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HomeMy WebLinkAboutMiscellaneous - 40 BERRINGTON PLACE 4/30/2018 L�6 8 5 4121;VOT01V NI« 1 RECEIVED MAY 12 2003 NORTH ANDOVER P6AHNING WEPAtRTMENT May 1, 2003 North Andover Planning Board Town of North Andover Town Hall North Andover, MA 01845 Re: Property at Lot #1, 40 Berrington Place, North Andover, MA Gentlemen: Please be advised that Lot 1 known as 40 Berrington Place, North Andover, MA has been transferred this day to Jason P. Bere and Dinelle M. Bere. The name and address of the new owners are as follows: Jason P. Bere and Dinelle M. Bere 40 Berrington Place North Andover, Massachusetts 01845. Sincerely, North Andover Realty Corp. Charles A. Carroll President and Treasurer i NOFiTiy O Town of North Andover F '9 Building Department ? cslLeo ^b`ey0 27 Charles Street o North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 " t ��SSA PX C HUSe APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS C1V lJ���1 ^S � PtALQ LOT NUMBER SUBDIVISIONBot r,n 6 DATE REQUEST FILED d Z 6 3 DATE READY FOR INSPECTION L;R- 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 CONSERVATIO DATE �c3D PLANNING i DATE PiR22 9003 D.P.W. -WATM METER DATE _-5NORANDOVER PLANNING DEPARTMENT D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRI SPECTION RE ST DATE. S . NA URE/DPW AUT ORIZATION r Aar o.o/ e— A„ , CS]IL�yJl.�.V�.ur,VltllL_III..LJ�Y�I UII11 Ll✓✓talJJ v►4Y.a��...�-.• CI'v1R 10,99 - Form 5 CEP Fite No. [ 242-871 (to tM vvrvM try UE!'t V:- -- North Andover Commonwealth City,Town s"+r of Massachusetts MPG Realty Corp. floor cant Order of Conditions Massachusetts Wetlands Protection Act O.L. c. 131 , §40 and under the Town of North Andover's Bylaw Chapter 178 -rom NORTH ANDOVER CONSERVATION COKIIISSION _o MPG Realty Corp. c/o MPG Realty Trust (Name of Applicant) (Name of properly owner) 11 Old Boston Road address Tewksbury, MA 01876 Address Same "his Order is issued and delivered as follows: by hand delivery to applicant or representative on Ida Ie by certified mail, return receipt requested on January 8, 1998 (date) This project is located at Lot 1 Dale Street The property is recorded at the Registry of - Book 912 Page 187 & 188 Certificate(if registered) -- The Notice of Intent for this project was filed on July 3, 1997 (dale) The public hearing was closed on December_17_,_1997 (date) Findings The North Andover Conservation Commission has reviewed the above•relere"ced tlolice of Intent and plans and has held a public hearing on the project. Based on the information avarlaoie to the NACC at this lime; the_Si11.r•r' _ — h;ts delermined Ilial the area on which the proposed work is to be done is signilicanl to the Icltowing interests in accoroance v.ilh the Presumptions of Significance sle}go� in the radon ns :or each Area SubjecRect to Prolec ior, Unde`�tte n. Act (check as appropriate): Ch.178: Prevention of Erosion & Sedimentation Ch. 178_ Wildlife Flood control C] (�nnd containing sh.elllish Public water supply [� Fisheries Private water supply Storm damage prevention � Protection of wilc�lile Habitat (� Ground water supply Prevention of pollution 1325.00 $112.50Slate Share Total Filing Fee Submitted $212.50 (!�_ lee ill nr.cess of �? ) City1Tcwn Share Drtinn State Portion S nS of a7liFN n w �ssACNusoh CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER � Building Permit Number (5, cc/-aa-�aS Date 3 /THIS CERTIFIES THAT THE BUILDING LOCATED ON MAY BE OCCUPIED AS_ (S//'L)R f l Pod vh s , c3 6 8A � IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO goo 'j-0 h/wvy c",�� �- Building Inspector NvR �M own ofE..: Andover No. ~ '° O - A CHIC W 9 dover, Mass., COFFFiifLLLy Ids RATED AP1 �.