HomeMy WebLinkAboutMiscellaneous - 266 GRAY STREET 4/30/2018 (3)4
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TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
4L
This certifies that ......... 4�.( ,
V . .............................
has permission to perform ........... . ................
wiring in the building of ......... Y-'
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at .... 51V .. . ..... North Andover, Mass.
..... .... ............
Lic. No.?,!? e7-
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20 ssachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance -with the provisions of M.G.L. c. 143, § 3L, the
permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed
ir
0. the F
e .1eti
on the prescribed form. After a permit application has been accepted by an Jnspector of Wires appointed pursuant to M. G.L c. 166,
. fic le
lectrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsib 32, an
n ification Of completion of the work as required in M.G.L. c. 143, § 3L. - for the
Permits shall-belimited ap to the time ofongoing construction activity� and may be -deemed -by theInspector-of-Wires abandoned.and-iny.alid-ifhe—
or she has determined that the authorized work has not commenced or has not progressed during the preceding 12 -month period. Upon written
application, an extension of time for completion ofwork shall be permitted for reasonable cause. A permit shall be terminated upon the written
request of either the owner or the instaffing entity stated on the permit application.
The Permit Extension Act was created by &ction 173 of Chapter 240 of the Actq of 2010 and extended by Sections.74 and 75 of Chapter 23 8 of
the Acts of 2012. The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act fin-thers this
purpose by establishing an automatic four-year extension to certain permits and licenses conce gtheus or development of real prope With
limited exceptions, the Act automatically extends, fo four y min e, rty
r cars beyond its other -wise applicable expiration date, any permit or approval that was
"in effect or existence' during the qualifying period beginning on August 15, 2008 and extendingthrough August 15,2012.
0 Perl 7-�
e 8 --7 -
le 8 — Permit/Date Closed: 7,
P( Note: Reap'ply for new perm
mit Xt
0 Permit Extension Act — Permit/Date Closed: z�� KI
(fllmmonwea& ol Ma_4.4ac"Ib Official. Use Only
2epah..t qlJim Semic.j Permit No. 403/va
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (l,av,blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMA TION) Date: 9 boh(
City or Town of: hi0t-+J\ Aj\Ar,,\)e_)r To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location (Street & Number) pL (A Q,
Owner or Tenant
"\ 0, e. Telephone No.QJ'78 —(,8a -0(oI8
Owner's Address R_
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 Undgrd No. of Meters
J New Service Amps Volts Overhead Undgrd No. of Meters
Number of Feeders and Ampacity
0
Location and Nature of Proposed Electrical Work: Install residential security system
COMDletion of the following table mav be waived bv the Insvector of Wires -
No. of Recessed Luminaires
No. of Ceil.-Susp. (Paddle) Fans
No. of Total
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
Swimming Pool Above o In- E]
grnd. grnd.
No. of Emergency Lighting
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
INo. of Zones
No. of Switches
No. of Gas Burners
No. of Detection and
Initiating Devices
No. of Ranges
Total
No. of Air Cond. Tons
No. of Alerting Devices
No. of Waste Disposers
Heat Pump
Totals:
J..K.W ...........
.... ......
No. of Self -Contained
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Local E] Municipal
Connection 0 Other
No. of Dryers
.
Heating Appliances KW
Security Svstems:*
No. of Devices or Equivalent
No. of Water
Heaters KW
No. of No. of
Signs Ballasts
Data Wiring:
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of Motors Total HP
Telecommunications Wiring:
No. of Devices or Equivalent
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: Li 0 (When required by municipal policy.)
Work to Start: 9 1 A :�J I I t Inspections to be requested in accordance with MEC Rule 10, and upon completion.
INSURAIN 13E: Unless waived by the owner, no permit for the perfort-nance of electrical work may issue unless
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE E BOND [:1 OTHER El (Specify:)
I certify, under the pains andpenalties ofperjury, that the information on this application is true and complete.
FIRMNAME: Nightwatch Protection, Inc. /7 LIC.NO.: 7024C
Licensee: Paul DelSignor - Signature J'aAA1 jJJX _9,-��IC.NO.: 7024C
(If applicable, enter "Fxempt. " in the license number line.) T3us.Tel.No.. 888-722-9282
Address: 22 Briarwood Drive, Westford, MA 01886 Alt. Tel. No.:
*Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. SSCO0000969
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below, I hereby waive this requirement. I am the (check one)E] owner F] owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $
NORTH ANDOVER BUILDNG DEPARTMENT
1600 Osgood Street.
North Andover
Tel: 978-688-9545
Fax: 978-688-9542
B USMESS FORM FOR TOWN CLERK
DATE: , * -- 2- -o 1 12-
NAMR- X(A-rmr-(
ADDRESS: 2-
ZONINGDISTRICT:
TYPE OF
- �2�
I
BUILDING LAYOUT PROVIDED: YES NO
AVAILABLE PARKING SPACES:- C:�
ZONING BYLAW USAGE: 4YE'l-S-) NO
BUILDING INSPECTOR
13USMSS FORM FOP TOWN CLERK
2.40 Rome Occupation (1989132)
An accessoi)r use conducted within a dwelling by a resident who resides in the. dwelling as his Principal
address, which is clearly secondaryto the us e - of the -building.. for I . iving ptuposes. Home occupations shall
-bift not'limited to the following uses; personal services such as fiunished by an artist or instructor,
but not occupation involved -Mth motor vehicle repairs, beapty parlors, animal kennels, or the conduct of
retail business, or the manufacturing of goods, which impacts the residential nature of the neighborhood,
4. For use of a dwelling in 4ny residential district or multi-fainily district for a home occupfition, the
following conditions shall apply:
a. Not more than a total of three (3) people may be employed in the home, occupation, one of
whom sbal! be thel Owner of thd h6me Occupation and residing in said dwelling;
b. The use is carried on strictly within the principal building;
c. There shall be no exterior alterations, accessory buildings, or display which are not custorriarY
with residential buildings; -
d. Not more than twenty-five (25) percent of tho existing gross floor area of the dwelling unit
so used, not to exceed one thousand (1000) square -fed, is devoted to'such use. In
connection with
such use, there is to be kept no stock in trade, commodities or products which occup37 space
beyond these limits;
e. There will be no display of goods or -,xares visible from the street;
f. The building or promises occupied shall not be rendered objectionable or detrimental to the
residential character of the neighborhood due to the exterior appearance, emission of od0r,
gas, smoke, dust, noise, disturbance, or in any other way become objectionable or
detrimental to any residential use within the neighborhood;
g. Any such building shall include no features of design not customary in buildings for residential
use.
