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Miscellaneous - 40 AMBERVILLE ROAD 4/30/2018
40 AMBERVILLE 210/107.B-01 61-0000.0 ` �l I l I� / 1�1 1 1 1� '� 1 �1` North Andover Board of Assessors Public Access Page 1 of 1 HORTf, North Andover Board of Assessors t _ w ♦i # �sSaCMU`+EtI&Property Record Card Click Seal To Return Parccl ID :210/107.B-0161-0000.0 FY:2013 Community : North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlar e IIC ' Search for Parcels Search for Sales 4 Summary . Residence Detached Structure 11'ayr,,fid ; Condo 40 AMBERVILLE ROAD Commercial Location: 40 AMBERVILLE ROAD Owner Name: BHATTACHARYA,JYOTIRIJIBAN C/O VERONIQUE JURCZYK-WILLETT Owner Address: 40 AMBERVILLE ROAD City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood:6-6 Land Area: 0.28 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 3327 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 598,900 569,200 Building Value: 422,100 391,300 Land Value: 176,800 177,900 Market Land Value: 176,800 Chapter Land Value: LATEST SALE Sale Price: 520,800 Sale Date: 01/31/2001 Arms Length Sale Code: Y-YES-VALID Grantor: PULTE HOME CORP Cert Doc: Book: 05994 Page: 0161 http://csc-ma.us/PROPAPP/display.do?linkld=2258869&town=NandoverPubAce 3/19/2013 Residential Property Record Card PARCEL-ID-.210/107.B-0161-0000.0 MAP:107.121 BLOCK:0161 LOT:0000.0 PARCEL ADDRESS:40 AMBERVILLE ROAD FY:2013 PARCEL INFORMATION Use-Code: 101 Sale Price: 520,800 Book: 05994 Road Type: T Inspect Date: 06/10/2009 Tax Class T Sale Date: 01/31/01 Page: 0161 Rd Condition P Meas Date 06/10/2009 Owner: -- _. .. BHATTACHARYA,JYOTIRIJIBAN Tot Fin Area 3327 "``Sale Type P� �'��� Cert/Doc ��� Traffic,- L �' Entrance X C/O VERONIQUE JURCZYK-WILLETT Tot Land Are-a:- 0'.28--' Sale Valid Y Water. Collect Id SGC Address: Grantor'— -PULTE HOME CORP Sewer: Inspect Reas: _M 40 AMBERVILLE ROAD Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LP/o Indust-131% / Open Sp-B/L% / NORTH ANDOVER MA 01845 RESIDENCE INFORMATION LAND INFORMATION Style: CL Tot Rooms: 10 Main Fn Area: 1671 Attic: NBHD CODE 6 NBHD CLASS 6 ZONE:VR 1. m Se Tye .Code Method Sq Ft ''Acres ry Influ-YlN Value Class' Story Height__2.00 Bedrooms: 4 VUp Fn Area � 1656 Bsmt Area _1__6.56 9_,.T- Yl? „ .. ._._. Roof: G Full Baths: 2 Add FliArea.'_-' Fn Bsmt Area: 1 P 101 S 12283 0.280 m m 176,769_ Ext Wall __ AV- Half Baths: -1 Unfin Area: Bsmt Grade: VALUATION INFORMATION .`_ Mason Tnm: ExtBathFix: 0"' Tot Fin Area----3127--'- '-- Current Total: 598,900 Bldg: 422,100 Land: 176,800 MktLnd: 176,800 __ Foundation��CN Bath Qual: L RCNLD 422133- Prior Total: 569,200 Bldg: 391,300 Land: 177,900 MktLnd: 177,900 Kit6l QuaL L' Eff Yr Built: 2000 Mkt Adt' Heat Type: FA ExtKitch: Year Built: 2000 Sound Value: _ e Fuel Type: O .—Grade:- GV Gost Bldg: 422,100 Fireplace: 1 Bsmt Gar Cap: Condition: G Att Str Val 1: Cental AC:'' Y`'Bsmt GarComplete:-10_0 Att4Str Val2. + Att Gar SF __'__440%Good'P/F/E/R:�_ 11195 Porch Type Porch Area Porch Grade Factor P 120 W 70 SKETCH PHOTO IN, r , 23 Sq IM 120 Sq.110 14 ft 11713 --- ••- 20 - r w 1656 Sq.R 32' H F G 12 A� � 440 Sq.R 20 20 22 40 AMBERVILLE ROAD Parcel ID:210/107.6-0161-0000.0 as of 3119113 Page 1 of 1 µ°xTH TOWN OF NORTH ANDOVER ° Building Department 1600 Osgood Street o Building 2-'Suite 2-36 Building Dept fiCHUS North Andover MA 0184.5 Tel: (978) 688-9545 Fax (978) 688-9542 COMPLAINT FOR INVESTIGATION DATE: 3 2lI � T�`j-AI ` TEL NAME OF COMPLAINTANT: S4 � c� ruckr_� M_ ADDREr,lc�1. COMPLAINT TYPE: Electrical: Plumbing: Gas: Building: Property Owner: Address: v'YI�rVtG`�C:�C. bU �J ►'L�L 2 Other: be)r-L 4-D 1j e 1 J Signed: Complaint Form-Revised 6.2007 93 43 Date. NORTH TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING • i, _ M ,ss4 us� This certifies that !. !!lo-1?-)�. , ��`cl i'�' . . . . . . . . . . has permission to perform . . !? �-� 1!�_ ��`" �. .`?. e- . plumbing in he buildings ofa? � 2 �►//e„ SPG/. at . . . . . . . . . . . . . . . . . .�./. . . . . . . . . . . . . . . . North Andover, ass. FeeJ�., Lic. No..O ZP . . . . . . . . . . ./ . Check # 3/ PLUMBING INSPECTOR MASSACHUSETT,9 UNIFORM APPLICATION FOR A PIERMIt TO PERFORM PLUMBING WORK CITY I y JO ;"C( J e.iL I MA DATE 13 /S�7 0/a I PIE JO$SITEADDRESS�yb 4mioefLoji.e nd `OWNER'S.NAMESI)S/fT,4 6h^iTAc'h,,yp ! p OWNERAPIA SSI `f 0 /9•n +o e�v t/e '�C� TE) IFAX' I TYPE-UR OCCUPANCYTYPE COMMERCIAL I EDUCATIONAL ( I RESIDENTIAL[] PRI.t4T CLEARLY NEW;( •I RENOUAT199:I I REPLACEMENT:( ( PLANS SUBMITTED: YES) ( NO] } FIXTU-kg 7 FLOOR-+ 13S 1 2 S 4 b s 7 a 9 10- 11 12 13 14 13ATHTUB _I .... .._i . ... . ... :.) ........ -I ---i,•-•-- - t✓ROSS LONNECTION;DEVICE _I ..... . . .i..._-- DEDICATEOSPECIALWASTE-SY$TEtvI DEDIOAYEDGASIOIUSANDSYSTEM i .. ..:...., I........� ..� ..__.. ..1 .. .. . . . DEDICATED GREASE SYSTEM I% i . DEDICATED GRAY WATER SYSTEM _I ._. ..1....... . .. ...I __.- ,.. . . ., ..... .. DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER ( - FLOOR!AREA DRAIN INTERCEPTOR INTERIOR � : KITCHEN SINK ---:I..... _ � �. �.l .. I : . .. � i .. .._.! LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET URINAL -- IAIAS14ING MACFIINE CONNECTION WATER.HEATER ALL TYPES. - WATER PIPING - -- -— bTHER I is-.. ._ ...... ... .L .. _ ... . � __i`.. . �. .... t� I` INSURANCE COVERAGE: — - 1 have a ctirrent•liabilit iilsitratice polis y.br its sulistantial equiValent wilicii meets the reglrirements of MGL t h.142.6� J NO [ I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAG E BY C14ECKING THE APPROPRIATE BOX BELOW LIABILITY OSURANCE POLICY(� OTHER TYPE OF INDEMNITY( AOND(. { OWNER'S INSURANCE WAIVER:t ani Aware that the licensee.cloes not have ihe'insurance coverage required by Ciiapt6142 of the Massachusetts General Laws,and that tqy signature on this permit applicationyaaives this recittlro-inen't. CHECK"ONEONLY:_ OWNER ( AGENT J SIGNATURE OF OWNER Ol,AGENT I hereby cerlily Thal all of[tie details and Infonnalion I ImVe-ubm t ed of entered recgardingahis application and true and accufate to the best of my knovrtddye = and that all plumbing work and installations performed under the permit issued for this application will be in compliance wilh Pertinent prgvision of the 3 Massachusetts State-Plumbincd Code and Chapter 142 of the General Laws- PLUMBER'S NAME[Tlwm AS 1 AR.H Ac(,',g 0 LICENSE It�l95/09 40XC SIGNATURE �� I MPI I JPI,H' CORPORATION) .Illi 1PARTHERSHIP1 Jill' (LLC( Iff COMPANY NAME{fa 9 1 ADDRESS( �/$" ^O /V S 7- CITY /f m10,f t P.vC1 60.3 �STATE I y/-/ *I ZIP� O.���// � !ELI 6 0,r aV..9-YWO I FAX CELL 60- m/yr I EMAIL �d�T/ui/R r ✓� �rtJPT i RE)UM PLLrty 'iNr, tELQ5v rpa ofi mm U7Sr:ONLY MLAL 9NSPi,;CTION NOTES Yes OTHIS APPLQCA7fONS�RVES ASTHE P�RMBT N e,.v FEE:I PERMFr� . � w IPLA14�P-Zj -W..NQTll' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ,o Please Print Leizibly Name(Business/Organization/Individual):_ „ d Address: s City/State/Zip: ere,t i � oV w d Kz Phone#: G cr%3 —,f 9 - 54c5b�0 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet. ?• Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9, Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees.[No workers' 13.❑Other comp.insurance required.] *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 their workers'comp.policy information. lam an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name:. Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: 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. 