Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 201 WEBSTER WOODS 4/30/2018
403") ............ ..... Date..k.25�� e).Z— TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ....!.r......... has permission to perform ...... ........................................................................ wiring in the building of ............. at .... 1-a-7-- L............% orth Andover, Mass. Fee ..................... Lic. Nodl'?.".? %Z��R-..................... "`ELECTRICAL INSPECTOR Check # vc:� vsG vni Permit No.. 4 J BOARD OF FIRE PREVENTION REGULATIONS_527 CMR 12:00 Occupancy &Fee Checked_K:_ 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) Town of North Andover Date 9 � Z Z-- Q 2 To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. j Location (Street & Number 1b "� e �-S t qc V"160& �> v T Owner or Tenant W* * /CQ ,— A Owner's Address %fie 5 ✓ f C - Is this permit in conjunction with a building permit Yes No ❑ (Check Appropriate Box) Purpose Existing New Service Amps Vats Number of Feeders and Ampacity Location and Nature of Proposed Electrical Overhead ❑ ( (_ J Authorization No. Undgmd M No. of Meters % Undgmd ❑ No. of Meters OTHER- INSURANCE Cb*--�R,�AGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liabi !, .urance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = have submitted valid proof me to the Office YES = NO = Hatoveh ecked YES please indicate toe type of r checking the appropriate box RANC - BOND = OI-AER� (Please Specify) (Expiration D "te) Estimated Value of Electrical Work$_ Work to Start Inspection Date Res nested Rough Final 5 Signed FIRM NAME rthe Penalties of perjury: To,6 1 �O e fC�. LIC. NO. 2- 6 lQ Lbensee �� �i Signature Via, LIC. NO. �% G 2 ,r) / � R Bus. Tel No. 7 79 4/? Address GL t% e SQ ���1� ✓ . `j * Alt Tel. No. OWNER'S INSURANCE WAIVER: 1 am aware that the Licenses does not have the 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. PERMITVEE $ (Signature of Owner or Agent) Total No. of Lighting Outlets No. of Hot fuse No. of Transformers KVA Above ❑ In ❑ No. of Lighting Fixtures Swimming Pool grnd ❑ grnd ❑ Generators KVA No. of Receptacles Outlets L No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No of Gas Burners FIRE ALARMS No. of Zone No. of Detection and Total 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 No. of Dishwashers S ce/Area Heating KW Detection/Sounding Devices ❑ Municipal ❑ Other No. of Dryers Healing Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW I Signs Bailases Wiring No. Hydro &-Issage Tuds No. of Motors T tal HP OTHER- INSURANCE Cb*--�R,�AGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liabi !, .urance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = have submitted valid proof me to the Office YES = NO = Hatoveh ecked YES please indicate toe type of r checking the appropriate box RANC - BOND = OI-AER� (Please Specify) (Expiration D "te) Estimated Value of Electrical Work$_ Work to Start Inspection Date Res nested Rough Final 5 Signed FIRM NAME rthe Penalties of perjury: To,6 1 �O e fC�. LIC. NO. 2- 6 lQ Lbensee �� �i Signature Via, LIC. NO. �% G 2 ,r) / � R Bus. Tel No. 7 79 4/? Address GL t% e SQ ���1� ✓ . `j * Alt Tel. No. OWNER'S INSURANCE WAIVER: 1 am aware that the Licenses does not have the 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. PERMITVEE $ (Signature of Owner or Agent) PERMIT NO.: UNIT NO.: REMARKS: C• HORtH 1y O o, Town of -0sr`'• NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT 155 � PROJECT:,�i 14F���NL91QhDATE: 1,3'� FLOOR: WING: BUILDING NO.: a° ,m� ds 4,12 tuoc)3)s 144"t - Excavation - depth and soil conditions Framing - Other: Date: `dc-) Date: Date: Inspector �T rX— Inspector Inspector Footings and foundations and drains - Insulation - Other: Date:, `% , -'� Z - e o Date: `1' 7 -{ a Date: y Inspector Inspector /��� Inspector Electrical - rough - Plumbing and/or gas - rough - Other: Date: UU Date: Date: Inspector Inspector Inspector Electrical - final Plumbing and/or gas - final Other: Date: - / Date: �� '" `� Date: Inspector Inspector Inspector Fire Dept - oil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: : 7 Date: �� - fs -rte o a . C of O # �y Inspector Inspector iG( cam- Insp r Form #995 Action Press, 685-7000 CERTIFICATE OF USE &OCCUPANCY Town of North Andover Building Permit Number � y � Date THIS CERTIFIES THAT THE BUILDING LOCATED ON n��6 /°aD� Gwe Asie)e Woods ZAP e--, MAYBE OCCUPIED AS 'Sl � � LE Tse M' IZJ, '4e ll t IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY A P Y . I Poo M s a `ia 8411.) 3 8+41 CERTIFICATE ISSUED TO _ `�1'�/�►/ /� G /� ADDRESS f Inspector Wn m G m m 0 m CD a z O O CL r a � CL >C0 '°v O o p d� Q ? —I CD O O CA O CA d t7 CD O CD CD a� H CD CA �i C_ CD �• in O Cr i0/J O a CCD -0 CO ®� m Cl) ®.o m rr C=L... CL �OmO 1-0 y H !CC* rr m 0 _ O� C �a nq O o ZL.CWJ ,^ OyC! \ Jl . m p.yy C Er O ' CL W CDaca O. ® �; y��' O` o W H C •� a ' O� .. :Em ti ca FW CD � � C, CD O O O W O .` G, off: 'C o :� �e a� W OnLiy o Cn Cl) b7AM 0O .7.� � 0 0 rte.+ "`� O '� � • x a bd 0 a O �' a cn x ! rD z 0 ;w Town of North Andover 0 NORTH qti Building Department �,? ht: ^.'� a 27 Charles Street '° - North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 ° w<ocMi[N.wc• 1• 4SSACNUS�� APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS o-VOI Ac, end woocls- LOT NUMBER % / SUBDIVISION ��,o �//:::;'e_Sf DATE REQUEST FILED DATE READY FOR INSPECTION FIVE (5) DAYS NOTICE PRIOR ALL WORK AND SIGN-OFF'S MUST BE CO FRAME. A RE -INSPECTION FEE NI CHARGED IF THE STRUCTURFIDOES T SIGNATURE 'ED WITHIN THIS TEVIE ? ($25.) DOLLARS WILL BE ALL APPLICABLE CODES. ROUTING CONSERVATIO DATE PLANNING 1 DATE /0 /L(7/0_0 D.P.W. - WATER METER 01::�- 'P7%J I DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. to-27-� SIGNATURE ftVAUTHORIZATION Nr+l �Fk-A Mesiti Dev Group Fax : 978-5578160 Jul 17 2000 13:54 P.01 TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORKS 384 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 J V1iliam Hmurciak �»*" Director i � • July 14, 2000 Mr.Kenneth Grandstaf� President Mesiti Development Group 231 Sutton St. Suite 2 F North Andover, Ma. 01845 Re: Conditional Operation of the Campbell Forest Sewer Pumping Station. Dear Mr. Grandstaff. The Division of Public Works has inspected the sewer collection system and sewer pumping station, and appurtances on Campbell Road related to the construction of the Campbell Forest and Lyons Way subdivisions. We hereby grant conditional approval for use of the system and pumping station subject to the faIIowing: 1. Completion of items 1 through 15 as listed on the July 10, 2000 letter to Mr Dennis Bedrosian from Maurice Harpin of Mesiti Development Group, a copy of which is attached. The work will be completed within 45 days of acknowledgement of the receipt of this letter. 2. Satisfactory completion of an as -built plan for the Campbell Road sewerage system - 3. Submittal for our review and approval a copy of the preventive maintenance contract for the pumping station. 4. A performance guarantee shall be provided in the amount of $25,000.00 to insure the proper maintenance and operation of the pumping station. 5. The Division of Public Works will be allowed access to the Pumping Station and will be allowed to reconstruct, repair, replace, add to, service, inspect and operate the pumping station and related equipment. and facilities in the event that Mesiti Development or its agents fad to adequately perform maintenance of the pumping station. Mesiti Dev Group F Fax : 978-5578160 Jul 17 2000 13:54 P.02 6. Mesiti development shall reimburse the Town upon demand for the reasonable costs of emergency repairs to the Pumping Station. 