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Home My WebLink AboutMiscellaneous - 30 AVERY PARK DRIVE 4/30/2018I 10 ck� Q�) CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number - // � Date—�6—//- 4 -2 THE BUILDING LOCATED ON THIS CERTIFIES THAT ) je�-S- ��39) AV-rkv "��K � 6) C— MAY BE OCCUPIED AS 1,0 q IN ACCORDANCE WITH THE PROVISIONS OF THtMASSACHUSEtTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. 11'evc a's - CP -,57 /3 lqHI& - �3 (5 16-1 P,5- f-2, CERTMCATE ISSUED TO CA W10 il 17;"S—/ 4 ADDRESS lio /D-,/ A" Building Inspector 0 0 oz rA rA Cd r4 =S SIB Ike! g. go h ! iWg - Ao CD ts w CO) CO2 C/) Cf) cm ci CO2 CD EA* ca cc im CD 0 co =CW. CL .0-0 Si =-S E 4D CCAD CD %9 M U) CD Cl C3 CP co f ca CL M CD M :cc; mw ftg CO M 0 0– CM< i-- Ca CD :: � t. ca : E o Im �,s cm CID CLCj L.: C/) co :1. Cf) 0 CD co C=M 2! t5 co =W P-4 r,j IE a -c,,),g u C.) CO) cm cc t5 S 0 CAD ac)L L- 5 dome —WAI; 1-4 -..i rL CO) =CD cu LA. 20 COD La CLj CD 40 LU cz 4D.L3 cm 4D C:,.= = = W CL 0:8 CA co) C) CL.- Cc :10 LU 0 U) LU LLJ cr ui w U) m xz E0 -;:A. C/) 9 0 W 0 L2 cz L2 C2 0 P4 ". I 0 E co cn r4 =S SIB Ike! g. go h ! iWg - Ao CD ts w CO) CO2 C/) Cf) cm ci CO2 CD EA* ca cc im CD 0 co =CW. CL .0-0 Si =-S E 4D CCAD CD %9 M U) CD Cl C3 CP co f ca CL M CD M :cc; mw ftg CO M 0 0– CM< i-- Ca CD :: � t. ca : E o Im �,s cm CID CLCj L.: C/) co :1. Cf) 0 CD co C=M 2! t5 co =W P-4 r,j IE a -c,,),g u C.) CO) cm cc t5 S 0 CAD ac)L L- 5 dome —WAI; 1-4 -..i rL CO) =CD cu LA. 20 COD La CLj CD 40 LU cz 4D.L3 cm 4D C:,.= = = W CL 0:8 CA co) C) CL.- Cc :10 LU 0 U) LU LLJ cr ui w U) m Town of North Andover 0.4 t%ORTH Building Department 0 27 Charles Street 0 North Andover, Massachusetts 0 1845 (978)688 -9545 Fax (978) 688-9542 "AT SS c c APPLICATION FOR CERT-IFICATE OF OCCUPANCY / INSPECTION ADDRESS LOT NUMBER ,26- SUBDWISION DATE REQUEST FILED & 1,!rIO DATE READY FOR INSPECTION & //,o /0.2 FIVE (5) DAYS NOTICE PRIOR TO CLOSMG DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TINIE FRAME. A RE-INSPECTIOIN PiF-tff-T3<_NTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF THE STRUC70RE DOE,�OT MEET ALL APPLICABLE CODES. SIGNATURE -OFFICIAL USE ONLY ROUTING CONSERVATION AV71C�q4V DATE PLANNIII� DATE b / 3 D.P.W. - WATERNIETER _6,g4,ja_AEj;K�jDATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED aI R 0 THE KIN:SPECTIO QUEST DATE. 411GT4ATURE /-D-PW-A-U-THORIZATIO X -T AMEMCAN CLAIMS SERVICE MULTI -LINE ADJUSTERS BUILDING INSPECTOR/COMMISSIONER, BOARD OF HEALTH AND/OR BOARD OF SELECTMAN Building Inspector Town of North Andover 1600 Osgood Street Building 20, Suite 2035 North Andover, MA 01845 INSURED: Holm ADDRESS: 30 Avery Park Drive North Andover POLICY: PHOO100819895 LOSS DATE: 02/22/2015 LOSS TYPE; Water Damage ACS FILE: 31226 PD Claim has been made involving loss, damage or destruction of the above -captioned property, which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6, to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim file number. Tim McLaughlin Claims Representative On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. Unless we hear from you within the next 10 days, we will not be obligated to pay any portion of this claim to you. Date 02/23/2015 7 KIMBALL LANE, BUILDING C, LYNNFIELD, MASSACHUSETTS 01940 TELEPHONE (781) 245-9516 / FAX (781) 245-1077 E-MAIL — daims.acs*verizonxet Location /Lett/ PA Nil Date TOWN OF NORTH ANDOVER P Z Certificate of Occupancy $ $ ACHU A Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 14-1- .013 Building Inspector etc" mor PLAN SA CMWOS A ASSOCIA . IWO P.o. #or my marm, AM .,*W nVW~ MOV48"008 PAX f&V)404JW 4 11q 9, 14(p v -t; v- 7V--- 3 0 f LOT 25 NP 43,651 Sr 150' WETLAN13 SETBACK 9 ,lb, vIli Al, %M \91, \#If mm 010 s0l, SCALE 1* - 60' / I-ILA't.BY CER77f-Y TO TOHN OF IVORW ANDOWR, YA BuILDINc DEPARTww 77 -IA T mi Ems nNG FOUNDA 7701V DRA HN ON 7HIS Pt A N IS t OCA rW A S SHOW /1,1VU IHA T / r DOES COMPLY W NE Ubv�4Y:FUU BUILOINC SE77YACKS rO ��"TY UNCS. 4b 70 0 Of .0 wool)$ DA W.