HomeMy WebLinkAboutMiscellaneous - 30 LYONS WAY 4/30/2018o�
6r-
LocationLo+
No. b Date
TOWN OF NORTH ANDOVER
41
Certificate of Occupancy s 50'. dD
Building/Frame Permit Fee $
CHU Foundation Permit Fee $ Idol
Other Permit Fee $
TOTAL s
Check #
1 47�- 8
Building Insp'e'ctor
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APP6�6, �TION TO CONSTRUCT REPAIR. RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUILDING PERMIT NUNIBER:
DATE ISSUED:
SIGNATURE:
Building Commissioner/In�4&tor- of Buildings Date
SECTION 1- SITE INFORMATION
1.1 Property Address:
1.2 Assessors Map and Parcel Number:
Lot 1, Lyons Way
106B 72
30 Lyons Way
Map Number Parcel Number
No. Andover, MA
1.3 Zoning Information:
1.4 Property Dimensions:
R2 Single Family Dwelling
63,139 S.f. 694'
Zoning Di�-UTd-- Proposed Use
Lot Area (sf) Frontage(ft)
1.6 BUILDING SETBACKS (ft)
Front Yard Side Yard
Rear Yard
Required Provide Required Provided
Required Provided
30' 32' 30' 35'
1-
30' 1 150'
1.7 Water Supplyy M.G.1-C.40. 54) 1.5. Flood Zone Information:
1.8 Sewerage Disposal System:
Public Z Private 0 Zone Outside Flood Zone
Municipal 3@ On Site Disposal System 0
SECTION 2 - PROPERTY OWNERSHM/AUTHORIZED AGENT
2.1 Owner of Record
MPG Realty, Inc. 231 Sutton Street, No. Andover, MA
Name (Print) Address for Service
Signa6EQ_� Telephone
2.2 Owner of Record:
Name Print Address for Service:
Signature Tele hone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
Not Applicable 0
David G. Donovan
CS 076045
Licensed Cons�lsftion Supervisor:
License Number
35 Dono I van Way, Tewksbury, MA 01876
Address
4/17/2003
978-640-9610
Expiration Date
Signature Telephone
3.2 Registered Home Improvement Contractor
Not Applicable 0
Company Name
Registration Number
Address
Expiration Date
Signature Telephone
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 wifi—result
in the denial of the issuance of the building 22rmit.
Signed affidavit Attached Yes ....... 9 No ....... 0
SECTION 5 Description of Proposed Work (checkall applicable)
New Construction R Existing Building 0 Repair(s) 0 Alterations(s) 0 Addition 1 0
Accessory Bldg. 0 1 Demolition 0 1 Other 0 Specify
Brief Description of Proposed Work:
Construct 4 bedroom residential single family dwelling;
2 story colonial, 2'2 baths, 2 car garage under, 18x22 family
room, 4x12 front entrance, 4x16 & 10x16 wood deck, zero
clearance F.P.
I SFCTTON 6 - F9TTMATV.l) COV�TRTWTMN M -MR I
Item
Estimated Cost (Dollar) to be
56 M, C
" , Y
Completed by permit applicant
..............
1. Building
$186,400
(a) Building Permit Fee
/<
Multiplier
2 Electrical
$ 13,900
(b), Estimated Total Cost of
Construction
3 Plumbing
$ 11,000
Building Permit fee (a) x (b)
4 Mechanical (HVAC)
$ 13,000
5 Fire Protection
6 Total (1+2+3+4+5)
$224.100
Check Number
aim- iiiin ia qJWINEK AU MUKILAIMA 1U ISE UUMPLETED WIM�N
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, MPG Realty, Inc. as Owner/Authorized Agent of subject property
Hereby au onz David G. Donovan to act on
e in a tters relative to work authorized by this building pennit application.
Si'-Qture 4'� Date
SECTION -7—b "OWNER/AUTHORIZED AGENT DECLARATION
1, MPG Realty, Inc. as Owner/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 NauYe
Signat-o:�Q—RO—W'*r/AgeiW�� Date
NO. OF STORIES 2 SIZE 32x38 & 18x22
BASEMENTORSLAB Basement
SIZE OF FLOOR TINIBERS IST 91 IJOists2"W' IJOists 3RD
SPAN 16" o/c
DIMENSIONS OF SILLS 2 x 6
DIMENSIONS OF POSTS Lally Columns (4"steel)
DIMENSIONS OF GIRDERS 12" steel
HEIGHT OF FOUNDATION 8' THICKNESS 10
SIZE OF FOOTING 101.1 X 2011
MATERIAL. OF CHMINEY zero clearance (wood)
IS BUILDING ON SOLID OR FILLED LAND solid
IS BUILDING CONNECTED TO NATURAL GAS LINE vp
FORM U - LOT RELEASE FORpj,
INST RUCTIONS: Thisform is used to verify that all necessary approvals/permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve
the applicant and/or landowner from compliance with any applicable or r-equirements.
*****************************APPLICANT FILLS OUT THIS SECTION"""
�-e
APPLICANT. Z6e,2:Y-S 0,1el, 41- P H 0 N E 4, �J7 - t5-30 b
LOCATION: Assessor's iMap Number (5, Ls PARCEL -7
SUBDIVISION co 2- LOT (S)
STREET ST. NUMBER 3o
USE
RECOMMENDATIONS OF TOWN AGENTS:
CONSERVATION ADMINISTRATOR DATEAPPROVED
- 1\� DATE REJECTED_
COMMENTS
c� r �
TOWN P
COMMENTS
,�l (Vl,#ot� 6 /-N � 11-1
DATE APPROVED
DATE REJECTED
FOOD INSPECTOR -HEALTH DA APPROVED
D T JECTED T
SEPTIC INSPECTOR -HEALTH- �DATE APPROVED
DATE REJECTED
COMMENTS
PUBLIC WORKS - SEWERIWATER CONNECTIONS
DRIVEWAY PERMIT
RECEIVED BY BUILDING INSPECTOR- D A TE
Revised 9\97 jrn
-/3-610
- 6)rD
/(A 9 9141-e 0
JAN-08--�2001 04:37 PM MARCHIONDA&ASSOCIATIES 781 438 9654 P.01
(It ATLOO Mp.)
L T
S -F,
V"2 1,45 Ac.
*' 7'�
sv
\WAS
ftb
t w I
PROP. 2' HIGH
OF 30fiELD S
OR ROW (MIN.)
PLACED END TO END.
LOT
45,290 S.
1,04 Ac.
ol 3F..
PROPOSED SITE PLAN
MARCHIONDA & ASSOC.,L.P.
LOT I LYONS WAY ENOINEERING AN() PLANNINr, CONSULTANTS
NORTH ANDOVER, MA
PREPARED FOR 62 MONTVALE AVE, SUITE I
MESITI DEvELOPMENT GROUP STONEHAM. MA, 02180
31 SUTTON 5'TREET - SUITE 2F SCALE, 1* -40' (781) 438-8121 DATE' 1/8/01
NOR114 ANDOVER, MASSACHUSETTS 01845
The Common wealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
Boston, Mass. 02111
Workers' Compensation Insurance Affidavit
—Na me Please Print
Name:
Location:
city Phone
7 1 am a homeowner performing all work myself.
F] I am a sole proprietor and have no one working in any capacity
I am an employer providing workers' compensation for my employees working on this job.
