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HomeMy WebLinkAbout- Permits - 79 EMPIRE DRIVE (3) North Andover MIMAP February 11, 2016 107.C-0085 107.C-0026 107.C-0145 i I I M OCI�n'D ,ve 84G CHESTNUT ST 107.C-0144 7 C j r•'t 1 R 107.C-0019 fD 1 I 857 CHESTNUT ST 107.C-0143 t w � I 107.C-0027 j m 92.76. 83.67. . 8Z,49 107.C-014 107.C-0131 10.7.C-0132 J 79 EMPIRE DR 107.C-0133 .81 EMPIRE DR 75 EMPIRE DR 107,G0134 S?� is 39.80 53.73 71 EMPIRE DR 9S -V 107.C-0135 873 CHESTNUT ST xx 19.89 p 67 EMPIRE DR 0S •ems 107.C-013080 EMPIRE DR 107.C-0028 Q9 J 107.G0136 A •�j 13.L C� �� 64 EMPIRE DR r 107.C-0129 �99 107.C-0128 if 107.C-0029 ��' 62 EMPIRE DR a Inn no zoning Overlay Zoning ❑h!unlclpal Boundary 13 Adu!l Entertainment Distrfe -Buslne s t Dist icl Machloa Slop Vivaga Ova N Buslne s 2 District Horl—taf Datum:MA Slateplane Coordinate System,Datum NA➢63, Rail Line 0 Watershed Protection Dist 119 Buslne s 3 D{slricl Meters Data Sources:Tire data for Ihls map was produced by Merrimack Intafstales 0 Historic Mdl Area Ill Buslne s 4 DPsbi[I 14ORYN Valley Planning Commisslon(f,4VPC)using data provided by the Tovm of —I 13 Medial Marijuana w GeneraBuslness DWAct G� s�yo .�9N North Andover.Addilionai data proVded by the Executive Office of —SR U Dovmlousi Overlay Distficl NPlenna Commercial Oov, �9 • Environmental AffairsR•1assGIS,The into—lJon depleted on this map is Roads t)Historic Disldcl ;;Corrldo Development Dist •�_ • 0� for plann!ng purposes only,It may not be adequate forlega!boundary Csgood Smart Gro vIh 140 C9 Cord Development Dist O l!a esfinilfon or reg0atory Inlerprefatbn.THETOWN OF NORTH ANCOVER t7l Easements :i Hydiograph!c Features 14 Corddo Development Disl +` ffAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING Parca's tndusln 11 District THE ACCURACY,COI.!PLETENESS,RELIAHIL)TY,ORSUITASILITY Sfreams Induslri 12 District JIL y ., * OF THESE DATA.THE TOWN OF NORTH ANOOVER DOES NOT [J Indusln 13 Olslrici Wenands M Indusln ISDlstrict x o�A c10 ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR h[ESUSE OF Exempt Lends Reslde ce i District / °'ATso THIS INFORMATION Reside ce2District �3$.01ICHl15�t p�.dda co 3 District de ce 4 District 1"=60 ft � .de co s Distria de coo Distdct 'voaga esld..Fal District i LOB" 19 Lor 1a EXIST.FND TOF 291.7 LOT 20 f 25.3' 10r EASEMENT VAOF MICHAEL C' SERGE No.33 * � RQ�891a 1 FOU fDA TION L.00A TION I G RTTFYTNAT THE PRrALAFIYBTRllG7t/1t1=SiHOF31l1[,YJUJFORAIS TO THE"opjWmTAl 69MCKRFQIIIRBAIMMOFTNELOM CLIENT: ORCHARD VILLAGE, LLC ,vPPucAr mul�roeY�AwsrN�rF€arWH�NCONeTRu T (THIS CERTIFIG4T14NOOCzR NOTCO�NStIAERANYOTHER 7H15CFJC1iFlGAT1fJNf8MA0EANA[IM►11 1 TCITNEA6RVEfYIENT REet�4ICi7°N68Uf;7foC0VfihfAN7`,�,W&"1LANAA6WEiNENM ORd628°Ft:RNDl7KaW6 �THISURAW1N0SHALLNOTON USW BYTNEotoffFQRAN►PURPOSEOTN1;,RTHANWT ' °�° YYEY PEA9NOF LOCATION.#79 EMPIRE DRIVE,NORTH ANDOVER,MA. CfIRBMWfiNd$5R011/iM FURTRMff IN ORAW1N918 MgCOPYRUWW PROPER[Y0FCHRNTMOSY15SiERO1INQ AND ANY WNAHI7 OMED M18PROHISITEO CHWTIANSO A DATE:5/12/11 SCALE:1"4-30' SOMFTHS VM OII FO�I41YONCOvTArN�MBE `'' PROFESSIONAL ENGINEERS&LAND SURVEYORS - CHRISTIANS N & S:L'RWI, INC. -. 160 SUMMER STREET, HAVERHILL,MASSACHUSETTS 01630 WWW.CSI-ENGRCOM TEL, 978-37"10 FAX. 978-372-3960 DWG.NO,:08029-001.047 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO DO PLUMBING CITY/TOWN: APPLICATION DATE:'..a?.71 Z—�1 — i JOB ADDRESS: 7- -.