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Building Permit #233-11 - 21 ABBY LANE 9/20/2010
BUILDING PERMIT of NORT►y TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION r Permit NO:-434L Date Received / "�1 1!c ' 3`°pRATEp' , .�� �Ssgc►+us�� Date Issued: / IMPORTANT Applicant must complete all items on this page .s :.ra3 '5,r +� R2 A af +7 a = �h 7'x,'1' 7�a- I V77"�1i1�1#�7T�I�Jf i.e3- 3 e ie t T0r1��'i �rstr� . ,.^ _tY., _rt N• t��� i.�. 4 .� 'r.�+`� fi M': �W.. fnn �Y.IrAAis Y B.,g � B _.-r� - x TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family --I"Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other �s ; r r 1-fil" � � .b � T ,,� Os�sedDas.r -v z `r- I" =i .. `''Y Xz'' ;tea� $"' � �-.; "' _.2_s DESCRIPTIOY OF WORK TO B PREFORMED: Identification. Please Type or Print Clearly) OWNER: Name: KCven Phone i Address: Do h ti-1 Alo . 4 r}"w 3st d r ` - r ttt #i r ' f NOR n,t -`-N.,1;+�`a� i .'ya"s.�"` �`_.-.,.a<`f`� -+� „t.,3i 4�`, � -{� r`rt' '�J* t',�r..� �+z .n€ ��'"t. ,vs�'S.��T' .fix vr�eiid rWC,�"�-,ryy „s v°�'E.'F_a;. r�4K i3, �, .. v r's� +�+.-,5 r-.�- '� ; jC i yr.� "�' 1 ��-•vIy#^-v'��yp', rr'�z'k rad-`f i a. �r +, ,t` ..2.r� �F'� =J,I���i � Y. - '•�a � 4e i'^t ...ft 5 a ^J 'F,ne.+"r. .A+'r�i °isr -rte y.•�"^ a"..�rq is' - rr f`3 Y-4 �3 r :- ..r .. , a*rh.takxa,�*iti .r ANO- glm'l m S �Q x .,ea'.•+� � yt x s.. g.> ,.s.p - �vN, ai�� �r�`� 'rr�y' ,-� � i'`s^7.7^ � l�,d:�45�px6'=.yUA eJ1�7�/� O�''�� �1tl��1J�t�r �i� l�aa re �n "Lcea$e _ � N Y � T R i r,a a+:..:.... ...... ARCHITECT/ENGINEER Phone: Address: Reg. No. i FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 1 FEE: $ 5-a ago— Check No.: a016 16 Receipt No.: 013qs- V- NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund S� raturof A ent/Ovuner - Si" nature{of con raetor r t, Location U)"No. r r._ Date r ! NORT., TOWN OF NORTH ANDOVER i i Certificate of Occupancy $ sACMUSE� Building/Frame Permit Fee $ ".� '- Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check #. cP 2-0 2 3 4 J".j Building Inspector 1 ' i I Plans Submitted Plans Waived Certified Plot:Plan Stamped Plans ` I TYPE OF SEWERAGE DISPOSAL ll Public Sewer Tanning/Massage/Body Art Swimming Pools I Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site i 4 THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DAT)APP . OVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on ' / © Signature COiviMENTS� v-J— 'u') fives p i°✓� (m, CR jorao6z'j�' HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes i _ I Planning Board Decision: Comments i Conservation Decision: Comments i Water & Sewer Connection/Signature&Date Drivewav Permit DPW Town Engineer: Signature: Located 384 Osgood Street FF1E�EP ►RTtV1ENT =Temp Dur_pster Located at4V1ain S#reset Fireepaicrien#stgraatre7tlae i 1T ! t T Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: i ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.s1o0-s10o0 fine I NOTES and DATA— (For department use) ❑ Notified for pickup - Date Doc.Building Permit Revised 2010 II F i Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. ` I Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit u 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 o 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 must be submitted with the building application Doc:Building Permit Revised 2008 NORTJI Town of Ivo. ; x LAKE O dover, Mass., A. COCWCMEMCK V AQRATED PP2 S V BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR. THIS CERTIFIES THAT....... !!1�,......... t .. .h. ..l . ...................................................................: Foundation Q has permission to erect........................................ buildings on ...Q�t...... ......ma.........� ,............................. Rough to be occupied as.. . . Chimney provided that the person accepting this permit sh!16n 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 Final PERMIT. EXPIRES IN 6 MONTHS b ELECTRICAL INSPECTOR UNLESS CONSTRUC71CV STS 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. SEE REVERSE SIDE Smoke Det. \ 1 v Proposal/Contract tic. # C871128 INTERIOR MODIFICATION 34 AZARIAN ROAD - SALEM, NH 03079 TELEPHONE: 978-360-7520 Email: intermod@aol.com PROPOSAL SUBMITTED-TO p E n kl- el JOAT� STREET JOB NAME/LOCATION CITY,STATE AND ZIP CODE ' JOB START DATE )« dy l nn c V t �4_ i h . 