7. Mesiti Development Group and its successors or assigns shall indemnify, defend, and save harmless the Town of North Andover and its Division of Public Works and their respective employees, officials and agents against all suits, claims, Judgments or liability of every name and nature arising at any time out of or in consequence of the acts of the "Town" or its agents, employees and officials in the performance of the access purposes covered by this grant of conditional use or the failure of the developer and its successors or assigns to comply with the terms and conditions of this grant. Very T ?Yours, J.Wiiliam Hmurc' E. Director of Public Works The undersigned acknowledge the receipt of and agrees to the terms and conditions of the Vgantnditional use. up dhffient Date: tin 0?© % a)e-h �,e , /,, Loca o No. yli Date Al- 3'0a. TOWN OF NORTH ANDOVER 15410 ✓'A Building Inspector � s Certificate of Occupancy $ ;+s "C" CMUS E<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 157 Check # 15410 ✓'A Building Inspector A TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE,ONE TWO FAMILY DWELLING TOR �OR,yD�E�MrOLIIS�H�-A�l `.�R'4{iVla� 44 tJal<M.Rit"V.i�'�Rf .r BUILDING PERMIT NUMBER: DATE ISSUED:���® SIGNATURE: //tel CCS Building Commissioneffl for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: zpl l�V�bs 1jjescl5 LO Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Disvid Pr ' bsed Vse Lot Area (so Frontage ft 1.6 BUILDING SETBACKS ft ` Front YardSide Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Infomntion: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Zo t WLbs--& WEx) s L%ae--' Name (Print) Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ /N Licensed Construction Supervisor: / License Number 2 l .��ly �T%•• �yE l�� �NC�dy��•. Address d - S Zo Expiration Date ature Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 EE Jy 00 Pits is uC �t o'i Company Name An lJ 3 3 / Registration Number AddressA41- Expiration Date *'nature Telephone OU M X Z O SECTION 4 WORKERS COMPENSATION (NLG.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this alTidav�t will result in the denial of the issuance of the buildigg permit. Signed affidavit Attached Yes ....... rr No ....... ❑ SECTION 5 Description of Proposed Work check all a Reable New Construction ❑ Existing Building 0 Repair(s) ❑ Alterations(s) Addition 0 Accessory Bldg. ❑ Demolition ❑ Other 0 Specify Brief Description of Proposed Work: k T� •. r / /OF it P �-4 x� 4 Ccs �9�C SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be OFFICIAL USE ONLY Completed by permit applicant 1. Building bo (a) Building Permit Fee 65v Multiplier _ 2 Electrical(b) Estimated Total Cost of 4 �5 Construction 3 Plumbing Building Permit fee (,) x (b) 4 Mechanical IIVAC / 5 Fire Protection 6 Total (1+2+3+4+5)Check Number SECTION 7a OWNER AU'T'HORIZATION 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 belialt_ in all matters relative to work authorized by this building pennit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1 /J /e E� d as QwwwiAuthorized Agent of subject property Herebv declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief K_rt.l t of Qw4er/. NO. OF STORIES', BASEMENT OR SLAB ST SIZE OF FLOOR TIMBERS I SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS FE:IGHT OF FOUNDATION SIZE. OF FOOTING MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NA'T'URAL GAS LINE THICKNESS — X MAY- 2-00 TUE 1 0 02 S. E. C u m m i n-9 s Assoc i a t k s P 0 2 cjER maw P. o r AAA f s� y26iI w -79,9V "�C-�"'T 7,9145' SETe iY A.Ck1!!V� Tye az 9 / I ) M h r f I 1 I . i LOT 11 137,153 S'F' I I / FOUNDAMN (SILL=? 49. y') ��, do hereby certify under theJoins and penaUies of perjury that the information provided above is true and correct V ^ ` - C) Z Print name kg—NN E to f2 • 1IC e -6--d— _ ........ ... . _ . _.._. _. Phone # I fficial use only do not write in this area to be completed by city or town official ,..,...... ..:...._ city or town: permit/license qnBuilding Department pLicensingBoard O check if immediate response is required [3Selectmen's Office pHealth Department contact person: phone 1!; nOther (revised '3199 PIA) KEEN CONSTRUCTION CO. 21 HEITT AVE. N. ANDOVER, MA 01845 (978)691-5201 Graff, Andrew & Barbara 201 Webster Woods Ln N. Andover, MA 01845 (978)683-6266 Contract # 1519; Appendix A Date:03/30/02 Three season room: • Create 3 season room on existing 12'x 14' deck with shed roof • Supply & install aluminum sliding windows & storm door • Supply & install roofing & siding to match existing • Supply & install 1 " x 6" v -groove cedar on walls & ceiling • Supply & install clear cedar trim on windows & door • Supply & install FJ primed exterior casing to match existing • Paint exterior to match existing • Seal interior cedar( 1 coat) • Supply & install carpet($360.00 installed allowance) Electrical: • Supply & install outlets to code • Supply & install 1 cable & 1 phone outlet (cat -5) Total Price:$17785.00(seventeen thousand seven hundred eighty five dollars) Price does not include cost of permits, replacing handrails or decking on the rest of deck. Payment schedule: $6000.00 upon signing contract $8000.00 due when framed & roofed $3785.00 due at completion of contracted work Customer Date Kenneth B. Keen Date _ ��ie �o7.vnzauuea�,�a o� i�iaaaaclu�aella A+r. BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR y Number: CS 058245 Birthdate: 03/24/1943 Expires: 03/24/2004 Tr, no: 20021 Restricted: 00 KENNETH B KEEN 21 HEWITT AVE N ANDOVER, . MA 01845 Administrator A }+ � NONE INPROVENENI CONTRACTOR 'i Registration' 108363 Expiration. 6l16IO2 l9e: 06A KEEN CONS1RUCiION CO. Kenneth Keen j'al 21 Hewitt Aye 01645 ppMINISTRATOR N0, Andover MA C/) m Cl) 0 m c y C � CO) Cl) 10 0 n Z y O CL 0 WWo CL =• y C v CD CD O cr d CD CCD O CCD ww � C CD V!• dv y _• O CD � v CO) O 'O Z O a O 0* O m 0 CD t c?,oc °1 = O —•y O Q N CA El mAm� o y C2 O. n m m c �o Z s -o H =rm a IFo, o ti m 0 0 N p N Cm _ 7 O m � o 0 c•i WCOCL WWWV 37 m m C', CO nj••�••� °i H RA 2 cn 2.` m� gj O FW W m:� O 0 o o z O m o D � CD cn o m P d d G� : c•� VJ Oc CD ; v .� p O:O : �, = , r d Cn (n I1J ?7 7J t1 %� m `J7 -x a `� a O G � w C oo t� O m O. as x G � a tz r � b ; O a x� ::rO r MM z �y z 0 c Date) TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee TOTAL Check 14777 iR --Building Inspector ;. TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLIWATI.�N TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING Ems"^W—PQ _ _ ©111A ' MIn- �,Y BUILDING PERT NUMBER: DATE ISSUED: SIGNATURE: /Y ZRT-2�� Building Commissioner/I-for of Buildings Date SECTION l- SITE INFORMATION 1.1 lelty Address: c�o�s'dine 1.2 Assessors Map and Parcel Number: �� __- A / — Map Nfirnber Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Area (so Frontage ft 1.6 BUILDING SETBACKS ft . Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1 � 1.7 Water Supply M.G.1—C.40. 