- AUCUS r 21. 2001 W MAP 109-A / tor 25 CA MR 6f JI L f -ows r NORN ANDOWR, UA. ulmuum sEmAms.- fRolv7- - jo Fur sIm- - jo fur REAR - Jo f ur Location No. J/v Date- -(R, 1� Check # 14--- 69 TOWN OF NORTH ANDOVER Certificate of Occupancy $ — 40 Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee TOTAL jo 0— Id6ildingl'nsp-ector t� TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING &r Offlcid`Use Q*y BUELDING PERNUT NLUvMER: DATE ISSUED: —c2l SIGNATURE: &-- Building CommissioneWnspector of Buildings Date SECTION I- SITE INFORMATION I 1.1 Property Address: 1-0-ras, 1.2 Assessors Map and Parcel Number: A17 r v. i,ej: r -e Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: R12 - Zoning District Propose&0se Lot Area (sf) Frontage Qft) 1.6 BUILDING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 3(D I 3�/? 1� 301 3-q 01 -f 301 0 0, 1.7 Water Supply M.G.L.C.40.554) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public W Private 0 Zone — Outside Flood Zone 0 Municipal On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSUIP/AUTHORIZED AGENT 2.1 Owner of Record C�,V Z W,1— Z- /- C - /00 11.,Weioer 3 j�)Oa-Sc Su ;�4e -100 /V, 1910. Name (Prin4 Address for Service 6 & 7 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 Licensed Construction Supervisor: 06 0 6 �'.2,3 License Number e, Address a,, 6 3 7 - Expiration Date Signature Telephone G 6-5 -7 - -2 6 0 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name Registration Number Address Expiration Date Signature Telephone 0 I SECTION 4 - WORKERS COWENSATION (AG.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 ....... V No ....... 0 SECTION 5 Description o Proposed Work (check applicable) New Construction V Existing Building 0 Repair(s) 11 Alterations(s) 0 Addition 0 Accessory Bldg. 0 Demolition 0 Other 0 Specify Brief Description of Proposed Work: !�Ils 3 16X V SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OF14CLAL USE ONLY 1. Building 2 7 20 0 (a) Building Permit Fee Multiplier -i- iso --'-Pk'JC 2 Electrical (b) Estimated Total Cost of Construction 6) 6-1 e7 co (9 Plumbing Building Permit fee (a) x (b) -3 Mechanical (HVAQ -4 5 Fire Protection 6 Total (1+2+3+4+5) 7 Y-, -7 0 0 Check Number SECTION 7a OWNER AUTHORIZATION TO BE CONTLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUIELDING PERMIT 1, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Qnqw/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 kno-Medge and belief A?" - Print N Of =�Z 7, A-0 Z Signature of O�&mer/Ajeaj� Date �� 5 IN 1 111 1 �� OF STORIES SIZE -NO. BASEMENT OR SLAB ND SIZE OF FLOOR TINIBERS 4- 2 3RD SPAN Dl]�ENSIONS OF SU.LS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING e) X MATERIAL OF CHEVINEY IS BUILLDIN ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 1;1 1699 1--rNmf 1 SO F00-1 0 f�' FORM U - LOT RELEASE FORM /001 P,IST RUCTICNS: This form is used to verify that all necessary approvals/perr-nits from Boards and Departments having jurisdiction have been obtained. This does . notr-elleve the applicant 2nd/cr landowner fircm compliance with any applicable or requirements. * ****-**AP P LIC ANT FILLS OUT THIS APPLICANT 0f,7, s,'�.e4t 6-6-7 - 6-7 6 0 � c �V --o r e-.! PHONE 6_,'�-7-673oc_; LOCATION: Assessor's Nlap Number 66 PARCEL Ir. 7 LOT (S) SUBDIVISION - STREET ST. NUMBER ZQ ON OFFICIAL USE RECO"RA,00S OF TOWN AGENTS: Co COMMENTS 1 _R'_ 0 ADMINISTRATOR b 44 lc;c J DATE APPROVED DATE REJECTED TOWN P DATE HtJtfa I tL) COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED. SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWERIWATER COI DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTO Revised 9\97 jrn DATE Growth Manaaement Eylaw Exemption Stca-Itement Town of North -Andover Building Departrnent 7"n is 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 applicznt shall provide all of the necessary information as requested below. Name of Applicant on Suilding Permit (below) Address of Property fc-r Pen—rit (telow) _3c) A -e -q i nr-lk' _Zv Mao and Parcel ""A Purpose of Application (check below) 'icarit - Two FamiN Phone Number �f tppl Single Family I the undersigned applicant for the above property attest that the attach, ed building permit for which this form is (=mpleted does comply with the E<EMPT`I0N section 8.7.6 of the North Andover Growth, Management Bylaw. I also understand providing this form does not absolve me or ary party to this permit from the requirements of obtaining other permits required prior to the issuance of the ___'�uiiding Permit. Further I understand that my interpretation of the E<ENIPTION status is subject Zc; review by the Building (Department and is only offfc!ally accepted when the Building Permit iq issued. Based an section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for an the above lot, in the building permit applicafion and associated attachments, ccomplies with one' or more of the following sections as indicated by a cher—k mark. This is an application for a building permit for the enlargement. restoration, or reconstruction of a dwelling in existencs as of the effective date of this by-law, provided that no additional residential unit is created. The lot(s) werelwas created prior to May 6, 1996 are exempt (ram the provisions afthis Sec.;cn 3.7 of the Zoning _99 —,a W - This application is for dwelling units for low andlor 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 cc=upancl 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. This application is a part of a development project which voluntarily agreed to a minimum 4011. permanent reauction in density, (buildable lots), below the density, (buildable lots), permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently designated as open sPac-na and/or farmland. The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Rest,6--icn, dedication to the Town, or other sirnilar mechanism approved by the Planning Board thatwill ensure its protection. This application represents a in(= of land existing and not held by a Developer in ccmmon cwnershipwith 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 ccristructing one single family dwelling unit an the parcel. This application represents a latwhich is ready for building permits,(J.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 Sc.�edule 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 SQ'iedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please pmvide any and all informafion that would assist the Building (Department in making a determination' that your application is allowed one or more of the above EXEMPTICNS. By signing below I atte accuracy of the information provided and that the attached building permit is st t?' allowed an S<EMPTIGN -flcW:ft'_e ove. Further I understand that the submittal of misleading and or inaccurate information,xir the chec�_S�ig off of an above item which does not comply, whether done to my knowledge c)K t i unds for ref�iAal by the Building Cepartment to issue a Building Permit. ,,& , is g;o_yncs_ 11��Aoll " - -- 7/2 Signature at Owner a A onz'e�e Mia signed the AtUactFed —Building Permit Date This form must be a cbed to the Building Permit upon application far such perTnit FOR24 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-ci .. -f 19 'ill and/or by the Covenant dated M ;JL 9 , 19 3A and recorded in District Deeds, Book Page -1.14 or registered in Land Registry District as Document No.. and noted on