5iMature: Date Phone 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#: Information and. instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in.the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office ofInVcstigations 600 Washington Street Boston,MA 02111 Tel,#617-727-4900 ext 406 or 1-877-7MASSAFE Revised 5-26-05 Fax 4 617-727-7749 www.mass.gov/dia Date.................................. -fee TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACHUS This certifies that ......../ A,-,-:z-, 77 ....... ............................... ................................ has permission to perform ............... .................................... ...... ..... .............. wiring in the buil iving of ........................................................� v/�................ at.....L ............ ...... .. North Andover,Mass. Fee .. Lic.No. ........ ELECTRICALINSPECTOR Check # 8363 I'rrnti� Nu ----- -- } Department of Fire Services ,�` Occupancy and f--cc C;hccked ' BOARD OF FIRE PREVENTION REGULATIONS (Rev. I 1/99avc blank_ APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance wilh the Massachusetts Electrical Code(Ml' '),527 5MR 12.00 (PLEASE'PRINT IN INK OR TYPf ALIS INFrQ„�R/ MA97ON) Date: Cit}' or Town of, oR d Vet To the inspector of Wires: By this application the undersigned gives notice of/his or her intention toperf mi the electrical work described below. Location(Street & Number) Owner or Tenant 90e, 6aa Telephone No. Owner?; Addressis this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Un�c�i f-1a Purpose of Building We 1 1,/V Utility Authorization No. Existing Service _ Amps �14 Volts Overhead ❑ Undgrd No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 'ly �i W - - Completion of rhe ollowin table may be waived by the hupecror o f;Gres. No.of Recessed Fixtures No. of Ceil.-Sus addle Fans r oC � Total �_. P• (Paddle) 1 Transformers KVA No.of Lighting Outlets --- No.of Hot Tubs Generators KV A WU-ov—-fin- o.o mergency Lig tng- _-- No.of Lighting Fixtures „� Swimming Pool rnd'• rnd.—❑ 113attery Units No.of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. oC Zones ----- No. of Switches No. of Gas Burners o.o Detection D an N -_ _ Initiating Devices No. of Ranges -^ No. of Air Cond. Tonsl No. of Alerting Devices No. of Waste Disposers eat ump um er ons KW No.of elf- ontatne P Totals: Detectio a/Alerting Devices -� No. of Dishwashers — Space/Area Heating KW Local ❑ stems: al El Other ` No.of Dryers -4 Heating Appliances ------ KW — ec ri of Devices or Equivalent o. o �- KW o. o o. o Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent ,t No. f{ dromassa a Bathtubs No. of Motors Total HP '- Telecommunications Wiring: r y f; No.of Devices or Equivalent OTHER: _ Attach additional detail ifdesired,or as required by the trespecro,of iVires. 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. !'he undersigned certifies that such covers e is in force, and has exhibited proof of samento the pemilt is tng office. Q Cf{ECK ONE: INSURANCE OND El OTHER ❑ (Specify:) /2------�� I, 5 (Ex 'ration ate) Estimated Value of E ectr cal Work: (When required by municipal policy.) Work to Start: f�� Inspections to be requested in accordance with MEC Rule 10,and upon completion. i certo,, under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAiviE: LIC.NO.:__.__ Licensee: /2 ae O l IS Signature LIC. N���� (Ifopplicable, a ter. '�exempt"it,the Licere numb w Bus. Tel. No.: ` A�7 -ea�r* Address: f wtS C teL('� Z�� ��Y, �1 Q(�0 Alt.Tel. No.: OWNERS TNSURANCE WAIVER : i am aware that the Licensee does not hm,e the liability insurance coverage normally required by law. By my signature below, l hereby waive this requirement. I ant the(check onc)❑ o%+ner ❑ owner,agent Owner/Agent PF_RMIT FEE: S :� °� Signature _ _ Telephone No. -- I �� r r J N F 17 11 I � I i N° 2897 NORT/J TOWN OF NORTH ANDOVER p PERMIT FOR WIRING �Ss�cHusE� This certifies that ✓ t - r- -y�^ .fes. ,has permission to perform ..... .:a" :; .:.: wiring in the building of................. J:4- At.M1....:;:........: ............................................. ,' . Qri. _NpAh Andover,Mass. i�G .. t?� .............................. .. ertl Fee:;:��1..Ys... Lic.No� _ `�` ELECTRICAL INSPECTOR Check # yam"" e-- WHITE WHITE: Applicant CANARY: Building Dept. PINK:Treasurer _ ( omrnontoeall of I�a9�ac�tudelfo OC�c,al USC Only ry �c77 Permit No. t�0 9 l 2111.1lmen1 of re servica3 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1 1 99] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Mccirical Codc(iMEC),527 Ci`IR 13.00 (PLE.ISE P1?1NT LV 1tVK OR TYPE:ILL 1NF_0ILLL IT10rV) Date: a y�� City or Town of: n, Duvet To the lnspectcrof[Vires: By this application the undersigned gives notice of his or her intention to perform the elecrrical work described below. Location (Street & Number) L4 C) 1q mbo r 0i 11e— Wej Owner or Tenant ho ( hQ r Telephone No. Owner's Address Is this permit in conjunction ith n building permit? Yes ❑ No LR (Check Appropriate Bos) Purpose of Buildina ,�1[JP 7Q� Unlit}•Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of itiIcters . New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of:lIeters: Number of Feeders and Ampacily Location and Nature of Proposed Electrical Work: _-Completion olrhe jo(luirine[ub(e may benaive<!bythe/�rspcc for o(JVirrs. . No. of Recessed Fixtures No.of Ceii.-Susp.(Paddle) Fans tNo. of Total + Transformers KVA No. of Lighting Outlets No. of Mot Tubs Generators KVA No. of Lighting Fixtures S�timntinQ Pov1 Above ❑ In- ❑ t o. o mergency tg rung b arnd. ernd. Batte •Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARINIS No. of Zones No. of Switches No.of Gas Burners 1 0. of Detection and Initiating Devices No. of RanoesTotal No.of Air Cond. Tons ,Nv. oC Alerting Devices No. ofWaste Disposers mat Pump Number (Ions KNV _ No. oCSelf Contained Totals: i DetectionAlertino Devices NO. of Dishwnslters Space/Area Heating KNYLocal thlunicipal ❑ Connection ❑ Other No.of Dryers Heatin.Appliances Security Svsterns: No.of Devices or E uivalent "No. oC Nater No.of Nv. oC 7-7- Heaters Kw Suns Dnta t✓lrin�: Ballasts No.of Devices or Equivalent INo.Hydromassage Bathtubs No.of Motors Total 10l'clecorlriunications :Vining: No.of Devices or Equivalent OTHER: 1111ach additional detail if desired, or as required by the Inspector of:Vires. INSUR..NCE COVERAGE: Unless waived by the owner,no permit for the performance ofelectrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersig-ned certifies that such coverage is fn force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSUR_,\NCE X BOND ❑ OThIER ❑ (Snecify-:) Estimated Value of Electrical Work: (When required by municipal policy.) (Expiration Date) Work to Start: a' 1 k► Inspections to be requested in accordance••with MEC Rule 10, and upon completion. I cer•tif under the paints acrd penalties of peJury,that the information alt this application is true and complete. FIRtII NAt\IE: B i nus omc, 5°C LIC.NO.: C 1, l Licensee: 1"lU r h J'• �U I✓�S�t i� Si;nature P Ll C.N0.,55C0-ox 5gs (lfapplicable, enterlupt-illthe license number line. ] -fa, 7-O4 ) Bus.Tel.No.:q q 3 Address: 155 JL4 9, S-k-5r W,�rnj!2,G--h)q M14 0l g g J Alt.Tel.No.: JOX Jbq-05 OWNER'S INSURANCE WAIVER: I am awa that the Licensee does not hone the liability insurance co%-era�,e normally required by law. By my si`,nature below, I hereby waive this requirement. I art the (check one) ❑ owner ❑ owner's a,rnt. Owner/Anent FPI� Signature 'Telephone No. R:TIIT FEL••: S3 r •J 1 CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 3 / 1 Date /-a16--o2C 0/ THIS CERTIFIES THAT THE BUILDING LOCATED ON MAYBE OCCUPIED AS S f V l /)e- �� ��� IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY, CERTIFICATE ISSUED TO a? a,9 ADDRESS ` ? C""SBuilding Inspector L NORTH Town , of Andove No. co LA dover, Mass. O d D COCHICMEWICK V ' ORATED P4�S ._ ' BOARD OF TH Inn Food/Kitchen -E R..M I D T Septic System T k BUILDING INSPECTOR THIS CERTIFIES THAT 70.44 .. 