54) 1.5. Flood Zone Information: Public ❑ Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSIIIP/AUTHORIZED AGENT 2.1 Owner of Record Name (Print) Address for Service Signature elephone 0 2:2 Owner of Record: Nilme Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Imes Viols ��c � Licensed Construction Supe 'sor. ress r \ 0'7 Signature Telephone Not Applicable ❑ License Number t� Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name IRegistratloj Number \ o k ass I\k)1 Expiration Date, Signature Tee hone . +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 in the denial of the issuance of LN,.building permit. Signed affidavit Attached Yes ....... No ....... ❑ SECTION 5 Description of Proposed Work check all a Hcable New Construction ❑ Existing Building 0 Repair(s) ❑ Alterations(s) ❑ Addition 0 Accessory Bldg. ❑ Demolition ❑ Other 0 Specify Brief Description of Proposed Work: 10 \ I SECTION 6 - ESTIMATED CONSTRTTCTTON COSTS I Item Estimated Cost (Dollar) to be Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of - J o Constriction 3 Plumbing Building Permit fee (a) x (b) f / 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5) D Q Check Number .ix+a.aiVi. is Vnir,ntitJinVlcl[,H11V1� LV BLS l.V1v1YLL1LU Wti�1V OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorizeto act on My be ; in all matters relative Jo work authorized by this building permit application. i�71� y1 v Si rfature of Owner Date SECTION 7b OWNER/AUTHORIZ D AGENT DECLARATION 1, \1 W \40 1`, j)\ I&V6 ,as Owner/Authorized Agent of subject v property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TAMERS 1 ST 2 ND 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM - U - LOT RELEASE FORM ) 0 t, � 0 d �bo I INSTRUCTIONS: This form is used to verify that all -necessary approval/ permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. .............n. �.I......................................................... APPLICANT PHONE ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION LOT NUMBER STREET L��/75�1/ Da�S �� �� STREET NUMBER d i....................................Noma was ■■.,..,..., Samson ...,. man ...,..■ OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS D OVER CONSERVATION AD;IS7RA�TOR A JECTED COMMEN'T'S �/ TOWN PLANNER CONO ENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR - HEALTH CONB4ENTS PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT COMMENTS RECEIVED BY BUILDING INSPECTOR DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DR, APA 1 _2001 BUILDING DEPT. f0cs f 9A L- --- / S '783626. i� W 120.) ~ BUIL 19.9? � - S �9 45' 7`'' ~ DING SE ACK LINE: 8292,W h O / ( I LOT 11 o co / 137,153 S.F. 4(9. o ^`� XISTING cl) FOUNDATION I / (SILL= 149.7') / I W I N / 39 -Z. �, r�• w�r SJ`4�y\ AL9i:iif T. f1 1'FIUDEL y .� No. 36969 I HEREBY CERT/FY TO TOWN OF NORTH _ ANDOVER, MA BU/LD/NG DEPARTMENT THAT THE EXISTING FOUNDA TION DRAWN Z ON THIS PLAN IS LOCA TED AS SHOWN AND THAT IT DOES COMPLY TO THE t g M/N/MUM BUILDING SETBACKS TO $ PROPERTY LINES. s V � O O O O s Cf1 SCALE 1" = 60' MIN/MUM SETBACKS.• DATE. APRIL 28, 2000 FRONT - 30 FEET o SIDE — 30 FEET REAR — 30 FEET% 50.32 R.175•00. WppDS LANE 11 �, r�• w�r SJ`4�y\ AL9i:iif T. f1 1'FIUDEL y .� No. 36969 I HEREBY CERT/FY TO TOWN OF NORTH _ ANDOVER, MA BU/LD/NG DEPARTMENT THAT THE EXISTING FOUNDA TION DRAWN Z ON THIS PLAN IS LOCA TED AS SHOWN AND THAT IT DOES COMPLY TO THE t g M/N/MUM BUILDING SETBACKS TO $ PROPERTY LINES. s V � O O O O s Cf1 SCALE 1" = 60' MIN/MUM SETBACKS.• DATE. APRIL 28, 2000 FRONT - 30 FEET o SIDE — 30 FEET REAR — 30 FEET% 50.32 R.175•00. WppDS LANE N V + C O: V O: NOS `T L) L) o ooT�= o a Y 'QCL � e. • � C2 y cD = Nm • N� NW • m ooNNa 2S o' N° O �O W IWO i co cm o W • ►. ` G O • \ � W �- o u 4* -l.-- Nil _ I• uN AN N�n01 \V N m • • 8' BRAD N N STEP ±pW W N N + 6' RAD RADSTEP m N +gVg .... IV r �0 7o a c pp x N o 0� . o c ��x O�ax 9-or 00,0 OoCD 70 ro 00 7O pop O • d d .O Zc A N O r' C N dN• F m F= x a7 N x d7 _ x3 0�xm r = \Wo % zi p O N N G O N ®� ODo o co co / o• � rm NN m aao` m co .O W .O C= ^e�oa =°xa 00a "rSi .o SC 4 O v O V 9 N C dN 90 90'a N O O O p O 000• m � N OD r= N V O O II O: V O: NOS `T L) L) 00 ooT�= Z � C2 9, r_ rr m ooNNa C2 z com 0 o C.3 CO CD ^' ® ` G O Sao x u u g a So t g 44441111 Op �W N rNrrrorN A 41, 0* CrTOt%f W �O �O �O PQNCo N 00 �e.aLDc��c�ro�CS, NO OI N N ct, an pr VuCO o � CD O 000aoma WWW OOOIV NOOO N p a00.O-+NmODOD.Oo�O Na Oona 0 0 0• to .01 %n to r 0 0 0 0 0 0 0 0 0 OO000 OD OO OD Oo OD OO OO W C= 4= Nama OOO�tn .O .O ao .O � o N 0 O N H O Z s as :,r4z a N N f m c M '° MCI v P a m CDN N a a O A •• O rs7r a ' o `T L) L) oC ooT�= oa 2c9ME C2 u u g a So t g 44441111 Op �W N rNrrrorN A 41, 0* CrTOt%f W �O �O �O PQNCo N 00 �e.aLDc��c�ro�CS, NO OI N N ct, an pr VuCO o � CD O 000aoma WWW OOOIV NOOO N p a00.O-+NmODOD.Oo�O Na Oona 0 0 0• to .01 %n to r 0 0 0 0 0 0 0 0 0 OO000 OD OO OD Oo OD OO OO W C= 4= Nama OOO�tn .O .O ao .O � o N 0 O N H O Z s as :,r4z a N N f m c M '° MCI v P a m CDN N a a O A •• O rs7r a ' o c N N U• = N IJ Z 7 Y e° Z 6- 51 - a r = a.- ao s Z } z oy f a' =n N 4 35 u� v 3e�av i az z p i Y ° s- C, 3 Q = 4 t f $ a Ci z cYi a� N as mm g H L' Q W LL III m v� Qm �+ M- U J as C: _' ....� C z amen �Ovc 0o = WIL o�lll Noe m � C � g nnu m O zo m m og O -WO U. °° 4 l =3N� zCaQ p Y P C m Ono e� W WID = W U W � P R J Om M ¢C. S WJ 1�m J W KCS o. w= ,� • LL ►•-a Nw o _ao w$ • m Z 0 y� M w) (i w O U N 00 C° C� LL CD nm .00lr CN c< OO N �� �m 000000 NN CV ON^ CD 00 CD CO CD CO 00 °O COO O •a0O ao 0 0 0 0 0 0 0 0 0 0^ o p 6 C6 •epi N �, ° o��6°-°��•-.^oQ.-oho �oN r m P`;�5� yyy Z� OOOOoO NNNON^ �p CO C �8 I Rez 00=CO °000 00 {k� _ . CO CO °0000000 ^ ^E� ° t' 0 0 0 0 0 0 0 0 0 0 O w O O O d �^ _ :p .p °ti Q E x 2° 5 ° N o 0 3 € € t �-Q c' o vSi � °� mo%30 .m. .°.. m •E Y N V Q! DD H O{p? z"O « y d d N N d ° c C •O. Qi ^ N^ • C d H i ° pE � u� u co c c c c c oa o'o oV 'ov 'oma .o Q,. o oh .��E'€W .6. d 0- u - %5 • E c E c a °� °� ,moo ._ c•c EEE c ��n o d> c °' H m H d o o f P �P '��aE 4� N •o o •o •o •o •o o X V x a e[ et °° E o. o.2� 5 c m E • ddZO;r?4 0 o api o toe c • d o o m E"s • iE$oE�E¢ vPRE`¢ ODI\.OQN ��N`V•CON VI OCN� N �• N G O N C�O� CV CV u'f Q. ^ v ^ 'V' e+•f n.eo OD ao _ v"'vvvf- n N ZO C-4CO N C2^ CV .� u"2 ° m °'m m c£ 1-1 E•)1 X 8 A O Q � R' N OD OD OD N a' (U \� �D ZD Vj F W I • ! 00C W a IL $1 Z d ui s ' d 0]OD' a M Yl � a � F c N D� i o� e m asQ S � m � H W }•. o a� go N W 5 WU w / Q ( G Z J om W LL Q UJ W k ryV)� H J !MZ 6 �j m ,lF4rr W a ¢ 8 �o= S {A N w N O U N N F a C%M -w 10QV7N 000000—CV CV CV ON^ 000 OOmO mm mm OO 0 0 0 0 0 0 0 0 0 0 O d \%1 LT v1 lA U7 Hy .O �qr C-4 -0 H o^v.owa:^ C=) -w moo 000000 NN CV ON^ :p ao°owm°000°o°°a00000 — 00C=4=C= •1 N C d R :o :o 0 m ar E 0 0 d� �ES �^ N Y N V V COcm p OD p d •� d d m a� �o 0.5 .5 •a >— >- 000000�+x-30`oaoaV • 8, -= o� d 1 L 0_ 0_ 1 p V V d y 0 y 0 c• C _C C C _C � N = S d _� � 0[ N OC N •� •O •� •O •O O X d— •� y O— • • d o o ZO Zg-CV 2m {d N N—vl—w ;;I -Ca r M N SON G* C-4 O O N C 000 p•OO 00 O O o o •� 0 0 0 0007 O O O 1 Q O fh N OD OD co N Ici tl M i OD 0 N 9CJ i f :� f A,\ F OD •� aD 6111. OD A N OD :;r • zo u a u Q ` (U 0 0 I 1 80 e W ! �z cp 090 Qom. C O N me a^i in W o P 0 L' VY L0{� Z cl F F 00 E Q� LL 2CC,;0 5g� a0 . M Li o',� o ZOJ y1.1' -EG In .Ctj C o.tLEE° Ri� t5.� P Z `o m o �rlp W 0-1 q@ E Ev°-Q -g EN ��j� 5E JI. ��Cg��c°E �•E ��is.a I BOARD OF BUILDING REGULATIONS :j CONSTRUCTION SUPERVISOR Number,,QS. 032472 Birthdate: 03107/1947 E:xPIre4. 007/2002 Tr. no: 17784 Restricted TO WENDELL W HOLMES: 23 DADANT DR P ..T.ON.MA 018,87 Administrator % ✓6T, Board of Building Regulations and Standg HOME IMPROVEMENT CONTRACTO] Registration: 110127 lug Expiration: 10/06/2002 Type: INDIVIDUAL HOLMES POOLS' WENDELL HOLMES,,, 23 DADANT DR WILMINGTON, MA 01880 Administr2tc t JOB ThI Commonwealth of Massachusetts Department of Industrial Accidents Mice ofInyeS1192 US 600 Washington Street Boston, Mass. 02111 �+ Workers' Compensation Insurance Affidavit location: 0 I am a homeowner performing all work myself. O 1 am a sole proprietor and have no one working in any capacity 1 am an employer providing workers' compensation for my employees working on this job. address: 3 i�ln r�ct.