HomeMy WebLinkAboutMiscellaneous - 40 PHEASANT BROOK ROAD 4/30/2018 �� nh��►.s•�N� -
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N2 2269 Date.... f .° . ....Z,
Nf?RT11
TOWN OF NORTH ANDOVER
o
PERMIT FOR WIRING
,SSACHUSEt
I
This certifies that
has permission to perform ff
I
wiring in the building of.......Co.c:...
at...... . /.�.......... .........1 `/ �.�<< l�iorth Andover,Mass.
<�:OJ Lic.No./ 1....1
LEcrRicALINSPECTOR
02/23/99 10:46
�%(� ppppID
WHITE: Applicant CANARY: Building Dept. PI :TfL�asut�f
Rough
Service Final
0i 4t Oommonwtaltll of Msss*uBt Office Use Or�IK Oq
Department of Public Safety Permit No.
pV()
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Occupancy & Fee Checked
3/90
(leave blank)
APPLICATIONWFOR ork to be �PERMIT ormed in eTOwith the MPERFORassachusetts aM ELECde, 527 CMR ►TRICAL WORK
2:00 A
(PLEASE PRINT IN INK OR TYPE LL 1 0 A I N) Dat
City or Town of /tLl�i�r i�r i�[��� To the Inspector of Wires)
The undersigned•applies for a permit to perform the electrical work described low.
Location (Street & Number) / �D?tS� Aam ��
o/'
Owner or Tenant �r //4e: —�71
Owner's Address Q� O 7��w S� '441,a)
Is this permit in conjunction with a building perm Yes No L1 (Check Appropria!t78o
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd El No. of Meters
New Service 0200 Amps_, / 7s�—Volts Overhead ❑ Undgrd 2 No. of Meters
t Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
TOTAL
No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA
A ve In
No. of Lighting Fixtures Swimmin Pool rnd. ❑ rnd. ❑ Generators KVA
No.of Emergency Lighting
No. of Receptacle Outlets 0 No. of Oil Burners Battery Units
No. of Switch Outlets /p No. of Gas Burners FIRE ALARMS No. of Zones .
�7'"S °� No. of Detection and
` No. of Ranges No. of Air Conditioners Tons Initiating Devices
Heat Total I otal No.of Sounding Devices.
No. of Disposals No. of Pumps Tons KW No.of Self Contained
06tectio mg Devices
No. of Dishwashers S ace/Area Heating
KW Municipal
Local Connection ❑Other
No. of Dryers 6Q Heating Devices KW
No. o No. o Low Voltage
No. of Water Heaters KW Signs Ballasts Wiring
No. Hydro Massae Tubs No. of Motors Total HP
OTHER:
INSURANCE COVERAGE: Pursuan o the requirements of Massachusttes General Laws
I have a current Liability Insura a Policy including Completed Operations Coverage or its substantial equivalent.YES NO !have submitted valid proof
of same to this office. YES NO U
If you have checked YES base indicate the type of coverage by checkin the apprr99pn to box
ck
INSURANCE BONG OTHER (Please Specify) (Expirati n D te)
Estimated Value of Electrical Work f
Work to Start Inspection Date Requested: Rough Final
Signed under the penalties of perjury: _
FIRM NAME A LIC. NO. �S
Licensee Signature LIC. NO.
Address Bus. Tel. No.q�
�
Tel. No.
OWNER'S INSURANCE WAIVER:I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts
General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one)
Telephone No. PERMIT FEE f/�IVi
(Signature of Owner or Agent)
2223
Of NORT e,ti
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
lo
�,SSACMU`��
This certifies that I .....`
has permission`to perform ..: - -?- '��....- `�` "...........................................
wiring in the building of........... ..............' - .................:...:........
x ...... ,No li'AndSver,Mass.
Fee . .. Lic.No f.........•,.���...( .....
?��...: :: ..
.....
i ELECTRICAL INSPECTOR
WHITE: Applicant0l/21TAAIW Building Mploo '°PINK:Treasurer
Rough . Service Final
014t Clommonweultll of Massar4mtts Office Use Only
Department of Public Safety Permit No. 17; �2-3
BOARD OF FIRE PREVENTION REGULATIONS 52 CMR 12:00 -d,
Occupancy 6 Fee Checked
3/90 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE AL24,
RMA ION) Dat
L*
City or Town of� 122,� To the Inspector of Wires)
The undersigned•applies for a permit to perform the/electrical work described below.
