HomeMy WebLinkAboutMiscellaneous - 30 NUTMEG LANE 4/30/201800 z
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Date ........
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ............... �77�6� ....... ..................
has permission to perform ............ ....................................
wiring in the building of .............. IYZ41 ..... 5�Fzj) ,c . ..................
at ............... 2 ..... 0 ....... 12 14,, 7 —A/ &
......................
......................... . North Andover, Mass.
Izool, P
. . . . ......... ......
Lic. No. .�-�J. 3.3.)0 ........ i�ECTRICAL INSPECTOR
Check# 3 7!29
6925
ry 1��
Pe t No. ct
Department of Fire Services
Occupancy and Fee Checked
'BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (leaveblank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be perfornied in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00
(PLEA SE PRINT IN INK OR TY[f ALL INFORMA TION) Date: (10
City or Town of: IUD To the J;7-splector of �Vires.-
By this application the undersigned gives(iAtice of his or her ipt�Ltion to perform the electrical work described below.
Location (Street & Number)
Owner or Tenant
Owner's Address
Is this permit in conjunction with a building permit?
Purpose of Building
Telephone No.
Yes [:] No P" (Check Appropriate Box)
Utility Authorization No.
Existin- Service Amps Volts Overhead Undgrd No. of Meters
New Service Amps Volts Overhead Undgrd No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:
Comnlefion offhe followinjz table 771aV be waived by the Inspector of Wires.
ttach additional detail if desired, oi- as required by the Jnspector of Wires.
Estimated Value of 4lect/ical Work: -7-- (When required by municipal policy.)
, 'ec
WorktoStart: IqlWoc, Inspec ion to be requested in accordance with MEC Rule 10, and upon completion.
INSURANCE CMEPAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless
the licensee provides proof of liability -,Insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE [I BOND OTHER [] (Specify:)
I certijy, under thepains and penaltw's ofpevilily, that tlVf inforniation on this application is true and complete
LIC. NO.:
FIRM NAME: J-0
Licensee: csreo Th�.� b--4 Signature /zvn�� LIC. NO.:
(Jfapplicable, en er I" in d7license number lirW) i Bus. Tel. No
t Aj I
Address: Alt. Tel. No.:
*Security System Nntrac-t!or License requ6d for this wofk; if applicable, enter the license number here:
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below, I hereby waive this requirement. I am the (check one)EI owner 0 owner's agent.
Owner/Agent Telephone No.
Signature I PERMIT FEE: $
No. of Total
No. of Recessed Luminaires
No. of Ceil.-Susp. (Paddle' Fans
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
IGenerators KVA
1,No
No. of Luminaires
Above Ei In- o
Swimming Pool grnd. grnd .
of Emergency Ligliting
Battery Units — Z,
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
fNo. of Zones
No. of Detection and
No. of Switches
No. of Gas Burners
initiating Devices
No. of Ranges
No. of Air Cond. Total
Tons
No. of Alerting Devices
Heat Pump
I Number
I Tons..
No. of Self -Contained
INo. of Waste Disposers
Totals:
.
. ...............
I-K.W ...........
Detection/Alerting Devices
I
No. of Dishwashers
Space/Area Heating KW
Municipal E] Other
Local [I Connection
No. of Dryers
Heating Appliances KW
Security Systems:*
No. of Devices or Equivalent
No. of Water
KW
0. of No. of
Data Wiring:
Heaters
Signs Ballasts
No. of Devices or Equivalent
Telecommunications Wiring:
No. Hydromassage Bathtubs
No. of Motors Total HP
No. of Devices or Equivalent
OTHER:
ttach additional detail if desired, oi- as required by the Jnspector of Wires.
Estimated Value of 4lect/ical Work: -7-- (When required by municipal policy.)
, 'ec
WorktoStart: IqlWoc, Inspec ion to be requested in accordance with MEC Rule 10, and upon completion.
INSURANCE CMEPAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless
the licensee provides proof of liability -,Insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE [I BOND OTHER [] (Specify:)
I certijy, under thepains and penaltw's ofpevilily, that tlVf inforniation on this application is true and complete
LIC. NO.:
FIRM NAME: J-0
Licensee: csreo Th�.� b--4 Signature /zvn�� LIC. NO.:
(Jfapplicable, en er I" in d7license number lirW) i Bus. Tel. No
t Aj I
Address: Alt. Tel. No.:
*Security System Nntrac-t!or License requ6d for this wofk; if applicable, enter the license number here:
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below, I hereby waive this requirement. I am the (check one)EI owner 0 owner's agent.
Owner/Agent Telephone No.
Signature I PERMIT FEE: $
I UWIN VV JAINDOVER
ELECTRICAL PERMIT FEES
(Effective March 12, 2003)
TAB
ME" S j'S*N_T"_'x'
Nt:��
SE CABLE ON'
OU'FSIDE OF BUILDING
Air Conditioners: $40.00 each
Alarm Systems Security: (for fire
systems see smoke/heat detectors)
Residential: $40.00
Commercial: up to 10 Devices
$60.00 additional devices over 10-
$1.00 each
Carnival Equipment: $50.00 each
Ceiling Fans: $1.00 each
Commercial New Construction or
Alterations:
$ 100.00 per 1,000 Sq. Ft. of
Construction Space
Commercial Service Change/
Repair:
M n-st have Utility Atithorization Number
$100 (first 100 amperes or fraction, one
meter)
a) each additional 100 amperes
capacity or fraction. $30.00
b) each additional meter $25.00
Commercial Temporary Service:
$100.00
IN'lust have Utilitv Authorization Ntimber
Commercial Repair and/or
Maintenance Permit: (Blanket
Permit) up to 2 Electricians $150.00
per pair of Electricians over 2 $50.00
Data/Telecommunication:
Residential: $ 1.00 per port
Commercial: $30.00 up to 10
devices over 10 - $1.00 each
Dishwashers & Disposals:
$5.00 Each
Dryers: $15.00 Each
Emergency Lighting (Battery Units)
$ 1.00 each unit
Feeders or Sub -feeders:
each 100 amp capacity of fraction
thereof
Residential: $5.00 each
Commercial: $15.00 each
Gas/Oil Burners:
Residential: $20.00 each
Commercial $20.00 each
Commercial:
a) including photovoltaic &
generating Equip Per KVA $1.00
b) un -interruptible power systems,
per KVA $ 1. 00
c) batteries over 100 amp. hours, per
cell $1.00
Heat Devices: $1.00 each
Heat Pumps: $40.00 each
Hydro -Massage Bathtubs/ Hot
Tubs: $20.00 each
Lighting Fixtures $1.00each
Lighting Outlets: $1.00 each
Major Appliances: (not listed)
$20 each
Motors: (per hp or fractional part
thereoo $2.00
Oil /Gas Burners:
Residential $20.00 each
Commercial $20.00 each
Office Furnishings: per circuit $ 10
(Relocatable Parfitions/Cubicles)-
Outlets & Fixture: $1.00 each
Ovens Built in/Counter Top Units:
$10.010 each
Panel Change/Circuit Breaker:
Residential: $20.00
rCommercial: $25.00
'u'
"� ne Jacks: See
datoa/telecommimications
Ranges $15.00 each
Receptacle Outlets: $1.00 each
Recessed Fixtures: $1.00 each
Re -inspection Fee: $25.00
Repair to Service Residential:
$20.00
Residential New Construction
(Dwelling): $220.00
(with service up to 200 amps)
Mnst have Utility AiiihorizationNumber
for services over 200 amps see below
a) for each 100 amps capacity or
fraction add $20.00
b) each additional meter $ 10.00
c) each additional paneUsub panel
$25.00
Residential Additions/Alterations:
$220.00 maximum
Residential Service Change or
Underground Service:
$40.00
Nfust have Utility Authorization Number
a) one meter, up to 100 amp capacity
$40.00
b) each additional 100 amp capacity
or fraction $20.00
Sewer Ejection Pump: $25.00
Signs: $25.00 each ballast
Smoke & Heat Detectors &
Initiating Devices:
Residential: $1.00 each
Commercial: $60.00 up to 10
devices over 10 - $1.00 each
Space Heaters:
area heating $ 1. 00 each
Sub -Panel: $25.00
Swimming Pools:
Residential:
Above Ground: $25.00
Inground: $50.00
Commercial Pool: $ 100. 00
Switches: $1.00 each
Temporary Service:
IN'tust have Utility Authorizadon Number
Residential $25.00
Commercial $100.00
Transformers:
a) capacitors, Per KVA $ 1.00
b) ducts, conduit & conductors
(Associated w/ Padmount Transformers) $25
c) each manhole $10.010
d) each handhold $5.00
e) per KVA $ 1. 00 -
f) primary feeders, $25.00 each (over
600 volts, non-utility owned)
g) vaults and -equip. -$25.00 each
Washers: $15.00 each
Waste Disposals: $5,00 each
Water Heaters: $30.00 each
*For _111VII-d'Iti-Famil-v &
Large Commercial Pro ' Ject
see Wiring Inspector for
pricing:
.Paul Keanedy (978) 623-8306
(Office Hours 8 am to 1.0 ani)
*Inspection Schedule:
I ROUGH
'11. FINAL
1 TRENCH (if applicable)
ADDITIONAL
INSPECTIONS *S25.00 (if
applicable)
(revised 07/05)
,5�� - dA 7- /_3 - e 6 -
T�
M
Date.