2 2,
Signature Date
Date.
40RTPI
0 TOWN OF NORTH ANDOVER
0
P
PERMIT FOR GAS INSTALLATION
This certifies that ..................
�". '� . . C f �-' :--.
has permission for gas installation 7.
�� " /"- �'- �- i -, ( �
in the buildings of ......... .................................
at ...... North Andover, Mass.
Fee. . Lic.' No.. ... .... ......
, GASINSPECTOR �'
Check# /" � I"
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Kit 44111LIA '0,�,96 4,'�?AY 16.4j 34.)
"'-1'-'bP11UHUSETTS UNIFORAO 4
Ovffnt or rype) reMMIT TO DO GASFIT-riNG
'V447,71 Mass. Date 19mae /-3200-5" permit # YA 7
8 u ilding L o c a tio n 07 '43. - CM -,Y d- kvn e r's Na m e //
Telephone la-��Lya—f Type of Occupancy
New 0 RenovationQf Replacement 0 PlansSubmitted: Yes 0 Noo
Installing Company Name EnergyUSA Propane, Inc. Check one:
Address 500 Myles Standish Blvd. Corporation
Tauton, MA 02780 Partnership
Business Telephone (800) 822-1300 X8051 Firm/Co.
Name of Licensed Plumber or Gasfitter
William Kent Corson
Certificate
132 C
INSURANCE COVERAGE: EnergyUSA Propane, Inc.
has a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch. 142.
Yes El No 1:1
If you have checked yes, please indicate the type of coverage by checking the appropriate box.
A liability insurance policy Other type of indemnity rl Bond F-1
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General L aws, and that my signature on this permit application waives this requirement.
Check one:
Owner Agent
Isignature of owner or owners Agent
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and
accurate to the best of my knowledge and that all plumbing work and installations performed under the permit
issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Code
and Chapter 142 of the General Laws.
Type of License:
By F-1 Plumber
Title FX- 1 G a s fi tte r
City/Town FlMaster
APPROVED (OFFICE USE ONLY) F-1journeyman
Signature of Licensed Plumber or Gasfitter
License Number 3707
=00z
Installing Company Name EnergyUSA Propane, Inc. Check one:
Address 500 Myles Standish Blvd. Corporation
Tauton, MA 02780 Partnership
Business Telephone (800) 822-1300 X8051 Firm/Co.
Name of Licensed Plumber or Gasfitter
William Kent Corson
Certificate
132 C
INSURANCE COVERAGE: EnergyUSA Propane, Inc.
has a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch. 142.
Yes El No 1:1
If you have checked yes, please indicate the type of coverage by checking the appropriate box.
A liability insurance policy Other type of indemnity rl Bond F-1
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General L aws, and that my signature on this permit application waives this requirement.
Check one:
Owner Agent
Isignature of owner or owners Agent
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and
accurate to the best of my knowledge and that all plumbing work and installations performed under the permit
issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Code
and Chapter 142 of the General Laws.
Type of License:
By F-1 Plumber
Title FX- 1 G a s fi tte r
City/Town FlMaster
APPROVED (OFFICE USE ONLY) F-1journeyman
Signature of Licensed Plumber or Gasfitter
License Number 3707
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Town of North Andover ORTON1
Building Department
400 Osgood Street
North Andover Ma 0 1845 0
(978) 688-9545 Fax (978) 688-9542
APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION
-4
ADDRESS
LOT NUMBER -4 I SUBDIVISION
DATE REQUEST FILED 6s -
DATE READY FOR INSPECTION ------
TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REOUIRED
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
'POES EET ALL APPLICABLE CODES.
SIGNATURE
FFI
ROUTING
D.P.W. – WATER METER \(0S)ZJW_ DATE
D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED
PRIOR TO THE INSPECTION REQUEST DATE.
SIGNATURE / DPW AUTHORIZATION
6
November 26, 2004
North Andover Building Inspector
400 Osgood Street
North Andover, Ma 0 184 5
RE; New building -on Gray Street Lot Q c;:�)
Dear Mr. McGuire,
I am enclosing a copy of a list of concerns supplied to Julie Perrino on April 4, 2002
regarding the water run-off of theproposed lots on Gray Street. When these issues were
given to her she assured us they would be addressed at the appropriate time. Within the
last few weeks clear cutting and building have begun in Lot #1 and #2. 1 called the
Conservation and the Building Departments and was told the case is closed and nothing
can be done about the building and the builder does not have to ensure any drainage
containment. I have spoken to various builders and they suggest I contact you and
present the concerns in hopes that during the building phase proper drainage procedures
can be instituted so that the altering of the land does not harm the surrounding areas. The
back of my land is low and a designated wetland. Due to the clear cutting and the
building of the home on the crest of the hill, I am fearful that drainage from this building
will worsen the conditions already present and perhaps affect current septic systems if not
addressed now. I am providing this copy of concerns and this request so that future
problems may be averted. I will also send a copy to the Zoning and Conservation
Boards, and the Town Manager so they can be made aware of the situation. I believe it is
better to be proactive rather than r�active. The growth of North Andover is important,
but the preservation of the properties abutting the new developments should be
acknowledged and protected.
Sincerely,
Patricia K. Fouhy
71 Paddock Lane
North Andover, MA 0 1845
978 687-9937
Cc: Conservation Department
Planning Department
Zoning Department
Town Manager
RECEIVED
To: Conservation Committee
Attn: Julie Perrino
From: Abutters from Assessor's Map 107D, Lots 6, 1 O,and 52 on Boston Street and Gray
Street, North Andover, Massachusetts
Re: Questions pertaining to the filing of an Abbreviated Notice of Resource Area
Delineation with the Conservation committee seeking permission to remove, fill,
dredge or alter this area subject to Wetlands Protection laws of Massachusetts and
North Andover
Questions:
The area surrounding the above -stated lots already contains a high water table.
