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Home My WebLink AboutMiscellaneous - 919 GREAT POND ROAD 4/30/2018n U) m m m 0 m C=: y d . C � CO CD 2 CO) CLO C7• r � � o C. _• CO) O v CD CD QCL o C7 �' CD CCD O CCD cc w a. C CD CO2 Q v CVD, COS. CD C O ?� O -• N O Q N _L0<m N� 0 y 0 d n m Z. =r -O H _ .d.► m N Ti P -w CL =r m a?d y W -1o�� o O =. m m CD O O O H• n O w OCA r C am o?= V/ � O y 0 CD CD w c W =:D Cn c~�_:G ►Q H c :A m V J y � CD V cnCD C2 It 3 bd o � _m cn WC2 ... T] .= nd Z O s y CD p M_ OQ- 00 d4J 0 CD O r+CLOR r\o l - I z `� x v V 0 c CDol < o al® n CL z �® o � p M,m al C O ? H y rD-n Nm p 0 ® p p H -o m 3 0 r 3 �o CL in ® � to CDny O m 0. D W G'po 2 m C _m D >. Q CD Q n \ �, . 3 • d C �\ ® �9 m �su3 n a -CL a o Lno occ ®. ® C C E 5 a. N tn =. cr � ..« O O U3 aj ECD CD a a OD CD 3 O a0 O :rt Oto M CD ou � a .w d CD Few n 1 r d p H �z =1 z 0 0 0 * * To ' O CD cn z O rt N n U) 0 n rt n, a rt k n m X rt 0 a. a � \4 w M rt - (D n a. a' rt N' OR C � ro v m h rt (D Fi `D ro A rt a rD i 0 i a rt' n n A o F3 1 7 m rt E n 0 ro� rn o � rt ' 0 fl 0 tr lD X' n 0 ro p n E tan f,. r tD I ti d NO I � � 0 rt P. .w R 0 b � N O\ O M lD a y w �v As k 0 rt C7 44 M . . 00 Cn del rrj 'O C) C") Z p N � C)') Ti A rrI 3 n A' TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORKS 384 OSGOOD STREE"f NORTH ANDOVER. MASSACHUSE'f I_S 01845-2909 J. WILLIA,%1 IINIURCIAK, DIRECTOR, P.E. TiniolhYJ. 6Y'illett N°RT;l Telephone 9'%J 8 683-0950 l['aterStiperin[endent°•'.; °q"° lhone i F d °m Fccr (978) 688-9573 - A �9SSACHUSEtSh AUTOMATIC LAWN IRRIGATION SYSTEM PERMIT llATE /[ Z/ DJ? RECEIPT NO. i 110MEOWNER a-�r�j PHONE LOCATION 6,'eC;� Pel �7i 1557-7� �77_ INSTALLER r �Z r�luo ,T/�� ,'Vote: The Installer shalt verify that there is sufficient water pressure for the new irrigation system prior to the,start of any work. (.eneral Requirements — L Bypass Meter Set-up - A plumber shall set up a horizontal space for the bypass meter. The bypass meter shall be located waterbefore the erhouse meter. Deduct meters are not allowed except for those`homes-- with pumps. Ball valves should be installed on both sides of the meter. IL Rain Sensor — A Rain Sensor shall be installed on all new irritation systems. III. Backflow Preventor — The proper backflow preventor shall be installed and tested annually. IV. Sprinkler Head Location All sprinkler heads and pining must be installed entirely.on the homeowner's property. Sprinkler heads will not be allowed in the Town's Right -of -Way (R.O.W.), which is tvpically ten to fourteen feet back from the edge of roadway pavement. V. Bypass Meter Installation and Town Inspection After all work has been completed, call the DPW for bypass meter installation. The meter installer will use this Permit to inspect for proper meter set-up, rain sensor, backflow preventor, and sprinkler head location. This Permit must be present at the location for the bypass meter when the Town's meter installer arrives at the property. Bypass Meter Rain Sensor Backflow Preventor Sprinkler Heads Date Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 Of OORTH �.. E. �? O L lANi 7W �RY 'Q_ [DGH [Hiwf[H w1ANT�0 ri✓.al." APPLICATION FOR CERTIFICATE OF OCCUPANCY I INSPECTION ADDRESS LOT NUMBER / SUBDIVISION DATE REQUEST FILED ( /b DATE READY FOR INSPECTION TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTING D.P.W.; —WATER METER ATE D_P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED This certifies that ...... 2 Date l�.