�t"� 11y" C] I am a sole proprietor, general contractor, or the following workers' compensation polices: nomeowner kcirete one) and have hired the contractors listed below who have company name: address: C' phone #• 1nsti'mce co, . _.... po1KY # IT company name - address: cit'' phone #• insurance co. policy # e Sa YR9 , t.Y' Failure to secure coverage as required under Section 25A of iNtGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or, one years' imprisonment as well as civil penalties in the form of a STOP \YORK ORDER and a fine of 5100.00 a day against me. I understand that a COPY of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. / do hereby ce uxder 1 i a pen ie ojperjury that the information provided above is true and corre + Signature `I 1 Date Print name o P;31��111 �� t1. �1 �y� Phone # official use only do not write in this area to be completed by city or town official city or town: C] check if immediate response is required contact person: (,—Lud 3/95 PJA) permit/license q nBuilding Department 01-icensing Board pSelecimen's Office Health Department phone #' r'10(her Cl) m C m Cl) 0 m c H d C � O CD n Z CO) CL O '0. ? O CL =• y � O � CD o p CDCL O �F cr d CD CD o CD mm 1. —• CD av CO) -• o co C F v CA O CD CD Z O �CD 0 CD I C c �� o --I O -• fI) C H y CL m Q C'J 0 yad0 m Z =r -O W O_ .0-► .0-► O NCL 0 Z1 Er m nod O ti m .40 O y p -1 O m O = M = O ca — Cog MR O O 0 z mc O ti• C0940 C 4r sl d ay O � gra so o =r " CD O N .J6 C 1 O m 3�yo E y a o1 .0 d O�O N < co0 CD 1 0 0 :d CD0 1 CO) C m 8,� G" . ,�,-1 o CD �o ? CL m m r 1 �. O O O L O � R n 7 ti ~ � m C S pq 7' Cr1 r LI)C 19- r �. ro G x 2 O. 0cn tz 'O n g Q� M 7d M W on 0 0 c 6/9Z/0V 7R'o N '7 YOM f q. /ff / � J \ �• i 1 � r zit �' � � % -'• ! � ` \ \ I I ; � • / f X pRDPOSt�Q I I , � ` 1 \ \ `\ \ \ � � • ! a \ D�lV ELL Ne! • , � i I fl , / \ w IN It op ..k I � � t\\ /! �,•://` \�,,,.` •.� I iii ��1 I IL ,I IEi ��r• ;, � � \� �� 1 !� �/1 � \ �� i i � "r .I .,, "' �`,. '• \ � -rte II 1 / / I � / Ilii 1 ( •'.l 'I ` � \ _�► � 1 ! I , � - � � i j_ r ~ 16 I N2 2245 Date............%..1 VORT TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING This certifies that ........ OA—A7.�.n..t .............................................. has permission to perform ......... ..... ................... �priring in the building of ...... oq.. j .............. Q .... ... P ......................... at lrx).,� .... �,i6). L 1'North Andover, Mass. IF FO ee. .... Lic. No. —7 ............ ............ C (t ,ELECTRICAL , LINSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer T1EC0A0f0NWE4L2710F111AMQR E77S Office Use only UV4 DEPARTMFNfOFPUBIJC&4FETY Permit No. 01?2 S B0ARD0FMEPREt�F.IV170NRWULM0AN5r(MR12�00 Occupancy &Fees Checked PPUCATIONFOR PERMIT TO PERFORMaE=CAL 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 -3—d,3-06 Town of North Andover The undersigned applies for a permit to Location (Street & Number) Owneror-Tenant 14eSJ77 Owner's Address the electrical work described below. To the Inspector of Wires: Is this permit in conjunction with a building permit: Yes M No � (Check Appropriate Box) Purpose of Building Utility Authorization No. 6& 1 970 Existing Service — AmpsVolts Overhead M Underground No. of Meters New Service�Q= Ampsa /oa Volts Overhead M Underground c�i'' No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work l b'7YY�. No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA groundg1:3round No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Locala Municipal Other No. of Dryers Heating Devices KW Connections a No. ter Water Heaters KW No. of No. of Signs Bailasis ,No. Hydro Massage Tubs No. of Motors Total HP 't OTHER IrGXWXCO►er Laws �jj� IhaNeaanentl-bbrld'ylir cane ' irkdngCogiw ComaWcr�sikstaWe*ivaiat YES c2 , NO Ilmesthnttedvalidproofof iotheOfre YES NO r IfjwhmdnkedYFS,pI =indicetheWofwAWbydcddrrgthe INSURbox ANCE BOND OTHER ftmSpa*) �"" Expu�abarDt� (jt!/ L L t/ l Btsm*dValuec#Hmftxal Wodc $ WadctoStart lnspedcnD*ReWftd Rough Feral Signed tnderTr %mlbes ofpsjW FIRM NAME ON, ?-7a Nk Ltoaz9ee [tel/ f�i %� 1�7� P� Sigr�rne 9"'�� Lirer>seNo 7 7 �- !� j�Bt>sir>essTdNa artrircc 5ey c?1 7 -5`a� /vr / 43x779 AI<TdNa OWNER'SINSURANCRWAIVER;Iama%kmdattheL=wtheirnwjmea orieWmbtWeWiakrtasm#redbyMassadx&CjaraalLaws aoddtatmysagimwcnftpamitWpfimbmvA-Mdmra*Mmlai (Please check one) Owner M Agent ID v Telephone Na PERMIT FEE $ y " �' DLPARTXEAT0FPUBLICS4PT ' Permit No. BOARDOFMEPRBVLAWONREGUM770VS5270M 12.(00 �. � Occupancy &Fees Checked APPLICATION FOR PERAff TO PE ;ORMELECTRIC�f L WORK rl 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 The undersigned applies for a permit to perform the electrical work described below. Location (Street 6 Owner or Tenant Owner's Address To the Inspector of Wires: Is this permit in conjunction with a building permit: Purpose of Building /j i/e- Existing Service Amps / Volts New Service 0 Amps/ -W /Jro Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Yes �Io ® (Check Appropriate Box) W Overhead Overhead N_u 2497 Date .... 5/��d........ NOR71{ °'<t�•° •�"° TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that l ��i7 R "' s �' ..'c /.` . �y � ................................................................................. ........ has permission to perform ..... jv:. (,.........H.O.K:!.t.................................. wiring in the building of ......••• .................................................. at .........�........ e. S. 4........... ,North Andove ass. 7 / 337 /�%�� ... <....... Lic. No...................................;�!'.1....cs'••••••...... FeELECTRICAL INSPECTOR Check #�_- WHITE: Applicant CANARY: Building Dept. , PINK: Treasurer Utility Authorization No. 0 0 Underground ® No. of Meters Underground c No. of Meters of Transformers Total KVA rstors 1 KVA f Emergency Lighting Battery Units ALARMS No. of Zones f Detection and iatiag Devices cif Sounding Devices f Self Contained ction/Sounding Devices ® Municipal ® Other ConnectionsYES OND OTHIR (PlaseSpeffy) Vdlue lwork $ WorctoStart ° hp>ectiwD*Re�d d� Falai Sovd underM Plmkl s ofpt3jtay / ^� FIRM NAME �/� , `� l% � ® LiXtSeNk, /2-313.2 4 LimlseNo q / Busi rssTeL% Arldrccc Gy (f f ��/ r d I � Ak Tel Nai- OWNER'SNR ANCEWAMT,Iammm hattheLi a $tecl5u�tc�a a �s astet�m�byMa�adal�ItsGetl�aipaws and�mysigt�taemtitispt�tonwaicesthista�itagraalt (Please check one) Owner Agent Telephone No. PERMIT FEE $ "T' MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT DO GAS FM[ING ,V Type or print) Date 7Zj� 19 NORTH ANQOVER, MASSACHUSETTS Owner's Name New Renovation ❑ Replacement ❑ 34 I',' Permit # J 7 A S Plans Submitted ❑ • n z Cn C =c C C - w C — c -7w ---nr..-.. i t O Date............:...`... i I NORTH 1 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION s 1 ^a C — C C z w ` C = r C — In ,SSACHUSE This certifies that .. r has permission for gas installation .....14. •`` `` in the buildings of .... Ak -T- •� ................ • . . as at ...���•/'���?'`�'`` `� North Andover, Ms Fee...: t .. Lic. No... ,� b 7.7.Y ........................ . GAS INSPECTOR f WHITE: Applicant CANARY: Building Dept. PINK: Treasurer lrck one: Certificate Installing C Corp. Partner. ! Firm/Co. No❑ 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 erformed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts St Gas Code aV 42 ogfie General Laws. By: Title C ityi Town APPROVED (OFF ICF. USE ONLY) Signature of Licensed Plumber Or Gas Fitter ❑ Plumber /O 77P Gas Fitter License i umoer Master ❑ lournevman N2 4408 Date. .7 ~/?.-DO TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .. .... ........... . has permission to perform ..... ./ G `,(' -C plumbing in the buildings of ... . 57. . S ....................... at ... �? ..t tr £..� ��! ..." ` �. ? .. , North Andover, Mass. Fee.' / . 7. . Lic. No..I.U.7 7,or .........�. PLUMBING INSPECTOR Check # � � � � WHITE: Applicant CANARY: Building Dept. PINK: Treasurer d� MASSACHUSETTS UNIFORM APPLICATIO PERMIT TO DO PLUMING (Type or print) NORTH ANDOVER, MASSACHUSETTS % —/A Building Location C20 Owners Name Permit # 44 Type of Occupancy AA Amount 4esr7 New bd Renovation Replacement Plans Submitted Yes No FIXTURES (Print or type) Check one: Installing Company Name ���/` �/ Z(:2 e Leo z p ' � Corp. T MPartner Firm/Co. Name of Licensed Plumber. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 11 Other type of indemnity M Bond ❑ Certificate Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent 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 install ' ns performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachuse6s"State Plumbin =apter of the General Laws. By!Siature of McensUMDer Type of Plum ing License Title 0 ? City/Town icense i um ear Master Journeyman ❑ APPROVED (OFFICE USE ONLY I1 Location / &--,, 1--Zz, No. 141�2 Date 7 Check # l 14042 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee TOTAL V ov $ c- 5 ry �-Buildingns ector 4 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING A-6 .I► c1-il o� BUILDING PERMIT NUMBER: j C DATE ISSUED: SIGNATURE: A 4 BuilTn Commissioner ctor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: p 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 77 � Zoning District Pr osed Use 1.4 Property Dimensions: Lot Area (sff Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R fired Provided Required Provided 3v � 3.2Y3 ' 7 30 C 11 1.7 Water Supply M.G.L.C.40. § 54) 1.5. Flood Zone Information: Public Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal! On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record le Name (Prin4 Address for Service 6 $7-� moo© Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: � -Ca, 9 s.seC% Licensed Construction Supervisor: Address ,a, 6 � 7 '= X300 Signature Telephone Is 657- 60 Not Applicable ❑ �'� � Q G 3 License Number Expiration Date 3; 2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone 00 M X z M 0 r M r r z G) cVCTrnN d - WORKERS COMPF,NSATION (M.G.L. C 152 6 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes ...... V No ....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction # Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: ,•tea -e Ueri e €rte' elilrlr7 e - SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Building (a) Building Permit Fee Multi Tier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing i Building Permit fee (a) x (b) 4 Mechanical (HVAC) 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, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION /A� I,� J "✓S Ias (mer/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 aiid belief Print Na Signature of Owner/Aer4Z Date NO. OF STORIES SIZE BASEMENT OR SLAB ST ND SIZE OF FLOOR TIMBERS 1 2 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE * FORM U - LOT RELEASE FORM INSTRUCTIONS: This lorm is used to verity that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. **************************APPLICANT FILLS OUT THIS SECT_ION fe-g 676-7-6-760 APPLICANT. / --o-,rt,51 GG(2 HONE LOCATION: Assessor's Map number JO$ SUBDIVISION x'02., hell �r57f STREET Gilt bS t / (c!oC�d'S Z ** *****************-"****************OFFICIAL USE RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED ST. NUMBER oZO 1 PUBLIC WORKS - SEWER/WATER CONNECTIONS 0 kl— TW Z -Z DD DRIVEWAY PERMIT ALL) Z Z -00 FIRE DEPARTMENT ICL��'�f �(11�,u��lb� l�1 �`'i�) I,t���id L �i J6) RECEIVED RECEIVED BY BUILDING INSPECTOR Revised 9197 im DATE Town of North Andover p NORTH OFFICE OF 0 4% 'atio 0 COMMUNITY DEVELOPMENT AND SERVICES � p 27 Charles Street" t � WILLIAM J. SCOTT North Andover, Massachusetts 01845 �9ssACHus���y Director (978)688-9531 Fax (978)688-9542 CHIMNEY APPLICATION AND PERMIT 21�G` 0 DATE PERMIT # LOCATION dc9� I�� �'- i.tJJ % L ✓t/- OWNER'S NAME A e g BUILDER'S NAME s , MASON'S NAME] y� y /�� ►,� Lo 5 MASON'S ADDRESS yZ� 5- , 46 mel( /q MASON'S TELEPHONE MATERIAL OF CHIMNEY SLOrle 9E' INTERIOR CHIMNEY /LorEXTERIOR CHIMNEY 5-0i7e Ile, NUMBER AND SIZE OF FLUES THICKNESS OF HEARTH Will chimney or fireplace conform to requirements of the code and have rules and regulations been received: fi'e:�; DATE 7/Z6 lo d SIGNATURE OF MASON CONTR. LIC. # EST. CONSTRUCTION COST/CONTRACT PRICE 06 0 co �' PERMIT GRANTEDG� FEE �_.. ROBERT NICETTA, BUILDING INSPECTOR / INSPECTED REMARKS BOARD OF APPEALS 688-9541 SOLID BRICK REQUIRED THIS PERMIT MUST BE DISPLAYED ON THE PREMISES BUILDING 688-9545 CONSERVATION 683-9530 HEALTH 688-9540 PLANNING 688-9535 Location �0� // ,d�( & No. L! Check # �(J 13752 Date 3� 2 — 06 TOWN OF NORTH ANDOVER Certificate of Occupancy $ O Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ / Building Inspector MAY— 2-00 TUE 10 :02 S. E- Cumm i na s Assoc i apt es P _ 02 S ."ps ;36ViV, w M eX smd FOUNDA7l (SILL -149.7') W d r• / HERESY CERAFY rO TOWN OF NORTH ANOOVER, MA SUIL491NO 9EPAR7YCN' THAT THE EXISTING FOUNDA TION DRAWN ON THIS PLAN /S LOCATE/ AS SHOWN AND THA T / r DOES COMPL Y rO THE MINIMUM BUILO/NC SETBACKS rO PROPERTY LINE'S. c Y L41 SCALE I" = 60' MINIMUM SETBACKS.' ; c DA TF:• APRIL 28, 2000 FRONr - jo --ur $ I S/06' — 30 FEEL . REAR — 30 FEET �° �. , LANE R OQ WOODS S -E- C(AMMINGS & ASSOCIATES � 0 P.a aox M-17 PtAlsrow, H9 MOO rEI. PHONE (003)482-5065 FAX Cd0 1�3 ' 1i`,�116 754CPP1 t.DWG Z ca w• t„ $� o �I / HERESY CERAFY rO TOWN OF NORTH ANOOVER, MA SUIL491NO 9EPAR7YCN' THAT THE EXISTING FOUNDA TION DRAWN ON THIS PLAN /S LOCATE/ AS SHOWN AND THA T / r DOES COMPL Y rO THE MINIMUM BUILO/NC SETBACKS rO PROPERTY LINE'S. c Y L41 SCALE I" = 60' MINIMUM SETBACKS.' ; c DA TF:• APRIL 28, 2000 FRONr - jo --ur $ I S/06' — 30 FEEL . REAR — 30 FEET �° �. , LANE R OQ WOODS S -E- C(AMMINGS & ASSOCIATES � 0 P.a aox M-17 PtAlsrow, H9 MOO rEI. PHONE (003)482-5065 FAX Cd0 1�3 ' 1i`,�116 754CPP1 t.DWG Location No. Dated &OWTN TOWN OF NORTH ANDOVER O:t�o ,•'�,yo •. • O _ G ' Certificate of Occupancy $ o : ACMUS Building/Frame Permit Fee $ Foundation Permit Fee $� Other Permit Fee $ TOTAL $ Check # 13745 374 J� Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: ® DATE ISSUED: SIGNATURE: Building Commissioner/Inspector of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: /0-3 o2 3 Map Number Parcel Number Of o2©/ CVabs-f et- /,t200yS eh 1.3 Zoning Information: R12 -S> s P ZoningDistrict Pr osadYrse 1.4 Property Dimensions: 1.3 6- 3 - 6 . Lot Area (so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Re red Provided 3t7' 3 , yo' 30' a 7S' 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public V Private ❑ Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name (Prin6 Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: A Address rra 7 '. 6 X300 Signature Telephone s� t� 6-67 7 — -5'7io U Not Applicable ❑ 06 0 G� .23 f License Number % /// 0C.) Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone MV M z M 90 ic r M r r z G) SECTION 4 - WORKERS COMPENSATION (XG.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes ...... V No ....... 0 SECTION 5 Description of Proposed Work check all applicable) New Construction Existing Building ❑ Repair(s) ❑Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: 02 Sfax y 0 �uy a L � y ���ra�rc5. 3 �nfr ee-.e--lee, 41 SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Building (a) Building Permit Fee Multiplier !o 2 Electrical (b) Estimated Total Cost of Construction 0 �� °2 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 77b OWNERIAAUTHORIZED AGENT DECLARATION as Comer/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 A�l� Print Na Signature of Owner/A e Date NO. OF STORIES SIZE BASEMENT OR SLAB i SIZE OF FLOOR TFVIBERS 1 s 2 ' " 7 - t 3RD SPAN / �`•® . DINVIENSIONS OF SILLS (o DIMENSIONS OF POSTS 3 JZ" DIMENSIONS OF GIRDERS 2 Z DIGHT OF FOUNDATION < <+ THICKNESS /0 " SIZE OF FOOTING o 1, X Zo " MATERIAL OF CHIMNEY �( IS BUILDING ON SOLID OR FILLED LAND s C IS BUILDING CONNECTED TO NATURAL GAS LINE ;4. L The .Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, /Class. 