HomeMy WebLinkAboutMiscellaneous - 93 NUTMEG LANE 4/30/2018GENERAL 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/stone/fabric filter/cover and outlet cornection.,
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number C�2S7. Date
THE BUILDING LOCATED ON
THIS CERTIFIES THAT
/of 1 � i6�-�V3 : A�A-M,
zI w -e__
MAY BE OCCUPIED AS 0 q I � IF'e, S i C /0'V 6 L IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUV
'P,
OTHER REGULATIONS AS MAY APPLY. U4-) Z
CERTMCATE ISSUED TO Z( Z(-/ C -
ADDRESS eie e- e tz/ c? R
Building Inspector
I Lag all posts and rails.
Pier footings down 48", Conc. pad at stair b--�;,e.
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.
CA
CD
a 2m
CD CD
CL r—
CL
C:j
CD
cr
.<
CD C2
CD
CA
10
CD
a
cm
7
CD
CO)
CO)
CO)
CO)
CD
CD
CD
P.
CA
CD
CO)
CD
CD
CD
fi-50
I
It
I
cn
cn
n
0
z
cn
C�
n
0
cn
Cl:
cn
0
cn
w -010 10 =r
=., 0 0
ca CD cr ca
C— dc CO)
L CD —.0 10
CL
=:t CIO 0 CD
40 — C2 M
CA C2 C26 C-1
CD —0. = =
--' =r -O CA
= IV Co CA
CD = -P —
=r CL CL 0
Fn -
=r CD so ca
P-0 CD M -*
CD 0 0
1-4 -P'= :
0 IE = 5R *14%b CD
CD
-0
'on
0 LO). o
CD Ift
=r
C co
a
CL
0
C=,r
CD CO2%
CD C-)=
CL
0 cD:ib:
CD
C',
C (01:
0)
CL cr
C2
CL
GO CCD
CA
=r CO2
CS
M CD
su C42
CD
b PD,
C'A
CD
C.,
=
= r
c
o
E;
(d =F co)
4D CD
H
Cl)
c 0
C3
W,
0
omi
0
91"
0
44�
CD
01
Town of North Andover TAORTH
Building Department
27 Charles Street 0
North Andover, Massachusetts 01845
(978) 688-9545 Fax (978) 688-9542
04ATED PIT011
SACHU
APPLICATION FOR CERTI[FICATE OF OCCUPANCY INSPECTION
ADDRESS 93 Nutmeg Lane
LOT NUMBER 19 SUBDIVISION Abbott Village Estates
DATE REQUEST FELED November 19, 2001
DATE READY FOR fNSPECTION November 20, 2001 PM
FlIVE (5) 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 WELL BE
CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES.
SIGNATURE
OFFICIAL USE ONLY
ROUTING
CONSERVATION DATE
d t
PLANNING DATE
D.P.W. - WA METER, DATE
D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED
INSPECTION -QUEST DATE.
.I- ZZ� � / -2
TURE /
NEW ENGLAND ENGINEERING SERVICES
INC
November 26, 2001
North Andover Planning Board
27 Charles Street
North Andover, MA 0 1845
Re: 93 Nutmeg Lane, Lot 19
North Andover, MA
Dear Sirs:
Please accept this letter as our certification that on November 26, 2001 this office
inspected the driveway at the above referenced property and determined that the
driveway as currently located does not fall in a location where a stone bound or a catch
basin is located.
Sincerely,
Benjamin C. Osgood, EIT
President
60 BEECHWOOD DRIVE - NORTH ANDOVER, MA 01845 - (978) 686-1768 - (888) 359-7645 - FAX (978) 685-1099
Date. -�7 :.'e� � . -. �- /
No 4 " 2 7
TOWN OF NORTH ANDOVER
0
PERMIT FOR PLUMBING
This certifies that .... . . . . . . . . . . . . . . . .
has permission to perform ....... k / 7�,-- .,. � � - --.e .........
plumbing in the buildings of .....................
................... , ........ North Andover, Mass.
Fee. Lic. No.. ......... ' ' ' * * ! . .......
PLUMBING INSPECTOR
Check #
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTHANDOVER, MASSACHUSETTS
Building Location 4 41 7-11 - M
&6,T /Y/, -c a
New a Renovation M
9 Owners Name
14 N
Type of Occupancy
Replacement
FIXTURES
Date S— 16"i C, 1.
