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Miscellaneous - Exception (70)
a* 1 i ©253 Date.................................. ' TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies thatJ- � zF --,7— .......................................................................................... ��%1r/'lG /2o'r has permission to perform ............................................. �7.....:............... . wiring in the building of ........4:7..(. .� ..................... ............. at ....!... �... � .r....... ../ .............................. .� o Andover, Mass. Fee ..................... Lic. No. .�....... .........:-:� .... ELECTRICAL INSPECTOR" �� Check tl S7 -3 2"' i Commonwealth of Massachusetts Official Use only Department of Fire Services Permit No. `O Z 5--5 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code ( C), 5 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: a,1 City or Town of: NORTH ANDOVER To the Inspec r of ices: By this application the undersigned gives notice of his or lWxkntention to perform the electrical work described below. Location (Street & Number) Owner or Tenant Owner's Address Telephone No. Is this permit in conjunction with a bui p'n�g�per it? Yes F-1No� (Check Appropriate Box) Purpose of Building 5J I, J� �" ��1 I �% Utility Authorization No. Existing Service Amps Volts Overhead [:1Undgrd [:]No. of Meters _ New Service Amps / Volts Overhead ❑ Undgrd ❑ No. ofMeters _ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑In- ❑ rnd. grnd. o. o mergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FERE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number Tons KW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water Kms, Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: �r (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing of ice. CHECK ONE: INSURANCE[ BOND ❑ OTHER ❑ (Specify:) AdcImpriet I certify, under the pai penaltie f perj that the ' forn on on this pplh� is true 2 FIRM NAME: �(/ LIC. NO Licensee: V Signature LIC. NO.: (If apph bl r "eCj)l 'n the license n m er line � � ����Bus. Tel. No.: Address: Alt. Tel. No.: *Per M.G.L c. 47, s. 57-61, securilVj work requires' Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER : -I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I her watve)this requirement. I am the (check one) ❑ owner ❑ owner's Owner/Agent Signature Telephone No. PERMIT FEE. $ )64 Date.�`......... IZo . TOWN OF NORTH ANDOVER PERMIT FOR WIRING � K iThis certifies that ............................................................................................ has permission to perform Jqxg Ale 6i% 6"t °M 0 ................................................................... k wiring in thep� -- building of ....��!........R& ............................................................. ' f..ad..... , North Andover, Mass. Feed ?V. Lic. No.. Y.&I� ........ .; ELECTRICAL INSPECTOR Check # ©^7 5474 THECOMMONREALTHOFMA.SSACHUSETTS Office Use only j DEPARTAfEW0FPUXJCS4FETY Permit No. B0ARD0FFIREPREVEVH0NRF.GUTAH0NS 0M12QD y� pyo Occupancy &Fees Checked " Jr APPLICATIONFOR PERMIT TO PERFOI ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSS S ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date / T Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work escrib d below. Location (Street & Number) Owner or Tenant F 77 c 2 6477 Owner's Address ."i f Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building Utility Authorization No.o2/.? 