-----syVt�1 ycQ_f __, -._-- s PLANS SUBMITTED: YES❑ NO[] pOCCt,PANCYTYPE: COMMERCIAL❑ RESIDENTIAL NEWU9 ALTERATION[] REPLACEMENT[] REMOVAUDEMOLITION❑ r PLUMBING: PIPING—FIXTURES -FIXED APPLIANCES—APPURTENANCES 1 ENTER TOTAL AMOUNT FOR EACH SELECTION LIMITED TO FIVE(5)NUMERALS ALTERNATIVE TECHNOLOGY DISPOSER SINK: MOPO SERVICE ASPIRATOR DRINKING FOUNTAIN I STERILIZER DRAIN: AREA FLOOR EJECTOR ❑ STORAGE TANK BACKWATER VALVE EMBALMING AUTOPSY URINAL BAPTISM:FONT SACRARIUM FOOD CHEST MISTING SYSTEM VACUUM DRAINAGE SYSTEM BAR SINK GLASS WASHER WATER CLOSET BATHTUB WHIRLPOOL ICE MAKER WATER HEATER:ALL TYPES BIDET INTERCEPTOR:ALL INTERIOR WATER PIPING: CROSS CONNECTION DEVICE KITCHEN SINK I T OTHER NOT LISTED 1 DEDICATED: ACID WASTE SYSTEM LAUNDRY CONNECTION DEDICATED: GASIOILISAND SYSTEM LAVATORY DEDICATED: GREASE SYSTEM PIPE RELINING WORK ONLY DEDICATED:RECLAIMED WATER ROOF DRAIN 0 DENTAL FIXTURE I EQUIPMENT SINK: 1-2.3 BAY PREP. DISHWASHER FH SINK:CLINIC FLUSH RIM PLUMBING INSTALLER—FIRM-COMPANY INFORMATION CHECK ONE ONLY € -- Corporation Business# alas NAME:L'J_sky Plumbing& Heating lnc _l ADDRESS:' �'O Box 1701 - Haverhill s MA i 01831 ���� ❑Partnership Business#1I CITY: _. .�� . __ _r-___--_..�_ T� 'STATE: Zip: .`... _ i o {' ❑LLC Business#0 TEL: 978 374_1743 I FAX: 978-521.41 s EMAIL:;�rplumber@aol.com ¢ ❑DBA I Unincorporated NAME OF LICENSED PLUMBER: INSURANCE COVERAGE I have a current liability insurance policy or,its substantial equivalent,which meets the requirements of MGL.Ch.142 YESf✓ NO[] If you have checked Yes please indicate the type of coverage by checking the appropriate box below. A liability insurance policy❑J Other type of Indemnity❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent CHECK ONE ONLY OWNER❑ AGENT OWNER'S NAME:i - ---------- - ----------- --- TEL: FAX:f ,_�_��. I hereby certify that all of the details and information I have submitted(or entered)regarding this permit application is true and accurate to the best of my knowledge.I certify that all plumbing work and installations performed under the permit issued,will be in compliance with all pertinent provisions of the Massachusetts Uniform State Plumbing Code,and Chapter 142 of the General Laws, (OFFICE USE ONLY) TYPE OF LICENSE- Permit# ❑Plumber Srgna icensed Plumber Inspector ❑Master j 10348 License Number: _--- Fee; ❑Journeyman MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO DO GAS FITTING CITYITOWN;� 0�} , _[ P"1.1(��]�9-e .._... ... STATE:MA APPLICATION DATE:,jL7-? t r-A JOB ADDRESS: OCCUPANCY TYPE; COMMERCIAL RESIDENTIALf5f, PLANS SUBMITTED: YES❑ NO[] NEW ALTERATION REPLACEMENT❑ REMOVAUDEMOLITIONE] I- NATURAL& LIQUEFIED PETROLEUM GAS: PIPING-EQUIPMENT-APPLIANCES-SYSTEMS 1 ENTER TOTAL AMOUNT FOR EACH SELECTION LIMITED TO FIVE(5)NUMERALS AIR ROTATION UNIT FURNACE; ALL TYPES TEMP HEATING EQUIPMENT BOILER:ALL TYPES GAS PIPING THERMAL OXIDIZER BOOSTER GENERATOR STATIONARY ENGINE TURBINE BROILER ILLUMINATING APPLIANCE UNIT HEATER BURNER: ALL TYPES INCINERATOR WATER HEATER; ALL TYPES CO-GENERATION UNIT INDUSTRIAL AIR HANDLER EQUIPMENT OVER 12 500MBH COFFEE ROASTER INFRARED HEATER FOTHER NOT LISTED? COOK APPLIANCE HOUSEHOLD KILN!GLORY HOLE f CRUCIBLE COOK APPLIANCE COMMERCIAL LABORATORY COCKS DECORATIVE APPLIANCE MAKEUP AIR UNIT DIRECT VENT APPLIANCE MECHANICAL EXHAUST EQUIPMENT DRYER: ALL TYPES OVEN: ALL TYPES FIREPLACE:VENTED 1 UNVENTED POOL HEATER FRYOLATOR ROOF TOP UNIT FUEL_CELL ROOM HEATER-VENTEDNENTLESS 0 PLUMBING!GAS PITTING FIRM INFORMATION CHECK ONE ONLY NAME; Galinsky Plumbing &Heating Inc ADDRESS: O Box 1701 ! E✓ Corporation Business# 31ss r -- -- -----------_-i ®Partnership Business#0 CITY: Haverhill _ _ _ __!STATE: MA