Certificate of Title No. in Registration Book f Page has been completed/partially completed, to the satisfaction of the Planning Board to adequately serve the enumerated lots shown an Plan entitled C_4mDhe ,J) For p51 pe�imi-FLV-f.546L,i��*N PIQAI Section (s) 'Sheets 1- 7 Plan dated pp ,r .e rn 19 TL recorded by the Nortk Distrfc eg' T istry of Deeds, Plan Back or registered in said Land Registry District, Plan Book Plan-�*/a784 and said lots are hereby released f:�-O-Mthe, restriction as to sale and building specified thereon. L4� Lots designated on said Plan as follows: (Lot Number (s) and street(s)) b. (To be attested by a Registered Land Sur-veyor) Lars 4OT-S I I -M, " /-O-rs I hereby certify that lot number (s) Zer-& ZS T14� 31-j BA Joar�jfjlr- Street (s) conform to layout as shown on Definitive Plan entitled Section Sheet (s) zy,zsi on do 0 F Af4s LBEFTT T. - 4cT4�' TRUOEL R gistered Land Surveyor No. 36869 1 of 2 -1-,-OJSft,-e ;�lt) VWAA, �hfn 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 1 19 and/or Covenant dated of the City/T' 19 from own of the f County, Massachusetts recorded with District Deeds, Book , Page or registered in Land Registry District as Document No. and noted on Certificate of Title No. in Registration Book, Page _ , ack-nowledges satisfaction of the —terms thereof and hereby releases its right, title and interest in the lots designated an said plan as follows: EXECUTED as a sealed instrument this day of , �ae;"t� —, 19 _Es 5 e -/, - Majority of the Planning Board of the Town of North Andover COMMONWEALTH OF MASSACHUSETTS ss �Ir2� 1 19 qq Then personally appeared Lzs,-_arL,,cqW , 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. c Notary M �/ �' 5. 2=co�� MY Commissibn__E_;�pires 2 Of 2 TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORKS 384 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 0 1845 J. William Hmurciak, Director Timothy J Willett StaffEngineer Additional conditions for lot 25, Campbell Forest April 5,2000 Telephone (978) 685-0950 Fax (978) 688-9573 This Division agrees to sign the Form U, and issue water and sewer permits, for lot 25 in the Campbell Forest Subdivision subject to the following conditions. We agree to sign the Form U for this lot so that the construction of the home can begin at this time. The conditions are as follows. I . No sewer service shall be installed into the residence until all off site sewer facilities are declared "active" by this Division. These off site sewer facilities include sewer lines and a pump station on Campbell Road, as well as sewer lines and two pump stations on Turnpike Street. At this time, the construction of these items has not been completed. 2. No water service shall be installed into the residence until all off site sewer facilities are approved by this office. Any violation of the above conditions will void both water and sewer connection permits. No refunds will be granted. - Mesiti DevlorVnfro� Division ic Works CC: Bill Hmurciak Jim Rand Mike McGuire Heidi Griffin Z&1� 0-).s g-4-, Printed Name Printed NaPI Dat(f Date Mesiti Dev Group Fax:978-5578160 Jul 17 2000 13:54 P. 01 TOWN OF NORTE[ A"OVIER DIVISION OF PUBLIC WORKS 384 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 0 1845 J JR/h.mo Amurdak Telephone (978).685-050 Directok Fax (978) 688-9573 July 14, 2000 Mr. Kenneth Grandstaff, President Mesiti Development Group 231 Sutton St Suite 2 F North Andover, Ma. 0 1845 Re: Conditional 0peration of the Campbell Forest Sewer Pumping Station. Dear Mr. Grandstaff- The Division of Public Works has inspected the sewer collection system and sewer pumping station, and appurtances on Campbell Road related to the construction of the Campbell Forest and Lyons Way subdivisions. We hereby grant conditional approval for use of the.system. and pumping station subject to the fbIlowing: I Completion of items I through 15 as listed on the July 10, 2000 letter to 1S& Dennis Bedrosian from Maurice Harpin of Mesiti Development Group, a copy of which is attached. The work will be completed within 45 days of acknowledgement of the receipt of this letter. 