HomeMy WebLinkAboutMiscellaneous - 3 CHATHAM CIRCLE 4/30/2018Apb
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVE'?,
Building Permit Number - / Date Z
Z2 Z/ —
THIS CERTIFIES THAT
THE BUILDING LOCATED ON (NIPCk
MAYBEOCCUPIEDAS k.0d—eY' IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH
OTHER REGULATIONS AS. MAY APPLY. 7-h-51 c2
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CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVE'?,
Building Permit Number - / Date Z
Z2 Z/ —
THIS CERTIFIES THAT
THE BUILDING LOCATED ON (NIPCk
MAYBEOCCUPIEDAS k.0d—eY' IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH
OTHER REGULATIONS AS. MAY APPLY. 7-h-51 c2
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Town of North Andover 0* . tAORTN
.tLF.0 1�1
Building Department A 01 0
27 Charles Street 0
North Andover, Massachusetts 0 1845
(978) 688-9545 Fax (978) 688-9542
'fATII
SACHUS
APPLICATION FOR CERTIFICATE OF OCCUPANCY I INSPECTION
ADDRESS
LOT NUMBER_ SUBDIVISION
DATE REQUEST FILED
DATE READY FOR INSPEC17ON
FWE (5) DAYS NOTTCE PRIOR TO CLOSL"iG DATE IS REQUIRED
ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TM4E
FRAM(E. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE
CHARGED IF TBE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES.
SIGNATURE
OFFICIAL,USE ONLY
ROUTING
CONSERVATIO DATE
PLANNING DATE 2—
D.P.W. — W METER DATE
D.P.W. MUST INDICATE THAT TBE WATER METER HAS BEEN INSTALLED
/,P�OR TO TM INSPECTION REQUEST DATE.
4IGKAfGE 7�DP�WAUTHORIZ_ATION
. W1
�)ooL,D L) K.� -vo put
RECEIVED
OF TO I
APR I 2ooZ
BUILDING DUT,
r,
P -L L
To PUT
OF +0 1' 1 e+c,
At( -t- iobie0cD,
Metl-ife Auto & Home
Homeowner Operations Field Claim Off ice
Mail Processing Center
P.O. Box 2201
Charlotte, NC 28241
(800) 854-6011
April 21, 2014
North Andover Health Department
1600 Osgood St
Suite 2064
North Andover, MA 0 1845
Our Customer:
Our Claim Number
Date of Loss:
Dear Sir or Madam:
Jacqueline Lewis
JDE23971 83
January 16, 2014
APR 2' 18 �2014
TOWN OF NORTH ANDOVER
HE �LTH DE RTMENT
Pursuant to M.G.L. 139 § 313, please be advised that a property loss at the address referenced below has
been estimated to have damage to the dwelling or other structures that will exceed one thousand dollars.
Please let us know within ten (10) days if there is a pending or existing lien against the property as
provided by M.G.L. 139 § 313, or if there is an intent to initiate proceedings to perfect such a lien.
Loss Location: 3ChathamCir NorthAndover MA 01845-5242
Sincerely,
Enge M. Murray - DR
Metropolitan Property and Casualty Insurance Company
Claim Adjuster
(800) 854-6011 Ext. 7055
Fax: (866) 643-9281
Email: enunurray@metlife.com
Meti-ife Auto & Home is a brand of Metropolitan Property and Casualty Insurance Company and its Affiliates, Warwick, RI
MPL BLANK Printed in U.S.A 0698
Meti-ife Auto & HomeP
Homeowner Operations Field Claim Office
Mail Processing Center
P.O. Box 2201
Charlotte, NC 28241
(800) 854-6011
April 21, 2014
North Andover Building Inspection
1600 Osgood St
Suite 2035
North Andover, MA 0 18 45
Our Customer:
Our Claim Number:
Date of Loss:
Dear Sir or Madam:
Jacqueline Lewis
JDE23971 83
January 16, 2014
ffikeMoo f 890
Pursuant to M.G.L. 139 § 3B, please be advised that a property loss at the address referenced below has
been estimated to have damage to the dwelling or other structures that will exceed one thousand dollars.
Please let us know within ten (10) days if there is a pending or existing lien against the property as
provided by M.G.L. 139 § 3B, or if there is an intent to initiate proceedings to perfect such a lien.
Loss Location: 3ChathamCir NorthAndover MA 01845-5242
Sincerely,
Enge M. Murray - DR
Metropolitan Property and Casualty Insurance Company
Claim Adjuster
(800) 854-6011 Ext. 7055
Fax: (866) 643-9281
Email: emmurray@metlife.com
MetLffe Auto & Home is a brand of Metropolitan Property and Casualty Insurance Company and its Affiliates, Warwick, RI
MPL BLANK Printed in U.S,A 0698
Town of
. ..... . NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: PROJECT: h� Dw� 0
//14)a — 114SPS99W DATE:—
UNIT NO.: FLOOR:— WING: BUILDING NO.:
70`0 �),A_�hdn
REMARKS: eovi),) __ ?,6-,aA�f4 t2 31AP 47YA_�Y,�
a's-
Excavation - depth and soil conditions
Framing -
Other:
Date:
Date:
Date:
Inspector
Inspector—
Inspector
Footings and foundations and drains -
Insulation -
Other:
Date: L4
Date:
Date:
Inspector
Inspector
Inspector
Electrical - rough -
Plumbing and /or gas - rough -
Other:
Date:
Date: —
Date:
Inspector
Inspector—
Inspector
Electrical -final
Plumbing and/or gas -final
Other:
Date:
Date: —
Date:
Inspector
Inspector—
Inspector
-ire Dept -
A burner, tank, stove, smoke detectors
Final inspection
Certificate of Use and Occupancy
Date:
Date: —
Date: —Cof 0#
Inspector
Inspector
Inspector
Form #Wb ACtion Press, t58b-7UUU
I
Locat=4� 9 -,4 -3 C)-I,ql)AW 01ri-c—
No. Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $ -
Foundation Permit Fee $ 171�-1
Other Permit Fee $
TOTAL $
Check # --L3 —(0/)
14 5", 3 114 ( ce,-,
Building Inspector
Location LbiBOk30�1,4q)IAM Cil Y.
