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HomeMy WebLinkAboutBuilding Permit #373-11 - 16 CARLTON LANE 11/2/2010 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: — I Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Cv Car I-6ti i-.v C ./L/ c,u e-, c' i Print PROPERTY OWNER h ri 5 h.e.,r 73� rYly rD kq / Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building )dOne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑tSeptic U'W,41 O;Floodplam ❑Wetlat ds D Watershed.+District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Re 12 6se-iAl 4 Ko G � Identification Please Type or Print Clearly) OWNER: Name: S rNl vrd 4k Phone: 7� 2 S�' ►Z�j Address: t L C-4Iz C -Fc Ai LAWlE Vd :Ver CONTRACTOR Name: It(Z Ail S d tik Phone: - Z Z- 6i t S Address: ��`��� � c�y im/ (i, ym A Ci � I Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: ' Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ e- + S 0 FEE: $ :2 i Check No.: Receipt No.: NOTE: Persons cont acting with unregistered contractors do not have access to the guaranty fund ature Signature{ofcAgent/Ovvn a Sign _of�contractor Locatiory/t/ No. Date NO�Th TOWN OF NORTH ANDOVER f � D Certificate of Occupancy $ su„u9 Buildin /Frame Permit Fee $ _ D ` s, st Foundation Permit Fee $ i Other Permit Fee $ TOTAL $ Check # 23642 Building Inspector J - Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ I TYPE OF SEWERAGE DISPOSAL Public Sewer ElTanning/MassageBody Art ❑ Swimming Pools El Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS I _ i CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS f v Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments j Conservation Decision: Comments Water & Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: j Located 384 Osgood Street FIRE DEPARTMENT ',Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS i L Dimension Number of Stories:_Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: requires ELECTRICAL: Movement of Meter location, mast or service drop q ires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine For department NOTES and DATA_ use 1 i I i LI Notified for pickup - Date Doc:.Building Permit Revised 2008 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 rs Co m Affidavit davit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified 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) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit 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 ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit 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 j must be submitted with the building application I Doc: DOC-Building permit Revised 2008mi i NORTH ovm of And 373 o2a �� _ -_ (10 LAK -0 dover, Mass., �� • Z • � V COCMIC.E.CK ADaATED p'? C5 S ` BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT L. 1 ►` r BUILDING INSPECTOR ..........�.�t......h.L..t...W ................................J. .. ............ ........... ........................................ Foundation has permission to erect........................................ buildings on .......(A.e.ulir4....... ...............!1?!!1!!................... Rough t0 be occupied as........... 7''........ .............. ... Chimney �...... .. . .. . . . . . . . .................. provided that the person accep mg this permit shall in every respe conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC T TS Rough ....... ................................................................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA. 02I11 www.mass.gov1dia Workers' Compensation Insurance Affidavit: Builders/Contrac>fors/lElect ricians/JPliumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): (1' L)0 ke 1 V Ci//1 6,,-4 Address: CA4-mac. -DVu LA-gvc City/State/Zip: /V �I�U kav-ee— Phone#: r Z 57 ly ^90 Z q Are you an employer?Check the appropriate box: Type of project(required): 1.❑ 1 am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).' have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet.? 7• ❑Remodeling . ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. ❑Building addition. [No workers'comp,insurance 5. ❑ We are a corporation and its • 'squired.] officers have exercised their 10.[]Electrical repairs or additions 3.M 1 am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers'comp. c.152,§1(4),and we have no 12.[4Roofrepairs insurance required.]T employees.[No workers' + 13.[ Other comp.insurance required.] �dU�SGt✓vr�P� *Any applicant that checks box R must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. X do Hereby certif un r the pains andpen ties ofperjury that the information provided above is true and correct. signature: Date: Z Phone#: 5y 2—!7 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: f NORTH TOWN OF NORTH ANDOVER OFFICE OF 00 let 9 BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 �►' ,;,;A North Andover Massachusetts 01845 SS�cauSEt Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: 10-29-10 JOB LOCATION: 16 Carlton Lane Number Street Address Map/Lot HOMEOWNERChris Murphy 978-258-8029 978-621-5695 Name Home Phone Work Phone PRESENT MAILING ADDRESS same City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to 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 HOMEOWNER 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 structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances 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 North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. ,,/' HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL Revised 10.2005 Form Homeowners Exemption BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 VOrtlipoint ov � Sure ,S"errlices � 180 cater sZrvet ffaverh29 &4 01830 ' /978 -972-0895 APPROXIMATE EDGE OF POND I POND PROPOSED 10'x12' DECK INGROUND P 000 POOL ri .I I! iII PROPOSED 12'x12' SUN ROOM TO BE BUILT ON R=25.00' EXISTING DECK / L=28.81' /T EXISTING 2 TY DWELLING / #16 1 Ul r ZONING DATA CL O REQUIRED SETBACKS z FRONT = 30' `3S9 9>• SIDE = 30' REAR = 30' o ��tp�tN OF PROPOSED BUILDING PERMIT PLAN co GREGORYy \oo, 16 CARLTON LANE L NORTH ANDOVER, MA. 80 EN H i�34610 AAS°E S. ONP. PREPARED FOR: wv EDWARD MCINERY, TRUSTEE OF GF REALTY TRUST DATE: NOVEMBER 23, 1999 SCALE: 1" 40' JOB N0: 2884 1vort Point c./v Survey S'eMice.S 180 Kater Street hTaverhig Mi. O>830 1978,)-37Z-0835 APPROXIMATE EDGE OF POND 12>• POND ra poNo ,yam . y ?8398. Ak PROPOSED 10'x12' DECK 04 INGROUND P 000 POOL i PROPOSED 12'x12' SUN ' ROOM TO BE BUILT ON / R=25.00 EXISTING DECK L=28.81' 1 EXISTING 2 STY DWELLING #16 I r ZONING DATA O REQUIRED SETBACKS Z FRONT = 30' 3S9 g). SIDE = 30' REAR = 30 0 �7 PROPOSED BUILDING PERMIT PLAN �o���pV`H OF 414��9cyG \?o GAEGOAYo- 16 CARLTON LANE BOWDEIr NORTH ANDOVER, MA. #mlo. H aaslo - Aq�FES aNPy PREPARED FOR: NV EDWARD MCINERY, TRUSTEE OF GF REALTY TRUST DATE: NOVEMBER 23, 1999 SCALE: V* = 40' JOB N0: 2884 BMW0FF18 rRE'VEWWRB1IAT11M527C 2,a.'f pe"Idt NO. — ::7 OCCUPO7 Fees Checked .� APPUCATIONFOR PERMITTO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WRH THE MASSACHUSSTS M.ECTRICAL CODB,527 CMU 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat�1/ / S Town of North Andover To the Inspector of wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number)/� Owner or Tenant Owner's Address xy Is this permit in conjunction with a building permit: Yes No D (Check Appropriate Boa) Purpose of Building /",-,4• Utility Authorization No. Existing Service Amps Volta OverheadUnderground No.of Metera New Service Amps..../ Volts Ovedwed Underground No.of Meter Number of Feeders and Ampacity Location and Nature of Proposed Electrical work 1�ue!r!y/✓ /�i�i 1 i✓ �ij/Z " /�/�u! ,�,��'/f/�sa Na of Uandm Ostlsb Na of Ho! Tube No.of Tnnarmn Told Na of Uahtitta F Uma (? Swimming Pool Above Below KVA ri Oerwrstae KVA IfOundand No.of Receptacle Ou" r-. No.of OU Bunxn No.of Emeraeocp UBhtlni Battery Uoin Na of Switch Ootleu No.of am Bortaars No.of Randa No.of Air Cont Told h"Bt6 ALARMS Taus No.of 7.oros Na of Disposals Na of Hast Total Told No.of Dewcdoa and Pa Toes Kw lnidadna Devieft �••�® No.of Dishwuhen Space Ana<Headna Kw Na of sono ft Davie" Na of Sell Cw wrad No.of Dryers Hestina Devices Kw �darjgou fa Devkes `�' nNo.of Water Hester Kw Na d No,� � Cotatecdorts Orhsr sins Ballasis No.Hydro Massae Tube Na of him Total HP } OTHER' hBt�t�oeCO�l�Asamtbltert:}>:erebafMarrdars�f�msll� ltmeacL=tLJdft1vL==FbftmdAV )orr#* dril1A*d r WgiiV*t YES Q l gsubrrAdvatdptmrdtls=bheamen Y>� ,; NO 1[youhtnett>DdoerlYlKPk=k**1e NMJRANCEf7l "V[3 am wadcioSmt //-1,7--o s Eftn*dValxdEhWWwakS gvvdtn�r�teltmwofpajtiy. Ir> e�OrrpotiRe4�led Ragb Arr VMNAUE LizwNa iCa1®e__ ✓%Ji�IC.