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Miscellaneous - 244 WEBSTER WOODS 4/30/2018 (2)
i Location), 43)A k SJ PP aa,J/'k No. z. Date 4R-10-01 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 5 �` Check #�� 14 3 9 Building Inspector t CERnFI D PLOT PLAN S,E. CUMMINGS & ASSOC/A TEs P.O. Box 1337' PLA/STOW, N.H. 03865 TELEPHONE 160M482-5065 FAX (603)482-5216 o,r-/ 6e /,& `1 IsSU€Ji ;e7l—/0 Tp4,US fir) d'&C( 0 STALE 1 = 50' BB- 81 BB -84 , 1 BB- 80 J j BB -85 BB- B8-86 .BOJ 10 1 ! BB -71 St94r. 2 �B 7 l HEREBY CERTIFY TO TOWN OF NORTH ANDOVER, MA BUILDING DEPARTMENT THA T THE EX/STING FOUNDA TION DRA WN ON THIS PLAN IS L OCA TED AS SHOWN AND THA T IT DOES COMPL Y TO THE MINIMUM BUILDING SETBACKS TO PROPERTY LINES B- 2 hry � S7 941 DATE: AUGUST 6, 2001 7 -Al/ AdAn 1/1n/ //1T 71A inn ivinr r"7 -A tv1 ✓in CAMPBELL FOREST NORTH ANDOVER, MA. MINIMUM SETBACKS.- FRONT - 30 FEET SIDE -- 30 FEET REAR - 30 FEET 2 \�, O ' <01 LOT 31 A F9�� r 1 �s�ss43,651 SF ABB -83 STALE 1 = 50' BB- 81 BB -84 , 1 BB- 80 J j BB -85 BB- B8-86 .BOJ 10 1 ! BB -71 St94r. 2 �B 7 l HEREBY CERTIFY TO TOWN OF NORTH ANDOVER, MA BUILDING DEPARTMENT THA T THE EX/STING FOUNDA TION DRA WN ON THIS PLAN IS L OCA TED AS SHOWN AND THA T IT DOES COMPL Y TO THE MINIMUM BUILDING SETBACKS TO PROPERTY LINES B- 2 hry � S7 941 DATE: AUGUST 6, 2001 7 -Al/ AdAn 1/1n/ //1T 71A inn ivinr r"7 -A tv1 ✓in CAMPBELL FOREST NORTH ANDOVER, MA. MINIMUM SETBACKS.- FRONT - 30 FEET SIDE -- 30 FEET REAR - 30 FEET THE MMMUNWE40HU1''1194W(-HU3E1 is Uttice Use only DEPARTAMATOFPUBLICSAFM Permit No. BOARD 0FFIREPRE1EW0NREGMT10AN5r(W 12:00 77. Occupancy & Fees Checked �PPLICATIONOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Deg lo Town of North Andover To the Inspector k Wires: The undersigned lies for permit to I g app p perform the electrical work described below. Location (Street 1 Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes � No U (Check Appropriate Box) Purpose of Building k" � Utility Authorization No. Existing Service Amps Volts Overhead Underground No. of Meters New Service ca_ Amps Ac-�G Volts Overhead Underground ED No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA Total No. of Lighting Fixtures Swimming Pool Above r1 Below r7 Generators KVA No. of Receptacle Outlets No. of Switch Outlets No. of Ranges No. of Disposals No. of Dishwashers No. of Oil Burners No. of Gas Burners No. of Air Cond. No. of Heat Total Pumps Tons Space Area Heating Heal'q¢.De .ice,. No. of Emergency Lighting Total - I FIRE ALARMS Ton's KW KW No, of Detection and Initiating Devices No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Local Municipal Connections Units No. of Zones TOWN OF NORTH ANDOVER U D PERMIT' -FOR" WIRING- YES NO 0 -^'..�i,-•'' �/`Y'C...t"s"-�y,"`"�,.zr..�(}-.•'F`._�E'�.-.� Thiscertifies tha`t.................:........................................................................... f � J has`permission to.perform ......: wiring in the building of ?:................. -�.....-/-k ' �`� ...... ..... at �r/ �' ,`-..�. , �N orth Andover, Mass. Feel <....... Lic. Nod �?. k f�,!1 :. °............................................... r ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer ENiatim D* filed VabxdEkdti -A Wait $ Fels) C n 35S i &Eir=TdNa 11? 4a 21.q 63� AkTe1.Na 9�8 baa •�lblg was by1�d;Ise�s Gsl�al Laws -- C'vF1.v1J� V- PERMIT FEE $sJ�Z. Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978)688-9545 Fax(978)688-9542 /Ot�t�eo '167 6�0 Q A PX <OCMIC WK• 1' gcNus���y APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS c� VV GX)60bSf er k060gl_S e0m f LOT NUMBER 3 % j% j %JSUBDIVISION p,bQ,�� ForeSl- DATE REQUEST FILED oZ. // /a oZ DATE READY FOR INSPECTION 2 FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S 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 �- FFICIAL USE ONLY ROUTING CONSERVATION DATE Z v PLANNING= DATE 7' Z D.P. W. - WA R METER 19e �tl�l<� DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. r_4 -aZ SIGNATUWIkW AUTHORIZATION MR a 1 O b Z C z r' 4 J N�A v • c N c� 2acm — Aw.co, CD C: CD CD n --�_ CD ° z E n,.. 6 F� m N N LO C O O Em w U CL m V/C/) )� y D �/ J C y Q /w Mei O:mOr ciO N O O . Z c n Q .�: CMEMOM d=..COD N •.. N m y0, D W C •N nr W C Z LU 0.- 2c O _ O O V� cm n O� O� _ A A N t- 0 CL m a M I Com_ COD p 'C y O O �g m m CD Ck. ~ ♦'C... �3 CD O O" CL �Q E Co � c .G. O,) CCO3 Z CD CL V CO) c C C C _c d COD is L u *s w , wIW eiz� cnv N W O zco Q 0 ° -C cd w Ila ° v ° G °8 a w cn cn v • c N c� 2acm — Aw.co, CD C: CD CD n --�_ CD ° z E n,.. 6 F� m N N LO C O O Em w U CL m V/C/) )� y D �/ J C y Q /w Mei O:mOr ciO N O O . Z c n Q .�: CMEMOM d=..COD N •.. N m y0, D W C •N nr W C Z LU 0.