EZIP; 01831 _ I OLLC Business# TEL: 978-374-1743 J FAX.i978`Fj1- EMAIL: EI�mber@aol.com � ❑DBAiUnlncorporated NAME OF LICENSED PLUMBER!GAS FITTER: INSURANCE COVERAGE I have a current liabili insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES NO If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy Other type of indemnity Bond OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 at the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY OWNER ❑ AGENT ❑ ', Signature of Owner or Owner's Agent OWNER'S NAME: FAX I - I hereby certify that all of the details and information I have submitted(or entered)regarding this permit application is true and accurate to the best of my knowledge.I certify that all plumbing work and installations performed under the permit issued,will be in compliance with all pertinent provisions of the Massachusetts Uniform State Plumbing Code,and Chapter 142 of the General Laws. (OFFICE USE ONLY) Type of License: Permit# Q✓ Plumber E]Gasfitter []✓ Master Journeyman Si nature f�i used Plumber!Gas Fitter Inspector ;----- ----- .—_ __ []UndilutedLP Installer License Number: ' 10398 Fee; ❑Limited LP Installer too.0") LAWRENCE H. OGDEN, P.E. 198 EAST MAIN STREET 978-352-8318 fax 978—352-2858 cell: 978-502-5921 July 18, 2011 Mr. Robert Messina Orchard Village LLC. Empire Drive North Andover, Ma 01 845 RE: THE FOXBROOK GB# F-676 Lot 19 Empire Drive, North Andover, Ma. 01845 . Dear Mr. Messina As you requested.I visited the site 7/8/11 and 7/18/11 to review the installation of the Engineered Materials consisting of LVLs and pre-engineered floor joist utilized ill the framing of the above project. These are shown on plans prepared by G.J, Bruno and Associates A-l to A-5 Dated 6/9/10 and 7/26110 with the framing sheets certified by me. 8/25/10 with sheet A-3 A-4 revised 2-I8-11. Based.on the above site visits and based on what l could visibly see I can certify that to the best of my knowledge the LVLs members and Engineered Joist utilized in the framing as shown on the drawings are installed properly and meet the loading conditions of the 7"'Edition of the Massachusetts State Building Code for 1&2 family Residences, All other framing requirements of the drawings and code, including but not limited to materials, nailing schedules, blocking, connections and other details are the responsibility of the licensed construction supervisor responsible for the project. Should you have any questions. please do not hesitate to call. Yours truly, - DF,yq� L( eiii e H. Ogden P.E. Structural 27765 LA ti H�aata o 0. Cc. Mr. Gerry Bruno a7765 eo Copy mailed to Mr. Robert Messina 4/0 AIL EN I [.onrmonwsallYx n��rlaseacea Official Use Only S c� Permit No, .� ,parline of a Occupancy and Pee Checked BOARD OF FIRE PREVENTION REGULATIONS ev. 1/07]YJ 4 leave blanis APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Llectrical Code(NMC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFO I Date: , � � _ City or Town of: J To the Inspector of Wires: ��- By this application the undersigns gives notice of bis or her intention to perform the electrical work described below. Location(Street&Number) > ' (Owner or Tenant — Telephonn o. Owner's Address Is this permit In conjunction with a building er it? Yes No p At �1? ❑ (Check Appropriate Box) Purpose afrBunding _ ri UtWty Authors tfon No._%/' 3J ExhHang service A f V tss Ovrrhssd❑ Undgrd❑ No.of Meters Now SeryL% v// Amps J�yv Volts Overhead❑ Undgrd of Meters ' Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion of she oiiowin table may be waived b y the 1»s csor gf Wires, No,of Recessed Luminaires No.of Cell.