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Miscellaneous - 75 STERLING LANE 4/30/2018
Date N2 4267 -N I ",` —' :-14,o TOWN OF NORTH ANDOVER ° PERMIT FOR PLUMBING This certifies that ..,..f!!%. !� ...... '`'� `.;�..... • . has permission to perform .....? . ` t �f `� " t . • . • ... plumbinginthe buildings of ( .......... at./ .! . �.. .7A ....5����//: S.. �>� l... `North Andover, Mass. Fee. 3-J. .2 . Lic. No. ....... l PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Tel: 978-688-9545 Fax: 978-688-9542 COMPLAINT FOR INVESTIGATION DATE: FROM: ADDRESS: Complaint Against: ELECTRICAL: PLUMBING: GAS: BUILDING CONTRACTOR: BUILDING CONTRACTOR: PROPERTY OWNER: OTHER: G a�5 Complaint form 4.03 Tel #: 3,) -?-- MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT DO PLUMBING lPtint a Typal /(/ _/�Tc�.r�cs.9�/Z —miss. Date - Permit tt Building Loudon aI� r 5 7 5 Owner's Name- LA/ ameLA _ Type of Occupancy S L&d=2 t° New ( Renovation ❑ Replacement ❑ Plans Submitted: Yes O No (] FIXTURES Installing Company Name %Ll d,- 4d Lc�_ Check one: Certificate Address . P t9 8 e X 7 f y ❑ Corporation n V rte r ec� xt Q ❑ Partnership Business Telephone 9.4` '7 - /y 5 '7 '-�Flrm/Co. Name of Ucensed Plumber XI L � rr e. f /Mat ✓C a rc X INSURANCE COVERAGE: I have a current liability Insurance policy or Its substantW equivalent which meets the requlrcments of MGL Ch. 142. Yes 'a— No ❑, if you have checked yn. please Mlute the type coverage by checking the appropriate box A liability Iruuranca policy `- Other type of IndemnRy' ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am awaro that the licensee doss not have the Insurance coverage required by Chapter 142 of the Mass. General laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ 9onatu,a of C>wnar a OwnWs Agent I hateby earlity that all of the details and into,malion I have wbmilled for ente(ed) in above application are sus and accu,ats to the bast of my knowledge and that all plumbing work and installations pertotmed undo, Na permit issued to, Nis application wiU be in compliance with ail peninenl provisions of the vussachusatU Stale Plumbing COIT Chu 1 of the al Liws. L gnature o can um r Type of tscansa: LWWug' Journeyman ❑ L License Number /0 9.1 ,�_ z i N Z Y > N N H N N J N } O V x < N x a W ¢ W ¢ W N Y x yh J <¢ M < ¢ x f• N x O x Z N 0 T' O J N N N I¢ P. U < ¢ W Z < C Y W O < 37.Y O x z o 2 •¢ < N¢ a< W N ¢ CC a o a ¢ a u r s x =} Y CL O Z Z F' J U X r U > Y O h 0. a O N x O Q N W < o < < N r O 3 Y J m N O O J sue-esMT. BASEMENT IST FLOOR IND FLOOR ]ROFLOOR 4TH FLOOR STM FLOOR GTNFLOOR 7TH FLOOR ATH, FLOOR Installing Company Name %Ll d,- 4d Lc�_ Check one: Certificate Address . P t9 8 e X 7 f y ❑ Corporation n V rte r ec� xt Q ❑ Partnership Business Telephone 9.4` '7 - /y 5 '7 '-�Flrm/Co. Name of Ucensed Plumber XI L � rr e. f /Mat ✓C a rc X INSURANCE COVERAGE: I have a current liability Insurance policy or Its substantW equivalent which meets the requlrcments of MGL Ch. 142. Yes 'a— No ❑, if you have checked yn. please Mlute the type coverage by checking the appropriate box A liability Iruuranca policy `- Other type of IndemnRy' ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am awaro that the licensee doss not have the Insurance coverage required by Chapter 142 of the Mass. General laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ 9onatu,a of C>wnar a OwnWs Agent I hateby earlity that all of the details and into,malion I have wbmilled for ente(ed) in above application are sus and accu,ats to the bast of my knowledge and that all plumbing work and installations pertotmed undo, Na permit issued to, Nis application wiU be in compliance with ail peninenl provisions of the vussachusatU Stale Plumbing COIT Chu 1 of the al Liws. L gnature o can um r Type of tscansa: LWWug' Journeyman ❑ L License Number /0 9.1 ,�_ N2 2'160 Date, .................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING ................... This certifies that ........ ...... has permission to perform...... 1'z............................................ . wiring in the building of....... ..... ........................... ............ at,7,.................... . North Andover, Mass. tom"Z -�5 ................ Fee Lic. N-04 9 ............ .................................................... ELECTRICAL MpEcrOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer TTEC0M%0NW LTH0FMir�4ar%�' Office/U/sconly DEPARThIDVIOFPVBLICS4= Permit No. / f� BOARD OFFIREPREYEMYONRE M770AN527CMR 12DO Occupancy &Fees Checked U,VdPPUCATIONFOR PST TO PERFORMEL,ECTRICAE WORK ALL WORT: TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date -2 'Ifo -,;2~ 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) -7�' �%2 j AJ G Z 4 -PV _ Owner or Tenant Ccl c-1 L f Q G /5- GQr nl S %. Owner's Address Is this permit in conjunction with a building permit: Yes= No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead F-1 Underground No. of Meters New Service Amps / Volts Overhead r --J Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work --L/V --jCe I-C_U t-1 No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA ground 1:1round 11 No. of Receptacle Outlets No. of Oil Bumers No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Bumers FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond, Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pum s Tons KW htitiatingDevices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER `L^/ Irn==Coyer g Rmat49othemWmffzo NL%mdt setlsGmeraiLaws I ha�ea=TutLiabiltyknr&=PobLymdLdngCaT�gp7abomCOIWdWcrgsstksu11tde4riK11lalt YES El NO 71 IhaNe%hniWdvalidp=f'ofsarretothe0ffl= YES F7 NO F-1 lf}cuhasedtedodYES, pL%e indc&thrtAxofwvaaWbyd=kingthe INSURANCE [7 BOND F-1 OUiER a (f't aseSpe*) ETrtaticn Dai Estir Vahrd' laMical Wak $ 3 ` 9 00. Wcdc m Start 2- / (o -,Z e-�2� hWcdrn DateR4xsted Rough Fatal Sorted utxi 7r P Woes afpejtay. FIRM NAME J�of G C / 119N AIV4 f Ala, !N% Lirm /e r -G Q. - '' 111 ✓a yv s, �r�' -�v �-- Lire,, 9 v,5- `- / p Business TeL Na 9� f -41.2 � YA% Artirrcc o2% /%j C//�il G( LAf/1% '�/�G �/rL%� A1LTUNa OWM�IZ'SMJRANCEWAMT,Iarnm=doticLj=mdgmnal�etheina=' =amgp!or ak0rtW asm#edbyMasadt� CaxalLam and fl�atmy sirtaitaern fl>is pemffi appficatiat wait this r�trlrt. (Please check one) Owner Agent Telephone No. PERMIT FEE $ No 2102 Date.................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ... has permission to perform........ ...... ............................................. wiring in the building of ....... .............. at .-5......:, ........... . North Andover, Mass. ........ I ........................... ....... .......... � ... Lic. NoM2d . .......... � ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Rough Service Final QJ#r (ga11t11Ianwalt4 Of MaSBHt41lifP1u Office Use Only Department of Public Safety Permit No. v� BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Occupancy 6 Fee Checked 3/90 (leave 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 ZTYPEALL IFORMATI�) DatCity or Town of (�Ce//� _To the Inspector of Wires) The undersigned. applies for a permit to perform the electric I work d 'bed belo74,yc-, Location (Street & Number) /�� ° '�' , S Own or Tenant Owner's Address Is this permit in conjunction with a building permit:/[� Yes No (Check Appropriate Box) Purpose of Building _s1( A^, Utility Authorization No. 4 9©d BoM Existing Service Amps I Volts Overhead ❑ Undgrd .0 No. of Meters New Service 2C Amps �� Volts Overhead ❑ Undgrd LTJ No. of Meters Number of Feeders and Ampacity Location and 'Nature of Proposed Electrical Work OTHEi% INSURANCE COVERAGE: Pursuant to the requirements of Massachusttes General Laws 1 have a current LiabilityInsur a Policy including Completed Operations Coverage or its substantial equivalent. YES Q NO 0 1 have submitted. valid proof of same to this office. YES . NO U If you have checked YES, please indicate the type of coverage INSURANCE L=J BOND ❑ OTHER❑ (Please Specify) Estimated Value of Electrical Work $ Work to Start Signed under the penalties of FIRM NAME Inspection Date Requested: Rough Final LIC. NO. -11M 70 Licensee C Signature LIC. NO. Address w Bus. Tel. No. Q �`� Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement, Owner Agent (Please check one) 34z— (Signature Telephone No. PERMIT FEES of Owner or Agent) TOTAL No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA No. of Lighting Fixtures Above In - Swimming Pool gmd. ❑ 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 19 FIRE ALARMS No. of Zones No. of Detection and Initiating Devices of Sounding Devices. No. of Self Contained Detection/Sounding Devices Municipal Local❑• Connection ❑Other No. of Ranges 19i9S' Total No. of Air Conditioners Tons No. of Disposals Heat Total TotalNo. No. of Pumps Tons KW No. of Dishwashers S ce/Area Heating KW No. of Dryers Heafing Devices KW No. of Water Water Heaters KW No. ot Not of Signs Ballasts Low o tags Wiring No 4y'��ro Massage Tubs No. of Motors Total HP OTHEi% INSURANCE COVERAGE: Pursuant to the requirements of Massachusttes General Laws 1 have a current LiabilityInsur a Policy including Completed Operations Coverage or its substantial equivalent. YES Q NO 0 1 have submitted. valid proof of same to this office. YES . NO U If you have checked YES, please indicate the type of coverage INSURANCE L=J BOND ❑ OTHER❑ (Please Specify) Estimated Value of Electrical Work $ Work to Start Signed under the penalties of FIRM NAME Inspection Date Requested: Rough Final LIC. NO. -11M 70 Licensee C Signature LIC. NO. Address w Bus. Tel. No. Q �`� Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement, Owner Agent (Please check one) 34z— (Signature Telephone No. PERMIT FEES of Owner or Agent) 3549 Date..G...... i „ORTPI TOWN OF NORTH ANDOVER pf 4«ao e�ti0 PERMIT FOR GAS INSTALLATION i • J This certifies that .,%! ��.. �� :f?��'� ................. has permission for gas installation .. f .< -... f Yz ......... in the buildings ofr.:................ at .7..>... f.�Iaq �i �' �:.. � G .......... . , North Andover, Mass. Fee.'/.)..:. Lic. No..A/.�z. ....... ;/ GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) ' V SUB—BSMT. BASEMENT IST FLOOR 210 FLOOR 3RD FLOOR 4THFLOOR STHFLOOR 6TH FLOOR. 7THFLOOR 8TH FLOOR Installing Company Name Address P , e>, k 7 - Y Business Telephone_f S 7 - /`/ .S`Z_ Name of Ucensed Plumber or. Gas Fitter tic Q Check one: O Corporation O. Partnership ;8 Firm/Co. Certificate INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ig No U if you have.checked yes. please Indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity O Bond O 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 ap Chetio waives this requirement. OwnerO Agent O Signature of Owner or Owner's Agent best I hereby certify that all of the details and information I haveperformed to under the entered) m t issued applicahis tion are true will be in complianceet he with f my knowledge and that all plumbing work and ins pe pertinent provisions of the Massachusetts Slate Gas Code and Chapter 142 of the qeqral laws. J e�8 �,. T of License: Plumber gnature o censeZdl,, titer Title Gplitter aster Ucense Number O i City/Town Journeyman AP . Mass. Date Z1.11 dl�.�_ Permit Building Location 7,5-` _Owner's Name S �� srL Type of Occupancy New Renovation O Replacement O Plans Su ed: YesO No O N ¢ 0 y 0 ¢ Y 0 O Z G Q 1- 0 x W V W;. J ¢ ¢ W /- = Z 0 h W z < o 0 a W< r W S W Z p ~ 0 a 0 0 i0 < W N ¢ W y Z 0 <_ W ¢ N W ¢ V W ~ W h S N ¢ W _ WaO. a h Y< W: O W O • < r. Nm d<<O O z 0 -0 O a W YO OOd to = O LL _ti SUB—BSMT. BASEMENT IST FLOOR 210 FLOOR 3RD FLOOR 4THFLOOR STHFLOOR 6TH FLOOR. 