PFIMPREVEMONRBGULA7TONS5i7aM]ZW Occupancy&Fees Checked APPI�G177ONFOR PERMIT'/TO PERFORIVI£I�ECTRICAL WORK ` ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 �— (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Datg [� S Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) l ct Owner or Tenant iT\A,,—A ca Owner's Address I �- Is this permit in conjunction with a building permit: YesNo (Check Appropriate Box) Purpose of Building JA� Utility Authorization No. Existing Service Amps� Volts Overhead Underground No.of Meters New Service Amps� Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work LU-1 i •4 f-- VLO S�� No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA rou grolnd No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones (: Tons ,—:--o .of Disposals No.of Heat Total. Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER• IrmraneCova'�.Auslartblheregtmarlais�Gtme�Laws IhareaamatLdAtyhsi==Fbfr.ygdu&gCz n * crzs4*410t YES 0---/NO Ihavesubrr MdvaidpttxfofsameblheOHi=YES lf)cuharedrdzdYES,pleasritt�caledierAxofeo�by � p OINR E#irfimD& Esti i*dVakrofEkcbicalWade$ W«xbSlatt lispeclicriEkeReWeslad Ro# Firld sgriedurider-TrP,qpkiesapt FIRMNAME n'�•�G -�-z�-��ci•-t S Z ✓c v j LmwNa �I It-J�(io I i==�llS-�arL� AA 6, on.-4-�", SUM,,, Lioa>seNo �z 4'k0 S� Busir=Tbl.Na &L 5A 5- �J h �► u v�- , n�� 2 7 r-, rr� Alt Te1No. �ff"R'SINS'URANCEWAIVE[t;Iam dlattheLioa>sedoesmtha�Iheinsitanoeoovel>gzorits asta�medbyMa�saduseusGalaalLaws artdthatmy4gla mcnthisperm[ waivesdumgtman I (Please check one) Ownera Agent Telephone No. PERMIT FEE$ signature or Owner Of Agent `�,yj,►�L L �fOU 1� IQe,�9 y off, 44-- N Date .. TOWN OF 'NORTH' tV ANDOVER. PERMIT FOR'-WIRING Thia CefLl�leS that. .�.F.iTi"` •( . i'`1..f•' S`erai.�X .: . •.,d� lV has perrioon.to perform " t of...�. .. .:. : ::�: ,........ ,{ r wiring sn the buildsn8 ., at: . ..r : -r , t . .�; ,.North Andover,Mass ' Fee . Lic.No „, ' ELEC $.. ,4 o Z n`1 Z7 9 - 0,5 Location,/ Noo?�� Date 2 �G '4 TOWN OF NORTH ANDOVER Certificate of Occupancy $ sNUs Building/Frame Permit Fee $ G Foundation Permit Fee $ Other Permit Fee $ _ r TOTAL $ Check # r , 4 9603 Building Inspector TOWN OF NORTH ANDOVER NORTH APPLICATION FOR PLAN EXAMINATION 0 � Permit NO: Date Received w *gOta.n(wrw'. Date Issued: �'ys A1T,o rP t(� SACHOSE IMPORTANT: Applicant must complete all items on this page LOCATION �{7 j Print PROPERTY OWNER P6vl Mc�kn,g j� Print MAP NO.: 6 ), PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building ?!One family 'Addition L-2 Two or more family D Industrial ' Alteration No. of units: n Repair, replacement ❑ Assessory Bldg C Commercial Demolition Moving(relocation) ❑Other ❑ Others: C Foundation only DESCRRIPTION OF WORK TO BE PREFORMED /J L/i�� � �� 4 p �'�..2 ��dl ���+'"L G C� �� �1"rr✓`���` Jar d'� Identification Please Type or Print Clearly) OWNER: Name: 1�00411 -�-Aell /tel G�Pn1��✓rJ Phone: ?}o' ld��`-1� Address: f�� G' t/Y,j-� /,-) CONTRACTOR Name: '�� 6rb-SAer- �, n ,��yd w;� Phone: '7),' 6 r3 5l Address: a6 1-5- Supervisor's s Supervisor's Construction License: b(?S l 7 3 Exp. Date: 11-lo -dab Home Improvement License: /D ) 61 U Z Exp. Date: i ARCHITECT'ENGINEER M,+ r7' )+ /�'l�' c�,�rl,S Name: Phon�- 3 Address: c_ eJre �vt� rReg. No. FEE SCHEDULE:BOLDING PERMIT.512.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON 5125.00 PER S.F. l Total Project Cost :$ �/, Do U fa FEE:$ 77-2 oL a 1 Check No.: / Receipt No.: Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work Addition Or Decks ❑ Building PP Permit Application ❑ Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doe:UNSPEUTIONAL.liERVU ES DEP%RTMEINT:BPfOR\105 TYPE OF SEWERAGE DISPOSAL Tanning/Massage/Body Art F-] Swimming Pools ❑ Public Sewer X � Tobacco Sales Food Packaging/Sales Well ,X Permanent Dumpster on Site Private'(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contracting wills unregistered contractors do not have access to Ilse guaranty fund Signature of Agent/Ownz_�k Signature of contracto � L` �d -C,�� Plans Submitted Plans Waived ❑ Certified Plot Plan Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS TE REJECTED DATE APPROVED CONSERVATICV q -24) -Zg�o COMMENTS v� r�Q i I DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer connection/Signature& Date Driveway Permit Temp Dumpster on site yes__no_ Fire Department signature/date j i i I Building Setback ( Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area, sq. ft.: NOTES and DATA—(For department use) t I i Doc:INSPECTION/\1.Sf.RVIC'LS U[PAR'I'v1EN'f:131)FORM05 Creased JVIC.Jan.2006 1 I I Inc. CONTRACTING BUILDING • REMODELING This agreement made this 2.? day ofyear Two thousand and Six by and between Cote and Foster Contracting,Inc. hereinafter called the Contractor and Frank and Nina McDonald, hereinafter called the Owners, witnesses that the Owners intend to construct a 10'x12' addition at the address of 197 Carter Field Road,North Andover,MA. Details as per specifications. Now,therefore, the Contractor and the Owner, for consideration hereinafter l named, agree as follows: ARTICLE 1 The Contractor agrees to provide all the labor and materials to do all things necessary for the proper construction and completion of the work shown and described on drawings. The drawings and specifications are the basis of the contract. ARTICLE 2 In consideration of the performance of the contract,the Owner agrees to pay the Contractor, in current funds as compensation for his services hereunder$60,975.00 to be paid as follows: ��yment 1 - $6,000.00 at the signing of the contract to start design work, permitting and window order. Payment 2-$10,000.00 at the completion of foundation. Payment 3 -$10,000.00 at the completion of framing. Payment 4-$10,000.00 at the completion of siding and roofing. Payment 5 - $10,000.00 at the completion of all mechanical work, insulation and plaster. Payment 6- $8,000.00 at the completion of wood floor and trim. Payment 7-$6,975.00 at the completion of project. ARTICLE 3 Final payment on contract amount as agreed above to be paid within ten(10) days of project completion or occupancy. If final payment has not been made within this time a 10%charge per month on the balance due will be charged. All minor punchlist items will be complete as part of the one year warranty on the finish product. Failure to pay balance withi / (90) days may result in legal action. Initia l 911 Apapan nrive • Unit 15 • Methuen. MA 01844 • Tei: 978-682-6518 • Fax: 978-682-1221 r ARTICLE 4 Additional work above and beyond the contract agreement. All additional work done to be quoted at the time the client requests the work. The work will be done and billable at its completion. The client has ten(10)days to pay the additional cost after he or she has been billed for it. Initials In witness whereof they have executed this agreement the day and year first above written. QFrkDonald Own Nina McDonald, Owner Dt!a Stev' Nf Cote William T. Foster DBA Cote&Foster DBA Cote&Foster ILI ` :, �,�It�of Wcsaad (EVaflwast�A=fdo= Cf Of-ruvAstig=im 6DD�GVasEungion.S'�reet ( OstM go 02111 '6JorI ComonsmanInsumaceAmdsvit Please PRINT Lembiy APPLICANT -0 ON Name. Location:- GIN Telephoner: ❑i am a hconwwnm-peaom g all mmk myseti ❑ I am sola propnse and have no one wouang m my capacity V y am an=player pmviding works'com msatim for my loyees wmidng m this job Comoany Natae: a Ad&...ss ¢ City d Telenname ir Inscsdnce Comnsas' Policy 1 ❑I am(circle one) sole proprietor,general ca===or bomeowner and have hired foe co==on listed below wba have the follo�ing. worxars' compensation uoiicies: Company Name Address: - - Teieohane Cary: - Insurdaee Company: Policy r.. Companylvatne: - - Address: may. Teloohone T U Insurance Commany: Polly Auach additional sheet if necessary 'saw m secure coverage as reauired under Sectim 25A of MGL 15B can lead to the imposition of min prnalries of a ane up to'.1300-00 and/or one years'imprisomm►ent as well as civil penahirs in the mffi of a STOP'WORK ORDER and a pre of$100.00 a day against mw I understand tbm a copy of tints smiemcwt may be forwarded to ate O:ff=of Iavesdga6m of the DIA for covarage veriacom I do hereby cer[iry pains erjury that the injormadon above is true and cwrxL Signature Date: Print Nam°: /f'' Phone Ot 0McbI Use ONLY-Do not write in this ares DBuAdino Departmerrt- City or i own: PermiWcense D Licensing Board D SeteCanen's Omee D Health Deparunerit D Cheek if Immediate response is required D Other r =� PHOME IMPROVEMENT CONTRACTORS REGISTRATION Board of Building Regulations and Standards One Ashburton Place - Roam 1301 Boston , MassachusettS 02108 HOME IMPROVEMENT CONTRACTOR - Registration 107602 Expiration 08/05/96 Type - PRIVATE CORPORATION �� f�' "`'mss HOME IMPROVEMENT CONTRACTOR Registration 107602 Cote & foster Cont . Type - PRIVATE CORPORATION Steven M . Cote Expiration 08/05/96 20 Aegean Dr/Unit 15 Methuen MA 01844 Cote & Foster Cont. .-teven M. Cote P Aegean Or/Unit 15 ADMINISTRATOR� methuen MA 0184.4 80A I1OF B 1 LplidG�R A 3 S License: CONSTRUCTION SUPERVISOR c Number: CS 085173 ' b Birthdate: 11/10/1964 Expires: 11/10/2006 Tr.no: 85173 Restricted: 00 WILLIAM T FOSTER 65 COACH DR � - DRACUT, MA 01826 _ - Administrator PLAN OF LAND IN NORTH ANDOVER, MASS. PROPOSED ADDITION SCALE. I"=30' DATE.9/14/2006 12:, _ 34g 000 Scott L. Giles R.P.L.S. 20� SET CK ^ Frank. S. Giles R.P.L.S. LOT 13 '——_ Bq __ CANE 50 Deer Meadow Road 4 22,253 S.F. —_,_ (Type N o North Andover, Mass. Zc� EXIST. HSE. FND. W_ -O PROP. - SUN ROOM �> #197 P l E LIN 202 52 ��AS1i or =Y w 20 R=60.00' Ln L=106.31' N I 70 /STER�� 41 LAIM S LOT 14zot l LOT 72 O` - �� , , THE PRER TY LINES SHOWN ARE THE CARTER FIELD LINES DIVIDING EXISTING OWNERSHIPS,AND ROAD THE LINES OF STREETS AND WAYS SHOWN ARE THOSE OF PUBLIC OR PRIVATE STREETS OR WAYS ALREADY ESTABLISHED,AND NO NEW LINES FOR DIVISION OF EXISTING OWNERSHIP OR NEW WAYS ARE SHOWN. I CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE THE OFFSETS OF THE BUILDING INSPECTOR ONLY SHOWN COMPLY AND SUCH USE IS FOR THE WITH THE ZONING DETERMINATION OF ZONING BY LAWS OF CONFORMITY OR NON-CONFORMITY NORTH ANDOVER WHEN CONSTRUCTED. WHEN BUILT 1 10' !O' 6' 2868-2 -- --- --- - T2-2814 CRAWL SPACE - ' INSTALL SCREENED VENTS I I TO ALLOW FOR CROSS I I N VENTILATION I I I r-RAT 5LA13- I NEVI SUN ROOM � I i REMOVE EXISTING DOOR n 10" CONC. FOUNDATION I AND LEAVE AS CASED .�U0 FOUNDATION �N 10"X20" CONC. FOOTING--.r I �' OPENING I I la' m T 1/4 1 1-0 2866-2 I FLOOR FLAN _ I — —— — —— — — 1/4 = I '-O "SLAB FOR BLUESTONE_� I 6, PAVERS I � t 4" BRICK SHELF DROP TOP OF FOUNDATION TO GRADE DR4NN BY: MARTHA MAC,1NN15 PROPOSED ADDITIONS $ RENOVATIONS 5a REOENT AVE. I ci-I OARTER FIELD ROAD -� BRADFORD, MA. O1a35 (Q7a)374-a-rla ANDOVER, MA. }--- _ I �I c -_ _ .r 4' l AD.NST EXISTING WINDOW LOCATION A5 REQUIRED a I L FRONT ELEVATION I2° CANTILEVER �BRICK�� I I 1 I I I I 1 i ri ri L---- - --L-.- -- -- --- --- ---J DR.ANN BY: MARTHA MACINN15 PROPOSED ADDITIONS $ RENOVATIONS 5a RECENT AVE. I ct7 GARTER FIELD ROAD BRADFORD, M,4. 