HomeMy WebLinkAboutBuilding Permit #737 - 125 COLONIAL AVENUE 5/26/2006 a TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
,SSAC HU5�4 I
Permit NO: / 37 APPROVED
Date Received:
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION lo�� �L Ds.1S,A L AVE-
Print
PROPERTY OWNER C TOWS.E(L
Print
MAP NO.: /O ?B PARCEL: 1-36
ZONING DISTRICT: a
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building One family
,VAddition F1 Two or more family ❑ Industrial
Alteration No. of units:
Repair, replacement i Assessory Bldg U Commercial
❑ Demolition
G Moving(relocation) E Other ❑ Others:
Foundation only
DESCRIPTION OF WORK TO BE PREFORMED 1 Co ' O X 1 (a` &r' ou Oa e`
Xs 7--Z-J G S E C fC -t �x rE�J �.� s T�,<JC �E Cf< -1 CUAJ VEP
sdAfP-60 K s;Pj4CF LAr 774 SM r94& beekf j9 -17-ACI-4Cb
Identifieation Please Type or Print Clearly)
OWNER: Name: �t-1 n-rS 7'd PHE�'� �W LE_4? Phone
Address: �s C e-a,y J-)
Wim- cCO too=-z3y 67ri
CONTRACTOR Name: u% :C.t s� /t r7� �h/Tk . �7� �tIC . Phone: W 4" '- 35/
Address: 31 (0 UsVe V S7- AIA N U A, AN 63060
�^
Supervisor's Construction License: 6 6 17�� Exp. Date: 3l
Home Improvement License: -'7-7 Exp. Date:
ARCHITECT,'ENGINEER lJ� Name: Phone: 1,11A
Address: ��A Reg. No.
fA
FEE SCHEDULE:BULDLN'G PERMIT:$10.00 PER 51000.00 OF THE TOT4L ESTIMATED COST BASED ON 5115.00 PER S.F.
Total Project Cost :$ 2� —P S x10.00=FEE:$
Check No.: C—,�00�z Receipt No.:
Page 1 of 4
TYPE OF SEWARGE DISPOSAL
�� Tanning/Massage/Body Art i i Swimming Pools J
Public Sewer
Tobacco Sales ! Food Packaeing'Sales
Well _.
Permanent Dumpster on Site
Private(septic tank,etc. - Electric Meter location to
project
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fiend
Signature of gent/, w er &�Jti2nature of Contractor
Tle�
Plans Submitted No� PI atved ertified Plot Plan ❑ Stamped Plans ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF- U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
❑Water Shed Special Permit
❑ Site Plan Special Permit
❑ Other
COMMENTS
DATE REJECTED DATE APPROVED
CONSERVATIO ❑ _f
COMMENTS '415I/`�� A R)�
DATE REJECTED DATE APPROVED
HEALTH ❑ ❑
COMMENTS
Zoning Board of Appeals: Variance, Petition No:
Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
1
Conservation Decision: Comments
Water&Sewer connection signature&date
Temp Dumpster on site yes_ no Fire Department signature.date
Building Permit approved and Issued by:
Page zW'4
Building Setback (ft.)
Front Yard Side Yard Rear Yard
Required Provided Required Provides Required Provided
DIMENSION
Number of Stories: Total square feet of Floor area,based on Exterior dimensions.
Total land area, sq. ft.:
NOTES and DATA—(For department use)
Page 3 44
Doc:INSPFC'FIO)NAL SERA ICES DL-PAR I*%1L-Nl`.BPF0IkM05
C1r.Ird.IMC..Iao^4Cn,
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits
❑ Building Permit Application
❑ Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses
❑ Copy of Contract
❑ Floor Plan Or Proposed Interior Work
Addition Or Decks
❑ Building Permit Application
❑ Surveyed Plot Plan
❑ Workers Comp Affidavit
❑ Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic
Calculations (If Applicable)
❑ Mass check Energy Compliance Report (If Applicable)
New Construction (Single and Two Family)
❑ Building Permit Application
❑ Certified Proposed Plot Plan
❑ Photo of H.I.C. And C.S.L. Licenses
❑ Workers Comp Affidavit
❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Copy of Contract
❑ Mass check Energy Compliance Report
In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of
Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and
proof of recording must be submitted with the building application
Doc:INSPECTIONAL SERVICES DEI ARTMEN'rMFORti105
Page 4 of-I
f
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. General Information
Important:
When filling out From:
forms on the North Andover
computer, use Conservation Commission
only the tab
key to move To: Applicant Property Owner(if different from applicant):
your cursor-
do not use the Christopher Towler Same
return key. Name Name
125 Colonial Avenue
rab Mailing Address Mailing Address
North Andover MA. 01845
City/Town State Zip Code City/Town State Zip Code
1. Title and Date (or Revised Date if applicable) of Final Plans and Other Documents:
RDA 3/28/06
Title Date
Site Plan 2/10/06
Title Date
Ala 5QL. -A"LA 4sl 3/11106
Title D to
2. Date Request Filed:
3/30/06
B. Determination
Pursuant to the authority of M.G.L. c. 131, §40, the Conservation Commission considered your
Request for Determination of Applicability, with its supporting documentation, and made the following
Determination.
Project Description (if applicable):
Construction of a 3-season porch and deck within the Buffer Zone to a Bordering Vegetated Wetland.
Project Location:
125 Colonial Avenue North Andover
Street Address City/Town
Map 107B Parcel 130
Assessors Map/Plat Number Parcel/Lot Number
wpaform2.doc•rev.3/1/05 Page 1 of 5
REQUEST FOR DETEMINATION OF APPLICABILITY
#125 COLONIAL AVENUE
NORTH ANDOVER, MASSACHUSETTS
March 21, 2006
LIST OF PLANS AND DOCUMENTS
Identifying Number/ Letter Title/ Date
PLAN Notice of Intent in No. Andover, Mass., #125 Colonial Avenue, Lot
10; Hayes Engineering, Inc; Scale: 1"=20', Date: February 10,
2006 (1 Sheet).
A Project Narrative, #125 Colonial Avenue, North Andover, MA;
February 24, 2006.
B Erosion and Sedimentation Control; #125 Colonial Avenue, North
Andover, MA; February 24, 2006
C D.E.P. Bordering Vegetated Wetland Field Delineation Forms
By Hayes Engineering, Inc. dated February 8, 2006.
D North Andover Bylaw application forms (Application Checklist,
Abutter Notice)
LlMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Determination (cont.)
The following Determination(s) is/are applicable to the proposed site and/or project relative to the Wetlands
Protection Act and regulations:
Positive Determination
Note: No work within the jurisdiction of the Wetlands Protection Act may proceed until a final Order of
Conditions(issued following submittal of a Notice of Intent or Abbreviated Notice of Intent) or Order of
Resource Area Delineation (issued following submittal of Simplified Review ANRAD) has been received
from the issuing authority(i.e., Conservation Commission or the Department of Environmental Protection).
❑ 1. The area described on the referenced plan(s)is an area subject to protection under the Act.
Removing,filling, dredging, or altering of the area requires the filing of a Notice of Intent.