� /t:Ii2L//_ ;1r= � r'/-•��%//YA��'/�% Zkshea TKNa fur // � 'i;f S 1!!✓ilt �iJ/cr.' �:'�y `%i,��: � AM,IamawnthrtlheI!ml� owrmrslrlsURAN�w At1a.Na L__ef— ;�'�•.Ser ii arddtrtnprsr�taaemd6pea»'t vrsitetthitraW eterernloed ��tr�dale�,;�a�rcaate�;t�dby c Iowa (Please check one) Owner Agwmlt Telephone No. PERK,FEE 29 NORTH MAIN STREET, IPSWICH, MA 01938 (978) 356-0467 FAX (978) 356-1024 November 30, 2005 Chris and Kristine Murphy 16 Carlton Lane North Andover MA 01845 RE: Additions and Alterations, 16 Carlton Lane, North Andover, MA Lintel Design, Exterior Slider Dear Chris and Kristine: As you requested, I am enclosing the computer calculation for the framed header over your sliding door unit. You'll see by the "Status" line that the doubled LVLs will suffice under full design load. Please accept this letter as my certification that this construction is sound and Code compliant. I enclose a copy for the files of the local Building Inspector. My best ishes for the holidays to you and your family, DAVID MEHLIN, AIA enc: BeamChek Calculation (2) The Ipswich River Group, Inc. 6224 Date/ �?... .. NORTH "� TOWN OF NORTH ANDOVER PERMIT FOR WIRING s' • . SAGMUS This certifies that ` KI . !`.....fi r ......... . .............................. has permission to perform ............................................................................... wiring in the building of.... ............:...............;.......... at...14....... � 41. ,North Andover,Mass. Fee'.�.�................. Lic. Check ELECTRICALINSPECTO/ # `-� / DffVaM®VP0FP[1ffiJCSAF= Permit No. � Ba4RDOFFMPREVFNIIMRFovL471)V1tSSt7( g,a,,o c pancy&No Checked .. APPUCAHONFOR PEff TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WrM TM MASSACHUSSTS E1.15C RICAL CODE,527 CMH 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number)�� Owner or Tenant Owner's Address is this permit in conjunction with a building permit: Yes[Z No 1:3 (Check Appropriate Box) Purpose of Building 1.2eo ll o G Utility Authorization No. Existing Service Amps./Volts Overhead Undecgtound C3 No.of Meters New Service Amps Volts Overhead Underground C3 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed 0ectrical Work /?uUG N IL /=lei r//✓ /,L�/lZ�' &W Na of Lighting Outlets Na of Hot Tobe No.Of Tnrraxmm TOW Na of Ltahting Fixtures G swanning Pool Above rJ Below rl cam sit t KVA sround ground KVA Na of Receptacle Outlets Na of OU Btunars No.of Emergency Lighrtirrg Battery Units Na of switch Outlets No.of Oas Burners Na of Rename Na of Air Coad. Total FIRS ALARMS No of Zonis-- Tara Na of Disposals Na of Had TOW TOW Na of Deleetion and POTM Toms KW Initialing Devices No.of Dishwashers space Ary Heating KW Na of aweitlmg Devicaa Na of self Contained No.of Dryers Heating Devices KW �De'cti � o No.of Water Heaters KW Na of NO.Of Connections sbrA Bailasis Na Hydro Manage Tabs Na of Mowrs TOW HP + OTHER• hUar MQWWg PlrsintbfetacFimnbatMtsdase�QeamlL�s ]hareaamwLxb8yhasnelb1Lysdtd 0r%ft orbsttl�lYa�igtQY Y84 rp lhnesuktnrbdveidpioafdsarnebtre0�at Y$9 ayauhatedredmdYH4,ttah&ftft%1ecfwwagby diechgale GT XM 0 0m C7 Wakow -d s hFaC11131DOgMailed Ragh Etitrneb,Vakzdl dwwclk$ 9gvdurds PnftofpeJW lkid r I�tMNAMB [i Na � S�'0s1D i:ioenaeNo �,��F/11 BusittllsTdNd Ad2w !7�/� SC7yA/Z� S�LX /rA 0/ �J awrmt'SIIVSURAI�wA1VIIt;IarnawaefsttleLr�hs �Iheigtanoew�eageariDrs.>blllrsill ALT>iNa ? ?ti'D ser ardnrtrrryso"cri�hit,pmrfteppla�„ I;,,equi,enat «l casra}�dbY gbca�ILaws (Please check one) Owner Agent Telephone No. Signalm 311 Ow or Asums FEE I '.r!t'�a lin euma 11'0r�fi 3 k I > � � �^ 1 "Ez°� 4* S r 3 �Y f t� 4� d•`4�"R�,eysc �hv`� ; wwmp y a�;;+5+ +L3$,,.�¢' �t^4ta t ¢y+'��*,�,i#.:r s�';•$4 s� � T'� k 1 1 �S - s y`. r x. 19 - en''�'4t Z31, U q. pg 50, �4r. .s.. � El 4 � t s 't � n' "YE, ;���px— •`��� +�- 4+`a+ ,. 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MP 1 "r�.z`'rs" .;�-`e•4M r 6 ..�tr'u�q�.�a :'`P"r. �' '<-�; .' ;t:. ,.. ..♦t�� -may`{ :, .. �"...yx3f11wY."lL .i�� S :PA �� ?yy � -.:� 31. 4 �' M4� T Nk, � ,i', -'Y.�. .,•f'J ,r 3' r t _ y � Cr 'k ,n.. ".; i..�' �n7 r�+�, ..;�ai+�l-. �5� �' 4'M'. �,".t"«a'�•�a-,� �f s ,� '�, a'r.y.. •, ..Y ., x •ff+, P a',�Y::..sa -E"l+k: ++�...: s.'•... ;:'` sl ..::v:.r ,. y ,:,w�^ -,3.-.:nfm+ �'.."�' � Al, fi' g•ee,,,„�,*a+"*6 -:L.«.. M� <ad f;;, "°� *.. ,r'� ..f' � y.. _t z•3t �,� _ 3 s. r� ra g!3', ' a 3: t't.F 3 '*>ar zrm. *�F7"'°tiz„•".,:� _y �.. Date. . . . .. . ... . . . . . . ... . . f HpRTM o� °'° TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION SACHU6 This certifies that . ' : .I�-- . ' has permission for gas installation . � � 0—v. . .,�. . in the buildings of `. t4,L'4 . .. . . . . . . . . at /. . . � -., North A �dover,,Mass.. ,Fee C.c0Lic. No... 7? — �,�..'71t'.,Q.�l��,.1� � GAS INSPECTOR G% 'Check# 5649 MASSA SErITIS UNIFORM APPLICATON FOR PERM TO DO GAS FTrnNG (Type or pri ) Date� "� NORTH A DOVER,MASSACHUSETTS Building Locations ` Permit# Amount$ , Owner's Name New \enovation ❑ Replacement ❑ Plans Submitted ❑ C� x w U904 � C4 0n W W 04O O F4 x x z o H `" x z o z w w p z > d Gw w w a a w w w U C z e w a �" w > w z a o °o w x o x w o 3 ca a U a > a a H o SUB -BASEM ENT B A S E M ENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6 T H . F L O O R 7TH . FLOOR 8TH . FLOOR (Print o`r�tyge) � � S � eck one: Certificaxe Installing Company Corp. Addres� �»`� ❑ Partner. Business Telephone q1 1'� Q ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Chec one: I have a current liability Insurance policy or it's substantial equivalent. Yes No❑ If you have checked}_es,please indicate the type coverage by checking the appropriate box. Liability insurance policy91 Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ i hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Mass is State s Code and Ch �terI42�of the General Laws. ❑ By: `Z J Signature of Licen d Pluy�be;O�r G�Fitter Title Plumber J City/Town Gas Fitter License Number Master APPROVED(OFFICE USE ONLY) ❑ Journeyman Date. . OE M6RTM ,� of TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION S^CHUSEt This certifies that . . . . ...`'. . . . � . . .`.. . . ....•. . . i has permission for gas installation . ! ��`-r-�. . . . . . . . . . . . . . . . . . ,fin the buildings of .`'`j.r�``'`'� . . . . . . . . . . . . . . . . . . . . . . . . at �`. . . . . �. , North Andover, Mass. Fee.` . ... . . . Lic. No. /f?ay9 . . .���'�'',. �, . . . . . . . . GAS IN.S E R Check# 4633 W SSACHUSEM UNIFORM APPLICAT�l N FOR PERMIT TO DO GAS FITTING (Type or print) Date 4140Y NORTH ANDOVER,MASSACHUSETTS Building Locations Permit# 1 Amount$ Owner's Name kr�s{��ker S Vyl,rrr� New❑ Renovation Replacement F1 Plans Submitted ❑ W W vl cn Cn U z H w W a o U o H x x z d a N z z a H W a0i cC4 xw O xZ ow a A c7 a O O Ox Vi �va z ° c 94 z ~ oz z o o GU H E�w-,q xHa O [7T B -BASEM ENT ASEM ENT T . FLOOR :1- D . F L O O R D . FLOOR H . F L O O R H . F L O O R H . F L O O R H . F L O O R H . FLOOR Name or type) R � ��� A�S � ,v�vC� Check corp Certificate Installing Company �l� Address r C `�n Q C Partner_ Business Telephone Cl r7&I _ A W—6'.'',•ff 1� Firm/Co. Name of Licensed Plumber or Gas Fitter 1 l hGt.►` r S(a,00CAJ t) b) a INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 0 No® If you have checked}_es,please indicate the type coverage by checking the appropriate box. Liability insurance policy E] 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 Lner4l-Laws, d t 4 si ture on • permit application waives this requirement. l! Check one: Signature of wne or Owner' Ag�t Owner Agent E i hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in 0, compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter In of the General Laws. Signature of Licensed Plumber Or Gas Fitter By. Title Plumber l C y City/Town Gas Fitter License Number Master Journeyman APPROVED(OFFICE USE ONLY) Date. . �. . . ./—? ,Z . . .'