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Miscellaneous - 357 STEVENS STREET 4/30/2018
No 3247 Date.. ............... kc, T" TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...... ......... 12 has permission to perform ....... (OA4(je-4 wiring in the building of ..... f 6.) ..................................................... ............. at . ................... ortlhAndover Fee L.;7.5�..d) Lic. No. -.112?74 ... .... . .............. -;/—ELECTRICAL i' SPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer THECOMMOI WE4LTHOFAMSSAGIU.SE77S Office Use only DEPARTAR1NTOFPUBUC&4FE7Y7 7 Pcmmit No. BOARD OFFWPREVENTTONREGLL47YONS527CM 12-00 Occupancy &Fees Checked AFFLICA TTONFOR FEST TO FERFORMELE=CAL 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. AP PARCEL Location (Street & Number) Owner or Tenant t? r N Cr Nd -G 1 V,, ( - 17- 31S- Y f-ZL Owner's Address 357 r A 1, 4 .AdA A Imo°' Is this permit in conjunction with a building permit: Yes Q No M (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts J Overhead Underground F-1 No. of Meters New Service Amps / Volts Overhead ® Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work -tAJ 1`r� C� �� r 77177 6 No. of Lifting Outlets No. of Hot Tubs No. of Transformers Total KVA No.. of Lighting Fixtures Swimming Pool Above 0 Below M Generators KV A ground 2round No. of Rcieptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Bumcrs 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 y Detection/Sounding Devices LocalMunicipal �s Other No. of Dryers Heating Devices KW Cormcctions No. of Water Heater. KW No. of No. of Sims Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER- . THER- a s •r r . iu .'t� • . li X"MSp * F�,,.,,.��,�.�, '-"t""WnD3e EstrnawdVahrdIlaZcdWcik $ Rot# I Final Signadtmder�ieR�laltiesofpajtay: C �'L����--� Iice<>seNo FIf21vINAM-�E/ �, �,vt.l1—Qiy�r� li � / 1199 7-9 Btn=TeDia apt .292 �C�da�,0� �L! rf t , 2 :`i��� � - Alt TeL Na OATOZ'SINSURANCEWAIVEP,,Iamawmedr�theLiomtbasrtothamtirmmm>ceeozWcritsahzitole4rivals$asreg edbyNbsmdnsotCxrtaalLaws andtha rrysig<x&ncnd spmiiitapplicab'mwai%C.dwrecl.t mxrl. (Please, check one) Owner ® Agent E Telephone No. PERMIT FEE $ —Signature of Owner or Agent N2 4917 Date.:..` . TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING This certifies that ...�. '"......1D-. "". ) , • • ........ • • has permission to perform ... P .(7 /v { -. `.3 ?. ! f ! • plumbing in the buildings of ................... at .. ..... s."�...... North Andover, Mass. Fee. {G., .'.. Lic. No— .% .......... PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date Building Location �S cS� 7 c a ^ Owners Name ? Permit # c{ 1117 .•�'°` Amount Type of Occupancy New Renovation F1 Replacement Plans Submitted Yes No X 1. •N c I • :.3 all (Print or type) _ Check one: Certificate Installing Company Name Or-- I) -Sr. a 70 m 0 % Td Corp. Partner. Finn/Co. Name of.Licensed Plumber. jy- : _ /)<2 C�l A 4441a� Insurance Coverage: Indicate the type of insurance coverage bye ecking the appropriate box: Liability insurance policy a Other type of indemnity 1:1 Bond Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent F1 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 perform# under Permit Issued for this application will be in compliance with all pertinent provisions of the h ss husetts State Plumb Code ar d Chapter 142 of the General Laws. 0 Title City/Town APPROVED (OFFICE USE ONLY Type of Plumbing License -,�.r-O icenseum e� Master 17-71Journeyman Location ,3s// No. f Date 17- z:R 3�� MORTq TOWN OF NORTH ANDOVER O�t.o ,1y0 Certificate of Occupancy $ SS CHUsE<� Building/Frame Permit Fee $ ' Foundation Permit Fee $ Other Permit Fee $ TOTAL` $ Check # (�o14397 i Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING Y ''ve i aE Ea s Section for Off iciaH Use Onl BUILDING PERMIT NUMBER: '-5—Z DATE ISSUED: jj T9--' SIGNATURE: ! Buildin Commissioner/ nsor of Buildings Date 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 7 SS<— 5 ✓, ' (� — -3 Y)' ^, l f�� Dx F Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SE'T'BACKS (ft) Front Yard Side Yard Rear Yard Required Provide Required Provided Re red Provided 1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal On Site Disposal System ❑ 2.1 Owner of Record woo 33-2 57F -V4 � Co Name (Print) Address for Service : - Signature Telephone 2.2 Authorized Agent Name Print Address for Service: Signature Telephone 3.1 LicensedConstruction upervisor Not Applicable ❑ 0611x) f) rai 657— Address 6 c7 011PY)Cllie— '1 e-1 tic � Y� y License Number p 6 Licen nstructiori r: — 3t3 / U Expiration DateIeA v�� Si re Telephone / PP�� C 3.2 Registered Home pr ement Contractor Not Applicable ❑ Company Name,_ Registration Number Address Expiration Date Signa re Telepho e 1. W LL �-J iz MF C' j'q as Owner/Authorized Agent Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury - Q Print Nasne Sigi&Tm of Owner/Agehr Date Item Estimated Cost (Dollars) to be x� 1�%S ClN1G' r1,ts Completed by applicant permit 1. Building 6 (a) Building Permit Fee 1100 Multiplier 2 Electrical (b) Estimated Total Cost of ,0 Construction from (6) 3 Plumbing r ©� Building Permit fee (a) x (h) 4 Mechanical (HVAC) 5Fire Protection 6 Total (1+2+3+4+5) 0, Check Number 0 p`3,;,'r. ,y�r�ya✓vii :� �t ,,. 7St .���.(t�U �i { :� � n ?y,}.�.� � ...,�{' a 2�1:u y�(ySS C�Si7�,i 1s+��,`�.*J, C. .. � F n. '}.�s $ �'4 ai 7n�, {.� Y ;'f it �j :: . zv'1 ;LLt�4 �7,A� NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1ST 2ND 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE yz, -�. .w "h�i�l N"5; �'n,i? irs t C "a � `; 5- i r.Y'`7 F y X �^�' � t r.``W ,z`ma 016WIN < .. 's--, } � � ��� �",�.S!'fr�,'� �h%,�s��-., ;�k.1L -.. t`...g 3'iea''%.�Yf� �.. —yC" "Sg•. �i,�,.�6�T^.' S `^�a -��s4.,`� w.. 4'S� sEc rrox aotaeRs co1sAoxzc ;s ?.s(s _;.