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Miscellaneous - 40 STERLING LANE 4/30/2018
Lot & Street ap/Parcel CONSTRUCTI APPROVAL Has plan review fee been paid:--., NO Permit# Plan Approval: Date: `gGJ Approved by: Designer: 614 -�52;91 -6 t1 Pian Date: Conditions: . t0AG 6 -pZ A Water,.Supply: . Town :: Well _ Well Permit: _ . .. Driller: -Well.Tests: Chemical'. Date.Approved Bacteria I Date Approved `'Bacteria II -Date Approved Plumbing Sign-Off: ,< s. Wiring Sign- -off: Comments: --Form "U" Approval:. Approval-to Issue . Date.lssued 16/<19 B y -- Conditions: r Final Approval:. - All Permits Paid? - YES NO Well Construction Approval? YES NO Septic System ConstrL.ction Approval? YES NO, Certification? YES NO Other? YES NO Any Variance Needed' YES NO FINAL BOARD OF HEALTH APPROVAL: DATE: APPROVED BY: i 0 ,175 Date.........-Z.�:.��.... NOR71� TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACMUS� This certifies that ........... .................................................... ........ has permission to perform S'.x.4-2.Z.�:.>............. . wiring in the building of............5... ......... ..Z.. .,4................................ at....... .. �? .kt-i��l.......`~ lam!........../ orth Andover,M s. Fee.. •`�--��Lic.No.. �.................... .e . . ELECTRICALINSPEcrmj �: Check # = ' �� r . 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance-with the provisions of M.G.L.C.143,§3L,the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.01 c. 166,§32,an electrical permit shall be issued to the person,firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,,§3L. ;o Permits shall-be limited as to the time ofongoing construction activity,and may be.deemed-by the,Inspector_of_Wires abandoned-and_invalidif-he—_. ._ or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or-the installing entitystated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending through August 15,2012. ,1 -le 8—Permit/Date Closed: ***Note:Reapply for new permit 0 Permit Extension Act—Permit/Date.Closed: !�mmonivealg of Ma69ac4aJetb Official Use Only Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All worl.to be performed in accordance with the Vlfassachus6*Electrical Code(MEC) 27 CMR 12.00' (PLEA SL'PR1NT IN INK OR TIP E ALL IIVFORAdA TION) Date: City or Town of: kTo the Inspector'of Wires.* By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) Owner or Tenant 9-10L—k a— Telephone No. -�%33�..V Owner's Address Isithis permit in conjunction with a building permit? Yes (Check Appropriate Box) PUTPOSe of Building lLiFtyAuthorization Existing Service Amps Volts Overhead 1: Und-rd❑ No.offfleters New Service Arnp_i `colts Overhea.,4 : UndgrdEJ No.of Meters Nu.m* ber of Feeders and Ampacity Location.2nd Na6re of Proposed Eiectrical Work: Z, Cam pletion 'he following table may be waived b the Inspector of 0'7irej. y No:of Recessed Luminaires No.of Ceii.-Susp.(Paddle)F2,qs No.of 'Fatal Transformers KVA No. of Luminaire Outlets No,of Hot Tubs Generators KVA —5. a I E m FF J�e—ncy hdrig Above In- No.of Luminaires Swimming Pool El ernd. -rna. Battery Units S No. of Receptacle Outlets No. of Oil Burners FIRE ALARM No.of Zones No.of Detection and No.of Switches No.-of Gas Burners InitiatiriR De),ices — a. of Ranges Na. of Air Cond. y rotalTons No. of Alerting Devices No. of Waste Disposers Heat Pump I Number [Tons_jj�___ No.of Self-Contained Totals: Detection/Alerting Devices V No-of Dishwashers Space/Are.a Heating KW Localunicipal,r7 ❑ Other ction No. of Dryers Heating Appliances KW . securkty Systs: N-57.67-Devices or Equivalent No, of Water KW No.of IN"). of Data Wiring: Heatersballasts Signs-- No.of Devices or EquiyalenL-1 N= Bathtubs No. of Motors Total HP ITelecommunicadqns Wiring: No.of)Devices'br Equivalent__— Attach additional detail if desired, or as required by the Inspector cTMres. Esti-mated Value 6Wlect trical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permli.,for the.performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage,or its.substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof ctsame to the permit issuing office. CHECK ONE: INSURANCE [N BOND 0 OTHER F1 (Specif-j:) I certify, wider the pains and penalties ofpeijury,-thai'the-Lnfor.mation,on this application is true and complete. FIRM NAME: LIC.NO,: Licensee: f't-) N, 1,IC. NO.: ----16 (J'f applicc".71e, enter "exerval"in the license number'i;e.' • Bus. `1'el. No.:—'.,03 5 Address- Yn—Ior-f,, 0,304k- _ '._"L Alt.Tel. No.:_ --- *Per M.G.L. c. 1,117, s'. 