- 2c O _ O O V� cm n O� O� _ A A N t- 0 CL m a M I Com_ COD p 'C y O O �g m m CD Ck. ~ ♦'C... �3 CD O O" CL �Q E Co � c .G. O,) CCO3 Z CD CL V CO) c C C C _c d COD is L N CL aria d I 0 c N a Location Lbt31 A #0q � Webs-Acr Waoc s La No. Date Ic NORT1y TOWN OF NORTH ANDOVER Oft`•o :•,�O i • OL Certificate of Occupancy $ s'•CH�MUS U E.� Building/Frame Permit Fee $ a ...— A Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 19964 15202 -M M CCQ-.-- T Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ;�"forOffiddUseOM Tkb Sft y BUILDING PERMIT NUMBER: DATE ISSUED: 9-0) 00 SIGNATURE: Building Commissioner/In ctor of Buildings Date SECTION I- SITE INFORMATION I l.1 Property Address:A-0,e_� 0 31 1.2 Assessors Map and Parcel Number: ZZ �,�2ze r 1, 1668 / -7Y- 1i) (-,Jos �er Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: /?,2— slti� k Zoning District Proposed-Ose Lot Area (sf) Frontage ft) 1.6 BUILDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide Required j Provided Required- Provided 3 3 o / 0/ 1.7 Water Supply M.G.L.C.40. § 34) 1.5. Flood Zone Information: Outside Flood Zone 0 1.9 Sewerage Disposal System: Municipal On Site Disposal System 0 Public AW Private 0 Zone SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record 1fe 3oo /y. Name(PrinAddress for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Tele hone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 Licensed Constr3kction Supervisor: C,S 0 6 3 License Number /40 49 43ym-�S, Sle. 9 e7 0 Address 6 5 7 Expiration Date Signature 11-�— Telephone 'e, — -- x.557 -C) 5 , 741 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name Registration Number Address Expiration Date T(-.1enhone X, N - 0 z M SECTION 4 - WORICERS COMPENSATION (M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes ...... No ....... ❑ SECTION 5 Description of Proposed Work check all a Ucable New Construction # Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ' ❑ Other ❑ Specify ' Brief Description of Proposed ��Vork: ` f CUrTMN z - VcTTMSTFn CON.CTRIT ON COSTS I Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY - 1. Building lacy" 0 1 (a) Building Permit Fee Multiplier e 6. S l odd 2 Electrical b ; Estimated Total Cost of, i ), ConstructionYY .. - —-_ _ n-- 3 Plumbing Building Permit fee (a) Y (b) x e ae 61 4 Mechanical (HVAC) 5 Fire Protection F-6Total 1+2+3+4+5) /ad Check Number SECTION 7a OWNER AUl'HORILNIMN 1L) rsh %-u'v1y1A,1h1) w='1 OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1 as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Ovvner Date c+r nmT�Ar ^/1_ nXx1w'Vn1A7T'rU1A'?T7An A(_F.NT nT.f T.ARATTON 1� 2�5 s �� as Cesar/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 Na Si attire of Owner/Age' Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS IST 2 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS I(EIG[IT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORD U - LOT RELEASE FORM INSTRUCTIONS: This '`arm 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 Iandowner from compliance With any applicable or requirements. FILLS OUT THIS SECTION*******tom **********,** ,2.tr APPLICANT Ccf� �tt'Sf LGA PHONE (��'-�3vv LOCATION: Assessor's Map Number�� � a PARCEL SUBDIVISION— �G7 �5 t LOT (S) / STREET j,U�k��S /G,Z �c�v A S ' ST. NUMBER Z�Q USE RECOMMENDATIONS OF TONIN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT ,�� FIRE DEPART�r1ENT�L Qdl�'f RECEIVED BY BUILDING INSPECTOR Revised 9197 im f DATE U) m 3) m 0 m C_ C12 r7= --Ip _.yop. y x ao�m y agocl) m n v mclao m H o, = ..* O G T Fn - Er CD CO3 d ca --fto :D O O o ZS :0 CD �y� z cm) z v) a =Q. o o� m a� m c, ` T Cn H1 O c dy y a ? :R� � W: �a C-) Cn �,W n ccD :p =' coo ►nb`��<o y W^ � I I CD o Q ` p� CD CD 0 CD CAP CD d0 y co � o CD CUD CO) O C/) CD 0 CD a." .CD s- . = ro: CD c o O _ `° o m 'Al (/J 0 o cn ° M C+ z '?7 7 °'- JC1 O ar- ?1 °= Cn A O Cr7 n �7 O' w i� O r x O w n ? ` 7d O S � O � o � r CL x O � � H C r J I 0 0 c h PROVIDE METAL ANCHOR I STRAPS/BOLTS AS REQ'D BY APPLICABLE BLDG. CODE(S) — I — — — — — — — — — — — — — — — — — — — — TO CONCRETE POUR. r--------i�------ __ -� , : BEAM I POCKET \ I o �_A O o 9 1/2" 1 JSTS. O +L 25 It" O.C. 0 <mwb ac jN< wO < 0 oL I �0 irr I I iE (TYPICAL) I { ILu 4" CONCRETE SLAB OVER I _ SLOPE SLAB !W cr NOTE: a T 5/8" FIRE RATED / 1 R o z :; :m ° W TO BE 4" BELOW ;� 9 1/2" !JSTS. { \ / II I<Cie I� •a i z ,ri I /`\ 1 ! O II •o � 13 ! I 4 \ 4" TO FRONT 'm :r :Lu a SLOPE SLAB \ 1 I ! I wIto O / 4" TO FRONT / I L---------� v r\ - - - - - - - - -I: {� \ GARAGE o 10 irr I I iE (UNEXCAVATED) I \ / I { ILu 4" CONCRETE SLAB OVER I _ SLOPE SLAB lu t" COMPACTED GRAVEL I NOTE: cr NOTE: a T 5/8" FIRE RATED / 1 R o z { \ r + G.W.B. TO BE USED ( \ i l I w 1> TO BE 4" BELOW ;� 9 1/2" !JSTS. { \ / THRU-OUT GARAGE { / ! z IL' O.C. AT CONNECTING / \ ! 1 ! O i DROP FOOTINGS 4 •. 1 AS REQUIRED. ; , \ ' WALLS 1 CEILINGS ! /SLOPE SLAB \ ! I 4 4" TO FRONT irr I I iE \---------� i — — — — — — — — — > _ SLOPE SLAB I I iLu cr NOTE: 4" TO FRONT /' i I io = o { I GARAGE PLR. SLAB { \ r + i t o o TO BE 4" BELOW ;� 9 1/2" !JSTS. { \ / 1 ! 