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Miscellaneous - 20 Chatham Circle
a0 CHAT-MM C.IRUE q aAAP ok 47 PARCEL-t 9 ___ OICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER umber_J � Date / THIS CERTIFIES THAT ATED ON O- T l'd a4 C4.44-AA-we- AS 1t) l e(f w 11 t ti q IN ACCORDANCE )NS OF THE MASSACHUSETTS TATE BUILDING CODE AND SUCH NS AS MAY APPLY. (o R`O V S- .5 i31,�A��S- a^Ni-a h -A N P-c -Cy CERTIFICATE ISSUED TO I�� y© y '``ea 14 ADDRESS Lam,IW i�/zer C Building Inspector NORTH own of E over No. /ave 4B - '� 0� �a�H1, .0 dover, Mass., ADRATED S H � BOARD OF HEALTH PERMIT T D . Food/Kitchen Septic System ' l v CC BUILDING INSPECTOR THIS CERTIFIES THAT....... .. ...........V.C�.............�1° ....... ..S? ........ y...................... . l Foundation 61 has permission to erect...............1...................... buildings on ../d T....'� .Y...N W A.-k1. Oe- ...... � Rough s` /U� r to be occupied as.....<ff?......../�. �'!./...:a ....!... hi..�.S�a II.. }�q G�d Q� PWA himney provided that the person accepting this permit shall in every respect�conform to the terms of the application on file in Fina 'v�/ �� 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. A q, ,�C� y�. PLUMBING INSCT R VIOLATION of the Zoning or Building Regulations Voids this ermlt. PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STARTS EcrRic /PEc R BUILDING INSPECTOR Occupancy Permit Required t0 Occupy Building GAS INSPECTOR Display in ,a Conspicuous Place on the Premises Do Not Remove .f No Lathing or Dry Wall To Be Done FIRE IMPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No., ' SEE REVERSE SIDE Smoke Dt. Town of North AndoveraF NLED ttLeo 6 �Q Building Department 3? yt 0 27 Charles Street o North Andover, Massachusetts 01845 4 (978)688-9545 Fax(978) 688-9542 � cncwewW 1• x V APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS --2 /��/ �k�►� (/Y LOT NUMBER / SUBDIVISION C91� C�:asS✓✓1� DATE REQUEST FILED DATE READY FOR INSPECTION ZZ25,1U/ FIVE(5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED,WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE($25.)DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTING CONSERVATION-- � DATE PLANNING f DATE D.P.W. -WA METER e /J-R) DATE Wfj�— LL��`7 1—l7-0 D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR T IN EC ON REQUEST DATE. / 1 - 2Z-D �z SIGNAT /OW AUTHORIZATION N° 33 -,15 Date.......... .��....1...... NORTH TOWN OF NORTH ANDOVER r PERMIT FOR WIRING ,SSACMUS� . } rMJ . Ct-G! This certifies that .................. * ........:. .................................... has permission to perform .......................................................' .- --� ., �' ......:.................. /' wiring in the building of .....�:.:�✓ L/ � - �.�... � North Andover,Mass. .... � ...Fee. S �..% ...rLic.N .//! .... ..�.:............I............. "-ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY:Building Dept. PINK:Treasurer nwcaumpWALMOFMAMaMEMOffice Un Only OEPARDF9 TOMBLICS9MY , Pmnitft 33 BOARD0I'JWPR&EvnONRWlIL4MffJVCW 12W &Fees Cbeetee ..�.iG.G..— 4 � � APPLICATION FOR PERARTTOPERFORM�CAL WO ALL WCRKTOBEPOWQWWINACCMANMWrMIHPJASlOX3SaMWMCALomF,S2?CMR 12:00 Q (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Town of North Andover To flee hopector of Wires: The undersigned applies for a permit topubm the electrical work described below. Location(Street&Number) 2Q Z cl e— Owner or Tenant ' Owner's Address Is this permit in conjunction with a/building penniC Yes No (Cho&Appropriate Bole) Purpose of Building I/17 LQ�110 — Utility Authorization No. Existing Service Amps/„Volt Overhead Underground No.ofM'MS New$ice `` Amps/ lij OVolts 04W Overhead;Q Underground � No.of Mks NumberofFoeders and Ampacky Location and Nature of Proposed Electrical WA' VN No.of Lighting Outlets / No.of Hot Tubs No.ofTranafomM Tow KVA Na ofLightiogFixtuta Swimming Pool Above Belmv Genanaces KVA No.of Receptacle Oallets No.of Oil Bumex Na of Bmergeacy Lim Bathtry Ueda No.of Switch Outlets J (/ No.of anBumers No.of Rsaga q No of Codd. Total FIRE ALARMS No.of Zeus d" Tons No.of Disposals No.of Heel Total Tote) Na of Daedien sad s Toes KW hvtiatiog Devises No.of Dishwashers Space Area Heding KW No_of Sounding Devices No.orgelfContalned DetectipJSopsding Devices No.of Dryea Hating Devices KW Local Mammal a No.of Water Heater KW No.of _ No.of Si Bailesis No.Hydm Massage Tubs Na of Motes Total HP' O 6ts,mroeCo►c�puly�tb�ler+ogliarl�atM�ad>tsdnCnrar�Ia4us iha�eaanertLiablTtyhmrr�Fb6q+6rdu1�8 °� '� YES NO lh&ewh nbedm&pmofcf9=l0ftOBx Y ND 0 Mr wbw&eM YES►pbo,ideucthety K(a=Wbydeed�l&1be CE >c�PS1.lRAtVCEQ ..,,. BMV Fi�iadonDge E�IireetedVwVak S WC&III)S�lt �-,4 til IPWUM� ftJ h � !'Jl� C� �tl�f I3oenteNa II � yroA"42z). //y9 &set�'[hLNa -4r 71rt of Add= 7 �N�E yi LG '� ol�y �I.Na t,.,.. ATM OWM RSNRJRANMWA1VF1t;Iena el ioawdbYMmmftzftCrmdLt= audt�etmyeg>eaieoa>1>isP�P�04�� i . (Please check one) Owner [Z3 Agent Telephone.No. PERMIT FEE I r! r,J r`u ;tet": I ^.`'".Ci C i/3Yet:.• y . ., .�.. ., . .� � .'\f , » vsM'.-6'v ..a.: w. r_..a n. ...a♦>1Y.... h.n�.•� - .. w n r ....• ♦ .. •s 1 i1:)3'�'i. ��� . a v6t" i ., a . w t ..�'wi. +r• a• R ♦. a -,a+_....r.A%:s. -..-. • -.+. iw- fYae y — ..,...,. -raN.n 3,. _. ..._ .. ,...A ♦C¢s. .