Loading...
HomeMy WebLinkAboutMiscellaneous - 21 LEANNE DRIVE 4/30/2018Z Pa C r— O MAPFRE The Commerce Insurance Company1m Citation Insurance Company1m Commerce" Gore Road, Webster, Massachusetts 01570 INSURANCE" 508.949.1500 ( www.commerceinsurance.com November 25, 2013 BUILDING COMMISSIONER or Board of Health or INSPECTOR OF BUILDINGS Board of Selectmen TOWN/CITY HALL Town/City Hall NORTH ANDOVER MA 01845 RE: Our Insured: GRAD R ROSENBAUM / ANN M ROSENBAUM Property Address: 21 LEANNE DR Policy#: VQ8833 Date of Loss: 11/25/2013 File#: HPCW48-CAXRAO Claim has been made involving loss, damage, or destruction of the above captioned property which may exceed $1,000, or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to my attention. Please reference the above captioned insured, location, policy number, date of loss, and file number on any correspondence. ELIZABETH BOTTIERI Telephone: (508)949-1500 Ext: 15284 Sr Claim Representative, Property Toll Free: 1-800-221-1605, Ext: 15284 On this date, I cause copies of this notice to be sent to the persons indicated above, at the address above, by first class mail. November 25, 2013 CIC 254 (Rev. 4/95) MAIL M39 Memo. To: Len and Lucille Annaloro From: Ann and Grad Rosenbaum Date: 10/2/08 Re: Fence Hi Len and Lucille, I thought I would send you an update on the fence in our back yards. Fortunately, the town has agreed to sign my occupancy permit as my fence meets code. However, a potential safety risk remains in that someone could climb up your fence to gain access to my yard. I understand that anyone who did that would already be in your yard (which contains a pool) but it still presents a safety concern. I decided to send you a letter as I haven't been able to catch up with you on the phone. I've done a fair amount of research on this to find a reasonable and simple solution. Here are some updates on what I found out: 1) My insurance company, the town and state law all indicate that it is not only common but legal to share one fence. One option is use my fence as our common fence and as I mentioned, I would be happy to take responsibility to take down your fence for you if you decided to go in this direction. I know you discussed this with your insurance company and respect whatever you decide on this option. 2) My fence company will install a black looped wire material over the back end of your fence (and I will offer to pay for this to simply put the issue behind us). Given that your fence is right along my black fence already, I feel that it will not be very noticeable and may even help hold your fence together. We could even remove the wire mesh that is green and on the other side of your fence so that you only have one side covered. I have a sample if you would like to look at it. 3) The town said that if you were to move your fence back, they would suggest a three feet distance off of mine to create a reasonable gap. This is a potentially expensive option and cosmetically will create a 3 foot section of weeds, etc. that I feel will look far worse than option 1 or 2 above. Let me know if you would like to meet in the back yard and discuss these or any other options that you have in mind? Thanks. Sincerely, RECEIVED CLT y 2000 BUILDING ,DE['T. Eq_*'* �o a o v a z x U � W W � p 2 f' At ° Q ¢ Q 3 O e A o w a v z Q O v w cn OG C194 w C194w Co O G r� w w ° c O G u; cyi O G w w ao cn co + , �c�ld� � � 3 2 f' At ° Q ¢ Q 3 �, Ncl A@ C` O FM4 :.CIS m c O •' o c � O N ::9O C 60.7 u : CL A C e0 0 CO C m : N r EQ w0. C :ms OO. •.. N E a CD cm Ca � CD m m .. 3 N CD cm IDI �p _m ' N 0 N O aw ® N m O 1116 r=...=„ O c CM O Q cm H�C o f Ilk ' �Z � a Q H co = crm4D m w O O. F— 3 N m�H umlW c � = CD � •N d= 0 C .� 0 CO2 CL CL H = S d.=.. m d N N C O cp 0 cc O! c CG 0 CR �C N CD _ r.+ 0 z CD CD low m 7 0 u C!) 3 r i a�iW_ 2 O O Z co O. O y co o, � o co CA O O .9 ao m CL ~ Cp O ® i a cma y C..fl O O CJEL co CO3 ts J •O .0 0 CL V y O C_ • C. cc CO3 0 7-? 0 Lt Onk:07L :E�� 0 Q CO C :=c cc, 0 ZW PW GO W cc cc co Z Cc C3 a - 4D Z CC3 CO C.3 0-0 Nj: CA uILI �0, ts CD U co NCD co Os aj 0 0 4. v cn O C O C 0 Q C/) to 0 Lt Onk:07L :E�� 0 a U 0 S w w U) W W ce LLI LLI U) CO C :=c cc, 0 vv cc cc co Cc C3 a - 4D CC3 CO C.3 Nj: CO ts CD NCD Os 3: CD Q Cc 'cc H ca CE =0 ICD= :mor CX3 .3 .2 m C-2 0 cm CL CD CD CCDL :moo cc •Z r= C.3 C2 uj L.3 C.3 ID 2 cu .0 om CO2 Ca li.- M O.LA = C2, cc = 0 — = &M ZZ CL ON a U 0 S w w U) W W ce LLI LLI U) Date./!`.`..4.7 ......... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ............ ......... ...... ......... has permission to perform....11 ........................................................... A— wiring in the building of ..................................................................... at ................ 4� .'.0 ....................... ................ ,North Andover, Mass. Fee. .............. Lic. No ............ EIiRii.;E 04 lI s. Check # 7775 �-= Commonwealth of Massachusetts Official Use Only PC Department of Fire Services rrait No. Occupancy and Fee Checked t_ r`• BOARD OF FIRE PREVENTION REGULATIONS (Rev. Jv99] leave blank APPLICATION. FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the • Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFO TI N) "Date: City or Town of: a(Je_V To the Inspector of Wires; By this application the undersigned gives notice• of his or her intention to perform the electrical work described below. Location (Street & Number) _-� t Lfa h n ff Dr Owner or Tenant Telephone No. %g CP S ( 5-11-/ r Owner's Address is this pehmit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters LW—S& rvic . Amps / Volts Overhead ❑ Undgrd ❑ No; of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: jJI Jf� �,iG Fitt aL _Pt/Cl Com 1edon of th.g following table may be waived by theInspecidr of Wirer. No. of Recessed Fixtures No. of Lighting Outlets No. of Lighting Fixtures No. of Receptacle Outlets No. of Switches No. of Ranges No, of Waste Disposers No, of Dishwashers No, of Dryers o; o ater KW Heaters No: Hydromassage Bathtubs No.' of Ceil.-Susp. (J'laddle) Fans No: of Hot Tubs Swimming Pool Above ❑ - ❑ rnd, rnd. No. of Oil Burners No. of Gas Burners No, of AIr Cond. Total Tons Heat umpum er ons. } Totals Space/Area Heating KW Heating Appliances KW No. of No. o Signs Ballasts No. of Motors Total 11P Generators KVA No. of EnaergFncy Lighting Battery Units FIRE ALARMS No..of Zones o. o Detection an Initiatine Devices No. of AlertingDevices o. of Self -Contained Detection/Alerting Devices Local ❑ um c pa ❑Other Connection Security Systems: No. of Devices or Equivalent Data Wirin Ne No. of Devices or Equivalent e ecommunications ►rine:. nuacn aaamonat acral! i,/"desired, aras required by the Insperrnr. nfWirer. LNSURANCE COVERAGE: Unless waived by the owner, no permit for the -performance of electrical work may issue unless the licensee provides proof of liabili , insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that'suchw rage is in force, and has exhibited proof of same to the permit issuing office. CHFCK ONE:, INSURANCE A BOND ❑ OTHER ❑ (Specify.) co� Estimated Value of Electrical Work:Expiration Date) (When required by municipal policy.) Work io=Scan: Inspections to be. requested in.aceordance with MEC Rule 10, and upon completion. ! certify, under the pains acrd penalties of perjury, that the Information on this appllcalloii is true and complete. FIRM NAME: j ' [� (, — 2l C• mel L1 C. NO.: Licensee: )Nr }� (' 1 nature Wap plicahl rater "es t"i the license tium g LIC. NO.: litre:) B�yi"-' Tet: No. (( i Address: J . X � _ I� .". OWNER'S INSURANCE WAIVER: 1 am aw re that the,W-censee does nol have the liabiel No.: G �/ 5 rance covera$e normally required by law. By my signature below; 1 hereby,waive this telpjremel't, I am the (check one)"owner Owner/Agent a' �' i:• ❑ ❑ owner's agent. Signature Telephone - No. PERMIT PEE;' $ a� J30td- ok- I / - j � P/Z� S 13- d 8 PIZ, r Date ... Cn—.7—,5-- . &S ............. : ......... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..................... .......................................... has permission to perform .........nom . tJ :;.= ........ L .... ... 7 ............ wiring in the building of .................. ................ at ........... C9 ........................ ....... North Andover, Mass. Fee........ Lic. No. ........ .. ........... .............. la?li ELECMICAL INSPEm, Check4;7 I 82'15 ` Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. A 1-r Occupancy and Fee Checked Rev. 1/071 ea e blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance Lvith the Massachusetts Electrical Code (MEC), 527 CNIR 12.00 (PLEASE PRINT iN INK OR TYPE ALL INFORMATION) Date: — 2- City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) Owner or Tenant— 6 Owner's Address 2/ 4cQ /, a Is this permit in conjunction with a building permit? Yes D No ❑ (Check Appropriate Box) Purpose of BuildingIV 1E c..._ Utility Authorization No. Existing Service Amps /;, Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps f Volts ' Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: j,"', Completion o fthe follovi,inivytable anav he vvaived hi, the lnr ector o f Wirc No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans o. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ n- ❑o. rnd. grad. of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Cas Burners o. of Detection an Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers eat Pump Totals: 'Number I Fons I KW I of Self-Containea Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local [Ii unicipal El Connection Other No. of Dryers Heating Appliances KW Security ystems: No. of Devices or Equivalent : o. o Water Heaters KW : o. o No. o Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP a ecommunications Wiring: No, of Devices or Equivalent 1OTHER: .4ttac•h additional detail if desired, or as required by the Inspector q%Wire. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: ( - 2 s a K inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE OND ❑ OTHER ❑ (Specify:) J certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: P. --11 LIC. NO.: 95' 3.3 Licensee: / Signature �� LIC. NO.: g 3 tljrtl�I�liruh�11171,rr "rxrmlat in the fkcnse ,ttrmher line.) Bus. Te f �.' Address: Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, security work requires Departm of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee doer tort /rave the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner'sent. ag Owner/Agent —"—• Signature Telephone No. PERMIT FEE: $ Date. ��I-A,f-...... . NORT1y ° TOWN OF NORTH ND ER .PERMIT FOR GAS INSTALLATION This certifies that .................... el has permission for gas installation .. . ...... l{ !:......... in the buildings of .. k f 5.a, .4 ...... ............ . at ........... North Andover, Mass. s Fee. Lic. No. 2.5V. ) !... .... .� ....... GAS INSPECTOR Check # 2 D �-t L 6382 r I MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER, MASSACHUSETTS ---- Building Locations Permit # 6 Z ,+ Amount $ 6 Owner's Name New Renovation Replacement Plans Submitted Name or type) A /D�//� Check one: Certificate Installing Company N1� i 0 Corp. Address �( �� de', El Partner. Business Telephone 9�� .,`777,' _ Firm/Co. Name of Licensed Plumber'or Gas Fitter INSURANCE COVERAGE Check on . I have a current liability Insurance policy or it's substantial equivalent. Yes 0 No� If you have checked Les, please indicate the type coverage by checking the appropriate box. Liability insurance policy [3 Other type of indemnity D 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 Agent13 I herehv certify tF,.r oil - ____ _ _ _.._ __._.. ......... ... . .1 auvlimmu ku, cmcreu) in aoove application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued f r this application will be in compliance with all pertinent provisions of the Massachusetts State Gas�ode and Yhapter 142 oft eneral Laws. By: Title City/Town APPROVED (OFFICE USE ONLY) _./-Signature of lumber Gas Fitter Master Journeyman Ed Vn M. INJ O w z U w x v, z Fa' O C > w C7 z F w z > F w d Z x x y W d C w z w C7 d O w > O F w O w F U OC x 1` `V 'e x o x z 3 0 wO.j a H o SU B-BASEM ENT x> a v BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7 T H. F L O O R 8TH. FLOOR Name or type) A /D�//� Check one: Certificate Installing Company N1� i 0 Corp. Address �( �� de', El Partner. Business Telephone 9�� .,`777,' _ Firm/Co. Name of Licensed Plumber'or Gas Fitter INSURANCE COVERAGE Check on . I have a current liability Insurance policy or it's substantial equivalent. Yes 0 No� If you have checked Les, please indicate the type coverage by checking the appropriate box. Liability insurance policy [3 Other type of indemnity D 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 Agent13 I herehv certify tF,.r oil - ____ _ _ _.._ __._.. ......... ... . .1 auvlimmu ku, cmcreu) in aoove application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued f r this application will be in compliance with all pertinent provisions of the Massachusetts State Gas�ode and Yhapter 142 oft eneral Laws. By: Title City/Town APPROVED (OFFICE USE ONLY) _./-Signature of lumber Gas Fitter Master Journeyman std Plumb r Gas i er r (cense um bir Location , 010 a �� r 1 (R No. 430 Date /"aa NpRTM ' TOWN OF NORTH ANDOVER Certificate of Occupancy $ �'�b'••".•t� 9 Buildin /Frame Permit Fee $ sswcHuse Foundation Permit Fee $ Other Permit Fee $ TOTAL $ /395" Check # 369" 14.473 � Building Inspector IV-ee m t il 63O ►ssu t b if—a o —d O i M LOT 3 253201 S.I' . C,59 4c, 00, / i / i r ✓ N; 'r' ANNALORQ ,,'� ��• �c���� 3K 3867 FIG 35 to r i LOT 25137 &F. 0.58 AC. z •.5" EXIST, roUNOA710N v + TOP FN0 EL=223.A7' ; 1 Cis 31,5�� Aird I I ri p3' P�-aS • J4 Ira LEAIVNE DRIVE 1.00 :ip, r -- Wt I'"L'RUI; CEIdiIi'Y THAT WE rav'w CXAM+rdEL WL PREWSES AND THE 'UWLLLING IS LOCA?'E f) THIS PLAN IS !NTLNUCD FOR ZCNINC AS SHOWN, IHE gTRUCTU4I SHOWN CONFOHN5 PL'k),us-s ONLv. IT WAS PIRLPARED TO THE ZONING LAWS OF THE MUNICH'AI ITY F'RCI.A EXISFINC PLANS ANO RECUROS 'AHtN CONSTRU'C:ILD. ALSO, AUCGRI;:NC TO IHL Wirt THc: STRUCIUIRES SHOWN LOCATED }.t.M.A./II,U,U. FI00D INSURANCF RATE MAt', 13Y AN ;INgTRUMtN I SURVEY. )H5 PLAN CU°aIVkUNI T Y PANEL NO.2b0099 0006 C S40UL^ N07 dr. USED tQR PROPEP(Y DATED JUNG 2,195.5, TILE STRUC;fUIV !S NOT �u(:ATCO LINA DETERWNATION, IN AN ESTABLISHED 100 YR.FLOOD HAZARD ZONE, CER7IFIED PLOT PLAN LOT 2 HERITAGE ESTATES NORTH ANDOVER, MASSACHUSETTS DRAW FOR 6R0OKVIEVv GO'UNTRY HCMwS, INC. P.(;, BOX 5.7,1 NORTH ANDOa/E+R, MASSACHUSETTS MARCHIONCA & ASSOC.,L,P. ENGINEERING AND PLANNING CONSOLTANTS 62 MONTVALE AVE, SJIrE I STONEHAM, MA. 02180 (781) 439-6'21 WE; 1/12/01 SCALE: 1"=40' 7 00 ' A v%96 8£q T8L S31fdlooSSt)'S"aN0IH3?JklW Wd 6?:£:3 1;002 -91 -Nat' TOWN OF NORTH ANDOVER BUILDING DEPARTMENT C AI' ACATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: C Building Commissioner/Ins ctor of Buildings Date S TION I- SITE INFORMATION 1.1 Property Address: ' a ��— 1.2 Assessors Map and Parcel Number: C /1 Map Number Parcel Number , V Y A-0 ( J 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 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Infonnatiou: Public 0 Pm ate 0 Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT I�ner of Record r_A ca— Name (Print) Address for Service Signature Telephone 2.2 Owner of Record: Nam nt Address for Service: Signa re Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone Not Applicable 0 License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Cly Name Registration Number Address Expiration Date Signature Telephone V M X ic Z O O z M O ic r v M r r Z 0 SECTION 4 - WORKERS COMPENSATION (RG.L C 152 S 2.5c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......0 No ....... ❑ 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: !2" 5Lt4 /VV"A �d� �f•� G� ��� 4� �,,rS�vtt' �louf� i Xlbt �LyL900 `amuv /oo •, 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 YLA, &S = -A41 a F 2 Electrical (b) Estimated Total Cost of Construction c / 3 OZ �� 3 Plumbing Building Permit fee (e) X (b) p05 300- 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 Herebv authorize to act on My behalf. in all matters relative to work authorized by this building permit application. Si nature of 0"ner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1. as Owner/Authorized Agent of subject property . Hereb} declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Si tattrre of Owner/A ent Date NO. OF STORIES SIZE 13ASEIVIENT OR SLAB SIZE OF FLOOR TIMBERS 2 3 RD SPAN DIML'NSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS 1IEIGJIT OF FOUNDATION THICKNESS SI%E OF FOOTING X MATERIAL OF CIUMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDIN"C3 CONNECTED TO NATURAL GAS LINE 10 .© iM �(�5 J Date..../ ...� r NORTH °f'"`° '•'"� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies that ..... ...................................................�......... 'c% l has permission to perform .......,! f.......�! .. ..`.......v .................................. wiring in the building of ......./..� ..VS'P� l u, i ................................. G. / !! p G �� <� �.......�- , North Andover, s. at ................... .............. . Fee J • 5 �!.... Lic. No. 1„ . .. y?c `' .............. ELECTRICAL INSPECTOR Check # 6CO 4.376 A 4 Commonwealth of Massachusetts Official Use Onl Department of Fire Services Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: -, 7 — // — -- 3 City or Town of:,,&HE--or � �l To the Inspector of Wires: By this application the undersigned giv nes oticher intention to perform the electrical work described below. Location (Street & Number) Z Zs .� >° /,� e. /( Owner or Tenant Owner's Address Telephone No. Is this permit in conjunction with a building permit? Yes [�-�No ❑ (Check Appropriate Box) Purpose of Building 5, z i/ r. -t Utility Authorization No. Existing Service ZVU Amps / olts Ove ead ❑ Undgrd ®---No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion of the following tahle may he waived by the Incnortnr of Wirec No. of Recessed Fixtures No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Z— Swimming Pool Above ❑In- El rnd. rnd. 1 o. o Emergency Lighting Battery Units No. of Receptacle Outlets�'/ No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump Totals: Number " Tons ..................... KW "..."".""""""" No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems: No. of Devices or Equivalent No. of Water Heaters KW No. of No. of Sins Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: � -// -el 3 Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under thepains andpenalties ofperjury, that the information on this application is trite and complete. FIRM NAME: Ste• r / r � �� LIC. NO. A- -3 Licensee: X-5 Signature L� NNO.: (If applicable en t r "exempt" in the license nu er line.) Bus. Tel? o.. 4 F7 - Z /-r- Address• v Alt. Tel. No.: OWNER'S INSURANCER: am aware that the Li ensee does not have the liability insurance coverage normally required by law. By my ignature below, I hereby waive this requirement I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ r I NDate..... J/...� ... � 2.28 TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that f ...... .....(v .............. ... ..... has permission to perform .......... .....`.... 1-10 ,,wiring in the building of .....!.....� ��..!.).!.?. . ��!!:....•....................... ...... ........ . at ....... � .....!..: �. `...`.........`.. �.......,.. 4....! ..... ... , North Andover Mass. Fee :3 46...".o) Lic. NoA10 7...........,..... ? .... Ir......................... ELECTRICALINSPECTOR Check # / WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 1HL' (,UAV UUJVWPAL1HUPMA+vi.1fA(,HU,.�113 ) DEPARTMENTOFPUX1CS9FFE Y c o Permit No. BOARD OFME PRE[rEW0NRECU14T10A1 S 527CMR 12:00 UVA Occupancy &Fees Checked PPLICATION FOR PER W TO PERFORM L LECTRICAL 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) Dat d Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street � Owner or Tenant Owner's Address To the Inspector of Wires: Is this permit in conjunction with a building permit: i, Purpose of Building Existing Service Amps / Volts New Service Amps /,V 1,?V Volts Number of Feeders and Ampacity Yes [No r7 (Check Appropriate Box) Utility Authorization No. Overhead M Underground Q Overhead M,Underground 0' No. of Meters No. Le:ation and Nature of Proposed Electrical Work C/ No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total TQC U Z 1 KVA No. of Lighting Fixtures �v/P4$$ Swimming Pool Above Below El Generators KVA jl0ground ground No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units oc No. of Switch Outlets �/ � r No. of Gas Burners 'K✓ CD FIRE ALARMS No. of Zones one No. of Ranges V r o+ No. of Air Cond. Total / C'cx,G. D Tons V t7zx 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 OK 4f Detection/Sounding Devices Local Municipal c /' Other �It o. of Dryers Heating Devices KW Connections K, f e— lie No. of Water Hehkrs KW 4S No. of No. of Signs Bailasis No. Hydro Massage Tubs7 No. of Motors Total HP OTHER• Ir uwceCovge Ptasuatttothete P=a1lSd iassad Cftaaltaws I hawaamotLnbiUyIrtst==PobyrdudngC npkic CaxraWordsstbsutialecgtnalixt YES [3' NO Ihaw ahnGledvalidptoofofSa=1DtheO@'ioe YES ^yy �'� If} uba%edWwdYES,pleaseinditthety cfwmaWbydmkirgthe 1TIK ANCE M BOND [D'�� ° =Spo*) 1114-1. ✓ Fsm load Values Uxfiral Wok $ WorktDStw Irqxr-iDnD,*Ra*xsWd Raga Ftnal Sighed undAr Pit om of FIRMNAME <-rtl� it l� "o t4 "!a. c ' ^r C co, LiarWNa R16 Ps 1doaZsaeZ HI �lr%J'/.�/ aC.. Signahue � -� � ���. i, ' ` BusircssTeLNoL - t / AkTeL � t'l8�ya3-304' r OWNER'SINSURANCEWANFR;IamawatetbattheLiota �$teasuaioeoaaageor�ssu�tar>ba!etgtivalettastecltmedbyMassadx>s G3taa1taws andfutmysigt mmtdspmntWpltcabotwaivesthism*mianart. (Please check one) Owner Agent ❑ Telephone No. PERMIT FEE s - a J �3'� Date.r,� No 47 9 �'. •:�� TOWN OF NORTH ANDOVER , .• oar PERMIT FOR PLUMBING This certifies that . ..... ............. . has permission to perform .... X .t plumbing in the buildings of . .... U� ................ .North Andover, Mass. Fee?.!>..... Lic. No.. .. ............. . ....... . I/ PLUMBING INSPECTOR Check # / -1 1 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer y. MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMEi1NG (Priem or Type) C)""�r Mass. Ual e / IqXo� City, Town Permit tl il`t 13uildinq n �. Owner' Air: Local ion IXl ¢- �C', _ a mame " >t-k+ `PYl'e of: • .11) alwy : S, New ftenovattion ❑ Replacement: 111 alis FIXTURES SulmliI:ted : Yes ❑ No ❑ (Prim or Type)Check One: Certificalc Installing C•omp:my Name Sc��,--3' �fi�-- S�._-- — E1 Cori). I. Address __� +,. 3�_ /-- ❑ Partncrship -- — __—.- - ❑- jIlusiness Telephollc ___.--------------`----�__-- Nat le of hc'cosed Pit tuber or (.iasfit • _ hereby certify that all of the details and information I have submitted (or eMeted) in above applicwimn arc title and accurate to the bcsl of nq komsledge nod (hat all plumbing work and installations pctformed millet Permit issued fur this applicalimn will be in compliance with ull per(iocot of the Massachmserls Shue fins Code and Chapter 142 of the licmeml 1 am -s. I hcnc itdonned the owner or his agent that I du not have liability mstltancc includin' coo Clot -d o el ttions cocci, c I B' )' 6 I I ' � F' sipnalmc —1 0—. uc,1 A�aN �. I have a cmtcut liability imutance policy to include completed operations cmuagc. ❑ I I BY .--.----_----._--. —------- tie�natlllc of I.iccnscd I'lunthcr ----•---=--------------------------- (.'ily/'fuwn� .------------------------ --- 11c of 1'lumh' tg License Master ❑ .fomncyntan APPROVED (OFFICE USE ONLY) License Number 11mM lM I10DIVI n WAmm:N.Ittc 19019 i z z x a H rn a o z zy>j w rn z y a ac ?; D O o z z a a Q O w. r rn w yr a h x ,� a w a N w z Q o F- z ac o m o W a a(n¢ s d F y W x N °e o a i; x Q a a Q o J" it "' W = i O z 3 Y aw xa r -J a x w 0c r u> a r O x d 7 17 1' z a O 0 c, to x x •Q w f' LL O x U W x a 3 f" a s x rn a a J _t a cc ¢ a a O a r X J m y O O J :r C x : r rn Y. t7 O O d a m O SUB—QSMT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR ATIf FLOOR 6711 FLOOR - 6111 FLOOR TTIt FLOOR r� aT11 FLOOR1-1171 (Prim or Type)Check One: Certificalc Installing C•omp:my Name Sc��,--3' �fi�-- S�._-- — E1 Cori). I. Address __� +,. 3�_ /-- ❑ Partncrship -- — __—.- - ❑- jIlusiness Telephollc ___.--------------`----�__-- Nat le of hc'cosed Pit tuber or (.iasfit • _ hereby certify that all of the details and information I have submitted (or eMeted) in above applicwimn arc title and accurate to the bcsl of nq komsledge nod (hat all plumbing work and installations pctformed millet Permit issued fur this applicalimn will be in compliance with ull per(iocot of the Massachmserls Shue fins Code and Chapter 142 of the licmeml 1 am -s. I hcnc itdonned the owner or his agent that I du not have liability mstltancc includin' coo Clot -d o el ttions cocci, c I B' )' 6 I I ' � F' sipnalmc —1 0—. uc,1 A�aN �. I have a cmtcut liability imutance policy to include completed operations cmuagc. ❑ I I BY .--.----_----._--. —------- tie�natlllc of I.iccnscd I'lunthcr ----•---=--------------------------- (.'ily/'fuwn� .------------------------ --- 11c of 1'lumh' tg License Master ❑ .fomncyntan APPROVED (OFFICE USE ONLY) License Number 11mM lM I10DIVI n WAmm:N.Ittc 19019 i `J 4 J Date ..................... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ........... f. ............................. . has permission for gas installation f .:......... in the buildings of ...1 f /?.�.: (f ...... ::...................... at .. �.:.� :...::... ! .......... Z... , North Andover, Mass. r. - Fee. .?1.:... Lic. No.. ... ..................: .:�...... GAS INSPECTOR r WHITE: Applicant CANARY: Building Dept. PINK: Treasurer i`r1ASSACHUSET7 S U 111FORM APPLICA tCM FOR PE : z TO t)o (",AcF:1-1 tiV(', ( Print or Type) NORTH ANDOVER ,Mass. Date��.uty� ...._ tuilding Lccation_LmAyte, Permit 0_tq$' Owners Name New Renovation Replacement Plans Submitted ' FIYTI tocc ,:r'; (Print or Type) Che c one: Certificate . Installing Company Name ur( _ Corp. c2MIL2 .�•, Address $„Z � i k Partner. �1tS17�+.J `I'l•�. �3�CQ5 -- �� Firm/Co. Business i elept"u�ne:p3�a—`(Sc(`�--_ Name of Licensed Plumber or- Ca's Fitter — lnsur3ncrCovcr3Qe: Ind:c3.e -`. e O; insurance cove -age by checking the ':�'•. ' Ott: appropriate boy:: r a Liabiiity insurance policy h Other, type -of indemnity Bond 5 Insurance Waiver: I, the ung ersict.ed, have been made aware that the license# bf ,: this application riots not have any ori,_ or the above three insurance coverages. Signature of owner/agent of property Owner AaentEJ i hereby ccrtiry that aU of lht deuds and inrotmation I bare ust:mittcd (of entered) in Abovc rppticaion arc true and acmuste to tlw t;tcft( Orfihy ,• 'krQwtcdja and that aU plumbing wart and InuaUauous 7aiormcd under kirsit ;=L:rl Cor this appiiat:an will oc in eoatplianas %lith in p�Caf s.:pcovisio4j or the ktatsachuaetts Slate Cat rWde and Giaprcz 14: cC rho %<ncral LAwa_ fid, _Alf f LZ »: t* Plumber i Gasri.tter Signature of Li.censeds!r Master Plumber or Gasfitter'.'•11, t--1 Journevman LJe - Licanse Number `r' Fi, �• N N N Z LII N t'' yj t:s O O this .C: rn W L m _. i r a w F d I m O S ~ W O 4 W O p C1 I t:. Q CZ v c y G n h- o sua—as;.tT. I ( I� i ► I ( I BASEMENT I I (r I I 1 I I I I I I I. t�' I 1FF i I I 1ST FLOOR 2N3 FLOOR 3RD FLOOR I I i l I l �I ► I I__I ! I I i I I i f' ij i i i !y I I dTH FLOOR � 5TH FLOOR t?TH FLOOR 7TK FLOOR BTHFLOOR I I I (Print or Type) Che c one: Certificate . Installing Company Name ur( _ Corp. c2MIL2 .�•, Address $„Z � i k Partner. �1tS17�+.J `I'l•�. �3�CQ5 -- �� Firm/Co. Business i elept"u�ne:p3�a—`(Sc(`�--_ Name of Licensed Plumber or- Ca's Fitter — lnsur3ncrCovcr3Qe: Ind:c3.e -`. e O; insurance cove -age by checking the ':�'•. ' Ott: appropriate boy:: r a Liabiiity insurance policy h Other, type -of indemnity Bond 5 Insurance Waiver: I, the ung ersict.ed, have been made aware that the license# bf ,: this application riots not have any ori,_ or the above three insurance coverages. Signature of owner/agent of property Owner AaentEJ i hereby ccrtiry that aU of lht deuds and inrotmation I bare ust:mittcd (of entered) in Abovc rppticaion arc true and acmuste to tlw t;tcft( Orfihy ,• 'krQwtcdja and that aU plumbing wart and InuaUauous 7aiormcd under kirsit ;=L:rl Cor this appiiat:an will oc in eoatplianas %lith in p�Caf s.:pcovisio4j or the ktatsachuaetts Slate Cat rWde and Giaprcz 14: cC rho %<ncral LAwa_ fid, _Alf f LZ »: t* Plumber i Gasri.tter Signature of Li.censeds!r Master Plumber or Gasfitter'.'•11, t--1 Journevman LJe - Licanse Number `r' Fi, �• 0 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: �D % DATE ISSUED: / C SIGNATURE: Building Commissionera for of Buildings Date S TION 1- SITE INFORMATION 1.1 Property Address: l 1.2 Assessors Map and Parcel Number: C� Map Number Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R red Provided Required Provided 1.7 Water Supply M.G.L.C.40. 34) 1.5. Flood Zone Information: Public ❑ Private ❑ Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSIIIP/AUTHORIZED AGENT 1 Owner of Record arA &- kas'�n�� Name (Print) Address for Service: Signature Telephone 2.2 Owner of Record: 4Atiu' !� Nam nt Address for Service: 7L SignaYure Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: d Licensed Construction Supervisor: 4 Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone 00 rn 0 SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work check all a licable Failure to provide this affidavit will result New Construction ❑ Existing Building ❑ Repair(s)❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief DescriptionofProposed Work: �j L44 ro vw�. ted, 14(" . 41C 000 b 6t a C/O I SECTION 6 - FSTIMATF.D CONSTRIiCTUIN COCTc I Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Building BASEMENT OR SLAB (a) Building Permit Fee Multiplier I aS — K a F 2 Electrical SPAN (b) Estimated Total Cost of Construction / a �D 3 Plumbing DINIENSIONS OF POSTS Building Permit fee (a) X (b) 3 OQ 4 Mechanical HVAC HEIGHT OF FOUNDATION 5 Fire Protection SIZE OF FOOTING 6 Total 1+2+3+4+5 MATERIAL OF CHIMNEY Check Number b l;r1U1V is UWNEK AU 1HUK1LA11UN '1'0 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 SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION Date 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 sr2 ND 3 RD SPAN DIMENSIONS OF SILLS DINIENSIONS 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 s ,© R O U � W � � 04 � O 10 O� H O z n u 1 O em I cc R C C Nb CL N�1 : .Ea ♦: O CL •tea 0 A �f►u CD fti Y =.= CL E m a CO-: N N m 3 = N • Q7 m N C C y N tcDa w O; y O O i s o CD CoQ N m o � m w y o c� •0 Z o «. =�o c �-0 a =m N ® C •O m m_-. C N d � Vi r O � = ev m y=-+ C W � C � � H .re AD is N CL-_., eo c Z M m N C V m OO�C_ a� h O. m� O� Q _ ` y•C P z w d000O � O w P-4 R; O v v as � A mm oCD Q! < C O R cc v J .