Location (Street & Number) / ! he'll qA r
Owner or Tenant
Owner's Address J
Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box)
Purpose of Building Utility Authorization No. D�
Existing Service Amps ," / Volts Overhead ❑ Undgrd (❑ No. of Meters
Service �mps��� , -'25�20' Volts Overhead ❑ Undgrd No. of Meter
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
TOTAL
No. of Lighting Outlets No. of Hot Tubs No.of Transformers KVA
A ve In-
No. of Lighting Fixtures SwimmingPool gm
No. ❑ rnd. ❑ Generators KVA
No.of Emergency Lighting
No. of Receptacle Outlets No. of Oil Burners Battery Units
No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones
Total No. of Detection and
No. of Ranges No. of Air Conditioners Tons Initiating Devices
Heat I otal I otai No.of Sounding Devices.
No. of Disposals No. of Pumps Tons KW No.of Self Contained
Detection/Sounding Devices
No of Dishwashers Space/Area HeatingKW Municipal
Local❑• Connection ❑Other
No. of Dryers Heating Devices KW
No. o No. o Low Voltage
No.�f Water Heaters KW Signs Ballasts Wiring
No Hydro Massage Tubs No. of Motors Total HP
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusttes General Laws
I have a current Liability Insura olicy including Completed Operations Coverage or its substantial equivalent.YES 15 NO O 1 have submitted valid proof
of same to this office. YES ErNO IJ
If you have checked Y
ANS, please indicate the type of coverage by checking the ap o riate x.
INSURCE BOND ❑ OTHER❑ (Please Specify)
lixpi tion Date)
Estimated Value of Electrical Work f
Work to Start Inspection Date Requested: Rough Final
Signed under the penalties of perjury:
FIRM NAME
LIC. NO.
Licensee Signature LIC. NO. r �1
Address �— Bus. Tel. No.
Alt. Tel. No.
OWNER'S INSURANCE WAIVER:I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts
General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one)
Telephone No. PERMIT FEE f S�0
(Signature of Owner or Agent)
Locatio�;L P4 1JIa-2 L 43�1� �ot�l3
No. Date
NORTq TOWN OF NORTH ANDOVER
n Certificate of Occupancy $
Building/Frame Permit Fee $
�i '".,,.e•• �, --^""mac.
;:j �s. st Foundation Permit Fee $
WCMUS
Other Permit Fee $
/ Sewer Connection Fee $
Q. I Q water Connection Fee $ 0$2
g TOTAL $
J ` Building I pector
12517 Div. Public Wbrks
i
PERMIT NO. APPLICATION FOR PERMIT TO BUILD *******NORT'11 ANDOVER, MA
nlu•No- 106 B LO1.NO. 1B/#83 2. RlCOItUOFO\\•IvLI(Sllll' 1)ATE BOOK PACE
R SUB DIV- 1.0I'N"' 1B Sept. 13,1995 4355 51
Lot 1 B Evergreen Estates tN B1,111)IN(' Single family dwelling 2800 sq ft i a Xyl t7Ec 1 ?
OWNER'SNAME Oak Trust NO.OFST(NIILS two SIZE.
OWNER'SADORESS 401 Andover Street, No. Andover, MA BAS6h1EFTlORSI.AB Full basement i'iA��� 3�c—w L j:j'
AR('1urECr'sNALIE_ Bruno Assoc. S17J OFFI.(XNtI'IMBERS 2x 10 1 ST 2 x 10 2 ND 3
RD
lit Ill DLR'SNAME Coolidge Construction Co. Inc STAN 14'
DISIANCETONEAREII BUILDING 200'± see plan DIMENSIONS Of:SILLS 21 ?x6
DIS I'ANCE FROM S TREET 90, - DIMENSIONS Of IUS I S Lally
DISI'ANCE FRCP 1 I.OT LINES-SIDES 31/5 1 REAR 100 I."F DIMENSIONS OF GIRDERS Per code spe plan
ARFAOFLOT 1 Acre FR(M'AGE 151 ' 1IEIGIITCA:F(AJNDATI(NJ 81 THICKNESS 10))
IS BI)ILDINO NEW =SI'ZL'OF T(XJI ING �� t a X
Yes
ISBIJII-DIN( AI)D1rRNd n/a MAIERIALOFCIIIIANL'Y Masonry
IS BUILDING ALTERATION n/a IS BUILDING ON SOLID OffTU LED LAND solid
WILL.BUILDING CONFORM TORECXJIREMENI'S OfCOOE yes ISBUILDINGCONNECI'M101OWNWATER es
BOARD OF APPEALS ACTION, IF ANY none' IS BUILDING CONNECTED TO TOWN SEWER n^ /
IS BUILDING CONNECTED TO NATURAL GA E yes
INSI U('TIONS 3. PROPERTY 1NFORNIATION LAND COST'
ZeC* IQ's I � EST'. Bl.rxi.COSTI&A VdC=2
PAGE l FILL Ot!lSECTIONS 1-3 EST..BLDG:COS PLRS12 FT. (oS
EST. BLIki.C'l 'I'1'LR RO N.�
EI ECTRIC I IETLRS N-I()S'I-BE ON(xl'lSII)E of BUILDING SEPTIC PERMIT ).
