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HomeMy WebLinkAboutMiscellaneous - 20 NANTUCKET DRIVE 4/30/2018_� �. , O /� rd 11 A ,'oa 0 h ^^+ } K }l8A0 /yid+ V M • 0 CD m n �n —4 m O 0 -nC o Cl) rn 90 Q 0 0 C d m CD L Z n w T m 71 m m 0 m CO) 10 Cl)CD Z CD O ar d D9 CDO � Op CL c CD o a: C2 cc CD CO) .0 CD O 7 CO) d d O CO) '0. 0 0 CO2 i- d CD O rF CD CD a CD CO) C c?� O m 2 N dO�co O CN 5�m 0 o Cl) O ynCLO m Z O .�► = .d.. m CO) CL =r O nod O y �O O m N p N ?m m = _CD o Cl) O m ii p N � o00 o3 Q �m oa'.���� j dc CD =rs CA CD 71 CD to 0 CD : ♦ cr O to w N ,rt o n Z ; oNt cn :♦ z IC. ` O CD o ? r .CC.. = � n cn (n ° B ° G °'- w ►� w ��� ° o�c c° p o (0 b °° a p H b rn Jt(. 1 0 c m m m cnm O m CO) .O CD CD O ar C2 .� O O CD CL cr ? —1 CD . O .... ao c� CD O 'o. C O CO) d C7 CD O rt CD on CD a ra CD y —COC fA acm y �m n W C"! cc o Hm�0 3 Z =- H --1 CL CL m Co y O 4O m y O -� O � =O O a "7 1 CD m moo ..a O z cc) 0 C5 w :74�Om ? '3 c _�� :Q ay 1Z a o %mQj- 0441t.: CL V!^/ .� @ O H c a � O0. 0 > > Q `c a ICA' S_CA CC.,*AvA!=*o : ilk : Sr O� n OO ` � :� o z CD o C/) tj y� � oCD �] Cn a C cn o rr. CD •_�,�Z :c go a� T rte. .. :A n.oma, :� _ = 0 O CD . �. LN F3 N rn rD R � �-.eD d o to ry 5' fD n r 5 x� G �• On � o o b O n• Q. C CDx z �n ,.tz7y tj NO JA z 0 tj W O C Town of North Andover NORTH Building Department 27 Charles Street 1 �= North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 4 Q _ COCMI[MWKM 1 '7a �A/1TEb rPay.cy. APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS 0-0 1VOL LOT NUMBER �— SUBDIVISION c ro_ss l/t DATE REQUEST FILED DATE READY FOR INSPECTION FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REOUIRED ALL WORK AND SIGN -OFFS MUST BE COMPLETED, WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE ROUTING CONSERVATI PLANNING D.P.W. – WA DATE DATE D.P WV: ST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRI ORTO THE INSPECTION �, EST DATE. GNATURE / DPW AUTI40RIZATION 6) Prior to a FORM U verification for an individual lot, the following information is required by the Planning Department: a) The applicant must submit a certified copy of the recorded FORM J referred to in Condition 6(c) above. b) A plot plan for the lot in question must be submitted, which includes all of the following: i) location of the structure, ii) location of the driveways, iii) location of the septic systems if applicable, iv) location of all water and sewer lines, v) location of wetlands and any site improvements required under a NACC order of condition, vi) any grading called for on the lot, vii) all required zoning setbacks, viii)Location of any drainage, utility and other easements. c) All appropriate erosion control measures for the lot shall be in place. The Planning Board or Staff shall make final determination of appropriate measures. d) Lot numbers, visible from the roadways must be posted on all lots. e) An as -built plan must bew submitted to the Division of Public Works for review and approval prior to acceptance of the sewer appurtenances for use. 7) Prior to a Certificate of Occupancy being requested for an individual lot, the following shall be required: a) The roadway must be constructed to at least binder coat of pavement to properly access the lot in question. Prior to construction of the binder coat, the applicant shall (1 4 ensure that all required inspection and testing of water, sewer, and drainage facilities l (4*1 i��, has been completed. The applicant must submit to the Town Planner an interim as- U, built, certified by a professional engineer, verifying that all utilities have been installed in accordance with the plans and profile sheet. b) All necessary permits and approvals for the lot in question shall be obtaineo from the �torth Andover Bo altand Conservation Commission. ✓ 'h i ItIVA004-"v c) Permanent house numbers must