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HomeMy WebLinkAboutMiscellaneous - 335 FOREST STREET 4/30/2018 (2)w w cn T 0 m CO 1 m m m Date .... 4!.474". TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ........ Q::�PA ... ............................................. has permission for gas installation Ak Pra,-4r . ..................................... in the buildinf gs o ................................................................................................................... ................................ North dover, Mass. Fee.�.^q-) ..... Lic. No. LP??J . ..... Check # /,37 -?63F 1-6U27 G TYPE OR PRINT CLEARLY CITY MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK MA DATE. PERMIT # JOBSITE ADDRESS' 3 cc &= ST. OWNER'S NAME i tTZ, OWNER ADDRESS iS r . cckmU gvr.-„ _. , .,. TEL OCCUPANCY TYPE COMMERCIAL EDUCATIONAL + RESIDENTIAL NEW: APPLIANCES Z FLC BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FRYOLATOR GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM / SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER RENOVATION: Ej REPLACEMENT: El PLANE• :UBMITTED: YES"L- NO11 BSM 1 2 3 4 T 5 f 6 7 8 ' 10 I 11 12 13 14 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGI. Ch. 142 YES _ NO Lj I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY BOND OWNER'S INSURANCE WAIVER: I am aware that the lice see does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER ,� AGENT I—.. SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accu a to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliancewL Pertinent provi ion of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME liLICENSE #i L d , r SIG RE MP MGF JP JGF LPGI CORPORATION F;#� c PARTNERS #1_ _ __ _ LLC 3# COMPANY NAME: �ADDRESS CITY 1N,^U�j STATE ZIP�a , 2 �fJdr-� FAXI� CELLI �//GtEMAIL, txvorwTJ� }_v+cf o j�cd�. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Invest1gadons 600 Washington Sheet Boston, MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit Builders/Contractors/Electricians/Plumbers Apalicant Information.' Please Print Legibly Name (Business organization/Individual): Townsend Oil Company, Ine, Address: 27 Cherry Street PO Box 90 City/State/Zip: Danvers, NA 01923,<s: Are you an employer? Check the appropriate box: 1. ® I am a employer with 60 employees (frill and/or part-time). 2.0 I am a sole proprietor or partner- ship and have no employees working for me in any capacity. [No workers' comp. insurance required.-] 3. ❑ I am a.homeowner doing all work myself. [No workers' comp. insurance required.] t Phone #: 978-77.7-0700 4. F] I am a general contractor and I have hired the sub -contractors listed on the attached sheet. These sub -contractors have. employees and have workers' comp. insurance) 5. [] We are a corporation and its officers have exercised iiheir right of exeiription per kGL c. 152, 6I(4)„and we have no empldyees. [No workers' comp. insurance required.l Type of project (required): 6. E] New construction 7. ❑ Remodeling S. M Demolition 9. ❑ Building addition 10. F1 Electrical repairs or additions 11. ❑ Plumbing repairs or additions .12.❑ Roof repairs 13.❑ Other -Zy nppncan[ MIK cnecxs oox a i mus[ also mr onrtne section below showing their workers' compensation policy.ipfomotion. t Homeowners who submit this affidavit indwi ing they are doing all work and then'hire. outside conttactots trust Submit a new affidavit indicating such. *Co�aotors that check this *= must_ attached an additioW sheet showing the Dumb of the sub-conhactors and state whether or not those entities have employees. If the:sub-contractors have employees; they mast provide their workers' comp policy aumber, I am an employer that is providurg workers' compensation inserranceformy employCM MOW. �s tkepolicy and, job site information. Insurance Company Name: h Pr;�ca►Ync ( t t^y c. P) Policy # or Self -ins. Lie. #: �? LuGG.D 0M0/y/2_ ExpirationDate:�. 2 sy f Job Site Address: 3 r4S?' S -T. City/State/Zip: th o y��• Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonrneM as Well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator.. Be advised that a copy of this statement may be forwarded to the Office of Investigations of theRIA for insurance coverage verification. I do hereby Gerd, u erthe pains and enaNO ofPm*rY that the inforbWen provided above is true and correct Si tore: laz/ rte• �— / % / j use only. Do not write in flits area, to he completed by city or town officki City or Town: PermitlUcense # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other Contact Person: Phone #: it Thiscertifies that..�U......�...�.......................................................................................... has permission to perform .... wiring in the building of.............................................................. .,.i12.y,.,`� at .................. ��....�.......... t- ,Q� o.. ....... ...... , North Andover, Mass. �1 (/ '�0Ga . �&. Fee... ......`........ Lic. No..�........ .0 ................... ...f ..............:..:... ELECTRICAL INSPECTOR Date:51 ....` ........ TOWN OF NORTH ANDOVER PERMIT FOR WIRING Check# 1C)1(Zz Commonwealth of Massachusetts umciai use u iy Department of Fire Services Permit No. "J Occupancy and Fee Checkid BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date May 22, 2015 City or Town of. North Andover To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number 335 Forest Street Owner or Tenant Rita Gavelis Owner's Address 335 Forest Street Is this permit in conjunction with a building permit? Purpose of Building Residential Existing Service Amps Volts New Service Amps Volts Yes ❑ No Telephone No 978-283-2299 (Check Appropriate Box) Utility Authorization No Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ No. of Meters No. of Meters Number of Feeders and Ampacity Installation of 35 indoor recessed lights and switching Installation of 20 KW gas generator v Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑In- ❑ rnd. rnd. o. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS I No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiatin Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Numer ............... Tons .. ......... .... KW ....................... No. of Self -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of WaterKW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work (When required by municipal policy.) Work to Start 6/1/15 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: 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 ® BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: Roy Spittle Associates LIC. NO.: Licensee: Nicolo Taormina Signature QpZ LIC. NO.:—] 4918 (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 978-283-2299 Address: 5 Heritage Way, Gloucester MA 01930 Alt. Tel. No.: *Security System Contractor License required for this work; 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) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: ,--r5 � � a ki i, , . C ... , . . 1 1 � i .. � 'r 4 The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 swww mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name (Business/Organization4ndividual): Roy Spittle Associates Address: 5 Heritage Way Gloucester, MA 01930 Phone #: 978-283-2299 Are you an employer? Check the appropriate box: 1. ❑ I am a employer with 25 4. ❑ 1 am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 3. ❑ 1 am a homeowner doing all work officers have exercised their myself. [No workers' comp. right of exemption per MGL insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.0 Electrical repairs or additions 11.0 Plumbing repairs or additions 12. ❑ Roof repairs 13. ❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: A.I.M. Mutual Insurance Company Policy # or Self -ins. Lic. #: WMZ-800-8006575-2014A Job Site Address: 335 Forest Street Expiration Date: 9/11/15 City/State/Zip: North Andover, MA 01845 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct Sicnature: ��—��`-�-�� Date:5/22/15 9782832299 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: May.19, 2015 10:11AM Town of North Andover No -4744 P. 1 GENERATOR APPLICATION DATE: LOCATION:�-3,3y foe-,eS7- OWNERS NAME: �S GENERATOR kw 02 6 NO INSTALLATION OR GROUND ®ISTLIRSANC'E OEFORE APPROVALS* CONTRACTOR: 6 c (" ' PS PHONE NUMBER: Gl %S- - R S-3 - 2-2-1I 1 ELECTRICAL RESIDENTIAL GAS COMMERCIAL TEMPORARY LOCATION OF GENERATOR: O ✓t/w, ko-Llse *ZONING DISTRICT: *PLANNING APPROVAL (IF IN WATERSHED) *CONSERVATION! APPROVAL Goosle earth feet 100 meters 40 tp1 i � 4 Y fi 5 8 / + North Andover MIMAP May 26, 2015 106A-0225----' _. to -.-_�tcr. `->;.:'.-.._�-:_-:�. -":•• ��---:..---::�_ 106.A-0082 -� :ii..-••= #306 .:-:.-.c:. .:. •:• =:_ -::_ `:•�: :c.: inti � alio __. uJl #295 106.A-0013 I� •�_ ..13aLt. � .yL 106.A-0014 ...... ... :.:- #328 �'::`:.. Ddu:•,�'•..:"act'`"':.: .._ #326 sj& 106.A-0083 106.A-0215 #327 ;i: S`�� #340 106.A-0193 \ '•fit 106.A-0192- \ #350 #360 106.A-0218 #333 #335 R1 106.A-0015 #370 106.A-0012 106.A-0217 a11/� --:_: ___— :..,cc-:_...;;.._;- :: _: y�rr-:•-....;;__- ::: ulu .. -::..... #355 - ::'. -= =,alu - •• --..__:_. :.'?`J ` ::::: 106. , 034 #38 - a31id'-._:::''�u.. _.. 106.'A::0629.- _ : _::_ arc ?:�_ .L -.---'.._';I.'.I; _ ,�lu . •:.' .. all ¢ ...... au(t : •-.:.. at11i ...... ' a :...::: :...:.. 38 1r` iW.A=0149 `::-: :::_::::�Ju.-..:: .•_�:`:'_'=-:=alio::::=` 106.A-0130 -:::��:_=:::_.•��:'�.:.:L-.::i:°=::'�;�u._�•.-:_: _v_.tt:_..T=-._:.: ;`::I:-� -yi #393 '.�S•J=C ; �.-;•.a1Ju..:.= ..... ..r : i:'. �. aSlu •u...�-• � =�_.. •-- :_ :iQ6:A-0028;= ulu..:_:: •:'.:_:-;;: .:::•. •-'.-::_... "a•Jcr :. _._... _. ayu .�:_: .. • -.. ?'a-u . ._ :: a.... .:_ ::._.. ...::: a�lu...:. ?11tr .:' :::: .._._. :::::.:: • �altr. •: _ :::_...... ....... • �ltr. •: =:: •::'vJ/i :::::_ • a� ::. y.:1061A-0136,.' ' ::=:•-106:A-0O16�`:s-.._.-.-.:::';1: .:__.=�•a3J�r.:::_:"".i; .:_:_ .. ..`•='•:: aW.u.:::.::'a11tr. • .,_ - •aldt� •"':::- ....t;..: i'J,u :'�.':::" • - .106.A=:0156-'..