No. loy— Date
Check #
14--770
Building Inspector
TOWN OF NORTH ANDOVER
Certificate of Occupancy
$
emus
Building/Frame Permit Fe e
$ j
Foundation Permit Fee
$
Other Permit Fee
$
TOTAL
$
Check #
14--770
Building Inspector
IV
LOT 15
0 3 C 64 kA M\C-, c- I v-
-p'('m4 t4 jc>q
I "
3-a - oall
U,
%p�
rn tx�
CHA THA Af 50' WIDE
R-1 75 0
IS 1.3'
22.,' :,Lr 22V_
"to
00
00 5.4' 5.4'
LOTI 7
CN q
0
N 5.2' Cmi EMSTING FOUNDATION 5.2'
TOP OF FOUNDATION=235.15'
17Z.5' U� 7.5'
66.3*
235�
C'
__5 .2
5.
7.5'
C)
(36 LOTI 8
ARV=12,759 Y S. F.
108.00'
NIF NIF
fREOCRICff C & WILLIAM L. & RIZABLETH M
CAROLE JOHANSON-PRUf . MORIN
I HEREBY CERTIFY THAT THE FOUNDATION ON LOT 8
IS LOCATED AS SHOWN HEREON AND THAT IT CONFORMS
TO THE SETBACK REQUIREMENTS OF THE
OF THE T WN OF NORTH A OVER.
W' 11A OF
REGOP
.......... 7.4 .............. R.
P�b`�E?46**N ","14,0' SURVEYOR CCIRCORM4
No.38034
DATE: ...... 4 t� ... aT.
4,
D clflmfvk
�4
CIRCLE
LOTI 9
NIF
HOWARD & JOANNE
BROWIV
PERKINS, Inc.
CER FIFIED PL 0 T
Consulting Engineers & Land Surveyors ... ...... .
......... ...... ........
1215 MAIN STREET . UNIT III .... .... ...... .
PLAN OF LAND IN TEWKSBURY, MASSACHUSETTS 01076
... ..... ....
N.ANDOVER, MASSACHUSETTS PREPARED FOR:
CORMIER—ANDOVER CONSTRUCTION CORP.
9 CHANDLER CIRCLE
CHA THAAf CROSSING 5
ANDOVER, MASSACHUSETTS
SCALE: 1"=40'
I DATE:APRIL 12, 2001 JOB NO. 511657SHEET I - OF I C12PYRIGHT Q 2001 BY DANA F. PERKINS, lnc..j
..." — -- ---- . -�' I . ��l I ��" I I r_r" I r. lu 'j f onddJD4':� 1". 04�
1647
APPLICATION FOR SEWER SERVICE CONNECTION -20,
North Andover, Mass. 13
Application by the undersigned is hereby made to connect with the town sewer main in Street,
subject to the rules and regulations of the Division of Public Works..4,
-77
"t ?�
The premises an- known as No. Street
or subdivision lot no. 470
eiv si(;e
r 1,44
Owner Address
Contr2ctor
PERMIT TO CON
The Division of Public Works hereby grants permission to
to make a connection with the sewer main at (- I A 19
subjeC to the rules and regulations of the Division of Public Works..
Inspected by
oate
::7-1
Address
Applicant's Signtule
VITH SEWER MAIN
6/1'
Street
Division of Public Works
By.
See back for rules and regulations
le -131-1 f-KU1 YVUN 1-UHMILH I-UlAblk. lu 9786889542 P. W
1051
--r— %--
t V.1V
APPLICATION FO WATER SERVICE CONNECTION6
North Andover, Mass- At-, 9 ---
Application by the undersigned is hereby made to connect with the town water main in street,
subject to the rules and regulations of the Division of Public Works. -
The premises are known as No. -1-2 - Street
or subdivision lot no.
(30ralllpr
Owner Address
Contractor
b KR -
:1 WJ -et5
Address
�Pplicant's gnature
1500 - ev
-2
750-ev
PERMIT TO CONNECT WITH WATER MAIN
The Board of Public Works hereby grants permission to
to make a conneCCion with the water main at
subject to the rules and regulations of the Division of Public Works.
Inspected by
Date
Street
Soard of Public Works
8y
See back for rules and regulations
a V1
t -NUN YvUN WRMIEf� (,;UNb1R. TO 978GO89542 P.04
TOWN OF NOR - TH ANDOVER, MASSACHU.SETTS
DIVISION OF PUBLIC WORKS
384 OSGOOD STREET, 01845
J.WILLIAM MMURCIAK P -E.
DIRECTOR Telephone (978) 685.095,
Fax (978) 688-Wn
k --)V0 DJUVEWAY PERryffr:)
DATE Z66 t
LOCATION
13
C Dhone 4 70 - (,g
-Tawod &P,
THE NORTH ANDOVER SUPERINTENDENT OF OPERAMNS
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,
FAILUM TO COMMY AND OBTAIN APPROVAL VOMS TMS pEgInT.,
f
T
CID
IN
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TO 9'r'86889542 P.07(
m
TO 9'r'86889542 P.07(
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR EMOLISH A ONE OR TWO FAMILY DWELLING
— WiW i
A
01
IRI -m- n1ill 4
SIM
BUILDING PERWr NUNIBER: DATEISSUED:
SIGNATURE:
Buildin� Commissioner/I*—dor of Buildings Date
SECTION 1- SITE INFORMATION I
1.1 Property Address:
1.2 Assessors Map and Parcel
Map Nuimb�r
Number:
ZP 7 -
Parcel Number
2.2 Owner of Record:
Name Print Address for Service:
1.3 Zoning Information:
/Ot X
Zoning District Prop6sed Cse
1.4 Property Dimensions:
0,0 0
Lot Area (sf)
/0 �9
Frontage(ft)
1.6 BUILDING SETBACKS (ft)
3.1 Licensed Construction Supervisor:
z
/ 4/,7
Licensed Conitruction Supervisor:
Address
Signature Telephone
I Front Yard'
Side Yard
Expiration Date
Rear Yard
Required-\ Provide
Required
Provided
Required
Provided
-5-47 . s.)--
1
/ C
/ (.-
37�,
:?