(5 7 G 4 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...�O ..............,/ N. �11� ............ Foundation /A/a((p•r has permission to erect............. buildings on . 0. �.. �N N. '�c-5 r 3., .... yy Rc u � a y y� ..........~J to be occupied as. ........O.A.1'!' ........ ..B..P�. ..t�. . .. .. .I1.... . ..:/. ... � � Chimney l provided that the person accepting this permit shall in every respect conform to the terms of theYpplication on file in FinalC 1-112-g P this office, and to the provisions of the Codes and B - ws relating the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 31'1 4 8 40. � PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STARTS ELECTRIC SPECTO ., ....................... . ................................................. BUILDING INSPECTOR a Occupancy Permit Required to Occupy Building GAS INSPECTOR o �h � / .2 -15 -V1-`L' Display in a Conspicuous Place on the Premises — Do Not Remove F6 W t,W-)- No Lathing or Dry Wall To Be Done FIRE DEPARTM N Until Inspected and Approved by the Building Inspector. Burner BLDG.PERMIT ��,�7S Street No. • -r 0/, C LEER FDA SEE REVERSE SIDE .6 Smoke Det. DUE FRAME PERUJT,: a� Date.- .: .� . .:. ,aORT1y o?�.,�-°,;•_'ticow TOWN OF NORTH ANDOVER ♦ s PERMIT FOR PLUMBING SSACMUSE� This certifies that . . . . . . . . . . . . . . . . . . . has permission to perform . . . .A,J. .�. 1'. . . �.��. .'. '.'. .c . . . . . . . . . . . plumbing in the buildings of . . ! i ! r r . ; <. . . . . . . . . . . . . . . . . . at. . . . . /.'.�. . . I>'1�!'.�:!' . . . : : :. . . . . . . . . .. North Andover, Mass. Fee. . `l.z .` .Lie. No.. . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR Check # -- 5517 MASSACHUSETTS UNIFORM APPLICATION FOR-PERMIT TO DO PLUMIBMG (Type or print) NORTH ANDOVER,MASSACHUSETTS Date B, 3 Building Location i-�.i7 `7SLfi(l..aG�vJ 0\f, .Owners Name �Z t_A_\\ �►�S _ Permit## s� Amouni Type of Occupancy -%' New El Renovation Replacement .� Plans Submitted Yes 0 No FIXTURES Si$�SlVIC (Printor type) .Check one: Certificate Installing CompanyNameC�,,,,Saj E Corp. Address ��� lG v�Ji b Partner. �n cam. k f\„Ps-. Business Te ep 'one Ch S- ct_14�7 . Firn/Co. Name of Licensed.Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance ignature Owner Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws._- w i 1,,A A C/� Pv�ea BY= Signa' TIre�o'Lice�Prum r Type of Plumbing License Title ,i S . CityfFown Eicense Number Master El Journeyman APPROVED(OFFICE USE ONLY Date. .7... i NORTp r F� }` °p TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION 9 �1SSACNUSEt This certifies that . 1�T.!�13.t.<. /.� r. . . ; . . . . . . . . . . . . . . . has permission for gas installation . .. . . . . in the buildings of . .C.-.0 t 1'. ;.t . . . . . . . . . . . . . . . . . . . . . .. . . . . at . .�.� : . .l. fa .t? �?r , ,�,� ; , ;, , , , , , , , , , ,. North Andover, Mass. Feef1.9.0. . . . Lic. No.//.�?.� . . . . . . . . ..-. . . . . . . . GAS INSPECTOR � F Check# 4997 MASSACHUSETTS UNIFORM APPLICATON FORPERMIT TO DO GAS FITTING (Type or print) Date .�C,&- 1SO3 NORTH ANDOVER,MASSACHUSETTS Building Locations LAD (2)0 fL a W1:4401J Permit Amount$ p tOwner's Name C Qozz-�S-v- New -New Renovation ❑ Replacement ❑ Plans Submitted ❑ W w wa v m o o a ° U ° x a o o o a U °a a H o SUB-BASEM ENT BASEMENT 1ST. FLOOR 1. 