41 *715 r We Propose hereby to furnish material and labor-complete in accordance with above specifications,for the sum of.$ Payment to be made as follows: ��� rte► U ( uo0vi can a t fry � r All material is guaranteed to be as specified.All work to be completed in a substantial workmanlike manner according to specifications submitted,per standard practices.Any alteration or deviation from Authorized U above specifications involving extra costs will be executed only upon written orders,and will become an Signature extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays 'LJ may be beyond our control.Owner to carry fire,tomado and other necessary insurance.Our workers are fully NOTE: This propt�5a1 m covered by Workmen's Compensation Insurance.Non payment by agreed party may result in litigation with penalties including court cost and compensation both real and punitive. withdrawn by us if not accepted within days. Acceptance of Proposal The above prices, specifications and ' conditions are satisfactory and are hereby accepted,making this a valid contract_ Signature You are authorized to do the work as specified.Payment will be made as outlined. Date ofAcceptance:_.....- //, _ /�'� Signature / tJ Proposal/Contract ri't.1kVtn C0pn1.-201tC,-, Lic.#CS71128 INTERIOR MODIFICATION 34 AZARIAN ROAD-SALEM,NH 03079 TELEPHONE: 998-360-7620 Email:intermod@aol.com Massachusetts Home IM l..ovementf Contract Thl i t fi IIo 'equtremenis k of lh int H I p tC tat Le (MGL ch,pt 112A),but ds tinclude stand rd I ngu g f protecth me wears.Seelegal adtsc If sse y An)p pl al m imp rash IId fust bon in a n py of.'s M.—ch—us gide to Ince.,mp t before gra 1 g t_easy work on Year dente.You may obtain e u copy by calling the - Once of Coo cr Affairs end business Regulethm s Consume l�—ou an Hotline at 617m!)73 9787 or l-888-283-3757. s Homeowner Information - _ Contractor Information I(Zrttn SCM tvlUk- Saeel Add,—bl000los—Post Offite Box address)" Cen,ractorl5ilespersoor Owner Nim ae /1'hh L�f-u CirylTows l' Stam zip Code ass Address(must ivdude a strat address) /Uo/4/1'JeyL P41 2 oi�`/i` Daytime Pbooe Evemag Phone .ityrr— site Zip Coda Melling Address(It differeotfom abovel ,Pbone ederal Employer TO arS,S.Number ' la�rtqui Ns some-ryeuaewCoomearay.Nmo bpm Nie The Contractor agrees in do the follawibg work for the H - - nrp e e n s o e pX��� �J.�1S�fei4 �tc-� w j'l�X�i GC�1 ° lf�f�✓ Regnlred Pariah-The follo haq,building permits arcrequ d Popiased Start and Ca pltion Schedule Th following schedule will end Wlll be secumd by the contractor as the homeowner's sgen4 he adhered m-less circumstances beyaod the connector's...-I arise (Owners who secure their own permits will he - excludedfrom.the Guaranty Fund provisionsof _` _Date when ranb,,Vr will begin contacted work. MGL chapter 142A.) ___Date when contracted workwillbee.betentiallycompieted. ,_ Total Cootre tP I'c'and Payment Schedule The Cootracto gr ce to pelf.-We work,ffirniA,tisometen 1 end mbm specified above for themint sum bE o-Y/ Q d � Payrgents will be road.abt.,&g to the following schedule: - - S -Pon signing co.bract(riot so sc..d l/3 of the coral c.n-.,price or the cost df epcei.1 order u reas,which is greeter) S—by_/ / Pon pleHe.pf S_by_I_/_ r upon t ompleden of S upon omplenon of the contract(Lew farb d d mandiog full payment until contract is completed to bath party's s,f,f..tna) Thefellowiee aa•edel/equipmeel mei be eperiel S to be paid for ordered before the connected work begins is order S to be paid for - a to mttl the completion NOTES:(•)In l dig"finsoce cbs,ges(•+)U'requires that any dep ;t dawap yea t al ed by the Wean b f rkh gins may ae4 the greeter of(a)one-Wvd of Ne total rnotram pact or(b)[he ecNal nisi of any spectel egaipmrnt or easlom mnde maieael which must be special old—d m adv®ce to meet me completion sehmlule. L W r h 1 a,Indta,tersAd.d be the hd N Y '(Ilt !Ih fv [h nnhd'1a the t) S 6 b haclo T'fietientrncmr agrees to be I ly.spoor bl { pl r f the woh d b d egordl of the ecd nos of..y third p rty/ub... t al d by the cretractor Tlic contractor-mother'status to be solely resp insible for all payments to all sub...anctoa for oy_tenals end 1 1td thisjUMMent - Contract Acceptance Upon signing,ibis d umcntbec.m b d ng contra t oder law Unless other- noted thin die d t the contract shall t ply that any lien or tribe unity inter.th 6 pl.eced th esidence Review the following cannons and notices careflly before s,goiog this contract - Danrbcpres medmte igning the comosot Teketime m read�.ndfully understand it.Ask questions iC vmething ismal—, • M k lbs urn h i'dH t �Smctar.R d Thcl quiresm h' rmpravement....