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Home My WebLink AboutMiscellaneous - 517 REA STREET 4/30/2018 (2) S.N. CARUSO,P.E. 78 RIVERDALE STREET REGISTERED PROFESSIONAL ENGINEER METHUEN,MASS 01844 MASSACHUSETTS&NEW HAMPSHIRE (978)-869-5919 C. MAY 16,2012 (978) 682-5577H. STRUCTURAL ENGINEER'S CERTIFICATION OF ROUGH FRAMIVIING COMPLETION PROJECT NAME: DOTTO RESIDENCE PROJECT LOCATION: - 517REA STREET,NORMANDOVER,MA. NAME OF BUILDINGS: N/A ARCHITECT'S PROJECT NO: 011 DOTTO NATURE OF PROJECT: NEW RESIDENTIAL DWELLING IN ACCORDANCE WITH SECTION 116 OF THE MASSACHUSETTS STATE BUILDING CODE,780 CMR—STH EDITION I,_SEBASTIAN N.CARUSO,P.E. REGISTRATION NO. 22401_ BEING A REGISTERED PROFESSIONAL ENGINEER, I HEREBY CERTIFY THAT I HAVE PROVIDED CONSTRUCTION OBSERVATION SERVICES ON BEHALF OF THE OWNER, THAT I WAS PRESENT ON THE CONSTRUCTION SITE ON A REGULAR& PERIODIC BASIS AND TO THE BEST OF MY KNOWLEDGE, INFORMATION, AND BELIEF, THE WORK OF THE PROJECT TO DATE HAS BEEN EXECUTED IN CONFORMITY WITH DOCUMENTS APPROVED FOR THE BUILDING PERMIT,AND AMENDMENTS TO DATE. TO THE BEST OF MY KNOWLEDGE, INFORMATION, AND BELIEF, THE RESULTING WORK OF: ❑ ROUGH FRAMING; (INCLUDING THE LOAD BEARING WALLS, SUPPORT COLUMNS, BUILT-UP BEAMS, LAMINATED GIRDERS, AND GIRDER TRUSSES), HAS BEEN SATISFACTORILY COMPLETED IN ACCORDANCE WITH THE CONSTRUCTION DOCUMENTS. IT IS RECOMMENDED,THEREFORE, THAT THE FOLLOW-0N-EFFORT, REGARDING THE INSTALLATION OF THE GYPSUM AND INTERIOR FINISH FOR THE PROJECT, BE ALLOWED TO CONTINUE UPON APPROVAL BY THE TOWN OF ANDOVER'S BUILDING COMMISSIONER. ❑ EXCEPTIONS: MECHANICAL AND ELECTRICAL SYSTEMS ARE NOT PART OF THE REVIEW. . 4 -- Z�Z� OF MASrP SEBASTIAN N.CAIUSO.P.E. SEBASTIAN y� Registered Professional Engineer NED m Massachusetts and New Hampshire o CARUSO No.22401 ' C 9�c IS Cal FSS�ONAL FNS,Jia ENGINEER'S CERTIFICATION OF ROUGH FRAMING COMPLETION.doc Load Short Form Job: O e o Date: Entire House By: HEATING SERVICE Frank's Heating Service 555 Woburn Street,Tewksbury,MA 01876 Phone:978-851-4403 Fax:978-851-0398 Web:www.franksheating.com Project • • F : 517 REA STREET N. NDOV 'R, MA Design Information Htg Cig Infiltration Outside db (°F) 1 88 Method Simplified Inside db (°F) 70 75 Construction quality Tight Design TD (°F) 69 13 Fireplaces 0 Daily range - M Inside humidity (%) 50 50 Moisture difference (gr/Ib) 50 28 HEATING EQUIPMENT COOLING EQUIPMENT Make Make Trade Trade Model Cond AHRI ref no. Coil AHRI ref no. Efficiency 95 AFUE Efficiency 13 SEER Heating input 0 Btuh Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 °F Total cooling 0 Btuh Actual air flow 1958 cfm Actual air flow 1958 cfm Air flow factor 0.039 cfm/Btuh Air flow factor 0.051 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.93 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) GREAT RM 783 12567 10226 492 526 KIT/EAT 667 4617 3693 181 190 DINING 338 4454 3650 174 188 FOYER 171 3299 3369 129 173 OFFICE 121 2356 2434 92 125 LAUNDRY 45 1193 675 47 35 WIC2 64 588 92 23 5 MASTER BED 380 4726 3924 185 202 M BATH 195 1677 1003 66 52 EXERCISE 588 6120 3026 239 156 HALL 357 3657 3531 143 182 BATH 54 622 96 24 5 BED 256 4179 2362 163 121 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2012-Apr-10 11:23:45 wrightsoft" Right-Suite®Universal 8.0.22 RSU10062 Page 1 ACCN F:\Wrightsoft HVAC2\Project\517 REA ST N.ANDOVER,MA.rup Calc=MJ8 Front Door faces: S Entire House d 4019 50054 38082 1958 1958 Other equip loads 0 0 Equip. @ 0.93 RSM 35416 Latent cooling 2699 TOTALS 4019 50054 38115 1958 1958 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2012-Apr-10 11:23:45 + wrightSOfttl Right-SuiteUniversal 8.0.22 RSU10082 Page 2 ACCA F:\Wrightsoft HVAC2\Project\517 REA ST N.ANDOVER,MA.rup Calc=MJ8 Front Door faces: S i Sheet Metal Residential Guidelines/Inspection Checklist Yes No N/A Detailed description and sketch of sheet metal system to be installed has been provided All workers performing sheet metal work onsite has valid Massachusetts sheet metal license All sheet metal work being performed with proper journeyperson-to- apprentice ratios Equipment sized per heating/cooling load calculations Duct work sized per manual ` "calculations f Bath/shower rooms contain mechanical exhaust fan vented outdoors Electric dryer exhaust properly installed maximum total run 35'-0", maximum flexible run 8'-0" Flexible duct runs installed 14'-0"maximum length Volume dampers installed for each supply air branch duct f Ductwork installed using proper gauges and hangers Ductwork/plenum connections sealed substantially airtight f Ductwork insulated by means of external covering or internal lining New/clean -properly sized filter installed (final inspection) Testing and Balancing report complete(final sign-off) 3 Date. .�q. .l1�'. . . ... . NORTH TOWN OF NORTH ANDOVER F p PERMIT FOR MECHANICAL INSTALLATION SAC14 This certifies that has permission for mechanical installation . .t :. �j,- in the buildings of A. r. . . . . . . . . . . . . . . . at . . . ,) /:-�?. . .0?� . . . .. !. . . . . . . . . .. North Andover, 4M�aJss. Fee,—?a Lic. No.. . 3. . . . . . . . . . . . . . . . . . . . . .x f!Ny, GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer Commonwealth of Massachusetts Sheet Metal Permit Date: bd Permit# Estimated Job Cost: $ d�Da Permit Fee: $ Plans Submitted: YES NO Plans Reviewed: YES NO Business License# 69 Applicant License# X73( Business Information: Property Owner/Job Location Information: Name: 61 V Dy:/4- �T&KO �tc k7 Name: 4�� rnev�� Street: SS S w 3L(h S{ Street: S /` City/Town: City/Town: )v Telephone: (j)'_6 ( `(4 03 Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES NO Staff Initial J-1 /M-1-unrestrictedlicense- ` J-2 /M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family t*'� Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational i Institutional Other Square Footage: under 10,000 sq. ft. �over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC �- Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: r W I 1 a INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes ENo❑ If you have checked Yes, indicate the type of coverage by checking the appropriate box below: 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 112 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 boxy/,l 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 sheet metal work and installations performed under the permit Issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation Installation: YES NO Prot4ress Inspections Date Comments Find Inspection Date Comments Type of License: By ❑ Master j Title ❑ Master-Restricted City/Town Journeyperson Signature of Licensee Permit# ❑Journeyperson-Restricted License Number: 3 7 31 Fee$ ❑ Check at www.mass.gov/dpl I Inspector Signature of Permit Approval COMMONWEALTH OF MASSACHUSETTS,. .• SHEET METAL WORKERS - !'AS A JOURNEYPERSON-UNRESTRICTE h {fit. ISSUES THEABOVELiCEVSETO_ TIMOTHY R PALMER i 11`,2 LOWELL AVE H'AVERHIL'L MA` &IS32--371.0,.: 3731.11 09/28/12 929164 i' 1. The Co;e ;tIY':omweafth aif 1✓�tir.�';Pfl(' tizr,:>d? y3' Deparlment of Accident, Office of Investigations 600 fVa.shington Street Boston, IMA 02111 >v>Lvw.Mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers ARROKant Inforltnati ij Please Print Lm,:bA� Name (Business/Organization/Individual): I'�� S a( � AM -� ;.,I1 S Address: City/State/Zip:' w ks U 1 c5) �, Phone #: (I._)� 5 t-- ,_N 0 3 Are you an employer?Check the 6lpropriate box: ' 4. I am a general contractor and I Type of project(required): 1.I_J 1 am a employer with ❑ employees (full and/or part-time). have hired the sub-contractors 6. E]New construction • 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for rite in any capacity. employees and have workers9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ ❑ We are a corporation oration and its 10.[] Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 I.L] Plumbing repairs or additions myself. ' right of exemption per MGL Y �o workerscoin P• 12.❑ Roof repairs insurance required] t c. 152, §1(4), and we have no f 1 '�� employees. [No workers' 13. Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and(lien hire outsitla coniractors roust submit a new affidavit indicating such. lCon(ractors that check this box must atUiched an additional sheet showing the name of the sub-contractors and state whether or riot those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I any an entoloyer that is providing Dvorkers'compensation insurance far my enyployees. Beloty is the policy rand job site inforP'naiian. Insurance Company Name: A+ Policy#or Self-ins.Lic.#: L L j �{ Expiration Date: v I 1 S t A 11 V- S-- . r Job Site Address: _City/State/Zip: _/v pC� fir-��.t� AA Attach a copy of the workers' compensation policy decinration page(showing the policy numiber 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 WORT{ORDER and a fine Of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify nfrder rrrtfpenalties ofperjeary that the irk{ornaation provided above is true and correct. i Signature: Date: gI(olI�- 3 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Bw rd of Health 2. Building Department 3. City/Town Cleric 4. Electrical Inspector -5.Plumbing Inspector 6. Other i Contact Person: Phone#: i I Y �! O I I I i � o o � I z` rT]J I I � fa1 m00 I I I]•�i I!1' W-0' —— , u I I O m z I I I L- _J �J A I I I ' r I F ' I I ; . ll G I Y I cn i E I I I I L- - J - - - -e I q I I I O P I I I'LL "' 6 I. - L _—__ f TT—+--1 — F}_J I I � i I X � / I I I , r I I ' I , I _ I I I _J .VISION DATE- DESCRIPTION 12/12/11 ISSUED FOR BANK REVIEW PROJECT.NAME; • - . 517 RAE STREET NORTH ANDOVER, MA GELINAS STRUCTURAL ENGINEERING LLC 579A North End Blvd. SALISBURY, MA 01952-1738 Phone (9T8),465-6436 FAX (M) 465-5160 24'_5• � . -a " o pu I x� I T 0El 1 D �Z pig" 77 D -Ni rn +'�' D \ 0 m ''/rbc., Im x I \ s I \ 22'•10' D'-21/2' V-21/2• I O 1'-II 9/4^ 9'B' 12,3•. 69 Z O I Z II I ® II o n m > — —�'7•// I- m -77 --- - -------< J<'"•^y� �{�� YF'------ O_ Q I zx 4-10' 10-II• . 0 - -Ti tp ® m I J b�C� 6 5'10 y a '-- A a I ❑ d tmmi �nIV� T _ i 1 i I x •moi "./ IT I r•a• 1 5 O M Ol _ --� 11.-4. � I u I ❑ u -I I l I d i IB'.lo• I I Y-E• I i — — — — — --` N L -------1 `` \ —ft yy \ a'-u va• l II 9T-E' 5 REVISION DATE DESCRIPTION 0" 12/12/11. ISSUED FOR BANK REVIEW PROJECT NAME: i . 517 RAE STREET NORTH ANDOVER, MA GELINAS STRUCTURAL ENGINEERING LLC 579A North End Blvd. SALISBURY, MA 01952-1738 Phone (978) 465-6436 FAX (978) 465-5160 F I ` j f, Wr------------------------------------ -----I r--------------- II - , I r- I , I II II " I II II I I II II II II I II I , II I I I I I I II I1 11 „ II I In I I i 1 --------------- - ______________ II ,_______________________________ II I Z I II \♦ C II \\ II I � II II I II I ' II I b I \ 4 II � I II II II II I , m II ------------- rTT II I ' I II II , rn II II II ---JI I it I I Ii Ir--� II II I 11 II II I � I C / I I ___________- ' I o 7�• I1 rn 0 I n ' I I I I I1 , II I ,47rsvuMl��rM�utnC�ytRd'�•Y�y� yM I 1 N/ E; D n 'n II V W // • r I 4t a� r-------- d , 'I_ I ) I I 6'•°^ m E II II S 9 w i i O p it II I I SLT _ , II I II O I II I II , II u I b II I - " 0 ."C1 sp z(��7 3� p3A I I O II II 11 " Ii II __-___ II ------------ - . 16'•D' _ REVISION DATE .;.m DESCRIPTION -p z 0' 12/12/11 ISSUED FOR BANK REVIEW PROJECT NAME: �o ,0 517 RAE STREET NORTH ANDOVER, MA GELINAS STRUCTURAL ENGINEERING LLC 0 579A North End Blvd. SALISBURY, MA 01952-1738 Phone (978) 46.5-6436 FAX (978) 465-5160 Date.... .""..+....-.1..Z NORTH r °ft�``�.•�"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING � °^inn•R�4g ,SgAcm Sbt This certifies that ..............C..:... ..... '17�.G..... has permission to perform ........ wiring in the buildin of...... ............. ................................................. -at..... �/�...7.......... ......5.:...................... North Andover,Mass. . Fee..�1-7'—f ..Lic.No. L .7.7............ �, 4,-�... ....... • E�cr�uau.ItaspacroR... Check # _ 10636 jl (fommonwea- 4.4V.6jiC"1b Offi ial Use Only �{� Permit No. Is 31C 2eParttwd of ire Jeruice.4 Occupancy and Fee Checked Rev 1,/07 leave blank BOARD OF FIRE PREVENTION REGULATIONS APPLICA ION FOR PERMIT TO PERFORM ELECTRICAL WORK All work i be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT I INK OR TYPE ALL.INFORMATION)An Date: l /2-S)1 Z ��,�' City or To of: r To the Inspector of Wires:. By this application t. undersigned gives notice ofhis.or her intention to perform the electrical work described below. Location(Street& umber) �'C"7 I," S(= Owner or Tenant 1 r1 40 Telephone No. Owner's Address 7 L Lc ,'J- 1-f a ,�� -G t S AV Is this permit in co unction with a building permit? Yes .13 No ❑ (Check Appropriate Boz) Purpose of Building Utility Authorization No. 2 3 i 2S 4 3 E)dsdng Service Amps _ 1. Volts Overhead. 0 Undgrd .❑ No.of Meters New Service Amps- . . L Volts Overhead.Q Undgrd ❑ No.of Meters Number of Feeders:i md Amp4cit Location and Natan.of Proposed Electrical Work: ��t.-,u -e.,. .s jC-P.V-v1 C c- o A' k� tom. Completion.of the following table may be waived by the Inspector of Wires No.of Recessed Lumi aires No.of.Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of.Hot Tabs Generators ` No.of Luminaires Swimming Pool Above grnd Q In-grnd ❑ No.of Emergency Lighting Buttery Units No.of Receptacle Out ets l.{ No.of Oil Burners — FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Dispose Heat Pump Number Tons KW No.of Self-:Contained _ Totals; ........... .............. .........-..... Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 13 municipal Connection ❑ Other No.of Dryers Heating Appliances KW _ Security Systems:* No.of Devices or Equivalent No.of Water Heaters KW' 4 No.of Signs No.of Ballasts Data Whing: No.of Devices or Equivalent No.of Hydromassage.Bathtubs. _ No.of.Motors. .. TOW Hp Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. . Estimated Value of al Work -qbD O0 (When required by municipal policy.) Work to Start: (12,!21j2- inspection s to be requested in aceordance with MEC Rule 10,and upon completion. INSURANCE COVERA E:Unless waived by the owner,no,permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"comf leted operation"coverage or its substantial'equivalent The undersigned certifies that such coverageZIJC 0.: proof of same to the permit issuing office. CHECK ONE: INSURANCE �BOrm ❑ OTHER ❑ (specify:) I certify,under the penalties o perjury, the i-onnadon on this application is&tie and complete. FIRM NAME: c, ? Licensee:--L.,- r(c, 4-J—a--, Signature LIC NO.: 6 (If applicable,grater°'ex pt"in the license umber line.) Bus.Tel.No.: Address: 1 t3 fS 1 b M./� . O[0-7,6Alt.Tel.No: S R D L 6 f *Per M.G.L.c.147,s.57 61,security work requires Department of Pabli Safety"$".License: Lic No. OWNER'S INS URAN WAIVER:I am aware that the Licensee does not have the liability insurance coverage normally required by law.By my signature below,I here]iy waive this requirement.I am the(check one) ❑ owner ❑ owner's agent. Owner/Agent ERMIT FEES: $ -j Signature Telephone No. i � �- P� The Commonwealth of 1Vlassachmvetts `gym Department of Industrial A ceidefits Of ftce of Investigations i 600 Washington Street Boston 1 A 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/illectricians/Plutnllers Applicant Information1'lPrint ea5e rtnt I.cQibly m Name (h3ttsiness:Organirationitnclividual): �f > , Address: : L.7 �, • a City/State/Lip' t' Are Vu an employer;'Check the appropriate box: I am a general Type of project(required): 1. I am a employer with" _ ❑ $' c.raE contractor and 1 employees(full and/or part-time).' have hired the sub-contractors ti E] New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. employees and have workers' com insurance.* g. ® Building addition (No workers' comp. insurance p• required.] 5. 0 We are a corporation and its I U•1� r.lectrical repairs or additions 3-Q 1 am a homeowner doing ail work officers have exercised their I L[D Plumbing repairs or additions i myself. [No workers'camp. right of exemption per MGI., 12.E] Roof repairs insurance required.]' c. '152, §](4),and we have no employees. [No workers' 1311 Other, l comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation polic%y information. #Elomeowners who submit;this affidavit indicating they are doing,all work and then hire outside contractors must submit a new affidavit indicating such. ,contractors that check this boy:must attached an additional sheet showing the name of the sub-contractors,and state whether or not those entities have employees. 1 f the subcontractors have employees.they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: - - 1 Policy it or Self-ins.Lic.4: ____-..... Expiration Date = _ Job Site Address; City/State./Zip: A) ✓9 .9 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 MGI..c. 152 can lead to the imposition of criminal penalties of a r fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and ltie >fperjury that the information provided above is true and correct y Signature: .._— - ' ,- ..... Date: Z! l 2_ ._ , Phone�: - Offldial use only. eta not write in this area,to be completed by city or town o�firiut City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5, Plumbing Inspector 6.Other Contact Person: Phone#: Date. . .,!n.c -. dam. . .. . ,AOR TIy Of0 TOWN OF NORTH ANDOVER O P PERMIT FOR GAS INSTALLATION p9 h SSACHUSESS -. This certifies that . . . . . . . . . . . . . . has permission for gas installation . ✓.... . . . . . . . . . . . . . . . . in the buildings of. --. . :..,-v +' .A-s' ... . . . . . . . . . . . . . . .� at . . . . . ., Northw Andover, Mass. Fee e,-,., . . . . .Lic. No.. . . . . . . . . . . . . . . . . � ons iNs y�cG Check 4 ,�e,4831 f MASSACHUSETi'S UNIFORM APPMCA FOR PERNIlT TO DO GAS FITTING (Type or print) Date C:�IF/o NORTH ANDOVER,MASSACHUSETTS pp Building Locations Permit# _.GSL dil Amount$ O Pr's Name (1 New❑ Renovation Replace t Plans Submitted U o w ° z z o �; Gw a w a� H a E~ x cz� H o 3 0 a° o w a a N o SUB -BASEM ENT B A S E M ENT 1ST. FLOOR 2ND . F L O O R 3RD . F L O O R 4TH . FLOOR 5TH . FLOOR 6TH . F L O O R 7TH . FLOOR 8TH . FLOOR � or type)�� I � � /�� J� Checkone: Certificate Installing Company Name l iT Corp. Address � 13 Partner. Business Teep a ZD ["Firm/Co. Name of Licensed Plumber or Gas Fitter )2 INSURANCE COVERAGE Checff�� I have a current liability Insurance policy or it's substantial equivalent. Yes No If you have checked Les,please indicate the type coverage by checking the appropriate box. Liability insurance policy In- Other type of indemnity 0 Bond �. Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 ofthe Mass. General Laws,and that my signature on this permit application waives this requirement. Check one: i Signature of Owner or Owner's Agent Owner Agent 1 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 installatios performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusett Stat Gas de d Chapt r 142 of the neral Laws ignature of Licensed Plum Or Gas Fitter Title By. Plumber �. City/Town Gas FittertceL'�nse Number MMaster APPROVED(OFFICE USE ONLY) Journeyman Y � i NOIITN,� � 1 O , •s,K y � UCERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER. Building Permit Number 99 (September 4, 2003) August 12, 2004 THIS CERTIFIES THAT THE BUILDING LOCATED ON 90 Rea Street MAY BE OCCUPIED AS Single Family Dwelling with two car garage attached IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Peachtree Development LLC. 231 Sutton Street North Ajithsker MA 01845 Building Inspector PIZ NORTH • 0 of E Andoveit No. ~ - " �'�C4 �3 � dower, Mass., • O `^ M COCMICrr��ff��JJi � %SORATED P'? C2 H BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BING INSPECTOR i THIS CERTIFIES THAT...........................,...... ..... � ......... . .... ... .ww�.�1 !L ��................�............................. g'oundation has permission to erect.......VG/�pea.............. buildings on ... ..ems... ... . -..�,t.N�.T.......2.,............ <- ko., ,.. Chimney , r� r to be occupied as.........................'Torliea*C..��i N ..F�iA ��.. �4.? .!.e '�-........................... provided that the person accepting this permit shall in every respect conform td the terms of the application on file in Final o,� '151tr � this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration aqd Construction o Buildings in the Town of North Andover. .Aw brck damAff "637tniu %%2&1mb0'0 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this pbrmit. ' PERMIT EXPIRES IN 6 MONTHS ELECTRI,CAL INSPECT UNLESS CONSTRUCTION STARTS $/ ............ ......... ... r BUILDING INSPECTOR Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Removencl �,LY No Lathing or Dry Wall To Be Done FIRE O P*RTM�NT �. Until Inspected and Approved by the Building Inspector. Burner —i '` ' Street No. SEE REVERSE SIDE Smoke Det. a CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 99 (September 4, 2003) August 12, 2004 THIS CERTIFIES THAT THE BUILDING LOCATED ON 92 Rea Street MAY BE OCCUPIED AS Single Family Dwelling;with two car garage attached IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Peachtree Development LLC. 231 Sutton Street North An over M4 01845 Building Inspector Fj� NORTH Tovvn E of And O No.iY dover, Mass., S!r O oRA7E0 11 H 4 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System �__' !:n UNG INSPECTOR THIS CERTIFIES THAT..........................� 1� Pr►'� 'L��' pX_ ,:- .... ...... . ....... ...................... )`un6 has permission to erect.......vc/.00a.............. buildingson ...g. .. e' ... ... . '�'Qwm............ 'trough. ✓j/' ; � i' } to be occupied as CPR+�!a1Pi•�', .r.��i ti+ .. "Q'1r41��r. .�4!!�4�i .!.A � Chimney , provided that the person accepting this permit shall in every respect conform td the terms of the application on file in Final oar- X51 this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration a9d Construction o Buildings in the Town of North Andover. .. , �6Ck d4*J9T nru %%Z4 a eDff0 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Kermit. ` PERMIT EXPIRES IN b MONTHS ELECTRI,CAL INSPECT09 UNLESS CONSTRUCTION STARTS . a„gl;t /c-; f . ........... ce /9 ..................... ..................... " BUILDING INSPECTOR Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Removencl 7,LY No Lathing or Dry Wall To BeDone FIRE IMP TMENT Until Inspected and Approved by the Building Inspector. Burner C.S . /�•C.. 'Q a30`� , — Street No. c-c` � . SEE REVERSE SIDE Smoke Det. f Town of North Andover tAORTH 0. n t Building Department , �4RY gs a 27 Charles Street o North Andover, Massachusetts 01845 4 978 688-9545 Fax 978 688-9542 U <<N i�t�vecw flArmv P,? 'P AcnoS� � APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS /y i2E� S772L T 7O7# &deVi°,t , n�i7 6710 — LOT NUMBER UN. A SUBDIVISIONC�l�f(�P ttc2yy� DATE REQUEST FILED 7d44,61 DATE READY FOR INSPECTION (54 �0 TEN (10)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE($25.)DOLLARS WILL BE CHARGED IF THE STRUC DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE G FFICIAL USE ONLY ROUTING D_P.W. —WATER ME DATE 3 (� D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED P RTO HE SPECTION REQ T DATE. SIGKATfJRE/DPW AUTH TION 1 1 Town of North Andover F NORTh� o Building Department 27 Charles Street o North Andover,Massachusetts 01845 41 (978) 688-9545 Fax (978) 688-9542 moo ` �A cocwc-y7' OATRID ��SSACHt7`��y APPLICATION FOR CERTIFICATE OF OCCUPANCY./INSftCTION ADDRESS LOT NUMBER/-0r tf Z"W401,'Se SUBDIVISION p�RC� t 2t �/d✓z DATE REQUEST FILED DATE READY FOR INSPECTION /O r TEN (10)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF THE U 0 NOT MEET ALL APPLICABLE CODES. SIGNATURE FFICIAL USE ONLY ROUTING D.P.W. —WATER METE ATE V�/�� AD D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR T TH PECTION RE ST DATE. GNATURE W AUTHOR ACEI V JUL 2 `UILD/NG DEp-r MetLife Auto&Home® Homeowner Operations Field Claim Office Attention:Claims P.O. Box 6040 Scranton, PA 18505 (800)854-6011 March 4, 2015 North Andover Building Inspection 1600 Osgood St, Suite 2035 North Andover, MA 01845 Our Customer: Peter D. and Jane L. Putnam Claim Number: JDE94399 OG Date of Loss: February 14, 2015 Dear North Andover Building Inspection: ection: P Pursuant to M.G.L. 139 § 313, please be advised that a property loss at the address referenced below has =_ been estimated to have damage to the dwelling or other structures that will exceed one thousand dollars. Please let us know within ten (10) days if there is a pending or existing lien against the property as provided by M.G.L. 139 § 313, or if there is an intent to initiate proceedings to perfect such a lien. Loss Location: 111 Rea St, North Andover, MA Sincerely, Home Ops CAT Team Sarah Lackey Metropolitan Property and Casualty Insurance Company =_ Claim Adjuster (800) 854-6011 Ext. 7440 Fax: (855) 411-6689 Email: MetLifeCatTeam@metlife.com MetLife Auto&Home is a brand of Metropolitan Property and Casualty Insurance