Many homes in this area already receive water in their homes. Many of the septic
systems in this area are already failing early because of poor soil quality (ledge
and clay) and too much water filtering through already strained leaching fields.
Many of the homes in t his area also have wells providing the only water source to
their homes. Any altercation with existing wetlands in the area will compromise
the quality of the well Waters and the figiction of these wells.
LHow will the developers contain or control any run-om.
What will be any future effects on already existing.homes?
Will it create new areas of wetlands, erosion, etc.?
Where will any discharge go from the excess run-off water?
Will t here be a drainage area or retention pool proposed?
If so, where and how will it be maintained?
2.Will there be- any alterations of the wetlands to accommodate this run-offl.
Will there be any alterations of the wetlands to accommodate the zoning
requirements for a residence 2 area?
Will any proposed alterations effect the already high water table?
3. Are the developers requesting special permits to allow 50 -ft. frontage lots with
minimum lot areas and minimum contiguous building areas because the wetlands
interfere with containing those building lots on proper exiting zoning
requirements?
Does the frontage of these proposed lots have to be dry?
4. Are there any plans to re-route the water in these wetlands?
5. What are the plans to prevent storm damage, protect wildlife habitat, protect
existing ground water, and to protect existing protect private water supplies from
any adverse impact?
6. is there a less adverse alternative to the proposed project with laws adverse
effects on such purposes so that the wetlands will not be disturbed, altered or
changes?
. 7. will town water be brought to these lots?
8. Does the drought we are experiencing come into -play when determining
w I etlands and the effects of altering the landscape?
9. There is an existing brook that runs through the proposed area. There is an
existing overflow area that fill up quite high each spring. This area sits behind 19
and 29 Paddock Lane and several of the homes on Boston Street. Will any
altering or building in this area effect the already high water overflow in this area.
The wetlands seem capable of handling the present overflow, but an increase of
water distribution would cause flooding on several of the properties which could
impact wells and septic systems on surrounding homes.
There are already marked wetland on lots 8, 7. 109, 108,47.
Many of these questions and concerns are subject to regulation under the
Wetlands Protection Act and By-laws of North Andover. The abutters of these
proposed areas are concerned with protecting their water supplies, ground water
supplies, flood control, storm damage, prevention of any pollution and protection
of the natural habitat for plant and animal wildlife. It is apparent that any altering
of the wetlands in this area will effect one or more of these values. We would like
the conservation committee to considered issuing an Order of Conditions
specifying the necessary changes to the project to minimize such adverse impacts.
A
,0RTpj
,e 0
q io
1p
Date. .
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
CHUS
This certifies that
........................................
V- X,
has permission to perform .... Z" ............
plumbip�/in buildingsof
... ... ..... North Andover, Mass.
... Lic.
Fee!�'. . . -No. . ...................... .........
PLUMBING INSPECTOR
Check #
MASSACHUSETTS UNIFORM
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building Location �-04-9 (S�� Se�&Wrs Name
TION FOR PERMIT TO DO PLUMBING
Date
00 Pen -nit #
Amount Cy
New IT Renovation rl Replacement 1:1 Plans Submitted Yes 11 No 1:1
FIXTURES
(Print or type) Check one: Certificate
Installing Company Name
L -j
Address 3-" -4—, )P— (L 'Fa wtp- FlPartner.
Cl>
Business Telephone .9 -2 V e, -ZC) q?T _2 El Finn/Co.
Name of Licensed Plumber:
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
'i Liability insurance policy EF' -7- Other type of indemnity 11 Bond
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 I Owner El Agent 11
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 and Chapter 142 of the General Laws.
By: 4Q9�
=IgnaLUIC 01 Exenseud;lumi)er
Type of Plumbing License
Title / 34�;'�
City/Town License lNum5er Master Journeyman
APPROVED (OFFICE USE ONLY
\q
-23
T'/
2
Location ioi-2 W-e:X4, C.,z,,rf L/
No. 3 e -f If Date C(
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $ q (-),3 0
Foundation Permit Fee
Other Permit Fee
TOTAL
Check #
17902
$ -4 L130 -
Building Inspector
IrI3 OZI- 2�
F. -I
zgoAq?m IgA jQ'TT'J(DV L00(D(Ab1a3q 2M&
-), -*L Q- (o ,;, G �,,qq Professional Land Surveyors & Civil Engineers
Vq C4 4 ESSEX SURVEY SERVICE 1958 - 1986
OSBORN PALMER 1911 - 1970
M /I BRADFORD WEED 1885 - 1972
PLOT PLAN OF LAND
7- 4Z LOCATED IN
6cf A MASS.
ZC /- 3 � -Z'
At�
SdALE
DATE:
h&
./3
A/
L7
REFERENCE: BK 'PG
�Z #?, �
This Plan has been prepared for Building
permitting purposes only for the above party,
and is not to be used for boundary measurements,
land conveyancing or mortgage loan inspections or
plot plans.
104 LOWELL STREET
PEABODY,.. MASSA 1960
I nereby certity to me - ///f A�
Building Inspector that I have
examined the premises and the
buildings are,located on the
ground as shown, and buildings
shown conformed to the dimensional
zoning laws of &W& IX" MA
when constructed. .0--0
41
R.
MELLO
No. 31317
5
D a t e
AORTN
TOWN OF NORTH ANDOVER
0
41 PERMIT FOR GAS INSTALLATION
NZ - �--So
This certifies that ...... . . ..................
has permission for gas jnstalla ion,
in the buildings o f .................
...... North Andover, Mass,
at
Fee. Lic. No. ............ .............
GAS INSPECTOR
Check #
1-4
MASSACHUSErIS UNIFORMAPPUCATONFORPPOWTO DO GAS FHTNG
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building Locations a("c, C
New Renovation Replacem
Date ;) - IS - c) 5—
Permit # -
Amount $
Plans Submitted
(Print or tMe) Check one: Certificate Installing Company
E�Name orp.