-.Zo . .. .......... TOWN OF NORTH ANDOVER PERMIT FOR WIRING has permission to perform ......................................... wiring in the building of ... ................................................. at ... e ............... ........................ .North Andover, Mass. V—, ... *** —, I . '. Fee .&...'......... Lic. / -E�cTRICAL INSPECTOR Check # /2 p 4791 ThECOAMoNWEALTHOFMASSACHUSEM Office Use only DEPARTMNNl0FPUX1CS4FEIY y79 BOARDOFFIREPRE 2F?m0NREGUTA7Y S527 ermit No. CNV,2..W / Occupancy & Fees Checked APPUCATTONFOR PERMIT TO PERFORMELECTIZICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover The undersigned applies for a permit to p orm the electrical work described below. To the Inspector of Wires: Location (Street & Number) Owner or Tenant LA r M 77-0 z�-^ , C Owner's Address Is this permit in conjunction with a building permit: Yes MWO M (Check Appropriate Box) Purpose of Building L Utility Authorization No. I Existing Service Amps / _ {j Volts Overhead derground:Amps No. of Meters New Service -,0 , Z( / Z ' olts Overhead Under ' ound No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. or Lighting Outlets No. of Lighting Fixtures No. of Receptacle Outlets No. of Switch Outlets No. of Ranges No. of Disposals No. of Dishwashers No. of Dryers No. of Water Heaters KW No. Hydro Massage Tubs ;e -A 1.ows-iWim No. of Hot Tubs No. of Transformers Total S K\7 Awimming Pool Above r-" Below No. of Oil Burners I No. of Gas Burners No. of Air Cond. Tota! Tons No. of Heat Total Pumps Tons Space Area Heating Heating Devices No. of No. of Signs Bailasis No. of Motors Total HP venerators No. --gency Lignung Battery Units FIRE ALARMS Total No. of Detection and KW Initiating Devices KW No. of Sounding Devices No. of Self Contained Detection/Sounding Devices KW Local Municipal ® Connections KVA No. of zones Other—rel irnm=C0Wragi" Aus<Itothe recgzemmofM CknesalLaws have acvnaYLial7ityhmu Pofixy> C.OrT]�ECoWWOrilSatst.da N.,alent y� baveSUbrrrittedvandptoofof aotheOl�e YES NO heck gthe ffyouhavedieclodyES,pl eir>d edhetypeo(covetagelry VSURANCE BOND OII-IER ftmSpecify) BM0DAxkloStait ID*Rough dva)ueof�7at�calWodc$ ignedunder�ie ofMucy. Fel RMNAME 20L offlSee 1�U ltk.��b � ; �) ► � Sigrum Licer>9eNo , - I A � � Busmt;TelNa q7,�, vVNEi2'S INSURANCE W Alt Tel No. ANIIZItonwatethattheli&m doesn�havetheir>vnancecovetageorits egttivaLntasregtmedbylvl�GerkralLaws jthatmysignat�,uecnthispenrutapp}icah� thisregttnerr�ent lease check one) Owner Agent ❑ p� Telephone No. PERMIT FEE Signature or caner or gent Date./'. NORT„ TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that,�� +� has permission to perform ... e', :a41'G`- ...................... plumbing in the buildings of .. ��!(` ... �/� M.cf <— s, ...... . at ..Ff? ..!-q�G L : `s . , North Andover, Mass. Fee. %!/l1'.. Lic. No.........�? PLUMBING INSPECTOR Check # ✓ 5773 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTupf� Date - Building Location9 9—i' Cwners Name Permit #5771 � Amount let), ,- P- C" Type of Occupancy Newca Renovation Replacement Plans Submitted Yes 1:1No ❑ ►' 1 ' WIDE =W 0,• (Print or type) „1 Che one: Certificate Installing Company Name C, Corp. Address Partner. Business Telephone — v Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of 'assurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent I hereby certify that all of the details and information I have.su ted (or entered) in abo p icatio true and accurate to the best of my knowledge and that all plumbing work and installation pe o ed r t sued is application will be in compliance with all pertinent provisions of the Massachusetts S t l i g Co and apte 2 of the General