Company and its affiliates,Warwick,RI. MPL MA-REGDEPT Printed in U.S.A 0698 WInVnn npii 1.;r7nnr J Commonwealth of Massachusetts Form 4--System Pumping Record"-""4 Massachusetts System Pumping Record System Owner System Location Peachtree Farm Condo Trustees Peachtree Earn Condo Trustees 100 Rea Street 100 Rea Street North Andover, rM, 01845 Borth Andover, MA, 01845 (979)-258-7173 x (978)-258-7173 x Catherine Lowery Type: Emergent Routine Cesspool: No Yes Septic Tank: No = Yes Date of Pumping: /0, Z g, (3 Quantity Pumped: �WO Gallons System Pumped By: Wind River Environmental,LLC Permit#: Contents Transferred to: Contents Disposed at: Date: 10 r �g �3 Pumper Signature: Condition of System/Other Comments OV ti�� NpO�ER IO`N t4 Qlt- �N OEPPR� ® Printed on recycled paper Dep Approved Form-12/07/95 Date.................................. t ' _ f NORTH 1 o?;•,;�``°- "�,� TOWN OF NORTH ANDOVER PERMIT FOR WIRING �,SSACNUSf ' Thi§certifies that .......L- �/L .� '�' has permission to perform .... ..... ... �...... wiring in the building of... 1.. ....... . � .. �� ...%:�.! ........ ................... at... . �?''..., � ,-..r ................................ .North Andover,Mass. Fee...l.�. Lic.No.,f L.............................................................. ELECTRICAL INSPECTOR Check # 5144 1 Commonwealth of Massachusetts Official UsPy Department of Fire Services Permit No. �� Occupancy and Fee Checked �_ �•. BOARD OF FIRE PREVENTION REGUL ' /IONS [Rev. 11/99] leaveblank APPLICATION FOR PE MIT TO J RFORM ELECTRICAL WORK All work to be performed in accordan with the sachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR E AL F ATI ) Date: "L 1 City or Town of. To the Inspect res: By this application the undersigne ives Lice of his intention to perform the electrical work described below. Location(Street& mber) I, Owner or Tenant t Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of Security system Completion of the followin table maybe waived by the Inspector o Wires. No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑ In-rnd. rnd. BatteryUnits ❑ o.o - cy ig ung No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.o Detection and No.of Switches No.of Gas Burners Initiating Devices No. of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: I. I Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ElOther Connection Heating Appliances Security Systems: No. of Dryers g pp KW No.of Devices or E uivalent No. of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent i OTHER: 71 Attach additional detail if desired,or as required 6,,the Inspector of Wires. 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 ❑ (Specify:) (Expiration Date) Estimated Value of pectnical Work: , (When required by municipal policy.) Work to Start: WZ41614 Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify, under th pains and penalties ofperjury, that the information on this application is true and complete. FIRM NAME: LIC.NO.: 1 q3 1C Licensee: John S. Bassett Signature LIC.NO.: 1533C (If applicable, enter"exempt"in the license number line.) Bus.Tel.No.: 603 594 5928 Address: y Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Li see does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ e 4,7/4)� Date.................................. + 6 TOWN OF NORTH ANDOVER PERMIT FOR WIRING .o+Al' SS, US This certifies that .. ....... ...... . ........... .... ..... .................... has permission to form ..... ........ ............................ wiringbuilding of V./ .... , i7e buildi .. . ....................... . .... . .1....... ....................... at................. ....................... North Andover,Mass. 0 Fee......:t)!.......... Lic.No... ............................................................... ELECTRICALINSPECTOR Check # �. Commonwealth of Massachusetts Official Use only r Department of Fire Services Permit No. Occupancy and Fee Checked 7�/ BOARD OF FIRE PREVENTION REGUL IONS [Rev. 11/99] leaveblank APPLICATION FOR PERMI TO ERFORM ELECTRICAL WORK All work to be performed in accordance wi the ssachusetts Electrical Code(MEC),52 7 MR]2.00 (PLEASE PRINT IN INK OR E A INF RM TI ) Date: City or Town of: , To the Inspecto of fres: By this application the undersigne gives tice o h r intention to perform the electrical work described below. Location(Street&N her) Owner or Tenant Telephone No. WU Owner's Address Is this permit in conjunction witha building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of Security system Completion of the followin table maybe waived by the Inspector of Wires. No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA Above o In- o.o Emergency Lighting No.of Lighting Fixtures Swimming Pool rnd. grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.o Detection and No. of Switches No.of Gas Burners Initiating Devices No. of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertin2 Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection ElOther No. of Dryers Heating Appliances Kir Security Systems: No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Na.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail ifdesired,or as required by the Inspector of Wires. 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 ❑ (Specify:) (Expiration Date) Estimated Value of 1 ctriep W rk: '— (When required by municipal policy.) Work to Start: l Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify, under the fiains ndpenalties ofperjury, that the information on this application is true and complete. FIRM NAME: Security as LIC.NO.: 1 C Licensee: John S. Bassett Signature LIC.NO.: 1533C (Ifapplicable, enter"exempt"in the license number line) Bus.Tel.No.: 603 594 5928 Address: Alt.Tel.No.: tt OWNER'S INSURANCE WAIVER: I am aware that the Lic, see does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Signature Telephone No.Owner/Agent PERMIT FEE: $ , � Date.................................. t. NOR7FI Of<•�`�as•1�0 ar ��,� -- ..• o� TOWN OF NORTH ANDOVER PERMIT FOR WIRING • ,SSA-,US� This certifies that ......... �r L� . has permission to perform .. �.., .�: wiring in the building of.... 'f..�.f.... f...r.:f.. .: '............. L at........(:..�.../....:�1...... -�t..:............................. .North Andover,Mass. �[ r /533 ' Fee...T.�r.cv......... Lic.No............. .............................................................. ELECTRICAL INSPECTOR Check � iE� � 1 Official Use Only . Commonwealth of Massachulietts O Permit No. Department of Fire Se , ces lfu 1 Occupancy and Fee Checked BOARD OF FIRE PRE VENTIONf'EGULATIONS [Rev. 11/991 leave blank APPLICATION Fos PER IT TO PERFORM ELECTRICAL WORK All work to be performed in:ccordan with the Massachusetts Electrical Code(MEC),5 7 CMR 12.00 (PLEASE PRINT IN INK O P ALL ATION) Date: City or Town of: To the Inspect r oftires: By this application the undersignea givesibe f his or r intention to perform the electrical work described below. Location(Street& ber) Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No fV (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of Security system Completion o the followin table may be waived by the Inspector of Wires. No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑ In- ❑ o cy rg rng rnd. rnd. Ba tte Units No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.o Initiating D and Devices No. of Ran es No.of Air Cond. Total No.of Alerting Devices g Tons g No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: I I Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection rity Stems: No.of Dryers Heating Appliances KW SeC No.of Devices or Eg uivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent • No.H drornassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: Y g No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. 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 ❑ (Specify:) (Expiration Date) Estimated Value of lectrical Work: F (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: LIC.NO.: 1 r,q Licensee: John S. Bassett Signature _ LIC.NO.: 1533C (Ifopplicable, enter"exempt"in the license number line.) Bus.Tel.No.. 603 594 5928 Address: Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Lic, see does not have the liability insurance coverage normally • required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. f