• — Rall Line`. Wetlands Zoning Interstates 0 Exempt Lands '- Busine — I O Busine s 1 District s 2 District Horizontal Datum: MA Stateplane Coordinate System, Datum NAD83, — SR ■ Busine ■ Busine Roads ■ Genem it Easements U Plan- s 3 District 5 4 District Business District Commercial De NORTM Of t1a O j �� • O Meters Data Sources: The data for this map was produced by Merrimack Valley Planning Commission (MVPC) using data provided by the Town of North Andover. Additional data provided by the Execullve Office of Environmental Affalrs/MassGIS. The Information depicted on this ma is P P C Conido E3 MVPC Boundary O Corrido E] Municipal Boundary ■ Corrido Induslri Development Dist Development Dist Development Dist 11 District 3 � O /� �' 9 for planning purposes only. It may not be adequate for legal boundary definition or regulatory interpretation. THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES, EXPRESSED OR IMPLIED, CONCERNING Zoning Overlay C Indusin 12 District t "s THE ACCURACY, COMPLETENESS, RELIABILITY, OR SUITABILITY Adult Entertainment D Induslri Q Downtown Overlay District 13 District F • Y ti i OF THESE DATA. THE TOWN OF NORTH ANDOVER DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF E Industri © Historic District r Protection Reside PJ Water I S District ce 1 DistrictTHIS 3�+b++no �(°� INFORMATION Reside O Parcels n a"ride ce 2 District ce 3 District ss�Nll� O Hydrographic Features de dem •de ce4131,16 5 Disldd — Streams 1" = 154 ft ce 6 Districl " e esitlenlial District NDate.... 2 j1-- TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...................................... . . . ......................... has permission to perform7--�rp - -. .......D ........................................................ wiring in the building of ........... ..... . ....................................................... at.4 ......ef5e ....... ................. . North Andover, Mass. Fee "5�7—'..!r�.. Lic. No/�A . . ....... . ....... o-/... .. ............. ELECTRICAL INSPECTOR T WHITE: ApIpk/P99 14:61NARY: BAP.QCbepPAID PINK: Treasurer THECbMMONWE4LTHOFM. 4MCHVS= Office Use only DEPARTMEVTOFPUBLICSAFM Pertnit No. BOARD OFMEPREVEMONREGVMTIOAN527CWR12•l10 UAPPLICATION Occupattcy&Fees CheckedFOR PERMIT TO PERFORMELECMCAL WORK - ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andovei To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) .? 3 6-j o2K �� Sc Owner or Tenant GA Vr G/ 5 Owner's Address SS T. ri�Yl��/�L�L �' /3 5 Tach X - Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building Si�644-- [ y /V�)e-7e Utility Authorization No. Existing Service Amps/ Volts Overhead Underground No. of Meters New Service 0 I Amps /2o I Volts Overhead Underground No. of Meters -Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs IhawaaYtutLialkykam=Pc ymduchigCar#Ae�°nsCotetagecrils%k&wt lequi%rdkit YES NO No. of Transformers M Total Ps1SLRANMo BOND o OTTER o Flewe)ExpiationDat �� EsM-gkd Vakteo11h7 ftnl Wade $ KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA Bt6ress Tel Na , Cb8 cr 8,1 ground Ak TeLNa round Cord Laws anddvtmysigu�earttaspel ntapphcabmwanesthista*Mmlem No. of Receptacle Outlets No. of Oil Burners ` L! �� No. of Emergency Lighting Battery Units PERMIT FEE $ 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 o Connections a a?o. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER Ir>StrxtoeCaecag� Rasuat'tl�thetugtmat>�CrenetalLaws IhawaaYtutLialkykam=Pc ymduchigCar#Ae�°nsCotetagecrils%k&wt lequi%rdkit YES NO Iha,,est>t TiodvalidptodofsanetotheOfne YES M NO IfjouhmedvidodYES, pleaseirdc*therpecf'e maWbydrdangthe Ps1SLRANMo BOND o OTTER o Flewe)ExpiationDat �� EsM-gkd Vakteo11h7 ftnl Wade $ Wak io Start /- 'Zl 9 �1 k D*ReWRoLo YII L. FmW 1rY. G Sigte U-AXTie%ultiescfPelJ y: FIRM NAME T 1 �[� G��ZI C 6 4-a L- Lioaisae �I/�iy 14-661 Sig�tae Bt6ress Tel Na , Cb8 cr 8,1 Addte �� 2 �/�- /� Z�/ti S c�•'y� Ak TeLNa OWNER'SINSURANCEWAIVMlamawatethattheL=wdo utt Cord Laws anddvtmysigu�earttaspel ntapphcabmwanesthista*Mmlem (Please check one) Owner M Agent a ` L! �� Telephone No. PERMIT FEE $ Location 35� l �� z e S � ST- % No. 3 Date HpRT�y TOWN OF NORTH ANDOVER • p� C p d Certificate of Occupancy $41 Building/Frame Permit Fee $ �'�s'"•" Eta' sws cHu Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ CN Water Connection Fee $ TOTAL Building Inspector �j 1270 " Div. Public Works " Location ''No. Date - NORTH TOWN OF NORTH ANDOVER Oft..° •'�'% Certificate of Occupancy $ + : Building/Frame Permit Fee $ s�cMust Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ P Building Inspector Div. Public Works rn I z X 9 LU y F LU zz a z U -� � G w z 0 N d to cv X G Q N O - z Z �<� < 3 x z Q °c o z W �o o y - m _iz Z U tJ z U z O = Z (� - N w y,,0 uV V 7x_ _c L Y Y Z N— ¢ F�M O O Q U � Z L - C. - Q w u < w L Z Z z z w z } 1 w > M z - a LL - c m _ Z F N ¢ O M ¢ ¢ w w 3 V ¢ N Q z z z 4 c z z z ¢ N- -_ z z z�°°° m c -�:J r_1 .., L Z 7 x = ,n n :n y 9 � O —_ rte•' z X 9 LU y F LU zz a z U -� -- I Towu,of 120 Main Stmo, 01845 NORTH ANDbVER Wayl _� q7? - ol� PLANNING & COMMUNITY DEVELOPMENT DE140TATIOIL_OF BUILDING AFFIDAVIT DATE 9-wim s Nm a ADQms M\l A5 c5pwc 1 is 2>35 _'IFXre-sV _S+-Ycc LOCATION OF PROP= TO DEMOLISH �a Far(t>± DESCRIPTION T -I ►-,f c5 oc Ic -in re si&, _e__ COMACWR # S NAME & ADDRESS KiLld_-n,,'_3mdtr4 tu_)zrcpgi� W) Ma4n 'PLA4 YJH nsu 3 63.3 ovc;- i 4,=4 D DEPARTMIMT SIGN -OFFS DEPT. OF PUBLIC WORKS - WATZR F �W q-09 SEWERjAf GAS ELECMU(Z._. TELEPHONE r POLICE_ %j FIRE FMTERMINATOR DMOSTER - ON/OFF STREET DIG SAFE NUMBER96_/4Pj 23.65:��3 ��>9 DATE RECD ALD0. INSPECTOR KAREN H.P. NELSON BIJIMINC, (A)N�iWYATIQN HEALTH PLANNMG -- I Towu,of 120 Main Stmo, 01845 NORTH ANDbVER Wayl _� q7? - ol� PLANNING & COMMUNITY DEVELOPMENT DE140TATIOIL_OF BUILDING AFFIDAVIT DATE 9-wim s Nm a ADQms M\l A5 c5pwc 1 is 2>35 _'IFXre-sV _S+-Ycc LOCATION OF PROP= TO DEMOLISH �a Far(t>± DESCRIPTION T -I ►-,f c5 oc Ic -in re si&, _e__ COMACWR # S NAME & ADDRESS KiLld_-n,,'_3mdtr4 tu_)zrcpgi� W) Ma4n 'PLA4 YJH nsu 3 63.3 ovc;- i 4,=4 D DEPARTMIMT SIGN -OFFS DEPT. OF PUBLIC WORKS - WATZR F �W q-09 SEWERjAf GAS ELECMU(Z._. TELEPHONE r POLICE_ %j FIRE FMTERMINATOR DMOSTER - ON/OFF STREET DIG SAFE NUMBER96_/4Pj 23.65:��3 ��>9 DATE RECD ALD0. INSPECTOR Li 1�4 aU D O "Cl ri rA co LLJ w 94 3� �D CD log O a' a 4 C 9-0 C O W A C. CO) �v C w rxto ° w° c� c. w Q c� C w C ria 8 cn O cn LLJ E N O N C O 73 cm m 12 cm m 0 CM C s O t r.