Laws. By ign Ur is s um er Type of Plumbing License Title lCity/TownM//Joumeymancense mer Master El tor�ca USE ONLY Location No. Date 2- f e ^ 03 k N*,, TOWN OF NORTH ANDOVER � w Certificate of Occupancy $ s�CNUs c�' Building/Frame Permit Fee $5 Foundation Permit Fee $ 4 r--- Other Permit Fee $ w TOTAL $ C) Check # d ` 16728 Building Inspector Location Of / 6i" � &J pc" No. t6 Date t o Check # 0 C�), `16693 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 5� ,5-0 Building Inspector .0 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING This Sccfad '#de Qii"kiat Use 0i9 ` BUELDING PERMIT NUMBER: t / DATE ISSUED: O 3 SIGNATURE: Building Co missioner/Ictor of Buildings Date SECTION 1- SITE INFORMATN7 IO 1.1 Property Address: rf') 1.2 Assessors Map and Parcel Number: l L Map Number Parcel Number 1.3 Zoning Information: -ZC,- 1.4 Property Dimensions: 5 Zontn District —Proposed Use Lot Area (sf) Frontage (it) 1.6 BUILDING SETBACKS ft Front Yard - ' Side Yard Rear Yard 7e, Required Provide Re wired Provided Re wired Provided 1.7 WaterS h M.G.LCaO. Sa) Public Private G 1.5. Flood Zone Information: Zone Outsiee Flood Zone 1.8 Sewerage Disposal System: Municipal :1 On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT a:stris Dis:rict,• Yes o 2.1 Owner of Record �—t Na e (Pnrii) Address for Sun ice (A Aure Telephone 2.2 (honer of Record: 1 i atl�e rint Address for Sen -ice: Sigt re Y Telephone E'CTION 3 - r;:ONSTRUCTION SERVICES 3. h j.icensed Construction Siipen-isyr- kk �i Not Applicable 1/.icchsed Ci�nstntcUon Supcntsor: ` License Numbery -- --- - dd;�s Sit r Expiration ate i --- -- — lure Telephone 3.2 ieistered Home Improvement Contractor Not Applicable l=. Co ,- 1pa yName Registration Number Address --- — -- Expiration Date -- _ Sienature — Telephone M.C. ANDREWS Co., INC. GENERAL CONTRACTOR -CONSTRUCTION MANAGEMENT - DESIGN/BUILD TRANSMITTAL LETTER DATE: 9/17/03 TO: TOWN OF NORTH ANDOVER BLDG. INSP./MIKE MCGUIRE /115"" WE ARE SENDING REREWITH ❑ FOR APPROVAL ❑ FOR REVISED APPROVAL ❑ APPROVED ❑ APPROVED AS NOTED ❑ RESUBMIT FOR APPROVAL ❑ RESUBMISSION NOT REQUIRED JOB:919 GPIL ARCHITECT:MCA TRADE CONTRACTOR: GC ❑ WE ARE RETURNING HEREWITH ❑ FOR FIELD USE ❑ FOR YOUR FILES ❑ FOR PROGRESS -ORDERING MANUFACTURING �AS PER YOUR REQUEST V/f4it_eFZ4--11 ❑ FOR QUOTE THE FOLLOWING (Drawings — Specifications — Schedules): 3 COPIES FRMG. PLAWFOUNDATION PLAN #S-1, DATED 9/17/03 REMARKS MIKE, ATTACHED PLEASE FIND THE PLAN AS REQUESTED FOR ISSUANCE OF BLDG. PERMIT. PLEASE CALL WHEN READY FOR PICK-UP. VERY TRULY YOURS, ANDREW C. MATSES n PRESIDENT 200 Sutton Street North Andover, gassachusetts 01845 — Tel: (978) 557-7532 — Fax: (978) 685-2357 1 , 1 : , 1 1 r 4'' 13 SECTION 4 - WORKERS COMPENSATION MG.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 build ¢ permit. ` Si ned affidavit Attached Yes ......• No ....... 0 SECTION 5 Descri tion of Proposed Work check all a licable ) New Construction ❑ Existing Building ❑ Repair(s) Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition Other ----p" S ci y -----� " Brief Description of Proposed Work: 1. c I SECTION 6 - F.STI%i4TFn C0N4M41TCT1nN rnc-rc – Item Estimated Cost (Dollar) to be OFFICIAL USE ONLY Completed by perm=it applicant ]. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbin° < Building Permit fee (a) x (b) 4 Mechanical (HVAC) Fire Protection 6 Total (1+2+3+4+5) -. r��, , `: Check Number %J iv Lr-JIL. 1 r,L 1V rit iN OWNERS AGENT OR CONT TOR A S FOR BUILDING PERMIT as O,vner%Authoriz_.: a.lent of subject property F]cnh., • lthorire ti � .