01535 (q�8)374-a-rla ANDOVER, Mme. t T 30" KNEE WALL FOR BUMPED OUT WINDOW �® U-1 illil I t-BRIC.IC--t LEFT 51DE ELEVATION 1/4 1 '--0 RI O HT 51 DE ELEVATION 1/411= 11-01 L-_..-------- - - - - ------ -- -J DRAWN BY: MARTHA MAOINNI5 PROP05EP ADDITIONS RENOVATION5 5e) RECENT AVE. I ct7 GARTER FIELD ROAD BRADFORD, MA. 01855 (Q�8)3�4-871�f .: w I ' i I I l I I I I f � _ ' Y CONT. RIDGE VENT SHINGLES TO MATCH EXISTING 1/20 EXT. PLYWO. SHEATHING (5)2X12 2XIO RAFTERS 2X8 CEILING .101ST R=50 FIBER&A55 BATT 15ML TYPICAL MALL SECTION 1/41 '-0 METAL DRIP EDGE w, GOVT. SOFFIT VENT b CEDAR 510IN6 _ 1/2" EXT. PLYWD. SHEATHING HOUSEWRAP EQUAL TO "1YVEK" ' 2X4 STUD WALL LIMESTONE GE 4 WATER SHIELD R=15 FIBERGLASS BATT IN5UL BLUESTONE BRICK CRAWL SPACE 1 II � — 4" BRICK SHELF �- RAT SLAB 10" CONCRETE FOUNDATION IO"X20" CONCRET FOOTING DRAWN BY: MARTHA MACINN15 PROPOSED ADDITIONS $ RENOVATIONS 58 RECENT AVE. 117 GARTER FIELD ROAD BRADFORD, MA. 01555 �q?a)374-a-rla ANDOVER, MA. N r- _ __ _ ,� ___ � �� �, , , ,. M f w 12" CANTILEVER 2X10 ® I6" O. . 12` 2Xt0 RAFTt='R.5 ® I6" O.G. (3)2X12 R106Z k�'--SL.AB FOR BLUESTONE PATERS FLOOR FRAM I NC 101 1/4"- 1 '-O ROOF FRAM I NC 1/4" 1 '-O DRAWN BY: MARTHA MACINN15 PROPOSED ADDITIONS RENOVATIONS 58 RECENT AVE. I ct"7 CARTER FIELD ROAD • BRADFORD, MA. 0055 (a�8)374-S�ilq ANDOVER/ MA. NORTH own or 4Andover No. _ LA E dower, Mass., C1 "2 *1 COCHIC EWICK DRATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT.....I.A.1......� �`.... .... ...... .... .'fgiF6 ................... ........... ..................... ............... Foundation has permission to erect........................................ buildi .�........ `. �.......-..... Rough 1 to be occupied as...10..X.. ..1......S0#%JPd)-40-z........� �.......��111�tA..... Chimney e provided that the person accepting this permit shall in every re spe conform to the terms of the appircation on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough -73� Final— PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTR S TS ELECTRICAL INSPECTOR Rough ......... ............... ......... .. .. Service .. ... ... . . . .. .... ...... ........... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Date./.(f/ "°RTM TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACMus� This certifies that . {�.0 l . . . . . . . . . . . . . . . . . . . . . has permission to perform . . r.4! ;/ G."!: `. . . . . . . . . . . . . . . . . plumbing in the buildings of Z.h e : � �o at. � �. �. ,1�?`'.��..... . . . . . . . . . . . . . . . . . North Andover, Mass. Feel 4� Lic. No..1. `�,. . . �.. . �� . .�-.�� . . . . . . . . . PLUMBING INSPECTOR Check # A, j 6199 MASSACHUSETTS UNIFORM APP ICATION FOR PERMIT TO DO PLUMBIN (Type or print) NORTH ANDOVER,MASSACHUSETTS 7 Date Building Location /U /3 t OwnersNa e E Permit# Amount r7l� Type of Occul jncy New Renovation Replacement Plans Submitted Yes No ❑ FIXTURES Cr Cn Ln Cn SL13-19VIE BASEWE r 1S)C FIOQR 3--II FIDCit 3 �FIDCR 4IIIFLOGR 5M HDQR 6TH FL" 7MHOUR gm FUXR (Print or type) �� /-/ Check one: Certificate Installing Company Name L (//LI <'L G�'LCorp. Address �"'� ` s � E] Partner. usmess Te ep one — 7 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 E Bond Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner x^ Agent I hereby certify that all of the details and information I have sugft�ted,`-(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and install'atjon� performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massacbuset tate Plumbing Code and Chapter 142 of the General Laws. By: Signattife or Lreensea rlumoer Type of P14mbing License Title I�W 3 City/Town rc nse1,4017115er Master Journeyman D APPROVED(OFFICE USE ONLY. • Date.... ... ... - r NOR7H TOWN OF NORTH ANDOVER PERMIT FOR WIRING ��SS�cMUSE� This certifies that �n� � � L � ` � t- .......................................................................... has permission to perfprm ............q jJ t d� ............ ...................................................... Av �c �� wiring in the building of................................... ............d........ ............................... nn n- at..... .: .......................................................... c(. 1�4'( ....... .North Andover,Mass. Vee.....�0...... Lic.No.m.�F� ....., r-Avr^y............................. ELECTRICAL INSPECTOR Check # 3 58L9 1110 t.U1MV1U1V"rA LJ13 yr Aa --•••� -�• /� DEPAR7MENTOMBUCSAFETY Perrnit No. BOARDOFFMPRE'VEMONREGULA7 OM527CMIZM IV Occupancy&Fees Checked APPUCATIONFORPERAWTO ORM ELE=CA.L WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE ACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Io 'o Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform theele rical ork described below. Location(Street&Number) L c r��� Owner or Tenant �,,{�L-- Owner's _,_Owner's Address S vk/-,LC Is this permit in conjunction with a building permit: Yes No [:3 (Check Appropriate Box) Purpose of Building --,) (-- - L e%----- Utility Authorization No. Existing Service AmpsVolts Overhead Underground No.of Meters New Service Amps Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work �� v No.of Lighting Outlets No.of Hot Tubs No.of Trensfomners Total KVA No.of Lighting Fixtures D Swimming Pool' Above Below und Generators KVA ground 1:1 aro No.of Receptacle Outletsl �\ No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets �`1 No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Hest Total Total No.of Detection and Pumps . Tons KW Initiating Devices No.of Dishwasher Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices _ No.of Dryer Heating Devices KW Local Municipal Other Connections No.of Water Heater KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motor Total HP OTHER• i kwm=QM2W R1=tlodr.=panmlsofMMwhAftGandLzws Y b9 It �— taveaatnatliatallj+Irt�aaoaeFb6cyindtldr>gCornp)e� o orissU �ar WegthWalt ES NO Ihare9bmtodva5dptoafof=rebde011im YES ffyouhmdniWYES,plea xdc*dre peofwveWby dmddrgdie . boot IIVSURANCE BOND rl 011JER (Please**) BspiatirnDde E—dVA cfllcWcdWadc$ WodclOslac h>SpectionDateRe mAd Rtxo 0.� Fz� �� • �l�juY FIRMNAN>E f ��-C.t� Pa,� ;y�.r✓ ��_ lGr.-�i9-S'i��v Bus=TliNa 6ro') bit 2-3 6 g OWNE,'SINSC1RANMWAMaklam dletdrLimnedoasaotharedleinsxmuwv.WctaksWWgrivkUasmgzmdbyMmwhu9 sCer>aW aws and diet my*i tas cn dis pan it appkabm waves alis mWiwn (Please check one) Owner Agent Telephone No. PERMIT FEES 5� signature Owner Date.Xq../.... o.Y.. . ... pf ,O oTH 1H o� p TOWN OF NORTH ANDOVER ' PERMIT FOR GAS INSTALLATION a io s �9SSNCMUSEt .._ This certifies that AJ .e.y.F :. . . . . . P°1. . . . . . . . . . . . . . has permission for gas installation . . . A-r�-. . .14.c k:: .t. . . . . in the buildings of . 74.^. .. . . . . . . . . . . . . . . . . . . . at . r.. .1. . .� A.//r,. . .r!- . �. . . . . . .. North Agdover, Mass. Fee./�61.0Lic. No..13!/.17. . . . . . . AS INSPECTOR Check# jp f 4869 MASSACHUSETTS UNIFORMAPPUC ON FOR PERNffr TO DO GAS FIrnNG (Type or print) Date NORTH ANDOVER,MASSACHUSETTS , ✓ Building Locations t t l G J 1 Permit# u Amount$ Owner's Name 21 New❑(jRenovation ❑ Replacement ❑ Plans Submitted ❑ � w �w w CIO H x x d a H H z Z o H az CA 0 F-It z F DZ E+ EW+ W cOp4� w W W E' O U a A a F O SUB -BASEM ENT BASEMENT 1ST. FLOOR V 2ND . F L O O R lq 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 16TH . F L O O R 7TH . FLOOR 8TH . FLOOR (Print or type) hec_::one:' Certificate Installing Company Name �- c Wit.tv \ i - —\a Corp. Address "�<t +'r Sh- '� v�• �� ❑ Partner. � Business Telephone ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter �r.�.,� � •n INSURANCE COVERAGE' Check one: . I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked yes,please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑I. Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued fo t:h5s application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 oft General Laws. Signature of Licensed Plumbe� s,'Frtter' By: � � I Title ❑ Plumber 1.3 ICA y/Town ® Gas:Fitter License Umbe 'Master r� APPROVED(OFFICE USE ONLY) ❑ Journeyman exuwTy Qa «eu RN6 Q IQ-w 9 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number I a 0 Date S CERTIFIES THAT THE BUILDING LOCATED ON /07113 A�-- 0/17 MAY BE OCCUPIED AS S ( A-" �ia—*�-r c l-4 Poo ig , a`/ /31-7454 �� {a�� AI& IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. / / / CERTIFICATE ISSUED TO -7—,4ir .4 f� e( q,4 �, e/ � l� CA-f2f'F/z rIZ iW P61 Building Inspector NORTH ToVM of � /ZO - - - -LAKE dover, Mass. y T COCKICKEWICK A0RATEO S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THATwoo R �ef'xj BUILDING INSPECTOR ...... .... .. ....... . . D 1, f�....L°......................................... ............. ................... has permission to erect............... buildings on. �� �g 7•k ��� oounhano ... .� i'•.. ..... el Rud n C to be occupied as O a l L si'#J� w) g � p �..��....�)..�......��.....���.�.�..��!.T.I.I....I.T��R.�.... .I!`► �iM��Mr� himney provided that the person accepting this permit shall in every respect conform to the terms of the aication on file in Final this office, and to the provisions of the Codes and By- ws relating to the In sp ion, Alteration and Construction of Buildings in the Town of North Andover. ` a �10 4136 PLUMBING / D INSP CTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. &c�lp,LL -s 4- a -�— PERMIT' EXPIRES IN 6 MONTHS ELECTRICALINSPECTOR UNLESS CONSTRUCTION S ART ou�hr k i ..................................... Service BUILDING INSPECTOR Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in. a Conspicuous Place on the Premises — Do Not Remove No Lathing or D Wall To Be Done Z FIRE DEP TMENT Until Inspected and Approved b the Building PP Y g Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. ����s a HORTM TOWN OF NORTH ANDOVER PERMIT FOR WIRING �,SSACMUS� This certifies that .(... ?. a -*...f................: .......................... . � fj has permission to perform .,..........,,.........:........�..�. wiring in the building of....n....... - .................................... at......4.1/..'�'....... North Andover,Mass. Fee II&Y...... Lic.No , rr . Q / ELECTRIC 1L INSPE&OR Check # 5b5 ,+ I tw l,tllvllulllly vvrdi n Ur 1r1r1aLV1L1nv.3L.A 1 u DEPAR73fi 'OFPUBL1CSAFE7Y Permit No. BOAROOFFIREPREVEMONRFJGUTAHONS27 aM,U•QO Occupancy&Fees Checked APPLICATTONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 � (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date �7il U Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. E Location(Street&Number) ') L',q-�, � 4- Owner or Tenant - Avg Owner's Address Zt C �""� "t'I Is this permit in conjunction with a building permit: Yes r o M (Check Appropriate Box) Purpose of Building C Mil-4-� Utility Authorization No. 7 Existing Service Amps �Volts Overhead E3 Underground No.of Meters New Service Amps C Lc3�n olts Overhead 1=1 Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round emund No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other ED Connections i No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER• �eCavetag�PUtsmttothetegtmarlalls�GataalLaws a IhaNeacumllrbldyhaaa=FbicyindxkgCompke critssibstrrialecluiAft YES NO IhavesubmiwdvatidPCd0fsMr1D he0ffM YES 1I'youIUMdEdWYhS,plea9eitrjcal dEtA ecfmvvpby Il SNC E BOND OUIER a (Please Spar�y) Est+m0d VatieofE]ectXal WCdc$ Wolkaoslat r3 LL kwPectionDaleReque" Fzugh rural r NAME �G- S vt LimmNo. ,M o�-G) 46 Liaerisae Lioer�eNo Tel Na b2j AdAM 3 P 1�-t.S►5u �-�-1 /' .