❑ 2a.The boundary delineations of the following resource areas described on the referenced plan(s)are
confirmed as accurate. Therefore,the resource area boundaries confirmed in this Determination are
binding as to all decisions rendered pursuant to the Wetlands Protection Act and its regulations regarding
such boundaries for as long as this Determination is valid.
❑ 2b. The boundaries of resource areas listed below are not confirmed by this Determination,
regardless of whether such boundaries are contained on the plans attached to this Determination or
to the Request for Determination.
❑ 3. The work described on referenced plan(s) and document(s) is within an area subject to
protection under the Act and will remove, fill, dredge, or alter that area. Therefore, said work
requires the filing of a Notice of Intent.
❑ 4. The work described on referenced plan(s) and document(s) is within the Buffer Zone and will
alter an Area subject to protection under the Act. Therefore, said work requires the filing of a
Notice of Intent or ANRAD Simplified Review(if work is limited to the Buffer Zone).
❑ 5. The area and/or work described on referenced plan(s) and document(s) is subject to review
and approval by:
Name of Municipality
Pursuant to the following municipal wetland ordinance or bylaw:
Name Ordinance or Bylaw Citation
I
wpaform2.doc•rev.3/1/05 Page 2 of 5
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Determination (cont.)
❑ 6. The following area and/or work, if any, is subject to a municipal ordinance or bylaw but not
subject to the Massachusetts Wetlands Protection Act:
❑ 7. If a Notice of Intent is filed for the work in the Riverfront Area described on referenced plan(s)
and document(s), which includes all or part of the work described in the Request, the applicant
must consider the following alternatives. (Refer to the wetland regulations at 10.58(4)c. for more
information about the scope of alternatives requirements):
❑ Alternatives limited to the lot on which the project is located.
❑ Alternatives limited to the lot on which the project is located, the subdivided lots, and any
adjacent lots formerly or presently owned by the same owner.
❑ Alternatives limited to the original parcel on which the project is located, the subdivided
parcels, any adjacent parcels, and any other land which can reasonably be obtained within
the municipality.
❑ Alternatives extend to any sites which can reasonably be obtained within the appropriate
region of the state.
Negative Determination
Note: No further action under the Wetlands Protection Act is required by the applicant. However, if the
Department is requested to issue a Superseding Determination of Applicability, work may not proceed
on this project unless the Department fails to act on such request within 35 days of the date the
request is post-marked for certified mail or hand delivered to the Department. Work may then proceed
at the owner's risk only upon notice to the Department and to the Conservation Commission.
Requirements for requests for Superseding Determinations are listed at the end of this document.
❑ 1. The area described in the Request is not an area subject to protection under the Act or the
Buffer Zone.
❑ 2. The work described in the Request is within an area subject to protection under the Act, but will
not remove, fill, dredge, or alter that area. Therefore, said work does not require the filing of a
Notice of Intent.
® 3. The work described in the Request is within the Buffer Zone, as defined in the regulations, but
will not alter an Area subject to protection under the Act. Therefore, said work does not require
the filing of a Notice of Intent, subject to the following conditions (if any).
See attached condition
❑ 4. The work described in the Request is not within an Area subject to protection under the Act
(including the Buffer Zone). Therefore, said work does not require the filing of a Notice of Intent,
unless and until said work alters an Area subject to protection under the Act.
wpaform2.doc•rev.3/1105 Page 3 of 5
NEGATIVE DETERMINATION OF APPLICABILITY
SPECIAL CONDITIONS
125 Colonial Avenue,North Andover
At the April 12,2006 Conservation Commission public hearing the North Andover Conservation
Commission (NACC)voted to issue a Negative Determination of Applicability for the construction of
a three-season porch and deck within the buffer zone to a BVW at the above referenced property.
Record Documents(also
see attached list): Request for Determination of Applicability entitled"Request for
Determination of Application, Proposed Addition#125 Colonial Avenue",
prepared by Hayes Engineering, Inc., dated March 2006.
Site plan entitled, "Notice of Intent",prepared by Hayes Engineering, Inc.
February 10, 2006. Stamped &signed by Peter Ogren, P.E.
Pre-Construction
•• Erosion controls,consisting of trenched silt fenceshall be placed between all construction areas
and wetlands. The erosion control barrier shall be properly installed and placed as shown on the
plans approved and referenced herein and shall be inspected and approved by the NACC prior to
the start of construction and shall remain intact until all disturbed areas have been permanently
stabilized to prevent erosion.
❖ Prior to construction, the applicant shall permanently mark the edge of the "25'No-Disturbance
Zone"with five(5)signs or markers spaced evenly every 30-feet incorporating the following text:
"Protected Wetland Resource Area". This will designate their sensitivity and assure no further
inadvertent encroachment into the wetland. These permanent markers are subject to review and
approval by the NACC. The applicant shall instruct all agents to explain these markers to
buyers/lessees/landscapers and all persons taking over the property from the applicant.
❖ Immediately following completion of the above-mentioned items, the applicant shall contact the
Conservation Department to schedule an on-site pre-construction meeting.The applicant and
contractor must be present at this meeting. This Determination shall be included in all construction
contracts, subcontracts, and specifications dealing with the work proposed and shall supersede any
conflicting contract requirements. The applicant shall assure that all contractors, subcontractors and
other personnel performing the permitted work are fully aware of the permit's terms and conditions.
A reasonable period of time shall be provided as notice of the pre-construction meeting (e.g.48
hours).
Post Construction
❖ Immediately following completion of the work, any disturbed areas shall be permanently stabilized
against erosion. Once the site is adequately stabilized, the Conservation Department shall be
contacted to conduct a final site inspection.
❖ Also upon completion of construction activities, the applicant shall submit an As-Built plan to the
Conservation Department.
L11Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Determination (cont.)
❑ 5. The area described in the Request is subject to protection under the Act. Since the work
described therein meets the requirements for the following exemption, as specified in the Act and
the regulations, no Notice of Intent is required:
Exempt Activity(site applicable statuatory/regulatory provisions)
❑ 6. The area and/or work described in the Request is not subject to review and approval by:
Name of Municipality
Pursuant to a municipal wetlands ordinance or bylaw.
North Andover Wetland Protection Bylaw Chapter 178
Name Ordinance or Bylaw Citation
C. Authorization
This Determination is issued to the applicant and delivered as follows:
❑ by hand delivery on M"by certified mail, return receipt requested on
Date Date
This Determination is valid for three years from the date of issuance(except Determinations for
Vegetation Management Plans which are valid for the duration of the Plan). This Determination does not
relieve the applicant from complying with all other applicable federal, state, or local statutes, ordinances,
bylaws, or regulations.
This Determination must be signed by a majority of the Conservation Commission. A copy must be sent
to the appropriate DEP Regional Offic see Attachment) and the property owner(if different from the
applicant).