2. Satisfactory completion of an as -built plan for the Campbell Road sewerage system - 3. Submittal for our review and approval a copy of th pr vent e e ive maintenance contract for the pumping station. 4. A performance guarantee shall be provided in the a i of $25,000.00 to insure the proper maintenance and operation of the pumping station. 5. The Division of Public Works will be allowed access to the Pumping Station and will be allowed to reconstruct, repair, replace, add to, service, inspect and operate the pumping station and related equipment -and facilities in the event that Mesiti Development or its agents fail to adequately peribrin maintenance of the pumping station. Mesiti Dev Group Fax:978-5578160 Jul 17 2000 13:54 P.02 6. Mesiti development shall reimburse the Town upon demand for the reasonable costs of emergency repairs to the Pumping Station. 7. Mesiti Development Group and its successors or assigns shall indemv*, defend, and save harn-Aess the Town of North Andover and its Division of Public Works and their respective employees, officials and agents against all suits, claims, judgments or liability of every name and nature arising at any time out of or in consequence of the acts of the "Town!' or its agents, employees and officials in the performance of the access purposps; covered by this grant of conditional use or the failure of the developer afid its successors or assigns to comply with the terms and conditions of this grant. Very Tk�q ours, I Ut,/ I -Hrnurc� E Director of Public Works The undersigned acknowledge the receipt of and agrees to the tenns. and conditions of the .... . . . � I W am IJA..* UIW. 1502 APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. Application by the undersigned is hereby made to connect with the town sewer main in subject to the rules and regulations of the Division of Public Works. The premises are known as No. 3e-) 14)er�, or subdivision lot no. /- 2 -LC Owner 2,2� V T Contractor 23 Address Acldress,�, Applicant's SYg—natAe--� PERMIT TO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants permission to to make a connection with the sewer main at I subject to the rules and regulations of the Division of Public Works.. Inspected by Date 610-9 7- -53bo Street Divisi n Works By— See back for rules and regulations MUMMINK MOM APPLICATION FOR WATER SERVICE CONNECTION 4 Z600 North Andover, Mass. 44 --- Application by the undersigned is hereby made to connect with the town water main in StFee� subject to the rules and regulations of the Division of Public Works. 7) The premises are known as No, or subdivision lot no. 64 Owner Contractor V All" The Board of Public Works herebv P "L P I /-/, /�" , /,/ I, le - 7- 5 ��o 2F Address A"ddress,,��.., _e�Z V - Applicant's Signature PERMIT TO CONNECT WITH WATER MAIN rants Dermission to to make a connection with the water main at subject to the rules and regulations of the Division of Public Works. Inspected by Date I -L c Street Street 5.oard of Public Works By See back for rules and regulations t d-74 TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 Telephone (508) 685-095o Fax (508) 688-9573 Of tkORTH "'E0 ".. IL DRIVEWAY PERMIT Date: LOCATION: /Ve BUILDER: phone:. -7 OWNER: 66,W6 phone: -4, pry ��r 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: POW YN 'd-RAoaNVHIYON :iz gins 133WS Nouns tez 0-77 'ISOJO-4 lleqdweo AINO QZ 101 IOOZ-M--C Mg 'OOM (SMHS 9) 9881 TI AVA NY -W aAm a3SK311 Of MV '96-99-+ ZVO MMIIdo NV -W WNOW mr aff cr"Offm Ard "MAW 'a Wx Ug AWFa solo -AWYAr jmi �Acr 90 10-86 :'ON JOEMArd snesntjoessepV jeAopuV qpON Isejo.1 11eqdwao gU7.LOj k JO k I NV7d 311S 01 NOU VOIJIGOYV *Z= oNarda gqw-km (m) xezf gow vm'snenes 8JV-tCZ (M) Q -Yd Wils IIUIUOD 96t RIMMOO Buluuvid Pu67 'OU/ 'Gouey//V B(#JGqu,/5u3 -A& ff"rd"d LU CN 00 C14 CO Z < V) '00 Od If co -CO Q$ m 03 A (0 L—ee C,4/ 171 ot—ee 6C—SG gi!