. .r "oRT: TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ' ,SSACMUS� /Q 4 This certifies that . . ... . . . . . . . .". .. . . . . .n. . . .. . . . . . . . . .. .!. . . . . . . . . . . . has permission to perform .. . . . . . . . . . . . . . . . . . . .. . . .� !r plumbing in the buildings of . . . . . . . . . . . . . . . . .l at . .. .. .�". . . . . 1?. . .. . . . . . . . . . .:North Andover, Mass. o P/ ,/ Fee. /. . . . . . .Lic. No... . . . . . . . . �%a . . . . . . . . . . . . PLUN4 N6 INSPECTOR 2a6� i vv Check # �✓ �- 5899 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) ) NORTH ANDOVER,MASSACHUSETTS Date Z 12I0c� Building Location Owners Name �1ros-6 f I-er fAUT�Ir Permit# 77 Amount D� Type of Occupancy �� �LIV• ����� New Renovation ® Replacement Plans Submitted Yes No ❑ FIXTURES Cr 7 H f~ a Cn a a c � W w x o a a g x w x SZ.B)�4VIC BASEU SII' 2 II IHS" Z 2- 3M H"3Id1)HIOCIi 4M Hi" 5M)HHL1Ci2 6M HfM 7M Hi" SIH FLOOR (Print or type) (� f Check one: Certificate Install ng Company Name 1 l 1 Choy c1, fi r S'c'_nicL j tom-- I��u n b .y 4 D Corp. Address al:�t cor,eLL Dig. Partner. Business Telephone J 517 6 r R a3l_S 93 c5 Firm/Co. 1 pp nn F Name of Licensed Plumber: R t cw r'ti� Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ❑ Other type of indemnity El Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above thre "ns nce Signature Owner ® Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the MassachttsQState Pmb-i�n Code and a ter 142 of the General Laws. By: igna ure oil onsen Y1 Q ' •a t.� Type of Plumbing License Title � a D-4 �, (� City/Town Mense um er Master Journeyman ❑ APPROVED(OFFICE USE ONLY r 4 � t,� Date.....31 O.4 t NORTH, 3?°•_,�`` ;`_�."�O� TOWN OF NORTH ANDOVER PERMIT FOR WIRING US This This certifies that ... ...................................... ..................... leas permission to perform ....... ..................... wiring in the building of............................................. l .. ........ .......................... } at../(:O; Cu lilfdi Z—) North Ando�ef Fee.4 �...�.�.. Lic.No�.17 w , aP C LECTRICAL IACTOR Check # '✓` 5069 J Commonwealth of Massachusetts official Use Only No., MDepartment of Fire Services jPetmit No. Occupancy and Fee Checked _" BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99 leave blank APPLICATION FOR PERMIT �Vas! RFORM ELECTRICAL WORK All work to be performed in accordance with theusetts Electrical Code(MEC),527 CMR 12. 0 (PLEASE PRINT IN INK OR TYPE ALL INFDate: 3 p To the Inspector of Wires: By this application the undersigned 'ves notice of ms or her intention to perform the electrical rk descrilM below. Location(Street&Nu ber) -7&�/ Owner or Tenant1 V14 j� �J Telephone No. Owner's Address 1✓ , Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appro nate Box) Purpose of Building 2�e S Utility Authorization No. Existing Service ®G Amps /Z69 /49i9 Volts Overhead Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity OL Location and Nature of Proposed Electrical Work: Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Futures / Q No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑ n- ❑ No. o Emergency Lighting rnd. grud. Battery Units No.of Receptacle Outlets 5 No. of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.o Detection and Initiating Devices No.of Ranges No. of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/AlertingDevices 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 KW No.o No=Or-Data Wiring= Heaters Signs Ballasts 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. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability i surance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cove ge is in force,and has exhibited proof of sa e to the permit issuing office. CHECK ONE: INSURANCE' BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Ele ri Work: ! (When required by municipal policy.) Work to Start: 71P Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under the pains a d pe allies o per' ry,tJat the information on this application is true and complete. FIRM NAME: i4 dztz:-) LIC.NO.: Licensee: Signatur LIC.NO.: (IraPPlicab ertEer exe t"in the lice nt vlt I) L ��� Bus.Tel.Nod f/c Address: Alt.Tel. No.: OWNER'S INSURANCE WAIVER: I am aw r that t e Licensee does not have the liability insurance coverage normally required by law. By my signature below, I here waive this requirement. lam the(check one)❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. Location /`- No. /6 Date NORTh TOWN OF NORTH ANDOVER 0 • • `A ` Certificate of Occupancy $ s'��M�S<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 13 7 l7 J Building Inspector I TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. DATE ISSUED: aw Z4 ? 1 y 3 t � SIGNATURE: Building Commissioner/Inaxctorbf Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: !� C`orltGn L.n d-I A Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: %, o Zoning District Proposed Use Lot Area(sfy Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Re44Uired Provided Required Provided 1.7 Water SupplyM.GL.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record Name(Print) Address for ServiceL4-P : oo-(a3 0 a Sig ture Telephone 2.2 Owner of Record: Name Print Address for Service: �•z 1 r+ti Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ Jesse SZawg LiccnWd Construction Supervisor: Li S ? O e�4jLicense Number Addre�s t� U3 (j A� r 1 Expiration Date ic Sig lure Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ hTvc6WI) Q F oy le 1 3 ��? l y Company Name M Registration Number r. aU Q�1c>;lire. S"C Tna�cln�7��e.` �.,.�-i '��,�off- 1® Address I Expira tion Date z^ Si nature Telephone Y♦ 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 building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: '�; Su'_"0rn Sun �aw-) It;n- c.rP also 'X\�' rt SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee —7 U b Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a) X(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 00 0 Check Number SECTION 7a OWNER AUTHORIZAT ON TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUII,DING 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 SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, - %e S � FriCcifl pr&f" IPS 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 �`PSse StQ,1�,1e� Print Name Signature of O er/A ent Date i NO. OF STORIES SIZE BASEMENT OR SLAB RD SIZE OF FLOOR TD/MERS 1 2 3 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 4 FORM U - LOT RELEASE FORM INSTRUC T IONS: 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. AFFLICANT FILLS OUT THIS ScC T lON APPLICANT �QSSP 5ra��le.� PHONE (03-431-7 LOCATION: Assessors Nlan Numcer 1 b•7 4 FARCE_I SUfiDIVISION LOT (S) STREET JID (c%j tAbyn LY-% ST. NUMEE:c�(7 OFFICIAL USc.ONL - RECOMMENDATi NS OF TOWN AGENTS: CON—ERRVATION ADMINISTRATOR DATE APPROVED In DATE REJECTED COMMENTS I tI^/1/ ('v'C-- ��Q� �.vf� f AJ TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS 40) INSPE T0R " LT DATE.APPROVED GATE REJECTED C IIVSr OR-�iEALTH DATE APPROVED 2/�a�_ DATE REJECTED / COMMENTS /.1 PUELIC WORKS -SFNER/WATER CONNECTIONS DRIVE-NAY PERMIT FIRE DEPAR770EN7 rt RECEIVED EY EUILDiTIC a ..PES, i 04 CATE U� A R 12 2000 Revised 9�2 im BUILD;NG- DEI`AFFHAEN I 1Y fiwoint ov _ Survey Serrrices � >80 mater Street Xaverhig Mi. O>830 �998�-37'2-0895 APPROXIMATE EDGE OF POND POND � rye• � 4' PROPOSED 10'x12' DECK INGROUND P 00 POOL r ,I i PROPOSED 12'x12' SUN R=25.00' ROOM TO BE BUILT ON \ L=28.81' EXISTING DECK EXISTING 2 STY DWELLING #16 r o � C) � 0 ZONING DATA Z REQUIRED SETBACKS FRONT = 30' '3s9 9;• A SIDE = 30' Na REAR = 30' ov? PROPOSED BUILDING PERMIT PLAN �o��`0�,IH of M4ss9cyG \?o GREGORY N o, 16 CARLTON LANE L. / NORTH ANDOVER, MA. BOWDEN ##610 Aq�R•ES_ O`iP. PREPARED FOR: ev EDWARD MCINERY, TRUSTEE OF GF REALTY TRUST DATE: NOVEMBER 23, 1999 SCALE: 1" = 40' JOB NO: 2884 i hJMTt. r• n RECEIVED JOYCE BRADSHAW TOWN CLERK NORTH ANDOVER NORTH ANDOVER O MCE OF 2900 MAR 21 P 12: 4 6 TSE Z0NDi G BOARD OF APPS-ALS \� 27 CF-421—ES S-17=--, !