�v �� t+ ----�-1- — — tc t:.t on Mc by all' �r�all trattars relati=ice IIQ a aria ' b% this building lx:nnit application. Si�nature,,X quer -- -- — Date 7SE6'T1 - N Til OWNER/AUTYORIZED AGENT DECLARATION �n --.as Owner.%Au horised Agent of subject v J 1"Ierebi declare that U'tc: sla[euiellts lila 1111olin tion, o11 the forL 0.11 application are true and aCCUrat;'. t0 the best Of,n% ],:110%tJedre and bellct 7. I rnit.-Nllil C / � 7 Si n, ` of O�lner/:^+sent Date NO. OF S1 ORII_S r SIZI; BASE MENTI" OR SI -A13 SIZE Oi. FLOOR TINIMERS — I SPAN — DI.MENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSION'S O'F GIRDERS li}'IGI CI' OF FOt;NDATION THICKNESS SIZE OF FOOTLVG MIATERIAI. OF C HIMNE Y IS BUIIMD G ON SOLID OR FILLED LAM) IS BUILDING CONNECTED TO NA"ITJRAL GAS LR,E J TOWN OF NORTH ANDOVER ` BUILDIlVG DEPARTMENT TO CONSTRUCT REP BUILDING PERMIT NUMBER: I / R0 FAMILY DATE ISSUED: ! —/9 Cct ) _ C3 SIGNATURE: Building Commissioner/Ins6mtor of Buildings Date SECTION 1- SITE INFORMATION I ;7 Address: 6 N3D F0. 1 1.2 Assessors Map and Parcel Map Number Number: Parcel Number 1� ()- NV A ,(✓ 1.3 Zoning Information: q —q— i.0 fA"k ; g7�5 YJI Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard t Side Yard Rear Yard a Rquired Provide Required Provided Recluired Provided 1.7 Water S ty M.G.L.C.40. 54) 1.5. Flood Zone Information: Public Private ❑ Zone Outside Flood Zone ❑ 1.8 Municipal Sewerage Disposal System: ❑ On Site Disposal system 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes No 2.1 Owner of Record Nb �%� SII 1p� Name'( rint) Address for Service 2.2 C Telephone L,L,-L,-- 1 Address for Service: v I 1; C;'7 . C?l 64- CTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number dress r J `�7 C7 Expiration Date Sign re Telephon 3.2 Registered Home Improvement Contractor Company Name Address Not Applicable ❑ 5 cc) Registration Number C;—(6 ( 0 Expiration Date u M z Mea M1 X z M 90 0 mn M ® G) SECTION 4 - WORKERS COMPENSATION Workers Compensation Insurance affidavit must be a in the denial of the issuance of the buildigg permit. Signed affidavit Attached Yes ........ V No ....... ❑ SECTION 5 Description of Proposed Work (cl New Construction ❑ 1 Existing Building C 152 § 25c(6) and submitted with this application. Failure to Repair(s) ❑ 1 Alterations(s) ❑ 1 Addition Accessory Bldg. ❑ I Demolition ❑ I Other ❑ Specify Brief Descn' on of Proposed Work: �1 wl b �� I SECTION 6 - F.STIMATFD CONSTRUCTION COSTS I willresult ptoa- Item 1. Building Estimated Cost (Dollar) to be Completed by permit applicant v CO3D F IFIL a a} �C s (a) Building Permit Fee Multiplier USED' Ni. 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total . 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property H eby autho ' e �IQa� C � ��r`G-� f � to act on y be all matters relative to work authorized by this building pennit application. Si e of Owner Date CTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, _,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 ature of Owner/A ent Date NO. OF STORIES SIZE 22 242 "Ch (kc•*'P u V"'N. BASEMENT OR SLAB '� S v-1 vk �-�s j 6 2 -a— a- e— 6A"r6 SIZE OF FLOOR TIMBERS 1 2 ND"► 3RD SPAN t DRvIENSIONS OF SILLS Z DIMENSIONS OF POSTS 13I1v1ENSIONS OF GIRDERS Z t HEIGHT OF FOUNDATION A THICKNESS SIZE OF FOOTING tof2 X MATERIAL OF CH EY IS BUILDING ON SOLID OR FILLED LANDS -� IS BUILDING CONNECTED TO NATURAL GAS LINE N 0 M.C. ANDREWS Co., INC. GENERAL CONTRACTOR -CONSTRUCTION MANAGEMENT - DESIGN/BUILD TRANSMITTAL LETTER DATE: 9/18/03 TO: TOWN OF NORTH ANDOVER BLDG. INSP. / MIKE MCGUIRE �WE ARE SENDING