-Susp,(Paddle)Fans o.of Total Transformers KVA No.of Lumfogiare Outlets No.of Hot Tubs Generators KVA Above n- o.o mergency g No.of I.nmfnairrec Swimm►iang IPool_ ❑ r�sd. ❑ $'AUO Ughs No,of Receptacle Outlets No.of Oil Burners FIRE ALARMS No,of Zones No.of Switches No,of Gas Burners IR-o.o et on an Initiating Devices No.of Ranges No.of Air Cond. Wital a No.of Alerting Devices To Heat um pm er ons o,o e - onta n Na.of Waste Disposers . - ... ,..,.. _........y._........ ......._.,_..._.. D9etcrt:e A No.of Dishwashers Space/Area Heating KW Local Elu Conneeale cttjon [IOther i No.of Dryers Heating Appliances KW a No,of vices or Equivalent o.of Water lE o.o o.o Data Wiring: Heaters SI s Ballasts No.of Devices or-Equivalent ` No Hydromassage Mthtaba Na>ofMotors Total UP Telecomnun cat ons >agg. lio.ui~i>�ewices oar E uivalrzaaQ OTHER: Attach additional detail(f desired,er as required by the Inspector q f Wires Estimated Value of Electrical Work: (When required by municipal policy,) Work to Start: `r-Ir� � Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance inolUding"completed operation's coverage or its substantiaf equivalent, The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND ❑ OTHER ❑ (Specify:) I cert ,under the pafns and penalties of r ury,that the Information on this application Is true and complete FiTtM NAME: .0 � S`� . LIC.NO.: X I 1 fY Licensee: Signature LIC.NO.,• //,?I7& rtJ uwhiabie,enter "exempt the 1 eens number,t line Bus.Tel,No.: -�d'�'plo� Address: J Alta Tel.No.: *Per M.G.L.c, 147,s.57-6Wsecurity work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Liconsce 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 owner El owner's agent, Owner/Agent $ignature Telephone No. PERMIT FEE: $ V �N i Commonwealth Of Massachusetts 0 ffitcial Use only � Department of Fire Services Permit No.O BOARD OF FIRE PREVENTION REGULATIONS a cu 07]y and Fee Checked �g �r pp g�AA`` ®® �° pR�®v. I/ 7j lcava bi;ntk TO ELECTRICAL Ali work to be performed in accordance will,the Massach,rsots Ftmtrical Cade(MEQ} 527 CMR 12.ti0 �� `(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: + _ le', City otr'Towo of: NORTH ANDOVER N 13y this application the undersigned gives notice ofhis or star intention to Perform he eletr cal work described below. v Location (Street& Number) /� ,�"- 44 Owner or Tenant Owner's Adtlress Telephone No. C� Is this permit in conjunction with a building permit? Yes ' i No Purpose of Building r ❑ (Check Appropriate Box) Utility Authorization Y Existing Service Ain W51 _ / Volts Overhead ❑ Und cd � — g ❑ �. of�1�� � 2— New S ,vice �vv Amps Volts verhd w O ea ❑ Undgrd E� No. of Meters Number of Feeders and Ampacity T-- Location and Nature of Proposed Electrical Work: Coto r leainto n the allo►f7rr table ura he ivaiverl bLthe Ins ertnr•n 'Wire, No.of Recessed t,uniinaires No.of Cell:snsp.(Paddle)Fans ota No.of i,undnaire Outlets Transformers "A No.of Hot Tubs Generators KVA No. of vuu�inair es Swimming Pool oVe ❑ n- o.a mergency tg i ng rod mod• Batte Urdu No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners O.o etecthon an No.of Ranges Initiatin Devices No.of Air Cond. ola Tons No.of Alerting Devices No. of Waste Dispoxrrs eat ump um er ons o, o e - ottta ne Totals: Detect ionlAlerting Devices No. of Dishwashers Space/Area Ileating KW local uarctpa ❑ Connection ❑ Other No.of Dryers Heating Appliances .KW ecur ty Sy o.o N ate, KW o 0 0 o Na.of Devices or E uivalent