('nrnnnr%/
Address
Citv:
Rag, 0 1Y
�'6
Phone#:
Insurance Co. 0424
rlecZ C,.:!F
Policv #
Al cv,,9 :07
z,,-/ 3 41'ev 5�1 00
Comoanv name:
Address
Citv-. Phone #:
Insurance Co. Policv 1, 1
0
Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1, 500.0
andlor one years' imonsonment as well as civii penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I
understand that a c--py of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
/ do hereby (
Signature
Print nam
Official use only do not write in this area to be completed by city or town afficial'
'6 0
City or Town P--rmit/Licensina
Building Dept
[]Check if immediate response is required C3 Licensing Board
7 Selectman's Office
Contact person: Phone 4: Ei Health Department
11 Other
t
FCRH J
LOT RELEASE
The undersigned, being a majority of the Planning Board of the Town
Of North A�ndover, Massachusetts, hereby certify that:
a. The requirements for the construction of ways and munici pal
services called for the Performance Bond or Surety and'dated
I)ejc, I q f 19 qq and/or by the Covenant dated
Book 0 C t. , 19 _�� and recorded in District Deeds,
E39L Page 0 1 or registered in
Land Reg istry District as Document
No.. and noted on Certificate of Title No.
in Registration Book Page
has been completed/partially completed, 'to thE
satisfaction of the Planning Board to adequately serve the
enumerated lot s shown on Plan entitled I'D I�JVPIW
1111r. VON S W yerMfl_ Section (s) Sheets
'�—ian dated Ti N P- '&4 1 19 9-t_ recorded by the
-Mbff-b is-�rfr-t — Registry of Deeds, Plan Book o r
registered in said Land Registry D� strict, Plan Book -
Plan -I;I*/3y59, , and slaid lots are -hereby released f�70—mthe'
restriction as to sale and building specified thereon.
Lots designated on said Plan as follows: (Lot Number (s) and
street(s))
I
to t5 -*/I -*5� �-- a4 7 I—vows Wdt,..,
b. (To be attested by a Registered Land Surveyor)
I hereby certify that lot number (s) on
I- Yo /Vs g A Y —j -4&4L, 2. z —,- ,
Street(s) do
conform to layout as shown on Definitive Plan entitled
wetl lyh Section Sheet(s)
J
1 of 2
JZ1J5-)C,4q
*Rei ter2ed Land Surve�o� '
I�A OF MA
0
STEPHEN M
U M M SCIUC.
ELESCIIUC
No
��. 39049)
-0
0_6
Ssk
S IJ R
X, J 14 A �V
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 19 from
of the City/Town of
County, Massachuset-Es 'recorded with
Ehe District Deeds, Book , Page
or registered in Land Registry District as Document No.
and noted on Certificate of Title No.
Registration Book, Page - I acknowledges
satisfaction of the te �s-the'reof and hereby releases its
right, title and interest in the lots designated on said plan
as follows:
EXECUTED as a sealed ins trument this c2/-S�- day of 19
1�1 -t �- �L 1 L-1- - � I
T—
Majority of the
Planning Board
of the Town of
North Andover
COMMONWEALTH OF MASSACHUSETTS
ss 2-1, 19 CL -a
Then Personally appeared C-r'Le
,,� Ir one of the above
members of the Planning Board of the Town of North Andover,
Massachusetts and acknowledged the foregoing instrumen't' to be the
free act and deed of said Planning Board, before me.
Notary Public
— MQ,4 -5, I)D�,-
MY COMMIssic'n Expires
2 of 2
Town of North Andover Planning Board
......
.........
-map and P rcel of Original Lot:
Iq4 P 16G a I -at 73.
7-
Date of Application for Lot(s) Division:
0-4 1 X IS I lqc? 3
Lots Covered by this Schedule:
Lcr�5 1-7 L-yolvs vioy
J JI—,
s u, , , , , ep, esenIS LI ie sc, edule lor allowing the following lots to be considered as eligible for
building permits under the Town of North Andover Growth Management by-law Section 8.7 of
the Zoning by-law. Pursuant to 8.7 .5 this Development Schedule must be filed in the Registry of
Deeds and be referenced on the deed of each of the lots below and be filed with the Planning
Board prior to the issuance of any building permit or permit for construction.
I
Name and Address of Applicant for Lots:
Name of Development:
mpc, Reql� cor
11 cia bo2oupl
-rew�s bury, A � 0187�
-map and P rcel of Original Lot:
Iq4 P 16G a I -at 73.
7-
Date of Application for Lot(s) Division:
0-4 1 X IS I lqc? 3
Lots Covered by this Schedule:
Lcr�5 1-7 L-yolvs vioy
The Planning Board by their signature below, or a signature of a duly authorized representative,
do hereby establish for the above named development the following Development Schedule for
the purpose of Section 8.7 of the Growth management By -Law. The applicant, their assignees,
successors and or sutsequent property owners shall conform to the following schedule that limits
the eligibility of the following lots for building permits. This form must be filed in the Registry of
Deeds by the property owner o ' r representative and be referenced on each deed for each of the
following lots. Such deed reference for the deed of each lot shall at a minimum reference the
book and page in which this Development Schedule is filed and contain the language : ' This lot
is subject to a Development Schedule pursuant to the Town of North Andover Zoning By -Law all
owners, representatives, and future purchasers should avail themselves of said restriction by
reviewing the approved Development Schedule as filed in Book and Page
The fact that a lot is eligible for a building permit is subject to the limitation of the number of
building permits per year pursuant to section 8. 7.2.d of the Zoning By -Law'
The Planning Board hereby schedule the lot(s) for the above development as follows:
Year Eligible Number of Building Office Use Building Office Use
Lots Eligible DatE! Lot Eligibility Notes
CoM,-,'etE!v Utilized
Signature of Plannlnn�ard
Signature'di Property Own'ei
7
.ed Representative
-A
Date
rized RepFesentative
-3 9
Date
X
Z
0
U
ra
C;_
ke_ILLV�Jto '. �t4�f cot rxtmfi&�-
11 04 AD�op
Town of North Andover
Building Department
27 Charles Street
North Andover, Massachusetts 01845
(978) 688-9545 Fax (978) 688-9542
DEBRIS DISPOSAL FORM
�Nq
0
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, s I 50a.
The debris will be disposed of in /at:
E.L. Harvey & Sons, 68 Hopkinton Road, Westboro, MA
Facility location
nature�'� Applicant
--3 1 1- C. I rz� L
Date
NOTE: A demolition permit from the Town of North Andover must be obtained for this
project through the Office of the Building Inspector.
11503
APPLICATION FOR SEWER SERVICE CONNECTION
-2o�)o
North Andover, Mass.—/+/,)// (9 14--
Y
Application by the undersigned is hereby made to connect with the town sewer main in 5 Street,
subject to the rules and regulations of the Division of Public Works.
-71
The premises are known as No. Street
or subdivision lot no.
wal'f uc
Owner Address
Contractor
k "-05
PERMIT TO CONNECT WITH SEWER MAIN
The Division of Public Works hereby grants permission to
to make a connection with the sewer main at
subject to the rules and regulations of the Division of Public Works..
Inspected by
Date
LLC
Street
Division of I Public Works
By
See back for rules and regulations
NO 966
APPLICATION FOR WATER SERVICE CONNECTION
N orth Andover, Mass.
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.
Wat-1 Street
The premises are known as No.
or subdivision lot no
z
Owner V
Contractor
-2-3/ �V4�� 151f svde ?I --
Address T -
Address,?
Applicant's SiVnatur"e--
eno
PERMIT TO CONNECT WITH WATER MAIN
The Board of Public Works hereby grants permission to
to make a connection with the water main at
subject to the rules and regulations of the Division of Public Works.