HEREWITH ❑ FOR APPROVAL ❑ FOR REVISED APPROVAL ❑ APPROVED JOB: 919 GPR ARCHITECT: AE TRADE CONTRACTOR: GC ❑ WE ARE RETURNING HEREWITH ❑ FOR FIELD USE ❑ FOR YOUR FILES ❑ FOR PROGRESS -ORDERING MANUFACTURING ❑ APPROVED AS NOTED ❑/AS PER YOUR REQUEST 11 RESUBMIT FOR APPROVAL �� ❑ RESUBMISSION NOT REQUIRED FOR QUOTE THE FOLLOWING (Drawings — Specifications — Schedules): 3 COPIES ENERGY CALCS (RESCHECK COMPLIANCE CERTIFICATE) REMARKS: ANY QUESTIONS... CALL. VERY TRULY YOURS, ANDREW C. MATSES PRESIDENT 200 Sutton Street North Andover, Massachusetts 01845 — Tel: (978) 557-7532 — Fax: (978) 685-2357 Permit Number REScheek Complia ee Certificate Checked By/Date 1995 MEC Generated by REScheek-Web Software PROJECT TITLE: 919 Great Pond Road COUNTY: Essex STATE: Massachusetts HDD: 6499 CONSTRUCTION TYPE: Single Family DATE: 09/18/03 DATE OF PLANS: 9-16-03 PROJECT DESCRIPTION: Residential Addition DESIGNER/CONTRACTOR: Charles Goldstein/Architectural Energies COMPLIANCE: Passes Maximum UA = 336 Your Home UA = 315 6.2% Better Than Code (UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R -Value R -Value U -Factor UA Ceiling l: Raised or Energy Truss 871 38.0 1.0 22 Wall 1: Wood Frame, 16" o.c. 2007 13.0 2.6 129 Door 1: Solid 84 0.103 9 Window 1: Wood Frame, 2 Pane w/ Low -E 153 0.330 50 Basement Wall 1: Solid Concrete or Masonry 232 11.0 1.0 52 Wall height: 8.0' Depth below grade: 5.0' Insulation depth: 2.0' Floorl: Unheated Slab -On -Grade 78 11.0 53 Insulation depth: 4.0' 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 deli ed to meet the 1995 MEC requirements in REScheek-Web and to comply with the mandatory requirerkliatedt Inspection Checklist. LREScheck n Builder/Designer RA, t 7,541 Date q_1g 03 1 { REScheck Inspection Checklist 1995 MEC Generated by REScheck-Web Software DATE: 09/18/03 PROJECT TITLE: 919 Great Pond Road Bldg. Dept. Use ( Ceilings: [ ] I 1. Ceiling 1: Raised or Energy Truss, R-38.0 cavity + R-1.0 continuous insulation Comments: Insulation must achieve full height over the plate lines of exterior Nvalls. I Above -Grade Walls: [ ] I 1. Wall 1: Wood Frame, 16" o.c., R-13.0 cavity + R-2.6 continuous insulation { Comments: I Basement Walls: [ ] ( 1. Basement Wall 1: Solid Concrete or Masonry, 8.0' ht/5.0' bg/2.0' insul, ( R-11.0 cavity- + R-1.0 continuous insulation Comments: I Windows: [ ] ( 1. Window 1: Wood Frame, 2 Pane w/ Low -E, U -factor: 0.330 For windows without labeled U -factors, describe features: # Panes_ Frame Type Thermal Break? [ ] Yes [ ] No Comments: I Doors: [ ] I 1. Door L Solid, U -factor: 0.103 Comments: I Floors: [ ] I I. Floor]: Unheated Slab -On -Grade, 4.0' insulation depth, R-11.0 continuous insulation Comments: Slab insulation to extend down from the top of the slab to at least 4.0 ft. OR down to at least the bottom of the slab then horizontally for a total distance of 4.0 ft. ( Air Leakage: ] I Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. ] I Recessed lights must be 1) Type IC rated, or 2) installed inside an appropriate air -tight assembly with a 0.5" clearance from combustible materials. If non -IC rated, the fixture must be installed with a 3" clearance from insulation. I Vapor Retarder: [ ] I Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. Materials Identification: [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ J I Insulation R -values and glazing U -factors must be clearly marked on the building plans or specifications. I Duct Insulation: [ ] I Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-6.5. I Duct Construction:. L ] I All ducts