70"09 Existing Service Amps / Volts Overhead Underground M No. of Meters, New Service Amps / Volts Overhead Underground r-1 No. of Meters _ Number of Feeders and Ampacity . Location and Nature of Proposed Electrical Work liOl We �/Cl✓ /r!P GHQ G�9F' %�.a . i ������ No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA round 2round No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total it Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices _ Zvi ofDishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER - YES a NO IhaNesubrrmmdvandploofofsametotheOffm YES 'IfyoulmedrekedYES, pleaseir theMmofcovtr,�pby INSURANCE box BOND r7 OTHER (P1 m Specity) Dare "4 1 / Estirnated Value of Dachical wak $ WoiictoStalt Id--% - �'� IrWecflonDateRegt>estacl Rough I Fimlal FIRMNAME LicroseNo. 3 �'�oZ , LicemNo BusiImTel No ArlrhPcc 10�� l������ /C�/� ���/�,r/✓y✓y /�"!�l` �/%l�j-` AttTeLNa �?� `r9CJ - O/ 6t OWNER'S INSURANCE WAIVER; lain aware that the Liam does not have die instualxe mv$agc or ils substantial equivalent as mgtlued by Masmdmsetts Gmeral Laws and diatmysignahueon thispermitapplicatial wars this Mquile meat (Please check one) Owner M Agent Telephone No. PERMIT FEE $ signature of Owner or Agent Tim com IoNwE LT HOFMASS4CHUSMS Office Use only DEPARTMENTOFPIIBUCWNY Permit No. / BOARDOFFMPREVEMONRDGUL4HONSI7CAR12.00 / Occupancy & Fees Checked APPLICATIONFOR PERMIT TO PERF SNI ELECTRICAL WO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSS S ELECTRICAL CODE, 527 CMR 12:00 % /O., (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date / i Town of North Andover The undersigned applies foga permit to perform the electrical work Location (Street & Nuritber)t Owner or Tenant Owner's Address below. To the Inspector of Wires: Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) C - -� ''�6 Purpose of Building -S I n.(,/C. �i%" 1 Utility Authorization No. ��� Existing Service amps / Volts OverheadUnderground No: -of Meters "I I IService C0 Amps / Volts Overhead Underground No. of Meters (bei r of Feeders and Ampacity and Nature of Proposed Electrical Work XJ f Lighting Outlets No. of Hot Tubs-' No. of Transformers l Total kVA f Lighting Fixtures Swimming Pool Above Below Generators KVA round ground Receotacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Ranges No. of Air Cond. Total Tons No. of Detection and Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices ishwashers Space Area Heating KW r No. of Self Contained Detection/Sounding Devices Local Municipal Other ED ryers Heating Devices KW Connections ater Heaters KW No. of No. of Signs Bailasis ro Massage Tubs No. of Motors Total HP Pt>t�aatYoo[helaqtlrtana>LsofMa�sadi>setlsCettaalLaws halLilbkyku==R)kyffrkxkgcmFic—eOvwa6oinsCDmx,WorisatsulWoWiyaifft YES NO IbaNeabtriwdvandptoofofsmwtodrOffioe YES j IfyouhawdrdodYES, ple=mdraetheNxofcOwrdgeby diddgthe appr°m*box INSURANCE BOND CJIFIQt (Ple�e Spediy> .l••�� Fvrin tine Tla1N WodctoStart 17'/ htspectiml)&Regtnested signed tindertTie Fb,*m of p� F RMNAME /yLicensee sipable EtmabdvahxofFJec txal W6k $ LketwNo. / 3 yea LncemNo Bu mess Tel. No. r/ 7r �9cJ v/ Ey All. Tel Na JWNER'SINSURANCEWAIVER;Iamawatethat drlxansedoes mthavethe man-anceoowrageaits subsuldegmUatasmquaudbyMass seusColaw Lam "thatnlysiglalumondmp-mi tapphcabonwaivesdnistequmenifft. (Please check one) Owner 1:3 Agent 1 h Te ep one No. PERMIT FEE $ signature of Owner or Agent i S U lC C. O i< „-/ Date. /...... .... TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 4SA us This certifies that ......... has permission to perform a.5 ....... .................. ..... plumbing in the buildings of ...... ............... at . //k� . — North Andover, Mass. �$L '4*” Fee.740 .... L i c. No. .. ..... ............. ;.