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Home My WebLink AboutMiscellaneous - 20 GLENORE CIRCLE 4/30/2018 J �'� � �� L � r�, G� C7 i� ti I� I I � , Location �0�S b /p N a r -c— C/ ✓' No. Date 1,3 I TOWN OF NORTH ANDOVER O w Certificate of Occupancy $ Building/Frame Permit Fee $ �— sAcwus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ y o Check # 16226 'M / Building Inspector 1 a TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 11S;SQC#!Og`.;lfOf' ICI&1E BUILDING PERMIT NUMBER DATE ISSUED. IT c � SIGNATURE: Building Commissioner/Inspector of Buildin2 Date z SECTION I-SITE INFORMATION t.1 Property.Address: 1.2 Assessors Map and Parcel Number: O 2-oo GlenorCl"(, Loi' S) - 037.8 0o-73 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(so Frontes a(ft) 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Reqwred Prov'ded Re red Provided 00-f-'.. /0 ' R-/5-14-/ f /0' Sole t , 0 1.7 Water Suppty M.G.L.C.40. 54) 1.5. Flood Zone Information: t 1.8 ,Sewerage Disposal System: D Public 0 Private 0 Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System SECTION 2 -PROPERTY OWNERSHIPJAUTHORIZED AGENT M 2.1 Owner of' Record ALKander %, 6dy° am e4rUS0 Zp Gleitovc ejrcl Na-A1Aeerf nus+ 0/84(5 N e(Print) /1 Address for Service &ba4_VVPA4 (,,efv V 40—9193 ignature Telephone O 2.2 Owner of Record: Name Print Address for Service: O z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 Licensed Construction Supervi`pr: 0/0330 O -76 Sa, {74A)�� A w V/evo License Number Address /S T 6-7— M-0-2 D 79 - rg 730-7 Expiration Date Signature Telephone 1.2 Registered Home Improvement Contractor Not Applicable ❑ v 1eq Is -1- Pkukl ,ompany Name I ' 1 Registration Number -76 Sv. ►�o�w-ay, L��n.,�� ivI� r .ddre "'_�p—� _ r 13 09 007 Z Expiration Date ^ ignature Telephone {,�, 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 buildingpermit. Si ned affidavit Attached Yes....:.. No.......❑ SECTION 5 Description of Proposed Work check atl applicable) New Construction fP Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: �✓13�i(.G` �vt alwnu�a(. 22 X 3 rn � 7/i n y% �l�r� ��i.Ut rn M,'.� �o l SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be � Completed by permit applicant I. Building $ (a) Building Permit Fee 3�Z Multi Tier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a) x (b) 4 Mechanical(HVAC) / v 5 Fire Protection 6 Total (1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, Artm k,, 4- 6,4,aey �9 ruse as Owner/Authorized Agent of subject property Hereby authorize rQ m i q 106015 *' AZAD to act on M bet 31t; in JnialAers re'tive to work authorized by this building permit application. i nature of O xner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, 02 ��.� ^ as Owner/Authorized Agent of subject property Hereby declare that the statem and information on the foregoing application are true and accurate,to the best of my knowledge and belief _ `- Print aa � , Si e of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS I 2 ND 3 RD SPAN DIN ENSIONS OF SILLS DD,1ENSIONS OF POSTS DiNENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CFEN1NEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE o2a. S C FORM - U - LOT RELEASE FORM 3 _ &3 INSTRUCTIONS: .This form is used to verify that all-necessary approval/permits from Boards and Departments having junisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT I Q�a n a�Pr � a� � S° PHONE q79-491- 9193 ASSESSORS MAP NUMBER 033• LOT NUMBER —AM,/ * 0073 SUBDIVISION GI`rWr j4Vn JokCZ LOT NUMBER 5 STREET ?-6 i�711e O t G STREET NUMBER 2-0 OFFICIAL USE ONLY /11ECO NDATIONS OF TOWN AGENTS I a a Mason VZ7"'Moomang a DATE APPROVED -316 D CONSERVATION ADM NIS TOR DATE REJECTED coI� NIs 1?rvA060-A p001 laGO-f[C), ® ',415«le Of /ads W a/ 6�&' DATE APPROVED O _ T° LINER DATE REJECTED COMMENTS �~ l✓ / PL S S 06-- SL)13 ✓1 117- CZ) 7p DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE - 1 .:.�{ � x`':13, '�. r ��" 1�"^'1'H'"rt��',' '��°i?�""�°'.� .��i�f^�. . :.e� � �F. •� _ r a d e ', ��3p,'r� �`x_�- ku iL��d r-� �, � � x '� _-'• . �. '��1a °raw bx�:r� u� 'r ' a-,t1�sa �anr h�' ?'�. R,�.-�,.�, � ri6,'. 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Y�r�.r�r,- .. >,,r4', h. �` �,' �r� �s "��„ ,,t, ::rix .�` +� +:7', ,.. a �?v.w:�.'::. �,W-, , ..., -,;9--- �->t +5 ..._<•,- _ is.,t y� {, .;� 1,..,�r�,., { ,.,s'a, '��sr- �;'�a,,^N s`�"t, sus rlk '� .�-y' ,:c4: -„C u,:�l .-... .,� ,..,.. -*.a'+'�9r'i"..,i,.x^r'(.,�.-=^n�r..i-?,'^�au 1. :�;,,��e+,;s+��:q 3'.f-"Q�P��,,,�'t�'d�a� '-5'"�� "�,.?�,�Y+r 4:.:?S�.-- �'.a', r k(,rr,�•��•r .-el'.�”P' r�-r r`� 7�'+ii._:;� ,. �::.hsWyy:. ' w Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 118204 Type: Supplement Card Expiration: 2/13/2005 FAMILY POOLS & PATIOS INC GLEN WIGGIN 70 S. BROADWAY LAWRENCE, MA 01843 Update Address and return card.Mark reason for change. Address Renewal F] Employment Lost Card i � �1ie Toa7x7reoricaeczl� �``/�/`aaaac�ivaet7.a Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration; 1.18204 One Ashburton Place Rm 1301 Exp i rat i o n. 2/'l 3/2005 i Boston,Ma.02108 Type: Supplement Card FAMILY POOLS&PATIOS[NC '" n GLEN WIGGIN 70 S. BROADWAY LAWRENCE, MA 01843 Administrator Not valid without`' n e ACORD CERTIFICATE OF LIABILITY INSURANCE �, °A 01 z�o PRODUCEn THIS CERTIFICATE 13 SEUED A;A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE OERTIFICATE C.d.McCarthy Insurance Agency,Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR CIO Piazza Invurence Agency,Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, One Elm Square, Andover, MA 01810 INSURERS AFFORDING COVERA"m MAIC# INSURED INSUPrR q CL�TA jnsnLar�4G QCS. Family Pools & Patio Inc. INSURER 8: American Into--national Groh $ 11 br Cindi Gianopoulos INSURER C: 6 SBroadwa -- .' LawrLnOe MA 01843 INSUAERD: INSURER E: COVERAGES TPIE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV g;:ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES OFSCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDMONS OF POLICIES_AGGR6(;ATE LIMITS SHOWN MAY 14AVC BEEN REDUCED BY PAID CLAIMS, .SUCH IN5R ADD LTR INSR TYPE OF INSURANCE POLICY NUMBE=R ATE fft M/DDIYY DATE Ml� LIMIT3� GENERALLIA@ILETY IEACHOCCURREm AlOpp000 X COMMERCIAL GENERALLIABILITY 101098398230 12/31/02 12/31/03 �MISES(Ea uisnae?__„ 100000 CLAIMS MADE I X OCCUR I MED EXP(any one�n) $10000 fGElfL d $2KPeRBONALa ApvINJURY $SOOOD00 Blanket Addl Ins. GENERALAGGREGATE $2000000 OATELIMITAPP7 PtP' PRODUCTS•COMPlOPAGG $2000000 DCLIABILITY AO corS1gp0000 TBD 12/31/02 12/31/03 (Euwcidern)ED AVTOSEDAUTOS BOCILYI�))RY(Pe6 X HIRED AUTOS X NON-OWNED AUTOS BODILY INJURY � (Per cWdcm) PRCPERTY DAMAGE $ (Per d¢idmt} GARAGE LIABILITT ANY AUTO AUTO ONLY-EA ACCIDENT E ••— CTN' THAN .• EA ACC` 3 �.I........... .... A THA. AGG $ EXCESSIUMBRELLALIASILRY i EACIOGCUR(tENGE OCCUR CJ CLAIMS MaOE I AGGREGATE $ DEDUCTIBLE — _...:..... RETENTION S S WORKLAS COMPENSATION AND 6 8 EMPLOYERS'LIABILITY r0RYLIfuITS ANY PROPRIETORJPARTTIER/EXSCVTNE BINDER 12/31/02 12/31/03 E,L,'=ACHACcmEN7 „•"'', $100000 OFFICERIMEMBER EXCLUDED? S Yes dasen'beunaer E.L.OIdEASC.@AE,I('IPLOYE $100000 SPEy�IALPROVISIONSkBebw EL01EASE-POLICYLIMrr SSOOpQQ OTHER i DESCRIPTION OF OPERAT10N5!LOCAMONS I VE3NICLt?S!EXCLUSIONS ADDED SY ENDORSEMENTrBPECIgL PROVISIONS For Informational purpose8 Only. CERTIFICATE HOLDER CANCELLATION NOMORT* SHOULD ANY OF THE ABDVfi DESCRIBED P0lLICIE6 6E CANCELLED BEFORE THE EXPIRArQN DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAY$WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO 50 SHALL IMPOSE NOOBLI*ATION OR LIABILITY 0 KIND UPON TFI9I43UR11R,ITS AGENTS OR eLZZ& TATIVES. b REPRESENTATIVE ACORD 25(2001/Ot3) Ins, e ©ACQ RATION 7tl$ti CA, cowI1IrInsglrmae 8$'main Panes(08-009-5) 3.4'Plain Panek(08-016-5) I 2-2'Plan Panels(DB-01BE—r--F T G H J �-- K+� J 4-r Ra�0 Corners(08-141) 17T umbucick Braces(08-214) SIZE A 1 B 1 C D I E F IG H J K L 1-Steel hardware rd(08-204) � td• sr a' r�• r ir, s•s- �•b• s•s• r 1 �•r g• 41 1-16232 Straight Coping Set 6'Rodna(10-001) 1-r Radars toping Croner Set(10-136) ro«noa�,o°:" u' 3r se- r�r a' 14• s's- re- t•s- r 2•r• 1-TO Liner(see options below) g1 E- 6'Step-Remove 1408409-5)8'panel and TURNBuoaE 1406-016-5)4'pmaL Insert 1401-406)6'step, 2408-017-5)3'panek and 1408-214) tumbudde brace. PAWL 48 8'Step-Remove 1-(08-009-5)8'panel and _ aEAoww 1408-016.5)4'poneL Isenrt 1401-002)8'step, P1-'�'� 240B-018-5)2'panek and 1408-214) turnbuckle . bmce . . • 2+YGROlrE $' .4 Replace 4-8'plan panek(08-009-5)with: . <<n;�.bct� 1-B'skmamer panel(08.0115) ��}}•��^ " l z 2-8'Bdn •iiPlff f�.,. , _};C '} F Et�LD8-01D-5) �v ti 1-8'light panel(08-012-5) K ' Q� t ,\� a'.-a u" .,: 3• +..,}� :..r _�M'xr4e wv'A3 v T ..