W Int eco �F� 1 —
AI'IACI ILD GARAGLSMI)STC(NFORI VroSTAIEFIREREGULA11(N S
PIANS MUST BE FILED AND APPROVED 13Y BIJILDING INSPEC!(Nt BUILDING INSPECTOR
DATE
OWNERS 1El.N.'
Fu.Ia) 12/14/98 _
I , C(Nd'TR.TL'I.# 8-687AI09
'97 `
14,7 ' 006355' DEC i 1 1998
.
SIGN,\TIIIIGI>I�UWNlilt t>It Al ItNt/IY�JiI) d[NT '
Illi � ���C.✓ � ILLI.N --.
I'IItAII I'l-iRANll:l) /
/<� 19
T �
IPSWICH SAVINGS BANK 0586
COOLIDGE CONSTRUCTION CO., INC. IPSWICH, MASSACHUSETTS 01938
401 ANDOVER STREET
NORTH ANDOVER. MA 01845
(978)687-0109 53-7058/2113
December 14, 1998
TO THE
ORDER
-OF Town of North Andover y—� $
12,14
MEMO Building permit Lot 1B Pheasant Brook 5AUTIAO ;ED�SIGN E
115000 58611' 1: 2 b 1 3 70 58 71: 88 780900 211'
COOLIDGE CONSTRUCTION CO., INC.
0586
PERMIT NO. APPLICATION FOR PERMIT TO BU11LD********NORT11 ANDOVER, MA
nI u'ND• 106 B LOl'.NO' 1B/#83 2. RECORII OF O\1,NERSIIIP 1)ATE BOOK PACE
ZONE R1 SUB DIV. LOI'No . 1B Sept. 13,1995 4355 51
Lc,(:.%LION Lot 1 B Evergreen Estates PUItPoSEO(:BUBOING Single family dwelling 2800 sq ft iaX,:3L1 'Dr,e-1 2
O\VNER'SNAME Oak Trust NO.OI'sroitILs two + SIZE
(IWNER'SADDItESS 401 Andover Street, No. Andover, MA B'uEMLNroRSI.AB Full basement h-«US 31 0-) 0I QPM
ARCIIll ECI''SNAME Bruno Assoc. SIZEOFFI.CXNtT'IMBERs 2x 10 ST 1 2 x 10 2 HD 3
itD
BIIII DER'S NAME Coolidge Construction Co. , Inc SPAN 14'
DISTANC E TO NEARED r BUILDING 200'± See plan DIMENSIONS 01:SILLS 2/ 2x6
DIS FANC.E FROM 51'REE'1' 90, DIMENSIONS(N:POSTS Lally
DISTANCE FROM L.OT LINES-SIDES 31/51 REAR 100 1..± DIMENSIONS OF GIRDERS Per codp spe plan
ARLA OF Lor 1 Acre FRONTAGE 151 ' 1IEIGI IT OF FCXINDATI(NJ 81 THICKNESS 1011
ISBUIILDIN(iNEWX
Yes =SILLOF.F(XII'ING 30t� .X"1.:.t a
ISBUILDINGAD)III(NJ n/a MATERIAI.OFCIIIMNEY Masonry
IS BUILDING ALTERATION n/a IS BUILDING ON SOLID CWTH.LED LAND solid
WILL BUILDING CONFORM TO RF(KIIREMEN FS OF CODE yes IS BUILDING CCNJNEC`FFD'IOIOWN WATER es
BOARD OF APPEALS ACIION, IF ANY none IS BUILDING CCNJNECrED TO[OWN SEWER no
IS BUILDING CONNECTED TONAI'URALGAS LINE yes
INSVIICT'IONS 3. PROPER'T'Y INFORAIAfION LAND COST
I`CC I �s EST. BLDG,COST
PAGE I FII.I.OI rr SECr10NS 1-3 EST..BLDG,COS I PER SQ.FT.