Inspected by
1/�
Street
Board of �uhliz Works
By 0
Date
See back for rules and regulations
e
TOWN OF NORTH ANDOVER
DIVISION OF PUBLIC WORKS
384 OSGOOD STREET
NORTH ANDOVER, MASSACHUSETTS 0 1845
J. William f-Imurciak, Director
Timothy J. kVillett
StaffEngineer
Additional conditions for lot 1, Lyons Way
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 I in the Lyons Way 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. �i
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 reftinds will be
granted.
Mesiti e 10134e�n Printed Name Date
ml )Z&
Division of ibli
,��i c Works Printed Name Date
CC: Bill Hmurciak
Jim Rand
Mike McGuire
Heidi Griffin
Mesiti Dev Group Fax:978-5578160 Jul 17 2000 13:54 P.01
...........
TOWN OF NORTH ANDOVER
DIVISION OF PUBLIC WORKS
384 OSGOOD STREET
NoRTH ANDovER, mmsAcHusms 01845
Mr. Kenneth. GramUaf� President
Mesid Development Group
231 Sutton St. Suite 2 F
North Andover, Ma. 0 1845
Telephone (978).685-0050
Far (978) 689-9573
July 14,2000
Re: Co*nditional Operation of the Campbell Forest Sewer Pumping Station.
Dear Aft. -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 fbllowing:
I Completion of items I through 15 as listed on the July 10, 2000 letter to �&
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 the preventive maintenance
contract for the pumping station.
4. A performance guarantee shall be provided in the amount of $25,000.00 to
ins= 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 fad to adequately, perfi)rm maintenance
of the pumping station.
.. .. ..... .
TOWN OF NORTH ANDOVER, MASSACHUSETTS
DIVISION OF PUBLIC WORKS
384 OSGOOD STREET, 01845
Telephone (508) 685-0950
Fax (508) 688-9573
DRIVEWAY PERMIT
jDate: 4-13—ZO 1
VOCATION:
/e � I
BUILDER: phone:
OWNER: phone: e5 70c)
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.
I Remarks:
Approval:
Mesiti Dev Group Fax:978-5578160
Jul 17 2000 13:54 P.02
6. Mesiti development shail 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 sha.0 indemn*,
defend, and save harmless the Town of North Andover and its Division of
Public Works and their respective employees, officials and agents against all
suits, claims, judgments or liability of every name and nature anismig at any
time out of or in consequence of the acts of the "Town7' 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
orassigns to comply with the terms and conditions of this grant.
Vcry Tr�q ours,
Hmurc'
Director of Public Works
The undersigned acknowledge the rcepint of andaurees to thp tomw
above grant of onditional use.
Mident
Date:
JAN -p8-2001 04:37 PM MARCHIONDA&ASSOCIATES
OF *tTLASO (TM-)
wAw L
gT i
63,139 S.F.
1,45 Ac.
7�'
WF40
ftw **413
781 438*9654 P.01
w
jk w
PROP. 2' HIGH
OF 30fiELD S
OR ROW (MIN.)
PLACEO END To END.
Ak
LOT A
45,290 S.
1.04 Ac.
0.1
PROPOSED --SITE PLAN
LOT 1 LYONS WAY MARCHIONDA & ASSOC.,L.P.
NORTH ANDOVER. MA ENOINEERING ANO PLANNING CONSULTANTS
PREPARED FOR 62 MONTYALE AVE. SUITE I
mEst'n DEVELOPMENT GROUP STONEHAM. MA, 02180
,31 SUTTON MEET - SUITE 2f SCALE. J"v-40' (781) 438-6121 DATE- 1/8/01
NORT14 ANDOWR, MASSACHUSrtTTS M45
Ilk
SPRINKLER SYSTEM HYDRAULIC ANALYSIS
Date: 4/ 9/ 1
JOB TITLE: Boxborough - Lot 1
Xcel Fire Protection, Inc.
50 Northwestern Drive
Salem, NH 03079
HYDRAULIC CALCULATIONS
FOR
Boxborough - Lot 1
North Andover, MA
4/9/01
1# tv-d Aa_�'I?il
-DESIGN DATA -
Page 1
OCCUPANCY CLASSIFICATION
Single
Family
DENSITY :
0.05
gpm/sq. ft.
AREA OF APPLICATION:
256
sq.
ft.
COVERAGE PER SPRINKLER
256
sq.
ft.
Actual
calculated
spacing varies)
NUMBER OF SPRINKLERS CALCULATED:
1
TOTAL SPRINKLER WATER FLOW REQUIRED:
13
gpm
TOTAL WATER REQUIRED (including Hose):
13
gpm
FLOW & PRESSURE (at Base of Riser):
13
gpm
@ 38.5 psi
SPRINKLER ORIFICE SIZE:
7/16
NAME OF ORGANIZATION: Xcel Fire Protection,
Inc.
NAME OF DESIGNER: ctt
AUTHORITY HAVING JURISDICTION:N. Andover
Fire
SPRINKLER SYSTEM HYDRAUT,TC ANAT.YSTS
Date: 4/
9/ 1
REQ'D
JOB TITLE:
Boxborough
- Lot 1
WRTER SUPPLY DATA
(GPM)
SOURCE
STATIC
RESID
NODE
PRESS
PRESS
TAG
(PSI)
(PSI)
SOURCE
120.0
50.0
Page 2
FLOW AVAIL
TOTAL
REQ'D
@ PRESS
@ DEMAND
PRESS
(GPM) (PSI)
(GPM)
(PSI)
850.0 120.0
12.8
38.5
AGGREGATE FLOW ANALYSIS:
TOTAL
FLOW AT SOURCE
12.8
GPM
TOTAL
HOSE STREAM ALLOWANCE AT SOURCE
0.0
GPM
TOTAL
HOSE STREAM ALLOWANCES
0.0
GPM
TOTAL
DISCHARGE FROM ACTIVE SPRINKLERS
12.8
GPM
NODE ANALYSIS DATA
Node Tag
Elevation Node
Type Pressure
Discharge
ft
(PSI)
(GPM)
1
0.0 TOP
OF RISER
26.2
12.8
101
23.0 - -
- -
9.2
101S
22.5 K=
4.20
9.3
12.8
Al
14.0 - -
- -
15.2
- - -
Nodes with
"S" indicate a
node at the
top of
a sprig or bottom
of drop
pendent. The node
without an
"S" is
on the branch
1%,
SPRINKLER SYSTEM HYDRAULIC ANALYSIS Page 3
Date: 4/ 9/ 1
JOB TITLE: Boxborough - Lot 1
PIPE DATA
PIPE TAG
Q(GPM) DIA(IN) LENGTH
PRESS
END
ELEV
NOZ
PT
DISC
VEL(FPS) HW(C)
(FT)
sum
NODES
(FT)
(K)
(PSI)
(GPM)
F.L./FT
(PSI)
Pipe:
1
-12.8
0.995 PL
73.50
PF
-4.9
1
0.0
0.0
26.2
0.0
5.3
150 FTG
4E+2T
PE
-6.1
Al
14.0
0.0
15.2
0.0
-0.049 TL100.70
PV
0.0
Pipe:
2
-12.8
1.049 PL
8.50
PF
-3.8
lols
22.5
4.2
9.3
12.8
4.8
120 FTG
E
PE
3.7
101
14.0
0.0
9.2
0.0
-0.358 TL
10.50
PV
0.0
Pipe:
3
12.8
1.049 PL
27.97
PF
2.1
101
23.0
0.0
9.2
0.0
4.8
120 FTG
2E+T
PE
3.9
Al
14.0
0.0
15.2
0.0
0.057 TL
36.97
PV
0.0
t%
SPRINKLER SYSTEM HYDRAULIC ANALYSIS
Date: 4/ 9/ 1
JOB TITLE: Boxborough - Lot 1
HYDRAULIC CALCULATION DETAILS
HYDRAULIC
QTY DESCRIPTION LENGTH C ID
Hydr Ref 1 Required at Hyd Area 1
1 Pipe 1" Kx2l Copper 501 150 0.995
1 1" Thrd Ball Valve United 1180" 01 0 1.049
8 1" Thrd 90 Ell CI 21 120 1.049
Elevation Change 2010"
1 1" Flngd Back Flow Valve Watts "007 01 0 1.049
2 1" Thrd Gate Valve Kennedy 0' 120 1.049
Hydr Ref RI Required at Source
Water Source120.0 psi static, 50.0 psi residual @ 850 gpm
SAFETY PRESSURE
Page 4
FLOW LOSS
gpm psi TOTALS
13 26.2 psi
13 2.4
13 0.0
13 1.2
8.7
13 0.0
13 0.0
13 38.5 psi
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SPRINKLER SYSTEM HYDRAULIC ANALYSIS Page 1
Date: 4/ 9/ 1
JOB TITLE: Boxborough - Lot 1
Xcel Fire Protection, Inc.