-
1.7 Water Supp�y M.G.L.C.40. 54)
Public 4' Private 0
1.5. Flood Zone Information:
Zone Outside Flood Zone
1.8
Municipal
Sewerage DiMml System:
,W OnSiteDisposal System 0
SECTION 2 - PROPERTY OWNERSHIEP/AUTHORIZED AGENT
2.1 Owner of Record
Name(Print) Address for Service:
Siinature Telephone
2.2 Owner of Record:
Name Print Address for Service:
Signature Telephone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
z
/ 4/,7
Licensed Conitruction Supervisor:
Address
Signature Telephone
Not Applicable 0
3f
License Number
( ?- - - a2
Expiration Date
3.2 Registered Home Improvement Contractor
Not Applicable 0
Company Name
Registration Number
Address
Expiration Date
Signature Telephone
I SECTION 4 - WORXERS COMPENSATION (KG.L C 152 § 25c(6) I
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 ....... :�o No ....... 0
SECTION5 Descriptiono Proposed Work (check applicable)
New Constructio�x_
Existing Building 0
Repair(s)
0
Alterations(s) 11
Accessory Bldg. 0
Demolition 0
Other 0 Specif�
Brief Description of Proposed Work:
-5-7-;ml
SECTION 6 - ESTIMATED CONSTRUCTION COSTS
Item
Estimated Cost (Dollar) to be
Completed by permit applicant
M,
1. Building
(a) Building Permit Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction
3 Plumbing
Building Permit fee x (b)
4 Mechanical (HVAC)
5 Fire Protection
6 Total (1+2+3+4+5)
Check Number
SECTION 7a OWNER AUTHORIZATION. TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, "'�
Hereby auLhorize
My behalf, in all m r e to wor ed by this
Signature ofb�v�vncr
—, as Owner/Authorized Agent of subject property
to act on
itapplication.
Date
SECTION 7b OWNERJAUTHORIZED AGENT DECLARATION
1, /A 'f as Owner/Authorized Agent of subject
property I."
Hereby declare that the statements and information on the foregoing application are tnie and accurate, to the best of my knowledge
and belief
Piint Name
i a ure of Owne ent 11110—
S SIW
NO. OF STORIES
'</Z
D a te'
SIZE
BASENENT OR SLAB
ST r e'
SIZE OF FLOOR TEVIBERS 11!17t
2mr) 3 P'D
SPAN / Z
DINIENSIONS OV SILLS
DU\,ENSION,S OF POSTS
DINIENSIONS OF GIRDERS
HEIGHT OF FOUNDATION
THICKNESS /�p
SIZE OF FOOTING
X
MATERIAL OF CHMNEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
5
V VNIVI — U — 14V I r VAIVI
INSTRUCTIONS- This fonn is used to verify that all -necessary approval/ permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve the
applicant and or landowner from compliance with any apph6ble requirements.
APPLICANT!-- Z-,& C'o/
��PHONE
ASSESSORS MAP NUMBER — LOT NUMBER
SUBDIVISION LOTNUMBER
W
STREET r)5�91114r-n 6',Iee'lt STREETNUM13ER
i .................................I
OMCIAL USE ONLY
...............
RECOMmF,NDATIONS, OF TOWN AGENTS
W Monson monsoon
..,IPIRO.
C ERVAnON ADMINISTRATOR
DATE RMCTED
DATE APPROVED
FOOD INSPE5);0R - HEALTH DATE REJECTED
DATE APPROVED
SEPTIC INSPECTOR - HEALTH
DATE REJECTED
COND4ENTS
CONR&-NTS
RECEIVED BY BUILDING INSPECTOR DA
Mar -02-01 03:46P
CHAMA Af CIRCLE
WATER vc
w —R42 v
.99,
64.57'
PRO,
SLO D
GRAt, ITE
CUR[
LA
(o 32
A
RO
/ P. BIT, PROP, E�]T.
Co GF=232.5 GFF=233.0
ONC. DRIVE, CONC, DRIVE
0
PROPOSED PROPOSED
UNIT HNIT
8,1'
i FF=238.0 FF=238.0
17.
rl LIF 4t!
LA� E.
E (A
ZoTi
1 930
t4S� c
(12,759 SF
0- �u T
ZONE 10' VflDE ZON�,.-
1()8.00'
N/F MORIN
P. 03
0
-i
DANA F. PIESKINS, In*.
PROPOSED PLOT PLAN
COWWUg hwbmrs A land SWWYO13
- ..... . ......
...... ..........
LOT #8 3145 "M 5UM7 * MT lU
XWKI"Y' ws4cmusms ME176 ....... . ...
CHATHAM CROSSING PREPARED FOR.,
..... . .....
RAY CORMIER
ArORTH ANDOVER, jVA 59 CHANDLER CIRCLE
..... .. ..... ... ..............
ANDOVER, WA M10 ................
[W -ALE: I'-20'__ WEt MARCH 1, 2001 1 JOB t4C'.51165-9PPI SHEET i or i MPYRIGW 0 2ml ly pw F. PMINSI kw�-]
MAR -02-2001 15: 01 P. 03
BOAM OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number: -CS W3516
Birthdate --12116/1967
M, 4",
expires: 12tl6/2.002 Tr.no: 5058
Restrictoid To:
RAYMOND Y CORMIER
IS MEADOW V'EWr LN
ANDOVER, MA 01810 Administrator
MAR -07-2001 09:45
1717111�
A C-0 I 7D.
20 -0 -
PRODUCER
KHIFIT17'
Fred C. Church, Inc,
One Merrimack Plaza
P.O. Box 1865
Lowell, MA 01853-1865
Cormier Andover
Construction Corp.
59 Chandler Circle
Andover MA 01810
F C CHURCH LOWELL MA
978 454 1865 P.02/02
; .1. 1 1 . 'r A S? DAME.MMiabr(y)
111151 1!1190, 1 1
-? z� MOM� 'k
IfA - TR
03/07101
-=M' -
978-4W1865 THIS CERTIFICATE IS ISSUED AS A MATTER OFI—NFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CIFFMPIcATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXI-END OR
ALTER THE COVERAGE AFFORDFD BY T14F Mitnirc acisi.