40.�� Foundation � �q '-- has permission to erect................. .................. b ildings on ... .Q.. rh.. . Yl 0% k4. R°ugh �1_�(� r a .. O .. �� � him��A e ytift to be occupied as.I...... . . .. ,. ). I... ..........., j6V provided that the person acceptir�this permit shall in every respect conform to the terms of the apocation on file in Final this office, and to the provisions of the Codes and By-Laws relatin to the.Lnspectio Afterati and Construction of Buildings in the Town of North Andover. m PLUMBING INSPE 8 VIOLATION of the Zoning or Building Regulations Voids this Permit. ° ���ZL PERMIT EXPIRES IN 6 MONTHS !� UNLESS CONSTRUCTI?040 ST T ELECTR AL INSPECTOR Rough U� �7/'f-rr,- c H 1090� .. . . .................. ................................ Service BUILDING INSPECTOR j ina d 3 (> Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in-11 -Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner � -a { A%-/ Street No. Smoke Det. SEE REVERSE SIDE i` NORTH Town 0 R over 0 o o dower, Mass., A- COCKIC ME WICK V 7�ADRATED PPp��S S H BOARD OF H TH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT A /14 ��� C....... �r ............ .................. ....... ................... Jy P has permission to erect....f )YAR......... buildings on 4A.0 �'1 .......� Q� ... ........ .............. Rough to be occupied as �� PE.;x r r,r 0 it SVC rt Chimney p' ......... .............................................. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. , PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION SELECTRIC INSPECTOR T S Rough ........ .. .. ......................... Service BUILDIlVG INSPECTOR 7 Final Occupancy Permit Required to Occupy Building GAS NSPECTOR Rough Display in-0 Conspicuous Place on the Premises - Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE Until Inspected and Approved by the Building Inspector. Burner P�A�TMENT Street No. SEE REVERSE SIDE smoke Det. Town of North Andover tAORTh Building Department ��ot�i.eo ,b�6 0 27 Charles Street 1 North Andover, Massachusetts 01845 * ` (978) 688-9545 Fax (978) 688-9542 y O�q COCA. KM 1\ T ATIED ACH1!`S'���y APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS RoAd LOT NUMBER SUBDIVISION /=m rze S fi ✓i E L J �:Sf-A t/�C DATE REQUEST FILED DATE READY FOR INSPECTION FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTING CONSERVATION `�` ^ 5�� DATE n PLANNING '` DAT L� S irk D.P.W. —WATER METER Q DATE 8 D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIO _44O INSPECTI N UEST DATE. SIGNATURE/DPW AUTHORIZATION Locationz,-Z& "Sy No. 7 Date NORTH TOWN OF NORTH ANDOVER 3? OL Certificate of Occupancy $ SSACNUsE<�' Building/Frame Permit Fee $ 1 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 00 Check # Building Inspector . esiti Dev Group Fax:978-5578160 Jun 13 2000 12:43 P.02 44 C.; I TOWN OY NORTH ANDOVER BUILDING DEPARTMENT PLICATION TO CONSTRUCT REP.•JII2.RF-NOVATE, OR DEMOLISH A ONE OR Two FAMILY =_� ` Y r � -r-sa-�:^• sem` TILDING PER�N=NUZvMER_ / DATE ISSUED: rn' C3J 1N ATTIRE: "�.. Building, Commissicner/I Lor of Buildings Date z CTION. L-SITE EiT'ORMATION Q 1.I Property Address: - 1-2 Assc&sors Map and Psnrl Naber. O � AG�i�3r�Zvi LLr �oAf� /07 !3 a Nip Number Pircxi Number 53 RO=St ViE=iiia ,4F57"ATi S 1.3 Zoning Informaucm: 1.4 Property Dsmensms iine,District PrCccne 'u La.-\,ra(sf) Frccraz= 1{) . BUaMLNG SETBACKS(ft) P Front Yard Side Yard Rear Yard Required ProNide Required Provided Requi red Provided ZL 51 /S ' O w'�rer supe ty:vL G.LC.4.d. Ste) 13. Flood Zone 1r alion: 1.3 Sc---kg-Disposal Sys _ >i Zcmr Ouavie Flood ZDae ❑ `fimic4w Q on Site Disposal Syrccm '7 ,L;c U Pr=.; �- 'MON 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT m Ower of R°c:ord Zf l Moo P-is s J--A/Js LLC X 31 Sui+n A/ S t .S"v;'t-C- 2E iy AMC/af � me(Print Address for Service: N — L I ;nater Telephone ?Ow-ncr of Record: 0 `ratite Nint address for Service: z rn 2mature Tete hoac ;CTTOLY 3 - CONSTRUCTION SERVICES Liccnsrd Con4truccion Supervisor: Not AppEicable ❑ ask CoAjL= o�G�s-�/ o ;cnsed Conssi: tion Supervisor < License dumber nt 19- C)A1101%1 sf- N XAIDOWZ E A- D ldress 9 mature Telephone Pestered Hom-a Improvcmant C-Onu-actnr lot Appucaoie u �mpany Namc R45trsticrt Number r Idrss Z Expiratiotn Date C Mesiti Dev Group Fax:978-5578160 Jun 13 2000 12=43 P.03 SECIION 4-WORKERS COMPENSATION(YLG.L C 152 § 25r�(6) Worker-5 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. Si cd affidavit Attached Yes......X No.......❑ SECTION 5 Description ofPTn osed Wort: check 2 Sable New Construction R f ' Existing BuiIding ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg- ❑ Demolition 0 Other ❑ Specify Brief Description of Proposed Work: 11 GcJOEJ C? i—/2/�M 13 .�1'N /IL ✓AM/'/V S'f0 S-i1 . SECTION 6—ESTENLATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be Corn leted by permit a olicant ;,t:K_mss s + " — a s, tF 1. Building �'"^ // r (a) Building Permit Fee It Multiplier 4- 1 2 electrical (b) Estimated Total Ccst of 000 b�oG Construction 3 Pl unbing p p dCb Building Permit fee 4 Nf�-cctasucal('HVAC 6o7— p _ 5 Fire Protecaion 6 Total (1+2+3-i--4+5) aa,ID Check Number SECTION 7a OW-NER A=0RIZATION TO BE COMPLETED wTCEN OW`t'ERS AGENT OR CO_YTRA`CT/OR AP'PPLIES FOR BLILDLYG PERMIT i, Fz h' r-TfLA,6JC- ' G—/`" as Owner/Au orized Agent of subject property Hereby authorize-Z to act on N v halt: i, m [au e to v;ork authorized by this buildin.-oe=it application. Si,*taroxe of e Date SEC,TIION 7b THORIZED AGENT DECLARATION I. ��T2lG'✓C U�'� as Cn -er/ uthor=eed AQ f subjecr property Hereby declare what the statements and information on the Coregoing application are true and accurate,to the best of my knowledge 2tii�t bel ieti Print- 4- /�/� Si2n3tttre of O'-vMer/A>ent Date --- NO. OF STORtE_S SIZE 32,L32 ,e ZZAzO BASEMENT OR SLAB -mtli=Al SIZE OF FLO OR TLv BF—RS i" / "/srL P1 2 //'P/fr L 1 2 7-9r K0 ..SPAc`i J DNENSIO_NS OF SELLS D2.1EN3IONS OF POSTS �Q DFNMNSIDNS OF GIRDERS 3— !-JX 9 Y 2 L vL F CEIGF4T OF POU-NfOATIO?r 7t iQ -t T-IICKVEss / S1ZE OF FOOT:i\IG' \,fATERLAL OF Ct p — A A 1% iS BC1II DLNU ON SOLID OR FQLED LAND is BC7a,DUC,CONVECTED TO tiyTUR C GAS La,E Location �bJ7 ,4tYJ/Jr0RU/,/1 l` �-` No. Date /a -a1—00 NORT#j TOWN OF NORTH ANDOVER f � 1. a ; : Certificate of Occupancy $ sSIGNUS'^�•°•Etj' Building/Frame Permit Fee $ /5/ / Foundation Permit Fee $ Other Permit Fee $ _ TOTAL $ 43 �g Check # 3 914 3 09 Building Inspector OCT-02-2000 09 :55 AM MARCHIOHDA&ASSOCIATES 781 438 9654 P. 01 '6/CI4 )e'P,vj OPEN SPACE PARCEL ,E, 555 '29"E 40 r=r NO CU 7 6UFFER � fyJp,` 54.6' — � 12283 S.F. 0.28 Ac. 0 20.4' C N to EXISTING FOUNDATION N N � EL=160.60 iv L N JM J T M ''A s1F� ri uF/4a s`�c EPHEN M. 17.1' ELESGIUC , No. 39049eV 0,� ;r� 27.0 C 62'34'50"W 93.62' 4 z'JbAMBERVILLE ROA® WE HEREBY CERTIFY THAT WE HAVE EXAMINED THE PREMISES AND THAT THE BUILDING IS 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 0015 C SHOULD NOT BE USED FOR PROPERTY DATED 6/2/1993 , THE STRUCTURE IS NOT LOCATED LINE DETERMINATION. IN AN ESTABLISHED 100 YR.FLOOD HAZARD ZONE, CERTIFIED FOUNDATION PLAN LOT 50 FOREST VIEW ESTATES MARCHIONDA & ASSOC-,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR 52 MONTVALE AVE. SUITE I PULTE HOME CORP. OF NEW ENGLAND STONEHAM, MA, 02180 257 TURNPIKE ROAD SUITE 200 (781) 438-6121 SOUTHBOROUGH, MASSACHUSETTS 01721 SCALE: 1"-20' DATE: 9/28/00 o-+ I''It,-I t l Uev U-Oup f ax Jun 1J 1000 12:5U F. 13 f { FORK[ - U - LOT RELEASE FORM fy that all-necessary approval/permits from INSTRUCTIONS This form is used to veri Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable i t.... . // requirements. . ...r................. ...