02111 Workers' Compensation Insurance Affidavit Name Please Print ! Name: Location: City Phone # 0 1 am a homeowner performing ail work myself. F7I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on vthis job. r`mmn!=rni r Z- CT Address 22 31 Std ffa? City* /V ©rw 1t' -nlyy f4 /40 C, C5 -i -'s- Phone #: �9 � +a 7 Insurance Co 0222�ea Ic2el �/� I%�S, a� Policv # Al loth 2 5<Z 3 ,/,k11�% Comoanv name: Address Citi: Phone #: Insurance Co. Policv # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition cf criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine cf ($100.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby certify under th pains and p nalties of perjury that the information provided above is true and correct. Signature Date 3 Print name��� ���c��G/G/ Phone Official use only do not write in this area to be completed by city or town official' City Town Permit/Licensina or F� Building Dept ❑Check if immediate response is required p licensing Board F1 Selectman's Office Contact person: Phone #: ❑ Health Department F1 Other i Growth Management Bylaw Exemption Statement Town of North Andover Building Department This fort shall be used to assist the Building Department in their determination of exemptions under section 8.7,6 of the Town of•North Andover Growth Management Bylaw. The building applicant shall provide ail of the necessar/ information as requested below. Name of Applicant on Building Permit (below) Address of Property for Permit (below) /f Map and Parcel :lca 'Purpose of Application (check below) Phone Number of Appicant • 4 Single Family _ Two Family I the undersigned applicant for the above property attest that the attached building pe.^ it far which this form is completed does comply with the E:<r--MPT1ON section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me cr any party to this permit from the requirements of obtaining other permits required prior to the issuance of the _uiiding Permit. Further I understand that my interpretation of the E:<EMPTiON status is subject to review by the Building Department and is only officially_ accepted when the Building Permit ig issued. Based on section 8.7,6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement. restoration, or reconstruction of a dwelling in existents as of the effective date of this by-law, provided that no additional residential unit is created. The lots) were/was created prior to May 6, 1996 are exempt from the provisions of this Seaton 8.7 of the Zoning Ty—law. This application is for dwelling units for low and/or moderate income families or individuals, where all of the conditions of 8.7.6.c,are met and/or represents Dwelling units for senior residents, where occupant/ of the units is restricted to senior persons through a property, executed and recorded deed restriction running with the land. For purposes of this Section "senior" shall meanpersons over the age of 55. l This application is a part of a development project which voluntarily agreed to a minimum a0% permanent reduction in density, (buildable lots), below the density, (buildable lets), permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable aces and permanently designated as open spats and/or farmland. The land to be preserved shall be protected from deve!coment by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 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 building permits,(i.e. all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that Year, one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to 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 and or inaccurate info a10 r the checking off of an above item which does not comply, whether done to my knowledge or at, is group s far refusat by the Building Department to issue a Building Permit. igna ure ofe r A onzed Agent who signed the Attached Budrm Building Peit Date This form m t be -�ched to the Building Permit upon application for such permit. NO 950 APPLICATION FOR WATER SERVICE CONNECTION North Andover, Mass. r L��' Z Z Application by the undersigned is hereby made to connect with the town water main in ter Z%Q(4 Lr subject to the rules and regulations of the Division of Public Works. 1 , The premises are known as No. or subdivision lot no. Owner G� Contractor Address Address pplicant's Signat ru e A", ('5/'5D PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to �"- 10L'0ecr//f C L C to make a connection with the water main at subject to the rules and regulations of the Division of Public Works. Inspected by Date Board of Public Works By ` G; ���✓U�C- See back for rules and regulations `� �-i✓2 G"TGt'G�����'2r� tom% �t' �/ �l�z, 5 1 486 ,j APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. Application by the undersigned is hereby made to connect with the town sewer main in `hr subject to the rules and regulations of the Division of Public Works. / The premises are known as No. �� �i��Se� �,QpC(5 Z,--e�Ffeet- or subdivision lot no. l d"0,0 L r1-1// F,4 Z - Owner Contractor 23i �,/A, Address Address �2 Applicant's Signature PERMIT TO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants permission to LLC to make a connection with the sewer main at / /"r subject to the rules and regulations of the Division of Public Works.. Division of Public Works By Inspected by Date See back for rules and regulations l GCn1:? CSC-' cL TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 Dater 22 (LOCATION: ZD (BUILDER: r - DRIVEWAY *# PERMIT phone: Telephone (508) 685-0950 Fax(508)688-9573 OWNER: "I,3 L.tC Phone: a7- The 7- � lc The North Andover Superintendent of Highway Utilities & Operations MUST be notified of the grade and set -back from street established in any driveway entry onto any street or way maintained by the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval of such entry. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. ■ Remarks: Approval: ' �'°' ✓�ie "�anrananusea� a��/�aoxclzr��f t DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Birthdate: * CS 069234 0510912000 05/09/1954 ^ Restricted To. 00 ALAN G RUSSELL 400 MAIN SI GROVELAND, SIA 01834 FRAM : MCKENZIE ENGINEERING GROUP,INC PHONE NO, : 6179412662 Mar. 16 2000 11:15AM P2 MAScheck. COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.01 CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 3-31-2000 DATE OF PLANS: March 14, 2000 TITLE: "The Hamilton" Lot 11 PROJECT INFORMATION: Campbell Forest Subdivision North Andover, Ma. COMPANY INFORMATION: Campbell Forest, LLC. / Mesiti Development Corp. 231 Sutton Street Suite 2F North Andover, MA. 01845 COMPLIANCE: PASSES Required UA = 734 Your Home = 713 I I I I I Permit # i I I I I I Checked by/Date I I I Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value U -Value UA ------------------------------------------------------------------------------- CEILINGS 2112 30.0 0.0 74 WALLS: Wood Frame, 16" O.C. 2687 11.0 0.0 240 GLAZING: Windows or Doors 674 0.350 236 DOORS 53 0.490 26 FLOORS: Over Unconditioned Space 2881 19.0 0.0 137 HVAC EQUIPMENT: Furnace, 92.0 AFUE ------------------------------------------------------------------------------- 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 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 "The Hamilton" Lot 11 DATE: 3-31-2000 Bldg.I Dept.I Use I I CEILINGS: [ ] I 1. R-30 Comments/Location I I WALLS: [ l I 1. Wood Frame, 16" O.C., R-11 I Comments/Location I I WINDOWS AND GLASS DOORS: [ J I 1. U -value: 0.35 I For windows without labeled U -values, describe features: i # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I I DOORS: [ ] I 1. U -value: 0.49 I Comments/Location I I FLOORS: [ ] I 1. Over Unconditioned Space, R-19 I Comments/Location I I HVAC EQUIPMENT: [ ] I 1. Furnace, 92.0 AFUE or higher Make and Model Number I I