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Miscellaneous - 615 BOXFORD STREET 4/30/2018 (2)
" r r c G 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance-with the provisions of M.G.L.c.143,§3L,the Permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed "U on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c.166,§32,an electrical permit shall be issued to the person,firm or corporation stated on the permit application.Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall-be limited as to the time of.ongoing construction activity,and may be-deemed_by-the Inspector_of-Wires abandoned.andiavalidifhe—. or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or.tbe installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 24D of the Acts of 2010 and extended by Sections.74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,20 8 and extending through August 15,2012. �CT1En1e —Permit/Date Closed: ZQ —j *'k*Note:Reapply for new perm' ( ❑Permit Extension Act—Permit/Date Closed: Date...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING tssACMUS This certifies that ......................0.4.b..T................ ......................... has permission to perform ..................................z .0........................ wiring in the building of.............. ...C....k.................................... at.....4-1-5.76 ........ .......... .North Andover,Mass. Fee....'174�....... Lic.No. ....116 . . . ........ CTRICAL �T Check # 3-`/6-47 7 0461 l /aS6acIti wafff Official Use Only Lomrrcorcwea�f�o� c� Permit NO.__ L ..CJe�artmenf o�s4re�ervite9 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 U9 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) D ate: l" City or Town of: �h(3�- To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) t/� r 0 s�' Owner'or Tenant �� f4 eOL Ce�C-'��� Tele_Ahone No._ Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No V] (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / VoltsOverhead ElUndgrd❑ No.of Meters New Service Amps / Volts Overhead ❑ 'Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: � al�� t _ Completion of the foliowino table may be waived bathe Inspector of Prires. No,of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans No.of 'Total Transformers KVA _ No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SWimmiing Pool Above ❑ In- �❑ o.of in`ergency Lighting rnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No. of Switches No.of Gas Burners N-(0761 Detection and Initiating Devices _ No.of Ranges No..of Air Con.d. Tot-21 No.of Alerting Devices No.of Waste Disposers Heat Pum I\?trrnber. Tons..,,-... KW No.of Self-Contained P ..... Totals: Detection/Alerting Devices_ No. of Dishwashers Space/Area Heating KW Local❑ Connecction , unie ❑ Other tio _ No.of Dryers Heating Appliances Key Security, stems:* No.of Devices or Equivalent No. of Water No. of No.of Beaters KW Data Wiring: Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications firing: OTHER: No.of Devices or Equivalent i° 3m�(��I . i Attach additional detail if desired,or as required by the Inspector of 6Yires. Estimated Value of Electrical Work: (0 ( , (When required by municipal policy.) Work to Start: inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no 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 [N BOND ❑ OTHER ❑ (Specify:) I certify, under the pains andpenalties ofperjury,-that thein ormation.on this application is true and complete. FIRM NAME: LTC.NO.: L �� licensee: r`t�CL t-Y-, (� (' 4y Signator LIC.NO,: G ni (Ifapplicaole,enter"exempt"in the licensenun:ber�. Bus,TeI.No.: �6'- �s�b� Address: _ r G� �n l rrY1 f. p 1��S, F� O30 , Alt.Tel.No.: *Per lvi.G.L. c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. 00 X5'3 OWNER'S INSURANCE WAIVER:. I am aware that the Licensee does not have the liability insurance,coverage normally required by lavi. By my,signature below,I hereby waive this requirement. I am the(check one)Elowner U owner's aeent. Oviner/Agent Signature Telephone No. 1'ERIVJXT FEE: ?.AaP,EGIS I EKED SYSTEM CONI RAC T OP,,,:_`.; — 'ISSUES HCABOVcLICENS"clU: ;. ,.'.° 'r•'%' ;. , : •T.-SE•CURI7Y S_ERVIrrES•, :.ING:: 9D :;; .:• -s=..t,4RK fA -BP,OPHY< SR ' 'G.pp :;UNIvER�ITY."AVE —.FESTWaoD MA':.o2.o9a-2x1.1.:' r,.. ._ C 07/31/13 h. •.'�'--+d'�-\�'f�\1• r J�t,Jl:/•til. ./ - �:1;15�'. .. '^ - - , r''' - - '\••fold-Tnan 1)"arl\At-g.AG Psr'-md ru Keep top for receipt and change of address notification. DPS•CAt G 351d•te"J3.,1/D�1�G2D09`LICENSEFORM7/�� / / '✓,/!.0•Ln��+oicnmwea.CUl.G��/f�GQ.LiU.Ulf4i21�1 p. �\ DEPARTMENT OF.PUBLIC SAFETY V,' 'f S.-License + N_urnbec'SS CO 000953 Expires:-02107/2013 Tr.no: 195.0 S-License: ADT . MARKA BROPHY.SR 410 UNIVERSITY AVE WfST\NOOD, Iv1A ozo90 DIC SAFE CALL CENTER: IA88)344-7233, j Commissioner I • I . - I I Date. /,? . )— pORT/� T , N OF NORTH ANDOVER F : PERMIT FOR PLUMBING SSACMUS� This certifies that .,1C��!�f/. �. V-.G v�;c i i�1 . . . . . . . . has permission to perform t-. . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . at. . f.}`. . P�0:XF-�`.`1 . . . . . . . . . . . North Andover, Mass. Fee. 3�: . .Lic. No../u?