■......... ...r......r r r r r... ,r r r ; I ` APPL1C�vT/��i�l�a/l1� PHONE SD1P-;raj- W, ASSESSORS :ylAP NUMBER LOTNUMBER. /0// SUBDIVISION LOT NUMBER STREET ��� STREET'NUMBER y0 ■ .....r r.... ...• ............■■ r r.■ r■. r...r r 4••r , OFFICLaL USE ONLY ..r r.■.•............. .......r.•..r r..r ................................... i RECOMMENDATIONS OF TOWN AGENTS ... ..,,^^__ {■\) ��. r r ..........r................... .r.7bj .... DATE APPROVED i ZI IL CON ERVATION ADNLD-fISTRATOR I DATE REJECTED c�Nrn�rrs •mss�.� ��- ��h�.��.r. DATL• ,Ad PROVED TOWN P ER DATE RL-JECTCD cnhfl�CE�t-15 DATC APPROVED FOOD INSPECTOR- HT:-ALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HE LTH DATE REJECTED COMMENTS PUBLIC WORKS -SENVER I WATER CONNECTI NS n5`le G D AY PERIXT / DATE APPROVED i FIRE EPARTti DATE REJECTED j coNiMENTS RECEIVED BY BUILDING INSPECTOR DATE } • } i • j � "' I ►y Town 0 V� ndover LAKE O dOVer, Mass., 'pA COC MIC ME WICK\y^, �d ORATED FPS tC SSgC HUS�� FOR EXCAVATION AND FOUNDATION THIS CERTIFIES THAT has permission to excavate and pour foundation at' d lo-C � for the purpose of............j.S 11V .1*.......rA, "�„�� P�.�/ 1/y�.�... .... .... . ............................ The person accepting this permit must return to the office of a Building Inspector a certified plot plan show of building thereon before Foundation will be inspected. VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. t ..... ...0000.......... ru m nTNr, rmgPPri-nv NORT#q Town o :,4Andover 0 ti.. 3 / 7 ;;;;��LA o �` dover, Mass., COCKICKEW$CK RATED `r BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT....... , ,/ ,,,,,,11 , 1 a Ir� BUILDING INSPECTOR ..... .............. .... ... Foundation has permission to erect.................1...........,...... b ildings on ..6 ... .. ��V�.!I .... .. Rough to be occupied as)............ 8 �( 6 y provided that the person acceptirlb this permit shall in every respect conform to the terms of the ap cation on file in Final this office, and to the provisions of the Codes and By-Laws relatin to the spectio Alterati and Construction of Buildings in the Town of North Andover. l v ' 00 PLUMBING INSPECTOR � � s VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI ST T Rough ............... .......................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner J Street No. . SEE REVERSE SIDE smoke Det. i 12 � 1 � �S8 17' 158 \ 16 44' �� 4 TF=1 66.5 I=151.3 CF=153. _� \\ BF=151 .8\\ W\ LLINGTOT�\ ` \ 21 ' \� TF\156.5 155 53.4 \ LOT 50 - - - - PAUL A \ hVILRcHIGpj 12,283 SF I's 3 , NO CINT BUFFER _ 11A - -- - - - - - - - - - - - - - - - - - -- - - -OPEN =XCE— E— _ PULTE HOME CORPORATION RESERVES THE RIGHT TO MAKE FIELD CHANGES TO THIS PLOT PLAN IN ORDER TO ACHIEVE PROPOER SITE DRAINAGE, MEET SETBACK REQUIREMENTS, AVOID LEDGE OR ACCOMMODATE THE CONSTRUCTION OF THE HOME IN THE MOST OPTIMUM WAY. THESE FIELD ADJUSTMENTS MAY BE MADE WITHOUT CONSULTATION WITH THE BUYER IN ORDER TO EXPEDITE THE CONSTRUCTION OF THE HOME. PROPOSED SITE PLAN LOT 50 FOREST VIEW ESTATES MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR 62 MONTVALE AVE. SUITE I PULTE HOME CORP. OF NEW ENGLAND STONEHAM, MA. 02180 257 TURNPIKE ROAD - SUITE 200 (617) 438-6121 SOUTHBOROUGH, MASSACHUSETTS 01772 SCALE: 1"=20' DATE: 6/27/00 Mesiti Dev Group Fax:978-5578160 Jun 13 2000 12:53 P. 18 BUILDNG DEPART Y EI T DEBRIS DISPOSAL FORly! In accordance with the prvvisions of MGL c 40 S 54, a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in a properly licensed solid waste disgvsal facility as ` defined by MGL c 11, S 150A The debris will be dismsed of in: Location of Facility Sign=ure d"Permit Applicant .9 C) Date NO tom: Demolition emit from the Town of North Andover must be obtained for this project through the Qffice of the Buik:in;IcLst,ector s. Mes i t i Dev Group Fax:978-5578160 Jun 13 2000 1254 P. 19 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations , Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name: Location: City Phone aam a homeowner performing all work myself. �I am.a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Gomarlyname- L 4/ 7.6_ Address a?S7 7`�/R,vo/kE /c�Gl• !d/rE o�C>U City So4eMl�3o.P-ria V, U /7Phone#- 50,�-- ,V4Y-600,aZX Insurance Co- d ,,e� �'rr�,a/a5/E S /w�,_G.D Pclicv# $GF cy 3011 51,'/ Company name- Address City Phone#- Insurance Co Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the impositon of criminal penalties of a fine up to 51,560.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORCER and a fine of($100.00)a day against me. 1 . understand that a copy of this statementmay be forwarded to the Office cf Investigations of the OIA for coverage verification, I do herby certify under thepainsand penalties of perjury that the information provided above is true and correct Signature �1��_ Date i Print namPhone Official use only do not write in this area to be completed by city or town official- ❑ Building Dept ❑Check if immediate respcnse is required Building Dept Q licensing Board i p Selectman's Office i Contact person: Phone o Health Department Other I iR.W WORKMAN'S COATPENSAUON 1 , { GROWTH MANAGEMENT BYLAW EXEMPTION'STATENENT I TOWN OF NORTH ANDOVE RBUIIDING DEPARTMENT This form shall be Used to assist the Building Department in their detP*iY+iiaarion cif e�cemption under section 8.7.6 of the To-%Nm of North Andover Gro A th lyfanagement Bylaw. The applicant shall p,ovlde;all of the necessary information as requested below. Permit Applicant Property.address Iv1ap.J Parcel a SObr-7a'7-Do0 a x �S-5� 'x. Applicant's Phone Number Single Fancily 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 EXENTTION section 8.7.6 ofthe Growth Management Bylaw.I also understand providing this forth does not absolve me or env party to this pentit from the requirements of obtaining other permit required prior to the issuance ofthe buil'diiig permit Further I,mdarstsnd that my interpretation ofthe exemption staves is subject to review by the Building DT-tmen and;.is only officially accepted when the building permit is issued Based on section 8.7.6 ofthe North Andover Growth Bylaw the above lot and the work as applied for on the above Iota in:the building permit application and associated attachments,complies with one or more ofthe following sections as indicated by a-check.mark- This is an application for a buildingpertnit for the enlargement.restoration or reconstruction ofa dwelling in e-Agtaftce as ofthe effective date ofthis bylaw,provided that no additional residential unit is created. The lot(s)was/were cried prior to May 6, 1996 and are exempt from the provisions of section 8.7 ofthe Zoning Bylaw. This application is for dwelling units for low and or moderate income families or individuals,where all ofthe conditions of 8.7.6 are mea and or represents dwelling units for senior residents,where occupancy ofthe units is restricted to senior citizens through a properly executed and recorded deed restriction running with the land.For purposes ofthis section"scnioe."shall mean persons over the age of 5 5. This application is part ofa development project which voluntarily agreed to a minimum 40%permanent reduction in'., density(buildable lots)below the density permitted under zoning and feasible given the environmentalcooditions oethe tract'with.the` surplus land equal to at least ten buildable acres and pcmanently.designatcd as open space or farmland.The land to be preserved"ll.