1 tu.... p ( BASEMENT SLAB- + IL' O.C. i DROP FOOTINGS 4 •. 1 AS REQUIRED. ; , \ ' 4 II Q 4 � I (2) 1 3/4' x 9 1/2' LVL 11CL w cn SIZE STEEL BEAM OR in j POINT LOAD ABOVE LJ c n l++ CANTILEVER OVER �Q iW a a SIZE STEEL BEAU FOR \"-=' I vo IV POINT LOAD ABOVE— - ------ - ---=_l J i-------------- - - - - -- i �I o SIZE STEEL BEAU — — — — + 1 i —PLACE COLUMN DIRECTLY �r + j FOR POINT LOAD j 1 BELOW POINT LD. ABOVE j 1 y Wit x 14 STEEL BEAM 1 { { vi 111 ci ww 5" 0" E" IIIoc� 64 lil �> ti i 111 ow CONTRACTOR TO VERIFY SIZE I MANUF, OF I JSTS. PRIOR TO USE. x IIIzu° BASEMENT O 1 1100 cr Ln-,.4° CONC. SLAB OVER f ., • i• — — — 11 w� � G" COMPACTED GRAVEL , i 111 w NOTA COLli431N TO BE PLACED I a� DIRTLY BELOW POINTLOA WALL I il! oc� t W >< 13'-2" I Lu: � S1ZP TEFL BEAM Z FOR INT LOAD k _ ri — STEEL BEAM •/ ��, illJ� / '_-,�f, � -rt f�' ���� l� I 5TEELBE 111 �.j 4x 4' x 1'-2" + CONC. FOOTING, I I 111_ v 111 I I FULL WALL 1 _ _ _ —�. n i ' OPOSED 314 BATHCL r\.. 7 q I (11 �'-4" I I M o Il 111 111a Ii 111 ROP { i III UTILITY O JIM 11 111 x riJ �il.. rui IIS II 11{ � 111 11 � � IJ ilin III � .�. _ _ (L2) 13/4`max K" LVL_ f• { — — — — — — — — — 0. — it FLUS IO ED t1t 7 _ CANTILEVER OVER BACKFILL- I I I TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING "This SeW" for Oi%ini Use Qi BUILDING PERMIT NUMBER:DATE � ISSUED: /- q -aid SIGNATURE: �c Building Commissioner/In ctor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 0 T' 31 1.2 Assessors Map and Parcel Number: • .. G /7 .S C',�I/Lt�t lrE� C,r�.s %r Map Number Parcel Number Address for Service 1.3 Zoning Information: 1.4 Property Dimensions: / Signature Telephone Zoning District ProposodOse Lot Area so Frontage ft 1.6 BUILDING SETBACKS ft Name Print Front Yard Side Yard ..: �' Rear Yard Required' Pry e •. Required Provided Required Provided _mac>/ i 3o / 30 Ali/i 1.7 W iter Supph M.G.L.C.40. 5 54) 1.5- Flood Zone Information: a 1.8 Sewerage Disposal System: Public Private ❑ Zone Outside Flood Zone 0 Atiinictpal On Site Disposal System 0 'SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT • .. 1 Owner of Record C',�I/Lt�t lrE� C,r�.s %r is L /00 e S <, SW /A2 300 /Yr 69/1/ Name (PrinK Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 Ali/i Licensed Construction Supervisor: 0,S 062,23%_ License Number ioU c' L [3 -5 S 5/e°• 3 0 0 Address X4 7 ". S ,300 Expiration Date Signature Telephone 7 6, C) 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date 5ionature Telephone T M X z 0 M r r 0 z M 0 M z 0 SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 4 2506) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes ...... V No ....... ❑ SECTION 5 Description of Proposed Work(check all a Hcable New Construction X Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by pern-Lit applicant OFFICIAL USE ONLY I . Building 2 Electrical (a) Building Permit Fee Multiplier (b) Estimated Total Cost of Construction O 3 Plumbing Building Permit fee (a) r (b) �-- 4 Mechanical (HVAC) 5 Fire Protection 6 Total 1+2+3+4+5) DC7 U Check Number SECTION 7a OWNER AUTHORIZATIO TO HE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER' AGENT DECLARATION /AUTHORIZED I, S s E-/ / as Clear/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are tnie and accurate, to the best of my knowledge and beliet Print Na Sienature of Owner/A e Date N0, OF STORIES SIZE BASEiMENT OR SLAB SIZE OF FLOOR TIMBERS 15F 2ND 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS [[EIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL, OF CfIIMNEY IS BUILDING ON SOL[D OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE "1 ' 94. TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING This s gar 10 0k ant BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/In ctor of buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address:' O T 31 If Sox 1.2 Assessors Map and Parcel Number: Map Number Parcel Number y I,Ut�h�t�r wt��ls � 1.3 Zoning Information: Raz G1 ? Vk i:;M r Zoning District ProposedfJse 1.4 Property Dimensions: _ Lot Area (sf) Frontage ft 1.6 BUILDING SETBACKS ft A , ", ^M Front Yard Side Yard Rear Yard Required' r -- Oyi� de Required Provided Required Provided 30 30 1.7 Vater Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public Private ❑ } Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: i b4iii aicial �' s, On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Ownne�r� of Record / � /) yam• t^ /' /� / 7 �J 7sL.La S,I1 �NC1 Me �on Yr /A9/2- Name (Prin Address for Service 6 Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: /O©' . (,-vel �t 5S 51e. � e10 A�. 't — Address 7 —.51300 Signature Telephone S 65 7— U Not Applicable ❑ CIS U G 91.2 3 License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone ,s* . .. "t SECTION 4 - WORKERS COMPENSATION (NLG.L C 152 $ 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes ......)