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Miscellaneous - 33 NUTMEG LANE 4/30/2018 (2)
Town of North Andover IAORTh O ttteo 6'9q. Building Department �,� 9t : ~. `e o 27 Charles Street North Andover, Massachusetts 01845 4 (978) 688-9545 Fax (978) 688-9542 F O coc.xew�w cw , �4��q�TFD PPp`y'(�i �SSACHusr., APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS 3Uhry 7'' L 5 //�7 LOT NUMBER rs SUBDIVISION DATE REQUEST FILED DATE READY FOR INSPECTION FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTING / CONSERVATION . DATE // PLANNING ��" ' ;�DATE yb3 /C) 1 � U �J5zA1.L.r:;D �-ZQ-pl D.P.W. — WATER METER DK %TMJ DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. SIGNA / DOW AUTHORIZATION U) m m m M C/) 0 m C � o =. CA � O CD Cl Z H CSD O 'O Co c cu � c d =' O C09 v CD CD o CL cr d CD =r CD O CD C CD y. CD O y O I CC CO c1*=o m 2 O -• to O Q N MO CA Fc 0 m n O y C! do m Z =rlo H --Im nod = y O m N ••► co O W O O m m m n = o 0 m E, ~' O O N C07 CL o � O m N :� • o ea a CD , y• Cl y _ ffQ gy; CCD to �.CD CD m Cps CD �. m N CD (A a� C/) C/) w 7 d o�° °' me m q m n pp °�' C C/) 91 o y n O � � � � ;�r �• ` ,tel cn � ��1 1�.yy Y y 0 0 c CERTIFICATE OF USE &OCCUPANCY Town of North Andover Building Permit Number 3o(D Date THIS CERTIFIES THAT THE BUILDING LOCATED ON J04 16' ���,3 1y)hm e A A) e- MAYBE OCCUPIED AS S l' J, 01► Iy DW e ll ib l IN ACCORDANCE 1 14 WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. /-O )eov 5j c�?,S 8 ATh5j 3 6fa// vNA6 Z o� AO "' ;,tio CERTIFICATE ISSUED TO AL-Kkuele oc ADDRESS 7& A45eOIn6 , xlckoelP 's,CHUSc� Building Inspector N2 2 nu '15 Date .... ...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that Lc -t/ .- .(f ,� .' .. ........j..... ..0... ................... has permission to perform ..... .......... .............................. wiring in the building of ...... ---4 ... .......... C ... ..................... ..... . ....... . . .. -2 ... North at ............ ...... No Andover,.Mag'6� ,Fee ... 3.7,��A.. Lic. No. ....... ................... ELEcr9fckL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer LX- w1MVAv1 yrrx'n Ill vl' 1 11J Unice ROnly� DEPARTA&WOFPUBLICS4MY Permit No. BOARD OFMEPREVEMONRWUM770AS527CMR 12* Occupancy & Fees Checked PPLICATIONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date l 0 I Town of North Andover The undersigned applies for a permit to perform the electrical work described below. To the Inspector of Wires: Location (Street &Number)Z) CQ/{1� �p �j 1 Owner or Tenant /y nJ "U Q Owner's Address Is this permit in conjunction with a building permit: Yes Purpose of Building Existing Service Amps / Volts New Service Amps /2,62M)Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No r7 (Check Appropriate Box) Utility Authorization No.. Overhead LJ Underground " No. of Meters Overhead M Underground ® No. of Meters f ` No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above 171 Below Generators KVA _ground ground 9No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other 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 O-AiER-- _- hstraroeCo�age Ptasua�tk�thetagt>aana��C>ateralIaws -- Ihaea=atLiabkhmmtoeEbikyffck&tCmVktCLmr mCmeaWcrgstialet�mm -y ES NO IhagestrbmiuedvalidpvofofsametotheOffi= YES • � NO r7 Ifjouhawdiec cedYES,pleiseutdic&theWofaMrd ebydrddngthe Myoprimebcpc INSURANCE M BOND r7 OTHERF-1 (PlaseSpefy) Wait m Start 1-14-61 ... Iran Dade Rid Signed unci e Rvaltis ofpajmy. FIRM NAME Lioat9ev�!' r i S C (n3 lr- J CQ-- Sigrahae D& Eshm&d Valmd lmircal Work $ Rao gA 1. i Cod( — Fatal C CJ LiwlseNa 'jAj" Alt Tel Na OWNER'S INSURA INSURANCE WANER;Iamawatethatthe Lxmsedoes nott�ethe icstaanewyaaWoriLsaksmrlaiacavalaiasm4mWby kbssadilseltsGa>aalLam and dvtmys seonthispeunitappficEbmwaiNesdw (Please check one) Owner M Agent Telephone No. PERMIT FEE N° o 2 u r O Date..../.. ........ .... .. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... ................................................................................... has permission to perform - '-, . I , - le -/ 'e'- �� ............................................................................ wiring in the building of .......... *........... —...'� ...... ............................................ at. -...'D ...................................................................... . North Andover, Mass. Fe6�.t, ...... . ....... Lic. Nog. v.'e ................ iii /............ Check # -'/ -.7-- WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 771EOt)MWIOAWE4L7710FA14SS4CrffUSE7IS Office Use only DEPARTAMWOFPUBLICAMY Permit No. C�)0p"tpseC/7 BOARD 0FMEPREVEM70NRE9JL4T10AS5270 812.00 &115 Occupancy & Fees Checked U19.4PPUCATTON FOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 33 Al U,----'14 E G Owner or Tenant Aw,dd V F /I G4 A-) I7—�. Owner's Address Is this permit in conjunction with a building permit: Yes [2[ No (Check Appropriate Box) Purpose of Building lee S / c%-) 9// a /' Utility Authorization No. Existing Service AmpsVolts Overhead Underground No. of Meters New Service Amps / Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work ,V /2 No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA groundg1:1round No. of Receptacle Outlets No. of Oil Brunets No. of Emergency Lighting Battery Units No. of Switch Outlets • No. of Gas Burners FIRE ALARMS No. of Zones No. of [ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices LocalMunicipal Other No. of Dryers Heating Devices KW Connections of Water Heaters KW No. of No. of .No. Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER ItWM oeCOti PtasuattDtheregtritanaisofTvia�sadt GataalLaws lheNeaamotLiab+lityksr,r=Pdi<ynrkdugCanplete CotmWcrits egtiva YES NO a Iha%esubtnittedvafidpoofofsaretotheOffm YESLLIf} utmtdWcedYES, p6whdc*theNxof'wmagebyd=ki gthe M BOND a OI) &RR a almSpecily) Bqitafim Date / �% — a Estim&dvaluedEktncal wak $ ?,:>o Wakmslatt h�ecdmD&Rec�ed Rail Sigtred under'& Ptrd&-s of FIRM NAME .501// ✓ A r✓ T. OWNER'S INSURANCE WAIVER; I am aodiatmys4mftzernthspeariapphcMatwai%esttt read. (Please check one) Owner M Agent Maul O U Lio WXTO. 9f y S AIt Tel. Na cec} W byMamdaseM G=rJ Laws Telephone No. PERMIT FEE $`J Date..,< ?.. �..f No 4.7 5 TOWN OF NORTH ANDOVER ° PERMIT FOR PLUMBING This certifies that �.:'%t.����.'.(•��•`•••• t>/f!•••••••••• has permission to perform ............................. plumbing in the buildings of ..;�;�.l.l.:'s...:.�:... �:�............. . at ....>...... '�' i..... f / 1, ............... . North Andover, Mass. Fee. <<l. '. Lic. No.. �.! 1..s ... ............... .... ........ PLUMBING INSPECTOR Check # Z-/ WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location I of Occupancy New ❑ Renovation ❑ Replacement ❑ FIXTURES 2v& Date --—ate Permit* 'Amount Yes ❑ No ❑ (Print or type) Check one: Certificate Installing Company Name ❑ Corp. Address ❑ Partner. Business Telephone ❑ Finn/Co. Name ofLicensed Plumber- Insurance lumberInsurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ Insurance Waiver. I, the undersigned, have been made aware thatthe licensee of this application does not have any one of the above three insurance ignature Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code annd Chapter 1142 of the General Laws. ......), APPROVED (OFFICE USE ONLY Type of Plumbing License icense Numoer Master ❑ Journeyman ❑ Date. a� N° �. . n TOWN OF NORTH ANDOVER . 0 - PERMIT FOR PLUMBING This certifies that .... ' '.. ` ` ✓ ``.. • • t 'G has permission to perform ..�.—r . ........ ........... . plumbing in the buildings o.. . .......... , North Andover, Mass. 1� Fee?2s?...-Lic. N �/-'�,3 ......... I.,.:..._� ......... PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH:kNDOVER, MASSACHUSETTS f`_ ` Date 1-W-00Building Location "�a ��M•%'— Owners Name �� C� _�ckk Permit # y L �P N - New Renovation Replacement Plans Subm Yes No (Print or type) ^^ n Check one: Certificate Iw talling Company Name Ph-, %Es(1l,cA,,,��tCQ,-A-� CtoA ❑ Corp. Address �.A -::= lc s` �'i_ay Partner. II► c-,\— M!- . Business Telephone C1 S El Firm/Co. Name of.Licensed Plumber•. "OU, M A -'m Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ® Other type of indemnity M Bond ❑ Insurance Waiver. I, the undersigned, have been made aware that the licensee of this application does not have anyone of the above three insurance h Signature Owner El Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State•Plumbing Code and Chapter 142 of the General Laws. 11 LIG City/Town APPROVED (OFFICE USE ONLY Type of Plumbing License �� icenseum er Master Yj Journeyman ❑ .N N • N 'r • I ., ..I •, i 1 .f'�®��---�--------------�- (Print or type) ^^ n Check one: Certificate Iw talling Company Name Ph-, %Es(1l,cA,,,��tCQ,-A-� CtoA ❑ Corp. Address �.A -::= lc s` �'i_ay Partner. II► c-,\— M!- . Business Telephone C1 S El Firm/Co. Name of.Licensed Plumber•. "OU, M A -'m Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ® Other type of indemnity M Bond ❑ Insurance Waiver. I, the undersigned, have been made aware that the licensee of this application does not have anyone of the above three insurance h Signature Owner El Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State•Plumbing Code and Chapter 142 of the General Laws. 11 LIG City/Town APPROVED (OFFICE USE ONLY Type of Plumbing License �� icenseum er Master Yj Journeyman ❑ 3UJ Date. ./..//..:�... .. rl TOWN OF NORTH ANDOVER �L p PERMIT FOR GAS INSTALLATION This certifies that ..................... ................ . has permission for gas installation ...... ? ... .............. Z' �. in the buildings of .........' . t : - :.:...`.` ? ................ at % ........... , North Andover, Mass. Fee x- Lic. No.../. �.....,.; .... . GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNTFORM APPLICATON FOR PERMIT TO DO GAS e or print) P4VAIn ANDOVER, MASSACHUSETTS Date _/� 190-) Building Locations '3� ��2T �v�s�e. ��C % / permit 6-3 r Amount S � 3 Owner's Name New a Renovation ❑ Replacement ❑ Plans Submitted ❑ (Print or wtie)G Check one: Certificate Installing Company Name vv\� CLku-a 1 v��iYl� �5 �n� �E{LA 1"t1v� ❑ Corp. Address ltd `z*1•:r19. VSL ❑ Partner. _ \ O -A Wt Y-,\ -,�, - Business Telephone cv-�- rl_ rEl-Firm/Co. Name t`d Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes Q No ❑ (fyou have checked ves, please indicate the type coverage by checking the appropriate box. Liabilin, insurance policy❑j Other type of indemniry ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws. and that my signature on this permit application waives this requirement. Sisnature of Owner or Owner's A Check one: Owner Q Agent ❑ iicrcov certtry mat au or the aetaus ana intormanon t have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations pertormed under Permit Issued for this application will be in compliance with all pertinent provisions ofthe :Massachusetts State Gas Code and Chapter 142 of the General Laws. By: Title CiryiTown .A-PPRO'v"ED(uFric:: usF f1NLY) Signature of Licensed Plumber Or Gas Fitter Plumber `11_11:;� �— Gas Fitter icerise ivumoer Master I-1 Journeyman .r (Print or wtie)G Check one: Certificate Installing Company Name vv\� CLku-a 1 v��iYl� �5 �n� �E{LA 1"t1v� ❑ Corp. Address ltd `z*1•:r19. VSL ❑ Partner. _ \ O -A Wt Y-,\ -,�, - Business Telephone cv-�- rl_ rEl-Firm/Co. Name t`d Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes Q No ❑ (fyou have checked ves, please indicate the type coverage by checking the appropriate box. Liabilin, insurance policy❑j Other type of indemniry ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws. and that my signature on this permit application waives this requirement. Sisnature of Owner or Owner's A Check one: Owner Q Agent ❑ iicrcov certtry mat au or the aetaus ana intormanon t have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations pertormed under Permit Issued for this application will be in compliance with all pertinent provisions ofthe :Massachusetts State Gas Code and Chapter 142 of the General Laws. By: Title CiryiTown .A-PPRO'v"ED(uFric:: usF f1NLY) Signature of Licensed Plumber Or Gas Fitter Plumber `11_11:;� �— Gas Fitter icerise ivumoer Master I-1 Journeyman N2 26D1 � Date .......