be posted on dwellings and be visible from the roat-,__ s d) There shall be no driveways placed where stone bound monuments and/or catch l/ basins are to be set. It shall be the developer's responsibility to assure the proper placement of the driveways regardless of whether individual lots are sold. The Planning Board requires any driveway to be moved at the owner's expense if such driveway is at a catch basin or stone bound position. e) If a sidewalk is to be constructed in front of the lot, then such sidewalk must be 1� graded and staked at a minimum 8) Prior to the final release of security retained for the site by the Town, the following shall be completed by the applicant: a) An as -built plan and profile of the site shall be submitted to the DPW and Planning Department for review and approval. b) The applicant shall petition Town Meeting for public acceptance of the street. Prior to submitting a warrant for such petition the applicant shall review the subdivision and all remaining work with the Town Planner and Department of Public Works. The Planning Board shall hold a portion of the subdivision bond for continued maintenance and operations until such time as Town Meeting has accepted (or rejected in favor of private ownership) the roadways. It shall be the developer's responsibility to insure that all proper easements have been recorded at the Registry of Deeds. 9) The Applicant shall ensure that all 4PIanning, Conservation Commission, Board of Health and Division of Public .Works requirements are satisfied and that construction was in strict compliance with all approved plans and conditions. 10) The Town Planner will review any signs utilized for this project. The applicant must obtain a sign permit as required by Section 6 of the Bylaw. The Planning Board shall approve any entrance structures. The applicant must remove any lighting used for the entrance signs prior to acceptance of the subdivision. 11) The applicant shall adhere to the following requirements of the Fire Department: a) Open burning is allowed by permit only after consultation with the Fire Department. b) Underground fuel storage will be allowed in conformance with the Town Bylaws and State Statute and only with the review and approval ofthe Fire Department and Conservation Commission. 12) There shall be no burying or dumping of construction material on site. 13) The location of any stump dumps on site must be prey approved by the Planning Board. 14) The contractor shall contact Dig Safe at least 72 hours prior to commencing any excavation. ' N2 3411 Date 0 TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING This certifies that ..... i�a.l ..................................................................... has permission to perform ... ......................................... wiring in the building of ...... ...................... at ............................. . North Andover, Mass. Fee - ;k ............... Lic. No . .................... .. . .................. -ELECTRICAL INSPECTOR Check # 61 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS OlEcial Use Only Permit No. p. Occupancy and Fee Chedmd [Rev. 11l991 (lmve blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be parformed in accordance with the M=achuseas Electrical Code O&C 527 CMR 1 00 (PLF�IS PRINT INWKOR TYPE 0 Old Date: City or Town of: IMILTo the Inspector of Wir : By this application the undemgtred gives noticAe or On the electrical work descxioed below. Location (Street & Nujpber) tido t11 n -*j j /l - r _ Owncr or Tenant U r ' Telephone No. _ Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Boz) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Wort- r' I mm�lafinn n�ri.. 11....___ . .7_ L_ -60 _ ,.. _...._... — "..