Loading...
HomeMy WebLinkAboutMiscellaneous - 51 EMPIRE DRIVE 4/30/2018 r�� '�l RI V l �... TOWN OF NORTH ANDOVER OORTH BUILDING DEPARTMENT °��t20 'bq�o 3? 4� y 1600 Osgood Street, Suite 2-36, North Andover Ma 01845 {, ' ° 1__ NOTICE OF VIOLATION �9SSACHUS���h Date: S `S // ( Address: ®`2.C, fil �i � _� —,�1'1 �J i Building Zoning Bylaw Stop W rk Order ❑ Certificate of In§pections Electrical 0 Plumbing Gas Violation observed: .� T Failure onyou artWe ly with this notice within 10 days may subject you to penalties prescribed by Massachusetts Law 780CMR or, rths Zoning By law. Please contact the Building Department for further information at 978-688-9545 Inspector Home Owner Contractor TOWN OF NORTH ANDOVER * �►OR'TIy q BUILDING DEPARTMENT ° ""Lao ; 7 6 56 Date.. .!.1/(,1�/...... NOR M o� ° °� TOWN OF NORTH ANDOVER f � 9 • PERMIT FOR GAS INSTALLATION SNCMUSEt h This certifies that . . . . a,4 n.$)1-. . . . . . .P+.H. . . . . . . . . . . . . has permission for gas installation . . . �fP�e,�. . . ..�A!�!-F �. . . . . . in the buildings of . . . .i�. . . . .. Vj at ./. . . . .( MZ21 t'`-C . . . . . . . . . . . . . .. North Andover, Mass. Fe40 f! . . . . Lic. No.,. 3 y.�. . . . . / �} GAS INSPECTOR Check# I aC 11 1 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITI, City/Town: NJ2s� NcllA-VJ-r , MA. Date: Permit# Building Location: S V W1 �{�.. Owners Name: b(kd rr" lr�%Lc. CL r, 1 Type of Occupancy: Commercial ❑ Educational❑ Industrial ❑ Institutional❑ Residents, 1 New: ❑ Alteration: ❑ Renovation: ❑ Replacement: ❑ Plans Submitted: Yes ❑ No L FIXTURES In X ` W m Zco in 0 X W Q • m = O ui W V M co N O W Uj IY H } z O 6 H Q Z W X O 1- D tO W W W ¢ m Q a F- W X V fY W U W UJI- Irw w O Q W W O W IW— p = 1i U W Z O J H F O Z -� O W y W W W W z W lr W -j a Q m W O z 0 ~ ~ H D o o t=i 0 X z O a- W > > > 3 O SUB BSMT. BASEMENT ( I I 1 FLOOR t 2 FLOOR 3 FLOOR --4'FLOOR 5 FLOOR 6 FLOOR 7 IH FLOOR 81HFLOOR Check One Only Certificate# Installing Company Name: GAL143KY PUwAatkX. ,& iic i ioG [•Corporation _ 319(o Address: P•O• t60X D O City/Town: NIAQMRt Lt.. State: M. ❑Partnership Business Tel: �7�_371- 17y 3 Fax: ❑ Firm/Company Name of Licensed Plumber/Gas Fitter: ST E P N t-0 t', GgLI 05 IN INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch. 142 Yes r(No❑ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy 2r, 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 Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box❑;I hereby certify that all of the details and information 1 have submitted(or entered)regarding this 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 provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type of License: By [1Ptiumber C Title ❑ Gas Fitter Signature of L ensed Plumber/Gas Fitter ❑v Master City/Town ❑Journeyman License Number: j o-w% APPROVED OFFICE USE ONLY ❑ LP Installer FINAL INSPECTION BELOW FOR OFFICE USE ONLY PROGRESS INSPECTION(S) FEE: $ PERMIT# APPLICATION FOR PERMIT TO DO GAS FITTING NAME&TYPE OF BUILDING LOCATION OF BUILDING SKETCH PLUMBER GASFITTER LP INSTALLER LICENSE NUMBER: PERMIT GRANTED❑ DATE: GAS FITTING INSPECTIOR t R 89 6' 4 Date.q + TOWN OF NORTH ANDOVER ° A PERMIT FOR PLUMBING s oma+ ..,.. .. ++• ,SSACMUS� n This certifies that . . .tom ji .��:�s f5.. . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . y . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of at . . . . K.le. . . . . . . . . . . . . . . . . Noah Andover, Fee.yo.a�J.1 .Lic. No.16 . .19. . . . . . �•/'. .. . . . . PLUMBING INSPECTOR Check µ MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town: NMA MA. Date: "I_I t t Permit# Building Location: ( t"_,(/�/1 p I'(�� Owners Name: OYi4 Type of Occupancy: Commercial❑ Educational❑ Industrial ❑ Institutional❑ Residential New:® Alteration: ❑ Renovation: ❑ Replacement:❑ Plans Submitted: Yes❑ No❑ FIXTURES • DEDICATED o: z SYSTEMS ►- oWz in z 4 D Uj Y V1 %nx N Ln p Z p Uj %n K Ir h z F Y Q 1/f ".� Q W l7 C Z z W Z 0: Z %A Z of z n N in W Hcc Uj W {A O �- Q O cc Q 0 Q W O Q W z W V d LL x Q 3 H Or O F h z D: oC K 03 0 � � W Q Y 2 = a 0 3 2 Z Q " 3 a Y Z vxi H F "' LU a s o o a Q O x o Q a a Q v a c aac Q a m m o o LL x x o: ,A LA 3 3 3 o a 3 SUB BSMT. BASEMENT 1'T FLOOR I 2ND FLOOR TD FLOOR 4"FLOOR FLOOR 6T"FLOOR 7'FLOOR 8'FLOOR Check One Only Certificate# Installing Company Name: (�A L�IJSKY PI_OMr--3i t k, e} JACAT14 G Corporation 31CHO Address: P.0• r3DX 17011 City/Town: N N C12I{rLL State: 1r1.A- ------- --- - ---- Business Tel: e119- 3)y- 17q3 Fax: g78''Sal—CII?)i ❑Firm/Company Name of Licensed Plumber: STEPAeA C. GIAL1 iJSK6? INSURANCE COVERAGE: I have a current liabilitv insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes 2 No❑ If you have checked Yes please indicate the type of coverage by checking the appropriate box below. A liability insurance policy [vr 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 Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Signature of Owner or Owner's Agent Owner E] Agent E] I hereby certify that all of the details and information I have submitted(or entered)regarding this 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 provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Type of License: Signature of icensed Plumber Title (v]"plumber City/Town Master APPROVED OFFICE USE ONLY ❑Joumeyman License Number: I03y� i FINAL INSPECTION BELOW FOR OFFICE USE ONLY PROGRESS INPECTION(S) FEE: $ PERMIT# i i APPLICATION FOR PERMIT TO DO PLUMBING I I i NAME&TYPE OF BUILDING I I LOCATION OF BUILDING SKETCH i I PLUMBER I i t LICENSE NUMBER: I i i PERMIT GRANTED DATE: i I I PLUMBING INSPECTIOR i I I � i r 1 0061 Date..3..... .. .1 ....... f NORTI�, 3?°•_t�`"- 4,�0 TOWN OF NORTH ANDOVER 10 . p PERMIT FOR WIRING ,SgACMUS(c� This certifies that ......�.:.. f`" " / .......................................... .............................. has permission to perform ...w'................ ......//... ` �` �� .... .............. .....:.. ........................ wiring in the building of... `��S S........................' �� . C.�� ���..'Y ........... North Andover,Mass. at. `.T...�y.......................'el-....� '— GG ��S �� Fee.�}./:.r Lic.No.�-��............... Check N ��� .E..L. CTRI ._ . .. ....... Q Commonwealth or massachusetts Official Use Only Department ®f Fire Services Permit No. do BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked _ [Rev. 1/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(Iv1EC),527 CMR 12.00 (PLEASE PRINT flVLVK OR 7YPEALL MO 7YON) Date: S — — /� City or Town o£ — To the Inspector of Wires: By this application the undersi ed gives no ' e of his or her intention to perform the electrical work described below. Location(Street&Number) z � r/ Owner or Tenant s, Owner's Address L Teleph�e o.kj Is this permit in conjunction with a building permit? Yes ` r = 9�N° ❑ BLDG PEANIIT# Purpose of Building �` Utility Authorization No. Existing Service Amps / _V1 I Overhead Heww-- 2vv El Undgrd❑ No.of Meters Amps Volts Overhead❑ Undgrd �No.of Meters �_ Number of Feeders and Ampacity Location and Nature of Proposed EIectrical Work: Com leu—of the following table maybe waived by the Insvector of Wires. No.of Recessed Luminaires No.of Ceil:Sus No.of p.