� NORT-HANCOVE2_y[ASSAC CSET-7S 0134- - - 1 F.42 (973) 63'-9_- 00 MWO .any appeals shill be tiled NOTICE OF DECISION t avve QiS Is w aid�t� m ��.wed within(.0)days alter the Year 2000 W&PAA VOt8a080 syprL UO due of filing of this noose Procerty at: 16 Cariten Lane ^'a in the office of the Town C:eTK. TtMC NAME. Edwnrd&Gail Mc!nerny DATE: 3/l612000 ADDRESS: 16 Cariten Lane PETITION: 003-2000 ' c North ,Andover.NIA 013-t_ FEARING: 3/14200o The Board of Appeals held a regular meeting on Tuesday evening, March 14. 2000,at 7:30 PN(upon the application of Edward fit Gail McIne-my. 16 Cariten Lane. North Andover. NLA. Petitioner is requesting a variance from the requirements of Sevion 7, paragraph 7.3 of Table 2. R-2 Zoning District, for a side setback in order to construe a 3-season sunroom with dec-'c and stairs.. The following members were present: Raymond Viver=o. Scott Karpinski.Ellen iv1cinnre& George Earley. Upon a motion made by Scott Karpinsid and seconded by EIlen tNlclirvm'-the Board voted to GRANT a dimensional variance for relief of a side setback of 3.7' in order to construct a 3 season sunroom with decks and stairs. In accordance with the Plan of Land by: Gregory L. Bowden, P.L.S.. 43-1610, Northpoint Survey Services, 130 Water Street, Haverhill, N A 01330, dated 12J1j/99. Voting in favor: Raymond Vivenzio, Scott Karputskd-Ellen'Mcintyre and George Earkey. 10.4 Variances and Amimis: The Zoning Board of Appeals shall have power upon appeal to grant variances from the terms of this Zoning Bylaw where the Board finds that owning to circumstances relating to soil conditions,shape,or topography of the land or structure and especially affecting such land or sttuc==but not affecting generally the zoning district in geaeai,a literal enforce:aent of the provisions of this Bylaw will involve substantial hardship,financial or otherwise,to the petitioner or applicant,and that desirable relief may be grMted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of this Bylaw. Furthermore if the rights authorized by the variance are not exc, ed within one(1)year of the date of the grant they shall lapse.and may be re-es=blished only a8er nauce,and a new hearmg. Furthermore if a Special Permit granted under the provisions contained herein shall be deemed to have lapsed alter a two(2)year period from the date on which the special Permit was granted unless substantial use or construction hu commenced,they shall lapse and may be re-euablished only atter notice,and a new heating. 4vo4theZoning Board of Appeals. Acting Chaun�•zn mUdecisions2000/7 HOARD OF APPEAJU 633-9`al 8CiL7[,ti'GS oS3-9:�5 CONSL'R'._.ai 0 f 633-9`30 FL•.=.L: 6L'-9f-tO PL XNI`G 64-):J: Registry of Leeds Northern District of Essex Count; Liwrence9 MH 41840 44i 12;44 Aj 1 int lyt41K 'i'it'tl Ihnm•i­ F I �/e �omvnwoacuea/,C�i o�✓�aaaac�ucael7a S BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR j t f Number: CS 075793 Birthdate: 03/24/1977 Expires: 03/24/2003 Tr.no: 75793 Restricted To: 00 JESSE B STANLEY 348 ASH STREET MANCHESTER, NH 03104 Administrator z_ FROM: The Flanagans FAX NO. 978 632 7797 Nov. 07 1999 06: 14PM R5 1, Ilse 111xlersignecl, the Owilcr of 111e 1)1opel-ly tit Z( hereby vcrity Ilial 1 11i1vC 1111111orizad Lf qL Ste -fin Profiles to ai)l)ly to 1110 n fluilclin�; Deli,1r1111C111 of the Cily of a./c!&,--���� City Stale I o 1101 as 118er11 obini,ling building hermil -Ind, nr nny zoning requirements needed to ohtnin 11ern1ilS. • CrG���r� i r�>r Aciclress (WOwner t)itic l ('9 Iti'1CHELE J.COPA IS,Notary Public ' My Commissi es anuall 2002 V • GTE�MLOMIjAVYRa -VwTIFI ATE '41 LABILITY INSURANCE 0C'12 PRODUCER., 603-669-45E7 FAX 603-669-4103 THIS CERTIFICATE is ISSI1E0 AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE :base 8 Durand Assoc, Inc. I HQLDER,THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 119'Wal nut Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Aanchester, NH 03104 COMPANIES AFFORDING COVERAGE COMPANY MAINE 60NDINC CO (HEIS) 1 4ttn; Ext: A INSUREI Amer;CSn Profiles Co. Inc. GC PANY 20 Elaine Street Manchester, NH 03102 CCMPANY G 1 G(Ci.1 P.arY � D _ r CCNEZkC�S .' THIS IS TO CE-RTIFY THAT THF POL.IL:IES CF INSURANCE USTEC BEL07•J HAVE BEEN ISSUEC-Q THE INSURED NAMED ABOVE FOR THE POLICY PERIOD I INDICATED,NOTrvfTHSTANDING ANY R?QUIRehIENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUPdENT WITH RESPECT TO WII:CH This CERTIF;CA-E MAYBE BE ISSUED CR MAY PERTAIN,THE INSURANCE AFFORDED Ev THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERNIS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN RECUCED BY PAID C_A,!HS, GOPOLICY EFFECTIVE POLICY EXP'i?.ATIOfi R TYPE GF INSURANCE POLICY NUMEER GATE(M&vD0,"I DATE(MM:CO:YYi LIMITS CENERALL'ABILITY GENEP'ALAvnREI_P.TS i 2,000,000] X f:,;NiuER(.iAL GENERAL LIABILITY PROCUCTS•COAtPrOP AGG 3 2.003.000 A CL"ISWDE X OCCUR SCP 31175921 03/C1%2000I 03/01/2C01 F`'SONAL&ADV'KJURY S 1,000,OQ:) 4'iJVck'S 4 GONT;;ACTOP•S F4CtT EACH 0,CURRENC"E $ i,00D.0010 F;RE DA:AAGE(Aly on51te, 5 �rOI fAEO Ex?:Any ox pe•Y.n) 5,0,0 AUTOMOBILE LIABILITY X ANY AUTO COMBINED':NGLE LIM7 S 500,��0 AL'-C'.VlJEO AUTOS BODILY(N1LIR:' 8 A SCHv01JLEC)A.703 SCP 3117591. X03/C1/2000 03/01/2001 (Pa,pg.Son) I HIREC AUTOS SCOILYIN!URY $ ! NCN-O'.'.`NEO AUTCS (Par eu�evlq I PROPER r(DANAGF E GARAGE LIABILITY AUTO ONLY•EAACCIDEN- :3 ANY AUTO OTHER THAN AUTO ON'_Y, ..EACH ACt."VE14- S .. . Ac-33REGAra S EXCES3 Lt.ABIUTY E.Y,H OCCURRENCE $ 1,00'x,OAC A X UMBRELLAFORN SCF 31175921 03/01/2000 03/01/2001 aG,REc TE S 1,Coo acO O OTHER T.KAN U}.18R_LL A F.RMt 3 A - WORKMS COMPS4SAT0N AND X TORN;.W TS ER EMPLOYERS'LIAMLITY A TC9 95568466 04/08/1999 04/0&./2000 ELE4„1IACCIDEN- $ 100.01DO THE PR^,r RIETO:;i X INCL EL 1:8EASE-FC_1C1'Lvrr $ SO0 PARTNF_R$'EEXEC!RILE OFFICE'..,&R; EX:L' EL DISEASE-EA EM2LOY7E 3 .10! ,0:.0 OTHER f DESCRIPTION Or OPERATAN5'LOCAT ICNSNEHiC.E$/SPECIAL ITEIAS 'AXED 978-921-8580 HARD COFY OF THIS TRANSMISSION WILL_____ HILL NOT. BE FORWARDED. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE A9CVE OESCRIBSO POLICIES 2F CANCELLED BEFORE THE J(PIRATION DATE THZHFX.THE 193UTA1•LOMPANY WILL ENDEAVOR TO MAIL 10 DAYS VJFITTGN IJOTICi 701.2 CERTIFICATE HDLDER NAMED TO THE LEFT BUT FAILUP.E TO MA;'-SUCH.VCT.C?SHALL IMPCSE NO 08L'.GATiON GR LIAMUTY OF ANY KIND UPON TNG C'GMPANY,ITS ACENTS OR REPRESENTATTIE3. A1jTHOR2ED REPRESENTATIVE ROBERT G. D*I.J;RAND VP 1CORQ:•25S(1I�5} 1. (9A�flR0 ��F'OiiATID:4.1483f `typical Deck and Rail Details 1 and 2 Family Dwellings If the deck you wish to build will be significantly different than the one duplicated, so inform the Plans Examiner. 514 x 6" cap 2" C 2" trim x 4' rail � i I ! A; � 2" x 2' pickets (max 4"opening) l� ! 7 36 4" x 4' rail post (ma-x 5' o.c. ) ' Exterior wall I I A—2' 14 ' rail 1" x 4" trim 514 x 6"decking Flashing \ ELEVATION 4"carriage bolt Ioists (I) Nouse band (2) t ' 1/0" x 6" carriage bolter ZI�L*-Two 2"x 10" 2"x 2"i° -r be ledger A fasten with 16d t Support columns (3) s. I ( nails 8"o.c.) i si "X. – orjoist hangers ll l \ /\��� � ,:rf .� `"%� •'i -moi � srcr.10H i-t Footing (4)Cn 00 1 %Vertical SECTION J�f Ineasuretnent L--' made at the ~ — leading edge of the tread 1) The sizing of load bearing members is based on lumber having an Fs(fiber bending)value of 1400 psi(pounds per square inch). Pressure treated lumber is required for the load bearing lumber and does meet this bending strength requirement. ,foists should not overhang a beam more than 2 feet. The most important issue is to provide for adequate support and connections. 2"x 8"may span 13'6" ) 2"x 10"may span 172" ) Spaced 16"o.c. (on center) 2"x 12 may span 21' f r 2) Fasten with 3/8"x 5"log screw 16"o.c. and three 16d nails per 16"space 3) Spaced 7'o.c. Dpical. Size determined by elevation or tributary load 4) 12"x 12"x 8"precast or poured block or sono tube(uninimum 2500 psi concrete) 2000 psf is presumed allowed soil pressure to determine footing si_e. 5) Open sides of stairs with a total rise of more than 30"above the floor or grade bolo%V shall have guardrails not less than 34"in height measured vertically fn-onn the nosing of the treads. 6) When risers are closed, all treads may have a uniform projection not to exceed I%';8%maximuan height risers, 10"mininnnn Trend exclusive olnosbir z Qj) LY 1z U)0 I a�I .,,..n e>C7Y�—� /.it �n Y��/ •l.w un a In j = %► r Iµn Iln Gu�1T.n.�":... ^,� _L'^^1.•Ic Ir•L 'In d ` I I7tnw��OOG' 1( �n 'S,vp'T, lr rdtna �fL+/�LlYor .'JNL N01__NY--Z; - r..rovs��•' :+vo_rcr sor.���� I��~ r• JM.