-cloa and subcaotractors m be registered with the➢irecmr ofHome I-provcment Conaactor Regunstma.you may inquire about untrecl., ieeiatranon by,wodng to the Diacmr at One Ashburton Piece,Room 1301,Beaton,MA 02108 or by calling 617-727-3200 or I-800L223-0933. - • Does the c.rometur h.-Mutant.?Check to see the,you ..-c.r is properly insured..' • Know your rights and responsibllides.Reatl d,e Iropormnt 1(mlaliaib on the reverse ideof this form end gel.copygf d,e Consumer. - Guide to the Home Improvement Contractor Law. - Y y can 1 this gr ant ifit has been signed' pie di til d nate conal piecefb.s cess,provided y n fify the emoe mr in writing at h /hermain office o 6 fi officeby ordinary I posted-by telegrams t '-by delivery,not ler.th Idnight of die th d b nes d y f ll mg.the signing of m s agrecseenC S th ttarJ era i ce of cancellauon form For en explanation of taus nghL DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES!!! TAo 1 m l copies slbeenmPlmedandsi ed coe wpv sho.le ao o[M1e Aum- TM1eo{�m(p�y should be k.y Homed s Signe {,, r' Ca an Dear - Dam i°—I �v Datey// . , Contractor Arbih ati¢n The Home Improvement CoutractorLaw provides homeowners with the right to initia(e an at action(as an alternative tocourtaction)if they have dispute with a contractor.The same right is not automatically afforded to a' contractor,however.The contractor would have to resolve any disputelie/she has with a hameowner in court unless both parties agree to the optional clause Provided below.This clause would give the contractor tl(e sums right[o arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. The contractor and the hon reby m~ally agree to advance that inthe event fheconfraclot has a dispute concernmgthis contract,the contractor may submit the dispute to a private arbitration film which has been approved by tire Secretary of the Executive Office.of Consumer Affairs and Business Regulation and the consumer shallbe required' to submit to such arbitrationas provided In Mnssechusetts General Laws,chapter 142A,, Homeowner's Stgnamre - - - .Contractors Stgnamre NOTICE:The signatures of the parties above apply only to the agreement of the Parties to alterative dispute resolution .initiated by the contractor::The homeowner may initiate alternative di separately signed by the parties. spute resolution even where this section is not — - - Homeowner's Rights A homeowner's rights under the Home hnprovement Contractor.Law(MGL chapter 142A)and other consumer Protection laws(i.e.MGL chapter 93A)may not be waived in any way,even by agreement.Hoother,c nsumer ners may be excluded from certain rights if the contractor they chooseis not properly registered as prescribed by law. Homeowners who secure their own building permits arcs automafically excluded train all Guaranty-Fund provisions of the Home Improvement Contractor Lew.The contractor is reaponsible for completing the workas described,in a timely and workmanlike meaner.Homeowners may be entitled to other specific,legal rightsif the contractor guarantees or provides an express warranty for wurkmauship or materials. In addition to guarantees or warranties pro oidedby the contractor,all goods sold in Massachusetts carry en implied warranty of merchantability and fitness fora particular purpose,A¢enumeration of other matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights.Ify&have questions'about Yom-consumer/homeowner rights,confect the Consumer Information Hotline(listed below). - Execution of Contract The contract must be executed in d• [kcal documents have been attached. Parties erand should not be signed until a copy of ell exhibits and referenced e.also advised not to sign the document