�Z/ v TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .......... ........... has permission to perform�1' 7-..../.........�.....�� ......................... wiring in the building of .,I.L&I r.ai-: .................................................. at ..........�.....L7 . , North Andover, Masg. Fee.. .�%...� Lic. No. /..i ll/ ........ u :.......I....11.`o... Y .... X ELECTRICAL &SPECTOR Check # 2 ZA / WHITE: Applicant CANARY: Building Dept. PINK: Treasurer utticlal use unly i� Permit No. _ Pldl& Occupancy & Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) Date To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. (�► Location (Street & Number-/-/ 3 J Wf l l Owner or Tenant 1U " ` Owner's Address 96 _D Is this permit in conjunction with a building permit Yes ❑ No ( (Check Appropriate Box) /j V `, L v `:60Purpose of Building Utility Authorization No. v 4 Existing Service Amps Voits Overhead ❑ Undgmd ❑ No. of Meters New Service Amps Voits Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I h nt Liability Insurance Policy in g plated Operations Coverage or its substantial equivale E - N - ave ub , d valid proof of same to the Ice YES NO = If you have checked YES please indicate the of coverage by checking the appropriate box INSURANC = BOND = OTHER =e Specify) (Expiration Date) Estimated Value of Electrical Works Work to Start Inspection Date Resquested Rough Final Signed under the Penalties of perjury: FIRM NAME _LZ Oft -P -14.g , � W • s LIC. NO. y NO. Bus. Tel No. v 1 7 Address,` pSLt Aft Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMITTEE tco_ (Signature of Owner or Agent) Total No. of Lighting Outlets No. of Hot fuse No. of Transformers KVA Above ❑ In ❑ No. of Lighting Fixtures Swimming Pool grnd ❑ grnd ❑ Generators _ KVA No. of Emergency Lighting No. of Receptacles Outlets No. of Oil Burners Battery Units No. of Switch Outlets No of Gas Burners FIRE ALARMS No. of Zone No. of Detection and Total r No. of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No. of Di osal No. Pumps Tons KW No. of Sounding Devices No./ of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices ❑ Municipal ❑ Other No. of Dryers Heating Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Bailases Wiring No. Hydro Massage Tuds No. of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I h nt Liability Insurance Policy in g plated Operations Coverage or its substantial equivale E - N - ave ub , d valid proof of same to the Ice YES NO = If you have checked YES please indicate the of coverage by checking the appropriate box INSURANC = BOND = OTHER =e Specify) (Expiration Date) Estimated Value of Electrical Works Work to Start Inspection Date Resquested Rough Final Signed under the Penalties of perjury: FIRM NAME _LZ Oft -P -14.g , � W • s LIC. NO. y NO. Bus. Tel No. v 1 7 Address,` pSLt Aft Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMITTEE tco_ (Signature of Owner or Agent) Location t0f /5 0-33 bt)�ft) 1 N. J No. 3c)(D Date l c / -0 (-) NORTH TOWN OF NORTH ANDOVER • OG s Certificate of Occupancy $ BuildinglFrame Permit Fee $ s4CMU5 Foundation Permit Fee $ D O Other Permit Fee $ TOTAL $ Check # 30,09 - v i Building Inspector ! TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR- RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: goo DATE ISSUED: s SIGNATURE: CCoo Building Commissioner/I for of Buildings Date JL' 1, 11%A4 1— J11 r, W UKLVIA110N 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: R05--? S:�s%r 9 ,/li 73 lGs sF 23 P,3-3 Zoning District Proposed fj'se I Lot :area (sf) Frontage (ft) 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Re red Provide R red Provided Required Provided v 1.7 Water Sg41y, M.G.LC.4O. Sri) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public l� Private ❑ Zone Outside Flood Zone Municipal On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record eA 00,V51 Name (P ni) Address for Service —7% C)o SignaTure Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor. _ Not Applicable 0 A Licensed Construction Supervisor. C) y' 9* , �d9-S �r�� /1 "J � � %/� �� License Number Addre, C Ly�J� Expiration Date ¢nature Telephone 3.2 Registered [-tome Improvement Contractor Not Applicable 0 Company Name Registration Number Address Expiration Date Signature Teie hone SECTION 4 - WORKERS COMPENSATION (XG.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes ....... No ....... ❑ SECTION 5 Description of Proposed Work (check all applicable) New Construction if Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee Multi lier 2 Electrical (b) Estimated Total Cost of +� U 7 8 ISO. Construction �(6 3 Plumbing Building Permit fee t,) x (b) 1 , ��. 