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that ............
1 ............................
has permission to perform
.) ...... ....
plumbing in the buildings of .....................................
at ........... ............. North Andover, Mass.
e� C '7 1
Fee-�. Lic. No ........... / ............
PLUMBING INSkCT6R
Check # - I/
5417
I
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building
Owners Name
Date Jb-25-08'6
Permit # 6-117,
C)�
Amount dz�— --
Type of'Occupancy %mv to a Wilk L
New 04 Renovation 0 Replacement 1:1 Plans Submitted Yes No
FIXTURES
(Print or type) Check one:
Installing Company Name sjuzz&j IbLukama fr WIRATIM E] Corp.
Address '2jeS LIAWAUA r.h. Partner
9 1 LjZf.1 ft r4 ft - 0 1 S 6%,
Brisiness Telep=one 3-7to 16.31— 0-7 4 7 Lj Firm/Co.
Name of Licensed Plumber:
Il�-surance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy ro Other type of indemnity Bond
jai 11 El
Certificate
Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above
threeinsurance
Signature Owner El Agent El
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 unde Pe Issued for this application will be in
r I
compliance with all pertinent provisions of the Massachusetts.�Ote Plumbi Co e. d jCapi'ter 142 of the General Laws.
By: 77—gnature orpeensea jr1Vm5erZ
Title Type oftlumbing Licen/
City/Town 70 ro A is 3
APPROVED (OFFICE USE ONLY UlCenSe IN U1110Cr Master El Journeyman FX]
Location D�-) -7>Z,__0:;,"</ ;;?��
No. ZZ5 C, Date X2- 3 - 0
4
TOWN OF NORTH ANDOVER
0
Certificate of Occupancy $
Building/Frame Permit Fee $
4C.'s
Foundation Permit Fee $
Other Permit Fee $
$
U
TOTAL
Check#
159119 '--Building Inspect
TOWN OF NORTHANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAII�, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUILDI`NG PERNUT NUMBER DATE ISSUED:
SIGNATURE:
'lluildings
Building Corrlrrtissioner,(12N�2Stor of Date
SECTION I- SITE INFORMATION
1.1 Property Address:
1.2 Assessors Map and Parcel Number:
Map Number Parcel Number
1.3 Zoning Information:
Zoning District Proposed Use
1.4 Property Dimensions:
Lot Area (so Frontage (ft)
1.6 BUILDING SETBACKS (ft)
Front Yard Side Yard
Rear Yard
Required Provide Required
Provided
Required
Provided
1. 7 Water Supply M.G-L.C.40. 5 54) 1.5. Flood Zone Information:
Public -ilr Private 0 Zone Outside Flood Zone 0
1.8 Sewerage Disposal System:
Municipal On Site Disposal System
SECTION 2 - PROPERTY OWNERSIDP/AUTHORIZED AGENT
2.1 Owner of Record 1
30101"
Name (Print) Address for Service :
A2h*� g - 7,,-7,5, - a 6 q
Signature Telephone
0
2.2 Owner of Record:
N
Name Print Address for Service:
Signature Telephone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
Licensed Construction Super'visor:
I -,
j _�2
�e /0.
Address
?.7:?. y 2 5 902 0 3
Signature Telephone
Not Applicable 0
License Number
511elle, )10
Expiration/Date
3.2 Registered Home Improvement Contractor
Not Applicable 0
106 ?r9l 9
Company Name
Registration Number
Expiration %te
Addre5s
Signature Telephone
T
M
X
z
0
U
M,
0
z
M
90
0
mn
M
z
0
SECTION 4 - WORKERS COMEPENSATION MG.L. C 152 6 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 ....... )< 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 W Specify
Brief Description of Proposed Work:
e, -,,7J
49, 7
C7 101 V
SECTION 6 - ESTIMATED CONSTRUCTION COSTS
Itern
Estimated Cost (Dollar) to be
Completed by pernut applicant
OFFICIAL USE ONLY
I . Building
300
(a) Building Permit Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction
3 Plumbing
900-0
Building Permit fee x (b)
4 Mechanical (HVAC)
114
5 Fire Protection
V010 —
6 Total (1+2+3+4+5)
1 3 01 -7,?,-,'
Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COWLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
T
1, i .11 as Owner/Authorized Agent of subject property
Hereby authorize 64,0211) to act on
kln
My behalf, in all matters relative to work authorized by thi's building pennit application
Signature of Owner Date
—J
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
1, -Pl, &fcG=m=/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
57
Signature of Owner ent Date
NO. OF STORIE, S SL7_1-,
BASEMI-NTOR SLAB
SIZE OF FLOORTITvMERS I ST 2 NID, 3 RD
SPAN
DIMENSIONS OF SILLS
DIMENSIONS OF POSTS
DiMENSIONS OF GIRDERS
1117 IG [IT OF FOUNDATION TTECKNESS
SIZE OF I�OOTING x
MATERIAL OF CHRANEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
W
A-PPLICANT INFORMATION
Name:
Location:
t7&Commomveafth of %fazachusetts
Oepalt=t elndustria[Accidents
Off= Of Inve&igations
600 Washington Street
OostM WA 02111
Workers' Compensation Insurance Affidavit
Ci Telephone M
0 1 am a homeowner performing all work myself.
v
Please PRINT Le0b]
13 1 am sole proprietor and have no one working in my capacity
,<I am an employer providing workers' compensation for my employees working on this job
Company Name:
Address:
'7 7 8- q 7 57 -
City: Alc, Telephone #:
Insurance Company: Policy . #: Ar - 1331,7VW 5-0 701
E) I am (circle one) sole proprietor, general contractor or homeowner and have hired the contractors listed below who have the following
workers' compensation policies:
Company Name:
Address:
City:
Insurance Company:
Company N
Address:
City:
Insurance Company -
Telephone #:
Policy M
Telephone #:
Policy M
Attach additional sheet if necessary
Failure to securt coverage as required under Section 25A of MGL 15B can lead to the imposition of criminal penalties of a fine up to $1,500.00
andJor one years' imprisonment as well as civil penalties in the form of a STOP WORK 6RDER and a fine. of $100.00 a day against me. I
understand thate copy of this statement may be for -warded to the Office of Investigations of the DIk for coverage verification.
I do hereby certtft under the pains and penalties ofperjury that the information above is true and correct.
Signature: Date: 2
A/ Phone # M `/ L5 22 0 3
print Name: et,041M JL LZL -57'
Official Use ONLY - Do not write in this area
City or Town: Permit/License M
ED Check if Immediate response is required
13 Building Department
o Licensing Board
o Selectmen's Offic:e
to Health Department
o Other
INFORMATION & INSTRUCTIONS
Massachusetts General Laws chapter 152 section 25 requires au employers to provide workers' compensation
for their employees. As quoted from the "law" an employee is defined as every person in the service of another
under any contract of hire, express or implied, oral or written.
An employer is defmed as an individual, partnership, association, corporation or other legal entity, or any two
or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased
employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing
employees. However the owner of a dwelling house having not more than three apartments and who resides
therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction
orrepa ' ir work on such dwelling house or on the grounds or building appurtenant thereto shall not because of
such employment be deemed to be an employer.
MGL chapter 152 section 25 also states that every state or local licensing agency shall, withhold the issuance
or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for
any applicant who has not produced acceptable evidence of compliance with the insurance coverage
required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any
contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority.
Applicants
Please fill in the workers' compensation affidavit completely, by checking the.box that applies to your situation
and supplying company names, address and phone numbers as all affidavits may be submitted to the.
Department of Industrial Accidents for.confirmation of insurance coverage. Also be sure to sign and date the
affidavit. The affidavit should be returned to the city or town that the application for the permit or license is
being requested, not the Department of industrial Accidents. Should you have any questions regarding the
"law". or if you are required to obtain a workers.compensation policy, please call'the Department at the number
listed below.
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the
bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding
the applicant. Please.be sure to fill in the permit/license number which will be used as a reference number, T'he
affidavits may be returned to the Department by mail or FAX unless other arrangements have been made.
The Office of Investications would like to thank you in advance for your cooperation and should you have any
questions, please do not hesitate to give us a call.