57-61,security work requires Department ofPublic Safety"S�'License: 1-ic. No. 00�5,5 OWNER'S INSUPANCE WAIVER:. 1 am aware that the Licensee goes nwha*ve the liability insurance.coverage normally required by law. By my signature below, I hereby waive this requii,crnent. I am the(check one) [] owner t7j owne; I I .'s agent. 07viien'Agent Telephone h a n e No. P_E_R MJ T Fl,,E: sEcuRI T� , sERv?cEs x' B ROPHY :,SR E V` o. "-•41,0•_`IiN.IvERSI7Y. A ,':t EsTWO0h MA.: 02.09•0.-2311.:'_. .. . . a " 45 C' 07/31/1.3 .•'. . 349'174:: � .'•' t (�.'... - FOtC,Then Gvl+Cn aiongaa Pefontlons• ., _. Keep top for receipt and change of address notification. M oPSCAt a °Std-t0/09.10162009LiCENSS FORM t - ✓�.e•�'o��rn�co�ru+eal�•��i�ar<:ac.�itseAv. DEPARTMENT OF PUBLIC SAFETY q-M r S-License Number'SS CO 000953 \E� Tr.no: 195.0 Expires:OJ07/2013 S-License: ADT j MARK RSITY SR 4 UNIVEERSITY AVE DIG SAFE CALL CENTER: (888 344-7233 WESTWOOD, MA 02090 Commissioner -, 7 �v ` N22242 Date... ...... pOR71r TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ;,SSACMUSE� SU` .1 v 2This certifies that ...... ............. .........................L.-....(..N...c...t..t..2...<...<. ......... has permission to perform .... .` '..... �}w' ....................................................... wiring in the building of...ca.)..�t..A.s e (Uki Sp at......a.7`..r...... �.... P�1. r}�1....L. ........... ,Nbrth Andover,Mass/ Fee... �.:�U... Lic.No./4.1 �� of '....Z.0........ . �'.,�. T... ................... . EticTRICAL INSPECTOR G Baa 70 WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Rough Service Final > 04t Gotnmonwralt4 of MaSSar4twtus Office Use Only Department of Public Safety Permit No. BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Occupancy & Fee Checked 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICALORK All work to be performed in accordance with the Massachusetts Electrical Code,SZ7 CMR 12:00 14 (PLEASE PRINT IN INK OR TYPE ALL IN ORMATION) Dat v City or Town of x/0.0• YE� To the Inspector of Wires) The undersigned•applies for a permit to perform the electrical work described below. Location (Street & Number) ZOI Owner or Tenant LI d�� SUC y�� Q� «• ��� h d Owner's Address lj Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Co,�s7����.J 9091 Purpose of Building 1� Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd.rN,* ❑, N of Meters New Service Amps G�/�Volts Overhead ❑ Undgrd . of Meters 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- 11No. of Lighting Fixtures SwimmingPool md. 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 I FIRE ALARMS No. of Zones Total No.of Detection and No. of Ranges No. of Air Conditioners Tons Initiating Devices Heat Total TotalNo,of Sounding Devices No. of Disposals No. of Pumps Tons KW. No.of Self Contained No. of Dishwashers S ce/Area Heating KW Detecnort/Sou ing Devices + Municipal 1:1No.of Dryers HeatingDevices KW Local Connection Other No.ot No.Of low Voltage y No.of 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 1 have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent.YES O NO 0 1 have submitted.valid proof of same to this offic . YES EJNO U if you have check YES, please indicate the type of coverage by checking the appropria�te7 box. INSURANCE BOND ❑ OTHER❑ (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start a Inspection Date Requested: RoughE d 0 Final Signed under the penalties_ (of perjury: F FIRM NAME "/ `Gf�6(lC� r - X r/; LIC NO. Licensee Signature ' LIC. NO Address � �/�/�" � � •� l� Bus. Tel. No. ` A / 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 Massach General Laws, and that my signature on this permit application waives this requiremenL Owner Agent (Please check one) Telephone No. PERMIT FEE S (Signature of Owner or Agent) 7 — Date.. 572 .:. .U... .�, f 40RT" ,� TOWN OF NORTH ANDOVER O do 3r ' • o PERMIT FOR GAS INSTALLATION • a ,SSACMUSEt This certifies that ., !�.. . . .. . . . . ..�... .. . /. . . . . . . . . has permission for gas installation . . /SlG . . .:. . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . .. North Andover, Mass. Fee.7?. .:. . Lic. No.. . . . . . . ... . . . . . . ...:. . . �. . . . . GAS INSPECTOR v WHITE:Applicant CANARY: Building Dept. PINK:Treasurer ZSR MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING ' (Print or Type) s f Mass. Dated (_ :Na/me ✓ 37 Building Location �z, ! % �D Owner's P Y L L• ZW Type of Occupancy New Renovation ❑ Repla em t ❑ Plans Submitted Yes ❑ No ❑ rn tr W0 cn U Z m U) Cc 0 w cn w I O m z Cl Z O W a cc Cr Z Z) O z w X Co W Q w w 0 0 0_ CC w Q = z F- N O > w U) W W w z_ ¢ = m [r w � Cr w ~ w ~ _ � Z H z J F- Z F- F- } W O z 0 z w J F- w Q w > X w j Z Q M Q m O O W E O w ►_- Cr = O O = u1 1 _ O t 7 U > O o F- O SUB-BSMT. BASEMENT l 1ST FLOOR 2ND FLOOR 1 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR TTH FLOOR . 8TH FLOOR Installing Company Name (4— Check one: Certificate Address n /I A- ❑ Corporation (r 2-5- 7 - �(' rj at 6 ❑ Partnership Business Telephone ! -5- 7 - / e/ 5 1I7 .firm/Co. Name of Licensed Plumber or Gas Fitter A4 A4 a V 6 e a INSURANCE COVERAGE: have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes ' No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy Other type of indemnity ❑ Bond O OWNERS INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement. Check one: _ Owner ❑ Agent ❑ Si nature of Owner or Owner's Agent 1 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 Plumbing Code and Chapter 142 of the General Laws. By Type of License U Plumber Title ❑ Gasfitter Signature of Licensed Plumber or Gas Fitter 'Master102Z ,7 0 Journeyman License Number FEE NO: APPLICATION FOR PERMIT TO DO GASFITTING OWNER: NAME & TYPE OF BUILDING LOCATION OF BUILDING: PLUMBER OR GASFITTER: LICENSE NO: PERMIT GRANTED DATE: 19 GAS INSPECTOR Date. .4. . .... . . . . . . N° 4351 MOR7:, o TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING : � SSACHUS� This certifies that . . . . . . . . . . . . has permission to perform . . .A C / plumbing in the buildings of . . .!�. � ` . . . . . ; . . . . . . . . . . . . . . . . . at. !°` : . :`. . �!� . .� !�.t` ` '�. . .,_North Andover, Mass. S Fee. . . . .Lic. No.. 1.U. ?.! . . . . . b . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR P ffRMIT TO DO PLUMBING tPrint tx Typ.l 4J 41 � r .CL0� � Mass. Date—3 3 I —Wd Permit # Building Locat!on i �l _Owner's Name S ! rl c< .y L Type of Occupancy S °- � .1 New. Renovation ❑ Replacement O Plans Submitted: Yes O No ❑ FIXTURES z Z N H a v► o z z W W u < N V Q ¢ O N W N N I N f U tt Y < o u ti z< 3 k � ¢ W N C < O U W ¢ O < W = 0 7 'a < yr h ¢ J O C L x W x < 2 3: O xA. = Y a O ~ Z = < W LL Y W 3 ac m vxi o c 3 x r 16 u D O < 3 a as o S UA—IIS LIT. LL IlASEuEhi x IST FLOOR Ina 11.0011 ZRO FLOOR 4TH FLOOR STM FLOOR E Installing Company NameccV _ Check one: Certificate Address P X 7 f Y O Corporation �� V re r cry K t R O Partnership Business Telephone 9,ti`7 Sys` �7 >Q-Firm/Co. Name of Ucensed Plumber tit r c ��erP /uQ ✓C O u INSURANCE COVERAGE: I have a current liability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes' No O, If you have checked y�}. please Indlcate the type coverage by checking the appropriate box A liability kuuranca policy I-0:1" Other type of Ind c=hy, ❑ •Bond ❑ OWNER'S INSURANCE WAIVER:1 am aware that the licensee does not ve the Insurance coveragewaivethis eqUemed by Chapter 142 of the Mass. General Laws. and that my signature on this permit application Check one: Owner ❑ Agent O Signature of own" et's Agent 1 hereby certify that ail of the details and information I have submitted(o(snlarsd)in above application are true and aceurats to the bast of my knowledge and uut all plumbing work and installations p4dorme4 under the pstmil issued for this application will be in compliance with all pertinent provisions of the Idassachusalts Slats Plumbinga and Chapt 2 of ral laws. By Le gnaluta of Ucans*dum r Title type of license:bfastu`Ev' .Journeyman❑ City/Town L Uansa Numbat /09,/ �Z _ i/ CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number_ SSD Date V/ — 7 — THIS CERTIFIES THAT, / THE BUILDING LOCATED ON __�D/ �'7/� 6AI22/j1!/ MAY BE OCCUPIED AS JIB �e mil '�e51r'Prjr e- IN ACCORDANCE g 1200 , a� t3a�1 WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. ",°"';�ti CERTIFICATE ISSUED TO 0/4 K Fri',. '• op ADDRESS �N Ove/ S� v avQ�P ��.""""S` Building Inspector o o oAndover No.,50 _ a AV North'Andover, Mass., o � P `> do BOARD OF HEALTH Food/Kitchen PERMIT TO BUILD Septic System THIS CERTIFIES THAT.......0........ BUILDING INSPECTOR ....................................... .............................. Foundation has permission to erect........../................. ��t.. Q....... . �irli N buildings on .. ... ....... Rough .41,It c /3y/u L to be occupied as..13.... �IM 1y ` "` `� Ro eN!1...,p�... .a..... a . .......5....