+ 0 Z O 0 i PW-, .H I! r z O U J .TIT NQS co O CO Z O D w CDCOO) .CD L CLO C O co C.3 cc COD O .y C O cc CO) cm 0 CD i w 3� �D CD O O a' a 4 C 9-0 C O '0 O Z coO C. CO) \ C C 7 L G =:9 m o z s �. o. N E5 CD � Q 0 V O N ; C ' : CD CL w ' N W m m o Z' N m 3 c' m `� . m • _ o N A m m O H O � C t woci.f Ci . C. Z voQS Q t m C W c O :S Z •Go C!. C E 06 may' 3N ° v0C.3 LU cm 10 LI* d ID O ti .a O` N = 1� �O A Z w O.•=..m E N O N C O 73 cm m 12 cm m 0 CM C s O t r.+ 0 Z O 0 i PW-, .H I! r z O U J .TIT NQS co O CO Z O D w CDCOO) .CD L CLO C O co C.3 cc COD O .y C O cc CO) cm 0 CD i 3� �D CD O O a' a 4 C 9-0 C O '0 O Z coO C. CO) \ C 3877 Of n 4" Mw ko A A, ',S AcwUS Date /`//. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that A, . "V.. eA /e'? ....................... has permission to perform Ai:� plumbing in the buildings of ... (5?14 .................. at .......... !North Andover, Mass. FeeN574V/ ... Lic. No.9.-7c.-J .. ....... ................... �� PLUMBING INSPECTOR 12/01/98 08.35 525.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer (Type or Print) �; •• ,,;i:.:' , .; NORTH ANDOVER ,Mass. -4. ' • Oats: l �y' Building Location v� �5�r�� ST` Permit Owners Name New -j Renovation Replacement [j Plans Sybmitted II ' FI XTURF • z w .. z x < to of an O x X 1 W W o = Z a O93 a W Y< vi a a �• K V V p• Q. a: C3 Gn W >. F N = a Q 07 z {L a cc W O O W < m QW: 2 a W W Q c J O C 0 Is. W=< i Y a cc a O L_x i < w tt ISG W Y J Oa W Q Q J = H N W O < fC O Q SUB --%BS MT. BASEMENT IST FLOOR 3 3 1 2ND FLOOR 3RD FLOOR ATH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR BTH FLOOR V 46 (Print or Type), Installing Company Name SNL- Check one: Certificate ® Corp. /5-35— 5-3 Address �(� ��r Address /� A Partner. /'-�) A D 2,1 -7 1 Firml Co_ Business Telephone -7,:�J G(os" 066 Name of Licensed Plumber: I�Ro /4- evy= _ Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: ' Liability insurance policy � Other type ,of indemnityEl Bond Li Insurance Waiver: I, the undersigned, have been made aware- that the licensee of i this application does not have any one of the above three insurInce coverages. Signature of ownerlagent of property Owner Agents% ❑ 1 bemby autify Wat all of We dctsils and in(oanaalion I 14a•c submillcd los cnlcacd) in atao.c ArMitatiow awt 1#0c aN�Carats to d w eau 0/ ulp k"mitadp wad tha/ all plumbing wosk and inslaltalions loci (nsmcd undo f crud( ilsucd (of this applicatiow will be V coNspllawp -Uh 44 patio" PW rjsiottat of the Ma"acltusctis SUtc Irlusabiaj Codc and Cluptcs 142 of (tic (:casual UWL • . .1 4 By Title-. City/Towns .A DDRf1VFr) 70FFICF USE ONLY) Signature of Licensed Plumbez Type of Plumbing License License Number Master ❑ Journeyar" ti N2 0 41L ,SSA cm This certifies that Date........ .... .... ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING .4 .:�X) .......... 4-1- ......... : .................................. has permission to perform . ................ ..................... wiring in the building of .......................................................... ............................................ . North Andover, Mass. Fde,� ..... Lic. No/-.). .............................................................. EILEcrmcAL MpEc-wlk 10/05/98 12:39 50.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Office Use Only Permit Nc- ry�G eiJ%%�%%�tr'G�r/GJ%�rrrtl dT %iJlrssl'��i+2�s�/ /s 7 °6 P Sw�ry Occupancy & Fee Checked _ BOARD OF FIRE PREVENTION REGULATIOtMRC12:00 APPLICATION FOR PERMIT TO PERFORLECTRICAL 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) Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Date /0_Z__ Q 9 To the Inspector of Wires: Location (Street & Number Owner or Tenant -;5—f(" V Owner's Address Is this permit in conjunction with a building permit Yes m ----No ❑ (Check Appropriate Box)��^ Purpose of Building /0,– Lk/ �o �JSstr Utility Authorization No. " 1l L�), Existing Service Amps Volts Overhead ❑j / Undgmd ❑ No. of Meters New Service s/DD Amps , . U Volts Overhead (!Y Undgmd ❑ No. of Meters Number of Feeders and Ampacity Locanon and Nature of Proposed E!ectical Work OTHER: INSURANCE COVERAGE Pursuant to the requiremen6ts of Massachusetts General Laws I have a currem Uabdity Insurance Policy including Completed Operations Coverage or its substantial equivalen�YEfco_ NO = h submr valid proof of same to me Office YES = NO = If you hive criecked YES please indicate the erageby checking the appropriate box NSURAN = BOND = OTHER = (Please Specify) C ` Z 7 -!2 9 f (Expiration Dat�— EstJmated Value of Electrical Work$ ✓�� �% Wort to Start/D- Inspection Date Resqussted Rough Final Signed under the Penattles of perjury: FIRM NAME ?)