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HomeMy WebLinkAboutMiscellaneous - 295 WEBSTER WOODS 4/30/2018 (2)(� v� 3748 -2r) - 4 - Date .... .....*?- ............... TOWN OF NORTH ANDOVER PERMIT FOR WIRING Thiscertifies that ............................................................................................. t. has permission to perform I............................................. wiring in the building of 'zv' ............ at(?!9 ........... 0 .... / ....... . North Andover, Mass. Fee...... Lic. ................. ................ /ELECTRICAL INSPECTOR Check # THECOMMONWEMTHOF11MMCHU 'E7T.S' Office Use only OF.FARTMFJVVI'OFPUBLICS9FE1'Y Permit No. 3 BOAMOFFMPR&EWONRBgJLAT1011ND7agIZ-iID 7` VA cupancy & Fees Checked PPUCATTONFOR PERW 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) Date t/ Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) Owner or Tenant Owner's Address . QUO AtA7avt9_ iZ, yPAQ Is this permit in conjunction with a building permit: Yes ®.bio Purpose of Building N Q,�z (A- -sty/ Existing Service mps Volts Overhead New Service Amps /•_ P �4 96 Volts Overheadl:3 Number of Feeders and Ampacity (Check Appropriate Box) Utility Authorization No. bbn3 Underground M No. of Meters Underground J:Eq�_ No. of Meters Location and Nature of Proposed Electrical Work No. of Lighting Outlets f No. of Hot Tubs I No. ofLightir No. of Recept No. of Switch No. of Ranges No. of Dispose No. of DiAwas No. of Divers No. of Water Heaters KW Massage Tubs swimming Pool No. of 09 Burners No. of Gas Burners No. of Air Cond. No. of Heat Space Area Heating otaI I otal FIRE ALARMS No. of Zones Tons row TOW No. o(Detection and Tof s KW Initiating Devices KW No. ofSmoding.Devices No. of Self Contained Detection5ounding Devices KW. LocalMunicipal ^ Other M Connections u HP �, fr�ratoeCaaer� Pt>rs,tratibt}telagtitema�dMa�d�t�Cstaallst�+s . i, eatz�ertLiab�iylnstra�Pb&3�ittdudrtg Co ori�w6�atiial y r NO 1h%es<hTWcdNddpoaf0(s3ne1D#COliae Y6 NO � Ifjuit�eeitedaE+dyES,piease� byd�atethe NkRANT gZ[_BOND, 4VokloStat !RMNAAE /V/M/)l0 14 Ale c 1091See NI (t.� ' yt/(if Y✓�M fA...�-Signan . (`eC A Esir V IW0&$ II Rea t A' /l - lt'tnrai - 4.)/// C/ // LimmNia. IxaseNo BushmlidNoC/2:3 V I1WNER`SR4RJRANCEW A1tTdNa ANFR;lamawatelhattheLit=edoey votlr�ethecp.btzsm*Wb,MamadmsftCrnedLmvs xIdEtmy tn,o nd ispa niWphcation11i,. Please check one) Owner MAgent ❑ Telephone No. PERMIT FEE 7 J Location ��.2t)S a4s4 GUdCrA 1"e - No. e - No. 3 Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ 0 Building/Frame Permit Fee $ Foundation Permit Fee $ f ay Other Permit Fee $ TOTAL $ /S-0 Check # / ✓ /fit /R t J 15293 Building Inspector PI -11 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING iiilS SCiE$�Q»Oir IICiI USC dill BUILDING PERMIT NUMBER: C3 / DATE ISSUED: l a -o SIGNATURE: L. CQ�2_1 Building Commissioner/In ctor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: �' v T c;2-043 1.2 Assessors Map and Parcel Number: �] C r1?� 1068 / Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: R12- i 3 61 9a ` Zoning District ProposedTJse Lot Area Tso Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 3( 3,51 :30 32-' 301 Z F 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public W Private ❑ Zone Outside Flood Zone ❑ Municipal On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Ovi,,P-2 ii�"r'�r�' loo Ahds&,e,- 3�Kaa sa s, fife '300 N-iqx Name (Prim 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 z � �- � � �,_9s.