�\•^t. 775 L onr_r. 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( DATE REVISIONS i DRAWN BY: DAVID CENTORBI CK'D BY: MEASURED BY: DALE: SCALE:NONE ROOF SPAN CALCULATIONS COOPER - - _ _ t3 LOADING CONDITIONS -- OVE LOAD....(PS . .._._.-_...._... ------- _ 47.00.... .. - DEAD LOAD p( s -- -- ----- - --- _ .. . _ .__....__.._.._.__..__ _� - TOTAL LOAD (psf) 48.00 — C _ MATERIAL SPECIFICATIONS FOAM CORE THICKNESS (inches) 4.25 —___._..._..._ FOAM CORE DENSITY (pro2,00 — E- (psi) _ 480 -- Fv (psi) _—.— G,; (psi) 620 ..... ALUMINUM THICKNESS _ ..._...._____ .(inches)._ 0.032 _... E----- (Rsii_ 10,100 000 D SECTION PROPERTIES -— C (inches) 4.25 -- - —.._......._.---. l_._. ---- --- (inches) 0.032 T2 inches 0.032 (inches __ 4,31 Al (Inches) �_._. 0.384 A2 0.384 E 'ALUMINUM WORKING STRESS (psi) 11,818 --- "-"" F Y (inches) _-- - 2.16 -- (inches) 3.52 S es) 163, - - ... (inch .. G (BENDING STRESS (psi) --- - - "" -------- - -- n= 1.SWL /S i 6,485 IS LESS THAN 11,818 H SMEAR STRESS - - s - Bending Stress is Acceptable (Pi)_ _ j -- F,= WU(H+C)12 5.72 k!SLEES`i_iHAN _ 35 Shear Stress is Acceptable SKIN BUCKLING STRESS (psi) _ - "' C� = 0.5(cube root E E G - _... )( )( �( �) 7,215 IS GREATER THAN 6,485 Skin Buckling Stress is Acceptable J ALLOWABLE DEFLECTION (inches) _ DEFLECTION= U120 "-"- `- ---- DEFLECTION (Inches) 0.98 ____ fS LESS THAN......... -- - 1728)/384EI+WC/4(H+C)G; 1.20 OBEIiT A Deflection is Acce table_' t City - .moi i • y TEMO SUNROOMS INC. 11/5/97 Page 2 Fhi TEMO SHIPPING 8102860410+265 P.03 ROOF SPAN CALCULATIONS COOPER i SPAN (feet) 12.00 LIVE LOA—�pst) • - -' DEAD LOAD (psf) 47.00'_..-._... - TOTAL LOAD (pst) --__... - 49.00 - TWvo One Pound Pound Foam Dimension- C (inch-es) '-- 4.25 Foam"— Foam Foam Density (pcf) — _— _ 2.0000 EC (psi). i _ 480 200 480 -- 35 20 35 G. (psi) 620 —300 620 T1 (inches) -- _ 0.0321 - T2 (inches) _ 0.032+ H (inches) - - — - _ 4.31 Al (inches) ------ -• -- - 0.384: A2 (inches)' - - _ 0.3848 E (psi) 10,100,000 _ Aluminum Working Stress (psi) Y(inches) j_(inches)4 2.16- S (inches)' _ 1.83 _.. ending Stress (psi) _.... - -...8.485 Shear Stress (psi) --- ' 5.72 - Skin buckling (psi) - 7,215 Allowable Deflection (inches) - - 1.Z0 Act -- --- _ - - - 0.98 ual Deflection (Inches) - ' -- ---r-- plow oil, r A _ C� Ll • Pre d by TEMO SUNROOMS INC. 11/5/97 Pagel i NORTIy ® o s :4 over 0 4:7t_'�f.� o dover, Mass., COCWCKEWICK % �RATED S �PG,��C� 1 4 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System geWW4 R dC BUILDING INSPECTOR THIS CERTIFIES THAT.........................................................�.... ItI. ....................................................... Foundation y has permission to erect...1A....)4 .............. buildings on .....�.� ...... A.R.� o:�.....tfd .. ........... Rough to be occupied as... CdSmN...�PG(A ri Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. Ptd VC #A &p3—a 000 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. /,� ��l Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO S S Rough ... .. .................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. fRSmoke Det. ..FF RFVFRRF oinF .Locations/, z,/ ;, �z No. A/ 3 Date - L p r+ NORT„ TOWN OF NORTH ANDOVER p Certificate of Occupancy $ Building/Frame Permit Fee $ f cNusEt Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ �f Building Inspector Gam_'✓`_r 7201 Div. Public Works PERMIT NO. / LJ APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. /PAGE 1 MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE ZONE l/ SUB DIV. LOT NO. I i LOCATION IY /Jfy�I� PURPOSE OF BUILDIN 0o,r- OWNER'S NAME p ) /�G�/S/Jv'f�[�yl�G NO. OF STORIES (- SIZE OWNER'S �yrl OWNER'S ADDRESS /Q/, /,'-[/��A,/ / fG� 1 �/��p� BASEMENT OR SLAB ARCHITECT'S NAME L �FI't/\ �/ /✓/_,2-5132-!/194/ SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME y�I=veso �r����eo /Q •-7 SPAN -- DISTANCE TO NEAREST UILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDIf ION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST �✓� U PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM 4 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY V ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED t 01 BOARD OF HEALTH SIGNATURE OF E R AUTHORI AG ��" FEE PLANNING BOARD PERMIT GRANTED OWNER TEL. 19 CONTR.TEL. - - CONTR. LIC.#-o BOARD OF SELECTMEN /� BUILDINIi INBPECTOR i BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY 11 S-ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL K. PINE _ BRICK OR STONE HARDW D PIERS — PLASTER — — DRY VJAII UNFIN. 3 BASEMENT 11 AREA FULL IN. BM T AREA _ '/ '/r '/. FIN. ATTIC AREA _ N_O B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS II 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE _ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW D _ ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR POOR ADEQUATE ADEQUATE NONE 5 ROOF 10 PLUMBING Y GABLE HIP BATH (3 M. ( — GAMBREL MANSARD TOILET RM. ) FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING K Uc. No. 024244 508-685-4801 D'URSO BUILDERS, INC. Custom Builder o� Energy Efficient, Low Maintenance Homes &Additions Replacement Windows • Siding • Decks • Roofing ED D'URSO \ RESIDENTIAL CONTRACTING AGREEMENT Read this agreement and make sure you understand it before signing it. S This agreement has legal force and effect and binds those who sign it. �v Notice: All home improvement contractors and subcontractors engaged in home improvement contract- ing,unless specifically exempt from registration by provisions of Chapter 142a of the general laws, must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the Director,Home Improvement Contract Registration,One Ashburton Place,Room 1301,Boston,MA 02108. Designated Registrant's Name: -D�u/Pso 1_3U l.ldee Registration Number: 10011-3 Salesperson's Name: ,6'c WA.R A iD LGQSO This agreement' made on 7 �- 41 between b &gs G (DATEA/== / (CON RACrOR) of 1� //Aft ��i 7&L FIV (ADDRESS) (PHONE NUMBER) hereinafter called"Contractor"and 6 ''r_ /V M (` ! ?-%3Z `//.f�of / (ADDRESS) OMNB NUMBER) hereinafter called"Owner". I. DETAILED DESCRIPTION OF WORK TO BE PERFORMED Contractor agrees to perform in a good and workmanlike manner all work detailed below. Such work consists of the following: c FG'lif/� �X/_ ''r 7itr4, �iYii��1r- -- f�rt .4ZT —l�iZ�PErx 1 i7/F /C /1 i- ic' Hca. /,?A k,c Z4,e_ Aiy ;�C /Yjtt/A//7�c4e(a/2c4rl 1 13,—.iv 54ij _;2 r��-,ri�' -V472 . 15k--xis 4r-Z,;r_ /lam a���T�i✓�1, / � �ycc c`!Z DETAILED DESCRIPTION OF MATERIALS TO BE USED G' Materials to be used in performing the above described work conyist of the following: J - - c 11. PRICE t. Contractor agrees to do all work described in Scction I for the total price of$ 111. PAYMENT Payment will be made as follows: 7 rti 7 133 1/31 % (S ���' ) upon signing Contract; c�c 3=3 % (s upon completion of 2�- �-3 -% (S upon completion of and the remaining o 7 upon verification of the work by Owner and Contractor as having been satisfactorily com- pleted,which verification shall take place promptly after completion. Notice: No agreement for home improvement contracting work shall require a down payment(advance deposit)of more than one-third of the total contract price or the total amount of all deposits or payments which the contractor must make,in advance,to order and/or otherwise obtain delivery of special order materials and equipment,whichever amount is greater. IV. COMMENCEMENT AND COMPLETION OF WORK Contractor will not begin the work or order the materials before the third da ,_follo ing the signing of this Agreement,unless specified here in writing. Contractor will begin the work on or about Z (date). Barring delay caused by circumstances beyond Contractor's control,the work will be completed by (date). The Owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor shall not be considered as violations of this Agreement. V. NO ACCELERATION OF PAYMENTS BUT ESCROWING ALLOWED The Contractor may not require payments to be made in advance of the times specified in Section III(Payment)above for the reason that he deems himself or the payments to be insecure. If,however,he deems himself to be insecure,he may require,as a prerequisite to continuing the work described herein,that the balance of the payments under this contract that are in the control of the Owner, shall be placed in a joint escrow account that requires the signature of both the Contractor and the Owner for withdrawal. VI. INSURANCE Contractor will be responsible to Owner or any third party for any property damage or bodily injury caused by himself, his employees or his subcontractors in the performance of,oras a result of,the work under this Agreement. Contractor agrees to carry insurance to cover such damage or injury. r � f NORTIy f r ovm Of � �oAndover I 0 No. 14 3 o L A or dower, Mass., MAY r 19 f y /�. COC.IC.E-ICK V ORATED 4 BOARD OF HEALTH '6PERMIT T D Food/Kitchen { Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......... .. .... .