—Ga cq W N LOI C'N I I Kk 41 /Ca! /*0 PO A-, 7 LL: A LC r 0� to cio n rtt V) CO - 26 '179 M 4 00,6 L. M.00,6 L-LgN -4 IZ0,09 t po z imp P2 C) 04 04 M yn, fm" V) CI4 (N LO CN A ce 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 disp�osed of in: -7 5,:V;7 U2Z 02 No/ 1 &�7S Location of Facifity Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector BOARD OF BUILDING REGULATIONS 'License: CONSTRUCTION SUPERVISOR Number: CS 069234 B*rthdate-. 0/0911954 ErMires: 05/09/2.002 Tr. no: 23903 Restricted To: 00 ALAN G RUSSELL 400 MAIN ST GROVELAND, MA 01834 Administrator The.Commonvvealth of Massachusetts Department of Industrial Accidents Offics of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Nam Please Print Name: Location: city Phone # F7I am a homeowner performing all work myself. F� I am a sole proprietor and have no one working in any capacity FTI am an employer providing workers' compensation for my employees working on this job. Com any name: 2,2�glz Address /00 City: korWL 11,77c—kv�z R,�?, C1 Phone (2,;, 5� 6 9 7 30 0 insurance Co. PolicV tu C-1— 0- -6-6 NUEENNMEEIVNW�- - Comoany name: Address citr Phone #: insurance Co. PolicV 1, Failure to secure coverage as required under Section 25A or IVIGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 andior one years' imprisonment as well as c' .;u4ictrialties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I understand that a ccpy of this statement 9fay be fo?��rded to the Office of Investigations of the CIA for coverage verification. I do hereby certify un the ins and nalti s ofpe ' rl that the information provided above is true and c--rrec'. Signature Date J Print name Phone #-573—.7- -5 (,0 Official use only do not write in this area to be completed by city or tcwn official* City or Town P--rmit/Licensina FlCheck dimmediate response is requked Contact person:-- Phone 9.-, Building Dept Licensing Board r-1 Selectman's Office 0 Health Department F-1 Other P.. MAScheck COMPLIANCE REPORT Massachusetts Energy 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: 7-27-2001 DATE OF PLANS: June 11, 2001 TITLE: "The Somerset" PROJECT INFORMATION: Campbell Forest Subdivision North Andover, Ma. COMPANY INFORMATION: Campbell Forest, LLC / Mesiti Dev. Corp. 100 Andover Bypass Suite 300 North Andover, Ma. 01845 COMPLIANCE: PASSES Required UA = 607 Your Home = 603 Permit # Checked by/Date I 1 1 , ,� �_ S 1C_ VV &I k Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value U -Value UA ------------------------------------------------------------------------------- CEILINGS 1878 30.0 0.0 66 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 1910 19.0 0.0 91 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 applicationd 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 Slandard __9 — Design Conditions found _ e in the Code. The HVAC equipipent sele ct to at or cool the building of e shall be no greater th n 1 % of e de �oad as specif ied in Sections 780CMR 1311a4.4. gdesi Builder/Designer D ate *4 — MAScheck INSPECTION CHECKLIST .Massachusetts Energy Code MAScheck Software version 2.01 "The Somerset" DATE: 7-27-2001 Bldg. I Dept. Use I CEILINGS: 1. R-30 Comments/Location WALLS: 1. Wood Frame, 16" O.C., Comments/Location R-11 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 I DOORS: 1. U -value: 0.49 Comments/Location FLOORS: 1. Over Unconditioned Space, Comments/Location I HVAC EQUIPMENT: 1. Furnace, 92.0 AFUE or higher Make and Model Number AIR LEAKAGE: 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 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 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 shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. 