EST. BLDG.COSI PLR ROOM
EI EC-TRIC METERS WRIST'BE ON o rslDE OF BUILDING SEPTIC PLRNIIT NO.
-
Al"1 ACI IED GARAGES Mll$"r C(NIFORM'rO S rAl'E FIRE RE(i1)1.A 1'I('NJS a. Bl': C
PIANS MUST BE FILED AND APPROVED BY IIIJILDING INSPECr(')2 BIIII.UINC INSPECTOR
978-687-0109 5�-Tiny
DA'il:FILED 12/14/98 OWNERS TEI.H. r"
c(N1R.1ELH 978-687-0109
CON I'R.I.ICH 006-3,55. DEC : t
sl(iNAI'UF2LIN t)\VNliltORAl 10RIL1ED di1`41
-7
L _ _
I'I-RMIT GRAN 11-11) /
19
Lz
16
��� �/ >31a �� �3ys6 �6 �
Aook
3
o)
a
.►ORT
Town of _ over
No. � L
� A/ IMM 11
* dover, Mass., —1978
0C LAKE �'ye A0 T
'9A_COCHICHEWIC K 'A`
S BOARD OF HEALTH
PERMIT T Food/Kitchen
Septic System
THIS CERTIFIES THAT....... ....... .. ........ d........ ...... ..... ..
B
UILDING INSPECTOR
// un
.9 has permission to erect................l....................... Idings o ... �. ..�.yV., ... 'v o
to be occupied as. ./.!�.. 1.'�....�!a ll.'......... ....oTA�� I/A.CI�C�` lChimney
M' Ch'
..... ..........................................................
provided that the person a opting 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
(�
-e C, Final� PERMIT EXPIRES IN 6 S ELECTRICAL INSPECTOR
l �
UNLESS CONSTRUCTI ART ( Rough
......... ............ .... .... ...... ..... .. ....... .
` .................................. Service
.
UILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector.
Burner
Street No.
Smoke Det.
1
FORM U - IAT RELEASE FORM
1•
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state law,
regulations or requirements.
****************Applicant fills /out this section*****************
APPLICANT: ( Phone
Oe5P& W016 Cco 1[7m_c� d l 047
LOCATION: Assessor's' Map Number Parcel
Subdivision Z�V4!546450 Lot(s)
Street __F17�% g!�: CU St. Number
**************'**********Official Use Only************************
RE ONDATIONS OF TOWN AGENTS:
Date Approved
Conservation Administrator Date Rejected
Comments � .�!�-t' 'f 'T(��i.� 5'. /, %fl�i-f�' ;�"✓6u[ ��i ..
� r
0,n A- a,ti E I .�',� ' -k gin,
�ot&lk Date Approved
Town Planner Date Rejected
Comments
Date Approv
Food Inspector-Health Date Reje d
Date App ved 9
Septic Inspector-Health Date
er
Comments
Public Works - sewer/water connections
(Z
- - Z
- driveway permit
Fire Department
Received by Building Inspector Date
N2 847
APPLICATION FOR WATER SERVICE CONNECTION
North Andover, Mass. 19 05
Application by the undersigned is hereby made to connect with the town water main in Street,'
subject to the rules and regulations of the Division of Public Works.
The premises are known as No. ! `! ��� ��/rC70� Street',
orsu division lot no. 09-7— j t DZ
I � `"V->
15714
Owner Address
no�; C i4rol A ci �-
Contractor Address
ant's Si ature
PERMIT TO CONNECT WITH WATER MAI
The Board of Public Works hereby grants permission to
to make a connection with the water main at '! �4.5,aw cek Street
subject to the rules and regulations of the Division of Public Works.
Boalrd of Public Works
By C1-11Z,01 Ae
Inspected by tz
Date
See back for rules and regulations
b
RULES AND REGULATIONS GOVERNING THE INSTALLATION OF WATER SERVICES
1. No persons shall tap or in any way tamper with water mains which are part of the distribution system of the Town
of North Andover without a valid permit from the Division of Public Works.
. 2. All water services shall be installed a minimum of five feet below the finish grade.
3. No water services shall be backfilled without inspection by a representative of the D.P.W.—Telephone 687-7964.
4. Service connections shall be 1" type k copper tubing.
5. All fittings shall be brass flange type Mueller or equal
H 15202 Corporations
H 15212 Curb stops
H 15402 Three part unions
H 8185 stop and waste valves
6. Curb boxes shall be installed at the property line and shall be of the Erie Type with 4'/2 foot rod and brass plug
type cover.