` be prate-led from development by an Agricultural Preservation Restriction,Conservation Restridiom dedication to the Town or other similar mechanism approved by the planning board that will ensure its protection. This application represents s a tract of land a fisting and not held by a Developer in common ownership with an adjacent'. '_ parcel on the effective date ofthis Section 8-7 and shall receive onetime exemption fom.the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel This application represatts a lot which is ready fora building permit(all other permits f-om.all otberboards and commissions have been received and the project is in compliance with those permits,and the Development Scdredule'does not ' accommodate issuing a building permit in that year.One building permit will be issued per year per Development until such time as. the development schedule accommodates issuing building permits.Applicant must submit as approved FORM U.with this EY£�fPTION. PLEASE PROVIDE.A—NY AND ALL 13FOR-MATION THAT WOULD ASSIST THE BUTLDD;G DEPARTMENT IN 4% AICING A DETERN[INATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS:. BY SIGNING BELOW T 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 TBE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE CHECKING OFF OF A ABOVE Eh"EM=ON WHICH DOES NOT COMPLY,WHETHER DONE TO MY KNOWLEDGE:OR. NOT IS GROUNDS FOR REFUSAL.BY THE BUILDING DEPARTN ENT TO ISSUE A BUII_DNG PEFI%UT. APPLICANTS SIGNATURE Dom' TIII.S FORM TO BE ATTACHED TO TEE BUILDING PERNaT APPLICATION d i',yt' t "; '7-..•.. � e.a•;.l.i.. ... -'�...T.._. _ :i.�'w.... .. ..:.,. ,m ... 1' _... ,,. ,.._.A.,a $w�„n� _ FJ.. VI�gR.. ,�i-..�i.lG`L••.".y�'.t�iZ�..S�u..•.. �'�1,�'_ .."+�.' , 12' \ f I �S8 17' 158 \ \ \ I=151.3 Ln \ TF=160.5`\ X n \ CF=153.0 \ \SF=151 .8 \� r 21 ' �� TF=156.5 — � � _153 �s - .4 -,-- LOT 50 - - - - - ` 12,283 SF ,\ 40' NO CHIT BUFFER _ � -_ ► H DF Mq � _. \ - - - - - - - - - - - - - - - - _ PULTE HOME CORPORATION RESERVES THE RIGHT TO MAKE FIELD CHANGES TO THIS PLOT PLAN <F GIST IN ORDER TO ACHIEVE PROPOER SITE DRAINAGE, MEET SETBACK REQUIREMENTS. AVOID LEDGE OR CONAL ACCOMMODATE THE CONSTRUCTION OF THE HOME IN THE MOST OPTIMUM WAY, THESE FIELD ADJUSTMENTS ♦VIV kyr MAY BE MADE WITHOUT CONSULTATION WITH THE BUYER IN ORDER TO EXPEDITE THE CONSTRUCTION OF THE HOME. PROPOSED SITE PLAN LOT 50 FOREST VIEW ESTATES MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR 62 MONTVALE AVE. SUITE I PULTE HOME CORP. OF NEW ENGLAND STONEHAM, MA- 02180 257 TURNPIKE ROAD - SUITE 200 (617) 438-6121 SOUTHBOROUGH, MASSACHUSETTS 01772 SCALE: 1"=20' DATE: 6/14/00 CERTIFICATE O F INSURANCE ISSUE DATE: 6/16/00 THIS CERTIFICATE IS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED COMPANIES AFFORDING COVERAGE COMPANY A Pacific Employers Insurance Company COMPANY B COMPANY C COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -- — --------- - .._.. — ------ — ............. -._....__....-..._..__ .._... . -.. .... .. .. EFFECTIVE EXPIRATION CO TYPE OF INSURANCE POLICY NUMBER DATE DATE LIMITS GENERAL LIABILITY GENERAL AGGREGATE COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. ON AN OCCURRENCE BASIS — PERSONAL&ADV.INJURY EACH OCCURRENCE ADDITIONAL INSURED: FIRE DAMAGE(Any one(ire) MED.EXPENSE(Any one person) AUTOMOBILE COLLISION DEDUCTIBLE COMPREHENSIVE DEDUCTIBLE LOSS PAYEE: -- ------ - COMBINED SINGLE LIABILITY LIMIT (Owned,Hired&Non-owned) ADDITIONAL INSURED: is ----- ----------- ----- -_- - t EXCESS LIABILITY EACH OCCURRENCE AGGREGATE WORKER'S COMPENSATION and WLR C4 301187A 5/1/00 5/1/01 STATUTORY LIMITS ....... t A EMPLOYERS'LIABILITY EACH ACCIDENT $1,000,000 -,\MA,NV SCF C4 3011881 5/1/00 5/1/01 DISEASE-POLICY LIMIT $1,000,000 DISEASE-EACH EMPLOYEE $1,000,000 REAL AND PERSONAL PROPERTY,INCLUDING WHILE PROPERTY LOSS PAYEE: IN COURSE OF CONSTRUCTION: j PER OCCURRENCE LIMIT MORTGAGEE: SPECIAL FORM(INCLUDING FLOOD AND EARTHQUAKE) j DEDUCTIBLE PER OCCURRENCE i i ;I OTHER DESCRIPTION OF OPERATIONS/LOCATIONSMEHICLES/SPECIAL ITEMS j� CERTIFICATE HOLDER CANCELLATION <s SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED I BEFORE THE EXPIRATION DATE THEREOF.WE WILL ENDEAVOR l : TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. { AUTHORIZED / REPRESENTATIVE I j.�1, MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.01 Checked by/Date CITY: Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DAT -_16-20Q-0 T TLE: Lot # 50 Wellington Elevation # 3 Forest View PROJECT INFORMATION: Forest View North Andover, MA COMPANY INFORMATION: Pulte Home Corporation New England Division NOTES: Customer purchased elev. 43, two walk out bays, one additional window, & a transom package. COMPLIANCE: PASSES Required UA = 575 Your Home = 573 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- ------------ CEILINGS 1907 38. 0.0 57 WALLS: Wood Frame, 16" O.C. 2785 13.0-D 0 .0 229 GLAZING: Windows or Doors 571 0.330 188 DOORS 44 0.280 12 DOORS 20 0.160 3 FLOORS: Over Unconditioned Space 248 30.0 0.0 8 FLOORS: Over Unconditioned Space 1676 21.0 0.0 73 FLOORS: Over Outside Air 32 30.0 0.0 1 HVAC EQUIPMENT: Furnace, 80.0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 a Builder/Designer A,! ,� Date �MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Lot # 50 Wellington Elevation # 3 Forest View DATE: 6-16-2000 Bldg. 1 Dept. Use CEILINGS: [ ] 1. R-38 Comments/Location WALLS: [ J 1. Wood Frame, 16" O.C. , R-13 Comments/Location WINDOWS AND GLASS DOORS: [ ] I 1_ U-value: 0.33 For windows without label��/y U-values, describe featur s: # Panes Frame Typle ,, Iv ` The mal Bre ? [ e [ J No Comments/Location Vi/1� ' DOORS: [ ] 1. U-value: 0 .28 Comments/Location tion [ ] 2. U-value: 0.16 y�,�� ,/ Comments/Location a Tf. �(iol� FLOORS: [ ] 1. Over Unconditioned Space, R Comments/Location [ ] i 2. Over Unconditioned Space, R-21 Comments/Location I ( ) 3. Over Outside Air, R-30 Comments/Location HVAC EQUIPMENT: [ ] 1. Furnace, 80.0 AFUE or higher Make and Model Number AIR LEAKAGE: [ ) Joints, penetrations, and all other such openings in the building envelope- that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity_ The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. 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 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: [ 7 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. [ ] SWIMMING POOLS. All heated swimming pools must have an on/off heater switch and require a cover unless over 201 of the heating energy is from non-depletable sources. Pool pumps require a time clock. [ ] HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.) : PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 [ ] CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in. ) : i PIPE SIZES (in.) NON-CIRCULATING CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only) ------------------------- Gas�c — OI X5� I /J brG 22 a' �b/ • (� 1,r�a21� ILs ro �rr� �U rv�+ r.�- w� zz� �g• 5 = �2� I�v7 r� Building Value Calculation - for Property at..... 2s x ` � ?s �#',ce-pCv ,+3�k .. d+ ,i" ++ ✓<v�' N ''; .„`.,.. P'.,r + _c;. Room Length Width Sq.Ft. Cost per Sq.Ft. Total Cost Kitchen Living Room Dining Room FamilyRoom 22.5 20 450.00 ,,;: , ;2 $ $S $ 29,250.00 gu� :� � Study 37.75 32 1,208.00 t6 $ 78,520.00 124,800.00 Laundry 60 32 11920.00 � M � 5( $ Garage 22.5 20 450.00Ff $ 15,750.00 Entry - Basement Finished Deck $ - Screened Porch Breakfast Nook Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 _ -v Q _ r $ Bedroom 5M. Bathroom 1 Bathroom 2 - Bathroom 3 Bathroom 4 Bathroom 5 tb Vo $ $ 248,320.00 ( � Ia o © P l � � a Location No. e� Date /o? / -60 40RTh TOWN OF NORTH ANDOVER t Certificate of Occupancy $ s i � CH Building/Frame Permit Fee $ Foundation Permit Fee $ 1 Other Permit Fee $ TOTAL $ �5 Check # O 14414 �� 4 Building Inspector t • y TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING " 'X131 ,:a BUILDING PERMIT NUMBER: DATE ISSUED. /!goo 0 1 1& 7 7 1 M SIGNATURE: Building Commissioner/I ctor of Buildings Date SECTION 1-SITE INFORMATION I z 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 0 -0 Ao4er V1 $/l� MoA / /07AGAlam - f Map Number Parcel Number 1.3 Zoning laformation: 1.4 Property Dimensions: v �„ w �?zR7r®® ' Zoning District PTOPOSYNJ Use Lot Area(sf) Frontage(ft) 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided ZS ' 19`' 30 " 1 0 1.7 Water Supph'M.GX.C.AO. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Z-- Private ❑ - Zone Outside Flood Zone ❑ Municipal P-- Cw Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record /� �2S'7 -rZ1x#1��K.-e— d& S'ou*4,69z.oU94 Name(Print Address for Service: -5o9—— 7Sr7 — Ooo E- /LSC Signature Telephone 1 2.2 Owner of Record: O Name Print Address for Service: M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ dst-/ S 9t, y3 Licensed C:,1I struction Supervisor: 7/ 7G O _ License Number Address 3^ — 0V 0V Expiration Date Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name M� Registration Number r Address z Expiration Date Signature Telephone V� SECTION 4-WORKERS COMPENSATION(M_G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Si ned affidavit Attached Yes.......❑ No.......0 SECTION 5 Description of Proposed Work check aII a itcable New Construction [k3' Existing Building ❑ Repair(s) ❑ Alterat' .tls(s),� 14 Addition ❑ Accessory Bldg. ❑ Demo ration «t ❑ Other 4-16❑ SDeci "* r. Brief Description of Proposed Work: " '` � A>` . CeclAX— Trua< �e SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be pFF)<CiAL>jjSE O ;y Completed by permit applicant 1. Building f 00" �� (a) Building Permit Fee J Multiplier 2 Electrical (b) Estimated Total Cost of 0 D Construction 3 Plumbing Building Permit fee ta)X (b) 4 Mechanical(HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) Check Number +d t; SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BU"ING PERMIT t/t I, Ao cid �f�f Sg Lt as Ownedorized Aget3f subject property Hereby auth e to act on My b21 i all ma relative work orized by this building pennit application. Si-nature of Owner Date I�r SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION Las OtvnerlAuthorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Sim 1atttre of Ovmer/Agent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TDABERS 1 2ND 3RO SPAN DLIVIENSIONS OF SILLS DIMENSIONS OF POSTS DIIv1ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOIING X MATERIAL OF CHIIvvINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE r � 12' \ I � >s8 17' 158 \ \ \\ 1 59X516'— i \ I=151.3 TF=160.5\\ x it \ CF=153.0 \ \U7 \\BF=151.8 \\ \ \ � 21 ' �\ TF\156.5 155�c5\ \� \ \ LOT 50 - - - - - `\ \ 12,283 SF 40 NO CHIT BUFFER'- - \ �— ► NOFMq�� \ PULTE HOME CORPORATION RESERVES THE RIGHT TO MAKE FIELD CHANGES TO THIS PLOT PLAN �F . GIS7 IN ORDER TO ACHIEVE PROPOER SITE DRAINAGE, MEET SETBACK REQUIREMENTS, AVOID LEDGE OR / ANG a� T ACCOMMODATE THE CONSTRUCTION OF THE HOME IN THE MOST OPTIMUM WAY. THESE FIELD ADJUSTMENTS �� v'q MAY BE MADE WITHOUT CONSULTATION WITH THE BUYER IN ORDER TO EXPEDITE THE CONSTRUCTION OF THE HOME. PROPOSED SITE PLAN LOT 50 FOREST VIEW ESTATES MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR 62 MONTVALE AVE. SUITE I PULTE HOME CORP. OF NEW ENGLAND STONEHAM, MA. 02180 257 TURNPIKE ROAD - SUITE 200 (617) 438-6121 SOUTHBOROUGH, MASSACHUSETTS 01772 SCALE: 1"=20' DATE: 6/14/00 OCT-12-2000 11 :22 AM MARCHIONDA&ASSOCIATES 781 438 9654 P_ 01 OPEN SPACE PARCEL 'E' SSS�'29"E 100.06' 40 FT No CUT BUFFER 54.6' 50 12283 S.F. N 0.28 Ac. +,,v °j �� 20.4' 0 N t\ 1 c`y� EXISTING FOUNDATION T N � EL=160.60 to 1 r- to a H OF I44,9�cy • PHEN M. 17.1' ELESCIUC 0 ! No. 39049 , oF�,S,Q�PQ 27.0' 6oQ o� i q Q 40 -0- 62'34'50"W 93.62' AMBERVILLE ROAD WE HEREBY CERTIFY THAT WE HAVE EXAMINED THE PREMISES AND THAT THE BUILDING IS 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 0015 C SHOULD NOT BE USED FOR PROPERTY DATED 6/2/1993 , THE STRUCTURE IS NOT LOCATED LINE DETERMINATION. IN AN ESTABLISHED 100 YR.FLOOD HAZARD ZONE. CERTIFIED FOUNDATION PLAN LOT 50 FOREST VIEW ESTATES MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR 62 MONTVALE AVE. SUITE I PULTE HOME CORP. OF NEW ENGLAND STONEHAM, MA. 02180 257 TURRPIKE ROAD SUITE 200 (781) 438-6121 SOUTHBOROUGH, MASSACHUSETTS 01721 SCALE.1 =20 DATE: 9/28/00 Oct- 12-00 03: 30P P_ 01 T1H f _ .':Uu 'I;lf'!t'i' rUL I Ce nv1 lL ' .. _ ., . CERTIFICATE OF INSURANCE ISSUE PATE, 5/25/0fJ T HIS GERTIFICAT'E IS A MATT FA OF INFORMAtION ONLY AND CONFERS NO RIGHTS UPON THE CERT1FIr alt=HULr)ta. THIS CERTIFICATE DOES NOT AMEND,EXTEND aK ALTER THE CDVRRAGE AFFORDW BY THE POLICIES BELOW. _. . ...... ....... . ...... ....... . _... INSURED COMPANIFS AFFORDING COVERAGE Puha Hama Cwporown of NL COMPANY A pacft Erwav +i In4w9nco Cow-oriy 257 T4mpixo Road,Suile?00 COMPANY B Leoiofi Insurance Cnrnpany South1wough,MA 017 Tp COMPANY C C13MPANY D Ace Am dw Insw3fice Company i COVERAG. THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LIFIR1 RNaiLOW HAVE BEEN IssUFD TO THE INSUpED NAMED AWWV..F(A TAE Po)_SI;Y PERIOD INPIGATED,NOTW TH3TANaINO ANY REGUIREwN7,TERM Ott CONDITIAM OF ANY CONTRArT pp OTHER OWUMANT WITH R99PECT)'O WHICH THIS CEFITIFICATE MAY BE ISSUED Oft MAY PERTAIN. TME INSURANCE AFFORDED QYTNP PIOLIGE8 DESCRIdHO HEREIN IS SUBJEGT TO ALL Tnrd TERMS, E7(GLI,J5?UNS AND CONDITIONS Of SUCH POLICIES. LIMITS 4HOIM1 MAY HAVE 0EEN REDUCED NY PAID GLAfMS. PFFIRO" EXPIfiAT1PN CO TYPP..OF INSVR_ANG_E _ .. POLICY NUMBER OATF PAM_ 11 +11T1S GENERAL LIABILITY ,�._ yV m"EtAI.AOOREMATfe +;15,000.440 9 COMMEIICIALGENERAI.I.IASILITY GL4.0292043 I 6/1100 SM101 PROOUCT&COMPMPAuo. :13,DQD,ppD ON AN OCCURR041;-"41$ L - PeRSONAL 4 APV.INJURY $111,000,000 EACH OCCURtR1irf0f ;15,000,000 ADDITIONAL INSURED: FIRF DAMAGE(Any on*fKn) $1.000,000 MPD.WSW(Ary arta Gerson) 15,000 I AUTOMOBILE _ f GGLLI840N 0FQ00Ti5LI! COMPREHENSlVF 0r;MUCTtBLF3 WSS PAYFF: COMBINED SINGLE LKSILITY WMIT ;1,DQd,pw ( Cru,HO Tt38204e IVIFDD I 511101 (uww'NMI a Non-owned! 0I ADDITIONAL 114SUREQ. EXCESS LIABILITY EAcf4OcouftReMCF AGGRt:GATE WORKER'S COMPENSATION ono WLR C4 301107A 911100 511/01 STATUTbRY UMITF ............w............n..r..................................................w...Mr.w............. A� EMPL YERS'LIA ILITY EACH ACCIDENT S1,Dd4,�I0b MA,MV'. SCF 619411881 Ulm 611!01 DIBFASVE POLICY OMIT $1,000,000 _ 01.4EASR.EACH EMPLOYEE S7 OQ0,0DD P1iOPbti'IY REAL AMID PBRSONAL PROPERTY,INCLUDING"ILE LOSS PAYEE,. IN COURSE OF CnNSTR4cTION: PER OCCURRENCE LIMIT MORTGAGEE; eP£GIAL FORV(INCLUDINO FLOW AND EARTHQUAKE) pEpUCTIALE PER 0CCURRFNCP I OESCRIPTION OF rCRATI SILOGATIQNSNENtt:L. CIAL t subdfVIsIon Winter Heights,wwoo6lar. CE ) I 7 K CANCEUATICK ®"ULD ANY OF 1'?4&ABOVE DESGRIWrJ PCxlclPs PE F1NGUj.Lk0 BEFORE THR D4'IMTION DATE THER$iOA,WF WkL ENPF-AVOR city of Worcester TO MAIL X DAT8 W(tITTEN NOTICE TO THE r_eRTIFICAAT'E ASS main Street HOLDER NAMED Tp THl6 LPI`T, WO/Ceeter,MA 01 SDS Al11H0R1 P �y I7EpRESENTA7ri/EP--�- /� � NORTIy i Town of _ 0 4 over No. * - = L ori dover, Mass., / COCHICHEWICM V ADRATE D 1" � S H BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System �' BUILDING INSPECTOR THIS CERTIFIES THAT I �j . ......� 1�................... ............��I............... �.................................................... ........................ Foundation has permission to erect.... .. �.l1? .... buildin s on ...44.. IN V�V � P �............ .. ...�... ' g �......... .......................!