until all blank sections have been filled in or marked"'void,deleted,or not applicable. One original signed copy of the contract with ameehments is to be given to the ownerand the other kept by the contractor.Any modification to the original contract must be in writing sad agreed to by both parties.Contracted work may not begin until both parties have received a fully executed copy of the contract,and the three day recissionperiod has expired. - Accelerated Payments A contractor may not demand payrgems in advance of the dates specified on the payment schedule in cases where the hameowner deems him/henself to be financially insecure.However,m instances wherea contractor deems WmAierself to be financially insecure,the contract,may require that lire balance of funds not yet due be placed in ajoint escrow account 1 a prerequisite to continuing the contracted work Withdrawal of funds from said account would require the signatures o f both parties. Additional In forma tion -- Ifyou have,general questions or need additional information about the Home Improvement Contractor Law or other L.,,"contact:consumer tights,.pr'tf you wish to obtain a free copy of"A.Consumer Guide to the Home Improvement Contractor .Consumer Information Hotline - Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170,Boston,MA 02116 (617),973-8787 ur]-(888)2833757 . Ifyou want to verify the registration of a contractor or ifyou have questions or need additional information speelficelly about the contractor registration component of the Home Improvement Contractor Law,contact: Director of Home Improvoment Contractor Registration Bureau ofbuilding Regulations end Standards One Ashburton Place,Room 1301,Boston,MA,021 08 (617)727-3200 ar 1-800-223-0933 .For assistance with informal mediation of disputes or m register formal complaints,against a business,call: Consumer Complaint Section Office of the A,.romey General (617)727-8400 ANIS/OR Beller Business Bureau - (506)652-480Q .(508)755-2548 - (413)734-3114 - 11r:[[ir�9�j 14:41 `Jf6J1:C3'�tiJ ABBY LANE ZOMIMG DISTRICT R®2 INN. AREA = 21,780 S.F MIN WT WIDTH = Vo HIM FRONTAGE = too' WN FRONT SCMCK 20' MAL MIX S MCK* = 20' 11fI REAR SETRACK = 20' g - TUBE' S7r4MYURE• MAY BE PLACED UPON A SIDE LOT L1NE MTN= A StA£ 15.5 SEYI3i4CK. PROWDED rMT THE ALIJACENr LOT TO WHWH ME ZERO SMACK IS LCaC,4M HAS THE REQUIRED SIDE rARC SCMi^K.) +2.8' xr � C7srs�;•'r� rxisri'vo +^� FOUNDATION rO.F. ELS 226.!' 149.0° LOT 3. 1 .N1 0d FOUNDATION L OCA rJoAf pLAN f crowy wr rw rymiar siftenm myowcomtwsm 7a NDWOWM ==ACX errs Wrw tZ9G4L - — _ AM""ZomW BY-LiWS Nj I�ZT I�tt3I1WYX'P�R }y� OROM, OF X AS '��fNSEOAfli7,S, Or Oti4w9w*Fw fmAw 71Mdf/1kiNF7Ir TFiIAHU cwff r x2 ANY C"?7M4rA 1� PS ��iE" AND L/WrRo wRf m �Ar grlpOMAMr a:M � r�°� rC THC MOO!- CMVT nM rrs copyMam MXN D y c msr►ari 7r s stA r AM AW rswWrtaVX= L 4Mffr ABSEY LAAftr, xt7RFM ANDOWA, fare r +wowor � ANY AnVrr if VM C W&A99d IMMM t SCALE`: 1 .-: eo, DA Mr 12122105 Use �b .r`•'• ►,KvMMriu. aoesa Ira_ ft"VL-mw ��- --tl3rter"' �q �ua•�°� �zaos or a Ar4uj rv,&spy O CA,JL 5 Air( r N 0 K 2 A 3$If L A JN E NoR'T-4 AN Dov f Q 9--I 4•-ZD( C F RAN \,IA N G(7'P P E N 0 LL F- Zx1U <�:ONNitGT "1"o ,g j, a0A-p V \A,NTy Z. ROWS 51 M ps c�r.� 3�Z'' 59 5 2. 5 31 Z 5 5 TI-1 PZ '3 116- STMN LESS STEEL SGC w5 "t�C a1 T7.3 M?sor.( 152-10SS W rrl4- 55 t6DTH. 0 D N41L§ 148&3''� 2ook1� DE L. Z -1 O JO `9 DC Zx$ BtoGK ;;1 1 JofsrE�N 6>c6 POST 4&j1 TA AL G55 GAPS _ --- ►` 5 l 6 0 N�1 LS 1 pS o�{ Ui t-T�4 3 t G po oT' eq �ry 1 G►PD���� ��x tps IJt�-PI`-5 A I,L Lo r-I NEGT`"b12 S TO 9 r- 5 T41 N L L A,LLL urn 1a i f� pf Sst �. 't`P-MX 7E,P 5 sF— C. (el 1`J S At-rA•C(•F ED D►z C.1K D 51 G �v .1a FOR 6 0 P.S F LL t Z PS F D C Alit t7 50JouRN '7�-O KZL 0n 36" i4 '0-r TU 340 6-4LLoN G4p4Cj-r-( 7 FFIRSONtS 1A4-x w>=T kur16H-T- 3067 t j6S R 41 L,S A-,9 S"to I g� "'t'C) TC3 P 5.Wr LOADS 54owice( 100HOFMq�s e `t A:-f—r-A C`..HE D �, AWREN.�E �yG g HAR3JD GDc y Fs A Lawrence H. Ogden P.E. 198 East Main St Georgetown, MA 01833 9)8 352 8)(8 The Commonwealth of Massachusetts r I Department of Industrial Accidents 1 Office of Investigations 600 Washington Street /G Boston, MA 02111 w` www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information / l Please PrintLegibly Name (Business/Organization/Individual): (Orr n (0,9l9z n Address: tL - City/State/Zip: 11n Al E4. 