Ilertlers Data Wiring:Si ns Ballasts No. llydrornassage Bathtubs No.of Motors No.of Devices or Equivalent Total HP c ccommuntca ons ring: OTIIIER; Na.of llevices or E uivalent Attar"adctitirurgl detail rJ rlesirecl,or as required by the hispector of lvire., l:xtin,ated Value of Electrical Work: (When required by municipal policy.) Work to Start:,_j_1`, —ley Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unlesss waived by die owner, no penr,it for the performance of electrical work May issue unless the lieurvwc provides proof of liability insurance including"conipleted operation"coverage or its substantial equivalent. The undersigned certitics that such coverage is in force,and has exhibited proof of same to the pt t7nit issuing otice. Cl3t-'CK ONli: INSURANCE OND El OTHER S ❑ ( Peci fy:)I certify, under the pains and penalties of perjury,that the information on Iltis rrpplicalion is tare and complete. FIRM NAME: 17. E.IC. NO.: y 3 J l.iccnscc: --'-�1�,_,_"z� f�.�_. Sigatntrtrc tlJ rr/�J�fii uhjff74�4­ "c. eaq�t�irr fh'lfi't'71SL"rrrurrher linr.} LIC. NO.:Address: � Bus. 'fef lVo..�?�•'!.4 *1ler M.G.I-c. 147, s. 5 -6l, security work requires Departm of Public Safety"S" License: Alt. e.No.; OWNER'S INSURANCE WAIVER: I atn aware that the 1 iccusee rfu(,s rrnt have the liability insurance coverage norntaily required by taw. 13y my signature below, I hereby waive this requirement. t.nn the(cheek one)❑ owner Owner/Agentowner's a ent. Signature Telephone No. P�E�R �TF' �- $ ......... ........ .... ORTH own- F ® _' Andover No. LAKE o h dover, Mass., COCm)CNEwICK AoRarFa Monk `SS BOARD OF HEALTH mmm'M I T T Food/Kitchen Septic System �� BUILDING INSPECTOR THIS CERTIFIES THAT................ �'e- . ....... . / �c�°.... - •- ------- r has permission to erect........................................ buildings on...7�. '`���`�. � ... .f '..................._...--- ough 9 to be occupied as................. ................ provided that the person accepting this p�mit shall in every re ect conform to the terms of the application on file in Final ' �� this office, and to the provisions of the Codes and By-Laws r9fating to the Inspection, Alteration and Construction ofJ�X Buildings in the Town of North Andover. PL ING INSPEC70R VIOLATION of the Zoning or Building Regulations'Voids this Permit. Fin - 0 �',;,� f�® PE S 6 MONTHS UNLESS CONSTRUCTION ST 'TS ELECTRICAL INSPECTOR Rou r 7 - ) - r ............ .... - BUILDING INSPECTOR Occupancy Permit Required to Occupy Building As IN PECTOR Rough �� lr y f Display in a Conspicuous Place on the Premises —� of Remove Fig a No Lathing or Dry Wall To Be Done FIRE�DEPAR Until Inspected and Approved by the Building Inspector. urner. Street No. SEE REVERSE SIDE Smoke Det. ` 1 d Wit i r CERTIFICATE OF USE & OCCUPANCY TOWN W OF NORTH ANDOVE Building Permit Number, 771-2011 Date: August 23, 2011 THIS CERTIFIES THAT THE BUILDING LOCATED ON 79 Empire Drive Lot#19 North Andover MA 01845 Orchard Village, LLC MAY BE OCCUPIED AS simle-family dwelling IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Orchard Village,LLC 44 Great Pond Drive Boxford,MA 01921 Building In pector Fee; 100.00 preyiqusiy paid Receipt: 24146 �µvr 91 Y Y 1b^N CERTIFICATE OF USE & OCCUPANCY I'OWN OF NORTHD Building Permit Number 771-2011 Date: August 23, 2011 THIS CERTIFIES THAT THE BUILDING LOCATED ON 79 Empire Drive Lot#19, North Andover MA 01845 Orchard Village, LLC ' ' MAY BE OCCUPIED AS single-family dwelling IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Orchard Village, LLC 