�� .......................................................................... Foundation has permission to erect..ift&AVAM.... buildings on .../.A4&44f? .�..r...................... Rough � y to be occupied as...�.i1. �. �...� �i ..e .� ��... I �y Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on"file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough .......... 4rJ ............. Service BUILDING INSPECTOR f Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove ' Final t No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT f Burner PLANNING FINAL CONSERVATIONFINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT >' Town of North Andover Project: ' Building Department pf "SRT" �<•�•� �.,do 27 CHARLES ST ? ' `' °p er 0(,4 C f s v ry ow m n1 978-688-9545 a. "/De C f< w� �=R •�', /Y .• + Ron !/h �ss�cr+us�� APPLICANT: C'AMS MU r P h Y RE: /!v C3fn1 io&, 4a1ec. DATE: 4,— i q- 0 3 Title of Plans and Documents: Please be advised that after review of your Application and Plans that your Application is DENIED for the following reasons: Plan RevieW The plans and documentation submitted have the following inadequacies: 1.Information Is not provided,2.Requires additional information, 3.Information requires more clarification 4. Information is incorrect. 5.All of the above. # # 1 1 Foundation Plan 12 'Plumbing Plans 2 Subsurface investigation 13 Certified Plot Plan with proposed structure 3 Construction Plans 14 116 Affidavit 4 Mechanical Plans and or details 15 Plans Stamped b proper discipline 5 Electrical Plans and or details t 16 Framing Plan 6 Fire S rinkJer and Alarm Plan r 17 Roofing Plan 1 7 Footing Plan 18 Plans to scale 8 Utilities 19 Site Plan 9 Water Supply 20 Sewage Disposal 10 Waste Disposal 21 Driveway Entry App. DPW 11 ADA and or ABBA requirements 22 Other: Administration The documentation submitted has the following inadequacies: 1. Information is not provided.2.Requires additional information. 3.Information requires more clarification.4. Information is incorrect.5.All of the above. 1 Water Fee 5 State Builders License 2 Sewer Fee 6 Workman's Compensation 3 Building Permit Fee 7 Homeowners Improvement Re istration 4 Building Permit Application 8 Homeowners Exemption Form 9 Other: The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. Any inaccuracies,misleading information or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department. The attached document titled"Plan Review Narrative"shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file.You must file a new building permit application(form andel begin the permitting process. Buifding Department Official Signature Application Received -7 3 ~ i )- v.3 Application Denied 6 If faxed: # Date Sent Referral recommended: Fire Health Police Zoning Board Conservation Department of Public Works Planning Historical Commission cc: Heidi Griffin Revised 9197 Jm w � T • Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the permit for the property indicated on the reverse side: M1 s a CUVS7 Y`vC T[ d� / /l.tiS S u A, [(`av/ l.0 l io PL 1 C4 4-tO AJ t /Cj j 1 ' �epig C2 S, t,����ti drawl � ,v t- C) /moo sol�C U�W Av 1-' l i i, �L4cd—� l�eq cr TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 19 fOr t? fsc sal,USC BUILDING PERMIT NUMBER. DATE ISSUED: ic SIGNATURE: Building Commissioner/In for of Buildings Date Z SECTION 1-SITE INFORMATION 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: N ]b v e r 04 /�,� D or Map Number Parcel Number IJ , /� 1.3 Zoning Information: '{'1/t O 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided v 1.7 Water Supply M.G.L.C.40.11 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record C Inr�'S-b S VIA UY-P Ky C- Name(Prin) Address for Service: 7 s y s-,q R Signature ITelephone 2.2 Owner of Record: Name Print Address for Service: O Z rn Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O License Number M Address D Expiration Date ic Signature Telephone �. 3.2 Registered Home Improvement Contractor Not Applicable 0 v Company Name Registration Number r Address r Expiration Date /z Signature Telephone Y • 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 building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction 0 Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Briscription of Proposed Work: E I iexlb e 4,'s'+,*yq 12 x!Z 5u Ai 2zayvt f I o x r Z 'De ck kt'4,dge_AJ 2M,yOvt+bN SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building / (a) Building Penn it Fee SO 40c Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) _ 4 Mechanical(HVAC) ��� 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS /AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, (2 :3 7 Ur as Owner/Authorized Agent of subject property Hereby authorize to act on My all s r�at' � 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 Own er/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS 1ST2ND 3RD SPAN DIWNSIONS OF SILLS DIMENSIONS OF POSTS DIIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CFEMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 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 PHONE LOCATION: Assessor's Map Number p" PARCEL_ SUBDIVISION ( LOT(S) STREET LN - ST. NUMBER ************************************OFFICIAL USE ONLY*********************************** RC MENDATION$ F TOWN AGENTS: CONSERVATION ADMINI ATOR DATE APPROVED P3 i DATE REJECTED COMMENTS ll�e-�1an�S �td0rOX, I0 Quwau Trop s ; erKrc,^_,- 11-k2. 100' zcnL, fwr fI er pjir o*q H rav a Q dGd rw, . TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS w l 1,e '(p 0/V, K V Lp— -- G(w, '^¢..f-' IV V.'1— ��vi 5�� : 5"I r eA 43 3 3 PUBLIC WORKS- SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm • ' Town of North Andover • Office of the Health Department Community Development and Services Division 27 Charles Street *" .�._... �A47EP North Andover,Massachusetts 01845 �SgACwusEt Sandra Starr Telephone(978)688-9540 Health Director Fax(978)688-9542 April 16,2003 Christopher Murphy 16 Carlton Lane North Andover,MA 01845 Re: Application for an addition to an existing home at 16 Carlton Lane Dear Mr.Murphy: Your application for an addition at 16 Carlton Lane has been reviewed by the Health Department and denied for the following reasons: 1. ✓ Missing information 2. Passing Title 5 inspection of septic system may be required 3. Location of structure not acceptable To address the problem(s): If#1 is checked, please supply: a. Floor plan of the existing dwelling(all floors)and a floor plan depicting the proposed addition. All rooms must be accurately named; b. Certified plot plan showing house,septic system and proposed project in scale,including any associate grading. If#2 is checked: a. Have the septic system inspected by a certified Title 5 inspector to determine the size of the system and whether it is operating properly: OR b. Tie-in to municipal sewer. If#3 is checked: a. The proposed the project must meet all current Title 5 setbacks. Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincere 2LaGrasse, J. Health Inspector Cc: Building Department File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 r ♦ r e , r . Ir r , + r .•, �-•� . r r r r . r r T , . r r r , + t ttl . t , + 1 + + i 19�r t 1 I I ? I I t 15, , � � � + � 1 + t + t + � ; / + t. + t 7 T � + ? T i •'.rri r r t t - t t t f t } t t t t t t 1 t t t t t t t t I t f t r r t + + t t { + + t t r + + 1 + + + , t + } + + + r } i + ✓ t t t r t r t { { + t t t t t t t + t } t t t /' i t t t t t t + + r. + �..'... �.. r... 1 ...r t P. �� .