�... �. .......... ........�.. ....RrUidiftt... .... V Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Final ! (_�y 0 p Y g p Alteration and Construction of Buildings in the Town of North Andover. � 5�•, 1 V N D �, PLUMBING INSPECTOR. VIOLATION of the Zoning or Building Regulations Voids this Permit. 4 (/ 'o v '.LECAL SPE _ -� - i/ Se � BUILDIN SPECTO � AS INSPECT R ,) — l ) --4-1 Display in a Conspicuous Place on the Premises — Do Not Remove Fin 1— No Lathing or Dry Wall To Be Done c Until Inspected and Approved by the Building Inspector. FIR EPARTMENT Burner � Street No. SEE REVERSE Smoke Det. ` S E SIDE � I NORTH OF� IL 16'q•trO a e O O �- 77 rvo J1,40 n CG(MHM(r(la V �9SSACHUS���y , APPLICATION FOR CERTIFICATE OF OCCUPANCYIINSPECTION ADDRESS/LOCATION OF PROPERTY :ADT DATE REQUESTED FILED/READY FOR INSPECTION /Z 123"_6� CLOSING DATE ON PROPERTY: \/U X , ;L�V FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORICAND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGN1x_f1_ r�C. Zt G ROUTING CONStRVATION E4 PLANNING r�o DPW -WATER METER NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SU IT A!=OF THE INCYq/IASQECTION REQUEST DPW Signature File: CC form revised 6MM i STERLING LANE 203' - L=5.72' r LOT 1 T.O.F. EL=128.1' EXISTING LOT 2 FOUNDATION O�0 11' ti �J NOTE. NO BUILDINGS CONSTRUCTED ho ON LOT 2 AS OF THIS DATE / i i TrAwafermw REFERENCE PLAN: NO. 13035 FOUNDATION LOCATION PLAN I CERTIFY THAT THE PR/MARY STRUCTURE SHOWN CONFORMS TO THE HORIZONTAL SETBACK REQUIREMENTS OF THE LOCAL APPLICABLE ZONING BY-LAWS /N EFFECT WHEN CONSTRUCTED. GE CONSTRUCTION CO., INC. CERTIFlCDOES NOT CONSIDER ANY OTHER COOLID CLIENT.. o Rsn OF CSUCH OND 17O SUCH As ETLAND�EASEMENTs, THIS CERTIFICATION IS MADE AND LIMITED THIS DRAWING SHALL NOT BE USED BY THE CLIENT FOR ANY PURPOSE OTHER THAN THAT OUTLINED ABOVE EXCEPT WITH THE TO THE ABOVE CLIENT. WRITTEN PERMISSION OF CHRISTGNSEN & YN& INC. FURTHERMORE THIS DRAWING IS 7HE COPYRIGHTED PROPERTY OF CHRISTUNSEN & SERGI INC. AND ANY UNAUTHORIZED USE IS PROHIB/TED.CHRISTIANSEN B SERGI TAKES NO RESPONSIBILITY FOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANY INFOR- LOCATION. NORTH ANDOVER , MA. MAT/ON CONTAINED HEREON. H OF MqS. SCALE. 1"= 60' DATE: 12/14/99 M AEL CD S GI • CHRIS TIA NSEN & SERGI I DSSURVEYORS L � R U uND o N 191 160 SUMMER ST. HAVER11"MA. 01830 TEL 978-373-0310 9��F 9 Q 1999 BY CHRISTIANSEN & SERGI INC. 0 ANO SJP DWG.NO.:98024005 Location �o l 41c) S/,,, /"Y !N D No. 150") Date � q NORT1y TOWN OF NORTH ANDOVER O?O•tR So- �, Certificate of Occupancy $ � Building/Frame Permit Fee $ • o$ _�_ • i sACHUSEt� Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector Div. Public Works 4 11LI1N1IT NO. APPLICATION FOR PERMIT TO ANDOVER, MA Y aLkrNO. jq LorNo. 7t).AI: v 2. RECORDOF(OWNERSIIIP 1)AT1: 1100K PAGE Slili l)IV'. LO'f NO. 0,19 —_ J UtiOE"2� I MA rR1NL//f/� �iq/1/� O 1 1DtrosE of RUILDEvc;kS� D, 7/ SNA N:,,Ir: V,05 T�l/s� /J NO.OF s'roulEs SIZE O\lNrr,'S:�DDRrSS y0/ d�E- sl- xx/,- h` R.�s£nl£Nrc�itsl.:�n _ /vr�Q�/�,c,/'�i9 i l l l I(C"I''S N 0 111 /76,-nn/D U� �y SIZE 01 E L0 O R"1 In II11 It S .jI I p�A/i6 2\�n 3Rt) cull D 172'S N A n l 1. /o ol-1,01g e-7 \Q�+C/U (' ll^/r� SPAN -DISI'.\NCf:"EUN4::,1(tIE.SIRrIIi.DI.(:sC DI,Ik:NSI0S0ESl(.L5 a X DIS-IANCEFROM S-1HEE'1'�r/ �121n/ �Ci�/ /� DIMENSIONS OEI'OSIS Z4(O��Y Iu,r:1Nl £EROnI l.O r r.INes sRCCI�Ji(s /RE:�R��e��G�✓�NW(fl/cf,Q DIMENSIONS 0E GIRDERS — 2 AItEAOr• LOT � s��PRONI'AGESC��C�� � N u£Ic,IrroFfOuNDATION — THICKNESS IS ISIIILDINi;NEW y� SIZE OF FOOTING / � 02 i X ISRDD.DIN(;ADblHON /vv MATERIAL OFCIIIVNEV Z�C-e IS HIM DING AL ITIZA]]ON IS IIUILUING ON SOLID Olt FII.Lr:D LAND —I \511.1.BUILDING CONFORM TO R£nUIRLNENTS OF CODEY&a IS BUILDING CON'N£CTED TO l'011'N NATER Ito k1iD O*ITI:AI.S AC'I ION, IFANY NiS�/ [s RInLDINc CONNEC.TI n ro rO�1i�Se��£u IS BUILDING CO:NNECTI:D TO NATl1RAL GAS LINE Q ruc�rlONs 3. PROVER IX INFORMATION � LAND COSI I _ / EST. BLDG. COST FILLOu"I'SI(c'"IOONS I-3 EST.III.DG.cos TI'£RSQ. FT. 1� //73 1 1 rf'rRlr N11:'EFRS nIUST BE:ON OIVISID 1:01:BUILDING SLA,IIC PERM ITNo . V I i WI l'D CAit.