44 Great Pond Drive Boxford,MA 01921 Building Inspector Fee; 100,00 previqusly p4id Receipt: 24146 tit ss�C14us APPLICATION FOR CERTIFICATE aF OCCUPANCY/INSPECTION Building Permit# 2 Z/ !l P ADDRESSILOCATION OF PROPERTY 'I lei(j Ma 4 !1� parcel 7 „ Lot Number�_—,,-.,._ -, . SUBDIVISION LLB DATE REQUESTED FILEDIREADY FOR INSPECTION CLOSING DATE ON PROPERTY: ' 2 CLOSING ©ATE IS ,,,•,REQUIRED ALL WORK AND s OTICE P,,,,• RIOR Td SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME, A RE- INSPECTION FEe OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. P�riF Iai�E:L iv: C s LZ_ Address ° , ®1r� SIGNED ROUTING CONSERVATION PLANNING' DPW.,WATER METER SEWERIWATER CONNECTION NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE O�CUPANCY/INSPECITION REQUEST , DPW Ign Lure Fite: Application for OC farm revised Jars 2007 - - - ... .... ......... ®RTC And over Town o0 C% # LAKE O_ _ lover, Mass., A LOCH iCKEWICK - - '?ATE D ITS BOARD OF HEALTH Food/Kitchen Septic System ..PERMIT 11 D BUIL OR THIS CERTIFIES THAT.. {: .f'. ���' .. ? -f! " ... .......................................... Foundation INSPECT f .r r .. buildings on -. 1 . �1F ......................•- has permission to erect...................................... .... .......... Rough - /� /fit r r� chimney to be occupied as............................... l provided that the person accepting this p rmit shall in every re ect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-laws r ating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulationt:Voids this Permit. Rough Final PERN4IT EXPUES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST TS Rough - '•'_-�....--�.-:.-•-------------- Service BUILDING INSPECTOR Final OC upLIn y Permit Required t® Occupy Bui in 1 GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT [Until Inspected and Approved by the Building Inspector. Burner. Street No. REVERSE Smoke Der. The Commonwealth of.2V.1assachusetts Department of Industrial',A.ccicl'ents Office of-Investigations 600 Washington.Street Boston,AIA #ZIIZ wwip.mass.govIdia WorlKelrs' Compensaiion hm uranee Affidavit: B>Yx�c�ex�/Co>altractors/�Xec�xicka>as/PZ�t>rnnbe�� A plicant Information Please Print Le it l atrke(B.usinessl0xganization/Individuak); } L A 6 Z- C Address: zlq C., A,/0 1 () City/state/Zip A'A l - Mon,,#: �' t��j.� �me Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and x 6. 0 New construction employees(full and/or part-time).* have hired tho sub-contractors 2.0 I am a sole proprietor or partner- listed on the attached sheet. 7• ❑Remodeling . ship and have no employees Theso sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. g, ❑Building addition. [No workers' comp,insurance 5. ❑ We are a corporation and its 10.❑EIectrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MOI. 11.❑Plumbing repairs or additions myself. [No workers'comp. o. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees.[No workers' Ig ❑ Othar comp.insurance required.] *Any applicant that checks box#1 rust also fill out the section below showing their workers'compensation policy information. I Homeovrners who subritthis affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name ofthe sub-contractors and their workers'comp.policy information. I ant an employer that is providing rvor kers'compensation Insurance for my errrployees. Be/01V is tree policy andjob site irrfomiation. Insurance Company Name: Policy#or Self-ins.Sic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the wor leers'compensation policy declaration