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Miscellaneous - 60 LYONS WAY 4/30/2018
\_� �\� c �!! � Date.��y���'...... ,ORTk °f °` TOWN OF NORTH ANDOVER ' PERMIT FOR GAS INSTALLATION �9SS�CNUSES certifies that . . . . . . . .... . ... . . . . . . . . . . . . . . . . . . . . . . . This ce . . n has permission for gas installation .:-' . . . . . . . . . . . . . . . . . . . . . . . . -- } . in the buildings of ..�`.� . . . . . . . . . . . . . . . . . . . . . . . . . o � atf . . North Andover, Mass., Fee . Avol . . . . . . . . . . _ v � GAS INSPECTOR Check#c� 7.P 5388 `' MASSACHUSETTS tlNtFC?RM APPL:_tCATON Q� PERMIT TO Dt7 GASF.ITTING ..� iPrrnt"or Type) NaoU� Mass Date 1 1. 2( Perrntt# ,: t11 Building t_ocalion : 0 ,l Owner s Name t Type of Occupancy // New ;[t fieiovation p fieplacernen# �---` Plans SubtzlKteri Yesp No p �, _ N Y = Q N til N `t 1 N R t!r R :O Z h >+r w a r� v :r 1 'N UJ ,I>'-"' ��! I �',.".�"".�' --"- _"." -_� �.......%% - . .I } Z n., d c O O 4 m to F- O ¢ _ W '1.,a C N Etl = Y us Q r v► 9 N ut ,X W . tC O D 'lit J is J .( x 'iX rif Ss!: r S; H '. - E � '. ,'__ I --- - � -� � a .x .o u u .c d ,cis `- y o n oa 4 m, J." -,'--, :---.O��0-�_,.;�".--'.-' S`Ue HSMT K- HASEMENT 11� ,-""��',���,�.-�--:,.�",L'---.-�",�-""., lz Ml;_"� �� -.-, �.. ..... �S-T FLOOR 2'tit) FLOOR 3R'],FIOOA, t'T!{ fLt?OR 5Tt ft_O0R aTH FLOgR 7T}t FLOOR B"T FLQOR Installing Company Name G/ L:. / j1� /, � Check one Certificate AGiress 1. ` '�; % C- '"Cor oration P 1'- p Partnerstlp Business.,Telepfione _ " � j' :. ._ Q F#r ICo; Name ot.;t_tcerised Plumber or Gas Fi#ter C'f�-of f INSURANCE COVERAGE I have a current°'iiabilitj insurance policy oc;tts substantial equhraient which.tneets the regtiirernenis,ot MGL Ch "td2: %Yes CCL ` No LD - if you.have checked yes please Indicate the type co:erage bychecking the',apprvpriate box A iia6ai1.ty.lnsurance poI ©ther#ype of In iernnity D Bond p OWN7=t.''S 1_ %I:1.t3C WAIY1rtT ) am aware that the alcensee does'no# have tti� insurance coverage required {iy Ct►apter-t .2 of.the Mass General.l-aw1. s .anti chat�tny.stgnature'on th1. is permit application valves this requlren ent Check one Ownerp Agent Q I 11Signature oI O11 wner;or Owner s Agent I hereby certify that all of the details and lnlormahoa it have suhmltted(or entered)in above appticaIion are true and.accurpte to the best a1 m knowledgg and than::aA plumbing work and installations ertormed'under the`permli issued,for this;applicatlonwtii ti'e,in compliance with ab 'y pertinent pronsions of the)lassachusetls Stale Gai Go�e anti Chaplet 142 of lh@Tierra al:Laws �' T e of license Trlie Plumber Srg" lU e a c n§e um er"or Gas rater asiittor aster:' Clcense Number Crty/Town Journeyman J IV'r'fKMi7:TOf T_777C : OI_f7. % l /� Y f CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Numbet `' Date Z-V THIS CERTIFIES THAT THE BUILDING LOCATED ON Lo MAY BE OCCUPIED AS S IV, ' le- TM l (.��( �ti' IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAYA PLY. �iAS i 3 S-6([ uuder� CERTIFICATE ISSUED TO k C ADDRESS 30ft)�) SU,�e- 0 17::: saC cBuilding Inspector I i NORTIf Town of _ 4 over No. '7AI T` ZQ _ LA E dover, Mass., 2 COC A MICNE WICK SAO' T4 PPS` �C BOARD OF HE PERMIT T Food/Kitchen Septic System P Y BUILDING INSPECTO THIS CERTIFIES THAT........ ..��.0 N 5........ J4 ........... ...... .......................................................... Foundation,v_c<-—_ has permission to erect.................. .............. .. bwldin son .� a # ( �7U)*'9-..l..... Rough�1� + ---- — 5 .... ................................. ................................ to be occupied as.! RdOw�� A......./. ... ........�I.I� �r...S.;.y�.� ....L��0&J!0aC0.• Chimney provided that the person accepting this permit shall in every respect conform to the fe' rms of the application on file do 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. M/9% 40 JV ' ` O PLUMBING INSPECT VIOLATION of the Zoning or Building Regulations Voids this Permit. 4 1S3 S� PERMIT EXPIRES IN 6 MONTHS' ELECTRICAL INSPEC UNLESS CONSTRUCTI N W S .......... .............. ................... ... se - BUILDING INSPECTOR k tel/ 19 Occupancy Permit Required to Occupy Building GAS INSPECT Display in a Conspicuous Place on the Premises — Do Not Remove Rnugh L No Lathing or Dry Wall To Be Done FIRE DEPARTMEN'l� Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. V Town of North AndoverNQRTN O�tt�eo Building Department �,2 y� ., o 27 Charles Street o j North Andover, Massachusetts 01845 * ,� (978) 688-9545 Fax (978) 688-9542 TQQ t0[NI MI KR 47' ' �9ssgcNus���y APPLICATION FOR CERTIFICATE OF OCCUPANCY/ INSPECTION ADDRESS CyO a-y LOT NUMBER v2 SUBDIVISION yJ. DATE REQUEST FILED �0/y'/b0 DATE READY FOR INSPECTION l0 FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRANIE. A RE-INSPECTION FEE OF TWENTY-FIVE ($25.)DOLLARS WILL BE CHARGED IF THE STRUCTUREDDE T MEET ALL APPLICABLE CODES. SIGNATURE 40��14 O ILIAL USE ONLY ROUTING CONSERVATION DATE