•-..b"K ju inav ueaived ayme t ol Total r of wires. w No. of Recessed Fixtures INo. of CCL-Susp. (Paddle) Fans (Transformers TVA No. of Lighting Outicu INo. of Hot Tubs Generators KVA No. of Li;hting Fixtures (Swimmiag Pool Ab°vc ❑ ln- rnd, ornd. ❑ (Battery o. of mergency i;nung Units No. of Receptacle Outlets INo. of Od Burners FIRE ALARMS INo. of Zones No. of S%vitches INo. of Gas Burners No. of Detection and Initiating Devices No. of Ranges INo. of Air ConcL Tota No. of Alerting Devices No. of Waste Disposers (beat Pump Totals I Number I Tons I KW No. of cif ontatned Detection/Alerting Devices No. of Dishwashers SpacelArrlHrating b'W Local ❑ Municipal ❑ Other Connection No. of Dryers No. o Heaters KW ater Heating Appliances T-Wr °' ° No. o Si --m Ballasts SecuritySystems: No. of Devices or Eauivalent Data Wiring: No. of Devices or Eauivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Eauivalent OTHER Aaaas aadtttonat detail desired or as required by the Inspector of lfires. 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 indudmg "completed operation" coverage or its substantial equivalent The undersigned certifies that such. coverage is in force, and has eahtbited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTEa ❑ (Specify;) Estimated. Value of Electrical WoticS 2)4q* — (Exptraaon Dae) (When required by municipal policy.) Work to Start: 0 Inspections to be requested in axordancc with MEC Rule 10, and upon completion. 1 certify, under the Pains a id penalties ofPerjurY, brat the information on this apppicalion is trite and complete FIRM NAME: ADT Scatrity Services Dr, of 7 is Nli 03049 LIC. NO.: 1533C Licensee: John S. Bassett Signata C. NO.: 1533C (If applicable, enter "a=pt"in die GcensenumberLe) Bus. Tel. No.:594-5900 Address: U Alt TeL No.:_603 594-5928 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) ❑ cnvner ❑ owner's agent. Owner/Agent Signature TcicLthone No. _ PER/YfIT FEE. 5 ., v2 3 3 14 Date ..... . pla.,v... 0 TOWN OF NORTH ANDOVER .4 1 mom. PERMIT FOR WIRING This certifies that ..................... r�4 ................................................................ ,has permission to perform ...... a7 . . .................. wiring in the building of .�-ni" .................................................. t a h Andover, Mass. Aj Fee........ Lic. N6. ........ I .................................................. ///"--ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer •Fi Mia waay...• �...��..� �_ _'_—�-_,.-�_ _._. _— _ DEPAR fit I NW OFPUBIda ~'WHY Baiv0FF&EPRENF 4MRFGULl =527QW ZW No, ova uwy & Feea Cbeciced 6yN4/t CK i;/%4SS' APPLICATTONFORPERMtTTOF�RFDRMEZECTRICAL WO ALLwoaKTOBEPERFORI+�AtNACOORDANCBWITHTHB�ELECIRICALCflDE, 527 CMR 120 Al (PLEASE PRINT QY IMC OR TYPE ALi INFORMATION} 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) .20yz,, /U Af rO 105? PIC V v6 Owner or Tenant Owner's AddressITY E ft o i /0 is this permit in conjunction with a building permit: Yes No Q f APP ) Purpose of Building I !% N 4 6A%cU Utility Authorization Na Existingservice Amps Vohs \ Ovelftead Q Underground Q No. ofMan _ N ervice A.,,=-2-V1Vo1 01) (head Q Underground �_ No. of Number of Feeders and Ampacky Location and Nature of Proposed Elec» ical WorkU i re Ao;w d Vy+ i susJrDO ad G is L No. of Lightingouwts Na ofHot Tubs No. oars TOW KVA No. of Lighting Fbaures 7 Swimming Poo! Above ground "ow ground Generators KVA No. of Receptacle Odds Na of od Burners Na of Emergency Lighting Battery Units No. of Switch Outlets S"D Na of (its Barras ALARMS Na of No. of Dtteetion and Initisting Devices No. of SormdinS Devices No. to tion uandi eed petectionl9aanding Device �.. f�... Local Municipal Connections No. of Ranges � No. of Air Coad. Tata( � O VFIRE Tons No. of Disposals No. of Heat Total Tota! PUMPS Tons KW No. of Dishwashers ,. SPM Area Heating KW Na of Dryers? Heating Devices KW No. of Water Heaters KW No. of No. of Situ Hailasis No. Hydro Message Tubs Na of Motors Total HP M or, k IN KIM Itt=st#xnbdm1dPtuofafsaneb$reO5= YIN EXI NO r --J ff�c mURAI-ICE rVi BOW , I JB I w lV Wak $ WakbSW / d �, ,,,,,� I 9 rd IDslaRoWftd iA FW. FlluVI�NAME �/�Sasi� �%G� i s�Pv� t�ot�eNa...