-.,... .,. - �. .._ 3 - Tye. .. - .t. 4-_ I^ Location No. P Date b I �aRT� TOWN OF NORTH ANDOVER 1- y Certificate of Occupancy $ �'�J'"•°';<�' cHus Building/Frame Permit Fee $ s� e Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Q Oct Check # 1 5 1 2 8 Building Inspector Sep-13-01 09: 24A P_04 w o LOT , 11 N :LOT / 55 0 CHATHAM (50' WIDE) CIRCLE L=19.47' R=20.00' } 47.27' t LOT / s o oo, X07 , 21.7' h j o N Ln LOT 8 a LOT,� 10 5.5' �4zo 6.4' n�ty 9.Q' EXISTING FOUNDATION 21.7' 4.3' 16 TOP OF FOUNDATION=235.79' , N o 7e n �( a, A 4 f 7.5' 61.5 4.3' 21.7 LO b 00u s + s a 0 Lr) 5-e-AREA=12,6.32 1 5.F. y-�4S�oi\reC9 It`l-O( �- 121 .98' _!. NSF NIF NIT WILL/AM L. dr £L/ZAB£TH M. HOXARD & JOANNE GUY P. &- M1CH£L£ M. MOR/N BROWN R/£NOEAU I HEREBY CERTIFY THAT THE FOUNDATION ON LOT 9 IS LOCATED AS SHOWN HEREON AND THAT IT CONFORMS �tH OF ^ TO THE SETBACK REQUIREMENTS OF THE ZONING BY-LAW o��� OF „THE TOWN OF NORTH ANDOVER. IGREGORY R, CORCORAN y "" ' ..... No. 38034 PROFS 7LA D SURVEYORffw DATE:...s.. . ..�.�...... 19�o SUP.,Ngl CERTIFIED PLOT DANA F. PERKINS, Inc. Consulting Bngineers& lend Surveyors PLAN OF LAND IN T yK15 MAIN STREET . UNIT Ill C SMY, MASSACHUSETTS 01676 N.ANDOVER, MASSACHUSETTS PREPARED FOR: CIYATHA Af CROSSING CORNIER-ANDOVER RCORP. 59 CHANDLERLER CIRCLE ANDOVER, MASSACHUSETTS SCALE: 1"=40' DATE: AUGUST 30, 2001 JOB N0.51165-9 1 SHEET I OF 1 COPYRIGHT 0 2001 PY rANA F.PERKINS, Inc. Location /or 91 A X70-O y r!'44'11�4�l1 L"/N No. � 614 a S Datey> N°RTh TOWN OF NORTH ANDOVER F Certificate of Occupancy $ l U G S tt� Building/Frame Permit Fee $ s�cMus Foundation Permit Fee $ D U Other Permit Fee $ TOTAL $ %6;> G Check # ` �' Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING .k ...�:;. \mak.?.i.;.e ��" �. 5y�.�:(�1��\ y. ... .,, ��,•,�„ � k„�-.x� e+�k'z y`* 'V, ®s0 BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/12gxdbr of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number. 111-7 Map Number Parcel Number 1.3 Zoning Information: (� 1.4 Property Dimensions: Gf Zoning District Proposed Use Lot Area(sf) Front. e tt 1.6 BUILDING SETBACKS R Front Yard Side Yard Rear Yard Required Provide Required Provided ReqWred Provided O --7/ — % 1.7 Water Supply M.G.I.C.40. 54) 1.5. Flood Zone Information: 1.6 Sewerage Disposal System: Public g Private ❑ Zone Outside Flood Zone Municipal jY On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner f Record Name(Print) Address for Service: 'V Signature Telephone 2.2 Owner of Record: Name Print Address for Service: rnp��qqq Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 LZ Construction Supervisor: Not Applicable ❑ i Licensed Cofistruction Supervisor: 5—V G y/ License Number Wn Expiration Date ic Si .lureTelephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number rum Address CUM 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.......0 No.......0 SECTION 5 Description of Proposed Work check all applicable) f New Construction r; Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition [IAccessory Bldg. �❑' Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: � � .�� , � � Irl�ce� � Wiz- /✓l��J�'f. SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be ) #' R' ` ?3$5 �5M;MA�Completed b trait a licantF 1. Building (a) Building Permit Fee dv Multiplier 2 Electrical (b) Estimated Total Cost of I 2-6 p U Construction 3 Plumbin ®v Building Permit fee(a)X(b) 4 Mechanical HVAC p^de) _.- 5 Fire Protection ( / 6 Total 1+2+3+4+5) 1 Check Number SECTION 7a OWNER TION'TO BE COMPLETED WHEN OWNERS AG R CO CTOR AMLtES FOR BUILDING PE T I, er/Authorized Agent of subject property Hereby ar orize _ to act on My behalf,in all matters relative to work authorized by this building permit application. 't"/ Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Herebv declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief i Print Name Sigaatue of Owner/Amt Date M2109 M M12-21M NO RIES SIZE r' ZAiELUXT OR SLAB SIZE OF FLOOR TIMBERS 2 3 SPAN /O DIMENSIONS OF SILLS 2P DIMENSIONS OF POSTS yG M ENSIONS OF GIRDERS 2 HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING 2 6 X MATERIAL OF CHIMNEY o IS BUILDING O R FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE •� FORM U.- LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT G� ��L� /r��Si' PHONE fZf LOCATION: Assess'or's Map Number 1;17 PARCEL SUBDIVISION 1 "1 LOT(S) STREETj�f 61e ST.NUMBER 2-01 Z4 *****************************************OFFICIAL USE ONLY*********************************** RE C ATIO S OF TOWN AGENTS: C RVATION, MINISTRATOR DATE APPROVED DATE REJECTED COMMENT O ! TO N PLANNER DATE APPROVED o DATE REJECTED COMMENTS FOOD IN ECT R-HEALTH DATE APPROVED DATE REJECTED SEPTIC I SP CTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENTa RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 im CHA THAM CIRCLE s 8" PVC , J 8" CLDI u W WATER �. 0 PROP. \ 47.27' ` SLOPED GRANITE 232 �9 CURB ` V' V� N -b Q L =6 7. 01' w 3 > m 0 z GF=233.0 PROP. BIT. I CONC. DRIVE co PROPOSED _ PROPOSED--- - o UNdT"� UNIT J - v -72 w FF=238.0 FF=238.0 GF=233.0 N -rrl�-rj,• ' , 1 20.3' o L ®T9o o (12,632 SF f) o c. cn 10' WIDE NO—CUT ZONE i 02 121.98 N/F BROWN DOUGLAS E. CIV' ~ o.4 9 ® e ST��� PLOT PLAN DANA F. PERKINS, Inc. Consulting Engineers&Land Surveyors .... LOT #9 1215 MAIN STREET < UNIT 111 ...... ................... TEWKSBURY, MASSACHUSETTS 01676 CHATHAM CROSSING PREPARED FOR:E RAY CORMIER NORTH ANDOVER, MA 59 CHANDLER CIRCLE ANDOVER, MA 01810 SCALE: 1°=20' DATE: FEBRUARY 23, 2001 JOB NO.51165-9PP SHEET I OF 1 COPYRIGHT 02001 BY DANA F.PERKINS,Inc. GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVER BUILDING DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw.The applicant shall provide all of the necessary information as requested below. Permi Applicant Property address Map/Par 22 a/g�? 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 ofthe 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. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot,in the building permit application and associated attachments,complies with one or more ofthe following sections as indicated by a check mark. This is an application for 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 one time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for 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 OF THE INFORMATION PROVIDED AND THAT THE ATTACHED BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE. FURTHER I UNDERST SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE CHECKING OFF—QFA ABO MPTION MUCH DOES NOT ~WHETHER DONE TO MY KNOWLEDGE OR NOT IS GR S F FUSAL BY THYrOULDING D ET TO ISSUE A BUILDING PERMIT. AIFPLICANT, A DATE THIS FoRn TO BE ATTACHE TO THE BUILDING PERMIT APPLICATION _ vnuyn " a�✓ TtONs VISOR REG RP OF'lUlCT ON SUPER t gOA CONSTR License 063515 CS e a Num r 121611967 . 5058 ptrthdate: Tr. no ` 'x ExPlres 1.Zllr L00� vkes ricted To- 00 R •• t MOND Y COiN -drninistrator 5 MEppOW V1E o g10 ANDOVER, MA .x .E The Commonwealth of Massachusetts y Department of Industrial Accidents Office of Investigations ° ' Boston, Mass. 02111 - Workers'Compensation Insurance Affidavit - Please Print Name: ✓9 �d ln4llz Location: 2D City /(, Va,.e-e+/ /��2 Phone F-1 am a homeowner performing all work myself. =I am a sole proprietor and have no one working in any capacity 'Iam an employer providing workers'compensation for my employees working on this job. Company name:- AddressT City: Phone#: Insurance Co. /T�lj/d�� __ Policy# Company name: Address City: Phone* Insurance Co, Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pain pe sof psdj . at the info fled above is true and correct. s � Signature Date Print name s t 04-* Phone# it/ play Official use only do not write in this area to be completed by city or town official' d Building Dept ❑check if immediate response is required Building Dept CJ Licensing Board F1 Selectman's Office Contact person: Phone#: Health Department Other FORM WORKMAN'S COMPENSATION c I I I VW11 U1 INUrtll Anaover �o�tT�xo ,6 '9,x,0 Building Departmento o c 27 Charles Street North Andover, Massachusetts 01845 _ (978) 688-9545 Fax (978) 688-9542 DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and.a condition of Building permit•# the debris resulting from the work shall.be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, A 50a. The debris be disposed of in/at: Facility location Signa ofA.pplic t Dae NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. O1 11 :01A ;ug-07 P 02 ." .. MAScheck COMPLIANCE .:REPORT Massachusetts: Energy .Code Permit. # <_MAScheck =Software,Version 2.01 Release 2 Checked. by Date l TTk f CITv ' North Adover �T�`�'� NdSSSa+'�+uSr"ttC DD, 'v3i� COIrTS'SItUC3I0N TYPE -'i or 2 Family, Detached HEATING,, YSTEM`,TYPE: Other (Non-Electric Resistance) TITLE LOT #9 UNIT A CHATHAM CIRCLE PROJECT INFORMATION: yt10N CORIM.IER CONST CORP 5TNE-D9 CHA1'Np77L��ER CIRCLE ANE—DOVER A COMPANY INFORMATION: J< HEATING & AIR- COME 17 A1?L�NGTON ST DP.ACUT MA COMPLIANCE: PASSES Re�si red UA :_ 373 Your Nome - 362 Area or Ca-,;,i t1 Cont . Glazing,/Door Perimeter R-Value R-Value U-Value ----------------- ---------------------------------------------------------- CEILINGS 1388 30.0 0.0 WALLS: Waod Frame-, 16" O.C. 1043 11.0 0 .0 WALLS: Masonry, Interior Insulation 290 11.0 G.0 GLAZING: Windows or Doors 273 0 ,330 GLAZING: Windows os Doors 63 0.360 DOORS 39 0.420 FLOORS: Over Un.cnnditioned apace 1188 19.0 0 .0 HVAC EQUIPMENT: Furnace, 92 .0 AFUE ---------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is rnncictent with the building plans, specifications, and other calculations submitted with the permit application. The proposed budding has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this buiidina; and the cooling load if appropriate, has been determined using the applicable Stannard Design Conditions found in the Code. The HVAC equipment selected to heat or coal the -building shall he no greaterthan the des' n load as specified in SP_Cti.ons 780CMR 1310 a , 4,.14 Builder/Designer G/ -2e Pate �ug_o7=01 11 :01A P_03 I _ MassachllCetts i:r ergy 6 MAScheck S.of twar-e 1,1'2rsioa 2.03 Rele.as.e 2 LOT #9 UN3T A"-CHATHAM oftRCLE, DATA WQ ' v Z. BidQw � u 'Deft w I ] 1 R 3p Comments/Location WArLS " Wood Frame,' ;16" O.C_ f Rjk =11 Co. encs/Locati._On ] 2 M - Onry Interior _Insulation, R-ll Comments/Location WINDONIS AIM CLASS DOORS I ] 1. 'U-value: 0 .31 For windows without lareled U-values, describe features: # Panes Fiamem Type Thermal Break? [ ; Yes [ No Co�r�r�er�t s/Lova.t i on [ 7 2. U-value: 0 .36 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ j Yes [ ] No Comments/Location DOORS: E ] I. U-value: 0.46 Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location HVAC EQUIPMENT: 1 1 . Furnace, 92 .0 AFUE or higher Make and Model Number [ ] 2 . Air Conditioner, 10.0 SEER AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage- must be sealed. When installed in the building enveiape, recessed lighting fixtures shall aaaet one of the following requirements; 1- i'ypie-TC: rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2 . Type IC rated, in accordance with Standard ASTM E 283, with no more than 2 .0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 1bs/ft2 pressure difference and shall be labeled. u . 9_,07=01 11 :02A P.05 PIPE SIZES (in. ) NON-CIRCULATING CIRCULATING MAINS & RUNOUT HEATED WATER TEMP � F) RUNOUTS 0-1" 0-1.25" 1 .5-2 .0" 2 .0+ Y 270 .180x7, 1.0 1.5 2 .0 140 1b3 0 5. 0 .5 1 .0 1.5 00 13 0 0 5 0 .5 0.5 1.0 i NOTES:TO FIELD' 3u�ld�ngepartmenr �,Tse ,Onlv1 ------------------------- t d i A k ORTH Toven o �� co, Vo :. ndover No. /096�-CAIE46) -_ - o ndover, Mass., op Al 000 / O t- LAKE COCMICHEWICK R-ATED SSACHUS� FOR EXCAVATION AND FOUNDATION THIS CERTIFIES THAT .... .1 ..7 . ..... .. ... .