�-!� I�� v(y 5� . �� AL Tei Na '99t 3>) =b t 6-Lc OWNER'SlNRR NCEWANFR; awaethatdieLioewdoesmthmethein ,,-g-,,,Worgs stksWtialepvWatasmq1ffedbyM=dwM Coxial Laws aryl that rrry sigrlaaae on this pt�rlrt application waives this legtlaarialt (Please check one) Owner Agent Telephone No. PERMIT FEE$ � igna ure or Owner or Agent Location / 7 '/ LA PtER f/E lal W No. 19Y Date c2il c&6 NORTH TOWN OF NORTH ANDOVER 9 s Certificate of Occupancy $ �,ssACMuSEt'�' Building/Frame Permit Fee $ � Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �� Check # ,t(n 1 ©L 'i 5 Building Inspector TOWN OF NORTH ANDOVER BUILD ING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING MV ,Faf, y .l "�,,�kI.�l ,hSpt�,1� �.,g ,... e BUILDING PERMIT NUMBER: !� DATE ISSUED: SIGNATURE: 4ylu ( 6"� --q BuilTn Commi sl(onerh for of Buildings Date SECTION 1-SITE INFORMATION I O 1.1 Property Address: 1.2A .2 Assessors Map and Parcel Number: 19 7 r�4� F)Ab ,0&D 6� , And ^ �' � )�� Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: �(1 o) R LAt zZ 3 /6,6,.3) \\\� Zoning District Proposed Usj Lot Area Frontage ft l 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided zv z.o.,1 d ?-a 7-8 Z--a z6 Z-0, v 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public V Private ❑ Zone Outside Flood Zone Municipal iK On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes -No M 2.1 Owner of Record z ame(Print) Address for Service: tore < Telephone 2.2 Owner of Record: s Name Print Address for Service: O z M Signature Telephone go SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable_j0 Ltcens Construction Supervisor: aJ S %l ZCm.- 1` License Number ` 6 III-s--,166 Address `7�44,4-,Z� 29 4?7 Expiration Date re Telephone 3.2 Regi steredH m mprovement Contractor Not Applicable Company Na e Registration Number r Address r aa. Expiration Date Signature Telephone SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.....& No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: Fe A&1 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be ' OFFICIAL USE{3NLY F Completed by permit applicant k g (a) Building Permit Fee 1. Building s'DUd • Multiplier 2 Electrical (b) Estimated Total Cost of 3 dZ11� " Construction 3 Plumbing 3 d 0 . Building Permit fee(a)X (b) 4 Mechanical(HVAC) 4'TZ) I �w LJ � 5 Fire Protection 6, Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR AP LIES FOR BUILDING PERMIT 1> 74 > as Owner/Authorized Agent of subject property Hereby authorize L to act on My behalf,in atters relative to wor orized by this building permit application. i tore of Owner Date ' CTION 7b OWNER/AUTHORIZED AGf4qT DECLARATION 1, v 4as 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 5 e S Pri ttNNa ne J -� 7�S e of Owner/A ent Date NO. OF STORIES SIZE �.XZ BASEMENT OR SLAB ,t.! SIZE OF FLOOR TIIVIBERS 1 2 3FD SPAN 3� DIMENSIONS OF SILLS DIN ENSIONS OF POSTS 3 S G DFv1ENSIONS OF GIRDERS L HEIGHT OF FOUNDATION THICKNESS J SIZE OF FOOTING p X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND S d 2 177) IS BUILDING CONNECTED TO NATURAL GAS LINE iuq FORM - U - LOT RELEASE FORM 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. 9ssowwss■■wwe-ws'wswwwwww:ww/.swswwoswwws■owww■wss■ss sss■wswwswwwwwwss.wsssswwss APPLICANT / r2A � i6�� /�l PHONE `ts ASSESSORS MAP NUMBER Z LOT NUMBER SUBDIVISION LOT NUMBER STREET C.Ac RI P-)a_D STREET NUMBER Www■*sswrawsswsr ■wwswswwwssww-sswwwwwsswww■wws■wwsssswswossswwsrwwas assss=now _ OMC Ai.USE ONLY RECCATIONS OF TOWN AGENTS .........................w.......... ..w. ■....... ...... .. .........ww.ssasw.wwwswssswwrsssswwwswsss-...sown... DATE APPROVED a g CONSERVATION ADMINISTRATO DATE REJECTED COMMENTS DATE APPROVED TOr&I.WR DATE REJECTED CONOVIENTS h ,/A DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED COMMEN'T'S PUBLIC WORKS-SEWER/WATER CONNECTIONS D WAYP 1 2-o-Orj 47 DATE APPROVED F DEP DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE I • -Y ti l�GTown of North Andover :o, Office of the Zoning Board of Appeals ,� Community Development and Services Division 1114,111 ,4 27 Charles Street North Andover,Massachusetts 01845ITScNusE`� D. Robert Nicetta Telephone(978)688-9541 Building Commissioner Fax(978)688-9542 This is to certify that twenty(20)days ' have elapsed from date of decision,file' without filing of a ppeal. " Any appeal shall be filed Notice of Decision Date ed ,rj.�O06 —0 within(20)days after the Year 2004 Joyce A.Bradshaw '- date of filing of this notice Town Clerk D in the office of the Town Clerk. Property at: 197 Carter Field Road 13 "== NAME: Tara Leigh Development LLC, 121 HEARING(S): October 12,2004 Carta Field Road for premises at: ADDRESS: 197 Carter Field Road(Lot 13) PETITION: 2004-029 North Andover,MA 01845 TYPING DATE: October 15,2004 The North Andover Board of Appeals held a public hearing at its regular meeting in the Senior Cuter, m 120R Main Street,North Andover,MA on Tuesday,October 12,2004 at 7:30 PM upon the application of c`n o Tara Leigh Development LLC, 121 Carter Field Road for premises at: 197 Carter Field Road,North �x Andover requesting a Special Permit from Section 4 and Paragraph 4.121.17 of the Zoning Bylaw for a o; rn Family Suite. Said premises affected is property with frontage on the Northwest side of Carter Field Roads�+� within the R I zoning district. The legal notice was published in the Eagle Tribune on September 27& a c-"4 October 4,2004. D �o The following members were present: John M.Pallone,Ellen P.McIntyre,Joseph D.LaGrasse,Richardm Byers,and Albert P.Manzi,III. The following non-voting members were present: Thomas D.Ippolito, o Richard M.Vaillancourt,and David R.Webster. cn to Upon a motion by Richard J.Byers and 2°d by John M.Pallone,the Board voted to GRANT a Special Permit from Section 4,Paragraph 4.121.17 in order to allow a Family Suite to be constructed at 197 Carta Field Road per Special Permit Plan,Lot 13,#197 Carta Field Road,North Andover,Massachusetts,Date: September 15,2004,Prepared for Tara Leigh Development LLC, 121 Carta Field Road,North Andover, o Massachusetts,By:John F.Zahoruiko,P.E.#20563,262 South Bradford Street,North Andover, o Massachusetts;and Family Suite Plan,Lot 13,#197 Carter Field Road,September 15,2004,Tara Leigh -� Development,LLC,with the following conditions: C.J] 1. The Family Suite shall not be occupied by anyone except brothers,sisters,maternal parents, C__) paternal parents,grandparents,or children of the residing owners of the dwelling unit; C=) 2. The Special Permit shall expire at the time that the parents cease to occupy the family suite; 3. The Special Permit shall expire at the time the premises are conveyed to any person, partnership,trust,corporation or other entity; 4. The applicant by acceptance of the Certificate of Occupancy issued pursuant to the Special Permit,grants the Building Inspector,or his lawful designee,the right to inspect the premises annually. Voting in favor: John M.Pallone,Ellen P.McIntyre,Joseph D.LaGrasse,Richard J.Byers,and Albert P. Manzi,Ill. The Board finds that the applicant has satisfied the provisions of Section 4,Paragraph 4.121.17 of the zoning bylaw,that the 850 sq.ft.Family Suite is less than the maximum 25%of the gross living area of the principal unit,and that such change,extension or alteration shall not be substantially more detrimental than the existing under-construction single family home to the neighborhood. ATTEST` Pagel of 2 A True Copy Town Glerh Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 • Town of North Andover , NORTH Office of the Zoning Board of Appeals 0: •:°' °p Community Development and Services Division M 27 Charles Street " •�----- +'" North Andover,Massachusetts 01845 D. Robert Nicetta Telephone(978)688-9541 7- Building Commissioner Fax(978)688-9542 - -'__, S r:. . ...o ':c7 Furthermore,if the rights authorized by the Variance are not exercised within one(1)year of the dateof the grant,it shall lapse,and may be re-established only after notice,and a new hearing. Furthermore, 'a Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two(2) year period from the date on which the Special Permit was granted unless substantial use or construction has commenced,it shall lapse and may be re-established only after notice,and a new hearing. Town of North Andover Board of Appeals, L � Ellen P.McIntyre,Chair Decision 2004-029. M62P153. Page 2 of 2 1 Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 NO 0,.,pl%,ItENC !MMA T Av i tie �00lt�J17.0921//CdLUL o�./j/faeeacfi�caelld �; BOARD OF BUILDING REGULATIONS 'License: CONSTRUCTION SUPERVISOR Number.-CS- 055417 i 1 Birthdate 04/05/1960 E)tpires 04%06/20,46 Tr.no: 21033 Restrlctedi'.00 .THOMAS D ZAHORUIKO 121 CARTERFIELD RD . N ANDOVER, MA 01845 � C Acting C' mis over Permit Number C7 MECcheck Compliance Report Checked B//Date MassachusettsEnergy Ener Code MECcheck Software Version 3.3 Release lb Data filename:Untitled TITLE:Family Suite Plan CITY:North Andover STATE:Massachusetts HDD:6322 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE:Other(Non-Electric Resistance) DATE:02/08/05 DATE OF PLANS:9/15/2004 PROJECT INFORMATION: 197 Carter Field Road, Lot 13 Family Suite COMPANY INFORMATION: Tara Leigh Development LLC 121 Carter Field Road North Andover,MA 01845 COMPLIANCE:Passes Maximum UA= 182 Your Home= 143 21.4%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 448 38.0 0.0 13 Wall 1:Wood Frame, 16"o.c. 1195 19.0 0.0 64 Window 1:Vinyl Frame,Double Pane with Low-E 92 0.340 31 Door 1: Solid 42 0.340 14 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 448 19.0 0.0 21 Furnace 1:Forced Hot Air,80 AFUE Air Conditioner 1:Electric Central Air, 10 SEER COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in MECcheck Version 3.3 Release lb and to comply with the mandatory requirements listed in the MECcheck Inspection Checklist. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date 'OS MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.3 Release lb DATE:02/08/05 TITLE:Family Suite Plan Bldg. I f Dept. Use I Ceilings: [ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: I E Above-Grade Walls: [ ] I 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: I Windows: [ ] I 1. Window 1:Vinyl Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: I Doors: [ ] I 1. Door 1: Solid,U-factor:0.340 Comments: I Floors: [ ] I 1. Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 cavity insulation Comments: I Heating and Cooling Equipment: [ ] ( 1. Furnace 1:Forced Hot Air,80 AFUE or higher Make and Model Number [ ] I 2. Air Conditioner 1:Electric Central Air, 10 SEER or higher Make and Model Number I Air Leakage: [ ] ( Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I 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 c$n(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. I Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I Materials Identification: [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ] All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: [ ] Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] { HVAC piping conveying fluids above 120°F or chilled fluids below 55°F must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up t0 1" Uy to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) p The Commonwealth of Massachusetts d Department of Industrial Accidents Office of investigations Boston, Mass. 02111 ' Workers'Compensation Insurance Affidavit Name Please Print Name: , Location: �cI 7 /.J9i�Pmle ���/,� /✓ City .,4 q AU2 r Phone # AE -,6F 7 Z4 0 I am a homeownee performing all work myself. ® I am a sole proprietor and have no one working in any capacity I am an employer providing workers'compensation for my employees working on this job. Company name: Address City: Phone#' Insurance Co. Polly# Company name: I Address City: Phone# Insurance Co. Policv# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a tine up to$1,500.00 and/or one years'imprisonment-as vicell_as_aivil..p�enafties�ntt�ef a.STOP WORK_ORDER-and-a fine of.0100.00).axiay against-me, I understand that a copy of this statement may be forwarded to th ce of Investigations of the DIA for coverage verification. 1 do hereby certify under the pains an penalties of perjuryth t information provided above is true and correct Signature Date -!41015 Print name 1 Phone# `l' -687-Z 6,5f Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensi 0 Building Dept MCheck if immediate response is required [] licensing Board p Selectman's Office Contact person: Phone#. Health Department Other NORTH Town of 4Andover y 60LAKE dover, Mass., w /y •,d OS A- COCMIC ME WICK 7,9 AORATEO C3 S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System GWWWW� Z �r BUILDING INSPECTOR THIS CERTIFIES THAT.......1.440...............C!74......... �! '........... . ................................... y � a ' � �. Foundation has permission to erect0).... .................. ........ buildings on.......... ... ....).... .......................................... Rough to be occupied as..�� ���/� �v/` ArM� ��+• !`4. O� 01m.so..1 AA A� Chimney ............. .... .............. ..... ............. ..... ......................... ........ .... provided that the person accepting this permit shall in every or conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Law relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. # 97s fA 13S PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTT N T S ELECTRICAL INSPECTOR �„ .. . ..... .......... Service ......... . . . ... ..... ..... ........ BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. NOTES: 1. Zoning District: R1 (PRD by Special Permit) 2. No Wetlands Exist on This Lot or Within 1U0' 0 of Proposed Work C) 3. Abutters Within 300' of Property: e of P �Y Tara Leigh Development LLC 4. No Buildings Exist on Adjacent Properties Within 50'of the Proposed Structure 2 5. No strictures or features proposed to be removed (51 r•? 6. The Boundary Information Shown Hereon Was Taken from a Pian Entitled Special Permit and CP_ Definitive Subdivision Plan, Carter Fields Suubdivision; LP Scale I" = 40';Dated August 9,2002 (rev. 1/17/03). n � 1\ I \ LOT 12 Applicant: Tara Leigh Development LLC 1 \ 121 Carter Field Road I \ North Andover,MA 01845 1 978-687-2635 J \ I \ Owner: Tara Leigh Development LLC 1 \ 0 121 Carter Field Road I \ North Andover, MA 01845 978-687-263 5 \ Town of North Andover, Zoning Board of Appeals <—Proposed structure GRAPHIC SCALE 2,.47. 1 �;52 1 40 o so ,o soIN FEUT � 1 / 1 inch = 40 fL 1 / cu( I J1 a=101'30'54" I I jHbATIO 20.30' R=60"00' For Registry Use OnlyIl L=106-31, CARTER FIELD ROAD z 1 1 Date 0`1 I \ CP r ' SPECIAL PERMIT PLAN c� ��� moo• � cJ 1 SMeet X19 c�\ Lot 13, 9197 Carter Field Road, North Andover, Massachusetts O Date: September 15, 2004 Scale: 1" = 40' ro Z� JOHN F. �^ 1� = ZAHORUIKO ' Prepared For \� LOT 14 �". No. 20563 -m-i; p % ��o TARA LEIGH DEVELOPMENT LLC 'STS 121 Carter Field Road, North Andover, Massachusetts By: John F. Zahoruiko, P.E. 262 South Bradford Street, North Andover, Massachusetts ST�tr-T rU-VvAzyaoM 23,E 8 ED(t.mA►� . �.- SeCoaSD FIAbR t 416 SF, 12-5 0.0 � o . ke i TH a FIRs� FLooR N 1_IVIN6 ^ � N i sN to.,N Exist►�� ,�w ua�6 FFAIALY SU\Tr- PLAN 3Icq CAZrkK�IEO (bADS�PTE -0, 1S,2W4 LEl 6 N ��U LoP�n�Nl Ll C FvUU1��4� \otJ 1-t R.S T- alecK 5 EC..o*-Jb D E'c.IK v j SPOT. 1 __BULKIF�AD LSC. N N 0 ZKi o eNVIoc- 1 2x10®14.11 o(- K Nx 13-11 SPA `v MWC. 13-4 SN'^P � � k• STRuc.TuR� or2tt2 r° �b 2x�a (2)2x%o 0 0 � � J R 3 0 FG ze N J 9/yu NIN o Ix 3 S TtiA N Al u1 2n i o i a AL V J 2" 6WE 60RRD ,S r,)•%k COAT PLArSTE-k j6 44 so tic k5l L� � r� D ETAxL tii J c �p J Town of North Andover NORTH Building Department O t 19 D ,6tiQ 400 Osgood Street 3�' e°:�' A O North Andover Ma 01845p 10 L F- -A (978) 688-9545 Fax (978) 688-9542 �` •.^ �` 7.4 �R�Teo AP�t.(5 SSACHU`S'� APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS 7 c.4 r LOT NUMBER �3 SUBDIVISION C4 r:" 4 DATE REQUEST FILED 3171 DATE READY FOR INSPECTION , TEN (10)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLE D WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY- ($25.)DOLLARS WILL BE CHARGED IF THE STRUCTU OES NOT ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTING D.P.W. -WATER METER a64o l DATE g/nom D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR THE INSPECTION REQUEST DATE. 7=L)N)JjL4,j SIGNATURE/DPW AUTHORIZATION Location Y- 17 ,1,41" No. /Po Date D 17 ,1,41 NOeTq TOWN OF NORTH ANDOVER Of� `•O ,•,h•G • ; . Certificate of Occupancy $ s Building/Frame/Frame Permit Fee $ s�cNuse 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 17566 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATY OR DEMOLISH A ONE OR TWO FAMILY DWELLING , ,gra z� �, � BUILDING PERMIT NUMBER: DATE ISSUED: B l / i_ SIGNATURE: ( —4 Building,Commissioner/InEQ2stor of Buildings. Date Z SECTION 1-SITE INFORMATION O LI Property Address: 1.2 Assessors Map and Parcel Number: (' Map Number Parcel Number (� X) 1.3 Zoning Information: 1.4 Property Dimensions: Q ST_K 22l Zs'-? S(' )06, Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required, I'Provide Required Provided Required Provided zv� t Za' t- 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private •❑ Zone Outside Flood Zone Municipal A On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes NO PTI 2.1 Owner of Record Name(Print) Address for Service: \ Si a Telephone 2.2 Owner of Record: Name Print Address for Service: O z M Signature Tele hone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ d Licensed Construction Supervisor: License Number '}address d� Expiration Date ature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name A z Iz,4 Registration Number Address r )L/ Expiration Date ^ Signature Vz TfUphone �1I r 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......X No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ . Specify Brief Description of Proposed Work: S 2`S SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be .00 USE OkNLY E Completed by permit applicant 1. Building (a) Building Permit Fee ^7 z g 1 Multiplier 2 Electrical (b) Estimated Total Cost of L U� Construction 66 510 3 Plumbing L GTZJv+ Building Permit fee tel X (b) 4 Mechanical HVAC Z erev 5 Fire Protection 25 t 6 Total 1+2+3+4+5 ?Z7 Q . Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPW FOR BUILDING PERMIT 1, ,as Owner/Authorized Agent of subject property i Hereby authorize 22. ze4v to act on My behalf,in all m ers re ative to wor orized by this bui ding permit applicatjon. Si a Owner Date SE ON 7b OWNER/AUTHORIZED AG T DECLARATION 1, + 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 !/ Print Name 71 Si a of Owner/A ent Date NO.OF STORIES SIZE BASEMENT OR SLAB i SIZE OF FLOOR TIMBERS 1 2 Z 3 SPAN 14 4,X DIMENSIONS OF SILLS DIMENSIONS OF POSTS 3 �� L DIMENSIONS OF GIRDERS U HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X v" MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE u3y �Arzg� IC� �pa,o�t� ao �0 �t°k a o0 fit 1f a ,9 '!� L1t,175o C� 14 3 'C' "0 Z{C)r aS� I Li a $ 3 $ H g °Q ao xa o Cs���y ©A«c.aov S a 5c o � ` 4ko ly X ayq� 3 0C/ o 0 � 5 ��,` iy 3 b a � i fj X 4 a- Fs,nn VP% o MM A� P 1.�A� THIS CERTIFIES THAT .�r�►�N!� .. .... K has permission to excavate and pour foundation at .L . for the purpose ofAft1�tCt.,F.:��r.,�.F.'A.l�.t•..�=:o.a,,.: The person accepting this permit must return to the offs of building thereon before Foundation will be inspectei VIOLATION of the Zoning or Building Regulations Voids this Pei The holder of this Foundation Permit proceeds at own risk and w assurance that a permit for entire building structure will be grants - SEE REVERSE SIDE FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used.to verify that all necessary approval/permits from j Boards and Departments havingjurisdiction have been obtained. This does not relieve the applicant and`or landowner from compliance with my.applicable requirements. q� � .■.........■■.■.rrr..■■...■.........ws...■ .........r....■...owns..■■ C APPLICANT �� L�G � f dX1 PHONE q>9•6 97- ASSESSORS MAP NUMBER �'2 LOT NUMBER ZV' SUBDIVISION C4 rt r 7 e LOT NUMBER t3 PIC STREET r �i�(� PIC STREET NUMBER OFFICIAL USE ONLY .......................Mumma...........Ross...w........................SIR..........,.............. REC NATIONS OF TOWN AGENTS .■w w■■.■� .. . ■..■....■....0■....■.■■■..u..■.r■..■..■,� ■...........■ DATE APPROVED CONSERVATION ADMIN�IS DATE REJECTED COMIyIENNTB ljom, d„t.�isd�cl��'hal DATE APPROVED (p ' TOWN DATE REJECTED COMMENTS � DATE APPROVED FOOD IN ECTOR-HEALTH DATE REJECTED DATE APPROVED. CTOR- TH DATE REJECTED COMMENTS _ PUBLIC WORDS-SEWER!WATER CONNECTIONS DRIVEWAY PER-MIT I/VI DATE APPROVED O F DEPARTN�IT DATE REJECTED CONDAENTS RECEIVED BY BUILDING INSPECTOR - DATE __.. .._. i P(ZoPos�D s cTe PLAN C jN R-ttk F 1 E Lb OT 3 \ \ 22 253 SF.j 1 O6F'�ONSR6(; - 1 _ n \ / PROP. — \ z oar ' I H cr cil O 0> iv w k-3 = III 0CD OWN Z- o II IIS GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVERBUILDING DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary information as requeste below. 4 Ea qCC4 Permit AppRicant Property address -Map/Parcel g7pvGg7 Z63 s� Applicant's Phone Number Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit,for which this form is completed does comply with the EXEMPTION section 8.7.6 of the Growth Management Bylaw.I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the building permit.Further I understand that my interpretation of the exemption status is subject to review by the Building Department and is only officially accepted when the building permit is issued. j 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 thebuilding, permit application and associated attachments,complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement restoration or reconstruction of a dwelling in existence as of the effective date of this bylaw,provided that no additional residential unit is created. The lot(s)was/were created prior to May 6, 1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and or moderate income families or individuals,where all of the conditions of 8.7.6 are met and or represents dwelling units'for senior residents,where occupancy of the units is restricted to senior citizens through a properly executed and recorded deed restriction running with the land.For purposes of this section"senior"shall mean persons over the age of 55. This application is part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density(buildable lots)below the density permitted under 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 space or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism approved by the planning board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 and shall receive a onetime exemption from the Planned Growth Rate and Development Scheduling provisions for thepurpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for a building permit(all other permits from all other boards and commissions have been received and the project is in compliance with those permits),and the Development Schedule does not accommodate issuing a building permit in that year.One building permit will be issued per year per Development until such time as the development schedule accommodates issuing building permits.Applicant must submit an approved FORM U with this EXEMPTION. PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS. BY SIGNING BELOW I ATTEST TO THE ACCURACY F THE INFORMATION PROVIDED AND THAT THE ATTACHED BUILDING PERMIT IS ALLOWED AN EXEMI IO CITED ABOVE. FURTHER I UNDERSTAND THAT THE SUBMI OF MISLEADING OR INACCURATE INFORMATION OR THE CHECKING OFF OF A ABOVE EXEMPTION DOES NOT COMPLY,WHETHER DONE TO MY KNOWLEDGE OR NOT IS GROUNDS FOR REFUSAL BY THE B DING DEPARTMENT TO ISSUE A BUIL ING P MIT. 7 LICANTS SIGNATURE DTE S FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION - �� �r ana�nw�uup� o��/�ieaacfivaP,lld BOAFto OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number ;CSb, 055417 Birthdater b,4/05/1 60 Etpires'•04'/O�u/20Q6 Tr.no: 21033 Restricfedc 0'0 THOMAS D ZAHORUIiCi3• 121 CARTERFIELD Fla yt N ANDOVER, MA 01845 Actimis over a The Commonwealth of Massachusetts Department of Industrial Accidents d Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit -Name Please Print Name: zo 40rz�ko Location: C� C l City A Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers'compensation for my employees working on this job. Company name: Address Cit': Phone#. Insurance Co. Policv# Company name: Address City: Phone# Insurance Co. Policv# Failure to secu4copy age as required under Section 25A L 152 can lead to the imposition of criminal penalties of,a fine up to$1,500.00 and/or one yeasonment.as welLas_civil..penalties' the da_STOP.WORK_ORDER..and..a.fine.of.(.5100.00)-a day against me, 1 understand thaof this statement may be forw ded to a Office of Investigations of the DIA for coverage verification. I do hereby cerer the pai and penaltie of pe rju that the information provided above is true and correct. SignatureDate 7 ) G Print nam � !moo Phone#C 7F 6yL) l 3� Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensino E] Building Dept ❑Check if immediate response is required Licensing Board p Selectman's Off/ce Contact person: Phone#: Health Department Other µaaTh Q q d Sty reg NA Town of North Andover Building Department 27 Charles Street North Andover, MA. 01845 �sS�c►+us�t D. Robert Nicetta Building Commissioner (978) 688-9545 (978) 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION Number Street Address Map/lot "HOMEOWNER Name Home Phone Work Phone PRESENT MAILING ADDRESS City Town State Zip Code The current exemption for"homedwners"was extended to include owner-occupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor: (State Building Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner'assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned"homeowner'certifies that he/she understands the Town of'No. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Permit Number MECcheck Compliance Report Checked By/Date Massachusetts Energy Code MECcheck Software Version 3.3 Release lb Data filename: C:\Program Files\Check\MECcheck\Lot 14 Carter Fields.cck TITLE:Lot 13,#197 Carter Field Road CITY:North Andover STATE:Massachusetts HDD:6322 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE:Other(Non-Electric Resistance) DATE:08/10/04 DATE OF PLANS: 6/25/04 PROJECT INFORMATION: Carter Fields COMPANY INFORMATION: Tara Leigh Development LLC COMPLIANCE:Passes Maximum UA=675 Your Home=581 13.9%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 2044 0.0 30.0 63 Wall 1: Wood Frame, 16"o.c. 3498 0.0 19.0 245 Window 1: Vinyl Frame,Double Pane with Low-E 508 0.340 173 Door 1: Solid 42 0.340 14 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 2008 0.0 19.0 86 Furnace 1:Forced Hot Air, 90 AFUE Air Conditioner 1:Electric Central Air, 11 SEER COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in MECcheck Version 3.3 Release lb and to comply with the mandatory requirements listed in the MECcheck Inspection Checklist. The 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 i v be no greater than 125%of the des' load as specifi ' Sections 780CMR 1310 and J).4. B 'lder/Designer Date Builder/Designer i MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.3 Release lb DATE:08/10/04 TITLE:Lot 13,#197 Carter Field Road Bldg. Dept. Use I Ceilings: [ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 continuous insulation Comments: I Above-Grade Walls: [ ] I 1. Wall 1: Wood Frame, 16"o.c.,R-19.0 continuous insulation Comments: I Windows: [ ] I 1. Window 1: Vinyl Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ]No Comments: I Doors: [ ] I 1. Door 1: Solid,U-factor: 0.340 Comments: I Floors: [ l I 1. Floor 1: All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 continuous insulation Comments: I Heating and Cooling Equipment: [ ] I 1. Furnace 1:Forced Hot Air,90 AFUE or higher Make and Model Number [ ] I 2. Air Conditioner 1:Electric Central Air, 11 SEER or higher Make and Model Number I Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I 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 Basketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfin(0.944 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. I Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I Materials Identification: [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] I Insulation R-values,glazing U-factors,and heating and cooling equipment efficiency must be clearly marked on the building plans or specifications. I Duct Insulation: [ ] I Ducts shall be insulated per Table J4.4.7.1. I 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. [ ] I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] I 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. I Heating and Cooling Equipment Sizing: [ ] I Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and AA I Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ l I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 120°F or chilled fluids below 55 OF must be insulated to the levels in Table 2. I G Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Ug to 111 Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range(F) 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) If RTH Town o 4Andover No. Ido dover, Mass., ale 0 /40 LA COCMIC ME WICK �. AERATED )P"' I �SSAC HUS�� FOR EXCAVATION AND FOUNDATION THIS CERTIFIES THAT ..... *A.......9.0.!J. ..4...........lrD..!*.V' .. .k...itl�!....................................... tot./J..�/ 9 ? ���eft� ��� Ihas permission to excavate and pour foundation at ... ............. ..... ....... ........ ................................ roov� ► t�l I #4! c� &!mab;� rh! Lfor the purpose of......................�.........1�...... .......I.. ... ..........:. .......:......::. �..... ...�..................7 The person accepting this permit must return to the office of the Building Inspector a certifie plot plan show of building thereon before Foundation will be inspected. / a 4, 13 8 �syso.� VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. /ryfi SEE REVERSE SIDE ......... ...... .............. .................................................................. BUILDING INSPECTOR NORTH ONM Of 4Andover /Zo - _ [` - LAKE dower, Mass., O COC..CNEWICK V RATED S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT /Q %"A Die-,v- � BUILDING INSPECTOR !.. ....vI .............. ...........................:... ... ................. ................... has permission to erect............... ......... ........... buildings on. ILM �:V71 C, /Q le �l�4 °"ngh tion a l • to be occupied asol.......o0.).... .....E�...... hi e �.�..���T.'.I....IT�� ��►....* ����rW. mn y provided that the person accepting this permit shall in every respect conform to the terms of the app ication on file in Final this office, and to the provisions of the Codes and By- ws relating to the In sp �ys D ion, Alteration and Construction of Buildings in the Town of North Andover. Is a /0 ,�, 13B PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION S ART ELECTRICAL INSPECTOR Rough ........ . ....................... ... Service ... . .. ... . ....... ...................... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Bumex Street No. SEE REVERSE SIDE Smoke Det.. Date. . /. HOR7M 3?�.,� •�.;.,��,oL TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,s$ACMUSEt This certifies that . . . . . . . . . . . . . . . has permission to perform . . . plumbing in the buildings of . . .. . . .... . r . . . . . . . . . . . . . . . . . . at. . . . . . . . . . . . . . . . . . . . ., North/Andover, Mass. Fee. . . . .. . . .Lic. No: 09. . .;:F. >. . . . . . // A44 (C . . . . . PLUMBING�INSPECTOR Check # 6422 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBIN (Type or print) NORTH ANDOVER,MASSACHUSETTS (� Date Building Location %1 11e-i it >Pa' Owners Na / � /?�Df)�l Permit# / Amount Tj of Occu anc iG� �/�✓1 New Renovation Repltm/ixtaas Plans Submitted Yes No ❑ F W W W O SLRESN E B�g1VIIVT M FLOOR �I.t FLOOR �FLOOR 4IH FLOOR 5M FLOOR 6M FLOOR 7M FLOOR SIH FLOOR (Print or type) Chec ne: Certificate / P/vm Installing Company Name U G� W1604 Corp. Address Z --� f�' �`� 114 Partner. Business Telephone - / Firm/Co. Name of Licensed Plumber: /,;/,;> Insurance Coverage: Indicate tth type of insurance coverage by checking the appropriate box: Liability insurance policy 1./1 Other type of indemnity El Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above threeinsurance Signature Owner Agent F1 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 Massaesetts tate lum o nd Chapter 142 of the General Laws. r BY Signature icense 11 m er �— Type of Plumbing License Title City/Town ense INUMDCr Master El Journeyman 1 ,T APPROVED(OFFICE USE ONLY LICJ i i I " Date.. . !Cf/ { U g--- Of aNORTH o? °` � TOWN OF NORTH ANDOVER � p ' PERMIT FOR GAS INSTALLATION s • . o h SACHUS This certifies that . . . . ""�.V'1'u. `P . . has permission for gas installation . A °t ` ��d...... . . . . . . . . . . in the �buildin s off . . . '°`. .' � . . . . . . . . . . . . . . . . . . . . . R. at . . I . ... . . .. ��: . . .. . . . . ... . .�. . .�t. .. North Andover, Mass. Fee. . .7 ✓Lic. No.cZb��� Z.-A. . . . . . . . GAS INSPECT& Check# 5G9 'f i MASSACHUSETTS UNIF4RMP11CATON FOR PII2MIT TO DO GAS FITl�tG (Type or print) Date NORTH ANDOVER,MASSA HBuilding Locations l✓1 12 Permit# Amount$ +-- l /,� G Owner's Name New Renovation ❑ Replacement ❑ Plans Submitted ❑ x w � z a oEnH w z 0 >4 z o r w a c7 a v x a z � c z z 0 °w° w ow o >o A a A a H SUB -BASEM ENT BASEMENT 1ST. FLOOR 2ND . F L O O R 3RD . FLOOR 4TH . FLOOR 5TH . F L O O R 6TH . F L O O R 7 T H . FLOOR 8 -L I I TH . FLOOR (Print or type) v��l- / �j�M heck Coe: Certificate Installing Company Name £Ot o rp Address 9 "`� �� /v�`"f �� ❑ Partner. Business Telephone FT6 / u ❑ Firm/Co. A / Name of Licensed Plumber or Gas Fitter t INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes M� No❑ If you have checked des,please ind ate the type coverage by checking the appropriate box. Liability insurance policy ❑/ Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner p Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Cha ter�f the General Laws. Signature of Licensed Plumber Or Gas Fitter By. ❑ Plumber /c Title { City/Town ❑ Gas Fitter tcense um er Master APPROVED(OFFICE USE ONLY) Journeyman Town of North Andover NORTH of,,.Go Office of the Zoning Board of Appeals F } Community Development and Services Division • 27 Charles Street North Andover,Massachusetts 01845 D. Robert Nicem Telephone(978)688-9541 Building Commissioner Fax(978)688-9542 -, c_. ,-,-, Any appy shall be filed Notice of Decision within(20)days after the Year 2004 D - date of filing of this notice x in the office of the Town Clerk. Proat: 197 Carter Field Road 13 — NAME: Tara Leigh Development LLC, 121 HEARING(S): October 12,2004 W Carter Field Road for premises at: ADDRESS: 197 Carter Field Road(Lot 13).1 PETITION: 2004-029 North Andover,MA 01845 TYPING DATE: October 15,2004 The North Andover Board of Appeals held a public hearing at its regular meeting in the Senior Center, 120R Main Street,North Andover,MA an Tuesday,October 12,2004 at 7:30 PM upon the application of Tara Leigh Development LLC,121 Carter Field Road for premises at: 197 Carter Field Road,North Andover requesting a Special Permit from Section 4 and Paragraph 4.121.17 of the Zoning Bylaw for a Family Suite. Said premises affected is property with frontage on the Northwest side of Carter Field Road within the R 1 zoning district. The legal notice was published in the Eagle Tribune on September 27& October 4,2004. The following members were present: John M.Pallone,Ellen P.McIntyre,Joseph D.LaGrasse,Richard J. Byers,and Albert P.Manzi,III. The following non-voting members were present: Thomas D.Ippolito, Richard M.Vaillancourt,and David R.Webster. Upon a motion by Richard J.Byers and tad by John M.Pallone,the Board voted to GRANT a Special Permit from Section 4,Paragraph 4.121.17 in order to allow a Family Suite to be constructed at 197 Carter Field Road per Special Permit Plan,Lot 13,#197 Carter Field Road,North Andover,Massachusetts,Date: September 15,2004,Prepared for Tara Leigh Development LLC, 121 Carter Field Road,North Andover, Massachusetts,By:John F.Zahoruiko,P.E.#20563,262 South Bradford Street,North Andover, Massachusetts;and Family Suite Plan,Lot 13,#197 Carter Field Road,September 15,2004,Tara Leigh Development,LLC,with the following conditions: 1. The Family Suite shall not be occupied by anyone except brothers,sisters,maternal parents, paternal parents,grandparents,or children of the residing owners of the dwelling unit•, 2. The Special Permit shall expire at the time that the parents cease to occupy the family suite; 3. The Special Permit shall expire at the time the premises are conveyed to any person, partnership,trust,corporation or other entity; 4. The applicant by acceptance of the Certificate of occupancy issued pursuant to the Special Permit,grants the Building Inspector,or his lawful designee,the right to inspect the premises annually. Voting in favor: John M.Pallone,Ellen P.McIntyre,Joseph D.LaGrasse,Richard J.Byers,and Albert P. Manzi,Ill. The Board finds that the applicant has satisfied the provisions of Section 4,Paragraph 4.121.17 of the zoning bylaw,that the 850 sq.ft.Family Suite is less than the maximum 25%of the gross living area of the principal unit,and that such change,extension or alteration shall not be substantially more detrimental than the existing under-construction single family home to the neighborhood. Pagel of 2 Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 Town of North Andover of MO.TI:, O Office of the Zoning Board of Appeals Community Development and Services Division • k • 27 Charles Street North Andover,Massachusetts 01845 c D. Robert Nicetta Telephone(978)688-9541 Building Commissioner Fax(978)688-9542 , rJ Tr C-C. G: Furthermore,if the rights authorized by the Variance are not exercised within one(1)year of the dafe of the grant,it shall lapse,and may be re-established only after notice,and a new hearing. Furthermore,ya Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two(2) year period from the date on which the Special Permit was granted unless substantial use or construction has commenced,it shall lapse and may be re-established only after notice,and a new hearing. Town of North Andover Board of Appeals, L Ell�PMcL��� Decision 2004-029. M62Pi53. Page 2 of 2 Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 Date.. .�".1.-.�'?..l... .. ♦, Of`NORTH TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION �1 5 y9s S'A SE�t .. This certifies that . . . . . . . . . . . has permission for gas installation . . r V,o V A . in the buildings of .T)&.0. . .at.� �. . . . .�!� � . . . . . . . . at . . .L0+!3` . ' ' , North Andover, Mass. Fee. . . Lic. No..�.ZtO. . . . . . A0 ? 144 � . �. . . ... . . > GAS INSPECT R Check# 4906 MASSACHUSETTS UNIFORM APPLICA N FOR P ERMI'T TO DO GAS FI1'I�TG (Type or print) Date 10/28/04 NORTH ANDOVER,MASSACHUSETTS Building Locations 197 Carter Fiel Rd Lot 13 Permit# ner'sName Tara Leight Dev.Amount$ New Renovation ❑ Repla ent ❑ Plans Submitted ❑ w � un er ro nd $25.00 w a aas li e o U c H z z c w 1 be s to ca w x a a w o > W ° SUB-BASEM ENT BASEMENT IST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH . FLOOR 5TH. FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type) Ch one: Certificate Installing Company Name_ Eastern Pro-pane Gas [Corp. Address 131 Water St. , Danvers MA 01923 ❑ Partner. 1 800 322 6628 ❑ Business Telephone Firm/Co. Name of Licensed Plumber or Gas Fitter Brian Kimball INSURANCE COVERAGE Check on I hive a current liability Insurance policy or it's substantial equivalent. Yes No❑ If you have checked�,please"ndicate the type coverage by checking the appropriate box Uitiility insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapt 142 of eral Laws. [IB3y: Signature of Licensed Plumber Or Gas Fitter itle Plumber4143-0 iWTown Gas Fitter nse Number er ❑ Master APPROVED(OFFICE USE ONLY) ❑ Journeyman Location) 413 10 CA-P-ee l 1/cp t No. CSO Date _9_ O y NORTH TOWN OF NORTH ANDOVER O� Jo . ,h0 F? • • L9 ' Certificate of Occupancy $ _ Building/Frame Permit Fee $ wcHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �� x r Check # 13 p 17619 v Building Inspector / O ' O �o NOTES: 1) THE BOUNDARY INFORMATION SHOWN HEREON WAS TAKEN FROM A PLAN ENTITLED SPECIAL PERMIT AND r \��� A N DEFINITIVE SUBDIVISION PLAN, CARTER FIELDS At ` SUBDIVISION; SCALE: 1 " - 40'; DATED: AUGUST 9, O� 2002 (rev. 1/17/03); PREPARED BY THIS OFFICE. LA /A` 2) THE INTENT OF THIS PLAN IS TO SHOW THE AS- / \ BUILT LOCATION OF THE FOUNDATION ONLY. / 1 LOT 12 / \ NO / 1 N % \\ I HEREBY CERTIFY THAT THE FOUNDATION SHOWN HEREON / LOT 13 \ IS THE RESULT OF A FIELD SURVEY MADE ON / \ AUGUST 9, 2004. OPEN SPACE / \ 21.47, l \, 33.52 oS l OF�a CHRISTOPHER ym FRANCHER No. 36116 to RESO r/ 9NC. 20.30' 0=101°30'54" OUN6Afi R=60.00' Ate ,, LICENSED LAND SURVEYOR DATE L=106.31' CARER ''j.� ROAD \ CERTIFIED FOUNDATION PLAN M CARTER FIELDS SUBDIVISION — LOT 13 / GRAPHIC SCALE CARTER FIELD ROAD co / ] 0 15 30 60 NORTH ANDOVER, MASSACHUSETTS r?a PREPARED FOR / 0. TARA LEIGH DEVELOPMENT, LLC iO ✓ �A� 13 (IN SET) 185 HICKORY HILL ROAD o ;y 1 inch = 30 ft. NORTH ANDOVER, MASSACHUSETTS Z „� 103 Stiles Road, Suits One r� �e� _� �_ ess•e� Salem' Now Hampshire 03079 (0) 893-0720 I N�� — _ ENGINEERS•PLANNERS•SURVEYORS LOT 14 MHF Design Consultants, Inc. SCALE: 1" = 40' DATE: AUGUST 11, 2004 DRAWING N0. DESCRIPTION BY DATE DRAWN BY: CHECKED BY: PROJECT NO. NAME REVISIONS JAC CMF 110900 1109 ABF.D WG TOWN :OF, NORTH ANDOVER PERMIT FOR WIRING` a. 77, t �i -i.f'Y���'��•.�i..•'WMii'���+•i'. •R�1Fi"swi.K`.• �iiTFi �i• ♦t�Y. � �'• Hair t1J• • 7 i:'3tilin'iM1 iC' a y- the buoom O ityMN+,✓' ';,.R= Mid �i�N'F`i'. r .}i'. H w .•..... Jsr. 4 Fee ,Ilk NQ 1.�` a > d S _!� �, •A {h�,! r,� {,;, L'�,�.ryyT`t.�.�4+� �Y1A r��nT�� ���'4� •'S'y�S'F�:�.4"M iJ���k" lyfti,.-�F� b'�1�.+�;jY ti� '. 1rm UU[YIIYlU[vVVEA"n yr it ,arxt,nvaaa i �_ DF.PAR7A1EAT0FPUBLJCSAFEIY Permit No. 's �l BOARD OF FIRE PREVF MON REGUMHONS 527 C71-1R 12:W Occupancy&Fees Checked I ' I APPLICARONFOR PERMIT TO PERFORMELECMCAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUS/ELECTRCOAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work descri d b Location(Street&Number) [q GQ-v� "rte-1� �� L-z1 Owner or Tenant —\Ak'.-A Cr> , Owner's Address 111 C" t Z k Is this permit in conjunction with a building permit: YesNo a (Check Appropriate Box) Purpose of Building i-'L� e--,) Utility Authorization No. Existing Service Amps �Volts Overhead a Underground ED No.of Meters New Service Amps Volts Overhead Underground ED No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work x/i A,f: VLO J No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round and No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps . Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tuba No.of Motors Total HP OTHER' t hmrrat Coveagp Ausuattmthetegtmana�ofM�sad tlsGataalL3ws It aNeaamaltL+abtliyhmaatoeRrScYirrh&lgC4mple>e COwWOrAs�antialMPV3lart YES 0----NO IhaNesthT tadvJdptoofof=w1O he0�YES CI ff}ouhmedrdodYBS,plea�end atethetypeefaNmWby d�ed�lgthe booc� �—+ >r4SLJRANCE BOND p OTHER [_ Esfnr VatleofHxbi lWdk$ Wodctosw hsp"MD*Reque0d Rot# Final SOW tu�r�ie • ofpgW.. FIRM NAME _ �, L=WNa Sigr a I ic=No 4—L-7 k-n BusftressTeLNa 7 " "2j 6 .1 '� ��,z c� v�� AL Td No. G'i� 3 -v sre OWT, i SINSURANCEWAMi;R lam thattheLin wdoesmthmethemamneoama perils asmg tadbyNbmhuMGa WI.aws andthatmysg ikwonthepmtapplicationwanesftm#mnm t (Blease check one) Owner Agent Telephone No. PERMIT FEE$ signature of Owner or Agent 'F Location / No. a Date NORTH TOWN OF NORTH ANDOVER O F R 9 + i ; , Certificate of Occupancy $ E��' Building/Frame Permit Fee $ ;27 s�cMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ d2 17U y Check # 9 19282 Building Inspector . t TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATfa OR DEMOLISH A ONE OR TWO FAMILY DWELLING Ma BUMDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/I 1 of of Buildings Date SECTION 1-SITE INFORMATION . 1.1 Property Address: 1.2 Assessors Map and Parcel Numl raj coa::n v, 622 13 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: ^' Zonin District Proposed Use Lot Area Fronts 8 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Regaired Provide RcqWred Provided ReqWmd Provided 1.7 Water Supply M.GL.C.40.t 34) I.S. Flood Zone Infcnnatios: 1.8 Sewersp Disposal Sysfem Public ❑ Private ❑ zoe Outside Flood Zane ❑ MunkW ❑ On Site Disposal System ❑ Now SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT CCit t�; " t t�iCi: /� p,IO rT, 2.1 Owner of Record Name(Print) Address for Service: 1 tAi i Signature Telephone o 2.2 Owner of Record: a } Name Print Address for Service: 4 Signature Tele hone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Pat Licensed Construction Supervisor: License Number IT Address �/�- /G J rr"" ^1 E�cpiretion Date „5', Sigif Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name 1 Registration Number Address �I CJS Aa 3-73 0 Expire'Expimfi&Data Si re Tele hone G) SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building unit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check apollicabile New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: L,a-✓s a- 6 ' X 3 t/ � � /`�r�so� e� rr¢✓ a,f' ltd J sL i.�- Xo tr-ic&S, A.A. SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completedbypernut applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x(b) 4 Mechanical HVAC 2 �-- 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 t ,as Owner/Authorized Agent of subject property td Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief T L Print N /oJ i e o er/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2N15 3 RD SPAN DMIENSIONS OF SILLS DIN ENSIONS OF POSTS DEMENSIONS OF GIRDERS FIEIGHT OF FOUNDATION THICKNESS SIZE OF FOO'L'ING X — MATERIAL OF CHIMNEY 1S BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE . i FORM U - LOT RELEASE FORM ` INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. APPLICANT FILLS OUT THIS SECTIO /^ APPLICANT �` ',' ` � 7a I PHONE LOCATION: Assessor's Map Number PARCEL, SUBDIVISION i LOT($) STREET_ Fr cLK i2 j ST. NUMBER ff OFFICIAL USE ON- EC E A OVTOWN A CONS RVATION ADMINI TRATOR DATE APPROVED DATE REJECTED COMMENTS WPI 54 Vol ' V�L TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS-SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE__ � RevWW VWjm The Commonwealth of Massachusetts d Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 y Workers'Compensation Insurance Affidavit Name ; Please Print Name: 13Y,(cv^ j� 1 Location: I Sc:,V� S ice- (,e� City \X—LJ &-- Phone # 0 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity F-1 I am an employer providing workers' compensation for my employees working on this job. Company name: Address City: Phone# Insurance Co. Policv# Comparnt name: Address City: Phone# Insurance Co. Poll cv# 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_Yail_as_civil..penaltiesinThe faunnfa.STOP WORK_ORD.ER..and_a fine of(.$100.00.) y against-me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under t nit Ppmffles erjury that the information provided above is true and correct. Signature Dateo o�f Print namev,��, �� �r� Phone# Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensin []Check if immediate response is required ❑ Building Dept ❑ Licensing Board ❑ Selectman's Office Contact person: Phone#. ❑ Health Department ❑ Other North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: (Location of Facility) ignature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector F NORT#i TONM Of 4Andover0 . No. 7*?Y y = o dower Mass. 40 •3 O oo T lA ^. 1 f COCMICKEWICK V A0RATED 'P"? C S BOARD OF HEALTH PERM -IT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT 4v...... /yj#c .PoW* lea ...... ...................................... Foundation has permission to erect...... 3 7 buildings on *. � �� ����� ,.................... ...... Rough ..... ...... to be occupied as V AQoO 0) A � Chimney ' provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. L IMV PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 16 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO STARTS tRough .............................. ...... .......................... ................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RouFinagh No Lathing or Dry (Nall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDS J1 Smoke Det. Lynch Construction 31 Seven Star Road Groveland, MA 01834 (978)373-1918 Construction Supervisor#: 065505 HIC #: 131266 Agreement for Construction Services Parties: Client: Paul and Kelly MacDonald Contractor: Lynch Construction Carter Field Rd. 31 Seven Star Road North Andover, MA 01845 Groveland, MA 01834 Phone: (978) 688-6921 Phone: (978) 373-1918 Location of Work: Carter Field Rd.,North Andover, MA 01845 Description of Work to be Completed: Construct mudroom—approximately 200 sq. feet. Relocate two windows to new exterior wall and add one exterior door. Relocate garage entry door to new location and repair existing opening. Price includes framing and all associated materials, roofing, siding, insulation,blueboard and plaster, wiring, flooring*, HVAC, and paint Proposed Work Schedule: Start date: 5/17/05 Estimated completion date: 6/17/05 Payment Schedule: $8,000 at start $8,000 at plaster $8,000 at finish tile $2,700 at completion of punch list Total: $26,700 *$800 allowance for tile flooring Lynch Construction 31 Seven Star Road Groveland,MA 01834 (978) 373-1918 Permits: By this agreement, Client acknowledges its authority and authorizes the Contractor to apply for and acquire all necessary construction-related permits. Client acknowledges that no work can begin until all necessary permits are in hand and that Contractor will use good and reasonable efforts to acquire the necessary permits,but Contractor does not control the timely issuance of said permits. Client agrees to endorse all applications as required to facilitate permitting. All work and schedules, as well as that of any subcontractors, will be subject to all applicable permits being available on a timely basis, and will be performed by licensed and insured professionals whenever required. General Conditions and Definitions: 1. Any changes are to be documented in writing and signed by all parties. Any changes will be paid for at the time of the change request, prior to the changed work being undertaken. Contractor reserves the right to not accept specific requests for changes if and when acceptance of those change requests adversely affects integrity of work product or schedule. 2. Additional work will be billed at the rate of$42 per hour for licensed labor, $28 per hour for common labor unless otherwise agreed. 3. Work sites will be left in equivalent condition to those existing prior to contracted work. 4. Contract will be considered substantially complete when all work has been initially completed; repairs and warranty are beyond the scope of substantial completion and final payment will not be withheld due to repairs and warranty items. 5. Non-payment or delayed payment according the payment schedule will result in work stoppage for the duration of any payment delays, and completion time extended accordingly. 6. Late payment will result in a finance charge applied to the entire balance due at an annual rate of 18%. 7. Only those work items specified in the "Scope of Work"and"Plans"are included in this contract, and this specifically excludes any items not specified, such as upgrades to electric service, water service, furnace/boiler, or other unspecified systems. , Lynch Construction 31 Seven Star Road Groveland, MA 01834 (978) 373-1918 Additional Conditions for Residential/Home Improvement Contracts: 1. All home improvement contractors and subcontractors shall be registered, and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director,Home Improvement Contractor Registration One Ashburton Place,Room 1301 Boston, MA 02108 617-727-8598 2. Client is entitled to a three-day right of cancellation under MGL c.93, ss48; MGL c. 140D, ssl0 or MGL c. 255D ssl4 as may be applicable. 3. Client is entitled to owner's rights and warranties under the provisions of 780 CMR R6 and MGL c. 142 A. 4. Unless otherwise specified or notified,there is no lien or security interest given on the residence as a consequence of this contract. 5. Any and all necessary construction-related permits are necessary for work to commence. 6. It is the obligation of the contractor to obtain such permits as the owner's agent. 7. Any owners who secure their own construction-related permits or deal with unregistered contractors shall be excluded from access to the Guaranty Fund. 8. The contractor and homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract,the contractor may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulations and the consumer shall be required to submit to such arbitration as provided in MGL. c. 142 A. Owner: Date: Contractor: Date: � g bid �xz r it qI ��- o �� {�� � , i � �� ��' �° ����� aS C NOTES: _ 1. Zoning District: R1 (PRD by Special Permit) of Proposed Work 2. No Wetlands Exist on This Lot or Within 100' 0 C) 3. Abutters Within 300' of Property: ertY� P Cf � Tara Leigh Development LLC 4. No Buildings Exist on Adjacent Properties Within 50'of the Proposed Structure Z 5. No structures or features proposed to be removed CY, � 6. The Boundary Information Shown Hereon Was Taken from a Plan Entitled Special Permit and rn_ o, Definitive Subdivision Plan, Carter Fields Subdivision; c� Scale I" =40';Dated August 9,2002 (rev. 1/17/03). n � I1 1 \ LOT 1>� Applicant: Tara Leigh Development LLC 1 \ 121 Carter Field Road 1 \ North Andover, MA 01845 1 \ 978-687-2635 t \ Owner: Tara Leigh Development LLC rt \\ 0 121 Carter Field Road t \ 1-3 North Andover, NIA 01845 978-687-2635 zo. \ Town of North Andover, Zoning Board of Appeals E—Proposzd structure GRAPHIC SCALE \ 27.47, I '�SZ 40 0 20 40 s0 t tx / 1 inch = 40 ft- 4�1 I 'tl ONC 120.30' L�=101'30 A 4-1m 1 ouH6ATio R=60.00' CARTER FML- ROAD �I } = For Registry Use Only L 106.31' z 1 \ Date �t \ t \ SPECIAL PERMIT PLAN o- f �9� S — Lot 13, 9197 Carter Field Road, North Andover, Massachusetts S�See ti° 222 �'T ' ?