1,6� Permit# �37
Amount
/ 14
Plans Submitted Yes El No El
(Print or type) Check one:
Installing Company Name El Corp -
Ad . dress 'V/ '/? / /? —, A/ El Partner
Business Telephone 5-1 4�1/— -q-29 Firm/Co.
17'
Name ofLicensed Plumber: z,1,67 ,;e�'
Insurance Coverage- Indicate the type of insurance coverage by checking the approp7a'te box:
Liability insurance policy a Other type of indemnity r-1 Bond F�
Certificate
Insurance Waiver. 1, the undersigned, have been made aware that the licensee of this application does not have any one of the above
three insurance
Signature Owner 1:1 Agent r-1
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State Plumbing Code an�*apter 142 of the General Laws.
By: �AgnaUlre 0r*'ACenSeG rIUMDer
Type of Plumbing License
Title 1/17
City/Town e Mumoer Master Journeyman VT
APPROVED (OFFICE USE ONLY
Date...
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that ?,P - c�
..................
has permission for gas installation .... A� S: t/
in the buildings of . . , / —
.......... ..............................
at ...... North Andover, Mass.
Fee. Lic. No.. .......
GAS INSPECTOR
Check #
37- J"
MASSACHUSEM UNIMRM APPLICATON FORPERNIrr TO DO GAS FTMNG
(Type or print) Date
NORTH ANDOVER, MASSACHUSEWS
. Z'--;� Permit # 3
Building Locations Z, &z), '? 3 A/ a 7 N r�� L)
Amount $
Owner's Name IM )1z"I
New Renovation Replacement Plans Submitted
(Print or 1,W1 42&oZ�'77 ""- - one: Certificate Installing Company
Name, _tCorp.
Address I [:] Partner.
7W Ao"f - x 6? e- /;e 1/5-W
Business Telephone q;> 5?r- yr,�r-/ q"/ 4--6 Firm/Co
Name of Licensed Plumber or Gas Fitter e I -Flo 9 :� /��q a c,,- lf� 7 "�
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes [Z]�— Noo
Ifyou have chocked M, please indicate the type coverage by checking the appropriate box.
Liability insur-ance policy 0-- Other type of indemnity E] Bond 0
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 ofthe
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner Agent r-1
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws.
VED (OFFICE USE ONLY)
Signature of Licensed Plumber Or Gas Fitter
Plumber 4&=4 /�� - 6
Gas Fitter License Number
0 Master
[ZI Joumeyman.
7
-j
N2 3-, i., 05 Date ..... ��/ ��/
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ........ ....... IPcjv
..............................................
e
has permission to perform ......... .... .............................
wiring in the building of ......... . .... ............................................
K
at ........ 77� ........ 111.1�AL tAtt!.1-Y ........ Lk. I North Andco-veri, Mass',;�l
F 0
.... Lic.
ELEcrRICAL INSPE&OR
Check # 7o.;;
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
77M COAAIOAWEAL771 OFAMSS4MUSETIS Office Use only
DEPARTAfiM0FPUBUCS41;E7V Z//
Permit No.
BOARD OFFR?EPREVEMONREGUIAHOASS27(�jM]2.00
Occupancy & Fees Checked
Z
TI0NF0RPFJ?A1ffTT0PERF0RM==CAL WORK
ALL WORK TO BE PERFORNED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CNIR 12:00 61
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
Town of North Andover. To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work described below. PARCEL
Location (Street &
Owner or Tenant
Owner's Address
Is this permit in conjunction with a building pem-iit: Yes Ef[—No F] (Check Appropriate Box)
Purpose of Building A-� --- zxi---c Utility AuthorizationNo.
Existing Service Amps Volts Overhead Underground No. of Meters
New Service AmpS112-1,2-KcIVoltS Overhead Underground No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work A -le
No. of Lighting Outlets
No. of Hot Tubs
No. of Transformers
Total
KVA
No. olt-,ighting Fixtures
Swimming Pool Above
Below
Generators
KVA
ground
[p
ground
No. ofReceptacle Outlets
No. of Oil Burners
No. ofEmergency Lighting Battery
Units
I
No. of Switch Outlets
No. of Gas Bumcm
FIRE ALARMS
No. of Zones
No. of Ranges
No. of Air Cond. Total
Tons
No. of Detection and
No. ofDisposals
No. of Heat Total Total
Pumps
Tons
KW
Initiating Devices
No. of Sounding Devices
No. of Dishwashers
Space Area Heating KW
No. of Self Contained
Detection/Sounding Devices
Local 0-1 Murucip�l
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
OTTIER
I , 9, .. 1, 1 111, ; ;1 ;1 . .