� T• + •�-�� r + + t + t 1- + } t + + t t ; j -� }— '} t i- t + t: -- , r t + + t + - + + i I t r t + t t + Y { I f r } ✓• } } t t t? + r tr ` f t { } t t + / I t t + � r t �� , r + 1 t i i j + { , t } f } + + j 1 t f + t t t t ! I t + } + + t + t t f + t i + + } t + • + t + +y k + } t + �' t { + r t f + } � t t + t + t t � + r t + t t t + � t + ♦ + t + r + , t + } t { t + t + t + + t r t + + + + t } t t + + + r } + r t r + t + r + + + t } t * t t + + t t + t t t + t + t + It + fl , t t r + { r r r + 4 1 + r ( 4 t t + + + t + r + t + f + r + + + t + , + , } r + , r • t i t r + } + r r r r t r , t t r + + r t r r r r + + r t r r i 1 APPROXIMATE HEIGHT OF EXISTING BUILDING co I I MAXIMUM RIDGE HEIGHT OF PROPOSED NEW ADDITION i i o i i ± 18' N L - - - - - i L - - - - '! ENLARGED ROOM o I I II � 11 1 NEW DECK o ± 12' 9 N L - EXISTING SUN ROO I i l ENCLOSE EXISTING ± 12' q N I I PORCH FOR NEW —DECK EXISTING w I I MUD ROOM I EXISTING POOL DECK TRANSVERSE SECTION AT PROPOSED NEW ADDITION SCALE: 1/8" = V-0" MARCH 3, 2003 MURPHY RESIDENCE, 16 CARLTON LANE, NORTH ANDOVER, MA 29 NORTH MAIN STREET, IPSWICH, MA TEL: 978-356-0467 FAX: 978-356-1024 i �voi nc paSodo�� joou T Q � rq ,ab 0 I T N2'�N I Ql 3ti i �9 L Sa6'NvvID °nr — 00 g 0 p1 \00AP ® �.. M � \409 A Sas �H� ON _0M i OA � i •BOE,ORTy 1NIP ` '<F. APAIL7M Sp Z + g• 1855 • ' • w +i9S�• � w S�CHllS�'{4 TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS NOTICE OF DECISION Date . . . X0ve0er.l9,. 19.73. . . . . . . Petition No..24-11?3. . . . . . . . . . . . . . . Date of Hearing. .0 .b".14.;973 Petitionof . . . R�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Premises affected . .26.Cari toy.Lam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Referring to the above petition for a variation from the requirements of the . . . . . . . . . . . . . . . . . . . Borth..� var. ieSera. b.3. a Tab)A aoo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . so as to permit . . .d al clo�� than C .feet to the side lot line. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . After a public hearing given on the above date, the Board of Appeals voted'to . �N. . . . . the Variance FusnaRwo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . for the construction of the above work, based upon the following conditions: Signed Dr. JDUSWA. B+eI3."=4 JketiM Uhai=W Will m N. Salome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lwul Wrusaio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Alfred R. Fri"Ue j Req.* AeaoaiateHmbw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Jam" D. f Jr.g A,03"Utd K ttrber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Board of Appeals •/i 000000. ,►ss�A�NU f a*' I TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS November 199 1973 John J. Lyons, Torn Clerk Richard Noonan Town°-Office}Building 16'Carleton.ALane North Andover, Mass. Petition No. 24-173 Dear Sir: 1t. X public-hearing was held by the• Boar&Of Appeals. November 12 1973 upon-, application-of Richard .Noonan who requested a variation of Sec. 9.3 and Table 2. of" the-Zoning•By-Lary so as to permit an existing dwelling closer than. 30 feet to the side lot line; located at the. west side. of Carleton Lame-, approx. 200 feet front the, corner of Raleigh Tavern,-Lane;and.'known as-16 Carleton Lane. The following.-ambers were present and voting: Dr. Eugene A. Beliveau, Acting Chair- man; William-N. Salem*me, Louis DiFruscio , Alfred E. Frizelle, Esq., Associate Member- and James D. Noble, Jr.,. Associate; Nember. The hearing was advertised in the LawrencelNagle-Tribune on October 27 and November 3, 1973• All abutters- were•duly notified by regular mail. Atty. Frank J. Pitocchelli, of Methueno represented the petitioner. He explained 4 that the. Noonans purchased the home-last year and upon having the property surveyedo found that the garage was located approximately,ton feet from the side lot linea The dwelling in the adJacent.lot is located approximately 50 feet from the lot. line thereby--leaving 60 feet between dwellings which would be-within the intent of the By-law since the setback requirementsfor an R-2 area are 30 feet. It would. be a great expense- to the petitioner to- rase-the-garage: and remove it in order to. comply. The same builder built both homes. He feels there may have been a problem in locating the house for the. septic system Building Inspector Foster explained that many lots in this development were changed around by the developer and that when he inspected the building. it. was- in the winter and covered with snow so that the stone bounds could not be- located. There were no abutters present and there was no opposition. Atty. Frizelle- made a motion to GRAND thr variance; Mr. Salemme seconded the motion and the vote was unanimous. The Board_found that there would be a hardship and expense if the garage were razed; that.-the intent of the By-law was met in. that there are- at least 60 feet between,buildings, very truly- yours, BOARD OF=APPEALS, r j Dr. Stint=,A. Beliveau, Acting Cha6man AD r TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS November 199 1973 John J. Lyons, Torn Clerk Richard Noonan Town Office-Building- 16 Carleton�1ane� North Andover* Mass. Petition No. 24-173 Dear Sirs A public hearing was held by the, Board of Appeals- on, November 12j 1973 upw,r application of Richard Noonan ed-who requesta variation of Sec. a.3 and Tabl'o-Z of the Zoning By-Lax so as to permit an existing dwelling• eloser thaa. 30 feet to the side lot line; located at the west side of Carleton Lane.; approx. 200 feet from the= corner of Raleigh Tavern-Lanev, and kwm aa.16 Carleton Lane. The following members were present and voting: Dr. Eugene A. Beliveau, Acting Chair- man; William N. Salome., Louis DiFruscio, Alfred$. Frizelle, 8sq.9 Associate. Member and James D. Noble, Jr., Associate- Momber. The hearing was advertised in the Lawrenee•Bagle-Tribune on October 27 and November 39 1973. All abutters were-duly notified by regular sail. Atty. Frank J. Pitocchelli, of Methuen, represented the petitioner. He explained that the Noonans purchased the home last year and upon having the property surveyed, found that the garage was located approximately ten feet from the side lot line. The dwelling in the adjacent lot is located approximately 50 feet from the lot. line thereby leaving 60 feet between dwellings which would be within the intent` of"the By-law since the setback requirements for an R-2 area are- 30 feet. It would. be a great- expense, to the- petitioner to- rase-4he garage-and.-remove-it in order-to.. comply. The same builder built both hoom. He feels there may have been a problem in locating the house for the septic system: Building Inspector Foster explained that many lots in this development were changed around by the developer and that when he inspected the building it was- in the winter and covered with snow so ,that the stone bounds could not be located. There were no abutters present and there was no opposition. Atty. Frizelle made a motion to GRANT the variance; Mur. Salome seconded the motion and the vote was unanimous. The Board found that there would be a hard Up and expense if the garage were razed; that the intent of the By-law was met in: that there are at least 60 feet between buildings. very truly yours, BOARD OF APP&UZ Dr. AWne•A. Beliveau, Acting Chaf=-m AD �sr�i isle nr�n. THE COMMONWEALTH OF MASSACHUSETTS (�iy MR� A=VM ...................................... �p circ cit Town BOARD OF APPEALS November lq,..........19 73 NOTICE OF VARIANCE Conditional or Limited Variance or Special Permit (General Laws Chapter 40A,Section 18 as amended) Notice is hereby given that a Conditional or Limited Variance or Special Permit has been granted To......Richard Noonan -•................•-•---•---•--•--------•--.......---•---------...._......-------------.._._...__..._......_..------------.... Owner or Petitioner Address......16-Carleton Lane ----------------------•-------------------------------._..-.._...------------•--.._....•----------•------------------ City or Town.------North Andover -Mass. -- -•--------•------------------------•---•--....--•--........... 16 Carleton Lane ------------------------- - - --------- -------------------------•--------.._._._..------._...------.....-----------....-----....