�CES nI1IST CONFORM'r0 STATE:FIRE REGULATIONS 4. APPROVED BV: - �� 1'1 VA.S nIIIST Bli 1:I1EO AND.APPROYEII 11Y IIIIILDING INSPEC-IOR %� MAI.OING INSPEC '011 D 1 I I-I:II.CD O11'NE:RS TELkI E. i ONrlt.l.001l IPRr 01 (MNERORA Ur [Olt iZI'A)AGENT c��l G�IiN��A7 I! PI:RMIJ CRANIVI) L13UIL A;�� I� Ito isetl 5i,i99 JIM Location 42 l -,:::�es— No. rNo• •; Date NORTh TOWN OF NORTH ANDOVER Of,t`aa ,•',�O Certificate of Occupancy $ Building/Frame Permit Fee $ �'�b'•a°•'tom Foundation Permit Fee $ SSACMUSE Other Permit Fee $ Sewer Connection Fee $--- IJ2 q� Z Water Connection Fee $ PAZ ( TOTAL $ i Building I specto 125 il7/?9 10:16 1,og2.C�O pRIII r Div. Publi Wdrks cs Y,2 399 c a� )c 3 /06 y 3 /oGC' 30 �S� / % S !� c/ a C?Of v PA M e SSD /a Ste, V 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� il/ST//jd-Z7 ALO. T.f: PHONE 97,f D/O�' LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) STREET--'.`):' ?( ST. NUMBER USE ONLY******************* ************** RECOMMENDATIONS OF TONIN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED �y DATE REJECTED COMMENTS �S � TO PLANNER DATE APPROVED () q DATE REJECTED /^ COMMENTS �/�. CJ� wI 1C) FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS _ SEINER/WATER CONNECTIONS W 2� DRIVEWAY PE IT L 4), �� 7' FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm 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,Norttt Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant o Building Permit(below) Address of Property for Permit(below) ��IG�G `1�hSL2-�4-C- 1-,A' .t s of-G "'� L 4 Map and Parcel : Purpose of implication (check below) Ple Nymb;r of Applicant: , Mingle Family _Two Family 7,00 1 the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit iq issued. Based an 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 existen as of the effective date of this by-law, provided that no additional residential unit is created. The lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and/or moderate income families or individuals,where all of the conditions of 8,7,6.oare met and/or represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section"senior"shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density,(buildable lots),below the density, (buildable lots),permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for building permits,(i.e.all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that Year,one building permit will be.issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination' that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading-and or inaccurate information, or the checking off of an above item which does not comply, whether done to my knows Mge or A , is grounds for refusal by the Building Department to issue a Building Permit. \\�'/!� ignature ofner`r Authonze Agent wha sign0d,,the Attached Building Permit Date This form must bt3 attached,k6 the Building Peftiit upon application for such permit ,I-PU;, �� �1 5 � 5pP J� l recorded at the Essex North Registry of Deeds. All application fees must be paid in full and verified by the Town Planner. The applicant must meet with the Town Planner in order to ensure that the plans conform with the Board's decision. A full set of final plans reflecting the changes outlined above, must be submitted to the Town Planner for review endorsement by the.- Planning Board, within ninety(90) days of filing the decision with the Town Clerk. The Subdivision and PRD Decision for this project must appear on the mylars. J) All documents shall be prepared at the expense Gf the applicant, as required by the Planning Board Rules and Regulations Governing the Subdivision of Land. 2. Prior to any work on site: a) Three (3) complete copies of the endorsed and recorded plans and two (2) certified copies of the recorded subdivision approval, Covenant. (FORM I), Right of Way easements, and FORM M must be submitted to the Town Planner as proof of filing. ) All erosion control measures must be in place and reviewed by the Town Planner. 3. Db to any lots beingreleased from the statutory covenants: The applicant must comply with the Phased Development Bylaw, Section 4(2) of the Town of North Andover Zoning Bylaw. This project is exempt from Section 8.7 Growth Management as the preliminary plan was filed prior to May 6, 1996 and the definitive plan was submitted within seven months. However the exemption will only run for eight years from the date of the endorsement of the plans as set forth under Mass. Gen. Law. b) A complete set of signed plans, a copy of the Planning Board decision, and a copy of the Conservation Commission Order of Conditions must be on file at the Division of Public Works prior to issuance of permits for connections to utilities. The subdivision construction and installation shall in all respects