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type) �y � ec one: Certificate Installing Company Name �(1�cAJQIVrv�h�rJC. J G � Corp. Address \1��� r�r.,� -e-Lk ❑ Partner. Business Telephone Z g-w ❑ Finn/Co. Name of Licensed Plumber or Gas Fitter 0,,-k LJL- INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ® No❑ Ifyou have checked M,please indicate the type coverage by checking the appropriate box. 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: Signature of Owner or Owner's Agent Owner ElAgent [I i hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title ® Plumber City/Town ❑ Gas Fitter License Number ® Master APPROVED(OFFICE USE ONLY) ❑ Journeyman Location , / P ,I® P No. /q0 Date MORTH TOWN OF NORTH ANDOVER O 9 ' Certificate of Occupancy $ 4�M�s t� Building/Frame Permit Fee $ g a 0 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ god d Check # Lg,8 5 15934 /A � `�`�` Building Inspector ul)i-ua-�uue ki uo;ui rfl UhK1611NNbLfq & bLr ul 9(8 372 3960 P, 0? LOT 2 I Cfk" our M MACAW srRl1 n"sHOWN GONPma ro ?W MdRt2WAl U7&CK RVA*nmra or THE LXAL (TNLs CUWKA7 M1 WO NOT cam=ANY orM AESnWYIWam=ar�� MX wrrul�lOs fAsnjMM THIS DRAW#W SHAU NOT M use sr 7w cLI£A7!DR ANY WMTMN A[RrMCWN Or AftnANM t sm we FLWT}A:WW TMS GRAW4 /S TW M&YAAWT b lRomrY GF OFWTUMEW a SEW W- ANA ANT WM r14WW U8f IS IIMNAATTEYLCHIBlMA=A}MW TAM No CITY FM nK MUTTMM W Of "M MAWN OR AMP##W- W YM 0WAA W HEIEEDMI. 7"e.3 -w 1/) 7, /SS o t /b c}'- az3 —x700 oZ lmA) sA r r4 /© a _ o � Nous-,Q yo 5 EXISTING rOUNDATION T.D.P. EL. = f97.d' LOT I FOUNDA TION LOCATION PLAN ' CLILII'r JIM CARROLL M101iaEi. THIS CERMCA710N IS M40E AND IJMJTED y TO THE ABOVE CLIENT. G' �R�e 331,1 LOCM nON; LOT 1 SERRINGTON PLACE F` NORTH ANOVER, I/A. SCALE 1" 90' DA rt 10 CHRISTIANSEN &SERGI �, , IN AWM sR HAK'AIAY.WA DIM M. o7""--Mid " r wrG.Na orwsaas Location D -tlo ief �N �G j P(, No. Date �ORTh TOWN OF NORTH ANDOVER �?O�,t`•o •,hO _ O 0 w Certificate of Occupancy $ Eta Building/Frame Permit Fee $ S�cHus � Foundation Permit Fee $ l Other Permit Fee $ TOTAL $ Check # 3 yDs� 15886 Building Inspector i 1 : . TO'"-10F.NORTH A�TDO' El _ BUILDING D PART +NT �. _. APPLICATIONTO�'ONSrRII REP RBKOVA Oit:tDFMOLiSH AONEQATWOF rDTG BUII,DIXTG PERMIT NL�INBER _. DATE .3 SIGNATM: , 3i Bnlidln - . DEMON I-SrrE 1NBORMATION z 1.1 Property Adds Amapa Map and Parod bomber: . LOQ t 40 3 ,�t 13:zoumgmfom�aaian: - 1.a 1.6 WJUDING SMACKS Front Yitnd . Side:Yarii. , __. .. Real Y .;. Pttwide p L7Wata 8opplyMayCga .54) p<,moae7eee.i a�u........ La_.seseta�, - Pe6Gc 0 1,&— n 7aee_ �: :O�idePtodi'Zmq 0 ... .. SECTION 2-PROPERTY OWNERSMMAUTHORI7.M AGENT ' 2.1 Owner of Record � P Name(Peat) V, Address for Service C1,afhS Cr22oL( restc�en-�: srgmmre Telephone �z�ati 2.2 Owner of Rem Nem Print Adare Sor sewm.- Telmhow RI SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Constnictton Su '-- Not Appfir�bte 0 eC `) C-Irrroll -.. Lkensed C9w"Qt<on suparv,mr -- O l a 1 iP�rS ( n 1:4oaoseNuoh, r A 3 o a Dam 3.2 Registered Home Improvemw Comtpetor ,,. NotApplioeble -� _ 0 . Company Name - Address:. z Tel ow Expffmfion > SWOON 4-:WOHKBitS COMPBNSATIONOLC:L:C.152 § 2k,6) Wuteas Compensation Insureooe efHdavit mieE a p'F ii to provide this affidavit wdl result coh►plgad'ead subiniital with this inthedenialoftheissamkeofthe ' signed affidavit Atmched ales. No.. 4 . - RMON 5 tion ofPrODosedVYork aNA IA a • New Construrxron ExtslmgBmidiog [J`_ Reparr(s). � Alterati�s(s) 0 : Addition )3 Accessory Bldg: tl-- Dmolition ❑... Other D Specify f.. Brief Description of Ptopostid Wbrk coo Srtf UdJ ItN6 SrON ver. Fr A," lper P tQ{JZnnp SECTION 6-ESTIMAT®CONSTRUCTION COSTS Its Estimated Cost(Dollar)to be Completedby0driftapplicailt 1. Building 57G000 (a) Bw7dinB Femrit Fee_. 