must be sealed with mastic and fibrous backing tape. Pressure -sensitive tape may be used for fibrous ducts. Duct tape is not permitted. ( ] I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] I 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. I Circulating Hot Water Systems: ( ] I Insulate circulating hot coater pipes to the levels in Table 1. I Swimming Pools: [ J I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 120 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. d Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Table 2. Minimum Insulation Thicknessfor HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Heated Water Non -Circulating Runouts Circulating Mains and Runouts Temperature ( F) Up to 1„ Up to 1.25" 1.5" to 2.0" Over 2" 170-1.80 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2. Minimum Insulation Thicknessfor HVAC Pipes. NOTES TO FIELD (Building Department Use Only) Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2" Runouts 1" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) North Andover.Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordanP ce with the provision of MGL c 40 S 54, a condition of Building errnit Number is -that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: ` (Loca LN acnity) Chi (J 5lgnature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector �• r Driver's Lice;iso 09-23-65 09-23-03 M 5'06' D 03246011 Date of Birth Expires Sex Height Class Number MATSES ea N ANDREW C m 10 DOLE HILL LN z W BOXFORD, MA 01885-9999 BOARD OF BUILDING REGULATION License: CONSTRUCTION SUPERVISOR Number: CS 055435 Birthdate: 09/23/1965 Expires: 09/23/2004 Tr. nc: 114; Restricted: 00 ✓1ATSES ST l� Iv mv4uvvtm MA 01845 Administrator City of Boston Board of Examinee _!CENSE FOR BUILLitiG O°ERA THIS CERTIFIES ANDREW C. MATSES IS DLL - _10E1ISEO TO T:.? -- = OF 1936 C 10 -OS -2002 10 -OS SEE BAC Issued EX-," ClzssofLic. FEE......... Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 138754 Expiration: 5/6/2005 Type: Individual ANDREW C. MATSES ANDREW MATSES 200 SUTTON ST. NO. ANDOVER, MA 01845 Administrator Name �)O- o;, 1 am a homeowner Pei The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit ng all work myself. 1 am a sole proprietor and have no one working in any capacity Please Print I am an employer providing workers' compensation for rrry employees working on this job. Company name: 1q • Address -70(-; �i✓``, Tj City 1y U��'� ��- Phone #k 53 2_— i 7,_7-7 Insurance Co. Policy # Faiture to secure coverage as required under Section 25A or;71- 152 can lead to the imposition of criminal penalties of.a fine up to $1,5Q0.00 and/or one years' imprisonment_as_well_as.civil penafties lnShe fam-d-a3TOP 1 A)RK ORDER.ad_a.fne-of�St!)oM)-atiay-Kjaj=tn),-_ I understand that a "copy of this statement maybe forwarded to the Office of Investigations of the Dlf, for coverage verification. / do hereby cerrffy pnder,the pains and penalties of perjury that the information provided above is true and correct. Sign Print nam i e �Vl (' n i i�- . Date Phoned Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing El Building Dept ❑Check if immediate response is required .[ Licensing Board E] Selectman's Office Contact person: Phone #. E] Health Department I] Other Name The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02191 Workers' Compensation Insurance Affidavit Please Print I I am a homeowner pei all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. �Co�many name: � (�k-V Address City: 1y U !