conform to the rules and regulations and specifications of the Division of Public Works. c) All site erosion control measures required to protect off site properties from the effects of work on the lot proposed to be released must be in place. The Town Planning Staff shall determine whether the applicant has satisfied the requirements of this provision prior to each lot release and shall report to the Planning Board prior to a vote to release said lot. Board for si ture. d The applicant i must submit a lot release FORM J to-the Planning g aPP t e) A Performance Security in an amount to be determined by the Planning Board, upon i the recommendation of the Department of Public Works, shall be posted to ensure completion of the work in accordance with the Plans approved as part of this 2 MAScheck COMPLIANCE REPORT Massachusetts 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-Electric Resistance) DATE : 10-21-1999 DATE OF PLANS : 8-11-99 TITLE: Single family house with 2 car garage under PROJECT INFORMATION: Lot 1 Sterling Lane, No. Andover COMPANY INFORMATION: Coolidge Construction Co. , Inc . 401 Andover Street No. Andover, MA 01845 COMPLIANCE: PASSES Required UA = 564 Your Home = 428 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS 1618 38 . 0 0 . 0 49 WALLS : Wood Frame, 16" O.C. 2532 15 . 0 3 . 0 169 GLAZING: Windows or Doors 285 0 . 340 97 GLAZING: Windows or Doors 66 0 . 310 20 DOORS 42 0 .350 15 FLOORS : Over Unconditioned Space 1618 19 . 0 77 FLOORS : Over Outside Air 32 30 . 0 1 HVAC EFFICIENCY: Furnace, 90 . 0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code . The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 1250 of the design load as specified in sections 780CMR 1310 nd Builder/Designer C Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 . 0 Single family house with 2 car garage under DATE: 10-21-1999 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 . 34 For windows without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location [ ] 2 . U-value : 0 .31 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 [ ] 2 . Over Outside Air, R-30 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) ------------------------- ✓J2� � ` p� HOME IMPROVEMENT CONTRACTORS REGISTRATION Board of Building Regulations and Standards One Ashburton PlaCe Boston Room 1301 Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR Registration 105351 - Type - PRIVATE CORPORATIOExpiration 07/17/00 COOLIDGE CONSTRUCTION CO . , INC _ David V . Zaloga 401 Andover St N Andover MA 01845 z ti.z. 3 DEPARTMENT OF PUBLIC:SAFETY 3 - E ? CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Birthdate: CS B66355 85/21,/2000 85/2111446 Restricted To: Be i . j DAVIo V ZALOGA �� 6 PENDANT CT .�`Y� ANDOVER, 'MA 81810- TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 Telephone(508)685-0950 Fax(508)688-9573 Q NORTH 9 p t��¢o ,e NO 1� 11 e e OL O �9 Q�q�TfU•P1`•`h► SA USS L DRIVEWAY PERMIT Date: ¢ -27-1- LOCATION: 27LOCATION: 4c> ���r << L.r� 1 i BUILDER: phone: ���-DSD OWNER: Ca,2(c phone: 60 '7,0102 The North Andover Superintendent of Highway Utilities&Operations MUST be notified of the grade and set-back from street established in any driveway entry onto any street or way maintained by the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval of such entry. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. Remarks: Approval: BUILDING DEPARTMENT DEBRIS DISPOSAL FORM In accordance with.the provisions 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 disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: V( Location of Facility i tore of Pe Appint _ - Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector t , � r The Commonwealth of Massachusetts Department of Industrial-Accidents Office of Investigations Boston, Mass. 02111 " y:,ay Workers' Compensation Insurance "i davit Flame (f01v31-e61G7;6A,) Please Faint Jame: Location- Cis i Phone M ( j I am a homeowner perlcrming all work myself. aI am a sole proprietor and have no onewcrking in any capac:b./ I ,/ I am an employer providing workers' compensation for ray employees working on this job. l � COM02ny name L�J6L/O('L--� ( O/1/s/,��/C�Q.L� �O ,address ��/ A4Va6&1?