2 Electrical. M-- lier l l 0 00 (b)_.Estimated Total Cost of. r onAruction 3 PlumbingtYj Um 4 AC.. 1 `T Bur7ding Permit fee Nl.a'(b 5. ..Fire Protection.._ 6 Total 1+2+3+4+5 p0 Check Number SECTION 7a OWNER AUTHORIZATION TO BE cowLBTED.WHgN OWNERS AGENf.OR.CONTRACTOR AP,PLasyM.BUMBING PERW I' as OwnedAuthorized Agent of subject property Hereby authorize to act on My behalf;in all matters rdaflve to work authorized by this burTding permit application• i S ofDate Owner i - SECTION 7b OWNER/AUTHORIZED AGENT'DECLARATION 1;_ C�rro(I Pres tcQew-I- as Owna/AuthorizsdDgent of subject prop" Hereby declare that the statements and information on the foregoing application are true and amat ate,to the but of my knowledge and belief l6 ®z .. SignWre of Owner/Agent Date -NO,OFA- STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR 7114BERS1 �C 77 2 3 �c SPAN DDAENSIONS OF §U—S S a DIMENSIONS OF POSTS DDAENSIONS OF GIRD EP K( J HEIGHT OF FOUNDATIONV THICKNESS SIZE OF FOOTING X MATERIAL OF CHDANEY t(_ LS BUILDING ON SOLID OR FILLED LAND::' IS BUILDING CONNECTED TO NATURAL GAS LRM � FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. """APPLICANT FILLS OUT THIS SECTION ***** APPLICANT ��2-i �-Md° Q �l -- PHONE 686'7761V LOCATION: Assessor's Map Number p3i3 PARCEL SUBDMSION -&art^0(�,, r �'�Ce LOT(S) I STREET qO B le rP',AVJ Pla/�. _ ST.NUMBER Q ���� OFFICIAL USE ONLY RECOMMEyD TIO F TOWN AGENTS: CONSEPhATION A MINISTRA'i R DATE APPROVED DATE REJECTED COMMENTS T N PLANNEA DATE APPROVED 9 Z DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED S _ *TDATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS-SEWERIWATER CONNECTIONS ___7'7/Z&dd DRIVEWAY PERMIT FIRE DEPARTMENT g.- d RECEIVED BY BUILDING INSPECTOR _DATE Revised 907 jm The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name: Location: City Phone Qam 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. Comoany name: 140 C F� •H D VCe- R�14-\f COf r Address (04 J 0knlxkjCAk'0- Va City: 16t' D'Acytt2 r ffi44 -s • Phone# Insurance Co. ��t1Qdl Sl3 r? Ce �fb v Policy# N 0 W C I 1 0 3 1 Co Comoanv name: Address City: Phone# Insurance Co. Policv# 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($100.00)a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains and penalties of perjury that the information provided above is hue and correct. Signature6 a, - PDate I' 1 (0-0a Print name b\rtr k A CF, Phone# 68 6 V 7?0 4 Official use only do not write in this area to be completed by city or town official' ❑ Building Dept ❑Check if immediate response is required Building Dept ❑ Licensing Board ❑ Selectman's OfficeContact person: Phone#: ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION GROWTH MANAGEMENT BYLAW EXEMPTION STATE\,ff.'•; '. TOWN OF NORTH ANDOVERBUILDING DEPARTMENT iF fifi4F*tWi*Y�,YM$*,Y***i4*�k���K�M***�Mk�4�***+Y•fi*�**>k***�*�F*4�ri,icF�•KF�..1� nunation of c.