� �. . . h� ?�� . . . . . . . . . / PLUMBING INSPECTOR Check # 4V-5"—9 c 6629 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TODO PLUMB NG (Print or Type) pd4 � `rd /Vo olef- �=;9 Mass. Date 20Permit#_ v MUS� ! ri � J — nom�Y1►ur � Building Location ®xFO�c Owner's Name f Type of Occupancy New ❑ Renovation ❑ Replacement Plans Submitted Yes ❑ No ❑ FEATURES I z U) Z F- U) U7 0 Z W Y J U) Q W H z W W O W w W Q w W � 0 Q U) Q rn O Z Z Z co _ Cc a W (n Y d X ¢ w O � w ¢ Cnn a w o W Z if a ¢ O 1 LU Q HLL ir > Q c=n cn 0 Q Z 0 00 W z Z w � O V Y m cn D O= 1¢— W U- Cal 0 O Q ¢ m O SUB-BSMT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR e _ 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name_�rr [�, Li �� rte"% iT" .L rL1 t r1 heck one: Certificate Address J qS P f�nCo;J tt�j 6,i L;>) C3 , \ orporation S !� � ❑ Partnership Business Telephone '^ ��'2400 ❑ Firm/Co. 11r�, Name of Licensed Plumber 6 r `Lit,V`CJt INSURANCE COV AGE: I have a current _.,AGE: insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes EV No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNERS INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ 1 hereby certify that all of the details and information ve submitted (or en red) in above application are true and accurate to the best of my knowledge and that all plumbing w a d installat ons pert ed under the permit issued for this application will be in compliance with all pertinent provision e M ssachusettts`State mbing Coa'e and Chapter 142 of the General Laws. By ✓ V! Igna re icense um e Title Type of License: Master Journeyman ❑ City/Town License Number " APPROVED OFFICE USE ONLY) 6 111 qq.. Date..... i f NORTH, TOWN OF NORTH ANDOVER e. O PERMIT FOR WIRING 4 i _ • i of �� J ,SSACMUSES This certifies that ............JO /!/.SL�c T. .......................................... has permission to perform ....... .. '`/ k!a� !� ........................... ........... ..... ....... wiring in the building of.......4.1141&.1.........lJ..e4 ..... ....................... at.....�al...��.. �t!.T!a.a.......s.. ............... .North Andover,Mass. 1 ��. . Fee...�S i^ Lic.Nd?.KO... ................... . . .. ......... .... p ELECTRICAL INSPECTOR Check # 7�4 The COmmonweaith of MassachusettsPY��17t' ica Use Only Department of Public Salary�gF `� BOARD OF FIRE PREVENTION REGULATIONS 51?7 CMR -i ;Dad C1-.acicaoveblank) L1CATION FOR pERL[-t��'{nll x'JIA 1OM6Y T o �'^^� •�O1�1F-•+�[fa L=lccm + 1 l C�L WPLt. SE PRINT IN INK OR TYPE ALL INFORMATigN . 27 CnfR t2 pct �^ •* O City or Town oi__ �,� . na unoersignao applas for permit 10 arlor"- al <`-• _ P m ula acwor ulcal k gascribad oolow. ---. . _To the .Oca"On iStreat Numoar)_�--- oR FQ _.__.-- Inspector of WiroS: )wner or Tenant ,� rn fl� �_Z— - - — -- wnar's Aocra„_ t tnis permit in conjun_lion %vitn E.building - Permit no 4 casting of Suitoin5 _ {Check Appropriate Box) _.UtiG1 Aulhorr auan No._ xisting 5a;vica y Amps r --_Vohs Qvarhagd ❑ — aw Service Undgrd ❑ �No. 01 Maters ❑ umoar of Feeoers ane Ampacity Dvornaad El Undgrd No. of Matars� rcat'On ane Naqua of Proposed Electrical Word__ �-of tigntinq Outlets No. of N t Tubs 1• or U ntin Fixturas No. of Transformers TOTAL 'e'f Swlmminy Pool Above In t" or Receptacle grnd.❑grnd Ganara[ors P OutlalS No_ of 011 f3urnars No. of Emergency Lighting KVA Of S„-iten Outlets Baiter Units No. of Gas Burners or Ranges FIRE ALARMS5 No. of Air Conditionars TOTAL NNo. of Zonas TONS o. oI Detection at�d ------ ol Disposals HEAT TOTAL Initiating Devices No. of Pump, TONS TOTAL No. of Sounding Devices -or Disnwashars No. of Saff Contained y-- SpacaiArea Heaun KW Datactioff/Sounding Devices I .Of Dryers Heating Davicas .Of Water Healers NO- of h1•v Local ❑ Municipal ----- KW No. of Connaciion []Other Si ns Ballasts Low Voltage Sit hygro Massage Tuos Wiring No. of tvlotors Total HP -IER: �UP*j�NCE COVERAGE: pursuant to the requirements of Massae husalts General Laws ant Liability Insurance Policy inetudinr soma to tni5 orrice. YES 9 Completed Oparauons Coverage or its subsl lu nava cna tiro YES NO t antial equivalent. YES please inoicata the typa of coverage b• NO tJ 1 heave submitted l 9 ) Chackin 1hz a URANCE BOND ❑ OTHER ❑ (Please Spacii g pproprlate box. "alga Value of Electrical Work $06 06 f 161-6 —'— — I- (Expiralioo Dale) to Start_ E-0 unoar Ina panalt--of p j Inspection Data Raquastad: Rough ar ury: S /"� Final_— Isaay AI ( a N 7�6 - /V Signature40.ess �� — S „ Q- _ - uc. r j n�I(1 r �-/LL /� �� ! Llt . NO. tJ / 5 �/Y PER'S INSURANCE fYA11rER: I am aware that fh2 licensee dons not have the insurance Bus. tel. Nrr-�,� acnusahs uanaral Laws, ane that My signature on This a I”Cation waives this ra uiramant. Owner Alt. Tal. Nt). [x� 9 pp� q t coverage or its substantial aquivalant.as required by ' Agent (Please check one) tsignatura cf"nef or Agent) TalephonQ Nu. �' P (MIT FEE �--�_ N° 2 I / 4 Date.472...-Viz...... NORTI{ "° TOWN OF NORTH ANDOVER PERMIT FOR WIRING �SSACMUS� Thiscertifies that ......'V.�...... t .......... ..e....:........... has permission to erform ....... %..:....?` .. ................................................ wiring in the building of...:ALIJ?...... s .,.a. at-AZ............ ,.,C <- . ,....- ............... ,North Andover,Mass. Fee !Q............. Lic.N .1 �. .�!:_. ......................... r ELECTRICAL INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Rough Service Final 04C Q10M VnWPM1i4 of Mussar4untu Office Use Only Department of Public Safety Permit No. BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 r� Occupancy 6 Fee Checke 3/90 Ileave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE L INFOR N) Dat 0Q City or Town of To the Inspector of Wires) The undersigned.applies for a permit to perform th rical work de cri low. Location (Street b Num r) �JPI_ Owner or Tenant 0 laus Owner's Address " C Is this permit in conjunction with a ff ing per it: Yes No (Check Appropriate Box) Purpose of Building L—, Utility Authorization No. 0491af Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service ,�J1mps /o Volts Overhead E211 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work TOTAL No.of Lighting Outlets No.of Hot.Tubs No.of Transformers KVA A veIn- No.of Lighting Fixtures SwimmingPool rind. ❑ gmd. ❑ Generators KVA No.of Emergency Lighting No. of Receptacle Outlets No.of Oil Burners Battery Units No.of Switch Outlets No.of Gas Burners FIRE ALARMS No. of Zones Total No.of Detection and No.of Ran es 4 No.of Air Conditioners .Tons Initiating Devices Heat Total ota No.of Sounding Devices. No.of Dis sats No. of Pumps Tons KW No.of Self Cai ed No.of Dishwashers Space/Area Heating KW Detecaon5oun g Devices tunicipal No.of D ers ��! Heatin Devices KW Local • Connection F1 Other No.o No.Of Low Vo cage 11No.of Water Heaters KW Signs Ballasts Wiring 74o. Hydro Massage Tubs No.of Motors Total HP OTHER: INSURANCE COVERAGE:Pursuant to quirements of Massachusttes General Laws I have a current Liability Insuran icy including Completed Operations Coverage or its substantial equivalent.YES O❑1 have submitted valid proo of same to this office. YES - O U If you have checked Y p lease indicate the type of coverage by the ppropraatx. ch ki o _ INSURANCE BOND OTHER (Please Specify) 77X ' A � r (Expiration Date) Estimated Value of Electrical Work$ Y. Work to Start Inspection Date Requested: Rough a Final Signed under the peaaldel olfperjury: FIRM NAME 14� LIC. NO. /J—?20, Licensee Al Signal LIC. NO. Address Bus. Tel. No. 7� ` k Alt.Tel. No. �7,f–'PIS `(a/(19 1;�__ OWNER'S INSURANCE WAIVER:I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws,and that my signature on this permit application waives this requirement.Owner Agent (Please check one) Telephone No. PERMIT FEE$ (Signature of Owner or Agent) Date:�,?..� �(J N2 4364 NOR,1y TOWN OF NORTH ANDOVER °fO PERMIT FOR PLUMBING a� s 1SSACNUS� TTT This certifies that` . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of ... . . . . 4 a: at/1. X�'��. !`�!. . :��. . . . . . • • • • ., North`Andover, Mass. Fee. . . . . . .Lic. No.. . . . . . . . ... �..-<l �. . . . :..! PLUMBING INSPECTOR ii WHITE:Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS // n I Q Date Building Location &5 l�0�fe'A 4, Owners Name U 5 5 e ll 4r N Permit# �} /'' Amount Type of Occupancy m l t y s New Renovation Replacement 0 Plans Submitted Yes No FIXTURES H a (n r1r a !~ F H Ow d ow r A A d F d SZBI�VIC BA9EWq lS>C HDQt / � �Il)HIDQt �" 310HIM 4M11" 5I13RaR 6IBIEIOQt 7M)HUM S!H)EIOQt T (Print or type) Check one: Certificate '� c j� Installing Company Name ,JLI�jf EC 17 r� 0 Corp. Address �-7k)bti1 �G p/h ]/-� Partner. Business Telephone ys'a Z.SS—S Firm/Co. Name of Licensed Plumber. :T/-4 M,,e S Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity Bond Insurance Waiver. L the undersigned,have been made aware that the licensee of this application does not,have any one of the above three insurance rgnature 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 Pazoit Issued for this application will be in compliance with all pertinent provisions of the Massac usetts State Plumbin od and 1papter I of a General Laws. n By: T—LWe fature Licensea riuinoezj f Plumbing License Titlettjj City/Town rcense um�rtMaster © Journeyman APPROVED(OFFICE USE ONLY 3573 Date.. .. ................. NORTp TOWN OF NORTH ANDOVER pF4„y' e1�0 3r 16 PERMIT FOR GAS INSTALLATION ♦ • o,,,CCC _ � ♦ ,SSACHUSEt / A— This certifies that . . . . . has permission for gas installation.�'. . . 1 . . . . . . . . . .. . .. . .. . .. . in the buildings of . '::- :: f . . . . . . . .. . . . . .. . .. 4 . . at !� . ::: .. .. . . '�. . . . . . . . . . . .. North Andover, Mass. Fee. -4... tic. (j GAS INSPECTOR J WHITE:Applicant CANARY:Building Dept. PINK:Treasurer 1 � MASSA 1 APP TON FOR PERMIT TO DO GAS FITTING PARCEL ype or print) D to egg--1,5 NORTH ANDD Building Locations �'� �>< r� Permit# Amount S 33�'r�j Owner's Name �U S New Renovation ❑ Replacement ❑ Plans Submitted ❑ J2 G y n CJ Z C Z C Z Z Z y r vl L n Z ;' Z Z t W =t n - Z C t W ^ C W Z C C W _. C W L i L v i sus-BASEMENT BASEMENT IST. FLOOR 2N D. FLOG R 3RD. FLOOR frit . FLOOR ST It . FLOUR 6T It . FLOOR 7T II . FLOOR ST it . FLOOR (Print or type ��p� Check one: Certificate Installing Company Name LN, �' l ❑ Corp. Address Parmer. .LoW-2 �� Business Telephone S �-SS`S ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter t-j yN 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 Is ed for this application will be in compliance with all pertinent provisions of the Massachusetts tate Gas Code and Cha ter I loft e General gaws. By: Signa icensed Plumber r Gas Fitter Tide . lumber l�,57 CiryiTuwn ❑ Gas Fitter tcense Ivumoer ( taster APPROVED(OFFICF(AEO)NLY) ❑ Journeyman Location /,y � #6/s Aa�,riRCi � No. / �J — Date a /5 NORTh TOWN OF NORTH ANDOVER O � R i a Certificate of Occupancy $ S CRUS t� Building/Frame Permit Fee $ Foundation Permit Fee $ O d� Other Permit Fee $ TOTAL $ Check # i 3 5 3 8 � Building Inspector P 12MI NO. APPLICATION FOR PERMIT TO BUILD********NORI 11 ANDOVER MA -' M1.u'\'Id o S c" LOT No. 7 2. RECORD Or OWNERSIIIII DATE(_ BOOK t'w PACE ZONE2P5 SIIB DM LOTNO. t,,' 1 Sam( � LOCATION PURPOSEOFULDINc u ) �10 + cePAbcy/ pxFb `mJ_ Pe�r►i O\\NI.R'S NAME 1ZF.A c-d LLC. rz-SC�e(( /F,-4 P,-zl�) NO.OF STORIES a SIZE 3���raGr y OI\'N I:R'S:\UDlil':SS G ( ve?s�_O(Q, /�/-IR BASE�IE�•T Oa s1 All :\It('lll'1'EC'I'S N:\MI1•: SIZE OF FLOOR TINIBERS 1 t 2 ° a' /d`� 3u I1uILDER'S NANIE: �/ S Se<3/ SPAN .3 r DIS-1'ANCETO NF.ARESTBUILDWG / DIMENSIONSOFSB.LS DISTANCk:PRONI SI'REF:T /'G r DIMENSIONS OF POSTS DISTANCE FROM LOT LINES-SIDES361/- REAR 3 DIMENSIONS OF GIRDERS AHLAOFLOT C FRONTAGE /a5r ✓nrz�,q ci _d IIEIGIITOFFOUNDATION �(� n THICKNESSlG ' IS BUILDING NE\\' P SIZE OF FOOTING /91" >e a n IS 13 l3D.DINGADMIION MATERIALOFCIININEY D t✓L,�Si/1 IS BUILDING ALITRA" ION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER /v 0 BOARD OFAPPEALS ACTION, IF ANN' Q� ✓f1?,JLuCie &vZAr--f< 7 Fi IS BU ILD ING CONNECTED TO TOWN SEWER (_JO IS BUILDING CONNECTED TO NATURAL GAS LINE p.O INJ Ll C"TIONS 3. PROPEIYFY INFORNIATION LAND COST 0'/30 a-v ^� a -1- OO EST. BLDG,.COST ova PAGE I r1I.LOIUsrC"FIONS 1-3 m`''"' Z• Lo , c EST.BLDG.COSTPER SQ. FT. �po C>Ccup 4'v c', c'A v� EST. BLDG.COST PER Room . d-;-v J EL.EC'1'ltIC NIE'1'ERS MUST BE ON OUTSIDE OF BUILDING (q N L� SEPTIC PERMIT NO. A'1_1'ACIII'D GARAGES NIIISF CONFORM TO STATE FIRE REGULATIONS ✓G 4. APPROVED BY: �f PLANSMUST BE I'll ED AND APPROVED BY BUILDING INSPECTOR BUILDING INSPECTOR DATE FILED _ OWNERS TEI.#:� `l?Err 37 a. a 9L O _ — CONTR.TEL'V /c/� C Sad �/y62 ' -7S-qS NJ v CONTR.CIC# SIC;NATIIRE OP OWNER OR AIITIIORIZED ACEN " rnouT GRANTED 19 Revised 5/5/99 JN-1 s Location No. i . Date ,40RT" TOWN OF NORTH ANDOVER 10. 9 Certificate of Occupancy $ �'s''••°•'�sn Building/Frame Permit Fee $ S�C14USE Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # 0 y 14 �`, Building Inspector/ i .. TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING r .r.1W Smfiw for Ot ficial USC'�RI .. BUILDING PERMIT NUMBER. DATE ISSUED: _ rn SIGNATURE: Building Corturtissioner/IE!Rectof of Buildings Date Z SECTION I-SITE INFORMATION 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zonin District Proposed Use Lot Area(so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided v 1.7 Water Supply M.G.I-C.40.§54) Z1.3. Flood Zone Information: 1.8 Sewerage Disposal System: D Public ❑ Private 0 Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSH WIAUTHORIZED AGENT M 2.1 Owner of Record i ai--/+ ArV.e-tVA QLfr IiarQ S� IUo 4f-so�� VQ,� Name(Print) Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O Z St nature Telephone M SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: / Not Applicable ❑ Licensed Construction Supervisor: d �� (O r O tf ,,// ^� License Number o ? T U Pau 4"1 FP ST /` o AV d✓� Mn Address` M X79 682 93&0 XT ao E Signature Telephone Expiration Date _ t— 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name / 006 oL Registration Number Addressq / / r jgaK Expi tzar on Date Z ai�¢nature Telephone G) 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 y in the denial of the issuance of the builoitfg permiP.A + Signed affidavit Attached Yes.......ff No.......0 SECTION 5 Description of Proposed Work(check all applicable) New Construction ❑ Existing Building,* Repair(s) ❑ Alterations(s) Addition ❑ AccessoryBldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: -borm ar fit- fieA, e w, S; "P 4't w 4 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building 0 (a) Building Permit Fee a S�c i Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X tb1 4 Mechanical(HVAC) 5 Fire Protection / 6 Total 1+2+3+4+$ Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner/Autliorized 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 property 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 Print Name ' Si nature of Owner/A Fent Date NO.OF STORIES SIZE BASEMENT OR SLAB S17-F OF FLOORTIMBERS IST2 3 SPAN RD DIMENSIONS OF SN1S DIMENSIONS 01,POSTS DIIviENSIONS OF GIRDERS IIEIGIIT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF Cl UN NEY IS BUILDING ON SOLID OR FILLED LAND, IS 13UILDING CONNECTED TO NATURAL GAS LINE j'lJlil►1 V f-JV 1 1\.{.JJUJ A"A.J 1-V1U./l INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained.This.does not relieve the ' applicant and or landowner from compliance with any applicable requirements. VA �' rr■r.■rarr■rrrr■■r■■rrr■rrr■rrrrrrr■■ APPLICANT !�" Al � PHONE _ ASSESSORS MAP NUMBER �a —LOT NUMBER 0 I i SUBDIVISION LOT NUMBER STREET �O t STREET NUMBER (0 l ��rrrr■■■r■ rr■rrrr■ ■rrrrrrrrr r■r■■rr■�rru■r■rrr■■��r./'r-Ig3■-.�•��■asrrrnow`r OFFICIAL USE ONLY . 1■■■■■■■■■■■.r■r■r■■■rr■r 0.020■7■■r r r■■■■r■■■■■■r■■rr■ ■ ■r■■rs■■rr■rr • r iA•,-� RECOADAENDATIONS OF TOWN AGENTS Irr■■■r■■rr■■rrrrrrrrrrrrrrrrr■rs■■■■r■■■rrr■■■rr■rrrrr■rrrrrrL■■■■■rrrrrrr■ i DATE APPROVED CONSER VATION AI)NUNISTRATOR i DATE REJECTED COMMENTS DATE APPROVED TOWNPLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED. sE4J'nC SPF5 TOR-HEALTH DATE REJECTED comNENTS ;v f v-� _1WOA C3 1� PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIIZE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE ACORDw CERTIFICATE OF LIABILITY INSURANCE 0DATE(MMIDDIYY) 3/29/2001 PRODUCER (781)246-2677 FAX (781)224-0973 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Tarpey Insurance Group Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 442 Water St ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 567 Wakefield, MA 01880-4667 INSURERS AFFORDING COVERAGE INSURED Colonial Development Corp dba William Barrett INSURERA: Great American Ins Co Homes, 1049 Realty Trust, Barrett Development INSURERB: Safety Insurance Co 1049 Turnpike Road INSURER C: Zurich Insurance Company N. Andover, MA 01845 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE(MMfDDIYYI DATE MMIDDIYV LIMITS GENERAL LIABILITY PAC1812522 03/23/2001 .03/23/2002 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 50,000 CLAIMS MADE F—xl OCCUR MED EXP(Any one person) $ 10,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY JEPRCT O- LDC y. AUTOMOBILE LIABILITY 1900226 03/23/2001 03/23/2002 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) B X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) 0 PROPERTY DAMAGE $ (Per accident) 0 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TC095837697 03/24/2001 03/24/2002 TORY LIMITS OER C EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 100,000 E.L.DISEASE-EA EMPLOYE $ 100,000 E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS OR WORK AT 615 BOXFORD DRIVE CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, PETER & MARGARET VANCLEEF BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 615 BOXFORD DRIVE OF ANY KIND UPON THE COMPAN ,1`YS AGENTS OR REPRESENTATIVES. N. ANDOVER, MA 01845 AUTHORIZEDREPRESENTATIVE Dawn Abramovich LGU� ACORD 25-S(7/97) ©ACORD CORPORATION 1988 �' t^� BOARD OF,aBUItbING f EGU�`710NS t�cense ION$ CONSTRUCTUR.ERVISOR' _ Numtier'' C& 68316'1 Birthdate 11114J194t i1H4120Q7 Tr.no* 9870 sRencte Tbs 00 t _t' CI-�p,RLES J PIS�AT<;-��f Mw' Y;FIASH RD ���"`�--t''�� administrator f Nd READING, ;MA 0864 Al � Af 16" W0F F MINI 5c,&� 8" - P-C NORTH TONIM' of dover No. a 3 ' COCH,C10 dower, Mass., RAT E 0 S 77 H G BOARD OF HEALTH PERMIT T D I Food/Kitchen Septic System � ��N � � BUILDING INSPECTOR THIS CERTIFIES THAT.....................................1�.1./�..... Vrd�...... ` ,l ..................... -...........I.............................. ... Foundation has permission to erect..................... ............ buildings on ........ ..-�...S ..... *.90ra(.......S Rough r/ r..�.r.�......in..N......��W ��� Chimney to be occupied as.................... ...!�.......... .. . ....................................................... 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 Buildings in the Town of North Andover. M ' m s C. P ��a0 � PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. 7Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR e Rough 11!!!:� ............. ... tA ....... ............................. 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"` r— q �' Jwy; � � t G '4 ..� .r e. r�' xr m „ >,., t . a }} �, ��' t Vy :fie i t y .<. .� . - _. t Y.7t n r .i , _!* .. p - _ k - " " e { - k. - - P i` W - 4' h . i( ' f`' fie: ,, ,. y"i'.. I - F f•E 'tU xit V ' .` 't j� 'k I �'' 1 4-F I V Y n: 1( t s q M M '.. .� ✓ t .j Imo` ,I - . f .Y v yl, �` �, F ^ $ gyp' y 1^ T w. ... I ":;ll 1-� tr 1 ' F d �,. I . I . .. I —Tvo.. , ,����-. . � ��' . •r ?x Y ,s . fir: „6 . #FY " - 4f � • �£? h t ,�.(({t - ^` . ,Y _ SS M i� ice^ fit; ii �� yy o 6d,7 . - d..: 1. 0 .: x ,, + :- .. .. `,��.. r YIN" p} `, . I , " ill�f -, � 1777: y F k � E y —" 4 ? i t -- - :P�� ,' .. - - PFI2MIT NO. �� APPLICATION FOR PERMIT TO BUILD:*******NORTH ANDOVER, MA MAI ;o. OS LOT NO. � /2.'RscoRD('40+PS11III DATE{--) ,oj BOOK ��Usy PAGE -757s ZONE(ze.5 Still DIV.LOTNO. (Isbal �`-r�� A LOCATION /� oxFv 5`- PURPOSE OF BUILDING 5/ c-i2 (-�R h,(y Qr (lr,•o, O\\'NER'SNAME �6!>G"Ac-6 L�� �� S>C7C( �, ��r(Qn,.ir) NO.OF STORIES `a SIZE 36'�,,J(�r - - o\\N1:RSADnlless G ( (2;✓eas'rde ,4-r/ DASE�IE\T OR SEAR� (r�verc(�r�( G�lfi�Qi'►ei�/(— p ARCHITECT'S NANllt Sr „r�(C3. . 2xn �, /6<< 3 a`r X O r . SIZE OF FLOOR TIMBERS 1 BUILDER'S NAME Z 5��(( � .A SPAN 3 r DISTANCE TO NFiAREST BUILDING 160 l DIMENSIONS OF SILLS DISTANCE FROM STREET (00, (l DIMENSIONS OF POSTS17"// rr DISTANCE FRONT 1.01'LINES-S1DES3Qt H REAR { DINIENSIONS OF GIRDERS lU/• �a tr AREA OF 1,01' FRONTAGE r ❑EIGIFr OF FOUNDATION Z h THICKNESS lG IS BUILDING NEW SIZE OF FOOTING / •.�� r` a IS BUILDINGADDI'FION NIATERIALOFCII IMNEIY IS BUILDING.ALTERATION IS BUILDING ON SOI-11)OR FILLED LAND VV'ILI,BUILDING CONFORM TO REQUIII EN1ENTS OF CODE IS RUILD ING CONNECTED TO TOWN WATER A-1.5 BOARD OF APPEALS ACTION, IFANN' Q�, i//IIZy � (y8tq� 7 / Scl IS13UR_nINGCONN ECrEDTOTOWN SEWEIt t-JO IS BUILDING CONNECTED TO NATURAL,GAS LINE N v INS'TUCTIONS 3. PROPERTY INFORMATION LAND COST (3el, - -- - o"Z(o (00 ® 6,s-o EST. BLDG.COST PACF 1 FILLOUTSECr1ONS 1-3 / ♦ EST.BI.DG.COST PER SQ. FT. �O/o L &10 EST. BLDG.COST PER 110011t. 941V ELECTRIC M E rERS MUST BE ON OIl'rs1DE OF BUILDING 5 cl C `rb h) SEPTIC PERMIT NO. A'I'TACI UED GARAGES NI UST CONFORM TO STATE FIRE REGULATIONS ! ' / ! 11 (S 4. APPROVED BY: i V,,� ,p PLANS,HIST 11E FILED.AND APPROVED 13Y BUILDING INSPECTOR BUILDING INSPECTOR DATE.FILED OWNERS TEI.# 1 CONTR."CEI"# GV-f'rCA�ak V CONTR.LIC SIGNATURE OF OR'NER OR AUTHORIZED AGEN " II.LC.# Pf.L $ ` �. PERNUTGRANTEn Ic?,J I 1_11) I J L 19 G�t� J --- Revised 5"/5/99 JNI FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT (2rA Gd L L-G PHONEq-71j- 7,)- ;9 707 LOCATION: Assessor's Map Number d S PARCEL 10-SC- SUBDIVISION 0SeSUBDIVISION LOT (S)_- STREET Q V- F�14 S ST. NUMBER ************* *************************OFFICIAL USE ONLY* **************** ** ********** RECO ENDATIONS OF TOWN AGENTS: I CONS RVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS / h(�1 t.� (�--- ' I(J� Q I06 ' P_,,It.QA OWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECT AIEALTH DATE APPROVED DATE REJECTED SE�PT1` TOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT PERMIT / c FIRE DEPARTMENT ,e� RECEIVED BY BUILDING INSPECTOR DATE ,Revised 9197 jm Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of,North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested'below. Name of Applicant an building Permit(below) Address of Property for Permit(below) ,2u 15 e-If r% r9 ti end fish- c6 GLS 6(S �6xt --rtJ 5 /Uo . A-du✓�c M� Map and Parcel :told 7 Purpose of Application (check below) PC. e Number a a�p9 ficant CZ Single Family _Two Family 1 the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement,restoration,or reconstruction of a dwelling in existence as of the effective date of this by-law,provided that no additional residential unit is created. The lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and/or moderate income families or individuals,where all of the conditions of 8.7.6.care met and/er represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section"senior"shall mean persons over the age of 55. ,I This application is a part of a development project which voluntarily agreed to a minimum 401,16 permanent Fe—duction in density,(buildable lots),below the density,(buildable lots),permitted under zoning and feasible given the ' environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland.The land to be preserved shall be protected from develcoment by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism approved by the Planning Board that will ensure its protection. X This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel an the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the p real. This application represents a lot which is ready for building permits,(i.e.all other permits from all other boards and commissions have been received and the project is in compfiance with those permits),and the Development Schedule does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination" that your application is allowed one ore of the above EXEMPTIONS. By signin e w I atte the a ur of the information provided and that the attached building permit is allow an EMPTI ab ve. Further I understand that the submittal of misleading and or ina uratenformati o ing off of an above item which does not comply,whether done to my k or not,i o f sal by the Buildi�,g Department to issue a Building Permit. /4-V ! ignature of wner r ut onzed Agent who sig d the Attached Budding Permit Oat This form must be ttached to the Building Pe it upon application for such permit u a The Commonwealth of Massachusetts d Department of Industrial Accidents Office of Investigations_ . Boston, Mass. 02111 '�•b She Workers'Compensation Insurance Affidavit Name Please Print Name: Location: City Phone # F7 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity ��l m an employer providing workers' compensation for my employees working on this job. Company name Address Citv: Phone#: . InsurancePolicy# utaa�;--Fr Company name: i Address City- Phone#: Insurance Co. - Polio 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$1,500.00 and/or one years'imprisonment as well.as civil penalties in the form.of.a STOP WORK ORDER.and a fine of(.$100.0o).aday against me. I understand that a copy of this statement may be fo ded to th of Investigations of the DIA for coverage verification. I do hereby c u pains and pe s information provided above is true and correct. Signatu Date 1a Print name tJ�� / ° Phone# Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing ❑ Building Dept ❑Check if immediate response is required ❑ Licensing Board ❑ Selectman's Office Contact person. Phone#: ❑ Health Department ❑ Other I I . MAScheck COMPLIANCE REPORT Massachusetts Energy Code I Permit # MAScheck Software Version 2 . 01 Release 2 Checked by/Date CITY: North Andover STATE : Massachusetts HDD, 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE : Other (Non-Electric Resistance) DATE : 12-3-1999 DATE OF PLANS : 12/3/99 TITLE : 615 Boxford Road North Andover PROJECT INFORMATION: Single Family 36X26 , 36X28 2ND COMPANY INFORMATION: RFACO LLC 621 Riverside ave Haverhill ma . 01830 NOTES : Birchwood model 36x26 36x28 COMPLIANCE : PASSES Required UA = 398 Your Home = 371 Area or Cavity Cont . Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------ CEILINGS 1008 0 . 0 30 , 0 31 WALLS : Wood Frame, 16" O.C. 1837 0 . 0 11 . 0 187 GLAZING: Windows or Doors 247 0 . 390 96 DOORS 38 0 . 270 10 DOORS 19 0 . 350 7 FLOORS : Over Unconditioned Space 936 0 . 0 19 . 0 40 HVAC EQUIPMENT: Furnace, 92 . 0 AFUE ----------------- ---- --- ---------------------------------------------- 103 ---------------------------------------------/03 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 equipmen selec to heat or cool the building shall be no greater t n 1251 th s gn load as specified in Sections 780CMR 131 an J4 . 4 , Builder/Designer Date `' � r t 14 i ,•r s Ata[. f .,: z - a la srF :..5 JCr] n�{= tl i#to+kr - +..° 'J4 y i7 E a 1 ry.F .. , ,'.•. ' - .. }.... .^�, ar..5,. 5:: .:s{, ��?'S`�F.�% tlj1 r.'l�T:s�sr�. ,�c7 - __. "t" s_. ; �{�,�,[,.*g.�,Ftc i � �. r` A •a 1,.�pz {... �', , .v•vA.,�.j..4,*_�:.1,.y.:.:......;i,.-,;1:rmf,7.rm,.a.......,.,.:�.eg.k.r..-».' .,'u;d-rt'y.=_._.1.....tw:..r.-..,,�=...�.:r�.�..y.r..,J1'..,g,.+..,.:..v..',,:.n..,s,:s�.t`�ti.te±._..,$,,.>,,....:.',..».,�,�'i.e..i...,......a�_„.X.,,..f��,...-:�,,K�...r,:.1,d,t t!•:-',*F�,f'r�,�,�.:-�,..,.4�3r,#rdF,..•1;��lI af.i.�;��r,.r�..:,.,,«rk..,:r.=:,a+nf r,tl..}.,-..wr,:esi-r:,-'y.,.:.,,cx S;y�_�P,vx.J�+,.�i.•.{yy...;t.;:�,¢¢.”++-... +o&'^G+itl.AL-Y,.....E...,I',1.`o-.,;7.1N,»,x h r�,i�,ik)}..'',fR�.�.,.e.y!.t�,1,,>•�.."Y,=Ftll.1�Fv`..r.,er.?,ci,._..v�r':ly:,.�t.a>�s'.-,t.S'rh�:.:�•.e"„,y:t)II.y.�rr.'yS*ey'K;'.'a-.�zTfi lw.ra a��t.,a �5..c}"�.i..�rfrl�i.-tt, �+[}J�I-yir.,�si 1/,.�e„:7,�.�sj".:,��''y._..r.F•'s,..''1..`rd ti...".{t A,�,��iA<j��t{.i,+ It 197 te ti-Xk tl r� r ,�; J, s *Ja.':..",;,>th' • lr �•"A s,✓.xv,� tjy:,irt ;g.'•'� m io�� t 1srF a� x 3693� 6g 6 d 8 �/D a N FJ a ° x 3 )o08 6s a 4To A 616 a Lt13 L o 3 Rmm m 1 t s, s a-o m1ss«� ' MO RT}I 1 d J3iUr.laid r "` ""' -a .i Q i G Y i i' .. •. i i _�1✓icrU.T "'s�cru5=1{y SORT ! ,:1.; 0(}`JE.. ...::C: rtc TOWN OF NORTH ANCOVER r 9 r Q JUL Z 1 1 J Q °� MASSACHUSF_ S EOAFRD OF AFF-=,AL5 Any appeal shall be tiled within(20)days after the date of filing of this notice NOTICE OF DECISION in the office of the Town Clerk. Property at: 595 Boxford St. NAME: Walter A. &Virginia Wilscn DATE:7115199 ADDRESS: 595 Boxford St. PETITION:017-99 �2 North Andover, MA 01845 HEARING:6122199&7113199 The Board of Appeals held a regular meeting on Tuesday evening, July 13, 1999 upon the application of Walter A. & Virginia Wilson, 595 Boxford St., North Andover, requesting a Variance from the requirements of Section 7, P7.1.1 &7.2 for relief of Contiguous Buildable Area and for relief of street frontage of Table 2, to change lot lines to permit the sale of proposed new lot 2A having the required area but lacking 75%CSA required by new zoning bylaw. Remaining land consisting of 9.70 acres with existing home thereon also needs a variance for CSA requirement. The property is in the R-1 Zoning District. The hearing was advertised in the Lawrence Tribune on 5125199&611199 and all abutters were notified by regular mail. trPEv sa.a 9�P�+!•��s The following members were present:William J. Sullivan, Raymond Vivenzic, Robert Ford, John Pallone. Upon a motion made by Raymond Vivenzio and 2"°by John Pallone, the Board voted to GRANT a Variance from section 7, P7.1.1 &7.2 for relief of CBA of 55%for Lot KA,and relief of CBA of 51%for Lot n3B this relief is required due to soil, shape and topography(surrounding wetlands), and also relief of street frontage of 25'in accordance with the Plan of Land submitted by: Merrimack Engineering Service, Jeffrey S Hofmann, P.L.S.,#36381, dated:7112199. EueR_Mz *te, Voting in favor. William J. Sullivan, Raymond Vivenzio, Robert Ford, John Pallone. 10.4 Variances and Appeals The Zoning Board of Appeals shall have power upon appeal to cg2nt variances from the terms of this Zoning Bylaw where the Board finds.hat owing to circumstances relating to soil conditions,shape,or typography of the land or structure and especially affecting such land or structures but not affecting generally the 7cning district in general,a literal enforcement of the provisions of this Bylaw will involve substantial hardship,financial or otherwise,to the petitioner or applicant, and that desirable relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of this Bylaw. Note: The granting of the Variance and/or Special Permit as requested by the appiicant does not necessarily ensure the granting of a Building Permit as the applicant must abide by all applicable local,state and federal and building codes and regulations,prior to the issuance of'abuilding permit as requested by the Building Commission. / By order of the Zoning Board of Appeals AI William J. 'Sullivan, Chairman ml/1999decision/25 'r_7 ESSEX tt!oR7"H R_rl^i Pvo,., DEPDS LAWRENCE. MIAS�71 _ry A TRUE,: COPY ATTEST REGISTER OF DEED NORTH Town of 4Andover O 9 _ 4. �O ;--. - LA lover, Mass., COCHICHEWICK ADRATED P'?�G,(t� S ` ` BOARD OF HEALTH PERM= = IT T D Food/Kitchen Septic System �.......... THIS CERTIFIES THAT......A... ...... BUILDING INSPECTOR C �..�.. .............................................................................. ..... Foundation has permission to erect.............. .......... ........... buildings on ,. O� O �...........�..�.....................�.�.��.................. Rough to be occupied as..�... 0 '1.... ..�'! .. ......4��. 4 FAP" p/�� 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 Buildings in the Town of North Andover.Z 8 A DIC 6 01f) ,0141 Poe { r) 5.0 C 3 A ♦ PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. ( 40.5 & Froy'ha, & Rough S G PERMIT EXPIRES IN 6 MONTHS Final PUNLESS CONSTRUCTI AR ELECTRICAL INSPECTOR fw lb Rough ........... .. ............................................................................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Q Burner BLDG. PERMY[ FEE I V �� Street No. SEE REVERSE SIDE LESS FDA FEE__ •!_: Smoke Det. �_ DUE FRAME PERMIT � oven o � � o"" Andover No. *y _ = o ndover, Mass., pZ q q T O LAKE COC HICHEWICK A0RAT E O F P�,C,�S SSAC HUSE IT , FOR EXCAVATION AND FOUNDATION THISCERTIFIES THAT ...R..,FA.....0 ...../. 4a..0......................................a........... .......... ... 05 Co has permission to excavate and pour foundat on at . n0 .. .. 6.�s.... o �.!" ,,,, +,� Mhh �j .. 1 for the ur ose of........1....Rpom....0 /0? FA M1�1 1``'� p P P ............. ......... .....: .'.........................---- 7................ ...... O The person accepting this permit must return to the office of the Building Inspector a certified plot plan show Als1• of building thereon before Foundation will be inspected. P t 1` 2 13 A Dag# C0/07. 01dy Rel�o� o E C t3 � + bt. R�►o+�'te,s. Nltjr# &16 i/moi !' < <f1s1A Qs 1 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. PEI WIT FEE$ a G • • LESS FDR FEc.r /' • ................ .............. ................ DUE FRAME PERMIT $ T ..... � BUILDING INSPECTOR N F CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number q� Date THIS�CERTIFIES THAT THE BUILDING LOCATED ON �oJ 9 MAY BE OCCUPIED AS .311e-–7:Aix 11 )6PS( J'e-,U c-P - IINACCORDANCE 7 R(c— a— Z?'Z ,3 A7-/, - / a WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. , '", CERTIFICATE ISSUED TO ADDRESS �a/ vrr'si�r ��. �gliP2ho/� CKU'S Building Inspector I t r NORT►y Town ,of Andover tv% 9✓� - _ T cc%O '- - LA dover, Mass., a is" q COCHICHEWICK V %d ADRATEDD S BOARD OF HEALTH Food/Kitchen Septic SystemIJERMIT T v .r THIS CERTIFIES THAT......� ...�..... ...... ...............�..�..�........................................................................,..... ...... BUIL ING INSPECTOR Foundation IqA� has permission to erect..............i...................... buildings on.. ..�..�# .,.... r ,�p,X 'O rs ,s� Rough c�-�- 1 r to be occupied as.. ...RO ....� ���� .. �i I"A/g11 �O Chimney ........ .................................. .................. r. y provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Fina t o"I" office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of v` Buildings in the Town of North Andover.2 80 D9 G * 0141 a*1, Pet. < r) 510 C 3 A PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. < Firsoj+44 a Rough ` F� ,GfJ 0,5 C PERMIT' EXPIRES IN 6 MONTHS OX /' ELECTRICAL INSPECTOR F1 UNLESS CONSTRUCTI . S AR Rough 19._ ........... .. ............................................................................................. Service BUILDING INSPECTOR QE01 Yi/_w K4 Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner BLDG. FE?Ce P FEE��� �� Street No. LESS FDR F[-'C- Smoke Det. SEE REVERSE SIDE DUE FRAME PERMIT Town of North Andover 0 NoRTF# t`eO , Building Department �? g°i. �6` o Z. 27 Charles Street o North Andover,Massachusetts 01845 (978)688-9545 Fax(978)688-9542 *V qA coc+cewKe`�• •� VSACHU`�E��y APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS -�' ��L/ LOT NUMBER SUBDIVISION v �� DATE REQUEST FILED DATE READY FOR INSPECTION FIVE(5) DAYS NOTICE PRIOR O CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INS I FEE 0 WENTY- VE ($25.)DOLLARS WILL BE CHARGED IF _$ CTUREr' OT T ALL APPLICABLE CODES. SIGNAT OFFICIAL USE ONLY ROUTING CONSERVATIO DATE 6 ZP 2 d D� 1 PLANNING ATE f�7 D.P.W. —WATER METER ,t/ DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE IN ECTION REQUEST DATE. SIGN TURF/ W AUTHORIZATION