0 30`11 Phone 7 f " 3�0_ 75�) y Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I atn a general contractor and I 6. ❑New construction mployees(full and/or part-time).* have hired the sub-contractors 2. I atn a sole proprietor or partner- listed on the attached sheet. ❑ 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 required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.E] Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' 13.[a Other �1 ��� �t�h comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t 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 acid 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.Lic.#: 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. I do hereby certify under thee//pains and enalties of jury that the information provided above is true and correct: Of Si nature: a t/tik Date: Phone#: 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of - insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pen-nit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future pen-nits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax#617-727-7749 www.mass.gov/dia SAM.EN ® K F-C-y 2 t A 5Ey LAMNORTH AiUDD JE12 FOR, RA NA K- V A N c::0 P? E N o U-..I; 978 360 7 5 Z.( O P6 EXTERIOR DECKS, PORCHES & STAIRS DECKS, PORCHES AND EXTERIOR STAIRS TO BE DESIGNED FOR THE SPECIFIED FRAMING HARDWARE FOLLOWING LOADS: MAY REQUIRE A SPECIAL ORDER. LIVE LOAD 60 PSF., SNOW DRIFT IF ALLOW SUFFICIENT LEAD TIME FOR DELIVERY. NO APPLICABLE,AND WIND UPLIFT SUBSTITUTIONS WILL BE FORCES. STAIR TREADS: THE ALLOWED WITHOUT APPROVAL GREATER OF 60 PSF OR A 300 FROM THE ENGINEER LB.CONCENTRATED LOAD. GUARD AND HAND RAILS,200 LBS IN ANY DIRECTION AT ANY POINT ALONG THE TOP. GUARDRAILS Il�- t}O�„�� OWNER, �Es pc�n»t FILL COMPONENTS 50 LBS Fop, pawtnp(c I N SPEem-on( •HORIZONTAL ON AN AREA EQUAL TO SG. FT. dF Cc �IS1"l�,t„ 'Q ins .. REFER TO SIMPSON STRONG-TIE F v R DE`t' t ca R (carr for DECD FRAMING CONNECTION ��AM r i`t ,�.t`tD C c�k20S(Ute GUIDE FOR CONNECTION dF r—P-AM I I ( REQUIREMENTS AND DETAILS. OT E_1 C`4EMMCA'`L-S Ucf.'-D CONSULT AN ENGINEER TO IPJ 1407- `Tu t, M A-( 1.... AU VERIFY DECSIGN AND -t eanar . .t t O? tai 4z.t}5sc.�r�i CONNECTIONS PRIOR TO Ati'0 rt 1 t s s 't for CONSTRUCTION. I FRA M!k)(n:t� 70 -P+E ,fir;rM&M oro or: A Wood structural --- Evenor cladding '�'- " p _panel5heaminp and/lashing not y, 'h'max.thickness shown forclarity, °i r fastened per code Ledger fastenerspacirrp may be k'�d offset up to a'to avoid interference Band joist t�1 h mlmmum from with joist attachment per Table i top of ledger and band joist SDS wood screws w7 Qw 9�at 4 f Kip X r& r r �p�t Mqs 9 SfaAger vertically L 9'minimum 5. t pace in accordance s Ar '">;.„.l w`+ r s Xy - rows cin O wdhTable 1 spacing LAWRENCE G HAROLD o OGD —+ 2'nominal deck 1 I minimum from V y ledgershown 4'to5' On-center bottom of ledger 2 /65 (double 2- from end of spacing of I and hand joist �.f ;� ledger simdar) ledger SOS wood screws �S OrVAL cNG�� Ledger-to-Band Joist Assembly SDS Screw Spacing Detail y (Wood-framed lower.floor acceptable, ~' concrete wall shown for illustration puiposes) 2 p 1 Lawrence H. Ogden P.E. 198 East Main St Georgetown, MA 01833 Date..:7n?. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that A ............................................... ......................................... ... has permission to perform ...... wiring in the building of.. ..... ........................... at,4k .......... .. . .. ...... .... . ... ..... .North Andover,Mass. Fee-,9�1..Q:�'.. Lic.Nd&... ?r,?. ..........L.