\empuon u:ider I:; Ionil s)tall be used to assist the Building Depanmclu in their deter c of the Town of Noah Andover Growth Malulbentent Bylaw, The appltctutt sh,lll pruh te!c .!I u! Inforrnauon as requested belowfl.4ctz 316. : Property Pernut applicant address vlap/ P,L� Phone NumDer Single Farruly Two Fanillh he undrrsigned applisctnt Ior UIe above propeny attcst that die aua ncJ builJulgpanut wt w.n uI ::. J.::umpty with the E\EM(FTION section 8.7 6 til the crowd) IvI;utngenhau l yluw.I also tuldeni;utu providing - .osat,c me or any piny to this peanut trout the requirements til ubtaating oUrar pcnnus rcquircd pnur to the issu;utec of 111C u•�, :-: Funkier I undeaswnd that my ntcrpranlion of the exemption swws is sublax to review by Ute Oui!ding Deparunats .inti accepted when the building peanut is issued. 3noc un see ion 8.7 6 of the North Andovc Growth Bylaw the above lot and die work is applied for on die obovc tut• n Uta ;c appI1,;a6cn and assn iattd aaachments,complies with one or more urthc Iblluw ing sections as indtcuttu by. .nc c 11,15 is an application for a building ptxnut Ior Linc atlargci-noil,restorauun or rcconsuuu:u(1 til.:01101u15 ;: nc cilca,ve date ofthis bylow,provided U)at no additional residential Ludt is created. The IOL(S)was/were acated prior to ivlay 6, 1996 said are exempt from the provisions of seuiun 8.7 of the Zuuing llti This application is Ior dwelling units lar low and or nlodcrate utuume families or individuals.whore.i!!ui thr:v::.:.: .. u arc rues and or represents dwelling units Ior senior residents,whore ueutpatcy oI UIc units rs acsUII"I to sen, y ,propole csecvtcd and recorded decd restna u,i running wv Utc land.Por Purposes it 01's sauan )5 es UIC age ol•55, This application is pan ul'a development project which voluntarily Jgeed to a minimum 40°/o Perri u'au nsity(buildable lots)below he density perm5pcd undo zoning and faasiblu given the atvironmenwl condiuonS or Uta aa, t^. . surp;us land equal to at least ten buildablc acres m and peranently designated as open space or farmland 111a land to be pros rvru c<preleaed from developmcm by an Agncuhural Preservation Restnotion,Conservation Restnuron.Jou cation to Uhe I osi' ar mechanism approved by the planning board dint will ensure its protection This application represents a tray of land exisrung and nut held by a Developer in summon esvnersn,P w uI.111 un the cfTeaive duo of this Scaion 8.7 and shall reccivc a one time exemption Isom UIe Plunncd GruwUt Rory anti cpurpose of conIa-NAmg one single family dwelling unit un Ule parol. wpment Sutheduling provisions for the This application represents a lot which is ready for a building permu(all other pemuts from all other boards ant) :unvmss ons hi YC been received and Uhc projea is to compliance w101 Utose pen uu),and he Development Sd7cuu:c uuc, ,.cjmmodate issuuhg a building peanut in that ycar.One building permit will be issued Pa year par Dtvclupmau unto ,-:11 1:– icvclopmem 5ahojule acwntmodasa issuing building pernuts Appt:wm must submit an appruvcd FORC•! L'�.u�•_:: \.i PTI ON. kSE PROVIDE.ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPA.RTvIENT!N\I:\i. Di:I-ER\QNATION THAT THIS i➢PUCATION IS ALLOWED UNDER ONE OR \40RJ-OF THE.ABOVE EXEMP r!0'„ .1' SIGVNG BELOW I.ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDEDAND THAT 11 l :O'i ;L DL\G PER4t)T IS ALLOWED AN E,MPi ION,iS Cl 11. : BOVC t_RTI�R I UNDERSTAND THAT TIKE SUBWTT'AL OF M)SL.ADING OR INACCURATE [NFORNIAT10'�OR �l1TCIS GROUNDSFFORR RE USAI BY HE BUVE EXY-0TON HIDfNGCH D DES EPARTMENT TO ISSUEER DOTO NOT COMPLY, T BUI DING PPERM TNOw'L1=D< IVY I CANTS SIGNATURE DATE - _'S F0R_M TO BE A7ACHTD TO THL DUIDLNG PERMI•f APPLICATION i 2/L 6cwnwwnweaN, ar, G� cu/uwella . BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 