�. ...........�/.............. Rough to be occup led as ft.;.x /.:rJ r 0 SArVC re Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. �� � ' PLUMBING INSPECTOR / VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST S ELECTRICAL INSPECTOR Rough ........ .. .. ............ .............................................................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Inspected and Approved by the Building Inspector. Burner street No. SEE REVERSE SIDE Smoke Det. 4 --Jl 5 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING n.A`•(5 ;,SSACHUS� This certifies that . . . . . . . �1d . . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . . plumbing in the-buildings of 4 ��—. . .A ��. . . . North lover, Mass. 1 Fee?o-. . . . . .Lie. Nolaa . .. . . . . !� . . . . . . . . . . . PLUMBING INSPECTOR Check # 5006 IN- MASSACHUSETTS UNIFORM APPLJCA IQN-FOR-P FOR-PERMIT �'C.DC PLUMBING (Print Or Type)^yOt2N ^AiaoVt-9, `"c I MAO. `.Mass. Datel I b t� — s2. l Permit# i 1777 B,B, 6ding Location 46. AM,61Ee%/ls41'.LE R Owne?s`Name 2- B-t4 AT -1-NC-1 A ? f 'oLT u Ari Dc Voe- ! g Type of Occupancy Renovation El l Replacement: C7Plans Submitted: Yes.❑ No Q S FDC URE.' pf�tEi/�T�tYIJ y _ L .� w w � N D < .N O Q 4. .¢ O w s 1 I- 0 0 � 3 N s . ►- d Y LL s d Y $ Z = Y rL O d w q Y W < ►.�- 4 s = y W a < o a .< s m a < o a 3 kc d m a O G J $ ti N v > o d 3 ¢ m o sua—BsMT. I BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR. 4TH FLOOR '5TH FLOOR STH FLOOR 7TH FLOOR STH FLOOR Installing Company Name?Fla �� f 4 1��AAL- Check one:. Certificate Address �� of;r CLO �� ❑ Corporation T_r_P vK 1 WSM ""'r AA 14` o r-110 1 ❑ Partnership Business Telephone 'S `I— q !3 CkFlrm/Co. Name of Licensed Plumber a1 E(sal INSURANCE COVERAGE:- 1 have a current liability Insurance policy or As substantial equivalent which meets the requirements of MGL Ch. 142. Yes INo ❑ r IF,you have checked y_es, please Indicate the type coverage by checking the appropriate box A Ilabgity Insurance policy Other type of Indemnity O 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 wahres this requirement Check one: or Owner's ent owner ❑ :Agent❑ gnAft" I hereby cw*that all of the details and information I haft submitted(or entered)In above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit Issued for thia'application will be in compliance with all pertinent proviaions of the Massachusetts State Plumbing Code and 142 of the General Laws. . SY Signature of Licensed Plumber TNe . Type of License:MaSWA JoumWnan❑ APP FROSEONLY) License Number 9 a Ca. JRH-08-2001 09:29 RM MARCHIONDA&ASSOCIATES 781 438 9634 P. 02 Marchionda & Associates, LI? Engineering and Planning Canaultente January 8, 2001 Ms.Heidi Griffin North Andover Planning Board 27 Charles Street North Andover,MA Re:Lot 50 Forest View Estates Dear Heidi: The grading and landscaping for the above referenced lot has been completed and is in conformance with the intent of the Definitive Plan Approval and subsequent Modification to the Defluitive Plau Approval dated 181/00. Should you rewire additional information,please do not hesitate to call. Very Truly Yours MARCHIONDA&ASSOC.IATF.S,L.P. J' Michael J. Rosati Project Manager U Mantvml•Avenue TIM: (let)488.6121 suite 1 Fax: (781)428-OM websits!http:llwww.mereMaPde can Stonehem,MA 0218o email:mailOmsreManda.00m N° 271 8 Date..../1.. ... rJ NORT1y °fs�``°;•1"� TOWN OF NORTH ANDOVER Y ~ p PERMIT FOR WIRING � , �,S$Ar14 This certifies that ......`. ".!1...... / +.c. �a,�1.44 .......!�.�. .L............. has permission to perform ..... .'...... -......................... w wiring in the building of.............. .r........... ................................. s at... )v\... ' 6 : ..O.-'North.A/nddovass. ............Fee... - Lic. ........ EL.ECI'R1CAL INSPECTOR Check # �� � WHITE: Applicant CANARY: Building Dept. PINK:Treasurer —n-N-nThe CommonwealtlofMassachusettS - d ..__.-- Ueporyrnr_nt of 13,,blic C.. 3/90 BOARD OF Fine PREVENTION REGULATIONS 527 CMR 120 --- -- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL Afl work to be performed In accordance with fileDlwaeachutUrc F_Lctrlcal WORK Code. 521 CMR 12:00 �PLEASF PRINT III 1.11K OR T"XI'F. Ai_i, ItTEOR1fA'TIOTi) City or Town of A Date Il,e undersigned a "/��---- To the Inspector of wires: pplies for a permit to perform th. eler_trfcal work described Location (Street & Number) q p or b:.lov. fi \ ner or Ienant v' Q Owrter"s Address _—.— Is this permit in conjunction ith a bu Idingpermit• (�----- Purpose - YeS `—� NO U (Check Appropriate p0 a of Building Ppro riate Box) Existing Service Amps --- Utility Authorization No. -�•Z i _/ volts Ove U —•ay------- rhead lieu Service � --- Undgrd No_ of Meter; --- /d voits Overhead U Und rd C Number of Feedersand Am p,city o/ 110. £ 11^tecs n '—�.-- l.ocntl.on and 11aCute of p ...-.._-.._.- ... ------�--•-'---_../_— roposed Electrical Mork -_rTdo, of Lighting Outlets `r110. of Pot Iubs Z No. of Lighting Fixtures No. of Transformers Total Swimming pool Above In- KVA R No. of Receptacle Outlets O grad. Generators ` No- of Oil Burners __ KVA No. eEmerg No. of Switch Outlets Battency Lighting ery Units • 110. of Cas Burners • NoFFIREA1JlR11S Nn. of ?_ones 0 . of Ranges _ r No. of Air Cond. Total 170, of Dctecti.rn and No. of Disposals tons ---- td No. of beat Total Tota1 Initiating Devices ¢-i Pumps Tons YW No. of Sounding Devices NO. of Dishwashers ' ^ Space/Area Beating KW No. of Self Contained No. of DryersHeating Detection/Sounding Devices n Devices YW Local Municipal LL No. of Water Heaters KW NO. o£ to. o ConnectionI1Other Signs Ballasts Low Voltage — o No. Hydro Massage Tubs Wirinp, No. of tiotors Total lip OIIIER: INSURANCE COVERAGE: Pursuant to the requirements of ttassacl,usetts General Laws I have a current Liability Insurance Policy including Completed Operations equivalent. YES a NO ❑ I have submitted valid proof of same to this ofCoCerageFor its•substantial If you have checked YPS, Please indicate the type of coverage by checking CA NO El INSURANCE ® BOND D OTHER g the appropriate box. U (Please Specify) Estimated Value of Electrical Work S ��-�_�_ —expiration ate Work to Start I li (© lp Cj Inspection Date Requested: wh1•T. CALL Signed under tite Penalties of perjury- -17 j Rough Final er ury: FIRM NAME _.JAMES E. 13UCiiANAN ELECTRIC INC. Licensee JAMES E. BUC4ANAN �- LIC. ii.).Al5fi16 Address 1'.O. BOX 544 Signature SUTTON MA 01590 LIC. NO. 02062 sus. Tel. No. SUi3—IIG5-3335 OWNER'S INSURANCE WAIVER. I am aware that the Licensee _ stantial equivalent as q y e doe Alt. Tel. No, re uired 6 Massachusetts General La s,0an`d thathmytsignatureconnthis Por e its sub application waives thfs requirement. Owner Agent ( ease check one) Permit —ZSigna[ure of Owner or A _ Telephone N°- gentj-- — —__T PF.RIITT FEF, $ C� Date 1� No- 4624 TOWN OF NORTH ANDOVER Of t, 1y p PERMIT FOR PLUMBING r �sScwusE� This certifies that . . . . . . . .. .. ..`.`.. . • • . . . .` has permission to perform . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . plumbing,' the buildings of .:.. . . . . . . . . . . . . . . . . . . . . . . at `''fit `. . • • • • • • • . . North Andover, Mass. 1. .:..��A . . . . . . . . . . PLUMB IVNGNSPECTOR Check #1!n WHITE: Applicant CANARY: Building Dept. PINK: Treasurer k)U4jt4670t4— ZZ rirlU�t� MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO.DO PLUMBING (Print or Type) k : Hn iw,0 � Mass. Date rl Permit# Building Location 40,9A1l31eV14Lf. _ - ! Owner's Name OyLTE NSC coT SZb .