50 Northwestern Drive
Salem, NH 03079
HYDRAULIC CALCULATIONS
FOR
Boxborough - Lot 1
North Andover, MA
4/9/01
-DESIGN DATA -
OCCUPANCY CLASSIFICATION
Single
Family
DENSITY
0.05
gpm/sq. ft.
AREA OF APPLICATION:
512
sq.
ft.
COVERAGE PER SPRINKLER
256
sq.
ft.
Actual
calculated
spacing varies)
NUMBER OF SPRINKLERS CALCULATED:
2
TOTAL SPRINKLER WATER FLOW REQUIRED:
26
gpm
TOTAL WATER REQUIRED (including Hose):
26
gpm
FLOW & PRESSURE (at Base of Riser):
26
gpm
@ 65.3 psi
SPRINKLER ORIFICE SIZE:
7/16
NAME OF ORGANIZATION: Xcel Fire Protection,
Inc.
NAME OF DESIGNER: ctt
AUTHORITY HAVING JURISDICTION:N. Andover
Fire
10
SPRINKLER SYSTEM HYDRAULIC ANALYSIS Page 2
Date: 4/ 9/ 1
JOB TITLE: Boxborough - Lot 1
WATER SUPPLY DATA
SOURCE STATIC RESID FLOW AVAIL TOTAL REQ'D
NODE PRESS PRESS @ PRESS @ DEMAND PRESS
TAG (PSI) (PSI) (GPM) (PSI) (GPM) (PSI)
SOURCE 120.0 50.0 850.0 119.9 25.9 65.3
AGGREGATE FLOW ANALYSIS:
TOTAL
FLOW AT SOURCE
25.9
GPM
TOTAL
HOSE STREAM ALLOWANCE AT SOURCE
0.0
GPM
TOTAL
HOSE STREAM ALLOWANCES
0.0
GPM
TOTAL
DISCHARGE FROM ACTIVE SPRINKLERS
25.9
GPM
NODE ANALYSIS DATA
Node Tag
Elevation
Node
Type Pressure
Discharge
ft
(PSI)
(GPM)
1
0.0
TOP
OF RISER
43.5
25.9
201
23.0
- -
- -
9.8
- - -
201S
22.5
K=
4.20
9.7
13.1
202
23.0
- -
- -
9.2
- - -
202S
22.5
K=
4.20
9.3
12.8
Al
14.0
- -
- -
19.3
Nodes with
"S" indicate a
node at the
top of
a sprig or bottom
of drop
pendent. The
node
without an
"S" is
on the branch
SPRINKLER SYSTEM HYDRAULIC ANALYSIS Page 3
Date: 4/ 9/ 1
JOB TITLE: Boxborough - Lot 1
PIPE DATA
PIPE TAG
Q(GPM) DIA(IN) LENGTH
PRESS
END
ELEV
NOZ
PT
DISC
VEL(FPS) HW(C)
(FT)
sum
NODES
(FT)
(K)
(PSI)
(GPM)
F.L./FT
(PSI)
Pipe:
1
-25.9
0.995
PL
73.50
PF
-�18.1
1
0.0
0.0
43.5
0.0
10.8
150
FTG
4E+2T
PE
-6.1
Al
14.0
0.0
19.3
0.0
-0.179
TL100.70
PV
0.0
Pipe:
2
-13.1
1.049
PL
b.50
PF
0.3
201S
22.5
4.2
9.7
13.1
4.9
120
FTG
T
PE
-0.2
201
23.0
0.0
9.8
0.0
0.059
TL
5.50
PV
0.0
Pipe:
3
-12.8
1.049
PL
10.00
PF
-0.6
201
23.0
0.0
9.8
0.0
4.8
120
FTG
----
PE
0.0
202
23.0
0.0
9.2
0.0
-0.057
TL'10.00
PV
0.0
Pipe:
4
-13.1
1.049
PL
8.50
PF
-3.6
201S
22.5
4.2
9.7
13.1
4.9
120
FTG
T
PE
3.7
201
14.0
0.0
9.8
0.0
-0.265
TL
13.50
PV
0.0
Pipe:
5
25.9
1.049
PL
17.97
PF
5.7
201
23.0
0.0
9.8
0.0
9.7
120
FTG
2E+T
PE
3.9
Al
14.0
0.0
19.3
0.0
0.210
TL
26.97
PV
0.0
0
SPRINKLER SYSTEM HYDRAULIC ANALYSIS Page 4
Date: 4/ 9/ 1
JOB TITLE: Boxborough - Lot 1
HYDRAULIC CALCULATION DETAILS
HYDRAULIC
FLOW
LOSS
QTY
DESCRIPTION
LENGTH
C-
ID
gpm
psi
TOTALS
Hydr.Ref 1
Required at
Hyd Area
2
26
43.5 psi
1
Pipe 1" Kx2l Copper
501
150
0.995
26
9.0
1
1" Thrd Ball Valve
United "80"
Of
0
1.049
26
0.0
8
1" Thrd 90 Ell CI
21
120
1.049
26
4.2
Elevation Change
201011
8.7
1
1" Flngd Back Flow
Valve Watts "007
of
0
1.049
26
0.0
2
1" Thrd Gate Valve
Kennedy
01
120
1.049
26
0.0
Hydr Ref Rl
Required at
Source
26
65.3 psi
Water Source120.0 psi
static, 50.0 psi
residual
@
850 gpm
26
gpm
119.9 psi
SAFETY PRESSURE
54.6 psi
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4
i I
MAScheck COMPLIANCE REPORT
Ma4sachusetts 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: 4-2-2001
DATE OF PLANS: January 29 2001
CT:I�TLE: Lot 1 The B,,bor,,
PROJECT INFORMATION:
—Lyons Way Subdivision
North Andover, Ma.
Permit #
Checked by/Date
COMPLIANCE: PASSES
Required UA = 556
Your Home = 548
Area or
Cavity
Cont.
Glazing/Door
-------------------------------------------------------------------------------
Perimeter
R -Value
R -Value
U -Value
UA
CEILINGS
1534
30.0
0.0
54
WALLS: Wood Frame, 16" O.C.
2268
11.0
0.0
202
GLAZING: Windows or Doors
484
0.350
169
DOORS
96
0.490
47
FLOORS: Over Unconditioned Space
1582
19.0
0.0
75
HVAC EQUIPMENT: Furnace, 92.0 AFUE
-------------------------------------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meet the requirements of the Massachusetts Energy Code.