Signatures: r
Q c�
�fi3�06
Date
wpaform2.doc•rev.3/1105 Page 4 of 5
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
D. Appeals
The applicant, owner, any person aggrieved by this Determination, any owner of land abutting the land
upon which the proposed work is to be done, or any ten residents of the city or town in which such land is
located, are hereby notified of their right to request the appropriate Department of Environmental
Protection Regional Office(see Attachment)to issue a Superseding Determination of Applicability. The
request must be made by certified mail or hand delivery to the Department, with the appropriate filing fee
and Fee Transmittal Form (see Request for Departmental Action Fee Transmittal Form) as provided in
310 CMR 10.03(7)within ten business days from the date of issuance of this Determination. A copy of the
request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission
and to the applicant if he/she is not the appellant. The request shall state clearly and concisely the
objections to the Determination which is being appealed. To the extent that the Determination is based on
a municipal ordinance or bylaw and not on the Massachusetts Wetlands Protection Act or regulations, the
Department of Environmental Protection has no appellate jurisdiction.
wpaform2.doc•rev.3/1/05 Page 5 of 5
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
DEP Regional Addresses
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
Mail transmittal forms and DEP payments,payable to:
Commonwealth of Massachusetts
Department of Environmental Protection
Box 4062
Boston, MA 02211
DEP Western Region Adams Colrain Hampden Monroe Pittsfield Tyringham
436 Dwight Street Agawam Conway Hancock Montague Plainfield Wales
g Alford Cummington Hatfield Monterey Richmond Ware
Suite 402 Amherst Dalton Hawley Montgomery Rowe Warwick
Springfield,MA 01103 Ashfield Deerfield Heath Monson Russell Washington
Phone:413 784-1100 Becket Easthampton Hinsdale Mount Washington Sandisfield Wendell
Belchertown East Longmeadow Holland New Ashford Savoy Westfield
Fax:413-784-1149 Bernardslon Egremont Holyoke New Marlborough Sheffield Westhampton
Blandford Erving Huntington New Salem Shelburne West Springfield
Brimfield Florida Lanesborough North Adams Shutesbury West Stockbridge
Buckland Gill Lee Northampton Southampton Whately
Charlemont Goshen Lenox Northfield South Hadley Wilbraham
Cheshire Granby Leverett Orange Southwick Williamsburg
Chester Granville Leyden Otis Springfield Williamstown
Chesterfield Great Barrington Longmeadow Palmer Stockbridge Windsor
Chicopee Greenfield Ludlow Pelham Sunderland Worthington
Clarksburg Hadley Middlefield Peru Tolland
DEP Central Region Acton Charlton Hopkinton Millbury Rutland Uxbridge
627 Main Street Ashburnham Clinton Hubbardston Millville Shirley Warren
Ashby Douglas Hudson New Braintree Shrewsbury Webster
Worcester,MA 01608 Athol Dudley Holliston Northborough Southborough Westborough
Phone:508-792-7650 Auburn Dunstable Lancaster Northbridge Southbridge West Boylston
Fax: 508-792-7621 Ayer East Brookfield Leicester North Brookfield Spencer West Brookfield
Barre Fitchburg Leominster Oakham Sterling Westford
TDD:508-767-2788 Bellingham Gardner Littleton Oxford Slow Westminster
Berlin Grafton Lunenburg Paxton Sturbridge Winchendon
Blackstone Groton Marlborough Pepperell Sutton Worcester
Bolton Harvard Maynard Petersham Templeton
Boxborough Hardwick Medway Phillipston Townsend
Boylston Holden Mendon Princeton Tyngsborough
Brookfield Hopedale Milford Royalston Upton
DEP Southeast Region Abington Dartmouth Freetown Mattapoisett Provincetown Tisbury
20 Riverside Drive Acushnet Dennis Gay Head Middleborough Raynham Truro
Attleboro Dighton Gosnold Nantucket Rehoboth Wareham
Lakeville,MA 02347 Avon Duxbury Halifax New Bedford Rochester Wellfleet
Phone:508-946-2700 Barnstable Eastham Hanover North Attleborough Rockland West Bridgewater
Fax:508 947-6557 Berkley East Bridgewater Hanson Norton Sandwich Westport
Bourne Easton Harwich Norwell Scituate West Tisbury
TDD:508-946-2795 Brewster Edgartown Kingston Oak Bluffs Seekonk Whitman
Bridgewater Fairhaven Lakeville Orleans Sharon Wrentham
Brockton Fall River Mansfield Pembroke Somerset Yarmouth
Carver Falmouth Marion Plainville Stoughton
Chatham Foxborough Marshfield Plymouth Swansea
Chilmark Franklin Mashpee Plympton Taunton
DEP Northeast Region Amesbury Chelmsford Hingham Merrimac Quincy Wakefield
1 Winter Street Andover Chelsea Holbrook Methuen Randolph Walpole
Arlington Cohasset Hull Middleton Reading Waltham
Boston,MA 02108 Ashland Concord Ipswich Millis Revere Watertown
Phone:617-654-6500 Bedford Danvers Lawrence Milton Rockport Wayland
Fax: 617-556-1049 Belmont Dedham Lexington Nahant Rowley Wellesley
Beverly Dover Lincoln Natick Salem Wenham
TDD:617-574-6868 Billerica Dracut Lowell Needham Salisbury West Newbury
Boston Essex Lynn Newbury Saugus Weston
BoxfordEverett Lynnfield Newburyport Sherborn Westwood
Braintree Framingham Malden Newton Somerville Weymouth
Brookline Georgetown Manchester-By-The-Sea Norfolk Stoneham Wilmington
Burlington Gloucester Marblehead North Andover Sudbury Winchester
Cambridge Groveland Medfield North Reading Swampscott Winthrop
Canton Hamilton Medford Norwood Tewksbury Woburn
Carlisle Haverhill Melrose Peabody Topsfield
Wpaform2.doc•DEP Addresses•rev.10/6/04 Page tof 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
Request for Departmental Action Fee Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. Request Information
Important:
When filling out 1. Person or party making request(if appropriate, name the citizen group's representative):
forms on the
computer, use Name
only the tab
key to move
your cursor- Mailing Address
do not use the
return key. City/Town State Zip Code
"ICS Phone Number Fax Number(if applicable)
Project Location
r�
Mailing Address
Cityrrown State Zip Code
2. Applicant(as shown on Notice of Intent(Form 3), Abbreviated Notice of Resource Area Delineation
(Form 4A); or Request for Determination of Applicability(Form 1)):
Name
Mailing Address
City/Town State Zip Code
Phone Number Fax Number(if applicable)
3. DEP File Number:
B. Instructions
1. When the Departmental action request is for(check one):
❑ Superseding Order of Conditions ($100 for individual single family homes with associated
structures; $200 for all other projects)
❑ Superseding Determination of Applicability ($100)
❑ Superseding Order of Resource Area Delineation ($100)
Send this form and check or money order for the appropriate amount, payable to the Commonwealth of
Massachusetts to:
Department of Environmental Protection
Box 4062
Boston, MA 02211
wpaform2.doc•Request for Departmental Action Fee Transmittal Form•rev.10/6/04 Page 1 of 2
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
Request for Departmental Action Fee Transmittal Form
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Instructions (cont.)
2. On a separate sheet attached to this form, state clearly and concisely the objections to the
Determination or Order which is being appealed. To the extent that the Determination or Order is
based on a municipal bylaw, and not on the Massachusetts Wetlands Protection Act or regulations,
the Department has no appellate jurisdiction.
3. Send a copy of this form and a copy of the check or money order with the Request for a Superseding
Determination or Order by certified mail or hand delivery to the appropriate DEP Regional Office (see
Attachment A).