(Paddle)Fans Transformers Total. No.of Luminaire Outlets No.of Hot Tubs KVA Generators KVA No. of Luminaires Swimming Pool Above ❑ In_ o.o mergeEc ig tingrnd. Md. ElBatte Units No. of Receptacle Outlets No.of Oil Burners F1RE ALARMS No.of Zones No. of Switches No.of Gas Burners No.of Detection and No. of RangesInitiatin Devices No.of Air Cond. Total Tons No.of Alerting Devices No. of Waste Disposers Heat Pump Number Tons KW No,ofSelf-Contained Totals• .. .... . .................................... No. of Dishwashers Detection/Alertin Devices Space/Area Heating KW Local❑ Municipal No, of Dryers Connection ❑ Other Heating Appliances KW Security Systems:* No. of Water No.of No.of Devices or E uivalet KW Heaters No.of Signs Ballasts Data Wiring: , n No.of Devices or,E uivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER. No.of Devices or E uivalent Attach additional detail ifdesired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: •l (When required by municipal policy.) Work to Starts -&/ _ // Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation?,coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER Icerto, render thepains and enalties ofperju ,that the information on this application is true and complete- FIRM NAME: Licensee: �4 J `- H,y LIC.NO.: 3 'b Signature LCO.: (If applicable, a ter exempt"in thense number line.) g Address: ,r Bus.Tel.No.: *Per M.G.L. c.147,s.57-61,security work requires Departme t of Public Safe "S"Licen Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does-not have the liabilityLIC.rance cove required by law. Ey my signature below,I hereby waive this requirement. I am the(check on ❑owner ❑vers agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ f ELECTRICAL PERMIT NO. INSPECTION REPORT: ELECTRICAL INSPECT-OR-DOUG SMALL R NSPECTION: _ Failed—[ ] Re-inspectionomments: (Inspectors'Signatu no initials) 3 Date 2.FINAL INSPECTION: Passed— ' Failed—[ ] Re-inspection required($50.00)-[ ] Inspectors'comments: (Inspe ors'Signa e- initials) Date 3.UNDER GROUND INSPECTION: Passed—[ ] Failed—[ ] Re-inspection required($50.00)-[ ] Inspectors'comments: (Inspectors'Signature-no initials) Date 4.INSPECTION—SERVICE: DATE CALLED NATIONAL GRID: NAME; Passed—[f� Failed—[ ] Re-inspection required($50.00)-[ ] Inspectors'comments: (Inspectors'Signature-no initials) Date 5.INSPECTION-OTHER: Passed—[ ] Failed—[ ] Re-inspection required($50.00)-[ ] Inspectors' comments: (Inspectors'Signature-no initials) Date DOOR TAGS ARE TO BE FILLED OUT AND LEFT ON SITE IF THE AREA TO BE INSPECTED IS NOT ACCESSIBLE AND A RE-INSPECTION OF$50.00 IS TO BE CHARGED. The Commonwealth of Massachusetts Department of Industrial.Accidents Office of Investigations 600 Washington Street 40 Boston,MA 02111 www.mas,.govldia Workers' Compensation Ins-urance Affidavit: Buildelrs/Contracto:rs/JElectr iciansfJPlumbers Applicant Information Please Print Legibly Name(B.usiness/Orgaaization/Individual): , Address: City/State/Zip: Phone#: rE] l an employer?Check,the appropriate box: Type of project(required): .a employer with 4. ❑ I am,a general contractor and I6 0 New construction loyees(full and/or part-time).* have hired the sub-contractors a sole proprietor orparfner- listed on the attached sheet.? 7. ❑Remodeling and have no employees These sub-contractors have 8. ❑Demolition ing fox me in any capacity. workers'comp.insurance. 