COMPANY
A Hartford Insuranea Company
COMPANY
0
COMPANY
C
COMPANY
D
THIS IS TO CERTWY THAT THE
LICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NA*
M
MED ABOVE FOR THE po kiIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMeNTTERM OR CONDITION OF ANY CONTRACT Oft OTHER DOCUMENT WrM RESPECT To WHICH THIS
CERTIFICATE MAY 13E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS -SUBjECT To ALL T14E TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDVCED OY PAID CLAIMS.
go —
LTIR TWE 01` INSURANCE POLICY nUMBER POLICY FFMWVE POLICY CEPIRATION
DATE (MMMOMI DATE IMMIWrff) LWFTS
A GENEW LIABILITY GAY& -7-.--..00.G
X COMMORCM GENERAL UABILITY OSUENSS1390 1/27/01 1127102 ;GENM1AkL AGGRE"Tj- - -----
PRODUCTS-CDMP1QPAGG
CLAIMS MADC Fx� OCCUR ��201010000
�PVSONAL&AOVINJURY 10000GG
x OWNEKS & CONTAWACTOIrS
19: PPROT 1 00000
ANY AUTO
ALL OWNED AuToS
SCHEDULED AUTOS
141490 AUTOS
WON -OWNED AUTOS
ANV ALITO
EXCEn Lumm
7 UM"ELLA FORM
A ; wouats cowgNSATow Amo 9SWEIE8129
EMPLOYERS* uAsury
THE PROPRIETOR/
PARTNERS/EXECUTIVE INCL
OF14CPS AIM EXCL
OTM
OESCRIPTiON OF OPPATiON6fLOCA71MSNUKLESfSPtClAL ITEMS
Town of North Andover
10114100
10/14101
11fj
3100000
MED FXP (Any one jwgum)
II
PINRE
COMBINED SINGLE LIMIT
4
20 'ILY INJU#4
0 RY
(Per vmof4
I
BOORtry IWURY
(Per awdenti
PROPERTY DAMAGE
AUTO ONLY - EA ACCID
OTWER THAN AUTO �NIL—YY-
EACH ACCIDENT
AGGREGATE
W$
EACH OCCURRENCE
AGGREGATE
t
LELTACIiAMDENT _ 4 11 0000
tL DISEASE - POLICY UMI
00
4 00000
EL ISFA9F.FAFM01A— ......
S*OULID ANY OF THE A"VX DESCRIBED POLICIES 9L CANCELLED SEPORE THE
EXPIRATION DATE- rNER60F, THE ISSUING COMPANY WILL ENDEAVOR To MAI,
--10— DAYS WRITTEN NOTICE TO THE CERTWMATE 04OLM NAMED TO THE LtFT.
OUT FAILURETO MAIL SUCH NOTICE SMALL IMPOSE No VIHM-nM OR LIABILITY
2L,W KIND UPON THE PANYj rrSJAWJM OR MPJIFSWTAT..�
TOTAL P.02
MAR -07-2001 09:38 978 454 1865 97% P.02
t%ORTH
Town of North Andover 11
0
Building Department
27 Charles Street
A.
North Andover, Massachusetts 0 1845
(978) 688-9545 Fax (978) 688-9542
DEBRIS DISPOSAL FORM
In accordance with the provisions of MGL c 40 s 54, and a condition of
Building permit # the debris resulting from the work shall be disposed
of in a properly licensed siolid waste disposal facility as defined by MGL cl 1, s150a.
The debris will be disposed of in /at:
Facility location
Signal6r-e of Ap'plicant
Date
NOTE: A demolition permit from the Town of North Andover must be obtained for this
project through the Office of the Building Inspector.
Mav-13-01 02:42P
MAScheck COMPLIANCE REPORT
Massachusetts Energy Code
MAScheck Software Version 2.01 Release 2
� C
-ITY4 North Andovel:
-usetts
S TE � Massath
HDD: 6322 -
CO. N STL R TTf-rION TYPS: 1
HEATING SYSTEM TYPE:
DATE.- 3-13-22-001
TITLE; LOT #8 UNIT
o. r 2. V17 a; —c" Ji ll Det ach,e A
Other lNon-ZlecLric Res2istancel
B CHATHAM CIRCLE
PROjECT INFORMATION:
YVON CORMIERM CONST CGORRP
59 CHANDLER CIRCLE
ANDOVEP, MA
rVIM
1QjL%1_Y iNFORMATION;
J&j HEATING & AIR "ND
J ftl. %-Vil
17 ArRLjvNT%GTMjvN ST
DRACUT MA
COMPLIAINCE; PASSES
11%equ : rq,* T JA
.L kA kit& = 409
'lour Home = 381
Permit #
Che�cked by/Date
f-av , � y Ir I
Arpa or L A_ C a n G I a z
n--ir
ap* R-V-lue R-1yalue U-77'alu4a
%A� v 1-4.
-- -- - -- - - - - - - - - - - - - - - - - - - - -
CEILINGS 1388 30.0 0.0
WALLS: Wood Frame, 16" O.C. i290 ii.0 0.0
WAL'LS. Masonry, Inter.-kor Insulat.-I.0-ni. 16 U A. v 0 0
GLAZING: Windows or Doors 259 0.330
(;T.7%17 TV L74 - n___5 r7n n 'ICA
_a: Wind 1W W.-JWU
D D 39 0.460
OORS
FLOX)RIS) .- Aliver UnkA.J1AA.L L. L,_,A.L1,_1d Sj',aC� _L -1 0 _L vi %J v
HiAC EQUIPMEI,17� Furnace, 92.0 AFFUE
COMPLIANCE STATEMENT: The proposed building design described here is
Consistent With t1lr- JbU.L.L%.A4I19 plans, spec-Lificat-Lions, and -I other calculations
suk,)mittted w-'L%th tl-ke permit applicatlion.. The proposed building 114 s bp � e e n
I I
dipslgilij.,"' ta nne�.tk �thxp requarimments of the Mlassachuse'Lts Energy C c -, d i e
.-.He heating load fo.- t -his building, a�nd the cooling !--ad if applroplri_atea,
has been -4elez-m4ned usin L4 A� C Rible Slaadar%cl DiR!siLqa Con(Lift'lans found
'.A U J_ _q t b e ap p IJ4� L.
Jr, dae Code. '-e HIVA-1,7 equiprtprv- 'L -o 'heat or cool the building
L k-ut: I- Ll
oad
s --a lbe- no grealter LI -an
S e c t i Mn s 7 8 0 CMR 133 10
Su'Llder/Desjigner�
MAR -13-2001 14: 01
Dat
Mar -13-01 02:43P
Massachusetts Energy Code
MAScheck -Qoftw:are Versicm 2-D! Rpaleaze 2
LOT #8 UjT Trr B 021ATFAM CIRCLE
DATE: �-13-2001
Bl dg .
