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HomeMy WebLinkAboutMiscellaneous - 168 Carterfield Road I, s oFYI CQ- 313 .__...__.�..,_,� Q ...,�--- � �- �� � � � �/� �_ t Date.....�a..� .1. b. .. TOWN, OF NORTH ANDOVER PERMIT FOR"WIRING. ♦ oma. +�°+• . This certifies that ?.�. . .A C........ ..�.' ..C........ ................................ has permission to perform .....Pt..t-�Te........... ............................ wiring in the building of......�a.c.A.....1..- .1 �'e V tp .................................. .... 1... ,North Andover,Mass. � r d Fee.7!'.4?5. .r Lic.Nofik,5.14....3�.�4�A! � i Yui �(r�u ...... ......:................... ELECTRICAL INSPECTOR s r Check # b 33 5454 Date..... .�?�.�.�.b.. ... t NORTI�, 4,,,� TOWN OF NORTH ANDOVER p PERMIT` FOR WIRING CHU This certifies that ... .1.►! ........ ..t:E:................................................ has permission to perform .... ............ ..Y1n.'e............................ wiring in the building of....T .r... tf' � ...... ........ ...................................... at. 1 �.....�.� 2) ......................ere+e��Q orth Andover Mass. .. P ..... Fee... -(0..5 CR.r Lic.No M.g / Z.-.11) J r• �� v �r� t Q ELECTR AL INSPECTOR Check # 5494 Date.. . . .��.: f:.?�. .. HORTM pf t,�io ,°,ti0 TOWN OF NORTH ANDOVER t - PERMIT FOR GAS INSTALLATION �9SSACMUSEt,C This certifies that . . . . . . . . . . . . . has permission for gas installation in the buildingMf .<- - .. . . . . . .c . . . ... . . . . . . . . . . at .�� .� . - �'+o. . . - . . . .f North Andover, Mass. Fe -.�. . Lic. No.. . . . . . . . . . . . . . GAS INS s � v Check# 4989 MASSACHUSETTS UNIFORM APPLI.CATON FOR PERMIT TO DO GAS ffIT ATG (Type or print) Date— 12/30/04 NORTH ANDOVER,MASSACHUSETTS Building Locations 168 Carter Fie14 Rd, Lot 17 permit# Tara Leigh Dev. Owner's Name 978 x,87 2635 Amount$ �3'a,� New FA Renovation ❑ Replacement ❑ Plans Submitted x $3050 z c w a un er ro nd , o U H as li e o z c H a z c w 1 be s to C7 w d TW, Wa F- Gz O d z O O p a° �' a P.. H o SUB-BA SEM ENT BASEMENT IST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type) Eastern Propane Gas Check one: Certificate Installing Company NameUCorp. Address 131 Water St. ❑ Partner. k __ ?)an g rg MA Q1 274 Business Telephone 1 800 3pp ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter FINSURMANCE COVERAGE Check t liability Insurance policy or it's substantial equivalent. Yes ^ No❑ cked yespleasidicate the type coverage by checking the appropriate box nce 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 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 above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under P." "t Issued for s application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code an ter 42 By. Signature of Licensed Plumber Or Gas Fitter Title Plumber 4,1 ?I L- City/TOwn Gas Fitter License Number ❑ Master APPROVED(OFFICE USE ONLY) ❑ Journeyman Date. �d . . . ... .. A ,AOR TI, 3 TOWN OF NORTH ANDOVER - PERMIT FOR GAS INSTALLATION s io r 9 . 9 �,SS�ICMUSE�,( This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' has permission for gas installation, : K —'. . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . F at .ll rp. . .S. . r ?< - _ /, North Andover, Mass. Fee.iU '. . . Lic. No.. . . . . . . . % . . . . . . . . . . . . . . . . GACTOR v Check# / .