- .......... ELECTRICAL INSMCMROI- Check '1 4 6538 Commonwealth of Massachusetts No. Department of Fire Services I Occupancy and Fce Checked 93L11 BOARD OF FIRE PREVENTION REGULATIONS [Rcv. 905]' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 111 w-k it)he iiet-rol-Illed it);Iccol-dklllce�% th the\1I1`s(lclluSclt5 I]WI-i-I Cotte 1 527(AIR 12.00 I'L E,BE PRIA r ININK OR TYPE I L L I\*F0R.1 1,1 TWA', Date: I 1�.)3- ID/. City or Town of: /,/41a6"elEf— -- To Ifle h7spec-lor o/ I6 it BY this qplit�10011 the 1.111dClSionedoiles 1106CC 0r1liS 01-110- illtellti()l k 0 .1.13 1 to 1e"I"A"ll the clot trical Mork described below. Location(Street& Number) Le -2�3 Owner or Tenant r,4 4W/t C-'A Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building i X/aw 11VmE - Lff Utility Authorization No. Existing Service_ -knips Volts Overhead 0 Undgrd❑ No. of Meters New Service Oko— Amps �—;-/---�Y—aVolts Overhead❑ Undgrd No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Ible Ina i, be 11,01-11,IV fiflu It', No.of Recessed Luminaires NO.of Ceil.-Susp.(Paddle)Fans No.of Tulal Transformers KNA No.of Luminaire Outlets No.of Hot'rubs Generators KVA No.of Luminaires 'Swimming Pool 'Nno%e E] in- ❑F-1 , o. o mergency Lighting 1ji,nd. Lrild. !---I No.of Receptacle Outlets96 ;FIREALARNIS No.of Oil Burners [NO.o-f Zones No.of Switches No. of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons 1.6 i:No.of Alerting Devices No. of Waste DisposersHeatPump Number ro.I.I.S.- ..K. W No.of Self-Contained Totals: Detection/,k lerting Devices No.of Dishwashers Space/Area Heating KW Local❑ vitlin.cippi ❑Connection Other No. of Dryers Heating AppliancesKW in Security Systems:* No.of 6evices or Equivalent No.of Walter No. of No.of Heaters KW Si — Data Wiring: g,n Ballasts s Ball No.of Devices or Equivalent No. Hydromassage Bathtiobs No.of Motors Total HP I clecommunications Wiring: OTHER: No.of Devices or Equiyallent F,Itirnated N,'Juc of Electrical Work: (kk lien required by 1111.1fliCipal policy.) 1•k ork to start: 111:,Pectioll, to be requested in ZICLurdancc Frith 1IEC Rule M. and upon completion. INSLRANCE COVERA(I-E: l.nlcss �roakk:d by the kwwcr. 110 PLI'll1it tier the perlornlunce.lfclectYical ��oi-k may i--AIC L1111k;-, Ille licell';ec 0'0%ides I 1-001"'Of liability insurance includill'.1-,.'()1llPlk:tcd()peration-cocl'X�Cor its�olh'llailtial ;Ilk-fit. 111:1ir .(lcll Coker Jild h:ls V-.1-fibito"d proof 11 ;,lrle ru rile Purillit olficv. 0\1, INSl R.N X(-,I" L "I1111penodies )I )eJ11 .i, hew;wl1" r, r, . lj.� . J*Ye,Y.-d co �q).(.1e. /*Z/, I A, ix 1".. 3us. TO. Address: TO. C,)ntrak:tk)i-i.ick:nse 1k:klL1l1'Lj Ior lhjn -lffliCdb]C, U11M.Lht: IiLclbe number 11CI-L: OWNER'S INSURANCE )NAIVER: I;fill:iwirc that ill.-- do,..-no/hav('the li:lbiilih ill!A1f':1JlC,-' -TA..C 11, 1111u11ti, ILLILlircd by law. BY Illy :,:2lX1tLirL IXIOV4, I hereby N416VC tlli!, NClUil-LIllkilt. 1 ;1111 the(check one') Owner/Agent i Town of North Andover NORTH Building Department y 400 Osgood Street e°;�� "• a 0 North Andover Ma 01845 O A * L (978)688-9545 Fax (978) 688-9542 VSs CMOs APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS a Ft j3 `� LA v-) LOT NUMBER SUBDIVISION n C S DATE REQUEST FILED S DATE READY FOR INSPECTION �a 1 QUO TEN(10)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGEDTHE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE �C 1,, OFFICIAL USE ONLY ay ROUTING D.P.W.—WATER METER : s (( DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. zq-, WOMIM SIGNATURE/DPW AUTHORIZATION o ACKNOWLl✓DCE.tvjE- T We:, the undersigned, David Samenuk and Karen :Sa nenak, being Che buy,rs of Lot.3, 41 Abby Lane, T<or h Axidtovcr, Essex CO-al"T, MassachuSettS, hereby acknowledge t.iat we are aware that there is a pipe tanning across rhe rear yarn, .for temporary electric service; and that it will be removed by the Seller T�orth.Andover Realty Corpo�,ntian, withi.n one month aft •rhe,closing date. Se)lec, c��(I c-esl-- e, (0.wr1 1� 2XiSF. C, (1-rAll,,-ron P,-on�.pt)j Urate: Mayac? , 2006 David : ta4' z:�s4— a In Sah- __..._._.-- O 0 964 Date..... Z /Ci AORTM . ° �"�of TOWN OF NORTH ANDOVER _ PERMIT FOR WIRING Ri, s �SS�cHusE� This certifies that �j ................ ...:............. ...'� . ..... has permission to perform .....iT. .v.............. U...... .�-j.:........................... `�' wl .. ,e7 !! wiring in the building of............... ................................. at.........Z. ............., 0.4ft ..........'.4 07...,North And ov r,Mass. r� �- r Lic.No. ......,.f2,�....... t Fee...�...