Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 280 WEBSTER WOODS 4/30/2018
Date.................. ........... °.<"`° '• ,"� TOWN OF NORTH ANDOVER A PERMIT FOR WIRING This certifies that ... has permission to perform ........::.... 7: c ...... .. .`- ................. .wiring in the building of .. � � .'-t.r%'-�-A -%.fir , �.:E...................................... at �..................-.......-.....:C... ...;tJn;r.................. . North Andover, Mass. Fee:Rl� ........... Lic. No.,.4 &........................................... �ELECTRICAL INSPECTOR Check # PC G t • • Commonwealth ®f Massachusetts Olticial 1111 Only Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/991 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK -—�— AII work to be pertorn)cd in accordance witb the Massachusetts Electrical Code (MSEC), 537 CMR 13.( (I (i'LC95'E PIJNT IN INK 0R T)'PE,4LL INF, OP 14 TION) Date: City or Town of: ��c �(/ , To Me ln,yector o0Wires: 13y this appliCall Oil elle undcl-slglied glVcs node of Ills or her Intention to perf'orm the electrical work described below. Location (Street & Number) 7 -190 /„s,o% � � � %„ lam„/% /wl `L• Owner or Tenant Owner's :Address Is this permit in conjunction with a building perm}f? des Purpose of Building , l Telephone No. No ❑ (Check Appropriate Box) Utility Authorization No. Existing Servrce© Amps 1olts Overhead fj New Service Amps / Volts Overhead ❑ Number of Feeders and Ampacity Untlbrd No. of Meters Undgrd ❑ No. 01' Meters Location and Nature of Proposed Electrical Work: Com )leliu" )/*ll 1-11 I1 Allrlrh nddiliunu! rlrlui! i/ derirerl, oriv.- requirrc! hr the• Inspe ctor ul II'irr:c. 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 ;�BONDEI ge is in force, and has exhibited proof of sante to the p •relit issuing oce. CHECK ONE: INSUR. C OTHER ❑ (Specify:) (-splrllion Date) / Estimated Value of Electrical Work: (When rcquircd by municipal policy.) ,1�v Work to Start: I c•ertifj;, rnlder the pains ``ane/ FiRM NAME: lA�r,11;1 Licensee: _ __( (ljnpplicclhle, eel Address: ONVNER'S IN'L rcquircd by law. Owner/A,,ent Signature a Inspections to be requested in accordance with MEC Rule; 10, and Up011 COillp)Ctloll. ii ties of pei.-jury, that the Mf0i-mation on this!plVication is Prue and complete a � LIC. NO.: C Oa Signahrre e, LIC. NO.: L.-Icc Bus. Tel. No.: ``/ Alt. 'ro Ni. URANCE AVAIVER: I ani aware that the Licensee doer not have the lability insurance coverage nurnlally By lily signature below, I hereby waive this requirement. I ani the (check one) ❑ owner ❑ owner's a("cnt. Telephone No. PERMIT TY E.- S 7. lc O M IM IU 7 e mur he ilyni,01 h1, Ine 111.1' )eCt01, o/ 1t "ares. No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers kVA No. of Lighting Outlets No. of Hot Tubs Generators K VA No. of Lighting Fixtures Swimming Pool Above ❑ In- ❑ o. o Emergency rg t mg grnd. 1rnd. Battery Units No. of Receptacle Outlets No. of'Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Cas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. TotaTons l No. of Alerting Devices No. of Waste Disposers Heat Pump Number Tons KW No. of Self-contained Totals: Detection/Alertin F Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑Other Connection No. of Dr Heatink Appliances KW Security Security Systems: No. of AAlater No. of No. of No. of Devices or Ec uivalcnt Heaters KW Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: - Allrlrh nddiliunu! rlrlui! i/ derirerl, oriv.- requirrc! hr the• Inspe ctor ul II'irr:c. 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 ;�BONDEI ge is in force, and has exhibited proof of sante to the p •relit issuing oce. CHECK ONE: INSUR. C OTHER ❑ (Specify:) (-splrllion Date) / Estimated Value of Electrical Work: (When rcquircd by municipal policy.) ,1�v Work to Start: I c•ertifj;, rnlder the pains ``ane/ FiRM NAME: lA�r,11;1 Licensee: _ __( (ljnpplicclhle, eel Address: ONVNER'S IN'L rcquircd by law. Owner/A,,ent Signature a Inspections to be requested in accordance with MEC Rule; 10, and Up011 COillp)Ctloll. ii ties of pei.-jury, that the Mf0i-mation on this!plVication is Prue and complete a � LIC. NO.: C Oa Signahrre e, LIC. NO.: L.-Icc Bus. Tel. No.: ``/ Alt. 'ro Ni. URANCE AVAIVER: I ani aware that the Licensee doer not have the lability insurance coverage nurnlally By lily signature below, I hereby waive this requirement. I ani the (check one) ❑ owner ❑ owner's a("cnt. Telephone No. PERMIT TY E.- S Location c?i3o bo- No. 1 a Datey- Mp�TM Oitt.•a TOWN OF NORTH ANDOVER ,•,1•C 10 9 • + � ; . Certificate of Occupancy $ JACHUSE Building/Frame Permit Fee $ 35 0 Foundation Permit Fee $ Other Permit 'Fee $ TOTAL $ 3 D A Check # `i '�� � 6645 Building Inspector V'f TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: �a a -3 SIGNATURE: Building Conuni*ssioner/Inspector of Buildngs Daae SECTION 1- SITE INFORMATION " ! • ' 1.1 Property Address: 1.2 Assessors Map and Parcel Number: G Map Number Parcel 14uAdir 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Dislrid Proposed Use Lot Area (so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Re uired Provide Required Provided R aired Provided 1.7 Water Supply M G.L.C.40. 54) 1.3. Flood Zone Information: 1.8 Sewerage Disposal System: 1.7 Wlic ❑ Private 0 Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System. 0 SECTION 2 -. PROPERTY OWNERSIUP/AUTHORIZED AGENT 2.1 Owner of Record Lo Websf2ra ids Name (Print) Address for Service : Signature Telephone 2.2 Owner of Record: Name Pint SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor:: 1 N lJ •7 � Licensed Construction Supervisor: Address Ailez, 0 Q We Telephone Address for Service: Not Applicable 0 Z4J-, License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ ), . E �) Co ,j s (Li C - a.J Company Name / .7 Ll c +' ,n Registration Number IBJ 1`j Address ?7 Expiration Date T M Z 0 0 z M 90 0 on r m SECTION 4 - WORKERS COMPENSATION (NL G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted. with this. application. Failui in the denial of the issuance of the building permit. Signed affidavit Attached Yes ....... No ....... 