- 4984 1 MASSACHUSETTS UNIFORM APPUC TON FOR PERNUr TO DO GAS FfrnNG (Type or print) Date / o NORTH ANDOVER,MAS Ay'HUSETTS Building Locations Permitft Amount$ `Owl er's Name /0/,Pi :?a O u n I/(r8 New Renovation Replacement Plans SubmittedEl � a � � . Coaow va U rA a�wa zo z z Cn 4 w U z H 0 O O W a ISUB -BASEM ENT BASEMENT 1ST. FLOOR t 2ND . F L O O R 3RD . FLOOR 4TH . FLOOR 5TH . F L O O R 6 T H . F L O O R 7TH . FLOOR STH . FLOOR (Print or type) Check�f n -/ ' ,c ° Chk one: Certificate Installing Company Name /'t DL)r�C f(l° ��c/�7���c� 7`--A Pte//:!� � Corp. Address /-3 H/F Partusiness Te ep one — — 3 ✓� irm/Co. Name of Licensed Plumber or Gas Fitter } t INSURANCE COVERAGE Check one• I have a current liability Insurance policy or it's substantial equivalent. Yes ff Noo If you have checked y_es,please ' dicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity 0 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 Agent 0 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 Ch` 14? f the General Laws. Signature of Licensed Plumber Or Gas Fitter Title Plumber . o?(a 59� Tit City/Town � Gas Fitter License Number aster APPROVED(OFFICE USE ONLY) Journeyman TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING S C14US This certifies that . . . . has permission to perform---�'• . . . ... . . . . . ... . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . North Andover, Mass. Fee No.. . . . . . . . . PLUI;�W!�PINJ�IINSPECTOR Check # 6288 MASSACHUSETTS UNIFORM AP LICATION FOR PERMIT TO DO PLUMBIN (Type or print) NORTH ANDOVER,MAS C�I�USETI'S f Date A ?9 Building Location Own s Nam ��7� Permit# Amount Type of Oc u a d y New d Renovation Replacement\6 Plans Submitted Yes ❑ No El FIXTURES E~ Ln w w con a R4WVE*4r IST FLOOR M FLOOR a / 3M HjOOR aim FLOOR 5M 11�t00R 6M FLOOR 7MF1Ott 9M FLOOR 4�1 (Print or type) C / Check one: Certificate Installing Company Name v�� P��` //f'�/ / ❑ Corp. Address � %�/�,��c7 Partner. Business Telephone 7 U-Fl i Co. Name of Licensed Plumber: Insurance Coverage: Indicate the pe of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity El Bond ❑ t� Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ Agent ❑ I hereby certify that all of the details and information I have 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 MassachusJtt Sta y Plu in Co d ter 142 of the General Laws. BY Signature or Licensea number Type of Plumbing License Title '�q.&�y City/Town icense Numoer Master ❑ Journeyman APPROVED(OFFICE USE ONLY Er r } Date. �.►'`.. .. .. r f Of NORTN ,41 o� TOWN OF NORTH ANDOVER ' PERMIT FOR GAS INSTALLATION �9SSACMUSEt,C r This certifies that !: - -�*:4 -. . . . . . . . . . u has permission for gas installation ��--*�:�-�: � .�-:�. . . . . . . . /` in the buildings of . . . . . . . . . . . . . . . . . . . . . at . �l% ' -! � �>�. . -4 ��*�! .a ., North Andover, Mass. } Fee3o.�. . Lic. No.. . . . . . . . . . . . . . . . . . . . 1; G GAS INSPECJ R Check# %rte 5054 I i i s raeiN 9sswc+usg+. CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number o2 / Date 3-41 -6;�00S S CERTIFIES THAT THE BUILDING LOCATED ON 1 d J O A /18 e2A k TK 12 P 1 r L D 12d MAY BE OCCUPIED AS LSc A9CP le- _r_—_a M c 6 `'I jla2^¢ `r C -� Y IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO A 1 C i i 1 aJ C'�42 � 1Z �ztE� (2c1a� Building Inspector NORTH .,� Town of Andover ,�q7 LA COCNO dover, Mass., /ay ICNEWICK �ADRATE D BOARD OF HEALTH PERMIT T D Food/Kitchen SA Septic System BUILDING INSPECTOR THIS CERTIFIES THAT T PA.....LTQ.k...I�.V....... .... ..:C......................................................... oundation,,l�lll�s�-� 11 l p g kqT ` CA ��'� Q �r « 0- has / /5� ermission toe ct............1.......................... buildin s on ...............i.. .. ........... ......................