(1 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: or SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant ' '; ' OFFICIAL"USE ONLY 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of .._ 0 3/Construction • 3 Plumbing Building Permit fee (a) X (b) Z' � �-- 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5) g e v Check Number SECTION 7a OWNER AUTHORIZ 4 TI N TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, L s l ,as gmw/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 . AG;"14 2� /a/ Print Na Signature of Owner/A erkX Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 sr 2 ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS IIEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY HISS BUILDING ON SOLID OR FILLED LAND BUILDING CONNECTED TO NATURAL GAS LINE FORM U - LOT RELEASE FORM INSTRUCTIONS: This `arm is used to verify that all necessary appro\ials/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or IGndowner from compliance with any applicable or requirements. ***,***APPLICANT FILLS OUT THIS SECTION****{ APPLICANT Cc7at�h?�� `j�'Sf GGA PRONE LOCATION: Assessors Nlap Number PARCEL SUBDIVISION CJ;o,,0 e,11 k7`f-57t- LOT (S) 3 STREET 1VQ13616'?- CUOO A S �-N ' ST. NUMBER 2 �� x * ** * ********* *********OFFICIAL USE ONLY** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR COMMENTS TOWN PLANNER COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIONS_, DRIVEWAY PERMIT o� FIRE DEPARTiMENT�wI/Y�f RECEIVED BY BUILDING INSPECTOR ❑--;—A aa7 im JZddl-d DATE 54 -Co C/) m m Cl) 0 m v c � CO3co C7 n Z y CL O �• O d _• CO) O v CD ED O Q M3 CD CD o CD C CD y CD CL O y CO O S v CO3 O 'v Z CD � o CD CD O �• Vi O Q N d O m y O=mO m C7 C y c) c. 0 m Z =r-CHCD _I CD -4 O m y G y o m !C4, a C1 o y: n c o o CL to odc m !!R m N :� ,� (n m c')= A a m :Z np•�.y ` om, lid O dN t~r• Q H Q G cr z o Ir N C9 IG N O ;V CD C 5 p R! CD tt .. 5 CD o � d Li p5. 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It 3 5 6 i ................ pORT/� °f'"�� '•'"� TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SS^CHUS� This certifies that ..... ...............—�"'��'"`� '` '' .... ......�........................................................ .J has permission to perform ..t:..;............�; !.......................................................... wiring in the building of :. j.............................-............................................ at.........................:............................................. . North Andover, Mass. Fee .7 ....,..... Lic. No''� t % , l "` ........... ........................... /;.. w.. � yELECTRICALINSPECTOR Check # ��' t1 Z' WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Jim wlrItrlvt vrr�.tn yr Lv DEPAR730VTOFPUBLICSAFLTY Permit No. BOARD OFMEPREYE MONRWUMTIOAN 527CMR 12:111 Occupancy & Fees Checked 3.■�� tjA P-ar -n-A noxvrn- PERMIT TO PER -P RMELErmr(-AL 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 G Town of North Andover To the Inspector 4 Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street � Owner or Tenant Owner's Address Is this permit in conjunction with a buildin permit: Purpose of Building Existing Service .. Amps�Volts New Service AmpsQ�)Lj@-(I(yolts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Yes DZ No (Check Appropriate Box) Utility Authorization No. Overhead riUnderground M No. of Meters Overhead M Underground ® No. of Meters No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA groundg1:1round No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Othe;r-- No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP 0 4 Ir&xa=CoMR1St Cit1D#1CteC]I =101tSdMwsadws&Gaxr lLaws Iha-veaamutLmblityIr%rd=Pohymdu&tgCcrr>p * critssikstrMeWholat YES NO Ihaw%hnftdvdlidptoofofsmnelothe0ffm YES n NO ® IfjwlmedeckWYES, pkmidc*theNxcfoaa-aWbydrckingthe WSURANCE r5Z BOND M OfffER M (Pl =Spo*) WorkiDSt3t �°2 O fig)wticnD&RNuesad SignadutxlamPtmhksofpetjtay FIRM NAME — M 14o C. T CC r,TM LME Est n&dVahle l Wait $ L Roagh Mh 7 FaA C/A / Li =Na Q (� (n BtsirmsTd.Na(91)7 ya •963a Adlcs' .,— —SeN :A �' `1 ' 1`�1orl lid d `A 1 \ -�'l AiTdNa 21-) b 1---03 OWNER'SRs&JRANCEWAIVER,l.antawarelhattheliar>9eit themrarnea o-ilsa*sWtialechvdlatasrecltiriadbyMassadJl1gZGalaalLaws and fat my sigt>atraemthis pang apph�ai wanes this ret�rert. (Please check one) Owner M Agent Telephone No. PERMIT FEE �, R1N O� NO,o ,•�y0 O ' Town of ��ss;�+t�'• NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT % PROJECT: � ��l�QA4 ISSUE W4 DATE: PERMIT NO.: ���?�P�'�-�� `�d_�' ®� UNIT NO.: FLOOR: WING: BUILDING NO.: 2�?q T k0 i' 31 we b 6-_�en, /i LpC)o j)S tpJ _ REMARKS: e6 - c.