The heating load for this building, and the cooling load if appropriate,
has been determined using the applicable Standard Design Conditions found
in the Code. The HVAC equipme cted to heat or cool the building
S -1 -
shall be no greater than 125% f the sign load as specified in
Sections 780CMR 13;� .41i
Builder/Designer- Date
0
MAScheck INSPECTION CHECKLIST
Massachqsetts Energy Code
MAScheck Software Version 2.01
Lot 1 The Boxborough
DATE: 4-2-2001
Bldg.1
Dept.1
Use I
CEILINGS:
1. R-30
Comments/Location
WALLS:
1. Wood Frame, 16" O.C., R-11
Comments/Location
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
DOORS:
1. U -value: 0.49
Comments/Location
FLOORS:
1. Over Unconditioned Space, R-19
Comments/Location
HVAC EQUIPMENT:
1. Furnace, 92.0 AFUE or higher
Make and model Number
I AIR LEAKAGE:
I Joints, penetrations, and all other such openings in the building
I envelope that are sources of air leakage must be sealed. When
I installed in the building envelope, recessed lighting fixtures
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
I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure
difference and shall be labeled.
VAPOR RETARDER:
I Required on the warm -in -winter side of all non -vented framed
I ceilings, walls, and floors.
I
I MATERIALS IDENTIFICATION:
I materials and equipment must be identified so that compliance can
be determined. Manufacturer manuals for all installed heating
and cooling equipment and service water heating equipment must be
provided. Insulation R -values, glazing U -values, and heating
equipment efficiency must be clearly marked on the building plans
or specifications.
DUCT INSULATION:
Ducts shall be insulated per Table J4.4.7.1.
I DUCT CONSTRUCTION:
I All accessible joints, seams, and connections of supply and return
I ductwork located outside conditioned space, including stud bays or
I joist cavities/spaces used to transport air, shall be sealed
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
I air and water systems.
I TEMPERATURE CONTROLS:
I Thermostats are required for each separate HVAC system. A manual
I or automatic means to partially restrict or shut off the heating
I and/or cooling input to each zone or floor shall be provided.
I
I HVAC EQUIPMENT SIZING:
I Rated output capacity of the heating/cooling system is
I not greater than 125% of the design load as specified
in Sections 780CMR 1310 and J4.4.
I SWIMMING POOLS:
I All heated swimming pools must have an on/off heater switch and
I require a cover unless over 20% of the heating energy is from
I 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 0-1" 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
1 Steam condensate any 1.0 1.0 1.5 2.0
1 COOLING SYSTEMS:
I 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 0-1- 1 0-1.25- 1.5-2.011 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
100-130 0.5 1 0.5 0.5 1.0
NOTES TO FIELD (Building Department Use Only) -------------------------
I Building Value Calculation -for Prowrtv at..... LOT#1 I
Room
Length
Width
Sq.Ft.
Cost per Sq.Ft.
Total Cost
Kitchen
24.5
14
343.00
65
$
22,295.00
Brkfstnook
6
10.5
63.00
65
$
41095.00
Dining Room
14
13.5
189.00
65
$
12,285.00
Family Room
22
18
396.00
65
$
25,740.00
Study
13
10.5
136.50
65
$
8,872.50
Living room
14
13.4
187.60
65
$
12,194.00
Garage
31
25
775.00
35
$
27,125.00
Entry
20
11.5
230.00
65
$
14,950.00
2nd floorfoyer
20
11.5
230.00
65
$
14,950.00
Sunroom
-
65
$
-
mudroom
9
5.5
49.50
65
$
3,217.50
Walkin closet
13
6.5
84.50
65
$
5,492.50
Basement Finished
-
65
$
-
Deck
-
10
$
Screened Porch
-
35
$
laundry
-
65
$
-
Bedroom 1
22
18
396.00
65
$
25,740.00
Bedroom 2
13.5
15
202.50
65
$
13,162.50
Bedroom 3
16.5
13
214.50
65
$
13,942.50
Bedroom 4
14
13.5
189.00
65
$
12,285.00
Bedroom 5
-
65
$
-
Bathroom 1
9
8
72.00
65
$
4,680.00
Bathroom 2
10
13
130.00
65
$
8,450.00
Bathroom 3
8
12.5
100.00
65
$
6,500.00
Bathroom 4
-
65
$
-
Bathroom 5
65
$
figo M
153
LI
4
BOARD OF BUILDING REGULATIONS
I
License: CONSTRUCTION SUPERVISOR
Number: CS 076045
Birthdate: 04/1711957
Expires: 04/17/2003 Tr. no: 76045
Restricted a 0' 0v
DAVID G DONOVAN.
35 DONOVAN WAY
TWKSBURY, MA 01876 Administrator
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Town of North Andover
Building Department
27 Charles Street
North Andover, Massachusetts 0 1845
(978) 688-9545 Fax (978) 688-9542
tAORTH
0-
0 Val
APPLICATION FOR CERTIEFICATE OF OCCUPANCY / INSPECTION
ADDRESS `30
Im
LOT NUMBER SUBDWISION.
DATEREQU EST FUED Z
DATE READY FOR INSPECTION
FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED
ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN TIES TlPvffi ,
FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WELL BE
CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES.
SIGNATURE
OFFICIAL USE ONLY
ROUTING
CONSERVATION DATE
PLANNING DATE
D.P.W. — WA7j ME41�/ DATE
D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED
P$10"O TBE INSPECTION REQUE T DATE.
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Date ... 71el..
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ...... n., It ....... ......
has permission to perform ....... Aj:�.w ... . ....................................
wiring in the building of ........ ...... ...........................
at ...... ....... rth Andovet, M. -ds -f
Fee..................... Lic. No. ............... —.jvt . ..... e . ............ ..........
LEc7hRICAL b(ShCTOle'
Check #
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
L"Imylul YFFI.VIG111 qJ1, IL3
DEPARTA&WOMBLICS4FETY Permit No.
BOAM OFMEPREYEMONRWMT10AN527CM 12.00
Occupancy & Fees Checked
A A
PPUCATIONFOR PERW TO PEWORM ELECMCAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITHTHE MASSACHUSSTs awmCAL CODE, 527 cmR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) DatL_ /0,//7,
Town of North Andover To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work described below.
Location (Street �
Owner or Tenant
Owner's Address
Is this permit in conjunction with a building permit: Yes rM No (Check Appropriate Box) 0
Purpose of Building I — Utility Authorization No.
Existing Service Amps Volts Overhead 0 Underground No. of Meters
New Service Amps Z� No. of Meters
�Volts Overhead r-1 Underground r7l
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
No. of Lighting Outlets
No. of Hot Tubs
No. of Transformers
Total
KVA
No. of Lighting Fixtures
SvAmming Pool Above
Below
Generators
KVA
ground
El
ground
No. of Receptacle Outlets
No. ofOil Burners
No. of Emergency Lighting Battery Units
No. of Switch Outlets
No. ofGas Burners
FIRE ALARMS
No. ofZones
No. of Ranges
No. of Air Cond. Total
Tons
No. of Detection and
No. ofDisposals
No. of Heat Total Total
Pumps
Tons
KW
Initiating Devices
No. of Sounding Devices
No. of Dishwashers
Space Area Heating KW
No. ofSelfContained
Detection/Sounding Devices
Local Municipal
M
M
Othrr
No. of Dryers
Heating Devices KW
Connections
No. of Water Heaters KW
No. of No, of
Signs
Bailasis
No. Hydro Massage Tubs
No. of Motors
Total HP
OTHER
Lam
I hawaamatLbbRyhmra=PcfiqyJ .,.Judirgcarflde,�'� C�ariisskgmtialq� YES Ll NO M
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FIRM NAME —
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Rao Firial
OWNER'SMURANUWAIVER,IarnmvmtatheT dc
andfmtmysigr�alt�spmitwpficafimvm'r.tsd-is m4micint
(Please check one) Owner M Agent
mq�T
A)tTdNh
1:1 Telephone No. PERMIT FEE $ 26 y
X Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.: /&� //
—PROJECT:.8,,vqkFAm J6�0 DATE:
V
UNIT NO.: FLOOR:— WING: BUILDING NO - <3 0
),C>-/— / / Y(JA) & WA -1V
REMARKS:
(� evemS c,7 -
Excavation - depth and soil conditions
Framing -
Other:
Date:
Date:
Date:
Inspector
Inspector-
Inspector
Footings and foundations and drains -
Insulation -
Other:
Date: 0� - f - co
Date:
Date:
Inspector IV
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, W5 -70U0
N2 3 %-16 2
0
1 41
Date.'s.