-�M= Check # I�Lu I V INSPECTOR 6292 II MASSACHUSETTS UNIFORM APPLICA 7I �j (Print or Type) lea BILLERICA, MASS. Building Location. 145—rZALE � P/\/ - A /Y iJy VcS(L —�-- New 01-� Renovation cy--' Repl g4ment ❑ i FIXTURES FOR PERMIT TO DO PLUMBING Date Permit # Owner's Name y"\ Q1kGA/-f 45-0 _ Plans Submitted: Yes ❑ Building Permit No. Check one: ® / Installing Company Name ea Ing ® �Sinc. All Service Plumbing Cf Corp. Address n+0 Salem Road ❑ Partnership 3TC a,�nll, Road Biller ic��MA ®1 W ❑ Firm/Co. Business Telephone 23 d Name of Licensed Plumber i,-, Jt� Certificate INSURANCE COVERAGE: Check o I have a current liability insurance policy or its substantial equivalent. Yes No ❑ o If you have checked yes, please in Icat�e the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required) by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in the above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Fee�-2— � Check # Signature of Licensed Plumber Date License Number /3.36 APPROVED (Office Use Only) Type or Plumbing License: Master p/ Journeyman ❑ 0 N Z ~ I I> N oIZIWI iQl� �� v� Zi �o Z zZ } o H OiNi� m SIN Q HI�IYI< a Q aIQ 3 X J V w10 71��Q w a Q w Z�O Q SIU' JAZ a o- LL` Q H > H w 3 O N �n O = aN D F J v� Z 0 I o� 1 v~i Q Z Y Z 0 Q w ~ 0 Y w 3 Y IQ! Q J m Z N O Q Q O J O _ Q J N J LL Q U' a' O a' 0 Q Q 3 O K V Q c1 O SUB-BSMT. I I I I I I I I I I I I I I I I III BASEMENT 1ST FLOOR I I I I I! I V I I I ! I I I I I I I I I I I I! 2ND FLOOR I2 I I� I I I I -I 1 1 1 1 1 _1 1 1 1 1x_1 _I �_ 1_1 1 1 1 3RD FLOOR I I I I I I V I I I I I I I 4TH FLOOR I I I I I I I I I I I I I I I I 5TH FLOOR I I I I I I I I I I I I I I I 6TH FLOOR I I I I I I I I I I I I I I I I III 7TH FLOOR I I I I I I I I I I I I I I I I I I 8TH FLOOR Check one: ® / Installing Company Name ea Ing ® �Sinc. All Service Plumbing Cf Corp. Address n+0 Salem Road ❑ Partnership 3TC a,�nll, Road Biller ic��MA ®1 W ❑ Firm/Co. Business Telephone 23 d Name of Licensed Plumber i,-, Jt� Certificate INSURANCE COVERAGE: Check o I have a current liability insurance policy or its substantial equivalent. Yes No ❑ o If you have checked yes, please in Icat�e the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required) by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in the above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Fee�-2— � Check # Signature of Licensed Plumber Date License Number /3.36 APPROVED (Office Use Only) Type or Plumbing License: Master p/ Journeyman ❑ J z O w U) D w U_ w w O m O LL O J w In a 1. C0 z O F- U w a U) z CO w X C9 O cc (L U w U I - w Y m C0 z O H U w CL U) z J Q z m w LU w cs z m D J a O 0 O H C7 ~ Z_ D 0 m J z z d m p m Ow w O m Z a O O ~ z m Q o6 w U 2Q D Q Z J O. W O U w n. z a z m f J CL 1' Location No. Date E TOWN OF NORTH ANDOVER kiCertificate of Occupancy $ sBuilding/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # Ct t f Z�-7LStlin� a -o ss -- D 'V 9S "o � a � 17780 _� Buiidir Inspector — _ 1.1 Property Address: AGENT 1.2 Assessors Map and Parcel Map Number Number: Parcel umber 1.3 Zoning Information: Zoning Dii;ic—t Proposed Use 1.4 Property Dimensions: Lot s Fronts ft 1.6 BUILDING SETBACKS ft Address for Service: Signature Telephone Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided Not Applicable ❑ �-D U3-t4ALt� , J w y'a t t� 1.7 Water Sapp ,M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Public