•---------•-- Identify Land Affected North Andover by the Town of-------------- --------------------------------------------------------------Board of Appeals affecting the rights of the owner with respect to the use of premises on. 16 Carleton Lane North Andover. Mass. •-----•------------------------ ------------------------•----------.......---........--•-----••------ -----...__..._._...--------..........---_.. Street City or Town the record title standing in the name of ----- Richard & Kathleen Noo�.,..hilabiMci.- __mue------------------------------•----•---------•----------• ------------ ................ ..-- 16 Carleton Lane,. North Andover, Massachusetts whose address is ---- ----••----•--•-• .................... •-•------- ---•-------•---- ...................................... Street City or Towd State by a deed duly recorded in the..... orth-- -------------Essex County Registry of Deeds in Book ---------- --1?-a9..... Page---2...........9 ---------------------------------------------------- ertI cate IN o..................................Book ................Page................ The decision of said Board is on file with the papers in Decision or Case No-._u±:,V..____. iitr North Andover Mass. in the office of the Town Clerk.... ..._....... Certified this__19th_day of..............November ••--•_--_---- 19 73 Board of Appea Acting ............ s. ..�__ B Chairman ar t Appeals y - -- ---------- . .. - ....Clerk Board of Appeals -'-lock and •-^*w i-- ......---••----•----••--------•----••-•••--------------------•------•--•-••- Notice to be recorded by Land Owner. FORM 1094 HOBBS & WARREN, INC.. REvIs[D CHAPTER 212.1962 i I i i S-- 1232 1232 -_267-- X PE(T! RY OF PEERS (ji Essex $S Law.Nov.-30-in,,73-- j 12.32-- �� REGIS I ER I L L \ J? C Ll FRANK C. GELINAS I REGISTERED PROFESSIONAL ENGINEER REGISTERED LAND SURVEYOR 173 RALEIGH TAVERN LANE NORTH ANDOVER. MASS. 01845 TELEPHONE 688-2485 November 8, 1973 Richard Noonan 16 Carlton Lane No. Andover, Mass. Res Property Survey Property Line Survey--------------------------------------$75. 00 Dwelling, Fence & Driveway Location----------------------- 60.00 Appeals Recording Plan------------------------------------ 90. 00 Total Due $225. 00 • ENVIRONMENTAL ENGINEERING • STRUCTURAL ENGINEERING • CIVIL ENGINEERING • PROPERTY AND TOPOGRAPHICAL SURVEYING a a � Ncw +ruc+urd w e l bt o coo se r 4o ��AMP <1 + NA_' �_of oaf+jr.+. �r . Gwg-m iyA "_Prox_3-1-3i CU rre�tl '_�NV +- rNew Dick _ 'Peck 29',3 F+ f tam +- +- - ----�-- +- +- - + + - r +. r +- � + - +- + _ _ .- r r .. .- ro ad ` Li N� r-vfrCO � X� V eek Ig' 10 X17. . r �-_-^.._ .- r_ ._ ,. �w_:��..,r.►_ ;���ir�r�'_�e�tioaiUr��.. -.. V+ ._-_ r W � _ - e . G + _ r '_" _.+:. __'__ +- • Roc � + oow�; _ + +— —2 L.3-F+� - — _ r .._.. � . at--�r�s.:��- ..ter....•+�--.�-- + 1 + t . _« r Nos�hwoint C/V S u�ey Se�rrzces � - >BO �/ater S'ts>oet traverh� dG! O>830 APPROXIMATE EDGE OF POND POND top �,y X83 PROPOSED 10'x12' DECK i N INGROUND y � P GO POOL ri PROPOSED 12'x12' SUN ' ROOM TO BE BUILT ON R=25.00' EXISTING DECK / L=28.81' /\J E2�STY I �i DWELLING I r - - o Lp ZONING DATA C) REQUIRED SETBACKS �- FRONT = 30' '389 g SIDE = 30' �N REAR = 30' N ��t10 H OF b4,r ` PROPOSED BUILDING PERMIT PLAN O yG \O L \00_ 16 CARLTON LANE H NORTH ANDOVER, MA. A 10 /r Py PREPARED FOR: ,9pFE5 IN Ot� EDWARD MCINERY, TRUSTEE OF GF REALTY TRUST DATE: NOVEMBER 23, 1999 SCALE: 1' = 40' JOB NO: 2884 i' Location /6 CA i? do x-) 1,1 U e— No. 3 6 Date NORM TOWN OF NORTH ANDOVER O?O•`t`•O <•1hOOR ►- Certificate of Occupancy $ Building/Frame Permit Fee $ ) d ACNUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ v Check # r UVlil C 6 % 1 9 Building Inspector `` w TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING -� � �` .,* ".`�,.,:stt�-a8 ..•„��p��"�,�3�?�.. `. ,� �.�`, „a� , �-� �,a,.,z''u�r�e P`- x art BUILDING PERMIT NUMBER. DATE ISSUED SIGNATURE: c Buildin'g"rnmmiceinn,-r/Inspector of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: O �(r q e-r Om Q, 0 cY Map Number Parcel Number W 1.3 Zoning Information: 1.4 Property Dimensions: q of szv i22-0-3 Q� Zonin District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide ReqWred Provided Required Provided v 1.7 Water SupplyM.GL.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT m 2.1 Owner of Record `� C•Q2L{pry �Al� tA1,:Qn�doui:s' Name(Print) P P� Address for Service Signature Telephone ) 2.2 Owner of Record: N61he Print Address for Service: z Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ M FARC 14RjJcl 6gIQ � Licensed Construction Supervisor: '-q N VY�,4RC k j A18 License Number Address Expiration Date ic Signature Tel phone ac 3.2 R4.gistered Home Improvement Contractor Not Applicable ❑ Comp$tty Name Registration Number M Address s Expiration Date Z^ Si nature Telephone Y I 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 building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable New Construction 0 Existing Building ❑ Repair(s) 0 Alterations(s) Addition 0 Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee 2. k Multiplier 2 Electrical (b) Estimated Total Cost of 2 k Construction 3 Plumbing 2 Building Permit fee(a) X (b) 4 Mechanical HVAC / LJ 5 Fire Protection 2SO 6 Total 1+2+3+4+5 / 41 ZsU Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1C �l SoP " as Owner/Authorized Agent of subject property Hereby authorize L/ tJ VWA 2 C k 4A J8 to act on !n=;j ati work authorized by this building permit application. Signature of OwAer Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION V 1, ����s ��{ ' r as Owner/Authorized Agent of subject v/ property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief CA,-,3 4e/ T12-CC Ci r Prin a Si ature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIIVIBERS 1 ST2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DM ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS r SIZE OF FOOTING X MATERIAL OF CHEMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE a Reduce. S049A* PAM-'0�1 o00g • A 2 6 iuti4W",� • �.�cttilfG ��k�iri ?►{��. ��f�Wltp�i�,t4 �hat��'' D I V, k �Ait- 4 aus remoea Chia 'gooevf C h M K t t ' lb CAaLtOAJ 4^ e ,.s� Floor �► �'�� = �\I i �G ear�A t �r. v eDN�� f NORTPI q t .°• �O N to Town of North Andover y Building Department * °,4 �,�a-�• °'' ' 27 Charles Street �9SSACHUSES�y North Andover MA 01845 Tel: 978-688-9545 HOMEOWNER LICENSE EXEMPTION Please print. DATE 11jZYI2c03 JOB LOCATION I(.:, 0,42L-f-a�j L.4AvE vW Number Street Address Section of Tc "HOMEOWNER — 5,4 41(= .._ °l"1 J-2-51-8-o2_1 Ti8'-z��3881 Number Home Phone Work Pho PRESENT MAILING ADDRESS — 5-t M E Al. A J Qcy er City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of 1 or 2 units 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 of two there is, or is intended to be, a one family dwelling, attached or detached structures accessory to such use and and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official, a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 108.3.5.1) 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 requiremen HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note:Three family dwelling 35,000 cubic feet, or larger,will be required to comply with State Building Code Section 127.0 Construction Control. Revised 4.30.03 Home owner Exemptions Form 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: `>U vvsir Wim+e e 6v�v (Location ofFacility) dA�41 Sig atur of Per it Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector Z V VV l l VA. : '' :' ia.iI%.a v V '%✓s No. .3 b 8 LAK dover, Mass., I� COCHICHEWICK RATED `S LJ BOARD OF HEALTH Food/Kitchen Septic System PERMIT T D THIS CERTIFIES THAT......C.h.t►s.bA�r BUILDING INSPECTOR�..... . . Foundation has permission to erect... '�. .r .r.... buildings on ... .G�.. 4.. ..�' �............L..�4.N"�. Rough to be occupied as....... Nda.* ...... .. + .............. ............. ..................................................... .... . Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws r lating to the Inspect' n, Alteration and Construction of Buildings In the Town of North Andover. ' r� 11 '` 6 ® PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STAR S Rough Service BUILDING INSPECTOR Final Occupancy eq Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.