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HomeMy WebLinkAboutMiscellaneous - 22 NANTUCKET DRIVE 4/30/2018 ` ' �.S �� I i i� II I � ' 1 h 1 I i 1 1 1 Town of North Andover * tkoRT O +Ityeo ,6'9.y Building Department � yt; 1.'6 0 Z. 27 Charles Street o . North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 COC NI[MCWNN Aceaus���� APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS2 N.�AI%tlC, e,% /�� ✓-C LOT NUMBER / 2- SUBDIVISION DATE REQUEST FILED __�o z�z DATE READY FOR INSPECTION FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REOUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE ($25.)DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTING CONSERVATION DATE PL DA E D.P.W. —WATER METE DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED 1 OT(',IIJA 0 INSPECTIO QUEST DATE. TDPW AUTHORIZATIO ` � I Commonwealth of Massachusetts OtriaalUse Only V Department of Fire Services Permit No.BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.11/99j cave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code O&C, 7 CMR 200 (PLEASE PRINT IN INK OR TYP 0 ONJ Date: City or Town of: To the Inspecto of Wi By this application the undersigr=gives noel o his or ben on t rm the electrical work described below. Location(Street&N ber) to Owner or Tenant todd 154a E- A LL go r C06 ` Telephone No. • Owner's Address 04 Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Boz) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps ! Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders an d Ampactty Location and Nature of Proposed Electrical Work: Completion of the fo!lawini table maybe valvea by rhe Ir-snector of;Vires. No. of Recessed Fixtures INo.of Cent-Susp.(Paddle)Fansl!Transformers KVA No.of Totai ( No.of Lighting OutletsINo.of Hot Tubs Generators KVA No.of Lighting Ftxiures (Swimming Pool Above ❑ ln- ❑ o.of mergcncy I;nung rnd. arnd. Battery Units U-MIMS INo.of Zones Detection and 3 D� itiatine Devices N2 341 0 Date........................... Alerting Devices cif ontained f pORTH ion/Alertin�Devices ';�`` 6. aoG TOWN OF NORTH ANDOVER dot n'coon (I Other � A PERMIT FOR WIRING tp bys=r L of Devices or Eauivalent ,r.o•�'"h Vining ,SS^CMUSE� L of Devices or Eauivalent immunizations Wiring: a of Devices or EouWr'Ient This certifies that 191/ / ................................................................... "+ has permission to perform..:-' 1`�—* ...�. ................................... r as required by the Inspector of Hires. of electrical work may issue unless wiringin the building of ......... ....` ................ eq ,.S. ...:....... or its substantial covalent. The erntit issuing offim at..:.. ................. ............................. ............... .;,North Andover,Mass. Fee.. ��.. . Lic.No. ............ .................................... ........................ (Expuanon Dau) ELECTRICAL INSPECTOR icy.) Check # c 10,and upon completion WHITE: Applicant CANARY: Building Dept. PINK:Treasurer t is true and complete 9 LIC NO.: 1533C `t ea-M—No n .Basse� Signatu �`-�j��.IC N0: 1533C (Ifapplirable,enter"esenrpt"in die liceruenumber line.) Bus. No.:-503 594-5900 Address: Alt.Tei.No-:_603 594-5928 OWNER'S INSURANCE WAIVER I am aware that the licensee does not have the liability insurance covelagc normally required by law. By my signature:below,I hereby waive this requirement. I am the(check one)❑owner ❑ownei s agent. Owncr/Agent Signature :] fLghonc No. PERMIT FEE: .S � Location /-Obool �Icpa NAR1 IvC k'd -D� No. 101 (o Date S---�3. 0 NORTH TOWN OF NORTH ANDOVER o+oma,t`•o '•,�o R � l A • ; Certificate of Occupancy $ JAC' USEt� Building/Frame Permit Fee $ _ 4 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �S .— Check # Building Inspector Lcpr i 2-Z TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING WIN', k . BUILDING PERMIT SIGNATURE: G' l Building Commissionerfl for of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 22 n Map Numb Parcel Number 1.3 (•in Information: _ / 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(st Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided R red Provided 1.7 WaterS ty M.GLC.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private p Zone Outside Flood Zone Municipal On Site Disposal System ❑ as SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rl 2.1O �f Record Name(Prin Address for Service: / ignature Telephone 2.2 Owner of Record: Name Print Address for Service: Si ature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licens Construction Supervisor: Not Applicable ❑ MEN Licensed Con ruction Supervisor: / /� 5� j�lry .� �„ ) „(��G License Number Address d/ Expiration Date (/ gnature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable Company Name Registration Number r Address 2 Expiration Date Si nature Telephone SECTION 4-WORKERS COMPENSATION(KG.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit w1;1 result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No.......0 SECTION 5 Description of Proposed Work check all applicable) New Construction VY, Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. 0 Demolition 0 Other ❑ Specify Brief Description of Proposed W Z 1 // L SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be R ' Completed by permit applicant g 1. Building (a) Building Permit Fee e d Multi Tier 2 Electrical (b) Estimated Total Cost of n Q�d Construction / a Is-l i — 3 Plumbing Building Permit fee($)x (b) 4 Mechanical HVAC 5 Fire Protection / 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHoRfzkfV5K 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 pen-nit application. Signature of Owner Date SECTION 7b OW NE THORIZED AGENT DECLARATI N I, ,as Owner/Authorized Agent of subject property Hereby declare that the statements and,in€o tion on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Si atz e of Owner/A ent Date NO. OF STORIES SIZE gR SLAB RD OF FLOOR TRABERS ( s e- 2ND ol 3 SPAN DEVIENSIONS OF S1LrS DIN ENSIONS OF POSTS / DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS D SIZE OF FOOTING X MATERIAL OFC opez IS BUILDING O R FILLED LAND IS BUILDING CTPD TO NATURAL GAS LINE FORM - U '- WT 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. �■■..■■■■■rr■r■r■r■■rrrrrr■■■r■rrrrrr■r.■■r■■■�rrr.....■■...■rrrr..■rr.■rrr■ APPLICANT CPHONE. �� ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION CjA'� ��5 S� LOT NUMBER 2— STREET �/ ,�TvG�c�' ��rSTREET NUMBERd '. ....■...wis.OWN. .■r...........■....■......r........................r...■.■r OFFICIAL USE ONLY man....................r..r■.........■■....■r..r■.■rrrrrr.r■■rr.r . RE NEVENDATIONS OF TOWN AGENTS ■ ■.■ .■ -tie] r■ .■■■■■rrr■.■■■■...■rrr■■r■■rr■■■■.r.rr■r..■r■rrr'■■■rr.■rrrr■r■ . " Z - DATE APPROVED O SER VATTON ADMI11USTRATOR DATE REJECTED COrRYIENTS DATE APPROVED TOWN P P DATE REJECTED COT\RV ENTS DATE APPROVED_.. ._ 412N=4SPPEC-TO - TH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED COrRvfEIJT•S - /WATER CONNECTIONS PUBLIC WORKS SEWER ate; DRIVEWAY PERMIT DATE APPROVED FIRE DEPA.IYTIviENT DATE REJECTED COMMENTS I RECENED BY BUILDING INSPECTOR DATE i P y Z Q Z � l 6.72' 90.80 w LOT / 12 i � I 13,37-9 sq. fl. i I17.9' 19.7 1 � r 1 Proposed Proposed W LOT AVf R.CORNIR� Unit FF U232.0 � N F R. CORNIER FF=232.0 3 0 LOT � 1 0 � , t GF= GF= 228.0 228.0 a 100.00 "S 8" C.L.D.I. W R � % 8" PVC 8" PVC ANTUCI�ET 12H RCP N DRIVE ���"OF M46S9 y ® s+ S+ 50' WIDE ) = DOUGLAS E. s s+ C LEES o C VILC. 9 0 ; .o �F ��4 E a S10 PROPOSED PLOT PLAN DANA F. PERKINS, ina. Consulting Engineers & Land Surveyors LOT 12 1215 MAIN STREET a UNIT I11 TEVKSBURY, MASSACHUSETTS 01876 CHATHAM CROSSINGPREPARED FOR: RAY CORMIER NORTH ANDOVER, AfASS. 