4. A copy of the request shall at the same time be sent by certified mail or hand delivery to the
Conservation Commission and to the applicant, if he/she is not the appellant.
wpaform2.doc•Request for Departmental Action Fee Transmittal Form•rev.10/6/04 Page 2 of 2
_ The Commonwealth of Massachusetts
Department of Fire Services
office of the State Fire Marshal
P.O.Box 1025 State Road,Stow,MA 01775
PERMIT Date: ij IS 03
North Andover permit No Dig Safe Number
(City of Town) (If Applicable)
In accordance with the provisions of M.G.L14 8 Chapter1Q_as provided in section 75 7 CMR 34 Start Date
This Permit is granted to: (3- L!J S 4 0- L)
Full name of person,Firm or Corporation
Permissionto locate dumpster for construction/renovation/demolition of building
Comments: dumpster must be 25 ' from structure if unable to place with required
Restrictions: clearance dumpster must be covered with plywood or tarp end of work day
at O-r G D/C't �tti a�to�
(Give location by street and no.,or describe in such manner as to provied adequate identification of location)
Fee Paid$ 50 .00 - ' - � Fire Chief
Title
This
This Permit will expire -• '-� (Siat a of gnoffical granting pen-rat Offical granting penrut ( )
T4-IIC PERMIT MI ICT RF r-nMCPlr1 inn ICI V P()CTi=n I IPl)M TNF PRFMICI=C
I
x,:e, _
i3 �`\ ' `_ � - - -_"� --� . ,-- ---------- -\�\ !'j'/ 1 � + \\ -_ �/��\__ \ ;' j..vi�ce•I-_ •/, S ���''=�\` opµ}E '•'•, \ 1 / \ �' \ \
! %� ip -/,r� \ �\� -.� � �- �'__�-- � �_. ''•�\\\!F _ . _ '.-moi}\ '_- _ wb�. __ \ / 1
I 1 / 6 s,.n •\ '`.._ __/ -
x "_kms•. ^_. %�. ! �' - j / + \J/t \ .e /'!J 1
f � I'; .\ ( �t �.M,T' G/ B°ROF.R"(6':1��-^ \_ -___-+�J •_ �..� �` 11 '. ♦ldr(8/'�S•2 \-Y�L�h ��// i
-
! \\'fro;ss ev ` ^`. x 1 m'" r+c -._��..�� gM���1� �•} ii ' /� I(
-_: _J '
r xls x,a.=
Q 4
13
PS\0'a =•�x'rsq•\ G/GiaetvEND
-_..-- _- � �! .i•_ ,,`, NDRIPR.IV INV,c ac-�;' \ -- \ �f"` \- f✓ ' / - l3T �_..
_ h% :.moi `•.�. � .,} \ --- " _` \ }` :� ( OPEN 14� �1 �("��.SEE/ ✓:� �� �x\ ��� o
fT °.tFa�15 ` -� SPACE
-� Reavu ,,( I 1 �!j ,! -��r ���� t!�} Y \ x.a ��o,.� /! 51 /' I� I\/ I �C'J1 !/ /_- \�1.� \;•.
`c• ��l' �' zs '.h�9o% 1 I I i / a'4�'Tyl 141i�: l.: i' ,yy%j } i 1 ', t�$' ,l
!\� __. __` - \}-• \ ,\ /` ��, ,'/ : I I �^ .J11 \.. 9 ,L_L�.J'' 11-"d-._ , 1; {Ij � �/ %I I,
•.�, - •.`_. .- `\ •\�'\'\. _i�al i/,. \�� I � '/�' i./.I tA•�� �y/•¢�.n7 ��r �'.�\ .� � !� .�'h ~,,�I / \ `/ y'.`!`;,(x,enn V!/ �f
�I \�if�'p° \ 15 '1�` � ' _y�/`I�� / y'�j, �� '-N-_�..�. \ \ �".�itii \\�'y� }..-�r��,i '•4.``••, �8� � �.+ ' h � � �.. \ 51,�¢(� � / '� +
\ \ _ ;L I' .� 'i n ,� _ '} 1 I\n\ ;� R},,, �� O�o sn �'vr 'i. •F'a' � __ "/\\ � '—�=� -'<; � Z7
� x:=ee ``\ � K� �K'."\ � / ! °c � {S 1t1 'S 1 •1 � }rim/ b J:�J _s,. ._/�_� -VR'A���E le lx,.ds � \\\} \ , __-
i
I
o L,Nn - �.♦� `/ I :'I I'+' ,( ' '• ._ ♦� ,�[�y',' M0.')'°NF `, -` � _ - eV
ouF On �Yy_!- /� .4.. \, ?♦ moi' \ .
EN �nr" r
\ ji1��-'i- tt], � �Ai " �C pl(�_E•IGT�"�':��•, �/ ; /C ! ` `��� \�.' �•,j"�''+3,' - I ' '- �. - ••,b!�'. / - `♦ � �/+-NJ.O
\ O 1 —" "fes�`�'y`m'�i\` � �"`/' 6 \ \ �. \• � � / /e i"°� _ \ �s.o % � _
� ' —. .,. —�\ ��- �- \ '\'r �, �' �"'.�i uz�,y v•ti „� ., i T .I `; /i y.4,�e,,� i _ i
A
1 (• Cf•IG35 _ •\�\ 1\ �^ .f� 1f� / Gl' '/ �1 \\ I4U"
F./ \`'1\ 1 \p yry} Ct' ~1 cp
Bo, /m
!r��N FIND WA.-i Ti1K N Y 1 \�'•O� -
. FoE6eraawsnrc� (Po /,` L ! F �/ 1 y{'\W r' {�° 1 /♦ \\` ,)�
u�l nlas + 1 I 'WA — -'AT S r1 I @ `,/ ( 1 car' I (,•� x' -,
1 ti n ANU4VEf-A.,a�ar No'� �- \ f TOPOGRAPH/C PLAN
oo'dazk anRc�" k E ! n� \ x,ea, 1�� e J r }I r °' rz'W cvdRFrs }
l LZERKs rzxnFm.SnoN ON INE RUN
'7 ! ,' /'—-. y--•--_� \ }\` ° WOODLAND ESTATES'
— T y /� I i7 tg�s- ° r dnNORlo — - NOR7N AMMER, MASS
}1'� IuresanrEenSC.r.G
_ \I `(\ '• /�- �,p�f_E,.'''o(y 1• � j• •\ -' c�}'ezpr
e
�NNzn rxrilrtx '
a-ME-MW Of AVOY AAVO7Vtl /' /{ // ' •�J42• _- -'!\ �\ _- NCtl/fX IN OI8IO k'M'Dma Mta 0,8"OO N C IJFY 7N17 THE N07X'f OF APPRO✓.IL OF 7MS PriN , \� y-�/ \�. /' `•� i1 k' .SG(a r- i0• aJE' AMWA7 14 1"2
/[i4tiRIMI lAREY�f(lY CRIJOGV/ME)Rr Br.AAJASfN SEFJA[ �'- /�/. JI , rL.r
.np,trs JNc., nJwn ale AacJr Jot I-w>. RY SNE Mav AND
OYARO 19 AS R RELY? O ANO RFCTJROEO AT
___ - slrolsj a
7H/S OFF/CE AA17 M7 APPEAL 1615'R£CE/VID OUR/NC iNE TWENTY I / , '''J.'�'•�:` _'' .I S' __._ 'i i3 9h I R
S!E Axs'elceo.rmorWsrw,'Yl's.ws lre W7—J rt rrn O4SS NEXT AREF SVG/REMPr AND RECORO/NS OF S4/O NOTICE 'li/Iy - MR 6tlIRD .W°L.dTKW
rurAm ARA ¢orA ov vT-—uv vcav;nr.a e /� � !, / J \ IB +�� p) .-+uv+sr/jo-
n JF MWS WM.M'K: C-..IMIOB—F.':1lAN I'll$ / . • C /. .f � -___�_t)_S - _ _____- fPNL A•AN fAED__9L��___