�/.am ,���a.I f�( U s� ... ... .... .. . .. . ........... ............................................... / Cy has permission to excavate and pour foundation at ................� P.... ...................... ................. for the purpose of........ V�Q{.t-� ......., G�/�e.�/�i _ .. i4Tljs�p� d///g�� rG .... . ........... ..... ......... The person accepting this permit must return to the office the Buil ing Inspector a certified plot plan show �'c�UA.0 of building thereon before Foundation will be inspected. VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this f=oundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. BUILDING INSPECTOR NORTFi Town of over No. /C�Z S-A -t> 10200/ o� C0C,. ,0 dover, Mass., %SDRATED PPG,C�S H 4 BOARD OF HEALTH PERMIT T Food/Kitchen Septic System 1 � � c BUILDING INSPECTOR THIS CERTIFIES THAT......... ... ........V ov.... ��.a...I... ./Y....../.... .v.s ...................... ......... Foundation has permission to erect.............../..................... buildings on.�Q�.l............. .. r�....�'. .A;.�I..IAwJ,.LI Rough to be occupied as /�O©mj..( � , /a CJI pG'I�..J v /`�� � Chimney C9.. .. ... ......... f...................... .... ........................ /�........... 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. / D va PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. : Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough IUC6"' . ....................... 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. TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ■id ��'��..�rj�'F �,,.u:..�z+.�s�. ^'6 k•. :`a P....e. �i m:�... ,_+.�.��. �r*e"''i � "`� -r¢ '�s ^�.: � s�'s.k ei- ■�� BUILDING PERMIT NUMBER: � DATE ISSUED: SIGNATURE: 1. , MONS Building Cornmissioner/InEeEtor of Building Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 2 k 61L �2 - 7�77Z �_ / Map Number Parcel Number 1.3 Zoning Information- 1.4 Property Dimensions: ioning District Proposed Use Lot Areas Fronta e ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Lte&red Provided Required Provided 1.7 9Vater Supply M.G.LC.40. 54) 1.5. Flood Zone Information: 1.6 Sewerage Disposal System: Public Private p Zone Outside Flood Zone Municipal On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner ecord Name(Print) Address for Service: Signature 2.2 Owner of Record: Name Print Address for Service: z Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licens Construction Supervisor: Not Applicable ❑ Licensed Constfuction Supervisor: License Number Address I�d d l?l Expiration Date Signature Te ep one I 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name 9 s li Registration Number ram Address GUMS i 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.......0 No.......0 SECTION 5 Description of Proposed Work check all applicable) New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition 0 Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be Completed b ermit applicant t 1. Building (a) Building Permit Fee se'tp -N SV o 0 Od Multiplier 2 Electrical (b) Estimated Total Cost of i' Z d d d o Construction 3 Plumbing p cJ Building Permit fee(a)x(b) 4 Mechanical HVAC 7 e C) 1 � 5 Fire Protection ( /r 6 Total 1+2+3+4+5 d Check Number SECTION 7a OWNER AUTHDRIZATION TO BE COMPLETED WHEN OWNERS AGENT ORk6N—TEA4eTOR AgPLIES FQ UILDIN T I, caner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. I Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, ,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 Si ature of Owner/A ent Date two NO.OF STORIES SIZE E OR SLAB E OF FLOOR TINMERS ( 1 RD 2 3 SPAN e- ' DIMENSIONS OF SILLS DEVMNSIONS OF POSTS Dll\,ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS i SIZE 6F FOOTING /Z X . MATERIAL OF C g> IS BUILDING 0 R FILLED LAND IS BUILDING C CTED TO NATURAL GAS LINE '� CHA THAM CIRCLE s 8" PVC , a —W d W 8" CLDI W WATER PROP. J' \ 47,27' £ SLOPED GRANITE 232 �9 CURB 41' 9 v� �S N ° a E LIJ A > Q m 3 ^7 1 a c,4 o z GF=233.0 a o sx o PROP. BIT. f, CONC. DRIVE l' 00 PROPOSED _ PROP-0-SED--- ~ - p UNIT-- UNIT C .- W FF=238.0 FF=238.0 I GF=233.0 N i 20.3' o L ®T ,f 9 0 o (12,632 SF f� o cn �» 10' WIDE NO-CUT ZONE p�CNF M,q DOUGLAS E. 121'98 N/F BROWN CNt' o.4 9 ® .4 STti¢�\��` PLOT PLAN DANA F. PERKINS. inc. Consulting Engineers &Land Surveyors LOT JJ((9 1215 MAIN STREET a UNIT 111 1r TEWKSBURY, MASSAC14USETTS 01876 CHATHAM CROSSING PREPARED FOR: RAY CORMIER NORTH ANDD VER, MA 59 CHANDLER CIRCLE ANDOVER, MA 01810 SCALE: 1"=20' DATE: FEBRUARY 23, 2001 JOB NO.51165-9PP SHEET 1 OF 1 COP YRIGHT 02001 BY DANA F. PERKINS,Inc. G VISOR 110 Ko pp SU1t_D►Nc'SUPER CONSTRUCTION 1 se: ()63515 �.icen a" Number: CS rS� 5058 1211611967 Bi�'date: ires�12116120p2 Restricted YM0t•1D Y COW N pdministrator MEppOW VIE()1810 ANooVER MA m i u vv u1 vN Ullil Andover & µoRr" �o��T`�o Building Department o c 27 Charles Street �- North Andover, Massachusetts 01845 i (978) 688-9545 Fax,(978) 688-9542 �.9 044re o PPPL.�S DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and.a condition of Building permit# the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c1'1, A56a; The debris will be disposed of in/at: Facility location Sign re of A_ppl. 21 Date Date - NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. a r V The Commonwealth of Massachusetts r Department of Industrial Accidents .� Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit. � f Please Print Name: 4v C-d Location: L �/ t1-0 City /(I Phone 71 am a homeowner performing all work myself. �I am a sole proprietor and have no one working in any capacity 0 am an employer providing workers'compensatio for my employees working on this job. Com an name: (, ��� C4�f Address Ch: Phone# )t�,C7 lU� Insurance Co.