9. ❑Building addition.workers'comp.insurance 5. ❑ We area corporation and ifs 10.❑I3lectrical repairs or additions ired.] officers have exercised their a homeowner doing all work right of exemption per MGL 11.❑Plumbing-repairs or additions lf.[No workers'comp. c.152,§1(4),and we have no 12.❑Roof repairs ance required.]i employees.[No workers' 13.❑Other comp.insurance required.] !Any applicant that checks box#1 niust also fill out the section below showing their workers'compensation policy information. 7 Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. t'Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. 1 am an employer that is providing workers'compensation insurance for my employees Bellow is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Sob Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,.as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under thepains andpenalties ofperjury that the informationprovided above is true and correct. S. igmature: Date Offzcial use only. Do not write in this area,to be completed by city or town offzciaz City or'Town: PermitUcense# Issuing Authority(circle one): It.Board of_i8'ealth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing hspector 6.Other Contact Person• Phone#: °No DT N�h ♦i^u �,SS4CHUSf' CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 632-2011 Date: July 19, 2011 THIS CERTIFIES THAT THE BUILDING LOCATED ON 51 Empire Drive, Lot 24, North Andover, MA 01845 Orchard Village, LLC MAY BE OCCUPIED AS single-family IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Orchard Village,LLC 44 Great Pond Road Drive Boxford, MA 01921 94 ��• Building Inspector Fee: 100.00 previously paid Receipt: 23984 ONO pT�'IY 3r •.. ..,•.roc is • r cHus�� CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 699-2011 Date: July 19, 2011 THIS CERTIFIES THAT THE BUILDING LOCATED ON 24 Empire Drive, Lot 3 North Andover, MA 01845, 40B Orchard Village, LLC MAY BE OCCUPIED AS single-family IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Orchard Village,LLC 44 Great Pond Road Drive Boxford,MA 01921 Building I11nspector Fee: 100.00 previously paid Receipt: 24070 I _ _ `TwC11Ut CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 669-2011 Date: July 19, 2011 THIS CERTIFIES THAT THE BUILDING LOCATED ON 16 Empire Drive, Lot 1 North Andover MA 01845, 40B Orchard Village, LLC MAY BE OCCUPIED AS single-family IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Orchard Village,LLC 44 Great Pond Road Drive Boxford,MA 01921 Building Inspector Fee: 100.00 previously paid Receipt: 24070 F ORTH T0 0 to , o over No. o iLAK0 dover, Mass. Op COCKIC EWICK ' ' �l,9S RATED PPp��S BOARD OF HEALTH PERM IT T D Food/Kitchen Septic System ISN NPE S CTOR THIS CERTIFIES THAT o! !!a�e:r p F.. I fy. . .......:r.. .................. ................. ... .. E d 'orfs _ / has permission to erect........................................ buildings on ....gyp..../....�.�!�?.�.�'. j.:..��.:..�,lry, l�r4.......:.. oug 0 6 to be occupied as / � / himne'� p ........................../:.