0 SECTION 5 Description of Pro o5ed Work check all a licahle New Construction 0 Existing Building ❑ Repair(s) ❑ Alterations(s) 43' Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: Weale -c oT (Zm Y T iZ(norvy*. SECTION 6 - FSTTMATFn CnNCTRTTd-TTnN rnCTC to provide this affidavit will result Addition ❑ Item Estimated Cost (Dollar) to beIn,s Completed b permit applicant 7R,%$�FICIAf.7-77 77g- tUE �yp �r s ql;j .dkV,.-exiYiS'�,vi;•,'vNi (a) Building Permit Fee Multiplier ON3.1� � 1 � . �rYD i �R'�.,. PROM ��� 1. Building d a 1.7 P34n 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (@) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number --J—.— Iw —...." N"Xic..riiIWO IL %J DZ ].ED wrmlV 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 pennit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION /,C/ 1, c � 1'� IJ 9 E li k EE 1J 1a+Qma=0Authorizcd 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. �lA%7 , 2Z Sl re of er/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1' 2ND 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FBLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE KEEN CONSTRUCTION CO. 21 HEWITT AVE. N. ANDOVER, MA 01845 (978)691-5201 Wittstein, Bob & Maura 280 Webster woods Ln. N. Andover, MA 01845 (978) 794-9024 Contract # 1583 ;Appendix A Date: 7/14/03 Finish attic: • Frame interior partition walls in attic to create @ 700 sq. ft of finished area • Create one finished closet in front • Create 12' recessed area above duct for entertainment center (with 3/4" MDO plywood floor) • Supply & install R-13 insulation and vapor barrier on all outside walls • Supply & install R-30 insulation and vapor barrier on ceiling • Supply & install blueboard on all finished walls & ceiling • Skimcoat plaster walls smooth and ceiling to match existing • Skimcoat over existing plaster on stairway to smooth finish • Supply & install two 6 -panel hollow core doors • Supply & install one 6 -panel hollow core unit pair door • Supply & install trim on baseboard, doors & windows to match existing • Supply & install C-6010 handrail in stairway • Paint walls, ceiling and trim(2 coat finish,2 neutral colors (in addition to white ceiling) • Supply & install carpet in finished area and stairs ($1750.00 installed allowance) • Supply & install gas fired HVAC unit in attic Electrical: • Supply & install 60 amp sub panel • Supply & install outlets to code • Supply & install eight recessed ceiling fixtures (any additional at $85.00 each) • Supply & install fansafe in ceiling • Supply & install switching to code • Supply & install one cable outlet & one phone outlet (Cat -5) • Supply & install dedicated 20 amp 110v outlet for exercise equipment • Relocate alarm siren • Supply & install wiring and thermostat for HVAC unit Plumbing: • Supply & install gas pipe for HVAC unit (on outside of house) KEEN CONSTRUCTION CO. 21 HEWITT AVE. N. ANDOVER, MA 01845 (978)691- '5201 Total price does not include cost of permits, 15 -lite door at bottom of stairs,shelving in closets or entertainment area, extra smoke detectors, extra lighting, or changes required by inspectors. Total Price: $34,730.00 (thirty four thousand seven hundred thirty dollars) Payment schedule:$1000.00 due upon signing contract $10,000.00 due the first day of work $6000.00 due when HVAC unit is installed $7000.00 due when rough framing, electrical & insulation is complete $5000.00 due after plaster is done $4000.00 due when work is complete except for carpet $1730.00 due after completion of contracted work Customer (!� eth Fr Keen Date �z :.,- � --0 Date 2 KEEN CONSTRUCTION CO. A 21 HEWITT AVENUE NORTH ANDOVER. MA 01845 Tel: (978) 691-5201 Fax: (978) 682-3231 Submitted oob {p ckunx VV3 �+' fe` t�. To:. _ _ _ d� ii tom✓' L 1 �' 1>����f <,t - All home improvement contractors and subcontractors engaged in home improvement contracting, unless specifically exempt from registration by Provisions of Chapter 142A of the general laws, must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the Director, Home Improvement Contract Registration, One Ashburton Place, Room 1301, Boston, MA 02108 (617) 727-8598. Owners who secure their own construction related permits or deal with unregistered contractors will be excluded from the Guaranty Fund Provision of MGL c. 142A. PHONE DATE REGISTRATION NO. F.I.D. NO. 71� % ,9 `� -- C ? '-� -� - {� ` � MA. H.I.C. 108383 04-325-8052 > C/S = Customer Supplied S + I = Supply + Install We hereby submit specifications and estimates for work to be performed and materials to be used: company name: official use only do not write in this area to be completed by city or town official city or town: - permit/license # -Building Department ❑ check if immediate response is required ❑Licensing Board'❑Selectmen's Office ❑Health Department contact person: phone #; -Other (revised 3/95 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association; corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives bf a deceased employer,'or'the receiver or trustee of an individual , partnership, association or other legal entity, employing employees: However the owner of a dwelling house having not more than three apartments and who resid'e's tlierein, or the occupant of the ' dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither tlic commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. 77 "Vsbr�T"io.7i r r r, �vkfNiunz iYv.�:H?Y iY/fry'Y d a r/�iy r �� Applicants Please .fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address. and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. �..