- t..fa--hFt� xat` ' r S ` X `yea{.rql"`,� �r .. ' .rk _ _ TL. '' NSPI TYPE 11 � . t:', _ � 5413 t� � �1 -�,�si �^ �+ d,l•� k u '' .' x ,- ' :, _ a�d 7 j,'f'. •++?? - e- ` ?::« tip s•`+' i - E 's'-` .� a A. Sd�F. +-•y}R r}c°% $� 4 x TOPAZu -. � as s? CD3-803.21 (appG oONEiRE o w +��kriP.- _. �• } 1. ) , '�,� r r. " NON D ��y��: `,�i��.: ��. � •�� ,„�t- .� k ��. •� '�:,�' �.�,> ,� � ��. � ��' �._ IVOI6 YnfR�'..;.b ._...,•tet-x}ry AM•f11N11'aOt/P#�N�01! bN.�10t 1�f..Olw�'r^'..y.PO��Ikr Ma's ash '.'. t • • • �W "° 3'l'-5yrfiel. nxw'- ee2.., - w.,., r PL tttSRAIIE •e.dwbw� fORrwllTlOOLS®Mt::StOStiMTiBt `. 7fr dg dw�raree�i�:..iii�i W"s,eiie�Spe sK! 's �'!�dr:s�ra:r gram eao. - �:m •-* ��.� •�� _' �w�•�•.*a�rrdw�w+•w.narierdt4rnvtLrai �';,dry.afrmr+e�sM•arwnrwpedgq.e..,i��' � ' "' ;,�w��o _ � y6md•s�rd�srbL•.a�dwwhiri•pee4 a/ bll.ds!,m.nm,wdy 71r' P .�� •,,.... „ .«.�„ ,mclic•btieeu•!y•rrresarwdirTlsiar� i ��iir•4y�r�rr r••ied�t'! r•�. . «a ur r.sa..• -' - s-9_�A`"�F�1000T �n dewid„ rn....i.:...e.o,do„L �.�p q.:+r.TTw�.F `1w► s yG-- �{I Q 6•_ . ' �- � N - .: ` '-- ' ., aL'd�m�r•paciM1..:For �'� IJ�P1 n�r�wuR ��A �ydy�i•I�t� »ten �� ._�. - -•�x+�e.. .._: ... l - _.,w�..,�--. '.�.w�r ..ill.vsine�d22lli.'70J��-re?�`.#'� .. :: '�.!. . ...,.. .._ .: �'��•'�.�P�x`.Y s� �� 1 I i u .a�*y.. - i. ,asv ��Mt t•M.Naf -....: .- yr ..,... .,._._.:��_ z_..-, ....�3� .._"��. c!SF:3RD'��nnca�is.""`nV•m "''ri�1u°a3. ;'� •FAMILY Pools & Patio Inc. �, } ,� 4'! _Se�% CSL#010330 HIC # 118204 J% Sales • Service • Supplies WC# 156942897 k 70 So. Broadway • Lawrence, Massachusetts 01843 LIAB #C0164095968 j Tel: ( ) 688-8307 Fax: ( ) 688-1949 I NAME �a� ��-�` + t QX �/ �'U S\\o DATE 14 - C"' 20 ADDRESS CITY 00rltl A " , 'P-f STATE f -A a5 ZIP TELEPHONE 211- 4 1- iP,? Res. CROSS STREET ��►��' Wk. EST. START DATE EST. COMPLETION DATE - PROPOSAL - We propose to furnish and install one 91+ swimming pool'for the sum of $ 1431 2• r f e price for normal installation consists of: �^ Nine hours total machine time including two trips for excavation, backfilling, and rough grading around pool. Use of one dump truck for six-tours for removal of fill during excavation• Installation of pool with filter and wall skimmer. a price does not include: . i �S -• Any machine time over nine hours, additional machine time to be billed at (P ;) per hour•Any trucking over six hours, • additional trucks to be billed at (,0 ) per hour•Any dumping costs incurred for disposal of ledge or large rocks Re-seeding of grass around poo •Spreading of loam•Trucked in Water• Patio or fence around pool or any accessories, except as noted below•Additional fill, if necessary, for proper backfill or reshaping of hole• Disposal of large rocks " Fuel Connections• Heater Venting• Fuel Storage Tanks• Permits•Damage done to sprinkler systems or any buried items (ex.dry well, electrical lines, cables, etc.) in the access and pool overdig areas. Stumping and removal will be subject to an extra charge. Water or soil condition (ex.clay, peat, live sand, excessive rock, etc.) requiring Min. Max. a stone pack of the hole will be subject to an extra charge of 321 Use of the above will be at the discretion of the job supervisor. Customer is to supply access for all trucks It is the owner's responsibility to obtain the building permit or to assume the costs of necessary permits. • • EXTRAS • -.-,.CONTRACT• CONTRACT Vacuum Cleaner Steps S1 LW 4 1 ) mit.•-i-- I Ladders) ( 3) �Ajl Filter 70-) 4" 04.;=Tlr Diving Board ( ) With�l'" P Pump I ' t.- Chemicals Liner cu t' vf,t�F Maintenance Kit Coping Lifelines Spa Main Drain Miscellaneous Solar Cover ( ) '~ Miscellaneous ( ) Fiberoptic Light �L lCll �jI .3 ) �i'S��= r�)dr �►(i(s` Heater , 7` ) TOTAL EXTRAS 3 i so Slide ab.ST �/ �-� ) BASIC POOL PRICE Caretaker 99 Pkg Environpool plus Pkg 4-(3 ) l>�1J� SUBTOTAL $ @ 7 Environpool Pkg Polaris Vac Sweep 5%MA SALES TAX 43? Polaris retrofit only XtnG Inline Chlorinator s TOTAL $ 1-7 ` ElPatio, Electrical,or fence,see attached LESS DEPOSIT 5%minimum To'e SCJ t BALANCE OF CONTRACT $ T PAYMENTS: 1/3 Excavation, 1/3 Backfill, 1/3 System Start-up The buyer hereby agrees to pay in full, the total amount of this transaction upon start up of installed pool.You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. Credit card payments not accepted on contract amount BUYER SELLER , CO-BUYER 0-1A D . r Town of North Andover g V%0RT#1 a O ,t�eD r6 Office of the Planning Department Community Development and Services Division � i �e k 27 Charles Street m •> 41 DR11a D`'�, North Andover, Massachusetts 01845 9SSACHusEt� Kathy McKenna Telephone (978)688-9535 Planning Director Fax (978)688-9542 November 18, 2002 Alex&Barbara Caruso 20 Glenore Circle North Andover, MA 01845 RE: Building Permit Request 20 Glenore Circle Dear Mr. and Mrs. Caruso: On October 28, 2002, I spoke with Mrs. Caruso regarding a building permit request for a 22' x 36' pool at the above address. Because the pool and grading, as shown on plans submitted with the building permit request, is within the Non-Disturbance Zone of the Watershed Protection District, a Special Permit granted by the Planning Board is necessary prior to issuance of a building permit and construction. Thereby your request for a building permit is hereby rejected under the Town of North Andover Zoning Bylaw Section 4.136, Watershed Protection District. During our phone conversation we discussed moving the pool, patio, and grading otside of the 150' Non-Disturbance Zone. If you should choose to do so, you would need to submit a new building permit application. If you have any questions,please do not hesitate to call. Thank you, Kathy McKenna L e d (J�" r Planning Directors0 cc: Building Inspector ® , , BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 VAORTH QED AA A"%1%Ire 1r No. ® s 00®�7 coca c _ clover, Mass., DRATED 7 H L BOARD OF HEALTH Food/Kitchen PERMIT D Septic System THIS CERTIFIES THAT ................ ...... ........ o .fb .• d) CID ^ 0 BUILDING INSPECTORA1Ca der * ............. ....................................•••..•..' Foundation I � has permission to erect.44.1 buildings on .l.6-t-641 ��'tNO�ft Cl.� Rough to be occupied as.. N r 1 V/u �" 100 r* i r Chimney ....................................... .................... . .. provided that the person accepting this permit shall in every respect conform to the Zerms 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. 31) 13 / rl 3 yO PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR C 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. c ZONING DIS TRIC T: R 1 /-MIN. LOT LOT AREA = 87, 120 S.F. MIN. LOT FRONTAGE = 175 FT. _ _17 o MIN. FRONT SETBACK = 30 FT. / / �` D-30 MIN. SIDE SETBACK = 30 FT. MIN. REAR SETBACK = 30 FT. � D-31 � —172— /j 74 6� D-32 / /t i� D-33 / D---34 _� \ DRAINAGE EASEMENT x• o J X10 / D-37 LOT 5t. :wC o 4 K"'n EDGE OF /� / AREA = 101,617 SF . •/ i `ter /D /3 �6 lb \� �1 lb \ STORMWATER s . DETC TION AREA 4 LIMIT OF ��• BUFFER ZONE 176 t --178 lv �/ ---� .SEDIMFNTATIOP,I-7 LOT 4 / CONTROL „ ...... / est / Pit LEACH Sv 150' OFFSET a / FROM WETLANDS °°"" HAM / \ " L 0 T `6 � �N�F MqS DMH 4 yJ 9c • ,�- • j 8,1__— HIL G �,..•tet 84 r ? ISTI N . 84 CI L '� • r .28 895 aq 86 © �k#A� '9F �Q �Q _.... _ P GI ...... �t STE CK 3 �D Ho �rn NA � S PROPo Ig5Top / �o BSMt •FLR- -190 G �Q) AGAR. SEWER SERVI .• ` INV = 18 .0 � 0 EREO PORCH 136 PROPOSED SITE TE PLAN s 90 ; .:: FOR ^ 56' L 0 T 5 BERRING TON PLACE EWER / S SRVICE / f, srus glenorl` IN �ir0, Q INV 1816 NORTH ANDO VER� MASS. 143.6 PREPARED£ s�H�g PREPARED FOR: 18s� .. JAMES CARROLL : ,� L� SCALE: 1 " = 40' DATE: MAY 9, 2002 CIgC REV.: 10129102 8/W LE 0g \\ PROFESSIONAL ENGIN E ERS190XCHRI TlANSEN SERG/ LAND SURVEYORS 160 SUMMER ST. HAVERHILL, MA 01830 TEL. 978-373-0310 \186 © 2002 BY CHRISTIANSEN & SERGI, INC. DWG. NO. 01.039006 Co T �� 'sem �.. STORMWATER / � / • \ �,� DETE<V T/ON AREA 4 LIMIT OF 100' BUFFER ZONE 176 Q' �,�.. • . /SEDIMENTATION~ CONTROL / est it LEACHING NDS�� / ., CHAMBER ��' ' L0�6 DMH 4 \,B? ��10 OF M sq 0 84� 184 ILI G n 86 1 0.28896 Q n DECKIs E��O �FSSIONAL Et, 4p• ' �85O ' -SEWER SERVI INV 1 .0 PORCH PROPOSED SITE PLAN FOR 56 el LOT 5 BERR/NGTON PLACE Me IN IL a ` NORTH ANDOVER, MASS. i I gMH-9 r PREPARED FOR: JAMES CARROLL CE F "N CI SCALE: 1 = 40 DATE: MAY 9, 2002 t N LE 0 \�9 _ PROFESSIONAL ENGINEERS \� CHRIS TIANSEN &SERGI LAND SURVEYORS 160 SUMMER ST. HAVERHILL, MA 01830 TEL. 978-373-0310 2002 BY CHRIST/ANSEN & SERGI, INC. DWG. NO. 01.039006 -Z / �176— gyp, LIMIT OF 100' BUFFER ZONE--- 1 r —178 . .~ SEDIMENTA TION L 0 T 4 / CONTROL / est ..:pit LEACHING 150' OFFSETo :h FROM WETLANDS / •• ' CHAMBER — — --- / LOT/18Z Z2� � y�l . • • DMH 4 86 .331 �gU) z �y N z 193• '188 � m !F 10P 1 FLR• SM�• - ti 1 p INV 1 .0 RSH �o CO EREO `M- rn 56 4B 1 0 PROPOSED all / 56' LOT 5 BERRI 5 wCE '.a I NV 181.6' .• � r r .iii NORTH AND 1 436 v� O, SMH,g r , %� PREPAF JAMES L r C1 SCALE: 1" = 40' D, 0 : p \, CHRISTIANSEN u SERC .� 160 SUMMER ST. HAVERHILL, MA 01830 \ABs © 2002 BY CHRISTIANSEN & S FAMILY Pools & Patio, Inc. CSL#010330 y,� Sales • Service •Supplies HIC# 118204 It 70 So. Broadway• Lawrence, Massachusetts 01843 WC# 156942897 LIAB#C0164095968 Tel: ( ) 688-8307 Fax: ( ) 688-1949 NAME ,� �aDATE 0 2, ADDRESS ,�� !e�+r`�2 �1�� 20_ CITY___N1LrJf STATE � S_ZIP _TELEPHONE7�� (� — / CROSS STREET C I �CtRes. EST. START DATE Wk. EST. COMPLETION DATE • PROPOSAL • We propose to furnish and install one 9+ _qo S swimming pool for.the sum of$ . l e price for normal installation consists of: Nine hours total machine time including two trips for excavation, backfilling, and rough grading around ool. ��,�,( Use of one dump truck for six hours for removal of fill during excavation • Installation of pool with filter and wall skimmer. �,�� ' a price does not include: Any machine time over nine hours, additional machine time to be billed at(17per hour•Any trucking over six hours, l additional trucks to be billed at(70)per hour•Any dumping costs incurred for disposal of ledge or large rocks Re-seeding of grass around poo •Spreading of loam•Trucked in Water•Patio or fence around pool or any accessories, except as noted below•Additional fill, if necessary, for proper backfill or reshaping of hole•Disposal of large rocks Fuel Connections•Heater Venting• Fuel Storage Tanks• Permits•Damage done to sprinkler systems or any buried items (ex.dry well, electrical lines, cables, etc.) in the access and pool overdig areas. Stumping and removal will be subject to an extra charge. Water or soil condition (ex.clay, peat, live sand, excessive rock, etc.) requiring Min. a stone pack of the hole will be subject to an extra charge of `rp Mme' Use of the above will be at the discretion of the job supervisor. UD Customer is to supply access for all trucks It is the owner's responsibility to obtain the building permit or to assume the costs of necessary permits. • EXTRAS • • CONTRACT• Vacuum Cleaner d Ladder(s)(� _�� Steps f slae b�iL"•,i�{ ) Diving BoardFilter ) ( v Chemicals ' WithP P p Maintenance Kit Liner 104-cf- Lifeline — Coping ( ) Spa Main Drain Solar Cover Miscellaneous ( ) Fiberoptic Light � ' ( ) / Miscellaneous ( ) Heater dom p Slide �S�— 1�5� ) TOTAL EXTRAS 31-70 Caretaker 99 Pkg ( a, BASIC POOL PRICE _1411 t Environpool plus Pkg (� � ) Environpool Pkg ( SUBTOTAL $ 17 z- Polaris Vac Sweep MA 5 SALES TAX Polaris-retrofit only %,_� Inline Chlorinator ,o ❑ TOTAL $ 1Patio, Electrical,or fence,see attached LESS DEPOSIT 5%minimum T&6 BALANCE OF CONTRACT 17 �l PAYMENTS: 1/3 Excavation, 1/3 Backfill, 1/3 System Start-up �00.. LTJ fit The buyer hereby agrees to pay in full, the total amount of this transaction upon start up of installed pool.You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. Credit card payments not accepted on contract amount BUYER SELLER z CO-BUYER ,j� p�. r ■r.+ wrVFF .m _ Y Y. . ■ . rs •v■wr %/7aI%W&a QlJz9/20Q2 t C617)aars soon C6i��aaa-sloe ONLY AND CONFERS NO RK3MT8 UPON THE GMRTIMICATe j X11 ot,r�lNhattierr;Hard & Ra a� HOLDER. THIS CERTIFICATE 0093 NOT AMENA.-EXTaND OR ' llr�tn AganCy 1 ,I>hC . ALTER THE COWRAGE AFFORDCiE ED 6Y THE POLIB 8loLAW. 57PYtnam 5traat INSURERS AFFORD(W COYERAOE i NiErtihrop;' MA 01152 � iy Poorat o n., mc, INSURIAk AMerican (:&Sua ty Co. jii' 70 South srcadway aisuReR a NfC PLAN--AWAMM ASSIGNMENT Ltwrence, ISA 0184' INeuneRc INSURER D: INSURER e:- TM MUCIEN 011 IN6URANCE LIST jR 1666190E R TMd POLICYI IMI tris ANY ANUTAEMENT.TERN OR CONDITION CF ANY CONTRACT OR OTHER DOCUMENT WITH RCSPECT TO W"CH THIS CERnFicAT6 mAY OE ICSUED oR MAYPERTAIN,THE INSURANCE AFFORDCD SY THE POLIGIEB DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.AOMAGATL LIMITS OHOVYN MAY HAVE 861H REDUCED BY PAID CLANS. 0'4 ' `;TYPE QF INOURi1NC% POLICY NUMBER LIMITS att�w uauLmr r. 2 ?.: 1640 22/1112001111/11/2001 Lacm occummkof o 00000 �4COMMPCIAL=148RAL LIA9IWTY { I FIM ON04E Wq ons m) a ��f 7: alrS M CLAIMS MAOR;a OCi:UR p I I MQD!XP(llny oro p�+NA) i 5 pii+f a '� x �a I PERSONAL A ADV NWURY 4 gonad 0NORALA40RIS i locom NKAOOROOATO LkWT APPLIES Pelt ►RCDUCTS.COMrrlOPA00 t pQQQ N00Y LDC M. J�CE '` Nu701mu LAWLlTr k 713=1 22/31/20011 12/31/2002 ooMSINED NN3LG LMMT IEa aeeM�nE► ANV AUTO'; i 1.000100c t*- r 1 .. S '" MLpNT16pAUT05 ; p.. ' a DILYS�URY ! X 1OHODUI D AUTOS 1 I llP�r per+ Y i X WW ALS Ij IOOILY gJJyRY NON.OWNID AUTOS test seddN+ll S y ,y QtiM1d (For emcimq .01 a PIS N "PAGE LI�I,ITY AUTO ONLY.SA AC OIDENT I r ¢a ,f ANY AUTO AlTMO QNIAN 'µACC ! z AGO i r (� VIM LIABILITY OAOMOCCURRONCE S ,` .• Gomm CWMSMA06 AbOREDATG i S PeOUCTIMA S :>f ilET5NT10N � s .P WOQICIASCOMPI MSATIONAND t8Xd5880Z 01/09/2002 01/09/2063 wr MDLOTZW WAIlLITY S.L OADHACCIOINr 4 1000OD 9 E.L.AISMAK FA EMPLOYEE $ 10pQ0� G.L.WWI•FZ UNIT 6 VTMSR a AmmemALINBUmea:INAURORLArRittCANCELLATION �r� SHOULD ANY C1P Tiff'AtoYH OEBCldQ&O P01.{CIiQ?B CANCSlLEO ifPOA!Tile " I VVIPATION CAT%nU MOV.TML'13SUINo COMPANY WLL&VEAVOR ro MNL . xt� q +ia DAY6 WRITTO!{NGnGQ TO TRQ dQRTH10AT4 NOLOSl1 NAMtD TO U'I'r "MAIL SWCII NClftoe SHOtL UK O N4 CBLICJITION OR LU►OII.ITY IU t!UPON TNA .IT� 1yTIII 1NTATI4� Fot�,Lllf0MUt�ion PVr'p0s4s,on?y RAW pf - �Vr• . t � � 1 •. 1 11 1 k ,aPv �jy,. ,..fir q .SF,d+e {y S.Y'1M{•.,}^", a` - it � x��'�°`w�r�,�l'�� r&}"'�� ,,,;.�,. � car£: ••� • i �v�` +ry "_*- ` aW ` aj .+ I„ awhkt4•n 1 62} 't+ ,,,.. y '�"' "x �•.i 7s-t� ti �v "� '�';}, e ,� § �+,2' f��to ., ,,5^e•a..�1' _ .' ,.,,� 7 �^Y a ' �� ,r,��n- .X�s:.a1:��'�, ,. .;':p�yu#*4��'�',�"'�r&� '��`�i,��r�a�'f�.} ''4x``�' �C'l,�NO % { t t ,y'grt-�c t"'•y i4t .',-' §,_ - �° `rwd �f . "�y�' RI K T i 4 � � �4.. t 2'a t�� elf x+.> •A�E F� '�F` .`Ar P - r _' s - ':i?i• < ',�'"r> y'- c�,g t ,'�, `, - s �r T^.•r u.� �.. ,r soy y� 4�'>4, '!Fz _ +rs r, 4 i� ,Fif� r�,". � ci ii S � x, 5 ': s:. �� ,r• r t 4�. �he�'a�k»`�rt1 '�`hr��,v�--'a,- � ��,�Ft rouu,S 4�,. �. � .t}� -'�`'` r k.-. h v � - [ �� a b i _ '�� a Y' �'�•S1 �';i-h 7M y ,� wr��-r`r t4"t �'A f ,y.t y cy. t�3 4 ti- .,�' r ie a' y�.t '� ayy'•Y*r'.z..r s b x--x-'�+-� d trr• 1 a 4 L �.we 1 (J��1 3 �. e• '�yra .>.. �.'. ;+.- fr+,...�,,:Y��- ��'��ue�s�.r'<, s�rIL=�'' �_�.?.,�_+m.�,.'�`".•e...�da��r,E ',`1• a 1F1.r7�'6 .`qK V=q4.'.. .- — } Y 4 r SoariotBullding Regulation$and Standards License or registration valid for individul use only 2K'X ` NOMLe IMPROVEMENT„CONTRACTOR before the expiralion date. If found return lot ” Board or Building Regulations and Standards Mpletratlon�p118204 lieOne Ashburton Place Rat 1301 plratlon 021t31Z003 y � :: t Hooton,Wa.02108 �'ryp�.,l3upplenxnlCard AMILY POLLS 9-PATIOS INC FGa` vI.EN+1iWdaN ; +MKaF,j KBROAMAYI Administralor Not Valid wilhoul sig I 'c "go + . rlotBuUdtng Acguletbne and Standards License or registration valid for indlvidul use only � n56 before the expiration date. If found return lo; NOM6IMPROVEMENT CONTRACTOR Board or Bullding Regulations and Standards phlro�lbn 11B20A,t `� 4 `r a ,One Ashburton Place RIn 1301 raflo 0 ��pe8uVp0�le2rM00ny�CardsL�Y v { '•5 Boston,hIa.02108 i�?.1 arg -LS•Y� + ' I.Y,Ft00�8 a��Tlvs lNc ��i, j � �v'IA1r�l�Olfl.�t3 9. t ��i+�j�T .�-'- •^-�J ► // t �►„ tom., R . �11�!►;O:fB��}}F s "Adnivbtrotor 4� ft + Not valid without algna urea y� i � s 5 �� i �;I* tri 1.:� {_. -• . •J � f4�ya''� �yIIy,.�4 V+d' a,��t� � r 3."E*X ` ... sW" i' .ter . w�i e�5on►ms>ruxald4 o�:, f�ra+aa(uecr!d Board of Building Regulations and SUridards License or registration valid for individui use only before the expiration date. If found return to. NOME IMPFZOVEMENt CONTRACTOR F „ Board of Building Regulations and Standards Repletrationt;118204';,' Y ;; fir One Ashburton Place Rm 1301 . .02/1, 3/2003Boston,Ma.02108 j j31t�,Typ�,.PtNdeCorporatbn t �.'AMILYISOOL9"t TI081NC t" y �a� s .40 r x. Fpv •� na Not valid without rignature 11 a,af-� ..y''rt:.�, • yak oy: f}� Lb " j :1 a}r # yt c R "l5 sg"{F� y2 .1r ' $ s x ii. T r rnn. Filil ' #Eg'�`t`�t4"" fir 3.. 4F tit!f.}�•a, 4 t S�7'+c+ �Kj a-. a � x u ,}0"N'. ,�-t' + , ' ILLI• - 4AM2 . �--- a WI" C r 8$'Plain Panels(08-00 L 3-4'Plain Ponels(08-016.5) I I 2-r Plain Panels(s al(08-1 1) E- -r-.—F'-'1"� G—'i H J l-�- K+{ J 4-r Rados Carnets to8-141) 17-Turnbuckle Bross(0&214) SIZE A D C DEar", F G H K 1-Steel Hardware IGt(08 204) iY r r4' 14'. 5'i- 4'i' 4'i' T 4'Y g' 4' 1-16x32 Straight Coping Sat 6'Rodim(10-001) 1-r Rodans Coping Comer Set(10-138) ��ooisi a�omo. li' 32 S'i' r4' 14' S'i' 4.6' 4'P ]• 2'r' t-lreryi liner(see options below) SPACE 2 _ _ .• r---moo•---� __ 6'Step-Remove 1-(08-009-5)8'panel oral iwawmuao� a 1-(08-016-5)4'panel insert 1-(01-006)6'step, 2-(08-017-5)3 ponels and 1{08-214) .* turnbuckle brace- PAKEI 8'Step-Remave 1-(08-009-5)8'panel and MADMAN 1-(08-016-5)4'poneL Insert 1-(01-002)8'step, PLATE 2-(08-018-5)Y panels and 1-(08-214) 2 tumbudde brace. �4 �� '�• ,n�naudrE . . -TA" RePlaterl� (08.009'S)wttbs 012-8• '•51 1-8'light pan � • .Ea.'-'�bY / � ` t _ : `Y WD AOMAft M-0 am. n .. ^r 1 31 a / FI'M d,T 5ra f to . NSPI TYPE 11OR AV Y"' r• p tj, h. ,,.F�+t s r^ yc iso y,= •� �rj U,, ,, m` _ '�' MA art� y yyy� Y R $� 70PAZ S7ERLING� STOjNpEgTRE °S a (03.803.21 (U.7'f YJ'.2) y-��JI�OJ' �r - �= �Ft< ? t ,S �',*'i':� i 5 y�-r• i-,C't x�.z# �gbkk'ya c s --( �^-NON'DMNGtJNER$�""' x bMs;nteirw�per6LilybrsMrlir.fiMfpedmg•PswirrbyFlnli.ii.w.apealo.wi�ard�eli� `. .anr�Im�a eie .sieq.d u fl-6 034140.2)s 1-8(03-P40-ZI��SS•4(03 r+o arrear pep�ir -'� . .• • - R�teti161�%I1R106'EStl�l1G� '�"��"'�'^ j{� "•"�s—.,'�vc•� �� • � 7Ln• dwr.sias •�.�r''F1'eie+a� ""ant �' "61°�'w!r�"4Ve+ae�IeMa.i�ow.e-dwte w � fj�T11E.J141ee{ 'SIe 4l=i77t . d'i �iePif' SP's •�Pa��M.^�ern.•ti•r�eeb•seas �w�e�r�yp�edriw:•rw+isderdt'rarrwaLielpoo4 ihi arrie+riyraras� ami � '7d.iy6easd,..vfrida.O•bloaNed.Mil�uiep� p'•'��ty i�;��'.�/�m�ram•�y '__.� �"' T aariirwe.nmw'sawsarusif4i.Pblieid a �ea1LJeew.i�e�� as s 1 O �. �t < w.�u.:w�.s randa.d�peer - beab;��"' �1f�7�i�''er,-da,iw►,, es..mr. kY` "4"� .a:a..on r...peed bsoteq. as.a fs.rs m a 00 16H a �rdyiel waew�i �"� F'.l�A DRi ' r rendar4..w+c Netie,'d Sao i Iadl ` �,+!ssi•.Alas3rie.VA 227u.7o�/e7e-0oe3` t. Town of North Andover tAoRTH Office of the Planning Department �? p 9 I Community Development and Services Division 27 Charles Sheet North Andover, Massachusetts 01845 9SSACMU5�4 KathyAfcKeima Telephone (978)688-9535 Platz?h7g-Director Fax(978)688-9542 November 18, 2002 Alex& Barbara Caruso r 20 Glenore Circle � North Andover, MA 01845 RE. Building Permit Request 20 Glenore Circle Dear Mr. and Mrs. Caruso: On October 28, 2002, I spoke with Mrs. Caruso regarding a building permit request for a 22' x 36' pool at the above address. Because the pool and grading, as shown on plans submitted with the building permit request, is within the Non-Disturbance Zone of the Watershed Protection District, a Special Permit granted by the Planning Board is necessary prior to issuance of a building permit and construction. Thereby your request for a building permit is hereby rejected under the Town of North Andover Zoning Bylaw Section 4.136, Watershed Protection District. During our phone conversation we discussed moving the pool, patio, and grading outside of the 150' Non-Disturbance Zone. If you should choose to do so, you would need to submit a new building permit application. If you have any questions, please do not hesitate to call. Thank you, 1 /Kathy McKenna Planning Director cc: Building Inspector BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 FORM - U - LOT RELEASE FORM INS TRUCTIONS- 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. Iss■.s■■ss ssssss■sssssssssssssssssssss■■■■s■..ssssssssssssssssssssussss.sss■ '"3 c-rwj A,J, 4- A--e,y Cs—ki o APPLICANT O o t+�, PHONE ASSESSORS MAP NUMBER 0)7,6 LOT NUMBER 0 0'13 SUBDIVISION LOT NUMBER STREET a1�v►oe e STREET NUMBER js■mums.ssssago sssssssssssssssssssssssss■■s■s■sssssssssssusssssasssssssssss■ OFFICIAL USE ONLY suss.ssssss.ssssssssssssssssums■sssssssssss...ssssssssssssssssusssss.ssssass . RECOMNffi,NDATIONS OF TOWN AGENTS ION s■ ■■sssssssssss■ss■ssssssssssssssssssssssssssss■ssssssssus sssssssssssss■ . r DATE APPROVED CONSERVATION ADMRgTSTRfAT DATE REJECTED cotes roo e-� 1' e. lD �i� -�►- �n loot �(di�'��` �nG ��d •1'2.4 i,c:i ,r rL cc., t�r�i nu DATE APPROVED ,J�At�IZ T WN PLANNER DATE REJECTED I V 0 2� She A COMtd1ENTS `� .lh�� 1/v A kC)Y CII-jrLQ i 1l V IJ 5 DATE APPROVED FOOD INSPECTOR-'HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED COMMENTS PUBLIC WORKS—SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED CONPAENTS RECEIVED BY BUILDING INSPECTOR DATE P � �`a�� : lt*'(,'DnITila7i'iL'eQ.�ijif•Csr��6L�ZiLi:TS _I �G�art�r�of lruEusrcaC . D jiCE DF17iU6LZOTIS XX 02111 hrhel�'Compensation inst=ca A;ndaYt vvI,ICANT r1 0PMA.TION Please P�,IN I Leoibiy Nam : Location: (A(e ✓1O►^C C'r''d e— City NK F�f i3 I am a homeow=periorming aIl wort:rnyselT. i] i am sole aropriewr and have ac)one wormng at mV MOZZit, -I am an employer.DrovidiL1=wofx=--' compensation for my employees wanting on tGis job Cbmpany Naase: 1 Gy � �A —ff Z City; ;�.c„f.RPh rye- Teieptwne 1 / it;swance Compal"• e1i r2cA (fAiLAA CO Policy : z� x toS�gov D I am(circle one) sole praprietor,general contracmr or homeowner and have hired the contractors listed beiaw who have the iollavling. wori:�s' COIIIDensattoIl poilCles: Company Name: Adar�ss• • Cir}r Teicohone"• tn�,-amce Company: Policy r� Company Nam.: Adaress: City: Telephone : nsL Ince Company Policy j' Attach additional sheet f necessary Failure to secvrt coverage as required under Section 25A of MGL i 5E can iead to tut imposition oI c�nina'i venalIles of a nae L>D to i50 G.OU and/or one years' imprisonment as wsIl as civil penalties in the lora:of a STOP WORZ ORD'r.P and a line ca 5100.00 a day against me. I understand that.a copy of this statement may'be rCNlarded to the Ofnce of investieations a`the DIE,for coverage ve_incatiorl. I dr, hereby cer;ij under the Pains and penalties of perjury that the information above iv true and correct 5i�ture: �,Q,��,�1• ' Datz: 0 d d-A— :honed .f'r S1�J�Ia�l� ` ��1✓� .ra OMMW USE ONLY-Dg no wrim in this area n Building Denarurnert City or i o!!n: - Fermit/License r: n Licensing Board n 5eiectmsrrs Offt=e o Health Department D Check if immediate response is reouired n Dther I�7'OP' '1"10I, ILI MTRUC7L O S) lviassa husetz General Laws chapter 152 mm"on''5 requires all employers to provide workers' compen.saaon for their employ6es. As quoted from 'rhe"law" an employee is defined as every person in tine service-o f another under any contract of hire, -,Xrress or implied, oral or written. Az employer is defined as an individual, partnership, association, corporation or other lePal emit,, or any two or mare of the foregoing engaged in a joint entel_rise; and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partaership, 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 fne-dwel.Iingg house of"anotheri who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building ap_pilnenantthereto shall not because of . such employment be deemed to be an. employer. MGL chapter 152 section 2,6 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 cogmpliance with the insurance coverage required. _Aidditionally,neither the commonwealth nor any of its pollitical subdivisions shat enter Into any contract for the performance of-public W0fr until acceptable evidence of compliance with the insurance requirements of this chapter have beenpresented to.the contracting authority, 4 pplicants Please fill in the workers' compensation afndavit completely,by ch-.chng the..box that applies to your situation and supplying company names, address and phone numbers as all affidwhts maybe submitted to the. Dept-=--nt of Industrial Accidents for.connrmation of insurance coverage. Aso be sure 'to sign and date the aMdavvt" The amdavit should,be returned to the city ortown that the application for the it permor license is being req_* steel, nog the Department of Industrial_4ccidents. Should you have any questions regarding the °law"•or it you are required to.obtain a worh=s'compensation policy,please call'the Depar¢Qent at the number listed b5107'. OV or ToyYns Please be sure that the am davit is complete and printed legibly. 'rhe Department has provided a sane°at the bottom of the a=ffidavit for you to M out in the event the Once of Investigations has to Contactyou-regardinc, the applicant. .Please.be sure to X11 in the p=Jt/license number which will be used as a reference numb, ae afficavits =Lay be returned to the Department by mail or FA-unless other arrangements have been made. The OMce of 1.nvestigations would i re.to thank you in.advance for your cooperation and should you have any auesiions, please do not hesitate to give us a call. ThE-Depa7 7ne�nt'S addreSS, telephone cndfi= number: "'he Commonwealth of Massachusetts Department ofl-ndustrial 4-ccidents Dffice of Tnvestiaations 600 'Washisston Street . Boston,YL4 02111 Pax _ (05 17)737-7 749 Telephone_ (617) 727-4900 e;t. 406, 409, or'175 j TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: i SIGNATURE: ; Building CommissiORELTEtor of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: G lin a�'e �i✓�=1� CL�S> 03'►. r& ooh 3 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard . Side Yard Rear Yard Required Provide Required Provided ReqWred Provided (�Ot wt .� roo fi 1 1.7 Water Supply M.G.L.C.40. 54) 1.5. blood 1.8 Sewerage Disposal System: Zone Outside Flood Municipal 0 On Site Disposal Public ❑ Private ❑ d Z 0 �Pal System ❑ � SECTION 2-PROPERTY OWNERSIIIP/AUTHORIZED AGENT r 2.1 Owner of Record -so �o G te,wye- G c�Ec Name(Print) Address for Service: &C9- - Signature Telephone 2.2 Owner of Record: Name Print Address for Service: ' e Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ a Licensed Construction Supervisor: 0 1 0 3 3 -7 0 o License Number Address U �+ D0-7 — ( I r o3 3 -,&Z AL!,�. t-)(f—`(a—o 36-7 Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name �,��' 7�0 U C a � � , / _ � �� Registration Number r Add �s J c.J�-�/' {--1�. f 6 ln/ f . � c p 0 w`'`'`"- `'"" ' 6 a J 7 Expiration Dater 3 d3 Signature Telephone t 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 rmit. Signed affidavit Attached Yes...... No.......0 SECTION 5 Description of Proposed Work check all applicable) New Construction Existing Building ❑ Repair(s) 0 Alterations(s) 0 Addition 0 Accessory Bldg. 0 Demolition 0 Other 0 Specify Brief Description of Proposed Work: i,u .�. ,-a,.,�,c� 2Z x36 ��.- ►�.� S�-.��,�,�, r� SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be FkIeIALaIlSENl � Completed by pernit al ltcant 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 5 Fire Protection 6 Total 1+2+3+4+5 ?I Y Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, �Lt O (�►mas Owner/Authorized Agent of subject property Hereby authorize P" -r--it cam to act on MyCb'ehalf;in all matters relati+v to work authorized by this building permit application Signature of Owner Date SECTION 71b OWNER/AUTHORIZED AGENT DECLARATION 1, ""', , as Owner/Authorized Agent of subject property Hereby declare that the state sand information on the foregoing application are true and accurate,to the best of my knowledge and belief rAL Pri e Si ature of Owner/A ent , Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIlVIBERS 1sT 2ND3 SPAN DIMENSIONS OF SILLS DRv1ENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHEVINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE l \� Location /`��" � G/rNor e_ ('Ir No. Date NORTH TOWN OF NORTH AN-DOVER 3?0: .. o , 1•yo � f � w 9 Certificate of Occupancy $ CNUS Building /Frame/Frame Permit Fee $ JAE� Foundation Permit Fee $ /Q Other Permit Fee $ TOTAL $ / d Check # .3 q 3 AWC�--�-- 1 5 5 4 i ` Building Inspector r AER . _ -0t"O�'�1E�RTH+ NDOV BUII.DWG V PAI T. HENT'_:_.. . : . APPLICATION TO CtlNbTitU mALKOYA Oft DEMOLISH A ONR OR TWO F yD Wffi.EChiG BUli DWG�PERbff N[JItiMO rn : . DATE. • SIGNATM: �i of Buil • Date SECTION 1-SITE INFORMATION 0 1.1' adar e� t.3' Aas�nea Map aad Parod Noarbar Loi (ems . (i r'c C . 3 _ ('C @ .. Parod.Nambw _. r ;zo,ii,g l.a.r,%mty. . 16 (;1-'7 .: - .... �s . .._.._. Za=gDand use a a area - . Fkatw(ft) .6 BURDING SETBACKS(ft)'. Front Yard . &&Yard Provide " prrnrrdod 30 1 -226 rawer:seWynu�t ase. sdl ls..reoiro..,..... ... ter... > ...,.....:� `V. rbso r=ives o zeaa oasidePbud?ueq a[_.. 1P Qosriepocd s ;;o SECTION 2-PROPERTY OWNS/AUTHORIZED XGF1ff' s;, m 2.1 Owner of Record Name(Print) Addmss for.Service: A CAQii[I Sty Sign n Telephone 2.2 Owner of Record. Name Print Address for Service: S Telephonem SECTION 3-CONSTRUCTION SRRVICRS 3.1 Licensed Consrm"on Supervisor:-- Not applicable 0 aneS V Car ra fl -... �LroeasedCOMAuclion,Supervior,. ,. f S..CJ _' 'n-_ rseNnmbea:. ._ .. . .... P iAaarem. _ Date . ....._ ic .:..,.,. `IY2 Ra&arad home Improvtopenteanageoor �.. apph• ' Notaable o. _w. Company Name _- , • r .. I,i Address:. r r . - i F.apuatran Dale z siwmwm Wephow t I SWOON 4-WORKERS COMFBNSATiON.gjQL:C-1S2.§ 2k6) workers Compmsauon km=WWII*t*bWbe oo4idmkaod sdbT00 wf&this app q,`Faure to Fmvide this affidavit Will rem& in the denial ofthe issoanoe ofthe • SigW a>tidwit Attached Yes......Ir I SECTIONS tioh offtwowd Work dwk'11 .._ _ NewConstructiort �. D� s ❑` s • 0'. :E"d� _ 'RepaiaO �i4ddition 0 Aceessory Bldg ❑ Demlition 0:;. Other. 0 Speafy Bfid Destxiption of PropoWd Wali: o("N. } SECTION 6-ESTIMATED CONSTRIIGTION COSTS Item .. _._..,. Estimated Cost(Dom).to be• . kted "t licant 1. Building (a) ButTding Peanit F.ee_.. a8� o00 2 Electrical -000 (b) EstimatedTotai.Costof... .: . Conshuctiba 3 Plumbing l If tow But7dingPemiitfee;(+):x(t,) 4 Idechardeal.. AC). 1.4.10W 5. ..Fire Protection 6 T__*U1+2+3+4+5). 4.f,rQ CheckNamber.. . SECTION 7a-OVAM AUTHORIUTION TO BE COMPLETED WHEPT:. = = OWNERS AG13NT.OR.CONTRACTOR APPLIES FOR BIIII.DING PIRMIT as OwnWAuthonzed Agent of subject propeaty Hereby authorize to act on My behalf;m all matters relative to war*authorized by this budding permit application S4nstm of Owaer Date SECTION 7b 0WNMAUT11"HZED AG&NT D$CLARATION e �ar�s A CAfro t I ,�s^�sn� as Owner/Authorized Ageart of subject ProPeAY Hereby declare that the statements and information on the foregoing application are true and acaaate,to the best of my knowledge and belief RkWame S tore of Owner/ Date NO.OF STORIES t""` SIZE BASE U NT OR SLAB SIZE OF FLOOR TB4BERS1 2 X 3 VAX .— .. TZ DBAENSIONS OF SILLS DBAENSIONS OF POSTS x DDAENSIONS OF GIRDERS x Q _..... .. HEIGHT OF-FOUNDATION THICKNESS F%BMILDING F FOOTD* X RIAL OF CHIMNEY t C ON SOLID OR FILLED LANDDING CONNECTED TO NATURAL GAS LIldEYdS 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. ********"'********************APPLICA�NT FILLS OUT THIS SECTION**** ******* APPLICANT f'�� Q^ P(` IC �r�' PHONE��8�9� ' 71 a `� _� —, LOCATION: Assessor's Map Number PARCEL �_— SUBDIVISION_ bran 400 PjAc LOT(8`)_ STREET` D G e n©` — Cc CC Le ST. NUMBER a� USE ONLY*****************+ **************** RECOMM NDA IONS op4fbWN AGENTS: CONttR ION ADMI STRATOR DATE APPROVED DATE REJECTED COMMENTS__ N PLAN R DATE APPROVED—, � ��2 7 DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH D TE APPR DAO ATE CTED SEPTIC INSPECTOR-HEALS DATE APPROVED _ DATE REJECTED— COMMENTS---- PUBLIC EJECTEDCOMMENTSPUBLIC WORKS-SEWERIWATER CONNECTIONS_��__1 �-i�2°L Z DRIVEWAY PERM FIRE DEPARTMENT D'Z— RECEIVED BY BUILDING INSPECTOR R _ — DATE `___ Revised 9197 jm �0 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 requested below. �Jrt� ��e� ?,cky (ge C Irde- 3.71 Permit Applicant Property address Map/Parcel 1�-7s) (o86- 7791 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 providingthis 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 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 tat 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 bythe 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 UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE CHECKING OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY,WHETHER DONE TO MY KNOWLEDGE OR NOT IS GROUNDS FOR REFUSAL BY THE BUILDING DEPARTMENT TO ISSUE A BUILDING PERMIT. C s)ryloa APPLICANTS SIGNATURE DATE THIS FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION Town of North Andover � tAaRTH o t�tLpo 0 Building Department o �► 27 Charles Street North Andover Massachusetts 01845 Z ti a 978 688-9545 Fax 978 688-9542 X94` . �9Ssgca�u5 �� DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit 9 the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in/at: UUAS't C M AN Q g� 36 wt- L0'r 1 � r�n malas s Facility location CL Signature of Applicant S. 0 Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. lBOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 063503 Birthdate: 07/19/1$65 Expires: 07/19/2003 Tr.no: 12903 Restricted: 00 JAMES V CARROLL 12 PIPERS GLEN (,�w•a tr�i ANDOVER, MA 01810. Administrator w 05/1412002 10:34 9796833147 w iiee M P ROBERTS INS PAGE 01 ��'��8 �� SIiMI��,�iW►�� ' , ■ f ' Ibbtre DAT[ r MMfiDm'y , .. , .: , . • LOPRODUCER THIS CERTIFICATE 18 Id3UEO AS A MATTER OF INFORMATION ONYND CONFERS NO RIGHTS UPM THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW. M.P.06OSGOODROBERTS INS AGCY INC COMPANIES AFFORDHNG (COVERAGE 1,Q 6 0 OSGO�D ST NO ANDOVER MA 01845 L Y...a...... ....... ..................... ..................... OMPAN gTTER WESTERN WORLD INS CO _......•............................... .................................. COMPANY INiURBO ........ ......................._..•. LETTER HANOVEP 8 INSiTPLANCE CO iR Y Cr NO ANDOVER REALTY CORP iTS LIABILITY NOANDO'VER 'CA�tE RMA 01845 SETTER"Y..d.......GUAwRD INS....................................... .... GROUP,..,. ................ COMPANY E THIS($70 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 13SUED TO THE INSURED NAMF0 ABOVE FOR THE POLICY PFROOD INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICAfG MAY BE 18SUED OR MAY PERTAIN, THE INSURANCE AFPdRDED BY THE POLICIES 069CAIRED HEREIN 113 SUNECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. ................... .................,............ TYPR .COPOLIO! GPO hPIRD��LTli OF1N9lRANE! POLICY NUM� OATtMfrYtlm /Y LIMNS NSRALLWW}y NPP770574 GONLAALREonTE b 000x000 ';'COMMERCu1LGENERALLIARIUTY ..1..••••..•.... •.......,,.., CLAIMS MADE; occuR. 3 13 0 2 3 13 0 3 PRODUCT AC O .. .................. .1 0 0 0 0 S COMo�Qp ACG. 0}�0/�1 ... 1 LU '• .... ••••••HONAL(1A[11/,INJURY �b1' OOO•�'QOO.. CwNRR'B$CONTRAOTOR'S PROT.: ®1 Q 5 CCURRENCE 0 0 0 0 0 EACH (Any one fINI .® �..................... r ;FIRE DAMAQC (�. .. �5 0.... a..._,.....• ' MED,EXPENSEuiv on®csrso , 0 O AUTOMpEILE LumBJrr ADN 5 0 6 9 5 4 5 2/06/02 2 05 03 COMBINED BINfaLEANY AUTO s l LIMIT Q :ALL OWNED AUTOS ........•...................................<......... ..... L....,....... ;...� SCHEDULED AUTOS BODILY INJURY b .. (Far pm6m) X'. HIRED AUTOS ............i........................ BODILY INJURY i X NON-OWNED AUTOS p (Par accident} A GARAQE LIASILITY ;...................--__...._......_.............,...,....... '• ••,' `:PROPERTY DAMAGE :$ exCEss WusLery CUP:L D 04 94 ti 3/13/0 3/13/03 EACA OCCURRENCE i1 X UMBRBLLA FORM ..................... AQGRI16ATE 9 OTHER THAN UMBRELLA FORM WORKER'S CQMPexsAMON NOWC 3 0 7 9 5 6 3 711/62 2 3 —j/03 X 'STATUTORY IJMIrn AND :EACH ACCIPENT b 500 000` .............. .. .............:......•.......J. DISEA• • 1. _. ........, LI01'LIMB 0 EMPLOYERS uABB.RY 8E—PO... ............:..5 Q Q 0 0 DISEASE—EACH EMPLOYER a 5 O O, Q Q Q OTMER 0380WON OF OPBRATOW&OCAT]ON61YEWCLEB/BPECIAMUM VAX: 978-475-0942 SHOULD ANY OF THE ABOVE DESCRIBED POLICI58 BE CANCELLED B•.......,...,..:..:••::, EFOfdE THE g. EXPIRATION DATE TIRRRROF, THE ISBUiNG COMPANY WILL ENDEAVOR To f: MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE•HOLDER NAMED TO THE TOWN OF NORTH ANDOVER LEFT, BUT FAILURE TO MAIL SUCH NOTICE BUILDING INSPECTOR ALL IMPOSE NO OBLIGATION OR 27 CHARLES $TRS" "T r t" UAB1 ANY)t U H AGENTS OR REPRESENTATIVES. NORTH ANDOVER MA 01845 " AU A ATry '�i ►��i .�: ,. .:�� , i.f,. � � ~c�l� Michael RobertsP LOp..:` y� 'rI „ y� FIFO A� wow I � MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # MAScheck Software Version 2.01 Release 3 i I Checked by/Date I I I TITLE: PLAN NO 29421 CITY: Reading STATE: Massachusetts HDD: 6573 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 4-22-2001 DATE OF PLANS: 6-27-00 PROJECT INFORMATION: ADDITION TO EXISTING HOUSE FAMILY ROOM COMPANY INFORMATION: BRUNO ASSOC. 28 BERKELEY ROAD N. ANDOVER. MA 01845 COMPLIANCE: Passes Maximum UA = 52 Your Home = 48 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ---------------------------------------------------------------- CEILINGS 391 30.0 0.0 14 WALLS: Wood Frame, 16" O.C. 320 19.0 0.0 19 GLAZING: Windows or Doors 42 0.350 15 --------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 1250t of the esign load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date TITLE: PLAN NO 29421 MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 DATE: 4-22-2001 Bldg. l Dept. l Use I I I CEILINGS: [ ] { 1. R-30 { Comments/Location I WALLS: [ ] I 1. Wood Frame, 16" O.C., R-19 I Comments/Location I { WINDOWS AND GLASS DOORS: [ ] { 1. U-value: 0.35 For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location I I HVAC EQUIPMENT: [ ] I 1. Furnace, 78.0 AFUE I I AIR LEAKAGE: [ ] { Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. I 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I VAPOR RETARDER: [ l I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I { MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values and glazing U-values must be clearly I marked on the building plans or specifications. I I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. I I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or ^ � h J• I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: [ l I Rated output capacity of the heating/cooling-system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. I I SWIMMING POOLS: [ ] I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I HVAC PIPING INSULATION: [ ] I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in. ) : I I PIPE SIZES (in. ) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" 1 Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 1 Low temperature 120-200 0.5 1.0 1.0 1.5 1 Steam condensate any 1.0 1.0 1.5 2.0 1 COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 i refrigerant below 40 1.0 1.0 1.5 1.5 I 1 CIRCULATING HOT WATER SYSTEMS: [ ] I Insulate circulating hotwater pipes to the following levels (in. ) : I I PIPE SIZES (in. ) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-1" 1 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 1 1.0 1.5 2.0 1 140-160 0.5 I 0.5 1.0 1.5 I 100-130 0.5 I 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only) ------------------------- ION/NG DISTRICT: R1 168— MIN. LOT AREA = 87, 120 S.F. MIN. LOT FRONTAGE = 175 FT. MIN. FRONT SETBACK = 30 FT. D 30 170 MIN. SIDE SETBACK = 30 FT. 28,35 / MIN. REAR SETBACK = 30 FT. �v D-31 ---� !•172—" / D-32 -- / / /D--T4 —' / —35 ' . / / DRAINAGE EASEMENT 1 6 /t9 A � —37 LOT • • .. • � LOT 5. • • � :: � :srs $o EDGE OF �� / AREA = 101,617 SF WETLANDS ► r : �''`` 9IDYj ^lb _ o STORM WATER m DEM�TION AREA 4 X176- 1 p, LIMIT OF 100' 1 • b� ��• BUFFER ZONE --178 —•— ` z � i • /SEDIMENTATIONS LOT 4 / / ' CONTROL / est .pit LEACHING 150' OFFSET o :: / . .,^ , k FROM WETLANDS CHAMBER LL0�6 82 DMH 4 OF 8k/ � � 184 iu c • / ---1 / 86 0 r n o.28896 009 .\\ �►� c1� p �sS10NAt EN 1g3•�5 oo -18$ cn FNP• __ ��8 TOMT. FI.R.%185• �CC sEtH INV 1 .0 EO POEN 0 a PROPOSED SITE PLAN 56' Ole := FOR EVER VICE LOT 5 BERR/NGTON PLACE WEI Sr� I NVQ /1�• °' \ 1a1s• V� IN Ab 1 X3.6 ' ''' ';� NORTH ANDOVER, MASS. v 186- ,, %j'' PREPARED FOR: JAMES CARROLL r+ SCALE: '" — 40' DATE: MAY 9, 2002 ' r OPROFESSIONAL ENGINEERS \, CHRISTIANSEN SERGI LAND SURVEYORS 160 SUMMER ST. HAVERHILL, MA 01830 TEL. 978-373-0310 2002 BY CHRISRANS£N & SERGI, INC. DWG. NO. 01.039006 � ORTiy Towno ,o 6 Andover 0 _ -• ', i No. (� z== KE o ndover, Mass., / 'rA COCKICKEWICK �S�q T E DU 5�,`-`� CH I T FOR EXCAVATION AND FOUNDATION THIS CERTIFIES THAT ........, �J Av�Q..�I!'��.... .a.l.. .........�iC.�.� .....:........ AQ��has permission to excavate and pour found tion at ..................c�Q.....�Q... ..cN�.�... ,,..-�� Va. .... for the purpose of..WA is A7A � ..... N.......� . ...•---..............,.. ................ ...... The person accepting this permit must return to the office of the Building Inspector a certified plot plan show of building thereon before Foundation will be inspected. VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS j 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. 5n11WM 308:13na 33 Va3 SS33 4a o ...... M VW83d '9038 i3uILWNG MSPEC OR N0RTH Town ofAndover _ VA No. %5*19 A dover, Mass., --c d —off l�0 a COCHICMEWICK 0RATED 4 BOARD OF HEALTH I Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT..4WOPr�...A.4041000 .�... �d./ .......... �!` BUILDING INSPECTOR Foundation has permission to erect............ ............. . buildings on . D-f irk �?.....1 .1VA0O r.a. C/ f%.......... buildin .� ........... Rough 1 to be occupied asl.n..Roo �.3.. ... A ...3.. ` a.l.�...�.vov p...51 ...............fit M 1 y Chimney Provided that the person accepting this permit shall in eve Nrespect 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 Inspect!on, Alteration and Construction of Buildings in the Town of North Andover. 3Y) B — ' 4PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTIO S T ELECTRICAL INSPECTOR Rough Service 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.................................. ,4ORT" :•�"°0 TOWN OF NORTH ANDOVER � A PERMIT FOR WIRING SS CH This certifies that ....... ................................................`.::�-.�.. . has permission to perform ..... /1� J wiring in the building of...'`. �. �-�:«-a-�'� ............................ .................................... at..... ...........r.:............ .•. .. :........<..... ,North Andover,Mass. Fee. ......�... Lic.No.............. ............ ............................................-�.. �ELEMICAL INSPEMR Check # 1412� 4. 464 T1EC0MM0NWE4L7H0FM4SS4CHUSE77S Office Use only DEPARTA1ENT0FPUBL1CWVY permit No. BOARDOFFMPREVE MONREGUTAHONS5rCMRI2 00 Occupancy&Fees Checked APPLICATIONFOR PERMIT TO PERFORMELEC'TRICAL 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 ®� 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) /em Owner or Tenant Owner's Address �'j�f)112 ,ZE Is this permit in conjunction with a building permit: Yes®No (Check Appropriate Box) Purpose of Building I/�eS ��Q.�,� G t— Utility Authorization No. _ Existing Service Amps 'Volts Overhead Underground M No.of Meters New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work ! PI e N 2V p v z)a No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round ground 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.,rnf Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices Nig.of Dryers Heating Devices KW Local Municipal r--J Other' No.of Water Heaters KW No.of No.of Connections Si ns Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER' lrMMr=Corerage,RusuarittotheregtuMCWdMmacl><tsettsGffiedLaws lbawaamaiLmbkykmancePbbcymckxiDgCmipleo--OpwabonsoDNeaWergsatstffldepyajelt YES NO lbaNembnibDdvandpiodofsa=tDiheOffim YES IfyoullmdrckedYES,ple nim&thetypeofcow ageby «INSURANCE BOND OHiM ) y� FxpxiatimDate WoduoStart '/ "�6--0_.3 ti No$ SgedundrTe peu0MDateRegested Rough FFuaWl FIRMNAME 01 11'a.— ,!2 i71?Z . Signature Lioa►seNo / BtTel.No. Addrm /2( 9'/ fAkTeLN0. OW`N 'SINS URANCEWAIVE R;Iatnawarethat theLimwdors not havetheirwranoeCOW rag--ofitssubstantialeqmalalasra4wedbyMM*NeltsGm!dLaws and thatmysignahueonthispmnitapplication wa'm sttrisrec�manatt (Please check one) Owner M Agent ti Signature of U Telephone No. PERMIT FEE$ caner or gen w The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 5�1b Workers'Compensation Insurance Affidavit Name Please Print Name: Location: City 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 City: Phone#' Insurance.Co. Policv# Company name: Address Cifir. Phone# r Insurance Co. Policy# i Failure to secure coverage as required under section 25A or MGL 152 can lead to the imposition of crurrnai penalties of.a fine up to s1,5ol1.o0 and/or one years'imprisonments welLas_ciA.penaltiesmSbelmm-fa-STQP VYORK ORDFRand_aline-nf-(sijoD D)-aAwAgainstme 1 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 Me pains and penalties of pedury that the information provided above is true and correct. Signature Date Print name Phone.# .Official use only do not write in this area to be completed by city or town dficiar City or Town PermMjcensi ' M r El Building Dept El Check d immediate response is required 0 Licensing Board p E] Selectman's Office Contact person: Phone A p Health Department Other Of pONT17h h _ P X - y ,SSACH1Ig`� CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTHiA,NDOVER Building Permit Number Date // THIS CERTIFI/ES THAT/ THE BUILDING LOCATED ON_ ftD% (� �� V/ e/)D(x`o' a1 !/`G /I MAY BE OCCUPIED AS S /N °[� -IFA- P1 /l -Dw e //t� j IN ACCORDANCE WITH THE PROVISIONS OF MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. /✓1 CERTIFICATE ISSUED TO Building Inspector i j F NORTH Town of . _ _ 4 Andover No. ��,q o o '� dover, Mass., . � 01 00 a CIJ-MIC ME WICK 7 AORATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System ewe/< IOU BUILDING INSPECTOR THIS CERTIFIES THAT.../�DI^�...4/�I ........... d./... ........ .r ...................... Foundation Jam' has permission to erect............�...t-1 ........... buildings on .110- .. ......i Q..... ................. .......... ....... �Ro to be occupied as �� ... ...3. ` 'd.11 Nc,I,er �t N Inc.....� rN himney .......... .............- . �y provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspe tion, Alteration and Construction of Buildings in the Town of North Andover. � ' � f y� C l/�' PLUMBING INSPECI !t� f ,v VIOLATION of the Zoning or Building Regulations Voids this Permit. /G PERMIT EXPIRES IN 6 MONTHS J o� � ina UNLESS CONSTRUCTIO S T EL C IN P ....... mce BUILDING INSPECTOR ' Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove 06VI I No Lathing or Dry Wall To Be Done FI DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. l � SEE REVERSE SIDE Smoke Det. Town of North AndoverNORTH O1t1�lD ;6'q9,� Building Department �? 9t; 6 0 27 Charles Street o North Andover, Massachusetts 01845 4 (978) 688-9545 Fax (978) 688-9542 cHus��. APPLICATION FOR CERTIFICATE OF OCCUPANCY/ INSPECTION ADDRESS (DI 61 P_*Ne,E"e- C.�rcle LOT NUMBER SUBDIVISION ;CA I_' DATE REQUEST FILED I l�10'�L DATE READY FOR INSPECTION C A-44 FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TINIE FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFF L USE ONLY ROUTING CONSERVATIO DATEILV17lz� PLANNING DATE11 Z D.P.W. -WATER METE ba DATE &A7 A� D.P. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED 0 TO THE INSPECTIO QUEST DATE. G A DPW A ORIZATIO 4154 ................................. Date.A NORTH 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING SACHUS This certifies that . ..... i�.,........................... ..... xt has permission to perform ... ........ ............................................... wiring in the building of........ ......... .......... at..�� -. .......... ......I......../.. ................//,North Andover,Mass. e�rl Fee... .A.I...... Lic.No:�3ieI2.. ............ .....i ........................................... ELECTRICAL INSPECTOR Check # Th CDA70NffFALTJ10FL4'SSACHUSE Ir Office Use only �( K DEPAR7711ZM0FPUBIICSAFE7Y BOARDOFFR&PRE[�E1 oNREGUTAT70NS527CMIt12. 1 rPerrmrut .y&Fees Checked s '� APPLICA71ONFOR 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) 2 0 Date__ _ r .Town of North Andover The undersigned applies for a permit to perform the electrical work described below. To the Inspector of Wires: Location(Street&Number)* Owner or Tenant n A-t L Owner's Address Is this permit in conjunction with a building permit: Yes r7T No (Check Appropriate Box) Purpose of Building Utility Authorization No. /U' tl^ Existing Service Amp=Volts OverheadUnder round gEDNo. of Meters New Service c, UOQ Amps/2(, / Volts Overhead M round Under g No. of Meters Number of Feeders and Ampacity --- Location and Nature of Proposed Electrical Work /J/�,�6 No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total No.of Lighting Fixtures Swimming Pool Above BelowKVA Generators round ro No.of Receptacle Outlets No.of Oil und KVA 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 No.of Disposals No.of Heat Total Tons Total No.of Detection and Pu—-s Tons KW Initiating Devices --�� No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained No.of Dryers Detection/Sounding Devices Heating Devices KW Local Municipal --�� No.of Water Heaters KW No.of [3 Connections Other No.of Si ns Bailasis No.Hydro Massage Tubs No.of Motors Total HP 1 OTHER ir%=V--Com Pwsmtlothe requimuItsofMa%adnseltsGffr al Laws haw aamentLiab7eylu moePblicymch>dagConpl&p Opffabons CbMagecritsalequivalalt YEShawsubrnhDdvandpmofofsametOft0ffiM YES NO l>ocUngthe . box ffytiuhawdrdodYFs,P�em thetypeofcDwWby VSURANCErM BOND M OTHER ED (P)ease Specify) ExpiraaonDa� lodctoStartD& EAmaledvahreofEbcbcalWork$ iloredmdcrTrPtma>t�Of Rough Final RMNAME r i'c.�al Lit Iioa>LseNo. 1�23 4C r1 Z Sigraure Lit seN o l.SC3 �Q BummTel.No. f-2 -odc-6- vVN11Z'S INSURANCE W AIL Tel No. AIVFRJamawarethatthelsoerned2 nothavetheuLnuano OOMv georitswbslantialequras lequitedbyMa%achusetsGeneralLam Ithat mysignahueonthis purnitapp) ftmquaerrlerrt lease check one) Owner Agent p Telephone No. PERMIT FEE rgna ure o caner or gen Location No. �5 / Date l-3 _b 2 NORTH TOWN OF NORTH ANDOVER F s Certificate of Occupancy $ sJ4LMus E�'� Building/Frame Permit Fee $ o240 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 1 S �a 11551--10 Building Inspector !jN-03-2002 MON 08:00 AM CHRISTIANSEN & SERGI 978 371 3960 P, 01 { LOT 4 II EASEMENT � i � w I i i i i i / LOT 6 >� I EXISTING FOUNDATION T.D.F. EL. c 192.6' I I a o �N DF�tqs 6 1A SqP L-4' � CH EL y(fi L-27 9 0.391 1� U � AL LAP1l�� GLENMORE CIRCLE FO LINDA TION rW URIVY x�4THE a RE „73 OFA`W-,U TO APPUCANS ZONWO &Y-LAWS w rMur owx cowsmcro. LOCATION PLAN ,� cERT 7dAMV OM Nor COAe A R ANY 07WX SUCH A$ 4VAD ANT;IYCTLANDS,L4Mi M ORDERS OF CO,YDIT)QM"m) CLIENT: JIM CARROLL WS A9AWM SHALL NAT At USED FY TI'[ CUNT FOR ANY PWPWE OTNER rNAN THAT OUTLINED AROYE aCEPr WUH THE THIS CERTIFICATION IS UADE AND UUM w9PYUM PlrRlnow 4r 04RISTN'Mdd7d t 9m wFLNnKWW TUB M04 • TO THE ARM CLIENT Of' VMWuKUN tHc 'Z AN�H�AUrr"aE.0 AC t LOCATION: LDT 5 BERPINGTON PLACE rs �u��OFEikrDM� kcvvaomuOf TM wl rm COMUN O www NOPTH ANOVEP, kA. SCALE: 1" s 60' DATE: 06/1/02 rNaman CHRISTIANSEN &SERGI ��, tAO SUMMER Sr. HAKTNNL1 UC 01U0 in, ala-J7d-4lfa 4b mw 9Y CNR/ST4 mwN 1 SF.pt11 M,10, DINS,AKL 010.1/003 P (a 1w v0`-C- L /i t.,,Location No. / �"" Date I`3 O—b °z �oRTM TOWN OF NORTH ANDOVER O? •� • OR # Certificate of Occupancy $ Building/Frame Permit Fee $ ACMUS Foundation Permit Fee $ f � Other Permit Fee F-,""P nc $ TOTAL $ 3 0 Check # / 7 i Building Inspector t - • a . Town of North Andover 14ORrH Office of the Building Department Community Development and Services Division _ William J. Scott, Division Director '` °°► �' °wwnn 27 Charles Street �Ss�c►wts� D. Robert Nicetta North Andover, Massachusetts 01845 Telephone(978) 688-9545 Building Commissioner Fax (978) 688-9542 CHIMNEY APPLICATION AND PERMIT- DATE— ` 3 C-D - G9 PERMIT- LOCATION ERMITLOCATION OWNER'S NAMEaf-10 0 Q3 -L:)l BUILDER'S NAME MASONS NAMEL► 2e'f c'Q V k�e-CA--) MASON'S ADDRESS C A in MASON'S TELEPHONE (VU--4> MATERIAL OF CHIMNEY_ b��►x , INTERIOR CHIMNEY EXTERIOR CHIMNEY NUMBER AND SIZE OF FLUES 2— THICKNESS THICKNESS OF HEARTH 2k) .` I Will chimney or fireplace conform to requirements of the code and have rules and regulations been received: DATE a\L_R ?CXp Z SIGNATURE OF MASON , h�. Qs{> CONTR. LIC. # v EST. CONSTRUCTION COST � /CONTRACT PRICE ZQ- PERMIT GRANTED " 7 / � '�(✓Crg— FEE J? i ROBERT NICETTA, BUILDING INSPECTOR 0 INSPECTED REMARKS SOLID BRICK REQUIRED THIS PERMIT MUST BE DISPLAYED ON THE PREMISES I30ARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PI-ANNING 688-9535 Date. .(f::.1. .�t.7.. . . . . ,AORTH o= TOWN OF NORTH ANDOVER ti 9 ' PERMIT FOR GAS INSTALLATION r '!f��0• a •�'�th 9SSACMUSEt This certifies that . . . . .... . . . . .�. . . . . . . . has permission for gas installation . . . . �r.y in the buildings of . F./�,f�,�? . . . . . . . . . . . . . . . . . . . . . . . at . .2.c. . . 471-< .c h . .. . . . . . . . . .. North Andover, Mass. 1 c' Fee. .�.c. u,- Lic. No./f. . , , f/ i -. :. . . GAS INSPECTOR Check# ( ( ? 4097 MASSACHUSETTS UNIFORM APPUCATON FORPEIMT TO DO GAS FITTING (Type or print) 'Date i-- NORTH ANDOVER,MASSACHUSETTS Building Locations :Q 0 -�1 AL-Cl4— Permit# I/O cr 7 Amount$ /00, �- -Owner's Name New Renovation Replacement Plans Submitted O U C7 W F Fd vO� O W 0 0 F LTi SUB-BASEMENT BASEMENT I ( 1 1ST. FLOOR 2ND. FLOOR 1 3RD. FLOOR l 4TH . FLOOR STH. FLOOR 6TH. FLOOR 7TH . FLOOR STH. FLOOR (Print or�) n t - ' one: Certificate Installing Company Name ( .�.iC"C A+S \ �V�'11►J�w• k'OA ,+,3,R UCorp. Address L is LM A-- Od=_X%t- � Partner. Business Telephone v❑ Firm/Co. Name of Licensed Plumber or Gas Fitter k/\ ,1Lt.• N A INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 0 No 13 If you have checked ye—s please indicate the type coverage by checking the appropriate box. Liability insurance policy El Other type of indemnity 13 Bond 13 Owner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: ❑ Signature of Owner or Owner's Agent Owner ® Agent i hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title © Plumber City/Town Gas Fitter License Number Master APPROVED(OFFICE USE ONLY) rl Journeyman Date. e 40R7M, TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING : � . ,SSACMUSE� This certifies that . . . . . . .. . . . . . . . !. . . . . . . . . . . . . . . . . . a s has permission to perform . . . .fir._., I�. . . // C. . . . . ... . . . . . . . . . . . plumbing in the buildings of . . 1�'R .IAe. . . . . . . . . . . . . . . . . . at . . . ? .4�. . . . �. �.�` . . . . . . . . . . ., North Andover, Mass. Fee. 4.k.c�. Tic. No.. . /.!. ?.a. . . . . . . . . . . ; `�•�-Lr . . . . . . PL�IMBING INSPECTOR Check # ��<<� 3 I 5330 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) f NORTH ANDOVER,MASSACHUSETTS r Building Location,'Qq alp►Jr ortk, Date Owners Name Permit# Type of Occupancy Amount Newyn Renovation Replacement Plans Submitted Yes ❑ No FIXTURES y SLSIi4v� >�1glv>N1vi' � f r HIM ZD FIRM -3 5 f �m FL" 4II31HIDOR SIII)HL" 6II3FI> It 7M K" 8T)FI FIDOR (Print or type) Check one: Installing Company Name.Q�,n,.,(U ,� ay.�,►a Certificate ►.acy �,t�-t>_A��,v.4 � Corp . Address _141 aM& �t c Q, Partner. Business Telephone —� Firm/Co. Name of Licensed Plumber. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 1 indemnity 1-1 Other type of indi ��1ff Bond El 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 OwnerEl 1:1Agent 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 Plumbing Code and Chapter 142 of the General Laws. By: ture or j-icensecFFTumber Title Type of Plumbing License City/Town �X APPROVED(OSCE USE ONLY icense um er Master © Journeyman Date. . 7 Of aNOFTM 1�0 o� TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION �,SSACHUSE� This certifies that . . . F' .`.G. :.`. .: . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . .1�. in the buildings of . . . .?.h L. . . . . . . . . . . . . . . . . . . . . . . . . at . . .`.'. �.1: :. 1.- .,4. ..1. . . ,}North Andover, Mass. Fee. G. : . . Lic. No.. . . . . . GASINSPECTOR Check# c 4236 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FTITING (Type or print) ` ate c _p� NORTH ANDOVER,MASSACHUSETTS Building Locations*3 f{ �T Permit# 1/0 C Amount$ Owner's Name ��nla(I New Renovation ❑ Replacement ❑ Plans Submitted ❑ x � U w H a x C SUB-BA SEM ENT BASEMENT 1ST. FLOOR 1 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type)/� �y �r C one: Certificate Installing Company Name H vv1�(L4C^ N_)Q(%Jr1"0,u� Corp. Address �� -+✓�- ❑ Partner. ww-. Business Telephone q_7 j- C. --78— Firm/CO. Name of Licensed Plumber or Gas Fitter Le, fy144[LJL 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 ® Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one. Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By: Signature of Licensed Plumber Fitter Title ❑ Plumber �� j�o City/Town ❑ Gas Fitter License Number ❑ Master APPROVED(OFFICE USE ONLY) ❑ Journeyman Date. /1." Z TOWN OF NORTH ANDOVER 3? ;w ..,.... 0 p PERMIT FOR PLUMBING Ss MUS This certifies that // . . . . . . . . . . . . has permission to perform . . . .�f�-�.<<-. . ./ ter. . ... . . . . . . . . . . . . plumbing in the buildings of . . .C. ?!'!dt r !. . . . . . . . . . . . . . . . . . . at . . . North Andover, Mass. Fee. / (— P�UMBING INSPECTOR Check # 5454 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS � Date Building Location 3 L.r u Q , v-wwners Name")l Permit# S^� �y Amount Type of Occupancy New © Renovation Replacement1:1 Plans Submitted Yes 1:1No ❑ FIXTURES x o a a Cn x w 3 A *4 z A A -. w • > H �" x �" Cn w O x QQ A a SI13-PSN C • RADII I �Il FLOOR 5 i 3MFLOCR 4M FL" 5M FLOOR 6M It" 7M HDM 8M FLOm (Print or type) Check one: Certificate Installing Company Nam4r&w" (�u,�,th„� CtDtJk nAC��o✓c ❑ Corp. Address ❑ Partner. Business Telephone Ol (�S t}� El Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 12 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 ignature 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 Plumbing Code and Chapter 142 of the General Laws. By: Signature or L11.enseu rlulilur, Title Type of Plumbing License �( _ City/Town icense um eerr Master P1 Journeyman ❑ APPROVED�o�TrcE USE ONLY 30,, in Date.... K ...(I- A.�� ' NONT►1 TOWN OF NORTH ANDOVER a OL p PERMIT FOR WIRING ��ss�cwusf� This certifies that .... ............................................... ~ has permission to perform .........A.&.w........ . ... m..,c ....................... n ��d wiring in the building of....... ........................... ...................... yi�Eil�,'�' AL Andover,M s. Fee...' /,kP.. Lic.No.�4t... ............ . .. ... ........... PECTOR Check # Official Use Only Permit No_ Occupancy&Fee Checked_ BOARD OF FIRE PREVENTION REGULATIONS.527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) dc3 � �. p® . Date ae- 6, G 2— To To the Insp ctor of Wires: Town of North Andover The undersigned applies for a permit/ -toperform theelectrical woorrkk described below. L��, Location(Street&Number (i ' "! C/lJ/?C° �-" CZ0y`-�t°II )/p Owner or Tenant ( t !-�Zi2/200- C,,f A/ 72V,-17'4 Jk/ Owner's Address Is this permit in conjunction with a building permit Yes W' No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. E)dsting Service Amps Voits Overhead ❑ Undgmd ❑ No.of Meters New Service Amps Voits Overhead ❑ Undgmd ❑ No.of Meters Number of Feeders and Ampacity. Location and Nature of Proposed Electrical Work / II( Total No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures Swimming Pool gmd ❑ grnd ❑ Generators KVA No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners / Battery Units No.of Switch Outlets No of Gas Burners 1 FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No.of Di sal / No. Pumps Tons KW No.of Sounding Devices No./of Self Contained Nb.of Dishwashers Space/Area Hating KW Detection/Sounding Devices l ❑ Municipal ❑ Other No.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Signs Bailases Wiring No.,Hydro Massage Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES= No = have submitted valid proof of same to the Office YES= NO = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start Inspection Date Resquested Rough Final Signed underthe Penalties of perjury: FIRM NAME Lkensee �7✓ `�! u%�� Signature LIC.NO.---;,?3 / ` s.Tel �S7 Address ��rJ 0oAm I'll low (�'�n c- ��ys7�/!6f✓� Tel.No. 2 -G 6 OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have. a insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMITIFEE $ (Signature of Owner or Agent)