Address -qr Cc" Partner.
=ss Telephone Firm/Co.
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes 1:1 No0
If you have checked yLs, please indicate the type coverage by checking the appropriate box.
Liability insurance policy Er Other type of indemnity M Bond
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner 13 Agent
I hereby certify that all of the details and information I have subrmttecl (or entered) in aDove appjicanon are true and accurate to Ene
best of my knowledge and that all plumbingwork 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�,)�eneral Laws.
By:
Title
City/Town
1APPROVED (OFFICE USE ONLY)
Ature of Licensed Pf6mber Or Gas Fitter
Plumber
Gas Fitter License Number
0-11ra-ster
Joumeyman
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BASEMENT
IST. FLOOR
ISUB
2ND. F L 0 0 R
3RD. F L 0 0 R
4TH FLOOR
5 T H FLOOR
6TH. F L 0 0 R
7 T H F L 0 0 R
1
8 T H F L 0 0 R
(Print or tMe) Check one: Certificate Installing Company
E�Name orp.
Address -qr Cc" Partner.
=ss Telephone Firm/Co.
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes 1:1 No0
If you have checked yLs, please indicate the type coverage by checking the appropriate box.
Liability insurance policy Er Other type of indemnity M Bond
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner 13 Agent
I hereby certify that all of the details and information I have subrmttecl (or entered) in aDove appjicanon are true and accurate to Ene
best of my knowledge and that all plumbingwork 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�,)�eneral Laws.
By:
Title
City/Town
1APPROVED (OFFICE USE ONLY)
Ature of Licensed Pf6mber Or Gas Fitter
Plumber
Gas Fitter License Number
0-11ra-ster
Joumeyman
liq
110
C2 - /Z� ej's —
Date..................................
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that .............................. 21-7-.1 ...............
has permission to perform-.... .... .................................................................
wimig in the building of ...
1, 64 e, 9
at"7? .......... .............. ........ North Mdover, Mass.
.......................................
7t? "f&- 431NPR
Fee. x_t ........... Lic. No . .............
�4
ICAL INSPECTOR
Check #
5553
I H& (,UAMU1VVVP_ALJH UP'AV
DEPARTAIEWOFPUBLIC
BOARO OFFDZEPREVEMONREt
APPLICATIONFORPERA41TTO
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE I
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION)
Town of North Andover
The undersigned applies for a permit to perform the electrical
Location (Street & Number) 10T *',�J
Owner or Tenant
Owner's Address
Office Use only
3M 12.W 1 Permit No.
Occupancy & Fees Checked
IRMELE=CAL WORK
ELECTRICAL CODE, 5 27 CMR 12:00
Date
below.
� 6, A y _5TI-e e
To the Inspector of Wires:
Is this permit in conjunction with a building permit: Yes E3-90 (Check Appropriate Box)
Purpose of Building (,J t4ovl\,� Utility Authorization No.
Existing Service Amps Volts Overhead Underground M No. of Meters
New Service r�o t, Amps/0?0 0",% volts Overhead Underground ED-- No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work lf'k A f)e-Lu 51A�� C-0 M I I', Ha Vy,_
No. of Lighting Outlets
No. of Hot Tubs
No. of Transformers
Total
KVA
No. of Lighting Fixtures
Swimming Pool Above
B low
Generators
KVA
ground
El
groeund
No. of Receptacle Outlets
No. of Oil Burners
No. of Emergency Lighting Battery Units
No. of Switch Outlets
No. ofGas Burners
FIRE ALARMS
No. of Zone
No. of Ranges
No. of Air Cond. Total
Tons
No. of Detection and
No. of Disposals
No. of Heat Total Total
Plumps
Tons
KW
Initiating Devices
No. of Sounding Devices
No. of Dishwashers
Space Area Heating KW
No. of Self Contained
Detection/Sounding Devices
Local Municipal
Other
4b. of Dryers
Heating Devices KW
Connections
L___J
o. of Water Heaters KW
No. of No. of
Si s
Bailasis
No. Hydro Massage Tubs
No. of Motors
Total HP
OTTIER-_
k1SL==CoM1ar_ RURMtDthBMgMCaXF&cfNtismduseZG=xalLahs
IhaNeacumtLj&&yiw==Policyffrk&gCzffpiceOopkftCoNtr,WcrgsakgmgWe4uv*a YES la� NO
IhavesubniWdva1idpudofmw1Dd1eOffi0_P YO F)mhavedrded YES, Pk=uxficaeft WeofcomrVby
drddrigft .—box. M ET
;�SLZTXYM BOND r7 OTEM ED ftaseSpeffy) 4- C
WAID&Mt hVeWoriDaleReWeslad
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I ESt9n�VakrofE1xftxalW6k $
Rough k�,J I I k - C A I k Final
Mk�Nb
=ei No. LnR - :Z
dd= 2a LIP- �150!k �APy14a_--1oA 14. 6 3- 9P AITUNd d3y- doq/
OWNER'S INSURANCEWAVEF, Iamaw=th@ttheLicffw doesnothq,,etheua==oowV�or& subSMFM eq�asWxedb�iMmduqezCanal Lam
anclMffiysgmnonftpmitapphcaamwat%esftmgmmnt
(Please check one) Owner Agent Q�-
F1 Telephone No. I I,
signature of Owner or Agent IPERMIT FEE $
I JAZLI %lulmylUIT VrEdi"11 U1, killax tibe wily
DEPAR7A1EW0FPUBAUCSAFVY Permit No. 1�2-73
BOAMOFFD?EPREVEMYONRBGMUONSWORIZVO
Occupancy & Fees Checked - - 410
APPLICA77ON FOR PERMU TO PFRFORM ELECMCU WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00
-Q-.-IEASE PRINT IN INK OR TYPE ALL INFORMATION) Da%_02
14
Town of North Andover To the Inspector of Wires:
Ile undersigned applies for a permit to perform the electrical work described below.
Location (Street & Number) oT * d, It d (e 6, 6- 1 A,Z -S-T[e,- -i—
Owner or Tenant G+& �-'Od (a. T 0 e -
Owner's Address OA- A-..- 1$,J r 1, A:�
Is this permit in conjunction with a building permit: Yes [�6 (Check Appropriate Box)"'
Purpose of Building 0 (,J (Ao Utility Authorization No.