__ Policy# / bJ.tL Company name: Address City: Phone#: Insurance Co. Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. I understand that a copy of this statementmay be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under th nd penalties rjury that the inform iaova is titre and correct. Signature f Date Print names /��/UZ Phone C Official use only do not write in this area to be completed by city or town official Building Dept pCheck if immediate response is required Building Dept p Licensing Board m Selectman's Office Contact person: Phone#: ❑ Health Department 0 Other FORM WORKMAN'S COMPENSATION 4ug-07-01 11 :03A P_06 MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit ## MAScheck Software Version 2 .01 Release 2 Checked by/Date CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Eamii=, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE : $-7-2001 (� TITLE: LOT #9 UNIT B CHATHAM CIRCLE PROJECT INFORMATION: TION CORMIER. CONST CQRP 59 CHANDLER CIRCLE ANDOVEf. MA COMPANY INFORMATION: J&J HE? TA. k AIR COZ41D 17 ARLINGTON ST DRACUT MA COMPLIANCE.: PASSES Required UA = 409 Your Home = 381 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-value U-Value ------------------------------------------- -------------------------------- CEILINGS 13.58 30.0 0 .0 WALLS: Wood Frame, 161, O.C. 1290 11.0 0 .0 1 WALKS ; Masonry, interior Insulation 280. 3-1 0 Q.0 GLAZING: Windows or Doors 259 0.330 GLAZING: Windows or Doors 70 0 .360 DOORS 39 0 .460 FLOORS: Over Unconditioned Space 1388 19 .0 0 .0 HVAC EQUIPMENT: Furnace, 92 .0 pFUE --------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the bar-lding plans, specifications, and other calculations submitted with the permit application- The proposed huilding has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has bean determined usir�q the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 12 the d ign load as cified in Cacti-_"c 7R(,lrMIV 1310 0 and Builder/Designer C Date��v d/ %ug-07-01 11 :03A P.07 • I 1 Massachusetts Energy Code MAScheck Software version 2.01 Release 2 LOT 49 UNIT B CHATHAM CIRCLE DATE: 8-7-2001 Bldg: Dept' Use CEILINGS: ( ] I. R-30 Comments/Location WALLS : ( 3 1 . Wood Frame, 16" O.C. , R-11 Comments/Location [ ] 2 . Masonry, Interior Insulation, R-11 Comments/Location WINDOWS AND GLASS DOORS.: [ ) 1. U-value: 0.33 For windows without labeled U-values, describe features. # Panes Frame Type Thermal Break? ( ] Ye& [ ] No Comments/Location [ J 2 . U-value: 0 .36 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? ( ] Yes [ ] No Comments/Location DOORS.: [ ) 1. U-value: 0 .46 Comments/Locatdon FLOORS: [ J I. Over Unconditioned Space, R-19' Comments/Location HVAC EQUIPMENT: [ ] 1. Furnace, 92 .0 AFUE or higher Make and Model Number ( ] 2 . Air Conditioner, 10.0 SEER AIR LEAKAGE: l Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures. shall Meet Qne of the following requirements: 1. T_y_pe IC rated, -manufact-used -with no pene-trations between the inside- of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the, unconditioned space. 2 . Type IC rated, in accordance, with Standard ASTM E 283, with no more than 2 .0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 FA or 1.57 lbs/ft2 pressure difference and shall be labeled. tug-07-01 11 :03A P. 08 VAPOR RETARDER: j ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating culu CDCAL-Lfigequipf-ctent and service water 11eati-An Cqu-i-poiltent r6rust be provided. Insulation R-values, glazing U-values, and heating equipment efficiency must he clearly marked on the building plans or specifications . DUCT INSULATION: L ) 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: - j ) Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and'/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: � [ ) Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4 . SWIMMING POOLS: ( ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources . Pool pumps require a time clock. HVAC PIPING INSULATION: j ] HVAC piping conveying fluids above 120 F or chilled fluids. below 5-5 P muat beinsulated to the following levels (in. ) PIPE SIZES (in. ) HEA'T'ING SYSTEMS: TEMP (P) 2" RUNOUTS 0-1" 2.25-2° 2 .5-4 Low pressure/temp. 201-250 1 .0 1.5 1.5 2 .0 Low temperature 120-200 0.5 1.0 1.0 1.5 Stearn condensate- any 1.0 1 .0 1.5 2 .0 COOLING SYSTEMS : Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1 .01 1.5 1 .5 CIRCULATING 110T WATER SYSTEMS*: [ ) Insulate circulating hot water pipes to the following levels (in. ) : 000-0:-eO o �. AndoverTown3 No. z- AKE o? �` dover, Mass., •QA COCHICMEWICK DRATED P'Ft4 7SSACHUS� FOR EXCAVATION AND FOUNDATION THIS CERTIFIES THAT ....... ......vp.).v......R ././...Y.. U.S .................................................... has permission to excavate and pour foundation at .....2 for the purpose of........ V�Q..I.�- .......-Pe u/ .......L4l.. 00/�►f to� `�I� The person accepting this permit must return to the office the Buil ing Inspector a certified plot plan show Pew U� .) of building thereon before Foundation will be inspected. ,e/r> Y 0�_ 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. - BUILDING INSPECTOR XAORTH LED Town of ...:;''. `. Andover No. /ata = - _ * C' 0�A coc„"NO,y` dover, Mass., DRATE D P'? C2 S H � BOARD OF HEALTH PERMIT T D . Food/Kitchen Septic System l BUILDING INSPECTOR THIS CERTIFIES THAT....... � .. ...........f1.u'. .....�l' -//Y CS7�'.......................... ....... Foundation II � 74E /� / has permission to erect.............../....................... buildings on -A .......a.y...OIA.A:..`M...l.A:W... 'N�/� Rough to be occupied as lam(..... 