I& PLANNING DATE 101 /0/ 06 D.P.W. -WATE TER DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. rz'�� (� a&6t' 0_ SIGNATURE/ P AUTHORIZATION Mesiti Dev Group Fax:978-5578160 Jul 17 2000 1354 P.01 r s TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORKS 384 OSGOOD STREET NORTH ANDOVER,MASSACHUSETTS 01845 J 1111iam Hmurciak *» Telephone �78 ) S- 09S l Director '• Far(978)688-9573 S�7 July 14, 2000 Mr.Kenneth Cnaudst4 President Mesiti Development Group 231 Sutton SL Suite 2 F North Andover,Ma. 01845 Re: Conditional Operation of the Campbell Forest Sewer Pumping Station. Dear Mr. G andstafF The Division of Public Works has inspected the sewer collection system and sewer pumping station,and appurtances on Campbell Road related to the construction of the Campbell Forest and Lyons Way subdivisions. We hereby grant conditional approval for use of the system and pumping station subject to the foIIowing: 1. Completion of items 1 through 15 as listed on the July 10,2000 letter to Mr Dennis Bedrosian from Maurice Harpin of Mesiti Development Group, a copy of which is attached. The work will be completed within 45 days of acknowledgement of the receipt of this letter. 2. Satisfactory completion of an as-built plan for the Campbell Road sewerage system. 3. Submittal for our review and approval a copy of the preventive maintenance contract for the pumping station. 4. A performance guarantee shall be provided in the amount of$25,000.00 to insure the proper maintenance and operation of the pumping station. 5. The Division of Public Works will be allowed access to the Pumping Station and will be allowed to recolistruct,repair,replace,add to, service,inspect and operate the pumping station and related equipment.and facilities in the event _.____..._.____:__..._....... . .... ... . _ that Mesiti Development or its agents fail to adequately perform maintenance of the pumping station. Mesiti Dev Group Fax:978-5578160 Jul 17 2000 13:54 P.02 ,. 6. Mesiti development shall reimburse the Town upon demand for the reasonable P Po costs of emergency repairs to the Pumping Station 7. Mesiti Development Group and its successors or assigns shall indemnify, defend,and save harmless the Town of North Andover and its Division of .Public Works and their respective employees, officials and agents against all suits, claims,judgments or liability of every name and nature arising at any time out of or in consequence of the acts of the"Town"or its agents, employees and officials in the performance of the access purposes covered.by this grant of conditional use or the failure of the developer and its successors or assigns to comply with the terms and conditions of this grant. Very T , ours, i V61 lifm 14murc E. Director of Public Works The undersigned acknowledge the receipt of and agrees to the terms and conditions of the above:Ift ant of nditiomal use. . el up K eth Gr d sent Date: N2 2 513 Date..... .�j NORTH �o?°; ``_°.;� "°°� TOWN OF NORTH ANDOVER '° PERMIT FOR WIRING ScwuSE�h This certifies that .......avl....-I.!..�.1.'Q......,=.( t°c.....°....'. ....................... has permission to perform ......... .. ........ .............................. Mring in the building of......(!!il1.f'`;.... 5..�... ....ar.JA .............................. L J7 fat.....��.,..0.....��(J yS......��!�1.......,ter ,,... ,North Andover,Ma s:9,4/" �y� Fee...��P../....... LIc.No..............�.......... ..�....... .................................... ELECTRICAL INSPECTOR Check # / WHITE:Applicant CANARY: Building Dept. PINK:Treasurer TRE09 OAWFALTHOFMAS4SACHUSE77S Office Use onlyr i. DEPARTMEVOMBLICS4FM � 3 Petmit No. BOARDOFFIREPREVFM ONREGUTATIOAS-W(M12.00 UV Occupancy&Fees Checked PPUCATIONFOR PERMIT TO PERFORM=CMCAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date t1 Cs Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) (00 1--loris W Ay p L Owner or Tenant I' ►1;51"0( e-.VMtAPM lir 1 ocn p. Owner's Address o 31 !!�v TTW :5 T72 gr,� — 5 V-ti'T'{s 02 (� Is this permit in conjunction with a building permit: Yes[ZrNo (Check Appropriate Box) Purpose of Building s e r• Utility Authorization No.0d�3 Existing Service Amps� 'Volts Overhead r7 Underground r7 No.of Meters New Service 20� Amps]�0�olts Overhead M Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work /VcvV Dom► (� .No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA iltJo.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cord. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps' Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Locala Municipal Other z° Connections No.of Water Heaters KW No.of No.of _ Signs Bailasis w.Hydro Massage Tubs No.of Motors Total HP OTHER Irt3uatoeCo�Pt;,sattotheracltme3naltsGstaalLaws �/ Iha%eaanatiLiabkyh atceR cyirrh&ngCartpktC ArdF ritss>�tattialerl<10wat YESu NO lha%ewhmidadvdWproofofsam iDftOffi=YES [ZNO M Ifjwhaw dvdccdYES,ple=Vdi®tethetypeefWArdFbydmkingthe wSVRANCE BOND onER FI ftmspe czfy) *'T 4AJ /b / o Boa&n CS U Fstirrtaoe I Valueafi~3 ce Wtzk$ WO&ID tat It-spe=D&Re xsW Rao F-8- 00 Frol wILL C14I_L_ Signed u AaTr%mltim ofpajW FIRM NAME el NJ N e L LioawNa M127 702_ Lioatsee_ o t2e14L=x b A IC 7 7R ��^,r < , /�/ g Busir>�sTd.Na (pd 3 g9�/� (o/n2 Aririt�c p V, fox �� 7� SQL +'I, /1/// ��G1 / AkTd.Na �(1�2 3;—Y�y OWMM'SNSURVaWAIVEI;IamawatethattheLitxi�edo�e Wtow the insm=aAaWari�ssiftawle*rA tasm medbyMffixtm ttsCa=iLaws aod�atmysi�tiemthspamiappFr�atwai�esthisragtmgrtart. (Please check one) Owner a Agent Telephone No. PERMIT FEE d (/ i Location No. 4,`5 Gr Date MaRTh TOWN OF NORTH ANDOVER 3 � • OL 0 9 Certificate of Occupancy $ 7,s'Art* tt� Building/Frame Permit Fee $ s�c►+us Foundation Permit Fee $ Other Permit Fee $ TOTAL Check j 14579 Building Inspe( df TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. DATE ISSUED. ic _Q� �C SIGNATURE: Building Commissioner/In Buildings Date Z SECTION 1-SITE INFORMATION O I.1 Property Address: 1.2 Assessors Map and Parcel Number: Tsq'-'S Map Number Parcel Number rpU Ly�xs �.uati ���02 �1, 1.3 Zoning Information: 1.4 Property Dimensions: V i Zoning District Proposed seUseU Lot Ari(so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard, Rear Yard Required Provide Required Provided Re red Provided 1.7 Water Supply M.G.L.C.40. rm 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private ❑ Zone Outside Flood Zone ❑ Municipal On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHENAUTHORIZED AGENT M 2.1 Owner of Record / e7L r Gv 07 3� �� S f s y/fie o'L� At/ Name(Pri ) Address for Service E�7 Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O 14 Z. M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ 6. ssea"I"', Licensed Construction Supervisor: e S O o;5�9 License Number Address / ic Expiration Date e Signature Telephone r s~7 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name M Registration Number r Address Expiration Date A Signature Telephone �1� SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes....... , No.......❑ SECTION 5 Description of Pro osed Work check all applicable) New Construction )V Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee Multi lier 2 Electrical (b) Estimated Total Cost of Construction i 3 Plumbing Building Permit fee(a)X(b) 4 Mechanical(HVAC) C:;) 5 Fire Protection J 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, ,as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I> ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief XK v Print Name d SdgiiatureofOwner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS -HE,IGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verifi/ that all necessaryapprovals/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 Ait: .5�7- .5760 APPLICANT L 5 ZOO,/ L L' PHONE –.5 3o c� LOCATION: Assessor's Map iNumber PARCEL�� '7 r SUBDIVISION �- ? u/ LOPYL (S) v� STREET ST. NUMBER USE ONLY*** ** ********* ****** **** T1RE ONIMENDATIONS OF TOWN AGENTS: �C ?� CONSERVATION ADMINISTRATOR DATE APPR1ED DATE REJEO ED COMMEN Ts roA� TOWN PLANNER DATE APPROVED ' > DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED 1 SEPTIC INSPECTOR-HEALTH DA i E APPROVED /d DATE REJECTED COMMENTS W�7 5 G��� IS U/V G ZOAJ Al— PUBLIC PUBLIC WORKS - SEWERIWATER CONNECTIONS r DRIVEWAY PERMIT (> FIRS DEPARTfi4tENT DATE RECEIVED BY BUILDING INSPECTOR Revised 9\97 im MA)) Y . 42 - 00 TUE 12 : 04 P 01 N/F HAROLD PARKER STATE FOREST N33"39'19"W 1074.93' 311.15' 51.01 LOT 22 `p� 45,290 S.F. v ��e� 33.2' c� 1.04 AG. - t` vti EXISTING FOUND r TOP FOUNDATION � ELEV=134.53 N 11011 32.5' 00 a 178.5. L=38,80' A=12'42'18" T�z 19.48' con R=175.00' (A. - w 69.99' 1 sT 42' LsG�uc ( $' 43,20' r 6=12"42'18" I7 n' -32.2', T=i 3.92WE ' +n 2(0� THNEREBY PREMISCERTIFY ANDTHAT VVE HAVE SEXAMINED THE STRUCTURE EE LOCATED THIS PLAN IS INTENDED FOR ZONING AS SHOWN. THE STRUCTURE SHOWN CONFORMS PURPOSES ONLY. IT ED PREPARED TO THE ZONING LAWS OF THE MUNICIPALITY FROM EXISTING PLANS AND RECORDS WHEN CONSTRUCTED. ALSO, ACCORDING TO THE F.E.M.A./H.U.D. FLOOD INSURANCE RATE MAP, WITH THE STRUCTURES SHOWN LOCATED COMMUNITY PANEL NO. 250098 009C BY AN INSTRUMENT SURVEY. THIS PLAN DATED 6/2/93 . THE STRUCTURE IS NOT LOCATED SHOULD NOT SE USED FOR PROPERTY IN AN ESTABLISHED 100 YR.FLOOD HAZARD ZONE. LINE DETERMINATION. CERTIFIED FOUNDATION PLAN LUT 2 LYONS WAY MARCHIONDA & ASSOC.,L..P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR 62 MESI TI DEVELOPMENT GROUP 5 d EHAM, MA. 02180 231 SUTTON STREET, SUITE 2F (781) 438-6121 NORTH ANDOVER, MASSACHU$ETTS 01845 SCALE: 1"=40' DATE: 5/02/00 NORTH Town of over O No. & Sor� At T 0 1- L A O dower, Mass., 142 COC MIC ME WICK V ADRATED PPaG�-`y S 4 BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........�... Q N ......... .. .......... ... .. ................................................. Foundation has permission to erect...�t��... .�i�...... buildings on ./ �� Rough to be occupied as...Q P&'N...D ..... a ....o Q V w V411(4Chimney provided that the person accepting this permit shall in every respect conform to the terms o he application on file in Final this office, and to the provisions of the Codes and By-Laws relating to theIns action, Alteration and Construction of Buildings in the Town of North Andover. M 140& 49 �` O PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTIO S T ELECTRICAL INSPECTOR • Rough ........ ............. ........................................................... ................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE - Location r No. 117f Date MORT� TOWN OF NORTH ANDOVER ? 3? � •' O0L F 9 Certificate of Occupancy $ ' �' b''••° ��' Building/Frame/Frame Permit Fee $ �ssACHust 9 Y Foundation Permit Fee $ b D• Other Permit Fee $ TOTAL $ �' ,-- Check # gas Al* 13771 Building Inspector i� TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. / DATE ISSUED. SIGNATURE: Building Commissioner/In or"BuildingsDate Z SECTION 1-SITE INFORMATION o 1.1 Property Address: ,/©-r a 1.2 Assessors Map and Parcel Number: GWz, S �✓a z " ,�3,/i /0 (0.8 60 / Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Me Lot Area(sb Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 5-7 30, 31'?-- .30 ' .6,12 1.7 Water Supply M.G.L.C.40.§54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private ❑ Zone Outside Flood Zone ❑ Municipal On Site Disposal System ❑ --J SEC ION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record lU L L - a. Name(Print) Address for Service e Signature Telephone o 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ License¢Construction Supervisor: License Number Addre;?4, 4,' 7–.5 3cD Zi Expiration Date Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name _ m Registration Number Address z Expiration Date G) Signature Tele hone a rt. SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. ' Signed affidavit Attached Yes.......X No.......❑ ' SECTION 5 Description of Proposed Work check all applicable) `* New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: 4t/1� /Ykz a f att. /750m, L 5V-712MM 9/X/L 6/raw71 IF 4aa j d�k SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee / s 200 Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x (b) 4 Mechanical HVAC i 5 Fire Protection 5 Total (1+2+3+4+5) EE- S~ 34 0 Check Number ,'SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT •I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWN ER/AUTHORIZED AGENT DECLARATION I, '45,4222 as {Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name .3�i � +�'7 /oO Signature of Owner/Agent Date S NO. OF STORIES SIZE t BASEMENT OR SLAB ts�t SIZE OF FLOOR TINMERS 1 s �` 2 ti ! SPAN DIN ENSIONS OF SILLS (v DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS /l" Sfe 'aetaoq HEIGHT OF FOUNDATION /O `/ THICKNESS SIZE OF FOOTING j a I,- X �a MATERIAL OF CHIMNEY Gtr t! Z)10( IS BUILDING ON SOLID OR FILLED LAND 9-az%d IS BUILDING CONNECTED TO NATURAL GAS LINE R 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 CUT THIS S7f-e APPLICANT L l05 l� s ` PHONE i LOCATION: Assessor's Map Number_ /0(031 PARCEL /(00 SUBDIVISION L 2 W LOT (S) _ 2 STREET G s Lv ST. NUMBER �(a OFFICIAL USE ONLY RECOMMENDATIONS OF TONIN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED C) (�DATE REJECTED COMMENTS TOW PLANNER DATE APPROVED ZV DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS d� DRIVEWAY PERMIT , .' FIRS DEPARTMENT J - RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm From:MARCHIONDA&ASSOCIATES,L.P. To:alan Date:4112100 Time:5:17:22 PM Page 1 of 2 ----------------------------------------------------------------------------------------------------------------------------------- AP R — 1 2 - 00 W ED 1 6 00 F' - 1 K � 1 � n 127x0 r 0000 W N x 5x Z M x Q y2 #01o NIP 00 y zA lop Lf) N 4 Z 4 � • , � � � ,ill PROPOSED SITE FLAN LOT 2 LYONS WAY MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNINC CONSVLTANJ PREPARED FOR MESITI DEVELOPMENT GROUP 62 MONTVALE AVE, SUI7E I 31 SUTTON STREET - 5UI7E 2F STONEHAM, MA. 02180 (761) 438-8121 NORTH ANDOVER, MASSACHUSETTS 01845 SCALE: 1"@40' DATF: 4/12/00 I I MAScheck COMPLIANCE REPORT I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 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: 4-13-2000 DATE OF PLANS: March 24, 2000 TITLE: Lincoln PROJECT INFORMATION: Lot 2 Lyons Way Subdivision North Andover, Ma. COMPANY INFORMATION: Lyons Way, LLC / Mesiti Dev. Corp. 231 Sutton Street Suite 2F North Andover, Ma. 01845 COMPLIANCE: PASSES Required UA = 594 Your Home = 591 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1752 30.0 0.0 62 WALLS: Wood Frame, 16" O.C. 2356 11.0 0.0 210 GLAZING: Windows or Doors 542 0.350 190 DOORS 94 0.490 46 FLOORS: Over Unconditioned Space 1752 19.0 0.0 83 HVAC EQUIPMENT: Furnace, 92.0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment elec to heat or cool the building shall be no greater than 1 % o the desig load as specified in Sections 780CMR 1310 .4. Builder/Designer Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Lincoln DATE: 4-13-2000 Bldg. l Dept. 1 Use I I CEILINGS: [ ] I 1. R-30 I Comments/Location I I WALLS: [ l I 1. Wood Frame, 16" O.C., R-11 I Comments/Location I I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.35 I 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: 0.49 I Comments/Location I I FLOORS: [ ] I 1. Over Unconditioned Space, R-19 I Comments/Location I I HVAC EQUIPMENT: [ j I 1. Furnace, 92.0 AFUE or higher I Make and Model Number 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 I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non_vented framed 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 s I and cooling equipment and service water heating equipment must be provided. Insulation R-values, glazing U-values, and heating I equipment efficiency must be clearly marked on the building plans I or specifications. I I DUCT INSULATION: [ ] ( Ducts shall be insulated per Table J4.4.7.1. I 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 I permitted. The HVAC system must provide a means for balancing I air and water systems. I I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual 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: [ ] ( 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: 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 ( ] I 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.) I 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 1 COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 1 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 1 HEATED WATER TEMP (F) : RUNOUTS 0-1" 1 0-1.25" 1.5-2.0" 2.0+" 1 170-180 0.5 1 1.0 1.5 2.0 1 140-160 0.5 1 0.5 1.0 1.5 r_ x TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORKS 384 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 J. William Hmurciak,Director Timothy J. Willett Telephone(978) 685-0950 Staff Engineer Fax(978)688-9573 Additional conditions for lot 2 Lyons Way March 14,2000 This Division agrees to sign the Form U, and issue water and sewer permits,for lot 2 in the Lyons Way Subdivision subject to the following conditions. We agree to sign the Form U for these lots so that the construction of this home can begin at this time. The conditions are as follows. 1. No sewer service shall be installed into either residence until all off site sewer facilities are declared"active"by this Division. These off site sewer facilities include sewer lines and a pump station on Campbell Road, as well as sewer lines and two pump stations on Turnpike Street. At this time, the construction of these items has not been completed. 2. No water service shall be installed into either residence until all off site sewer facilities are approved by this office. Any violation of the above conditions will void both water and sewer connection permits. No refunds will be granted. `l 01SIf 1E?Z111' Mesiti De opment orp Printed Name Date �4, C W Vzl)l J. r 3�lS - p6 Division of l>klicAVorks Printed Na# Date CC:Bill Hmurciak Jim Rand ap FORM J LOT RELEASE The undersigned, being a majority of the Planning Board of the Town Of North Andover, Massachusetts, hereby certify that: a . The requirements for the construction of ways and municipal services called for the Performance Bond or Surety and dated beC , I , 19 yam_ and/or by the Covenant dated Oct. a'� , 19 _ and recorded in District Deeds , Book 5'3 9` Page 60 or registered in Land Registry District as Document No. and noted on Certificate of Title No. in Registration Book Page has been completed/partially completed fto the satisfaction of the Planning Board to adequately serve the enumerated lots shown on Plan entitled LVoA) W4Y �an .or �� 1)efiuifiv Subd►y c�o'VPI ~1 --T,_Jl �MA Section (s) Sheets J- Iq , Plan dated , 19 q_ recorded by the �S b�X Nat' ► Q S+r i Gt Registry of Deeds, Plan Book registered in said Land Registry District, Plan Book or Plan #/3ySa1 , and said lots are hereby released from the restriction as to sale and building specified thereon. Lots designated on said Plan as follows : (Lot Number (s) and street(s) ) ods l a , '� 3 '�y '�, '�� #� yoNs WaV b. (To be attested by a Registered Land Surveyor) I hereby certify that lot number (s) / on t-YO/US WAY V Street (s) do conform to layout as shown on Definitive Plan entitled " L-yNis WRQ y NQA►udavcr MH Section Sheet (s) J -/I/ " 17- 5 4Rei0-tered Land Surve o It IH OF MqS� 01 cyG • a USTEPHEN M. MELESCIUC m 4 No. 39649 1 1 of 2 19, V, ��►�;0 SUPv � C. The Town of North Andover, a municipal corporation situated in the County of Essex, Commonwealth of Massachusetts, acting by its duly organized Planning Board, holder of a Performance Bond or Surety dated 1 19 Covenant dated and/or � 19 from of the City/Town of County, Massachusetts recorded with the District Deeds , Book or registered in Land Registry District as Document Noe and noted on Certificate of Title No. Registration Book, in Page , acknowledges satisfaction of the terms thereof and hereby releases its right, title and interest in the lots designated on said plan as follows: EXECUTED as a sealed instrument this c2/..S� day of ��CFr �� 19 Majority of the Planning Board of the Town of North Andover COMMONWEALTH OF MASSACHUSETTS ss t)LlPn1ka- 2-1, 19 oi�c Then personally appeared one of the above members of the Planning Board of the Town of North Andover, Massachusetts and acknowledged the foregoing instrument to be the free act and deed of said Planning Board, before me. Notary Pu lic M/i, A J5 20DI, My Commission Expires 2 of 2 �a .....ge. �n� Town of North Andover Planning Board r iy This form represents the schedule for allowing the following lots to be considered as eligible for building permits under the Town of North Andover Growth Management by-law Section 8.7 of the Zoning by-law. Pursuant to 8.7 .5 this Development Schedule must be filed in the Registry of Deeds and be referenced on the deed of each of the lots below and be filed with the Planning Board prior to the issuance of any building permit or permit for construction. Name and Address of Applicant for Lots: Name of Development: MPG Req 111y Coc' 11 old 9ost'oN 9 -rew bury, M 176 map and Parcel of Original Lot: >M 4 P 16l0 Q I-at 79. Date of Application for Lots Division: 0-4 19 ' 19 g Lots Covered by this Schedule: Lot-5 l—'j L oNs Wq The Planning Board by their signature below, or a signature of a duly authorized representative, do hereby establish for the above named development the following Development Schedule for the purpose of Section 8.7 of the Growth management By-Law. The applicant, their assignees, successors and or subsequent property owners shall conform to the following schedule that limits the eligibility of the following lots for building permits. This form must be filed in the Registry of Deeds by the property owner or representative and be referenced on each deed for each of the following lots. Such deed reference for the deed of each lot shall at a minimum reference the book and page in which this Development Schedule is filed and contain the language : " This lot is subject to a Development Schedule pursuant to the Town of North Andover Zoning By-Law all owners, representatives, and future purchasers should avail themselves of said restriction by reviewing the approved Development Sc7edule as filed in Book and Page The fact that a lot is eligible for a building permit is subject to the limitation of the number of building permits per year pursuant to section 8.7.2.d of the Zoning By-Law." The Planning Board hereby schedule the lot(s) for the above development as follows: r Year Eligible Number of . Building Office Use Building Office Use Lots Eligible Date: Lot Eligibility Notes Com,n!eWe- Utilized Noy-cf? S 'Tukm a n m x Z O w � o SZ Q 0 4 Signature of Plannin and r o d ed Representative Date Signature f Property Owner or uthorized Representative 214 9`c ( • � Date `r The .Commonwealth of Massachusetts >` Department of Industrial Accidents Office of Investigations Boston, Mass. 02911 �•w �- ,� Workers'Compensation Insurance Affidavit Name Please Print Name: Location: City Phone # F7I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Comoanv name: ?-7 5 Gt/ LG 19-e—S ;,4s Address Citv' A�r> f�?1 �r a /, �/ ' Phone c, Insurance Co. Ua4 /2�,1 �2c!,,jC,e .T1W 5._��_ Policy# AJ W,4 3 ie " civ Comoanv name: Address Citv: Phone#: Insurance Co. Policv# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one years'impnsonment as well as civil penalties in the form of a STOP WORK ORDER and a fine cf($100.00)a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby certify under the rsandpenties of perjury that the information provided above is true and correct. 6�OSignature - Date 3�i Print name / � e -� Phone#�5-7- 5 7( Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensina Building Dept []Check if immediate response is required p Licensing Board r-1 Selectman's Office Contact person: Phone#: Health Department Other 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 property licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: _! u,2Z p sfe _ ��r Yl,.C.�s �c�iC' Ci d. C'orf' %f/��17sVV2 Location of Facility Sijhffrae OYPermit Applicant /oC) Date j NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector t - i n From:MARCHIONDA 8 ASSOCIATES,L.P. To:alan Date:4!12!00 Time:5:17:22 PM Page 1 of 2 ------------------------------------------------------------------------------------------------------------------------------------------ APR — 1 2 - 00 WED 1G .