12/15/1998 13:19 9786857878 COOLIDGE CONSTR PAGE 02
Q 608�7Y�080
AN; PO1
Town of NOrtb Andover
MMzov
COMmUr11TY DE
VZLOPMEAIT AM SP.YtVICLS
27 Chad"SO"
wlU.uwi).scow
NNne Andevet.Mmwhveo 01845 • «,rte... a
(978)588.9531
FAX(971)588-9542
November 24, 1868
Chrilltianun i So%i
180 Sumnw Stmt
HovwNll, MA o1 a3
RE: Lot 18 int Brook►Evwgreen Emma
Dear Phil:
This Iter is tc lnform YOU Ihat the OMPOftd otic pWn for Lot t
PhvMnt Brook Road has Oven appMM for a troug with a modmwan min@
$=I$I
If you have any Auastione, PWM do not haoitat®t0 to the Boa of
Meal h off ft at the number below.
Sandra Starr,R.$.
HnNh Admlrftbv r
oc: Vft. Sova, Dr. CD&S
Gone Farr
File
WA"OPM". a 611-9S41 ofam"69"Ja3 NEAM 601-050 PLMMINO 6a.993s
. .� �r ✓1Ze C/J07YIiJ97.O�Jt!l/ECLLC/L O�✓(!(QQ6�LU.deG[i',�
DEPARTMENT OF PUBIIC,SRFfTY
CONSTRUOTION SUPERVISOR LICENSE
#� Num6er` EzPireS: Birthdate.
CS 886355 -85/21/1000 05/11/1946
Restricted l0 Be
}
6 PENDANT
r
r j
Growth Management Bylaw Exemption Statement
Town of North Andover Building Department
This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the
Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information
as requested below.
Name of Applicant on Building Permit(below) Address of Property for Permit(below)
Coolidge Construction Co. , Inc Lot 1B Pheasant Brook
Map and Parcel : Purpose of Application (check below)
Phone Number of Applicant: - x Single Family Two Family
_Q7,9-687-ntn — Y
I the undersigned applicant for the above property attest that the attached building permit for which this
form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth
Management Bylaw. I also understand providing this form does not absolve me or any parry to this permit
from the requirements of obtaining other permits required prior to the issuance of the Building Permit.
Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building
Department and is only officially accepted when the Building Permit iq issued.
Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the
above lot, in the building permit application and associated attachments, complies with one or more of the
following sections as indicated by a check mark.
This is an application for a building permit for the enlargement, restoration,or reconstruction of a dwelling in
existence as of the effective date of this by-law, provided that no additional residential unit is created.
X The lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning
Bylaw.
This application is for dwelling units for tow and/or moderate income families or individuals,where all of the
conditions of 8.7.6.care met and/or represents Dwelling units for senior residents,where occupancy of the units is
restricted to senior persons through a properly executed and recorded deed restriction running with the land. For
purposes of this Section"senior'shall mean persons over the age of 55.
This application is a part of a development project which voluntarily agreed to a minimum 40%permanent
reduction in density,(buildable lots), below the density,(buildable lots), permitted under zoning and feasible given the
environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently
designated as open space and/or farmland.The land to be preserved shall be protected from development by an
Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism
approved by the Planning Board that will ensure its protection.
adjThis application represents a tract of land existing and not held by a Developer in common ownership with an
acent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth
Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the
parcel.
This application represents a lot which is ready for building permits,(i.e.all other permits from all other boards and
commissions have been received and the project is in compliance with those permits),and the Development Schedule
does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per
Development until such time as the Development Schedule accommodates issuing building permits. Applicant must
supply approved form U with this EXEMPTION.
Please provide any and all information that would assist the Building Department in making a determination'
that your application is allowed one or more of the above EXEMPTIONS.
By signing below I attest to the accuracy of the information provided and that the attached building permit is
allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or
inaccurate information, or the checking off of an above item which does not comply, whether done to my
knowled a or not, is grounds for refusal by the Building Department to issue a Building Permit.