�//�p� No Bu*mTdNo,- AkTdNm OWNIM SMJWCEWAIVER;Iam et olu-0- 3oetea dteis�aeca Otx'�a e�r�t�mq��adh!'M oeretallaws (Please check one) Owner Q Agent a�-- Telephone No, PERMIT FEE S. Location l 0'#.20 NAA)4b Cef4 3'12, No. a/.3 Date -d`)-0/ TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ _ Foundation Permit Fee $ S' Other Permit Fee TOTAL Check # /`! � 1 4C41 M(rg,-" - Building Inspector to r- CZ TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE. OR TWO FAMILY DWELLING RE N BUILDING PERMIT NUMBER: DATE ISSUED:. j3 SIGNATURE: Building Commissioner/I for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 2a r¢A) JC�iL 1.2Assessors Map and Parcel Number: Map Number Parcel Number 1 / 3 Zoning Information: %` W Zoning District Proposed Use 1.4 Property Dimensions: O Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide RequtliFred Provided Required Provided o 15 1 el O 1.7 Water S Iy . GL.C.40. 54) 1.5. Flood Zone Information: Public 0 to ❑ Zone Outside Flood Zone `BOG 1.8 Sewerage Disposal System: Municipal On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 O r of Record ame (Pri cess for Service: Signfture Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 1 e sed Construction Supery or: Licensed Cofistruction Supervisor: /�,,• �` _ J � �� �/.• ;Addres?/,Y,fayAr natu'Telephone Not Applicable ❑ License Number 02 Expiration Date 3.2 Registered Home Improvement Contractor Not Applicabl ❑ Company Name Registration Number Address Expiration Date Signature Telephone SECTION 4 - WORKERS COMPENSATION (ALG.L. C 152 § 25c(6) r Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this afi in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... 0 SECTION 5 Descri tion of Proposed Work check au a licable New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition 0 Accessory Bldg. 0 Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: -�' 41--- 1�.�i�,-o� � 4,, I SFC.'TTON 6 - FSTIMATF.D CONSTRUCTION COSTS . I `r Item Estimated Cost (Dollar) to be Complete by permit applicant 1. Building (a) Building Permit Fee 6'so K t S'e d r�0d Multiplier 2 Electrical C �4 G (b) Estimated Total Cost of / L� C95- S I Construction / 3 . Plumbing d Building Permit fee (a) x (b) / 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 ':q a Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWER/AUTHORIZED AGENT DECLARATION I, t — r JV -Z 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 �7 Print of Owner/. NO. OF S S SIZE OR SLAB Jr S E OF FLOOR HERS l s. 2 TI 3 SPAN Da ENSIONS OF SILLS DIIv1ENSIONS OF POSTS DINIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING 2, C X MATERIAL OFC PO IS BUILDING O OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE'/ r ORM - U - LOT RELEASE FORM '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. ,. woos . POUND o.........rt.......................a....now APPLICANT PHONE.�� ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION (Ze- ' LOT NUMBER _- ) STREET STREET NUMBER©' �........■ ....■....................... .................... ................■ OFFICIAL USE ONLY ,........................................................................... %OSERVAn-40N NE1ENDATIONS OF TOWN AGENTS .■ .....................................■......r........L............