AAA-
, AlL TeL Na
O'�h��SD49JRANCEWAIVER,Ia[nawxed-adrL=wdoesnattuwtcmxm=wvmg�crtsabsbrt�de4m]atasm4mudb,jNtssacim
andd-amy sigriEtrecridis apphcalim dm
parnit _VMr%VS re4mmlat
(Please check one) Owner " Agent F-1 Telephone No. PERMIT FEE
ZSjoiature ot ()wner or Agent
It, C) 0
Location lo -117 ?�-2,3
No. 7
9,51 Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
CHU
Building/Frame Permit Fee $ 1,3
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ 1,3,5-6
Check #
6 r
Building Inspector
A
,P-eln -/ # 9"
1,5 --�, v I- D
/Ja 91-3
NO*
SO4L,-- I' = 40'
PLAN OF LAND
IN
A ND 0 VER,
Jf
IMYES ENGINif-RING, INC
CM ENGINfLRS &
LAM0 SURVEYORS
n�5
MASS.
,111NE 15, 2001
60-T -VLE'ld STREET
WAKf-f7fLD, MASS 01880
M. (781) 246-2800
/ CiRTIFY TIMT THIS FOUNDATION IS LOCATED ON THE GROUND AS SHOWN, AND THAT
IT CONFORMS TO THE SET84CK REOUIREMENTS OF THE ZONING 8Y -LAWS OF THE
TOWN OF NO. ANDOVER / FURTHER CERTIFY THAT mls PRopiRiy DoEs Nor LIE
WITHIN A I-ZOOD HAZ4RD AREA (ZONE A OR V) AS SHOWN ON FLOOD INSURANCE RATE
8
j -0 F
MAP COMMUN17Y PANEL NUMBER 250098 0010 8,- EFfFC77VE DATE- JUNE 15, 19 OF tA(44
SIDNEY
DA7F, JUNE 15, 2001 C.
---------------------
FIELD,Jft
V
LAND S�RVEYVR ND. 15320
,too
I
NIS
,;I.
z -
m
oil
tn
X
,j3 pv�
01
LOT
i 1., 030
TOP f -OUNDA TION
TOP f- UNDATION
ON
f E
-L,FV 19 7. 51
07�
3.0 4.
*.o
3.0
0
4.0
S'. F
M77-
50
0636
ZONE- R-.3
MINIMUM S Z - TSA CKS.
FRONT -TO'
SIDE- 20'
REAR JO **
MIN. FRONTAGE-= 125'
MIN. ZOTAREA=25,000 SF
kA
ZONE- R-.3
MINIMUM S Z - TSA CKS.
FRONT -TO'
SIDE- 20'
REAR JO **
MIN. FRONTAGE-= 125'
MIN. ZOTAREA=25,000 SF
Location
No. Date
,en TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
CHU
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
Building lnsp�cfor
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVAT& OR DEMOLISH A ONE.OR.T WO FAMILY DWELLING
BMW WW
BUILDING PERM[IT NUMBER: DATE ISSUED: too
SIGNATURE: 0�d c aA6060%
Building Commissioner/IgEeector of fruil"is Date
SECTION I- SITE INFORMATION I I
1. 1 Property Address:
1.2 Assessors Map and Parcel Number:
4y
OZ
Map Number
Parcel Number
1.3 Zoning Information:
1.4 Property Dimensions:
It,
Zoning District Proposed Use
Lot Area (sf)
Frontage (11)
1.6 BUHDING SETBACKS (ft)
Front Yard
Side Yard
Rear Yard
RNWred Provide Required
PrOV14-d RegWred
Provicw
1
1/'(00 zpo
0 1 CA/ --/ Af - e .340
jo f
1.7 Water Upply M.G.1-C.40. § 54) 1.5.
Flood Zone Information I's
S Disposal System:
Public ir Private 0 Zone
Outside Flood Zone muicip.1
On Site Disposal System 0
SECTION 2 - PROPERTY OWNERSHEP/AUTHORMED AGENT
r
2.1 Owner of Record
yz A 1 7. -9
4"
Name (Print) Address for Service:
�1,0!4 - )
Signatu Telephone
2.20w VrRecordl
,0
Name Print Address for Service:
Signature Telephone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor: Not Applicable 0
Licensi;d Construction Supervisor:
License Number
.To4o -7
Address
7 I , //, /z ,
/ Expiration Date
kSignaturf, Telephone
S
3.i.2 9,+istered H e Improvement (5iin-tractor Not Applicable 0
Company Name
Registration Number
Address
Expiration Date
Signature Telephone
SECTION 4 - WORKERS COMPENSATION (ALG.L C 152 § 25c(6) I
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 �Milding permit.