� 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 unit. Signed affidavit Attached Yea .......❑ No ....... ❑ SECI ION S PRO SSIOrFAL 1dESIGN ANO C'4yNSTRU MION S) M VICES, FOR )BUTLDIl�IGS AND S)'RUC I; S S[38 �'O CONSTBIIC IOx CO1�ITSOL PSR ETA1V TO' X80 G' R `l ItG (CO1�1T�lIN I+TG MORD T1FiA3�iD�34,000 C F OF,ENCL�?S)6 T) SPAS) •, . ..t L. ..., ice) v.. 5.1 Registered Architect: � ,a vf� Name: Address Signature Telephone Area of Responsibility Name: Registration Number Address: Expiration Date Signature Total Not applicable ❑ Name: Address _ Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number . Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date p Company Name: Not Applicable ❑ Responsible in Charge of Construction ....,w-^< ••rr►��.a-�i�,+r� yrtcE3PUB)p W'{check all iaeabie" .,...... .app,; New Construction ❑ Existing Building KRepair(s) ❑ Alterations(s) ❑t Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: drx-llor i� 6-nme— Pcv^, c,,/ ome- 51,mil ATJ�W/, , USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ ❑ A-2 ❑ A-3 ❑ ]A A4 ❑ A-5 ❑ B Business ❑ 1 B ❑ ❑ 2A C Educational ❑ - F Factory ❑ F-] ❑ F-2 ❑ 2B 2C ❑ H High Hazard ❑ ❑ ❑ . 3A IInstitutional ❑ I-] ❑ I-2 ❑ I-3 ❑ 3B M Mercantile ❑ ❑ ❑ R residential ❑ R -I ❑ R-2 ❑ R-3 ❑ 4 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE TILS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area Floor s Total Area s Total Height ft Independent Structural Engineering Structural Peer Review R Yes ❑ No ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I> as Owner of the subject property Hereby authorize to act on My behalf, in all matters relative two work authorized by this building permit application Signature of Owner Date 1 ■o „. ..,.. New Construction ❑ . Existing Building K Repair(s) ❑ Alterations(s) ❑� Addition Lit • Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: CONSTRUCTION TYPE A-2 ❑ A-3 ❑ IA ...... . A Assembly ❑ A-1 ❑ USE GROUP Check as applicable) CONSTRUCTION TYPE A-2 ❑ A-3 ❑ IA ❑ B Business ❑ AA ❑ A-5 ❑ 113 ❑ C Educational ❑ 2A ❑ F Facto Factory ❑ F-1 ❑ F-2 ❑ 2B ❑ H High Hazard ❑ 2C ❑ IInstitutional ❑ I-1 ❑ 1-2 ❑ 1-3 ❑ 3A 3B ❑ M Mercantile ❑ ❑ R residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 4 SA ❑ S Storage ❑ S-1 ❑ S-2 ❑ SB ❑ U Utility ❑ Specify: ❑ M Mixed Use ❑ Specify S Special Use ❑ Specify COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING Qf Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s Total Height (ft) Independent Structural Engineering Structural Peer Review Required Yes ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, PROPOSED No ❑ Owner of the subject property Hereby authorize to act on My behalf, in all matters relative two work authorized by this building permit application Signature of Owner Date F pmug —M— Area of Responsibility Registration Number Expiration Date 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 Yea ....... 0 No ....... 0 DES] GNANWCONS SECTIONAND T -UM SUM UC. 4SERVIO 7110T WINGS UG C,O MOMI,�3&40!GF OF ENCLUS)ELI3 Si'ACi� 5.1 Registered Architect: Name: Address Signature Telephone Name: Company Name: x—bpunsium m %-narge or t-onstruction Not Applicable 0 Area of Responsibility Registration Number Expiration Date Name: Address: Signature Total Not applicable 0 Registration Number Expiration Date Name: Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone r"U. aw Company Name: x—bpunsium m %-narge or t-onstruction Not Applicable 0 1= as Owner/Authorized Agent Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury o w '- � Print Na a e� )4A Si a of Owner/Age Date Item Estimated Cost (Dollars) to be Completed by permit applicant r 1. Building(a) Building Permit Fee Multiplier 2 Electrical O - (b) Estimated Total Cost of 'O Construction from (6) 3 Plumbing ' j o o Building Permit fee (s) X (s) 4 Mechanical (HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) OC)r dc, Check Number 5 a � r _, fi.rS as•'�i.; �^ 4Ya �Yp +i ) l� 2e � f � � ,r .'-. ur.§�h ,9.:..xr'�5 �< {y�r =c y2.+w-.. v, fig. ,� ,v, NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIl 4BERS 1 ST 2— 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIIv1ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X F CBRVINEY ON SOLID OR FILLED LAND FBUILDING CONNECTED TO NATURAL GASLINE El' f TOWN OF NORTH ANDOVER BUILDING DEPARTMENT -------------. APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY ,BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING i r T11i3 .�CfIOR f01' OffiCial USC �dfll1160 of 4 a�ROEO m s r BUILDING PERMIT NUMBER r / DATE ISSUED: 0 161 Is '�z SIGNATURE: (-C Bu. � ldln Commissioner/I or of BuildingsDate �SLC�'•1�_ �F��, !ice �r 1.1 ' Property Address: V 1.2 Assessors Map and Parcel Number: 7 5 C �� D // � Map Number `Zoning Parcel Number 1.3 wbrmation: 1.4 Property Dimensions: Zarin I?islrid Pr -sed Use Lot Areas 1.6 WELDING SETBACKS (ft) Frontageft Front Yard 'red Side Yard Rear Yard R Provide Raliured Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Zone 1.8 Sewerage Disposal System; Public ❑ Private y❑ Outside Flood Zone . ❑ Municipal On Site Disposal System ❑ mrkqVi.o.1U.x• ,t. s: �:... tr w Ss 2.1 Owner of Record Name (Print) Address for Service: Signature Telephone 2.2 Authorized Agent Name Print Address for Service: Signature Telephone 3.1 Licensed Constructionupervisor Not Applicable ❑ 1 a �ai 657— Address (��� �u t�� �j �t r� License Number 0670 Licen nstruction r. S� - �{ 3 Expiration Date Si re Telephone V / ✓ / o ' �� . Q C) 3.2 Registered Home pr ement Contractor Not Applicable ❑ C Company game,, , .