�....r. .. ..........:-....a:. .................. cTRICAL INSPECTOR Check # f (fommonwea&o f t"t'/amacLeti.4 Official Use Only cc//�� �] Permit No. ff'� Al eL JePartment o1 Jire Service Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALLFORM,TION) Date: q- ��_I D City or Town of: d� To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 2 ` we V L, OwnerorTenant �Ot.d"Oeyl �Srtmea ul Telephone No.Q Q0�7 Owner's Address "�t- Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity y Location and Nature of Proposed Electrical Work: W 6 (�� or �U 611 A&.cX Completion of the following table may be waived by the Inspector of Wires, No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency Lighting rnd. rnd. Batter Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones No. of Switches No.of Gas Burners No.of Detection and Initiating Devices No. of Ranges No.of Air Cond. Total g Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.o Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Cyonnection No.of Dryers Heating Appliances KW SecNo.of Devi es or Equivalent No. of Water KW No. of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or E uivalent OTHER: t Attach additional detail if desired, or as required by the Inspector of Wires. l Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cove age is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE UZ BOND ❑ OTHER ❑ (Specify:) I certify,under th ins and penalties of erjury,that the information on this application is true and complete. FIRM NA l LIC.NO.: rL' 22. t✓_ Licensee: Signature IC.NO.: 2-51 2� e_t` (Ifapplicable,enter "exempt"in the license number line.) Bus. Tel.No.: Address: -5- 4 of.� :I`&Je� a 1 J# 030,21 Alt.Tel.No.: *Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the(check one)❑owner ❑ owner's agent. Owner/Agent a� Signature Telephone No. PERMIT FEE. $ .0- /-� Date.� 02 NORTH TOWN OF NORTH ANDOVER O PERMIT FOR PLUMBING SA US �• . \-``rte' 4' This certifies that�!.�,�>� . . . � . . . . . . • • • . . • • . has permission to perform . . . . .t'� - . J.C. E . ... . . . . . . . . . . . . plumbing in the buildings of . c. .0 . . . . . . ... . . . . . . . . . . at.,,.Q �. /a.4.4!1. . . ' . . . . . .r . ., North Andover, Mass. Fee'.'--/3,4'—. Lic. NO.P. . . . . . . . PLUMBING INSPECTOR Check # �� L MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS — - Date Building Location 1.0T .>,� Permit# C OPT C- / Amount Owner Q-qgL Yu'Lo v C.tu�S�— New Renovation Replacement E]/ Plans Submitted Yes No F'X URES I��v>ovr i I 1 1 I ISr.F 1 >I 2}}M�Fnyoy�] 4 Jnl.[IllOdt 4M FUM 5 �� 1 1'l.l�AJn 6M�'1.." 7M "l��TI�laJU�\ryry�� 9M T:R� (Print or type) Check one: Certificate Installing Company Name C,>,,c-fd `ZCA D Corp. �;b�p Address %-ICA% ' !2!",2 1:1 Partner. D1ACn�h- 1�/1►4 Business Telephone Firm/Co. Name of Licensed Plumber: JNA t 11R, t\A d,, Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 0 Other type of indemnity D Bond Insurance Waiver: 1,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner D Agent 1 hereby certify that all of the details and information 1 have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. BY igna ure Or (cense um er Type of Plumbing License Title � 1 l�— City/Town License NumDer Master ® Journeyman ❑ APPROVED(OFFICE USE ONLY Date.3A., ./`. !�.... ... NORTH TOWN OF NORTH ANDOVER • - PERMIT FOR GAS INSTALLATION 9 �,SS•�CNUSF-S,C This certifies that . . A.< -. ?`". .yrc. :�!. . . . . . . . .. . . . . .. has permission for gas installation . . . .,./��- in the buildings of . . . . . � 'j . . . . . . . . . . . . . . . . . . . . . . at 4. . . . . . . . . . . . . . . .. North Andover, Mass. Fee.h .!i. Lic. No. . . . . . . .— - - - . GA6 INSPECTOR Y Check# c L 55u1 ,Lq1SSACHLSEi'15 LT,NIFORN1 AP'PUCATON FOR PERM TO DO GAS FITTING (Type or print) Date _Z"Z Z6)G NORTH ANDOVER,MASSACHUSETTS Building Locations _Lyr 3 —R-1 PIGS V � Permit# J D� Amount$ Owner's Name � 1� � �, New E Renovation Replacement Plans Submitted i > N Z F y F N G Q W t .4 F a� � Ov 09 q w E C SUB-BASEM ENT BASEM ENT t 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR b 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR STH . FLOOR (Print or type) Qhgok one: Certificate Installing Company Name C SY�FbCLT Tt GIS c�C1 Corp_ QJ. Z.A Address ��� � � � h' 3 � Partner. i ,'U',G..� . Business Telephone one Firm/Co. Name of Licensed Plumber or Gas Fitter A.