�D,rVl,� Phone#: Insurance Co. /� ��I l�i,� lei'✓fig✓ Policy # 7-7 Company name: Address Insurance Co. Policy # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penatties of•a fine up to $1,500.00 and/or one years' imprisonment.as_wtell_as.civA penalties jnShel=-d-a STOP 1 K)RK ORDERand_a fore.cf-($1D0_ClD).a riayagainstme_ I understand that a "copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby eerby pnderlhe pains and penalties of perjury that the information provided above is bye and correct. Sign Print name Official use only do not write in this area to be completed by city or town official' I-((_. City or Town Permit/Licensing Building Dept [—I Check if immediate response is fequired licensing Board F1 Selectman's Office Contact person: Phone #: F, Health Department Ei Other < o m � ::r 5 � ry "m z Or P=o o M _ 0 = H N 0 a - rm Xr n C0 c3oc 3 CL > > N. ® � m0 y m ® O f-4 M 7 y :3 In M(DW aro (D Q' 0 -� 3 �, C Er CL -n� 3 n G1 .61. CL Q, 3. a _� :. cn a) a o o' c c° o E < -�—low 0 z 'ro _3 N O 5' LCI O:f :040 0 r' CD mn fig• �. .M % O y cid fopopft o� CD 1� d 70 H z o X Cono o : CA v� �: �N ��( F:�u,s/f M.C. ANDREWS Co., INC. GENERAL CONTRACTOR -CONSTRUCTION MANAGEMENT - DESIGN/BUILD LETTER 1/03 TO: TOWN OF NORTH ANDOVER BLDG. INSPECTOR / MR- ROBERT RROBERT NICETTA XFOFOR APPROVAL R REVISED APPROVAL ❑ APPROVED ❑ APPROVED AS NOTED ❑ RESUBMIT FOR APPROVAL ❑ RESUBMISSION NOT REQUIRED JOB:919 GREAT POND RD. CHITECT:MCA AE CONTRACTOR: GC ❑ WE ARE RETURNING HEREWITH ❑ FOR FIELD USE ❑ FOR YOUR FILES ❑ FOR PROGRESS -ORDERING MANUFACTURING ❑ AS PER YOUR REQUEST ❑ FOR QUOTE ❑ THE FOLL WING (Drawings — Specifications — Schedules): � eE-f 5 e.a q ST . -33 o e. . 1 COPY EXECUTED BLDG. PERMIT APPLICATION 1 DUMPSTER AFFIDAVIT 1 WORKERS COMP. AFFIDAVIT 1 COPY BLDRS. LISCENCES REMARKS: BOB, THIS APPLICATION IS TO SIMPLY TEAR OUT SOME FLOORS, START SOME REPAINTING, ETC. AND THROW OUT OLD DEBRIS LEFTOVER FROM PREVIOUS OWNER. ANY QUESTIONS .... CALL. WE WILL SUBMIT FOR FULL PERMIT UPON APPROVALS FROM PLANNING BOARD. . VERY TRULY YOURS, ANDREW C. MATSES PRESIDENT 200 Sutton Street North Andover, Massachusetts 01845 — Tel: (978) 557-7532 — Fax: (978) 685-2357 M.C. ANDREWS Co., INC. GENERAL CONTRACTOR -CONSTRUCTION MANAGEMENT - DESIGN/BUILD TRANSMITTAL LETTER DATE: 9/9/03 JOB: 919 GPR TO: TOWN OF NORTH ANDOVER BLDG. INSP. / BOB NICETTA, MIKE MCGUIRE ARE SENDING HEREWITH ❑ FOR APPROVAL ❑ FOR REVISED APPROVAL ❑ APPROVED ❑ APPROVED AS NOTED ❑ RESUBMIT FOR APPROVAL ❑ RESUBMISSION NOT REQUIRED FOR QUOTE ARCHITECT: ACM TRADE CONTRACTOR: GC ❑ WE ARE RETURNING HERREEWITII FOR FIELD USE �OR YOUR FILES ❑ FOR PROGRESS -ORDERING MANUFACTURING AS PER YOUR REQUEST ❑ THE FOLLOWING (Drawings — Specifications — Schedules): 3 COPIES SITE PLAN, DATED 7/25/03 3 COPIES SIGNED FORM -U 3 COPIES FOUNDATION PLAND, #S-1, DATED 9/9/03 REMARKS: ANY QUESTIONS... CALL. VERY TRULY YOURS, ANDREW C. MATSES PRESIDENT 200 Sutton Street North Andover, Massachusetts 01845 — Tel: (978) 557-7532 — Fax: (978) 685-2357 FORM U -LOT RELEASE FORM INSTRUCTIONS: This form is. used to verify that all necessary. a rovals/permits fro Boards and Departments having jurisdiction have been obtained. T his does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION APPLICANT C. 6�-7t+�4e I1PFiONE Z �- �S �— 7 Z_ LOCATION: Assessor's Map Number_ L 8'> PARCEL. SUBDIVISION LOT (S) ,,STREE QST. NUM13ER "►OFFICIAL USE ONLY RECO D ON gam; S VATION AD 1 ISTRATOR DATE APPROVED DATE REJECTED COMMENTS DATE APPROVED DATE REJECTED � ll FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED. 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