4 Mechanical (HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) roW• Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 14//t6 �26i15 , as Owner/Authorized Agent of subject property Hereto authorize. �vdltsff/i ©"'SJ� 10'rY-1 0,94,p to act on My beh• a 1 inrglative to work authorized by this building permit application. Sint t of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION Z S'7' Z% 14 1. (p 'b&_ //Zy 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. e Sta t e owner/A2ent Date 1"NO. OF STORIES l SIZE 5 -- BASEMENT OR SLAB SIZE OF FLOOR Tl1vIBERS 1 2' SPAN M ENSIONS OF SILLS r M4ENSIONS OF POSTS DIlvIENSIONS OF GIRDERS HEIGHT OF FOUNDATION i THICKNESS /v SIZE OF FOOTING X d MATERIAL OF CM4NEY IS BUILDING ON SOLID OR FILLED LAND o i IS BUILDING CONNECT ED TO NATURAL, GAS LINE 9 S Growth Manea cern ent F-YI21 / Exemption Statement Town of North Andcver Euiiding Cerartment iritis font Shall be used la assist 'he Suildind Cecart—rent in ;their .eterrninaticn of axem,ct:Cps uncer sec tcn i'own ef,Nerth Andover Grc th .Management yiaw. Tie 7uidinc accllcant shall .rcvide all of',`.e ^ecssaarr infcrnaticn as requested below. Narre Ci A.,L'ciicant Cn Sulldinc 'Crmit te!cw) r'�CrcSS Cf =racer/ :`Cr=c!'-;,'I (`'eicw) Map and Farcal : Pur-cr-se of,;cpiic'::ticn (Cnec:< be!cw) Fhcne Number cfAcclicart L/Single Family I''NC F_mu;i 9xR' 7f4—o�'77 1 the undersigned applicant ,cr the above proper"/ attest that the attac::ed building permii cr'.vhic t this fcmt is =mpieted dces =mciv with the "<ENIP7CN sec:icn 3.7.5 of the Ncrh Andcver Grcwth Management Ey!aw. I also underand providing this ,crr-, dces not absolve ,,rne cr any Farr tc this permit from the recuirernents of obtaining ether permits required cricr to the issuanca cf the _uiicing Further I undersand that my interpretation of the =—<F AFT.CN status is subiec; cc rzview 'cy the Suildinc Cerartment and is only cftit:aily at=pted when the Building Permit ig issued. Eased or sericn 9.7.6 of the Ncrt"t Andover Growth Eylaw the above lot and the 'N&< as acoiied fcr cn the abcve Iet, in the building permit application and aszccated atta&ments, c: mclies with one cr mere of the following sections as Incicated by a deck mark. This is art acpli=ticn fcr a building permit for the enlargement, restoration, or req-.nst;sc:cn a' a �Ne!ling in existeeres as of the effewve date of this by-law, provided that ne additional residential unit is cmvec. 11e ict(s) wereiwas eeated prior 'a May 5, 19e6 are exempt from the provisions of ;his Secycn I. of ;he =aping yiaw. i nis apcflcticn is or dwelling units `or low and/or mcderte inc: me families or individuals, where all of the craltiens of 8.7.5.aare met and/or represents Cweiling units for senior residents, where cc ,canc/ of the units is restricted to senior persons thrcugn a property executed and retarded deed restncticn running with the land. For purposes of this Sec an "senior" spall mean persons over the age of °E. �I This apolicaden is a Dart of a development preiec: which; voluntarily agreed to a minimum 401; permanent re:cuct—cn in density, (buitdacle Icts), below the density, (buildable lots), permitted under :ening and feasible given the environmental canditicns of the trap, with the surplus land equal to at least ten buildable aces and permanently designated as open soacs and/or farmland. 1 -he land to be preserved shall be protected from deve!ccment by an Agn=itural Preservation Resmccn, Conservation Restriction, dedication to the mown, or other sirnilar mechanism approved by the Planning 8earc thatwiil ensure its protection. This apptictlen representz a tract of !and existing and not held by a Cevelccer in c cmmen cvnershio with an aciacent pard an the effective date of this Secten 8.7 shall receive a one -lime exemcticnf; �m the ;r-!anned Growth Rate and Cevelopment Scheduling provisions far the purpose of can pard. strung one single family dwelling unit on ;he This application represents a Ict Nhich is ready fcr building permits.(t.e. all other permits from all ether boards and =mmissions have been received and the project is in compiiance with those permits), and the Ceveiccment Sc..eduie does not ac=mmcdate issuing a building permit in that Year, one building permit will be issued per Year per Cevelccment until suc^. time as the Ceve!eoment S&,,eduie ac=mmcdates issuing building permits. Applicant must suapty approved fort U with this E(OAMIGN. Please provide any and all information that would assist the Suiidine Cecartment in makinc a determination that your application is allowed one or mere of the abcve E;<E)jIFTiCNS. Ey signing be!cw I attest to the acruracl of the information provided and that the attaG.ed building permit is allowed an E:<E3jlP7CN as cted above. Further I understand that the submittal of misiead!nc and or inacr •rate infermaticn, or the G-ec.cing cff cf an above item which dces not comply, whether acne to my kncwie' r nct, is grourd1 s fcr refusal by the Euiiding Cecartment to issue a Euilding Permit. '. Signature at Cwner or Autnonzec Agent'Hne sic . A.ttaceq =uucmc Permit Gate 'Ms lam must be a=ched tc the duiiding Permit upon apciicntien for suer permit 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 obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT 0011A/ adII /0 PHONE g7e 7 /1-06 ASSESSORS MAP NUMBER 3 LOT NUMBER SUBDIVISION g4? hAk LOT NUMBER STREET .fig" & STREET NUMBER 3& OFFICIAL USE ONLY RECONIlVIENDATIONS OF TOWN AGENTS DATE APPROVED 6 Z Q CONSERVATION XDMINISTRATOR DATE REJECTED COMMENTS �SS�!/\ I✓ C (� C yr StY . L ^ S ./a PLANNER COMMENT'S FOOD INSPECTOR - HEALTH SEP CTOR- HPALTH DATE APPROVED ("Ve/ 0y DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED 4. , DATE REJECTED COMMENT'S PUBLIC WORKS - SEWER / WATER CONNECTIONS 6 i n �41 DRIVEWAY PERMIT W/0 /0 DATE FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR 5 -3r -cn Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 DEBRIS DISPOSAL FORM NORTiy F q,y O �t�eo �6i O O lb Argo �9SSAC}Il!