� C Z � �..� N2 � C C C _c 0. 0 U) Cn IrW W W CO w uU) •� `� v �� w �,, � w Q o a w° Cf) �_•� w° Ug w _ iw o C/) f) O em I cc R C C Nb CL N�1 : .Ea ♦: O CL •tea 0 A �f►u CD fti Y =.= CL E m a CO-: N N m 3 = N • Q7 m N C C y N tcDa w O; y O O i s o CD CoQ N m o � m w y o c� •0 Z o «. =�o c �-0 a =m N ® C •O m m_-. C N d � Vi r O � = ev m y=-+ C W � C � � H .re AD is N CL-_., eo c Z M m N C V m OO�C_ a� h O. m� O� Q _ ` y•C P z w d000O � O w P-4 R; O v v as � A mm oCD Q! < C O R cc v J .� C Z � �..� N2 � C C C _c 0. 0 U) Cn IrW W W CO FORM U - LOT RELEASE FORMc„ INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *************"APPLICANT FILLS OUT THIS SECTION APPLICANT Rai Q01 77 } `y�, PHONE 6? O J LOCATION: Assessor's Map Number PARCEL SUBDIVISION l Ae'A 0 LOT (S) STREET.C;? Z � — � w-- /1�� ST. NUMBER I*****************************************OFFICIAL USE ONLY*********************************** REC MENDATIONS OF TOWN AGENTS: CONSERVATION ADMI TOR DATE APPROV9D DATE REJECTED— COMMENTS w%jh 1D0� COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTO Revised 9\97 jm ATE D. Robert Niceffa Building Commissioner. (978) 688-9545 688-9542 Fax Please print DATE JOB LOCA Number "HOMEOWNER Town of North.Andover Building Department 27 Charles -Street North Andover, MA. 01845 HOMEOWNER LICENSE EXEMPTION Vz— A). AVS- P . / ou-eer Aaaress; q 7F '6 PI f� (rKj Mao 7,10t 17f/ 221 - OZIL Name. Home Phone C Phone PRESENT MAILING ADDRESS City Town State Zip Code The current exemption for "homeowners" was extended to include.owner-occupied.- Owe lings of two units or.less and to allow such h6rrieowners to -engage an individualfbt hire who does not possess alicense,. provided that the owner acts as supervisor. (State Building Code Section 108.3.5. 1) .DEFINITION OF HOMBNOWNER- Person(s) who owns a parcel of land on which he/she resides or intends. to reside, on which there is, or is intended to be, aone or two family, dwelling, attached or detached structuresac cessory to such use and/or farm structures_ A person who Constructs more than one home in a two-year period shall not be considered a hoineowner. The undersigned "homeowner" responsibility for compliance with the State Building Code and other Applicable codes, by4aws, rules and regulations, The undersigned "homeowner" certifies that hOsh& understands the To yvRra�No. Andover Building Department minimum inspection procedureId r�jernen"d 'r' helsheM)l comply with said procedures and requirem�ntr* HOMEOWNER'S SIGNA APPROVAL OF BUILDING OFFIC 4'! a a 0 4 D. Robert iNicetta, Btfikling Commissioner TOWN OF NORTH ANDOVER Office of the -Building Department Community Development and Services 27 Charles Street North Andover, Massachusetts 01845 DEBRIS DISPOSAL FORM Telephone (978) 688-9545 FAX (978) 688-9542 In accordance with the provisions of MGL c 40 s 54, and as 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 c 11, s 150a. The debris will be disposed of at / in: �o KK on " 11 A"o ! %(A C Signature of permit applicant Michael McGuire, Local Building Inspector James Decola, Eleclhcal Inspector James Diozzi, GavPlumbing Inspector TV 6''6' STV 4'-0' tr-0• yti OM AI 8�t►y OR 110, r 3 w 4 Z Ex N O 7✓ +sN ra' 4 I 4 D or 4 w � 4 a14 I H 9 g y b IS r rr r-0• I �a IS rr Z ra (J a;� �2,tor�w�neu•ors �i I ......... -----i z i\ - cZi A • -J�L X10 At CIxf NV OIK r•trxr-r � op �211ori.nierietr&c 1 j3 JW r-to•xrr tlllltr�r r-0• rs• ra a r r� v�'1 Y -3.V4'\ WT ;egetIL t3 t�\A r-0• ra 1*41 ro• m r� Q7l g a ¢iyg y ex fig 4 � s Q7l on no no NONE IIIIIIIIIIIIIIII T ■1�■ moon ■� �■ °,°;; � IIIIIIIIIIIIIII === an an fA G •'.1 V. 1 ,\rte � � . o, `• :.` • i N 1 \ �� � •11.41 `� • U I r Br006�r WCountrydomes, Inc a P.O. Box 531 North Andover, MA 01845 (978)688-6558 FAX(978)683-4430 CONTRACT This contract between Brookview Country Homes, Inc. (BCH) and Grad and Ann Rosenbaum is for the construction of an addition to the Rosenbaum home at 21 Leanne Dr., No. Andover, MA. according to the following terms and conditions: Plans - Construction is to be according to the attached plans and specifications. If there are any discrepancies between the plans and specifications, the specifications shall apply. Specifications - Construction specifications and standards are to be substantially the same as those of the original house construction, except as shown on the attached specifications. Construction Time - Construction will begin on or about March 12, 2002 and will be completed no later than September 12, 2002. Payment - 1/3 of the total cost at start of construction 1/3 of the total cost when roofed, windows and siding installed. 1/3 when 100% complete 21 LEANNE DR. Sunroom/Garage addition Ext- erior Foundation: 10" poured concrete walls on footings -asphalt dam Frame: A proofing and footing drains 2 X 6 pressure treated sills 2 X 10 floor joists 2 X 4 exterior and interior walls 3/4" T & G fir plywood decking 112" CDX plywood on exterior walls 112" CDX plywood roof sheathing Asphalt roof shingles - IKO Cambridge 25 year architectural, weatherwo Factory primed F.J. Cedar clapboards od color Windows: Doors: 32 X 28 Vetter double hung with insulated glass, tilt sash and full screens transoms over. Between glass grills included on double hung windows. Garage door:Insulated doors with hardboard veneer Paint: Same as main house Ventilation: Attic ventilated with both soffit and ridge vents Driveway: Bituminous paving over gravel base -binder coat - seamed where new paving added. existing driveway to be cut & Walkway: Brick pavers from driveway to back patio Landscaping: All disturbed areas to be graded, foamed, raked, and s system heads to be moved to accomodate new construction. eeded .Sprinkler Interior Insulation: Exterior walls - 3.5" fiberglass Batts (R 1 3 Attic floor -fiberglass or cellulose ) (R 3 0 ) Basement ceiling -fiberglass Batts (R 19) Walls: Skim coat plaster Ceilings: "Scissored" cathedral ceiling Woodwork: Six panel pre -primed hardboard doors Paint grade pine CEM 188 casing on doors and windows 5" molded baseboard Paint: Walls will be flat paint; woodwork will be semigloss 1:1 e c t r i c a l: Included are: 1 phone jack 1 cable T.V. jack outlets to code wiring for ceiling fan Plumbing: Rough plumbing for bar sink - price TBD Heat: Forced Hot Air on first floor zone Central air on first floor zone Flooring: Tile floor - $3.00 Per square foot materials allowance, $3.00 per square foot labor allowance. Other: Roughed for security system ve wick rely er a� C "e dot, 7b h, q tt, J Nees (a` h - c>k&,ale v t, r"A r�� �o" L, 3 25i: __S_ F. 0. C. ,-HIS PI x: -'URPOSE :ROM Ek TH THE 3Y AN jr, -9OULO NE DET i i i i i ' o N/F ANNALORO (60 0K 386 7 NL 5 ti> ' 0 0 i Z Fp�1WUN lov - i' 25137 S.F. \ 0.58 Ac. EXIST. FOUNOA ZION �1 TOP FND EL=22,1.47' bO �un rD o'" 31.5, v Mj oz��,� LEANNE DRIVE z(o I WE HEREBY CERTih Y THAT WE HAVI• EXAMINI.1) f TCNnETHE PREMISES AND THE OWELUNG IS LOCATED D FOR ZONING AS SHOWN. THL STRUCTURE SHOWN CONFORMS IT WAS PREPARI-O TO Tllf ZONING 1 AWS Or THE MUNICIPALITY L.ANS AND RECORDS WHEN CONS I'RUCTEp. ALSO, ACCORDING I'0 TI Ir' TURES SHOWN LOCA IfO F,C,M.q /H.U.D. FLOOD INSURANCE RATC MAI', N I SURVEY. )HIS PLAN COMMUNI 1 Y PANEL NO.250098 0006 C USED TUR PROPEI2fY ION. DATEI) JUNE 2,1993, TIIf TRUCIURE 13 NOT LOCAIEU IN AN FQTAQIlcurn ..,,. CERTIFIED PLOT PLAN C 2 HE AGE ESTATES MARCHIONDA & ASSOC. L.P NOR AND( MASSACHUSETTS ENGINEERING AND PLANNING CONSULTANTS OR .70KVIE. +RY HOMES, INC. 62 MONTVALE AVE. SUITE I X 531 STONEHAM, MA. 02180 , TH AN(_ . ` MASSACHUSETTS (781) 438-6121 DATE: i/12/o1 SCALE: 1"=40' Ip •d 8�'b T 8L S31"' OOSS0i 3"aNO I Hoa"W WFi I i : T T 2:00Z -0I -21d SECTION GENERAL NOTES: I. Minimum mailing height for a habitable rooms Is 13". In a room with a sloping calling the prescribed caning height Is required in only one half of the area of the room. No portion of the room meawrtng lea than 5 feet finished shall be Included In calculating mirmum aa& 2. Floor design Ilya loads aro based on Ist Fir, 0100/ sq. t!. 2nd Mr. • 300 / sq. ft. and norweabie attics 0 200 / sq. ft Roof design loads are 300 / sq, ft. live load and 10 / eq. ft. dead load. 3. Ffraetopping shall be provided to cutoff all concealed draft openfngs and form an effective fire barrier between states, and between a top etorg and the roof space. 4. Stairs between lot and 2nd floors ad 2nd and useable attics ahali have a minlmum headroom of 6' 8' measured vartlmally from stair nosing. 9wmmrt stairs shell have a minimum of 6'6" of headroom. 5. Insulation minimum total R value raqutramenMs for axtarlor walls is RIZ.5. Floors over heated spaces is R20.0. Roof and calling assemblies to R30, and finished basement walls is R12.5. 6. A vapor barrier of 1.0 perm or less &hell be Installed on the winter warm side of walls, callings and floors enalosintg a conditioned specs. Z. When save wants an Installed, adequate baffling shill be provided to deflect the incoming air above the surface of the Insulation with a 2" min. clearance under the roof deck. W No FOWCATION WALL - t0' POURED CON( W/ 20" X 10" FOOTI` TYPIC CONTINOUS RIDGE VENT L2X6 COLLAR TIES • 46" • 2" CEILG JOISTS • 16" mr. R30 BATT INSUL. I/2' DRYWALL 4 'AL SECTION Kellowav Draftina- Service - Windham NH 03087 Bus. (603) 893-5277 Fax (603) 890-6405 TYPICAL FRAME ROOF - 43 ASP14AL.T SWINDLES .4/2 ROOFING PLYWOOD ,z "c 1z--�L9RtDGEaoaRD ! a2- -AFTERS 0 16' o.e DCS t 1X3 FASCIA DC61 CONTINOUS VENT, AND DCS SOFFIT I- SOFFIT OVERHANG TYPICAL EXTERIOR WALL : -CLAPBOARD AIDING - AtR SPACE FIRE BLOCKING - 1/2" EXTERIOR SWEATHING - 2" x 4' STUDS FILLED WITH - BATT INSULATION - 6 mIl POLY VAPOR BARRIER - 1/2" DRYWALL TYPICAL 2x10 FLOOR SYSTEM • 3/4" T46 PLYWOOD SUBFLOOR 2x2 CROSS BRIDGING 2X10 FIRE BLACKING TYPICAL KNEEWALL R20 InwleUon - 2" x 6" STUDS WITH - BATT INSULATION .. - we" F.R. DRYWALL 4" CONCRETE SLAB DRAWING # The Brentwood PAGE: SECTION SrAI F: 3/16" = 1' O z 13 v CO O co Z O D w CDCA .O L CD .�C C O CD 0 _cc CL CO) 0 CO) c 0 v Com.. d CO) LU _0 Cn Lli Cn W w Ccw LLJ Cn x 0 x COc a c 5 4 C N C.) oF- CD C I • Q m o , a o c E 2: m A M- 0� cm ti 7 mn E w p O `: y y m 610, N C IO O -Cc y G G O O �►. 'ECD mo .�C� m m Li I"cy m : s� o cn < : oat= Lmor m v >Z rn �' O H O G H s m 0 m�m�3 m C C yCL N f... o � m z .e0.. y m eo Z m_, 'O oc O � � C LU ml) C1 Z Z C.) O p 4)!E C COO) a' CO) O fl 0-5 M o m C w = O � a. -m � � ¢ A z � u z w ~� �„ A o uOr- T '� U •� v w w z o w U w w w°4) w° i% cn w m7 cn cn , 13 v CO O co Z O D w CDCA .O L CD .�C C O CD 0 _cc CL CO) 0 CO) c 0 v Com.. d CO) LU _0 Cn Lli Cn W w Ccw LLJ Cn 0 COc c 5 4 C N C.) CD C I • Q m o , a o c E 2: m A M- 0� cm ti 7 mn E O `: y y m 610, N C IO O -Cc y G G O O �►. 'ECD mo .�C� m m Li I"cy m : s� o cn < : oat= Lmor m v >Z rn �' O H O G H s m 0 m�m�3 m C C yCL N f... o � m CAG Lu .e0.. y m eo Z m_, 'O oc O � � C LU ml) C1 Z Z C.) O p 4)!E C COO) a' CO) O fl 0-5 M o m C _ = O � a. -m � 13 v CO O co Z O D w CDCA .O L CD .�C C O CD 0 _cc CL CO) 0 CO) c 0 v Com.. d CO) LU _0 Cn Lli Cn W w Ccw LLJ Cn Town of North Andover Building Department 27 Charles Street o c North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 O CO[MI M1wKk 1 'Q SACaIU`����� APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS 1--L.�9� �C LOT NUMBER SUBDIVISION DATE REQUEST FILED E? Z i 3/ 6 / DATE READY FOR INSPECTION ALL WORK AND S16N 'S MUST BE COMPLETE THIN THIS TIME FRAME. A RE -IN kC N FEE OF TWENTY -FI DOLLARS WILL BE CHARGED IF TH S C DOES NOT MEET' APPLICABLE CODES. SIGNATURE ` 2�. J OFFICIAL USE ONLY ROUTING CONSERVATION DATE PLANNING DATEl C1/ /0 D.P.W. — WATER METER DATE Y D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PCO THE INSPECTION REQUEST DATE. NATURE / DPW AUTHORI N Noa. �• x',40 O Town of NORTH ANDOVER C BUILDING PERMIT INSPECTION REPORT PERMIT NO.:PROJECT: ' 1?C)OD j, c?SJ84 55 11 �IW4P" DATE: lbkk 0.: Of 17( BUILDING NO.: I 3y� R. REMARKS: f �S-f Cod z- 2c3®, 00, I 'ee IS C Excavation - depth and soil conditions Framing - Other: Date: Date: Date: Inspector��'y`" Inspector `. Inspector Footings and foundations and drains - Insulation - Other: Date: /� '- - Date: - C-9 Date: Air cif Inspector, Inspector Inspector Electrical - rough - Plumbing and/or gas - rough - Other: Date: Date: Date: Inspector Inspector Inspector Electrical - final Plumbing and/or gas - nal Other: d Date: Date: r Date: Inspector Inspector �^-�- Inspector 'ire Dept - .jil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: ' 15--0 Date: & ` �?- -7` Date: 6 2'7 C of O # c/ 3 4� Inspector IrL& It Inspector /,-W-1 Inspector Form #995 Action Press, 685-7000 ' Location r�� d?� p��/ti`e J No. Date lo ^ -d NORTH TOWN OF NORTH ANDOVER 0 ►O. + a ; Certificate Occupancy ; of $ • °mob+„ -` •:' a CH H E<� Building/Frame Permit Fee +us $ �_ 0 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # C-0 9 I l(� 15924 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCTREPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING S� BUILDING PERMIT NUMBER: /' DATE ISSUED: cSIGNATURE:A A Building Commissioner/I to of 1361dings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: / edI&I9 /��-. // ,:�,/ ! L0 / Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 1-3 /37 2r2 Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R fired Provided R aired Provided 1.7 Water apply M.G.L.C.40. 54) 1.5. Flood Zone Information: Zone Outside Flood 1.8 Sewerage Disposal System: Public Private ❑ Zone Municipal On Site Disposal System 0 SEC1110N 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Or of Re d S- 3 Na Print) Address for Service n gnatur�lephone i 2.2 er of co Name Print Address for Service: Signature Telephone SEOTI ;CONSTRUCTIO SERVICES 3.1 ice ed Gbnstructi u rv1 r: Not Applicable ❑ Lic s oust ti St is . �•. License Number 1 Address C L _ Expi ti Dat na e tTelephone istetEd Honle m ment Contract Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone low 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 a8 in the denial of the issuance of the building permit. Signed affidavit Attached Yes ..... 4 No ....... ❑ SECTION 5 Descrition of Pro osed Work check au applicable) New Construction X Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: -10 6 � ?C �•►r—� C G-v9P E I SECTION 6 - F.STIMATF.n CONSTRITCTION COCTC I will result Item Estimated Cost (Dollar) to be Completed by permit applicant 4f+'FICIAS, IJSE QNLY 1. Building Zia O 0 0 (a) Building Permit Fee Multi lier SD 2 Electrical /-0/000 (b) Estimated Total Cost of Construction a �� �3 r 3 Plumbing 0 , 0040 Building Permit fee (a) x (b) _ A3Y15 4 Mechanical HVAC /0/000 5 Fire Protection 6 Total 1+2+3+4+5 .230, 0, G O U Check Number JL(, HUN is OWNEK AU 1110KILAIMIN 1O ISL COMFLL ED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize �%�reR'� -,< to act on My f, in all matt re ve to work authorized by this building permit application. Si nature 6f Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION AT ee- C 1��C el -V9 S 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 l 5<<r��4P� �9lPv�S Print Nay�a� of Date NO. OF STORIES SIZE BASEMENT OR SLAB 87f,5e"G e ti SIZE OF FLOOR TIMBERS 17 1 k l 0 2 NDX/ 0 3 RD SPAN DIMENSIONS OF SILLS DM ENSIONS OF POSTS DMIENSIONS OF GIRDERS ,Y p HEIGHT OF FOUNDATION 0 THICKNESS /0111 SIZE OF FOOTING 7(-5 X MATERIAL OF CHIMNEY a 0 IS BUILDING ON SOLID OR FILLED LAND 50 4 a IS BUILDING CONNECTED TO NATURAL GAS LINE le S FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all -necessary approval/ permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. ............................................................................ APPLICANT Ift" ��`� � Coves )y 5 PHONE ASSESSORS MAP NUMBER 7 LOT NUMBER SUBDIVISION 11f e" e LOT NUMBER STREET L .-,T Yy'y—e 1,3 e"` e STREET NUMBER Z l so ........................................................................W. OFFICIAL USE ONLY RECOMNIENDATIONS OF TOWN AGENTS Com^ r S DATE APPROVED ( T CO&SERVATION ADMINISTRATOR DATE REJECTED COMMENTS COMMENTS DATE APPROVED I DATE REJECTED DATE APPROVED FOOD INSPECTOR -HEALTH DATE REJECTED ue -0- SEPTIC INSPECTOR - HEALTH DATE APPROVED DATE REJECTED CONBAENTS PUBLIC WORKS - SEWER / WATER CONNECTIONS OLS �GoKO1�yl(/i LA !rl// if �%-pp D Y PERMIT DLA C !l p -OU DATE APPROVED DEPAR R S DATE REJECTED RECEIVED BY BUILDING INSPECTOR DATE M GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVERBUH.DING 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. zed0�(/;rdw Permit Applicant el,9 ' -/-/767 Property address rPtvly /-?,,rC 97 Map /'Parcel Applicant's Phone Number Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the building permit. Further I understand that my interpretation of the exemption status is subject to review by the Building Department and is only officially accepted when the building permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration or reconstruction of a dwelling in existence as ofthe effective date of this bylaw, provided that no additional residential unit is created. XThe lot(s) was/ were created prior to May 6, 1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and or moderate income families or individuals, where all of the conditions of 8.7.6 are met and or represents dwelling units for senior residents, where occupancy of the units is restricted to senior citizens through a properly executed and recorded deed restriction running with the land. For purposes of this section "senior" shall mean persons over the age of 55. This application is part of a development project which voluntarily agreed to a minimum 40 % permanent reduction in density (buildable lots) below the density permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently designated as open space or farmland. The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the planning board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 and shall receive a onetime exemption from the Planned Growth Rate and Development Scheduling provisions for 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. B4SIAGBELOW TEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED BLOWED AN EXE ION AS CITED ABOVE. FD THAT THE S TTAL OF MISLEADING OR INACCURATE INFORMATION OR THE COVE EXE ICH DOES NOT COMPLY, WHETHER DONE TO MY KNOWLEDGE OR FUSAL T LDING DEPARTMENT TO ISSUE A BUILDING %� API'LICANTS SIGNATURE DATE THIS FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION LOT 27876 S.F. ' 0.64 Ac. 10.84�pj 0v w Gam,, PROP. V. a�gTe! W DWELL- 1291 ��. cl O �ZS .T1N LOT2uj �. 25137 S.F. a ..j 0.58 Ac. N/F ANNALORO bK 3867 PG 35 Ir , 3' "177 40 0 \ META` \ ! 'FENCE POST LOT 3 /�. , 25820 S.F o �? �. I V 0.59 1? 0 $1 \ "� r.-35-42 METr,'_ FENCE POST C. iSOd TDN33 -yi3Y4 ' - ��� j S OZBS p iSOd 3ON33_, ; \ IV 1 3w 0 b 05( 6A f �- LA Z 10-1 T TLi t1 N • 0�►1Stx.3 � a�- 1 tn1 a m — d��� .� AAC 'dog CIA C 00 f j v SC Od L99F A8 080-IbNNV d/N ':)v $19'O YS 9L9LZ l 10-1 �lze 'iDo�mir�za�nuiea`l�z a�✓�GadlacfciaP,�6 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 008587 Birthdate: 04/03/1954 Expires: 04/03/2002 Tr. no: 19386 Restricted To: 00 GARY A KELLOWAY 653 OSGOOD ST N ANDOVER, MA 01845 Administrator IIIC liU1IlU1U1rVVGC11l11 Ul IV/Q00dl.11U0C((J Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Location: z- e e -.9,/V/V /��' • ` t r itv Nsoov{� /LJi Phone aam a homeowner performing all work myself. 01 am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job_ Companv name: ,f'o a,Cy �' 1✓ ( e S Address > ®° `� 3 City' � ' I No O ✓t e, Phone # G ^ y %!1 -11 Insurance Co. if e>v (-'ijv A, �� Policv.# % 6 �� j % Companv name' Address City Phone # Insurance Co Policy # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonm well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. 1 understand that a copy ofjKt.s atWent may be forwarded tojbd Office of Investigations of the DIA for coverage verification. I do herby teddy un9Wr theA ana,,penalties of perjur}ffFfigf h5rmation provided above is bue and correct Sign Printname`�r�<rs�dP �"��r�" S Phone# Official use only do not write in this area to be completed by city or town official' E] Building Dept ❑Check if immediate response is required Building Dept ❑ Licensing Board ❑ Selectman's Office Contact person:_ Phone #: ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.01 Release 2 CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 HEATING SYSTEM TYPE: DATE: 11-9-2000 TITLE: LEANNE DRIVE or 2 Family, Detached Other (Non -Electric Resistance) PROJECT INFORMATION: BROONVIEW COUNTRY HOMES INC PO BOX 531 N ANDOVER MA COMPANY INFORMATION: J&J HEATING & AIR COND 17 ARLINGTON ST DRACUT MA COMPLIANCE: PASSES Permit # Checked by/Date Required UA = 613 Your Home = 606 Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value U -Value ---------- ------------------------- CEILINGS 1981 30.0 0.0 WALLS: Wood Frame, 16" O.C. 2380 13.0 0.0 1 GLAZING: Windows or Doors 437 0.400 1 GLAZING: windows or Doors 126 0.460 DOORS 39 0.400 FLOORS: over Unconditioned Space 1981 19.0 0.0 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 Massachusetts Energy Code MAScheck Software Version 2.01 Release 2 LEANNE DRIVE DATE: 11-9-2000 Bldg. Dept. Use [l [l CEILINGS: 1. R-30 Comments/Location WALLS: 1. Wood frame, 16" O.C., R-13 Comments/Location WINDOWS AND GLASS DOORS: 1. U -value: 0.4 For windows without labeled # Panes Frame Type Comments/Location _ 2. U -value: 0.46 For windows without labeled # Panes Frame Type Comments/Location DOORS: 1. U -value: 0.4 Comments/Location FLOORS: 1. over unconditioned comments/Location U -values, describe features: Thermal Break? [ ] Yes [ ] No U -values, describe features: Thermal Break? [ ] Yes { ] No Space, R-19 HVAC EQUIPMENT: 1. Furnace, 92.0 AFUE or higher Make and Model Number 2. Air Conditioner, 10.0 SEER AIR LEAKAGE: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: I. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage.into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: Materials and equipment :oust be identified so that compliance can 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 ba 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 115$ 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 unlesa over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. HVAC PIPING INSULATION: HVAC piping conveying fluids below 55 F must be insulated 1 above 120 F or chilled fluids to the following levels (in.): HEATING SYSTEMS: TEMP (F) Low pressure/temp. 201=250 Low temperature �; 120-200 Steam condensate any ' COOLING SYSTEMS: 1.5 Chilled water or 40-55 refrigerant below 40 CIRCULATING HOT WATER SYSTEMS: PIPE SIZES (in.) 2" RUNOUTS 0-1" 1.25-2" 2.5-4 1.0 1.5 1.5 2.0 0.5 1.0 1.0 1.5 1.0 1.0 1.5 2.0 0.5 0.5 0.75 1.0 1.0 1.0 1.5 1.5 cr-M. °r° m ccn m �m @o n a m 7 o nl Fn - 70 D 11 C CL Oa m m M 0- C =* aD o U3 n rn m CL C to n aj C mO E � m x ai OJ0. E 0 o. O I °�O d :r H N lD O fD 0 O C 3rm 3 -4 H' CD 0NCD H O -0 �, G = Q ?