+iX�✓*...,:, •,..:..�^, :�i.::.z2'al'�., d,� ,. .r-.=;.; ria;•%5;.� �'�r.�.:zi`shn 7,Ja;��uf,_��ra��a ,F r�k�Jo � y/.r ,,�'S. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pennii/iicense number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. Tile Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, teleplione and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 ✓iie U� anvnwruriea`/� o���l/GaaOtzc�u�aef,�4 � f BOARD OF"BUILDING REGULATIONS - j License: CONSTRUCTION SUPERVISOR Number: -CS 058245,, Birthdate ;03/24/1943 !,. Expires,�12412004 ,,, Trino: 20021 - 1Restrid6d:`>i00 = E KENNETH B KEEN I(,ice 21 HEWITT-AVE N ANDOVER, .MA 01845 Administrator. 1 , � ✓ize �arr�mo�ru�rea.� a� �%/laaaac�auaelta �1 f Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: -1' Expiratjion 8/18%2004 ' ! KEEN CONSTRUCTION CO Kenneth Keen 21 Hewitt Aver No. Andover, MA 01845 Ad. strato.r m m DO CDm m CO) .o az CDCL O d O ^` d aC0 -00 o p CD Q cc F.--. ..I 2� CO) d m CO) CO) O H d CD 0 CD CDa CD CD 0 ..y O Q N a < m y O d O o m Hma� � Z ?10 N md.� m N T1 CL 0? m =rm Mn O -4O m N O N 0-, ?m' m = O ccO �' '. r) pNIN pt 'tr '-0 cri Er ='a � a nod :tom to o mrI ER U C C m C'M c n CA O zyCON U, s 0 W = . ►Li j N � U2 ,•� _' O N Cn ? 0 c"f n _ l 7CID, 0: N Q � .=C V fG CO O o :e :oQ O z foo �� C �CA cn m w c=0 . �. _ :z c .c N C _V" C* =� d d d CD m 4 z 0 0 c °? O x p ; O rte'' O to '" O T G a 0 tz 0 b y A O 10 FSM W 4 z 0 0 c Date .::D..l. .... . N° 4341 "°RTM TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING # r This certifies that has permission to perform ,n plumbing in the buildings of ^%� -� .... ....... . at... Gn/..:....... , North Andover, Mass. Fee3�//� /O..7 1 �PLUMBi' 7 .... Lic. No/O. .. , �. .. .......... . G ,SPE"CTOR 6j Al; WHITE: Applicant CANARY: Building Dept. PINK: Treasurer WILLIAM J. SCOTT Director (978)688-9531 Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES June 29, 2000 Alison Lescarbeau Planning Board Chair Planning Office 27 Charles Street North Andover, Ma. 01845 Dear Mrs. Lescarbeau; 27 Charles Street North Andover, Massachusetts 01845 f0 �9SSAGFHUSt Fax(978)688-9542 At your meeting on December 21, 1999, I strongly expressed my concern of releasing lots where the offsite sewer was not clearly completed. My concern for the Campbell Forest subdivision was that in the event the offsite work was not completed a homeowner who received building permit and completed the home would not be allowed occupancy without proof of sewage disposal. Further, I was concerned that Town Counsel prior to signature did not review the surety. The Board was satisfied as to the developers verbal explanation of the offsite progress and the performance guarantees available for the offsite work. Further the Board and the developer expressed that the buyer should be and will be made aware of the infrastructure circumstances, essentiality I believe the phrase "buyer beware" was used. Specifically my concern at that meeting was that a person would be placed in the position of being at a closing without an occupancy permit if the offsite work was not completed. In fact this has occurred. The attached e-mail to our building department is representative of what may happen to all of the lots recently released. It appears from the e-mail that no one explained that the occupancy permit was dependent on the offsite sewer. Since no one in my department has contact with prospective homeowners ( they do not pull the building permits the contractor does.) until a problem such as this occurs, I assumed from the content of the discussion on the 21' that the developer would inform homeowners of the offsite sewer circumstances. This letter is sent to restate my concern that offsite work that is dependent on completion prior to an occupancy permit should be completed prior to the lot releases. Despite what the developer and the Board assume no one in the Community Development Office has control over the negotiations regarding the completion of off-site infrastructure. Therefore in the absence of an approval for the use of the sewers I would have rather treated the sewer as not available until signed off by the DPW, as I expressed at your meeting. As a result we have no way in issuing an occupancy permit without actions by either the developer and or the DPW. I would rather that the Board issue lot releases in a manner that places the Community Development Division in the position of being able to solve problems for the homeowners. Now we are in the untenable position of waiting for others to act while the homeowner possibly contemplates legal action for the not issuing an occupancy permit. Regardless of how the Board feels about the awareness of the prospective buyers and "buyer beware", the eventual hardship of a homeowner falls to my. staff to solve, and in this case without the power to act. Sincerely, Wily a -m J. Scott BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 William Scott From: Town Man. Secretary Seat: Wednesday, June 28, 20001:09 PM To: Jeannine McEvoy; Mike Mcguire; William Scott Cc: Tem Ackerman Subject: Campbell Forest- Bob Wittstein Importance: High Hi Jeannine and Michael, I recieved a phone call today around 12:30 this afternoon from a Bob Wittstein and family. They were supposed to close on the first house in the development( Campbell Forest) this Friday. He said the Town and the developer seemto be fighting about sewers and his family is in the middle being punished. It's a Holiday weekend and he has no where to live as of July 1. He is renting and came from out of state. His movers will not be available for another few weeks as they are booked and his rate lock in for mortgage is in jeopardy also. The biggest problem ... is where to live???? His Cell # 978-764-4801 Home (Wife should be there) 978-546-6267 Office # 978-282-4188 Thank you for helping me with this call. (Kathy O'Neill) JUN-Z6-UU MON U8:31 AM CAMPBELL FOREST T, Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 FAX:I 978 557 5473 PAGE I µ0RTh 0� (-(Leo 0 o S APPLICATION FOR C.ERTT.FICATE OF OCCUPANCY I INSPECTION ADDRESS _.