� J1ESI&A-)7 Al— Type of Occjpancy New Renovation O t;� Plans Submined Yes 02, NcFEAT ' I I I I z V) V){ d zcnw cn zZ z Z 4 w to = c: �_u O C CC i o� 3 o Z i Y Q a Y ° LU LU u_ i �; z z u� LLO cY� i I a 7 ¢ o can D C .O Q O J `n cc ¢ cc 4 O a 1- I Y g m o o z I cn w c� ° ° ¢ LC m o SUB-BSMT. BASEMENT I I ST FLOOR Z 2ND FLOOR 3 3 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR TTH FLOOR _I 8TH FLOOR _4� Installing Company Name FRAZ/ER 4( Check one: Certificate Accress 1,9 0, 6 0 x 6-5 u?"Corporation 2 4 0 C ,/� O Partnership 6�s,nes5 Teiepnone 978'68j'7`�7 O Firm/Co. Nama of L censeo Plumber r—HAljr SS If0AIA S i INSURANCE COVERAGE: I nave a current liability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch 142. Yes No 0 II you have checked yes, please Indicate the type of coverage by checking the appropriate box. A habiiiry insurance policy Other type of Indemnity O Bond O CWNERS INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Cnapler 142 of the Mass. General Laws and that my signature on this permit application waives this requirement. Check one: Owner O Agent O Signature of Owner or Qwngr's AOent I hereby certify that .all of the details and Information I have submitted (or entered) In above application are true and accurate :e Me best of my knowledge and that all plumbing work and Installations performed under the permit Issued for this application n,!i be in compliance with all pertinent provislons of the Massachusetts State Plumbing Code and Chapter 142 of the Genera! Lames By Signature o cense um er Thfe Type of Llcensg: Master)< Journeyman O ClrylTown License Number— APPROVED umber APPROVED OFFICE USE ONLY) J eo Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT -4/IAdjjrCl 5%OF PERMIT NO.: PROJECT: "©�'3-6-6-4f -as'>��j/ WWROU" DATE: 6-\ lam: FLOOR: cl� WtN6: BUILDING NO.: K o`f' �O r� A m'b��tai 11� RA���s Cat-� �Q��j�a O r-'- - ���/ �.� � a Excavation-depth and soil conditions Framing- Other: Date- ?"` 'Y" 6RO Date: Date: Inspector AV Oq CCx"'— Inspector 41— Inspector Footings and foundations and drains- Insulation- Other: Date: �f��-D� Date: ��" 3— Date: Inspector Inspector �`�i/il��i�^� Inspector Electrical-rough- Plumbing and/or gas-rough- Other: Date: Date: �� r �� Date: Inspector Inspector Inspector Electrical-final Plumbing and/or gas-final Other: Date: Date: �/'- "�U' Date: Inspector Inspector Inspector Fire Dept- oil burner,tank,stove,smoke detectors Final inspection Certifi to of Use and Occupancy Date: '-``� Date: 1 -Iol C of O# Inspector Inspector Inspe Form#995 Action Prow,685-7000 fC1!71Date.... ...9� ..... J 2731 ...... I 40RTH 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING -Sqc us Q,0 ....................... This certifies that ....... .. . .. ..C. . ........ ...... has permission to perform _.,,1.........4:rciC SP.M..e............................. Tring in the building of t........V.,—k...�. �.........4�Am.(u...................... ...... at.... .................. /14orth Ando 1 ee Lie. No. 4.IAI(................... ..... .. ........ .... ELECTRICAL INSPECTOR Check # 7 WHITE: Applicant CANARY: Building Dept. PINK:Treasurer The Commonwealth of Massachusetts Vermit No. Office�^ w� Oceu"ncy le Fee Check" �3r— Deportment of Public safety 3/90 tte..e st,,.kl BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 1200 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All ruork to be performed In accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEA-SE PRINT IN IIdK OR TYPE ALL INFORMATION) Date City or Town ofKy . A,ht!�!s5jaiZ To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. location (Street S Number)_ A."alt_ yy 1 �P� iC�/A� �� iso O-ner or Tenant �i31_\C `�0�5CrS �Oe�, '7!B-7 C7(7pZ Owner's Address 7 l aZ /a-t-, 1.s-Lr —%?—Q SOSaC>ZQt I.dl O1 Z.- Is this permit in conjunction with a building permit: yesa No ❑ � ` (Check Appropriate Sox) Purpose of Building N E LA:, t-��y to L Utility Authorization NO.<:)nips.- -7 t� Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service -Z-t>0 Amps « Volts Overhead ❑ Undgrd No. of Meters ` Number of Feeders and Ampacity 3 y Location and Nature of Proposed Electrical Work No. of Lighting OutletsNo. of Hot Iubs No. of Transformes Total U rKVA Z No. of Lighting Fixtures Above In- = Swimming Pool grnd. ❑ grnd. ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting � Batte Units No. of Switch Outlets • No. of Cas Burners FIRE ALARMS No. of Zones o No. of Ranges Total No. of Air Cond. No. of Detection and X Cons Initiating Devices m No. of Disposals No. of Heat Total Total Pum s Tons KW No. of Sounding Devices No. of Dishwashers N ¢ Space/Area Heating o. of Self ContainedDetection/Sounding Devices atNo. of Dryers Beating Devices KW Local D Municipal ❑Other 1 Connection LL No. of Water Heaters KW No, of o. or Low Voltage Ballasts Wirin O No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES® NO L] I have submitted valid proof of same to this office. YES[3 NO *� If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ® BOND [D OTHER [J (Please Specify) Estimated Value of Electrical Work S WILL CALL Expiration ate Work to Start % \ 11. ! O t> Inspection Date Requested: Rough Final Signed under the penalties of perjury: FIRM NAME _JAMES E. BUCHANAN ELECTRIC INC. LIC. ti,.A15616 Licensee JAMES E. BUCHANAN Signature LIC. NO. E32062 Address P.O. BOR 544 SUTTON MA 01590 Bus. Tel. No. 508-865-3335 OWNER'S INSURANCE WAIVER: I am aware that the LicenAlt- Te 1 see o s not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General ws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE Signature of Owner or Agent Date. . .>. . . . . . . . . . No 4771 "OR'" TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING S�cMUSE� f�f / This certifies that . . . . V. . . . . . . `<. :`.` . . . . . . . . . . . . . . . . has permission to perform . . . . . . 7 . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . . North Andover, Mass. Fee. . . . :. Lie. No.. . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATI FOR PERMIT TO DO PLUMBING (Type or print) NORTH.ANDOVER,MASSACHUSETTS �VP ,,. Date Building I tion /�fU ; Owners Name � ( t Permit# Amount Type of Occupancy New rl Renovation 0 Replacement 0 Plans Submitted Yes E] No FIXTURES z Qn z w H w r~ � � ►.a � A A � d E-� r`i� � � d IYi GC STSH4VIC y FASEMEW M HIM y M FD R 3n FLOQt 4III FIf.IQt 5IH FLOQt 6IH MO R 7IR FLOQ2 M FIDQZ Him (Print or type) Check one: Certificate Installing Company Name Corp. Address Partner. Business Telephone Firm/Co. Name of.Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy El Other type of indemnity 11 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 I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my.knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions ofthe Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By: Signature of LicenseaPlumber Type of Plumbing License Title City/Town License Number Master El Journeyman APPROVED(OFFICE USE ONLY OCT-12-2000 11 :22 AM MARCHIONDA&ASSOCIATES 781 438 9654 P_ 01 QPFN SPACE PARCEL ' S55'17'29"E 100.06' 40 FT NO CU7 SUFFE, 54,6' 50 — -- 12283 S.F. N 0.28 Ac. 20.4' N N EXISTING FOUNDATION N in EL.=160.60 CN r- HOFJf4S PHEN M. ELESCIUC No. 39049 Oce J S 10 27.0' Rig 62'34'50"W 93.62' AMBERViLLE ROAD WE HEREBY CERTIFY THAT WE HAVE EXAMINED THE PREMISES AND THAT THE BUILDING IS 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 0013 C SHOULD NOT BE USED FOR PROPERTY DATED 8/2/1993 , THE STRUCTURE IS NOT LOCATED LINE DETERMINATION. IN AN ESTABLISHED 100 YR.FL000 HAZARD ZONE. CERTIFIED FOUNDATION PLAN LOT 50 FOREST VIEW ESTATES MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR 62 MONTVALE AVE. SUITE I PULTE HOME CORP. OF NEW ENGLAND STONEHAM, MA. 02180 257 TURNPIKE ROAD SUITE 200 (781) 438-6121 SOUTHBOROUGH, MASSACHUSETTS 01721 SCALE:1"=20' DATE; 9/28/00