59 CHANDLER CIRCLE ANDOVER, MASS. SCALE: 1"=40' DATE: MAY 3,2001 JOB NO.51165 SHEET 1 OF I COPYRIGHT 0 2001 BY DANA F. PERKINS, inc. TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 J.WILLIAM HMURCIAK, P.E. Telephone(978)685-0950 DIRECTOR Fax(978)688-9673 NORTH 2 0 e4"s o "s a'V 0L F A ill k R C Nl15Et�y r. Lt�b: DRIVEWAY PERMIT , DATE o4 ZflD LOCATION ZD — ZZ ►�d�1�`�i1 CIC, ' jv(� ZDl (. , BUILDER phone OWNER 24 02 M t phone 7$ 8(S — 44-6g THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM STREET . CALL THE SUPERINTENDENT'S OFFICE BEFORE FINISH GRADING AND SURFACING FOR APPROVAL OF SUCH ENTRY. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. i gall �Y i of NORTH AUTOMATIC LAWN IRRIGATION SYSTEM PERMIT ? a�M,.ao.*ay64rOC TOWN OF NORTH ANDOVER MASSACHUSETTS ?Alan `ay . �sSRCNUs� ALL INFORMATION MUST BE PROVIDED,BY A LICENSED PLUMBER, PRINTED IN INK AND LEGIBLE.IF NOT THE PERMIT WILL BE REJECTED. DATE: LOT#: LOCATION: ZD .-22_ �bx)I UCS Di_>) v,�e NUMBER STREET NAME BUILDER: NAME TELEPHONE NUMBER STREET NAME TOWN/CITY&STATE OWNER: NAME TELEPHONE NUMBER STREET NAME TOWN/CITY&STATE PLUMBER: NAME TELEPHONE NUMBER STREET NAME TOWN/CITY&STAT LICENSE NO. EXPIRATION DATE. SERIAL NO. IRRIGATION INSTALLER IF NOT THE PLUMBER INSTALLER: COMPANY TELEPHONE NUMBER STREET NAME TOWN/CITY&STATE INDIVIDUAL NAME TELEPHONE The plumber,must install the connection to the municipal water supply within the building,the water line to the outside of the building and the backflow device. A registered irrigation installer may then install the balance of the Automatic Lawn Irrigation system.NO irrigation heads will be allowed in the right of way(near edge of pavement).ALL irrigation heads MUST..be at or behind the property line.All heads installed in the right of way will be removed immediately upon notification and said plumber or installer will not be allowed to perform any future work on the municipal water"supply, until,the heads are removed from the right of way.Sign below that you have read this paragraph and understand it. SIGNATURE OF PLUMBER DATE THIS PERMIT MUST BE POSTED AT THE CONNECTION/METER LOCATION FOR THE INSPECTOR. INSIDE CONNECTION METER(IF APPLICABLE) BACKFLOW DEVICE RAIN SENSING DEVICE COMMENTS I ,I ° 668 APPLICATION FOR,SEWER SERVICE CONNECTION North Andover, Mayss� 1� IApplication by the undersigned is hereby made to connect with the town sewer main in /VCS Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. 26 �Ldurlze� D�4104n— Street or subdivision lot no. t Z— Owner Address Contractor Address Xplificant's <19nature i' PERMIT TO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants permission to all- l P/— to make a connection with the sewer main at 42jIl T\/L �e-/ Street 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 777 .7 ful , t APPLICATION fOR,�WATER SERVICE,CONNECTIOff ":; (7kt .r Application by ttie undersigned is'hereby.madekto onnect with the town water main in?t� /VV t�^ ��FT¢ r , *subject to the ru(eystland regulations of the'Division of Public Works t tid�. p �7W{l' #3.Fwit The premises are known as No ' .y - L�V l ��: Street S j �% �. or subdivi'sion1lot no CSwner Address ` >: Corytractor',.`$ bei ' ,y Y-!�%:• f Address fly F$ 'F -. .� � Y'�d � V r Applicant's Si ature ao r 00,60 t �� M f t �' >, P,,ERMIT TO, ONNECT`WITH-WATER MAIN �r � . , The<Board of Public Works herebygrants'permission� to m'ak'ea>connection'with the wtefi main at 'a t YW r Street W subtect to,�the rules and regulations of the Divisioriof Public Works u y °"sad �� �1 J41L {�f v oar ..of Public Works it °I W mix q i r y} fin_ Inspected by sw ai :y e kL�t¢ ,r 'a c See back forrules and regulations x t W cry - i k : �� t ,�� � a Vic+ } � rl t �� "• _. ¢ 7 n �'n1+ .h ;e i DPW 349 Date NORTI� " 3a �''� '::�"°oma TOWN OF NORTH ANDOVER O 9 F RECEIPT ,S`SACHUS(� This certifies that .....C� l ................. haspaid................................ . .4�, for ........:..... f c Received by .. "" u)r. ��.%........................ .............................. . . :� �� . :. ............ . ................. . Department............................ ..t�... . WHITE: Applicant CANARY:Department PINK:Treasurer I i DPW 348 Date ... .7�: ... ®...... i �NORTN, oar'�•�'"''�°°� TOWN OF NORTH ANDOVER a RECEIPT ssgcHUs� This certifies that ........ haspaid... ......... ..............4. ..��®,...�o.................. 7,0 ..... At- for...... " . ... ........................................................ Receivedby....................................... .. .....te ................. Department .............................1...i9.K✓. . ...... .QP .. ................ WHITE: Applicant CANARY:Department PINK:Treasurer The Commonwealth of Massachusetts Department of Industrial Accidents d Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit } Name Please Print Name: Location: 6 citv Al, Phone # II am a homeowner performing all work myself. i I am a sole proprietor and have no one working in any capacity i Ikiceice am an employer providing workers'compensa�ti n for my employees working on this job. ` company name: Address Citv: j,�-t� /v v Z- Phone#: Insurance Co. PolicV# Com:an name: . Address Ci Phone#: !i Insurance Co Poliev# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to$1,500.00 and/or one years'imprisonment_as Well..as_civll,penaftiesinthelorm-of a-STOP.WORK_ORDER.and:.a.fine:of,($1Do.DD),A Aay against me. I understand that a copy of this statemen Warded to the Office of Investigations of the DIA for Coverage verification. I do hereby certify under fhin nd penalties of pe that-the he info afi �ed above is Prue and correct. Signature Date � . Print name 'L Phone.# official use only do not write in this area to be completed by city or town official' e' City or Town Permit/Licensing Building Dept []Check if immediate response is required Licensing Board E] Selectman's Office : Phone A- E] Health Department 1 Contact person: j � Other 9 i I Town of North Andover OORTil 0 Building Department 0 27 Charles Street _ North Andover, Massachusetts 01845 4 @•° (978) 688-9545 Fax(978) 688-9542 �4GoAr .� ^TED ACHUS DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of. Building permit # the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in//at: F i ity location Sign e of App icant Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. C ell � z �22 GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVER BUILDING DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw.The applicant shall provide all of the neves information as requested below. Permit Afplicant Property address Map/Parcel App tcanl is Phone Number Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 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 fora building permit for the enlargement,restoration or reconstruction of a dwelling in. existence as of the effective date of this bylaw,provided that no additional residential unit is created. The lot(s)was/were created prior to May 6, 1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and or moderate income families or individuals,where all of the conditions of 8.7.6 are met and or represents dwelling units for senior residents,where occupancy of the units is restricted to senior citizens through a properly executed and recorded deed restriction running with the land.For purposes of this section"senior"shall mean persons over the age of 55. This application is part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density(buildable Iots)below the density permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism approved by the planning board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 and shall receive a one time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for a building permit(all other permits from all other boards and commissions have been received and the project is in compliance with those permits),and the Development Schedule does not accommodate issuing a building permit in that year.One building permit will be issued per year per Development until such time as the development schedule accommodates issuing building permits.Applicant must submit an approved FORM U with this EXEMPTION. PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS. BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE. FURTHER I UNDERSTAND—T4IWT' AL OF MISLEADING OR INACCURATE INFORMATION OR THE CHECKING OFF OEtiA COVE ON CH DOES NO DONE TO MY KNOWLEDGE OR NOT IS GROAL BY IN AR ISSUE A BUILDING PERMIT. A� APPLICANTS A DATE THIS FORM O BE ATTAC0 THE BUILDING PERMIT APPLICATION RTH Town o �� : 4Andover 0 . aj6 C% No ndover, Ma _ ss., T O L A K E COCMICHEWICK '4ATED PY C7 �SSACHUS� FOR EXCAVATION AND FOUNDATION THIS CERTIFIES THAT .... At... .I*r Amdo.40f.r Cot".. ev re�.................. has permission to excavate and pour foundation.at ..,4.0 J IVA�ll���C;,�Ir,-,,,.., �. for the purpose0� 5'..,, 4k..Q?SW!... .YA � .... .. ..., �i/�1�/ The person accepting this permit must return to the office of the Building Inspector a certified plot plan show of building thereon before Foundation will be inspected. A19 �'X VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. ......... I-0W* . ............................................................... BUILDING INSPECTOR AORTH E Town of over 0 No. O� roc L pdower, Mass., ,. �q RATED PP CO S H E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System ��� �� � BUILDING INSPECTOR THIS CERTIFIES THAT I I"I1�I. ..� � .... I1i�1�`........ �! U /� • ..a...... '......... ........ . Foundation has permission to erect............../........................ buildin s on A111*10 ��.....�14A....OWOO!10�41�'.. !��.P*a Rough to be occupied as.. I!'O 0/�'� Chimney �, ' .................. .i.................-...................... ,..................... ........ ... .../�....1......... ice. provided that the person accepting this permit shall in every respect-conform to the terms of the application / Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Con�f Buildings in the Town of North Andover. M a/ #7 P*4 42 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR Rough ....... ............... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. MMCGUIRE MMCGUIRE M.G.L. - Chapter 71 , Section 89 05-22-01 02:44 PO C). ::: rZ .. N :: : ............................ ................. ........................ .. ................ ... ........ .................. ........ ............................ ........ ............ ............ ...... ..................................... ..................................... ................................................. ..................................... ................................................. / / 1 Location l`�� /oZ c a �1-��^)y L c Y,. ID(� No. C9 Date 0 i NORTH TOWN OF NORTH ANDOVER F F i Certificate of Occupancy $ �' b''••°''<� Building/Frame Permit Fee $ l I a ,SSACMUSE � Foundation Permit Fee $ Other Permit Fee $ TOTAL $ � Check # Building Inspector I rAN sP N � (o--r) © I a LOT# 13 PS � � W s o N/F THOMAS 6. & MARIE NICO N/F THOMAS G. MARIE Nlll j 136.10' 6.72' w 18.7' N/F EDWARD G. 0 7.0' JOAN F. Rn 3: 31.0' 14.0'o 016.0' o a, 25.6' CD 35.1' N/F ELLIOT R. COT If In N 7.0' IORETTA JO BATTAGUA v p 1.0 EXISTING FOUNDATION ;, 01 o 00, TOP OF FOUNDATION=231.57' „N, o & MARIE HILL N/F THOMAS rr�'� o O "V o 7.0 N/F BRUNO G. PULL/IER !