063503 Birthdate: 07/19/1955 Expires: 07119/2003 Tr.no: 12903 - Restricted: 00 JAMES V CARROLL 12 PIPERS GLEN (. . ANDOVER, MA 01810 Administrator North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: 4 I CQ- (Location (Location of Facility) V C Signa ure of Permit Applicant 4 �6 00 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector Ob/14/21JJ2 1U:J4 ys dbbJJi4r ISI r' IiUtitK :� :I'Ib r'F;ae Li: �►ICIIItI1A f �1 { ' �YM �11t ISSUE OATSNJM>I)L'YY PRDGUCER 5Z l-, 02 7DOES TIFICATE 19 ISSUED AS A MATTER OF INFORMATION ONLY AND NO RIGHT$UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE T AMEND, EXTEND OA ALTER THE COVERAGE AFFORDSO BY THE BELOW. M, P. POBEROSGOO S INS AGCY INC COMPANIES AFFORDING (COVERAGE ?060 OSGOOD ST NO ANDOVER MA 01845 COMPANY . ........ . LETTER A WESTERN .._ .WORLD.....INS CO.. ... .. ... ... .. ... .. COMPANY ... .. SY URRO LETTER .._8 HANOVER INSUlwCE CO COMPANY NC A\DOVER REALTY CORP igen �' JS LIABILITY 100 JOHNN'4CATtE RD ...... . . COMPANY N ANDOVER MA 01845 LETTER D GUARD INS GROUP LE"Wli NY E THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 133U$D TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITH8TANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY OONTRACT OR OTHER DOU'UMENT WITH RESPECT 70`.VHICH THIS CERTIFICD+ MAY BE 18$UE0 OR MAY PERTAIN, THE INSURANCE AFFORDED 8Y THE POLICIES DHSCRIBED HEREIN IS 3U8JECT TO ALL THE TERMS. SUCH POUCIES. LIMITS SHOWN MAY HAVE BERN REDUCED BY PAID CLAIMS, EXCLUSIONS AND CONDITIONS OF..,.,.,.,.. CO TYPE OF INSURANCE POLlC`V 6FFiCTIve POLIDY EXPIRATION LTTI; POLCY NUMCIER BATE(MM1bDrm GATE(MMIDONY) LIMITS a K.NBRAL LIABILM NPP 7 7 0 5 7 4 —0 0 3 13 0 2 3 13 0 3 -OSNERAL AGGREOATC b , O O C', 0 C O }{ .......COMMERCIAL GENERAL UABILiTY PRODUCTSCOM0.41'AGG. S1 CLAIMO MADE,X :OCCUR.' : '_ ...... - ' PERS"""LINAL I4 ADV.INJURY $1, 0 O 0 r O�1 O CWNGR'8 A CONTRACTORS PROT.: EACH OCCURRENCE $1, O C a, 0 0 0 ',i ... ........_..... ..............._ ! FIRE DAMAW VYy one IIr•I $5 0, cl')0 MED,Ell'ENSE(Any one pervin) y G0 O AUToM0U1LE LL"L" ADN 5069646 2 0 6 0 2 2/06/0 3 cDMerNRG SINGLE ANY AUTO ',LIMIT ... .a1� QC•(ifC'OC ...... ALL OWNED AUTOS ., . 3{ SCHEDULED AUToB -BODILY INJURY S (Per 04f60n) WRED AUT08 - ' BODILY imiuRY X NON•OWNEO AUTOS IPW"cimrN) $ GARAGE UABILITY - ... .,. PROPERTY DAMAGE ;9 ExeEaS LLAa1LITY CUP 10 x 4 9 4 5 3/13/02 3/13 C3 EACH COCURREN'CE 1 1, 0100,— ' p p`� .UMBRELLA POnM AGGREOATE .. ._ ..... OTHCR THAN UMBRELLA FORM l a womwa COMPENSATION NOWC 3 0 7 9 5 8 3/1-."/02 3 13 03 ,X STATUTORY LIMITS I AND : EACH ACCIDENT 6 5 0 n, C•0 0 DISEABR-POUCI LIMIT ._65 0 7, 0 0 0 i EMPLOYERS`LIA6ILRY . .. Di8P48 E-EACH EIA*PLOVEE 61j' OTHER If 1 OIISOF14PT10h Or OPCRATIQNS&OGATION&IWP.MCLESMECM R!M® --' ; FAX: 978-475-0942 C '�IFICA6E��CtkON € SIMS L A Ia�t; 77 SHOULD ANY OF THE ABOVE DE80RIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THfipGOF, THE ISSUING COMPANY WILL EINDFAVOR TO b' MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE,HOLDER NAMED TO THE TOWN of NORTF ANDOVER ;:; LEFT, BUT FAILURE TO MAIL SUCH N011og ALL IMPOSE No OBLIGATION a BUILDING INSPECTOR <' LlA81 ANY U H C AGENTS OR REPRF6ENTATIVE3. 27 CHARLES STREET NORTH ANDOVER MA 0-1845 AUT>i RL'S ATIV Michael P Roberts p ItC�►f!T('2�9 �#lI�I)', ,. ;1 �rlC l?t3 tbRPOnLims loge') ,s i ( I MAScheck COMPLIANCE REPORT I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 Release 3 I I I I Checked by/Date I I I TITLE: PLAN NO.4316 CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 9-12-2002 DATE OF PLANS: 3-4-02 PROJECT INFORMATION: COLONIAL HOUSE COMPANY INFORMATION: BRUNO ASSOC. 