AIR LEAKAGE: [ ] I 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. ( 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 difference and shall be labeled. I I VAPOR RETARDER: [ ] I Required on the warm -in -winter side of all non -vented framed I ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can '1* be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R -values, glazing U -values, and heating equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: Ducts shall be insulated per Table J4.4.7.1. DUCT CONSTRUCTION: All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.): HEATING SYSTEMS: Low pressure/temp. Low temperature Steam condensate COOLING SYSTEMS: Chilled water or refrigerant 2.5-4" 2.0 1.5 2.0 40-55 0.5 0.5 0.75 1.0 below 40 1.0 1.0 1.5 1.5 CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.): PIPE SIZES (in.) NON -CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F): RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 I 1.0 1.5 2.0 140-160 0.5 i 0.5 1.0 1.5 PIPE SIZES (in.) TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 201-250 1.0 1.5 1.5 120-200 0.5 1.0 1.0 any 1.0 1.0 1.5 2.5-4" 2.0 1.5 2.0 40-55 0.5 0.5 0.75 1.0 below 40 1.0 1.0 1.5 1.5 CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.): PIPE SIZES (in.) NON -CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F): RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 I 1.0 1.5 2.0 140-160 0.5 i 0.5 1.0 1.5 11 I 100-130 0.5 10.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only) ------------------------- 11 i A p FORM U - LOT RELEASE FORM ,: ti INSTRUCTIONS: This `orm 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. PLIC ANT FILLS OUT THIS C i*f-e# 6-6-7 - 6-776 0 APPLICANT Cc7nt/� �� �D�BSf GLe PHONE (3Y -ToO LOCATION: Assessor's Map Number 10$ tq PARCEL 1;- 3 SUBDIVISION - �' Ae1l I�Vrf-6t- LOT (S) _ STREET . Joe bE*-e/' 14J6045 Z a,,.,e ST. NUMBER Z I RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRA COMMENTS kS54 �0 TOWN P COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS I r USE DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED n' 2 PUBLIC WORKS - SEWERIWATER CONNECTIONS 04 3 OD DRIVEWAY PERMIT_ FIRE DEPARTMENTV.94AUe—±��Y� -2-1171dJ RECEIVED BY BUILDING INSPECTO Revised 9197 jm DATE TOWN,OF NORTH ANDOVER DIVISION OF .PUBLIC WORKS 384 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 J. William Flmurciak, Director Timothy J. 6Villett Telephone (978) 685-0450 Slgff Engineer Fax (978) 688-9573 Additional conditions for lots 10,11, and 12, Campbell Forest February 22, 2000 This Division agrees to sign the Form U, and issue water and sewer permits, for lots 10, 11, and 12 in the Campbell Forest Subdivision subject to the following conditions. We agree to sign the Form U for these lots so that the construction of these three homes can begin at this time. The conditions are as follows. No sewer service shall be installed into either residence until all off site sewer facilities are declared "active" by this Division. These off site sewer facilities include sewer lines and a pump station on Campbell Road, as well as sewer lines and two pump stations on Turnpike Street. At this time, the construction of these items has not been completed. , No water service shall be installed into either residence until all off site sewer facilities are approved by this office. Any violation of the above conditions will void both water and sewer connection permits. No refunds will be granted. Mesiti Devl m Corp Printed Name Date Gil `�eA- Division o bIlc Works Printed Na CC: Bill Hmurciak Jim Rand Mike McGuire Heidi Griffin Z-22 -� Date 3 FORM' J LOT RELEASE The undersigned, being a majority of the Planning Board of the Town of North Andover, Massachusetts, hereby certify that: a. The requirements for the construction of ways and municipal services called for the Performance Bond or Surety and dated Der-, 19_ and/or by the Covenant dated Mav all 19 3A and recorded in District Deeds, Book qg $ 0 Page lag or register d L4 No. e in Land Registry District as Document and noted on Certificate of Title No. in Registration Book fPage has been completed/partially completed, to the satisfaction of the Planning Board to adequately serve the enumerated lots shown on Plan entitled " Carr►A}y211 forts S P Section (s) Sheets Plan dated 19 g_L_ recorded by the FSIeX nl ot't� District egistry of Deeds, Plan Book , or registered in said Land Registry District, Plan Book Plan �! d7 8 4 and said lots are hereby released from the restriction as to sale and building specified thereon. Lots designated on said Plan as follows: (Lot Number (s) and street(s)) b. (To be attested by a Registered Land Surveyor) LorS z,Z5f Z'1 L oT-S ! 7VI l 3 ; L07S tS -1 Ae✓ Z 3 I hereby certify that lot number (s) Lo T3 Zg n4,11 32.. i 84 on enN�� eAyAf arc•,. w�iSt�n,.. 1. Mizg C.....&f Lb -Nr t5R,t,;�� Street (s) do conform to layout as shown on Definitive Plan entitled G-A^--p��n Section Sheet (s) it OF MASS � Cy A- AL FT T. G� LC�� CD TRUDEL � Ra1c,i Land Surveyor No. 36869 0� a �Fss/�� iiSLAN� 1 of 2 m C. The Town of North Andover, a municipal corporation situated in the County of Essex, Commonwealth of Massachusetts, acting by its duly organized Planning Board, holder of a Performance Bond or Surety dated Covenant dated � 19 and/or 19 from of the City/Town of County, Massachusetts recorded with the District Deeds, Book or registered in Land Registry District as DocumentPage No. and noted on Certificate of Title No. Registration Book, in satisfaction of the termes s thereofg and hereby releases its ases Cncwled ac right, title and interest in the lots designated on said plan as follows: EXECUTED as a sealed instrument this � S day of 19 C. %l Majority of the Planning Board of the Town of North Andover COMMONWEALTH OF MASSACHUSETTS �SS27� ss 19 q5 Then personally appeared A�15,',1� ��-one of the above members of the Planning Board of the Town of North Andover, Massachusetts and acknowledged the foregoing instrument to be the free act and deed of said Planning Board, before me. Notary blic My Commissl n Expires 2 of 2 FROK MCKENZIE ENGINEERING GROUP,INC PHONE NOx 6179412662 Mar. 16 2000 11:15RM P2 l � a r to HE 06 w i 43 LL. f \ m m m m 0 m CO2 10 CDZ CD O ar O d O � .L a� 0 v CL Q CD O m- 0-2 w CA CD Cl) O d O CO) Cl) O CO2 IM C7 CD O rf CD CD y. CD CA r C -• N O Q N co co) Om n m C7 Wim„ CLC-3m Z •� ?,o N —I fa dCL id O y O 0 0 N p OO C _ O D G �C OO N• A ao � 'o' o c COD ac o CD co m N ~+ � C2. �•�y m m CS, cr CL N CCD Cl) N N N O m O d N C O m .-« O CD O 1 O �� s5 C')ma CD o ao W �Ci C-) : S ca 0 � K :a Cn 0 Cn 11Y o w G rayy ?7 O Jt O Irl O Cn �' 7y O i/r�1 �7 O ,'o O r n `rl O D "� O -n O CL w ��• CA tD Co `r9 O x z omi 0 1 C In m O N O n CL m O = O -.43, rt 0 CD 0 C 0 : H N .p .0 0 rm X T C 0 (D 3rA . cy � © nj m CDD0(A m0 o O 0 CD Vs CD r. I j_ O. O 2 r m C Cc 3 X D M - a CD 0 0 cy-,O 0 '1 (3 O �Q c m O �O Ln CL a 3 c. :3 co o' c c O a � j mo (a �� oc E o< _ .r o E 5 o — c: RJ o CL 07 Ln 5'0 %..,,m O LO m01 CL M 0 _? CD CD ° : Jam. n E CL Z C, oo C/11 :p 0 �« �` n 11 EL CD o �c y CD 0 z �� S yz CO C yzsil.,. Iri MU m =4 z 0 0 C• 0CD I O G 3743 Date ..... X1 71 TOWN OF NORTH ANDOVER PERMIT FOR WIRING '2SA US This certifies that ...........C:. ....... / has permission to perform ............ ,wiring in the building of ...I.... ................................... A .................................... at ....... LO .. / ......... A..e orthAndo.ve—r MIMS Lic. No. .................. . ....... ...... ...... ....... Feel LEMIM INS CrOR Check # .�: wlrfir�vl rrrrfi[,ttx vC i�9(:�H(1JL'I7S' DF.PARTii�ENPOFPUBLICS9FR7Y . BOARDOFFIREPRLMMONR WLATIOM527C9120 office Use only Lcq&Ffts 3 Checked s I'PZ.IC�4TTONFOR. D&ffTOPERFORMELE=CAL WORK ALT. WORK TO BE PE"QRMM IN ACCORDANCE W1TH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 7 2.1-02— Town .F'O2— Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. res: Location (Street & Number) -)/91 t . l r' Q[) -,r, t? 1 .► 1/J,t/A X/ < IC 1 / I Owner or Tenant I Owner's Address s this permit in conjunction with a builditpS permit: Yes No (Check Appropriate Box) 'urpose ofBuilding 3 -j `eCt �j O G'1 P� �� ,5� Utility Authorization No. Xisting Service Amps) O/ lofts Overhead Und"Fum No. of Meters j — rew Service Amps / volts Overhead --�----- Q Undergouttd � tiNo. of Meters umber offeeders and Ampacity --- kation and Nature of Proposed Electrical Work' D. of Lighting Fixtures �. of Rc-e$scle Outlets of Switch Outlets of Ranges '—� No. fWA T.4 - Burners namely Umb FUZE ALARMS No: of Zoods No of Heat Taal Total Na of Dishwashers apace Area Nesting ?o5s W fioofBelegiotkanA 500k%W D"ic- Na ofBeltGoettimed . . Df Dryers Water Hsating Deviar � KVIr Detest' l.oq! Municipal 'other ComKetioas rf H tern KW No of Na of Location No. Date rl ^ 0 NaRTN TOWN OF NORTH ANDOVER ALto- A Certificate Occupancy of $ cMuSE< Building/Frame Permit Fee $ Foundation Permit Fee $ v Other Permit Fee $ TOTAL $ r ---- Check # f7 15787�� f building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING .- BUILDING PERMIT NUMBER: DATE ISSUED: Cr) 13- a SIGNATURE: Building Comnuissioner/IEECEtor of Buildin2 Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: /o ® 2� Map Number Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard R 'red Provide Required Provided Required Provided 1.7 Water Supply IA&G.L.C.40. 34) 1.5. Flood Zone Information: Public 0 Private 0 Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Von- bii2g a A;-Ck Name (Print) Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: 6 N N E -fk 2. Licensed Construction Supervisor: Nn Address q,-, YA� �grre Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor 1<,cEp Co�Sf2Jci-��,J Not Applicable ❑ /o 53 3 Company Name ALV T % /7 ✓ G �1 j�{ Registration Number _ Address (� / Y79 - "S Z� Expiration at re Telephone Q rn SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes ....... No ....... 0 SECTION 5 Description of Proposed Work(check all a Ilcable i New Construction 0 Existing Building ❑ Repair(s) ❑ Mterations(s) _7 Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other - 0 Specify Brief Description of Proposed Work: Aselyi,-� ,,?jog!/ 5� 2.4gE- �ii,%��..o y X200 � z I SECTION 6 - ESTTMATFI) CnNSTRUCTInN rncTc I Item Estimated Cost (Dollar) to be Completed b permit applicant Y" �4'(q� {)EFIAi (a) Building Permit Fee Multiplier UStOI:yU. ��� �1 � x 1. Building' / „� EP �l y 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) x (n) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION / I, !�C C , d /J E I N 'R 1a+Qvd=0Authorized 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 11 f'1N 6_711K,3. ,�� ►� Prin e Si ue of er/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1' 2 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE The Commonwealth of Massachusetts Department of Industrial Accidents Office o/insestios oas 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit A li'ettnt•in orf'°'m t%n-�� ��97, name: lLEGN 00ri's 'i C-* l /LENN C fA k_F / / may - location: Z/ /7 ebur l/ city A 19NQaus', Aa nhonee C) I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity W 11111 Fillip, 10n... C3 I am an employer providing workers' compensation for my employees working on this job. company name: address: city: phone #. insurance co. policy# ;:,.: T . , r.r�. yeon.e y.1r•-.-. 4 .,,...a,.>,.:..W..: �,.+..�.. ❑ I am a sole proprietor, general contractor, or homeowner (circle one) and have hired the contractors listed below who have the following workers'.compensation polices: Failure to secure coverage as required under Section 25A of MCL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. 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 the ins and penalties of perjury that the information provided above is true and correct Signature Date 2 d �+ Print name ENu E t� • 4 t= e .. __ Phone # official use only do not write in this area to be completed by city or town official ,..;...... ..:...._. city or town: permit/license # nBuilding Department ❑Licedsingldard" ❑ check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone #; 00ther (revised 3/05 PIA). - �1ze �omvraauuea�la a�'✓�iaoaacfucarlta BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 058245 Birthdate: 03/24/1943 _ Expires: 03/24/2004 Tr. no: 20021 Restricted: 00 KENNETH B KEEN 21 HEWITT AVE N ANDOVER, . MA 01845 Administrator r. A NOME IIIPROVENENI CORIRHCIOR 1 '' `„ Registration 108383 Expiration 8/18/02 ' iyPe� DBfl KEEN CON5IRUCII0N CO. j Kenneth Keen t4l 21 Newitt Ove 01845 Np, pndouer ADMINISTRATOR MA s I � � �� �'� KEEN CONSTRUCTION CO. 21 HEWITT AVE. N. ANDOVER, MA 01845 (978) 691-5201 Graff, Andrew & Barbara 201 Webster Woods N. Andover, MA 01845 (978) 683-6266 Contract # 1522; Appendix A Date:06/14/02 Basement remodel: • Move central vacuum canister to 'unfinished' area • Move water heater to 'unfinished' area • Frame partition walls in basement to create approx. 1200 sq. ft. finished area • Create '/2 bath on front wall of house • Create 12'x 16' finished closet on front wall of house • Create closet next to bath • Create two '/z walls as per drawing • Insulate and install vapor barrier on all exterior walls • Supply & install blueboard and skimcoat piaster • Supply & install four 6 -panel hollow core textured doors • Supply & install two unit pair 6 -panel hollow core textured door units • Supply & install casing on doors & baseboard to match existing • Supply & install 2' x T revealed edge suspended ceiling(with upgrade to "Dune" tile)(upgrade to narrow track with Dune tile, extra $540.00) • Supply & install 2 vacuum outlets • Paint walls, doors & trim(2 coat finish, 2 neutral colors) • Supply & install ceramic tile in %2 bath ($ 130.00 material allowance) • Supply & install carpet in remaining of finished area($2900.00 installed allowance) • Supply & install three vents from existing HVAC ducts Electric: • Supply & install 15 recessed light fixtures & one fluorescent fixture in closet • Supply & install wiring and switch for future pool table light • Supply & install switching & outlets to code • Supply & install 2 cable outlets & 2 (Cat. 5) telephone outlets • Supply & install two zones of electric baseboard heat ( with programmable thermostats) Plumbing: • Supply & install all plumbing & fixtures for'/2 bath including standard 30" vanity with solid surface top and pump toilet Total price:$42,485.00(forty two thousand four hundred eighty five dollars) Price does not include cost of related permits or shelving in closets. Payment schedule:$ 1,000.00 due upon signing contract $16,000.00 due first day of work $8,000.00 due after framing is complete $6,000.00 due after rough electric is done $6,000.00 due after insulation & blueboard is installed $3,500.00 due when trimmed & painted $1,985.00 due after completion of contracted work Customer Date Kenneth B. Keen Date .'. f !. t �• �:� ., • � . `: i' • . 5 l � .. � , . a � r �i .f M w x�' w A p; d� u w2 a. C/) o z z C U0. U c w ° a n°' 0 w a w a U w w u 0 w a � U a z � Q0 � w z w a w w C 00 � U)cn 0 c 0 o ' m c o :IV :cam O N v C.) ac ev Cc lip :w 10 p E a ~' o V: a co c CD c C.) S 'oft, c :: n E O O Nr Z N r.+ �• Cn CcN �u � C W ` 4 2 mo cm t r=.+ CD CJS �•fc O O CO � V H c 'a Zo .-. coo c a Q `�`mc o = m m� c N :a CO2w c"a m LL._ m o CC o � m •c N L= .m omEO _y a m 5 Z a ` ca O F- .0 4- a IS m >• '�?�1 CD O E co r !�I y CDM O a, O CD V CL CO) 0 CL COD t� O .0 O. CO) is L O tt5 CD H c CD c o c o� m m LLJ 0 w LLI LLI CC W Cl)