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ... ........... c
to ..............
has permission to perform ........ T�e&�� .... .......................
wiring in the building of ....... 1� 3 6 ... *�?S ..... W .. q./. ........
. at ..... 00K.�S�alj . ..................................... . /-.5�,North Andover M -5�e
ass.
Fee.
J �,C).,.Cklic. NoZZ�,�� ... ... ....................
Check # / iHg;I�AL INSI"E&OR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
TBEC0W0NWE4LTH0FMAYS4aiusE77N Office Use only
DEPARTMENT0FPUBMCS4FE7Y Permit No. 0
0
REVEW NRB9JL4TI0AN527CM12*
BOAROOFFAWEP
Occupancy & Fees Checked
APPUCATION FOR PERAff TO PEU01M ELECMCAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELKTR[CAL CODE, 527 cmR12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Datg...,
Town of North Andover
The undersiRned applies for a permit to perform. ft -electrical work described below.
Location (Street �
Owner or Tenant
Owner's Address
. To the Inspector of Wires:
Is this permit in conjunction with a building permit: Yes M No (Check Appropriate Box) 10f /0 J
/0
Purpose of Building Utility Authorization o.
Existing Service Amps Volts Overhead Underground r7 No. of Meters
New Service AM Amps,/X? -14ts olts Overhead underground M No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Ele
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
Wtaf 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. (Tf Ranges
No. of Air Cond. Total
Tons
No. of Detection and
No. of Disposals
No. of Heat Total Total
Pumps
Tons
KW
fnitiating Devices
No. of Sounding Devices
No. of Dishwashers
Space Area Heating KW
No. of Self Contained
Detection/Sounding Devices
Local [7-1 Mtmicipal
M
Othi�rA
No. of Dryers
Heating Devices KW
Connections
No. of Water Heaters KW
No. of No. of
Signs
Bailasis
No.,-Aydro Massage Tubs
No. of Motors
Total HP
0
Inst==ComW RastiatiDibeWzmzmdMmmbw&GnsWLzAs
Iha%eaammtLdikhum=PdLynkx*gCarq*kOPffl2tiMCOVWdWCritSWOStlMqiVdiat YES L.:�J NO L_J
lha%embntedmMprccfofsmmloftOffi=YB M NO ff�cutu�cdvckedYESpimenho*txNxofwm;%pbydnkzrgthe
, r F I ', ! bcv-
MURANCE 3"" BOND r7 OIHIR M ftweSpeff
Y)
E E*a6mD&-
E0rmkdV"dHxhmlWak
WcxkiDStwt InspectimD*RqxsWd Ra# Final
FERMNAME 1-44�f Aze 6� -Zh�e- Z� tice=Nb.
Lknwo&E Sigralle
BusirmsTel.
21
AM=— I /,V AILTdNki
OWNER'SMURANU-WAIVER,I.ammmhttbeLkmdomnot temnowm6gp"WAxtolqmddtasmpWbyMmhsMG=ialL,7m
(Please check one) Owner M Agent ED Telephone No. P . ERMIT FEE, c)d_
Location
No. Date
RTN
TOWN OF NORTH ANDOVER
Certificate of Occupancy
$
CHUS
Building/Frame Permit Fee
$
/4/3
Foundation Permit Fee
$
Other Permit Fee
$
V3
TOTAL
$
Check #
14 4 Building Inspector
JUL-23-2001 02:50 PM MARCHIONDA&ASSOCIATES 781 438 9654 P.02
11,7' '
.4_, 4-� "1 4"
_r_37 "' 0'"--
oi..29i 0
. 1, '�,\ 4.3 S3
o Soe il c.
T('A,0 I peo,-e-ck
issue�o, -I- a's- cot
Mm�
Al/F HAROLD pAR,�ER ST
A rE. F_ORES7.
aia
914M REQUIRED BUILDING
4illol, SET8ACK'S-('f;,)
v 7.4.3 A*.
'00,
CM49.661 -"/
60-22-4-5-41-
T-23,16,
Re 123,00,
I I a Vy /u, 00' LW7 0 ;l 34
L Y 0 N 8 Tw5s, 42' 00,
I-
70.00'
S-35-1�16"E
JE
-,Tng "�'Jr A'E3D'Fo,R' 20NING
_T41IF17S IN
PUkPdSES ONLY, IT WAS PRCPARCD
FRCM EXISTING PLANS AND RECORDS
NTH THE STRUCTURES SHOWN LOCATED
BY AN INSTRUMENT SURVEY. THIS PLAN
SHOULD NOT BE USED FOR PROPERTY
LINE DETERMINATION.
IL ol�
. 270,
33,61
�A
3
405? 02'0 1
fi&125,00' sa.
4 �N BE. SCT)
WE HEREBY CERTIFY THAT WE HAVE EXAMINED
THE PREMISES AND THE STRUCTURE IS LOCATED
AS SHOWN. THE STRUCTURE SHOWN CONFORMS
TO THE ZONING LAWS OF THE MUN0PALITY
WHEN CONSTRUCTED, ALSO, ACCORDING TO THE
F.:.M.A./H.U.D, FLOOD INSURANCE RATE MAP,
COMMUNITY PANEL NO. 250098 009C
DATED 6/2/93 , THE STRUCTURE IS NOT LOCATED
IN AN ESTABLISHED 100 YR.F=0 HAZARD ZONE.
I CERTIFIED FOUNDATION P"LAN I
LOT 1 LYONS WAY MARCHIONDA & ASSOC.,L.P.
NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS
PREPARED FOR 62 MONTVALE AVE, SUITE I
MESITI DEVELOPMENT GROUP STONEHAM, MA, 02180
231 SU70N STREET, SUITE 2F (781) A-38-6121
NORTH ANDOVE:R, MASSACHUSETTS 01845 SCALE -i"-60, DATE. 7/13/01
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TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that,��-1-:—J,
has permission to perform ... ......................
plumbing in,the buildings of�-'/O--e-. ...............
a t C. � ........ North Andover, Mass.
Vee-�/1-17 ..... Lic. No .......... i .............
NI INSPECTOR
P L U� 16., 1 N
Check At >14115 -
WHITE: Applicant CANARY: Building Dept PINK: Treasurer
MASSACHUSETTS UNIFORM APPLICATION FOR PEW41'TO DO PLUMBING
(Type or print)
NORTHANDOVER, MASSACHUSETTS /–/,q&
JPIX / Date
Building Location- —A9 91,fm�� Owners Name 4044�� Permi7# Q --=?r,
Ilk Amount
A
Plans Submitted Yes No
New 131" RenovationEl Replacement M 1:1 1:1
(Print or type) 2LJ�L= Check one: Certificate
Installing Company Name L" acorp. 72
Address 1161-M R–Z44I, P-,/ [] Partner.
Lid"a, L,;-f4� , " & a
Business Telephone 9 -7 9 11,917- & d7 i– ey, Finn/Co.