�CDa x -� M c0 n o � -o cD O CD p� , CL O a 3' o' c c � N � o =^ y o o S CD M o oCD ff; �C rL MOM dw r m x n 0 z O C Z v 0 z z 0 i 0 rA W1 co 0 z W am 00 _ C v Q+cd 2 � rs. w w ob O a4 «(��� � C w O ob O C2 C w = C � w i cn cn 0 z W am 04 L CA CD Q. CD C O CD v _O Q. CA 0 V .Q W O V C _cc Q. CA L O V co CL y C 0 U) U) W W cr W U) _ C v H C O or - C -3 V � = L G is t Ea _� �• UM L y — O Cl U MO,. owm E y Ua 3:c •• Ca c 3 � �- H H H • t L O OI '5a O:vyZ O C O d �' C •O Q m ■y.. m C W O 'fl M+ C ML,. �• . O F- ui y C 7 � �E c3 v (COM Z o a 0.9 g COD _ A LrOy'O O �L�a m� 04 L CA CD Q. CD C O CD v _O Q. CA 0 V .Q W O V C _cc Q. CA L O V co CL y C 0 U) U) W W cr W U) 9 C V/ CL W W U ry W Cn W 2 U Z E a , fa � ♦ .� � f r a (n W x • �o a .o m Q � N +r v c- U C) W L U- r > U LJ.I O r cL3 Jum O H N II O O Q OfT W (D L kU)Uu ui z 0 O Q W J W E-- EH O U N orte. O (u ch N "t CO 0 N = M7 � ® - Q rn CSO Z 00 00 .-� caov v in 000 w LOO Y O N xm a: m U- Z O_ H Q W J W F— LL W J 30'-0" 14'-0" 16'-0" w -----J----------------------------------- 6 - 1 1 1 1 1 1 � ILI � 1- 6' Z N fn x O i ch j O m 11 11 m/ 1 1 2, O W 1 1 11 -4 11 1 + s n I I i 11 I 1 L_�-J V1 11 1 /1 1 � 1 1 Ci O ci X W 011 G 1 Q21 T N O d —� O ---_ _ _ _ N - Q II r N Co O O: ' 4? 11 1 1 Os � I Vj 1 1 11 11 v _ _ W i 1 I � O OD J ' -nc-n 1 N 6 0 0 I. Q ui w m N T D C > I � _ 1- 6 r 0 0 N r 1 v Q CM 1 3' 6" I r r w O y O I O 11 + 11 'O 11 I � i ` 11 rG� 1 1 g T IS 1/ W I N V A a, NA � 1 10'-71/2" z w =_ A 1 6 X i I O ' Z O cn 0 T4 V Oo 1 -------- __ O o0 2n p: +ss n n o 0 6'-4" w clq TV 2 2'-6- o a - 21-6a El a I2 w Lq J 1• O . N ______ ____ ______ � _____ � � N a N x U7 2'-6" V J IJ ax" I N w n 1 1 b Q cn r i N m3 ( O i rn o x N O In N 1 C 1 D 61pq I N I A cc LQ _ 3 X o I in 0 n I N 1 W I m- I —/— --_- --_-_ A " a 2'-10" X 5'-5" 2'-10'X 5'-5" 1 1 -O" 6'-6" 1'-0"IT 34'-0" iv '1'i p0 17 P 13 Z 5wm d ca 3 5i9C o m ao 3 m m � Cr C.° o Cr �' chrn ° m !v X C cn CD y � m N ��cn m sd 0 0 3 a Q _ 0 m m D "$ya:D3 11 • oon`�y w �O�a< °_' � o �� 01 CD 07 c@ m m m n `�° Z O O X N E I m 65.0 - W C y (-n O N to W (b 0 O m '° 3 W W J e� W �.� m i�(0 O 01.0(0 7 -q T. S� (p =" N ?y � S IV 1l O D 7N�(a 7 =� W 3 7 Z 0. O•* S D. 3 O 1 W 20i3 Q7 CIA WO 1 O 11 -z �� arcs ��W j -3 P. -dm��� � (V � ►� � hod 'm �U Q os�•rs? N � o W 3,it � cm O `-I Op _C m dW spm Q N•6 c�7 -N 7 nfl:0 a0 2 +� Dm y � � C C7 < w x'003 �p1cOm am�'o ppn-1 ON a �+ moajocD-, No �^ V�1J m`^ m O W 3v, 3 n m O a VOi "6 0 = \ V r -F V J O m C �, S O C .� N s O O M o < i CD W? 3 Am (D 'S > tJ s o m S S — �a 1 3 m o m _ W. W f E� N ^ m ,CD U) u, O A O y 0 A O z 0 30'-0" 6'-3" 1 10'-9" 101-911 0"J 91 [n A W N -+ 0 �'O me) 0 S rnm 1d o m d n� �o smmZ a 0. a° da.a� maom��3m xm� Nm _mc�M 'D 2 Oo °' 2 N 3- --'� °On 0 _� i m T N C S S -0N C• co � �• N r ° ��° .mN°$om?�m3d oN3�mv0Z "wW lu 3 Sm 7'Owpymw ummod$o 0''m n O m y l" ^' O I/1 d i -;3 ° N 5f V? C N OmcC �O Y1 od n-•3a..m0mSm33cmymN3Nm o 7d mym O m J 0 ow r rya ID d° d m m N > m a d d 7 2 d NI° ? .d+ N 0� 3 T. < P,dm m 7 N » m C. G. 7'p n'm m O° °,3 �°. m.. N ID 0 a2 (Dm Hmm q�s em $o you 0 0 x n vp In 0 d d�^. ;3No o =m om gym a°o gm' "me m o `o''y°' m aN? c w v`s a< a 3 m n n m eq. o- cr c y d m g 2. a- D N= �' O n 0. d d'D m y nH.m �?. omof 0 mm V rm� m -O•. a an d m CD ° m m .3 p d N N < D N °_ m 6'-311 <n 0 0 0 I ------------------------------------------------- ---------------------i-i v o v v v v 0 o v o 1 0 0 ----------------------------------- N X 4 I p I A - J O i m_ (7 j 11 r I 1 °•° Q = � Z X r 0 � ; Z N n-n1Vm' [D U) 4• ' D O A '< U) CD ' 1;o 1,1 X /1 M U) VI 1 a.a 1 m� �O m m r cr lG l� i i , 4 ,•, ; D0GCr D ; 0 O I 1 T-2" 6'-0" T-0" 4'-7" n T-711 a.< D° 1 I ; Q•4 ' 1 1 I 1 1 4• 1 r------I r ------i r ------I 1 1 r------ a.o ==3===___E_= _ --a______I--_ -I- ' _ ==E== ___ G___ __a_______F___ -______ ___ __ a________________________________�_ __ -F^__ ___ ___ _ 4 I I I L -----I 1 M> 1 1 4• 1•----I 1 1 1 -u ; 1 ' ; 0 0 -n 1 1 W CD c N C). N v+ ;om __4 i I D CD 0 ur rn L_ U) 4 1 ; ' I 4• I I 1UFi I � I ; 4'4 1 p,> ; , 1 1 I r--- --� r-- --� r------� r------� 4' ----------------- ----- --- - - - - -- ------------- L -----I 1 I 1 1 ---------- I I 1 I d•4 1 1 • ° 1 7'_2" '6 �_O" �'-0" ^'J" T-711 I a7 / a • 1 ° 1 .D � N 1 1 � 1 d•4 I 4• I ,•° 1 1 r I I � I � I I a,a I , •D ` I 1 21-8" a 4 1 p ° � 1 \V I I Q• 1 I e•. ; I 1 O a'4 , a• 1 I a.a I 1 1 I a•4 1 1 1 I ----------"J I ' ---' ----'----- -_---_-_---_-_-_-_-------- ---'---__ ------t= 1 ti- ' -----^--__----=a=-- ---F-----------------------�--_ _ ---------_----------L= ---F-_---_----------------- ----r-4.4, J 1 1 L - -- - - Rf CCD 4' - - , I a.0 I 01 X_ D•° A i i CDD O`CD .O r 4' ' �•° ' U � y n r (ACD L U) --i i u•4 I I tva 4• , -P � 1 , a•4 , 1 1 •'1 I I 1 I I e•> 1 1 1 0'4 I 1 I 1 1 I D.° ------------9'-W----------------------------- ------------------------------g-011------------J ' ' 1 L-------------------------------------------------------------------------------------------------------I-J 6'-3" 1 10'-9" 101-911 0"J 91 [n A W N -+ 0 �'O me) 0 S rnm 1d o m d n� �o smmZ a 0. a° da.a� maom��3m xm� Nm _mc�M 'D 2 Oo °' 2 N 3- --'� °On 0 _� i m T N C S S -0N C• co � �• N r ° ��° .mN°$om?�m3d oN3�mv0Z "wW lu 3 Sm 7'Owpymw ummod$o 0''m n O m y l" ^' O I/1 d i -;3 ° N 5f V? C N OmcC �O Y1 od n-•3a..m0mSm33cmymN3Nm o 7d mym O m J 0 ow r rya ID d° d m m N > m a d d 7 2 d NI° ? .d+ N 0� 3 T. < P,dm m 7 N » m C. G. 7'p n'm m O° °,3 �°. m.. N ID 0 a2 (Dm Hmm q�s em $o you 0 0 x n vp In 0 d d�^. ;3No o =m om gym a°o gm' "me m o `o''y°' m aN? c w v`s a< a 3 m n n m eq. o- cr c y d m g 2. a- D N= �' O n 0. d d'D m y nH.m �?. omof 0 mm V rm� m -O•. a an d m CD ° m m .3 p d N N < D N °_ m 6'-311 <n 0 0 0 #. n ^' I U) w U Q W � c 3: a r—w o0 �n r` o Y _ CO � O O(1)„ i 0 1 N = ¢ a z 00 00 CO cra X v ~ Z O00(� � > m -C WO O 'M n CLQ n 0w m LL W Z J F- W W Qf c (9 (D U0 ❑ ZZ 6F_ Wg0 m -j E noz W 00 W JQ a J Q > c7zoa 55ujz-a,DM JQ w U) jr (n0~JW LL (7 OC70 o 7 D ❑= v� � X F- Z Q❑ Q= W. Y JU�Ncn QZ ... NQQQ J Z JZa.Q W� ��1 ° EL CL En am=p.Q-�❑ UaQ-co _jQWOU QQ�❑J Vto CDJ❑W/� LLMFL W 1-UrNO_'cD..=fa-- acV KXd �e=NNr _ja0 U<O� C-4CN ap }d} h-�N 3 0 2 O ci -fl W 0 6 m _ F -J_ LL ° 4a N , :U:)) O 4 ° ■�.■ O❑WZ o 00 U 0�� m ° Qm O �Qcu �00a a � U LL U rn Z::) o OO rd X X a Z Z N N ti �chNN ._' �H G Zoa , 4) O J = WOODULLJ F QI v ci m F- U 0 W - v�WbLLOL) � U X E �J xZZ .. W N W 0 :J W O vm vJN2U 41. ....,-..� (� 4 ° J �e 0 � Z '4 CJ_7 4 X 0 >- N U CV) ao N ,a a HOZ ZQD� ZO O UZZO o0UW U F- D Q o W } ° aZXZY 4 O O O 0A LL _J 4 4 o N m CL E 4i v „0-�S .0L m Y m •� E m C — N O m N y m U N a C_ N > E o a Q - o� Ev 3= 3m $..r- me o cc U V y� N N O 4✓ 2m U t _ = U mro -SL M m r m C O V NJC U D= 'O� m mfD m 'ro c C m C OCL -Do N m Rp� v m e a.2 ED m 0 4) _m p 0 y U N m y r M E ma l/ D N C 'c N� y 2 N 01 m C C @ N m 0_ ESQ= N !Lm O 7 y 7 me cc, C U-) EoN m �u C m N o.m v _m ram m N m o m v m E _� �.�2 N C m '° m � D m m N m m jN c E m �im m m y mm'H r yN a)N NC .0 m w V C C N 0 V r0 N .O p� t m m m 7 N N p m m 0> mymm s m: my m m� ,m mE o= M m c E N m c E 0m dam m c O L8 co C) m�0 M `Om v0L 01- mN w _� � C1 G't0� a- m m .T C, M L `° a v v`�i m o m m m �-A s >- N =(D E o, T c m m O)'m 0 2 D ui'0 m J v L L m r E m E N w o m C C O Z c u> tmE 'a m o .E c 0, m, c � O1mo aciIE N m C c m .E m co'c E O tF �3 m_Ec > m c t 0 m O E E E o' m m o, m o'm •Q m g c N n€ mo E r -'i ovi m m u v m mN(D O N m= E j v _O oLL N O m y m ID 9'm N O a O c N t =5 N O W N my 9 Y LL m Vit C C N N vL L� m Q 3 �j �'3 W g U Q' N c7 V' fC I� i7 T N) z 0 -n r- 0 0 X -n z O -110 'U rl I 1 a) x C �q I � 1 0 CD 0' 0 0 w :r 3 ou 0 X 0 O (n to -4 -4 O La C) 00 CD z 0 CD ilk It I -110 'U rl I 1 a) x C �q I � 1 0 CD 0' 0 0 w :r 3 ou 0 X 0 O (n to -4 -4 O La C) 00 CD z 0 CD Location ' %gin ,,,, Date /- �/ ' '> ` N�RTM TOWN OF NORTH ANDOVER l 9 � Y) ' Certificate of Occupancy $ /- �'�S'^••°''<�' Building/Frame /Frame Permit Fee $ s�cHust 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ A" � Check # l /--/-) 14350 Building-insr