■ DATE APPROVED ADMINISTRATOR DATE REJECTED CONQ&-NTS - . -. - --_ --------- DATE APPROVED SEPTIC INSPECTOR - HEALTH DATE REJECTED DATE APPROVED DATE REJECTED CON*& -NTS PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE EPD AIY HENT DATE REJECTED COMMENDS RECEIVED BY BUILDING INSPECTOR ,/—D O J'� Z Z V-- m ti`s Z „o 90.80' 1 6.72' LOT/ 12 13,379 sq. ft t 117.9' 19.7 t 1. Proposed' Proposed Unit Unit w /VIF R. CORMIP�, LOT/ 13 o FF=232.0 FF=2 `2.0 0 1 GF= GF= 228.0 228.0 °- a CL10-Ool LOT / 11 N/F R. CORM/ER m r t 8" C.L.0.1. W R 8" PVC � 8„ PVC � 12" RCP NANTUCKET C\ OF M4ss9^ ® S' s+ 50' WIDE) �'� DOUGLAS E. y�J, %LEES S+ 0 V u ��(.t� /40910 . N : PROPOSED PLOT PLAN LOT 12 CHATHAM CROSSING NORTH ANDOVER, MASS. SCALE: 1"=40' DATE: MAY 3,2001 DANA F. PERKINS, inc. Consulting Engineers do Land Surveyors 1215 MAIN STREET a UNIT 111 TEWKSBURY, MASSACHUSETTS 01876 PREPARED FOR: RAY CORMIER 59 CHANDLER CIRCLE ANDOVER. MASS. JOB NO. 51165 SHEET 1 OF 1 COPYRIGHT 0 2001 BY DANA F. PERKINS. Inc. J.WILLIAM HMURCIAK, P.E. DIRECTOR TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 Telephone (978) 685-0950 Fax(978)688-9573 DATE A r ZflD I LOCATION ZD Z2, a4' `-�akC %=Dl BUILDER phone OWNER c -OR m 1' !- hone 7g e (S - 44-68 THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM STREET. CALL THE SUPERINTENDENT'S OFFICE BEFORE FINISH GRADING AND SURFACING FOR APPROVAL OF SUCH ENTRY. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. f J.WILLIAM HMURCIAK, P.E. DIRECTOR TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 Telephone (978) 685-0950 Fax(978)688-9573 DATE A r ZflD I LOCATION ZD Z2, a4' `-�akC %=Dl BUILDER phone OWNER c -OR m 1' !- hone 7g e (S - 44-68 THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM STREET. CALL THE SUPERINTENDENT'S OFFICE BEFORE FINISH GRADING AND SURFACING FOR APPROVAL OF SUCH ENTRY. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. AUTOMATIC LAWN IRRIGATION SYSTEM PERMIT TOWN OF NORTH ANDOVER MASSACHUSETTS ALL INFORMATION MUST BE PROVIDED, BY A LICENSED PLUMBER, PRINTED IN INK AND LEGIBLE. IF NOT THE PERMIT WILL BE REJECTED. DATE: LOCATION 20 -2--L AX)iv LOT #: ( Z N BUILDER: NAME TELEPHONE NUMBER STREET NAME TOWN/CITY & STATE OWNER: NAME TE LEPHONE NUMBER STREET NAME TOWN/CITY & STATE PLUMBER: NAME TELEPHONE NUMBER STREET NAME TOWN/CITY & STAT LICENSE NO. EXPIRATION DATE: SERIAL NO. IRRIGATION INSTALLER IF NOT THE PLUMBER INSTALLER: COMPANY TELEPHONE NUMBER STREET NAME TOWN/CITY & STATE., INDIVIDUAL NAME TELEPHONE The plumber, must install the connection to the municipal water supply within the building, the water line to the outside of the building and the backflow device. A registered irrigation installer may then install the balance of the Automatic Lawn Irrigation system. NO irrigation heads will -be allowed in the right of way (near edge of pavement). ALL irrigation heads MUST_be at or behind the property line. All heads installed in the right of way will be removed immediately upon notification and said plumber or installer will not be allowed to perform any future work on the municipal water'supply, until the heads are removed from the right of way. Sign below that you have read this paragraph and understand it. SIGNATURE OF PLUMBER DATE THIS PERMIT MUST BE POSTED AT THE CONNECTION/METER LOCATION FOR THE INSPECTOR. INSIDE CONNECTION METER (IF APPLICABLE) BACKFLOW DEVICE RAIN SENSING DEVICE COMMENTS .) 1668 —�—W v APPLICATION FOR,SEWER SERVICE CONNECTION /i l North Andover, Mass Application by the undersigned is hereby made to connect with the town sewer main in 12 Street, subject to the rules and regulations of the Division of Public Works. �d ucJ�� 71>1 0(!�— Street The premises are known as No. or subdivision lot no. t Z' �YXf--774 Owner Contractor PERMIT TO CONNECT The Division of Public Works hereby grants permission to to make a connection with the sewer main at /Y subject to the rules and regulations of the Division of Public Works.. Inspected by Date SEWER MAIN V Street Division of Public Works By See back for rules and regulations DPW 349 Date...11 TOWN OF NORTH ANDOVER RECEIPT This certifies that .....c6. zR-6 t ... 1� .... 