The Department's address, telephonie andfax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington. Street
Boston, AIA 02111
Fax # (617) 727-7749
Telephone 4 (617) 727-4900 ext. 406, 409, or 375
MAScheck COMPLIANCE REPORT
Massachusetts Energy Code
MAScheck Software Version 2.01 Release 3
TITLE: Seide Residence
CITY: North Andover
STATE: Massachusetts
HDD: 6322
CONSTRUCTION TYPE: 1 or 2 Family, Detached
HEATING SYSTEM TYPE: other (Non -Electric Resistance)
DATE: 9-18-2002
DATE OF PLANS: 9/10/02
PROJECT INFORMATION:
Finished basement
COMPANY INFORMATION:
EMH Construction Corp
9 Bartlet St #102
Andover Ma
978-475-8203
COMPLIANCE: Passes
Maximum UA 212
Your Home 211
Permit
Checked by/Date
Area or Cavity Cont. Glazing/Door
Perimeter R -Value R -Value U -Value UA
-------------------------------------------------------------------------------
WALLS: Wood Frame, 16" O.C. 808 13.0 13.0 39
GLAZING: Windows or Doors 64 0.350 22
SLAB FLOORS: Unheated, 0.0" insul. 144 0.0 150
-------------------------------------------------------------------------------
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 equipment selected to heat or cool the building
shall be no greater than 125% of the design load as specified in
Sections 780CMR 1310 and J4.4.
Builder/Designer Date
Z�lfte
BOARD OF BUILDING REGULATIONS
icense: CONSTRUCTION SUPERVISOR
Number: CS 052262
Birthdate: 05/1411959
Expires: 05/14/2003 Tr. no: 10879
Restricted To: 00
WILLIAM A HURLEY
9 BARTLETT ST #102 --Td—Min`is—tra—t0r
ANDOVER, MA 01810
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration: 106898
Expiration: 7/28/2004
Type: Private Corporation
E.M.H. CONSTRUCTION CO.
William Hurley
9 Bartlett Street, Suite 102
Andover, MA 0 1810 Administrator
License or registration valid for individul use only
before the expiration date. If found return to:
Board of Building Regulations and Standards
One Ashburton Place Rm 1301
Boston, Ma. 02108
Not valid without signature
E.M.H. Construction Corporation
9 Bartlet St. Suite 102
Andover, Ma. 01810
978-475-8203
Residential Construction Agreement
Where the basis of payment is a
Fixed Sum
Please read this agreement carefully and make sure you understand it before signin2 it. This
Construction agreement has legal force and effect and binds those who sign it to the terms and
conditions stated below. Consultation with an Attorney is encouraged.
Notice: All home improvement contractors and subcontractors engaged in home improvement
contracting in the state of Massachusetts, unless specifically exempt from registration by provisions of
chapter 142A of the general laws, must be registered with the Commonwealth of Massachusetts.
Inquiries about registration and status should be made to the Director, Home Improvement Contract
Registration, One Ashburton Place, Room 1301, Boston, Ma. 02108.
Designated Registrants Name: E.M.H. Construction Corp.
Mass. Registration Number: 4106898
Sales Rep. Name: Williarn Hurley
Construction Supervisor ID: #052262
This agreement is made on September 5, 2002 between E.M.H. Construction Corp. hereinafter called the
"Contractor" and: Steve and Robin Selde
of 30 Nutmeg Lane, No. Andover, Ma. Hereinafter called the "Owner".
The Owner and Contractor agree to the terms and conditions set forth below:
SECTION 01 Description of Work to be performed:
In accordance with plans Supplied by Bruno Associates and specifications attached to this agreement by Contractor, as
set forth in adderidurn to plans or specifications, exclusions or other documents describing proj . ect scope before
cornmencement. Above mentioned documents shall be initialed by both parties upon signing of agreement. Contractor
shall provide sufficient labor, materials, ineans, methods, and construction management administration, to complete
project as described above according to the terrns set forth in this agreement.
All plans and specifications as described above are included in and hereby form a part of this agreement.
SECTION 02 Agreed upon price:
Conti -actor agrees to perforin work described in plans and specifications and according to terms and conditions set forth
in this agreement for the Surn of $30,782.00
SECTION 03 Payment Schedule:,
Progress payments shall be issued to Contractor according to schedule below and subject to all terrns and conditions as
provided in this construction agreement.
$ 5,000.00 shall be paid to Contractor upon signing of agreement
$ 5,000.00 shall be paid to Contractor upon con-u-nencernent of Rough framing
S 5,000.00 shall be paid to Contractor upon commencement of Rough plurnbing
S 5,000.00 shall be paid to Contractor upon commencement of insulation install
S 5,000.00 shall be paid to Contractor upon commencement of interior plastering
$ 5,000.00 shall be paid to Contractor upon commencement of interior painting
$ 782.00 shall be paid to Contractor upon substantial completion
Contractor shall notify Owner in writing upon substantial completion. Owner shall compile one punch list of items
within five calendar days of dated notification. Failure to provide list within five calendar days expresses Owners
waiver of punch list to Contractors discretion and start of warranty period. Contractor shall address iterns within
fourteen calendar days according to "Section I I Warranty and Quality Standards" or Contractors sole discretion if no
standard apply. Contractor shall receive final payment upon punch list cornpletion. Items arising after forinulation of
list are warranty items as set forth in "Section I I ". Final payment shall be unencumbered by iterns arising after
forinulation of list. Final cleaming shall begin after Contractor receives final payment. Punch list completion expresses
start of warranty period. Retainage is not applicable to this agreement.
NOTICE: No agreement for home improvement contracting work shall require a down payment of more than
one-third of the total contract price, or more than the total amount of deposits which the contractor must make
in advance in order to obtain delivery of special order materials and/or equipment, whichever amount is
greater.
SECTION 04 Commencement and Completion:
Contractor shall not begin work or order materials before third day following signing of agreernent. Contractor shall
commence work within fourteen calendar days of building permit issuance. Substantial completion shall be as set forth
in construction schedule pursuant all terms and conditions of this agreement. Contractor shall bear no duty or expense
for delays in commencement progression or completion of work that extend date of scheduled substantial completion.
Delays include, but are not Ili-nited to, change of work orders by owner-, unavailability of Owner or Contractor supplied
labor or rnaterials or special orders, Owner or other party refusal to accept work upon notification of substantial
completion; inability of Owner to choose finishes or make timely selections. Delays also include acts or decisions of
goverturtental, regulatory or permit granting agencies or employees thereof, changes in governmental, regulatory or
perrmt granting agencies policies or interpretations of policies, rules or regulations by employees thereof affecting
project. Delays also include inclement weather; subsurface site conditions; floods, hurricanes or other acts of god-,
strikes. Extensions of time to scope of work shall equal or exceed tirne of delay.
SECTION 05 Completeness of agreement for execution:
Owner is hereby advised not to sign this agreement until all blank sections have been filled in or marked as void or not
applicable and until all and related referenced documents incorporated herein are initialed and attached hereto.
SECTION 06 Copy of Agreement to be given to Owner:
The Laws of Massachusetts govern this agreement. This agreement must be executed in duplicate, and original signed
copy given to Owner at the tirne of execution. No work under this agreement shall begin before signing of agreement
and transinittal to Owner of signed copy of agreement.
SECTION I I Warranties and Quality Standards: (Continued)
'del' . est. Conti -actor shall use his sole discretion in
Contractor shall provide a reference copy of these gui Ines upon requ
executing work if no standards apply. Wai-ranties for new fixtures and equipment shall pass through directly to Owner.
Owner's failure to register or inall warranty cards or other evidence of ownership. which voids manufacturers wai-ranty,
shall not create liability or responsibility for C011tractor to \varrant such equipment. Contractor shall bear no duty or
sting plumbing or heating systerns or components HVAC or electrical systerns or cornp i onents
expense to warrant exi I . ring tie ins modifications extensions or
water heaters disposals compactors other appliances or existing systems requi I I I ents unaffected by scope but
alterations. Contractor shall bear no duty or expense to warrant other systerns or cornpon
in I ure of existing systerns as described above in pail or I i n full during course of
remaining integral i function. Fail i Idered extra work and change order issued. Owrier shall noti
construction or within warranty period shall be cons
Contractor of warranty iterns via rnail or by contacting Contractors office.