(F L �o, lv - UC. NO t �17�Uc� 9 Ucensee�L.V /`"Ul/�o�Lit�( Signature c1 L/ UC. NO. �y Bus. Tel No. sU� 8 ' G %ddress 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. PERMIT FEE S----- -- (Signature of Owner or Agent) Total No. of Lignteng Outlets No. of Hot fuse No. of Transformers KVA Above ❑ In ❑ No. of Uqnting Fixtures Swimming Pool gma ❑ qmd O Generators KVA No. of Emergency Ugnting No. of Recectades Outlets No. of Oil Bunters Battery Units No. of Svntcn Outlets No of Gas Sumem FIRE ALARMS No. of Zone No. of Detection and Total No. of Ranqes No of Air Cond Tons Initiating Devices A Heat Total Total No. of Oioosal No. Pumas Tons KW No. of Sounding Devices No./ of Self Contained of Oisnwasners Soace/Ares Hearing KW OetectiONSounding Devices ❑ Municipal ❑ Other V',, Na of Driers Heating Devices KW Local Connection No. of No. of Low Voltage No, of Water Heaters KW Sins Bailases Winn No. Hvdro massage Tucs No. of Motors Total HP OTHER: INSURANCE COVERAGE Pursuant to the requiremen6ts of Massachusetts General Laws I have a currem Uabdity Insurance Policy including Completed Operations Coverage or its substantial equivalen�YEfco_ NO = h submr valid proof of same to me Office YES = NO = If you hive criecked YES please indicate the erageby checking the appropriate box NSURAN = BOND = OTHER = (Please Specify) C ` Z 7 -!2 9 f (Expiration Dat�— EstJmated Value of Electrical Work$ ✓�� �% Wort to Start/D- Inspection Date Resqussted Rough Final Signed under the Penattles of perjury: FIRM NAME ?)(F L �o, lv - UC. NO t �17�Uc� 9 Ucensee�L.V /`"Ul/�o�Lit�( Signature c1 L/ UC. NO. �y Bus. Tel No. sU� 8 ' G %ddress 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. PERMIT FEE S----- -- (Signature of Owner or Agent) Location .33 ,5 Fe No.-�ODate TOWN OF NORTH ANDOVER Certificate of Occupancy $ ,S0 Building/Frame Permit Fee $ a a f Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ � o Building Inspector 12@@/5 16:06 2,325.00 PAID Div. Public Works n Location Date NORTH TOWN OF NORTH ANDOVER f?O• `(``O ••,�Oo9 Certificate of Occupancy $ Building/Frame Permit Fee $ CMUS Foundation Permit Fee $ sA Other Permit Fee $ Sewer Connection Fee $ r` �Iater Connection Fee $ TOTAL $ Building Inspector 11/10/98 16:06 2,325.00 PAID Div. Public Works 0 z El s N iJ r Y i C4 Ui z v ro cq w N N y ill C4 Ui z v ro N 6 w z N a lFL' L �Cn z ac z o A 77w u U Q W W W NS' w N N W C r � a' t�t►�n� {{ tCtyy7,,,, � V NNS N N Z z z z z w J W G V) m N 6 w z N a lFL' L �Cn z ac z o A 77w u U Q W W W F- Y W la V N N 7 LU z r &�A M {{ 4J a �n Z Ci G m �lJ F- Y W la V N N 7 LU z 15 I/ � oma/ Oct 4 e? -,b bnapvg `o/ %,�� p J n toll i FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from ' Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. 78l+1y_z2�O PPLICANT FILLS OUT THIS SECTION' APPLICANT f�l�GG ��r�✓T/l��s' PHONE f LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) Q.�,r w STREET :2:4 ��� �� ��_ ST. NUMBER ******'OFFICIAL USE r a RECOMME A I S OF TO AGEN S 00� ONSERV AT10 A INI RATOR COMMENTS TOWN PLANNER r COMMENTS DATE APPROVED DATE REJECTED_ FOOD INSPE R -HEALTH TIGJSPECTOR-HEXLTH COMMENTS DATE APPROVED DATE REJECTED. DATE APPROVED DATE REJECTED- DATE APPROVED DATE REJECTED_ PUBLIC WORKS - SEWERMATER CONNECTIONS DRIVE Y�PERMIT FIRE DEPARTMENT GSC RECEIVED BY BUILDING INSPECTOR ///- S --'5; o DATE C EO 09/02/199.8 11:11 7814619651 MCCUE INSURANCE AGCY PAGE 01 y yto, DATE (MMIOD" AC ` PRODU= : THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE McCue Insarancs Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 10S Zastern Avenue, snits 206 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Dedh4ok UK 02026-45151 COMPANIES AFFORDING COVERAOE phmaNm - 61-9454 FUN& 781- - 651 COMPANY A The Maryland INSURED COMPANY B Hull Xaterpriams, ilia. COMPANY Laarel Decker C ---- - 97 Nerriok Road Boxford Mil 01921 COMP C�p1t�RAGE6 .. : • • • THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANOM ANY MOVIREMENT, TERM OR ooNDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISMED OR MAY PERTAIN, THE BNSURANCE AFFORpEO BY THE POLICIES DESCROW HEREIN IS SUBJECT TO ALL TM T@RMS, EXCLUSKM AND CONDITIONS OF SUCH POLICIES. LRAITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER LTRDATE POLICY EFFECTIVE POLICY EXPIRATION LRNIR3 ONAMCVYY) DATE (MMMO" OENUMLIAOLRY GENERAL AGGREGATE $1000000 x ODMMERCIALGENERALUABiLITY MING Assll 09/37./98 08/31/99 PRODUCTS -00MROPAGG $ 3,000000 MANS MADE D OCCUPY PERSONAL 8 ADV INJURY $ 100000 OWNER'S& CONTRACTORSF'Rur EACH OCCURRENCE S 500000 FIREDAMAGE (Any owfiro) s 50000 MED EXP (Ani' w* pe Bon) s5000 AUTOMOBILE UABILRY ANY Avco COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS SmxY IWURV pff Forwo f HIRED AUTOS NON-0WNWAUTOS WDLY twvRY (Perammm0 S PROPERTY DAMAGE S CLARA13E LIABIUIY AUTO ONLY - EA AX CIDENT S OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT S P_ AGGREGATE III GXCGSSI LIAS&Mf EACH OCCURRENCE $ AGGREGATE s UMBRELLA FORM OTHER THAN UMBRELLA FORM t~— WORKERS OOMPENSATION AND EMPLOYERS' L"LITY EtEAClaAGCNDeNr s 100000 1► TIHPA PROPRIETY x INCL PARTNERSIEXECUTTVE BIIIeSG ASBIC D 08/91/98 08/'31/99 BI.OISCABE-POUCYLimr s500000 ELDISENIM-EA EMPLOYEE 1100000 4FFICERSARE: 9KCL OTHER DESCRIPTION OF 0PERATTONBILOCATiONSMEHICLEW&PROAL ITEMS Renovation Work at 885 Forest Street, Barth Andover, N& C+E6lTlFLW1TE # IOLEI :'... ...:: • ' i?.;: ,i :': LIIkLION: ' :.: .. . . GM= X S SHOULD ANY OF THE ABOVE DESCRIBED POLIOES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE I88UM COMPANY WILL ENDEAVOR TO MAIL oft Z ffiis wykalas Gavel!& a/o Or & D= Jackson 30 OAYb WRRrEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. 