`-►���5 In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit # the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in /at: Facility location ignature of Applicant Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. ine Commonwealth of Massa&usetts Department of /n�ustral��cc;cents ChIce of Investigations � A A A Boston, Nass. 02 � 1 l 1'1crkerc' Ccrncensaricn InSurance .`+iiiCa /it Mame imame• %fin 4eeh 001kil t_�c-cicr• 9l ��� �� 4 1i�. Citi //Tydvv>✓�t �%� =hone = c%%�-- -7,407 QI am a hcmevwrer per c.rmina all werk myse!f. CI am a sole prc netcr and have nc cne 'Ncrkine in any c�pac: y F7I am an e.rcic`Jer/�rcvidirc'NcrkerSI =mpensatition fCr i eTFicvees 'Ncr<inc cn t! -,is jct. �� Compare name• f�' _41 L gA (7,N ,Z `¢" D,!/C 'address 9 0"g ON.. �tidB'% A aA c'Icre 073 Camcanv nacre: Address Cih�- -hone Irsurarce Ca F;riure to sec re ccvera4e as re=urd urcer sr= en ��� cr v1GL 1 °= con Iesa :e the ;rrc�iiicn cT c.r,'r perafties cr a nne uc to SZ.ECO.CO ane'cr one yews' irrorscnrnent s .Ye!! as avwi penalties it Lhe r.c.-m c: a S—, CP WORK CFcCa= and a rine cr (51CO.CO) a day :gsirst rre. I unde:'stana that a c #y d ',"s _tmefrer:.may 3e icr.Varaec to the Ci•`Ce d Invest.g3ticrs c7 :.`:e 'ciA. `cr cCverzge vertf ttcn. 1 C? RefeDy C3ffT}/ URG3f the C21RS aRC --enalfieS CT ce`JUr / that ae iRlCRT7agCR FrcwCed aLLve is :n'e and Signature=te Print name ��Ju� S' �, ,�/. /g /fib Chcne T 97� C"tc:al use only ce riot write ;n this area :e ce cc^c.et°r'cy c::/ cr:^'Nn cmazl C;ty Cr i cvn r, .a/L csrsmc .f .ir mer:ate resp .ase s ec u:red C Euircirc Gest C L�c�ns;rc =pari, G Ct,7er MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.01 Release 2 CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 HEATING SYSTEM TYPE: DATE: 6-9-2000 TITLE: ABBOTT VILLAGE PROJECT INFORMATION PAUL ST HILAIRE 96 DASCOMB ROAD ANDOVER MA or 2 Family, Detached ether (Non -Electric Resistance) COMPANY INFORMATION:- J&J NFORMATION:J&J HEATING & AIR COND 17 ARLIRGTOU. ST___ DRACUT MA COMPLIANCE: PASSES Required UA = 677 Your Home = 615 SALEM ROAD TYPE L39R 3 8' /'// a. cds Permit # Checked by/Date Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value U -Value --------------------------------------------------------------------------- CEILINGS 1899 30.0 0.0 WALLS: Wood Frame, 16" O.C. 3023 13.0 0.0 2 GLAZING: Windows or Doors 366 0.460 1 GLAZING: Windows or Doors 42 0.490 DOORS 39 0.600 FLOORS: Over Unconditioned Space 1899 19.0 0.0 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 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 Massachusetts Energy -Code MAScheck Software Version ABBOTT VILLAGE SALEM ROAD DATE: 6-9-2000 Bldg. Dept. Use I 2.0.1_. R e a -%P _ 2_ TYPE L39R CEILINGS: 1. R-30 Comments/Location WALLS: 1. Wood Frame, 16" O.C., R-13 Comments/Location WINDOWS AND GLASS DOORS: 1. U -value: 0.46 For windows without labeled U -values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location 2. U -value: 0.49 For windows without labeled U -values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: 1. U -value: 0.6 Comments/Location FLOORS: 1. Over Unconditioned Space, R-19 Comments/Location HVAC EQUIPMENT: 1. Furnace, 92.0 AFUE or higher Make and Model Number 2. Air Conditioner, 10.0 SEER AIR LEAKAGE: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. 1 VAPOR RETARDER: [] Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R -values, glazing U -values, and heating equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] 1 Ducts shall be insulated per Table J4.4.7.1. DUCT CONSTRUCTION: [ ) All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. SWIMMING POOLS: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.): PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4 Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant 1 below 40 1.0 1.0 1.5 1.5 1 CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.): PIPE SIZES (in.) NON -CIRCULATING CIRCULATING MAINS & RUNOUT HEATED WATER TEMP (F): RUNOUTS 0-1" 0-1.25" 1.5-2.0" 2.0+ 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only)------------------------- —EASEMENT 1711 / iI fit 16110, 1 r %t_.,. / 4/ i 1 A15 ALL SUBSURFACE C171 ADM/N/SMArOR PR/OR (ZAGS 43—N TO 1717 HAYBALES AS DEP/CTE FENCE, AND ARE TO B ADM/N/SMAMR. 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O Z `—a U O E � L ca O O ca O `� Q) �` 2 ., V E E O to `a Q O O 3 � �° i O 9 -Q F- . w % Dl B ca Cn .+3 G O —_. 6 E Ql Ql a to E N D S co O O 6 O O -� Ltu O . 43 ei- — N M v 111 �9 r Cli iJ O fl N `° O c6 ca �r.J O i-_ 111 �i S u- I - E 67 ca ca LL v' E Ul 9 X J yJ A� V O L) U U E 9 E O r N m IE U r O O d) V Q% 13 2 C O > O 0 u n� h �-a a u 3m 43 Cc �M c E ra' o s +�ca U M O o Ji,L — d3 O O �i3 co lu a 03 `n U O U c 1L _ N HT1 N CU Nt O N O O O O h cYl 6] ca O 01O Q `i O� °� go ca 7a O `� O Q 1�U •QJ dla,_ CU =3 u O N E3 QCL 40 CU UU O ,oU� O� ♦ OO�O O N m Q�1 O O -O c -ra ca �, cv O O O �? Z3 U t O`.. M O OIC > `a �a�X— � �' t�2 iN J-- — O a.9— O OONO� co \9 2 �a vI L cn U t �, O p N N U O S 'o S ca in O Os O U O M O U U N O O E S cp U � QS r" � ♦ � � � E n".� M � M U O Q O cq ca43 \ O O N � � O t O — ca U c -�-� O O O • X- S ca Ln M s M c10 K In 43 O ° cq43cu Zn �p7 O� p�jLaO� ��� �V u� �OQf N p a O U u co O m 0 ca N O O 0- N ca — O DI m cU Q) Q L- -�-� O U lit U s 2's N ca -Q m O T c � � fl � N � N � E � � � fl A) � `a O � V � � � U O U � `g a o a 4 E ism -0 L 7a ?, ai = `° O `a a L Fa E -c Q "' E l i E a 0 iQ =31�- •N O° t� ' ui V ` E L i. N .