-� 1 Registration Number v0, t C1,, - e c �o /a3 l Address I �5 Expiration Date Signa re k Tk F-elepho e , /O— 0-cpd 0 161 Is '�z B Aim 01:B��4ii �iN a Rk&JLATIONS IC,6M ;. cams r€�uc_iON SUP#RVISPR' --- t3urnber; S o6906J i3irthdate 7f3rm- 1961 XIires 16121002 Tr. no X05; €testrictea o 00 'DONALD J MAL EB BUMPY LA1It r- z ME7HU5N, MA 61 $d4 ,q � istr8tor The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 42111 Workers' Compensation Insurance Affidavit Please Print Location: 3 �/ Ci lo o L/<- /� __ Phone Q (-7 am a homeowner performing all work myself. t��1 am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name:. �� el e7 aVG 1 t 0 C/ eu/ - / City im ) vc (n ,76 Im 4 � � i �y � Phone # � E- 36 2 - 3 _6� 35 Insurance Co. _Policy # G 6 1 Cf b 3 Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I understand that a copy of this statement rpay belforwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify and fr7he pains and Print name U01/1 a Mat the information provided above is true and correct. IC Official use only do not write in this area to be completed by city or town official' ❑Check if immediate response is required Building Dept Contact person: Phone FORM WORKMAN'S COMPENSATION vG % Phone # / - W 7S~ F1 Building Dept p Licensing Board p Selectman's Office Health Department Other fl, M s? O A w cn O W E z QrQ a o w cs: U w GG O U W w w � O W t u w cn w O H z O c4 x W w ca a w� w z cn v Q cn 0 O 0 cm CO2G 1 h � � m m CD CD CD CL I.-_... ♦r 3 CD CD CD fog M o a cmQ ca C 0 Cca CDCc v J CO2 Z CD 0 CL V CO) !c C C •s ccCOD is 'U) V/ cr w LU crw LLI U) c o m c ;;C o "r •: v C3 s �CL : cc cc �L o 2 o �m Ea s v ;oa y , C.2 cm O C O d- c m� H _ m �. ' y C O y .O C O O O CA m f i y CD • 'CO CC C CO ai go w VJ C a m V! NJ O 20 r; .y O C 'E d� .y Z o Lu C, O p m C CO) = a' W ®-0 O.s .O ` N O co S S CL. -C3 a 0 O 0 cm CO2G 1 h � � m m CD CD CD CL I.-_... ♦r 3 CD CD CD fog M o a cmQ ca C 0 Cca CDCc v J CO2 Z CD 0 CL V CO) !c C C •s ccCOD is 'U) V/ cr w LU crw LLI U) S I a N2 2546 Date.. ....... TOWN OF NORTH ANDOVER PERMIT FOR WIRING .................................. This certifies that ......................... has permission to perform ............... ...... ........ ..................................... wiring in the building of ..... ................................... at ....2 ........... ............ .............. ............. . Nortif-Andover, Mass. ...... .... Feel: ............. Lic. No. ....... \ Check #0/1)-o -ELECrRI R WHITE: Applicant CANARY: Building Dept. PINK: Treasurer THE C0AM®Ni E4LTH0 M ` C9USE77S Office Use only UA4DEPART7f1E TOFPUBLIMFETY Permit No. JFBOARDOFMEPREVENTIONRW MTION.S527CI1R12:00 Occupancy &Fees Checked i�PUCATT®li FOR PERdlU TO PERFORM ELECMCAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 O G (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) DatQR Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street 6 Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Purpose of Building Yes L�_J No111- (Check Appropriate Box) Utility Authorization No. �® Existing Service a2do Amps A / olts 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 o s 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 ID No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Bunters 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 Connections ® Other No. of Dryers Heating Devices KW No. of Water Heaters KW No. of No. of AL. Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER Irisura<iceCo Ptasuat��thertimarert�ofTviassadnCtenaalLaws Iha%,eaomatLiabltyhn==POI ymdttdiigC Tpkte meraWcritsskstwafe#valart YES NO El I haresthn tedNuWprxfofsamebr-'71—NO YES ' NO ® Ifywha%ed adtdYES,p'�e thet pecfc bydakingthe bac lNSURANC'E BOND OII-ER ftweSpe*) Expua6rnDft� Fstin*d ValtrdEkcftical Waft $ - s^ WO&IDSW F-12,Od UspecfimD*ReWesWd Ra>gtl Falai Sighed utlda�ie Pwalties of ' FIRM NAME r- LNa / :fe,33 1Y Lica>9aed�l,� PC d% Signage Lioa>SeNo /�3-® V - .j�fJ /(_ At Tel Na OWNER'SINSURANCEWANFR;I.ammvaedattheIloeuse�$>eic>su ea o�r�ss >tsala �a5fagtmNdbyMass asettsCataaliaws and di troy*mlbreonftis pamtepp5ximwaiwsfisragAirerlat (Please check one) Owner Agent Telephone No. PERMIT FEE N2 1659 0 9-1 A. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ... .......-1......... ". a-6.�kp ......... E. ( -(- has permission to perform ..... W*- ',a ......... cvve . ................................... wiring in the building of ...... ...... at.......... ....... . North Ando 0ef , Mass. Fee ..................... Lic. No.xo ............. 07- 05/12/99 11:24 270-00 PAID WHITE:. Applicant CANARY: Building Dept. PINK: Treasurer ThE09 i11V0AWEEALTHOFA14S540YU.SE'T` 7'S. Office Use only ► DEPARTATDVI0FPVBLICS4FETY Permit No. BOARD OFFNEPREYEMONREGMT10AN527CMR12.00 Occupancy &Fees Checked 94 APPLICATIONPERMU TO PERFORM ELECfiFtICAL 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) ss --7 � e�.c. S ---4-�% 4 , Owner or Tenant 76 U K V I t_ 60-7 771 7Z d Owner's Address 1. Is this permit in conjunction with a building permit: Yes r]:3 "" 1_J (Check Appropriate Box) Purpose of Building %v( L--, Utility Authorization No. Existing Service Amps / Volts Overhead ® Underground Q No. of Meters New Service c-) Amps ice✓ /:1"C, Volts Overhead []:]--Underground r—J No. of Meters umber of Feeders and Ampacity Location and Nature of Proposed ElectricalWork+ No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA ground p ground 11 No. of Receptacle Outlets No. of Oil Bumers No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Bttmers 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 ® . o. of Water Heaters KW No. of No. of Signs Badasis No. Hydro Massage Tubs No. of Motors Total HP OTHER . • : +.:• t: t`.• •- '•t. •i a. • :v:r •.- �•�•, i• • �� • :•rc .jai :•: .'1► • - Estimakd Vah&dl7ecMd Wotk $ WodciDSlart s//01%`7 hispectic Daiell xsted Rao Signed trndffM Pk U1bes ofpajur FIRM NAME �✓/G h� C ,/�0�••�v�yiils Final L=wNla :'—(70 U Business Tel. Na ArtHrr e `� ` . V \ -�� l� `� �• J Alt. TeL Na OWNER'SPsSURANCEWANFR;Iamawat drtiheLacffsednes�t etheic>stxaneoa tmss legtrivale asrccgmedlryM�adnseltsGerte�Iaws aad@�mysig�aern8sspem�8ep¢f�onwair�th;stac�I�rt. (Please check one) Owner ® Agent Q �, 1 Telephone No. PERMIT FEE rS� C 1-7 69,637 . Date... 2293 ... ........ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........ .................................. has permission to perform ..... ............C..c ........... wiring in the building of ......... ...... C. at ....... ....... ........................ North Ando er, Mass Feej6-dill P.' ....... Lic. No... JY.76�1 LEcrRicAL I44kcmllk C-- % 03116199, - WHITE: Applicant CANARY: Building Dept. Pk.- 4 Treasurer 50.()o PAID COAfffOAWE4L7HOFhL4SS4CHL:S= Office Use only DEFARTAIVPOFPUBLICSAFM Permit No. BOARD OFMEPREVEVHONREGMT10AN527Cir IR 12.00 UV4 Occupancy &Fees Checked PPLICATION FOR PIIZNLIT 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 Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street 6 Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes ED No (Check Appropriate Box) Purpose of Building c Ce Utility Authorization No. / Existing Service Amps / Volts Overhead a Underground No. of Meters New Service GU Ampsldc 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 [ have a antlant LrabdIIy hrnaarre Pb6cy urfir}atg Cate Cotierag�ff sut rural �uvalaY YES NO No. of Transformers NO Ifjcuhawde&edYES, pleasesdicMthetypeofambychocking the Total E:NxatianDahe Esurr"ed VahrdElec ica! Wak $ Wak IDSW m D&-Re4)eswd RaCh KVA No. lof Lighting Fixtures Swimming Pool AboveBelow Liczisee%-� rt:.__. Sigrz<mae �; �`�✓��-� i,� Generators KVA Address.. ,? ci V t3 i.n� S �e c^ L ( Ag. Tel. Na and eround \ / wJ Telephone No. PERMIT FEE $ u 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 Pumos 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 filo. of Water Heaters KW No. of No. of Signs Bailasis o. Hydro Massage Tubs No. of Motors Total HP OTHER UrnaarnceCvaage. Ras>.ait�thereclttaar��cfivfa�acfnse�Cta�a-aiLaws / F [ have a antlant LrabdIIy hrnaarre Pb6cy urfir}atg Cate Cotierag�ff sut rural �uvalaY YES NO Iha,,eahnitledmihdpmdcfsamemthe0� YES = NO Ifjcuhawde&edYES, pleasesdicMthetypeofambychocking the appw Na RANCCE a BOND OTH�R SPAY) E:NxatianDahe Esurr"ed VahrdElec ica! Wak $ Wak IDSW m D&-Re4)eswd RaCh Final Signed underlie RMities cfpet* FIRMNAME A1%%C4,,a., 7- /���. ti�, �ltc -1 �f IicmseNa a 1/-7 > Liczisee%-� rt:.__. Sigrz<mae �; �`�✓��-� i,� '--- Licer>seNo Businss Tei. Na '% - ! L Address.. ,? ci V t3 i.n� S �e c^ L ( Ag. Tel. Na OWNER'S INSURANCE WAVER;IamawaeedwheLunedomriot halvedie atsutatreoae tritss>bs>riraiale valatasmgtmedbyMasodxsezGanaalLawS and tha mysiguttaerntuspwntapp6cmctwaii"esfmtg#utett. (Please check one) Owner Agent \ / wJ Telephone No. PERMIT FEE $ u 1 4. THIS CERTIFIES THAT THE BUILDING LOCATED ON ,�3—,-7 S -e u -e-� S 5 - MAY BE OCCUPIED AS �liVq'/� ����/'� O� <S/dV1-)dfle-IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. "O*Th , CERTIFICATE ISSUED TO ADDRESS CH„SBuilding Inspector i N b 0- �mc 317 ots ZW C O N FF,�� C V': vC) A C z d C N :mC �" GQ O 't3 C C \ ) co N Ea E a O Q _ O C � o QA w° cn h U° w°' U cz w c�° cn cin cn b O a Q v • -1 co 0 E c L co C. o co D � I � C y y co m CO ow CL �..+ CL C cc o cc CD Q CLH O <.1 - �mc ots C O N FF,�� C V': vC) d C N :mC \: co N Ea E _ O C V o a. N D c ,.. 0 ca $ �} ; rn m c co a L y N C) :®3 C::,. CA N C 0 m _O 'O C N O O h cm CD o o -- .0C C cm .O H d C CO U N O m V Q O O5.. :CL �O+ W O y0+ •CO W d= � .y Z °C .E o V m p oe c COD ca ®� Oa F- t •O. a.- CO 9 O a Q v • -1 co 0 E c L co C. o co D � I � C y y co m CO ow CL �..+ CL C cc o cc CD Q CLH O <.1 - �4ORTM r O a°t ° p TOWN OF NORTH ANDOVER APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS/LOCATION OF PROPERTY. l S TPvr v S 5 l DATE REQUESTED FILED/READY FOR INSPECTION 6�2 f g ' G ?8 171 CLOSING DATE ON PROPERTY: 2 5 S 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 12/ilo's 0�� C CONSERVATION PLANNING �Z�l PL G DPW - WATER METER NOTE: DPW MUST INDICATE THAT WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW Sianature Location Date TOWN OF NORTH ANDOVER • 09 Certificate of Occupancy $ IL '" ,• ; Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ j/ Water Connection Fee $ TOTAL $ Bui g spector Div. Pu ica{'/Vorks O 1-4W w a < Y m loo R`l n M. V M o M o Z p In Q < Oo ^f a 0 - W I "� N a � N 3 fla_ u (� �\ Cy MIt W I x V yj p 2 0 O W Z d 0 It J < J _' Ir (( 1� m WK O O C LL 0 0 m O F Z w� aIx W m g o Z IW O N W n Z m d m 0 < Z O r m 0 LL Z W ] " r' LL V Z m O W d OJ LL O 0 0 LL o ~ OC W m s 0 W N V1 Z < N W I O _a O < Z (� 3 Q "'Dz v M (pn_ CLO Q 0 1� 2 0 U p 0 C W < II rW z O Z \V LL a a W � J i < O O ~ Z < p W Z U z z O N O n � C�6 1 11 v W o M o Z p In Q a x I W z Y N u z► N I x W J O W KH l It F I N W i<-rv a J ; O Z I Z I I aIx W m a a j a N W Z O W O \ a d m 0 < Z O 0a LL Z W ] " Z LL V Z Z 0 O O OJ LL O 0 0 LL o ~ i W m s 0 W N V1 Z < N W I O _a O < t7 W I W N N v M Q N, C W < II rW Z LL h � � J lz cm � C�6 11 V 3 0 f O 0 W u U W Z z 0 u a Z O J 7 m N CIO 0 O 81 19 N Z 0 F- U D Lei F- 2 ' n z 0 f u. i W t a a ~ � W 0 0 J J � 1► O m W L W0 on n i r m 0 W 0 m L L v W A o Z a In h 41 W J O W KH Ir O F I W < a J ; O Z I Z I I W a 0Z O W W O a Z Z W C W U z U Z V Z LLJ O O O u J ~ ~ ~ W m m < m N_ 0 N_ O _a O < a. m V 3 0 f O 0 W u U W Z z 0 u a Z O J 7 m N CIO 0 O 81 19 N Z 0 F- U D Lei F- 2 ' n z 0 f u. i W t a a ~ � W 0 0 J J � 1► O m W L W0 on n i r m 0 W 0 m L L No OO L FORM U - IDT REM= 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 local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: Zoeo6&teti (°u-VI—e 116-1e5 LOCATION: Assessor's Man Nu.aber 96 Subdivision Phone Parcel For -6 S— 8 67 Lot (s) f Street Ile -'J S % St. Nun. per *ic*ie�e�c�i*ic�c�t***ic�F*�e�t*****O�ilCial Use Onl.y************ic*********** RECOMM�NDATICNS OF TOWN AGENTS: ` U011Date Approved a Co'_�r-:a--or. Ad-_ni ratcr Date Resected �/� Cc=en-- enr t r r V .1� t ro+ VV ��d1 (06 Town Penner Con,;.ent_ Food -ect„_ - ealt7 Date Approved q?) Date Re7eczard Date Approved Date Re -i ec wed Date Aptrc%red Date Reject=s Pu_'- _c �vcr,:s - sewer/water connect ons _ <�`) 4/ /g7J't - driveway• permit 9�9 t Fire Received by Building Ins=ector Date N2 1304 APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. 