�I. ..... ........................... ........................................................................................... provided that the person accepting this permit shall in every spect conform to the terms of the application on file in - inal — this office, and to the provisions of the Codes and By-Law elating to the Inspection, Alteration and Construction of — Buildings in the Town of North Andover. PL BING INSPECTOR VIOLATION of the Zoning or Building Regulations'Voids this Permit. Rough Z�'-f% PERMIT EXPIRES IN 6 MONTHS �� d ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough �e •5 L� ~ C� /,Q eale;:� BUILDING INSPECTOR Occupancy Permit Required t0 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 Burner Until Inspected and Approved by the Building Inspector. Street No.,I�w Cal SEE REVERSE SIDE j Smoke Det. CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 632-2011 Date:July 199 2011 THIS CERTIFIES THAT THE BUILDING LOCATED ON 51 Empire Drive, Lot 24,North Andover, MA 01845 Orchard Viflage-, LLC MAY BE,OCCUPIED AS sinalerfaMily IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Orchard Village,LLC 44 Great Pond Road Drive ftxford,MA 01921 Building Inspector Fee: 100.00 previously paid Receipt: 23984 ORTH 0 Of .... Ando'ver . No. � ;.,.; ;�.,,.. :R.. ... L KE 10 dover, Mass., COCHICHEWICK V 7�ADRATED PPa,��� `s BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System ` .INSPECTOR Nei THIS CERTIFIES THAT ��'. ;/�. : �../ �. . .f:......... o��� � IT d ✓ nn hasp ........................ buildings on . /... ..:..�.:"'.'.. bz^ve........... 6 permission to erect................. . oug O tobe occupied as....................� ../ ...................................................................... ............... himney provided that the person accepting this permit shall in every spect conform to the terms of the application on file in • final — �r' this office, and to the provisions of the Codes and By-Law elating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PL BING INSPECTOR VIOLATION of the Zoning or Building Regulations'Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS -7 A e UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ................................ `'?t,.ym.................................. ce. BUILDING INSPECTOR bal � _ 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.v � SEE REVERSE SIDE Smoke Det. 'L-j7-tit RR prt� ti it APPLICATION FOR CERTIFICATE OF OCCUPANCYIINSPECTION Building Permit# ADDRESS/LOCATION OF PROPERTY : 6 p°(U e Map 107C Parcel/84 //Z Lot Number #o, SUBDIVISION (2 l-I-/a DATE REQUESTED FILED/READY FOR INSPECTION -7 f CLOSING DATE ON PROPERTY: / FIVE(5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND 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. P�--r� ii IssC.ie-i.i fv. • e Address OL7 7j&t22Atg&d A4g of 3y SIGNED I,�.� ROU TIN -7 14 IN CONSERVATION PLANNING- DPW.-.WATER METER SEWERIWATER CONNECTION NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCYANSPECTION REQUEST DPW "2�4gnatu�re � - Fife: Application for OC form revised Jan 2007 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 2oii Date Received Date Issued: 3 2 I ORTANT: Applicant must complete all items on this page LO CATION 4-s-/ �M 1 lee ae l U l!�-- rz&/;Y-a4/) Pr t PROPERTY OWNER Print MAP NO:107C- PARCEL` ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential.. )kNew Building )<One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑Corn-merciai ; ❑ Repair, replacement ❑Assessory Bldg + ❑ Others: ., + ❑ Demolition ❑ Other"' 17 +O,Sept c q'Well11 Floodplain 0 Wetlands. 0 Watefshed District,- Water/,Sewer - A,- DESCRIPTION DESCRIPTION O WORK TO BE PERFORMED:,. �p-'Ftl 1214� C� f4S Identificatioqq Please Type or Print Clearly) OWNER: Name/)W ,1 i LLACais- LG C Phoneg7?-W773/6 2-1 Address:y� 1?