Signed affidavit Attached Yes No ....... 0
SECTION 5 Description of Proposed Work (check all applicabTI)
New Construction 9' 1 Existing Building 0 1 Repair(s) 0 Alterations(s) 0 Addition 0
Accessory Bldg. 0 1 Demolition 0 1 Other 0 Specify
Brief Description of Proposed Work:
ra -c r le(l, � q . 0, 0 '0 1, � (,-- / e W, X 0 lite,
I SRCTFON 6 - FqT1FMATFD rONIRTRITrTION COV.T.q I
Item
Estimated Cost (Dollar) to be
Completed by permit applicant
X -W 11941 =11
ft
I Building
(a) Building Permit Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction
3 Plumbing
Building Permit fee (a) x (b)
A 5'0 (o
-4 Mechanical (HVAC)
5 Fire Protection
6 Total (1+2+3+4+5)
Check Number
SEC]LION 7a OWNER AUTHOFtIZATION TO HE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERNUT
4 as O�Arner/Authorized Agent of subject property
Hereby authorize .;4-,9 h )n ;A- I--" ur- b-, to act on
My alf, ii 11 malters relative t k authorized by this building permit application.
!=A e%-, �� ':r/v Z
SignaWe oldvJnei/l Date - ' -
SECTVON 7b "�ER/AUTHOMED AGENT DECLARATION I : I .
as Owner/Authorized Agent of subjqct
property
Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
and belief
r- 1- 6 -
Print Name
r
Date 1
NO. OF S'VORIES I SIZE 4
BASENENT OR SLAB &:SA, Vn6-n -)—
SIZE OF FLOOR TUABERS In Z X to 2 ND :Z 3M
SPAN 711,
2 -
DRvENSIONS OF SILLS
DRAENSIONS OF POSTS
DINENSIONS OF GIRDERS q
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 oA
i
FORM U LOT RELEASE FORM
INSTRUCTIONS: This &rm is used to verify that all -necessary approval/ permits from
Bbards.and Departments. having jurisdiction have been obtained. 7his, does not relieve the
applicant and or landowner from compliance with any applicable requirements.
IWONMEMOM WWWWWW.RMW MEOW 0 MENOXOMMUNNE Wannummanso a 0 an a 0 0
- P7 PHONE 62
APPLICANT
ASSESSORS MAP NUMBER LOTNUMBER
SUBDIVISION Vjk�� . LOT NUMBER
U
STREET- ......... STREET NUM13ER
IMU'VaNS000840— .... �0800008600M.. a a 0 a a 0 a a 0 0 a a a a a 0 a 0 a a a a 0 a a a 0 0
0 OFFICLALUSE ON -LY
. . . . . . . . . . . . . so am a a am 6 a an now a am ass us on Max.sa mean am so a a am a a an
RECOMAiENDATIONS OF TOWN AGENTS'
DATE APPROVED
ATIONAMflNISTRATOR
RV�
V-CkE;VA DATE REJECTED
CONQAENT-S
DATE APP�t�
FOOD INSPECTOR - HEALTH
DATE APPRtMVED --w Lu e r,
SEP171C INSPECTOR - HEALTH DATE REJECTED
coNQvffNTS
.� PUBLIC WORKS - SEWER / WATER CONNECTIONS
DXJVEWAY PERMIT (-/,
k&,MTZ&M'- DATE APPRgED&
4 r Der 6 P C,,,I. hr
V FIRE DEPARTMENT DATE REJECTED
COMN�
RECEIVED BY BUILDING INSPECTOR DATE
'540-0(
14
Building Value Calculation - for Prope a
LOT#
-v�
oom
Length
Width
Sq.Ft.
Cost per Sq.Ft.