� e�,1 Licensed Construction Supervisor: 06 o 6 / �J 02,3 <% License Number Address Expiration Date Signature Telephone 557 — 0 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Tele hone 0 W J It 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 Descri tion of Proposed Work check all applicable) New Construction 4 1 Existing Building ❑ 1 Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ 1 Demolition ❑ 1 Other ❑ Specify Brief Description of Proposed Work: l/ /-2, X/6 �clD��✓ aleck a ery G����-a ce SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by 2ermit applicant ; ' , OFFICIAL USE ONLY 1. Building 5� (a) Building Permit Fee Multiplier SPAN 2 Electrical DIMENSIONS OF SILLS (b) Estimated Total Cost of Construction - aq ©n,5/ �- 3 Plumbing DIMENSIONS OF GIRDERS Building Permit fee (a) r (b) HEIGHT OF FOUNDATION 4 Mechanical (HVAC) SIZE OF FOOTING 5 Fire Protection MATERIAL OF CHIMNEY 6 Total 1+2+3+4+5) 125d Check Number Du SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER//AAUTHORIZED AGENT DECLARATION I, as Qmw/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 N Date NO. OF STORIES SIZE S BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1r / ; 1 2 N a,�, 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS G° / DIMENSIONS OF GIRDERS z LPA HEIGHT OF FOUNDATION THICKNESS /-0 SIZE OF FOOTING /e'" X "Zo MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND S O d IS BUILDING CONNECTED TO NATURAL GAS LINE c uk) � FORM U - LOT RELEASE FORP41 / _ / ` C)OC9 0�1 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 complianc-e with any applicable or requirements. ***** ** ********************APPLICANT FILLS OUT THIS 1 r i f e 6-6-7 - 5'76 07 APPLICANT C f'f Go��'�l GLe PHONE G,7 -53o0 LOCATION: Assessor's i�jlap Number D 6B PARCEL SUBDIVISION— -� LOT (S) ,� STREET Q Q65f-PC 600OWS 61 . ST. NUMBER o295' USE RECONIMENDAT10NS OF TONIN AGENTS: v CONSERVATION ADMINISTRATOR DATE APPROVED p- MUST F-C�YSA 1-4 ,-0)3 DATE REJECTED l -ZS OZ _G`g 51��°rue pc,ur�a5l-a�- a-FwoaK,- ENTS T N PLANN DATE APPROVED DATE REJECTED COMMENTS FOOD IN P T -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSP CTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWERJINATER CONNECTIONS 77 f DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTO Revised 9\97 jm fie -2-, -/ Z_ Mr�- a DATE The .Commonwealth of Massachusetts Department of Industrial Accidents Offic-a of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Name Please Print ! Name: Location: City Phone # ❑ 1 am a homeowner performing all work myself. F1I am a sole proprietor and have no one working in any capacity �I I I am an employer providing workers' compensation for my employees working on this job. Li"nrrnn7rniHama / �7.,i �%f �Oi%�/ / n rP_ S � C' / Af Address /00?�r City-. /V©rw /�'dlczyV f4 `40 C7 ��i°s Phone # �925) G 3 7 - s-30 (D Insurance Co. , Palicv cue-, O /,;z 6- Comoanv name: Address Cihi: Phone #: Insurance Co. Pcllcv # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition cf criminal penalties of a fine up to 51, 500.00 and/or one years' imprisonment as well as 5444nalties 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 prfay be fo rded to the Office of Investigations of the DIA for coverage verification. I do hereby certify Signature, Print name of perj�ry that the information provided above is true and correct. a 2 - hone # SS`7"" 76 O Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensina E] Building Dept ❑Check if immediate response is required C] licensing Board p Selectman's Office Contact person: Phone ❑ Health Department 17-1 Other Growth Management Bylaw Exemption Statement Town of North Andover Building Department This farm 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 necessarf information as requested below. Name of Applicant on Euiiding Permit (below) Address of Propert/ for Permit (below) 62 dim 4L)e.4-s�c�,r a �!'I• Map and Parcel : /06` Purpose of Application (check below) Phone Number of Applicant: Single Family Two Family — 5'7-.s,��v — 1 the undersigned applicant for the above property attest that the attached building perm i't for which this form is completed does comply with the E<ErMP70N 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 I-uiiding Permit. Further I understand that my interpretation of the E<EMPTiON status is subject to review by the Building (Department and is only of c!aliy accepted when the Building Permit is 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 