� ,� c c U O O `� O O O __ Q O E O O .ta O O ca N .. O Z `—a U O E � L ca O O ca O `� Q) �` 2 ., V E E O to `a Q O O 3 � �° i O 9 -Q F- . w % Dl B ca Cn .+3 G O —_. 6 E Ql Ql a to E N D S co O O 6 O O -� Ltu O . 43 ei- — N M v 111 �9 r Cli iJ O fl N `° O c6 ca �r.J O i-_ 111 �i S u- I - E 67 ca ca LL v' E Ul 9 X J yJ A� V O L) U U E 9 E O r N m IE U r O O d) V O u h a u o c ca M O o M O � N a 03 `o ap °� A �> SA E 21 oj O-iL�'a O� � C,;M -� N CU Nt O N O O O O h cYl 6] ca O 01O Q `i O� °� go ca 7a O `� O Q 1�U •QJ dla,_ CU =3 u O N E3 QCL 40 CU UU O ,oU� O� ♦ OO�O O N m Q�1 O O -O c -ra ca �, cv O O O �? Z3 U t O`.. M O OIC > `a �a�X— � �' t�2 iN J-- — O a.9— O OONO� co \9 2 �a vI L cn U t �, O p N N U O S 'o S ca in O Os O U O M O U U N O O E S cp U � QS r" � ♦ � � � E n".� M � M U O Q O cq ca43 \ O O N � � O t O — ca U c -�-� O O O • X- S ca Ln M s M c10 K In 43 O ° cq43cu Zn �p7 O� p�jLaO� ��� �V u� �OQf N p a O U u co O m 0 ca N O O 0- N ca — O DI m cU Q) Q L- -�-� O U lit U s 2's N ca -Q m O T c � � fl � N � N � E � � � fl A) � `a O � V � � � U O U � `g a o a 4 E ism -0 L 7a ?, ai = `° O `a a L Fa E -c Q "' E l i E a 0 iQ =31�- •N O° t� ' ui V ` E L i. N .� ,� c c U O O `� O O O __ Q O E O O .ta O O ca N .. O Z `—a U O E � L ca O O ca O `� Q) �` 2 ., V E E O to `a Q O O 3 � �° i O 9 -Q F- . w % Dl B ca Cn .+3 G O —_. 6 E Ql Ql a to E N D S co O O 6 O O -� Ltu O . 43 ei- — N M v 111 �9 r Cli iJ O fl N `° O c6 ca �r.J O i-_ 111 �i S u- I - E 67 ca ca LL v' E Ul 9 X J yJ A� V O L) U U E 9 E O r N m IE U r O O d) V CD O lo, 00 c v -} U) 00 F Un C cn0n I D D rn o CrjCC)O --j NO �� -P 3Vn" M." t CJt•1 WN-' n� a �Xm. X 90 o a 0 �• �• AO o toCt Co O o N x I a `cca CA o W O a c N C (n n rTt � oa a cncvcilI ° o�• �a o � o c C �a 5 CD O lo, 00 c v -} U) 00 F Un C cn0n I D D rn o CrjCC)O --j NO �� -P 3Vn" M." cq N u� C you O 0 c0 U O m 'n O Q to o O.Om�O O fl -m O O O� O � N ^ O � c x00 N ta ` U �+ X x � � Q NO �' Q� — ctrl F IY 44) QI lu nM N N N N C(1 i N U to , U � U � :z S S �-I--N CIA N Q7 N N LL O O VV JJ X O N , Cfl CU � s co ..0 II-� N O .� .0 ` � Z � L u6��o—' O 0 U- O D U U r z� z Z a O N u� C you O 0 c0 U O m 'n O Q to o O.Om�O O fl -m O O O� O � N ^ a a (L N ta ` S Q � - Q� — ctrl F IY 44) QI lu nM N N N N — , cv N U to , U � U � :z S S �-I--N CIA N Q7 v N LL O O VV JJ X O N , Cfl m � � N O OL- ` � � 6 o r Z a O N OL u- Y Ic C € oo d o 114 C S qD OO U a m a cn Q1 `" n �x E �, O U c0 r r c0 r r cZ = Z all CV (� GY u� C you O 0 c0 U O m 'n O Q to o O.Om�O O fl -m O O O� O � � N ^ N ta i Q (P , Q� 2 QI N N N N N N cv N U to , U � U � S S �-I--N Q N Q7 v N LL O O VV JJ X O N , m � � N O co � 6 do Z a O N OL u- Y Ic C € oo CO G C S qD -13 E Q r c0 r r c0 r r cZ = Z � CV (� GY — CU 10 N 91 U -4C N - N N u - ISID O ca V Q 'Q —1 to to V Lu E— O O X r— — uCU O t+l € m.r. � .0 x E E -0 N U .a ,a u U � .F .a L2 y y 0� r u u -C E `n w =3 O 0 O a O O a O �-� ° c c N :3 52 U U Sl U U S� U +� cQ O m p II O F- n M 03 x x N N N10 u - open �- OLL p --4 � ,� � 0/ U LU 1U Z U u— Cocu O O O O O L- (� LL to O] O O} O O} �toc cA N in �O � � N ^ N i Q (P , Q� Uv O O S S �-I--N Q N Q7 v N LL O O VV JJ X O N , m � � N O co � 6 do Z a O N OL Ic C S CO G C S qD -13 JE M� t0 CU Co e m = X X Q J j LL CV (� GY — CU 10 N 91 -4C N - N N u - ISID O ca V Q 'Q —1 to to V � N O O F O i Q (P , Q� Uv O O S S �-I--N Q N Q7 v N LL O O VV JJ X O N , m � � N O � 6 Z a O N OL S C S S Q C S C W � m m = X X Q J j LL CV (� — (( 10 N 91 -4C N - N N u - ISID O cv N C N -4r N N N Lu E— O O X r— — L2 y y 0� N73 F x XO x x N N N10 u OLL p 0 QC O 0/ U LL Z U U E O O Q1 ,o OOO CU m 0 U l 1 ly -E— u U "' 'a , �-C U &.� (3 pat E' ca w h QJ Cs Q3 U U � U m Q3 tD 7 �O O O m� rn� 4D cc mo Cc O fD O C M O y O f" L) M O O M m � N n Ln n' O fl M o � N O O n M m m u St, co 1-4 a~ O O F O �-I--N Q (A �V -9 O N � 6 -4C r Co O cv N C N -4r N N N f" L) M O O M m � N n Ln n' O fl M o � N O O n M m m u St, co 1-4 a~ 3'0" 15V 18'0" �v m 0 ,o" Is CD > O a• a• 0 CL CO o . -a 3E � 3 ai '�`� y. y 00C II II yr b tn F o 0 w o q. 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RM w � /+ Q? p p N r C d N V ,j1 O N A N rim �-+ grcr n s w m a w CIO- qp _a R0. 6 a? t1 8_ ac � m � ° � � 6c `I! lba Q IL n �m flt =,p a p— Q a Z� 7 �6 cr a0 g �r57CL � ooda ° s ETth00E to O O (i A '� s O p* 10 c� Q n P R o o LnIt O S M p �PIII cA Sb RCP Q -s - I A 0 KrA U 0 N � CO X N 111 111 � 111 111 h 111 111 U 111 111 111 L 111 � III 111 X 111 N 111 111 I 1 1 u C II 10 DulDplig 10 oulljoluao m 7 IIOI` 11 OI ^ II OIlo� L.L /1 yl N - ° Ngo 1 a co 0 Wit' o o - r T Q3 Z= N N N � U -0 ca 0 N � CO X N 111 111 � 111 111 h 111 111 U 111 111 111 L 111 � III 111 X 111 N 111 111 I 1 1 u C II 10 DulDplig 10 oulljoluao m 7 IIOI` 11 OI ^ II OIlo� L.L /1 yl 0 N � CO X N � � h @ U (] p r u C N � X N � � h L O m CQ L.L ..� Q q Q N - ° Ngo 1 Cn O u x X M - r T Q3 Z= N N N � V � � Q -0 ca O o ca `- -p O CV N m .