Private ❑ Zone Outside Flood Zone Municipal Sewerage Disposal System: On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHMAUTHORIZED AGENT 2.1 Owner of Record ,��rYCeecX Name (Print) 0Address for Service Signah re Telephone 2.2 064r of Re rd: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ �-D U3-t4ALt� , J w y'a t t� Licensed Construction Supervisor: License Number Address i Expiration Date Signature Telephone 3.2 R6stered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address d Expiration Date Signature Telephone 69 M z O SECTION 4 - WORKERS COMPENSATION (MG.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 building permit. -Signed affidavit Attached Yes ..... No ....... ❑ SECTION 5 Descri tion of Proposed Work check as a ecable New Construction ❑ Existing Building �k Repair(s) 0 Alterations(s) Addition Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: I SECTION 6 - FSTTMATFn CnNCTRri!" I'ThTi rnclrc Item Estimated Cost (Dollar) to be Completed by pertttit applicant OMCIAL USE ONLY ' 1. Building o / 8 a-qO (a) Building Permit Fee Multiplier 2 Electrical aG (b) Estimated Total Cost of Construction$ icic voc7 r--- 3 Plumbing f. q o v Building Permit fee (A) X tbl C` $ 5 4 _ Mechanical HVAC 0 5 Fire Protection c 6 Total (1+2+3+4+5)o — Check Number _ ----- ...+.• .. ....a \AV LliVluL,[111VL\ 1V Dr, l,v1grL1 Inv WrMIN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, ,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 Print Name Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TRvIBERS 1' 2' 3RD SPAN DDAENSIONS OF SILLS DRV ENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY. 1S BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE D. Robert Nicetta Building Commissioner (978) 688-9545 (978) 688-9542 Fax Town of North Andover Building Department 27 Charles Street North Andover, MA. 01845 HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION /` U Number Street Address Map / lot "HOMEOWNER �G�rA" .1 T - Name Home Phone Work Phone PRESENT MAILING ADDRESS City Town State Zip Code The current exemption for "homedwners" was extended to include owner -occupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned "homeowner' assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned "homeowner' certifies that he/she understands the Town of No. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATUR APPROVAL OF BUILDING OFFICIAL n The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Name w 2� ���� ,_. Please Print -Location: �l 1c City //�'�1L7� .��✓ �oylr �., �� _ '—Phone # /�r_4i5�J_ I am a homeowner performinJall 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. Company name: Address City: Phone # Insurance. Co. Policv # Company name: Address City: Phone # Insurance Co. Policv # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to $1,500.00 and/or one years' imprisonment -as _well_as_civil.penalties Jn The fam ffia_SIOP WORK.-ORRER..and..a.fine af_(.$1lm..OD)-aday against.me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. t do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. / Print name. ate �� o Phone#��J�'J Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing ❑ Building Dept []Check if immediate response is required ❑ Licensing Board ❑ Selectman's Office Contact person. Phone #: ❑ Health Department ❑ Other Q CL �. V � Q� �kj - w 06 LLJO w u_ o OJ Wo � O 34 A Z U s LU a, A V pyla Z Y*q hM01 rri a 7 S 00 o A AIN �, v w Q GG cna, N c V-1 u o w2 .CIO Gq -vz o v CO CO z 0 u CD O CD CD Z o. O CO) Ww, � cm COD O W LA O O �E CO Co CD O O G O L CD via ca Occ�-•• CD O C Z O CL V y !D C CO2 W W W 19 W U) o L . N c V-1 ' . a'O ea eac t O cc O Ea42 mow. ^�. 