11.. AC d himne p' Oo ti'!../........... .... p y provided that the person accepting this permit shall in everyrespecf 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. Aln q► y(�D 1'9. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this ermlt. j” Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR / Rough ..(...................................................... BUILDING INSPECTOR l Fina Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in .a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. o ` SEE REVERSE SIDE Smoke Det. 3 62 4 Date. "ORT" TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING SAcmU ThisP.(............. x. ...................... certifies that ....... . ........ has permission to perform ......./4--/`ax-!t-(.................................................. wiring in the building of..........C.r ..........S.r ......... .... )....... at.... ...... .......C...5.2.................. , orthAkndo Lic.No. ............ Fee..,-/................ .......... LECTRICAL INSOCTOA Check # Commonwealth of Massachusetts otl;cial Use ad .. - Department ofFre Services Permit No. BOARD OF FIRE PREVENTION REGULATIONS • Occupancy and Fee Checked / [Rev. 11/991. leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in axa dmm with the Massachusetts Electrical Code(NEC 527 MR 1200 (PLF SEPRDCflVYKORTYP IN RtilAT10N) Date: p� City or Town of r To the Inspector Wires. By this application the undersigned gives no .a of his r leer intentia o perform the electrical work described below. Location(Street& tuber) Owner or Tenant Telephone N . f/ Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization Na Existing Senice Amps t Volts Overhead❑ Undgrd❑- No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ Na of Meters Number of Fecdex—,and Ampaday - Location and Nature of Proposed Electrical Work: 00 Completion o dre following table mac be waived by die Inspector of Fres. No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Futures Swimming Pool Above ❑ in- ❑ o.a Emergency Lig"ng rnd. rnd. Batten Units No.of Receptacle Outlets `t No.of 09 Burners FIRE AI.ARIMS No.of Zones No.of Switches `: No.of Gas Burners No.of Detection and Initintinz DeVices No.of Ranges No.of Air Cond. Total No.of Alcrtin-Dcvices 9 Tons b No.of Waste Disposers HC20nm1) Number Tons I KNV No.of 'elf- ontained Totals: Detection/Alerting Devices 7 No.of Dishwashers Space/Aren Heating KIV Local ❑ Municipal ❑ Other Connection No.of Dryers Heating AppliancesKW ccuntySystems: No.of'Devices or E uivalent 0 No. or Water K.tiV a o —No—of Data Wiring: I Signs Ballasts No.of Devices or Equivalent* No.Hydromassage Bathtubs Na of yfotors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER . 4trach additional detail if desired,or as required by die Inspector of Wires- INSURANCE iresINSURANCE 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 crnrerage is in force,and has exhibited proof of same to the permit issuing office. --- --CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) (Expiation Date) Estimated Value of iectrinl Work: 1- 0 — (When required by municipal policy.) Work to StartInspections to be requested in accordance with NEC Rule 10,and upon completion. I certify,under di pat s and penalties of perjury,that tete information on this application is true and complete FERUNI NAME: ADT Security Services 111 Morse Street,NozWk ,MA 062 LIC.NO.: 1533C Ly Licensee: John S.Bassett Signatu SIC.NO.: 1533C (If applicable, enter"exempt"in dee license number line) Bus.TCI No.: 731-278-1 l3l Address: Alt.Tel.No.: 741-279-M i OWNER'S INSURANCE WAIVER I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's a,ent. Owner/Agent ` Signature Telephone No. PERART FEE: Ste' t' Date. �. o'.".ORT :�4, TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING rso ,SSACMUS This certifies that ./.... . . . -1>4e-?. . . . . . . . . . . . . . . has permission to perform �. .1.:�. . . . . . . . . . . . . . . . . . plumbing in the buildings of . .. .� . . . . . . . . . . . . . . . . f ` ' at. 60 Andover, Mass. Fee�-�cr/r. . .Lic. Nof/. . /. . . �,. . . . .1 ` .. . �. . . . . . . . . . . PLUMBIN.G� SPECTOR Check # 5378 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS ` Date Building Location �Q� y ()V ,� 19 41 Owners Name�v� �%rr'Cdrml`e( cayisi Permit Amount C j a e of Occupancy ' New Renovation Replacement 0 Plans Submitted Yes No ❑ FIXTURES E~ O w w w x o r a �agv»r � a a RASE" yr >�>I a M>� �i a MWM LJ sM H-OM 7M H_" gfHom (Print or type) 'f Check one: Certificate Installing Company Name �\1C% - Pe. t7 ❑ Corp. Address aPartner. C usmess a ep one 1 ( �Firm/Co. Name of Licensed Plumber: ��1 C�t 1�d a ccyl '�f Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond ❑. Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent 4 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 Massachus is ate lurging Code and Chapter 142 of the General Laws. By rgnature-ol-L,rcenseu number Type of Plumbing License Title I j Al City/Town rc e u er Master Journeyman ❑ APPROVED(OFFICE USE ONLY Date. .. .%.'/ ,,0 . . ... ,4OR 71{ Of oma ', °T TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION A SA US This certifies that ,�� -. - -. . . . . . . . . . . . . . . . .. . . . . has permission for gas installation in the buildings of . . - - - . . . . . . . . . . . . . . . . . . . . . . .. . att ?.! . . - ,1? .� :�: `-f, $t Andover, Mass. Fee.�,.�. . . . Lic. No.��'�' . . . ��!