Dept.
use
CEILINGS:
1. R-30
Comments/Locati
WALLS:
1. Wood Frame, 161, O.C., R-1-1
Comments/Location
2, Masonry, Interior Insulation, R-11
Comments/Location
P. 03
WINDOWS AND GLASS DOORS:
1. U -value: 0.33
For windows without labeled U -values, describe features:
4 Panes_ Frame Type Thermal Break? Yes No
Coments/Location
2. U -value; 0.36
For windows without labeled U -values, describe features:
# Panes_ Frame Type Thermal Break? Yes No
Comments/Location
DOORS:
1. U -value: 0.46
Comments/Location
'FLOORS:
1. Over Unconditioned Space, R-19
Comments/Locati
HVAC EQUIPMENT:
1. Furnace, 92.0 AFUE or higher
Make and Model Number
2. Air Conditioner, 1-0-0 SEER
AIR LEAKAGE:
Joints, penetrations, and all other such openings in the building
envelope that are sources of air leakage must be sealed. When
installed in the building envelope, recessed lighting.fixtures
shall meet one of the following requirements:
1. Type IC rated, manufactured with no penetrations between the
inside of the recessed fixture and ceiling cavity and sealed or
gaskeLed to prevent air leakage into the unconditioned space.
2. Type IC rated, in accordance with Standard ASTM 2 283, 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
shall have been tested at 75 PA or 1.57 lbs/ft2 pressure
difference and shall be labeled.
MAR -13-2001 14:01 P.03
May -13-01 02:43P
VAPOR RETARDER:
Required on the warm -in -winter side of all non -vented framed
ceilings, walls, and floors.
P. 04
MATERIALS IDENTIFICATION:
Materials and equipment must be identified so that compliance can
be determined. Manufacturer manuals for all installed heating
and cooling equipment and service water heating equipment must be
provided. Insulation R -values, glazing U -values, and heating
equipment efficiency must be clearly marked on the building plans
or specifications.
DUCT INSULATION:
Ducts shall be insulated per Table J1.4.7.1.
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 automa-tic means t -o partially restrict or shut off- the heating
and/or cooling input to each zone or floor shall be provided.
HVAC EQUIPMENT SIZING:
Rated output capacity of the heating/cooling system is
not greater than 125%; of the design load as specified
in Sections 780CMR 1310 and J4.4.
SWIMMING POOLS:
All heated swimming pools must have an on/off heater switch and
require a cover unless over 201 of the heating energy is from
i�on-depletable sources. Pool pumps require a time clock.
HVAC PIPING INSULATION:
HVAC piping conveying
fluids above
120 F or chilled
fluids
below 55 F must be insulated
to the
following
levels
Un.):
PIPE
SIZES
(in.)
HEATING SYSTEMS:
TEMP (F)
21, RUNOUTS
0-111
1,25-211
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.):
MAR -13-2001 14:02 P.04
Mar -13-01 02:44P
P.05
PIPE
SIZES
NON -CIRCULATING
CIRCULATING
MAINS &
RUNOUT
HEATED WATER TEMP
RUNOUTS 0-1"
0-1.25"
1.5-2.0"
2.0+
170-180
0.5
1.0
1.5
2.0
140-160
0.5
0.5
1.0
1.5
100-130
0.5
0.5
0.5
1.0
---- NOTES TO FIELD (Building Department Use Only) -------------------------
MAR-13-2001 14:02 P. 05
GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT
TOWN OF NORTH ANDOVER BUILDING DEPARTMENT
This form shall be used to assist the Building Department in their determination of exemption under sec tion
8.7.6 of the Town of North Andover Growth Management Bylaw. 1he applicant shall provide all of the
necessary information as requested below.
Permit Applicant
73 -2 (", 217
PropFrty address Map I Parcel
-117a 6112qla A-,
Applicant's Phone Numbei Single Family Dko Family
I the undersigned applicant for the above property attest that the attached building permit for which this form is completed
does comply with the EXEMPTION section 8.7.6 of the Growth Management Bylaw. I also understand providing this form does not
absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the building
permit. Further I understand that my interpretation of the exemption status is subject to review by the Building Department and is only
ollicially acc;epted when the building permit is issued.
Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot� in the building
permit application and associated attachmcnts� complies with one or more ofthe following sections as indicated by a check mark.
This is an application for a building permit for the enlargement restoration or reconstruction of a dwelling in
existence as of the effective date of this bylaw, provided that no additional residential unit is created.
7he lot(s) was / were created prior to May 6, 1996 and are exempt from the provisions of section 8.7 of the
Zoning Bylaw.
This application is for dwelling units for low and or moderate income &milies or individuals, where all of
the conditions of 8.7.6 are met and or represents dwelling units for senior residents, where occupancy of the units is
restricted to senior citizens through a properly executed and recorded deed restriction running with the land. For
purposes of this section "senior" shall mean persons over the age of 55.
This application is part of a development project which voluntarily agreed to a minimum 40 % permanent
reduction in density (buildable lots) below the density permitted under zoning and feasible given the environmental
conditions of the tract with the surplus land equal to at least ten buildable acres and permanently designated as open
space or fimnland. 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 ensm its protection.
This application represents a tract of land existing and not held by a Developer in common ownership with
an adjacent parcel on the effective date of this Section 8.7 and shall receive a one time exemption from the Planned
Growth Rate and Development Scheduling provisions for the purpose of constructing one single fitmily dwelling unit
on the parcel.
This application represents a lot which is ready for a building permit ( all other permits from all other boards
and commissions have been received and the project is in compliance with those permits), and the Development
Schedule does not accommodate issuing a building permit in that year. One building permit will be issued per year per
Development until such time as the development schedule accommodates issuing building permits. Applicant must
submit an approved FORM U with this EXEMPTION.
PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A
DEITRMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE E)OWPITONS.
BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED
BUILDING PERMIT IS ALLOWED AN ExEwnoN As ciTED ABOVE.
FURTHER I UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE
CHECKING OFF OF A ABOVE EXEMPTION WHICH DOES NOTIWNMY, WHETHER DONE TO MY KNOWLEDGE OR
NOT IS GROUNDS FO FUSAF—BYYfiE BIRWING DE TO ISSUE A BUILDING PERMIT.