� L a .l C) Q�� C c"L ,�^^ ,5DN O ON cq —cj 1 Oc CU 0 � � � N CA mS3 em 'Q N L L-4 O C Qi Q Oi � Uu L 0 � V � � Q -0 o ca `- -p :r MA M A �► a .l C) Q�� C � -a 1 ON Z— s0 mS3 em q) O 0Q Ca ^ N lYi "a' lid o .Q N ,n T- Lo 7 Q - QD FAR', T 3 Lo cc CP p�<�o -# 13 R 10 8 1/1(0'(4) = 8' 9" 10 2x10 CU OL N -o� O O >L v � J � L --r -o� O v � J � L L � O � O � >G QI 4 O~ U t �a u° 93 U Ul I CU L CU 0 O - t° c � 4� cc m O � � 0 cc Cc Q1 u Os . S:3 Vrn rn� � -C c > ^ -' u M� C,4 O aL -4 QI 33'Y - Approx. Building Height (96" studs) 4' 7'-8' (�/-) , I'-1" 8'-4 1/2" 8'-4 I/�" 11/4" I'b" (96" stud) (96" stud) I 1 i IIS m3'A I i� cp �s inI Q (D WE E >n U7 a �- -r miSS�a�Q- O � m X [in 40 O L O LL F Co L- JUL c: 'A V! zi Fix m • .1 03 � •-• 93 C SP S lL O o O_ Q CL O O � 0 0 1L x N N !1 N lO 1� N s O 03 03 Qi 03 9 X Q V U — U �— r S � � � ® V 03 E � •� � � O m U � � O � � • .1 03 � •-• 93 C SP S lL O o O_ Q CL O O � 0 0 1L x N N !1 N lO 1� N • .1 03 � •-• 93 C SP S EO O_ JZ - � O C) O m L'Ll IXn O 0 1L x N N !1 N N r, 93 v 0 Qom -0 O Cq 0 ate s O 03 03 Qi 03 9 X Q V U — U �— r S � � � V 03 E � � � O U � � Lu �'-8„ (+/—) 1•_1" 8'-4 1/2" 10" 8'-4 1/2" 11/4to io '10 (0 (9(O" stud) (96" stud) I I Ico Q� �• � 1 1� 1 1� I 1 �. IIS- �• I I I 1 0 ti i= 3 1 N O ' 1 x O I 1 Ul m ?p O x Q U-0 D- -6 0 W AN. EL g W 1 ti i= n O 1 =I u� c Q1 coCL O � �— t U l� go �O u Li � m O EU O U40 E Q `• ca � F A Q �p U CCU W � (L NZ O Q u O O cnn U , =I u� E ca O Q c Q1 coCL m O � �— t U l� go �O u Li � m O EU U40 O ca %5 CCU W is- Lj- 000 f C i— E ca O Q A, w �- O CIA E3 8 4IXx �a � c Q1 coCL m O � �— t U l� U- �O u E � m O EU O ca %5 is- Lj- A, w �- O CIA E3 8 4IXx �a � c m O � �— t U l� U- �O u � m O ca %5 -u N X m N o -70 Q M p n � On.Om� �0 n �• N L � mo�cmUt G� �i7ROE F17R03 m c W(rtD ♦ • o� ` cp -Q cc0 ILI 3 i C: � O c� m Cp � Q SID = s -wl a D Q b• O (Q (D �, fll " Ill " ° W O � (� � m O O O ''O/ Lo cp ♦ .fir m �c D� �• m- m W ♦ , ti --4 m N o O O_ O co O O n W o a. �• 1—t � (Q (�D m O �_ A —4 Ut W =F w E 6" v:tm0 O L� P D Pkv' Pi Pkv• D CQ O N a'Ip (�D � (.fl 0000 C �` p -tt ;q P 070 7070 �i N -^ o� JO D w w .�, to o w 7- CTt ♦ pv --4 O Lo i' yp r LO 0 ut (bcn � �_ UY p c.o d. �. yr KY O po A Lo CD Q (gyp cn tP W m 3 Q O (� Q O E O � Q � � O m fl W m FE OOOO O o 0000 0000 ��W W 7r Occ O �lTrVtlTt W 41CTt6� `�CQ(II LQ n�taW W 6� mlb El 11t4�-=0� W_l(pp N lQfl'- O i1 QCQ p (d CQ o� N X m E o -70 Q M p n � Oa+ n �• N L 7 mo�cmUt tom- 1 „ 4,010 3 m < co W(rtD ♦ • o� ` cp -Q o an m m ILI 3 i C: � O c� m O � Q SID = s -wl a D Q b• O (Q (D �, fll " Ill " ° W O � (� � m O O O ''O/ Lo cp ♦ .fir co Q Q ob D� �• m- n y ^S W ♦ , ? w m N O_ O O O O Ut Ut o a. �• 1—t � (Q (�D m 2 A CP Ut W =F w 6" v:tm0 O L� P D Pkv' Pi Pkv• D CQ N a'Ip (�D (.fl IT ;q P 0 O -^ o� JO D . P •� U3 Dul pv W Q N QP a KY �. Q fl_ (gyp cn tP m 3 m r•- _ E Q G C fl W Q" M lQfl'- O i1 QCQ p CQ Q7u N N X m E o -70 Q M p n � Oa+ n �• 7 O tom- 1 „ 4,010 3 m < co W(rtD ♦ • o� ` cp -Q o an m m � 3 i C: � O c� m O � Q SID = s -wl a D W� 7r (D ti E ^ ]Cl.. tD 3 a -" 9 �" D b' •" T Q 1 b ' itpi �+- W n O O O ''O/ Lo cp ♦ .fir co Q Q ob D� 0-0 O � c ♦ , ? w w fi O_ O O O O Ut Ut o a. �• 1—t � (Q (�D m a A CP Ut W O L� P D Pkv' Pi Pkv• D Q. (.fl N ;q P 0 -^ o� JO D . P •� U3 Dul pv W Q N QP a C _ m r•- _ Q G C Q7u N N X m E E -70 Q M Cal n � Oa+ n �• 7 Si tom- 1 c 3 m CS W(rtD ♦ • o� ` cp -Q o an m m � 3 i C: � O =S m mON SID = s -wl -wl W� 7r (D ti E ^ ]Cl.. tD sa Ob m r' m C o T Q Q N � �+- W n O O O ''O/ Lo cp ♦ .fir co Q Q ob flf 0-0 O N O O ♦ , ? w w fi O_ O O O O Ut Ut W a. �• 1—t � (Q (�D m a W 7-0 � CP Q7u N N X m E E -70 Q M Cal n � Oa+ n �• �6 (D n n c WIN m c � ■ � f'�' W(rtD ♦ • UT l0 ` cp -Q o an m m � 3 i C: � O =S m mON SID = s rn Q ii El ^ ]Cl.. tD sa Ob C T Q Q i3 t- oo 0Ij E E -70 Q M Cal pm Oa+ n �• �6 c abr- m c � ■ � f'�' W(rtD ♦ • ab rn cp -Q N (D 3 i C: � O =S m mON N N lV ii El ^ ]Cl.. tD Ob C T Q Q �+- W O 7 N � ''O/ Lo cp ♦ .fir co Q Q ob 3 G� F 0Ij ur m E -70 n 3 M Cal �Q sr _ n �• c abr- � CD c � ■ � f'�' ♦ • ab -1 E d (D 3 i C: � 3 G� so 0Ij ur m E N m k �Q CP c abr- ♦ • ab -1 E d S 3 i C: O O =S mON N lV ii X 6 X C ^ ]Cl.. tD Ob m T Q Q �+- W O C.F. N � ''O/ Lo cp ♦ .fir co Q Q ob flf 0-0 O ♦ , ? w w fi m c �j . E � a. �• 1—t � (Q (�D m a W 7-0 � CP Ut W (D a, G (.fl 3 so 0Ij d N m m �Q @1 c 23 or °i n (0 -1 SIP S 3 i C: O O =S (0 02 ii X 6 X C ^ ]Cl.. tD (D m T Q Q O FL ''O/ Lo co Q Q ob flf 0-0 fi ♦ W m � Q LID•= fi m 3 •'A d N m m �Q a � -1 SIP S 3 i O O =S 0 C C n� m O FL ''O/ Lo flf fi fi •'A 70 ?U a Ut W G 0 Location No. ` t) Date NORTH TOWN OF NORTH ANDOVER A • w ; , Certificate of Occupancy $ ,Ss^CMUSEt Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check / Building Insp� or 1 / /6 �r /S PLAN OF LAND P /N 33 NO* AND 0 VER SCALE.• 1 ' = 40' JULY 26, 2000 HAYES ENG/NEER/NG, /NC.► 603 S4LEM STREET CML ENGINFERS & WAKEf7ELD, MASS 01880 LAND SURWMRS M. (781) 246-2800 / CERTIFY THAT MIS FOUNDATION /S LOCATED ON THE GROUND AS SHOWN, AND THAT /T CONFORMS TO THE SEMCK REOU/REMENTS OF THE ZONING BY-LAWS OF THE TOWN OF NORTH ANDOVER. / FURTHER CER77FY THAT TH/S PROPERTY DOES NOT LIE WITH/N A FLOOD H47ARD AREA (ZONE A OR V) AS SHOWN ON FLOOD INSURANCE RATE MAP COMMUN/TY PANEL NUMBER 250098 0010 B,• MIT DATE JUNE 15, 1983. MOF MASSq --- - ------------ --- - -- ----- ---- PROFES AL LAND 40.00 N39'22 24 Ir ;= •092 37 NUTMEG WAY N3626'577' 14 ZONE.• R-3 MIN/MUM SETBACKS - FRONT = 30' SIDE = 20' REAR = 30' w H 77' O um Z O W Pw-+ CU c c 1`0 ro Q1 in .D c 3 0 ai ro u u u1 2 cu n cu O ri u O C aDCL E , cOf ac � cwul4J- L �k�il o tA- 4- c m W 4i1 O 7 in m cn , t t4l �� m u C L ajin pin a m V 1. d� 0 c a *" 0 rQ S � ` �`• c CSO a �-- O V ca c N Op R C . m= CD L 0 3 s: .1: � � O 0 .r. E O� O a0 ca f. Q�..�aIRK0i aa) a� O r=" N W Oa) 0 C N u p °cv N EL W U 00- O C E � 'C aa� r CL t O W Pw-+ CU c c 1`0 ro Q1 in .D c 3 0 ai ro u u u1 2 cu n cu O ri u O C aDCL E , cOf ac � cwul4J- L �k�il o tA- 4- c m W 4i1 O 7 in m cn , t t4l �� m u C L ajin pin a m CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number s5l/ �d Date THIIS CERTIFIES THAT THE BUILDING LOCATED ON /`� # /0 � ��� V MAY BE OCCUPIED AS IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. %0 RcWMI ),S /3,971/ 3 S-fJ // !