0 CL c r 4%:m C it E C �cT9 L ^• 3 y Q Q! m mCC to p CA c O . ca a� cm m —ca 4:2 clsy �oo m V 'y. O ca'. "•Z' Z L o .QT. . Q � � m C •O co W C C C.=. .� �_ A �-- W ti' .E c m v v .� Z O C3 m i v m :2 CS _ a C y.- C �CL z 0 u CD O CD CD Z o. O CO) Ww, � cm COD O W LA O O �E CO Co CD O O G O L CD via ca Occ�-•• CD O C Z O CL V y !D C CO2 W W W 19 W U) FORM U -LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** r Cal / �— APPLICANT GP�ll� E% /����g,✓ PHONE��--- LOCATION: Assessor's Map Numbers PARCEL SUBDIVISION /Ls f LOT (S) STREET �/� �/��� `-� ST. NUMBER ******** OFFICIAL USE ONLY ***** OF CON ERVATION ADMINISTRA DATE APPROVED JL4"(/ — DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS ;mss PUBLIC WORKS - SEWERIWATER CONNECT DRIVEWAY PERMIT FIRE DEPARTMENT DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED RECEIVED BY BUILDING INSPECTOR DATE/ SoV, -� Revised 9197 jm a /0/vo� North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: / (Location of Facility) S' ture f Permit Applicant J Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector I a ui c � m c O N c I V •� t AC W r... O cc �Ea v H c ,moo m V V �0.. • cm .1- . m c E mo y .� >> X61% M ja J: y w o E � � n cmc m l:mmm ' C. J _> d: �c c� ha 4: o o m 2 ISi m Z o d E m Q 0 c •c CO2 4. m S le W ��wz c +- W M O CO CO3 d m� O.0 s D CLO -m :mp CD CD ~ = o w Z cc 3� `� w CS �' CD x a Cl L O� ev O a O env ,C.3 CL CCDCL C2 O Z C C.D y c ev — .O = Q "Or. LE ci' U w C O z vii v O cn ui c � m c O N c I V •� t AC W r... O cc �Ea v H c ,moo m V V �0.. • cm .1- . m c E mo y .� >> X61% M ja J: y w o E � � n cmc m l:mmm ' C. J _> d: �c c� ha 4: o o m 2 ISi m Z o d E m Q 0 c •c CO2 4. m S le W ��wz c +- W M O CO CO3 d m� O.0 s D CLO -m :mp vI U) W W 19 W N CD CD ~ = ii Z cc 3� CS �' CD Cl L O� ev O a O env ,C.3 CL CCDCL C2 O Z C C.D y c ev — .O = Q CA C O vI U) W W 19 W N REScheck Compliance Certificate 1995 MEC RES checkSoftware Version 3.5 Release 1 Data filename: Untitled.rck TITLE: MORGAN RESIDENCE Ivox- CITY: Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: Single Family DATE: 11/02/04 DATE OF PLANS: 10-22-04 PROJECT INFORMATION: MORGAN 115 DALE STREET N. ANDOVER, MA COMPLIANCE: Passes Maximum UA = 375 Your Home UA = 372 0.8% Better Than Code (UA) Gross Area or Cavity Perimeter R -Value Permit Number Checked By/Date Glazing Cont. or Door R -Value U -Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 1105 30.0 0.0 39 Wall l: Wood Frame, 16" o.c. 2420 13.0 0.0 174 Window 1: Vinyl Frame:Double Pane with Low -E 256 0.360 92 Door 1: Solid 40 0.400 16 Floor 1: All -Wood Joist/Truss:Over Unconditioned Space 1095 19.0 0.0 51 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 1995 MEC requirements in RES checkVersion 3.5 Release 1 (formerly MECchecl and to comply with the mandatory requirements listed in the RES checkInspection Checklist. Builder/Designe Date /e��/ REScheek Inspection Checklist ' 1995 MEC RES checkSoftware Version 3.5 Release 1 DATE: 11/02/04 TITLE: MORGAN RESIDENCE Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation Comments: Above -Grade Walls: [ ] 1. Wall 1: Wood Frame, 16" o.c., R-13.0 cavity insulation Comments: Windows: [ ] 1. Window 1: Vinyl Frame:Double Pane with Low -E, U -factor: 0.360 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: Doors: [ ] 1. Door 1: Solid, U -factor: 0.400 Comments: Floors: [ ] 1. Floor 1: All -Wood Joist/Truss:Over Unconditioned Space, R-19.0 cavity insulation Comments: Air Leakage: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] Recessed lights must be 1) Type IC rated, or 2) installed inside an appropriate air -tight assembly with a 0.5" clearance from combustible materials. If non -IC rated, the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: [ ] Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R -values and glazing U -factors must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-6.5. Duct Construction: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure -sensitive tape may be used for fibrous ducts. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Circulating Hot Water Systems: Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120 OF or chilled fluids below 55 'F 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) Up to 1„ 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 HVACPipes. NOTES TO FIELD (Building Department Use Only) 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) IIIIIIIIIIIIIIIII! IIIIIIIIIIIIillll 11111111111111111111111111111 �! 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Certificate of Occupancy $ US t� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee`f`y�r o $ TOTAL $ f Check # %q9 .a7754 Building Inspector - TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER �7�' DATE ISSUED: SIGNATURE: Building Co rlissioner/I or of Buildings Date SECTION 1- SITE INFORMATION 1.1 jjProperty Address: / 1.2 Assessors Map and Parcel Number: 637 P (jots - Map Number Pa Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 PropertyDimensions: \/1 Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft . Front Yard Side Yard Rear Yard Required Provide Required Provided R red Provided . 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public 0 Private ❑ Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT istoric IS rich Yes O 2.1 Owner of Record Name (Print) Address for Service SignatuTelephone —of 2.2 Owner Record: Na Pridt Address for Service: / i ature Tele hone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licenshd Construction Supervisor: Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address I %- ■ Expiration Date Signature Telephone 00 M X Z v M 0 Q O Z M 90 O r v M r r ear• G) 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 buildin rmit. Signed affidavit Attached Yes ....... No ....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ 1 Existing Building ❑ 1 Repair(s) ❑ Alterations(s) ❑ 1 Addition ❑ Accessory Bldg. ❑ I Demolition Brief Description of Proposed Work: Other ❑ Specify SF,CTION 6 - F.STIMATFn CnNWRITf TinN rnCTC Item Estimated Cost (Dollar) to be Com le_ted by permit applicant OFFICIAL USE ONLY 1. Building f u/ 16 6 (9 (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) �O 4 Mechanical HVAC--��`�'� 5 Fire Protection 6 Total 1+2+3+4+5 Check Number / or.%-,iiVtn is VVV1`Ir1(AulnVK1GA11VPl 1V BE UUMML ED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, , as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. .Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, 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 Print Name Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 ND 3Ru SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE r r Eq, * c c �•m c �O C N � C V V �•nM ev D O N m c C 5 ,± o a _ .zE . p C � vi � o �-. cn CL* �. N A m Me v Q: o O N Z m � N C � p A � N t C C y W O �1' E h • v m 75 CD COL 4C* H m m = O C! :S,cs m ID W O N Z t O •� Cf 0 d0 C to m C •C S w mm3 N 0 LU W 1W_" •N d=_ O C O W •E v'� V •H O C.3 cs cm GO d m o E- z $ o.� m C� CD co C3 0 I H co CAL c 0 CD a. W CDO y C O CO w W r • 0 Z �u�Q /� W W ?� a a w w a m W W z . II o c c �•m c �O C N � C V V �•nM ev D O N m c C 5 ,± o a _ .zE . p C � vi � o �-. cn CL* �. N A m Me v Q: o O N Z m � N C � p A � N t C C y W O �1' E h • v m 75 CD COL 4C* H m m = O C! :S,cs m ID W O N Z t O •� Cf 0 d0 C to m C •C S w mm3 N 0 LU W 1W_" •N d=_ O C O W •E v'� V •H O C.3 cs cm GO d m o E- z $ o.� m C� CD co C3 0 I H co CAL c 0 CD a. W CDO y C O CO w W r • 0 Z �u�Q /� c c �•m c �O C N � C V V �•nM ev D O N m c C 5 ,± o a _ .zE . p C � vi � o �-. cn CL* �. N A m Me v Q: o O N Z m � N C � p A � N t C C y W O �1' E h • v m 75 CD COL 4C* H m m = O C! :S,cs m ID W O N Z t O •� Cf 0 d0 C to m C •C S w mm3 N 0 LU W 1W_" •N d=_ O C O W •E v'� V •H O C.3 cs cm GO d m o E- z $ o.� m C� CD co C3 0 I H co CAL c 0 CD a. W CDO y C O CO w 6 z LU c c •cam �o 0 C H � C a a m C = O x =. •• Jj C3 �- N . 614 to $ w ts :d w a H a m Q: o m 4D 3 z .. w O W H QQ��•NO O o a CLScm N O O 12 CI C C7 Cox H cj Z •0.� O ter: Co Ql C H mLt �C i mw3 N D COD A A Z m .N C �+ c=u H c L Z E �•N O W CJ a.. 12 o� CM S •V. • O� = A � � '� C =�a�m� O y _ . rr w a a � Rar��-1 O cii w rx U X LU O O O O D CO) H .CD L- CL CD c 0 as C3 _03 y O V CO3 C O cc CO) r�mw uj CA LLI W W 19 //Www c c •cam �o 0 C H � C tv V �•�O ev m C = O ' •• Jj C3 �- N . to $ ts :d a m Q: o m 4D 3 z .. C m O W H QQ��•NO O o CLScm N O O 12 CI C Wa C Cox H cj Z •0.� O ter: Co Ql C H mLt �C i mw3 N D COD A Z m .N C �+ c=u H c L Z E �•N O W CJ 4D d o� CM S COD • O� = A � � '� C =�a�m� O O O O D CO) H .CD L- CL CD c 0 as C3 _03 y O V CO3 C O cc CO) r�mw uj CA LLI W W 19 //Www FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****APPLICANT FILLS OUT THIS SECTION******'********* ----- ,f APPLICANT ���c���%�'-� �,%- /i'/�g PHONE LOCATION: Assessor's Map. Number PARCEL SUBDIVISION Pe-) LOT (S) STREET I��S �/?/ '� ST. NUMBER OFFICIAL USE ONLY ** OF TOIWPIA¢ENTS: CON ERVATION ADMINISTRATO DATE APPROVED 1 DATE REJECTED COMMENTS 0NQ��/XVIUI S ar& _ 1�9 IRW A1/,,ln II.I ,�n l ahY, a u . 111f TOWN Q. R_ DATE APPROVED. DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH C COMMENTS-� DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT %D/ RECEIVED BY BUILDING INSPECTOR DATE4ZL7"0-d1_ Rev ised 9197 Jm L V North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number Z 'Z., is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: n r / in. — / OY A (Location of Facility) —�— re gf Permit Applicant ���= 0 R! NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector A Date .. ,-�,`� TOWN OF NORTH ANDOVER PERMIT FOR WIRING Pis certifies that ....If.45.... �1�I�......................—...................... has permission to perform ....... ` ... wiring in the building of .... A^�....b.'.`................................................ at .... ,..�..... ���� .. �� L ...... ��.. ................�... , North Andover, Mass. F . .... Lic. No. 1, ............ sr,�l ;!.� � ELECTRICAL INSPECTOR Check # �v.l 5475 THECOMMOArRE4LTHOFMAS94CHUSE77S Office Use only DEPARTNd1ENT0FPUX1CSAF= Permit No. J K� BOARDOFFIREPR MWONRF.GUTAHONS527CA R12W*gip- � o . Occupancy & Fees Checke APPLICATIONFOR PERMIT TO PER ELECTRICM2:O W7�t7l ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASS CHUSSTS ELECTRICAL CODE, S27 CMR0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) 2 Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical ork escribed below. Location (Street & Number) Owner or Tenant Owner's Address -f" r Is this permit in conjunction with a building permit: Yes ED No F-1 (Check Appropriate Box) Purpose of Building Utility Authorization No. �.?/a 7S Existing Service AmpsVolts Overhead Underground No. of Meters New Service Amps olts 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 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 FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. ofjDishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. oryers Heating Devices KW 0 Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER• kmanceCDVWOa .Rust>anttothera�marr�ris�Galadllaws IbaveacturaltLiabl'}uyhmuatt Mr,yiwhxk1gCornplee CowWoritsa alewivalat YES NO IhavewhyitedvandproofofsametodrOlhce. YES j� Ifyouhavedid®dYES, pkw-- ndic*the Wofcowragaby INSURANCE " drddng the apPf0jXk& box BOND r7 OIHFR �J(Pl mSpecafy) F1Date Estimaed ValueofEkcbxal Wcdc $ Wodctosm JiWectiml)ateRequested Rough Final SignedunderTranaltmofpetjtuy. /'l FIRMNAME /r✓�� .0/C C x C LkmseNo. Signahne LicenseNo BusiimTel. No. 1;41 Gl��-� AIL Teti OWNER'SINSURANCEWAIVER;IamawatethattheLicffwdoesnothavetheinst==covsageaitsstlbstanhalequi iemasmgtmedbyMa xhiset(sGemWLaws andthatmysgnatuteon thispeumtapplicatioil waives thisregtmerrult (Please check one) Owner M Agent Telephone No. PERMIT FEE $ Signature of Owner or Agent TRECOA MONWE,4LTHOFMASSACHUSEM office Use only DEPART1 &W0FPUB1JCSAFM Permit No. r.� BOARDOFFMPREVEMONRFTA)L4TTONS527CW ]2:00 0 �' Occupancy & Fees Checke O '' MPUCATTONFOR PEALL WORK TO BE PERFORMED IN ACCORDANCE vffTO PERFORMEUCI'AL CODE,2RICA o WO / WITH THE MASS CHUSSTS ELECTR (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Jo -the s_ ector of.�Wires: Town of North Andover ,.R The undersigned applies for a permit to perform the electrical work escribed below. tai Location (Street & Number) //S - Owner or Tenant Owner's Address -' 4^- Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box)„4 Utility Authorization N Purpose of Buildingo. �� Existing Service Amps�Volts Overhead r--1Underground � No. of Meters New Service AmpsVolts Overhead Underground Number of Feeders and Ampacity -0 Nature of Proposed Electrical Work Z�i Outlets No. of Aot Tu o. of Transformers Fixtures Swimming Pool Above Below Generators round 2round No. of Oil Burners No. of Emergency L No. of Meters Total KVA KVA Battery Units �h Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Air Cond. Total es Tons No. of Detection and Iosals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices 1washers Space Area Heating KW No. of Self Contained { DetectiordSounding Devices Local Municipal Connections a Other hers Heating Devices KW Iter Heaters KW No. of No. of i Signs Bailasis Massage Tubs No. of Motors Total HP 00vfraW_ Rns"ttiothere4*mierisofMa%ad mMGcrx3ALaws �atLiab&yh>auarneP0licymck&gConAft CovwWorks�tialegtivalfft YES No fflWdveld ofsamelodreOfioe. YES IfyoutavededodYES,pl mffdc& ryWofeov Wby �te box c BOND r-1 ORIER ED Fem Specify) - EVi4m Doe Estitrlated VahrcfDettical Wodc $ WodctoRmt Inspec6mDateRatesmd Rough Fitnl Signed tmder&PdAiesofpew' .� HRMNAME �N Lica seNo. Lictxtsee (��.� 6� ,+-�l Signaatte `LV.� License No BlrsirmTel. No. Alt,Tetrt yJX Seo c��F ._,WPOtR S INSURANCE WAIVER; IamawarethattheLimwdoesnothavetheinstaarloeoverageorits substar W oWwalatasragtmadbyNL%mdusM GeneralLaws and that my sgwmw on dbs perm[ application waives dris tagtmernat. (Please check one) Owner M Agent Telephone No. PERMIT FEE $ Signature o wner or gen