<< '�OF Date: September 15 2004 Scale: 1" = 40' 00 1�2� ZAHOORU KO Prepared for } \� LOT t4 No. 20563 0 l o TARA LEIGH DEVELOPMENT LLC ��� �` 'sT��`� 121 Carter Field Road North Andover, Massachusetts �. By: John F. Zahoruiko, P.E. V 262 South Bradford Street, North Andover, Massachusetts NOTES: 1. Zoning District: R1 (PRD by Special Permit) 2. No Wetlands Exist on This Lot or Within 100' 0 of Proposed Work e p 3. Abutters Within 300' of Property: 0 Tara Leigh Development LLC ' 4. No Buildings Exist on Adjacent Properties Within 50'of the Proposed Structure y 5. No strictures or features proposed to be removed cs � 6. The Boundary Information Shown Hereon Was V-3 Taken from a Plan Entitled Special Permit and rn_ Definitive Subdivision Plan, Carter Fields Subdivision; Scale 1" = 40';Dated August 9,2002 (rev. 1/17/03). f1 I \ LOT 12 Applicant: Tara Leigh Development LLC I \ 121 Carter Field Road I \ North Andover, MA 01845 t \ 978-687-2635 ! \ Owner: Tara Leigh Development LLC ! \\ 0 121 Carter Field Road ! I \ North Andover, MA 01845 I \ 978-687-263 5 1 \ Town of North Andover, Zoning Board of Appeals <--Proposed Structure GRAPHIC SCALE 21.47. ' 5�g2 40 o zo 40 so ! � Ix i ( INP ) a( / I inch = 40 fL II oNc 120.30' a=101'30'34" QII OtJN6PT10 R=60.00 CARTER FMD ROAD ! 1 L= For Registry Use Only 106.31' �I t it \ Date mI \ I \ rI -`P SPECIAL PERMIT PLAN o 19� 5 Lot 13, 4197 Carter Field Road, North Andover, Massachusetts S Date: September 15, 2004 Scale: 1" = 40' CIO JOHN F. = ZAHORUIKO T•, LOT t4- No. 20563 -Prepared for 4� TARA LEIGH DEVELOPMENT LLC c � 'STS 121 Carter Field Road, North Andover, Massachusetts dA l `��o t� By: John F. Zahoruiko, P.E. 262 South Bradford Street, North Andover, Massachusetts d R �T,R��T El.£V�4T161�I 4+1 El Y, LOT 139 #197 CARTER FIELD ROAD NORTH ANDOVER, MA 01845 f SCALE: 1/8" = 1'0" DATE: 6/25/04 TARA LEIGH DEVELOPMENT LLC NORTH ANDOVER, MA 0l 845 0 -7-6 t (o-0 9-0 A - K 1Tc mtt.] d / 0 SzuaY/oFF1GE;.. 0 &REAT Rooms r1 O O D S� J4 PuR. uAUu -bRY a � � 1 O , , MuaRoo►.� �► a 3-cAlk GARA&& } it r o�'ER �► 0 u N N O r .9 ❑ ❑ $-o -0 3-6 7-0 3-b -o '7-v Ilk -7o-o LOT 139 #197 CARTER FIELD ROAD r ' FIRST FIOOIP PLAN NORTH ANDOVER, MA. 01845 SCALE: 1/8" = 1'0" DATE: 6/25/04 TARA LEIGH DEVELOPMENT LLC NORTH ANDOVER, MA 01845 i a 22-0 ' N B=���3 ¢EDRmK Li o. L 7 . OO s M�AS-r�R BaaRobM 6E D(towk 2 oft wa To S�Low O rr�� W►C `.J iy-o ly--o 1�-0 -o LOT 139 #197 CARTER FIELD ROAD w NORTH ANDOVER, MA 01845 .y. SCALE: 1/8" = 1.'0" DATE: 6/25/04 TARA LEIGH DEVELOPMENT LLC NORTH ANDOVER, MA 01845 LOT 13, #197 CARTER FIELD ROAD NORTH ANDOVER, MA 01845 SCALE: 1/8" = 170" DATE: 6/25/04 TARA LEIGH DEVELOPMENT LLC NORTH ANDOVER, MA 01.845 -_ _• i b-o 42-0 S Z 1 Ib o � fl' I if 2 t or 0 0 it 0 ! III 11- IF o , N N PoRG�{ �R�A lk�o 1 y-0 10 LOT 13, #197 CARTER FIELD ROAD NORTH ANDOVER, MA 01845 SCALE: 1/8" = 170" DATE: 6/25/04 TARA LEIGH DEVELOPMENT LLC NORTH ANDOVER, MA 01845 x 2 1 "6 C sEco"'i L> cK LOT 139 #197 CARTER FIELD ROAD ,.AJ NORTH ANDOVER, MA 01845 SCALE: 1/8" = 1'0" DATE: 6/25/04 { ` TARA LEIGH DEVELOPMENT LLC NORTH ANDOVER, MA 01845 b-o 42-v 0 0 3.0 DaoR 1p 0 r 0 d (D a: N a b. - N � .b - _ s� G 0 1 r j=oc)1aD�T\b tJ 1 UPS ItCh R��c ovF�s�Zf7� 10 /� ZxG GoLLkk { �t L� Rt�)EC oK NT' 25yr.AS:ctt.sHWvti? R>d . fLIE 3(0" �tT�rttlE..tE _ NV- �3 Pp I - — C,¢�LING 3UlST 1=N[RY I�LbR w�S 1. Eu(,ATs R,o.(DB X12 X 83 vXZ>rR1oliz, 0oc�Z o 30'/2 x S?, q/-- aF 01-1 G7 "M\a ,Poon UI �i tx`t44 um1T REF. 4 34 Y4 X S'ly A k4VANnEC4 T,& t N c£�0.tCc�# SkrK Z x\OJ12 3`t 65-3 lot /�x �S 4y C 1 I -ryvr;,hawv, 3�t5� 3-t`(cT Y S J 3��7-2 CoQ x S IZ, E I ZXo/t. t3�o��tr�elut ,/ Y ' 3�s-7 to t z- s� �`t xlo� vR 2 "e e,'/4 G Int • j # I Q 22-S-t5?-Z2 'a x ST 1/9 S jEc�� 72 x E3212 � — L - 2 to/kz gt-0 <1aRta_£ /(jUf ' R l�EG rl =\mTcRIADoo2S Z-� u \JL;SS NC FDI1' 7x10 410l ��e Av 3RcYf tLL cj '� ILTt�R?h3Q�G WAU- �� r y coi 3/iii STau� co, LOTS 1 - 17 CARTER FIELD ROAD 30oo P ST 0o 4p'? ,. vc)o;tubNORTH ANDOVER, NIA 01845 SCALE- vanes DATE- 3/23/04 TARA LEIGH DEVELOPMENT LLC o CT Y p> ;o "\Ib-N lov 5EC to NORTH ANDOVER, MA 01845 I TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING - SaA BUILDING PERMIT NUMBER DATE ISSUED. X SIGNATURE: Building Commissionerfl for of Buildings Date z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 (o 2 -3 Map Number /i Parcel Number /v ✓ \'IC�W V�1 t" / D� �+ -Z, sa A O PPr0(JAL �2PtQ c SLr'72 1.3 Zoning Information: 1.4 Propexty Dimensions: R 5FR -FAM1I X —Zz, ZS 106 Zoning District Proposed Use Lot Areas Fronta e ft 1.6 BUILDING SETBACKS R Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided z Zo;3rJ' Zb Z�•2 V' Z O 1.7 Water S�°f�ly M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Jif Private ❑ Zone Outside Flood Zone A5 Municipal Ir On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 1 2.1 Owner of Record J"` Name(Print) Address for Service I re Telephone 2.2 Owner of Record: Name Print Address for Service: M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ h 1 L censed Construction Supervisor: / / License umber Address C�j f � � �d���3 � �� Expiration bate � ure Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name M Registration Number Address Expiration Date ^ Signature Telephone V I F 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.....4 No.......❑ SECTION 5 Descri tion of Proliosed Work check all a licable New Construction Existing Building 0 Repair(s) ❑ FAlterations(s) 0 Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: l h P.W Ml SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost Dollar to be OCIAY,�ISE ONLY- Completed }1+II,yCom leted by permit applicant 1. Building (a) Building Permit Fee 1 a� Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing O?lro Building Permit fee(a)X (,b) 4 Mechanical HVAC ovo 5 Fire ProtectionPJ!lam 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APP IES FOR BUILDING PERMIT I, ,as Owner/Authorized Agent of subject property Hereby authorize to act on My behal ui matters re ati tow rk authorized by this building permit applicV Sigpf&of Owner Date ION 7b OWNER/AUTHORIZED AGENT DECLARATION h as Owner/Authorized Agent of subject property Hereby declare that the statemen an information on the foregoing application are true and accurate,to the best of my knowledge and belief Pri ame to q 1U Si ure o Owner A ent Date __ ... NO. OF STORIES Z SIZE Z X Z, Z- BASEMENT OR SLAB St.( SIZE OF FLOOR T MBERS 1 2 3 RD SPAN ,A DIMENSIONS OF SILLS Z DINIENSIONS OF POSTS '3 DMIENSIONS OF GIRDERS Q HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHMNEY IS BUILDING ON SOLID OR FILLED LAND v Z J IS BUILDING CONNECTED TO NATURAL GAS LINE I� Noarti Zoning Bylaw Review Form Town Of North Andover Building Department "ti•-�q;ryo:.• >" 27 Charles St. North Andover, MA. 01845 9SS"`"�5�< Phone 978-688-9545 Fax 978-688-9542 Street: /el f I2 7EX is/ o A cls Ma /Lot: 6 a /573 Applicant: 'TURA KE tra #4 -D K_ k e- Re uest: r,a w►, / 5 - r 1 Date: -i S-4v Please be advised that after review of your Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning R- Item Notes Item Notes A Lot Area F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexisting 2 Frontage Complies 3 Lot Area Complies LY,•-e S 3 Preexisting frontage 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 1 Use Preexisting 2 Complies S 4 Special Permit Required 3 Preexisting CBA 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply Lt e- S 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies 3 Left Side Insufficient 3 Preexisting Height 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient l Building Coverage 6 Preexisting setback(s) 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies cyr .5 D Watershed 3 Coverage Preexisting 1 Not in Watershed y -e. S 4 Insufficient Information 2 In Watershed j Sign N 3 Lot prior to 10/24/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District K Parking 1 In District review required 1 More Parking Required 2 Not in district L/ _S 2 Parking Complies 5 3 Insufficient Information 3 Insufficient Information 4 Pre-existing Parkin Remedy for the above is checked below. Item # S ecial Permits Planning Board Item # Variance Site Plan Review Special Permit Setback Variance Access other than Frontage Special Permit Parking Variance Frontage Exception Lot Special Permit Lot Area Variance Common Drivewa Special Permit Height Variance Congregate Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit Special Permits Zoning Board Independent Elderly Housing Special Permit Special Permit Non-Conforming Use ZBA Large Estate Condo Special Permit Earth Removal Special Permit ZBA Planned Development District Special Permit Special Permit Use not Listed but Similar Planned Residential Special Permit Special Permit for F^nr Lq S,�, R-6 Density Special Permit Special permit for preexisting Watershed Special Permit nonconforming The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to Provide definitive answers to the above reasons for Any inaccuracies,misleading information,or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department.The attached document titled"Plan Review Narrative"shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file.You must file a new permit application form and begin the permitting process. Building Department Official Signaturo Application Received Application Denied Plan Review Narrative The following narrative is provided to further explain the reasons for DENIAL for the u'*APPLICATION for the property indicated on the reverse side: • r� .�ta`m � � � �f�f7i 5f c. � ua.� �.�'"�,r� .fl;_� (.. .a'tl.� -�`x-y sBi i 3x a: � A _ lee IS !/y1 l S Referred To: Fire Health Police Zoning Board Conservation Department of Public Works Planning Historical Commission Other Building Department O O NOTES: 1) THE BOUNDARY INFORMATION SHOWN HEREON WAS TAKEN FROM A PLAN ENTITLED SPECIAL PERMIT AND Z DEFINITIVE SUBDIVISION PLAN, CARTER FIELDS �'• SUBDIVISION; SCALE: 1" = 40'; DATED: AUGUST 9, N G'_ 2002 (rev. 1/17/0,3); PREPARED BY THIS OFFICE. CP W, !A\ c� 2) THE INTENT OF THIS PLAN IS TO SHOW THE AS— / \ BUILT LOCATION OF THE FOUNDATION ONLY. / 1 LOT 12 ! 1 ' / 1 " / 1 / 1 N 1 1 -cr / \ N ! � 1 I HEREBY CERTIFY THAT THE FOUNDATION SHOWN HEREON /'\J'0N, 13 \ IS THE RESULT OF A FIELD SURVEY MADE ON AUGUST 9, 2004. OPEN SPACE / \ 2r 4j• 1 1 i CHPj PffER yw o FRANCHER N0. 36116 s ,�/ ON c 20.30' A=101'30'54" a ouN6nfi6N eLICENSED LAND SURVEYOR DATE ! it/ I R-6106.3 1' CARTER MD ROAD �! CERTIFIED FOUNDATION PLAN 91 m! \ CARTER FIELDS SUBDIVISION — LOT 13 ! \\ GRAPHIC SCALE CARTER FIELD ROAD t / ] 0 15 30 60 NORTH ANDOVER, MASSACHUSETTS ! aCP ' PREPARED FOR co / � �o Y (IN FEET) TARA LEIGH HID EVELOo D ENT, LLC 0 I inch = 30 ft_ NORTH ANDOVER, MASSACHUSETTS 103 Stiles Road, Suite One Salem. New Hampshire 03079 : (603) 893-0720 \A 1� — ENGINEERS•PLANNERS•SURVEYORS n LOT 14 MHF Design Consultants. Inc. a SCALE: 1" = 40' DATE: AUGUST 11, 2004 DRAWING NO. DESCRIPTION BY DATE DRAWN BY: CHECKED BY: PROJECT NO. NAME REVISIONS JAC CMF 110900 1109ABF.DWG