_ i4T P0,0it> rt UC ISD)G-7-61eP AAA- 01g21 CONTRACTOR Name: ' 1� tV l� �ti Phone 2-31a Z Address: Noe Supervisor's Construction License: W-2-q- Exp. Date: 2- Home Home Improvement License:41b&22� Exp. Date: J ARCH ITECT/ENGINEERLprrq )" P.8 r Phone-L2���sZ— S31 Address: i�'i/9f/JG Al Reg. No. r-�-77 FEE SCHEDULE.BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Coat: $ `� 5� FEE: 7. S v Check No.: Receipt No.: 1.3 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Si g.n -fure_ofA - g ' ent/Owner Si nafure of:contraeto ," - —_ - - - -- Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Muss check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals Chat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application P Doe: Doe.Building Permit Revised 2008mi L 1 Dimension Number of Stories:_Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of I Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No i j MGL Chapter 166 section 21A—F and G min.$10041000 fine NOTES and DATA-- For department use i i I ® Notified for pickup - Date Doc:.Building Permit Revised 2008 Plans Submitted Plans Waived ❑ Certified Plot Plan, Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments conservation Decision: Commen 2 tNater & Sewer Con nection/sia nature& `°� D'rvewa Permi DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Du ter on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Location r,.z No. 162 2 ° " Date y �� MORTk TOWN OF NORTH ANDOVER 3?O:i � o •,ti00 F w A i /Q U • i ; ; Certificate of Occupancy $ s�cMus�� Building/Frame Permit Fee $ - G Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 7 �G Check #�� 239t, 4 ^Building Inspector NW. LOT 23 LOT 24 10.5' #51 LOT 25 EXISTING N FND. ;v 11.1' 25.5' ICHAEL �9�y O J. G N EMP/RE DR. 0 SERGI 0 33a y E FOUNDATION LOCA TION ICERnFYTHA TTHE PRRYSTRUC7VRESHOWNCONFO MS CLIENT ORCHARD VILLAGE, LLC TO UNABLE/ZONTAL SE784C INEFFECTW TS OFWHEN CONSTRUCTED HE LOQ4L APPUCABLEZON/NG BY-LAWS/N EFFECT WHEN CONSTRUCTED. (THIS CERTIFICATION DOES NOT COVSIDERANY OTHER THIS CERTIFICATION IS MADEAND LANIIED TO THEABOVE CLIENT RESTRICTIONS SUCHAS COVENANTS,WEnANDS,EASEWE)M ORDERS OFCONDMONS,ETC)THIS DRAWING SHALL NOT BE USED BY THE CLIENT FOR ANY AVV306E OTFfiER flLW THAT LOCATION.451 EMPIRE DRIVE,NORTHANDOVER,MA. °wNED ABO"-Exr—r"'TH7wwRn7vvP wwx NOF CHRISTIANSEN&SERGI INC.FURTHERMORE THIS DRAWAVG IS THE COPYRIGIff D PROPERTY OF CHR/STmmWN&SERGI INC. AND MY UNAUTHORIZED USE IS PROHIBITED.CHRISTIAALWN& DATE.•3/20/11 SCALE.-1"=30' SERGI TADS NO RESPONSIBILITY FOR THE UNAUTHORIZED USE OF THIS DRAW/NG OR ANY INFOR-AM TM CONTAINED HEREON. PROFESSIONAL ENGINEERS& LAND SURVEYORS CHRISTIANSEN & SERGI,, INC. 160 SUMMER STREET, HAVERHILL, MASSACHUSETTS 01830 WWW.CSI-ENGR.COM TEL. 978-373-0310 FAX 978-372-3960 D WG.NO.:06029.001.047 ORTH ToVM of0 over o " ver do 3 �` rr � Mass. T O _~ LAK COCHICHEWICK 1 DRATED Cl U BOARD OF HEALTH PERMIT . D Food/Kitchen Septic System THIS CERTIFIES THAT � � ` BUILDING INSPECTOR ... . �y.f......... :........................................................ haspermission to erect........................................ buildings on / �'^ Foundation �..............2 ^e4J........... c-.Vii° Rough to be occupied as Chimney provided that the person accepting th s permit shall in Buildings in the Town of North Andover. every sped conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Law elating to the in Alteration and Construction of VIOLATION of the Zoning or Building Regulations'Voids this Permit. PLUMBING INSPECTOR Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough »L�,�..• Service ............ BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done Final Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT [urner'treet No. SEE REVERSE SIDE Smoke Det. i I MAScheck COMPLIANCE REPORT Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 Release 2 I I I I I Checked by/Date I I I CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 3-22-2011 DATE OF PLANS: 7/30/09 TITLE: The Willow PROJECT INFORMATION: Orchard Village, Lot 24 51 Empire Drive # P COMPANY INFORMATION: Orchard Village, LLC COMPLIANCE: PASSES Required UA = 450 Your Home = 233 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1258 38.0 0.0 38 WALLS: Wood Frame, 16" O.C. 2115 21.0 0.0 121 BSMT: Conc. 8 .0' ht/7 .0' bg/0.0' insul 0 0.0 0.0 0 GLAZING: Windows or Doors 140 0.350 49 DOORS 79 0.000 0 FLOORS: Over Unconditioned Space 768 30.0 0.0 25 HVAC EQUIPMENT: Furnace, 96.0 AFUE HVAC EQUIPMENT: Air Conditioner, 13.0 SEER ------------------------------------------------------------------------------- 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 1250 of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date i ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: [ ] I 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 I provided. Insulation R-values, glazing U-values, and heating and I cooling equipment efficiency must be clearly marked on the building J plans or specifications. I J DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. I 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 I omitted where gaps are less than 1/8 inch. Duct tape is not J permitted. The HVAC system must provide a means for balancing I air and water systems. I J TEMPERATURE CONTROLS: [ ) I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I 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 I non-depletable sources. Pool pumps require a time clock. I J 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 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 I Steam condensate any 1.0 1.0 1.5 2 . 0 I COOLING SYSTEMS: I 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 I CIRCULATING HOT WATER SYSTEMS: [ ] I Insulate circulating hot water pipes to the following levels (in. ) : I I PIPE SIZES (in. ) I NON-CIRCULATING i CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F) : . RUNOUTS 0-1" J 0-1.25" 1.5-2.0" 2.0+" Massachusetts Energy Code MAScheck Software Version 2.01 Release 2 The Willow DATE: 3-22-2011 Bldg. l Dept. l Use I I CEILINGS: [ ] I 1. R-38 I Comments/Location I WALLS: [ ] I 1. Wood Frame, 16" O.C. , R-21 Comments/Location I BASEMENT WALLS: [ ] I 1. Conc. 8 .0' ht/7.0' bg/0.0' insul, R-0 (uninsulated) I Comments/Location I I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.35 For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I I DOORS: [ ] I 1. U-value: 0 Comments/Location I I FLOORS: [ ] I 1. Over Unconditioned Space, R-30 I Comments/Location I I HVAC EQUIPMENT: [ ] I 1. Furnace, 96.0 AFUE or higher I Make and Model Number [ ] 1 2 . Air Conditioner, 13.0 SEER or higher I Make and Model Number I I AIR LEAKAGE: [ ] I 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 I 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 I difference and shall be labeled. I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I 170-180 0.5 I 1.0 1.5 2. 0 I 140-160 0.5 0.5 1.0 1.5 I 100-130 0.5 ► 0.5 0.5 1.0 i ----NOTES TO FIELD (Building Department Use Only) ------------------------- 975 .1.1 Date.P... A/ -......................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .........1,2................ has permission to perform ........ . ........ ............. wiring in the building of y.......... ...... .......... ....................North Andover,Mass. Fee....3 ........... Lic.NoA .1W.....................Lt -4 ELE ICAL INSPECTOR Check # aat�tlrtrrt tp/t$�t7 tTi► t!T Massachusetts Official Use Only. Department of Fire Services Perm"U. °'9 BOARD OF FIRE rPREVENTION REGULATIONS (hcupancy and Fee Checked Rev. l!071 �leac,e blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be fierf xmed in accordance with the MastiachuscM Electrical C,Ae(MEC).527 CM R 12-00 (I'I.F:dM,'PRINT IN INK. OR TYPEALL INEORMA710N) Date: ff _ r© tats or•Town of: NORTH ANDOVER To the Inspector of Wires.- fly this applicam)n the undersigned gives ncatice of his other intention to perfiarm the electrical work described below- i.ocation(Street& Number) '^ _71Y _�_I � .� f �� ()caner or Tenant Telephone No. Owner's Address eF _ Is this permit in conjunction with a building permit.' Yes ❑ ,No Q (Check Appropriate Box) Purpose of Building .� S(/�/� Utility Authorization No. O© 6 Existing Service Amps f Volts Overhead ❑ L'ndgrd❑ No.of iMeters NewNew Service �� Amps zolf ZV.v rd Volts Overhead❑ Urrd g —"� No. of Meters f Number of Feeders and Ampacity Location:and Nature of Proposed Electrical Work: Completion of the ollonin tabic ma be waived b,the Ins eetor U trice. No.of Recessed luminaires No.of Ceil_-Susp.(Paddle)Fans 0.0 ota Transformers KVA No.of t.uminaire OutletsNo.of Hot Tubs Generators KVA No.of Luminaires SwimmingPooi °ve ❑ u' Q o.o mergency ig ng rad. end_ gytR Units No.o.of Receptacle Outlets No.of Oil Burners EIRE ALARMS No.of Zones No.of Switches No-of Cas Burners o.o lection an InitiatingDevices No.of Raines No.of Air Cond_ -ions No.of Alerting Devices No. of Waste Disposers eat mp tum r onsI KW No.of Sefontaan Totals: Detection/Aleriin Devices No.of Dishwashers Space/Area HeatingKW unicipa t t ocal❑ Connection ❑ Other No.of Dryers Heating Appliances KW urtty.ystems: No.o rites No.of Devices or E uiv»fent llcaters KW ° o ° ° Data Wiring: Signs Ballasts No.of Devices or E uivalent No. Hydromassage Bathtubs No.of Motors 'Total HP a ecorttmuntcahons wring: t)7'IiER: Na of Devices or E uivalent ,coach addition4l detail if desire{l,ar as mquire'd bi the ln.tipcctu�uJ i!'i�ri t-.-mmateci V alit;of 1-iectrical Work: (When required by municipal/ unici tlie Work to titari:../ U `y'a Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance Of electrical work may issue unless the liccrt-A:c provides prOOf Of liability insurance including"completed operation"coverage or its substantial equivalent. The und`eognrd c.entties that such coverage is in force,and has exhibited proof of same to the permit issuing office. l'IiFC'K ONI:: INSCJRANCE OND ❑ OTHER ❑ (Specify:) I certify,under the pain and penalties of perjury,that the information on this application is true and complete. FIRM NAME: /�. � �- LIC. _� 9yTs Licensee:ll� / Z Signature i ' 't � C. NO.:ff 99 33 Address: If,rty,lrrrhlr. .vr •r ",•ci'rr:frt mn the lici�n.ce nnmf+Nr line-) r yy-- 5 t �'" ST• Bos els Tto.: t - 2L�� d'cr 19-t;.t. e. # 17.s. 57-fit, security work requires I?epartm 'If Public Safety"S" I.icensc: i_ic. No t>WNER'S INSURANCE WAIVER: I am aware that the t_iccn,ee sloes snot have the liability insurance coverage normally tequired by law. fly my signature bestow, I hereby waive this rcyuirrment. I am the(check One)❑occner owner',a rent. Owner/Agent Signature Telephone No_ P -- H T FES-: .S � �� 1 � ✓�� � a � .I