� 25.6' 0 0 0 0 0 MARANE BECISLE 06 4 L07 12 14.0' 16.0' AREA=1,3,,379 f S.f. 18 9' 1 �- 134.80 o� h V LOT I HEREBY CERTIFY THAT THE FOUNDATION ON LOT 12 IS LOCATED AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE -LAW OF THE TOWN OF NORTH ANDOVER. `IA OF A'on GREGORY. �rG ............... OLAND PROFEtAC9OR ORAN No. 38034 DATE:.....S ....... gNCFESSI�t`4Q' 0 CE'RTIFIE'D PLOT D i�ERKINS, Inc. Consulting Engineers &land Surveyors PLAN OF LAND IN 1215 MAIN STREET - UNIT 111 ................... ......... TEWKSBURY, MASSACHUSETTS 01876 N.ANDOVER, MASSACHUSETTS PREPARED FOR: CORMIER-ANDOVER CONSTRUCTION CORP. CHATHAM CROSSING 59 CHANDLER CIRCLE ANDOVER. MASSACHUSETTS SCALE: 1"=4.0' DATE: MAY 29, 2001 JOB NO.51165-12 1 SHEET 1 OF 1 COPYRIGHT 0 2001 BY DANA F. PERKINS, Inc. NO WTFf pa s a qh0 �SSacH�S� CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number D / Date D THIS CERTIFIES THAT /� / THE BUILDING LOCATED ON 0 �� # c) t: �(I U �UC- K4 MAY BE OCCUPIED AS S6�J, ? `� /J SIS// 77AC{yl-�l !-/L�p�p Dav-&-��t IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING J CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. /J Q CERTIFTCATE ISSUED TO Building Inspector %ORTH Andover T0VM of p No. N. �a� L Po dover, Mass., S 3 A RATED P S H E � BOARD OF HEALTH PERMIT T D . Food/Kitchen Septic System � �Z r BUILDING INSPECTOR THIS CERTIFIES THAT.........�.I!./1!�....'..^... Aad. v+. ......��Ob .......0 .......� �� Foundation 10,�/�has permission to erect..............�....................... buildin s on �� NO#!Vf/C.. M .D�• Rough �� t0 be occupied as.. room �� Q. 1110 .C�� ' /�r Chimn2� ��:�." ��.•'L►c' p '� .......... . ........................................ . ... .�......... provided that the person accepting this permit shall in every respect,conform to the terms of the application / / Final By he Inspection, ci this office, and to the provisions of the Codes and -Laws relating to the Alteration and Con on of ✓' - ``� Buildings in the Town of North Andover. ,�,� / 7 p�� maw PLUMBING INSPECTOR �u VIOLATION of the Zoning or Building Regulations Voids this Permit. ell",_ ��� fp PERMIT EXPIRES IN 6 MONTHS final - L ` UNLESS CONSTRUCTION ST TS LECTRI A/LINSPE c o ll` � / ... .................... ..... ..... BUILDING INSPECTOR Occupancy Pe'11nit Required t0 Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove N i No Lathing or Dry Wall To Be Done lJ FIR DEPA ENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE11 Smoke Det. G/ �� y/ 8 gORTlf Otiso M1s'ig0 F p 'SRCIiUS K� CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTHANDOVER Building Permit Number Date THIS CERTIFIES THAT /9THE BUILDING LOCATED ON �ya MAY BE OCCUPIED AS j /e -tj4 011 / Dut) IN ACCORDANCE WITH THE P VI IONS OF 4M,MASSACHUSETTS STATE.BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. 9 oo Hr s - hS J o7 S'¢a/l ✓4 CERTIFICATE ISSUED TO ly ! *h If s m)��� Nt 4106 SoupoLcl4 Building Inspector NORT#j Town of ^ over 1 No. AlO 8 DiC-OC- LA O dover, Mass.> MICMEWICK � �d AORATED p5 S BOARD OF HEALTH PERMIT T Food/Kitchen Septic System SSco x �> BUILDING INSPECTOR THIS CERTIFIES THAT a� � ... . ... ...... ........................................................ �....�..�.' '•• Foundation has permission to erect.. 1....................... buildings on ! a -..9� 0 . ....... .........� Rough `- -cz to be occupied as.. Mhim�ney� provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of ✓ Buildings in the Town of North Andover. /6)8e//,38 X //O -/Q n PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Pa PERMEXPIRES IN 6 MONTHS _ IT t ELECTRI AL PEC UNLESS CONSTRUCTION ST TS ou � � ....................... ............ .. Service BUIL G INSPECTOR i Occupancy Permit Required to Occupy Building GAS INSP CTOR Rough A�a Display in a Conspicuous Place on the Premises - Do Not Remove Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. BurnerFlRE DEPARTM NT AllJ Street No. / z— SEE REVERSE SIDE smoke Det. w i p ' AScheck COMPLIANCE REPORT assachusetts Energy Code permit ## AScheck Software Version 2. 0 Checked by/Date ITY: Lawrence TATE: Massachusetts DD 625 L, EATING TYPE: 1 or 2 family, detached EATING SYSTEM TYPE: Other (Non-Electric Resistance) ATE: 5-16-2001 2-Z PWAI r(/Cx 4 ATE OF PLANS : 5-11-01 ITLE: CONDOMINIUM ROJECT INFORMATION: j AY CORMIER OT 13 ANTUCKET DRIVE OMPLIANCE: PASSES equired UA = 268 our Hoge = 263 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------ EILINGS 1132 38 .0 0 .0 34 ALLS : Wood Frame, 16" O.C. 989 19 .0 3 .0 53 LAZING: Windows or Doors 185 0 .350 65 LAZING: Skylights 35 0 .410 14 OORS 21 0 .350 7 OORS 84 0 .350 29 LOORS : Over Unconditioned Space 1282 19 .0 61 VAC EFFICIENCY: Furnace, 83 .0 AFUE ------------------------------------------------------------------------------ OMPLIANCE STATEMENT: The proposed building design represented in these .ocuments is consistent with the building plans, specifications, and other alculations submitted with the permit application. The proposed building .as been designed to meet the requirements of the Massachusetts Energy Code. 'he heating load for this building, and the cooling load if appropriate as been determined using the applicable Standard Design Conditions found n the Code. The HVAC equipment selected to heat or cool the building hall be no greater than 125° of t sign 1 d as s pecif led in ections 780CMR 1310 an �4 •uilder/Designer Date i i i w AScheck INSPECTION CHECKLIST assachusetts Energy Code AScheck. Software Version 2 .0 ONDOMINIUM ATE: 5-16-2001 ldg. ept . se CEILINGS : ] 1. R-38 Comments/.Location WALLS : ] 1 . Wood Frame, 16" O.C. , R-19 + R-3 Comments/Location WINDOWS AND GLASS DOORS : ] 1. U-value : 0 . 35 For windows without labeled U-values, describe features: # Panes . Frame Type Thermal Break? { ] YesNo { ] Comments/Location SKYLIGHTS : l 1 . U-value: 0 ..41 For skylights without labeled U-values, describe features : # Panes Frame Type Thermal Break? { ] Yes. { ] No- Comments/Location DOORS : ] 1 . U-value: 0 .35 Comments/Location ] 2 . U-value: 0 .35 Comments/Location FLOORS : Over Unconditioned -Space, R--19 Comments/Location MVAC EQUIPMENT EFFICIENCY: ] X . Furna-ce, 83 . 0 AFUE or higher Make and Model Number THERMOSTATS : l Adjustable thermostats required for each HVAC system. AIR LEAKAGE: ] Joints-, penetrations, and all other such openings in the building envelope that are sources of air must leakage be i g sealed.. Reces-sed lights must be type. IC rated and installed with no penetrations- or installed inside an appropriate air-tight assembly with a O .E" cl-earance from c-ombustible materials and 311 clearance from insulation. VAPOR RETARDER: ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors . MATERIALS IDENTIFICATION-: i Materials and equipment must 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 be clearly marked on the building plans or specifications . DUCT .INSULATION: Ducts in .unconditioned spaces must be insulated to R-5 . Ducts outside the building must be insulated to R-8.0 . DUCT CONSTRUCTION: All ducts must be sealed with mastic and fibrous backing tape. Pre ssure=sensitive tape may be used for fibrous ducts . The -HVAC system must provide a means for balancing air and water systems_ TEMPERATURE CONTROLS: l Thermostats are required for each separate HVAC system. A .-manual or automatic means to partially restrict or shut off the heatilg- 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 . MISC REQUIREMENTS : l Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems . ---NOTES TO FIELD (Building Department Use Only) ------------------------- I i