29 19 g Application by the undersigned is hereby made to connect with the town sewer main in .✓r�`�C/�`�+rPP+ subject to the rules and regulations of the Division of Public Works. The premises are known as No. 5157 -52cllr or subdivision lot no. Owner Address Contractor Ad es icant's Signature PERMIT TO CONNECT WITH SEWER MAIN Street The Division of Public Works hereby grants permission to r �I✓I 'Ld V,4 J/ to make a connection with the sewer main at�Street subject to the rules and regulations of the Division of Public Works.. Inspected by Date � Division of Public Works Y See back for rules and regulations c � l I— -Tq-L---j EA r RULES AND REGULATIONS FOR GOVERNING THE INSTALLATION OF SEWER SERVICES 1. No unauthorized person shall uncover, make any connections with or opening into, use, alter, or disturb any public sewer or appurtenance thereof without first obtaining a written permit from the Division of Public Works. 2. All costs and expense incident to the installation and connections of the building sewer shall be borne by the owner. The owner shall indemnify the (town) from any loss or damage that may directly or indirectly be occasioned by the installation of the building sewer. 3. A separate and independent building sewer shall be provided for every building; except where one building stands at the rear of another on an interior lot and no private sewer is available or can be constructed to the rear building through an adjoining alley, court, yard, or driveway, the building sewer from the front building may be extended to the rear building and the whole considered as one building sewer. 4. Old building sewers may be used in connection with new buildings only when they are found, on examination and test by the (Superintendent), to meet all requirements of this ordinance. 5. The size, slope,. alignment, materials of construction of a building sewer, and the methods to be used in excavating, placing of the pipe, jointing, testing, and backfilling the trench, shall all conform to the following requirements. The sewer shall be 6"diameter SDR 35, PVC pipe. Minimum slope shall be 1/8" per foot. The minimum depth of sewer shall be four feet below finish grade. Sewer pipe shall be installed on a stable trench bottom of hard durable crushed stone to a minimum (6) inch depth below the pipe. After the pipe has been installed, crushed stone shall be brought up to the crown of the pipe. Care shall be taken to carefully grade and compact the stone, and prevent pipe displacement. The remainder of the trench shall then be backfilled in one foot lifts with mechanical tamping after each lift. 6. Whenever possible, the building sewer shall be brought to the building at an elevation below the basement floor. In all buildings in which any building drain is too low to permit gravity flow to the public sewer, sanitary sewage carried by such building drain shall be lifted by an approved means and discharged to the building sewer. 7. No person shall make connection of roof downspouts, exterior foundation drains, or other sources of surface runoff or ground water to a building drain which in turn is connected directly or indirectly to a public sanitary sewer. 8. The applicant for the building sewer permit shall notify the (Superintendent) when the building sewer is ready for inspection and connection to the public sewer. The connection shall be made under the supervision of the (Superintendent) or his representative. 9. All excavations for building sewer installation shall be adequately guarded with barricades and lights so as to protect the public from hazard. Streets, sidewalks, parkways, and other public property disturbed in the course of the work shall be restored in a manner satisfactory to the (town). NO 811 APPLICATION FOR WATER SERVICE CONNECTION North Andover, Mass. 19 �O Application by the undersigned is hereby made to connect with the town water main in Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. `���/�� Street or subdivision lot noj jj Owner Contractor Address Addre 'A / A cant's Signature PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to f`C�D�t/C _'.ct) 6 45vtt� to make a connection with the water main at , nce y Street subject to the rules and regulations of the Division of Public Works. Inspected by Date Boa d of Public Works By See back for rules and regulations RULES AND REGULATIONS,. GOVERNING THE INSTALLATION OF WATER SERVICES 1. No persons shall tap or in any way tamper with water mains which are part of the distribution system of the Town of North Andover without a valid permit from the Division of Public Works. 2. All water services shall be installed a minimum of five feet below the finish grade. 3. No water services shall be backfilled without inspection by a representative of the D.P.W.—Telephone 687-7964. 4. Service connections shall be 1" type k copper tubing. 5. All fittings shall be brass flange type Mueller or equal H 15202 Corporations H 15212 Curb stops H 15402 Three part unions H'8185 stop and waste valves 6. Curb boxes shall be installed at the property line and shall be of the Erie Type with 4'/2 foot rod and brass plug type cover. TOWN OF NOR -1 H .ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 GEORGE PERNA 5 Telephone (508) 685-0950 DIRECTOR Fax (508) 688-9573 o o _ � ti Ti i 9SSq C`NU JEt DRIVEWAY PERMIT Date: z� 1 4 6 LOCATION: BUILDER: phone: OWNER: (�,'2k✓ j e � � /� ��� phone: 6c - �55� The North Andover Superintendent of Highway Utilities & Operations MUST be notified of the grade and set -back from street established in any driveway entry onto any street or way maintained by the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval of such entry. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. ■ Remarks: Approval: I ��ie �a���»zooa�ueal(� n�-lGI7JJrlCItuJC((J DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE ;Expires: Birthdate: j+ `CS i' V6B569S 01/13/20@0 01/1311954 Restri6ted Ta BB DAVID A'!.KINORED 30 MILL POND POB% 531 1 N ANDOVER, MA 01845 156635 �l Restricted To: 00 t 00 - 35,000 cf enclosed space (MGL C.112 S.GBL) !' IA - Masonry.only l; 1G - 1 6 1 Family Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license.' i 9 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��o//f Applicant on_Building Permit (below) Address of Property for Permit (below) (Odt y,("0 ead'v e y HOAC S 3�7 S jtveNS sl Map and Parcel: Purpose of Application (check below) P 4°n7 Ngeress jplicant: X Single Family _ Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the 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 iq 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. This is an application for a building permit for the enlargement, restoration, or reconstruction of a dwelling in existence as of the effective date of this by-law, provided that no additional residential unit is created. The lot(s) were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and/or moderate income families or individuals, where all of the conditions of 8.7.6."re 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 PTION as cited above. Further I understand that the submittal of misleading and or inaccur info ation, o the eking off of an above item which does not comply, whether done to my knowl dge or ot, is gro ds fo r s81 b the Building Department to issue a Building er it. SiqAetTre o wner or Authori ed Agent who signed the Attached Building Permit D e This form must be attached to the Building Permit upon application for such permit MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.0 CITY: Lawrence STATE: Massachusetts HDD: 6235 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance_) DATE: 5-13-1998 DATE OF PLANS: 5/13/98 Permit # Checked by/Date TITLE: 28' x 38' Colonial with 14' x 26' Family Room w/two car under PROJECT INFORMATION: tot 1 Stevens Street,'North Andover, Massachusetts COMPANY INFORMATION: Brookview Country Homes, Inc. NOTES: Formerly Charlie Foster's Lot COMPLIANCE: PASSES Required UA = 522 Your Home = 504 Area or Insul Sheath Glazing/Door Perimeter R -Value R -Value U -Value UA ------------------------------------------------------------------------------- CEILINGS 440 30.0 0.0 16 CEILINGS 900 30.0 0.0 32 CEILINGS 145 30.0 0.0 5 WALLS: Wood Frame, 16" O.C. 1187 15.0 0.0 91 WALLS: Wood Frame, 16" O.C. 1145 15.0 0.0 88 GLAZING: Windows or Doors 310 0.490 152 DOORS 30 0.220 7 FLOORS: Over Unconditioned Space 1028 19.0 49 FLOORS: Over Unconditioned Space 347 19.0 16 FLOORS: Over Outside Air 10 19.0 0 BSMT: 8.0' ht/6.0' bg/0.0' insul. 164 0.0 48 HVAC EFFICIENCY: Furnace, ------------------------------------------------------------------------------- 90.0 AFUE COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load -if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 1250 of the design load as specified in sections 780CMR 1310 and J4.4. ,t 151.00' -° N/F LOT Al 94.2' DOWNES 30,030 S.F. FAMILY 0.69 Ac. TRUST N/F N 45.8' J BREEN 0 o EXISTING c FOUNDATION 53.9' ' T r� _ 47.75' 103.31' - 7e-- /la l/ ,,P. t I VvIG H OF h7gss9 STEVENS S o STEPH � C �e �90FESS\O��Q ®�qNQ sufojo WE HEREBY CERTIFY THAT WE HAVE EXAMINED ®®1vTV �® THE PREMISES AND THAT ALL APPARENT EASEMENTS AND ENCROACHMENTS ARE LOCATED THIS PLAN IS INTENDED FOR ZONING AS SHOWN. THE STRUCTURE SHOWN CONFORMS PURPOSES ONLY. IT WAS PREPARED TO THE ZONING LAWS OF THE MUNICIPALITY FROM EXISTING PLANS AND RECORDS WHEN CONSTRUCTED. ALSO, ACCORDING TO THE WITH THE STRUCTURES SHOWN LOCATED F.E.M.A./H.U.D. FLOOD INSURANCE RATE MAP, BY AN INSTRUMENT SURVEY. THIS PLAN COMMUNITY PANEL NO. 250098 0003 C SHOULD NOT BE USED FOR PROPERTY DATED 6/2/93, THE STRUCTURE IS NOT LOCATED LINE DETERMINATION. IN AN ESTABLISHED 100 YR. FLOOD HAZARD ZONE. CERTIFIED PLOT PLAN LOT A-1 STEVENS STREET MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, VA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR BROOKVIEW COUNTRY HOMES 62 MONTVALE AVE. SUITE I STONEHAM, MA. 02180 P.O. BOX 531 (617) 438-6121 NORTH ANDOVER, MASS. SCALE: 1 "=30' DATE: 3/1 /99 N /F STEVENS - 151.00' 32' 51 R ' p 30 G (� (n Lu 5 � �-.- 36' z 3:F- w O w� — o o 0) v LL 0 � Z LL Z LOT 1 AREA=30,030 S.F. 121' 47.75' 103.31' UP UP 653 EXIST. EDGE OF PAVE. STEVENS. STREET WG . H YD. ��EpITH Of,� s ° s NOTE: THE CONTRACTOR SHALL VERIFY THE LOCATION & n`q�r r PAU(°yN ELEV. OF THE FOUNDATION DRAIN & SEWER LATERALS GIG, G vi PRIOR TO EXCAVATION OF THE FOUNDATION TO ASSURE THE FOOTING & SEWER WIIL 8E C. GRAVITY DRAINAGE OF PROVIDED. NOTIFY DESIGN ENGINEER IF ANY CHANGES r ARE NEEDED. PROPOSED PLOT PLAN LOT Al - STEVENS STREET MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER ENGINEERING AND PLANNING CONSULTANTS 62 MONTVALE AVE. SUITE I PREPARED FOR FLINTLOCK INC. STONEHAM, MA. 02180 (617) 438-6121 P.O. 80X 531 NORTH ANDOVER, MA 01845 DATE: 9/11/97 SCALE: 1"=30' Builder/Designer Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.0 28' x 38' Colonial with 14' x 26' Family Room w/two.car under DATE: 5-13-1998 Bldg. Dept. Use [ J [ J [ ] CEILINGS: 1. R-30 Comments/Location 2. R-30 Comments/Location 3. R-30 Comments/Location WALLS: 1. Wood Frame, 1611 O.C., R-15 Comments/Location 2. Wood Frame, 16" O.C., R-15 Comments/Location WINDOWS AND GLASS DOORS: 1. 