one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration, or reconstruction of a dwelling in existents as of the erfiec ive date of this by-law, provided that no additional residential unit is created. ZThe lot(s) were/was created prior to May 6, 1996 are exempt from the provisions of this Sec::cn 8.7 of the Zoning . This applicadan is for dwelling units for low and/or moderate income families or individuals, where all of the concRions of 8.7.6.care met and/or represents Dwelling units for senior residents, where eccupanc/ of the units is restricted to senior persons through a property executed and recorded deed restriction running with the land. For purposes of this Secton "senior' shall mean persons over the age of 55. ii This application is a part of a development project which voluntarily agreed to a minimum 40% permanent reaRtan 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 soap and/or farmland. The land to be preserved shall be protected from deve!coment by an Agricultural Preservation Restrictton, 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 an the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for building permits,(i.e. all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that Year, one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved farm U with this EXEMPTION. Please provide any and all information that would assist the Building Oepartment in making a determination that your application is allowed one or more of the above EXEMPTIONS. By signing below I attestto ccuracy of the information provided and that the attached building permit is allowed an EXEMPTION s cited ave. Further I understand that the submittal of misleading and or inaccurate information, r the checks g off of an above item which does not comply, whether done to my knowledge Wat, is g unds for re' at by the Building (Department to issue a Building Permit. �i 1 a z ignature of Owner a A on d A e ha signed the Attac. ed Building Permit Date This farm must be attiched to the Building Permit upon application for such permit:. BUILDING DEPARTMENT DEBRIS DISPOSAL FORK! 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 property licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: _I iJ�r►p sfer - �(1�r_'�lr. C�s� .:�ec�iC_' Ci�9. �'��rP %f/�r•�s�;� �iYl� Location of Facility Si e o ermit Applicant l�S fz i Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector r' 4 FORM J LOT RELEASE The undersigned, being a majority of the Planning Board of the Town of North Andover, Massachusetts, hereby certify that: a. The requirements for the construction of ways and municipal services called for the Performance Bond or Surety and 'dated De -C,19 , 19 Jq and/or by the Covenant dated Mow A9 19 J_ and recorded in District Deeds, Book y $$0 Page lag or registered in Land Registry District as Document No.. and noted on Certificate of Title No. in Registration BookIPage has been completed/partially completed, to the satisfaction of the Planning Board to adequately serve the enumerated lots shown on Plan entitled C4M06e eSI S P Section (s) sheets L-7 Plan dated 19_ recorded by the Ex Nortk D i st'ri cfi egistry of Deeds, Pian Book or registered in said Land Registry District, Plan Book Plan �1 a7 8 4 , and said lots are hereby released from the restriction as to sale and building specified thereon. L* Lots designated on said Plan as follows: (Lot Number (s) and street(s)) b. (To be attested by a Registered Land Surveyor) C.oTS ZY,ZS i Z-1 L o rs 1 -rx+rr..• 13 ; L oTS l,s ; kiw Z 3 I hereby certify that lot number (s) GoT Zg T}f¢,c, 3Z 64 on �^'� �'�'`'� a� wssc�.. t.at�w (.....,..