SECTION 12 Arbitration: greernent, Contractor and Owner shall Litilize one or more
In event disputes arise concerning work or administration of a
isputei Reference "Perforniance Guidelines for Professional Builders and
of the following methods in effort to resolve di
Remodelers". Reference applicable sections of this agreement. Reference accepted or alternate Industry standards
I -etion. -Ivate
noting means and methods. Contractors sole disci rk or administration of agreement to a pi
Owner and Conti -actor agree to submit unresolved disputes concerning wo
Ination. Arbitration service shall be approved by Secretary of the Office ' of Consurner
arbitration service for deterrn t to such binding
Affairs and Business Regulations of Massachusetts. Owner and . Contractor shall be required to submi
arbitration as provided In MGL c. 142A. these terms of arbitratiow
Contractor and Owner hereby agree to
OWNERS SIGNATURE
�j
CONTRACTORS SIGNATURE,
SECTION 13 Hidden and Existing Conditions' di -ing
expense relating to hidden and/or existing conditions uncovered oi Iscoveredduli
Contractor shall bear no duty or -uction shall result in change order to Owner Examples of'
construction process. Additional work exposed during const -I I wistable soil conditions (clay, silt or
hidden or existing conditions include but not limited to ledge. . subsurface water-, structural
r site work to address)-, IIISLIffiCient
other mater'lal requiring additional engineering wid/or excavatioii 0 1 1
elernents- no sy/squeaky existing flooring; use of existing chirrineys deerned non-cornpliant; noti compliant or outdated
I I , underground wiring or unlities. Hazardous
or damaged electrical/inechanical/plul-nbliig or other existing systems
material removal or extermination of wood boring Insects excluded frorn Contractor scope of work. Contractor shall
ricover hidden and/or existing conditions In any form before commencement of work.
bear no duty to investigate or u ssed in plans and specifications. Work change
Owner shall compensate Contractor for all addition i al work not duly expre I -e to rernit costs ofchange orders
I I
orders attributed to such conditions shall not be a violation of th s agreement. Failui to rain, snow,
shall result in work stop until remittance. Contractor shall bear no duty or expense for dwnages att i I- 1 1 idows or other areas
existing 1-00fing, flashing, siding, wi
ice, wind or other forces or combination of forces penetrating I I 'nfi ents, Conti -actor
of structure. Conti -actor shall bear no duty or expense for dampness and/or water I ltration in basern
shall notify Owner promptly of such conditions. In event such hidden or existing conditions result in termination of
agreement work' shall proceed as set forth III "Section 19 Termination of Agreement".
W
RIGHT TO CANCEL
The Owner may cancel this agreement if it has been signed by the Owner at a place other than an address of the Contractor which may be
his main office or branch thereof, provided that the Owner notifies the Contractor in writing at his main office or branch by ordinary
mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement. See
attached Notice of Cancellation.
HOMEOWNER:
DO NOTSIGN THIS AGREEMENT IF THERE ARE ANY BLANK SPACES
By signing below E.M.H. Construction Corporation and the Owner stated on page one of this agreernent hereby agree
to all teri-ris and conditions included in this agreernent:
Owner Signature: —fj Q1, "
Additional Owner Signature'.
Contractors Signature: X/�'
DATE OF TRANSACTION:
EIVIH CONST CORP.
SPECIFICATIONS
PROJECT SPECIFICATIONS
Steve and Robin Seide
30 Nutmeg Lane
No. Andover, Via.
ITEMS
DESCRIPTION OF WORK
SITEWORK
NOT USED
CONCRETE
Floor
Saw cut existing concrete floor for plumbing at bath layout and ejector pump
Patch saw cuts with concrete and smooth areas
FRAME SCOPE
Framing
Frame new basement area as set forth in plans - Remove existing cellar traeds and nsers
EXTERIOR FINISHES
NOT USED
EXT. DOORfWINDOW
install 2 112" colonial casing around existing basement windows and doors
INSULATION
Walls
R-13 Batt insul new or exposed areas only
Attic
N/A
Floor
N/A
INTERIOR FINISHES
Walls
1/2" blueboard and skimcoat plaster to new areas and modified areas
Ceilings
Install Armstrong dropped ceililng and 2' x 2' Brighton ceiling panels in grids
Interior Doors
Install 6 panel smooth solid core masonite doors in new areas
Trim
Install 2 1/2" pnmed colonial casing around new doors
Baseboard
install 4 1/4" square edge base with 1" base molding on top to new basement1bath area
Ceiling molding
N/A
Closet Shelving
Install 1 shelf and I pole in closet as plan - install 4 shelves in new linen closet as plan
Tile
Install tile at new bath area as plan and at garage entry area - Owner to supply tile per allowance
Kitchen cabs/baths
Install new vanity in new bath per allowance
Carpeting
Install carpeting to remaining area of basement - Carpeting installed by supplier
Stairs
Install oak rails and treads to existing basement staircase as plan
Interior Painting
1 coat prime and 2 finish walls and trim in new basement area - Custom Mixed Colors excluded
ELECTRICAL
Service
Tie new circuits to existing panel box
Plugs and Switches
Levitron ivory plugs and switches to code in new area - 2 phone/cable jacks in new area
Recessed Lights
Install 8 recessed lights Supplied by Contractor and located by owner in new area
Surface Mount Lights
Install rough in and switching for 1 vanity strips and 2 surface mount lights in new area
Surface mount lights by Owner per allowance
Bath Lighting
Install Contrator supplied surface mount fan/light unit in new bath
Closet Lighting
Flourecent light in walkin closets Contractor supplied
PLUMBING
Fixture Rough in/Finish
Install all rough in material and labor for new bath area as plar
install ejector pump and tie in to existing waste pipe
Install Owner supplied fixtures for new bath area as plan
HVAC
Install new feeds, dampers and finish grills to existing ductwork to heat/cooi basement area
WN
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Town of North Andover t4ORTN
0
Building Department 0
27 Charles Street 0
North Andover, Massachusetts 0 1845
(978) 688-9545 Fax (978) 688-9542
APPLICATION FOR CERTIFICATE OF OCCUPANCY INSPECTION
ADDRESS
LOT NUMBER ;i I a -SUBD
DATE REQUEST FELED. 711,?z lb
DATE READY FOR INSPECTION— 7/4 0�
FWE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED
i I
ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN tFUS TIME
I
FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE
CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES.
SIGNATURE-! 42 aLx M 6_0�
OFFICLAL USE ONLY
ROUTING
1�n A rrT1-%XT
11 kar�m V A
DATE
-7
PLANNING DATE
D.P.W. — WAI"TER DATE 7/6'
1 - ( 1 42�
D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN'INSTALLED
P� 0 THE � SPECTION REQUEST DATE.
D U 0 JZ 0
SfGNAiM; UTHORM ON
I . 14,
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number. 6(o3 Date
THIS CERTIFIES THAT
Qrl
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Irm -BUILDING LOCATED 0
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MAY BE OCCUPIED AS S
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INACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUQH
OTHER REGULATIONS AS MAY APPLY. /0 RcPvmf-li -?,5 8.,4 T� S 13 5 -1-) //
CERTIFICATE ISSUED TO- A A �o-g Dj.,c u. ro
ADDRESS
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TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUILDING PERM[IT NUMBER: &6.3
DATE ISSUED:
SIGNATURE: AS
Building Commissioner/ln��'QEtor o Buildings Date
SECTION I- SITE INFORMATION I
1. 1 Property Address:
(U L),I-(Y\ e 01 (1) e
1.2 Assessors Map and Parcel Number:
-3
81,
Map Number Parcel Number
J
1.3 Zoning hiformation-
"nale- ecLey\
Zoning District Proposed Use
1.4 Property Dimensions:
L
Lot Area Zsf) Frontage (ft)
1.6 BUILDING SETBACKS (ft)
Front Yard Side Yard
Rear Yard
Required Provide Required Provided
Required
Provided
I-
� In 145 1 L e -4, 'ML_3o'a.
3 0
&0 __r
1.7 Water Supply M.G.L.C.40- § 54) 1.5. Flood Zone Information:
Public &.-" Private rj Zone Outside Flood Zone wo�'
1.9 Sewerage Disposal System:
Municipal On Site Disposal System 0
SECTION 2 - PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner of Record
G_ 6 k
Name (Print) Address for Service
')
9- & 8c 3, -
Signature C_--1'e7e_.phone
2.2 Owner of Record:
Name Print Address for Service:
Signature Telephone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
W; I 1 11 CLf-V\
Licensed Construction Supervisori
F6res-t S -t- (Up A n
Telephone
Not Applicable 0
C%S C)L5- a a 1-41
License Number
Expiration Date
3.2 Registered Home Improvement Contractor
Not Applicable 0
Company Name
Registration Number
Address
Expiration Date
Si2nature Telephone
ou
M
X
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9Q
0
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0
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SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 25c(6)
Workers Compensation Insurance affidavit must be completed and submitted %rith this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed affidavit Attached Yes ....... @,' No ....... 0
SECTION 5 Descriptige o Proposed Work (check appUcable)
New Construction
Existing Building 0
Repair(s) 0
Alterations(s) 0
Addition D
Accessory Bldg. 0
Demolition 0
Other 0 Specify
Brief Description of Proposed Work:
(�br\ S±ruc�+ 16pi CL Single- P-Qry%,f i., n.,a,
a Car qnea-qe- unjetf
SECTION 6 - ESTIMATED CONSTRUCTION COSTS
Item
Estimated Cost (Dollar) to be
Completed by permit applicant
OFFICL4L USE ONLY
I . Building
`:�Q, 060
(a) Building Permit Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction
3 Plumbing
:SQ 19
Building Permit fee (a) x (b)
4 Mechanical (HVAC)
nnt')
5 Fire Protection
—
fu A
Total (1+2+3+4+5)
a,59'-St)p
Check Number
.6
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUIELDING PERMIT
L as Owner/Authorized Agent of subject property
Hereby authorize to act on
My behalf'. in all matters relative to work authorized by this building pennit application.