1. haspaid ............................ .................................. for..L�rtp............ (6m .... r. ............. :/ .......... .............. ...................... Received by ...........................�v. ..... . ..... Department ..........................6 1:c� ... ............ WHITE: Applicant CANARY: Department PINK: Treasurer awawoo, Date... TOWN OF NORTH ANDOVER RECEIPT This certifies that .... has paid .................................. Sr******g , "f ve- ;jlifi * * - 'j*' ",**"�L for........ e . .. ............ Received by ................................. l 7"4- .......... Department .............................I... ....... .or kms ... 5 .............. WHITE: Applicant CANARY: Department , PINK: Treasurer I am a homeowner performing all work myself. 0 I am a sole proprietor and have no one working in any capacity I am an employer providing workers' for my employees working on this job. Company name Address Citi: Phone P. 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 $1,50( and/or one years' imprisonments weU-as-civil penalties-in-theiprm9f-a-STOP_WORK_ORC)ER. n.d-.aline.of.{.$1DO..OA):asiayegainst.me. I understand that a copy of this statemen ay benrardedthe Office of Investigations a DIA for coverage verification. I do hereby certify under above is true and correct. /d/ Print Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing El Building Dept ❑Check if immediate response is required 0 Licensing Board p Selectman's Office Contact person: Phone A- 0 Health Department 0 Other n A U Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 DEBRIS DISPOSAL FORM 3 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 cl 1, s150a. The debris will be disposed of in /at: ilitv location Signaof Applicaffit Z421 Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. J'ar l Z V -2a 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. /4'�, Zo " ermit A plicant Property address Map / Parcel Y Z oiif Applica is 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 1 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 fora 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 UNDERSTIA7 SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE CHECKING OFEA3F A ABO WHICH DOES NO JWFIETHER DONE TO MY KNOWLEDGE OR NOT IS GR F FUSAL B BUILD MENT TO ISSUE A BUILDING PERMIT. PLIC NA / DATE THIS TO BE ATT HED TO THE BUILDING PERMIT APPLICATION .� tn m Ln ::rO cu 0 :)a CL m -1 m O Z �° 0 ai CD D 0 C ,o 'p N o 0 a c� a cD m \/ > > >' o c 3 m CL a H' O 0 n fD 3 N 0 n M W ' D n D CD ni o 0 (D o c� m to a3 ' CL a 4l _' C C Ln` ° 0 N '' • • o E 0 a (D c� °' cD 3 a� m X O Lo aj? 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Date! ` b l40RTN TOWN OF NORTH ANDOVER .. 9 Certificate of Occupancy $ Building/Frame Permit Fee $ s�CHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 14639 /- Building Inspector 0 V 9 O h 4k w 0 0 1?A tls c) T�nsC��P� 16— LOT 13 s N/f THOMAS G. & MARIE HILL ARIE HILL N/f THOMAS G M 136.10' 18.7' 6.' =� 72 N/f E9J'ARO G & 7'0 JOAN f. MAILHOT 31.0' 1 4.0' o o t s.o' 25.6' 35.1' N/f E/1/OT R. CHAITON it N �7.0' & LORETTA JO BATTAGUA 0 1.0' EXISTING FOUNDATION ;1 1 ��, TOP OF FOUNDATION=231.51' 0 oo N/f THOMAS G ARI[ HILL 0 r- 7.0' OL""25.6'o o 0) N/f BRUNO G. PELLfTIER _ a o cd^ ^ MARTINS BELISLE LOT 11 i 4.0 ' ` 16.0''- AR£A=13,379 i S.F. 1 18.9' 134.80' LOT 111 I HEREBY CERTIFY THAT THE FOUNDATION ON LOT 12 IS LOCATED AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE -LAW OF THE TOWN OF NORTH ANDOVER. �» OF � GREGORY. R. PROFESS ONA LAND SURVEYOR COR GRAN No. 38034 DATE:............. ....... 