�......................... ough I/ �� �•S Q S'�1 �t4lkk r + r... Mrs y t0 be occupied 8S ( � � �. ..... M! himne provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final /W'&'( n this office, and to the provisions of the Codes and Bws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. `4 A PLUMBING-INSPEqWR VIOLATION of the Zoning or Building Regulations Voids this Permit. 639 PERMIT EXPIRES IN 6 MONTHS in ` �4-- UNLESS CONSTRUCTI N TAR L ASL INS ,�R ough � ��G'+� � .. ... ce BUILDING INSPECTOR 3_3_ oer' Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove l� 3,3_ Y-� No Lathing or Dry Wall To Be Done FI EPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. I MASSACHUSETTS UNIFORM APPLICATON PERNIlT TO DO GAS FITITVG (Type or print) Date 3/3/05 NORTH ANDOVER,MASSACHUSETTS Building Locations 168 Carter Field Rd Lo 71 Pen-nit# Tara Leigh Development Owner's N e 978 687 2635Amount$— �'Sd � New Renovation ❑ Replacement Plans Submitted ❑ x 30.50 W W a o H z d a2 H ao C7 U CW7 F Z d x W W GW7 O d1~ E" rn Z O p F W d PG d O O x O w 3 A c7 U a A a H o [7T B-BASEMENT ASEMENT T. FLOOR D . FLOOR D. FLOOR H . FLOOR H . FLOOR H . FLOOR H . FLOOR H . FLOOR (Print or type) Eastern Propane Gas Check one: Certificate Installing Company Name Corp. i Address 131 Water St. ❑ Partner. ?Dart prs MA nl2P;, Business Telephone 1 Boo ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Kenneth Baron INSURANCE COVERAGE Check I have a current liability Insurance policy or it's substantial equivalent. Yes No❑ Ifyou have checked�,please the type coverage by checking the appropriate box Liability in 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 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 ❑ 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 and ChVfe142 ofthe General S. By: Signature f L tensed Plum er Or Gas Fitter Title Plumber #993 City/Town Gas Fitter License Number ❑ Master APPROVED(OFFICE USE ONLY) ❑ Journeyman 1 Town of North Andover NORTH Building Department 400 Osgood Street ��' y° " e O North Andover Ma 01845 p L � A (978) 688-9545 Fax (978) 688-9542 �` i � n e - O cocmc wcwwcw 1' 4pORATlD ►•�` '�5 �SSACHU`�E� APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS (�T LOT NUMBER ( �T_ l SUBDIVISION / DATE REQUEST FILED `3 DATE READY FOR INSPECTION 3 3 TEN 10 DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMP D WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY- ($25.) DOLLARS WILL BE CHARGED IF THE STRUCTU DOES NOT E T ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTING D.P.W. -WATER METER _ DATE 3/3z�b D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. SIGNATURE/DPW AUTHORIZATION THECOA MONWEALM /MASSACHUSETTS Office Use only DEPARTNIFNN fOFP IlCWHY Permit No. BOARDOFFIREP ON REGUTATIONS527CM12M Occupancy&Fees Checked APPLICATION FOR FERMI�F O PERFORM ELECFRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCKE WITH HE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 �—f (PLEASE �— PRINT IN INK OR TYPE ALL INFORMATION) Date Lt 0 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical ork described below. Location(Street&Number) ,� � Owner or Tenant l —Lor At f Lc,z Owner's Address J Z 1 --L c Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building t�tc-,"� Utility Authorization No.2 i 37 Existing Service Amps Volts Overhead Underground No.of Meters New Service Zy D Amps( 2 /ZyoJolts Overhead Underground ©� No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above ED Below Generators KVA round round No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pum s Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP r OTHER- hlA noeGovgage.Rusuanttothetaquin IEMOfMasswtn>SettsGfficdLaws IhavEactulentLiabl7ityh>StnauoePblicyinchldingCompl vetageorilsstibsgnlialequivalart YES NO IhaNcabn&dvandproofofsametotheOffm YES IfyouhawchecodYESpleasemdiratethetypeofco by c11e�Igthe '' box/ INSURANCE LZ BOND r7 OIiEIER (Please Specify) EVirahouDate EMnWdVahleofE1ecWca1Wo&$ WodctoStact 1' � .111 kWectionDateRequested Rough �t�- siguedurxierTrpmialliperjury. FIRMNAME LioawNo. �/ li e lC.tC�}E(� M �yA-cif Signahue Lio nseNo `�Z-) �G�- BmrssTeLNo. U,c.