333 Forest Street BUT FAILURE TO MAIL OUCH NOTICE SHALL IMPOSE NO OBLKIATION OR LIABILITY 'North Andolver Mh 01645 OF ANY MIND UPONQNS COMPANY, ITS AG OR REPRESENTATIVES. AUTHORIZED REPRESE :.. • J Ar4ftD CORPORATIOR 79W 2 � Crr��'� �� 'S 5T- Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant on Building Permit (below) Address of Property for Permit (below) /1%s Gf%s Map and Parcel : /0,C//3 -Purpose of Application (check below) f Phone Number of Applicant: .1 kSingle 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 North Andover 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 ig issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. AThis is an application for a building permit for the enlargement, restoration, or reconstruction of a dwelling in x�stenae as of the effective date of this by-law, provided that no additional residential unit is created. ByThe lot(s) were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning law. This application is for dwelling units for tow and/or, moderate income families or individuals, where all of the conditions of 8.7.6.care met and/or represents Dwelling units for senior residents, where occupancy of the units is restricted to senior persons 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 a part of a development project which voluntarily agreed to a minimum 40% permanent reduction in density, (buildable lots), below the density, (buildable lots), permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently designated as open space and/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 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 building permits,(i.e. all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development 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 supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination that your application is allowed 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 and or inaccurate information, or the checking off of an above item which does not comply, whether done to my know ie or not, is grounds for refusal by the Building Department to issue a Building Permit. iture o wrie�®rAuth�ortzed gent who signed the Attached Building Permit Date form must be attached to the Building Permit upon application for such permit Ntiwu�f�- :i^iL V/.. �a.r•_.;W i -�.:. ..-..k.r'N2T'Hi'+?`-. '. oonmwouuea� o��/�iaaaac%uGelia a t j OEPAR�l OF PUBLIC SAFETY CONSJRUC*It WERVISOR LICENSE Evires: Birthdate: CS Yi/11/1999 11/11/1951 B@s 11 ROBE ` 91 MERRICKYRD BOXFORD, MA 11921 I. 136977 Restricted To: ee Be - None IA - Masonry only 16 - 1 1 2 Family Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. - - — - ---------- ...... . .. ...... I MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.01 I I I CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 11-6-1998 DATE OF PLANS: 11-05-98 Permit # Checked by/Date TITLE: HULL PROJECT INFORMATION: "GAVELIS RESIDENCE 333 FOREST ST NO. ANDOVER COMPLIANCE: PASSES Required UA = 413 Your Home = 404 Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value U -Value UA -------------------------------------- CEILINGS 2034 30.0 0.0 72 WALLS: Wood Frame, 16" O.C. 1374 19.0 0.0 83 GLAZING: Windows or Doors 260 0.300 78 GLAZING: Windows or Doors 176 0.320 56 42 0.370 16 DOORS 20 0.160 3 DOORS FLOORS: Over Unconditioned Space 2034 19.0 0.0 97 HVAC EQUIPMENT: Furnace, 84.0 AFUE COMPLIANCE STATEMENT:- Theproposedbuilding 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 780CVM 1310 an J4.4. Builder/Designer Date /% MAScheck INSPECTION CHECKLIST Massachusett* Energy Code MAScheck Software Version 2.01 HULL DATE: 11-6-1998 Bldg.l Dept.l Use I I I CEILINGS: [ ] I 1. R-30 I Comments/Location_ I VZkLLS : 1. Wood Frame, 16" O.C., R-19 Comments/Location WINDOWS AND GLASS DOORS: 1. U -value: 0.3 For windows without labeled U -values, describe features: # Panes Frame Type Thermal Break? [ J Yes [ ] No Comments/Location 2. U -value: 0.32 For windows without labeled U -values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location I DOORS: I 1. U -value: 0.37 I Comments/Location I 2. U -value: 0.16 Comments/Location I I FLOORS: I 1. Over Unconditioned Space, R-19 Comments/Location I I HVAC EQUIPMENT: I 1. Furnace, 84.0 AFUE or higher I Make and Model Number I I AIR LEAKAGE: I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. I 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. I VAPOR RETARDER: Reqizired on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R -values, glazing U -values, and heating equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: Ducts shall be insulated per Table J4.4.7.1. DUCT CONSTRUCTION: All accessible joints, 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 780CHR 1310 and J4.4. SWIMMING POOLS: I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.): I PIPE SIZES (in.) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" 1 Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 i Steam condensate any 1.0 1.0 1.5 2.0 1 COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I [ ) I CIRCULATING HOT NATER SYSTEMS: I Insulate circulating hot water pipes to the following levels (in.): F I PIPE SIZES (in.) NON -CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WkTER TEMP (F): RUNOUTS 0-1" i 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 ( 1.0 1.5 2.0 I 140-160 0.5 I 0.5 1.0 1.5 I 100-130 0.5 I 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only) ------------------------- rol i rb czw a ci CU a E� a � w2 A U C x x a p a q ii. `� vA", O C2 s� S� «(��� ro G x x � O c:4 G LL, w E p m vn o 5 cn a o N O 70 �: W A 44 m c = O o E a m C O_ t m 0 C V: rn E E O H E IE CAZ H O i CA C ca m m cm C m O cm C �C N O Z 0 2 0 O F. as Cl CD Z co d CD y D � co Qi CO) Q M M� M��y� • W W CO 0 co L -F.. i G,. ,.-a 3.0 CD cm co 0 !a o a c o •-� ev C.) C co CD CL V CO) C y vvrs5vav vlv .//nu 11 10085086'ON'JM(7 Ir u V a rm 0 TIT N ry m co 0 CD O O D f/! y .CD L CL CO f•r G _m CL CO) 0 C.3 .Q CO2 G O m CO) r—� L O V CD CL y G LLI 0 /U) V / W LU w o j i oz � CA coo f-= m n � H m C A C .0 v z` -v a rr U a A v O w cn c E w w U w Gams m= -L a O C rx i% O co cn V) u V a rm 0 TIT N ry m co 0 CD O O D f/! y .CD L CL CO f•r G _m CL CO) 0 C.3 .Q CO2 G O m CO) r—� L O V CD CL y G LLI 0 /U) V / W LU w O.O'C 183:02 2 0 coo f-= m n � H m C m :4D ;CLplo H W �O. C Gams m= -L •N e0 C .K dt o� w� C#* CL. m� O� Z m L o h O. f- L s a * m u V a rm 0 TIT N ry m co 0 CD O O D f/! y .CD L CL CO f•r G _m CL CO) 0 C.3 .Q CO2 G O m CO) r—� L O V CD CL y G LLI 0 /U) V / W LU w If CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number q� Date—?ho THIS CERTIFIES THAT THE BUILDING LOCATED ON c33,6- To -A,-6-7- (3 MAY BE OCCUPIED AS (51M 4' �+� I µ� � Jy C,2S1,2114 77 d J IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. of "°,",' �,�a CERTIFICATE ISSUED TO 11101,43 Y- .-�/ d N!,a4 bA u -e i t S ADDRESS 335 o�Pr�S �'J"CNU'`` Building Inspector TOWN OF NORTH ANDOVER APPLICATION FOR CERTIFICATE OF �TO"V"t�►N C` TH ANDOVER/ I RO-4s p HEALTH MAR 2 9 1999 .v ADDRESS/LOCATION OF PROPERTY:_ DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: 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 DgES NOT MEET ALL APPLICABLE CODES. SIGNED ROUTING CONSERVATION PLANNING DPW - WATER METER NOTE: RECEIVED MAR 9 9 1999 BUILDING DEPT fi 61 Loe- ( - L[ 01 c {E/- DPW MUST INDICATE THAT WATER'METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW �IZaY • 6 00 L 9 TOWN OF NORTH ANDOVER APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS/LOCATION OF PROPERTY; 33,5 ra_f_, a �1 DATE REQUESTED FILED/READY FOR INSPECTION 30O / CLOSING DATE ON PROPERTY: 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 DQES NOT MEET ALL APPLICABLE CODES. SIGNED G��✓� ROUTING CONSERVATION PLANNING DPW - WATER METER NOTE: o �t c� Lk)(�l ( - k© ;c�/_ DPW MUST INDICATE THAT WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW Y' -.n ure t ■o va�vav vlv ./inu Cl - Lo Q � ca V width, yard or depth requirements than the newly effective zoning requirements but contained at least seven thousand five hundred square feet of area and seventy-five feet of frontage, and provided that said five year period does not commence prior to January first, nineteen hundred and seventy-six, and provided further that the provisions of this sentence shall not apply to more than three of such adjoining lots held in common ownership. The provisions of this paragraph shall not be construed to prohibit a lot being built upon, if at the time of the building, building upon such lot is not prohibited by the zoning ordinances or by-laws in effect in a city or town. If a definitive plan, or a preliminary plan followed within seven months by a definitive plan, is submitted to a planning board for approval under the subdivision control law, and written notice of such submission has been given to the city or town clerk before the effective date of ordinance or by-law, the land shown on such plan shall be governed by the applicable provisions of the zoning ordinance or by- law, if any, in effect at the time of the first such submission while such plan or plans are being processed under the subdivision control law, and, if such definitive plan or an amendment thereof is finally approved, for eight years from the date of the endorsement of such approval, except in the case where such plan was submitted or submitted and approved before January first, nineteen hundred and seventy- six, for seven years from the date of the endorsement of such approval. Whether such period is eight years or seven years, it shall be extended by a period equal to the time which a city or town imposes or has imposed upon it by a state, a federal agency or a court, a moratorium on construction, the issuance of permits or utility connections. When a plan referred to in section eighty-one P of chapter forty-one has been submitted to a planning board and written notice of such submission has been given to the city or town clerk, the use of the land shown on such plan shall be governed by applicable provisions of the zoning ordinance or by-law in effect at the time of the submission of such plan while such plan is being processed under the subdivision control law including the time required to pursue or await the determination of an appeal referred to in said section, and for a period of three years from the date of endorsement by the planning board that approval under the subdivision control law is not required, or words of similar import. Disapproval of a plan shall not serve to terminate any rights which shall have accrued under the provisions of this section, provided an appeal from the decision disapproving said plan is made under applicable provisions of law. Such appeal shall stay, pending either (1) the conclusion of voluntary mediation proceedings and the filing of a written agreement for judgment or stipulation of dismissal, or (2) the entry of an order or decree of a court of final jurisdiction, the applicability to land shown on said plan of the provisions of any zoning ordinance or by-law which became effective after the date of submission of the plan first submitted, together with time required to comply with any such agreement or with the terms of any order or decree of the court. In the event that any lot shown on a plan endorsed by the planning board is the subject matter of any appeal or any litigation, the exemptive provisions of this section shall be extended for a period equal to that from the date of filing of said appeal or the commencement of litigation, whichever is earlier, to the date of final disposition thereof, provided final adjudication is in favor of the owner of said lot. The record owner of the land shall have the right, at any time, by an instrument duly recorded in the registry of deeds for the district in which the land lies, to waive the provisions of this section, in which case the ordinance or by-law then or thereafter in effect shall apply. The submission of an amended plan or of a further subdivision of all or part of the land shall not constitute such a waiver, nor shall it have the effect of further extending the applicability of the ordinance or by-law that was extended by the original submission, but, if accompanied by the waiver described above, shall have the effect of extending, but only to extent aforesaid, the ordinance or by-law made then applicable by such waiver. http://www.state.ma.us/legis/laws/mgl/40a-6.htm 8/21/2002 M.G.L - Chapter 40, Section 6. Page 1 of 3 GENERAL LAWS OF MASSACHUSETTS PART I. ADMINISTRATION OF THE GOVERNMENT. TITLE VII. CITIES, TOWNS AND DISTRICTS. CHAPTER 40A. ZONING. Chapter 40A: Section 6. Existing structures, uses, or permits; certain subdivision plans; application of chapter. Section 6. Except as hereinafter provided, a zoning ordinance or by-law shall not apply to structures or uses lawfully in existence or lawfully begun, or to a building or special permit issued before the first publication of notice of the public hearing on such ordinance or by-law required by section five, but shall apply to any change or substantial extension of such use, to a building or special permit issued after the first notice of said public hearing, to any reconstruction, extension or structural change of such structure and to any alteration of a structure begun after the first notice of said public hearing to provide for its use for a substantially different purpose or for the same purpose in a substantially different manner or to a substantially greater extent except where alteration, reconstruction, extension or structural change to a single or two-family residential structure does not increase the nonconforming nature of said structure. Pre-existing nonconforming structures or uses may be extended or altered, provided, that no such extension or alteration shall be permitted unless there is a finding by the permit granting authority or by the special permit granting authority designated by ordinance or by-law that such change, extension or alteration shall not be substantially more detrimental than the existing nonconforming use to the neighborhood. This section shall not apply to establishments which display live nudity for their patrons, as defined in section nine A, adult bookstores, adult motion picture theaters, adult paraphernalia shops, or adult video stores subject to the provisions of section nine A. A zoning ordinance or by-law shall provide that construction or operations under a building or special permit shall conform to any subsequent amendment of the ordinance or by-law unless the use or construction is commenced within a period of not more than six months after the issuance of the permit and in cases involving construction, unless such construction is continued through to completion as continuously and expeditiously as is reasonable. A zoning ordinance or by-law may define and regulate nonconforming uses and structures abandoned or not used for a period of two years or more. Any increase in area, frontage, width, yard, or depth requirements of a zoning ordinance or by-law shall not apply to a lot for single and two-family residential use which at the time of recording or endorsement, whichever occurs sooner was not held in common ownership with any adjoining land, conformed to then existing requirements and had less than the proposed requirement but at least five thousand square feet of area and fifty feet of frontage. Any increase in area, frontage, width, yard or depth requirement of a zoning ordinance or by-law shall not apply for a period of five years from its effective date or for five years after January first, nineteen hundred and seventy-six, whichever is later, to a lot for single and two family residential use, provided the plan for such lot was recorded or endorsed and such lot was held in common ownership with any adjoining land and conformed to the existing zoning requirements as of January first, nineteen hundred and seventy-six, and had less area, frontage, http://www.state.ma.us/legis/laws/mgl/40a-6.htm 8/21/2002