Name of.Licensed Plumbe [ "Z&nZ
Insurance Coverage:, InZ te tfie type of i4rance coverage by checking the appropriate box:
Liability insurance policy 0– Other type of indemnity n Bond F1
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 F]
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massa husetts !Jtate Plun)bin�, qode and Chapter 142 of the General Laws.
9-11 '41 - .
VED (OFFICE USE ONLY
Type of Plumbing License
J17 L ) —
License Numner Master El
Journeyman F�
I i
V"jV
Lk
�zl
oil
=J I
(Print or type) 2LJ�L= Check one: Certificate
Installing Company Name L" acorp. 72
Address 1161-M R–Z44I, P-,/ [] Partner.
Lid"a, L,;-f4� , " & a
Business Telephone 9 -7 9 11,917- & d7 i– ey, Finn/Co.
Name of.Licensed Plumbe [ "Z&nZ
Insurance Coverage:, InZ te tfie type of i4rance coverage by checking the appropriate box:
Liability insurance policy 0– Other type of indemnity n Bond F1
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 F]
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massa husetts !Jtate Plun)bin�, qode and Chapter 142 of the General Laws.
9-11 '41 - .
VED (OFFICE USE ONLY
Type of Plumbing License
J17 L ) —
License Numner Master El
Journeyman F�
I i
V"jV
Lk
FA
uj
CERTIFICATE OF...U$E & OCCUPANCY
70MM OF &MIMOVIER
Building Permit Number j&1V Date /c�
THIS CERTIFIES THAT
THE BUILDING LOCATED ON
y
MAY BE OCCUPIED AS IV(� TA M I IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SU
L;/U?
OTHER REGULATIONS AS MAY APPLY, 0/ POO M 6? 4 r� -%, a 5 �Q / / 'e J'_
CERTHICATE ISSUED TO 1)9.,P-&, Pt'- "-4 N � TI? U14
ADDRESS
Building Inspector
No. & dl
over
Mass. , IY'"4 S��O *6 /
...... ..... ........
THIS CERTIFIES THAT .... 4 ... P.6 ........ ...... :.*r'ft&40/ . .............................
has permission to erect ............. / ....................... liulldings on A ..................... a ........... .............
to be occupied S Siaw# v� ..... ks
................................ ....................... . !.103.1 ........
provided that the person accepting -this permit shall in every respect conform to the terms I the application on file in
this office, and to the provisions of the Codes and By -Laws relating to the Inspection, pration and Construction of
Buildings in the Town of North Andover. M /&) 6 01.4 * 2. ; 44/34"0'
VIOLATION of the Zoning or Building Regulations Voids this Permit.
PERMIT' EXPIRES IN 6 MONTHS
UNLESS CONSTRUCTION STARTS
............. .. . .... k* .. C ... 4W� . . .......................
..... ....................................
som BUILDING INSPECTOR
Occupancy Permit Required to Occupy Building
Display in a Conspicuous Place on the Premises — Do Not Remove
No Lathing or Dry Wall To Be Done
Until Inspected and Approved by the Building Inspector.
I ovft-�� -
SEE REVERSE SIDE
111
BOARD OF HEALTH
Food/Kitchen
Septic System
BUILDING PECTOR
FoundationA
u ' 0/
C imne
Final
,
PLUMBING INSPECTOR
Final JIN"t;c, APA
ELECTRIC INSP
9 �� r
U �/ 0
Fi
GAS INSPECTOR
Rough
Final A4
FIRE DEPARTMENT
Burner
Street No.
Smoke Det.
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Location -70
No. Date
A- TOWN OF NORTH ANDOVER
Check #C2�4101
18 17 5
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee
Other Permit Fee
TOTAL
$
���2
,///�Bdilding 2��r
A
A
IOWN OF NORTA ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONStRUCr RWOVAT� OR DEMOLISH A ONEORTWO FAMILY DWELLING
BUILDrNG PERM NUNMEk-
DATE ISSMD:
SIGNATURE:
Building Commi ofl!mm .. ..... ... ..... Date
SECTION 1. SITE INFORMATION
11 PropertyAddrew,
1.2., Am= Map and Parod Numbec
30 wkg
/0
Map Number Parcel Nwaba
N
1.4 Property Dirmsions:
7mingDisxnW— Pmposed Use
IA Arm M
1.6 BUIEWNG SETBACKS Uft
front Yard Side'YAM Rear Yard.
MLWred Provide Re uired Provided, Required Provided
L7WA:t S"plyKO.LQ40,134) .
PW& . a privuo 13 0oW&FlcodZoo 0 W-icipd a 0 a3ileDi5paW Sy*w 0
SECTION 2 - PROPERTY OWNERSMIAUTHORMED AGENT
23 Oww of Record
MOA 4-64�w ffUrCA �o
Name (Print) A&ress for Service:
- Q)tMAWA-0wV0e cog*bl-otoo
Signature Telephone
6m%=Ada ZIA
2,2 Owner of Pecord.,
1-ts., c�Ackk (Y\cxrwA L-�qn�-
Name Pn �e Address for Ser4w.
:;��
Enguri:
SEMON CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor
Not ApplicablotO
Licensed Construction Supervison.
License Number
Address
E*rafion:Date
Signature Telephone
5.2 Rogistaid Home, Improvement Contractor
Not APPROble 0
company Name
Rellistration Number
Addrm
B*ration Date
I
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Wotkers Compensation Wunim affidavitmust be complekd and submitted.vMh tws affiiCation. failure to provide this affidavit %it
in the deftial Ofthe imance of the builft pamt,
SignedaffidaOftmcliod No ...... n
SECTIONS DWrlpflono Pro0oWWor&k(theA #01kawl
New Construc6on, 0 E)ds* Building .0 Rq*s, 11 Alterationgi, G Addition
Ammry B14 Mrii"Oft a Other 0 Specify
Brief Description of work:
t
;IMTjMdf#VFMI&*d fly' FTA i I
item
Minded U�A (Dollar) to be
C2MIded ky permit qE�cwt
wg�r4��
W
1,
DUi1djsIg
Al 200
(a) 13uu&g Permit Fix
. MultiPlitr
2
Electrical
(b) Estim4ted. Total Cost of
Coluftruction
3
Pl!#p§iq&
Building Parnit fcc (4) x 0)
4 MechwtiW (HVACY
5 Fire Protection I bk -
6
Total (1+1+3+4
=55
Check Number
FORM U -- LOT RELEASE FORM
mns�
INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve
the applicant and/or landowner from compliance with any applicable or requirements.
****APPLICANT FILLS OUT THIS SECTION*****,
P —
APPLICANT__L I Wc- / 6�—
JJ -
LOCATION: Assessoes Map Number L,� 4�
SUBDP41SION
STREET_,I��
PHONE
PARCEL 6c)
LOT (S)
ST. NUMBER
'****a "OFFICIAL USE ONLYw************
ADMINISTRATOR DATE APP -" >
DATE REJECTED
V00Kt
TOWN PLANNER DATE TV �PROVE�D�����
DATE REJECTED
COMMENTS
FOOD INSPECTOR -HEALTH DATE ii�PROVE�D�����
DATE REJECTED
SEPTIC INSPECTOR -HEALTH DATEAPPROVED
DATE REJECTED
COMMENTS
PUBLIC WORKS - SEWERIWATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR --.DATE
RevIsed 9%97 Jm
D. Robert Nicetta,
Building Commissioner
Please print
DATE:— � —,5- —,6 5
TOWN OF NORTH ANDOVER
OFFICE OF
BUILDING DEPARTMENT
400 Osgood Street
North Andover, Massachusetts 0 1845
HOMEOWNER LICENSE EXEMPTION
JOB LOCATION: j 10 bw S W6
Number 4treet Address
Telephone (978) 688-95454
Fax (978) 688-9542
Map/Lot
HOMEOWNER 1511 /Vfi
pof
07�� L 2.,7i-zog�-Y
q -78.4,S-7 -
57j 6 o
Nam.6
Home Phone
Work Phone
fn oyl 1� V -,-e
6Y1 Ll� )
PRESENT MAILING ADDRESS -36 b-in?9
�j,+qdbixr Iq A- 0/9V S_
City Town State Zip Code
The current exemption for "homeowners" was extended to include owner -occupied dwellings to two units or less
and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the
owner acts as supervisor). State Building (Code Section 108.3.5. 1)
DEFINITION OF HOMEOWNER
Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended
to be, a one or two family structures. A person who constructs more that one home in a two-year period shall not
be considered a homeowner.