`5kk) AO ��. �� b SSD Alt Tel No. q?� 3 7C-7�8 6 ONWWS JNSURANCEWAIVEA IamawatethattheLioemdoesnothavetheinsuatD,-mvwageoritssubs hal equivalmaslegtlitedbyMassadmselsG=alLam and thatyysignattneon d ispennitapplication waivesthistegtliunent (Please check one) Owner F7 Agent `` Telephone No. PERMIT FEE$ Signature ot Uwner or Agent THE COMMONWEALTH4M4SSACHUSEM Office eUse�of ly DEP•9R7[YYIEIIVTOFP "ICS9FETY Permit No. BOARDOFFM ON REGUTATTONS527CW12.W Occupancy&Fees Checked a APPLICATIONFOR PERMFF O PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDAANNC�E WITH HE MASSACHUSSTS ELECTRICAL CODE,S27 CMR I Z:OO / (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date r cyl L t ( 0 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical or described below. Location(Street&Number) C -A,✓Lh �1 Owner or Tenant tE;xj fv 'k�s Owner's Address I Z 1 et t �7 Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building 1-*N---A,7�, 4--� Utility Authorization No.2-t 37 Existing Service Amps �Volts Overhead Underground No.of Meters. ,,. New Service "Zy 0 Amps l �E7 olts Overhead Undergr"ound � No.of iVleteis Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners NToTons of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other No.of Water,, eaters KW No.of No.of Connections Signs Bailasis sage Tubs No.of Motors Total HP rlIISl1a0t1ntheIB(Illi[HTI�ySOfMaSSadSi�fCSGara"�rlLaws h>Sura�ePblicyinchr�ugCornPle� verageoritssubsrarrtialecRrivalair YES NO proofofsametothe011im YES u � If)cmlmEchwlmdYES,plea9eindcwthetypeofcc)wrageby box LLLLJ��JJJ BOND OH-IIR (PleaseSpa*) Es=aled Value of kC"Wodc$ 1' IrlspecfionD*ReWesled Rough Final ofper�tay. vt LiowseNo— •4 ti l Signahne Lice wNo S-G S— BusrressTel.Nob(). E,t�L-abs� VL -&-ClTV Alt Tel NoZAN . CEW lam awarethatthel-xer>sedoesnothawdrir>SruanoecoIeageoritssub tialetlt�asWritedbyMassachusemCknaallaws onthis perrnitappfi thisrequrterrrrlt e) Owner Agent M gna ure o Telephone No. PERMIT FEE$ tcaner or gen r 4 r' a, Location No. ,741 7 Date HpRTIy TOWN OF NORTH ANDOVER pf<„ O ,•1�,0 3? ;0- 0 9 • i ; : Certificate of Occupancy $ Building/Frame Permit Fee $ �cHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 1/.=� '�U Check # 17876 ' -Building lnspe LOT 10 LOT 9 LOT 8 LOT 7 NOTES 1) THE BOUNDARY INFORMATION SHOWN HEREON WAS TAKEN FROM A PLAN ENTITLED SPECIAL PERMIT AND DEFINITIVE SUBDIVISION PLAN, CARTER FIELDS SUBDIVISION; SCALE: 1 " = 40'; DATED: AUGUST 9, 2002 (rev. 1/17/03); PREPARED, BY THIS OFFICE. CARTER FIELD ROAD 2) THE INTENT OF THIS PLAN IS TO SHOW THE AS— N 18*3 5'43"W S—N18°35'43"W =90'00'00 BUILT LOCATION OF THE FOUNDATION ONLY. R=31 .00' i 71.05'. L=48.69' 00.o a Q N N C6 25.77 r ---- ---�� N I I � I I I I o I HEREBY CERTIFY THAT THE FOUNDATION SHOWN HEREON 36.36' IS THE RESULT OF A FIELD SURVEY MADE ON I OCTOBER 26, 2004. I 6tIN�DA I I O Village Green { I LOT 16 I 36.39 ���4�4 s I s 25.67'I ► Q CHRISTOPHER cR FRANCHER I I W N0. 36116 { I w I I I W E-4 LICENSED LAND SURVEYOR DATE E I I E I CERTIFIED FOUNDATION PLAN CARTER FIELDS SUBDIVISION — LOT 17 I I GRAPHIC SCALE CARTER FIELD ROAD I I o 20 40 80 I I c��1 / NORTH ANDOVER, MASSACHUSETTS N LBUILDING SEiBACKLINE (TYP.)j PREPARED FOR co TARA LEIGH DEVELOPMENT, LLC (IN FEET) 185 HICKORY HILL ROAD a 1 inch = 40 ft. NORTH ANDOVER, MASSACHUSETTS N18'35'43"W 102.05' 0 = =: = s 103 Stiles Road, Suite One 0 0 � � � � Salem. New Hampshire 03079 (603) 893-0720 OPEN SPACE MHF Design Consultants, Inc. ENGINEERS•PLANNERS•SURVEYORS U N SCALE: 1" = 40' DATE: OCTOBER 27, 2004 DRAWING N0. DESCRIPTION BY DATE DRAWN BY: CHECKED BY: PROJECT NO. NAME REVISIONS JAC CMF 110900 1109ABF.DWG Location kaa "" t �� Te(��� No. aq f�!moi Date d �l NORTH TOWN OF NORTH ANDOVER � w > ; ; Certificate of Occupancy $ -1•-' �'�s''••"'tt�' Building/Frame Permit Fee $ 4CMU5 _ Foundation Permit Fee $ Other Permit Fee $ ' TOTAL $ � Check # " t 7717 J Building Inspector a. TOWN OF NORTH AN-DOVER BUILDING DEPARTMENT i APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING VMS +� •;,�d � `"JR4 r�, Rs�C n., �, �"T � � � +. .«� '-- .a`°" -`�'�.: .ta» •:' sem � �z..w-•�,. yy, a-. �: �. 7 � �',='tN ..,'� .. ,�k .x{�.�,..]�"' �;.. .... ,Y .f�, v�:,: re 'i, "'u.i L„ "..Yew` ■®�■ BUILDING PERMIT NUMBER: DATE ISSUED: 1� SIGNATURE: AU Building Commissi ner/In for of Buildings Date SECTION 1—SITE INFORMATION 1.1 Property Address: /l 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: to z -5: I,VD 3Ub Zoning District Proposed Use Lot Ar s Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide RNWred Provided Required Provided I-e-) z -Z a 7-s' 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private ❑ Zone Outside Flood Zone Municipal )' On Site Disposal System ❑ SECTION 2—PROPERTY OWNERSHM/AUTIIORIZEDAGENT aiStGf!C i iSlfiCt: Yes No M 2.1 Owner of Record Na6c(Print) Address for Service: 7F-- nature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ , � a r icensed Construction Supervisor: n SJ �/7 Z f ((�yL License Number Address ��✓b�� ! Expiration Date Sig re Telephone 3.2 Registered Home Improvement Contractor Not Applicable Company Name Registration Number I Address Expiration Date Signature Telephone SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the b lding permit. -Signed affidavit Attached Yes....0.,6 No.......❑ SECTION 5 Description of Proposed Workchez ck all applicable) New Construction K Existing Building ❑ Repair(s) ❑ Alterations(s), 0 Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: 1 [� © c (A41 a ala 3A` , a� S 11 046 c ,Q S(�� y a q Liu . Avv-z 3�l�p' fi=A.�,�,4e44s P6�ck SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be �OF&'ICIAI;�TISE ONLY Completed by permit applicant 1. Building 'n�, (a) Building Permit Fee Z-7UZO - Multiplier 2 Electrical (b) Estimated Total Cost of % ( a D ti� ew' Construction �i 3 3 3 Plumbing Z 6&,;,I Building Permit fee tel X (b) 4 Mechanical HVAC !� 5 Fire Protection 6 Total (1+2+3+4+52 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, n zt�'LA ,as Owner/Authorized Agent of subject property Hereby authorize_ _' 4k,Y-A to act on My bein a tatters rel v o rk authorized by this building permit applicatiopI GG Signa -e of Owner Date SEe,T1JbN 7b OWNER/AUTHORIZED A ENT DECLARATION A r I> . as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief _ /la Printt e Si e of wner/Aent Date NM WOMEN NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIIVIBERS 15 2 3RD SPAN -Z - - 4 DUVIENSIONS OF SILLS DIIv1ENSIONS OF POSTS t °i S& DIlv1ENSIONS OF GIRDERS Z HEIGHT OF FOUNDATION � o THICKNESS S17-E OF FOOTING X � MATERIAL OF CHIlT_E7' 1S BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE /Uy FORM _ U - LAT RELEASE FORM INSTRUCTIONS: This form is used.to verify that all necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. mmmm,m Now=Oman APPLICANT PfiU•P( t LG PHONE -`7 7F ASSESSORS MAP NUMBER 6 Z LOT NUMBER 3� SUBDIVISION_�,� r �S� LOT NUMBER STREET r(k tw STREET NUMBER I.--o s...---s....■.s.....s..■ss...s..s.s..ss.s...-�ss.a..ss.s...s..man....:s-ef OFFICIAL USE ONLY ••-------..........................................................-...Enema-.•.-anenoa RECO ATIONS OF TOWN AGENTS NUNN VZ DATE APPROVED 6 v 0 CONSERVATION ADMINIS OR DATE RESECTED COMMENTSM A/ ZL�/0 h -i►.0 t Sdi G ;n" �i6T s DATE APPROVED (o��CP/Q TO DATE REJECTED CONIIVIE NTS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED DATE REJECTED COMMENTS c _ C s_� PUBLIC WORKS-SEWER!WATERRCCONNE TIONS DRIVEWAY PERMIT - sP., kIP S 6 1a /g d DATE APPROVED 6"*- FH&DEPAR DATE REJECTED CONIIAE-Mrs RECEIVED PY BUILDING INSPECTORDATE _. � 3 o Y BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR i Number.-CS- 055417 Birthdate 04/05/1960 Expires 64/05/2006 Tr.no: 21033 Restricted: '00; THOMAS D ZAHORUIKO 121 CARTERFIELD RD:., -- - w Q N ANDOVER, MA 01845 Acting C mis oner The Commonwealth of Massachusetts d Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 ' Workers'Compensation Insurance Affidavit Name j Please Print Name: /1 Location: ) Ci /J, ✓ L It ,i Phone #cl &7` I am a homeowner rforming all work myself. 0 I am a sole proprietor and have no one working in any,capacity I am an employer providing workers' compensation for my employees working on this job. Company name: Address City Phone#' Insurance Co. Policv# .X Company name: Address City: Phone# Insurance Co. PoIICV# Failure to secure coverage as required under Section 2 or L 152 can lead to the imposition of criminal penalties of,a fine up to$1,500.00 and/or one years'imprisonment as_vrell_as_civil.penalti nth f�n�f�.SIOP VVORK_ORDER..and..afine of.(.$140.OD)�rtay agai�t.me. I understand that a copy of this statement may be ti ded t the Office of Investigations of the DIA for coverage verification. 1 do hereby certify under the pains penalties peryu that the information provided above is true and correct. Signature pie Print name / Phone# Official use only do not write in this area to be completed by city or town official' City or Town Permk/Ucensi Building Dept []Check if immediate response is required Licensing Board p Selectman's Office Contact person: Phone#. Health Department Other 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. __ l �4 L4r 17, 16; d�Q, �a� 6z/z- Permit ApplIcant Property address -Map/Parcel q79-687-Z63L 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. This 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 of this section"senior"shall mean persons over the age of 55. This application is part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density(buildable lots)below the density permitted under zoning and feasible given the environmental conditions of the 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 bythe 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 parcel on the effective date of this Section 8.7 and shall receive a onetime exemption from the Planned Growth Rate and Development Scheduling provisions for thepurpose of constructing 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 compliance 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 DETERMINATION 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 EXEAS CITED ABOVE. FURTHER I UNDERSTAND THAT THE SUB AL OF MISLEADING OR INACCURATE INFORMATION OR THE CHECKING OFF OF ABOVE EXEMPTTO CH DOES NOT COMPLY,WHETHER DONE TO MY KNOWLEDGE OR NOT IS GROUND OR REFUSAL BY T B LDING DEPARTMENT TO ISSUE A BUILDING PERMI . AP ANTS SIGNATURE DATE S ORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION i i i ' f Permit Number MECcheck Compliance Report Checked By/Date Massachusetts Energy Code MECcheck Software Version 3.3 Release lb Data filename: C:\Program Files\Check\MECcheck\Lot 16 Carter Fields.cck TITLE: Carter Field Lot 17 CITY:North Andover STATE:Massachusetts HDD:6322 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE:Other(Non-Electric Resistance) DATE: 10/13/04 DATE OF PLANS: September 25,2004 PROJECT INFORMATION: Carter Fields COMPANY INFORMATION: Tara Leigh Development LLC COMPLIANCE:Passes Maximum UA=617 Your Home=606 1.8%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 2044 0.0 38.0 51 Wall 1: Wood Frame, 16"o.c. 3682 0.0 19.0 253 Window 1: Vinyl Frame,Double Pane with Low-E 594 0.340 202 Door 1: Solid 35 0.340 12 Floor 1: All-Wood Joist/Truss,Over Unconditioned Space 2044 0.0 19.0 88 Furnace 1:Forced Hot Air,90 AFUE Air Conditioner 1:Electric Central Air, 11 SEER Furnace 2:Forced Hot Air,80 AFUE Air Conditioner 3:Electric Central Air, 11 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 Massachusetts Energy Code requirements in MECcheck Version 3.3 Release lb and to comply with the mandatory requirements listed in the MECcheck Inspection Checklist. I E 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 AC equipment selected to heat or cool the building shall be no greater than 125%of the desi load as specifi in Sections 780CMR 1310 and A 4. Builder/Designer Date I MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.3 Release lb DATE: 10/13/04 TITLE: Carter Field Lot 17 Bldg. Dept. Use Ceilings: [ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 continuous insulation Comments: Above-Grade Walls: [ ] 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 continuous insulation Comments: I Windows: [ ] I 1. Window 1: Vinyl Frame,Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: I Doors: 1. Door 1: Solid,U-factor:0.340 Comments: I Floors: [ ] I 1. Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 continuous insulation Comments: I Heating and Cooling Equipment: [ l I 1. Furnace 1:Forced Hot Air,90 AFUE or higher Make and Model Number [ ] I 2. Air Conditioner 1:Electric Central Air, 11 SEER or higher Make and Model Number [ ] I 3. Furnace 2:Forced Hot Air, 80 AFUE or higher Make and Model Number [ ] I 4. Air Conditioner 3:Electric Central Air, 11 SEER or higher Make and Model Number I Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I 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. 1 • I Vapor Retarder: [ ] Required on the warm-in-winter side of all non vented framed ceilings,walls,and floors. I Materials Identification: [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] I Insulation R-values,glazing U-factors,and heating and cooling equipment efficiency must be clearly marked on the building plans or specifications. I Duct Insulation: [ ] I Ducts shall be insulated per Table J4.4.7.1. ' I 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. [ ] I The HVAC system must provide a means for balancing air and water systems. I 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. I Heating and Cooling Equipment Sizing: [ ] I 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. ICirculating Hot Water Systems: [ l I Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 120 T or chilled fluids below 55 OF must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) UU to V Up to 1.25" 1.5"to 2.0" Over 2" 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 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range(F) 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) R Tly Town o 4Andover No. a l -o yy dover, Mass., T O LAKE T I� COCHICHEWICK V 7� ED SACHUss FOR EXCAVATION AND FOUNDATION THIS CERTIFIES THAT ....` A�1!'`�4.....1. � ........ i V.:...... ......e........................... ........ .. f/ CA44P has permission to ex a to and pour foundation at ..1�............. 1........................................................................... ��oov� .�A.�4�►cl�� �w�l I i w ,�c 6 � A* forthe purpose of.... ..................................................................................................................... ... The person accepting this permit must return to the office of the Buildi g Inspector a certified plot plan show t_;4 961k ►s of building thereon before Foundation will be inspected. o rc 4 VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire. building structure will be granted. JA C....._.................................. SEE REVERSE SIDE BURDING INSPECTOR VAORTH Town of W Andover / l No. C% 0 . �: -- over, Mass., is ay K C .4 oR An 0 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT.7 PA..... ....... C......................................................... BUILDING INSPECTOR oundation has permission to erct............I.......................... buildings onl9k.11... C!A.......r.&J01.414 0 Rough ... ... ..... ..... ... . to be occupied himney ..........................i.. ..... ....... . ......... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and Bs relating to the Inspection, Alteration and Construction of Buildings In the Town of North Andover. &�T 01"L PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTUIT ..........N AR ELECTRICAL INSPECTOR Rough .......... . ... ............ ............ ........................................ Service BUILDING INSPECTOR 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. 11 SEE REVERSE SIDE __Jl Smoke Det. Y S I I ' A - 2 1 i 1 � 1 TTI 74+ IT S T RE E� ti Lt�v,�T y o u LOT 171) #168 CARTER FIELD ROAD koT ►� CRtt�R F1£LJ� NORTH ANDOVER, MA 01845 SCALE: 1/8" = 1'0" DATE: 9/25/04 TARA LEIGH DEVELOPMENT LLC NORTH ANDOVER, MA 01845 8`i-o . �z 111 1p Lr .0 x F1N.Qy 8 �'S� K 1TGF4N � o GReg� Roots ti \ 2-GAR 9 (v auti.ze0� NI 1 o-O 2-O /' �► - N Q Le Y, x , _ �'i-o ,2- 24-0 O O FOYF{Z ,DINING. o �q N .9 LOT 17, #168 CARTER FIELD ROAD RsT ooR NORTH ANDOVER, MA 01845 SCALE: 1/8" = 1'0" DATE: 9/25/04 TARA LEIGH DEVELOPMENT LLC NORTH ANDOVER, MA 01845 L��1E�1 /CD W 1G C3�DRc;-6^3 aea(Loax 4 � 700 O .Y `I siTTI N6 K%tA Q lh srFR bebODO K 7 I ti 1 i i oPcN �� �� BebRobaa,2 c vrER d, Y , sF C rJ D T-LOO 2 LOT 17, #168 CARTER FIELD ROAD NORTH ANDOVER, MA 01845 - SCALE: 1/8" = 1'0" DATE: 9/25/04 TARA LEIGH DEVELOPMENT LLC NORTH ANDOVER, MA 01845 8tl_o ' T 0 p O 0 0' Q 6 O p Y � Q 00 N _o S-o �v ' o :a P P .o 0 0 1 � CD' O cJ fl p .9 L(O-0 8-d )o-6 14-0 I2-0 Zu�O 84-o LOT 171, #168 CARTER FIELD ROAD NORTH ANDOVER, MA 01845 SCALE: 1/8" = 1'0" DATE: 9/25/04 TARA LEIGH DEVELOPMENT LLC NORTH ANDOVER, MA 01845 SOU`O ac 2x11 qo y xt O � 9 � v I w)RSZ 'L>��cK FRAME LOT 17, #168 CARTER FIELD ROAD NORTH ANDOVER, MA 01845 SCALE: 1/8" = 1'0" DATE: 9/25/04 " TARA LEIGH DEVELOPMENT LLC NORTH ANDOVER, MA 01845 D S w J � u x V (, 4M Zk cc 19 t G O ' 2,x Z ( •Z OG I SEco WDfiRfiJA' LOT 17, #168 CARTER FIELD ROAD NORTH ANDOVER, MA 01845 SCALE: 1/8" = 1'0" DATE: 9/25/04 TARA LEIGH DEVELOPMENT LLC NORTH ANDOVER, M.A. 01845 r - _ ori s� �\ 2Syr.r�RcH.SHiNcLE d . 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FIELD ROAD o ytr P-C . a .JoTI G _ _-__----._._.---- ����' �`a�YsS V,, �ls� NORTH ANDOVER, MA 01845 IF;U� I go SCALE: varies DATE. 3/23/04 TARA LEIGH DEVELOPMENT LLC S�'CT 1 p CT Y 'P.> NORTH ANDOVER, MA 01845