Signature of Owner Date
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
A b b-tt
1, U) 'i I 80. r ir e, -At Prr- 51 Ae-,,± 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'
, , 11 - -e,,
Print N
S 1 Ywof W ent Date
NO. OF STORIES SIZE L� 7
BASEWNT OR SLAB i3a N) e,^
SIZE OF FLOOR TIMBERS 9L -)r 10 1 sr -2- 1 �p3
SPAN I Lj'
DIMENSIONS OF SILLS LJ )r
DMENSIONS OF POSTS Li..kl
DIMENSIONS OF GIRDERS tj - a X I gL
HEIGHT OF FOUNDATION 9 1 THICKNESS
SIZE OF FOOTING i0.1 .)e /
4 it X
MATERIAL OF CHRVINE Y (
�r-ICL4
IS BUILDING ON SOLID OR FILLED LAND SC, j`iA
IS BUILDING CONNECTED TO NATURAL GAS LINE �eS
Location /,� /c� Pc;�Ofc/ 1A)
No. Llo3 Date
,4.
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ /S483
Check # / q6?
16�
Building Inspector
/, 4��3 /,-;?- S- o o
II.J - - - - - ----% r�j t:-
r imcar =my ro im wv A tjow s,�z
&L -P6, P6 AT M f� P'ro is Lmin ON
n M
THS LOT AS MOIN AMD "UT IT DoirS CoNpow
WNW THNIONIA OF MO, At-$C0YCV0MV MWU170MS
RECARnlArG SZMCXV PROM SMEM & LOr LMSe
1 Pgmnm CRIN"" Mr rms r-pl-N, is Nor
LOCAM) is r" PLOOD HAZUM AREA AS
smorK GAr Wi 77 PANRL
AV� .0*
RLS.
DAIT
A 'T.,
MOT F"
Baummar, ox. jwommmr mwmffiw
rA nM FJ 10 M liagnu m m S.
PLOT PLAN
00/1
kloa:-i�A ,�.ojc>ovFiz � H -A-,6,
DRAWN POR
G&OV-� pe�V, :�o, I K4,
mmmmeir RmcrArRjrNNG SRRVTCRS
88 PAW SrmRr
ARDMit, MASSACHUSIM 01810
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CNWSTRucr REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
This Scction for Official Use Ojily
BUILDING PERMIT NUMBER:
ISSUED:
7�
SIGNATURE:
Building Cornr�issionefflnspector o7guildings Date
SECTION I- SITE INFORMATION I
1. 1 Noperty Address:
1.2 Assessors Map and Parcel Number:
�30 L r,, oj e-
--3S
Map Number Parcel Numbr
1.3 Zoiiing InIbmiati(xi:
1.4 Prol)crty Dimaisions:
LaS: 00
zoning Distria Prol)usod Usd
I Ax Area (sl) Frixitag': (11)
1.6 BUILDING SETBACKS (ft)'
Front Yard
Side Yard
Rear Yard
Required Provide
Required
Provided
Required
Provided
Lf ft 30'1-30',�t
1.7 Wawt Supply M.G.L.C.40.
1.5. lluud Zoac lul'unimliou:
zow OUISid, HOW ZA)n,; U01"
1.8 scWcragc DispusAl s)-sicul:
muuicipal iio� ou site i)ispusai syh,,:,,, n
Public lie' Privale ii
—
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED
AGENT
2.1 Owner of Record
r�'� Cn
Name (Print) Address for Servkc:
Signature
2.2 Owner of Record:
Name Print Address for Scrvwe:
Signature Tcicphune
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Coiistru,;tion Supervisor:
Not Applicable U
Licensed Construction Suivi-visor:
C -5 --co
License Number
)e,). _q_A cA
Ada,
Expiration Date
Signature ['Cicphonc
,reiepi"
3.2 Registered Home Improvement Conifuclor
Not Applicable 13
Conipany Name
Registration Nugnbur
Address
FxPitillion Dille
M
M
;0
z
0
0
z
M
FORM - U - LOT RELEASE FORM
INST ' RUCTIONS: This form is used to verify that all -necessary approval / permits from
Boardszn.d Departments having jurisdiction have been obtained. This does not relieve the
applicant and or landowner from compliance with any applicable requirements.
APPLICANT -PHONE ail_ _2 3
ASSESSORS MAP NUMBER C -D
I LOT NUMBER
SUBDIVISION &190 r LOT NUMBER Z_
STREET c, STREET NUMBER J 0
@museum* ...... ...... a ........... so&
OFFICIAL USE ONLY
RECOMNtENDATIONS OF TOWN AGENTS
Sam
am
4-= ���ybvN� DATE APPROVED 6
CONSERVATION
_TMINISTRATOR
DATE, REJECTED
TOWN 161J�NNER
D 4A'11' E MAP I 'R 0 V I D
DATEREJECIED
COMMI--NT.S
FOOD INSPECTOR -:HEALTH
SEPTICASPE6TOR HEALTH
DATE APPROVED
DATE- REJEC'ITD
DATE- APPROVED
DATE REJECTED
COMMENTS
A
PUBLIC WORKS - SEWER WATER YONNECTIONS
DRIVEWA,Y YERY7
FIRE
COMMEN'I'S
DATE APPROVE -'D !;- / �- 0 -
DATF f?,EJECTE-D
RECEIVED BY BUILDING INSPECTOR
DATE-
1?rl�
I SECTION 4 - WORKERS COMPENSATION (Ntr-.L C 152 8 2ir(Al _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 alfidpit-Attached Yes ....... @," No ....... 0
SECTION 5 lMk-scriptio�n o Proposed Work (check applicable)
New Construction [3/
Existing Building 0
Repair(s) 0
Alterations(s) 13
Addition
Accessory Bldg. 0
Demolition 0
Other 0 Specify
Brief Desclription of Proposed Work:
in _-,,o n-,�_I& 11. P"I IJ
J J
CZ1
-SECTION 6 - ESTIMATED CONSTRUCTION COSTS
114:111
Estimated Cost (Dollar) to be
Completed by permit applicant
OFFICIAL USE ONLY
1. Building
(a) Duilding Pentilt Fee
Mult'Plier
2 Electrical
(b) I..'stiniatedTotal Cost of
Construction
3 Plunibing
Building llerii�t tee (b)
-4 Mechanical (I I VAC)
-5 Fire Protection
tu A
-6 Total (1+2+3+4+5)
L4.15R, -.5no
I Check Number
SECTION 7u OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,— as Clwner/Author�zcd Agent ol'subject property
I lereby authorize act oil
My belialf, inall inatters relative Lu work authorized by this building pennit application.
Signature ol'O%vner Date
_SECTION71) OWNER/AUTHORIZED AGENT DECLARATION
UJJij4_cn, Acx r i- e,:At Or c �', A, -.i+ as Owner/Authorized Agent of'subject
property I .
I lereby declare that the st�'tenieiljs and jillonnatioll oil Lhe ji)regoing application are true and accurate, to the best ofiny knowledge
and belief
(A J
)rint N -
Sign, t 'ell 1XIte
F��ItJR
-NO. Of, STORWS SIZE, 3756
-1 IASI '-" -'NT01Z SLAB
-SIZI: OFFI-00R1110131- RS IND RD
_SPAN
DIMENSIONS OFS1,11S
_51
M—F. N S IONS OF POSTS!
D11VIENSIONSOFURDERS
THICKNESS
SI/I : 01: FOOTING X
�GA
., ijt
S BIJILDIN6 CONNECTI.
11'. `DTO NATURAL GAS LINE' lc-
10
ki OF 41,
DANI L
KonA s
CIVIL
No.37752
pow
.#.*Ir , -- -
vt
17 , '10
174,t
lrwo4l L "_0
7.0
Sb—
MAScheck COMPLIANCE REPORT
Massachusetts Energy!Code
MAScheck Software Version 2.0
.1 V�'.
CITY: Lawrence
STATE: Massachusetts
HDD: 6235
CONSTRUCTION TYPE: 1 or 2 family, detached
HEATING SYSTEM TYPE: Other (Non -Electric Resistance)
DATE: 11-29-2000
DATE OF PLANS: 11/29/'00
TITLE: 30 Nutmeg Lane'
PROJECT INFORMATION:
Abbott Village
COMPANY INFORMATION:
William Barrett Homes
Permit #
Checked by/Date
COMPLIANCE: PASSES
Required UA = 711
Your Home = 643
Area or Insul Sheath Glazing/Door
'I
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 equipment selected to heat or cool the building
shall be no greater than 125% of the design load as specified in
sections 780CMR 1310: and J4.4.