The undersigned "homeowner" assumes responsibility for compliances with the State Building Code and other
Applicable codes, by-laws, rules and regulations.
The undersigned "homeowner" certifies that he/she understands the Town of North Andover Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
requirements. /2
HOMEOWNERS SIGNATURE_Z���O�)/
APPROVAL OF BUILDING OFFICIAL
0
BOARD OFAPPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNUNG 688-9535
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No Date 1160
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TOWN OF NORTH ANDOVER
0
0 AL
Certificate of Occupancy $
Building/Frame Permit Fee $
CHU
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check#
16 8 6
Building lnspect&�
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT MPAIR, RENOVAT OR DEMOLISH A 0 OR TWO FAMILY DWELLING
NE
1"EV All AZI, R_
2.
BUILDING PERMIT NUMBER: DATE ISSUED:
A/I
SIGNATURE: '��/ _/0
. . Buillllg Commissioner/Inswdor of Bitildings Date
SECTION 1- SITE INFORMATION
1.1 Property Address:
1.2 Assessors Map and Parcel Number:
/66 - /5
WV19u-nibm Parcel Number
/V,�r�
1.1 Zoning Information:
Zoning Diaiid_ Proposed Use
1.4 Property Dimensions:
sf) Frontage (R)
1.6 BIJUDING SETBACKS (ft)
Front Yard Side Yard
Rear Yard
Reored Provide Reqwred ded
Required Provided
1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information:
Public 0 ftriate D Zone Outside Flood Zone 0
1.8 Sewerage Disposal System:
Municipal 0 On Site Disposal System 0 -
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
Historic District: Yes —No
2.1 Owner of Record
Al?..n ri r -co ��e L
W9ne (Print) Address for Service:
t 1 _/_ , ddzV_)V41'k 4w�� �
S Telephone
2.2 �wiier of Record:
Name Print Address for Service:
Signature Tele h
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
— it
Licenied Construction Supervisor:
Address
Signature Telephone
Not Applicabl
License Number
Expiration Date
3.2 Registeredflome Improvement Contractor
Not Applicable 0
Company Name
Registration Number
Address
Expiration Date
Signature -Telephone
T
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0
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I SECTION 4 - WORKERS COMPENSATION (MG.L. C 152 Q 2506) 1
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 ....... 0
SECTION 5 Description o Proposed Work (check
applicable) -
New Construction 0
Existing Building 0
Repair(s) 0
Alterations(s) 0
Addition 0
Accessory Bldg. 0
Demolition 0
Other 0 Specify
Brief Description of Proposed Work:
. ct
;6
XAA4 0
SECTION 6 - ESTIMATED CONSTRUCTION COSTS
Item
1. Building
Estimated Cost (Dollar) to be
Completed by permit applicant
....... ...
(a) Building Permit Fee
Multiplier ,
2 Electrical
(b) Estimated Total Cost of
Construction
Lq 0
Plumbing
Building Permit fee (a) x (b)
-3
4 Mechanical (HVAC)
5 Fire Protection
6 Total (1+2+3+4+5)
V
Check Number
SECTION 7a OWNER AUTHOWATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERN[IT
T
1, V td& 0 011-1 Z as Owner/Authorized Agent of subject property
Hereby authorize to act on
My behalf, in ap matters r at' e to work a th i -d by is uilding permit appli tion.
u or,4
Y'VI
�0 al mdlb 31h,
Si6ature &66er 7 Date
OWNER/AUTHORIZED AGENT DECLARATION
_SECTION7b
I, as Owner/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 Name
Signature of Owner/Agent Date
OF STOMS SIZE
-NO.
OR SLAB
-BASEMENT
ND RD
SIZE OF FLOOR TDABERS 1 2 3
-SPAN
OF SILLS
-DIMENSIONS
OF POSTS
-DIMENSIONS
DIMENSIONS OF GIRDERS
-HEIGHT OF FOUNDATION THICKNESS
-SIZE OF FOOT]NG X
-MATERIAL OF CBRvMY
-IS BUUDING ON SOLID OR FILLED LAND
1_ IS BUILDING CONNECTED TO NATURAL GAS LINE
11
0,
FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify thatall necessary. approvals/permits fri
Boards and Departments having jurisdiction have been obtained. This does not relie
the applicant . and/or landowner from compliance with any -applicable or requirements.
*****************************APPLICANT FILLS OUT THIS
APPLICANT
PHONE
LOCATION: Assessoes Map Number__A1_-_,S_. PARCEL- 62z2 -
SUBDIVISION
LOT
STREET
ST. NUMBER, --Fc)
*******f)FFICIAL USE ON -
1 0
Nf�; OJT �WAGIPE
ltoz�o �w �NTS.
DATEAPPROVED
DATE REJECTED
TOWN PLANNER
COMMENTS
DATE APPROVED
DATE REJECTED
FOOD INSPECTOR -HEALTH
DATE APPROVED
DATE REJECTED
SEPTIC INSPECTOR -HEALTH DATE APPROVED
DATE REJECTED
COMMENTS
PU13LIC WORKS - SEWERIWATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR
DATE-----.
Revised M97 jm
Tel: 978-688-9545
Please print.
DATE 16,,__2,3-,13
JOB LOCATION 30
Number
"HOMEOWNER &
PRESENT MAILING ADDRESS
City Town
Town of North Andover
Building Department
27 Charles Street ss CHUS
North Andover MA 01845
HOMEOWNER LICENSE EXEMPTION
,/7 Street Addre&
Home Phone
State
Section of Town
Work Phone
Zip Code
The current exemption for "homeowners" was extended to include owner -occupied dwellings
of 1 or 2 units and to allow such homeowners to engage an individual for hire who does -
not possess a license, provided that the owner acts as supervisor. (State Building Code Section (108.3.5.1)
DEFINITION OF HOMEWOWNER:
Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which of two
there is, or is intended to be, a one family dwelling, attached or detached structures
accessory to such use and and/or farm structures. A person who constructs more than one home in a
two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official,
a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the
building permit. (Section 108.3.5.1)
The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other
Applicable codes, by-laws, rules and regulations,
The undersigned "homeowner" certifies that he/she understands the Town of No. Andover
Building Department minimum inspection procedures and requirements and that he/she will
comply with said procedures and requirements.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING OFFICIAL
Note: Three family dwelling 35,000 cubic feet, or larger, will be required to comply with
State Building Code Section 127.0 Construction Control.
Revised 4.30.03
Home owner Exemptions Form
North Andover Building Department
Tei: 978-688-9545
DEBRIS DISPOSAL FORM
In accordance with the provision of IVIGL c 40 S 54, a condition of Building Permit
Number is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by IVIGL
c 11, S 150 A.
The debris will be disposed of in:
(Location of Facility)
Z -W
V ' Signature-bf-P-e-r�mit;kppiicant
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector
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