28 BERKELEY ROAD N. ANDOVER, MA 01845 COMPLIANCE: Passes Maximum UA = 712 Your Home = 517 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1945 30.0 0.0 68 WALLS: Wood Frame, 16" O.C. 3201 19.0 0.0 192 BSMT: Conc. 8.0' ht/7.0' bg/8.0' insul 1948 19.0 0.0 88 j GLAZING: Windows or Doors 432 0.330 143 DOORS 78 0.330 26 HVAC EQUIPMENT: Furnace, 87.5 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date '� i TITLE: PLAN NO.4316 MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 DATE: 9-12-2002 Bldg. l Dept. l Use I I CEILINGS: [ ) I 1. R-30 Comments/Location I WALLS: [ } I 1. Wood Frame, 16" O.C., R-19 Comments/Location I BASEMENT WALLS: [ } I 1. Conc. 8.0' ht/7.0' bg/8.0' insul, R-19 interior cavity Comments/Location i WINDOWS AND GLASS DOORS: [ ) i 1. U-value: 0.33 For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? { ] Yes [ ] No Comments/Location I I DOORS: [ ] I 1. U-value: 0.33 I Comments/Location I HVAC EQUIPMENT: [ l I 1. Furnace, 87.5 AFUE or higher I Make and Model Number I I AIR LEAKAGE: [ ] 1 Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. I 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I MATERIALS IDENTIFICATION: [ ] ► Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be s 1 provided. Insulation R-values, glazing U-values, and heating 1 equipment efficiency must be clearly marked on the building plans I or specifications. I I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. I 1 DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be 1 omitted where gaps are less than 1/8 inch. Duct tape is not 1 permitted. The HVAC system must provide a means for balancing I air and water systems. I I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual 1 or automatic means to partially restrict or shut off the heating 1 and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: [ ) I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. I I SWIMMING POOLS: [ ) I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from 1 non-depletable sources. Pool pumps require a time clock. I 1 HVAC PIPING INSULATION: [ ) I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in. ) : I PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I 1 CIRCULATING HOT WATER SYSTEMS: [ ) I Insulate circulating hot water pipes to the following levels (in.) : I 1 PIPE SIZES (in.) 1 NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS 1 HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 I 1.0 1.5 2.0 I 140-160 0.5 I 0.5 1.0 1.5 I 100-130 0.5 I 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- ORTH Town o � � _ � ^ And6ver IZA o ndover, Mass., COCHICHEwICK ^DRA T E D P'P�\ t� LSSA C H US�� P IT FOR EXCAVATIONANDFOUNDATION f /! THIS CERTIFIES THAT r �C�/r �/ Grl��............................................. has permission to excavate and pour foundation at for the purpose l.. ..5' !1.... �......V;! ...�fS/�O ta♦. b The person accepting this permit must return to the office of the 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. ....... ... c ............... BUILDING INSPECTOR ,IRT, E Town of over o� COC„,� � dover, Mass., 9►_�3 -.�ao� �d RATED S 4 BOARD OF HEALTH PERMIT T D Food;Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..,BYO .... N. O..V ..... .... /�y.... ��............... ................ Foundation has permission to erect............. ......