page(showing the policy number and expiration.date). Failure to seetxra coverage as required under Section 25A of MO1_,c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year•imprisonment,as well as civil penalties in the form of a STOP WORD ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Offico of Investigations of the DIA for insurance coverage verification. Zdo hereby eert.fl t ert aepains and penalties ofPerjuly tFrat the ittfmmcrtionpr��idecrabave is titre artilcorr•eet, Date: Y V ( s hone#: f- J 3 Official use only. Do not write ire this area,to be completed by city or town of,fleial City or Tawn: PermitUcense 0 issuing Axrthority(circle one): x.Board of Health 2.Building Department 3.City/Town Clerk d.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i I I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit MAScheck Software Version 2.01 Release 2 I j f 1 f Checked by/Date 1 CITY: North Andover STATE: Massachusetts HDD: 6322 I CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 5-14-2011 DATE OF PLANS: 08/08/09 TITLE: The Foxbrook lot 19 PROJECT INFORMATION: Orchard Village 79 Empire Drive North Andover, MA COMPANY INFORMATION: Messina Development Co. , Inc. COMPLIANCE: PASSES Required UA = 574 Your Home — 567 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 841 38 . 0 0. 0 25 WALLS: Wood Frame, 16" O.C. 2729 21. 0 0. 0 155 BSMT: Conc. 8 . 0 ' ht/8 .0' bg/8. 0 ' insul 0 0. 0 0. 0 0 GLAZING: Windows or Doors 239 0. 320 76 DOORS 69 0. 310 21 FLOORS: Over Unconditioned Space 1240 0. 3 0. 0 289 HVAC EQUIPMENT: Furnace, 96. 0 AFUE HVAC EQUIPMENT: Air Conditioner, 13.0 SEER ------------------------------------------------------------------------------- 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 1250 of the design load as specified in Sections 780CMR 1310 and J4 . 4 . Builder/Designer Date Massachusetts Energy Code MAScheck Software Version 2 . 01 Release 2 The Foxbrook lot 19 DATE: 5-14-2011 Bldg. l Dept. ] Use I CEILINGS: [ ] I 1 . R-38 I Comments/Location i WALLS : [ ] I 1. Wood Frame, 16" O.C. , R-21 Comments/Location I BASEMENT WALLS : C ] I 1 . Conc. 8 .0' ht/8 . 0 ' bg/8 .0 ' insul, R-0 (uninsulated) Comments/Location I WINDOWS AND GLASS DOORS: C ] I 1. U-value: 0 . 32 For windows without labeled U-values, describe features: #C Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS : C ] I 1. U-value: 0. 31 Comments/Location FLOORS: [ ] I 1 . Over Unconditioned Space, R-0 .3 Comments/Location HVAC EQUIPMENT: C ] I 1 . Furnace, 96.0 AFUE or higher Make and Model Number [ ] I 2 . Air Conditioner, 13. 0 SEER or higher I 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 I 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: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors . I I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values, glazing U-values, and heating and I cooling equipment efficiency must be clearly marked on the building i plans or specifications. I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4 . 4 .7 . 1 . I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems . 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 I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4 .4 . I I SWIMMING POOLS: [ ] I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20a of the heating energy is from i non-depletable sources. Pool pumps require a time clock. i { HVAC PIPING INSULATION: [ ] I HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in. ) : I PIPE SIZES (in. ) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1 .25-2" 2.5-4" Low pressure/temp. 201-250 1.0 1.5 1 . 