APPLICANTS S1GWXT—URE DA19
TIIIS FORM TO BE ATTACIED BUILDING PERMIT APPLICATION
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Location �0�6 / C3e(-X---
No. J O'ce, — Date 3-Q6-01
'N
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ /115-1
Check #
1 45%'a4 Building Inspector
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATEZ OR DEMOLISH A ONE OR TWO FAMILY DWELLING
50�,� W�
BUELDING PERMIT NUMBER: Z DATE ISSUED: oc
SIGNATURE:
Building Comrnissioner/12/2�IXWT of Buildings Date
SECTION I- SITE INFORMATION I
1.1 Property Address:
1.2 Assessors Map and Parcel Number:
/C
1-3
q7
z
ZA
2,2 Owner of Record:
Map Number
Parcel Number
Signature Telephone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
1.3 Zoning Information:
Licensed Construction Sup6rvisor:
Addres;
z
1.4 Property Dimensions:.
2
Telephone
21C e- C)
3.2 Registered Home Improvement Contractor
Zoning Digtnct ProposedUse
Not Applicable Lj
Company Name
Lot Area (st)
Frontage (ft)
1.6 BUILDING SETBACKS 00
Front Yard
Side Yard
Rear Yard
Required Provide
Required
Provided
Required Provided
�3,-; 3,51 .,
/ (1
-3.- 2,-
1.7 Water Supply M.G.L.C.40. 54) 1.5.'
Zone
-Se
Flood Zone Information:
Outside Flood Zone 0
1-9 Sewerage Disposal System:
Municipal K On Site Disposal System 0
Publi Private 0
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record
1-3
Name (Print). Address for Service
z
gignatu M 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
Licensed Construction Sup6rvisor:
Addres;
z
License Number
Expiration Date
Telephone
3.2 Registered Home Improvement Contractor
Not Applicable Lj
Company Name
Registration Number
Address
Expiration Date
Signature Telephone
SECTION 4 - WOREERS 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 ....... 0 No ....... El
SECTION 5 Description o Proposed Work (check applicable)
New Construction 0
Existing Building 0
Repair(s) 0
1 Alterations(s) 0
Addition 0
Accessory Bldg. 0
Demolition 0
Other 0 Specify
Brief Description of Proposed Work:
,A)
SECTION 6 - ESTIMATED CONSTRUCTION COSTS
Item
Estimated Cost (Dollar) to be
Completed by permit applicant
-owe-
I . Building
Ift"
(a) Building Permit Fee
Multipli
IS__6
2 Electrical
W
(b) Estimated Total Cost of
Construction
3 Plumbing
Building Permit fee (a) x (b)
91
4 Mechanical (HVAQ
5 Fire Protection
6 Total (1+2+3+4+5)
10
CheckNumber
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUI__LDING PERMIT
as Owner/Authorized Agent of subject property
Hereby authorize to act on
My bchalf,,�in �aii., fftter��ela rive to, wo autho zed bwthisbuildiiig-1 permit application.
Signature -of Owr�er Date
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
1, 'A"r Owner/Authorized Agent of subject
prope�y
Hereby declare that the statements and information on the foregoing application are trite and -accurate, to the best of my knowledge
and belief
Print am
Sigure oPd�vner&kent!f�' Date
NO. OF STORIES ">, SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TEVMERS, �4 de'l ls' 3'
SPAN
DIMENSIONS OF SlIJ,S
DIMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERLA-L OF CHEVINEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all -necessary approval /permits from
Bbards and Departments having jurisdiction have been obtained. This does not relieve the
applicant and or landowner from compliance with any applicable requirements.
NORNMENN memo
�-'Al 4 PHONE
ASSESSORS MAP NUMBER LOT NUMBER
SUBD*MSION LOTNUMBER
sTR�ET e',�Celr- snzEFrNumBER—/-3
OFFICIALUSE ONLY
...............
RECOmMENDATIONS OF TOWN AGENTS
...... so so goo �m as EMONNORNMEN
DATE APPROVED
CONSERVAMN ADN11 NUSTRATOR
DATE REJECTED
b (0d
DATE REJECTED
4—
DATE APPROVED
FOOD INSPE9XOR - HEALIH
DATE REJECTED -
DATE APPROVED
SEPTIC INSPECTOR - HEALTH
DATE REJECTED
PUBLIC WORKS — SEWER / W
— . ft
!V
Is n-1:61JO)MV2111
CONMI'm
RECEIVED BY BUELDING INSPECTOR
P. 03
CHAMAM CIRCLE
WATER vc
w
IV,
.99,
PR P, z=4 IA
SL D
GRA
CUR
(A
0--232
ROP, BIT, PROP, BI T.
CONC. DRIVE, GF=232.5 GF=233.0 CONIC. DR'lVE 0
0
OD
PROPOSED PROPOSED
UNIT UNIT
SED
0
FF=238.0 FF=23:8.0
W4 5.
ID LA� E.
E
I ILIV Z OT /if -P,
N 93?040 CIA
(12,759 SF
ZONE 10' VADE NO—CUT ZON�,,_,
f
108.00,
N/F MORIN
DANA F. PROKINS, In*.
PROPOSED PLOT PLAN ...... ...
ChandtiAg fthreers & L&& SWMY=
LOT #8 1PA5 HMN symy - WT III
TEWS"If,
CHATHAM CROSSING PREPARED FOR! -
RAY CORMIER
NORTH A A r, 0 0 VER, NA 59 CHANDLM CIRCLE
ANDOVER, MA 01810
SCALE- 1"-20' DATE, MARCH 1. 2001 JOB NO,51165-91`1`1 SHEET 1 '01, CD P M G H TO 20 Ily IN" F. I'MINS, kw,
MAR -02-2001 15:01 97% P.03
GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT
TOWN OF NORTH ANDOVERBUILDING DEPARTMENT
This form shall be used to assist the Building Department in their determination of exemption under section
8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the
necessary information as requested below.
Permit Applicant Property address
.- �7
Ma' / �arcel
p
Al"
Applicant's Phone Number Single Family T�4 Family
I the undersigned applicant for the above property attest that the attached building permit for which this form is completed
does comply with the EXEMPTION section 8.7.6 of the Growth Management Bylaw. I also understand providing this form does not
absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the building
permit. Further I understand that my interpretation of the exemption status is subject to review by the Building Department and is only
officially accepted when the building permit is issued.
Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building
permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark.
This is an application for a building permit for the enlargement, restoration or reconstruction ofa dwelling in existence as
ofthe effective date ofthis bylaw, provided that no additional residential unit is created.
The lot(s) was / were created priorto May 6, 1996 and are exempt from the provisions ofsection 8.7 ofthe Zonin g Bylaw.
This application is for dwelling units for low and or moderate income families or individuals, where all ofthe conditions
of 8.7.6 are met and or represents dwelling units for senior residents, where occupancy ofthe units is restricted to senior citizens
through a properly executed and recorded deed restriction running with the land. For purposes ofthis section "senior" shall mean
persons over the age of 5 5.