��� 9SE,,j %©O, �" F� �, P�. o Zoom, 4 Ila B X,44, 3 b a iI uivc er- Excavation - depth and soil conditions Framing - Other: Date: Date: Date: Inspector Inspector Inspector Footings and foundations and drains - Insulation - Other: Date: Date: Date: Inspector Inspector Inspector Electrical - rough - Plumbing and/or gas - rough - Other: Date: Date: Date: Inspector Inspector Inspector Electrical - final Plumbing and/or gas - final Other: Date: Date: Date: Inspector Inspector Inspector 'ire Dept - _,il burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: -Cof 0# Inspector Inspector Inspector Form #995 Action Press, 685-7000 Location L0+ VW,�IPr wr1t;o'5 �4Q No. M Date NORTH 11 TOWN OF NORTH ANDOVER i • OL Certificate of Occupancy $ '70, U+'D �'`'�•°''<� Building/Frame Permit Fee $ SJACMUSE 100,00 � � r D� 't Foundation Permit Fee $ Other Permit Fee $ �°- TOTAL $ ,J o'DD Check # (A40 14 7 Building Inspector,,,, TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: / DATE ISSUED: V -X) r00D SIGNATURE: 14 A Building Com KssionerAn ctor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Propetty Address: , : `- iU! 3% 1.2 Assessors Map and Parcel Number: Map Number Parcel Number Ow e E3 S j ei2 Lejyc) p 5 �- N 1.3 Zoning Information: 2A Zoning District ProposedTJse 1.4 Property Dimensions: 113 Gs / l70 ' Lot Area (sf) Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Re red Provided 1 1.7 Water Supply M.G.L.C.40. 54)\ � 1.5. Flood Zone Information: Public V Private ❑ Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name (Prin4 Address for Service �Z, � 6 $ 7-s 3o o Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: ��—ral gss e-&- LicensQd Construction Supervisor: Address R 657 '. `� 300 Signature Telephone Is 5:57— 7�c'7 Not Applicable ❑ 06 o 6 3 License Number Is/Y/ O0 Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone I� .I con �! 9 z M 90 0 un ic a r M r r z G SECTION 4 - WORKERS COMPENSATION (AG.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes ...... V No ....... 0 SECTION 5 Description of Proposed Work(check all applicable) New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ N — Accessory Bldg. ❑ 'bemoliUn ❑ Other ❑ Specify ` Brief Description of Proposed Work: ' e I SECTION 6 - ESTIMATED CONSTRUCTION COSTS I Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Building D d (a) Building Permit Fee Multiplier a,op + 2 Electrical (b) Estimated Total Cost of Constriction 7 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5) d Q Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, , as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNERAUTHORIZED AGENT DECLARATION I, �� /R." L- s Ems/ / as gowr/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are trite and accurate, to the, best of my knowledge and belief Print Na Si ature of Owner/Age Date NO. OF STORIES SIZE 41 BASEMENT OR SLAB SIZE OF FLOOR TIMBERS SPAN o DIMENSIONS OF SILLS DIMENSIONS OF POSTS ;$- "e/ DIMENSIONS OF GIRDERS / HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING d X oe MATERIAL OF CHIMNEY G✓a4he IS BUILDING ON SOLID OR FILLED LAND S G' IS BUILDING CONNECTED TO NATURAL GAS LINE ��� t J FORM U - LOT RELEASE FORM INSTRUCTIONS: This `orm is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SEC T iONt�ttt���*������ `TT.. S,4.e4tt 6-6-7- 5 760 � APPLICANT. PHONE (�J'7-53®c> LOCATION: Assessor's i1ap Number PARCEL SUBDIVISION- l az,.aAe'll 57` LOT (S) STREET we8S%eiZ ST. NUMBER Z�Q 177 USE ONL COMMENTS FOOD INSPECTOR-HLAL I H DATE RtJtU I tIJ DATE REJECTED_ SEY iIU INZ�F'tU i UM -MCAS i n Ljr, I � I- • -- DATE REJECTED COMMENTS PUBLIC WORKS - SEWER]WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR Revised 9197 jm ' DATE F'1 ,PZI 14A 77-1 ��-V:1 r�•i f c'S., fr jJ F'1 ,PZI 14A A. I Buildina Value Calculation -for Property at..... LOT# 31 Room Length Width Sq.Ft. Cost per Sq.Ft. Total Cost Kitchen 25 16 400.00 65 $ 26,000.00 Living Room 14. 13 182.00 65 $ 11,830.00 Dining Room 16 13 208.00 65 $ 13,520.00 Family Room 20 16 320.00 65 $ 20,800.00 Study 13 9 117.00 65 $ 7,605.00 Laundry 16 7 112.00 65 $ 7,280.00 Garage 31.5 25 787.50 35 $ 27,562.50 Entry 18 12 216.00 65 $ 14,040.00 Mudroom 6 9 54.00 65 $ 3,510.00 Sunroom 16 12 192.00 65 $ 12,480.00 Sittingroom - 65 $ - Walkin closet 11.5 9 103.50 65 $ 6,727.50 Basement Finished - 65 $ - Deck - 10 $ - Screened Porch - 35 $ - - 65 $ -, Bedroom 1 18.5 16 296.00 65 $ 19,240.00 Bedroom 2 16.5 13 214.50 65 $ 13,942.50 Bedroom 3 17 13 221.00 65 $ 14,365.00 Bedroom 4 15 15.5 232.50 65 $ 15,112.50 Bedroom 5 - 65 $ - Bathroom 1 9 8 72.00 65 $ 4,680.00 Bathroom 2 15 8 120.00 65 $ 7,800.00 Bathroom 3 15 15 225.00 65 $ 14,625.00 Bathroom 4 - 65 $ - Bathroom 5 - 65 $ - ['HGF., k. �.<v-+in .. ..c,�� . _.. ro`Yi�t�.'