-: ,��'Z,�C :. . . . ... • GAS INS�TO, Check# 4138 MASSACHUSETTS UNIFORM APPLICATON FORPERIVIlT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS —� Building Locations jo� _ 41 t In i 19�11 C�AQ M e m SS i h Q Permit# 9/3e? Amount Owner's Name - .M h New o— Renovation Replacement 0 - 'Plans Submitted El 0 d z z c O �I� O A c�7 �i ° > a0 UB-BASEMENT . [2ND. ASEMENT ST. FLOOR FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR i 7TH. FLOOR 8TH. FLOOR (Print or type) r� One:. Certificate Installing Company Name QKC ��nr. �Qt7 U Corp. Address Z� M t' e 0 Partner. Business Telephonetk� 75-7 0. Name of Licensed Plumber or Gras Fitter Q(1 Q r j iNSIRANCE COV)RAtaiE Cheik one I have:a curt habilitiy insbwe policy :it's substantial equivalent Yes NoLJ ` Ifyvu hake Necked please indicate the type wvexage by ae", thea J pptopfiate box; Liability insurance paiicy � Other type of vidanntty Bond "er's insurance Waiver. I am aware that the licensee,does not have the Insur4nm coverage required by Chapter 142 of the Mass_General Laws,:and.that my sigoaturetwthis pam*application waives th4 requirement: : o' . Che&bbik SiguatM OfOwneror()wnet*Ageat Owner Q Agent Q i hereby cer*that all of the details_and intotmation I have submitted(or entered)in above application are,true and:amuaLe to the plumbing perfotmed under Permit Issued'for this a"fi-c atiOn will be in best of my lmowledge-and that all hulibm work and installations compliance with all pertinent provisions of the Massachusetts SW Gas C de and Chapter 142 of the General Laws. Signature ofLicensed Plumber Or Gas Fitter Tittle �Plulnber �) 9 City/Town Gas Fitter License NumWr 0-master APPROVED(OFFICE USE ONLY) rl Journeyman N2 3543 Date... TOWN OF NORTH ANDOVER PERMIT FOR WIRING CMU This certifies that has permission to perform .......... ................................... ........ .. ......... ... f - wiring in the building of.......... ..... ........C./P at ... ....... ................... eerNorth Andover,Mws.- ............. Fee.3 ............ Lic.No. .......... ......::�..... a— -i-6107 / ELECTRICAL INSPECTOR Check # UL WHITE:Applicant CANARY:Building Dept. PINK:Treasurer Commonwealth of Massachusetts official Use Only rC,� Department of Fire Services Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked / (Rev. 1.1/991 leave blank j APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( C),527 CMR 12.00 (PLEASE PRINT IN INK OR TYP IhtFOR>'IATION) Date: City or Town of: // �� To the btsp ctor of Wires: By this application the undersign lyes notice of bis or her intention to rf rm the elec Tical work described below. Location(Street&Number) VIM Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / 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 Word:: aCJ Completion o the following table mov be waived by the Inspector of Wires. .i No.of Recessed Fixtures No.of Cet7.•Susp.(Paddle)Fans No.of Total Trans{ormcrs INA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Fixtures Swimming Pool Above ❑ In- -E] o.o mcrgency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARrti1S 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 b No.of Waste Disposers Heat Pump Number Tons No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Spacc/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating AppliancesICW ecunty Systems: No.of De"Ces or Equivalent No-.—of atcr o.o o.of Heaters b'W Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.oCiVlotors Total HP Telecommunications Wirin No.of Devices or Eq uival ent OTHER: Atrach additional detail if desired,or as required by the hrspecior of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Flectrical Work: $3, (When required by municipal poli}.) Work to Start:' Inspections to be requested in accordance with NEC Rule 10,and upon completion. I certify,.under t e pains and penalties of perjury,that the information on this application is true and complete: FIRM NAME:. ADT Security Services 111 Morse Street,Noy�•o ,MA 062 LIC.NO.: 1533C Licensee: John S.Bassett Signat ' ; IC.NO.: 1533C u (Ifapplicable,enter"exempt"iutlre licensenumberlineJ Bus.Tel. No.: 781-278-1131 Address: Alt.Tel.No.: 781-278-1725 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PEIWIT FEE: � � e ' No J 4J Date/., ..:-3:..��.......... NORTH •�"� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING • °• �e+•rt° SSACMUSf This certifies that -... ....... . '��r1 has permission to perform ... '!.........1..J......-........................................... wiring in the building of..... ............................................... at..%.. North Andover,Mass. Fee.���.%......... Lic.No.:.!�.4:..''.......... .......................... / ELECTRICAL INSPECTOR Check # 1472"1 WHITE:Applicant CANARY: Building Dept. PINK:Treasurer X140 Office Use Only The Commonwealth of Massachusetts Permit No, `M- T j W ` Department of Public Safety r �, BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Occupancy a Fee Chscked_—O� 3190 (leave Wank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK MI work to be performed in accordance with the Massachusetts Electrical Code.527 CMR t2:00 IF (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date leJ/ City or Town of d,ic ,_/ /Lib - 6�► To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. / Location (Street & Number),U + 02� C/f a-T y A In rrC c Owner or Tenant Cao"/ ,fie ' / vfyg _ Owner's Address. if AIM&E %DOV79- Is this permit in conjunction with a building permit yes no ❑ (Chn;k Appropriate Box) Purpose of Building t2I/N4 C opp Utility Authorization No. O iT _'] Ll— Existing Service Amps 1 Volts Overhead ❑ Undgrd ❑ No. of Meters New Service d Amps /ZU /�" Vohs Overhead ❑ Undgrd No. of Meters Number of Feeders and Ampacity_._____fr� Location and Nature of Proposed Electrical Work a/U AIW _.� 9 TOTAL No. of lighting Outlets t,/ No. of Hot Tubs No.of Transformers KVA Q Above In No.of Lighting Fixtures l 0 Swimmin Pool rnd.