etsecrrre— —c 1A Je°v _
IOWN K J /! _ /\ Av lalr• .'``"` / aSe _ L=_L____
SPACE .--EOOE OF 6LRDD?h '6£OETARD#E7UNQT _ ' �' Skd1 R.W A-Awpo_-_
TOPO SHEET 2 OF
' 3 `R�:-
__G _ I - - RAv sema---_-�/I
SEE SHEET JOF 3 /V YM��
r
Client#: 25081 DELLCON
ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
11/8/05
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
HRH Northern New England ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
R. G. Sullivan Building HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
175 Canal St.
Manchester, NH 03101 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Massachusetts Bay Ins Co 22292
DellaGatta Contracting Company, Inc. INSURER B: Hanover Insurance 32220
31 Quincy Street INSURER c: American Home Assurance
Nashua, NH 03060
INSURER D:
INSURER E:
COVERAGES
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.
TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR NSR DATE MM/DD/YY DATE MM/DD/YY
A GENERAL LIABILITY ZDV793547800 02/01/05 02/01/06 EACH OCCURRENCE $1,000,000
X COMMERCIAL GENERAL LIABILITY PREM SES E ToEa oNcu D nce $100RETE000
CLAIMS MADE 51OCCUR MED EXP(Any one person) s5,000
PERSONAL&ADV INJURY $1,000,000
GENERAL AGGREGATE s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000
POLICY PRO- -
JECT X LOC
A AUTOMOBILE LIABILITY ADV793547700 02/01/05 02/01/06 COMBINED SINGLE LIMIT
X ANY AUTO (Ea accident) $1,000,000
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS
BODILY INJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO EA ACC $
OTHER THAN
AUTO ONLY: AGG $
B EXCESS/UMBRELLA LIABILITY UHV794244600 02/01/05 02/01/06 EACH OCCURRENCE $1,000,000
X OCCUR FICLAIMS MADE AGGREGATE $1,000,000
DEDUCTIBLE $
X RETENTION $10000 $
C WORKERS COMPENSATION AND WC6928886 01/01/05 01/01/06 X WCSLIMIT IR
OTH-
EMPLOYERS'LIABILITY TO Y LIMIT
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500,000
OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $500,000
If yes,describe under
SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Chris Towler DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL A_ DAYS WRITTEN
125 Colonial Ave NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
North Andover, MA 01845 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25(2001/08) 1 of 2 #S186275/M177638 SBS 0 ACORD CORPORATION 1988
�,\ Jhe -C%'a�aanaanccwalC/r. c��..11z:t::crclausel�s
Board of Building Regulations and Standards License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration: 148777 Board of Building Regulations and Standards
Expiration: 10/25/2007 One Ashburton Place Rm 1301
Type: Private Corporation
Boston,Ma.02108
DELLAGATTA CONTRACTING CO, INC.
JAMES DELLAGATTA `
31 QUINCY ST
NASHUA, NH 03060 Administrator Not val without signature
✓lie �arrimo�uueal a�/�aaaac�ivae
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number*.'C$. 061748
Blrthdae 03106/.1946
Expires 03/06/2007 Tr.no: 9099.0
Restricted 00
JAMES J DELLAGATTA-
--10 WEBSTER ST 41' G—
NASHUA, NH 03064
Commissioner
DELLAGATTA
CONTRACTING CO., INC.
31 Quincy Street PROPOSAL
Nashua;New Hampshire 03060
Page 1
(60.1)582-3312
Fax(603)882-83A,
l
TO: Christopher Towler JOB NAME/NO. Sun Room Addition
125 Colonial Avenue LOCATION: 125 Colonial Avenue
North Andover MA North Andover MA
PHONE: 978-725-5567 DATE: 7/21/2005
We hereby submit specifications and estimates for:
Material and labor to construct a three season sun room over the existing back deck with the east side
expanded for an approximate size of 16' 6"x 12' with an attached deck approximately 12' x 9' - 7"and stairs
to the ground level.
1. General Conditions
A. Provide plans to acquire a building permit. Owner to provide plot plan with house location on it if
available.
B. If the Town of North Andover, MA requirements for a building permit are stamped drawings by a
registered engineer, then this cost will be paid by the owner. This is not likely to occur.
C. A temporary sanitary facility(port-a-potty)will be placed on the job site for workers use.
D. A construction dumpster or our one ton dump truck will be used for debris.
E. Area left broom clean on the interior and raked clean on the exterior with all construction debris
disposed of properly.
F. Any hidden conditions, if found, will be brought to the attention of the owner and an estimate of
repair costs will be given before commencement of these repairs. Hidden conditions are defined as
but not limited to insect damage, rot, structural problems.
2. Concrete
A. Dig for one (1)new 12" diameter concrete piers approximately four feet below ground level to
support the corner of the new sun room expanded dimensions and two (2)new concrete piers to
WE PROPOSE hereby to fiunish material and labor-complete in accordance with these specifications,for the sum of-
Thirty
£Thirty Three Thousand Seven Hundred Thirty Eight dollars ( $33,738.00).
Payable as follows:
$3,000 deposit to initiate orders&schedule in;biweekly progress payments;final payment due upon
r completion.
GUARANTEE: Material and workmanship guaranteed for a period of one year Authorized
from date of installation(unless otherwise specified). All bills must be paid within
terms shown. No discount will be allowed unless so stated above. Any alterations or Signature
deviations from above speeifications will be executed only upon written orders. A
FINANCE CHARGE of 1-1/2%per month will be applied to all unpaid balances s
over 30 days old. AN ANNUAL PERCENTAGE RATE of 18%. In the event of
unpaid invoices,customer agrees to pay all collection cost,legal fees and court costs NOTE: This proposal maybe
incurred Owner to carry all necessary insuranm withdrawn by us if not accepted within 1�79 days.
ACCEPTANCE OF PROPOSAL- The
prices,specifications and conditions.aze satisfactory and are hereby accepted. You are
authorized to do the work as specified Payment will be made as outlined above.
Signature DateUS Signature
Date
LLAGAT A
CONTRACTING CO., INC. PROPOSAL
i Quizlcv Street
gNashua.New Hampshire 03060 f Page 2
{613}882-,,12 1
Fax{6))882-8306
support the new attached deck and stair location.