Builder/Designer Date
Perimeter
R -Value R -Value U -Value
UA
-------------------------------------------------------------------------------
CEILINGS
1821
38.0 0.0
55
WALLS: Wood Frame, 16" O.C.
3324
13.0 3.0
237
GLAZING: Windows or Doors
670
0.350
234
DOORS
42
0.350
15
FLOORS: Over Unconditioned
Space 1814
19.0
86
BSMT: 8.0' ht/6.0' bq:/2.0'
insul. 100
10.0
16
HVAC EFFICIENCY: Fur�ace,
-------------------------------------------------------------------------------
86.0 AFUE
COMPLIANCE STATEMENT., The
proposed building
design represented
in these
documents 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.
'I
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 equipment selected to heat or cool the building
shall be no greater than 125% of the design load as specified in
sections 780CMR 1310: and J4.4.
Builder/Designer Date
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.
.20 ivk--�Tlry�e-ei Leuiue— 31?123-3
Permit Applicant Property address Map / Parcel
— (0 k, 9, OL 6 LI -11,
Applicant's Phone Number Single Family Two 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 marlL
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.
The 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 fan -Lilies 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 farmland. The land to be preserved shall
be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other
similar mechanism approved by the planning board that will ensure its protection.
This application represents a 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 onetime exemption from the Planned Growth Rate and
Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel.
This application represents a lot which is ready for 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
DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE AB�VE EXEMPITIONS.
i
BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND TiIAT THE ATTACHED
BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE. I
FURTHER I UNDERSTAND THAT THE SUBMITTAL OF?vUSLEADING OR INACCURATE INFORMATION OR THE
CHECKING OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY, WHETHER DONE TO MY KNOWLEDGE OR
NOTIS ROUNDS FOR R7EUSALBY THE BUILDING DEPARTMENT TO ISSUE A BUILDINGPERMIT.
APPLtANTS SItNATtJRE DATE
THIS FORM TO BE ATTACHED TO TI -IE BUILDING PERMIT APPLICATION
Town of North Andover AORTN
OFMCE OF
0
COMMUNITY DEVELOPMENT AND SERVICES
27 Charles Street
North Andover, Massachusetts 0 1845
WILLIAM 1. SCOTr
Director C H
(978) 688-953)l Fax (978) 688-9542
CHIMNRY APPLICATION AND PERMIT
DATE --
PERMIT #
LOCATION -1-3 Q_L,,) ot M e cl L a
OWNER'S NAME
BUILDER I S NAME
MASON'S NAM� r\ p-& r ro ru e -
MASON'S ADD RES S_ e S I -
MASON'S TELEPHONE 09 L4 cy
MATERIAL OF CHIMNEY Ar i C, il-
INTERIOR CH�MNEY EXTERIOR CHIMNEY_
I
NUMBER AND SIZE OF FLUES I X I
THICKNESS OF HFARTH
Will chimney or firePlaCe conform to requirements of the code and
have rules and regulations been received: q e S
SIGNATURE Of MASON CONTR. LIC. #
EST. CONSTRUCTION COST/CONeCT PRICE
PERMIT GRANTED
FEE
ROBERT NICETTA, BUILDING INSPECTOR
INSPECTED
REMARKS
SOLT13 BRTCK REOUTRED
trtl*ro n"f5wrr" --
1522
APPLICATION FOR SEWER SERVICE CONNECTION
North Andover, Mass.
Application by the undersigned is hereby made to connect with the town sewer main in
4,1�,1-4meee AIR
subject to the rules and regulations of the Division of Public Works.
I
The premises are known as No
or subdivision lot no.
Owner
Contractor
Address
1d,es'
Appli cant's ignatur
PERMIT TO CONNECT WITH SEWER MAIN
The Division of P-klir WnrLc karak —ntc n—iec;� t� &J i" �' ""-, ,,,
to make a connection with the sewer main at
subject to the rules and regulations of the Division of Public Works..
Inspected by
Date
kill
e,e
Street
Street
ivision of Public Works
By—
See back for rules and regulations
N2 977
Application by the undersigr
subject to the rules and regu
The premises are known as I
or subdivision lot no. -
ZVI
Owner
Contractor
APPLICATION FOR WATER SERVICE CONNECTION
North Andover, Mas
is hereby made to connect with the town water main in J: lza P1 e-
ons of the Division of Public Works.
Lr) VC., � 41 e,:,, Qf ..t
Az
I
6
Address
Address I
/Applicant's Signature
PERMIT TO CONNECT WITH WATER MAIN
The Board of Public Works h1reby 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
Date
Street
B oa rd qf Public Works
By
See back for rules and regulations
I
I %
lrl( �n,7
6 0141
TOWN OF NORTH ANDOVER, MASSACHUSETTS
DIVISION OF PUBLIC WORKS
384 OSGOOD STREET, 01845
J.WILLIAM HMURCIAK, P.E.
DIRECTOR
6V2 X.,
DRIVEWAY PERMIT
Telephone (978) 685-0950
Fax (978) 688-9573
DATE
LOCATION
BUILDER phone
i
E2 �>.2z)
OWNER-�. phone
THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS
MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM'
STREET. CALL THE SUPERINTENDENT'S OFFICE BEFORE
FINISH GRADING AND SURFACING FOR APPROVAL OF
SUCH ENTRY.
FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT.
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No. -& (9 -3 - Date
4
Check # / � � �
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $ C)
Other Permit Fee
TOTAL
Building Inspector
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
-7
BUILDING PERNUT NUMBER:
DATE ISSUED:
SIGNATURE: 1�fs
Building Commissioner/IRg'=tor of Buildings Date
SECTION I- SITE INFORMATION I
1.1 Property Address:
30 (Uutmeq LnA)e
1.2 Assessors Map and Parcel Number:
33
Map Number Parcel Number
16 +
1.3 Zoning Information:
P, 3 5'1(-%Qle-
Zoning District Proposed Uk(
1.4 Property Dimensions:
49 191,5".06
Lot Area tsf) - Frontage (f L)
1.6 BUILDING SETBACKS (ft)
Front Yard Side Yard
Rear Yard
ReqWred I Provide ReqWred Provided
ReqWred Provided
0 1 145 01 1/-e-�+ M /30,k?+
0 1 &0 -1-
1.7 Water Supply M.G.L.C.40. § 54) 1.5. Flood Zone Information:
Public aoo" Private 0 Zone Outside Flood Zone &*""
1.8 Sewerage Disposal System:
Municipal 5�— On Site Disposal System 0
SECTION 2 - PROPERTY OWNERSHW/AUTHORIZED AGENT
r
2.1 Owner of Record
a krs�t Deueloprnen-f- Corp IOL49 7777o-rmolke St. /1Z. I-InAaUte—
Name (Print) Address for Ser -vice : 1
.4 -3 -7 9' –& 9,-� 2L 3 &a
Signature C ------ OfTeephone
2.2 Owner of Record:
Name Print Address for Service:
Signature Telephone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
I CLM (?)rx rr C,
Licensed ��,onstruction Supervisor:
I —) j F-6 re 5 -1— St- (Utp - A n,�Ou-el-
zz
W��mnvw! � — i q
Signature Telephone
Not Applicable 0
CI's 05-91 a L41
License Number
1,61 16( P-)401
Expiration Date
3.2 Registered Home Improvement Contractor
Not Applicable 0
Company Name
Registration Number
Address
Expiration Date
Signature Telephone
M
M
z
0
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is f
0
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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'Aill result
in the denial of the issuance of the building permit.
Signed affidavit Attached Yes ....... ko' No ....... 0
SECTION 5 Descript�22 of Proposed Work (check all applicable)
New Construction V I Existing Building 0 1 Repair(s) 0 Alterations(s) 0 1 Addition [I
Accessory Bldg. n I Demolition 0 Other 0 Specify
Brief Description of Proposed Work:
-, I �% � I I
I SECTION 6 - ESTIMATED CONSTRUCTION COSTS I
Item
Estimated Cost (Dollar) to be
Completed bypermit applicant
OFFICIAL USE�ONLY
1. Building
":SIQ a5c,
(a) Building Permit Fee
Multi lier
2 Electrical
(b) Estimated Total Cost of
Construction
3 Plumbing
Building Permit fee (a) x (b)
4 Mechanical (HVAC)
5 Fire Protection
fu A
6 Total (1+2+3+4+5)
+ 0 -5?"5f)0
Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
as Owner/Authorized Agent of subject property
Hereby authorize to act on
My behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
A b ba-tt
1, as Owner/Authofized Agent of subject
property
Herebv declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
and belief
(P)Ctrre
Print N L4 op
Sio ent Date
NO. OF STORIES SIZE
BASEMENT OR SLAB i3a e_ IneA
SIZE OF FLOOR TITVIBERS 9L)rto 1��' to 2 ND 6�*Jp 3RD
SPAN Ili'
DIMENSIONS OF SI1,LS Li N6
DIMENSIONS OF POSTS Li.Jr
DIMENSIONS OF GIRDERS tj — a,)e I gL
HEIGHT OF FOUNDATION THICKNESS 10"
SIZE OF FOOTING 16 X
MATERIAL OF CHRONEY (�rVCV,
IS BUIIDING ON SOLID OR FILLED LAND So
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
Boards and Departments having jurisdiction have been obtamied. Ills does not relieve the
applicant and or landowner from compliance with any applicable requirements.