- Cihr/Vl• dl/oDVC���� </1�yS Fhcr.e T- %-Q/oL _ Insurance Co. TSJ64el ,Vn Lie/- Fclic•i T 7/°t�-�G'y ���/IL Comoanv name: Address Citi: Phor--e 1. Insurance Co Pclici T Failure to secure ccverace:s recuirec uncer Se--non 25A cr V1GL S 5=can lead to toe imc�;ticn ci cnrrirsi Penalties er a rine up to 51,Soo.cc anc/cr one years'it ocscnment as•.veil as c:vii penalties in the form ci a STI CF WCFRK CF,CF and afire cf(5 00.00)a pay.cairst me. I understand that a cz y ci;,`IIs s[arernent ma`r Ce fcr,varcea to the Office ci InveSCC.=ticns-z. :;:e CdA r:Cr c--verace`ienricSGcn. I co hereby partly uncap s- d pe altres or penury that;he inicrmaticn provider accve:s'.ire and c crrec.. Sionature Date Print name O�l/1 (� Phone;r 071c:al use only do not write in this area to to comcleted cy c;y or:own c7lc:ai' C;ty or Tcvn Perrnit,'Ucensirc Building Dept ❑Check d immediate response is required [i Licensing Ecard (, Selectman's Office Contac:;cerscn: Fhcre r r Health Department Other ROBERTS INSURANCE AGEN TEL :508-6833147 Oct 20 '99 9 :57 No .013 P .01 +� w?tt h�•`^ :? .>: �.k•^'�`• "�:;.f,'1� 7 'i.�% 1I,;;1f/.<lU.Mt: ONLY LY ,....... AND r 10 0 ..�..,... NFORMAT x... .:W",.•,.. �:THI=ClRTIPICATi�Is,ISSUER AS A<faATTER E T7< PAOWJ {R COMMS NO RIMM UPON THE CERTIFICATE HOLDEN. THIS C RTM" DOES NOT AMEND, EXTEND OR ALTER T"g CovMGE AFFORD90 BY TO POLICt FLOW. M.P. ROBERTS INS AGCY INC COMPANIES AFFORDING COVERAGE 1060 OSGOOD ST ....................... ............. ........................... NO ANDOVER MA 01845 A MARYLANDCASUALTY........................... ...................................... �� B ................... .......... HANOVER IN CO n{ull�a COOLIDGE CONSTRUCTION MANY C ....... .............................. OAK TRUST ....................... ....... LETTER 401 ANDOVER STS D NO ANDOVER MA 01845 ..........LEGTON INSURANCE.._CO............ ...............................................: uffm . ! MARYLAND CASUALTY {!%ri"n..: ..:.,.. f:x ...... :. •. ..r.r:ii�:...;x:.... ....nw.n%<.::.::..'::...w:9,>:.. xa>Vw .. N,k ...c. x: r.2S%w.x: t<• r •'••yEA. .k::f:'w:. x�WN"•31A:y..:::...r..nw,n;r,.::s>.'•:.v lA.<$tz:c>:> ?CbwYGRU.on.n%MikVr. xr:h.:i :.:.: .:..:<�.:::�::::,.••o:r:,%::>t:;:x d'^..ass: OVE FOR THE RIOD 5"INUCC TO MUM M*dD1M 'ED.NOTWITHSTANWNO rEIYMfy TMT THE AN�YCREQUIREMENT,TERM ORLISTED CONMION OF KANY CONTRACT oR OTHER D00t)MVNT W TH RESPECT TO wF�11GNETM1B OgpT1FTOATE MAY lE 168UE0 OR MAY PERTAIN,TIKE INSURANCE AFFOND6D BY INE POLICIES DE6CRUlfiD HEREIN IS SWiJEOT TO ALL THE TV". vtowsION6 AND OONDRIONB OF SUCH POLIOIEB LIMiT6 8Ii0WN MAY MAVfi BEEN REDUCED BY PAID Cv►IMe.......................................... .............. ........ ......................................................................... ............................... PCLJCV{lRC71YE:JWXTDATR eIIPEU►nON: L#ARi TVP!aPIIIAMCI �v ISR to DA7t(MMOO/Y1 I ROP 21236295 ;12/13/98 12/13/99 ow"A AoaaewTe ....,• a ,000000.•• a�laiTv PRODu�TecvMrpv Aoo. :$2 00.01.000 ....,r., ................................................ awoi ►acv.�uuiiv {1 1 0 0 0 0 4 Q A : ., CLAM{MAa� X.. oocun: {1 000 000.. �. >:a .......: PsrcM ocaullRa+ce . . ' OMRIEI�t A CCnTRIWTOa'0 Pte. � .....r............................. ......... . ...... PMDAMAGWtAro +^�t...<. 50.x,00..... ..............I........................ wed ,.............. ........ .........: .......... .....w.a►,me lAtljr en P.o.aa {10 0 0 0 A"oudle"NAIMJTM ADN-520103 —T7128199 11/28/00 I�e1Nw BlNota A ..........• ............................ _. :ANY A11ro ALL ow"m AMA ; eDDILY"JURY � e'rw ;...500,000....,..... a9HllWJ=µR0! `HIRED AUTO$ eoauv"Ju" ..........NOl�OM?ICD AUTO{ ........... r......... • 1 000 000 oAIMI LVMLnY MPlRrY DAMA46 {100 000 ......... ......... .............................. E=Opf UI11Y1Y ••QQ4URRENCF { . kwmwLA POW AOQAEOJ►ri K�S• WC4-0118087 0.2/06 98 12/06/99 .X... '�"M°I'v woRRIR�vowwATaM ■Acu A0019rxr5 0 •......... ...............r,,..............,. Awe rn{eAee_r0ucv uMR.......:....!'S OO.I.00.............. 05"VWW Ww,v ws6Ars-s EMPL.aval :6 5 0 0 0 0 0 EC 86814176 9/28/99 : 9/28/00 BUILDERS RISK pgoR�rlal a owuaTgn{A ocA�a"nus LOTS 1 – 5 STERLING LANE NORTH ANDOVER MA 01845 FAX NO. 685-7878 f� "...77 :.as:y ...�.. ........:.::::F.: .. ..k•oi,. >:ri..e.: ... Nr :rku x }r::r n i. 7 ,• .. ;< .. ..1..<�<stl.Y•R::QC::..i�.:c:2ix:ie'F,xs.: n:k:r >:% � .... "', n .:r.Q.:.:..... ...v........ .. .... w ...... ' SHWLD ANY OF THE ABOVE DESCROE0. POLICIES BE CANCEl1E0 BEFORE TR6 EWMTM DATE THEREOF. THE WOU94 COMPANY WRL ENDEAVOR TO ?' MAIL 10 DAYS wRnTFN NOTICE TO T'NE OERi rmTS HOLAER KUM TO THE TOWN OF NORTH ANDOVER tr Tt_eyr,FAlUA1C TO MAU SUCH Not10E 111""y1AP011 NO LIGAT10M OR ATTN: BUILDING INSPECTOR <A VAMM OF ANY KIND U COMPANY.FTs Ad c>Ft REN dEWr"Tivl� MAIN STREET N ; ATPR NORTH ANDOVER MA 01845 Mich y} Ro r gnu...n............n.:<,,.....e:•........vnwr.e.