�GtM 1,292-&-l. . lo_,hl e LOT NUMBER_ J� SUBDIVISION-'� DATE REQUEST M,FD.— DATE READY FOR INSPECTION 6Zg 2/00 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 OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF� 11 T, STRUC D �S NOT MEET ALL APPLICABLE CODES. SIGNATURE G4_ ICTAL USE ONLY ROUTING CONSERVATION., PLANNING D.P. W. —WATER METER DATE DATE DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO TIT-, INSPECTION REQUEST DATE. SIGNATURE / DPW AUTHORIGATION' M 0 z TOWN OF NORTH ANDOVER 4, DIVISION OF PUBLIC WORK ��µ! 384 OSGOOD STREET r,> NORTH ANDOVER, MASSACHUSETTS 01845 J. William Hmurciak, Director Telephone (978) 685-0950 Timothy J. Willett Fax (978) 688-9573 Staff'Engineer Additional conditions for lots 15 and 23, Campbell Forest December 21, 1999 This Division agrees to sign the Form U, and water We agreeewer t permits, sign the Form USfoar these lots so that the 23 in the Campbell Forest Subdivision subject to the following ond t ons construction of these two model homes can begin at this time. The conditions are as follows. 1. No sewer service shall be installed'into either residence until all off site sewer adonties are declared on Campbell Road, v well by this Division. These off site sewer facilities include sewer lines and a pump stationas sewer lines and two pump stations on Turnpike Street. At this time, the construction of these items has not been completed. installed into either residence until all off site sewer facilities are approved by this 2. No water service shall be office. Any violationo ove conditions will void both water and sewer connection permits. No refunds will be granted. Mesiti Devt*nent corp ivision of P Works CC: Bill Hmurciak Jim Rand Mike McGuire Heidi Griffin Printed Name �(t t�/4t Printed Name 1�1alh9 Date Date Date. l.. �� a� N2 4504 T:1+ TOWN OF NORTH ANDOVER 3a .�' r '• °°c . Mww'"O PERMIT FOR PLUMBING �sSACHusE� This certifies that ... y.. ........ - .................. has permission to perform.,,.......y................. plumbing in the buildings of?!j.,. ..' ` ,.North Andover, Mass. Fee' .... Lic. No..��. `'�`� ��+ L- ...�,,...................... . PIUMBIN INSPECTOR Check WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS jl� r� �� V) / " l � 9 WH I7TJ1 I EA Date Building Location % ��P�00(�S t.� Owners Name Amoirrt^�=— Type of Occupancy5� New � Renovation Replacement Plans Submitted Yes No ❑ (Print or type)Check one: Installing Company Name S (� d� f e K ❑ Corp. Address 1 H (6 0 _ S� ° ❑ Partner. Business E• Firm/Co. Certificate Name of.Licensed Plumber. Insurance Coverage: Indicatq the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance ,rSignature Owner Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massa��� P1umb�C e and Chapter 142 of the General Laws. rA VED (OFFICE USE ONLY Type of Plumbing License icense Num U r Master 1-1 Journeyman n c (Print or type)Check one: Installing Company Name S (� d� f e K ❑ Corp. Address 1 H (6 0 _ S� ° ❑ Partner. Business E• Firm/Co. Certificate Name of.Licensed Plumber. Insurance Coverage: Indicatq the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance ,rSignature Owner Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massa��� P1umb�C e and Chapter 142 of the General Laws. rA VED (OFFICE USE ONLY Type of Plumbing License icense Num U r Master 1-1 Journeyman n MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Lel D 6 Date Building Location G Owners Name Permit # Amount 41._ Type of Occupancy New Renovation Replacement [:] Plans Submitted Yes F1 No Ti TYTTTRF.S (Print or type)/' Check one: Certificate Installing Company Name (?( iC -e -le Corp. riPartner. Firm/Co. Name of Licensed Plumber. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box Liability insurance policy Ll Other type of indemnity E]Band Insurance Waiver I, the undersigned, have been made aware that the licensee of this application does not. have any one of the above three insurance signature Owner Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbiode and try f �ws. ice.- /. A, v Type ofPlumbing License rcense um e'err'� Master Journeyman :D (OFFICE USE ONLY Y6 6 4 Date. . .-/or ........... ,HORTM TOWN OF NORTH ANDOVER py •,o ,e 1�pL p PERMIT FOR GAS INSTALLATION This certifies that ... ............ • • has permission for gas installs on , . : 'J./ .......... • . in the buildings of ?-' ....Kj�! .• • . • • • • • at_:%.-1-'~�- •'�J�' • • • •, North Andover, Mass. Feel- Lic. No�, 70�... �_ G . f ........ . i ~ ' GASINSPE R /• v WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MAP PARCEL MASSACHUSETTS UNIFORM APPUCATON FOR PERWr TO DO GAS FITTING or print) NORTH ANDOVER, MASSACHUSETTS Building Locations Owner's Name New 12 Renovation ❑ Replacement ❑ Date 3110 19,t, Permit # 33C Amount $ Plans Submitted ❑ (Print or type) one: Certificate Installing Company -Iff Corp. Address t10 L-f//✓T ih C -P S % ❑ Partner. Z shvr4 �r Business Telephone 6 !f4 f — E Firm/Co. Name of Licensed Plumber or Gas Fitter l e INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No[:] If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts St>V Gas Code and C)Iapter 142 of the General Laws. (OFFICE USE ONLY) Signature of Licensed Plumber Or G;is Fitter ❑ Plumber Af 7 7 of - 0 Gas Fitter License Number j Master ❑oumeyman w � a z a H z z a Gw w w � Q x a � w F � � � � � x a U e � w d d a F a m o z w o w o x w 3 c° a> c a H o SUB-BASEM ENT B A S E M ENT 1ST. FLOG R 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type) one: Certificate Installing Company -Iff Corp. Address t10 L-f//✓T ih C -P S % ❑ Partner. Z shvr4 �r Business Telephone 6 !f4 f — E Firm/Co. Name of Licensed Plumber or Gas Fitter l e INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No[:] If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts St>V Gas Code and C)Iapter 142 of the General Laws. (OFFICE USE ONLY) Signature of Licensed Plumber Or G;is Fitter ❑ Plumber Af 7 7 of - 0 Gas Fitter License Number j Master ❑oumeyman Location Date OVER ' ENT TOWN OF NORTH ANDOVER ',VOFAMILY I w Certificate of Occupancy $ Building/Frame Permit Fee $ JACHUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #�/ `7-, G -f 14 b ` / --Building Insp&tzr b:_1b o?00/ and Parcel Number: /7.2 Parcel Number bsions: I t/ 5� Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 3&" s 1 3 ' 33" 30 301 1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private ❑ Zone Outside Flood Zone 0 Municipal On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSE IPIAUTHORIZED AGENT 2.1 Owner of Record Name Signature 4.2 Owner of Record: Name Print A Z_/Ia Telephone Address for Service: Address for Service: .Sdc: SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Constnlction Supervisor: C S 0 % 9' �2 3 License Number ^� -3/' Address -a s/y/tea 7 '. E:�3a0 Expiration Date Signature Telephone evrJ�� S57— ,5'-2 3,.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Address Registration Number Expiration Date SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes ...... V No ....... 0 SECTION 5 Description of Proposed Work check all applicable) New Construction Existing Building ❑ Repair(s) ❑Alterations(s) ❑ on ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: o©O d jb ee `C �% Z SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OFF'ICIAL:USE ONLY 1. Building �/� o SCJ (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction C36 V DI 3 Plumbing Building Permit fee (a) x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER' AGENT DECLARATION /AUTHORIZED I,as Car/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 belief Print Na Signature of 0wner/A e NO. OF STORIES Date SIZE BASEMENT OR SLAB SIZE OF FLOOR TIlVIBERS 1 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE IN FORM U - LOT RELEASE FORM that all necessary approvals/permits from INSTRUCTIONS: Thisform is used to verjry 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 SFCTIOt�tl-�-e �t�6 *55-7�- s-7 G o APPLICANT�`�nr�% / FC�1�5't, L �. c PHONE 6S LOCATION: Assessor's Map Number 1061-3 PARCEL % 7.2 SUBDIVISION C�,���'l� f LOT (S) 3 STREET �Jf' �Sf e GJ��'S G<? e ST. NUMBER v�8V ************************************OFFICIAL USE ONLY******************************** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR COMMENTS /�7NtQ l©0/�- DATE APPROVED DATE REJECTED_ TOWN PLANNER DATE APPROVED DATE REJECTED_ COMMENTS I FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED_ SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED_ COMMENTS PUBLIC WORKS - SEWER[WATER CONNECTIONS J t� DRIVEWAY PERMIT FIRE. DEPARTMENT RECEIVED BY BUILDING INSPECTO Revised 9197 jm DATE F E: - 1 8- 0 0 F P I 1 0: 0 1 S_ E_ C u m m i n s s A s s o c i ate s P. 0 1 e � C rmso PLOT PI A N S.E./� CUMIMIN$$ & AS$O/,�4C� M P.0, PDX M17 PLAIMM 865 r&VHo#r 1e097-3$2 $OSS' rAX (80)402-5218 SCALE 1" � 60' WEBSTER WOODS LANE 121.57' l rFOUND�ATION 7R '00 275.00' r L a 28.43' 7P :�.0') , � 1 I L a T 23 4J,$60 SF. 1 i j / HEREV Y CERTIFY rO r0W OF NORTH ANDOVER,, MA BUILDING D PARTMENT rHA r THE EXISTING FOUNIJA TION ORA WN ON MIS PLAN /$ LOCA TED AS SHOWN Iwo THA r /T DOES COMPL Y TO THS' MINIMUM BUILDING SETBACKS TO PROPERTY IMS. DATE: FEBRUARY 17, 2000 MINIMUM SETRACKS.- FRONT - jQ FEET SIDE - 30 FEET BEAR - 30 Fffr CO m m m m C/) m r C COD CD CD O CL 0) 1; O. CD O � CL Q CD O co CD H 10 CD O _0 y d O CO) C• c CO) d rF CD CD y CD CO) 0 st CCD O CD C oo =r c s ®1 Q C.y O Q y = a o oc .� CO) :—*5 O m C13CA C2 m Z soo y O = .* to m y T Er an d?d CL O y O O O y p --1 O IE = ® a > >� C :O CR m n . O Zyn W =r C y ` CL ,� O _� V^ m m y d 2 V/ C O m AOft n �.y.� _ CD 0 :4%w,z - 3 -N46 cn y C m ^ C O 3 O O . o �O p o z cn 4%ft CD. cn n cn CD y c to m :� n C7 : n c2 CD CA 0 ro: S e n E 0- SCD O ., M r °1- o oGv x yi ITI °� cno oGc x ^r ll p= o arc �' .� �lr�.{11 7 = n p as S. o d w C'� r c �• n o CL x �7, O cu 0 c m m m 0 0 H d d O CO) cl O CO) d CD PF 0 CO) 10 CD O 0 CCD CD0 C C ? � p d IA Q y _ • C O O =151 C9 m nT Z y ?* mO CD y 0 y C oN � itCD > > O CA m 'O 0=: ® m �' O n O o y. .' W =rCD C y % A M a moo' _ =CL m VJ C O y C� � H ® _ > a d ; .C� r7t C cn M�"� "► 7= mmgcD _ m y y O CD 6% IS SCD VD= b z o ��z �mo� R CD CD cn cn ® y c to Im . o �. = m GE � e o= 0,��. • Ci Cn R 0 Cn 4 0o b7 '-f p gi o H -x -� Cn ',C o ►d :v °� 'PJ o wG b z .� �' n � 70 o 'rl o � Cn '° It al ° a x orl y GU omi 0 0 c Location 4�) ��� Z -- r -t /�— No. Q Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ CNUs Building/Frame Permit Fee $ K biz U t Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # '13641 �/ —Building i<spkctor r ttS— A i5—koFj t K 1 1 ka : ka 1 `,3 t. 1._ UMM 1 1'l9 S HS•S•col G 1 Old ESS Y k0 J. L CERr/FlEA9 nor PLAN S.CiANNIrNM A ASSO/�CIA rES P.O. QQX 180PLAIT / OW. &r►� 0$865 r&RpNON ' PAX (0M4024218 SCALE 1 r � 60, WEBSTER WOODS LANE 121.57' N 0j,0 'a0 275. 5.00' i to L 28.43' I EXtS n FOUNDATION 5. (Sill 4�44.t�') aft a. h 4D r co LOT 2J 43,580 S.F. � 1 I � j 1 HEREBY 01? W Y TO TOWN OF NORTH ANDOVER, MA 8UILDING DEPARTMENT THA T TWE EXISTING FouwA TION DRAWN ON THIS PLAN $ LOCA TED AS SHOWN AND 7HA T I T DOES COMPLY TO THE` MINIMUM ,BUILDING SETBACKS TO PROPERTY LINES. WE FEBRUARY 17, 2000 MINIMUM simACKs, FRONT - ,yO FEET SIDE - 30 FEET REAR - 30 FEET r cts- 1 its - aa r K t 1 a a i :=� t= L;umm i t"r9 s Fissac i Qti ESS F - b i CERnFlEo Pit o r ,FLAN Sx, CVM/lr INO A ASSOCIA rES p.Q. 8ox W? PUISTOW, Atli. 0068 TEL,cptjo#f fAX (W)-3824216 SCALL 1p 60' WEBSTER WOODS LANE r2r.57' _ 1 N oi3O '00 w cn L a 28. .� 75 C E)OSYI� 13097 FOUNDA o (SILL 144.0') It J h � LOT 23 43,580 S.F. # I j / HEREBY CER nFY TO TOWN OF NORTH ANOOVER, MA QIJILD/NG D&'PARTMEIIIT THA r THE EXISTING FOUNDA TION DRAWN ON MIS PLAN lS LOCA 70 AS SHOWN ANO THA T IT DOES COMPL Y TO THe MINIMUM BUILDING SETBACKS TO PROPERTY LINES. ALBERT T. TROVEL ll DATE:, FORUARY 17, 2000 MINIMUM SETBACKS- FRONT - jo FEET SIDE - 30 FEET REAR - 30 FEET IA cn rB Z a crrm W G rnyo -n 5 Z y O c G Z CA O m rm G x G C rn b cn O a\ 7C Cy x - 'v O CD C) Z y � o � 1 C •� O- c o Cl) m = nUm CO) -W M O v co CD m CL o � Q* ? m -C d CD C/) CD CD m w w 9. C CD y �O CD y O CC CD I � y v O CD O Z 0 O '..« O CD O CCD '-0 3 t 0 =1 cn cn rB Z a H W G � C Z y O y G Z CA O m G x G C W O b cn O a\ 7C Cy x Ju O O omi 0 0 c iU -H < z Ln rD Q O nl O a O nm O ro z 4t GJo �, 0 ..� .� . =r po --% = , A) il su ro N = cD cD cD n �. C�. �. O O C 3 � ' o Q CL CD 0 H Cm/f ro O I OO O --i-o = O D ro m _a p co 0 -•a O •4 CL o ( O COD $ O n d N ID C 3 :� a Ln1 a o to '" �o o< JU� _ CCL L �,0 Att aj mE ^" O C m ClCL v cD W.tp o C f m q .y �! ice.. 10.�.CD 5" z o t 9*4,1 A W Location 10 i --)3 *a8c av,-b-sem &w L N, No. oy.) Date -2)2)00 NpRT1y00 TOWN OF NORTH ANDOVER � A • Certificate Occupancy `J • � . of $ ''C us tom s�cNust Building/Frame /Frame Permit Fee 9 $ Foundation Permit Fee $� s Other Permit Fee $ TOTAL $ Check # 06 S"G 6 36'17 �j A r6, Building Inspector r1Y I i � 0 d 7 ^ r9� W z fir-{ W n O ti V. V w N N V. _ ® 7 V. — it v ` V r �4 L � t J z L � r Lr7 - `qj14� z u ON �y - J ✓ % T rn V r*. V. r. Lr r1Y I i � 0 d 7 ^ r9� W z fir-{ W n O ti r1Y I i � � d 7 ^ C� z fir-{ W Z a el �! O W, c Em N � � z 7 ^ z fir-{ W n O ti N V. it v ` V r �4 L � t z y z u N (n 7 ^ W e \ 1, %tom» \� \ e ® no / —^ % ��. .. ■ R A�:�w »�{�:wS .. — � CID \ cn _ \ 10/ /\ \ _ amu` ��, �u ti •fit �z �h'ti..tit� 1 � �� �~ � F Sl 43,6.5 TV dk� JVD M a 'a 1p 1� \ DECK .l \ ROP. SFhi \ ASEMENT 136.5 \ T1,22 FRAGE 144.0LAB 136.0 y ui ' \ p -�.ej X36\ r. N Td WdZS:SO 666T tiZ 'OaQ Az Z99Ztib6zZ9 'ON ONOHd ONI `dnajo ONId33NIONd 3IZN3ADW WOaJ FORM U - LOT RELEASE FORM 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 SECTIO}�te APPLICANT C� �i �or�sf= LGc PHONE 6g7-5-3oo LOCATION: Assessor's Map Number /d(o /3 PARCEL 17.2 - SUBDIVISION 7.2 -SUBDIVISION �o�� /f LOT (S) o93 STREET /.y,p��5�i'/ w6d�s Lam e ST. NUMBER o2 M USE ONLY************^ ***** r t************** N r%N Sim ,5 RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED Z t d O DATE REJECTED COMMENTS (A -ex orkcJAS' rvl�.it�1 1-,•� fl TO COMMENTS INSPECTOR -HEALTH SEPTIC I �PECTOR-HEALTH COMMENTS PUBLIC WORKS - SI ❑1 FIRE DEPARTMENT DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED_ RECEIVED BY BUILDING INSPECT -Revised 9197 jm DATE The .Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Name Please Print I N Location: City Phone # 0 1 am a homeowner performing ail work myself. 71 1 am a sole proprietor and have no one working in any capacity F7I am an employer providing workers' compensation for my employees working on this job. Companv name Dew' Address o2 3l f?' sem" S7,t e Ci : 4-Xd o -v -e -r (L,_2 a 1 q6 Phone #: $ 7 - a -70 G7 Insurance Co. U.#71 �9 S, f.Ir S' CO. Policv # w/9 62#/3 Z/L/S'o a Com an name: City: Phone #: Insurance Co. Policv # 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 civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby certify under t/hip pains and pie'na s of perjury that the information provided above is true and correct. / % ,_ , _ ��/C Date Signature V n Print name -0--7, Phone # 67Y7-5_;760 Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensino Building Dept ❑Check if immediate response is required licensing Board Selectman's Office Contact person: Phone #. ❑ Health Department 11 Other Growth Management Eylaw 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 8.7.6 of the Town of,North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested 'below. Name of Applicant an Euilding Permit (below) Address of Property for Pen„it (Eelow) C bel Goy-rst �C �,, tubo— Mao and Parcel : 172 Purpose of Application (check below) Phone Number of Applicant:Single Family Two Family 8 7– 5-3a c- — 1 the undersigned applicant for the above property attest that the attached building permit `or 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 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 E<EMPTiON status is subject to review by the Building Department and is only officially_ accepted when the Building Permit ig issued. Eased 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 reconstruc ion of a dwelling in existents as of the effective date of this by-law, provided that no additional residential unit is created. The lots) were/was created prior to May 6, 1996 are exempt from the provisions of this Section 9.7 of the Zoning B law. This appllcatton 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 occupant/ of the units is restricted to senior persons through a property executed and recorded deed restriction running with the land. For purposes of this Section "senior' shall mean persons over the age of 55. ii sapplication is a part of a development project which voluntarily agreed to a minimum a0% permanent Adi 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 spats and/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 trail 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 P!anned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for building permits,(i.e. all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not a=mmodate issuing a building permit in that Year, one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination' that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate inform . r the checking off of an above item which does not comply, whether done to my knowledge r no , is grou ds for refusal by the Building (Department to issue a Building Permit. � � o ignature of w4e or oozed Agent who signed the Attached Budding Permit Date This form must be attached to the Building Permit upon application for such permit f Sy F ti T��. W \ FIGO, \ \ IDECK . G ROP. SFH ` \ ASEMENT 136.5 / \� f E RACE 144.0LA6 136.0 LOT122 1 / 036) i id WdtiS:SO 666T TZ -0aa J Z99ETt76ZZ9 'ON 9NOHd ONI `d oNo ONIN3DNION3 31ZN3ADW WONA TOWN OF NORTH ANDOVER DIVISION OF :PUBLIC WORKS 384 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 J. William Hmurciak, Director Timothy J. Willett Telephone (978) 685-09.10 Stayff ogineer Fax (978) 688-9573 Additional conditions for lots 15 and 23, Campbell Forest December 21, 1999 This Division agrees to sign the Form U, and issue water and sewer permits, for lots 15 and 23 in the Campbell Forest Subdivision subject to the following conditions. We agree to sign the Form U for these lots so that the construction of these two model homes can begin at this time. The conditions are as follows. 1. No sewer service shall be installed into either residence until all off site sewer facilities are declared "active" by this Division. These off site sewer facilities include sewer lines and a pump station on Campbell Road, as well as sewer lines and two pump stations on Turnpike Street. At this time, the construction of these items has not been completed. 2. No water service shall be installed into either residence until all off site sewer facilities are approved by this office. Any violation o ove conditions will granted. Mesiti De ent Corp void both water and sewer connection permits. No refunds will be fir. Printed Name ivision of PWorks Printed Name Iyl CC: Bill Hmurciak Jim Rand Mike McGuire Heidi Griffin Date 1 z- zl-9 Date 1 467 APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. `-� (=1019 7— Application by the undersigned is hereby made to connect with the town sewer main in'�,�1��1,� Street, subject to the rules and regulations of the Division of Public Works. Thepremises are known as No. 0 �1 v��'n� Street or subdivision lot no. &6fll" Owner Address Contractor PERMIT TO CONNECT WITH The Division of Public Works hereby grants permission to Re-, to make a connection with the sewer main at subject to the rules and regulations of the Division of Public Works.. Inspected by Date N Street See back for rules and regulations S'e, U,/, 2 ISTAAPPLICATION IFOR WATER�SERVICE-"CONNVECTION:= C_`'l, '••'.a`-' riwoT 'F!i tCt M.9112f' 2iC1dj£!FYkii i �r:lj fi p't"! 4# . t£v'd trr Y goal i i,. ? '.o n+�''t''}North Andass. Application by the undersigned is hereby made'to connect with the town 'wate'r main iri r S"et- subject to the rules and Rregulations of the Division of Public Works. .i 3L' .,-'ru;,t l'��il t.>.1.1: f i -- . 8'f.�.t,� 1 �U 3?. i i+.�•: (�,. ;f•�.:q �i • � [ � �t ��5� +.: -fi(�l , �__ ....>i.. The premises are known as No. V'' /�t/� Lam/ �%�i Street or subdivision I no.7`S7�a 9 ititskta ri 21 y ` rrt. S m - �Q Owner r_: Address TOWN OF NORTH ANDOVER, MASSACHUSETTS ` DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 Telephone (508) 685-0950 Fax(508)688-9573 NORTN OFtt�eo ,e9ti 6 0 O 9 Y DRIVEWAY PERMIT Date: e 2 179 C LOCATION: Zo6l 2 BUILDER: phone: OWNER: �� phone: 5-57- S �0 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: Date ... NR 0748 .... .... ... TOWN OF NORTH ANDOVER RECEIPT This certifies that.. pal...... ...... haspaid ............................................... o o... ...... for ... ........ .... ................................ Received by ................... .............. Department .................... .... 1. C, ................................................... WHITE: Applicant CANARY: Department PINK Treasurer Li m N a W al c n o. m m o a r. � a � °CLc o cu m D o M�cr _. C �« a� O Lo n m u� m CL C U1 na C O E. m 77 La a a n. �E m a ^� O c 1+ 0 5 O F y 0 z z 0 0 i su 0 C•7 C' CL C CD v� 0 y:4As of z 0 0 i su 0 C•7 C' CL C CD v� x Cr r, � y d caz y -0 o rn — d ♦ CCACD � O C) o 0 A CT] • gC CD = CA n m o d lz z O mOcCD m CD o '� CL Cn m i lr CD Q CD o CD O� m O CD CO) —• CD V O1 O y z COCD cn vy O CD 0 O CCD o � C ,.d CD O C 0 O z O m O m O W C a CD to c O N t CL 0 Hp c C?�O d �. fA O Q y = goo vs Os CS o m n C, O .• c c. T I'C N S Z: O a T maid m gr ..► CO) O C a C, AD a Ej 0 z5" O Hn . m N . ft -mumm� CL '3 m O CO) a �° a� N CL °' .rd- .� :ID WN UCD c� yz (Al O o a •O+ CO) CO =!Ric Ci Nt: CD O m Tto d �� :rb Ar: M. v :i o OC. CIO S g �_ Co o tI Ju O e 0 H 0 9 0 c C/) �" d ro :31 n gi G o d n o O axZ x rD g o Ju O e 0 H 0 9 0 c .4 I I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 I I 3 00 I #hked 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: 1-27-2000 DATE OF PLANS: January 25, 2000 TITLE: Lincoln PROJECT INFORMATION: Lot 23 Campbell Forest Subdivision North Andover, Ma. COMPANY INFORMATION: Campbell Forest, LLC / Mesiti Dev. Corp. 231 Sutton Street Suite 2F North Andover, Ma. 01 COMPLIANCE: PASSES Required UA = 594 / Your Home = 591 ✓ Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value U -Value UA ------------------------------------------------------------------------------- CEILINGS 1752 30.0 0.0 62 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 1752 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 applicable Standard Design Conditions found in the Code. The HVAC equipme se ted to heat or cool the building shall be no greater than % f the de 'gn load as specified in Sections 780CMR 131a�J9.4 Builder/Designer �Z Date ` % MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Lincoln DATE: 1-27-2000 Bldg.I Dept.I Use I I CEILINGS: [ ] I 1. R-30 i Comments/Location I I WALLS: [ ] 1 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: [ l i Joints, penetrations, and all other such openings in the building 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: 1 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. 