Existing Service Amps I Volts Overhead M Underground No. of Meters
New Service (-Q6 t, — Amps/ob / 0?1� volts Overhead Im Underground No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work U' Sk A .51 , A-i(g--- r-c.A, V, —7-017
No. of Lighting Outlets
No. of Hot Tubs
No. of Transformers
Total
KVA
No. of Lighting Fixtures
Swimming Pool Above
Below
Generators
KVA
ground
1:1
ground
No. of Receptacle Outlets
No. of Oil Burners
No. of Emergency Lighting Battery Units
No. of Switch Outlets
No. of Gas Burniers
FIRE ALARMS
No. of Zone
No. of Ranges
No. of Air Cond. Total
Tons
No. of Detection and
of Disposals
No. of Heat Total Total
--N-I"
Pumps
Tons
KW
Initiating Devices
Space Area Heating
KW
of Dishwashers
No. of Sounding Devices
No. of Self Contained
Detectioni/Sounding Devices
Local Municipal
Other
of Dryers
Heating Devices KW
Connections
L --J
of Water Heaters KW
No. of No. of
Signs
Bailasis
Hydro Massag e Tubs
No. of Motors
Total HP
1110d VW p[0d0fSffW ID the OffiM
the box
PKE BOND r7 011 -ER M
wbsUtWaW6Aat , YES 13 ----NO F1
lf3ulha%edrdedyES�pkmmdc&thetAxofmvemWby
ft=,**) 4, ",, 6, A 7- , -/- C.,
EftwdVaJuedBmhxaiwc1k $
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:WkVER;IamawmdmtdieLimwdoesnothawdrmmmwgWOrgsa*&UW4uydimtasWzWt�iMamduMCm�dLa%s
Owner Agent
f-1 Z
Telephone No. PP1? XA" L=1Q
Signature or 0-w- ner or Agent �L— I
qcq Lq gy io i-ic C:� , I S— — oz -5— 4�lj r�-A
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ON Aem)llem jo peoj ol
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61S Apoeds "j8Ljjo
Locatio A'v Z&
No. r)ate
Check #
17810
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Building Inspector
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
M
BUILDING PERM[IT NUMBER: DATE ISSUED:
(at�
SIGNATURE: IVA
Building Comlnissioner/IEN�Sctor of Buildings Date
SECTION 1- SITE INFORMATION I
1. 1 Property Address:
1.2 Assessors Map and Parcel Number:
4-1c;Z(O /,.01
Lot # 2 Gray St eet
J071) Lot # 2
Map Number Parcel Number
1.3 Zoning Information:
1.4 Property Dimensions:
R2 Single—Family House
46,199 163-61
Zoning District Proposed Use
Lot Area (sf) Frontage (ft)
1.6 BURDING SETBACKS 00
Front Yard Side Yard
Rear Yard
Required Provide Required Provided
Required Provided
40 30
30
1.7 Water Supply M.G.L.C.40 54) 1.5. Flood Zone Information:
1.8 Sewerage Disposal System:
Public (K Private 0 Zone Outside Flood Zone . 0
MuniZal 0 On Site Disposal System
SECTION 2 - PROPERTY OWNERSHIPIAUTHORIZED AGENT
t
; \1 0
2.1 Owner of Record
LitQffi-fieldAmpani., Inc.----- 26 Ray Ave. Burlington, MA -01803
Name,( V Address for Service
81
7 —270-6859
Sign,dture Telephone
2.2 Owner of Record:
Name Print Address for Service:
Signature Telephone
SEtTION 3 - CONSTRUCTION SERVICES I
3.1 Licensed Construction Supervisor:
Not Applicable 0
Paul Litchfield 1?0 fiA Co kd
C/
Licensed Construction Supervisor:
0 /-� 9 f
License Number
26 Ray Ave. Burlington, MA 01803
Address
CQ co
Expiration Date
Signature Telephone
3.2 Registered Home Improvement Contractor
Not Applicable D
Company Name
Registration Number
Address
Expiration Date
Signature TelMhone
00
X
z
0
SECTION 4 - WORKERS COMPENSATION (T*LG.L C 152 6 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 builLng permit.
—Signed affidavit Attached Yes ...... 4f No ...... �0
—SECTION 5 Description o Proposed Work (check applicable)
New Construction N
Existing Building 0
Repair(s) 0 JAl-terations(s)
0
Addition 0
Accessory Bldg. 11
Demolition 11
Other 0 Specify
Brief Description of Proposed Work:
New Construction-- Single Family House
4 Bed, 2 1/2 Bath, Colonial
t /,)- 3( h_Ytf , C� S -t -a U�A) We e--
3 & 0e) L11 L! 0 a ie .1 C I A., C (U 09 CeD _i" U 4,J Q
SECTION 6 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollar) to be
Completed by pennit applicant
N; 0 M1
'0
SE Y
Nt
NP
1. Building 40,000
(a) Building Permit Fee
Multiplier
2 Electrical
10,000
f
(b) Estimated Total Cost of
Construction
0 0, 0
;7
.3 Plumbing 12.00
Building Permit fee (a) x (b)
'1
4 Mechanical (HVAC) 12,000
5 Fire Protection
.6 Total (1+2+3+4+5) 74,000
Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
rr as Owner/Authorized Agent of subject property
Hereby autlim26 i to act on
�Ay beha ' 11 a s r orized. by this guilding permit application
V�A - V
Signat6�`of 9�%� Date
SECTION 7b _QWNERJAUTHORIZED AGENT DECLARATION
uthorized Agent
6&A1f11_1 lc�_J -as Own 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 N e
SiUg&21'o'f Own"ent Date
NO. OF STORIES SIZE
BASENIENT OR SLAB
SIZE OF FLOOR TINMERS I ST 2 NO 3RD
SPAN
DINENSIONS OF SILLS
D13\4ENSIONS OF POSTS
DEVIENSIONS OF GMDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHEVMY
ON SOLID OR FILLED LAND
CONNECTED TO NATURAL GAS LINE
11
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
he�applicant-and/or-Aandowner4f-om�romplianc-e-with�any-i�pplicab-I"T-requi-remetit---.--- -
*****************************APPLICANT FILLS OUT THIS SECTION*********
APPLICANT Litchfield Company, Inc. PHONE781-270-6859
LOCATION: Assessors Map Number 107D PARCEL
SUBDIVISION LOT (S) # 2
STREET Gray Street ST. NUMBER _060
**********OFFICIAL USE ONLY******** ----------
DATE REJECTED
ff
DATE APPROVED - J
DATE. REJECTED
COMMENTS
FOO!PPECTOR-HEALTH DATE APPROVED
DATE REJECTED
3_�ff)C IMPECTPR-HEALTH DATE APPROVED
DATE REJECTED
z
COMMENTS -./!V4/`-4 ;90 le_k 9.1,04A.�-1-4
PUBLIC WORKS - SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT 0.( -
FIRE DEPARTMENT.,:Re�- �taaptne_
RECEIVED BY BUILDING INSPECTOR
y DATE
Revised 9197 jm
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
Boston, Mass. 02111
Workers'Compensation Insurance Affidavit
r_Na�me Please Print
Name: Litchfield Company, Inc.
Location: Lot # 2 Gray Street
cily No. Andover Phone #
I am a homeowner performing all work myself.
I am a sole proprietor and have no one working in any capacity
lam an employer providing workers' compensation for my employees working on thisjob.
Company name: Litchfield Company, Inc.
Address 26 Ray Avenue
Cily: Burlington. MA 01803 Phone- 781-270-6859
Insurance.Co. Savers ProDertv Polia # WC0002104
W
Company name:
Address_
City: Phone #:
Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of.a fine up to $1,500.*00
andlor one years' irinprisonment-as -well-as.civiLpenalfiesin1helcirm jof ASTOPWORK-ORDER-and-a ne .(.$I - ) y
fi of -00-00 -ada against.me, I
understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
do hereby certify under the pains aqoenaldes of ppjYury that the informaUon provided above is true and coned.
10/18/04
Print name C-) A X_j;�z ��_J A.A Phone.# 781-270-6859
Official use only do not write in this area to be completed by city or town official'
City or Town Permit/Licensing
Building Dept
E]Check W immediate response is required F] Licensing Board
r-1 Selectman's Office
Contact person: —Phone A- E] Health Department
F1 Other
North Andover Building Department.
--`T-9f �-97-8m;688-�954;j
DEBRIS DISPOSAL FORM
In accordance with the provision of MGL c 40 S 54, a condition of Building Permit
Number is *that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by IVIGL
c 11, S 150 A.
The debris will be disposed of in:
ERRCO. E-DDinjz, NH
(Location of Facil
�8ignVture ofPermit Applicant
D4te
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector
/`/3
Professional Land Surveyors Civil Engineers
ESSEX SURVEY SERVICE 1958- 1986
OSBORN PALMER 1911 - 1970
BRADFORD & WEED 1885 - 1972
PLOT PLAN OF LAND
LOCATED IN
kik"Y 1f1;dMfW MASS. /v5(,
�/ �-- &61U01j511f4( .
ZONE: LOT AREA: 4� I'
,�,Icl LOT FRONT -AGE: 156 rr
FRONT YARD: 3&(-/- SIDE YARD: 5or-7- REAR YAM:
SCALE:
I hereby certify to the Awl-h�dkajhn
Building Inspector that the pro -
Posed construction shown conforms
1, 1 Of
to the dimensional zoniw I
- I -i Ns
&,412 271 VZ-- Al
CHRISTOPHER
01
VIELLO
DATE: 31317
REFERENCE: BK PG pZ�A' Christopher R. Mello'Nk3.3�1,'
104 LOWELL STREET
PEABODY, �ASS. 01960
(978) 531-8121
9:AY- 10701 W11-rOlM
L�0-b 2,
.47
ROM :-Colonial Drafting NH FAX NO. :603 879 9696
MAScheck COMPLIANCE RtPORT
Massachusetts Energy Code
MAScheck software version 2.01 Release 3
TITLE; L-238 / 18115
CITY! North Andover
STATE; Massachusetts
HDD: 6322
CONSTRUCTION -rypE.. 1 or 2 Family, Detached
HEATING SYSTEM TYPE. other (Non-EleCtric Resistance)
DATE: 10-6-2004
DATE OF PLANS: 9-16-04
PROJECT INFORMATION:
Bayberry I
COMPANY INFORMATION;
Litchfield Co.
26 Ray Avenue
Burlington, mA 01803
COMPLIANCE: Passes
maximum UA = 560
Your Home = 509
Oct. 06 2004 05:10PM P1
Fe -r -Mi t -#I
Eh-�eckO �W6ate
10/06/2004 WED 17:13 rJOB NO. 73421 0001
Area or Cavity Cont.
Glazing/Door
-------------------------------------------------------------------------------
Perimeter R-ValUe R -Value
U -Value
UA
CEILINGS
1518 30.0 0.0
53
WALLS: Wood Frame, 16" o.c.
24S9 13.0 0.0
202
GLAZING: Windows or Doors
33
0.340
11
GLAZING: windows or Doors
2S
0.340
9
GLAZING: Windows or Doors
348
0.370
129
GLAZING: Windows or Doors
40
0.400
16
DOORS
20
0.350
7
DOORS
17
0.540
9
FLOORS: Over Unconditioned space
1144 19.0 0.0
54
FLOORS: over outside Air
566 30.0 0.0
19
HVAC EQUIPMENT: Furnace, 92.0 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 buildinycand
the cooling load if appropriate,
has been determined using the app i
able standard Design conditions found
in the code. The HVAC equi ment selected
to heat or cool the
building
shall be no greater than 12N of the design load as specified
in
Sections 790CMR 1310 and 34.4.
Builder/Design . e
Date–J—O-& -OLI
10/06/2004 WED 17:13 rJOB NO. 73421 0001
FROM :Colonial Drafting NH FAX NO. :603 879 9696
mAscheck COMPLIANCE REPORT
Massachusetts Energy code
MAScheck.Software Version 2.01 Release 3
TITLE: L-238 / 18115
CITY! North Andover
STATE: Massachusetts
HDD: 6322
CONSTRUCTION TYPE: 1 or Z Family, Detached
HEATING SYSTEM TYPE: other (Non -Electric Resistance)
DATE: 9-17-2004
DATE OF PLANS: 9-16-04
PR03ECT INFORMATION*.
Bayberry 1
COMPANY INFORMATION:
Litchfield Co.
26 Ray Avenue
Burlington, MA 01803
COMPLIANCE; Passes
Maximum UA 560
Your Home 455
Oct. 06 2004 05:11PM P2
Permi t j—
Fh—eckedby/Date
The heating load for this buildin , and the cooling load if appropriate,
has been determined using the appyicable 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
sections 780CMR 1310 and 34 4
Bui 1 der/ere'si �gner Date �'-17W
10/06/2004 WED 17:13 [JOB NO, 73421 - IM002
Area or
cavity Cont.
Glazing/Door
-------------------------------------------------------------------------------
Perimeter
R -Value R -Value
U -Value
UA
CEILINGS
1518
30.0 0.0
53
WALLS! wood Frame, 16" o.c.
2459
19.0 0.0
148
GLAZING: Windows or Doors
33
0.340
11
GLAZING: windows or Doors
25
0,340
9
GLAZING: windows or Doors
348
0.370
129
GLAZING: windows or Doors
40
0.400
16
DOORS
20
0.350
7
DOORS
17
0.540
9
FLOORS: Over unconditioned space
1144
19.0 0.0
54
FLOORS: over outside Air
566
30.0 0.0
19
HVAC EQUIPMENT: Furnace, 92.0 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 buildin , and the cooling load if appropriate,
has been determined using the appyicable 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
sections 780CMR 1310 and 34 4
Bui 1 der/ere'si �gner Date �'-17W
10/06/2004 WED 17:13 [JOB NO, 73421 - IM002
FROM ;Colonial Drafting NH FAX NO. :603 879 9696
TITLE: L-238 / 18115
MASCheck INSPECTION CHECKLIST
Massachusetts Energy code
MASch'eck Software Version 2,01 Release 3
DATE: 10-6-2004
al dg.
Dept.
Use
I I
I I
I I
r I
I I
I I
r I
r I
Oct. 06 2004 05:11PM P3
CEILINGS:
I. R-30
CommentS/LocatiOn
WALLS:
1. wood Frame, 16" D.C., R-13
COMMents/Location )C -
WINDOWS AND GLASS DOORS: 1-4,,4 A L/ .4,y, Vj 4
1. U -value: 0.34
For windows without labeled U -values, describe features-
# Panes— Frame Type Thermal Break? No
Comments/Locatio
2. u -value: 0.34
For windows without labeled U -values, describe features;
# Panes— Frame Type Thermal Break? yes No
commentS/LoCation-
3. u -value: 0.37
For windows without labeled u -values, describe features:
# Panes— Frame Type-- ermal Break? Yes No
Comments/Locatio
4. U -value: 0.4
For windows without labeled U -values, describe features:
# Panes— Frame Type — Thermal Break? Yes 1 3 No
commentS/Location— )0,_9_f7_a _7�0&4_
DOORS:
1. U -value: 0.35
Comments/LOcation
2. U -value: 0.54
Comments/Location—
FLOORS:
1. over unconditioned space, R-19
CommentS/LOCatio
2. over outside Air ' R - I I
CommentS/LOCatiOn
HVAC EQUIPMENT:
1. Furnace, 92.0 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 followin requirements:
1. Type Ic rated, manufactureg 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 t6e
conditioned space to the ceiling cavity. The lighting fixture
10/06/2004 WED 17:13 [JOB NO, 73421 Z 003
FROM :,Co ' lonial Drafting NH FAX NO. :603 879 9696 Oct. 06 2004 05:11PM P4
I I
I I
I I
I I
I I
I I
I I
N
11
shall have been tested at 7S PA or 137 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 tha-L compliance can
be determined. Manufacturer manuals for all installed heating
and cooling equipment and service water heating equipment must be
provided. insulation R -values azing u -values, and heating
equipment efficiency must be cieagIrly,marked on the building plans
or specifications.
DUCT INSULATION!
Ducts shall be insulated per Table J4.4.7.1.
DUCT CONSTRUCrioN:
All accessible ints, seams, and connections of supply and return
ductwork locateAooutside conditioned space, including stud bays or
joist cavities/spaces used to transport air, shall be sealed
usin? mastic and fibrous backing tape installed according to the
manu acturer'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 790CMR 1310 and 34.4.
SWIMMING POOLS:
All heated swimming pools must have an on/off heater switch and
require a cover unless over 20% of the heating energTois from
non-depletable sources. Pool pumps require a time c ck.
HVAC PIPING INSULATION:
HvAc piping conveying fluids above 120 F or chilled fluids
below 55 F must be insulated to the following levels (in.):
PIPE SIZES (in.)
HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1- 1.25-2"
2.S-4"
Low pressure/temp. 201-250 1.0 1.S 1.5
2.0
Low temperature 120-200 0.5 1.0 1.0
1.5
steam condensate any 1.0 110 1.5
2.0
COOLING SYSTEMS;
chilled water or 40-55 0.5 O.S 0.75
1.0
refrigerant below 40 1.0 1.0 1.5
1.5
CIRCULATING HOT WATER SYSTEMS:
insulate circulating hot water pipes to the following levels
(in.);
PXPE SIZES (in.)
NON -CIRCULATING CIRCULATING MAINS &
RUNOUTS
HEATED WATER TEMP (F); RUNOUTS 0-1" 0-1.25" 1.5-2.0
2.0+"
,170-180 0.5 1.0 1.5
2.0
140-160 0.5 1 O.S 1.0
1.5
10/06/2004 WED 17:13 (JOB NO. 73421 1@004
�R,6ti :,Colonial Drafting NH
FAX NO. :603 879 9696 Oct. 06 2004 05:12PM PS
100-130 0.5 0.5 0.5 1.0
TO FIELD (Building Department use only) -------------------------
10/06/2004 WED 17:13 [JOB NO. 73421 1@005
Town of North Andover Planning Board
This form represents the schedule for allowing the following lots to be considered as eligible for
building permits under the Town ofNorth Andover Management by-law Section 8.7 of the zoning
by-law. Pursuant to 8.7 this Development Schedule must be filed in the legistry of Deeds and be
refL-fenced on the deed of each of the lots below and be filed with the Planning Board prior to the
issuance of any building permit or permit for construction.
Name and Address of &Plicant for lots:
Name of Development.,
Litchfield Co., Inc
Gray & Boston Streets
26 Ray Ave., BuxHngton� MA
North Andover, MA.
and Parcel of Original:
107D, Lots 6 & 10
-Map
Date of Application for Lot(O Division:
March 25,2003
Lots Covered by this Schedule
1,2,3,4,5,61,7,M,10,11,12,14,15 (15 totaO
Tbc Plannin Board by their signature below, or a signature of a duly authorizes representative, do
hereby establish for the above named development for the following Development Schedule for the
purpose of Section 9.7 of the Growth m=gement By -Law. The applicant their assigms,
successors and or �dbsequent property owners shall confirm to the following schedule that limits the
eligibility of the following lots for building pernr&s. This form must be filed in the Registry of
Deeds by the property owner or representative and be referred on each deed for each of the
following lots. Such deed references for the deed of each lot shall at minimum reference the book
and page in which this development Schedule is filed and contain the language; This lot is subject to
a Development Schedule pursuant to the Town ofNoxth Andover Zoning By -Law-, "Ibis lot is
subject to a Development Schedule pursuant to the Town ofNorth Andover Zoning By -Law all
owners, representatives� and fliture purchasers should avaU themselves of said restriction by
reviewing the approved Developmeni Scbedule as filed in Book and Pagg
The fact that a lot is eligible for a building permit is subject to the limitation of the number of
building permits per year pursuan to section 8.7.2d of the Zoning By Law."
The Planning Board hereby schedule the lot(s) for the above development as folloWS:
Number of lots Building Office Use
Year Eligiblq —Eli 'b le Date Lot Eligbility
CQwpletelv Utilized
Fiscal 04 .6
Fiscal 05 6
Building Office UsQ
Notes
Fiscal 06 2
I All 9Z /9A A A VIDT I A -IT r WIU Wn 17AAI I R nAl
I
signature
Fma Rafty of DO&
iNbrlh DIWd
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t
or Authorized Representative
IN
If
Date: 4�lyzel
Date: *)—Ve-
COMMONWEALTH OF MASSACHUSETTS
ss
-00
Then personally appeared as Applicaut or his/its authorized agent and
ent to be or her free act and deed and the free act and deed
acknowledged the foregomg
ofthe Applicant, before me.
COMMONWEALTH OF MASSACHUSETTS
V,
"ARY P'P��
Then personally appeared ,t4 hair or h1eits
& __as the Planning Board C
authorized agent and ackmowledged the foregoing instrument to be his or her free act and deed and
the free act and deed of the Applicant, before me.
04
T'40taXy Public
My Conmission Expires:
MMLEARY4PPOLITO
Notary Puwk
WComman*wIth oF Mossachusafts
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Date.. ;R
,kORTN
0 TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that AAX-.f—
..... ......
has permission for gas installation .... Q?� a--5.rj, ro. t.'� C49 ....
in the buildings of .21.-4 �CJ.4v./A� ... 64pfl.% ...........
at North Andover, Mass.
Fee. Lic. No. . tA A i
GAS INSPECTOR
Check # 1-2 f7q
5046
MASSACHUSEITSUNNORM
(Type or print)
NORTH ANDOVER, MASSAC
Building Locations
97 --
ox Aty S�Q- OVer's Name
Neoz Renovation n Replacement 0
FOR PEFAW TO DO GAS FMING
Date c;2—,2
Plans Submitted 1:1
Permit # '50"
$
(Print or type) Qhec
one: Certificate Installing Company
Co
Narne_ &-r-46yasx a rp.
Address 610 4a6z& YT-) a, Partner.
siness Telephone E]Firm/co.
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE Chec),j_ono:
I have a current liability Insurance policy or it's substantial equivalent. Yes 0-- Noo
If ou have checked vp.- ple . dicate the tVDe coverage by checking the appropriate box.
.7 Other type of indemnity Bond
Liability insurance policy M E]
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner Agent
I hereby certify that all of the details and information I have submitted (or entered) in at)ove appucation are true ano accurate LO Ine
best of my knowledge and that all plumbing work and installations perforined under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts Staj�ody a5o,�ter 142 of the General Laws.
'0
OVED (OFFICE USE ONLY)
Signature of Licensed Plumber Or Gas Fitter
Plumber 1123
CE[,Gas Fitter License Number
MMaster
[3 Journeyman
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SUB -BASE M E N T
B A S E M E N T
1ST. F L 0 0 R
2ND. F L 0 0 R
3 R D . F L 0 0 R
4TH. F L 0 0 R
5TH. F L 0 0 R
6TH. F L 0 0 R
7TH. F L 0 0 R
8 T H . F L 0 0 R
(Print or type) Qhec
one: Certificate Installing Company
Co
Narne_ &-r-46yasx a rp.
Address 610 4a6z& YT-) a, Partner.
siness Telephone E]Firm/co.
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE Chec),j_ono:
I have a current liability Insurance policy or it's substantial equivalent. Yes 0-- Noo
If ou have checked vp.- ple . dicate the tVDe coverage by checking the appropriate box.
.7 Other type of indemnity Bond
Liability insurance policy M E]
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner Agent
I hereby certify that all of the details and information I have submitted (or entered) in at)ove appucation are true ano accurate LO Ine
best of my knowledge and that all plumbing work and installations perforined under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts Staj�ody a5o,�ter 142 of the General Laws.
'0
OVED (OFFICE USE ONLY)
Signature of Licensed Plumber Or Gas Fitter
Plumber 1123
CE[,Gas Fitter License Number
MMaster
[3 Journeyman