6�v/fcl P6761 It
A44Q6 w, rt C 12/14/98
5igAalure o caner o uthonze Agent wh igned t Attached Building Permit Date
This form must a ttached t the Building Permit upon application for such permit
MAScheck COMPLIANCE REPORT
Massachushtts Energy Code Permit #
MAScheck Software Version 2 . 0
Checked by/Date
CITY: Lawrence
STATE: Massachusetts
HDD: 6235
CONSTRUCTION TYPE : 1 or 2 family, detached
HEATING SYSTEM TYPE: Other (Non-Eleetric Resistance)
DATE: 12-11-1998
DATE .OF PLANS : 10-14-98
TITLE : Plan # 4216
PROJECT INFORMATION:
Lot 1B Pheasant Brook
COMPANY INFORMATION:
Coolidge Construction Co. , Inc. 401 Andover St . , No. Andover, MA
COMPLIANCE: PASSES
Required UA = 627
Y-etrr—Home = 5 2 8
w 2L` Area or Insul Sheath Glazing/Door
Perimeter R-Value R-Value U-Value UA
-------------------------------------------------------------------------------
CEILINGS 1880 38 . 0 0 . 0 56
WALLS : Wood Frame, 16" O.C. 3184 15 . 0 3 . 0 213
GLAZING: Windows or Doors 570 0 . 350 199
DOORS 147 0 . 350 51
FLOORS : Over Unconditioned Space 199 19 . 0 9
HVAC EFFICIENCY: Furnace, 90 . 0 AFUE
-------------------------------------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design represented in these
documents is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building
has been designed to meet the requirements of the Massachusetts Energy Code.
The heating load for this building, and the cooling load if appropriate
has been determined using the applicable Standard Design Conditions found
in the Code . The HVAC equipment selected to heat or cool the building
shall be no greater than 1250 of the design load as specified in
sections 780CMR 13an J4 .4 .
10
Builder/Designer Date ��
MAScheck INSPECTION CHECKLIST
Massachusetts Energy Code
MAScheck Software Version 2 . 0
Plan # 4216
DATE: 12-11-1998
Bldg.
Dept .
Use
CEILINGS :
[ ] 1 . R-38
Comments/Location
WALLS :
[ ] 1 . Wood Frame, 16" O.C. , R-15 + R-3
Comments/Location
WINDOWS AND GLASS DOORS :
[ ] 1 . U-value: 0 .35
For windows without labeled U-values, describe features :
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments/Location
DOORS :
[ ] 1 . U-value : 0 . 35
Comments/Location
FLOORS :
[ ] 1 . Over Unconditioned Space, R-19
Comments/Location
HVAC EQUIPMENT EFFICIENCY:
[ ] 1 . Furnace, 90 . 0 AFUE or higher
Make and Model Number
THERMOSTATS :
[ ] Adjustable thermostats required for each HVAC system.
AIR LEAKAGE :
[ ] Joints, penetrations, and all other such openings in the building
envelope that are sources of air leakage must be sealed. Recessed
lights must be type IC rated and installed with no penetrations
or installed inside an appropriate air-tight assembly with a 0 .5"
clearance from combustible materials and 3" clearance from insulation.
VAPOR RETARDER:
[ ] Required on the warm-in-winter side of all non-vented framed
ceilings, walls, and floors .
MATERIALS IDENTIFICATION:
[ ] Materials and equipment must be identified so that compliance can
be determined. Manufacturer manuals for all installed heating
and cooling equipment and service water heating equipment must be
provided. Insulation R-values, glazing U-values, and heating
equipment efficiency must be clearly marked on the building plans
or specifications .
DUCT INSULATION:
[ ] Ducts in unconditioned spaces must be insulated to R-5 .
Ducts outside the building must be insulated to R-8 . 0 .
DUCT CONSTRUCTION:
[ ] All ducts must be sealed with mastic and fibrous backing tape .
Pressure-sensitive tape may be used for fibrous ducts . The HVAC
system must provide a means for balancing air and water systems .
TEMPERATURE CONTROLS :
[ ] Thermostats are required for each separate HVAC system. A manual
or automatic means to partially restrict or shut off the heating
and/or cooling input to each zone or floor shall be provided.
HVAC EQUIPMENT SIZING:
( ] Rated output capacity of the heating/cooling system is
not greater than 1250 of the design load as specified
in sections 780CMR 1310 and J4 .4 .
MISC REQUIREMENTS :
[ ] Refer to 780 CMR, Appendix J for requirements relating to swimming
pools, HVAC piping conveying fluids above 120 F or chilled fluids
below 55 F, and circulating hot water systems .