...9��h4x�!',.N :*.tw�M,5492 R, "iWA-M Pt) vV ,e a so'cl �n �ocM 3 S4a utijd 4- ten,- �P 68' 1 5 p FV LO P a The .Commonvvealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit [ Name Please Print I Name: Location: City Phone # 0 1 am a homeowner performing ail work myself. F7I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. r"mm�anv names• / �%.feA�%f�Di// / /5 f P_ S f 4 G C / /u i`''/ / l��i //' G/tom Address 7�- 3/ S6)7�412-� , City /Vc'�r4L /" nclay�'✓" Y"ta? 0 CTi°5- Phone, #•�97 7 ` 30 (D Insurance Co.- 5 f Rr Policv # IV L_ O / 5"(v Comoanv name: Address Cihr Phone #-. insurance Co. Policv # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of cnminal penalties or a fine up to 51,500.CO and/or one years' imprisonment as well as nalties in the form of a STOP WORK ORDER and a fine cf ($100.00) a day against me. I understand that a copy of this statement pfay be foMvkrded to the Office of Investigations of the OIA for coverage verification. 1 do hereby certify and the Oins and . nal t * s of pe ry that the information provided above is true and correct. / Signature ., Date `�6 Z v I Print name Phone # SS 7 " 7 %( O Official use only do not write in this area to be completed by city or town official City or Town Permit/Licensina ❑Check d immediate response is required Contact person: ❑ Building Dept ❑ licensing Board ❑ Selectman's Office ❑ Health Department 171 Other BUILDING DEPARTMENT DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit Number Is that the debris resulting form this 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 in: U0 /10 C� S -i A Location of Facility Sie oYl:rermit Applicant /0 Ji Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector Growth Manaaement Bylaw Exemption Statement Town of North'Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section a. 7.6 of the Town of,Narth Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested 'below. Name of Applicant on nuilding Permit (below) Address of Property for Pen m,it (f eicw) C'aelraLa,L/ e 1 zle Yy` We a,5eF2 Map and Parcel"/ `�Purpose of Application (check below) Phone Number of Applicant Single Family Two Family (ok7-s- ,3'n0 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 North Andover Growth Management Bylaw. I also understand providing this form does not absolve me Cr any party to this permit from the requirements of obtaining other permits required prior to the issuance of the _uiiding Permit. Further I understand that my interpretation of the E<ENIPTiON status is subiect to review by the Building Oepartment and is only offrc:ally accepted when the Building Permit ig issued. Based an 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 ane or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration, or reconstruction of a dwelling in existents as of the effective date of this by-law, provided that no additional residential unit is created. The lot(s) werelwas created prior to May 6, 1966 are exempt tram the provisions of this Sec:icn 8.7 of the Zoning Ty—law. This application is for dwelling units for low and/or moderate income families or individuals, where all of the conditions of 8.7.6.care met and/or represents Dwelling units for senior residents, where eccupancf of the units is restricted to senior persons through a property executed and recorded deed restriction running with the land. For purposes of this Section "senior' shall mean persons over the age of 55. 'I This application is a part of a development project which voluntarily agreed to a minimum 4011. permanent reauction in density, (buildable lots), below the density, (buildable lots), 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 and/or farmland. The land to be preserved shall be protected from deve!coment by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit an the parcel. This application represents a lot which is ready for building permits,(i.e. all other permits Yom all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that Year, one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved farm U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attacimed building permit is allowed an EXEMPTis cited above. Further I understand that the submittal of misleading and or inaccurate inform n, or e checking off of an above item which does not comply, whether done to my knowled or no , is groun for refusal by the Building (Department to issue a Building Permit. \111 Z Aignatur,w or A nzed Agent who signed the Attached Building Permit Date This form must be attached to the Building Permit upon application far such permit N® 972 APPLICATION FOR WATER SERVICE CONNECTION Id,1 7-00"North Andover, Mass. `Z +9--- Application by the undersigned is hereby made to connect with the town water main in L ^' �104el da�� L J, StFeet, subject to the rules and regulations of the Division of Public Works. A The premises are known as No, or subdivision lot no. 3 t 7 S jGZ� Cawt,)Gvell % ores� ovd-c Owner plea I t'� t- C s/ � � Address Contractor 76D, 00 PERMIT TO CONNECT The Board of Public Works