APPLICANT /yo 611-�e PHONE 3 Z-40
ASSESSORS MAP NUMBER LOT NUMBER
SUBDIVISION 19ZO T
LOT NUMBER Z-1
STREET STREET NUMBER J 0
............
Imenumme EVONEXEMON
OFFICIAL USE ONLY
RECOMAIENDATIONS OF TOWN AGENTS
00
DATE APPROVED
-nmRsusTRATOR
CONSERVATION A
DATE REJECTED
fENTS r\ to 0Q(-pV-SW-,n
C VV'\ fjv\- I X K Jn�f C4, C 0�,,
tv
DATEAPPROVED (i'
TOWN
COMMENTS
FOOD INSPECTOR - HEALTH
PECTOR - HEALTH
DATE REJECTED
DATE APPROVED
DATE REJECTED
DATE APPROVED �-,/3 --->A-�—
DATE REJECTED
CONUVffiNTS
PUBLIC WORKS - SEWER / WATER CONNECTIONS
e, la
DRIVEWAY PERMIr
DATE APPROVED "e- a '
FIRE
DATE REJECTED
CONB4ENTS
RECEIVED BY BUILDING INSPECTOR DATE
MASchdck c6mPLIANCE REPORT
Massachusetts Energy Code
MAScheck Software Version 2.0
CITY: Lawrence
STATE: Massachusetts
HDD: 6235
CONSTRUCTION TYPE: 1
HEATING SYSTEM TYPE:
DATE: 11-29-2000
or 2 family, detached
Other (Non -Electric Resistance)
DATE OF PLANS: 11/29/00
TITLE: 30 Nutmeg Lane
PROJECT INFORMATION:
Abbott Village
COMPANY INFORMATION:
William Barrett Homes
COMPLIANCE: PASSES
Required UA = 711
Your Home = 643
Permit #
Checked by/Date
Area or Insul Sheath Glazing/Door
Perimeter R -Value R -Value U -Value UA
CEILINGS
1821
38.0
0.0 55
WALLS: Wood Frame, 16" O.C.
3324
13.0
3.0 237
GLAZING: Windows or Doors
670
0.350 234
DOORS
42
0.350 15
FLOORS: Over Unconditioned Space
1814
19.0
86
BSMT: 8.0' ht/6.0' bg/2.0' insul.
100
10.0
16
HVAC EFFICIENCY: Furnace, 86.0 AFUE
COMPLIANCE STATEMENT: The proposed building design represented in these
documents 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 equipment selected to heat or cool the building
shall be no greater than 125% of the design load as specified in
sections 780CMR 1310 and J4.4. F /9 q Zoo
Builder/Designer Date /) 01 IF
a I
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OF
DANIEL
KORAVOS
CIVIL
No.37752
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7,'
GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT
TOWN OF NORTH ANDOVERBUILDE44G 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.
Abbo-tr Deu. Corp 30 tj 0-t M e 1-a tu -e- 3
Permit Applicant Property address Map I Parcel
tpTa, - a *,� an V--�
Applicant's Phone Number Single Family Two 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 ofthe 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 madc
This is an application for a building permit forthe enlargement, restoration or reconstruction of a dwelling in existence as
ofthe effective date of this bylaw, provided that no additional residential unit is created.
%of� The 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 families 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 property executed and recorded deed restriction running with the land. For purposes of this section "senior" shall mean
persons over the age of 5 5.
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
surp [us land equal to at least ten buildable acres and permanently designated as open space or farmland. The land to be preserved shall
be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other
similar mechanism approved by the planning board that will ensure its protection.
This application represents a 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 family 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
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 THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE
CHECKINGOFF F A ABOVE EXEMPTION WHICH DOES NOT COMPLY, WHETHER DONE TO MY KNOWLEDGE OR
NOTISGRO E FUSAL BY TJFZJNZLQ"QXEPARTMENT TO ISSUE A BUILDING PERMIT.
-Y to.
APPLICANTS SIGNATURE DATE
THIS FORM TO BE ATTACHED TO THE BUILDING PERNIIT APPLICATION
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
Boston, Mass. 02111
Workers' Compensation Insurance Affidavit
Please Print
Name:
Location:
city Phone
F� am a homeowner performing all work myself
F-1 I am a sole proprietor and have no one working in any capacity
E01 am an employer providing workers' compensation for my employees working on this job.
Company name:- U'1kkQ-QC— OCL). C!Ore2
Address 16jj!� -T-url),4jkc�-
City A-)il) - n- /1 ci,�- L, e-.- J"In II -X- Phone #-. b �; 3L - (*,,
Insurance Co. (--,reo-t A alerf-co P oligy# PAC (91a5aA
Company name:
Address
Cily: Phone#:
Insurance Co. Policy
Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal pena�lbesaf a fine up to $1,500.00
and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I
understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
Official use only do not write in this area to be completed by city or town official'
C3Check if immediate response is required Building Dept
Contact person: ne
FORM WORKMAN'S COMPENSATION
0
E]
Building Dept
Licensing Board
Selectman's Office
C3
Health Department
0
Other
Town of North -Andover VAORTH
CLI
Building Department 0
27 Charles Street
North Andover, Massachusetts 0 1845
0 1b
(978) 688-9545 Fax (978) 688-9542 'a 0 1 ,
SACH
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 solid waste disposal facility as defined by MGL c 11, si 50a.
The debris will be disposed of in /at:
So r re --.f-\ Oisp6soj CC), -,7r.\C-,
Facility lication
ArI7
Signature of Applicant
x I I L1100
Date
NOTE: A demolition permit fi7om the Town of North Andover must be obtained for this
project through the Office of the Building Inspector.
4
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number. CS 052241
Birthdate: 10/10/1952
Expires: 10/10/2001 Tr. no: 7876
Restricted To: 00
WILLIAM K BARRETT.
1049 TURNPIKE ST
N ANDOVER, MA 01845 Administrator
I
9
3.
4.
5.
6.
7
REQUIREMENTS FOR BULDING PERMIT SIGNOFFS
BY BOARD OF HEALTH
To be filled out by the a,12121icant and submitted with the Building Permit
apfication
What is the proposed project? Deck pool addition
other
Are plans attached?
No
(For additions and new houses on septic systems,
complete floor plans of proposed construction and
any existing house must be submitted. For pools
and decks, a site plan with location of pool or deck is
required. Dimensions of deck are needed.)
Is municipal sewer available at this location?
No
If sewer is available and a house already exists, is it
tied in to the sewer?
Yes
Is the location served by private well?
Yes CN)d
If this project is an addition and the house is served by a
septic system, has there been a Title 5 inspection done
ri Ar
recently on the septic system?
Yes No
If, yes, is the inspection report on file at the BOH?
Yes No /V 04
Town of North Andover
OMCE OF
COMMUNITY DEVELOPMENT AND SERVICES
27 Charles Street
North Andover, Massachuseas 0 1845
WUIJAM 1. SCOTT
Director
(978) 688-95' ) I
CHIMNEY APPLICATION AND PERMIT
DATE
LOCATI
OWNER I S
0
Fax (978) 688-9542
PERMIT #_
BUILDER IS NAME C.,,-) 1� I( i CL re -S e -
MASON'S NAME— -T-c:) e\,, P-� r ro e -
MASON'S ADDRESS
MASON'S TELEPHONE
MATERIAL OF CHIMNEY
INTERIOR CHIMNEY EXTERIOR CHIMNEY
NUMBER AND SIZE OF FLUES 3X I OL
TH16KNESS OF HEARTH
Will chimney or fireplace conform to requirements of the code and
have rules and regulations been received: e S
DATE
SIGNATURE OF MASONx CONTR.
.4"
y'p
LIC. #
EST. CONSTRUCTION COST/ ONk�ACT PRICE
PERMIT GRANTED FEE
ROBERT NICETTA, BUILDING INSPECTOR
INSPECTED.
REMA.RKS
SOLID BRICK REQUIRED
THIS PERMIT MUST BE.- DISPLAYED ON THE PREMISES
TOWN OF NORTH ANDOVER. MASSACHUSETTS
DIVISION OF PUBLIC WORKS
384 OSGOOD STREET, 01845
J.VVILLIAM HMURCI)W,-P.E. Telephone (978) 685-0950
DIRECTOR
Fax (978) 688-9573
0* tAORTN
1"to '6
DRIVEWAY PERMIT
DATE 4-z f
LOCATION
BUILDER phone
OWNER phone CE 2 - 2D
TH� NORTH ANDOVER SUPERINTENDENT OF OPERATIONS
MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM
STREET. CALL THE SUPERINTENDENT'S OFFICE BEFORE
FINISH GRADING AND SURFACING FOR APPROVAL OF
SUCH ENTRY.
FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT.
c Of
N2 977
APPLICATION FOR WATER SERVICE CONNECTION
North Andover, Mass.
Application by the undersign�d is hereby made to connect with the town water main in
subject to the rules and regul , ations of the Division of Public Works. SUeet,—
The premises are known as �0.
or subdivision lot no.
Owner
Contractor
ubs i
ele,(
The Board of Public Works
Address
Addre
A ppli
PERMIT TO CONNECT WITH WATER MAIN
grants permission to 0), C', R":�- "
to make a connection with the� water main at
subject to the rules and regulations of the Division of Public Works.
Inspected by
Date
S'9� e�e r .1 ,
Street
Street
Board 19f Public Works
By
&I
See back for rules and regulations
1522
APPLICATION FOR SEWER SERVICE CONNECTION
North Andover, Mass.
Application by the undersigned is hereby made to connect with the town sewer main in '4
subi . ect to the rules and regulations of the Division of Public Works. U
The premises are known as No. V"4,;'nev— Street
or subdivision lot no.
r--7>
77
Owner
Contractor
lod
Address
1dress
A ppr
JcanVs Signatur
PERMIT TO CONNECT WITH SEWER MAIN
The Division of Public Works hereby grants permission to k'Al
to make a connection with the sewer main at
subject to the rules and regulations of the Division of Public Works..
Inspected by
Date
Street
ision of Public Works
By "7
d
See back for rules and regulations
3X9 zro"?
Date ..... �7 ... 7T��
V 3849
TOWN OF NORTH ANDOVER
RECEIPT
CHU
T his certifies that ..........
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WHITE: i�Applicant
CANARY: Department PINK: Treasurer
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N2 3 J- 31 Date....
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that .....
.........................................................
.1.
has permission to perform .............. . .................................................................
wiring in the building of . ........ .............. 4 ............. ..................................
.. ..............................
at ..................
. ........................... . North Amdover, Mass.
Fee....�� ............... Lic. NI�� ............ .................. . . . ........................
ELEcTmcAL INSPECTOR
Check # Z/,S�, -
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
TREC0MV0AWE4LTH0FMASS4CHUSE77S Office Use only
IPADEPARTMENTOMBLICSAFM Permit No.
BOARD OFFNEPREVEWONREGULATIOAS 527CAIR 12-00 Occupancy & Fees Checked
APPUCATION FOR PfRAff TO PEUORM ELECMCAL WOn
ALL WORK T`O BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 cmR 12:00 —or/
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
Town of North Andover To the Inspector of Wires:
The undersigned applies for a permit to perfbrm the electrical work described below.
Location (Street & Number) 30
Owner or Tenant
Owner's Address
Is this permit in conjunction with a building permit: Yes [allo (Check Appropriate Box)
Purpose ofBuilding lee,� i //a- (/ Utility Authorization No.
Existing Service Amps Volts Overhead M Underground M No, of Meters
New Service Amps volts Overhead r'—J Underground No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
No. ofLighting Outlets
No. ofHot Tubs
No. ofTransformers
Total
KVA
No. of Lighting Fixtures
Swimming Pool Above
Below
Generators
KVA
ground
C]
ground
No. ofReceptacle Outlets
No. of0il 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. rp,�Disposajs
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
F7
Oth�-r
No. of Dryers
Heating Devices KW
E] Connections
No. of Water Heaters KW
No. of No. of
Signs
Bailasis
No. Hydro Massage Tubs
No. of Motors
Total HP
hn==Cu"� Laws
I have aoxoti-wh* hwrd=PdLy indudingConocieOpmatm C6&aWcr9sstkshrtd e4uvdifft YES [a NO
I haw Wbm&dVJ11idp1U0f0fMne1DtheOffi= YES =NO Ifym ha%eduiW YES, pLase mdc*theNX0fWMrdWbyd=kirigthe
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SignedunckTr p9w.
FIRMNAME 1,1619A) /
E4rgkdV"dHeCUWWCrk$ V61u, "
hqx)cticnD*RoVesWd Ra# Fmal
-11,
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"drtniysigr�aidispennieppbcafimv"'Asdismw*mnenL
(Please check one) Owner Agent ED Telephone No. PERMIT FEE $
Date./-/
No 2 f/- 01 2 .................................
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
Thiscertifies that .............................................................................................
has permission to perform ........... L ................................................
wiring in the building of ... "".;, ....... . ..... � I ..........................................
.4kn
at ................................................................................ . North dover, Maw.
.....................................
Fee:�Z ... �.. Lic. NZ. ............... ....... /;
ELECTRICAL INSPECTOR
Check#
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
Office Use only
TREC0Aff10AWEATH0FA1A&4CHUSE77S
DEPARTMEWOMBLICS4FM Permit No.
BOAiWOFMEPREYEMONRWM4TIOAN527OR12-00 Occupancy & Fees Checked IF7
UAPPUCATION FOR PERMIT TO PERFORM ELECMCAL WOR K
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 cmR 12:00 1
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date L� III
Town of North Andover To the lnspJdor 4 Wires:
The undersigned applies for a permit to perfbrm the electrical work described
Location (Street & Number)
Owner or Tenant
Owner's Address
Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box)
Purpose of Building 3 &&a-1 D 0, 4 eqA, Utility Authorization No./ dJ —AV
Existing Service Amps Volts Overhead 1:3 Underground No. of Meters
New Service Amps 10—Likolts Overhead r I Underground No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work A, �-Af-L );;Jl A ',,416-63; Y -Q&4Z-e- A,41
No. of Lighting Outlets
No. of Hot Tubs
No. ofTransformers
Total
KVA
No. of Lighting Fixtures
Swimming Pool Above
Below
Generators
KVA
ground
1:1
ground M
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
Puraps
Tons
KW
Initiating Devices
No. ofSounding Devices
No. of Dishwashers
Space Area Heating KW
No. ofSelfContairted
Detection/Sounding Devices
Local r —7-1 Municipal
M
OthJ—
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
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(Please check one) Owner Agent
Telephone No. PERMIT FEE �7
Air 2 2 9 Date .... / . / ... , .. / ... - , . , . . ....
.. . ... .. ...
0, TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ....................... ......... 0� ...... ......
has permission to perform... ............ . .............
wiring in the building of .................... �.
...............................................................
at ..................................... 1-2 . ....................... . NorthAndover, Mass.
Fee..................... Lic. No . ............. .... ........ ..................................
i�ECMCAL MpEcrm
Check #
TRECOAMOATREALTHOFAWS4CHUSEHS
DEPARMEATWUNICSVETY
BOARO 0FFR?EPRLVEM0NREGuLA7y0NS527 CAR _12.00
Office Use only
Permit No. - A42 1�
r
I Occupancy & Fees Checked
APPUCARONFOR PERART TO PERF01M ELECMCAL WORK
PRIN ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00
(PLEASE T IN INK OR TYPE ALL INFORMATION) Date
Town of North Andover To the Ins/,)ectdr of Wiri-.,z-
The undersigned applies for a permit to perform the electrical work described below.
Location (Street 6
Owner or Tenant
Owner's Address
Is this permit in conjunction with a building permit: Yes 03--9�0�(�Check 7ppropri=ateBox�)
Purpose of Building Utility Authorization No.
Existing Service __z9f?) AmPY 2 a Volt's Overhead Underground No. Of Meters
New Service Amps Volts Overhead Undergkound 1:3 No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
-u- uL i�igmmg uuners
No. of Lighting Fixtures
No. of Receptacle Outlets
No. of Switch Outlets
No. of Ranges
No. of Disposals
No. of Dishwashers
No. of Dryers
No. of Hot Tubs
Swimming Pool Above Below
T-- of —0il Burners ground rl —'—I
No. of Gas Burners
No. of Air Cond. Total
Tons
No. of Heat Total
Pumps Tons
Space Area Heating
Heating Devices
No. of Water Heat,,rs I KW No.
Sim
No. Hydro MassagL Tubs
f
OTHER-
No. of
No. of Motors Total H -P
No. of Transformers—
Generators
No.ofE eg�e..yLightmgBatteryUmt.,
FIRE ALARMS
Total No. of Detection and
KW Initiating Devices
KW No. of Sounding Devices
No. of Self Contained
Detection/Sounding Devices
KW Local r --J Municipal
Connections
Total
KVA
KVA
No. ofZones
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'lease check one) Owner Aaent
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--Signature or Uwner or —Agent
LicawNo,
Li=wNo Y6 -?'-,9
Busitm Tel No.
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Telephone No. PERA41T FEE $