- 00 P _ 01 � r 127X0 c� O T � N N � 3• 17'��� M170 x sx z M f X 1� x I ♦ I w / o It wz U f ..._i Ln pp � PROPOSED SITE PLAN LOT 2 LYONS WAY MARCHIONDA 8c ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSVLTANT� PREPAREO fOR MESITI DEVELOPMENT GROUP 82 MONTVALE AVE, SUITE I STONEHAM, MA. 02180 31 SUTTON STREET - SUI-M 2F (7$1) 436-6121 NORTH ANDOVER, MASSACHUSETTS 01845 SCALE; 1"@40' DATF; 4/12/00 "�-:� ✓lLC �O%Il/YI?.O�ZCI�CCLGGl2 P�a,�QCLCfZL!.IeGU/ ``. DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION.SUPERVISOR LICENSE Number: Expires: Birthdate: CS. 069234- 05109/2000 0510911954 - Restr icted..tdf 00 ALAN G RUSSELL 400 NR IN'ST` G "r GROVELAND, NA 01834 N0- 953 APPLICATION FOR WATER SERVICE CONNECTION North Andover, Mass. 111=ill,k /V 4 Application by the undersigned is hereby made to connect with the town water main in 44&SCS �()1 Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. Street or subdivision lot no. Z / Zr' OwnW Address Contractor Address , j` Applicant's &i eature PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to z J * to make a connection with the water main at /G JL5xG Street subject to the rules and regulations of the Division of Public Works. Board of Public Works By Inspected by v ! Date See back for rules and regulations /moi 1488 APPLICATION FOR SEWER SERVICE CONNECTION //�� 2�b North Andover, Mass. /fir ' _4 119 Application by the undersigned is hereby made to connect with the town sewer main in L Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. 60 L � V/ G�`i Street or subdivision lot no. /ice - C 23 , �c . �v� e 2F Owner Address Contractor Address 17 pplicant's Si ure PERMIT TO CONNECT WITH SEWER MAIN The The Division of Public Works hereby grants permission to b ) 2L L e— to make a connection with the sewer main at Street subject to the rules and regulations of the Division of Public Works.. ivision of Public Works By Inspected by Date See back for rules and regulations T TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 Telephone(508)685-0950 Fax(508)688-9573 Of pORTH 9 SSIEO 6. 0 O A 9 < a q�9TE0 r.?A`y�5 Ac U0 DRIVEWAY PERMIT �I Date: All z�c LOCATION: 60 d 2 BUILDER: phone: OWNER: dd ;d C phone: 7- 5,36� d 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: ORTH own o10 Andover 00 No. N0 ndover, Mass., AK COCHICHEWICK A0RATE D h'9�L SSAC WUS� IT FOR EXCAVATION AND FOUNDATION THIS CERTIFIES THAT {4..��...IP ........��,�.� ` • has permission to excavate and pour foundation at lo...a..........,�..�.... ..4 � s....w ......... for the purpose of../ 0M.JBA7*#34S'h9# &WeApr /,� J� �Pw�/040bc,e. PP .............................................. ........................... 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. S d 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. BLDG. PERMIT FEE$.. Ila re � LESS FDA FEE / S0.,� DUEFRAME PERMIT $ •oo .. 00.. . .................................. .............. ;........... BUILDING INSPEC"TUR AORTH oVVn Of itAndover 0 � ov o 't- L A E o dower, Mass., Ynr? ' G OC MIC ME wIGK A�RATEO S BOARD OF HEALTH PERMIT T . D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........ ..�Y...D.N.S........ .......... ....... . . . .. ........................................... Foundation has permission to erect. buildin son . 4 Y0A* Wp ..................... )aAP2040.. ........ .................1... .............. ............ ...... Rough to be occupied as .A I vAx4 r...5.11.9 do at 1 Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of d0 Buildings in the Town of North Andover. /"/ Q 00 1A O PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. �S3 8� Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI N S Rough ........................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove 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. N2 22-44 Date.......1.. . .7yl Com. � 4 NORTH 1 TOWN OF NORTH ANDOVER o PERMIT FOR WIRING �SSCNuSE� This certifies that ......Q..Ln........ (."s..n..� ..........=-.......5....1A.s.S......... `�..�... has permission to perform ........l...e..�M.p.......S..e. ..v.t.C.p.................... wiring in the building of..... �.P.. ..`..� �........�.J t.. ;. �....... . ............ at d /� a. -.......6.0 C1�l.a.... ..`. rth Andover, s �v L F �"- . .O� .. Lic.No. . .. ............ �.��.. 7,� CTRICAL INSPECTOR WHITE: Applicant CANARY:Building Dept. PINK:Treasurer 7 (OI 'I��TH0FAJ,4S.S4QyL ,'�M Office Use only NPARTMENTOFPUBLICS MY Permit No. BOARD 0FFIREPREYM70NRB9JMT10ANV7(MR12* —' UV4 Occupancy&Fees Checked PPLICA-IONFOR PERMIT TO PERFORMELEC'TRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR I2:00 a 3_ o (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) 66 0&-S Owner or Tenant eVel-A 151\1 , Owner's Address 3 1 .�U7T!/h� T- :5�LrIM- Is this permit in conjunction with a building permit: Yes M No [3---(Check Appropriate Box) Purpose of Building liw J�tYt4 Utility Authorization No.001 Existing Service AmpVolts Overhead UndergroundNo.of Meters New Service lao Amps/ Volts Overhead r--J Underground No.of Meters Number of Feeders and Ampacity r Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above . Below Generators KVA ground ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipala Other Connections ,Y No.of Water Heaters KW No.of No.of SiRnS Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER hrs==Cover Ptsstratbthereytmarraisof u GararalLaws IhaxeaaaatLiabibtyhstratczPblryirtchtdrtgCart le C. AWcrits�amalt YES ©� NO a IhENest. mttedva6dproafafsame Offi=YES M r7 Fjauha%echadmdYES,pi =a�thetypecfw&agebydtadd<tgthe aPP��bcpL INSURANCE BOND F-1 OTFI R r7 ftmSpeafy') Expiatic rDw rti✓� )LL C,*44 ' E=0cdV;aitreafUMft d Wade$ WokoStart 1411X h pe:imD*RaWeWd R # Fiial SignedurdaS%vlhesofperjucy 0A1— � A/'9 / Li =N;a FIRM NAME L m= ZNA/A /e b 0/ieaA.J 77a- MR p� Bwile sTd% Adcie�r •� �X L 7i � 0.347% AIL TdNa 23�-"/S-t: 1 OWNER'S INSURANCEWAIVER,Iamawared art cl-= edo4aot r gdie csuar omaagetx&"stmt legt>nalertasretltrmedbyivfassadrtEMCanalL Nvs aodthatrrrysgrs�iemthispear><.appEcada�vvai�sttus t�art�t. (Please check one) Owner . 1:3 Agent Q Telephone No. PERMIT FEE$ �j 3497 Date.. NpRTN TOWN OF NORTH ANDOVER 3r py 4„t° I.. o .,.;. p PERMIT FOR GAS INSTALLATION �9SSACMUSEt This certifies that . . X,'. .P . . . . . . . . . . . . . . . . . . has permission for gas installation . . . & �.4 . .l�c c�.�. .t.. . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . at North Andover, Mass. Fee. . .:r . Lic. . . . . . . . . . . . . . . ?. . . . . . . GASINSPECTOR � r c WHITE:Applicant CANARY:Building Dept. PINK:Treasurer ti > MASSACHUSETTS UNFORM APPLICATOR FOR P TO DO GAS FITTING T Type or print) Date `Z o a 19 NORTH ANDOVER, MASSACHUSETTS Building Locations [S!'l Z& 3 Permit 9 Amount S Owner's Name �. Newt Renovation ❑ Replacement ❑ Plans Submitted ❑ �+ n w �- Vi C n cn CC) n � rA z C =t Z Z C2 Z F C"+ Z Z. �� %t �' i� n Z t w w z 't SUB-BASENI ENT BASE .M ENT IST. FLOOR 2ND . FLOOR ^ D . FLOOR 4T I1 . FLOOR 5T I1 . FLOOR 6-.` 11 FLOOR 7T It . FLOOR ST 11 . FLOOR (Print or type) �p J Check one: Certificate Installing Company Name � T/L � �V ❑ Corp. Address �— ❑ Partner. Business Teleptlone (o y'Lf���l 3 Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked ves,please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. _ Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts Spqe Gas Code an Chapter 141 of the General Laws. By. Signature of Licensed Plumber Or Gas Fitter Title ❑ Plumber /e7 7 F- CityrTownF7Gas Fitter IcenSeNumoer Nlaster APPROVED(UFFICE USE ONLY) ❑ Journeyman s Date. N2 4 49 9 <NO°T:'�o TOWN OF NORTH ANDOVER I p PERMIT FOR PLUMBING ,-rs Hus� This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . .Aj .c.". . .t-A".«r.--�. . . . . . . . plumbing in the buildings of . . ./.�'1-r7.s': . '''�?�! at . . u/k. G. ! . . .t-�,.�g;/'. . . :' . . . ,.North Andover, Mass. Fee. Lic. No. � . . . . . ? �� J 'a Ff�- . . . . . . . . PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION F PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS G Date Building Location Owners Name Permit-#-1-' Y Amount .3 7 7 Type of Occupancy New Renovation Replacement ri Plans Submitted Yes No FIXTURES w x xCC w a Cn Cn x a s d w x Cn w w a x a F d a w w H SU&B is ]S1v FIlJQt M FIOM �FIOQ2 4IIi FIDQt SIH FIDQt 6M HOCR 7M HIM gIH FI�Qt (Print or type) / Check one: Certificate Installing Company Nameaypl-1, yC P Corp. Address D Partner. Business Telephone Firm/Co. Name ofLicensed Plumber. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 0 Other type of indemnity El Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner F1 Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachus StatePlumbin C e Chap r 142 of the General Laws. By: Signa o icense um er Type ofPlumbing License Title City/Town icense TNumoer Master Journeyman ❑ APPROVED(OFFICE USE ONLY Location No. / Date NaRT� TOWN OF NORTH ANDOVER f s + • + I ; . Certificate of Occupancy $ �' ''''•°''t�' Building/Frame/Frame Permit Fee $ e G� �Ss�cMusE 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # c 13 U ._ 2 Building Inspector MAY - 2 - 00 TUE 12 : 04 P _ 01 N/F HAROLD PARKER STATE FOREST N33"39'19"W 1074.93' 311.15' T 51.0' 50.6' E SLA 45,290 S.F. 33 2, 1.04 AC. - r: EXISTING FOUND r �., TOP FOUNDATION ELEV=134.53 iy 0 32.5' 0 178.5' vi L=38.80' =12'42 18 to T=19.48' W R=175.00' l G, • 69.99' OF AU, � N _ r 0 Q +Mhl* 42' NaL- cluQ r 00 r -- ,� ..,Ott ,��g.2 43,20' J .,,.. -;? n' 32.2 . T=13,92' 1n 7 (oma WE HEREBY CERTIFY THAT WE HAVE EXAMINED THE PREMISES AND THE STRUCTURE IS LOCATED THIS PLAN IS INTENDED FOR ZONING AS SHOWN. THE STRUCTURE SHOWN CONFORMS PURPOSES ONLY. IT WAS PREPARED TO THE ZONING LAWS OF THE MUNICIPALITY FROM EXISTING PLANS AND RECORDS WHEN CONSTRUCTED. ALSO, ACCORDING TO THE WITH THE STRUCTURES SHOWN LOCATED OM UNIT P FLOOD INSURANCE RATE MAP, C BY AN INSTRUMENT SURVEY. THIS PLAN COMMUNITY PANEL NO. 250098 pp9G SHOULD NOT BE USED FOR PROPERTY NA AN ES Age SHED 1100 YR LOOD AZ CTURE IS NOT LOCATED LINE DETERMINATION. CERTIFIED FOUNDATION PLAN LUT 2 LYONS WAY MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR MESI TI DEVELOPMENT GROUP 62 MONTVALE AVE. SUITE I STONEHAM, MA. 02150 231 SUTTON STREET, SUITE 2F (781) 438-6121 NORTH ANDOVER, MASSACHUSETTS 01845 SCALE. 1"=40' DATE: 5/02/00