hereby grants permission to L--4 to make a connection with the water main at subject to the rules and regulations of the Division of Public Works. Inspected by Date Address pplicant's Signa re WITH WATER MAIN red � �- L �? BoaFd of Public Works B �' Z " Y f" See back for rules and regulations d 1515 APPLICATION FOR SEWER SERVICE CONNECTION t 7-00DNorth Andover, Mass. 1 T -- Application —Application by the undersigned is hereby made to connect with the town sewer main in ��t �� e W��l�°'! Streeter subject to the rules and regulations of the Division of Public Works. The premises are known as No or subdivision lot no. hqre-f�- LLC Owner e.5rrf Pe✓ ('o, r Contractor PERMIT TO CONNECT The Division of Public Works hereby grants permission to �ell- 23( ZF Address Address pplicant's Signat e to make a connection with the sewer main at %/ise subject to the rules and regulations of the Division of Public Works.. Inspected by SEWER N,� L 2- C Street ��- Divis ory f Public Works By v" Date See back for rules and regulations A Date: I LOCATION: BUILDER: TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 DRIVEWAY PERMIT Z 2v� phone: OWNER: ? phone: Telephone (508) 685-0950 Fax(508)688-9573 /W 3 ( /P The North Andover Superintendent of Highway Utilities & Operations MUST be notified of the grade and set -back from street established in any driveway entry onto any street or way maintained by the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval of such entry. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. Remarks: Approval: TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORKS 384 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 J. William Hmurciak, Director Timothy J. Willett Telephone (978) 685-0950 Staff Engineer Ftzx (978) 688-9573 Additional conditions for lot 31, Campbell Forest May 12, 2000 This Division agrees to sign the Form U, and issue water and sewer permits, for lot 31 in the Campbell Forest Subdivision subject to the following conditions. We agree to sign the Form U for this lot so that the construction of the home can begin at this time. The conditions are as follows. 1. No sewer service shall be installed into the residence until all off site sewer facilities are declared "active" by this Division. These off site sewer facilities include sewer lines and a pump station on Campbell Road, as well as sewer lines and two pump stations on Turnpike Street. At this time, the construction of these items has not. been completed. 2. No water service shall be installed into the residence until all offsite sewer facilities are approved by this office. Any violation of a conditions will void both water and sewer connection permits. No refunds will be granted. tr sus Prmted Name Division of-POCGAVorks Printed Nam i CC: Bill Hmurciak Jim Rand Mike McGuire Heidi Griffm ,,0 Date Date Mesiti Dev Group Fax:978-5578160 Jul 17 2000 1354 P.01 TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORKS 384 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 J V111iam Hrrau eiak j1O"TM 4 Telephone (978).685-Q950 13ireetor • ;. Fax (978) 688-9573 s July 14, 2000 Mr. Kenneth. Grandst4 President Mesio Development Group 231 Sutton St. Suite 2 F North Andover, Ma. 01845 Re: Conditional Operation of the Campbell Forest Sewer Pumping Station_ Dear Mr. Grandstajffi A The Division of Public Works has inspected the sewer collection system and sewer pumping station, and appurtances on Campbell Road related to the construction of the Campbell Forest and Lyons Way subdivisions. We hereby grant conditional approval for use of the system and pumping station subject to the foIlowing: 1. Completion of items 1 through 15 as listed on the July 10, 2000 letter to Mr Dennis Bedrosian from Maurice Harpin of Mesio Development Group, a copy of which is attached. The work will be completed within 45 days of acknowledgement of the receipt of this letter. 2. Satisfactory completion of an as -built plan for the Campbell Road sewerage system. 3. Submittal for our review and approval a copy of the preventive maintenance contract for the pumping station. 4. A performance guarantee shall be provided in the amount of $25,000.00 to insure the proper maintenance and operation of the pumping station, 5. The Division of Public Works will be allowed access to the Pumping Station and will be allowed to reconstruct, repair, replace, add to, service, inspect and operate the pumping station and related equipment. and facilities in the event -- -- __ _._ __................... _ that Mesiti Development or its agents fail to adequately perforin maintenance of the pumping station. Mesiti Dev Group Fax : 978-5578160 Jul 17 2000 13:54 P.02 6. Mesiti development shall reimburse the Town upon demand for the reasonable costs of emergency repairs to the Pumping Station. 