>•,.....x:.,.•:,.::...•....:ieyan%hxy>. Yli:%px.iVC<Yro�iin .Ol:r+tk'lx�Ri KvefrTgvo KK � u .^ kin<. :>xaxarx;x:>74x:5x:x'iQS °°°: 'w:>Q•fio:er..ry\'kYx:xW..n>a,..>n.ryYaSo>V?7::ie«.�. +.2i:<.`.Y•yn.w::+�:�..':°'%:a•mK,x.v.:ti..��^" w .rrxr. w.KrMrw::>:hws.:,:.•........., yyew 1 /. IM° 902 APPLICATION FOR WATER SERVICE CONNECTION North Andover, Mas//s. Z? 9 9 Application by the undersigned is hereby made to connect with the town water main in �7�i°f�Cf subject to the rules and regulations of the Division of Public Works. `'tom The premises are known as No. � ?�+ j' 2 �f p ��[ Street or subdivision lot no. l CIO lyho- Owner vG� nn Address Contractor Address Xpplic {s Siigature I/ g PERMIT TO CONNECT /WITH WATER MAIN The Board of Public Works hereby grants permission to (� ¢ �" to make a connection with the water main at subject to the rules and regulations of the Division of Public Works. Street Board of,Public Works By Inspected by Date See back for rules and regulations s 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�/z foot rod and brass plug type cover. c i VIM t ; ; + t> ) z 1 t Ir' - 'tx.fztr`�',r,. h ,�,c,t.`.�'•E-.•.." t ' _ }. - a }+!rt� r� a, 5 � ° f gr,j 4n ai t� �.,�•�, v �,.7_I^i*94"'-�J``'ife'+ss�'* .'i 1 1J r h_, ,- ,� •. �.� 5 t ff E .F r 1:.'P �F'�-�'] F-wl6�.l.h. �r„r•• ! 7 Gc• t�s ,.�,2� �1''. '.�} k .-�•) �":: t. ) ' _ _ 5 ;5, 9a•. _ + y t :)4:y1x tn. S�sP ,,��„„,,�� "� 7 � - .1' -r. 3 1 .r. 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WriaMu �1� � [:. `�Q' .i. rz . r � �� uTp;� , a :1' � .;,i,r: ,,,+;> �tr_><. .�� :�sf�:':..�• °{_ ,�..`,k�:. �� d�#3s��.,.. "1.:>r yr 1;,.3• ?tir�ir �f.. i BENCH A14 PX NAIL INV 15"RCP FOUND IN U/POLE = I1I.9S 4289 1.4'UP , \ L = 110.08 (N.G.V.D. 1929) 77777 \ \ �\ \�\ \ \ \\\ J\�\\�\\\\.\\ �\ \\ -..\ \ \ - \ Q� ` >�� �� .�:: \ ` � �\\- \\ � \ ♦ B WATER"""••"'_^"_'< L=5.72' AL �\ 1 75 \ AL r '> FND. DRAIN INV- 1178 �� I ` '� `�0 1\ o 1o' / EDGE OF BORDERING VEGETATED WETLANDS N/F COOLIDGE CONST. CO. AL O 20'` \ 6IVQ 1 \ I _AzFp Tp SF REINFORCED CONCRETA; b' \ I RET mwo wALL \ re s°-s® \ \ ems\ \ IN\ 1 \ \ LO \ AREA = 31,6 \ / '301 ` / I 9k 1 N/F PHILPOTT i S \ N/F RENNET! PLAN SCALE: 1" = 40' © 1999 BY CHRISTIANSEN & SERGI, INC. PROPOSED SITE PLAN PROFESSIONAL ENGINEER LOT 1 STERLING LANE ASSESSORS MAP 106C, LOT 36 THOFtijgssq O PHiUP NORTH ANDOVER, MASS. RIS N OWNER/APPLICANT: COOLIDGE CONSTRUCT/ON CO. 401 ANDOVER STREET, NORTH ANDOVER, MA 01845 " S /P G. ANSEN, P.E. CHRISTIANSEN I hERGI PROLANDIOSURVEYORSEERS DATE: JULY 27, 1999 160 SUMMER ST. HAVERHILL, MA 01830 TEL. 978-373-0310 REV.: 8/17/99 A* DWG. NO. 98024009 ORTH ova o .:.: 6Andover O o ndover, Mass., j 49/02 9' T 0 t LAKE -00 2 COC HIC HEMCK ADRATED P`? C2 7SSACHUSE IT FOR mlobC EXCAVATION ANDFOUNDATION THIS CERTIFIES THAT .......VAX......771". ..*......................................................................................... (� I has permission to excavate and our foundation at ��0 t� p ..�C*.......11P �...................... il. for the purpose of...�7i � � � � �o �.....J> W.................. ... ............--- . 14 ... �g ,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. • �cOlt /... . ... ..... ........... .... 11roo-.101* Soo . ..... .. BUILDING INSPECTOR NORTPI Town of O OL over 0 _ - - 0 �" � =� � -t dover, Mass., 2COCn ADRATED O`?�,`�� 1 S S� BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System /rj�X ���� BUILDING INSPECTOR THISCERTIFIES THAT.......(... ............................. .......... ...................................................................................................... ... Foundation has permission to erect..........1........................ ... buildings on ..�.C;� ....� .*Y .....S5 r l i#jj..... N Rough to be occupied as SI .�...R.00 ... , ... .a.....3p*S.................. Nm!i.. ....Rrip;4mt, Chimney provided that the person accepting this permit shall in every respect con orm 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. 4; Vo) I ' V PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough p L PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTIOjWY! AELECTRICAL INSPECTOR ' C Rough ........... V �....... Service IS BUILDIN SP TOR 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 Street No. SEE REVERSE SIDE Smoke Det.