/NAS-er CERTIFICATE ISSUED TO ,��`� ✓� `'� �-'�✓ 60 ADDRESS JtJ Ili i'(/ Sl ,,✓c�. �I L �U�Z 's�CHUS Building Inspector TOWN OF NORTH ANDOVER APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION , ADDRESS/LOCATION OF PROPERTY: 46 a n> DATE REQUESTED FILED/READY FOR INSPECTION 14110101 y la Dl CLOSING DATE ON PROPERTY: 7/0/ FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND PERMIT SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY DOLLARD $20.00) .WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES':' , SIGNED ROUTING CONSERVATION PLANNING DPW - WATER METER NOTE: DPW MUST INDICATE THAT WATER METER HAS BEEN INSTALLED PRIOR TO UBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW��— Signature 2 no 2! 4 Date . 59 . / ........ No TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... ............. ..... r� - ....................................... has permission to perform ............ :� ....... ......... I ............... .. ......................... wiring in the building of ........ .............................. .......... !. .... . .7 . .... t.................. .......... . . ......... / ................................. .North Andover, Mass. 2 Feed...... ..... Lic. No ............ ........... I ..................... ......................... ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 1111: LAALr VI" yrrr-il In yrl13 urnce use only r DEPARTMENf0FPUBL1CS4FL7Y Permit No. c �a BOARD OFF7REPREVEM70NREGU ATIOI KS 527CMR 12W Occupancy & Fees Checked _j. UVPPLICATIONFOR PERAff TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 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 pen -nit in conjunction with a building permit: Yes ® No (Check Appropriate Box) Purpose of Building -C / ,�.!h � IA, / Utility Authorization No. Existing Service Amps / Volts Overhead Underground E3 No. of Meters New Service Amps / Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work IJ tl Ye -7 U r A77 /z M No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA ground El ground No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other 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- layra Ir>,strarreCaa�age. Ptasuar4krthetagtstaTtarLs�GenetalLaws iha%eaamutLdmkyhumxPbbcynid,gQxrpWOpaa6cmComaWcrksaisbnUeWivalent YES Ef NO Ihaw stbrittadvalidproofbfsarnetotheOfceYES 'NO r7 Ifjuuha%edvckedYES, pkmsemdc&thetWofwaaWbydiadnthe INK ANCEE BOND OTHER ftaseSpactfy) Expitzdm Dk Work io Statt3 d FEstirr>t kd Valw f 3eWxa1 Wodc $ 41 o 6 e U C) IRM NAME � / tJ �} U A." /4 r/T, 'i' �L /i- r/L � tlioa�_ �d /�/1Y D. �S(1l/�yGl'�sigl> re �` d —�•�� ` ,� •/�y�LiarrseNo �i �SG ie ,n Bzs xssTe L Nh 926q— -66.2-- toV7 OWNER'SDNSURANUWATVMlama%kmht#rLxffwdomict acrdthatmysigrrattseonthispmntM)ficmrwainthism4m n -a (Please check one) Owner a Agent Q AIL Tel Na % bstar>tial ec =6tas teq=J by MMxhsM General Laws O� Telephone No. PERMIT FEE $ 7 � N° r% 7 ;' 5 Date../A/ ... ............ TOWN OF NORTH ANDOVER PERMIT FOR WIRING 1) l rc This certifies that ........... �� .......... ..�. ��........ �.,1.......... �. f . � ......................... has permission to perform N P .. ,:� c>' 1 t �' .....................u........................................................ iwiring in the building of ..... n . c. �i �1 .�1..........fi��.J!'�..� ............................... at . L � r � " " .�Z, North Andover ,Mass. .,. Fee.6 ���. U `� Lic. No ..... . ��............t??!............................. ELECTRICAL INSPECTOR Check # �� U WHITE: Applicant CANARY: Building Dept. PINK: Treasurer v\ TB OOADIQAE+ LTHQFA14SSS4CHUSE77S Office Use only � DEPARTAfENTOFPUXJCSAFEfY Permit No. BOARD OFFMPREVEMONREGM770AN527CMR1200 ' Occupancy &Fees Checked APPLICATIONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 ` % (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat Town of North Andover To the Ins ector, 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 © No (Check Appropriate Box) Purpose of Building U' NO L r,4M /1 y f W i G t_.2 ,!/y Utility Authorization No. Existing Service Amps Volts Overhead 1:3 Underground No. of Meters New Service Amps Volts Overhead [=] Underground © No. of Meters �— Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 1 <A& Awf t_ r /V& No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Ligh�ing Fixtures Swimming Pool Above Below Generators KVA ground El ground No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipala Other No. of Dryers Heating Devices KW No. of Water Heaters KW No. of No. of Connections Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER hstrxneCaea� Resu�bthetaqtrirar�lsofMa�t�Gena-alLaws Ihawaa>rTutLiaK*hstm=Po yurh&gCt CagraWcritsabsurideVivala>s YES NO IhawsubmftdvabdprxfofsametotheOffm YES FJ NO M If}wha%cc miWYES,pk"mdc&thetWof vwWbydrdmtgthe WSURANCE BOND OTHER Work m Sratt hWecYion D*ReWestod Signed urdx'&Rmh se9f..paw a N , _ FITRIUMN M. ft"Speffy) Estimated VahledUednd Wotk $ IC W. d Feral -l"�._ i hessTel Na Alt Tel Na OWNER'SYNEURANMWAfVMlamawatet adrLiomwdoe W CataalIam and that my sigtr�eernthis peangapphcation wars dlis tac�mera>< (Please check one) Owner Agent F-1 Ch—e- dO Telephone No. PERMIT FEE (s m m m U) U m CD o c CCD a: cm CC CD CO) .0 CD O O _ co) 0 C O C CO) m d CD 0 _ CD CD P. CO) CD CO) 0 co O C CD m cn C� m m rn � L K!, r'4 0 M a n<< r - m m rn z O C S. n �i co ��CD aN � CL to? j m m N ;�: CD C CCL,CL O .W N �� C5 H '� • IS w 1CA � c .� cS CA Z CD CD CD 1 � cp c o o = =1 ca 7 D N I;i 0 Ctf _ C "dZ —• CA < Q G -IOQ0. C b n rnO o o C7 0 =i 1` Z H C! d CO') ? � y �C T T �• rn CD —10 m N 0 CA V oftv� o IE mm: m a O co --ft p C17 O C S. n �i co ��CD aN � CL to? j m m N ;�: CD C CCL,CL O .W N �� C5 H '� • IS w 1CA � c .� cS CA Z CD CD CD 1 � cp c o o = =1 ca 7 D I;i 0 Ctf _ C "dZ w G -IOQ0. C b n M� j9w r 1` C cpM n C17 x I 0 0 y 0 9 0 c