3. Framing
A. Frame walls and roof over existing expanded deck floor per plans provided.
B. Roof to be a shed roof off of the existing family room roof with exposed 4 x 8 fir beam rafters
approximately 3' on center creating a cathedral ceiling design.
C. Walls to be 2 x 4 studs @ 16" on center.
D. Exposed collar ties to be two 4 x 8 fir beams at approximately 5 1/2' on center.
E. Exterior wall sheathing to be 1/2" CDX.
F. Exterior roof sheathing to be 2'x 6 tongue and V-groove decking with V-groove exposed to inside of
the room.
G. Deck to be 2 x 8 pressure'treated joists with owner supplied mahogany decking. Railings to be 2 x
4 cedar top and bottom rails with 2 x 2 cedar balusters and 4 x 4 cedar support posts.
H. New stairs to have 2 x 12 pressure treated stringers with owner supplied mahogany decking and
hand rails as installed on the new deck.
4. Roofing
A. Roof shingles provided and installed to match existing roof shingles as close as possible.
B. Flash into chimney and at existing house siding as necessary.
C. Ice and water shield entire new roof before shingling.
D. Provide and install aluminum drip edge on eaves and up rake.
E. Provide and install 2"styrofoam insulation over the 2 x 6 tongue& V-groove sheathing before roof
shingles are applied;
5. Exterior Trim& siding
A. Provide and install a continuous soffit vent.
B. Size of soffit, fascia and rakes to match existing house soffit, fascia, and rakes.
C. Provide and install 1/2 x 6 cedar clapboards to match the existing house siding.
6. Interior Wall Treatment,Doors&Windows
A. Remove the existing family room slider and reinstall it on the new deck side of the sun room per plan.
B. Install owner supplied French exterior 6' x 6' 8" double door at opening left by existing slider.
C. Strip exterior siding off the house wall at the new French door.
D. Provide and apply 1 x 6 tongue and V-groove cedar boards on all interior walls of the new sun
room. Use 1 x 6 cedar boards for base, door and window casings.
E. Strip existing deck boards and install owner supplied mahogany deck boards over the existing and
new floor joists with insect screen stapled to trop ofthe-loor foists before new decking is
applied.
This page becomes part of and conformance with proposal for.
Job NameNo. Sun Room Additiq# Accepted By-a'10 _ Date
Submitted By Date Oe`_;) Accepted By Date
DEIJLAGA') TA
CONTRACTING CO., INC. PROPOSAL
1. Quinc%-Street
Nashua,Nen-Hampshire 03060 Page 3
%Wiv ) (603)882-.
603)882-3 12
Fax(603)882-8306
F. Install owner supplied windows and two (2) skylights per plan.
G. Contractor to coordinate order, and schedule delivery of the door, windows, and skylights for the
owner.
H. Owner to provide and install wall insulation before we close them in with 1 x 6 cedar boards.
7. Electric
A. Owner to meet with contractor and contractor's electrician to go over electrical scope of
work and cost for electric. Owner to pay electrician directly.
8. Owner's Budgetary Costs& Other Notes
A. Electric budgetary costs to be approximately$1,600 and is not included in this price.
B. Budgetary costs for the French door and windows is approximately$5,500 and is not included in
this price.
C. All painting done by others and is not part of this price.
D. Any additional mahogany decking needed beyond what is presently available at the job site will be
supplied by the contractor.
This page becomes part of and conformance with proposal for: ; ,
Job Name/No. Sun Room Additio Accepted By ,� Date
Submitted By Date 1 Accepted By Date
t
Cc
COL
Oo
�OT 9
2 lip 9,3,5 S.F
C.8-4. 7, 7 car. 5% i
19
II 00
' nn
t
� � m
Y
W N m
t
C_!�d New Watts
Existing Deck
Existing Sona Tubes to
'V
Cc
Existing Conditions o ��
•� c; c m
(1) 6'-8'x6'-0' T ~
Owner Supplied
French Door
x
Ql
1 1i
1 lr
1ffff Anderson 40000
A Series CN25 A
i
Owner Supplied
Skylights C2)
- (3) New 12°
Reuse Existing
,;/-Slider Door Sona Tubes (Typ)
(- -1 F 7
f �
16, Proposed Deck Er co
� Ln
,,ti I
Proposed 3 Season Porch
Da�,
_.—_______..____—___-____�._�_.____.__ ✓ _____-____ __ _—________.—._^ -___._._ __- _— _ r� Ctrl�,,
Anderson 400
Series CW35 Anderson 40000 Wit;
Series CN25
Proposed Renovations
�m
16'-6'
A..,�. ,�.�•,��. SCALE: 1/4"=1' •
,
,
,
- -
Q
,
m ,
<
- -
X
3
co
CAI
a-F i
n
t+
toz
N
n
D �
r
11� '
EEL LACA'.��"TA CONTRAC'1'NG CO. Chris fowler SCALE 1 .'=,
31 QUINCY SKEET 125 Colonial Ave DATE: 8/9/05 EV:
NASHUA NH. 03060 N. Andover, MA 01845 DRAWN BY: Nlehele
603-882-3312 1-978-725-5567 DESIGNED BY:
I
r-i
x
L
3
EO
0
C+
I
�
C
(A C+
-- c
3
/�
'll
I I
m�
'V VA
Q
O
x
x
Ln
C+
3
f0
H
C+
IN
c
�Sz
�z
I Z
z
0
Ln
r
m
II�
),)],'..J-tAGA7-'TA Ctll'1 Y H RAC, .I1 [Cr 1,. 1. Chris Towler SCALE: 1 a'=1'
PATE: 8 905 EY:
31 QUINCY SKEET 125 Colonial Ave DRAWN V; Mlehala
NASHUA NH. 03060 N. Andover, MA 01845
603-882-3312 1-978-725-5567 DESIGNED BY:
���,�. _ _ ��+.w.Q,•�.,�eeu�ros.:wmcen �...d.....,_..:Y,��.A.,... _ ..,w.�..o. _ _*®.m..�.,.mv _ �.,manc�®mc�.wa-�•L-. o�
JEE e
� 0 W
W �
Cross Section A-A
From Sheet 1
2 Exposed 4x8 Fir Beam
Collar Ties Approximetely
412 Pitch 5 1/2' ❑C
2x8 Rafters @16' On Center, Sheathing
Skylight to be 2x6 Tongue and V-groove Decking
With V-groove exposed to Inside of Room,
2' Styrofoam Insulation, 5/8' CDX Plywood to
Sheathing, Ice & Water Shield-
Cc
--- ❑ver Entire Roof, Shingles to MatchL, pqo
WcN
-- Qj
Existing as Close as Possible.
ko
Aluminum DripEdge
Support Wall Under g "� °a 1
PP 4x8 Exposed .Fir Beam Rafters @ 3' on Eaves and Up Rakes
New Rafters C2x4's 16' ❑C) --1Z: moi'
1x6 Tongue and
V-Groove Cedar Boards
on all Interior Walls Continuous Soffit Vent.
and Ceiling Size of soffit, facia, and Rakes
To Match Existing
Owner Supplied Mahogany
Deck Boards Over Existing 2x4 Studs 16' OC,
and New Floor Joists with 1/2' CDX sheathing
Insect Screen Stapled to Owner Supplied wall Insulation
Top of Joists Before New
Decking Is Applied
Porch Floor Line
xl ressire Treated
Jots 6' On Center
r�
C�
C
Ledger Board Attached to House
with Lag Bolts 16' On Center
N
�E- C't
Typical all New C4
12'Concrete Fitted m
Sona Tubes a�
Ground Grade
m�
4'
L?