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 R-19 be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R -values, glazing U -values, and heating equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: Ducts shall be insulated per Table J4.4.7.1. DUCT CONSTRUCTION: All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist 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. I HVAC EQUIPMENT SIZING: Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. 1 I SWIMMING POOLS: I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.): PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-111 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 I CIRCULATING HOT WATER SYSTEMS: I Insulate circulating hot water pipes to the following levels (in.): PIPE SIZES (in.) NON -CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F): RUNOUTS 0-l" 1 0-1.25" 1.5-2.0" 2.0+11 1 170-180 0.5 1 1.0 1.5 2.0 1 140-160 0.5 1 0.5 1.0 1.5 . 0 100-130 0.5 1 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only) ------------------------- v - 1�4 6 z cm CD C2 0 C.3 CL cm cc cD E cK C=2 CD C2 CD Cw CD s CD 3C-4441�, ca *ftoft: coma C=:, is cm CLCJ I.: CD 11-D-2 1= cm IE- cc I�j C.J 0 m cm C2, 0 CL.— cm 114 CO) 4- go =0 2 � C* Uj S 40 U. IZ s m.s z is; L= 'i 32 . , CS u A- Q CM CD CLC, CD CD CL*- cc C/) 0 U) C/I Z� 0 u �D 0 C/) z 0 u C/) Cf) u 0 ,2 4.j tzs 6 u co Q E CO2 CD .Lo E CD CD co Q .m CL. COP) cm C"2 a. CO2 C3 L.7 cc cc "a CO2 'wow I.: 0 ts CD CL CO) CD CM CID cc CL ca CO ts co CL ca LU 0 U) LLJ U) cr- ui LU cl: LLJ LU U) u 0 0. u uo 0 U� z z Or. co "a r. z �2 X u —0 0 x u 0 C4 co r. U) —co .5 P4 u z —co G ZW r. w :3 6 C/) 0 E cn cm CD C2 0 C.3 CL cm cc cD E cK C=2 CD C2 CD Cw CD s CD 3C-4441�, ca *ftoft: coma C=:, is cm CLCJ I.: CD 11-D-2 1= cm IE- cc I�j C.J 0 m cm C2, 0 CL.— cm 114 CO) 4- go =0 2 � C* Uj S 40 U. IZ s m.s z is; L= 'i 32 . , CS u A- Q CM CD CLC, CD CD CL*- cc C/) 0 U) C/I Z� 0 u �D 0 C/) z 0 u C/) Cf) u 0 ,2 4.j tzs 6 u co Q E CO2 CD .Lo E CD CD co Q .m CL. COP) cm C"2 a. CO2 C3 L.7 cc cc "a CO2 'wow I.: 0 ts CD CL CO) CD CM CID cc CL ca CO ts co CL ca LU 0 U) LLJ U) cr- ui LU cl: LLJ LU U) 2) -LL Q01 C. ON : *44j; o LL NO C) 0 'U' <n LU z IV 0 um W, 0 Is -t � e. 0 Z : E O.L W: A W .0 :=o o E x r - a) Ia.. Or - 0 CL) U ig u LAI .2 0 mm !:!: #A 0. U . " " c L 0 E x CD 0. CLM LA LU .0 o 6 z C) CL 0 0 Cm co S 0 0) S c 0 N z 0 0 5 Con cn a '0 ai 4-'1 c -0 M c aj in 3 3 o m Ln -0 ai w u c 2 c c at m '0 c :3 E a U_ aj a .tn m z IM 0 c aj u c 0 aj Ll6o J IBuildinq Value Calculation -for ProDertv at..... LoT# Room Length Width Sq.Ft. Cost per Sq.Ft. Total Cost Kitchen 15.5 15 232.50 65 $ 15,112.50 Brkfstnook 15.5 9.25 143.38 65 $ 9,319.38 Dining Room 17.5 15 262.50 65 $ 17,062.50 Family Room 24 15.75 378.00 65 $ 24,570.00 study/office 14 12.5 175.00 65 $ 11,375.00 Living room 15 12.5 187.50 65 $ 12,187.50 Garage 22 36 792.00 35 $ 27,720.00 Entry , 11.5 10.5 120.75 65 $ 7,848.75 2nd floor foyer/sifting 23 6 138.00 65 $ 8,970.00 Sunroom 15.5 11 170.50 65 $ 11,082.50 mudroom - 65 $ - Walkin closet 9.5 10 95.00 65 $ 6,175.00 Basement Finished 65 $ - Balcony - 65 $ Screened Porch - 35 $ - laundry 10 6 60.00 65 $ 3,900.00 Bedroom 1 24 15.5 372.00 65 $ 24,180.00 Bedroom 2 13 12.5 162.50 65 $ 10,562.50 Bedroom 3 13 12.5 162.50 65 $ 10,562.50 Bedroom 4 18 12.5 225.00 65 $ 14,625.00 Lav / Bar - 65 $ - Bathroom 1 10 8 80.00 65 $ 5,200.00 1/2 Bath 13.5 8.5 114.75 65 $ 7,458.75 Bathroom 2 - 65 $ - Bathroom 11 16 176.00 65 $ 11,440.00 Balcony - 65 $ - C) 14 nfA&3 S Poe) /b _S 3 A'A �' ,3 5Jd // tllu de