� ��NI►t�.,s Street(s) do conform to layout as shown on Definitive Plan entitled At n A � Section Sheet (s) of M4S � cti ALBERT T G� TRUIDEL � 4cr4L--� reLand Surveyor No. 36869 0 Ul 9£CISTER�� Q��a 4[ LAND SJ 1 of 2 C. The Town of North Andover, a municipal corporation situated in the County of Essex, Commonwealth of Massachusetts, acting by its duly organized Planning Board, holder of a Performance Bond or Surety dated , 19 and/or Covenant dated 19 from of the City/Town of , County, Massachusetts recorded with the District Deeds, Book Page or registered in Land Registry District as Document No. and noted on Certificate of Title No. in Registration Book, f Page acknowledges satisfaction of the terms thereof and hereby releases its right, title and interest in the lots designated on said plan as follows; EXECUTED as a sealed instrument this t S day of 19 Essex Majority of the Planning Board of the Town of North Andover COMMONWEALTH OF MASSACHUSETTS ss LC'(-ei'6"- 2/ 19 9! Then personally appeared _ A t 15;,�� �S (� bg one of the above members of the Planning Board of the Town of North Andover, Massachusetts and acknowledged the foregoing instrument to be the free act and deed of said Planning Board, before me. Notary PCblic My Commissi n Expires 2 of 2 1756 APPLICATION FOR SEWER SERVICE CONNECTION Z5) 1 North Andover, Mass. j 1 Y Application by the undersigned is hereby made to connect with the town sewer main in >°��(i'� �di1 Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. � �� L� Street or subdivision lot no. G 7� Owner Address r Contractor Address Applicant's Signat PERMIT TO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants permission to to make a connection with the sewer main at U1// subject to the rules and regulations of the Division of Public Works.. Inspected by Date / x�"z� l Ile !_42':� e— Street Divisi of Public Works By 2:;x it 1' See back for rules and regulations 1129 APPLICATION FOR WATER SERVICE CONNECTION North Andover, Mass t9--- Application � Application by the undersigned is hereby made to connect with the town water main in �_�f�'� �D/C.l�L�T Stf;- subject to the rules and regulations of the Division of Public Works. A The premises are known as No. ���✓SP� ��{��L� L� Street or subdivision lot no. 1 el ZOO A-Ildvel-- Owner Address Contractor Address Applicant's Signature PERMIT TO CONNECT WITH WATER The Board of Public Works hereby grants permission to to make a connection with the water main at�P✓ subject to the rules and regulations of the Division of Public Works. Inspected by Date N L�,( Street Board Qf Public Works By See back for rules and regulations J.WILLIAM HMURCIAK, P.E. DIRECTOR TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 140 L • i x.21 rt DRIVEWAY PERMIT Telephone (978) 685-0950 Fax (978) 688-9573 l DATE LOCATION !O ��� �C('� L� BUILDER phone OWNER v� THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM STREET. CALL THE SUPERINTENDENT'S OFFICE BEFORE FINISH GRADING AND SURFACING FOR APPROVAL OF SUCH ENTRY. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. Afr(ItCANi �5 S1C;A/A tj :t � �;� � ^ ` � ✓ice �an»na�zruea�i a�✓�aa�acliccaeCla BOARD OF BUILDING REGULATIONS _.4 License: CONSTRUCTION SUPERVISOR Number: CS 069234 1 Birthdate: 05/09/1954 Expires: 05/09/2002 Tr. no: 23903 Restricted To: 00 ALAN G RUSSELL _ 400 MAIN ST GROVELAND, MA 01834 Administrator t mAJLhle-C-- CV"M-PLIAi�CE KE-KOKT MaSSdUIUNeitN trier gy code MAScheck Software version 2.01 CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: other (Non -Electric Resistance) DATE: 1-9-2002 DATE of PLANS: September 26, 2001 TITLE: Lot 20B Lincoln-----� PROJECT INFORMATION: Campbell Forest subdivision North Andover, Ma. COMPANY INFORMATION: Campbell Forest, LLC / Mes ti Dev. Corp. 100 Andover Bypass suite 300 North Andover, Ma. 01845 COMPLIANCE: PASSES Required UA = 594 Your Home = 591 j j Permit j I a I I j checked by/Date j { i 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 equipmen selec to heat or cool the building shall be no greater than 25% f the de 'gn load as specified in Sections 780CMR 1310 4.4. 157LIZ Builder/Designer Date F1 MAscheck INSPECTION CHECKLIST Massachusetts Energy code MAScheck software version 2.01 Lot 206 Lincoln DATE: 1-9-2002 el dg . { Dept.j Use I I } CEILINGS: [ ] } 1. R-30 } comments/Location I j WALLS: [ ] { 1. wood Frame, 16" O.C., R-11 comments/Location I } WINDOWS AND GLASS DOORS: [ ] ( 1. U -value: 0.35 For windows without labeled u -values, describe features: { # Panes Frame Type Thermal Break? [ ] yes [ ] No } comments/Location i j DOORS: [ ] { 1. U -value: 0.49 j comments/Location { { FLOORS: [ ] j 1. over Unconditioned space, R-19 } Comments/Location } { HVAC EQUIPMENT: [ ] } 1. Furnace, 92.0 AFUE or higher Make and model Number- } j AIR LEAKAGE: [ ] ( joints, penetrations, and all other such openings in the building { envelope that are sources of air leakage must be sealed. When } installed in the building envelope, recessed lighting fixtures } shall meet one of the following requirements: { 1. Type is rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or } gasketed to prevent air leakage into the unconditioned space. { 2. Type IC rated, in accordance with standard ASTM E 283, with no } more than 2.0 cfm (0.944 L/s) air movement from the the { conditioned space to the ceiling cavity. The lighting fixture j shall have been tested at 75 PA or 1.57 lbs/ft2 pressure } difference and shall be labeled. VAPOR RETARDER: [ ] } Required on the warm -in -winter side of all non -vented framed } ceilings, walls, and floors. j } MATERIALS IDENTIFICATION: [ ] j Materials and equipment must be identified so that compliance can I I [7 I I I C7 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 74.4.7.1. DUCT CONSTRUCTION: All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and .74.4. SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20,01. of the heating energy is from non-depletable sources. Pool pumps require a time clock. HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 r 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 CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (r): RUNOUTS 0-1" ; 0-1.25" 1.5-2.0 2.0+" 170-180 0.5 1.0 1.5 2.0 140-150 0.5 ; 0.5 1.0 1.5 PIPE SIZES (in.) HEATING SYSTEMS: TEMP (r) 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 CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (r): RUNOUTS 0-1" ; 0-1.25" 1.5-2.0 2.0+" 170-180 0.5 1.0 1.5 2.0 140-150 0.5 ; 0.5 1.0 1.5 100-130 0.5 i 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department use Only)------------------------- Building Value Calculation - for Property at..... LOT#20B n4 .v..xtw'f th4. �''i' 5 ONE �`�,� A AM .W'�r 110 Room Length Width Sq.Ft. Cost per Sq.Ft. Total Cost Kitchen 24.5 15 367.50 65 $ 23,887.50 Brkfstnook - 65 $ - Dining Room 16 13 208.00 65 $ 13,520.00 Family Room 19.5 16 312.00 65 $ 20,280.00 study/office 13 9 117.00 65 $ 7,605.00 Living room 14 13 182.00 65 $ 11,830.00 Garage 25 31.5 787.50 65 $ 51,187.50 Entry 19 12 228.00 65 $ 14,820.00 2nd floor foyer/sitting 19 12 228.00 65 $ 14,820.00 Sunroom 16 12 192.00 65 $ 12,480.00 mudroom 6 9 54.00 65 $ 3,510.00 Walkin closet 9 8 72.00 65 $ 4,680.00 Basement Finished - 65 $ - Balcony - 65 $ - Screened Porch - a $ - laundry 7 15 105.00 65 $ 6,825.00 Bedroom 1 22 16 352.00 65 $ 22,880.00 Bedroom 2 13 17 221.00 65 $ 14,365.00 Bedroom 3 17 13 221.00 65 $ 14,365.00 Bedroom 4 15 15 225.00 65 $ 14,625.00 Lav / Bar - 65 $ - Bathroom - 65 $ - 1/2 Bath 9 7.5 67.50 65 $ 4,387.50 Bathroom 2 15 8 120.00 65 $ 7,800.00 Bathroom 15 14.5 217.50 65 $ 14,137.50 Deck Is $ - Balcony 65 $ WIN, III s So r� -4- OP 3 �� Ul m 0 o c n n. - o mn O Z ,� � o rn C/-), p ai Q (D H G:N T, -n fD C -p � -0 a o 0 N CD m �. > > rm O C _ -1 -4 0 M :3 (A 0 M CD O O(D > O SM (0 ~ n CL o U3 m m c CL a~ C Ln P* V! 6 O �` t0 5oE To 0' -4 ti N� cr Ln 0) a R O E Q 3 ('' (D N rF z F. "n s rl\ 5 R, -0 o (D �� (D CD 0Co r C/) m m m m m m Cl) m C/) U m 0 y* CO) oz CA CO 0 CL C 00D CD CD CL cr =r CD CCD 0 CD CD avCD CA cc CD - I pooppp_- , cn B 0 A— ro CA z tv Z 0 0 r— S- o ::r r Ix :j P� 0 OrQ— X m n 4 0 A X a' :'j CL Oy COD cp (D 0. C/) M omi /04111 a4Z6 Location J No. / Date �oRTh TOWN OF NORTH ANDOVER _ O F x li� Few � A y Certificate Occupancy $ • ; . of E Building/Frame /Frame Permit Fee $ 0 / J�MusUS 9 C Foundation Permit Fee $ Other Permit Fee $ i TOTAL $ Check # 15343 ✓ Building Inspector CERrmmo PLO r PLAN S.E. CUMMINGS 1& ASSOCIA TES P.O. BOX 1337 PLA/STOW, N.H. 08865 TELEPHONE (603)-382-5065 FAX (603)48265216 /TI.QN��11t ems" 02 N71'04'00" E ' 225.12' ' X703 BUILDING SETBACK SS) o 3 LINE (TYP.} \ O ys' 2a cj Tf ss jd� *LOT 9OR w 138,869 SF (09A=34,757 SF) s 111111 in co d N ih 9 i io co x'� M .O '�cp 50,�N. � + � z r f r v r °N83'16'34"E 37.58' S01'43'27"E 12.96 TX 17.74' N75'25'40 "E N89'03' *5" E 46.40 CA.MPBELL ROAD 1' TAX MAP 210 BLOCK 106-8 LOT 208 CAMPBELL FOREST NORTH ANDOVER, MA. PREPARED FOR.- MES/T/ DEVELOPMENT 100 ANDOVER BYPASS, SUITE 300 NORTH ANDOVER, MA. 01845 DATE: FEBRUARY 25. 2002 SCALE 1" = 80' I HEREBY CERTIFY TO TOWN OF NORTH ANDOVER, MA BU/LD/NG DEPARTMENT THA T THE f-)(15 TING FDUNDA TION DRA WN ON THIS PLAN IS LOCA TED AS SHOWN AND THA T IT DOES COWL Y TO THE MINIMUM BUILDING SETBACKS TO PROPERTY LINES. MINIMUM SETBACKS.• FRONT - 30 FEET SIDE - 30 FEET REAR - 30 FEET 361'5 Date.................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..`:......`........:r--' has permission to perform---..-. ..... ...... ,4,---h <7 . ....................................... ........................ wiring in the building at ... 6 ......... -;. '-rhh Andover, Mass. ,. .. ... ...... I .... .......................... Fee, .0 . .............. Lic. No . :7 ... / ....... . ELECTRICAL INSPECTOR Check #,-2&51-' Tf-EC0MV0NWE4LTHOFAf4&"CHUSE77N Office Use only DEPARTMN. TOFPUBLICS41VY Permit No. 26,16— BOARD to,16— BOARD OFF7REPREVEW0NREGMT10ANV7CMR 12oW Occupancy & Fees Checked JPPPLICATIONFOR PERMIT TO MFORMELECTRICAL 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 of North Andover To the Inspector of Wires: The -undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) a SS-7-e7-ZWQ06 /— )IA.) �,0� o, Owner or Tenant Ma -:5/7-/ co 4 Z Owner's Address //fin /Subwr-2 R.,n14SS' -�5-[/ ITL ,: 00— AJ.. /�t7/I`YJi {. Is this permit in conjunction with a building permit: Yes M No (Check Appropriate Box) 90 Purpose of Building -),em 0- c2 f/-/ r /� � — Utility Authorization No. 0$_ -oNo Existing Service Amps /.Volts Overhead Underground o No. of Meters New Servicel= Amps /Z l 07yaolts Overhead Underground Q� No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work �i_�MP. SEy if'Ie.d- _ No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ground No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipala Connections Other No. of Dryers Heating Devices KW No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER• lns a=Cv eaga Ptma t1Dlhera pmiat$dMmdmezGaiaallaws- a Ihawaa=tLiabtkh�sur =Pbticyati&gCanpkte Cme sttiaig2vabt YES NO Iha�est�xn&dvafidpto0fofsametotheO�re YES C�crg�tIfj nhawdvdcedYES,plea9eittkt #EtAxofwma@:bydakirgttte INSURANCE rte' BOND n OTM n ftoses'> WakbStatt I spx imD*Regl>ested FIRM? F*afimD* E1rnatad Vah dHmhi 2l Wcik $ Rao Final Iloa�seNa � 7 � v, Lica= lame- /A, Wit:_._.__. s gr>abae _ . c2a l a ,C r .�_ , L;=wlb '7 7Q M /Z, p BtwsTd% 1o0 /i_ Ad,.F,.. / , o. i3=_0?? -?s— 5;4, em NN "71 AiTd.Na �� 3 J Y aY 0WNER'SMLRANMWA1VMI.amawat ftA1heI.ioa�sedo etheirsuartoeoae orAssub tlegtdva)artasregtmedbyM GetraalLaws and &'vat my sigrItsemEas parry appttcah'ai wars th's racltr�erlalL (Please check one) Owner Agent Telephone No. PERMIT FEE Date .q. :'/ ?- TOWN TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ......,? . {' . ? .. . has permission to perform .... . ........................ . 3 plumbing g � lumbin in the buildin sof ..,. ......... �.:!�-�-cam........... . at .c.P ..A . f--°�A North Andover, Mass. Fee?� . Lic. No. �r� �`�.. ,a� r.� �. ......... ��--"PLUMBIN 4� ECTOR Check # `` �C — t/ 5215 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS i Date Building Location _ L U'j ay —_gof S_ W e- R S-� R W o0 DS 1-4r A-4 Permit # Amount Owner m e S + 1 ^� New IT Renovation 11 Replacement 1:1 Plans Submitted Yes 11 No (Print or type) _ Installing Company Name CA&41L 14111 121dtMbt:LV2— Y1� Address .0u)N Check one: ❑ Corp. ElPartner. Firm/Co. Name of Licensed Plumber: S T C P�\e A) &Au m O nr Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 0--- Other type of indemnity ❑ Bond ❑ Certificate Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance `Signature Owner ❑ Agent 11 I hereby certify that all of the details and information I have submitted (or entered) in above appb( best of my knowledge and that all plumbing work and installations performed under Permit I compliance with all pertinent provisions of the Massachus ttstate P umbin de and Cha By igna re o icen um er Type of Plumbing License Title 3 ation are true and accurate to the for this application will be in }2 -of the General Laws. City/Town Eicense MITI= MasterJourneyman APPROVED (OFFICE USE ONLY uuu . `i • it `i ' .F • OF 1 17 W ................... --.-- • `� Y onnnnnnnnnnnnnnnnne=nnnnn ri�MonnMMnnMMMMMMMMMMMMMMMMMM i � v MMMMnMOMnMMMMMMMMMMMMMMMM . ,,lsmmmmmmmmmmmmmmmmmmmmmmmm Orii=o-7vMMMMMMMMMMMMMMMMMMMMMMMMMM 1,,.mmmmmmmmmmmmmnmmnnnmmmmmm (Print or type) _ Installing Company Name CA&41L 14111 121dtMbt:LV2— Y1� Address .0u)N Check one: ❑ Corp. ElPartner. Firm/Co. Name of Licensed Plumber: S T C P�\e A) &Au m O nr Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 0--- Other type of indemnity ❑ Bond ❑ Certificate Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance `Signature Owner ❑ Agent 11 I hereby certify that all of the details and information I have submitted (or entered) in above appb( best of my knowledge and that all plumbing work and installations performed under Permit I compliance with all pertinent provisions of the Massachus ttstate P umbin de and Cha By igna re o icen um er Type of Plumbing License Title 3 ation are true and accurate to the for this application will be in }2 -of the General Laws. City/Town Eicense MITI= MasterJourneyman APPROVED (OFFICE USE ONLY uuu . Date.. .. /..: :.. ....... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that .....? :. * ..`''z ... `1 ......... . has permission for gas installation .................... in the buildings of ..........:.':-..... ..................... at .... �: .... ".:.�'�:..:....`""; North Andover, Mass. Fee. ,;6..... Lic. No............,� j.:' ...... ....... . GAS INSPECTOR ICheck # i � ' e� 4011 MASSACHUSETTS UNTIMRM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) Dater !i Pr I L — / j —0)__ NORTH ANDOVER, MASSACHUSETTS LOT o _6 9S l,.�t� .krW00%,S LA�� Building Locations Permit # Amount $ Owner's Name New Renovation [:] Replacement [] Plans Submitted (Print or type) - C one: Certificate Installing Company Name � 5��/i� Q�VJ►ll��ni 1�C/1-ring U Corp. Addressq6 C A -A IC/1 i / 1 /i2 - i) , Pe - 1 144 vA . /J) i 1 , 0307,,El Partner. Business Telephone (oa i g- O oZ 3 i Firm/Co. Name of Licensed Plumber or Gas Fitter S i C p t\t A.) 61 m -o Ai— INSURANCE COVERAGE Check one: I have a current liability insurance policy or it's substantial equivalent. Yes ❑�No If you have checked M please indi the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ V 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, plication will be in compliance with all pertinent provisions of the. Massachusetts tat Gas Code and Ch9 142 ofthf'Gen4l Laws_ (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ❑ Plumber /// � 3 ❑ Gas Fitter License Number ffFw_ter ❑ Journeyman Town of North Andover F NORTN q Building Department 0�t?�eO 27 Charles Street o North Andover, Massachusetts 01845 * ,� (978) 688-9545 Fax (978) 688-9542 o COC MIC MI wK �.1SSACHUS���y APPLICATION FOR CERTIEICATE OF OCCUPANCY / INSPECTION ADDRESS C2 9S W e 10 S i-ef- Ujooa4S t a -Ln e LOT NUMBER -2-o SUBDIVISION ' DATE REQUEST FILED -212,-2/0 v2 DATE READY FOR INSPECTION 7! -30/ , 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 STRUCTj;Rf7DWS NOT MEET ALL APPLICABLE CODES. SIGNATURE OT RCIAL USE ONLY ROUTING CONSERVATION'✓ DATE /,�2o02 PL ATE &.-R- D.P.W. - WATER METE DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED TO TBE INSPECTION WUEST DATE. IG A W AUTHORIZATION _ cER nFlEo PL CO r X AN S,E. CUMMINGS & ASSOC/A TES P.O. BOX 1337 PLA/STOW, N.N. 03865 TELEPHONE (603)-882-5065 AAX (603)-382-5216 3 v 1 N71'04'00"E 225.12' �O�S• w BUILDING SETBACK Sj? f �O \ � <u Jz M 34• �, �0 4 i L07 20B ( - w 138,869 SF j (CBA=34, 757 SF Y. { r) co N 0 i I i I f N i flt.� < � v •-• iTN83'1X6'344"35E 37.58' S0112.9 '7 N7- N 'v2' 2<7. "1E L• ' " r 89'03'5" E 46.40 } •' CAMPBELL ROAD _�.•a�a`i�. U:bSt�k:,•rncmer�1 � ��r��ww� �rr�w�MwM�riww+ TAX MAP 210 BLOCK 106—B L OT 208 CAMPBELL FOREST NORTH ANDOVER, MA. PREPARED FOR. MESI TI DEVELOPMENT 100 ANDOVER BYPASS, SUITE 300 NORTH ANDOVER, MA. 01845 DATE: FEBRUARY 25, 2002 SCALE 1" = 80' I HEREBY CERT/FY TO TOWN OF NORTH ANDOVER, MA BUILDING DEPARTMENT THAT THE EXISTING FOUNDATION DRAWN ON THIS PLAN /S LOCA TED AS SHOWN AND THA T /T DOES COMPL Y TO THE MINIMUM BUILDING SETBACKS TO PROPERTY LINES. MINIMUM SETBACKS.' FRONT - 30 FEET SIDE - 3.0 FEET REAR - 30 FEET Of MO sTM 1 � 9 t Y SS.�CHUSEj CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 371 Date 736 -dDoa THIS CERTIFIES THAT THE BUILDING LOCATED ON h D f0 oB "'� a q�" U)eL ty, VOOCA 2AN r -- MAY BE OCCUPIED AS cS /IV /t,—FAM ►y �� r- M -v IN ACCORDANCE WITH THE PIZOVISIONS OF THE MASSACB CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. /O qA TI) s,1 3 5 // vv D t i'-;! CERTIFICATE ISSUED TO L' a� p&-11 STATE BUILDING foo .Ati�o��r ,c3y /�,�ss . Building Inspector A, Cl) m m C/) 0 m CA .p z D O CL r, d � CL =. O o p CD CL � c CD o • • a a.0 0 W "o CD .O -a O O CO) C7 0 CO) d Cl) CD 0 CD CD a. Cn CD 0 CD O CD � C ?10 PIP o m _2 O -•NioQ N ao5m CO) 7 O o m C7 C y 0 ao � T A Z y 0. ROD. c T =r m =W = y m 0 m y O N 0 ?m >� n m n 0 Zyo ►d. -. N � ac m Er - 0 r N . a , C -)-0:9j o m :\ In a ti iju o o, Q C/) d ;N. c Cn ? QI H ,� o 1 -� H GJ = '1 _•v �.� oCDo 0 �0 __ C 0 m o C/) z CA 1 C=,r:� a C/)CD 0 �, m o = o Ch n : 0 m . Zi 0 cn (/ M o m 7z O v �-) 7y r :p n G b p O o y 0 bCIO. LA " x r'! 0 4 Ll��/.� Date ... . . .... . TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that w -........ .. `'� f ......�...... . has permission for gas installation ......... ,J in the buildings of ..... . ...-. . ? ..................... . at North Andover, Mass. .... Lic. No' ?�.... :.. .......... GAS INSPEC�OR Check # 4347 G MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO-GASFITTING (Print or Type) ass. Date City, Town Permit � Building wner's AT: Location Name New Renovation ❑ Plans Submitted Yes ❑ No ❑ Type of Occupancy: Replacement ❑ (Print or Type) Installing Comp } Address Business Telephone r Teck One: Certificate —rp /////❑ �����Pa----rtnership ❑ Firm/ Company Name of Li ensed Plumbe G er 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 Gas Code and Chapter 142 of the General Laws. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. Signature of Owner/ Agent I have a current liability insurance policy to include completed operations coverage. ❑ By TYPE LICENSE: Signature of Licensed Title Plumber Plumber or Gasfitter City/Town ❑ Gasfitter . nnr, wer, . _ __. _ _ ❑ Master OEM0 NONE MMEME MENEMINEM■ MEMOMEMOMMEM ME (Print or Type) Installing Comp } Address Business Telephone r Teck One: Certificate —rp /////❑ �����Pa----rtnership ❑ Firm/ Company Name of Li ensed Plumbe G er 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 Gas Code and Chapter 142 of the General Laws. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. Signature of Owner/ Agent I have a current liability insurance policy to include completed operations coverage. ❑ By TYPE LICENSE: Signature of Licensed Title Plumber Plumber or Gasfitter City/Town ❑ Gasfitter . nnr, wer, . _ __. _ _ ❑ Master O_ F U ' W a N z N N W Q C7 O a z O F U W • a N z a z L 0 S o z f. ( U � W a U. pf N N T Z } a O O C7 in W O S E � W z W LL. Q W 5 O z a tr H D 2 Q G J t7 z LU . O Y. O - W . m3 H Z z LL N a o 0 o � m a — inul O W„.._ w.. N f S U - F W Y � N z O F U W • a N z a z L