SCALE: 1114'-'=t
_____J-J-- - - - - - - -
�I
�i
i
I
r
t
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,RENOVATE. OR DEMOLISH A ONE OR TWO FAMILY DWELLING
.£i 'i z±r7*.
BUILDING PERMIT NUMBER: DATE ISSUED. �
ic
SIGNATURE: �
Building Commissio 11 for of Buildin Date Z
SECTION 1-SITE INFORMATION IO
1.1 Property Address: 1.2 Am;cwrs Slap and Parod Numbe:
,yr76
MV Number Parcel Numb,u
1.3 ZoningWbrmalion: 1.4 P"atyDimensions. 1
2 5-3,441
Zonis DisuiC Proposed Use Lot.Area —� F (R
1.6 BUILDING SETBACKS R
Front Yard Side Yard Rear Yard
R red I Provide Required Prodded ReqWred Provided
10 dV
e ` Q
1.7R'rta,CJ�`,,r,",KGL-C.�Q. S4) 1.5. Ft hdonautinn: i.R S��e age i3isyos+f S}stem: >
Pabli. 'I3 Pri t} Zane 0vUidr Ftood 7mn 10 himiciw on
SECTION 2-PROPERTY OWNERSHIPIA ORMED AGENT m
2.1 Owner of Record
�'i{�fS (1c'+' ►a�.it?�� IZ.� (y(c):xca.l Ave
Name(�tint) Address for Scn ice
Signature Telephone
2-2 Owner of Rceovd:
�t•��`-C.�C�•1 �c%;�S ( 2 J f�l d to t cam.( �,.
N 4� Address for Service .fir
07V M
S' tare Telc hono
SECTION 3-CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor. Not Applicable 0
Licensed Construction Supervisor. 061749/ ,,/
AlIleLicense Number
cess e3
(6V3
S' natum Telephone r
3.2 Registered Home Improvement Contractor Not Applicable 0 Q
C4"' TAI C /e�� 7 •7
CompanyName M
•� I r f`r r 1 ✓f�t its ��j I t G E �,
Registration Number r"
Adowss
�S n j z 32 •/
. d.3Av J{2- Evpi nDaze 2
Sin tore a hone Y�
SECTION 4-WORKERS COMPENSATION(M-G.L C 152 § 25c(6)
Workers Compensaiitm Insurance affidavit must be completed and submitted with this application. Failure to provide this af£davit will result
in the denial of the issuance of the building it.
Signed affidavit Attached Yes.......— No......D
SECTIONS Desert tion of Proposed Wort: checkall linable
New Construction 0 Existing Building 0 Repair(s) 0 Alterations(s) 0 Addition
Accessot_y�Bldg. C Demolition 0 Other 0 Specify
Brief Inscription of Proposed Work-
SECTION6-ESM ATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)tobe QFF�CTA
Com lett be t a iicant
1. Building 4110
�z �0 (a) Building Permit Fee - -
..-
Multiplier
2 Electrical 11)(0 e c a (b) Estimated Total Cost of
r Construction
3 Plumbiq Building Permit fee(.I roc
4 Mechanical(I-lVAC Fa C3
5 Fire Protection
6 Total 1+2+3+4+51 5 $S<rr tcxk\timber
SECTION 7a OWNER AUTHORIZATION 10 BE COMPLETED WHEN
OW`N7ERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I h tr(5 a lti L/ F c?tj cer .as OwnertAuthorved Agent of subject property
Hereby authorize D A'7r4 E c."i!/4�c,i�i�':s CC) T c'
hi to ac!on
M}°}tghgil;in all matyets relptive to work-authorized by this building permit application.
9 / .- i I/t.3-/
Si tune of Owner Date
SECTION 7b OWNERIAUTHORIZED AGENT DECLARATION
,as Owmer/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 Imom ledge
and belief
Princ / /
--tli r `-� '^''�-- t
SignXtreofOwner/Agent Date
NO.Of STORIES SIZE z «
f3ASENUN r OR SLAB IV 0
SIZE OF FLOOR TIMBERS 7 KICY 1 1 2 3RD
SPAN /6.,
DM"SIONS OF SILLS Z X 4—
DMUiSIONS OF POSTS
DMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION /rte yL' + v TI•ICKNESS
SIZE OF FOOTING —TJ 7C
MATERIAL OF CBDANE
IS BLgLDING ON SOLID OR FILLED LAND t !)
IS BUILDNO C01WC"IED TO NATURAL GAS LINE
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)
r
ignature of Permit Applicant
Ize-49
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector
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****************- ****
APPLICANT Che-1 S 7`w h el! 1C-)(e,,- PHONE
LOCATION: Assessor's Map Number PARCEL
SUBDIVISION LOT(S)
STREET-! G Q,f I A L- A(9-- ST. NUMBER�2-„-�
******OFFICIAL USE ONLY(*
RECOMMENDATIONS OF TOWN AGENTS:
CONSERVATION ADMINISTRATOR DATE APPROVED
DATE REJECTED
COMMENTS
TOWN PLANNER DATE APPROVED
DATE REJECTED
COMMENTS
FOOD INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
SEPTIC INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
COMMENTS
PUBLIC WORKS-SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR DATE
Revised 9197 jm
ENERGY CONSERVATION APPLICATION FORM FOR
LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS
780 CMR Appendix J
Applicant Name: ✓ S'I c �t�_" ( J C� Site Address: Z,sem C"1``"`"v f',�$<
Applicant Address: City/Town: A' j�14-ft /��u ;)ciVg rL�
Use Group:
Date of Application: _ r / 6 ,
Applicant Phone: 2- —55 Applicant Signature: s
Compliance Path(check one):
M Prescriptive Package(Limited to 1-or 2-family wood frame buildings heated with fossil fuels only)
Package(A through KK from Table J5.2.1b): Heating Degree Days(HDD6,)from Table J5.2.1a:
(For items d. through i., fill in all values that apply from Table J5.2.Ib:)
a. Gross Wall Area sq.ft f. Wall R-value R-
b. Glazing Area' sq.ft. g. Floor R-value R-
c. Glazing%(100 x b_a) % h. Basement wall R-
d. Glazing U-value U- i. Slab Perimeter R-
e. Ceiling R-value R- j. Heating AFUE
0 Component Performance:"Manual Trade-Off"(Limited to wood or metal framed buildings only)
Climate Zone(from Figure J6.2.2) Zone 12 [Q Zone 13 0 Zone 14
Attach Trade-Off Worksheet from Appendix J, [and HVAC Trade-Off Worksheet,if applicable]
0 MAScheck Software
Attach Compliance Report and Inspection Checklist printouts
[] Home Energy Rating System Evaluation
Attach Home Energy Rating Certificate(HERS rating score must be 83 or higher)
0 Systems Analysis OR Ej Renewable Energy Sources
Attach Mass Registered Architect or Engineer Analysis
ALTERNATIVE FOR ADDITIONS ONLY:
a.Gross Wall+Ceiling Area sq.ft. b. Glazing Area' sq.ft. c. Glazing%(too x b=a)
Q ADDITION with Glazing%(c.)up to 40%may use 780 CMR Table J1.1.2.3.1 below:
MAXIMUM U-value MINIMUM R-Values
Fenestration' Ceitin ' Wall Floor IBasement Wall Slab Perimeter Depth
0.39' R-37 R-13 R-19 R-10 R-10 4 ft
1 Glazing Area may be either Rough Opening or Unit dimensions.
2 Based on NFRC listing. Applies either to every unit,or to area-weighted average of all units.
3 R-30 ceiling insulation maybe used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area
(i.e.-not compressed over exterior walls,and including any access openings.)
W "SUNROOM"addition(greater than 40%glazing-to-wall and ceiling gross area)
Attach"Consumer Information Form"from 780 CMR Appendix B.
Official's Name: Official's Signature:
Application
ApprovedEl Denied [ Date of Approval/Denial:
Reason(s)for Denial: (provide additional details as needed on back side)
d
CONSUMER INFORMATION FORM-"SUNROOMS"
Massachusetts State Building Code(780 CMR,Appendix J, Section J1.1.2.3.1)
N
The Massachusetts State Building Code(780 CAM) includes provisions to ensure that houses and
house additions meet energy efficiency standards. This supplemental CONSUMER INFORMATION
FORM is to be filed as part of the building permit application when a builder/contractor or homeowner,
constructing/installing a house addition with very large percentage of glass to opaque wall, seeks to utilize a
special energy conservation exemption option for "sunroom" additions to an existing house (780 CMR,
Appendix J, Section J1.1.2.3.1). This FORM is not intended to prevent a homeowner from selecting a
"sunroom"of any size,configuration,orientation,form of construction or percent glazing,but rather is only
intended to assist homeowners in becoming aware of some of the important energy conservation and year-
round comfort considerations involved in selecting and utilizing a"sunroom"addition.
The connection of "sunroom" structures to residential buildings may create comfort and energy
consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In
the selection and construction/installation of"sunrooms", included below is a non-required, open-ended list
of product . and design considerations that a homeowner may wish to consider before actually
constructing/installing a"sunroom". It is recommended that consumers carefully review these options with
their designer, builder, or contractor, in order to minimize potential energy consumption and/or house
discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired
are important considerations.
PRODUCT AND DESIGN CONSIDERATIONS RELATED TO"SUNROOMS"
• Solar Orientation and Natural Shading
• Type of Glazing
• Insulating value
• Solar heat gain
• Frame materials
• Glazing to frame sealing and gasketing materials/seal durability and/or
weather tightness of the sunroom
• Adequate ventilation-Operable windows and fans
• Applied Shading Systems
• Insulation level in floors,walls,and ceilings
• Possible Sunroom isolation from the main house via a wall and/or door or slider
• . Heating and Cooling Methods: Efficiency,Zoning and Controls
Homeowner Acknowledgment
The Massachusetts State Building Code, Section J1.1.2.3.1, requires that the actual property owner(not the
owner's agent or representative)acknowledge receipt of this CONSUMER INFORMATION FORM prior to
issuance of a Building Permit for a project that includes "sunroom" additions to an existing residential
building. In accordance with this requirement, the undersigned hereby acknowledges that she/he has read
the information in this document concerning sunroom comfort and energy conservation.
Signature of Actual Building Owner Date
CoI�
Print Name Address of Permitted Project
TY '73-3- s R,r
Owner Address(if different than project location) Owner's telephone number
41 1 Y 86
fcc
Al
OLAy 42;, ;p
fl
�OT 9
2 1.0 5,35 S.F
C.jR-,4- 1,7 -?r-
lp
1"g
11 '/� L1 ��0�`j� J� �' L
r
oa
Y aa
N m W
N G
4
New Walls
Existing Deck
Existing Sona Tubes
v�
•r
d T�
c
Existing Conditions
U 1m=
r�J ka I�
(1). 6'-8'x6'-0' w
Owner Supplied
French Door
17ZY
-Q1 Anderson 40000
A Series CN"c5 � A
Owner Supplied
Skylights (2) ` (3) New 12'
Reuse Existing Sona Tubes (Typ)
Slider Door
(- 7 f-
16' I I I Proposed Deck wo
(n �s
9'-7' �
Proposed 3 Season Porch _ 5a
a�a
Anderson 400
Series CW35 Anderson 40000
Series CN25 �a
Proposed Renovations
WYP
SCALE: 1/4"=l'
r
I. I
` I
- -
Q
rom
ru
Q - -
- -
m
X
In
3
lD
� I
I
N
Cf
D
r
rI
II�
DEILACYA.MCONTRACTING CO. Cris Towler SrALEE 14-
A ,
31 QUINCY SKEET 125 Colonial Ave DATE: 8/9/05 EV:
NASHUA NH. 03060 N. Andover, MA 01845 DRAWN BY: Nlehele
603-882-3312 1-978-725-5567 DESIGNED BY.
i
�I
r-I
x
3
m
rn
C+
3
VJ C
N
Q
m
'V
m
m
rD
Q
O
x
Ln Ln
C+
3
N
9+
3
C
IN
c
I'D
a
r _
m
II�
DIZLI�AG( iTTA C.O°I TINC.i- CO. Chris Towler SCALE: 1/4'=I'
31 QUINCY 5REET 125 Colonist Ave GATE:B/9/05 ;,.V; '
NASHUA NII. 03060 N. Andover, MA 01845 DRAWN BY: MI.W.
603-882-3312 1-978-725-5567 DESIGNED BY.
i
o0
3
N O O
Cross Section A-A
From Sheet 1
2 Exposed 4x8 Fir Beam
Collar Ties Approximetely
412 Pitch 5 1/2' ❑C
2x8 Rafters @16' On Center, Sheathing
Skylight to be 2x6 Tongue and V-groove Decking
With V-groove exposed to Inside of Room,
2' Styrofoam Insulation, 5/8' CDX Plywood
Sheathing, Ice & Water Shield
---
Over Entire Roof, Shingles to Match ao�.
-- Existing as Close as Possible.
Aluminum Drip Edge U c CIO
Support Wall Under 4x8 Exposed .Fir Beam Rafters @ 3 on Eaves and Up Rakes
New Rafters C2x4's 16' ❑C>
1x6 Tongue and
V-Groove Cedar Boards
on all Interior Walls Continuous Soffit Vent.
and Ceiling Size of soffit, facia, and Rakes
To Match Existing
Owner Supplied Mahogany
Deck Boards Over Existing 2x4 Studs 16' ❑C,
and New Floor Joists with 1/2' CDX sheathing
Insect Screen Stapled to Owner Supplied wall Insulation
Top of Joists Before New
Decking Is Applied
Porch Floor Line
2x10 ressire Treated
Joists 6' On Center
6
Ledger Board Attached to House
with Lag Bolts 16' On Center
C.?
Ci, ti m
Typical all New
12'Concrete Filled
Sona Tubes Ground Grade �a
4' �1
C)
4
SCALE: 1/4"=1