----NOTES TO FIELD (Building Department Use Only) -------------------------
12/15/1998 13:.19 9786857878 COOLIDGE CONSTR PAGE 01
[Date /a- /S" p
Number of S fnclud 19 cover sheet 04
T0: �a FROfl9: Coo/i e
Construction
Co., I C. -
North ndover, MA
0184
Phone
Fax Phone - r5/�
Phone (978) 787--0109
[c_c.- Fax Phone -9781,
T8 85-7878
REMARKS: ❑ urgent ❑ For your review ❑ ReplyASAP Please Comment
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May-25-99 08: 50A North Andover Cori. Dev. 508 688 9542 P.01
l
HOW 7p .1
pt Sao 41C
� A
I 4 ► 4
9
TOWN OF NORTH AN� .��T 22 Tl 10- �2
SAC USf
APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION
ADDRESS/LOCATION OF PROPERTY :
DATE REQUESTED FILED/READY FOR INSPECTION
r
CLOSING DATE ON PROPERTY: ,AU/Ue�_ /a, /5p
FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED
ALL WORK AND PERMIT SIGN-OFFS MUST BE COMPLETED WITHIN THIS
TIME FRAME.
r a '
A RE-INSPECTION FEE OF TWENTY DOLLARD $20.00) WILL BE �7
CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES.
SIGNED
ROUTING
CONSERVATION
PLANNING
DPW-WATER DIETER �(
s
NOTE:
DPW MUST INDICATE THAT WATER METER HAS BEEN INSTALLED
PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST
i
DPW �//,4r
%g ature
r
CERTIFICATE OF USE & OCCUPANCY
Town of imorth Andover
Building Permit Number 6-47 Date 6 8 q
THIS CERTIFIES THAT ,
THE BUILDING LOCATED ON �� y� Ph`eaSA&d� row k
MAY BE OCCUPIED AS 51!P,a le- ���/`/ ��J��� IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
C1 "°"7, CERTIFICATE ISSUED TO
0
.• n ADDRESS 6 / /U,,4,
�''^CHU'`` Building Inspector
4
omm of Andover
0No. Alq
N
M = - dover, Mass., 19
78
3 m
COCHICM E W I CK 1'
r E D P' l
BOARD OF HEALTH
R M Food/Kitchen
Septic System r �'
BUIL NG INSPECTOR
THIS CERTIFIES THAT....... ....... Q /.. . ......... d........ .. ......�..I..�................ undation
11 w))
has permission to erect.......... .....l....................... Idings o ... �. ..�..y ......... . ! ..... ough
',yam w
to be occupied as. .0 .. ��.... ........iI....O .c, i4' ....1/N �` I• L... � Chimney
,1
�. Ch ey
provided that the person a opting 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. �G6r��9/9
p,e C PERMIT EXPIRES IN 6 MO ? o
ELECTRIC ,INSPE OR//,` 14,/
UNLESS CONSTRUCr I1 ART oug 0/
... . .
Service
...... ..
UILDING INSPECTOR
- Occupancy Permit Required to Ocatpy Building GA INSPECT R
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
No Lathing or Dry Wall To Be Done FIR DEPARTMENT
Until Inspected and Approved by the Building Inspector.
Burner
Street No.
Smoke Det. �?
- .-'___ ����"'�ZY:��'t'•_r„-��'--�jtil.� r.'—+�-�sr�,,,1'.`��r_ ' — ` _ _ •,f,.,.r.r.� ti.+'�::.,�c�ny,'.�+..s"wk.•....n}`..�..,,'►N
Date. 3
N2, 397 .
dr No. '. +4 TOWN OF NORTH ANDOVER
3: �.
« « PERMIT FOR PLUMBING !
,SSACHUS� r {
k
This certifies that . . . . .4. . .��
has permission to perform . . . ./ie. -. . . . . . . . . . . .
plumbing in the buildings of . .&61 .1. A 51' . . . . . p
at. . .� ��. f,,��w r. ;Y�f3 c� , North Andover, Mass.
�1
Fee.p U. Lic. No.. rsP. 5. �' �.��.�_. .-�', J�s. .t•
PLUMBING INSPECTOR
03/22/99 16:08x.. 240,VO ^RIG
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer
w
ayo
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)
Mass. Date '3 - 12 19 Permit # 3 7
Building Location
Owner's Name_ C"✓'co
/9 �� �SC4 c ✓��lJ� r Type of Occupancy
New Renovation ❑ Replacement ❑ Plans Submitted: Yes ❑ No ❑
FIXTURES
Z
N b
N 0
Y ►- y N
h N J 'N.
U = = W W
W Y J M < �. ►. Z O 2 a 4 O
N < ¢
Z N Z r
¢ 2 H
N N yhj = ~ h U W N Y < p V t S < ;
¢ = O n '¢ < H ¢ < W N ¢ J O C O LL 2
W Z ~ h W � O O I >< Y ¢ h < Y W LL Y W
< 2 I CL Z )- O N _Z Z W h O U 2
r < ►� < < S V1 W < < O i OJ CJ < ¢ ¢ ¢ O < h
3 y( J m N O O J 3 = h to LL V 7 < 3 ¢ o O
SUE—BSMT.
EASEMENT p
IST FLOOR f r
IND FLOOtt
3ROFLOOR
4TH FLOOR
Fs--r iFLOOR
STH FLOOR
7TH FLOOR
BTHFLOOR
Installing Company Name- Check one: Certificate
Address (? e X 7 ❑ Corporation
n V cL� /f t Q ❑ Partnership
Business Telephone 9.S` 7- /y.s` 7 'Firm/Co.
Name of Ucensed Plumber �l ���r /un ✓C O[r A
INSURANCE COVERAGE:
1 have a current liability Insurance pcilcy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes-ff- No ❑
If you have checked y . please Indicate the type coverage by checking the appropriate box
A liability Insurance policy Other type of Indemnity" ❑ Bond ❑
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the Insurance coverage required by
Chapter 142 of the Mass. General Laws. and that my signature on this permit applicatlon waives this requirement.
Check one:
Owner Cl Agent❑
Signature of Owner or Owner's ent
I hereby certity that all of tha details and information I have submitted(o(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 this application will be in compliance with all
pertinent provisions of U,e Massachusetts Slate Plumbing o and Chapter 2 0l ral laws.
By V —�
gnature of Ucensadum t
Title Type of Lcanse:waster`3:' Journeyman❑
City/Town
L Manse Plumber /09/ �Z _
I
3135
Date...�.7./,:7x.. ��.....
"OOT" TOWN OF NORTH ANDOVER
3? ' PERMIT FOR GAS INSTALLATION
p �
F P
SS;% uSE
r�
This certifies that . ...y:2. . ..... . . .. . . . . . . . .
has permission for gas installation . . . . //,
. . . � F. . .. . .. .. .. ` .'. :`. . . .. .
in the buildings of . . . . . : .: s . . . . . °. . . : 7�`. . . .. . . . . .
A '
at . . �: . .l' :�?.� . .1�. .: k. . . . . ., North Andover, Mass.
Fee. . : .'. . Lic.al �a .� . . . . . .. . . . •
�C
GAS INSPECTOR .
WHITE:Applicant CANARY:Building Dept. PINK:Treasurer
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
T (Print or Type)
Mass. Datej 19_ 5_1 Permit �t
� r3Owner's Name
Building Location
Type of Occupancy
•�V
New S Renovation O Replacement O Plans Submitted: YesQ No Q
N
N W N
Y = = N
N N 0 CC
O
W W It O 0 p
►- x n
V J rt N < = Z o }. Cr
z O W
< m 0 y W O C A. C o
rtN O W < x = O 0 > W
V W N W < 1- ►- x a
aJ < x rL (7 0 J W
_ W = 6 W W N
V 1• Z J F' = N H N .m = C = a O � _
< -C W W z. < et < < o c o w
= x 0 t7 x a 3 c C J V e Y G a F- O
I
SUB—BsmT. 4, 1T
j
BASEMENT
lSTFLOOR
210 FLOOR
3R0 FLOOR
4TH FLOOR
STH FLOOR
6TH FLOOR.
TTHFLOOR
8TH FLOOR
Installing Company Name AA Check one: Certificate
Address P t1 bo k 7 1 O Corporation
5V&- e it 7 M Ce Q. Partnership
Business Telephone 2-1;' 7• /h' .S` 2 El Firm/Co.
Name of Ucensed Plumber or.Gas Fitter kt c o e Md R e G Lkx
INSURANCE COVERAGE:
bstantial equivalent which meets the requirements of MGL Ch. 142.
I have a current liability Insurance policy or its su
Yes f9 No U
If you have checked yes. please Indicate the type coverage by checking the appropriate box.
A liability insurance policy Other type of indemnity D Bond O
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 appChetio waives this requirement.
OwnerO Agent O
Signature of Owner or Owner's 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 the permit issued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene al laws.
T of Ucense: t�
Plumber gnature o censed Plumber or Glas rater
Title Gasfitter
aster Ucense Number 9
City/Town Journeyman
APkxNE9T0TFZME ONLY)