�Ml Cost
Kitchen
15
14
210.00
65
$
13,650.00
Brkfstnook
16
14
224.00
65
$
14,560.00
Dining Room
15
14
210.00
65
$
13,650.00
Family Room
24
24
576.00
65
$
37,440.00
Study
15
14
210.00
65
$
13,650.00
Living room
15
14
210.00
65
$
13,650.00
Garage
24
24
576.00
35
$
20,160.00
Entry
15
14
210.00
65
$
13,650.00
2nd floor foyer
-
65
$
-
Sunroom
65
$
mudroom
-
65
$
-
Walkin closet
Basement Finished
9
7
63.00
-
65
65
$
$
4,095.00
-
Deck
10
$
Screened Porch
-
35
$
-
laundry
7
3
21.00
65
$
1,365.00
Bedroom 1
17
15
255.00
65
$
16,575.00
Bedroom 2
14
14
196.00
65
$
12,740.00
Bedroom 3
15
15
225.00
65
$
14,625.00
Bedroom 4
15
13
195.00
65
$
12,675.00
Bedroom 5 j 0
6
5.5
33.00
65
$
2,145.00
Bathroom 1
14
10
140.00
65
$
9,100.00
Bathroom 2
14
11
154.00
65
$
10,010.00
Bathroom 3
-
65
$
-
Bathroom 4
65
$
Bathroom 5
65
$
A0 /,P7 134 -?,h
".2 6,--v
1� . Town of North Andover
Building Department
27 Charles Street
North Andover, Massachusetts 0 1845
(978) 688-9545 Fax (978) 688-9542
DEBRIS DISPOSAL FORM
, 6,6
0
D
In accordance with the provisions of MGL c 40 s 54, and a condition of
Building permit-# the dehns resulting from the work shall be disposed
of in a properly licensed solid waste disposal facility as defined by MGL cl 1, sl 56a.
The debris will be disposed of in /at:
zL c"
Facility !ocation
*ature of A icant
1g.4
Date
NOTE: A demolition permit from the Town of North Andover must be obtained for this
project through the Office of the Building Inspector.
0
GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT
TOWN OF NORTH ANDOVERBUILDING DEPARTMENT
This form shall be used to assist the Building Department in their determination of exemption under section
8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the
necessary information as requested below.
Permit Applicant Property address Map / Parcel
&gS -.3 16-� A--�
Applicant's Phone Number 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 EXEMPTION section 8.7.6 of the Growth Management Bylaw. I also understand providing this form does not
absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the building
permit. Further I understand that my interpretation of the exemption status is subject to review by the Building Department and is only
officially accepted when the building permit is issued.
Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building
permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark.
This is an application for a building permit for the enlargement, restoration or reconstruction of a dwelling in existence as
of the effective date ofthis bylaw, provided that no additional residential unit is created.
The lot(s) was / were created prior to May 6, 1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw.
- 'Ibis application is for dwelling units for low and or moderate income families or individuals, where all of the conditions
of 8.7.6 are met and or represents dwelling units for senior residents, where occupancy of the units is restricted to senior citizens
through a properly executed and recorded deed restriction running with the land. For purposes ofthis section "senior" shall mean
persons over the age of 55.
This application is part ofa development project which voluntarily agreed to a minimum 40 % permanent reduction in
�sity (buildable lots) below the density permitted under zoning and feasible given the environmental conditions ofthe tract, with the
surplus land equal to at least ten buildable acres and permanently designated as open space 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
�arc.l on the effective date ofthis Section 8.7 and shall receive a onetime exemption from the Planned Growth Rate and
Development Scheduling provisions for the purpose ofconstructing one single family dwelling unit on the Parcel.
This application represents a lot which is ready for a building permit ( all other permits from all other boards and
commissions have been received and the project is in cornpliance with those permits), and the Development Schedule does not
accommodate issuing a building permit in that year. One building permit will be issued per year per Development until such time as
the development schedule accommodates issuing building permits. Applicant must submit an approved FORM U with this
EXEMPTION.
PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A
DETERM[INATION THAT THIS APPLICATION IS ALLOWED UNDER 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 SUBNUTTAL OF NUSLEADING OR INACCURATE INFORMATION OR THE
CHECKING OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY, WHETHER DONE TO MY KNOWLEDGE OR
NOT IS GRQUNDS. FOR WUSAL EK THE BUILDING DEPARTMENI'TO ISSUE A BUILDING PERNRT.
a AVVlk -- .5-12oldl
APPI,r-AWS �IGNATURE DATE
TFHS(/FORM TtW ATTACHED TO TBE BUILDING PERMIT APPLICATION
V-
C
4
4
0/'A.,
BOARD OF BUILDING REGULATIONS
TION SUPERVISOR
License. CONSTRUC
Number: CS 002176
Birthdate: OW28/1941
Expires: 03/2812002 Tr. no: 24203
Restricted To: 00
JOHN J BURKE
71 SUTTON HILL RD
uh 01845 Administrator
N
F-1 I am a sole proprietor and have no one working in any capacity
r -U. -I I am an employer providing workers' compensation for my employees working on this job.
t-___�ntff n-MM=1 fo, _e A,%ML x ki dcv C", �
I
Address ;�7:9
P'0' /
p A44�" j Ce jv IX Phone #:
1-1 - V
Insurance Poliot # 62 Z,?, 0 4 21
Of 500
Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties afineupto$1, .00
and/or one years' imprisonment-as-wefl-.as,civ.il.,p.enaKtes in 1helarm-of a -STOP WORKORDER.and.a fine -of j$1jD.0.00) -aday against me. I
understand that a copy of this statement may be forwarded to the Office of investigations of the DIA for coverage verification.
I do hereby certify under the pains and penalti of peq'u that the infonnation provided above is true and correct. /.0/
0 JA AA �,=& - nntp
Phone#
Print name
do not write in this area to be completed by city or town official'
Official use only
City or Town PermWicensing
Building Dept
0
Licensing Board
[]Check if immediate response is required
F1
Selectman's Office
0
Health Department
Contact person: -Phone
0
Other
MAScheck COMPLIANCE REPORT
Massachusetts Energy Code
MAScheck Software Version 2.01 Release 3
TITLE: PLAN NO. 8217
CITY: North Andover
STATE: Massachusetts
HDD: 6322
CONSTRUCTION TYPE: 1 or 2 Family, Detached
HEATING SYSTEM TYPE: Other (Non -Electric Resistance)
DATE: 5-9-2001
DATE OF PLANS: 7-23-93
PROJECT INFORMATION:
COLONIAL HOUSE
COMPANY INFORMATION:
BRUNO ASSOC.
28 BERKELEY ROAD
N. ANDOVER, MA 01845
COMPLIANCE: Passes
Maximum UA 593
Your Home 461
Permit #
Checked by/Date
Area or
Cavity Cont.
Glazing/Door
Perimeter
R -Value R -Value
U -Value
UA
-------------------------------------------------------------------------------
CEILINGS 1292
30.0 0.0
45
WALLS: Wood Frame, 16" O.C. 2688
13.0 0.0
220
BSMT: Conc. 8.0' ht/7.01 bg/8.01 insul 1850
19.0 0.0
83
GLAZING: Windows or Doors 312
0.300
94
DOORS 63
0.300
19
HVAC EQUIPMENT: Furnace, 87.0 AFUE
-------------------------------------------------------------------------------
COMPLIANCE STATEMENT: The proposed building
design described
here is
consistent with the building plans, specifications,
and other
calculations
submitted with the permit application. The
proposed building
has been
designed to meet the requirements of the Massachusetts
Energy
Code.
The heating load for this building, and the cooling load if appropriate,
has been determined using the applicable Standard Design Conditions found
in the Code. The HVAC equipment selected to heat or cool the building
shall be no greater than 125% of the design load as specified in
SeQ'tions 780CMR 1310 and J4.4.
Bu.i*lder/Designer Q_Mticlo/ Date
.. TITLE: PLAN NO. 8217
MAScheck INSPECTION CHECKLIST
Massachusetts Energy Code
MAScheck Software Version 2.01 Release 3
DATE: 5-9-2001
Bldg.
Dept.
Use I
CEILINGS:
1. R-30
Comments/Location
WALLS:
1. Wood Frame, 16" O.C., R-13
Comments/Location
BASEMENT WALLS:
1. Conc. 8.0' ht/7.01 bg/8.0' insul, R-19 interior cavity
Comments/Location
WINDOWS AND GLASS DOORS:
1. U -value: 0.3
For windows without labeled U -values, describe features:
# Panes Frame Type Thermal Break? Yes No
Comments/Location
DOORS:
1. U -value: 0.3
Comments/Location
I HVAC EQUIPMENT:
1. Furnace, 87.0 AFUE or higher
Make and Model Number
AIR LEAKAGE:
Joints, penetrations, and all other such openings in the building
envelope that are sources of air leakage must be sealed. When
installed in the building envelope, recessed lighting fixtures
shall meet one of the following requirements:
1. Type IC rated, manufactured with no penetrations between the
inside of the recessed fixture and ceiling cavity and sealed or
gasketed to prevent air leakage into the unconditioned space.
2. Type IC rated, in accordance with Standard ASTM E 283, with no
more than 2.0 cfm (0.944 L/s) air movement from the the
conditioned space to the ceiling cavity. The lighting fixture
shall have been tested at 75 PA or 1.57 lbs/ft2 pressure
difference and shall be labeled.
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.
DUCT INSULATION:
Ducts shall be insulated per Table J4.4.7.1.
DUCT CONSTRUCTION:
All accessible joints, seams, and connections of supply and return
.ductwork located outside conditioned space, including stud bays or
joist cavities/spaces used to transport air, shall be sealed
using mastic and fibrous backing tape installed according to the
manufacturer's installation instructions. Mesh tape may be
omitted where gaps are less than 1/8 inch. Duct tape is not
permitted. 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 125% of the design load as specified
in Sections 780CMR 1310 and J4.4.
SWIMMING POOLS:
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.
HVAC PIPING INSULATION:
HVAC piping conveying fluids above 120 F or chilled fluids
below 55 F must be insulated to the following levels (in.):
HEATING SYSTEMS:
Low pressure/temp
Low temperature
Steam condensate
COOLING SYSTEMS:
Chilled water or
refrigerant
PIPE SIZES
TEMP (F) 2" RUNOUTS 0-1"
201-250 1.0 1.5
120-200 0.5 1.0
any 1.0 1.0
(in.)
1.25-2" 2.5-411
1.5 2.0
1.0 1.5
1.5 2.0
40-55 0.5 0.5 0.75 1.0
below 40 1.0 1.0 1.5 1.5
CIRCULATING HOT WATER SYSTEMS:
Insulate circulating hot water pipes to the following levels (in.):
NOTES TO FIELD (Building Department Use Only) -------------------------
PIPE
SIZES (in.)
NON -CIRCULATING
CIRCULATING
MAINS &
RUNOUTS
HEATED WATER TEMP
(F): RUNOUTS 0-1-
0-1.25"
1.5-2.011
2.0+11
170-180
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
NOTES TO FIELD (Building Department Use Only) -------------------------
Dpw 356
Date ....
................
TOWN OF NORTH ANDOVER
RECEIPT
Thi's certifies that .............. e, fe e ....... Aul
...............
has paid
. ... .......... ... ...
for ..... �5e
I 7e
Received by .......... . .....
........ .... - - q .. . ...............................
Department ......................... 1�-UN2 bc ...... wo
WHITE: Applicant CANARY: Department
k
NECTION
r, Mass. - A& � 4-
/Jt,'+W U !��-4tr-eer,
4WE Street
�,� W.00/ 2//- 6,03-3163
PINK: Treasurer
re
Zoe) � Co
PERMIT TO CONNECT WITH WATER MAIN
The Board of Public Works hereby grants permission to
to make a connection with the water main at
subject to the rules and regulations of the Division of Public Works.
inspected by
Date
4444
Street
Board of Public Works
By
See back for rules and regulations
,x
Fe
I i 675
APPLICATION FOR SEWER SERVICE CONNECTION
9 North Andover, Mass.
Application by the undersigned is hereby made to connect with the town sewer main in Street,
subject to the rules and regulations of the Division of Public Works. . U
The premises are known as No.
or subdivision lot no. / Y
4-r�
Owner
FQ'--
V
60
Address
Street
Contractor Address
V :2� ('�� 4��2L' 7�
/Applicant nature
PERMIT TO CONNECT WITH SEWER MAIN
The Division of Public Works hereby grants permission to
to make a connection with the sewer main at J
subject to the rules and regulations of the Division of Public Works..
inspected by
Date
Street
Division of Public Works
By '�� �11�ZZ4 C1 ZJI"
4�1 f
See back for rules and regulations
i.vVILL(AM HMURCIAK, P.E.
DIRECTOR
TOWN OF NORTH ANDOVER, MASSACHUSETTS
DIVISION OF PUBLIC WORKS
384 OSGOOD STREET, 01845
to ,
DRIVEWAY PERMIT
Telephone (978) 685-095G,
Fax (978) 6M9r,71
DATE
LOCATION V� u T M E7<::; LAtJ�E- Lz>-r
BUILDER Ke-,� phone
OVVNER phone 97eo-603- -3163
THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS
'MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM
STREET. CALL THE SUPERINTENDENT'S OFFICE BEFORE
FINISH GRADING AND SURFACING FOR. APPROVAL OF
SUCH ENTRY.
FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT.
IVA T, L1 eta
A
a) --I < z
IA ::r 0
Ln M 0
c
:r
0) 0
:3 — -4 %
n CL 0
M M
% z
0
0
ai , --%
14. 0
=r "
a) O -M
CD
M -n N M 0
0 0 ;1 -0 rn
C 0 r -
M 3 -1
C3L M W.
a) 0
0 �+ 0
0 0 'M
ET CD
M ::)
0.0 0
(D
M 3 X >
M (D (M 0
6, '.
cr
C: <
13 CD
CL -, -M-0 :A
0 -b
n 0
M U31 M a
p M :3 3 CL
CL
CL
5- 2 Ln = %*:*" 0
n, aj 0 c : c
-P , -
Ml - M n .
.0.
c
-n 0
M M 0
rn E 0< :C3 0 TO
TO
E
CL 0'3 CL
CD
Ln W
cr 9 B. 0
M 77
U3 ai -0 :r 0
CD (D
CR 0 P%%.. > looms 0
0 Ir
CD N. M AMwo� M
E RD : z
M 0-0
ID
Ln
0
cl 0
(D
Arw
CD
'COD
0
:3�6 WN z
0
r4% It C)
CD
CD
0.
-0
CD
Zi
0.4 4b
C/)
m
m
m
m
m
m
C/)
m
C/)
0
m
I
4c ccl
1;-.a coo cr CA
§So 5:0 10 CO2
= at CD st n
C2 CE 0 CL a M
R.
ww
= :: CCIIL M
C0 CL =r W m
CO2
Cos
CD -4 a4; . --4
P14 0 -* CD
IE c=,)r
0
CX2
z
CO) 0 CC;
co
co I-ld Er cl'a
cl) z COD S S Cco
CD cs-
CL r— C') C,() = < C-0,
CM CD
C/)
ro. cc*3.!ez
ca n cm,
CL C7
C.) 5:
C/)
0 CD ft 5F
w9 CCO
:E cy (A
CD =r C*
CL rA,
CD:
r
CD Im CA %
n *.=.
cl
CD 0 CD
CD
CD co)
CD
CL
CD
cc
CD CD
CO) 0
CD
Cl)
CL
mo
CD
0 io;
c C2
CD
z
m
0
z
0
r-
n
OQ
ZF'
m
:1
pz$
0
r-
aq
GO)
M
m
n
El
0
go
X
:j
CL
0
cf)
C/)
=r
o
pt
0=3
0
41�
a
;v
6.
Oil
I c
(p
C-
ro
41 kil
m
0
m
15,--
Z
0
0
-n
Z
C
0
Cl)
m
C..Cj
Z
0
0
0
<
C
m
x
-0
>
z
0
ro
41 kil
m
Cf)
m
m
M)
m
m
M
C/)
m
C/)
0
m
C2
Cos
2m CO)
CD CD 'o.
CL r.
Cl
=r
CL
CD
CD
0
CD
CL
C7 =r
CD
CD 0 CD
C= C= a
CO)
CD
CL C2 co
CD
S7 cp
ca cm
10
CD
a
CD
CD
CD
cn
cn
n
0
z
cn
n
L "k /\ "
cn
0
z
cn
0 CD cr
S. a
0 CL
SO a IS CS Cl)
C=) Co ot2 =M
z U -S -.4
a — CCOL -9
P-0 =r CL. -O m
=r CD CW42
0 P.PCOD ?O�
0 OE =r , 0 c -D.
C., CD
7 0
� =
co a
z I an, 0
CA
Aw
%Col�b
CL
to 0 r
CD
CD
CL
co
C.,
ce Ca
co ic
ca 4c co
-0 IE cd *& c*
-C%D
vCO 41. -
CO A
=r
CD
L;
CD
IK
=CO)
CD
cl)
mo:
row
co
C/) C/) 9j
0 r.
GQ
t) .. �\
OQ
Ao
to
-x
�:-
C/) -op
'OrV 0
OZ
\N N\ \%- \
I
mtp...�
!;� A
0=3
0
41�
CD
pq