1 2. Type IC rated, in accordance with Standard ASTM E 283, with no 1 more than 2.0 cfm (0.944 L/s) air movement from the the 1 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 ,-w I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R -values, glazing U -values, and heating I equipment efficiency must be clearly marked on the building plans I or specifications. I I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. I I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I I TEMPERATURE CONTROLS: [ ] i Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 1250 of the design load as specified in Sections 780CMR 1310 and J4.4. I [ ] SWIMMINGPO All heate g pools must have an on/off heater switch and I require a o e less over 20% of the heating energy is from I non-deplet b e ources. Pool pumps require a time clock. I [ ] HVAC PIPING INSULA ION: I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.): I PIPE SIZES (in.) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I [ ] I CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.): I PIPE SIZES (in.) I NON -CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F): RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 I 1.0 1.5 2.0 I 140-160 0.5 I 0.5 1.0 1.5 CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number � D� Date 17 - J 9' THIS CERTIFIES THAT " THE BUILDING LOCATED ON MAY BE OCCUPIED AS �'�`�'' / '� �'.y ` IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIQNS AS MAY APPLY. /Q ,eco i�174 c2 -31v BA fh S, -3 SJ./W v�v>,c- �. CERTIFICATE ISSUED TO ADDRESS Xell / k e - .o s/ '.s u i -Ye- c5?F or a x ►ri := G 'fid a�G r I7 w n 7z -11 �'G � C �, y 3 C) 1 CO) 110 CD a oCD O C d O m m -0 m O M " m O v CD 33 VJ CL Q m d U) p CD O m c CD ao O O c to CD CO) CD O CO) O CO2 0 CO) CD 0 CD CD CO2 CD CO) O CD 0 CD O V. 0 z O rr O O _ m O C a m d 0 H C 0 CL V! H CD a . y O cry d O O CO 4 'O n @ Cl) to �•CL 3 m 3�5= H a?CL m =_ O m H O c G O ~' O 0 C2 O N n i�_-C: a h = CL OEr CD CL o -CPU- ®= : :r► h CL_d :�C a W — r IF o 6 .dirt H _ to p C.) moo` • � R Ir CD � H N 'pAs '.''� ..: o s; IL _ CL=: mss: ®� =W cn (n M �i x o o z ►ri := G 'fid a�G r I7 w n 7z -11 �'G cn n7 A. ro �, y 3 C) 1 z pt ITI x r N rA v ju O e O 0 L e 6 Town of North Andover F t1ORTy O ttL10 Building Department 27 Charles Street 0 North Andover, Massachusetts 01845 * (978) 688-9545 Fax (978) 688-9542 O �wN ■ �. COC Mi[ 9WK• �9ss4c APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS o? ASO (NG, 6Sf--r +000,IS (Rn(f LOT NUMBER 023 SUBDIVISION DATE REQUEST FILED 7,/ 714o DATE READY FOR INSPECTION '7 //9Md0 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 STRUCYJiEBNES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTING CONSERVATION �5 PLANNING DATE DATE 406 D.P.W. — WATER M/1fER _1�,� l DATE �GL�{ l� f D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED., PRIOR TO THE SPECT,I�O�N REQUEST DATE. SI NATURE W AUTHORIZATION JUL,10 uu lut u1:l1 rM l,tiMrtLLL rugthr l !'MX:1 vid �)/ 741j t' 4h 1 MS1ti Vev broup Faxws-5t>nnbu Jul 1( 1UW 15:N r.ut TOWN OF NORM ANDOM DIVISION OF PUBLIC WORKS 384 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01945 J. i911iia* Hnnnfok• Telephone 08) as-09So. Direcfor '' ' • For (978) 688-9573 July 14, 2004 ?&.-KeMeth.GMMLq4 President Mesiti Development Group 231 Sutton St_ Suite 2 >r North Andover, Ma. 01845 Re: Conditional Operation of the Campbell Forest Sewer Pumping Station. Dear Mr. Grandstafl= The Division of Public Works has impwted the sewer collection system and sewer pumping station, and appurtaom on Campbell Road related to the construction of the Campbell Forest and Lyons Way subdivisions. We hemby grant condition approval for use of the system and pumping station subject to the followbg. I. Completion of items 1 through IS as listed on the J* 10, 2000 Later to Mr Dennis Bedrosian from Maurice Harpist of Mesio Development Croup, a copy of which is attached. The work will be completed within 45 days of acknowledgement of the receipt of this letter. 2. Satisf dory completion of an as -built plan for the Campbell Road sewerage systent 3. Submittal for our review and approval a copy of the pareven ive maurtena = contract for the pumping station 4. A performance guarantee shag 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 W will be allowed to reconsmtct, repair, replace, add to, service, and operate the pumping station and related ap r ient.and facrifidw in the eved that Mesiti Development or its agents fail to adequately perform rnabjenm= of the pumping station k..,.. - ,.VL lu VV 1UL V1:1J r1w I,uwrGCLL ruatoi MA:l y10 )71 )ql� C1 UL t v v, uur , a&•7ro-)JIo1W Jul 1( IUVV 10:�A F'.tJd b. M,esits development shall reimb m the Town upon demand for the reasobable ... costs of emergency repairs to the Pumping Station 7. Mesiti Development Croup and its successors or assigns AuR indemnify, defend, and save harmless the Town of North Andover and its Division of Public Works and their respective employees, obi& and agents againg an. suits, c]ahns, judgments or liabity of every name and nature arWmg at arty time out of or in consequence of the acts of the "Town" or its agents, ercrploym and otiudals in the performance of the access purposps covered .by this grant of conditional use or The bihor of the developer and its successors or assigns to comply with the terms and conditions of this Vw. Very T . ours, YX.'J J Wiili�m Ha�urc' .� Director of Pubbc Works The undersigned aclamwledge the zeceipt of and agrees to the terms attd caaditioas of the above grafi of ndiMIM use. UP A. _ eth s ent Date: