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HomeMy WebLinkAboutMiscellaneous - 85 WINDKIST FARM ROAD 4/30/2018a� O Commonwealth of Massachusetts City/Town of REGI VED ° System Pumping Record Form 4 NOV 15 `Loll 4M s y`'v DEP has provided this form for use by local Boards of Health. Other fMR- rF43^fPf edNbp information must be substantially the same as that provided here. Bef H M�Yidck ith your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left / Right front of house, Left / Right rear of house, Left / right side of house, Left / Right side of building, Left / Right front of building, Left / Right rear of building, Under deck Address � � uj\ Cityrrown J �i 2. System Owner: C; Name Address (if different from location) Cityrrown B. Pumping Record 1. Date of Pumping 3. Type of system: ❑ ❑ Other (describe): State 10-3(—ir — 2. Quantity Pumped Septic Tank Date Cesspool(s) Zip Code State Zip Code < -? -3 Telephone Number Gallons T ❑ Tight Tank 4. Effluent Tee Filter present? ❑ Yes No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition�of System: 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Lo- h _ contents were disposed: G. L Lowell Waste Water Date t5form4.doc• 06/03 System Pumping Record • Page 1 of 1 07 ss ussr�s YigGc &—e 4 P -R& S144 BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Office Use Ony Permit Na t (jf� Occupancy & Fee Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 Date S -2--q-73 To the Inspector of Wires: (Please Print in ink or type all information) Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number �� / ►� U X/S �� / M b Owner or Tenant L in in i a l V1 //4 Owner's Address Is this permit in conjunction with a building permit Yes .� No ❑ (Check Appropriate Box) Purpose of Building_ k-ec I0�n � (o, / Utility Authorization No. Existing Service Amps Voits Overhead ❑ Undgmd ❑ No. of Meters New Service Amps Voits Overhead ❑ Undgmd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Sp-, r OTHER INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Com feted Operations Coverage or its substantial equivalent YES kNO = have submitted vaay proof of same to the Office YESLNO = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE IYBOND = OTHER = (Please Specify) (Expiration Date) 0/60,040 Estimated Value of ectric Wo E Work to StartZ L Inspection Date Resquested Rough Final Signed underthenes of perju FIRM NAME SU // / U/1 A /`//�/ i� i41.r /'M LIC. NO. a 7 D,-GA/ver h NO. 0.2 (17 O Bus. Tel No f -2.9– G F'2 ` 6 r? Address .Z% ^11,06410D Aft Tel. No. OWNER'S INSURANCE WAIVER: I am aware that fhe Licenses 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 $ t � — (Signature of Owner or Agent) Total No. of Lighteng LightenOutlets No. of Hot fuse No. of Transformers INA Above ❑ In ❑ No. of Lighting Fixtures Swimminq Pool gmd ❑ gmd ❑ Generators KVA No. of Emergency Lighting No. of Receptacles Outlets No. of Oil Burners Battery Units No. of Switch Outlets No of Gas Burners FIRE ALARMS No. of Zone No. of Detection and Total No. of Ranges No of Air Cond Tons Initiating Devices . Heat Total Total No. of Diposal No. Pumps Tons KW No. of Sounding Devices Nod of Self Contained No. of Dishwashers S ace/Area Heating KW DetectionlSounding Devices ❑ Municipal ❑ Other No. of Dryers Heating Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Bailases Wiring No. Hydro Massage_ Tuds No. of Motors Total HP OTHER INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Com feted Operations Coverage or its substantial equivalent YES kNO = have submitted vaay proof of same to the Office YESLNO = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE IYBOND = OTHER = (Please Specify) (Expiration Date) 0/60,040 Estimated Value of ectric Wo E Work to StartZ L Inspection Date Resquested Rough Final Signed underthenes of perju FIRM NAME SU // / U/1 A /`//�/ i� i41.r /'M LIC. NO. a 7 D,-GA/ver h NO. 0.2 (17 O Bus. Tel No f -2.9– G F'2 ` 6 r? Address .Z% ^11,06410D Aft Tel. No. OWNER'S INSURANCE WAIVER: I am aware that fhe Licenses 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 $ t � — (Signature of Owner or Agent) N2 I Date.... TOWN OF NORTH ANDOVER PERMIT FOR WIRING CS ... 51-A (` "J C"A n..... This certifies that... . ........................... ...... has permission to perform ...... Al.aiPI ...... **"*** 8 wiring in the building of ..... ........ ...... ................... at ..... .............. . North Andover, Mass. cc Fee... .... Lic. No... O� . (. ............... . .......................... i�i iNSPECTOR &0 Ck ���5 - WHITE: Applicant CANARY: Building Dept. PINK: Treasurer I f�fir ?JpaHr.»drt o6 r'a6lle 544 BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Office Use O�nnlly Permit No_ O Occupancy & Fee Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All worts to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) Town of North Andover The undersigned applies for a permit to perform the electrical worts described below. ! / Location (Street & Number L Z) Owner or Tenant L C>L DIV 1 4-e V r L L iit J� L c� Date To the Inspector of Wires: Owner's Address. J � yy -rk I r Is this permit in conjunction with a building permit q Yes � No ❑ (Check Appropriate Box) Purpose of Suilding 5 / � V L 1 �f � 114f L Y lO � c, N6 Utility Authorization No. � �'� 6 3 - Existing Service Amps Voits New Service � ( ) 0 Amps _114140fb Overhead ❑ Undgmd ❑ No. of Meters Overhead ❑ Undgmd ❑ No. of Meters Number of Feeders and Ampacdy /— Location and Nature of Proposed Ee=cal Work TA 4_J 4 --ft _ L (,(� J 1 &:�6 OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General taws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = have submitted valid proof of same to the Office YES = NO = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BONO = OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start Inspection Date RWuested Rough Final Signed under the Penalties of perj ��� LIC. NO. FIRM NAME (� n �rQ�� d i Licensee T«% 1,�1 ✓% i� . !ll /'z.�Ly T_ Signature _U'64 1 l LIC. NO. ' / _ 2 , . f �BAlt Tel No. Address � 14 O G % Amt Tel No. 7 OWNER'S I URANCE WAIVER: I am aware that the Licenses does not have the insurance covers a or i substantial equivalent as regwred by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) PERMIT FEE 5 %W r Telephone No. �f � (Signature of Owner or Agent) Total No. of Light8nq Outlets No. of Hot fuse No. of Transformers KVA Above ❑ In ❑ No. of Ughbnq Fixtures Swimminq Pool gmd C gmd C Generators KVA No. of Emergency Lignang No. of Receotacies Outlets No. of Oil Burners Battery Units No. of Svntcn Outlets No of Gas Burners FIRE ALARMS No. of Zone No. of Detection and Total No. of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No. of Moo" No. Pumos Tons KW No. of Sounding Devices No./ of Self Contained No. of Dishwashers Soace/Area Heating KW OetectioniSounding Devices Municipal ❑ Other No. of Dyers Heatnq Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Badases Wiring No. Hydro Massage Tuds No. of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General taws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = have submitted valid proof of same to the Office YES = NO = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BONO = OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start Inspection Date RWuested Rough Final Signed under the Penalties of perj ��� LIC. NO. FIRM NAME (� n �rQ�� d i Licensee T«% 1,�1 ✓% i� . !ll /'z.�Ly T_ Signature _U'64 1 l LIC. NO. ' / _ 2 , . f �BAlt Tel No. Address � 14 O G % Amt Tel No. 7 OWNER'S I URANCE WAIVER: I am aware that the Licenses does not have the insurance covers a or i substantial equivalent as regwred by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) PERMIT FEE 5 %W r Telephone No. �f � (Signature of Owner or Agent) JrN2 'i 47 Date ... .,� / . TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies thatY!........�.Q. �! �� . `(`/......,' �. �.,...................... has permission to perform ......... �J yk .�........1�.� i!}`�.. �- .......................... wiring in the building of ...C.0.1..... . ......... ..:....................... at .....h.v.L. ........ ..... ��!�"' .c t ......... .. r .............. . North Andover, Mass. ........... Fee. �.Nd . L). Lic. No.0.4�24 ..................................................... / ELECTRICAL INSPECTOR C Q1/98 08.41 300.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer r Location�`���N[ <r /D j NP. Date -5 13612 7 ,►ORTh TOWN OF NORTH ANDOVER Certificate of Occupancy $ } Building/Frame Permit Fee $ Foundation Permit Fee $ %� d s�cHust rimer Permit Fee $ Z Sewer Connection Fee $ Water Connection Fee $ �D�7 TOTAL $ 2703 vJ 1, 521. M PTD Build' Ins to _ Q // Div. u is Works Location No. Date 7 v40IIIT#j TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ q!V.l CHU Foundation Permit Fee $ Ca Other Permit Fee $ Sewer Connection Fee $ • Water Connection Fee $ TOTAL $ Building I tor. E-11. v ;kll 9 2 C'3 Div. Pubtic Works 0 W yo < z a z 0 N WN a � I N W z 0 0 Z w W m 0 J < J F 0 W m Ib 0 0 0 0 00 0 r J r LL W M I0 0 W 0 G z m N 0 z S� 0 J v k 5� z a ., I W �N I W �oZ W < 0 Z < Z < N H W 0 N 0 W w f a Z a u W z z 0 I N OJ o o < W N d G 4 0 7 1 I I I I i I I I 1 i I I I I I I 0 IL o I° <I :)I' W m m 0 I fa 4 10 u W Z z 0 u 0 _z O J m m lo. z 0 i LL Z R' W 4. 0 m L m 0 Z 0 u N Z 8 W C 0 � U f C 0 d J m U- F; k W I 0 W 01 It L L ' V a 1 I I 0 0 0 4 m J J 7 F LL LL 0 W 3 N n m 0 0 W W 0 W (f, 0 4 ! W < W N d G 4 0 • L d ' V a 1 I I N Icy Z 0 sc J f a J H ,z V J W 3 Q� o F o 0 0 0 = a 0 I h Z 0 I J ! 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CO2 v -• o poi, CL CO C S y v O 'O CD Z R OO N O � r CD pp o CD �d T W: n W,, F O i —•MOcr d0 F 0 N -0 co O am A 0 Ci pr O G Z �= m O C T Oma. CL O CD.fid tz y CD O -4O0N O �= : 3E ?m : 0 0 -4 > > O N . O_ m ~' O d O N• CO! O CD CL �o CL O Er �_ � OO N N d N N C d = ^ C 7v W I.0 06CL N O M t0 CA N� N m O d N CD O O cc -3, Y, cc 'O 0 m : gyp► N ;_ O CD 10 CL's: ci 0 0 mr z O f W omi 0 0 c 0 O pr O G T O 0 O C ti b q tz d z O f W omi 0 0 c F'! 4 - FORM U - VERIFICATION 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 local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: 111�/.�5/ �i9%?r�IS LL C- Phone LOCATION: Assessor's Map Number _1U % Parcel Subdivision _G�'/!t/J45 Lot (s) _ Street St. Number F ficial RECO ATIO S OENTS: Conservation Administrator Comments Pi Use only************************ Comments �/ _ (1 I �> (rGvCCL Food Inspector-HHealth pt•c Inspector -Health Comments Date Approved Date Rejected G19 Date Approved It Date. Rejected Date Approved Date Rejected Date Approved Date Rejected Public Works - sewer/water connections (� L/-77 - driveway permit IT(C ) Fire Department eceived by Builaing inspector, Date 03/13/88 13:27 FAX 508 6888556 .i NORTH ANDOVER .0001 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 a.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 BuildingProperty Permit (below) Address of Prop�rty for Permmii�t (below) r*&5l aC R-,5-�/iNq!>!�lT 3L Map and Parcel /9 3 -/Purpose of Application (check below). Phone IN#zber�of p hcant: Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPT)ON 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 iEXEMPTiON status is subject to review by the Building Department and is only aftialally accepted when the Building Permit iia 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 Ipt, in the building permit application and associated attachments, complies with one or more of the following sectons as indicated by a check mark. This is an application for a building permit for the enlargement restoration, or reconstruction of a dwelling in � iAence as of the effective date of this by-law, provided that no additional residential unit is Created. pL The lot(!) were/was treated prior to May 6, 1946 are amempt from the provisions of this Section 8.7 of the Zoning 'Bylaw. This application is for dwelling units for low andfor moderate income families or individuals, where all of the condiliam of 8.74c•ero mat andfor represents Dwelling units for senior residents, when: occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purpasea of this Section 'senior shall mean persons over the age of 55. This application is a part of a devebpment prolan which voluntarily agreed to a minimum 40% permanent rwuCdan in density. (buildable lots), below the density, (buildable lots), permitted under toning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acnes and permanently designated as open space andfor farmland. The land to be preserved shall be protecmd from development by an Agricultural Presematlon Restriction, Conservation Restriction, dedication to the Town, at other similar mechanism approved by the Planning Board that wig ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section a.1 shall receive a onetime exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the Parcel. This appllo0on represents a lot which is ready for building pennrts.li,e. all other permits from all other boards and commissions have been received and the protect is in compliance with those permits). and the Development Schedule does not accommodate issuing a building permit in that Year. ane building permit will be issued per Year per Oeveloomerit until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved farm 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 E)(EMPTIONS. 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 an above item which does not comply, whether done to my knowledge or not, is grounds for refusal by the Building Department to issue a Building Permit. ,?- /9 z ignature at Qvfner or Authonted Agent wria signed the Anacned Burldin Permit to This form must be attached to the Building Permit upon application for such permit i MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.0 CITY: Lawrence STATE: Massachusetts HDD: 6235 CONSTRUCTION TYPE: 1 HEATING SYSTEM TYPE: DATE: 3-25-1998 DATE OF PLANS: TITLE: 85windkist COMPLIANCE: PASSES Required UA = 792 Your Home = 782 or 2 family, detached Other (Non -Electric Resistance) Permit # Checked by/Date Area or Insul Sheath Glazing/Door Perimeter R -Value R -Value U -Value UA CEILINGS 1946 38.0 3.0 54 WALLS: Wood Frame, 16" O.C. 3600 15.0 3.0 241 WALLS: Wood Frame, 16" O.C. 198 19.0 3.0 11 GLAZING: Windows or Doors 702 0.500 351 FLOORS: Over Unconditioned Space 1927 19.0 92 BSMT: 4.0' ht/0.0' bg/4.0' insul. 68 10.0 6 BSMT: 8.0' ht/7.0' bg/0.0' insul. 120 0.0 27 HVAC EFFICIENCY: Furnace, 86.0 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. 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CERTIFICATE ISSUED TO ADDRESS Ioq? Building Inspector 0 • 0 t tz rY -a O ap no y O Es0 " m m O w It C a Z - =-0 ISO, N .�► 7 CL O gr CL O m O o o w O b 2 > > C=O ch .00 U2 O O C N O C r O ? (� �p moa; 0 co n a�a z a gr cr cc CL a4 V r� N 11 N � L '^ _? y O O t J y cd �: y rn OC C.) `A CA CD 05 co VJ m H �m dd o C')ca 0 z 1.iz1 Vi m ° x i° y C1. y C � � d 'fl O b Z CA r� x CL _ � O CO) C) v CD CD CD O Q %oc CD CD 1 CD =T -q . -' H CL O y, O O ca CD E CO) v O .1 -v n Z � o � CD t CD • 0 t tz rY -a O ap no y O Es0 " m m O w It C a Z - =-0 ISO, N .�► 7 CL O gr CL O m O o o w O b 2 > > C=O ch .00 U2 O O C N O C r O ? (� �p moa; 0 co n a�a z a gr cr cc CL a4 V r� N 11 N � L '^ _? y O O t J y cd �: y rn OC C.) `A CA CD 05 co VJ m H �m dd o C')ca 0 z 1.iz1 Vi m ° x i° Q C1. y o^ b ro r� x 09 0 c 0