7THFLOOR 8TH FLOOR Installing Company Name Address P , e>, k 7 - Y Business Telephone_f S 7 - /`/ .S`Z_ Name of Ucensed Plumber or. Gas Fitter tic Q Check one: O Corporation O. Partnership ;8 Firm/Co. Certificate INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ig No U if you have.checked yes. please Indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity O Bond O 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 ap Chetio waives this requirement. OwnerO Agent O Signature of Owner or Owner's Agent best I hereby certify that all of the details and information I haveperformed to under the entered) m t issued applicahis tion are true will be in complianceet he with f my knowledge and that all plumbing work and ins pe pertinent provisions of the Massachusetts Slate Gas Code and Chapter 142 of the qeqral laws. J e�8 �,. T of License: Plumber gnature o censeZdl,, titer Title Gplitter aster Ucense Number O i City/Town Journeyman AP . Location %�- No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ _ Building/Frame Permit Fee $ 07 Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # /Z,3 9 13774 Building Inspector F4 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISjH'' A ONE OR TWO FAMILY DWELLING yp d2� «e BUILDING PERMIT NUMBER: don DATE ISSUED: ®® SIGNATURE: e Building Commissionerfl for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: e1/N 1.2 Assessors Map and Parcel Number: Jp(c a Map Number Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R red Provided Reqwred Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public ❑ Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name (Print) Address for Service: & g2/-) of Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature'! Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licens kd Construction Supervisor: Licensed Construction Supervisor: ylf % 4&V-0 S'T Address h Signature �l���i5�-�L Telephone Not Applicable ❑ S G 40 License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone w_ .0 l SECTION 4 - WORKERS COMPENSATION (NLG.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 ....... 0 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: SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant b CLADU ONLY n"' ',u u 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 PlumbinE Building Permit fee (a) X (b) �- Check Number 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 SECTION 7a OWNER AUTHORIZ 4 T ON 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 s Print Name Signature of Owner/A ent t SS NO. OF STORIES Date SIZE BASEMENT OR SLAB SIZE OF FLOOR TEVMERS iST2 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT 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: T'nis farm is used to verify that all necessary approvals/permits from- Boards romBoards 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 ScC T 10N APPLICANT&�02- e psi. PHCNc LOCA I ION: ASSessces Map Nurter�— FARC:_ rp SUEDIVISICNS/i�n1 �/Z�"�� LOT (S) S� STRE=1I ),f�-'Z - G � ST. NUMEER OFi=iCIAL USE,ONLY ------ RECOMMENDATIONS OF TOWN AGENTS: �CB 0 Pzv CONSE ,VATiCN ADMINISTRATOR DATE APPROVED w 1 DATE REJECTED COMMENTS 1� TOWN PLANNER COMMENTS FOOD INSPEC JOR �.SE� C 1 SP CTO COMMENTS DATE APPROVED GATE REJECTED DATF- APPROVED DATE REJECTED _ DATE APPROVED DATE REJECTED_ PUELIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVE, E'f EUILOING ii`ISPECTOR Revised 9197 im DATE o fZ liu-e l��ti y PARCEL B �a o0 N EASEMENT B .,LOT 5 T.O.F.\PARCEI EL=119.49'. EXISTING FOUNDATION / / N1 / EASEME EASEMENT 91.2' STERLING LANE REFERENCE PLAN. N0. 13035 FOUNDATION LOCATION PLAN I Wff" 71UT DE PR UARY STRCTE RE SHOW COIMFYJ W TO 7HE HOWWAL sEnmcx REOUYN3dam OF 7}E LOCAL . zatiaMc er- �,iws im wr+a► �or�rRracr�a CFJP7FJGflON i NOr caysxaoP ANY a hu CLIENT: COOUDGE CONSTRUCTION. CO., INC. OMMU SUCH � THIS CERTIFWAMN IS MADE AND LN ED . IHS ORAINm spur. NOT 6E MM W 77E CLAW FOR ANr *nm yw TO THE AWYE CLEBT. i O C 't& sEsovia° mT FURIN R OW IRKS DRA*SW 6 7HE COP"FIG M PROPEM OF CUM71 NSIN t SEW M AND ANY Lf"U MUD L/Ur 13 PROINWEILCMUS 1ANSLN t SOW MEN NO R SPOI=UTr FOR TW UMURAOROOW USE OF TW ORS * WIB OR ANY MUT- LOCATION: NORTH ANDOVER MA. venom crrmim HE7Erm ��Qyc of A(4S SCALE I0= 60DATE: 11/19/99 MI H yG J. o CHRISTIANSEN &SERGI I 191 o 10 SfAr1E7[ ST. .HAYEIEt IAt. 0161 :`. ML /7s-37.%GL110 . O tow. er amumNSEN t sm AM JQ A LANA S DWG 80.:98024005 AIL \A #27 \ A JWL OPEN SPACE PARCEL "B" - \\ • \ N/F COOGDGE CDNSK CO. AL #26 AL JL Al c \ —Toa—_ � • OS X25 \ - _ A IIIb \ \- \\\\ \ /4'� rNVD� I°aND \ \93' S1 25' NO��L�URBOFVCE Ia — L y2 X23 'df` . q NST�OF i' t / 1 \ 1 OIy \ S }41 N'4 y , r' WETLANDS REPLICATION AREd�-, + t EXISTING \ — pQ Q • f �O �Gy� SEDIMENTATION / CONTROL / ----I r2 F'p --- --------- — \---- •—G��---- //r �� = PROPOSED , SEDIMENTATION ` CONTROL a<' / I i LOT 5 / a \EA 56,704 S.F. d, as• Nt� — "OE -----OE - ar. rxlsnllc 20•7-1, 7 — Co_'MaNWrunl o• \ .... MASSACHUSEr EASEMENT: N/F COMMONWEALTH OF MASSACHUSETTS tai \\ t s. / � t 1t6 - --//�- BENCHMARK: EXIS77NO 20'WIDE CUT SPIKE SET IN COMMONWEALTH OF 22' WHITE PINE MASSACHUSETTS CTEV. IIa.80 i rASEMEM(KE.&A PLAN /ISSra) - LOT 4 1 N/r COOLIDGE CONST. CO. PLAN SCALE: 1" = 40' U 1999 BY CHRISTIANSEN & SERGI, INC. PROPOSED SITE PLAN PROFESSIONAL — ENG/NEER LOT 5 STERLING LANE ,tNCFAfgg ASSESSORS MAP 106C, LOT 126 p2 PHILIP 0. yG •� CHRISTIANSEN m NORTH ANDOVER, MASS. �� o'�'a>3o owNER/APPLICANT.• COOLIDGE CONSTRUCTION CO. 401 ANDOVER STREET, NORTH ANDOVER, MA 01845 IL/P G. CHRISTIANSEN, P.E. CHRISTIANSEN . SERGI PRO ONAL SURVEYOR/SEERS DATE: JULY 27, 1999 160 SUMMER ST. HAVERHILL, MA 01830 TEL. 978-373-0310 REV.: 8/17/99, 8/20/99 DWG. NO. 98024007 x A O w u \ o w° v U a. � 04 ° w z z Q [�� ^ s c° rx° ry }+ r U c w 9 O w `� /� hal �Q = cz° rn r. x O u W V u w W � ..U+bo cn w x O U X0 X z z C2 r w z w A w w �i �r 9Q z L.� cn U Q E U) c 5 m c� c � O O 19 O C A : _D G O � my <: �►' Ea 0 omc o `.� 0 ,moi: c Ca w Ucm I=i C c E ca ccCD 4.mm a co � `' rn H V) r /� CO2 O� y C m O � ^ a i Z -0 C N R O r.1 . EH • v F+� m :mo CLU CD :==o CM c�a c o CL== o ;mom m v vi o e0v •— z o cm o. c o : m c3 o N ~ r c COO C = m �••, W •IA CZ= oc 2 �`� m•y p W .E C, CC V m p O C Q� ti CL o� o� Q 2 eyo 3 (A= O H = r = r=.,. m i co i O co O O v Z a3 O CO) o � CO CM co y co m m co ow O O i O O C CL CM< C .0 Cc O v J •� d O Co C Z CD 0 0- V y O C C • C c CO2 Q 6 W 0 LLI VI cr W W Cc LUW U) GENERAL BUILDING NOTES/CHECKLIST--NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS, ADDRESS, AND PERMIT (COPY OK)..or no inspections INSPECTIONS: (Minimum) Excavation, Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as required Anchor bolts or straps Damproofing Foundation drain - pipe/stoneffabric filter/cover and outlet connection. FRAME: Fireblock - over girts/plates between floor joist Penetrations for plumbing, heat, elec, etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters - watch bearing at walls. Ridge & Hip - Provide proper connections. Cathedral roof rafters provide proper connections and use "Hurricane Clips" tie to plate. Stair stringers - watch cuts and heal support. Joist hangers - fully nailed w/ hanger nails. Sill plates 2-2X6 (1 PT) w/sill seal. Girls - solid brick or steel plate bearing at foundations '/i " air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances - stairways, under beams Attic Access. (min. 22x30 w/3' headroom above). Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior (not in soffit). Firecode S/R wood frame of "0" clearance fireplaces & stoves Window Schedule or Every Habitable Room Must Have: Natural light equal to 8% of floor area. Y of required glazing shall be openable. Bedrooms required min. 20x24 egress window or door. Vent attic spaces - "proper vent", soffit and required ridge vents. Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing - Smoke Chamber - Finish Smooth parging, clean joints, 8" solid @ combust. Surf. DECKS: Separate permit required: Lag to house, provide flashing. Rails min. 36 " high, Baluster max space 6" on center. Over 8' above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. Exterior grading complete. Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re -inspection fee - $25.00 (Be Ready). Certificate of occupancy required prior to occupying structure. CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number©� ��� Date THIS CERTIFIES THAT THF. RI TILLING MC'ATF.n nN / 04-6 ?V-76 v /'-',e4V f 1,4,0 e -- 1o,foom a�r� 0,4m 3 57�aliuvDEl� MAY BE OCCUPIED AS ,S.Vale 2A�I- i /E'v,S ielf Uc•e— IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. 1 MORT4 1 CERTIFICATE ISSUED TO P ADDRESS 'y0� ✓4ac�a"'c t2 S ISACH"'Building Inspector u v cz �I l i J�J f.T.i 0 A , H U� y zy v [� �i � c� o v a b cn i co cn r� v7c 0 14 L F-4 0 u Cr) IJ lia C) ' O db fl ("'k, AONO 4E ev ft49- ►� J co O c O o ci Z p d O y 0 C co I C C ca Q c �E m CD CL ~ ♦_-+ � O.D it O �co co O p i e_pv o a �4 y C O r=••� C O ca G. OCL �O•• V y c C •� C c y v LLJ 0 C/) COLU W W IrW LLI C/) 0 �•m C r: C V C � .ate :a= :CcM �m= �o ' oCD� y D Q co CD O G :.SEE 0 CD O o tj H R m m co d O y CA cm C9 Z y m Q' iv y = y O E m m cm CLC.) y m C:D, m � CM _c O 'O ` �O Z o •+�: _ p Q! Q � O: y m = •O C H W C NJ O C +-' .� .y D acvC o .y .O Z O V C O C 'C F - Q y G• m O 'O �_ 2 eya Oy� J�J f.T.i 0 A , H U� y zy v [� �i � c� o v a b cn i co cn r� v7c 0 14 L F-4 0 u Cr) IJ lia C) ' O db fl ("'k, AONO 4E ev ft49- ►� J co O c O o ci Z p d O y 0 C co I C C ca Q c �E m CD CL ~ ♦_-+ � O.D it O �co co O p i e_pv o a �4 y C O r=••� C O ca G. OCL �O•• V y c C •� C c y v LLJ 0 C/) COLU W W IrW LLI C/) s f NORT(y '9 O .1(%.so ,e 1 LLO 00 11j 4SSAc U`��� APPLICATION FOR CERTIFICATE OF OCCUPANCYIINSPECTION ADDRESS/LOCATION OF PROPERTY: 1d7- DATE DT DATE REQUESTED FILED/READY FOR INSPECTION 7S DGL CLOSING DATE ON PROPERTY:Z/2 , �D'lw FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK'AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGN ROUTING CONSERVATION PLANNING DPW - WATER METER NOTE ON�L-11 . �%U� 4.:�Aixf-0 DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TOS TAL OF THE OCCUPANCY/INSPECTION REQUEST DPW Signature File: CC forth revised 618198 Location /,j J- #f)5- 34-R11tiy No. Date r NORTIy TOWN OF NORTH ANDOVER F : - • 09 Certificate of Occupancy $ �d Building/Frame Permit Fee $ s�CHUS Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ n TOTAL $ 0 3446 Building Inspector Div. Public Works X I Coe a y �'oe �/ L S r Ay 13 x o"�SX o7 L� J%Op '35- O '6 � & c tr ap �(1 DOS S C) by a o -27 5]52,C-)o a 3 so / '7b VCCt,'PAtiC "6-0 . O (577HOM� ° ' � "- IMPROVEMENT CONTRACTORS REGISTRATION / Board of Building Regulations and Standard ne Aohburton Plao R a Oe - Room 13O1 � . Massachusetts �oachuae�t . o 0210G � HOME IMPROVEMENT CONTRACTOR / Registration 105351 ',~ Expiration O7/17/'0 - � ,n�v*TE CORPORATION » � COOLIDGE CONSTRUCTION CO INC � David V. Zal0ga ^' ^ � 401 Andover St N Andover MA 01845 / DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Birthdate: CS . 6663S5 '851211-2000 05/2111946 � ' | ' �-----------------�---- ' ----,-- - ' ` 68 ' .. � .' DAVID | IALOGA 8PENDANT CT ANUNE8, 1N 018UF � � ^ x NO 906 APPLICATION FOR WATER SERVICE CONNECTION North Andover, Mass. - 19 Application by the undersigned is hereby made to connect with the town water main in `����N�14 Z== v.' Street - subject to the rules and regulations of the Division of Public Works. 5 9,/ V `% The premises are known as No. `�� 4 �h Street or subdivision lot no. 5' /? I / _ "'� J- / - _ Owner U Cvo �,106e Cvws,-. CO, Contractor Address Addre PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to `-t!Pa' to make a connection with the water main at �� �� / Street subject to the rules and regulations of the Division of Public Works. Boar of P blic Works By Inspected by Date See back for rules and regulations RULES AND REGULATIONS GOVERNING THE INSTALLATION OF WATER SERVICES 1. No persons shall tap or in any way tamper with water mains which are part of the distribution system of the Town of North Andover without a valid permit from the Division of Public Works. 2. All water services shall be installed a minimum of five feet below the finish grade. 3. No water services shall be backfilled without inspection by a representative of the D.P.W.—Telephone 687-7964. 4. Service connections shall be 1" type k copper tubing. 5. All fittings shall be brass flange type Mueller or equal H 15202 Corporations H 15212 Curb stops H 15402 Three part unions H 8185 stop and waste valves 6. Curb boxes shall be installed at the property line and shall be of the Erie Type with 4�/2 foot rod and brass plug type cover. TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 Telephone (508) 685-0950 Fax(508)688-9573 vO\y� �6 OL Y to i DRIVEWAY PERMIT Date:7 LOCATION: 1-2 BUILDER: phone: OWNER: �rphone: 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: e r ' e The Commonwealth of Massachusetts Department of Industrial-AcCidents Cffice of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit dame C'D6L/D L"O/t/�STI��/GT/Oit� ,. Fleose Print (Name: Phone M r j I am a hcmecwrer perrcrminc all work myself. I am a sole prcpretor and have no ene.wcrkine in any c_zpac;b/ I am an employer pravidir.a workers' compensation For ...y emplcvees werkina on this job. Com^anv name Cihr /f/% /��l/raVrz / /� ll%. Phone T Insurance Co 1-1� i 10,AJ /� /l/ L,r'J Folic'/ T /V Comoanv name: Phone — Insurance Co. PCIIC'/ Failure to secure coverage as recwreo under Ste: en 25A cr VIGL 152 can lead to the in;ccs;iicn of cnrnir.ai penalties er a tine up to 31.500.CC ancicr one years' impdscrrr:ent as •.veil as cmi penalties in t.:e form cf a S i CF'/I/CRK CFCF= and a fine cf (51C0.00) a day against me. I understand that a copy ct :his sta-ze'Pent ma`/ Ce ror,var ceo to the Office cf Invesccaiicns :`e GIA for coverage `ienflCZLion. 1 do hereby certry under s d pe aloes of pe. Jury that .he information provided accve is mle and ccrreCL / 9 Signature rate Zoo Print name . �)0414// ! - r Fhene �7 4�� 07ic:al use oniy do not wrre in this area to be completed by c::y or torn cmdai' Cty cr Town P=rn d;Lic nsirc ❑Check ,if immediate response is required Contac; ,:erscn: L] Building Dept [I Licensing Board f j Seiec:man's Office health Department J Other MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.0 CITY: Lawrence STATE: Massachusetts HDD: 6235 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 10-21-1999 DATE OF PLANS: 11-24-94 TITLE: Single family house with 3 car garage under PROJECT INFORMATION: Lot 5 Sterling Lane, No. Andover COMPANY INFORMATION: Coolidge Construction Co., Inc. 401 Andover Street No. Andover, MA 01845 COMPLIANCE: PASSES Required UA = 727 Your Home = 609 Permit Checked by/Date Area or Insul Sheath Glazing/Door Perimeter R -Value R -Value U -Value UA ------------------------------------------------------------------------------- CEILINGS 1.880 38.0 0.0 56 WALLS: Wood Frame, 16" O.C. 3184 15.0 3.0 213 GLAZING: Windows or Doors 570 0.350 199 DOORS 147 0.350 51 FLOORS: Over Unconditioned Space 1880 19.0 89 FLOORS: Over Outside Air 32 30.0 1 HVAC EFFICIENCY: Furnace, 90.0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 1250 of the design load as specified in sections 780CMR 1310 and J4.4. Builder/Designer ZAti � �r� ff� Date ZD` O) 1nGI � i Ti MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.0 Single family house with 3 car garage under DATE: 10-21-1999 Bldg. Dept. Use CEILINGS: 1. R-38 Comments/Location WALLS: 1. Wood Frame, 16" O.C., R-15 + R-3 Comments/Location WINDOWS AND GLASS DOORS: 1. U -value: 0.35 For windows without labeled U -values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: 1. U -value: 0.35 Comments/Location FLOORS: 1. Over Unconditioned Space, R-19 Comments/Location 2. Over Outside Air, R-30 Comments/Location HVAC EQUIPMENT EFFICIENCY: 1. Furnace, 90.0 AFUE or higher Make and Model Number THERMOSTATS: Adjustable thermostats required for each HVAC system. AIR LEAKAGE: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air -tight assembly with a 0.5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R -values, glazing U -values, and heating equipment efficiency must be clearly marked on the building plans or specifications. T DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure -sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 1250 of the design load as specified in sections 780CMR 1310 and J4.4. MISC REQUIREMENTS: [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only)------------------------- ROBERTS INSURANCE RGEN TEL:508-68331.47 M.P. ROBERTS INS AGCY INC 1060 OSGOOD ST No ANDOVER MA 01845 ............ ........ ............. ...... ........ ........... - COOLIDGE CONSTRUCTION OAK TRUST 401 ANDOVER ST NO ANDOVER MA 01845 Oct 20'99 9:5? No.013 P.01 THIg eMpICATs is ISSUED AS A ARA"tn yr im,wrs, —, ---- - --- COMFM No m UPON THE CERjjFj(;ATfi HOLOM THS RMCATR pm NOT AmrLmDpjM, 9XTEND OR ALTER THS C(3vrMQE AFFORDCE90 BY THS '. 11 ........... . 1-11-1-1 HAVE KEN ISSWO To THE ENSURED NAMED ABOVE FOR THE POR CY PGRIOD N OF ANY CONTRACT OR OTHER =;UMENT WITH f%9PFCT TO WHICH THIS INDICATED. No7WRNSTANpIN® ANY REGUiREMENT, TERM OR Cg�10ATl� MAV YE 18$UED OR MAY PERTAIN, THE INSURANCE D BY THE POUCIES DESCRIBED HEREIN IS suWECrT TO ALL THE 19MMO, HAVE BEEN REDUCED BY PAID CLAIMS . .............. ...... .......... ................ . ......... .................... ............ .. ............. ............................... potjCY RKMATWN: LIM$ T"d OF WOURAHM rgucv numm FAA WM= DAM PAWDIM RGP 21236295 12131-9 12/13/09 gNE.PAL AGORGUAW .. ....... .......... . MICCUOT&COMFJOP AW. 000 142 000 X gammucv& gogRAL umurf .............. I ............ I ........................... . . :p0U0WL&A0V,9UURy 1611000,0,00... ............ ........... ............. .......... CLAIM MADO.000 .......... ............................ I ................. OWN a a CORTFAMWO Pr4T-:: ImRs oAmAclw ww em we) i 15 0 0 j 00 ............ I ................................... .......... I .......... ........... Wgg. gXM80 (AAy OM PWON; I 10 1 0 .. ......... ....... .. ..... . COMPANIES AFFORDING COVERAGE ......... ... - ........... . .. . . ........... . ............ ............ . ............. ............ I ................ COMPANYiarTaA A ... MARYLAND ....................... ... ........... ............. I . ...... ........... ............. .. ................ .. .......... ............... ........... 'IN CO . ............ I ........................ .......... ..� .... ...... H.A.NOVERS....................... C06MANY C hETfl ............ ............. .......... . .......... ..., ......................... ... . ..................... ...... .. ............................ .. LEGION ...INSURA19CE Co .... ................................................ .. ............ .............................. ........... ............ .............. . ............. MARVLAND CASUALTY '. 11 ........... . 1-11-1-1 HAVE KEN ISSWO To THE ENSURED NAMED ABOVE FOR THE POR CY PGRIOD N OF ANY CONTRACT OR OTHER =;UMENT WITH f%9PFCT TO WHICH THIS INDICATED. No7WRNSTANpIN® ANY REGUiREMENT, TERM OR Cg�10ATl� MAV YE 18$UED OR MAY PERTAIN, THE INSURANCE D BY THE POUCIES DESCRIBED HEREIN IS suWECrT TO ALL THE 19MMO, HAVE BEEN REDUCED BY PAID CLAIMS . .............. ...... .......... ................ . ......... .................... ............ .. ............. ............................... potjCY RKMATWN: LIM$ T"d OF WOURAHM rgucv numm FAA WM= DAM PAWDIM RGP 21236295 12131-9 12/13/09 gNE.PAL AGORGUAW .. ....... .......... . MICCUOT&COMFJOP AW. 000 142 000 X gammucv& gogRAL umurf .............. I ............ I ........................... . . :p0U0WL&A0V,9UURy 1611000,0,00... ............ ........... ............. .......... CLAIM MADO.000 .......... ............................ I ................. OWN a a CORTFAMWO Pr4T-:: ImRs oAmAclw ww em we) i 15 0 0 j 00 ............ I ................................... .......... I .......... ........... Wgg. gXM80 (AAy OM PWON; I 10 1 0 .. ......... ....... .. ..... . ADN -5 5-69103 111728/99 M28/00 AWROMONS UAILFV ..... ANY AM ............ .............. . ............. .............. ................ i ALL OWN= AUr08 80my HAM (pw pw—) :,-Soo 8WEVAMP AVf*$ ................ .............................. .......... .......... : : SOPLY INJURY (pw *00OKM ........................... .. .......... $ t4j0#$.Q%VW AUTO$ 0AFLAAl UAAHLrry ......... . mpaRry PAMA46 100,000 EACH 0QCJJRFtEWE j�OAee LL#jmLffy ...... .......... AGGREGATE ........... ............ ........ OOMLLA FWW OyMM TAM LUBMAA, FONA 87 T0-6/99 WC4-01180 2106/98 ::1 SlAr=RY ...... 11.1.1 ........................... womm" gow4mmamm 904W A0000MY :..5 AND .................................. DISEAR-poucy LWT ..... o 5 0 fl 000 ...... aw"vow LLWWV .......... ........... s 0 0 a 0 0 91 28/99 EC 86814176 9/28/00 BUILDERS RISK m or In= LOTS 1 5 STERLING LANE NORTH ANDOVER MA 01845 FAX NO. 685-7878 ...... . ...... Ip4OULt) ANY OF THE ABOVE DESCIRGEO MUMS BE CANCELLED 19FORE THE EvImATM DATE THEREOF, THE MUM COMPANY WILL ENDEAVOR To zs MAL LO DAYS WWMN NOTICE To THE CFRW#CA'M HOLDER KVAED TO M TOWN OF NORTH ANDOVER ..srr.PAlLM TO MAX SUCH NOTICE 6HAU'IMPOGE NO gFUGAMN OR AM: BUILDING INSPECTOR yABWW OF ANY KIND UFC�N� ACOMPANY, ITS A(kVMXM RV*%ffNTATFM& MAIN STREET Air NORTH ANDOVER MA 01845 Mi Rod 13 BUILDING DEPARTNIENT DEBRIS DISPOSAL FORM In accordance with the provisions -of MGL c 40 S 54, a condition'of Building Permit Number Is that the debris resulting form this work shall be disposed -of in a properly licensed solid waste disposal facility as defined by MGL c 117 S 150A The debris will be disposed of in: yevit V4 6'qvtt-At,v,,¢- -b Location of Facility Appl' t -,--9igqdfiue of Pe§ L OZ Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector 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/iiti �/�r'.0 / (l�1/S i/1//G%/O�(JLOT�C: PHONE�Z% LOCATION: Assessor's Map Number % PARCEL of (o SUBDlVISiON A4 77— LOT (S) STREET5�— L/NG 1,,9N6 ST. NUMBER 75 USE RECOMMENDATIONS OF TOWN AGENTS: ' CONSERVATION ADMINISTRATOR DATE APPROVED 'jtk ti.� n DATE REJECTED r COMMENTS —A Y '/ % vI TOWN PL. N ER DATE APPROVED DATE REJECTED COMMENTS 1Q 1q adaco FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIONS J w 1 1 1 DRIVEWAY PERMIT `� "� �v ��✓ / FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTO Revised 9197 jm DATE t�; O 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 on Building Permit (below) Address of Property for Permit (below) 61kA.'Y t 5�-� L f L . Map na d Parcel;' Purpose at Ap�pfication (check below) Ph e N m er OX pllcant: • /!Single Family _ Two Family c�J I the undersigned applicant for the above property attest that the attached building permit for which this fort 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 parry 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 an section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration, or reconstruction of a dwelling in exist mce as of the effective date of this by-law, provided that no additional residential unit is created. exist 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.r are met andlor represents Dwelling units for senior residents, where occupancy of the units is restricted to senior persons through a property executed and recorded deed restriction running with the land. For purposes of this Section "senior' shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40°16 permanent reductton in density, (buildable lots), below the density, (buildable lots), permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland. The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a (Developer in common ownership with an adjacent parcel 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 an the parcel. This application represents a lot which is ready for building permits,(i.e. all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Oevelopment Schedule does not accommodate issuing a building permit in that Year, one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information, or the checking off of anabove item which does not comply, whether done to my kncw�edge ori not, is grounds for refusal by the Building Department to issue a Building Permit. 7 ig Permit �' Oafe i for such permit Le� recorded.at the Essex North Registry of Deeds. All application fees must be paid in full and verified by the Town Planner. The applicant must meet with the Town Planner in order to ensure that the plans conform with the Board's decision. A full set of final plans reflecting the changes outlined above, must be submitted to the Town Planner for review endorsement by the. Planning Board, within ninety (90) days of filing the decision with the Town Clerk. The Subdivision and PRD Decision for this project must appear on the mylars. j) All documents shall be prepared at the expense Cf the applicant, as required by the Planning Board Rules and Regulations Governing the Subdivision of Land. 2. Prior to any work on site: a) Three (3) complete copies of the endorsed and recorded plans and two (2) certified copies of the recorded subdivision approval, Covenant. (FORM 1), Right of Way easements, and FORM M must be submitted to the Town Planner as proof of filing. 777 b) All erosion control measures must be in place and reviewed by the Town Planner. 3. Prior to any lots being released from the statutory covenants: - a) a applicant must comply ,with the Phased Development Bylaw, Section 4(2) of the Town of North Andover Zoning Bylaw.. This project is exempt from Section 8.7 Growth Management as the preliminary plan was filed prior to May 6, 1996 and the definitive plan was submitted within seven months. However the exemption will only run for eight years from the date of the endorsement of the plans as set forth under Mass. Gen. Law. b) A complete set of signed plans, a copy of the Planning Board decision, and a copy of the Conservation Commission Order of Conditions must be on file at the Division of . Public Works prior to issuance of permits for connections to utilities. The subdivision construction and installation shall in all respects conform to the rules and regulations and specifications of the Division of Public Works. c) All site erosion control measures required to protect off site properties from the effects of work on the lot proposed to be released must be in place. The Town Planning Staff shall determine whether the applicant has satisfied the requirements of this provision prior to each lot release and shall report to the Planning Board prior to a vote to release said lot. d) The applicant must submit a lot release FORM J to -the Planning Board for signature. e) A Performance Security in an amount to be determined by the Planning Board, upon the recommendation of the Department of Public Works, shall be posted to ensure completion of the work in accordance with the Plans approved as part of this 2 V . I17 y 1 $ f ya wwy a c " ^rte ' ..r t •: s .: Building/Frame Permit Fee i .,� - ! f 4 4G p �,^t` } ,r i - � `� -� p,,, S� Foundation Permit Fee $ �, SA'MUS w ��" TM t r 1. 1. '.. Other Permit Fee 3_ r t � i Z L -.. :. t �� t x - r i i.' .. #s ��.' Sewer Connection Fee -- $ r �� �� C # ... _ �— �` ^' t, $ „ i&W1U�"1::;1_1_'�:z� .. :.,t. �� ,..v . -. ,. _. w irks v 1. _ _ . ��` lad s Location . No. Date ru 1_1_11_2_-_1311. TOWN OF NORTH ANDOVER •" • O o - Certificate of Occupancy $ f ya wwy a c " ^rte ' ..r t •: s .: Building/Frame Permit Fee $ t d 4 `,d i^ d.G c`.r7% Ff ! f 4 4G p �,^t` } ,r i - 3 .. ,n� G+� - ,t t - T t 4f . 6 N 4 p,,, S� Foundation Permit Fee $ �, SA'MUS w • t .. ..- ..:'. _. _ ... 1. 1. '.. Other Permit Fee $ � i .. ,t. ... _ - - .. ., r .,.... " ,,.. . 1. _. -. .. ,. .. ..: -. .. .,.„ . „ . .. .. ._% ,.. .,- . .• , . ,.: _. i. -.. :. t �";- � n.: ,.. FY � f, s Sewer Connection Fee -- $ �� Water Connection Fee $ 1� z' ... _ .. •. f 1 TOTAL $ „ ,. r .. :.,t. �� ,..v . -. ,. _. w ,.: .. ,..:. ... J ..:.. :. c � - ,:. - . ,. .. .. 1. _ _ . 1\ _ / ullCil In - Ct ' r: "/ �7 1 2 5/ 7 Div. c Works i - Jl . f M i.- n ' 5, t \ hF * 7� A; f ya wwy a c " ^rte ' ..r t •: b Y'° 1 4 } F t d 4 `,d i^ d.G c`.r7% Ff ! f 4 4G p �,^t` } ,r i - 3 .. ,n� G+� - ,t t - T t 4f . 6 N 4 p,,, 'n t F .. ,. .-- ..., ,. .. , y. .. .,. •. :..�..,...... .. .. .,. :: ., w • t .. ..- ..:'. _. _ ... 1. 1. '.. O. . .. , .,,, f ., .. ,... - .. . -..v.. ..r — !""'-"t'*--' 1. ... . .. ,t. ... _ - - .. ., r .,.... " ,,.. . 1. _. -. .. ,. .. ..: -. .. .,.„ . „ . .. .. ._% ,.. .,- . .• , . ,.: _. i. -.. :. t �";- � n.: ,.. FY � f, s �t t'�' _„ ..: _ s --.., ,'. , ... ., .. ,. .... ' . 1i ` Y :.. ... _ .. •. f 1 h " ., h -:.. _ `Y ,. r .. :.,t. ,..v . -. ,. _. w ,.: .. ,..:. ... J ..:.. :. c � - ,:. - . ,. .. .. 1. _ _ . 1\ IT.,. ., .. '..-"IL ,^ ,' ... ... :.. :, z:,: ,. - .. - -. ,. 0l�, 0 288.14 A f ;O t IlIAry."�� � ,I �I1 a N - r I L' wu,� 71. 0l�, 0 288.14 A 'A Y 216.29, M o o 1. c z w Ul tQ w r06 tr N 7Z 0 IlIAry."�� � nn, 7 6 �I1 a N - r I L' wu,� 71. .�I 5. t#iin _ til • I A `.. ...04 N 11. t '$is,rrd. ��.•. .I W I 1'j - - • Q 81 t .. - ,. 359 _ 'A Y 216.29, M o o 1. c z w Ul tQ w r06 tr N 7Z 0 IlIAry."�� � nn, 7 6 �I1 a N - r I L' 'A Y 216.29, M o o 1. c z w Ul tQ w r06 7Z 0 IlIAry."�� �I1 a N - wu,� 71. .�I 5. t#iin _ '$is,rrd. ��.•. .I W I 1'j - - • - I A, tiff , I d � , k J. tt 1, 3 AL \^ #27 OPEN SPACE PARCEL "B" N/F COOLIDGE CONST. CO. • #26 AL AVL � - _ , \ fQ� • �wk'ET(,q � dL #25 ♦` A, � ` \ ` ` ` ` \� #2JIL ?S Np,D//�UR `�` FN D DRAIN D INV 108.0 \1 L ♦ CE \ I #23 F�► �♦ AL 39' ' ..'% 5 CON R IL " v ♦♦. ' ' F / " ', WETLANDS REPLICATION ARE,d'-,♦ sk ,, —� •♦ , �\' `� ♦♦ \ ��f �♦♦ EXISTING ;�-- ' '" �O-��/•f//j ��•�—� _ �OQP�' ; y9f� SEDIMENTATION \ _ \\ V %y// „ i;,/5' , ,/ \ Bl�.n�♦`oeCONTROL / r \ ru ♦ -------s--`mss-� --- / --T--- \ PROPOSED 1/---- ,'� I _ t ,r , \\ SEDIMENTATION„ r CONTROL ♦� - LOT 5 ' _ AREA EXIS77HO 20' WIDE r- - _ COMMONWEAUH OF \ r 9 _ 10' MACHUSEASEEMMEN T� E N/F COMMONWEALTH OF MASSACHUSETTS ABANDONED 4. tryp �\ f2 pgN p�E55 / hl BENCHMARK: CUT SPIKE SE1 /N EX/STTNG 10' W/DE 22' WHITE P/NE COMMONWEALTH OF ELEV. = 116.90 MASSACHUSETTS (N.0.V.D.) �2p EASEMENT (N.E.R.D. PLAN /13516) LOT 4 N/F COOLIDGE CONST. CO. PLAN SCALE: 1 ” = 40' PROPOSED SITE PLAN LOT 5 STERLING LANE 1999 BY CHRISTIANSEN & SERGI, INC. PROFESSIONAL ENGINEER ASSESSORS MAP 106C, LOT 126 olpMq� � NORTH ANDOVER, MASS. v Q�Klls'eW N OWNER/APPLICANT.COOLIDGE CONSTRUCTION CO. / 401 ANDOVER STREET, NORTH ANDOVER, MA 01845 PH P CH � TIANSEN, P. E. ENGICHRISTIANSEN SERGI PR LAEND SSIONAL SURVEYGRSEERS DA JULY 27, 1999 160 SUMMER ST. HAVERHILL, MA 01830 TEL. 978-373-0310 REV.: 8/17/99 DWG. NO. 98024007 , .1 ft 0 z t Cil � O a ®L43o W Q LL s E Z � �r� Q O U a -0 rt) o o yc L- rD a s rn Oma-' p c +• v 7 3 o a) H c c ru o L a to p v m O O c Q O Z a" ° o u vi aj CL I=- O a) O C Ql W C HU o O O O L ro 0 CL c a. C E 'O� �� �E x a� O p OJ U a O o= N ll a ui s a�Ul ca `o t .r t w o w. v . Z o ` O '0 u g L� 1 C� t vi t2 x o 0A O w cn a v v) ° U GO GO z p w O v C U ro G u: w p w co G w" a O w w p n: c� G w O u ' 1:04 C w :a= w cn O E cn LU 4E ev 4&fto ti C8 O 2 V O Q.=o C H C2 v V :a= _ •= o N � N O L 0 O u cm : CD c : co m co 3 cmm it' C �' y... N O -s Q:•� m > = a = W= C m E N C �v CLU rb.g m m m C: 0> C o a �_ m o C m h 0cm y O O. G C C �C H m O H O C GCIL N w Ca m m W co = C = — 2:5RD U .10 o r=. a- F- a s y c •N Z C: m m O oms g ti a o�F. O.0 CL, Cc 4E ev 4&fto ti C8 O 2 V O W V � Ln f^ Qj PARCEL B EASEMENT � l0 7' , PARCEL B LOT 5 T.0.F "$ EL=119.49' EXISTING FOUNDATION 00.0 / EMENT / Ep5 . i� 5.2 EASEMENT L= 86.1' STERLING LANE REFERENCE PLAN: NO. 13035 FOUNDA TION LOCATION PLAN I COW nur "W PAM"" SniUcnAO: SHOW CONFgw TO nAr IXMZW AL SEnmq Ai malate s of !NE Lo= i� zONAll1t RI' -LAWS IN EFFEICT M7IE7V CONb7RG M CLIENT: COOLIDGE CONSTRUCTION CO., INC. 1 O CAM= OF UmaArur THIS CER17MM N IS MWE AND UMHO DO OA *= SNALL NOT W UM W IW Cc" FOR Nun To THE ABOVE CUE71►T. PUMVW OWN MW "UT ammo *= VE M7W"M PO111/S M OFCIANS AMM t FURNOW/QRE aw OANW/N0 a UfE cop"mm PAbPE" OF C/Ai1S7 ISM t SEAL/ W— AAD ANY UIWURIOMM UM IS PAGwAa =CN1n6MW W t =9 TMW NO JlE2VI Mff RW 9E UMU/1A'LIiM USE' OF 9W aUW= OR Nun WON - LOCATION: NORTH ANDOVER , MA. WSW COMM= IrEiaEM ZKOFMe�_ A SCALE: lm= 60' DATE: I V 19/99 CHRISTIANSEN & SERGI PRO LFL ENOW D 160 SU/r N Sr. WAMNALAL 0180 TEL. 870- i-wro p IM N ChWff74NSEW t SERM M 74 M191 0 TE SJQ�`, LANA NO.:98024005 310 CMR 10.99 Form 5` Commonwealth of Massachusetts 216 Raleigh Tavern Lane Salem Forest IV DEP Fde r,o. [`242-820 (10 Un aWKJ-1 try UE1'1 Cily, Town Aool cent North Andover Farr -Better Homes, Inc. Order of Conditions Massachusetts Wetlands Protection Act G.L. c. 131, §40 and under the Town of North Andover's Bylaw Chapter 3.5 From NORTH ANDOVER CONSERVATION COHNISSION Farr Better Homes, Inc.. To George Farr, President Same as Applicant (Name of Applicant) 216 Raleigh Tavern Lane address No. Andover MA 01845 copy: Hancock Environmental Consultants, This Order is issued and delivered as follows: (Hayne of property owner) _ Address Same as Applicant 235 Newbury Street, Danvers, MA 01923 ❑ by hand delivery to applicant or representative on (date) KRx by certified mail, return receipt requested on �� (dale) (his project is located at off Raleight- Tavern Lane, Tax Map 106C, Lots 22, 33, 36, 37, 38 & 103 The property is recorded at the Registry of Northern r• sgem I _ Book 1087; 2039 Page Certificate (if registered) 314; 269 The Notice of Intent for this project was filed on July 3, 1996 1(dale) The public.hearing was closed on )dale) Findings The North Andover Conservation Commission has reviewed the above•referFriced force of Intent and plans and has held a public hearing on the project. Based on the information avaitaote to Me NACC at this time. the _�LA.Cf _ has delerrruned that th`e area on which the pr000sed work is to be done is significant to the following interests in accoraance v.ilh Che Presumptions of Significannce sem( forth in the requlatlons :or each Area Subject to Protec!lon Under Ifle c h. 178 >/ Recreation Act (check as appropriate): Ch. 178: X Prevention of Erosion & Sedimentation Ch. 178X Wildlife Pubiio water supply [ Flood control ❑ Land containing shellfish Private water supply [ Storm damage prevention ® Fisheries Ground water supply Prevention of pollution Protection of wildlife habitat Total Filing Fee Submitted $1030 (+$25 Town fee) Slate Sham $502.50_ City/Town Share $527.50 (+$25 Town fee) (V_ ler' In Pxcoss of S?:5) Total Refund Due S City/Town Portion S State Portion S (1i2 total) ('iz total)