5 2. 0 I Low temperature 120-200 0 . 5 1 . 0 1. 0 1. 5 Steam condensate any 1. 0 1 . 0 1. 5 2. 0 COOLING SYSTEMS: Chilled water or 40-55 0 .5 0. 5 0. 75 1. 0 I refrigerant below 40 '1 .0 1. 0 1. 5 1. 5 CIRCULATING HOT WATER SYSTEMS: [ ] I Insulate circulating hot water pipes to the .following levels (in. ) : I PIPE SIZES (in. ) NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1 .5-2 .0" 2 . 0+11 I 170-180 0. 5 1 .0 1. 5 2 . 0 1 140-160 0 . 5 0 .5 1. 0 1 . 5 1 100-130 0 .5 0 . 5 0. 5 1 . 0 ----NOTES TO FIELD (Building Department Use Only) ------------------------- ORTi Tovm of : .. O Andover LID , No. _ === AK o corer, Mass., .� I� COCHX)1 EWICII y AO'4AT'E!] p'P�,C�C� S BOARD OF HEALTH Food/Kitchen . ..PE..RM IT T D Septic System ` BUILDING INSPECTOR THIS CERTIFIES THAT.........of C aj.F.... .. J �.............. Foundation has permission to erect........................................ buildings on �x 'r... !"/�............................... Rough . ,.... --��. . .............. to be occuP ied as...............L�Ti�i ..... �: ! Chimney provided that the person ag this permit shall in every re*ect conform to the terms of the application on file in Finalthis office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMrr EXPIRES IN 6 MONTHS 'UNLESS CONSTRUCTIONS ITS � ELECTRICAL INSPECTOR Rough j, ........................................... Service SPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the-Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner - Street No. SEE REVERSE SIDE Smoke Der- The Commonwealth of Massachusetts �I ( N� Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 t i-1 q Yvwminass.govldia Workers' Compensation Insuraince Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information .._.._Please Print Le gib iy 1 Name (Business/Organization/individual): ��- Address: City/State/Zip: G Phone#:�]�' 007� �� Are you an employer?Check the appropriate box: Type of project(requited): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. El New construction employees(full and/or part-time).* have hired the sub-contractors 2.�I ain a sole proprietor or partner- listed on the attached sheet. t ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor the in an capacity. workers' comp, insurance. Y p �'• 9. El Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officer's have exercised their ME] Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions thyself. [No workers' comp. c. 152, §1(4),and we have no 12.0 Roofrepairs insurance required.]t employees. [No workers' comp. insurance required.] 13.0 Other *Any applicant tliat checks box fi i must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such, #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors acid their workers'comp.policy information. I ant an employer that Is providing workers'conipeusadon insurance for my employees. Beloty is the polley and job site information:. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a line up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the forth of STOIC WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance'coverage verification. I rlo hereby certi ruler the pairns anrrCpennalties ofperJuty that the inrfon rrrationt provided above is true and correct.' Si nature: ~ Date: Phone#: Official use only. Do no write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): L Board of Health 2. Building Department 3. City/Town Cleric 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: