Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 96, 98, 100 Rea Street-3 Units
�o p ri a I'y 4 s CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 100( November 26 2003) August 12, 2004 THIS CERTIFIES THAT THE BUILDING LOCATED ON 100 Rea Street MAY BE OCCUPIED AS Single Family Dwe lin with two car garage attached IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Peachtree Development LLC. 231 Sutton Street North ver Building Inspector S 6 19 W am NJ IN U)� LU U) cr W W cr w LU U) I FC, E)Z ow u , %14 4 0 0 o cc r. Cd ll 21 i®ro- o z b, 0 E cn t4 U\ W am NJ IN U)� LU U) cr W W cr w LU U) I CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number _100( November 26, 2003) August 12, 2004 THIS CERTIFIES THAT THE BUILDING LOCATED ON 96 Rea Street MAY BE OCCUPIED AS Single Family Dwelling with two car garage attached IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Peachtree Development LLC. 231 Sutton Street North And �MA61845..1. Building Inspector. e� O O 6 z W am w 0 C/) w C/) cr W w m w w C/) I 1Ea �2 U) 0 w0 *. 0 r- t c tu 0., E! cx 8, W am w 0 C/) w C/) cr W w m w w C/) I CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH. ANDOVER Building Permit Number 100( November 26, 2003) AugLust 12, 2004 THIS CERTIFIES THAT THE BUILDING LOCATED ON 98 Rea Street MAY BE OCCUPIED AS Single F ' Dwelling nth two car garage attached IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Peachtree Development LLC. 231 Sutton Street �\ North yer MA 018 Building Inspector (01 "I 0 0 4ft 6 z 9 W am 05� Cf) �71 0 U �D 0 Cf) z 0 u C/) V) CD OE CD co C. 0 COO) or � � � x �Y``o J fi. ;�- coo tz 4 aP-4 0 0 0 Ic ca I ZO 7? 0. ul p W am 05� Cf) �71 0 U �D 0 Cf) z 0 u C/) V) CD OE CD co C. 0 COO) Commonwealth of Massachusetts City/Town of NORTH ANDOVER, MASSACHUSETTS -- System Pumping Record Form 4 DEP has provided this form for use by local Boards of Health.eiljV "mrd must be submitted to the local Board of Health or other approving au ority. A. Facility Information 11 'A - ZUi� Important: When filling out 1. System Location: forms the /nn � 1 computeto r, use l <=C4 ST only the tab key Addr ss to move your s, cursor - do not use the return City/TowT State Zip Code key. 2. System Owner: � Name Address (if different from location) TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Cityrrown B. Pumping Record 1. Date of Pumping 3. Type of system []Other (describe) State Zip Code ?g--zS - 7/ 7 Telephone Number Z- g + �U 2 Quantity Pumped: Date Gallons ❑ Cesspool(s) ❑ Septic Tank ❑ Tight Tank 4. Effluent Tee Filter present? ❑ Yes ❑ No 5. Condition of System: If yes, was it cleaned? ❑ Yes ❑ No 6. System Pumped By: 1-11 1q0 Na e Vehicle License Number Company 7. Location where contents were disposed.- Signature isposed:Signature of Hauler Date http://www.mass.gov/dep/water/approvals/t5forms.htm#inspect t5form4.doc• 06/03 System Pumping Record • Page 1 of 1 Town of North Andover tAORTH Building Department 27 Charles Street A North Andover, Massachusetts 01845 (978)688-9545 Fax(978)688-9542 A% O L • f \may '' coc.iicwvec• �- APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS ?8 2&-,'9�9-�. " 7, 4^✓N,y'A , )yN 6I9 V s LOT NUMBER 04)- -� i3,3 , SUBDIVISION /;&, k� DATE REQUEST nLED 7 .)') U DATE READY FOR INSPECTION 6 /0 TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY- IVE ($25.) DOLLARS WILL BE CHARGED IF THE �XMET ALL APPLICABLE CODES. SIGNATURE ROUTING D.P.W. —WATER METec DATE c� J .ZO D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRI )R -TO THE INSPECTION REOUEST DATE. / DPW AUTHORIZATI REFCC ED JUL 2 6 2ao4 OLDI NG D CA� Location No. /40b DatekcG • oG� HQRT1y TOWN OF NORTH ANDOVER 9 Certificate of Occupancy $ Building/Frame /Frame Permit Fee $ s,KMusE 9 av Foundation Permit Fee $ y� Other Permit Fee $ TOTAL $ f -j avy Check # S.2- ( i 6 6i 2 Building Inspector p , Location / p (0J ¢ S /00 Re -u ` 11k _-74 s No. Date NORTH TOWN OF NORTH ANDOVER Certificate of Occupancy $ E<� .1 CMUs Building/Frame Permit Fee $ /c 310 '— , .��' _ 4 Foundation Permit Fee $ Other Permit Fee $ 00 TOTAL $ /dam 01 11 wp2dCC�v> Check S ` - V 4 6 i G 1 BuildingInspector li M r ► (,� ROSS 0 DATE Danvers Savings Bank ::, One Conant Street Danvers, MA 01923 978-777-2200 FOR--rmq.■• +1: 2 113 7 1 L 6 21: TIN Lot", at 11 Maw .� PAY 1 i TO THE s ORDER OFA' Danvers Savings Bank BBE •"'■ One Conant ::::: heel, Danvers, MA 01923 978.777.2200 FOR�-�t� +11: 2 113 7 116 21: 35 0064 DATE 6r 53-7116/2113 ' 5TO 0 L L A R S 8 53-7116/2113 DOLLARS Location No. /ov Date HpRT1y TOWN OF NORTH ANDOVER .Certificate of Occupancy $ # i 4, s • t;� Building/Frame Permit Fee $ �AC14 O Foundation Permit Fee $ �� Other Permit Fee $ oe TOTAL $ o0 Check # 16612" Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING for ofriciai Use Oni BUILDING PERMIT NUMBER: DATE ISSUED: LA&JC SIGNATURE: Building CornnlissioneL_for of Buildings bate 1.1 PropertyAddrcss:1J4?,1ACk7-t1re -2 SI'lJ 1° yL4t. �; I bo) 1.2 Assessors Map and Parcel Number: �YGI� if IV, -1 Y! - Map Number Parcel Number 1.3 Zoning Information: &73 Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUH DING SETBACKS (ft) Front Yard Side Yard Rear Yard Required Provide Reguired Provided Required Provided 1.7 Watk SG.L.C.40. 54) 'wlym Public 2& Private 0 1.5. Flood Zone Information: I SewerageS..DLVos4d System: zone - Outside Flood Zone 0 Municipal ys On Site Disposal System 0 2.1 Owner of Record �&Y,HA Tay14ki ho-akhee� otov,5- Name (Print) Address for Service' - d a 079) (j9W4-Wq Signature '-Tclep6one 2.2 Authorized Agent f ROC&rt-L L 20 5. 5,7 P—Z�� A Name Print Address for Service: Dl Signature Telephone 3.1 Licensed Construction Supervisor /V.ry(A-jLAy)n j)arfjA Not Applicable 0 C,5 (�Xawoe? Aldess j -j —j f�lyth Dogs- - - License Number i -1� -��0-77 Licedsed Construction Supervisor: Expiration Date Signatwre Telephone 3.2 Registered Home Improvement Contractor 1 Not Applicable 0 Company Name'. Registration Number Address Expiration Date Signature Telephone AC' j Workers Compensation Insurance affidavit must becompletedand submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yea ...... X No ...... .❑ SECT It1�At 5 - PR41)SSI6D a lbFiE;1�T#} RVICESfJ!$iII)tU)5:�"t'11tCS ro 2iG1NS11C7��4�1 G`�N5 FRII Ia�T +Cd3T' C�'iSQ 16 (+CD1iTdr3'SQ G� CBF lJlc>lm SEXY j 5.1 Registered Architect: PIA ICY .it°inl ( it61 Name: 92 (Y)(�yl�-yG�� AVP , S ui'e 2YOO K,-'QQn 2-f U Address rs atfac`ie�' �l��a�y (7$��z7g=`��o �) Signature eI lephone �.2,1l�egishel�ed �t�li�s��lt�Tt�ne���1�. � 5 Area of Responsibility Name: Registration Number Address: Expiration Date Signature Total ` Not applicable ❑ Name: Registration Number Expiration Date Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone Name Area of Responsibility Address Registration Number , Signature Telephone Expiration Date Company Name: Not Applicable ❑ Responsible in Charge of Construction "k - -'. New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition ❑ Accessory Bldg. 0 Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: br tNa 6.feOO OP .5 611f0chilad z Showa ,o/any A-2 A-5 0 A-3 ❑ ❑ BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s Total Heieht (ft) Independent Structural Engineering Structural Peer Review Required Yes 0 No ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, �e affaCh��' GlG�GiI//� as Owner of the subject property Hereby authorize to act on My behalf, in all matters relative two work authorized by this building permit application Signature of Owner Date USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 0 A4 ❑ A-2 A-5 0 A-3 ❑ ❑ 1 1 B 0 0 B Business ❑ 2A 213 2C 0 ❑ ❑ C Educational ❑ F Factory ❑ F-1 ❑ F-2 ❑ H High Hazard ❑ 3A 313 ❑ ❑ IInstitutional ❑ I-1 0 I-2 0 I-3 ❑ M Mercantile ❑ 4 0 R residential 0 R -I 0 R-2 ❑ 1-3 ❑ 5A 5B 0 0 S Storage ❑ S-1 ❑ S-2 ❑ U utility M Mixed Use S Special Use ❑ 0 ❑ Specify: Specify: Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Existing Hazard Index 780 CMR 34: Proposed Use Group: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include Basement levels Floor Area per Floor s Total Area s Total Heieht (ft) Independent Structural Engineering Structural Peer Review Required Yes 0 No ❑ SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, �e affaCh��' GlG�GiI//� as Owner of the subject property Hereby authorize to act on My behalf, in all matters relative two work authorized by this building permit application Signature of Owner Date as Owner/Authorized Agent Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury a22V-A Print 14are Awwaaglu,� "Iq Signature of bwner/Agenf/ f DAte Item Estimated Cost (Dollars) to be Completed by permit applicant 1. Building (a) Building Permit Fee Enun�a dw 000 Multiplier 2 Electrical 22 Zoo (b) Estimated Total Cost of Construction from (6) 3 Plumbing a/) oeo Building Permit fee (a) x (b) 4 Mechanical (HVAC) 20, clOc? 5 Fire Protection 41190 6 Total (1+2+3+4+5) Check Number or LjN,�* A "Wt." NVOR& gg 001, R A sm 001, 0 W NO. OF STORIES SIZE 36) BASEMENT ORSLAB. SIZE OF FLOOR TFvfflERS Isr ,2ND 4 SPAN WA di DEMENSIONS OF SILLS DEMENSIONS OF POSTS < < 42 DIMENSIONS OF GIRDERS/' HEIGHT OF FOUNDATION THICKNESS ko 1/"a SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FELLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE C.T 111MR-MA 22 --Ml *4 �- , �k��� r�a� �A � c� �'� o ��r,�, u J� TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING Section for Official Use QW) BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: BuildiN Commission!,�r/��t�orof Buildings Date -A 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 4 o b4 wivil r�i h �t 5ron $rrn,+ Plan S Qs rernMpr) 0 Jnr ff:,-SSR r Pvn (S 11 OX Map Number Pazcel Num ber okq-& Plan 1.3 Zoning Information: 1.4 Property Dimensions: K- 3 —96600 c)33.30' Zoning District Proposed Use Lot Area(SO Frontage (11) 1.6 BUR DING SETBACKS (ft) Front Yard Side Yard Ren Yard Rqtlired Provide ReqWred I Provided Re red Provided 196a 011-01 161' I -5Q hilt)' L40.1' — Water Su .40.%54) 1.7 Supply 1.5. Flood Zone Information: Sewerage Disposal System: On Site Disposal System D Public Private 0 zone - Outside Flood Zone uuicipal 2.1 Owner of Record p3X,h+y.ej2 LLC— Jb/ 902 IV, 40Mr 9A OfMf 1) Nae (rn nt) Address for Service: .. A %ij) 11 Si.oriature Te-tephone 2.2 Authorized Agent Name Print Address for Service: Signature Telephone N, Y.N 5, 0"NE, 77,021 3.1 Licensed Construction Supervisor Not Applicable 0 P 0. LX 9()Q 1h Andomr, MR 0245 Cs ony&s- Address Lie -en -se Number C)errL, Lur7n '1%)nrn.,4 I //.31,26Q 7 Li d ton Supprvisor. Expiral6on Date L to TZTepfione 3.2 Registered Home Improvement Co tractor Not Applicable 0 Company Name,. Registration Number Address Expiration Date Signature Telephone -0 M X C Workers Compensation Insurance affidavit must be completed and submitted with this application. issuance of the building permit. Failure to provide this affidavit will result in the denial of the Signed affidavit Attached Yea ....... No....... ❑ 3EC')�'11U1 S;-r]P)�&�yST�@.yit 3Ctl[l�gi4i�yQyli,�'LL�7f4ri'iSy �}�y115p�t111�;' y15�Sry}i�/1�?f`I+E) 8LA,: 5.1 Registered Architect: �ll�,�roun Name: dw Address Te ephone tSignature Area of Responsibility Registration Number Expiration Date Name: Address: Signature Total Not applicable ❑ Registration Number Expiration Date Name: Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Telephone y f' / :� a q C mpany Name: Not Applicable ❑ Respon 'b e ' barge of Constru tion 1rfF�,� )..irxe�. , iii: $ $ .,: ''• "•, New Construction Existing Building 0 Repair(s) ' ❑ Alterations(s) ❑ Addition 0 Accessory Bldg. 0 Demolition 0 Other 0. Specify Brief Description of Proposed Work: 3S1�c,�nhrnneS a� ��%own ()n USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly 0 A-1 0 A-2 0 A-3 0 IA 1 B 0 ❑ A4 0 A-5 0 2A 0 B Business 0 2B 0 C Educational 0 2C D F Factory 0 F-1 0 F-2 ❑ 3A 0 H High Hazard 0 3B ❑ I institutional 0 1-1 0 I-2 0 I-3 0 0 M Mercantile 0 R residential 0 R-1 0 R-2 0 R-3' D 4 5A S Storage 0 S-1 ❑ S-2 0 SB 0 U Utility 0 Specify: M Mixed Use 0 Specify: S Special Use 0 Specify: COMPLETE THIS SECTION IF EXISTING BUR DING UNDERGOING RENOVATIONS, ADDITIONS AND OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include 3 C Basement levels Floor Area per Floors n Total Area s 17q 19 Total Height ft Independent.Structural Engineering Structural Peer Review Required Yes O No 0 SECTION 10a Owner Authorization - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, Hereby authorize My behalf, in all matters relative two work authorized by thid building permit application \% uilflly,uu L—ff �c I I– I Signaie o r Date Owner of the subject property t GM Z> 40-1 'G �1 to act on Z.U.w'- { t5 meq:. r c K a -4V. �jnn I, as Owner/Authorized Agent Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury Prin me \ V, Sigt4t6e of er/ ent Date 1 11 1 l - . Item Estimated Cost (Dollars) to be Completed b t applicant P Y P� PP 1. Building 5o,c�oo (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of 1 Construction from (6) 3 Plumbing t Building Permit fee t.l x (b) 4 Mechanical (HVAC) 5 Fire Protection / �0 CD 6 Total (1+2+3+4+5) / �O Check Number ajyr' i.`C'.i.tC.✓. 's'i >f.:,_ _ (, � L;.i,n•+ nfiv:', •J•'C�i .!:(�"' i Y _'t.,f¢�i�F�,' ?. ttf-W..YC.£-F''^ "�''yv£` � 'fam:"`':`J:umb%'? Yce.+�i`.'�'....;'r„k"5S vS# -,'.1 :�i.�"�,., ,Y��:5.aSy.S-+ro}3*',9'aiPk�:.[+,� ._. �r.�x.�,.,S',..;, ..t:}}.q,.h '�r .3;"�, • Y�.:�Fw?��7.":#r..::xt.T�.; : «.P.��"'w.1'f .. ,;t'Cfi�rv.s?,`r'.�.`?FYy. (;,�3S. �i`,YvI,1.5jL:...;`',i +?.�.%(6 N.„•3, >y.v,'�JYii.t'V.a�i 3�t�({itN, . c}�:.1.5 1`iF1.fS,�Yggp eryl ",re5.r�,n3Y+�.^.-�.4:'.Y t`.� f�f+i�4stA9j�v',,wd>sj'oy t,..:.. `;.�Y,'«''Rrix•%'/td3m: ,'onv'rg`ititi„4 t� . .,+.'3'f• °VE.. GMtvl+x1N > fir� ...Q' .r�.��.{. y'ii��,.t 7,:t..r�,�J'za�'�.�Y5fj•�n.�F�, ,^� i�.l..3;(!4+aiXA..�,,Vt45�4.: ,'F`.Y:��?,sO.�;kSZ'�y. �»k"' �v eit<',d�f .i.'Y.S` '•}yyy�'yy�,»: .s'i'-E_'g '• tiS '.?r*'f.�.,:. ,"'`,=r$::i;2':,Yi.y'=✓'�.:v.,#y`aJ & f,Si;.t.,�n,+aF�. ,��.i.v.f�..t'Y. y}S."4`. '%u'.f �'�xxa "".1;xiKi ' .C'�'{� ��, , Qv`S �i�i. *._.+y },yr.,�w1'-; k.fl�nt`.�F%. ..rtiS,t.d1`µ, _yi�,iu�;u^$.4. eFy^. ��E,-3 ei �,.Z<,i, .("� F} !,x �'';fsTt x4%,.q.i4.+t,�`^:x,�.r.y, +,J 6 lS^, h,iy '� �£��y�'�f r� %n;`•.�e: $'�s i �,�y ,y�C�.`�`{�h'r.��,.i:. �C a�S'�� r�!�Lv `, .>,ry-i+ J' i i.1� i- l..vi f ��y=s�✓` Ft NO. OF STORIES SIZE 1Q BASEMENT OR SLAB SIZE OF FLOOR TIMBERSr; 1 ST , ,� 2ND azfas @ I o.c. aX�osC fD o.c. ,� 3RD ax10.50 j(� o SPAN I�' f6 "o. c. /sMax@ Q . c DEMENSIONS OF SILLS a - a xce D.T. DEMENSIONS OF POSTS 3 ya N S �a DIMENSIONS OF GIRDERS rL 13/,;K 9 HEIGHT OF FOUNDATION 7 )-foil A bon k THICKNESS /Q , SIZE OF FOOTING /O if X 0?0 tr MATERIAL OF CHIMNEY I IS BUILDING ON SOLID OR FILLED LAND ' I 01 IS BUILDING CONNECTED TO NATURAL GAS LINE C S Z.U.w'- { t5 meq:. r c K a -4V. 5 Tauinhous�� FORM U'- LOT RELEASE FORM INSTRUCTIONS!- This form is -used to verify that all necessary a rova.I Boards and Departments having jurisdiction have been obtained. This des not its fi the applicant and/or landowner from:com fiance with an appluirement►E . p Y .icable.or re9 �--APPLIUANT FILLS OUT THIS SECTION********* AFPLICANTr,*) htreemen+ L L(I Seep Iar, iySoa as reco�ed HONE 9 8 3 LOCATION: Assessor's Map Number PARCEL sueDtvIsroNac Farm LOT (S) STREET �ST_ NUMBER 7 96' _____ **'`*** OFFICEAL USE CQNL COMMENTS lfJ© (�:&7 d rT� FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS—' AGENTS: DATE APPnovW DATE VIEJECTED DA71E APPROV � t 0', ScC)/ t"i VATE APPROVED DATE REJECTM DATE APPROVED. DATE- REJECTED PUBUC wORkS - SEWERIWATER CONNECTIONS /7 DRIVE . Y PERMIT � FIRE DEPARTMENT�z RECEIVED BY BUILDING INSPECT �q u L Z' 3 14 " S O (D I'D EIVEii 4 7�AXPN .... '.;;«r•; neo t �,.., --- e �� Jun 18 03 05:39p The MZO GROUP (781)279-4448 p.2 workers Corppansatlon Insoranco afdavil must be completed unit subroined with this application. Failure to pnwide this affidavit will tesult in the denial of this issuonce of the buildinp,t>rttnit. SrRned affidavit Attached Yisr ......1] No ....... 0 $,I l+ 4stered Architect: ,10 @2r- 0 T. 1< t NamC: Addles � n �cl+I . 'A.Lo . Telephone tAs,,� ;•�riCP . �� (. � F S�,'�'c•alitt����a Area of Responsibility Name: Registration Number Address: Signature Toast Expiration Data Not applicaboc tame: — Registration Number Address Signature Telephow Expiration Date Name Area of Responrtibility Address Rtgistmtion Number Sigutm Telephonc Expiration Date Name Address Signature Telephone Area of Responsibility Registration Number Hxpiration Date Not Applicable 0 Company Name: Responsible in Charge of Construction Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code RES check Software Version 3.5 Release Id Data filename: Untitled.rek PROJECT TITLE: townhouse "B" g61O6 1 X00 ?Sa St. CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: Multifamily HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 11/24/03 DATE OF PLANS: 10-15-03 PROJECT DESCRIPTION: Peach Tree Farm DESIGNER/CONTRACTOR: peachtree development Ile. COMPLIANCE: Passes Maximum UA = 2027 Your Home UA = 1274 37.1% Better Than Code (UA) Furnace 1: Forced Hot Air, 80 AFL1E 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 REScheckVersion 3.5 Release 1 d (formerly MECcheck) and to comply with the mandatory requirements listed in the RES checkInspection Checklist. 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 1250/0 of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer ✓G/E%'%L� Date 6 -d Bbbir—GLZ ( TBG) cinoaJ OZW a41 e6jr cL0 60 -Ira AoN Gross Glazing Area or Cavity Cont. or Door Perimeter R -Value R -Value U -Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 3158 30.0 0.0 1 I 1 Ceiling 2: Cathedral Ceiling (no attic) 640 30.0 0.0 22 Wall 1: Wood Frame, 16" o.c. 8028 11.0 0.0 635 Window 1: Wood Frame:Double Pane with Low -E 646 0.340 220 Door l: Solid 63 0.180 11 Door 2: Glass 186 0.340 63 Floor 1: A.11 -Wood Joist/Truss:Over Unconditioned Space 4508 19.0 0.0 212 Furnace 1: Forced Hot Air, 80 AFL1E 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 REScheckVersion 3.5 Release 1 d (formerly MECcheck) and to comply with the mandatory requirements listed in the RES checkInspection Checklist. 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 1250/0 of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer ✓G/E%'%L� Date 6 -d Bbbir—GLZ ( TBG) cinoaJ OZW a41 e6jr cL0 60 -Ira AoN 06/16/2003 14:59 19783276517 WILLOWS PAGE 02 NOTICE OF ASSIGNMENT EMPLOYER: PEACHTREE DEVELOPMENT LLC 231 SUTTON ST SUITE 2E -F NORTH ANDOVER, MA. 01845 The Waiver of Our Right to Recover from Others Endorsement is available on Pool policies. contact your agent for details. AGENT WILLOWS INS AGCY INC OR 522 CHICKERING RD PRODUCER: N ANDOVER, MA 01845 AGENCY FEIN: 223 856664 CLASSIFICATION OF C COMBO I.D. STATUS OF EMPLOYER 000139954 Limited Liability Coln "OVERAGE GROUP 0139954 Coverage under this assignment applies to Massachusetts operations only. For Coverage outside of Massachusetts, Contact the appropriate Pool or Plan for that state, INSURANCE COMPANY: - TRAVELERS INDEMNITY CO MS JACKIE DENNIS P 0 BOX 3556 ORLANDO, FL 32802 (800) 443-4404 CLASS ESTIMATED RATE ESTIMATED CODE TOTAL ANNUAL PREMIUM REMUNERATION --------------------------------------- RPENTRY-DETACHED PRIVATE RESIDENCES 5645 $0 10.62 $0 APENTRY-DWELLINGS-3 STORIES OR LESS 5651 $0 10.62 $0 EMPLOYERS LIABILITY 100/100/500 9845 LOSS CONSTANT 0032 $50 STANDARD PREMIUM $50 EXPENSE CONSTANT 0900 $122 TERRORISM CHARGE 9740 $0 RISK MINIMUM PREMIUM 0990 $500 ESTIMATED ANNUAL PREMIUM $500 DTA ASSESS, 4.5% OF STANDARD PREM. $17 EST. ANNUAL PREM. PLUS ASSESSMENT $517 INSTALLMENT BASIS: Annual REQUIRED DEPOSIT PREMIUM $ 517 COMMENTS Coverage effective 12:01 AM on 05/23/03 PATE OF NOTICE: 05/24/03 PREPARED BY: Joanne Shea EXT 530 SERVICING CARRIER ASSIGNMENT * * LETTER ID: 419982 COPY: AGENCY The Workers' Compensation Rating and Inspection Bureau of Massachusetts 101 Arch Street . Boston, MA 02110 (617)439-9030 - FAX (617)439-6055 - www.wcribma.org NOV-18-2003 02:21 PM MARCHIONDA&ASSOCIATES 781 438 9654 P.01 32.2UTLRV � � ¢xlsnNa EXISTINGFOUNDATION FOUNDATION / ... I MARY OCONNORD 5LDD, 2 I DK 3341 PO 3 MPS 6lDQ 1 � 4' V MOPOIND MAK%= + U RY G N F 1,34 Ae DOROTHYY 0. YOUNG s 100' OK 030 PO 477 N Iii to A4 � N p � OF. 13.D3 Am. 262.7' .a��H OF lygs t► � LOX 91.100 STEPHEN M. riP O2 09 Ac. Cox MELESCIUC y ,� � NO. 39049 n . R 233.30• REA STREET WE HEREBY CERTIFY THAT WE HAVE EXAMINED THE PREMISES AND THAT THE BUILDING IS LOCATED THIS PLAN IS INTENDED FOR ZONING AS SHOWN_ THE STRUCTURE SHOWN CONFORMS PURPOSES ONLY. IT WAS PREPARED TO THE ZONING LAWS RELATIVE TO REQUIRED SETBACKS OF FROM EXISTING PLANS AND RECORDS THE MUNICIPALITY WHEN CONSTRUCTED. ALSO, ACCORDING WITH THE STRUCTURES SHOWN LOCATED To THE'F.E.M.A./H.U.D. FLOOD INSURANCE RATE MAP, BY AN INSTRUMENT SURVEY. THIS PLAN COMMUNITY PANEL NO. 250098 0006 C SHOULD NOT BE USED FOR PROPERTY DATED 6/2/1993 , THE STRUCTURE IS NOT LOCATED LINE DETERMINATION. IN AN ESTABLISHED 100 YR.FLOOD HAZARD ZONE, CERTIFIED FOUNDATION PLAN BLDG. #2 PEACHTREE FARMS MARCHIONDA & ASS0009L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR 62 MONTVALE AVE. SUITE I PEACHTREE DEVELOPMENT, L.L.C. STONEHAM, MA. 02180 P.O. BOX 3039 (781) 438-6121 ANDOVER, MA 01810 SCALE:1 =80 DATE: 11/18/03 5 16umkousp FORM U'- LOT RELEASL FORS{' INSTRUCTIONS:. This forin is -used to verify that all necessary approvals/permits Boards and Departments having jurisdiction have been obtained. This doenot ' the applicant and/or landowner from:compliance v�ith any applicable -or requirements quirements ....�At'►�LICANT FILLS OUT THIS SECTION'�****�, APPLICANT �+ LLC kach�'(P��/ �Qnm� see p lar., * 1`i50 W d'EGO!tiPHONE 9ed 3a 9 LOCATION: Assessor's Map Number .ls'tl�avb G% PARPARCEL SUBDIVISION �eaf h hep Farm LOT (S) STREFT ST_ NUMBER u s z'J'¢'s -OFFICIAL USE ONL COMMENTS Imo, Ce, rfj 1, FOOD IMPECTOrR-HEALTH SE-Fnc INSPECTOR -HEALTH COMMENTS 0 AGENTS: DATE APPROVED DA'Z'E REJECTED DATE A DATE APPR6VED DATE REJECIM DAVE /APPROVED. DATE- REJECTED PUBLIC WORKS - SEWERIWATER CONNECT)oNS DRIV Y PERMIT FIRE DEPARTMENT r DECEIVED BY BUILDING INSPECT a A�. sVW_ m m M) m m VJ 0 •. d a n O O C �o O � ny �. . c � O C �• CO) O Q v y S C � O fl m C/3 MM ND = d rCD d y e) p 2 CD c� Z H � CCD O 'v .O•rw � m — 0 zi d =• y O � o � CD N O v CD o -40 OJE ho: CLQ 0 > CD co CD CD vv n C CD d co) CD y N• O0 O �C I CD Er O � %-oCD CA O C -• 06 n H m Z V CD =S06 =�► �c O CD •. d a n O O Cn 0 0 , do C �o O r ny �. . c � O C �• CO) O Q d N S � � M w d Om �m fl m C/3 � W m � v+ c7 a rCD d m 11 p 2 co ?•p H � O' .O•rw � m — 0 zi CL O m nod m y N 0 CD N -40 OJE ho: p m 2 > >cl) C n O N• O0 CD Er O � 1" C -• 06 n H m =S06 =�► �c O =rm C70 � -J m 0 CDCL :n m 1•� N O H c H C d O. C 02 Of .c . y :l•, '^ VJ .yi CD U N 9 O O m 2,n •l a .� C9 CD 0 3 CD cnCD y a o m m m a'o• C.)om: � W Cn 0 0 , do Cn rryp" a � Cd ^G+ � r ny �. . c � by a �. �. W � � M w ,'d r- OC r� '�1 w � W � rCD d y 11 g O x 0 !J y go 0 c AFFIDAVIT I, SCOTT L. MASSE, attorney for KENNETH W. REA do hereby depose and state: 1. 1 represent Kenneth W. Rea, owner of a certain parcel of land located on Rea Street, North Andover, MA and more specifically described in a plan of land recorded with the Essex North Registry of Deeds as instrument/plan number 14502. 2. 1 am duly authorized by Kenneth W. Rea to act on his behalf regarding furtherance of the above stated instrument/plan. 3. Authorization is hereby given that Gerry -Lynn Darcy, and/or Peach 'free Development LLC be allowed to act as the agent for Kenneth W, Rea regarding any and all matters relative to a certain Building permit(s) issued by the Town of North Andover for any lots affiliated with the above stated plan. Signed under the pains and penalties of perjury this 14 day of J e 2003. SCOTT L. MA SE Z'd 01irB:2E9=BL6 ?eo—c-o=9T u n r 06/16/2003 14:59 19783276517 WILLOWS PAGE 02 NOTICE OF ASSIGNMENT EMPLOYER: PEACHTREE DE'V'ELOPMENT LLC 231 SUTTON ST SUITE 2E -F NORTH ANDOVER, MA 01845 The Waiver of Our Right to Recover from Others Endorsement is available on Pool policies_ Contact your agent for details. COMBO I.D. STATUS OF EMPLOYER 000139954 Limited Liability Coin OVERAGE GROUP 0139954 Coverage under this assignment applies to Massachusetts operations only. For coverage outside of Massachusetts, contact the appropriate Pool or Plan for that state, gpENT wzLLows INS AGCY INC INSURANCE COMPANY: OR 522 CHICKERING RD TRAVELERS INDEMNITY CO PRODUCER: N ANDOVER, MA 01845 MS JACKIE DENNIS P 0 BOX 3556 ORLANDO, FL 32802 (800) 443-4404 AGENCY FEIN: 223 856664 CLASSIFICATION OF OPERA110N CLASS ESTIMAftD RATE ESTIMATED CODE TOTAL ANNUAL PREMIUM REMUNERATION -------------------------------------- --------------------------------------- RPENTRY-DETACHED PRIVATE RESIDENCES 5645 $0 10.62 $0 APENTRY-DWELLINGS-3 STORIES OR LESS 5651 $0 10.62 $0 EMPLOYERS LIABILITY 100/100/500 9845 LOSS CONSTANT 0032 $50 STANDARD PREMIUM $50 EXPENSE CONSTANT 0900 $122 TERRORISM CHARGE 9740 $0 RISK MINIMUM PREMIUM 0990 $500 ESTIMATED ANNUAL PREMIUM $500 DTA ASSESS, 4.5% OF STANDARD PREM. $17 EST. ANNUAL PREM. PLUS ASSESSMENT $517 INSTALLMENT BASIS: Annual REQUIRED DEPOSIT PREMIUM $517 COMMENTS Coverage effective 12:01 AM on 05/23/03 DATE OF NOTICE: 05 /24/03 PREPARED BY: Joanne Shea EXT 530 SERVICING CARRIER ASSIGNMENT LETTER ID: 419982 COPY: AGENCY The Workers' Compensation Rating and Inspection Bureau of Massachusetts 101 Arch Street • Boston, MA 02110 (617)439-9030 • FAX (617)439-5055 • www.wcribma.org 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 3.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary information as requested below. 14Wh&R t PpProperty d rA L IF � j A f / Map/ Parcel 02,y50Z pp ants Fhone Number Single Family Two Familv I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the F_XEl4PTION section 8.7.6 of the Growth Management Bylaw. 1 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 of this 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 ofthe 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 dens ( ' dable 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 andpermanently designated as open space or farmland. The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the planning board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date ofthis 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 E.'�MMPTION. PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT N 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 ATTACHFD BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE. FURTIIER I UNDERSTAND THAT THE SUBMITTAL OF ;vriSLEADNG OR INACCURATE INFORMATION OR THE CHECKING OFF OF A ABOVE EXEN4PTION WHICH DOES NOT COMPLY, WHETHER DONE TO MY KNOWLEDGE OR NOT IS GROUNDS FOR REFUSAL BY THE BUILDING DEPARTMENT TO ISSUE A BUILDING PERMIT. Al'PLIC S 'NATURE DATE T I IIS FORM TO 13E ATTACHED TO TI BUILDING PERMIT APPLICATION 5 Towv►h0usc� FORM U mmmsmm- LSTE���s FORM HYSTRUc-nONS; . This forin is -used to verity that all necessary approvals/permits Boards and Departments having jurisdiction have been obtained. This donotrelic ifJ s the applicant and/or landowner from: compliance with an a licable. or re not requirements Y PP. quirenner}ts -------- APPLICANT FILLS OUT THIS SECTt©N'`**** APPLICANT QGh�'fPC� Wint LLC —lsee p tar, lysoa as MORAd NONE �Q� 3a? - pyo LOCATION_ Assessor's Map Number :li$ft a�'4kdS paACl=Ly_� SUBDIVISION iPeac.htt�e� Farm LOT (s) Lia t STREET ST_ NUMBER �Z% �Z �� Or`FICIAL USE ONL x i �g ! 5 AGENTS: DATE APPROVED DATE REJEC'T'ED r w, s4 /,s -11-e, FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS. O lJ V/ DA'>rE APPRQ1rtEp ' DATE RE./M-nm DANE APPROVE "TE R&JECFED PUBLIC WORkS - SEWER/WATER CONNECTIONS /I Y PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING -INSPE alIll-le', MOD FORM U -LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits fro Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from. compliance with any applicable or requirements. *APPLICANT FILLS OUT THIS SECTION APPLICANT�h{'f e 16IoT rntn+ LLL PHONE ��c� '(s,S`iO see p i n iysoa as recur e�� q$ LOCATION: Assessor's Map NurnberQ'i�'H1g �i , c PARCEL_ SUBDIVISION PeOGhf,y- _ Farm LOT (S) Lo+ STREET ST. NUMBER$ t 0--%:� *** �`'`**'*"****' ****`*****'♦*'`OFFICIAL USE ONLY**,k r-rcwm nl I TIO,XS/OF TOWN AGENTS: ATION ADMINISTRATOR Z Z/z-//, DATE APPROVED DATE REJECTED TOWN PLANNER DATE APPROVED DATE REJECTED. COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED. DATE- REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECT DATE_ Revised 9W jm 5 Tawkeusp FORM U- LOT RELEASE FORM INSTRUCTIONS:. This form is -used to verify that all necessary approvals/ Boards and Departments having jurisdiction have been obtained. This does of r f e the applicant and/or landowner from: com pliance with any' livable. or re not re►iE Y . quiremerrts —`7APPLICANT FILLS OUT TFl1S SECT!©N **** * APPLICANT Qp mn { L L PHONE �o� % 'See plar� K i iS55 Cps i�Cojed LOCATION: Assessor's Map NumberJA—*-1L-�11s�'4k6S PARCEL SUBDIVISION P��►-}� r�Q ���m T,'�,�,,_ �"' LOT (S) _IO h alaLlo- ' STREET �- �� CST- NUHttRFu RX 0 9/p AM! COMMENTS 1)0 (: A(I,/71�s r 2.?,�, - �(, 7,/,s -I/,- ID INSPECTOR -HEALTH SEPTIC INSPECTOWHEAL'TH COMMENTS PUBLIC WORkS - SEWERIWATER Y PERA41T FIRE DEPARTMENT RECEIVED BY BUILDING -INSPE .OFFICIAL USE ONL' AGENTS: J DA'T'E APPRIOVE15 . . DA'i'E REdECTEp AAA- 6A Ds" _ s EIVED � aRTM ;.�r.IC DEPARTMENT DATE APPROVED DA`FE REJEC�p DATE APPROVED DA'TE-REJE€ FED :T)ONS L : ` ZF 7-12 p, —i < Z M O o o S nroa V o z o 0, _ 0m O H (D C -p S O C dvO�i� m A'l• 3> > roc 3 CL m� V) 0 O (D M O O = o d Q (G n Q cr 0 -M -0 (D O m �c LIT 3 3 n CLtn 'v O E E o c 't 0 cr CL R* Tocr Ln �^a � _ LO 0. N }� '� D a if l .. O V n I,Os r E •11 m nD ��1 _ Zf 3 C1 n z a o Vi=i TD •6� % Un ° : v 3 Na Q '� p a� rL CD CD l S y oa o`- tz d p o` ti o � � y o � � z. � c-Oo$ _ CO)ON. cr CA 06 tibea 10 o C2 m Cl) • 0 p vi m a c = � z -C H Cl) ti• T .. C� m a =r d = y �{, C ca o s m = CD CA CD -00 00 z y r a 0 0 -c rri G. 0 � C/)� mmH`�rI iZ =• y CA o m m .�`a "o CO ad. g < C O y Dl - y m CD Cn y o CA U)m :rt cr y fTl `C —CD' 5 m �• C o CD 0 o o m CD o C CD CD� C� Q H 3 d -D ' CL cp CO) m : I . o =C: �• o `r ca CD :r ' y C C/) o� �''• cto , s : !Tl 6� CD o C �0 = V CDac CD CC CD ■■v z M y 0 0 c R O O G] ot7l O OQ C�i O �'. O UQ O �= O oda C b �. 0 y 0 0 c vo� �—b mm . 0 nuunq j � c CD o rr. to ru r g ►� W r r ti ■. W Ul 0 0 a X r m Q If r N V rm m O ■■ ru C!i a a C`- rm a a ti m 7- W in W T ODELUXE Q ---_ T I mo> m N 0m g9 �G N 62 O t J G v C/1 a � �I ui -L � Qr LLJ .J W in W N ygygifi g9 �G N J G ui Qr .J LD O 0 Ll 1'11 ru Lo .-a E� g rm .-■ �y Fy ^ r■ ru M� M �^ P � � o •� N V C Q 4. > Mw IL 0 O License: CONSTRUCTION SUPERVISOR Number.. CS Birthdate:: W13/197 Spires '01%13/200 Aestricte7l: 00 GERRY LYNN DAR& PO BOX 907 N ANDOVER, MA o1845 083065 Tr. no: 83065 Administrator Standard Specification Sheet Peachtre Ji� Foundation Interior Finish (continued) Foundation: 10" thick 30001b concrete walls with Kitchen Appliances: White or black 4" perforated pipe footing drains set in clean stone JennAire or equal gas cooktop with hood and covered with siltation fabric Jenn Aire or equal wall oven/microwave combo Basement Floor: 4" thick 30001b.concrete with wire mesh or fiberglass Water Proofing: Seal coat and hydroplug wall ties Framing Exterior frame walls: 2x4 construction grade at 16"o.c with 1/2" OSB plywood structural sheathing Roof Sheathing: 5/8" CDX plywood Sub floor: 3/4" T&G "Advantech" Ceilings: 9'-0" on first floor and 8' on second floor Insulation Fiberglass Batt insulation in all exterior walls and roof Bathroom Walls: 3-1/2" sound blanket Vapor Barrier: Tyvek or equal on exterior walls Exterior Finish and Millwork Deck Railing: Cedar or fir Porch.and deck flooring: 1x4 mahogany or fir Roofing: architectural grade asphalt shingle Asphalt Membrane: Ice and water shield at all eaves, valleys; dormer sidewalls and around skylights Flashing: Aluminum as required Wood Trim: 3/4" fingerjointed pine stock primed on all sides Windows: Paradigm insulated with grills or equivalent Sliding Patio Doors: Anderson white Perma- Shield Gliding Patio Doors or equivalent Exterior Doors: Energy Saver Doors Garage Doors: Wood Carriage Garage Doors Gutters: Aluminum Siding: 1/2"x6" Cedar Clapboard; Cedar Shingles Interior Finish Walls: 1/2" sheet rock Doors: Masonite solid core with factory primed fingerjointed pine door jambs and 3-1/2" wide casing Stair Railings: Half wall with railing Wood Floors: 3/4" Pre -finished Oak flooring in kitchen, dining room, Great room, den/living room, and foyer. Carpet: Foyer Stairs & second floor except in baths Tile: All baths, mud room and laundry room Closets: White vinyl Kitchen Cabinets: Cabico or equivalent (samples and colors available) Kitchen Counters: Granite from builder's samples with 3-1/2" granite backsplash Bathroom Vanities: Cabico Vanity Tops: "Transolid" hard surface Peachtree Bosch dishwasher Heating and Air Conditioning Type: Gas fired forced hot air with two zones One zone first floor; one zone, second floor Distribution: Insulated ducts Air Conditioning: Two Zone Central Air throughout Electrical Meter: 200 amp Panel: Circuit Breaker All underground service including post lamps Interior Lights: Recessed lighting or basic bathroom vent light; Wiring for receptacles in foyer and dining Exterior Lights: Supplied and installed by contractor Smoke Detectors: Install per state and local code Telephone Jacks: Four provided Cable TV. Four provided Wiring: Cat 5 wiring Home Security System: ADT or Brinks installed (security monitoring service available to Buyer separately) Central Vacuum System: Galaxy or equal with one hose- no attachments Plumbing Service: Town Water/Sewer Fire Suppression: Certified in -ceiling sprinkler system Hot water heater: Gas fired 75 gallon quick recovery with vacuum breaker on inlet Master Bath Whirlpool Tub: Fiberglass Guest Bath Tubs and Showers: Fiberglass Master Bath Shower: Tile Toilets: Kohler, Rialto or equal Lavaratodes: Kohler or American Standard Lavaratory Trim: Kohler, Moen or equivalent Kitchen Sink: Stainless steel undermount Kitchen Trim: Kohler, Moen or equal Tub and Shower Trim: Kohler, Moen or equivalent Dishwasher: per manufacturer's spec Garbage Disposal: Insinkerator Painting Exterior. One coat of primer and two coats of Benjamin Moore Moorgard latex or equal Interior Walls: One coat primer and single color two coats of Benjamin Moore Moorgard latex or equal Ceilings: One coat primer, one coat paint LLC P.O. Box 907 • North Andover, MA 01845 • 978.327.6540 Fax/ 978.327.6544 • www.Peachtreefarm.net 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 raider section 5.7.6 of the Town of North Andover Growth Management Bvlaw The a licant shalld 11 f I necessary information as requested below. P,e eA f / L� ZZZC Permit Applicant pp prowl e a o t to 41f,�2, Property address / Map/ Parcel Vol' - Applicant's icant s P one Number Single Family Two Famjlv I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the E,`CEMPTION section 8.7.6 ofthe Growth Management Bylaw. I also understand providingthis 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 interpreLation ofthe 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 ofthe 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 ofthe 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 ofthe effective date of this bylaw, provided that no additional residential unit is created. The lot(s) was/ were created prior to i41ay 6, 1996 and are exempt from the provisions of section 8.7 ofthe Zoning Bylaw. This application is for dwelling units for low and or moderate income families or individuals, whereat I ofthe conditions of 8.7.6 are met and or represents dwelling units for senior residents, where occupancy ofthe units is restricted to senior citizens through a property executed and recorded deed restriction running with the land. For purposes ofthis section "senior" shall mean persons over the age of 55. This application is part 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 ofthe tract, with the surplus land equal to at least ten buildable acres and permanently designated as open space or farmland. The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction. dedication to the Town. or other �I similar mechanism approved by the planning board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 and shall receive a one time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose 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 FORIM U with this EXEMPTION. PLEASE PROVIDE ANY AND ALL NI'ORNIATION THAT WOULD ASSIST THE BUILDING DEPARTMENT N MAKING A DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THEABOVE EXEMPTIONS. BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED .SND THAT THE ATTACHED BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE. FURTHER 1 UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE [NFOIZMATION OR THE CHECKENG OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY, WHETHER DONE TO MY KNOw"LEDGE OR NOA GROUNDS FOR REFUSAL BY THE BUILDING DEPARTMENT TO ISSUE A BUILDING PERMIT. � 'PLI S NATURE DATE TI US FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION 1885 APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. 1A19— Application by the undersigned is hereby made to connect with the town sewer main inFG[1, 11 subject to the rules and regulations of the Division of Public Works. The premises are known as No. or sgil ivision lot no. 7 if& -G 1 �ree Pew L C Owner Contractor �rc Street T Address Address 2 :f Applicant's Signature eo ch v-t�.ve GGA PERMIT TO CONNECT W The Division of Public Works hereby grants permission to to make a connection with the sewer main at subject to the rules and regulations of the Division of Public Works.. Inspected by Date SEWER MAIN ee Street Diviion�ofRublic Works B L/CJ Y See back for rules and regulations 1 �1 / � RULES AND REGULATIONS FOR GOVERNING THE INSTALLATION OF SEWER SERVICES I. No unauthorized person shall uncover, make any connections with or opening into, use, alter, or disturb any public sewer or appurtenance thereof without first obtaining a written permit from the Division of Public Works. 2. All costs and expense incident to the installation and connections of the building sewer shall be borne by the owner. The owner shall indemnify the (town) from any loss or damage that may directly or indirectly be occasioned by the installation of the building sewer. 3. A separate and independent building sewer shall be provided for every building; except where one building stands at the rear of another on an interior lot and no private sewer is available or can be constructed to the rear building through an adjoining alley, court, yard, or driveway, the building sewer from the front building may be extended to the rear building and the whole considered as one building sewer. 4. Old building sewers may be used in connection with new buildings only when they are found, on examination and test by the (Superintendent), to meet all requirements of this ordinance. 5. The size, slope, alignment, materials of construction of a building sewer, and the methods to be used in excavating, placing of the pipe, jointing, testing, and backfilling the trench, shall all conform to the following requirements. The sewer shall be 6"diameter SDR 35, PVC pipe. Minimum slope shall be 1/8" per foot. The minimum depth of sewer shall be four feet below finish grade. Sewer pipe shall be installed on a stable trench bottom of hard durable crushed stone to a minimum (6) inch depth below the pipe. After the pipe has been installed, crushed stone shall be brought up to the crown of the pipe. Care shall be taken to carefully grade and compact the stone, and prevent pipe displacement. The remainder of the trench shall then be backfilled in one foot lifts with mechanical tamping after each lift. 6. Whenever possible, the building sewer shall be brought to the building at an elevation below the basement floor. In all buildings in which any building drain is too low to permit gravity flow to the public sewer, sanitary sewage carried by such building drain shall be lifted by an approved means and discharged to the building sewer. 7. No person shall make connection of roof downspouts, exterior foundation drains, or other sources of surface runoff or ground water to a building drain which in turn is connected directly or indirectly to a public sanitary sewer. 8. The applicant for the building sewer permit shall notify the (Superintendent) when the building sewer is ready for inspection and connection to the public sewer. The connection shall be made under the supervision of the (Superintendent) or his representative. 9. All excavations for building sewer installation shall be adequately guarded with barricades and lights so as to protect the public from hazard. Streets, sidewalks, parkways, and other public property disturbed in the course of the work shall be restored in a manner satisfactory to the (town). 1247 APPLICATION FOR WATER SERVICE CONNECTION North Andover,ass. 4lf9-- Application by the undersigned is hereby made to connect with the town water main in G- Street, subject to the rules and regulations of the Division of Public Works. t~ The premises are known as No Street Owner Address Contractor Add, re D icant's Signature le (h`d,-u t L PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to to make a connection with the water main at subject to the rules and regulations of the Division of Public Works. Inspected by Date ✓ SLC /r Street Board of Public Works By See back for rules and regulations r�7 ✓- c4 4ree L452/2e RULES AND REGULATIONS GOVERNING THE INSTALLATION Of WATER SERVICES 1. No persons shall tap or in any way tamper with water mains which are part of the distribution system of the Town of North Andover without a valid permit from the Division of Public Works. 2. All water services shall be installed a minimum of five feet below the finish grade. 3. No water services shall be backfilled without inspection by a representative of the D.P.W.—Telephone 687-7964. 4. Service connections shall be 1" type k copper tubing. 5. All fittings shall be brass flange type Mueller or equal H 15202 Corporations H 15212 Curb stops H 15402 Three part unions H 8185 stop and waste valves 6. Curb boxes shall be installed at the property line and shall be of the Erie Type with 4�/z foot rod and brass plug type cover. N ci R5 L2L AUTOMATIC LAWN IRRIGATION SYSTEM PERMIT TOWN OF NORTH ANDOVER MASSACHUSETTS ALL INFORMATION MUST BE PROVIDED, BY A LICENSED PLUMBER, PRINTED_ IN INK AND LEGIBLE. IF NOT THE PERMIT WILL BE REJECTED. DATELOT #: LOCATION: NUMBER STREET NAME BUILDER: NAME TELEPHONE NUMBER r STREET NAME TOWN/CITY & STATE OWNER: f,'' ; '( >° ►� L.L,C� NUMBER STREET NAME TOWN/CITY & STATE PLUMBER: NAME TELEPHONE NUMBER STREET NAME TOWN/CITY & STATE LICENSE NO. EXPIRATION DATE: SERIAL NO. IRRIGATION INSTALLER IF NOT THE PLUMBER INSTALLER: COMPANY TELEPHONE NUMBER STREET NAME TOWN/CITY & STATE INDIVIDUAL NAME TELEPHONE The plumber, must install the connection to the municipal water supply within the building, the water line to the outside of the building and the backflow device. A registered irrigation installer may then install the balance of the Automatic Lawn Irrigation system. NO irrigation heads will be allowed in the right of way (near edge of pavement). ALL irrigation heads MUST be at or behind the property line. All heads installed in the right of way will be removed immediately upon notification and said plumber or installer will not be allowed to perforin any future work on the municipal water supply, until the heads are removed from the right of way. Sign below that you have read this paragraph and understand it. SIGNATURE OF PLUMBER DATE THIS PERMIT MUST BE POSTED AT THE CONNECTION/METER LOCATION FOR THE INSPECTOR. INSIDE CONNECTION RAIN SENSING DEVICE METER (IF APPLICABLE) BACKFLOW DEVICE COMMENTS a N NORTH' Automatic Lawn Irrigation Systems Policy and Requirements A * Town of North Andover \R4T[o Tff_(i To assure the safe and proper installation, repair and maintenance of lawn irrigation systems, protect the quality of the water distribution system, and to promote water conservation the North Andover Division of Public Works -adopts the following "Lawn Irrigation System Policy". REQUIREMENTS: GENERAL INSTALLATION WITH OR WITHOUT A BY-PASS METER Owner or representative shall provide the following: 1. AUTOMATIC LAWN IRRIGATION PERMIT A. A plumber licensed in the Commonwealth of Massachusetts holding a valid and current license shall provide the DPW with a copy of said license. B. The plumber shall complete and submit the "Automatic Lawn Irrigation Permit" form. C. The plumber, must install the connection to the municipal water supply within the building, the water line to the outside of the building and the backflow device. A registered irrigation installer may then install the balance of the Automatic Lawn Irrigation system. 2. A rain or moisture sensing devise MUST be included as part of the Automatic Lawn Irrigation system. Its location must be sketched, by the installer, on the back of the permit prior to inspection by the Town. The system shall be inspected and approved by the Water Department prior to the Automatic Lawn Irrigation system being placed in use 3. No part of the Automatic Lawn Irrigation System shall be in the right of way (street). The system shall be entirely on private property and the spray can be directed on that portion of the lawn that is within the right of way. 4. All systems must be inspected and approved by the Water Department prior to its being placed in use. 5. Backflow protection devices shall be utilized on all connections to the municipal water system REQUIREMENTS: SYSTEMS ON SEPTIC, NO METER An inspection fee of $35.00 will be charged to the water account. 2. Backflow protection devices shall be utilized on all connections to the municipal water system t REQUIREMENTS: SYSTEMS ON SEWER, WITH BYPASS METER The cost of the meter, installation and inspection will be charged to the owners water account. 2. Property Owners or their representative must purchase water meters smaller than 2" from the Water Department. To purchase a bypass water meter the applicant must provide a completed and signed "Automatic Lawn Irrigation system Permit." After payment arrangements of the- appropriate fee are made, the Water Clerk will provide the proper fittings and spacer bar needed, the Clerk can then make an appointment to install the water meter. The fee includes meter, Installation, one inspection and account setup. The owners at their own expense will purchase and install any water meter over 2" directly from the supplier, after the type of meter has been specified. 3. After all the work is complete call the Water Department 978-688-9571 to schedule a meter installation, and system inspection. 4. All meters must be installed horizontally with clear access to and around the meter. The meter location shall not be confined or blocked prior or after the meter installation. 5. The plumber must provide ball vales both before and after the meter location. 6. Plumbing must be configured to effectively isolate all exterior uses from interior uses. All exterior water uses must have no connection to the sanitary sewer. Bypass water meters for lawn sprinklers and outdoor facilities shall. be installed before the primary water meter. Bypass water meters must be installed so that it measures ONLY exterior water use 7. Backflow protection devices shall be utilized on all connections to the municipal water system. 8. DEDUCT METERS are only allowed with booster pump systems and a plumbing peremit issued by the Plumbing Inspector is mandatory. J.WILLIAM HMURCIAK, P.E. DIRECTOR TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 DRIVEWAY PERMIT Telephone (978) 655-0951 Fax (978) 686.9573 DATE LOCATION�G �� 2 BUILDER phone n �% OWNER C G Y ��' >i� �L� hone THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM STREET. CALL THE SUPERINTENDENTS OFFICE BEFORE FINISH GRADING AND SURFACING FOR APPROVAL OF SUCH ENTRY. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. A t?P t, t CA til i 6" 5lG�A�'ve� TOWN OF :tiORTI1 ANDOVER DIVISION OF PUBI.-.ICWORI<..S e* .144 OSGOOD STREET �n .. b:s�rN.,s4 NORTH A_ DOVER, MASSACHUSETTS 01345 Telephone (9178) 685-0950 Pax (9 ; j 658-957 June 1, 1999 FORM U & DRIVEWAY APPLICATIONS PROPOSED DRIVEWAY PLAN - a plan which is required to show the dimensions of the lot, the location of the proposed driveway and the building(s) it services, the type of street pavement; type of existing sidewalk, type of curbing, location of any permanent structures within ten (10) feet. of the driveway such as utility poles, hydrants, catch basins, stone bounds, etc. The plan shall be submitted to the: Engineering Department for review. If the plan is approved then a driveway permit can be issued. (See Sketch Plan Attached) CREATION OF A CURB CUT. - If there is existing curbing : where the new driveway is to be located, then it rnust.be removed to create the proper ramp from the gutter. The new edriveway;shall novprotrude into the gutter. In any instance the new curb cut shall not allow surfacewater to enter the property: (See Sketch B) EXISTING SIDEWALK. SURFACES - If there is an existing curbing -and / or, sidewalk the new driveway shall match the existing material and shall be a minimum of.4 "-thick.' The contractor' shall provide a detail showing the thickness of material; number of layers, reinforcement and sub -base. DIG SAFE NUMBER - The applicant shall and have a valid Dig Safe number CONTRACTOR - The Contractor doing the work shall have all insurance's required and be in good standing with the Town. DRIVEWAY PERMIT - The permit shall be good for thirty (30) days and may not be transferred without prior written approval by the Town of North Andover. INSPECTIONS - The Contractor MUST notify the Town 24 hours prior to commencing construction. The completed work must be inspected and signed off by the Town, within 48 hours of completion. C:-WORD\DRIVEWAYS\FORM U & DRIVEWAY APPLICATIONS Town of North Andover Division of Public Works 394 Osgood street North Andover, MA 01845 JOB c2po pV-4VA y SHEET NO.OF CALCULATED BY WOQWP DATE CHECKED BY DATE SCALE // ............ . ..... ...... .. ------- . ...... 7.1 V ... ....... ..... . . . . . . . . . . . . . . . ... .............. ... ......... .. ........ . . ........... . . ......... ....... . ... ............. ... ......... . ...... . ........ ..... ....... . ........................ ... ...... ... . ....... ...... ... . ... ...... ...... . ............. ------- ............. ......................... .... ......... ... ... ........ ......... .. . .... ... ........ . ... ... I ........ ... 4 ... ....... .......... .. .......... L ............ .... ..................... ....... . ........... ......... .......... .. .......... ............ ......... ...... .. ... ... . ....... .. T .. .. ...... .......... ....... .... ........... ..... .. .......... . . ....... ..... .... ...... ...... . ............ .. . ......... I ....... ........ . .. ......... .... ... ... .... ....... . .. ...... ... .......... ... ...... ..... ............................................................. . . . . . . . ... .......... . ...... .... ........... . .... .. ....... .. .. ...... ... ....... ........... .... -..: .... ... .... .. ..... ............ .......... .......... . ....... . ....... . .. ..... .... ........ ............. ..... . ..... I ....... ..... . . ..... ........... ................ ............. ..... ...... .. . .. .. ........ ...... . . ........... . ........ ..... ........ . .... .. ......... .. t ......... .. . . ..... .. . ........ ......... .......... ....... ............ .......... ........ ............. f . ... .... ........ ...... ............ ..._......o..... .... . ... ..... . S .... .. Jim. ...... . ...... ............. .. ........ --% .. ...... . . . . . . ... ...... .... . ....... ..... ..... .... ........ ........... .......... . . ...... ........................ . . . ....... I ........ .......... .... ........ .... ..... .. . .. ....... ... . .. ..... ... ... ..... VALS ................. .......... - . ....... .. ........ .. ........ . 0 Mow-....... . .. .. . ............. ............ . ... N --w bTo s. 77". . ..... ...... . ... ...... . .. .......... ...... .... �B 'r PROFILE AY NTS NOTE_ I.) ALL DRIVEWAY APRONS TO BE PAVED MTM 3" aTUWfNOUS CONCRETE. 2) DRIVTWAYS SHALL NOT BE INSTALLED IN LOCATIONS WHERE STONE BOUNDS ARE PROPOSED. Name r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print Name: Location: City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Comnanv name: Address City: Phone #- Insurance. Co. Policv # Company name: , Address. Phone* Failure to secure coverage as required: under Section 25A or MGL 152 can lead to" irnposifior, of criminal P ofarflne to 51,500 andfor one years' impftorx�v�t.as_as_c bo oenaltiesio3m� hela aSTOPYAORl DRDER and_afine-d_(SiA Marla si me 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the 151A for coverage verification. I do hereby certify under the pains and penalties of pe,7wy that the infu nnation provided above is true and correct Signature Date Print name Phone.# Official use only do not write in this area to be completed by city or town ofrtcw City or Town p_E�m ' ED Building Dept [Check JY immediate ►espouse is required .p Licensi n9 Boarrt p Selectman's Office. Contact person: Phone # Health Department E] Other ACORD,. CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) 09/04/2003 ?RODUCER 978-975-4344 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION WILLOWS INSURANCE AGENCY, INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 522 CHICKERING ROAD HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NORTH ANDOVER, MA 01845 INSURED PEACHTREE DEVELOPMENT LLC 231 SUTTON STREET SUITE 2 E -F NORTH ANDOVER, MA 01845 rnvPPArFC INSURERS AFFORDING COVERAGE INSURERA: NATIONAL FIRE & MARINI INSURERB: TRAVELERS INSURANCE INSURERc: LLOYDS OF LONDON INSURER D: POLICYNUMBER NAIC # THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR DD'LPp S INSURANCE POLICYNUMBER LTCYEFFECTIVE AIMMMDDATE POLICYEXPIRD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR 72LPE687591 8/7/03 8/7/04 AMAuE I L) RENTED PREMISES Eaoccurence $ 50,000 MED EXP (Any one person) $ 5,000_ PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: PRODUCTS,COMP/OPAGG $ EXCLUDED POLICY PRO' LOC JCT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULEDAUTOS BODILY INJURY (Per accident) $ HIREDAUTOS NON,OWNEDAUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY, EA ACCIDENT $ OTHER THAN EA ACC $ �lANY AUTO AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACHOCCURRENCE $ OCCUR F—I CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 6KUB7606A74503 5/23/2003 5/23/2004 WCSTATU> I I OT I, TORY LIMITS ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE , EA EMPLOYEE $ 100,000 OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE) POLICY LIMIT $ 500,000 OTHER C BUILDERS RISK 17381 8/19/2003 8/19/2004 $1,925,000 FOR MODEL HOME, TOWN iL HOME A, TOWN HOME B DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS PROPERTY LOCATION' CORNER OF REA AND CHESTNUT STREET, NORTH ANDOVER, MA L:tK I It- ILA I t MULUtK TOWN OF NORTH ANDOVER, MA BUILDING DEPARTMENT BOB NICETTA 120 MAIN STREET NORTH ANDOVER, MA 01845 ArnRn 9g, f9nn4 mm SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZ 2 ArnOn rnPl3nDATIn AI 4000 06/16/2003 14:59 19783276517 WILLOWS PAGE 02 NOTICE OF ASSIGNMENT EMPLOYER: PEACHTREE DEVELOPMENT LLC 231 SUTTON ST SUITE 2E -F NORTH ANDOVER, MA 01845 The Waiver of Our Right to Recover from Others Endorsement is available on Pool policies. Contact your agent for details. COMBO I.D. STATUS OF EMPLOYER 000139954 Limited Liability Coit OVERAGE GROUP 0139954 Coverage under this assignment applies to Massachusetts operations only. For coverage outside of Massachusetts, contact the appropriate Pool or Plan for that state. -INS INSURANCE COMPANY: ANENT WILLOWS AGCY INC OR 522 CHICKERTNG RD TRAVELERS INDEMNITY CO PRODUCER! N ANDOVER, MA 01845 MS JACKIE DENNIS P 0 BOX 3556 ORLANDO, FL 32802 (800) 443-4404 AGENCY FEIN: 2 23 8 5 6 6 64 CLASSIFICATION OF OPERATION CLASS ESTIMATED RACE ESTIMATED CODE TOTAL ANNUAL PREMIUM -------------------------------------- ----- REMUNERATION ------------------------ ---------- RPENTRY-DETACHED PRIVATE RESIDENCES 5645 $0 10.62 $0 .iPENTRY-DWELLINGS-3 STORIES OR LESS 5651 $0 10.62 $0 EMPLOYERS LIABILITY 100/100/500 9845 LOSS CONSTANT 0032 $50 STANDARD PREMIUM $50 EXPENSE CONSTANT 0900 $122 TERRORISM CHARGE 9740 $0 RISK MINIMUM PREMIUM 0990 $500 ESTIMATED ANNUAL PREMIUM $500 DTA ASSESS, 4.5% OF STANDARD PREM. $17 EST. ANNUAL PREM. PLUS ASSESSMENT $517 INSTALLMENT BASIS: Annual REQUIRED DEPOSIT PREMIUM $517 COMMENTS Coverage effective 12:01 AM on 05/23/03 DATE OF NOTICE: 05 /24/03 PREPARED BY: Joanne Shea EXT 530 * * SERVICING CARRIER ASSIGNMENT * * LETTER ID: 419982 COPY: AGENCY The Workers' Compensation Rating and Inspection Bureau of Massachusetts 101 Arch Street • Boston, MA 02110 (617)439-9030 - FAX (617)439-6056 • www.wcribma.org AFFIDAVIT 1, SCOTT L. MASSE, attorney for KENNETH W. REA do hereby depose and state: 1. 1 represent Kenneth W. Rea, owner of a certain parcel of land located on Rea Street, North Andover, MA and more specifically described in a plan of land recorded with the Essex North Registry of Deeds as instrument/plan number 14502. 2. 1 am duly authorized by Kenneth W. Rea to act on his behalf regarding furtherance of the above stated instrument/plan. 3. Authorization is hereby given that Gerry -Lynn Darcy, and/or Peach Tree Development LLC be allowed to act as the agent for Kenneth W. Rea regarding any and all matters relative to a certain Building permit(s) issued by the Town of North Andover for any lots affiliated with the above stated plan. Signed under the pains and penalties of perjury this 14 day of J e 2003. SCOTT L. MA SE Z'd OT-1:18-269-13GB dT0:c0 c0 9T unr Jun 18 03 05:39p The MZO GROUP (781)279-4448 p.2 Q' :IAC. ; T^'.'. "j• "v `!rS.i'Ri�'�:�: J.:,�' �� i`rn.7:n y.�,�... 4 j'dh',�. � � 1 y . �T��i,., w { S':WJ w H� � �i ��! 1'1 • P. �"( l'P w. r h.tfi`�`�• .YiS9i��C`TM.l'da����LA:2�'tG.it:e.fa�+Al'::L"r;:i, 'S�.%i�.�til�?.;`�:c`�+�R`.L`1• Workcn Cappensatlon Insutanoo affidavit nwa be completod and Submitted with this application. Fsiluro to provide this attidnvit will result in the denial of tka issuonuofdwWildin it. -Signed aiitdxvir Attached Yry ...... A No ....... ❑ $ i R4skxed Architect: rf Nam cc Addy � 011 4 `t4 4 6 Signal Telephone yt.,,, RE�A . C'D Wr'aITH�j' Area of Responsibility Name: Registration Number Address: Expiration Date Signatwe TOW Not apphftbk ❑ Name: Regrshation Number Expiration )sate Address Signature Telrphow Area of Respartat'bitity Rtgisbratioa Number Expiration Dute Name Address Signature Telephone Area of Responsibility Registration Number Expiration Date Name Address Signature Teleplwoe Na Applicable 0 Company Name: Responaibte in Charge of Construction Date.A. 0 TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING SACH This certifies that ... ................................. h�s permission to perform ..... //r.A!/ ... //9,�!f ..... . ..... ,ring in the building of ..... ........ U.�� ....................... %Sr at ... r4... .. North Andover. Mdsee OF Fee ... Lic. No., ..... ........... .............. ELECTRICAL INSPECTOR Check # 5101 7,?,s emmmms4z?w o3 a#4V---a4;DS42# BOARD OF FIRE PREVENTION REGULATIONS APPLICATION FOR PERIT TOP All work to be performed in accorclarick with the M (Please Print in ink or type all information) Town of The undersigned applies for a permit to perform the electrical work Location (Street & Owner or Tenant Official Use Only C� Permit No. �s /d Occupancy & Fee Check CMR 12:00 RM ELECTRICAL WORK Electrical Code 527 CMR 12:00 Date 3 ` ci TV the Inspe, or of • fres: Owner's Address r e tJ S N r1 W 0 0 4-x Is this permit in conjunction with a building permit Purpose of Yeses No 0 (Check Appropriate Box) Existing Service Amps Voits New. ervice 6U Amps /�o C11-QVoits Overhead 0 Overhead 0 Utility Authorization Undgmd �0 Undg nc Number of Feeders and Ampa(ity A . 1 / . Locatibn and Nature of Proposed Electrical Work _�' '1 y (,_ Q06? f3 No. of Meters No. of Meters OTHER: /`-"tA) 3 d 1`n` I I. V -tb C n 22 INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO ve su m lid proof of same to the Office YES = NO - If you have cttecked'Y/ES�please indicate the type of by checking the appropriate box. INSURANCE - BOND - OTHER - (Please Specify). (ExprraWn Date) stoo [_Q -:;4-- Estimated Value of. EWrical Work$ 36K Work to Start 3 1; -' Inspection Date Resquested Rough Final Signed under the Perlaftlei of rjury: FIRM NAME Y�l�l Q / L LIC. NO. )q I ��y Licensee 1 G t L� t�J-vv✓yt� Ii1 Signature LIC. NO. � / 1yV 5 /� Y-1 ,t Bu .Tel No. Address AJe-C A- S e Q Alt Tel. No. INSUR_ OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) (Signature of Owner or Agent) Telephone No. PERMIT FEE 17?? V Total No. of Lighting Outlets No. of Hot fuse No. of Transformers KVA Above 0 In 0 No. of Lighting Fbdures Swimming Pool gmd 0 gmd 0 Generators KVA No. of Emergency Lighting No. of Receptacles Outlets No. of Oil Burners Battery Units No. of Switch Outlets No of Gas Burners FIRE ALARMS No. of Zone No. of Detection and Total No- ofRan es No of Air Cond Tons Initiating Devices Heat Total Total N off iposal No. Pumps TonsKIN No of Sounding Devices NoJ of Self Contained No. of w7ishwashers Space/Area Heating KW Detection/Sounding Devices 0 Municipal 0 Other No. of Dryers Heating Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Bailases Wiring No. Hydro Massage Tuds No. of Motors Total HP OTHER: /`-"tA) 3 d 1`n` I I. V -tb C n 22 INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO ve su m lid proof of same to the Office YES = NO - If you have cttecked'Y/ES�please indicate the type of by checking the appropriate box. INSURANCE - BOND - OTHER - (Please Specify). (ExprraWn Date) stoo [_Q -:;4-- Estimated Value of. EWrical Work$ 36K Work to Start 3 1; -' Inspection Date Resquested Rough Final Signed under the Perlaftlei of rjury: FIRM NAME Y�l�l Q / L LIC. NO. )q I ��y Licensee 1 G t L� t�J-vv✓yt� Ii1 Signature LIC. NO. � / 1yV 5 /� Y-1 ,t Bu .Tel No. Address AJe-C A- S e Q Alt Tel. No. INSUR_ OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) (Signature of Owner or Agent) Telephone No. PERMIT FEE 17?? V 'Ii Date ... 40pk ..... . p• t. Sao ,° •ry TOWN OF NORTH ANDOVER A ;.+ PERMIT FOR GAS INSTALLATION �SACMUS` This certifies that .d .�... . i has permission for gas 1 -installation ,� ........... . in the /buildings of. {��1 ................. . at `1 t' .% d� %�/� , �AG`.-., Lt . ....... , North Andover, Mass. Fee? W.A0. Lic. No./j-'Y;r3 , . .......................... . y /' GAS INSPECTOR Check # L�' ��7 4695 MASSACHUSETTS UNIIURM (Type or print) Building Locations Nokr�4 AeA New ❑ Renovation ❑ G SUB-BASEM BA SEM.ENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR $TH. FLOOR TH. FLOOR TH. FLOOR PERMIT TQ DO GAS ffrmG Date 3 -2-q-64 <F— Permit # (O $ �d� Name AmJrr,62--jP1C:;4 VC ' Plans Submitted ❑ o c g YN(Printor I one: Cei Company amSG`Li s n corp. Address �� � � /� () •� � %C) i E] Partner. Business Telephone 9'7(� _ ? c� ".2 V/ 3 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substan,. al equivalent. Yes No ❑ f If you have checked yes, please indicate the type eovetat , ° by checking the appropriate box. Liability insurance policy M Other ty r. of indemnity ❑ Bond ❑ i 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 pernut application waives this requirement. Check one: ❑ ❑ Signature of Owner or Owner's Agent Owner Agent _ t 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 instillations performed under Pemn Is ed for this application will be in compliance with all pertinent provisions of the Massachu.- ;tts St t7e p of t�e Genera) Laws. I ICity/Town I (OFFICE USE ONLY) i store of Licen=1`7L7 Gas Fitter ,Plumber - WFitter Liceme, NUMber 1r}urneyman Date 4/ C/ ... TOWN OF NORTH ANDOVER . PERMIT FOR PLUMBING. ,SSACNU`S J"z This certifies that (.... ..f .. has permission to perform ....................... plumbing in the buildingsof .f.,�....... at ............. I North Andover, Mass. Fee 7 Lic. No.., ............. ................ PLUMBING INSPECTOR Check # 5, 6 L(C� MASSACHUSETTS UNIFORM APPLICA 1pe or print) Building Loca Owner's t New E311*', Renovation [j Replacement f3C`1611IN, *1 FOR PERMIT TO DO PLUMBING Plans Submitted 11 Date -Z y -U Permit # Amount q-7 (Print or type) Check one: Certificate Installing Company Name G a l i n s k v P l um, p i n g R H e a t<i n gX1 Corp. �1 Qn 6 Address P. 0. B o x 17 O 1 1:1 pier. Business Telephone —374-1743-- y�3 Firm/Co. s Name of Licensed Plumber: Stephen C. G- J i n s k y [nsurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: r Liability insurance policy ® Other type of indemnity Bond 0 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 rgna re Owner Agent rl I hereby certify that all of the details and information r have submi (or tared) ' above plication are true and accurate to the best of my knowledge and that all plumbing work and installations ed un erm' sued for this application will be in compliance with all pertinent provisions of the Massa-,husetts S u bi '° d 2 of the General Laws. By:i a i Or LIM' r Type of Plumbing License Title City/Town Li�?.� e' cMaster 1 Journeyman ❑ APPROVED (OFFICE USE ONLY Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax(978)688-9542 APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS 9'P S"F dk_ T61 �, dov, nm LOT NUMBER LLA) I` � 3 , SUBDIVISION �Prc� �G1P� 7�c•-c vw DATE REQUEST FII ED�14 d/OL/ DATE READY FOR INSPECTION 9/a�Ol/ TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TE"F FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF THE Sj;R.UqTURE DOEX�R)T MEET ALL APPLICABLE CODES. SIGNATURE ROUTING D.P.W. — WATER METE DATE D D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED P� TO THE INSPECTION &EQUEST DATE. ATURE / DPW RECEIVED JUL 2 6 2004 BUILDING DEPT TION