This application is part ofa development project which voluntarily agreed to a minimum 40 % permanent reduction in
density (buildable lots) below the density permitted under zoning and feasible given the environmental conditions ofthe tract, with the
surplus land equal to at least ten buildable acres and permanently designated as open space or farntland. The land to be preserved shall
be protected from development by an Agricultural Preservation Restriction, Conservation Restriction.. dedication to the Town, or other
similar mechanism approved by the planning board that will ensure its protection.
This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent
parcel on the effective date ofthis Section 8.7 and shall receive a onetime exemption from the Planned Growth Rate and
Development Scheduling provisions for the purpose ofconstructing one single family dwelling unit on the parcel.
Ibis application represents a lot which is ready for a building permit ( all other permits from all other boards and
commissions have been received and the project is in compliance with those permits), and the Development Schedule does not
accommodate issuing a building permit in that year. One building permit will be issued per year per Development until such time as
the development schedule accornmodates issuing building permits. Applicant must submit an approved FORM U with this
EXEMPTION.
PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A
DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS.
BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED
BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE.
FURTHER I UNDERSTAND Tlf.�T_THF
, SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE
CHECKING OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY, WHETHER DONE TO MY KNOWLEDGE OR
NOT IS GRZOUND �;FORREVbSAL BY THE BtiTLDING DEPARTMEW TO ISSUE A BUILDING PERMIT.
APPLICANTS-916NATURE DATE
THIS FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION
�Txl ell.,wotavald, 11"A&M.Wl"Idem
BOARD Of BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number -,ds 063515
Birffidatd' i 1-2116/1967
xpirav 12/1612002 Tr. no: 5058
Restricted To: 00
' i '
RAYMOND Y CORMIER
15 MEADOW VIEW LN
ANDOVER, MA 01810
a..4. -e,14"ru-
Administrator
WSURM
MAR -07-2001 09:45 F C CHURCH LOWELL MA
. . . . ............
Fred C. Church, Inc, 978-4W1865
One Merrimack Plaza
P.O. Box 1865
Lowell, MA 01853-1865
Cormier Andover
Construction Corp.
59 Chandler Circle
Andover MA 01810
ONLY AND GOkFj*8
HOLDER. THIS CEKnF
ALTER THE COVERAm
978 454 1865 P.02/02
DATEiMmablyy)
03107101
P AS A MATTE"TiN-FORMATION
RIGHTS UPON THE CIFFITIACATE
DOES NOT AMEND, EXtEND OR
COMPANY
ol NY
A Hardford Insuranca Company
C _O
OMPANY
N
COMPANY
C
COMPANY
D
THIS IS TO CERTIFY THAT THE LISTED SLOW HAVE OFEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION Or- ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE IMFD OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUELJECT TO ALL THE TERMS,
'EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE IBEEN REDUCED BY PAID CLAIMS.
cc
LTR TYPE Of WWpjkmcjE POLICY NUMM POLICY EFFIMME MJCV OWMTM
DATE fMMIDDMI DATp fmM/ponyj Lorrs
A 4&ftx4L UAB=r OSUENSS1390 1127101 1/27102 GENFAALAGGREGATE —
X COMMERCIAL GENCRAL LIABILITY �200000o
OCCUR PRODUCTS - COMPIOP AGG
CLAIMS MADEEx �1)2000000
x OWNEITS & C0NT4ACTOFrS MOT PERSONAL & ADV INJLMY 0
WL 10000013
AU OB" LIMITY
ANY AUTO
ALL OWNED AUTO$
SCHEDULED AUTOS
HIRED AUTOS
NCIN-OWNED AUTOS
1ILGE Lt"WTY
ANY AUTO
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— —�UMBRELLA FORM
OTHER THAN UMORELLA FORM
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EMPLOYERS, tumUry
THE PROPRIETOR/
PARTNERSMMCUTLVL INCL
o�CERS ARE--
OTM
DESCRIPTION OF OPUATIONSILOCA71MNEMCLES/&PtC4AL ITIEMS
Town of North Andover
10114/00 1 10114/01
MED EXP (Any one vgrwr4
C Co
OMBINED SINGLE U11MA11T 6
B �W
rJURY I
ODILY INJURY
(Par~
MAL* INJURY
Ipgr socidwi
PROPERTY DAMAGE $
AUTO ONLY - EA ACCIDENT s
2THER NAN AUTO ONLY;
EACH ACCIDENT F,
EACH 2��CUARGNCE
^GGR GATE
EL EACH ACCIDENT
EDISEASE - IO!LCy 11IT
EL DISFArx - VA
SHOULD ANY OF THE ASOVE DESMBEO POLICWS GE CANC(LILED BUORE THE
EXPMATION DATE THMOF, THE ISSUING COMPANY W&L gNIDEAvon To MAIL
10 DAYS VAMM 'VOT'Cr To Tt"E CMMATE 1401M NAMED TO THE WT.
111W #AIWAC YO MAIL SUCH NOTWE SMALL IMPOSE 40 gBIMnon OR UA51M
of - W %$NO UPON THE S;-WPANY.3 ITS JAZENTS on rtpaFSFNTATjvm
TOTAL P.02
MAR -07-2001 09:38 9713 454 1865 97% P.02
Town of North Andover
Building Department
27 Charles Street
North Andover, Massachusetts 0 1845
(978) 688-9545 Fax (978) 688-9542
DEBRIS DISPOSAL FORM
0 TH
In accordance with the provisions of MGL c 40 s 54, and a condition of
Building permit # the debris resulting from the work shall be disposed
of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a.
The debris will be disposed of in /at:
Facility location
Signafu're of A'p'plrcant
Date
NOTE: A demolition permit from the Town of North Andover must be obtained for this
project through the Office of the Building Inspector.
Mar -13-01 02:44P
KAScheck COMPLIANCE REPORT
Massachusetts Energy Code
MAScheck Software Version 2.01 Release 2
CITY; North Andover
STATE: M-assa-Chusett-S
HDD: 6322
CONSTRUC11.77LON TYPE. I or, 2 FraitiLily, U L,
HEATINQSYSTEIVITY-PE: Othex Uiofi-EleCtriCResi6tance)
DATE: 3
TITLE: LOT OB U14IT A CHATHAM CIR=
PRQJE1CT INFORNIATION�
YVON CQRMIER CONST CORP
59 CHANDLER r'T RCLr
A140-OVERM 114A
^^.A- I" ^RMA'I0"-
CVNIPAN"il NFU JE IN
J&J HEWUNG & AIR C0h_D
1-7 'A 10 T. T hj(1_ T N 87r
DRACUr Nm
COMPLIANCE4 PAS$"MS
Requirr7d UA = 3"13
Y
Youx- Home = 362
Permit #
Checked by/Date
The heating loadt for Lhis building, and Lhe cooliLng load if appropriatle,
has beer, deLermatned usin -L.L _L L _L %_
_g the appllcab'e Standard Design Conditions found
V, #-Ie 'kU41A4ng
in tll�e Code. The H'%YAC e1qjUi.—eL11Cn1t se-lect-ed to heat or cool k-14 AJ LAAA�
shiall 1�e no greater t,.ian 1-25"6-0 LI e des--- "Voc-Ld as specified JLrx
SecLioias 71080CMR 1310
t
-Vuilder/'Designer
MRR-13-2001 14:02 P. 06
Area crr
11
CaviLy
Cont.
Glazing/lDloor
Per.-I-Lueter
R-Va`lue
'K-Va'lue
'U-Va'Lue
CEILTNCTS
1388
30.0
0.0
WALLS: Wood Frame, 1611 O.C.
1043
11.0
0.0
WALLS : Ylasonr- wr
y, 1-11teri- InsulatJon
),an
V.
11.0
0 . Q
GLAZING: Windows or Doors
273
0.330
GLAZINQ: 17indows or Doors
63
0.360
DOORS
39
0.460
F T Q -Rt' iaq�rer uncon.di-tianed Spacen
p
rl
V""_ EQUIPMEW, Furnace, 92 . 0 AF UE
COMPLIANCE STATEMENT- T.he -raposed
building
design. descr-ibed
here
diii p3ans,
consls�ent wit11 the 'u-L.A. I g L
speclflcaUions,
L and
ol ber
U t -L&
_L ulaLlons
ca" c
U$- 4 -h the permit application.
� L U � � � iri i t e
The
propose -dA
buildilng
1 -las bee&-.
desAigned to meet tll-Le requirements of
the 'Plassachusetts
Energy
Cod le
The heating loadt for Lhis building, and Lhe cooliLng load if appropriatle,
has beer, deLermatned usin -L.L _L L _L %_
_g the appllcab'e Standard Design Conditions found
V, #-Ie 'kU41A4ng
in tll�e Code. The H'%YAC e1qjUi.—eL11Cn1t se-lect-ed to heat or cool k-14 AJ LAAA�
shiall 1�e no greater t,.ian 1-25"6-0 LI e des--- "Voc-Ld as specified JLrx
SecLioias 71080CMR 1310
t
-Vuilder/'Designer
MRR-13-2001 14:02 P. 06
Mar -13-01 02:44P
I
,m.-s--achusL-US Energy C-Ar3
J -
MASChe(;k SOILWaEe Ve3fE�iOfl 2,01 Relea&e 2
T J'7 T
LOT #8 UN.LT A CHATHAM CIRCLE
DATE: 4-:L3--ZUU-1
Bldg.
Dept.
use
r
L
CEILINGS:
1. R-30
Comments/Location
WALLS:
1. Wood Frame, 1611 O.C., R-^A,.l
CommenLs/Location
2. Masonry, Interior Insulation, R-11
Comments/Location
P. 07
WINDOWS AND GLASS DOORS:
1. U -value: 0.33
For windows without labeled U -values, describe features:
# Panes- Frame Type Thermal Break? Yes No
Comments/Locatio
2. U -value: 0.36
For windows without labeled U -values, describe features:
# Panes- Frame Type Thermal Break? Yes No
Comments/Location
DOORS:
1. U -value: 0.46
Comments/Locatio,
FLOORS:
1. over Unconditioned Space, R-19
Comments/Locatio
HVAC EQUIPMENT:
1. Furnace, 92-0 AFUE or higher
Make and Model Number
Air Conditioner, 10.0 SEER
AIR LEAKAGE:
Joints, penetrations, and all other such openings in the building
envelope that are sources of air leakage must be sealed. When
installed in the building envelope, recessed lighting fixturec
shall meet one of the following requirements:
1. Type IC rated, manufactured with no penetrations between the
inside of the recessed fixture and ceiling cavity and sealed ox
gasketed to prevent air leakage into Lhe unconditioned space.
2. Type IC rated, in accordance with Standard ASTM H 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
shall have been tested at 75 PA or 1.57 lbs/ft2 pressure
difference and shall be labeled.
MAR -13-2001 14:03 P.07
Mar -13-01 02:45P
VAPOR RETARDER'
Required on the warm -in -winter side of all non -vented framed
ceilings, walls, and floors.
MATERIALS IDENTIFICATION:
Materials and equipment must be identified so that compliance can
be determined. Manufacturer manuals for all installed heating
and cooling equipment and service water heating equipment must be
provided. Insulation R -values, glazing U -values, and heating
equipment efficiency must be clearly marked on the building plans
or specifications.
DUCT INSULATION:
Ducts shall be insulated per Table J4.4.7.1.
DUCT CONSTRUCTION:
All accessible joints, seam5r 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
ofnitted where gaps are less than 1/8 inch. Duct tape is not
permitted. The HVAC system must provide a means for balancing
air and water systems.
TEMPERATURE CONTROLS:
Thermostats are required for each separate HVAC` system. A manual
or automatic means to partially restrict or shut off the heating
and/or cooling input to each zone or floor shall be provided.
HVAC EQUIPMENT SIZING:
Rated output capacity of the heating/cooling system is
not greater than 125% of the design load as specified
in Sections 780CMR 1310 and J4.4.
SWIMMING POOLS:
All heated swimming pools must have an on/off heater switch and
require a cover unless over 20V of the heating energy is from
non-depletable sources. Pool pumps require a time clock.
HVAC PIPING INS = TION:
HVAC piping conveying fluids above 120 F or chilled fluids
below 55 F must be insulated to the following levels (in.):
PIPE SIZES (in.)
HEATING SYSTEMS: TEMP (F) 211 RUNOUTS 0-1" 1.25-211 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 condeasate 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 4Q 1.0 1.0 1.5 1.5
CIRCULATING HOT WATER SYSTEMS:
Insulate circulating hot water pipes to the following levels (in.):
MAR -13-2001 14:04 P.08
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