9� FfSS1�R G� D CERTIF= PLOT o V" " ' • PERKIN5 Inc. Consulting Engineers & land Surveyors PLAN OF LAND IN 1215 MAIN STREET a UNIT 111 TEVKSBURY. MASSACHUSETTS 01876 N.ANDOVER, MASSACHUSETTS PREPARED FOR: CORMIER-ANDOVER CONSTRUCTION CORP. CHATHAALI CROSSING 59 CHANDLER CIRCLE ANDOVER. MASSACHUSETTS SCALE: 1"=40' DATE: MAY 29, 2001 JOB NO.51165-12 I SHEET 1 OF 1 COPYRIGHT Q 2003 BY DANA F. PERKINS, Inc. :T AScheck COMPLIANCE REPORT assachusetts Energy Code AScheck Software Version 2,0 ITY: Lawrence TATE: Massachusetts DD: 625 ONSTRUCTION TYPE: 1 EATING SYSTEM TYPE: ATE: 5-16-2001 or 2 family, detached Other (Non -Electric Resistance) ATE OF PLANS: 5-11-01 ITLE: CONDOMINIUM ROJECT INFORMATION: AY CORMIER OT 13 ANTUCKET DRIVE OMPLIAINCE: PASSES equired UA = 268 our Hoge = 263 Permit # Checked by/Date Area or Insul Sheath Glazing/Door Perimeter R -Value R -Value U -Value UA ------------------------------------------------------------------------------ EILINGS 1132 38.0 0.0 34 ALLS: Wood Frame, 16" O.C. 989 19.0 3.0 53 LAZING: Windows or Doors 185 0.350 65 LAZING: Skylights 35 0.410 14 OORS 21 0.350 7 OORS 84 0.350 29 LOORS: Over Unconditioned Space 1282 19.0 61 VAC EFFICIENCY: Furnace, 83.0 AFUE - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OMPLIANCE STATEMENT: The proposed building design represented in these ocuments is consistent with the building plans, specifications, and other alculations submitted with the permit application. The proposed building as been, designed to meet the requirements of the Massachusetts Energy Code. 'he heating load for this building, and the cooling load if appropriate as been determined using the applicable Standard Design Conditions found n the Code. The HVAC equipme elected to heat or cool the building hall be no greater tha 12-5s e,oesign load as specified in e.ctions 78.0CMR 1.310 �a // ---e �� f� uilder/Designer Date L__1 0 AScheck INSPEC!'ION CHECKLIST assachusetts Energy Code AScheck Software Version 2.0 ONDOMINIUM ATE: 5-16-2001 ldg. ept. se CEILINGS: 1. R-38 Comments/.Locati WALLS: 1. Wood Frame, 16" Comments/Locati O.C., R-19 + R-3 WINDOWS AND GLASS DOORS: 1. U -value: 0.35 For windows without labeled U -values, describe features: # Panes Frame Type Thermal Break? { j Yes { No Comments/Location SKYLIGHTS: 1. U -value: 0.41 For skylights without labeled U -values, describe features: # Panes Frame 'Type Thermal Break? { j Yes. { j No- Comments/Location DOORS: 1. U -value: 0.35 Comments/Location 2. U -value: 0.35 Comments/Location FLOORS: Over Unconditioned -Space, A-.19 Comments/Location HVAC EQUIPMENT EFFICIENCY: 1. Furnace, 83.0 AFUE or higher Make and Model Number THERMOSTATS: Adjustable thermostats required for each HVAC system. AIR LEAKAGE: Joints.., penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recess -ed lights must be type. IC rated and installed with no penetrations - or installed inside an appropriate air -tight assembly with.a 0.5" cl-earance from combu-stible materials and 3" clearance from insulation. VAPOR RETARDER: Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. MATERIALS- IDENTIFICATION Materials and equipment must be identified so that compliance can be'detefmined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R -values, glazing U -values, and heating equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: Ducts in.unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. DUCT CONSTRUCTION: All ducts must be sealed with mastic and fibrous backing tape. Pressure -sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems__ TEMPERATURE CONTROLS: Thermostats are required for each separate HVAC system. A. -manual or automatic means to partially restrict or shut off the heating - and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: Rated output capacity of the heating/cooling system is not greater than 1251W of the design load as specified in sections 780CMR 1310 and J4.4. MISC REQUIREMENTS: Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ---NOTES TO FIELD (Building Department Use Only)-------------------------