7. Mesiti Development Group and its successors or assigns shall indemnify, defend, and save harmless the Town of North Andover and its Division of Public Works and their respective employees, officials and agents against all suits, claims, judgments or liability of every name and nature arising at any time out of or in consequence of the acts of the "Town" or its agents, employees and officials in the performance of the access purposes covered by this grant of conditional use or the failure of the developer and its successors or assigns to comply with the terms and conditions of this grant. Very T . ours, I William Hmurc' E. Director of Public Works The undersigned acknowledge the receipt of and agrees to the terms and conditions of the above grant ofSonditional use. a ✓lie -Vmnv onweald a�✓�acfzuJeCl \ . i •BOARD OF BUILDING REGULATIONS { Y License: CONSTRUCTION SUPERVISOR +l i Number: CS 069234 { Birthdate: 05/09/1954 5 Expires: 05/09/2002 Tr. no: 23903 Restricted To: 00 ALAN G RUSSELL _ 400 MAIN STe r,!% GROVELAND, MA 01834 Administrator i � 1 MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 I I I I I Checked by/Date I I I CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 4-3-2001 DATE OF PLANS: January 26, 2001 TITLE: Lot 31 Lincoln PROJECT INFORMATION: Campbell Forest Subdivision North Andover, Ma. COMPANY INFORMATION: Campbell Forest, LLC / Mesiti Dev. Corp. 231 Sutton Street Suite 2F North Andover, Ma. 01845 COMPLIANCE: PASSES Required UA = 592 Your Home = 589 Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value U -Value UA ------------------------------------------------------------------------------- CEILINGS 1720 30.0 0.0 61 WALLS: Wood Frame, 16" O.C. 2356 11.0 0.0 210 GLAZING: Windows or Doors 542 0.350 190 DOORS 94 0.490 46 FLOORS: Over Unconditioned Space 1744 19.0 0.0 83 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 appli le Standard Design Conditions found in the Code. The HVAC equipmen selecte to heat or cool the building shall be no greater than 5% f the sign load as specified in Sections 780CMR 131�ja Builder/Designer �f Date MA9che6k FNSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Lot 31 Lincoln DATE: 4-3-2001 Bldg.1 Dept.1 Use I I I CEILINGS: 1. R-30 I Comments/Location I I WALLS: [ l I 1. Wood Frame, 16" O.C., R-11 I Comments/Location I I WINDOWS AND GLASS DOORS: [ ] I 1. U -value: 0.35 I For windows without labeled U -values, describe features: I # Panes Frame Type Thermal Break?,[ ] Yes [ ] No I Comments/Location I I DOORS: [ ] I 1. U -value: 0.49 I Comments/Location I I FLOORS: [ ] I 1. Over Unconditioned Space, R-19 I Comments/Location I I HVAC EQUIPMENT: [ ] I 1. Furnace, 92.0 AFUE or higher I Make and Model Number I I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or 1 gasketed to prevent air leakage into the unconditioned space. 1 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I I VAPOR RETARDER: [ ] I Required on the warm -in -winter side of all non -vented framed I ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R -values, glazing U -values, and heating equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: Ducts shall be insulated per Table J4.4.7.1. DUCT CONSTRUCTION: All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavitieslspaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.): CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.): PIPE SIZES (in.) NON -CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F): RUNOUTS 0-1" 1 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 1 1.0 1.5 2.0 140-160 0.5 1 0.5 1.0 1.5 PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.): PIPE SIZES (in.) NON -CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F): RUNOUTS 0-1" 1 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 1 1.0 1.5 2.0 140-160 0.5 1 0.5 1.0 1.5 a) -i < o Ln I o m n CL I Z r« � cio ° p p =o � <D C (D� H N 13 m N a( (D n � > > o c 3 rri x 4 Ei. 0 -1 0 M 0 m W 0� = O mm C• ~_ —Di a CD C '�! o � "7 < CD H.0 EL 0 c� o t�cD u3o c 3 C m CL CL 4va CL � Ln Q� O C^.a� 0 oc:�c c '*~ cCR 0 m E �. c�TO �E :3.y CL lb Q � 5' O p' c` z . a �o)ai a) d N %D CD ! D D = E CD F :F z4 N x 3 W :K a� aZ 11J N •� 0 S. CD o y r .H p z� 410 1 o Z Qj C/) m m cn 0 0 d d .. .. O o co CD C7 CD O CD Mi CD CA CD y C CCI 0-0 C Z-1 O Ot 2 O --ca O Q VJ c < o CO) =Od0 m Cl) c y Cn0 m Cr 06 m :r0 0 -0m y O H o f m CD m a c loa y' O C2 : O C N7 O A rte' CL ,, frfy^^ . V'^J C m O N v V J m � C9,o I : \/ C =O14 •' H a :u O �j H CD d d (PC EL h�.� // ^� hh�� t V/ H w� m ►Li w f m :_ y \i J f CO) O_ y � CD CCAD NOW n _cCO d Q.od0, z C) ew: -m 4: CD Z Uq o dd� t2 c w oa o oo mpt 9 N IP )nq 0 0 c PWD B Engineering Alliance, Inc. Lend Planning ConsuRants 196 Central St/.et Phone (781) 231-1349 Saugus, MA 01906 Fox (781) 941-2662 A"MWLNU 77779? DIQ 1V0. PROPOSED SITE PLAN In r O,n Mesiti Development 231 SUTTON STREET SUITE 2F