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: 0.22 Comments/Location FLOORS: 1. Over Unconditioned Space, R-19 Comments/Location 2. Over Unconditioned Space, R-19 Comments/Location 3. Over Outside Air, R-19 Comments/Location BASEMENT WALLS: 1. 8.0' ht/6.0' bg/0.0' insul., R-0 , Comments/Location HVAC EQUIPMENT EFFICIENCY: 1. Furnace, 90.0 AFUE or higher Make and Model Number THERMOSTATS: Adjustable thermostats required for each HVAC system. AIR LEAKAGE: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air -tight assembly with a 0.511 clearance from combustible materials and 3" clearance from insulation. 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: Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. DUCT CONSTRUCTION: All ducts must be sealed.with mastic and fibrous backing tape. Pressure -sensitive tape may be used for fibrous ducts. 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 1250 of the design load as specified in sections 780CMR 1310 and J4.4. MISC REQUIREMENTS: Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only)------------------------- GO 0- uj am �• ca w 0Pw 0 O C C viac VE m : m E 4 E a m o o c z Q! CO N C/) H : m 3 •• c ' m CA_ C c y O O W (D co E= V av o C/) lo: cm Cf) C4 i c I= P-40 v •y OO a Z ccc oo c ~ m ya ao 0= c3 A s a. -o V! r _'. m .L... 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Z 0 N = Q s CIO O M 0 ti CJ x r—t—�—r—� Z C`' 1 O _ r L 1111111 I U- C o 0 P7 cn ~ -j 0 >- Z LL U-1 0 �� ' w -. Y �o Y �. U x � r- a' M C � o S a. N 0 U G� p x O- Op p� -- Q r- n mco LA p ..0-,8Z r 0 M N F- 4 0 I I ul W IL 7o N t - - - Z C _ p J � O U ti g p N J7 ctn p L ----- --- - - ----- - -- O - - F% 2-8 0 0 C W 0 N x Lli �_ Q. Z 0 N = Q s CIO O M 0 ti CJ x r—t—�—r—� Z C`' 1 O _ r L 1111111 I U- C o 0 P7 cn ~ -j 0 >- Z LL U-1 0 �� ' w -. Y �o Y �. U x � r- a' M C � o S a. N 0 U G� p x O- Op p� -- Q r- n mco LA p ..0-,8Z r 112 4064 Date. . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING �SACMUSc - (-�!w . . . This certifies that cam.. . has permission to perform,-<. ............ ..... . plumbing in the uildings of . .........:... ... . • , North Andover, Mass. Fee Lic. No� .... .L..... PLUMBING INSPECTOR WHITE: AggV" q9 14;3CANARY: PINK: Treasurer M w N 0 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUM ING (Print ,pr Type) a.� City, `I'owrt >., _ ------- -------0(1 �, -- j _. `7 7' �� }c_.Int1l it 13uildinCl Owner's AT: Location - E'��Ivs� N -a -me oO �tQJ---_—��lne 'L- ')'yl.)e of Oc.'c ul)ancy: New Renovation ❑ Replacement: ❑ Plans FIXTURES st,lmic-tt ,tt_: Yes ElNn lam' (Print or Type) Check One: Certificate Installing Company Name Sa V� "�S�S 1 —__ ❑ Corp. ----------__-_-- Atldress ❑ Partnership ---- - ❑ Firni/Cowipany-- -- Rnsincss •I"clephone >3 �� _'� _ Name of Licensed !'lumber or Gastitter I hereby certify that All of the details and information I have submitted (or entered) in above application lire true and accurate to the hest of lily knowledge aid that all plumbing Work and installations perfnnned under Permit issued for this application will be in compliance with all pertinent I nvisious of the Massachusetts State Gas Code will Chapter 142 of the General laws. I have informed the owner or his agent that I du not have liability instnance including completed operations coverage. ._.....____ -- Sign:uura• ul rlwua•r/Apcnr _ .—_–._ I hate a current liability insurance policy to include completed opetations coverage. ❑ By _-_------_.__-- _ ---- ignature of l.iccnsed I'hunber ' I i tle City/'I owl) __—__----—_-__--- -��—� type of Plumb ng l.iccnse �5 � A1astcr ❑ .luurncyman APPROVED (OFFICE USE ONLY) License Number r'cur.+ 1240 HOHH ; t: WAro+ert. Ira: 1989 x z = N Y a N x w w w N Y Z N J d N tY d H N Z O N 2 N ¢ d CC i N ... N N x a fL 1•� xr1c V W N N Y 4 LL x Q 0. Z Q 3 x V x w m N W > d 1- N Z d d N 0 z a 0. K O LL K W w x p.. W d Br N G O x d J N Kcc F- J d Y W p LL a t- v d y x t„ O x °- x N F' Y x a o 0 0 N z z d w F- LL O Y v IU r d o Q J J d It cc a d o d ►- Y N Y. r7 m a .Q 3 cc T --E in O J_+ SUB—BSMT. �.I BASEMENT --- -- -- IST FLOOR ` 2ND FLOOR 3RD FLOOR _ 4TIl r'LOGR 5TH FLOOR 6TH FLOOR M—FF 7TH FLOOR 8TH FLOOR (Print or Type) Check One: Certificate Installing Company Name Sa V� "�S�S 1 —__ ❑ Corp. ----------__-_-- Atldress ❑ Partnership ---- - ❑ Firni/Cowipany-- -- Rnsincss •I"clephone >3 �� _'� _ Name of Licensed !'lumber or Gastitter I hereby certify that All of the details and information I have submitted (or entered) in above application lire true and accurate to the hest of lily knowledge aid that all plumbing Work and installations perfnnned under Permit issued for this application will be in compliance with all pertinent I nvisious of the Massachusetts State Gas Code will Chapter 142 of the General laws. I have informed the owner or his agent that I du not have liability instnance including completed operations coverage. ._.....____ -- Sign:uura• ul rlwua•r/Apcnr _ .—_–._ I hate a current liability insurance policy to include completed opetations coverage. ❑ By _-_------_.__-- _ ---- ignature of l.iccnsed I'hunber ' I i tle City/'I owl) __—__----—_-__--- -��—� type of Plumb ng l.iccnse �5 � A1astcr ❑ .luurncyman APPROVED (OFFICE USE ONLY) License Number r'cur.+ 1240 HOHH ; t: WAro+ert. Ira: 1989 3`15 6 Date. �r%.5....... .. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATIO To certifies that-....-,".. 0 has permission for gas installation_.. ! -J........... �i . inNhe buildings... • • • • • • • • • • at s.`% r. '� - ..-�..,..:, North.�Andover, Mass. F&...Lie. ..Lie. No. %GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer zsy . 7 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING' (Print or Type) \ �w�bV�l Date 19 _ 19 Building l ' R � Yom/, `e0elt2SS Permit # Location. ^� / - Owner's � -- ---. NameC-r New '4 Renovation ❑ . Replacement ❑ ' Plans Submitted: Yes ❑ No M/ Installing Company Name'. Address to S -7— r\_) t4 -7—r\_)l-4 Business Telephone 6c � Name of Licensed Plumber or Gas Fitter Check one ❑ Corp. ❑ Partnership ❑ Firm/Co. Certificate INSURANCE COVERAGE: Check one I have a current liability insurance policy or its substantial equivalent. Yes ❑ No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy ❑ Other type of indemnity ❑ 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. Check one: Owner ❑ Agent ❑ , Signature of Owner or Owner's Agent I hereby certify that all of the details and Information I have submitted (or entered) in the above application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under the permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. Fee Check # Date APPROVED (Office Use Only) Type of License: p'Plumber ❑ Gasfitter [,,,Master ❑ Journeyman Signature of Licensed Plumber or Gas Fitter License Number :!: -2- 1 2 - � i I ., a o vi = to w rL O V 0I 1 �� Z � 7_ < S OC � W W H I-' = a > -j a I.., W; Z F z<� F 6 g > o LL o P W uJ a J v L., tz- li . = O 0 x LL 3 3 o V c> o. I1- O - SUB-BSMT. I I I I I I I I IIIII I I I I I I I I I I BASEMENT I I I I I ISI 1 1 1 1 1 1 1 IIIII I I __ ISTFLOOR `2ND i 11__1 I _I I 11_ 1 I-I _I __I I I I_I_I. I I_ FLOOR ( 3RD FLOOR l I I I I I I I I I I I I I I I I I III III 4TH FLOOR I I III I I I I I I _I _ I_ I I I I I_I I I _III I I I I I_ STH FLOOR _I __ _I j _^I 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name'. Address to S -7— r\_) t4 -7—r\_)l-4 Business Telephone 6c � Name of Licensed Plumber or Gas Fitter Check one ❑ Corp. ❑ Partnership ❑ Firm/Co. Certificate INSURANCE COVERAGE: Check one I have a current liability insurance policy or its substantial equivalent. Yes ❑ No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy ❑ Other type of indemnity ❑ 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. Check one: Owner ❑ Agent ❑ , Signature of Owner or Owner's Agent I hereby certify that all of the details and Information I have submitted (or entered) in the above application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under the permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. Fee Check # Date APPROVED (Office Use Only) Type of License: p'Plumber ❑ Gasfitter [,,,Master ❑ Journeyman Signature of Licensed Plumber or Gas Fitter License Number :!: -2- 1 2 - C A C C 151.00' - N/F LOT A-1 g 4.2' DOWNES 30,030 S.F. FAMILY 0.69 Ac. TRUST N/F N-, 45.8' J BREEN 0 o EXISTING o FOUNDATION 53.9' _ 47.75' 103.31' -� ®�AAlA�.49 ®� i OF MgSTEVENS S THEE T pp P�jtSs p q o STEPH, p � L 1 w • �90FFss\o ®�g4,o stjB WE HEREBY CERTIFY THAT WE HAVE EXAMINED �p®v v,w THE PREMISES AND THAT ALL APPARENT EASEMENTS AND ENCROACHMENTS ARE LOCATED THIS PLAN IS INTENDED FOR ZONING AS SHOWN. THE STRUCTURE SHOWN CONFORMS PURPOSES ONLY. IT WAS PREPARED TO THE ZONING LAWS OF THE MUNICIPALITY FROM EXISTING PLANS AND RECORDS WHEN CONSTRUCTED. ALSO, ACCORDING TO THE WITH THE STRUCTURES SHOWN LOCATED F.E.M.A./H.U.D. FLOOD INSURANCE RATE MAP, BY AN INSTRUMENT SURVEY. THIS PLAN COMMUNITY PANEL NO. 250098 0003 C SHOULD NOT BE USED FOR PROPERTY DATED 6/2/93, THE STRUCTURE IS NOT LOCATED LINE DETERMINATION. IN AN ESTABLISHED 100 YR. FLOOD HAZARD ZONE. CERTIFIED PLOT PLAN LOT A-1 STEVENS STREET MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR BROOKVIEW COUNTRY HOMES 62 MONTVALE AVE. SUITE I STONEHAM, MA. 02180 P.O. BOX 531 (617) 438-6121 NORTH ANDOVER, MASS. SCALE: 1 "=30' DATE: 3/1 /99 3913 Date ...7//... TOWN OF NORTH ANDOVER PERMIT FOR WIRING .................. This certifies that .......... (-.r.r ........... has permission to perform ............/Gt, ................................. wiring in the building of ............. W..(� . .......................................... S6— 5t ....................................... ................................. North Andover, S. Fee ......a.. Lic. No ........ .. . . .... ... ............. ELECTRICAL INS dc,�V Check# Commonwealth of Massachusetts Official Use Only Permit No. Department of Fire Services Occupancy and Fee Checked ' BOARD OF FIRE PREVENTION REGULATIONSev. 11/99 � 1 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 5 7 MV RA2.00 (PLEASE PRINT IN INK ORT P A INF RMATION) Date: - /� a City or Town of: Q� To the Inspect6r of Wires: By this application the undersigneyi,gives noticS,cof �is or her intention to perform the electrical work described below. Location (Street & N er)" W Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No Purpose of Building Existing Service Amps / Volts New Service Amps / Volts Telephone No. ��d6' (Check Appropriate Box) Utility Authorization No. Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ No. of Meters No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of Security system Completion of the following table may be waived by the InsDector of Wires. No. of Recessed Fixtures No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures AboveIn- Swimming Pool rnd. ❑ rnd. E]Batte o. o Emergency Lighting Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number Tons KW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal El Other Connection No. of Dryers Heating Appliances Kit Security Systems: No. of Devices or E uivalen No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP I Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. 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:) (Expiration Date) Estimated Value of Electrical Work: A r (When required by municipal policy.) Work to Start: D(;tjnspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the ains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: ADT Security Servi rac 12 C LIC. NO.: Licensee: ' John S. Bassett Signature LIC. NO.: 1533C (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 603 594 5928 Address: I Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Licghsee 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: $ l