_....... buildings on .4 .. � �.N�� *~ ...Pt.._ Rough 1 to be occupied as lfr.0.Q.1'!!�`3. .. ..8.. 'I .i. ..4�? ! .1. ....� ��i/I.+.. ..V.'.. .q./. ... .r?!.�--- Chimney provided that the person accepting this permit shall in every respect conform to the terms of thevpplication on file in Final this office, and to the provisions of the Codes and Qy-L4ws relating the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 3r1j , 8 � PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR 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 Fina, No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner BLDG. PERMIT FW 7S Street No. - ''On T � �5 SEE REVERSE SIDE LESS FDA FEE /”- ' Smoke Det. DUE FRAME PERi �� Date.. .� �1. .... 3= �` TOWN OF NORTH ANDOVER 0 P PERMIT FOR GAS INSTALLATION i o s CH This certifies that � :�, J . .. ... . ... . . ... � r l f� has/pdrmission for gas/installation - . .. .. . .e!' in'/the buildings of l . . . . . . . . . . . l/1 ./�/V ", .Q;- tardh Andover, Mass. at Fee. !. . . . . Lic. No.. .a?IX . . . . . . . . . . . . . . . . . . . . . .. . . . GAS INSPECTOR Check#_ 0 4865 Y i MASS APPROVAL # MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) o U`�C�e►,la Mass. to 9 + Permit# Bullding Loeaticci l) 2&;'r: a OhTie't P)arne ,^j 1e �"t�• Type of Occupancy es New p Renovation Replacement p PWis Submitted: Yes❑ No gf n G • N W A � Y = ¢ in H q v CC F' N e: N ¢ O 01 Z F yr W dK It b O W < _ _ �' H O ¢ > W V W e7 < ¢ a yqj W in j = < Z ¢ ¢ a ¢ W I.- w V S q jo d (II WO II O O5 6 4MH Cr S O O0 > SUB—SSMT. BASEMENT IST FLOOR IND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7THFLOOR -H4T BTH FLOOR Installing Company Name YANKEE GAS Check one: Certificate Address 140 SOUTH MAIN STREET [9 Corporation 103C MIDDLETON, MA 01949 [. Partnership Business Telephone 978-774—' 2760 L Firm/Co. Name of Licensed Plumber or.Gas Fitter WILLIAM R. HARRTS INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent which meets the requirements cf MGL Ch. 142. Yes 13 N. F If you have'checked yes. please Indicate the type coverage by checking the appropriate box C A liability Insurance policy ® Other type of indemnity❑ Bond [I OWNER'S INSURANCE WAIVER: I am aware that the licensee does nct hay► 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: OvrWO Agent C)Signature of Owner or Owner's Agent I hereby certify that all of the details and information 1 have submitted(or entered)in above aaa"+catien y a and a to t e test of my knowledge and that all plumbing work and installations performed under the pe for this with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of rad law, By Tof License: Plumber Signature a mDer ar mer Title Gum asfitter Baster License N !•ie 3785 aty/Town Joumeyman iPHIOVIEff( NL Yankee Gas 140 S.Main St. TO DAT TIME AM i Middleton,MA.01949-2489 PM Ph#978-774-2760 Fax 978-777-2634 FRO PHON H OF CELL c� 1 E E M s ��� E A - M G O E E-MAILADDRESS SIGNE PHONED❑ CALK[] RETURNED❑SE TS TO[ AGA CALL WAS I GENT rtricia Hayward at 79 ___._r. ..._..... ..nxiuvycr,ivtA. i am vmtmg you to Iet you know that the customer has cancelled the order and we will not be doing the job. If you at your first convenience could you please refund the gas piping permit fee.We would greatly appreciate this.If you have any further question please feel free to give me a call at my direct line at 978-223-1309,Thanks for your help and sorry for any inconvenience that we may have caused. Sincerely, Joseph M. e anagerPageau Service Mager for Yankee Gas w