❑ and❑ Generators KVA No.of Emergency Lighting No.of Receptacle Outlets No.of Oil Burners Battery Units No.of Switch Outlets 15-6 No.of Gas Burners FIRE ALARMS No.of?ares TOTAL / No. of Detection and t No.of Ranges Z No. of Air Conditioners TONS l Initiating Devices HEAT TOTAL TOTAL No. of Sounding Devices No.of Disposals 2 No. of Pumps TONS KW No. of Self Contained No.of Dishwashers 2 ace/Area Heating KW Detection/Sounding Devices Municipal No.of Dryers Heating Devices KW Local Connection []Other No.of No.of Low Voltage No.of Water Heaters KW Signs Ballasts Wiring No.of Hydro Massae Tubs INo.of Motors Total HP OTHER: f INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Pokey including Completed Operations Coverage or its substantial equivalent. YES NO �J I heave submitted valid proof of same to this office. YES ❑ NO ❑ .k If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE X BOND ❑ OTHER ❑ (Please Specify) � 3 ®7 / (Expiration Date) Estimated Value of Electrical Work $ — A, 2ell,5 /214 '01 4,I Q 1 Work to Start-//1,30/0� Inspection Date Requested: " Rough. Final Signed under the pe shies of perjury: J 4f 240'24 FIRM NAME ANDREW F SHEEHAN ELECTRICAL S I E LIC. NO,All 498 Licensee Andrew F Sheehan Signature LIC. NO.A11498 Address 249 Pine Hill Road/ Chelmsford Ma 01824 Bus. tel. No( 978)256-87 0 All. Tel. No.Ti 7b-62 2-SXkZ� OWNER'S INSURANCE WAIVER:1 am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws,and that my signature on this application waives this requirement. Owner Agent (Please check one)) Telephone No. PERMIT FEE i�1c�— (Signature of Owner or Agent) Date.././.-. NpRTM. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION �9SSACMUSEt 5 This certifies that . . . . . . . . . . . !. . . . .��� . { . . . . .. . . . . . . . . has permission for gas installation . . . r m . .f/�yr -c. . .. . . . . . in the buildings of . . . . . . . . . . . . at . . .. ..-. l.. . . ...w . . . . . . . . . . . :, North Andover, Mass. Fee. . .7?. Lic. No.. . . . f:. . .. . . .. . . . .. . . . . . GAS INSPECTOR Check# 3 " 30 MASSACHUS3ETrS LTIN FORM APPLICATON FOR PERMIT 0 DO GAS FITTIlVG Type or print) Date_j ty�4 f 19 NORTH ANDOVER, MASSACHUSETTS ^� p, Building Locations 7 L)h 1 a `� 7 c �n C�SSIn�i Permit 9 J o 74 ,/Amount S`� �Gr l`h ✓lh NOUt t� Owner's Name /y 11cJC/t/r� OOEM)t'( CCy✓15), New Renovation ❑ Replacement ❑ Plans Submitted ❑ — n Gi Z Z .� r %1 z 7 J n 5 `1 [35ENI EvT tt1AsE .m EVT 15 T. F L O O R Z:ND . FLUOR 3 R D . F L U O R alit . FLUO It 5 T If . F L O U R AT If . FLUU R TT II . FL U U It 3T I1 . F L O U R Printor C � Check one: Cer[iricate Installing Companv Name tyP �, �1\ -�7A h � /7 ❑ Corp. Address 6 A` e t ❑ Partner. A Business Telephone (CI-7 S-7—iddi ❑ FirmiCo. Name of Licensed Plumber or Gas Fitter �,j(h*r Pal YI Jr• INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ vo❑ If You have checked Yes_please Indic to the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: [am aware that the licensee does not have the Insurance coverage required by Chapter I42 of the Nlass.General Laws,and that my signature on this permit application waives this requirement: Check one: Signature of Owner or Owners Agent Owner ❑ Agent ❑ I hereby cer[iN that all of the detaiis and intbrtnation 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 pertbrmed under Permit Issued for this application will be in compliance with all pertinent provisions oFthe:Massachuse is State Gas Code and Chapter 142 of the General Laws. 117 ov: Signature of License Plumber Or Gas Fitter Title Plumber w Ci _iTown ❑ Gas Fitter Idea u [vmoer [�lasle Journeyman .APPROVED uFrlc:;ui,,F )r4i.v ❑ I i I OfµORTM 1H 3= •'"` a ' coq 0 a s r ,SSACMI`tt CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number /a Date � '� /TH/IS CERTIFIES THAT THE BUILDING LOCATED ON h GT 0,7D MAY BE OCCUPIED AS ��'jo IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. 2V 3.4 T17 s, a Sia CERTIFICATE ISSUED TO /�q �o /�`e ��r/ �� j � l Building Inspector { - - AORTH � E Town of And No. /c.-?" C'o (� dover, Mass. c -t2l —a00/ cocN c'M y ��AoRATEo C, BOARD OF HEALTH Food/Kitchen PERMIT . T D Septic System 1 BUILDING INSPECTOR THIS CERTIFIES THAT.........RW . ... .......VO!V.....W P../ ......./.... .U. ...................... Foundation / ccyy has permission to erect............... .. gs on . . .Q .!.... .o? Q ajA�9 --�r�1C- ------- - ----------- buildin ^ .-../......... ................... ........ ......... Rough D i �J �-✓l Chimney Y-02 to be occupied as..4. .©rn✓.. ..4..... J4. .f.a.. .........1..., a........... .. /%.. ..1/.... 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. Al9/ D PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations`Voids this Permit. PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STARTS ELECTJRICAL SP ................ ............................................... rvice BUILDING INSPECTOR q tna O`" Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove 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 Det1 Town of North Andover pORTH o ,eo Building Department 3? y��t b`a �0 27 Charles Street o North Andover, Massachusetts 01845 (978)688-9545 Fax(978) 688-9542 `` ' o° . * 'PA Q V SsyCNUS� APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS LOT NUMBER SUBDIVISION Cif•A%�Q•� Cr'oSS� DATE REQUEST FILED � 0 Z DATE READY FOR INSPECTION FIVE(5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE($25.)DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFFIC USE ONLY ROUTING i CONSERVATIO DATE PLANNING DATE ,3 02/ 1 D.P.W. —WA METER ,Q�1��.5� DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED 0 THE INSPECTION VEST DATE. SIGNATURE/DPW AUTHORIZATION