$ikYS+�l� INSURANCE COVERAGE- Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes D Noll If you have checked Les,please indicate the type coverage by checking the appropriate box. Liability insurance policy 0 Other type of indemnity 0 Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner 1:3 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 Al plumbing:vork and installations performed under Permit Issued for this application will be in -_ompliance with all pertinent provisions of the:Massachusetts State Gas Code and Capter 142 of the General Laws. Signature of Licensed Plumber Or Gas Fitter Title Plumber Title �I35� City/Town Gas Fittert)✓ �ense Number er Master ,APPROVED rCFFtCE cSE(DNLY) Journeyman Commonwealth of Massachusetts /'2— Department of Fire Services (lCCLlpanc% and Fcc Cllcck"I 9131 BOARD OF FIRE PREVENTION REGULATIONS Rev. 9 051 deaec 11lank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK .111 .,,irk to he licrtornied in 3CC0l'lk1llCe,�ith the\1:1',SaChLISCtIs 1.1-tri-I Codc(\1FC). 527(AIR 12.00 i1'LLISEP,TL%['1.V1,1K0RT1 E.ILL INFOR.11.IFlo.%,) Date: .2 -=)3. 016 CityorTown of: To ille hispeclol.of Wircy.- fay this AppliU6011 the Llllde1-Si"1lCd 'lives flotiCe ot'lli S Of-11cl- 111tclIti011 tll Peff0i'111 the electrical ,%ork desCl'ihed below. Location (Street& Number) LZ -d3--z2kL4F-- Zele- Owner or Tenant C,4eW-XzL &.d!s Telephone 0. Owner's Address Is this permit in conjunction with'aa building permit? Lff No El (Check Appropriate Box) Purpose of Building JIL�60 //Voc Utility Authorization No. Existing Service_ knips Volts Overhead El Undgrd 7 No. of Meters New Service pfd Amps /�+ Volts Overhead❑ Undgrd No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Collipletioll ills:lable arca he 1r,:yi0v the lloptl�fi)r 1)/ If',. No.of Recessed Luminaires No.of Ceill.-Susp.(Paddle) Fans No.of Toll Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA %boi,e ❑ In- ❑ No. of Emergency Lighting No.of LuminairesSwimmin2 Pool ll fil,nd. yl-lid. ;Battery Units No.of Receptacle Outlets No.of Oil Burners :FIRE ALARMS No.of Zones No.of Switches ) No.of Gas Burners No.of Detection and L .Initiating Devices No.of Ranges No.ofAir Cond. l'otal i: _.. Tons 16 No.of Alerting Devices No.of Waste DisposersHeat Pump Number 'To Self-Contained ... us, .7T-o-of Self-Conta Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW local❑ unicipal ❑ Other Connection No.of Drycrs Heating Appliances KW Security S stems:* No.of Water No.of No.of NoDevices Equivalent Heaters kW Data Wiring: Ballasts I Siigns No.of De-vices or Equivalent No. Hydromassage Battitilbs No.of Motors Total 11-111? Te Uecomm'unications Wiring: No.ul'Devices or Equi-v alent OTHER: F,Itirnatcd V;ilue of Electrical Work: (lvl lien required by 111LIniCipUl Po)jjC'y.) \kork to Mart: 1w,pwions to be rcqUeSted in accordance%ith MEC RUIC I(), and upon completion. INSLRANCE COV ERA(I-E: t--mess l akL:d by the mncr. no permit for the pul-lol-Illance j)f clectrical w()rk play PAIL! illc licensee propides. proof of liability ilvsLll.;lllck: includinv,I%0111PICtCd 1)I1kT:lti0n'.ck)Vel'jqe iy'tS.1LlI1!,l1Jllti0I h-' Alklcr-i! ned co-lirle., th;lt lt!ch In if rcc. :111d has V.,hihitu'd 1-1-m)f("t:JLllllc to, [11o:1.%rfilit r., olficc. !II,C K i)('1'11ly, --ni//.'-0/1,Y?J1i8 NAME: :fills. TJ. '4092,1- 9* Address: .6�,) 1AVIE TXCUlity Sy�,tcn C,)ntrctor IJCCW:C 1:LLllCj 10tlJs ,,t,-kI ifapplic,iblc, cntcr,hc IiLull'.iC 111.1mbei OWN F-R'S INSURANCE %VAIVER: I ;,im:imll-C that fill: d""." no,havc the li:obl'16 in-;Lirwcc t:.), r u.c 1-1,-1!!)-;T-111', L:qUircol by law. By niN ::"gnatuiC bC1CVN, I 110.1-tv %YIiVC Illi:i I'C(jL1il%-lljo,llt, 1 ;1111 the(,.heck one)[] nlncr ❑OMILI Owner!Auen t S�2lJL�- C,� �'' 2�a� ��y" Location `^ ((A nG 3 No. , Date NORT►, TOWN OF NORTH ANDOVER • o a s + ; . Certificate of Occupancy $ �sS+cNusttBuilding/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # Building Inspector Of NO u7�1N � R p TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION -Us Permit NO: o Date Received: Date Issued: hz b r IMPORTANT:Applicant must complete all items on this page LOCATION vt ►3 �� / ✓��S (�r` Prin PROPERTY OWNER zfk) , �.nc5)y VeZ Print MAP NO.: k S- PARCEL:. 9 ZONING DISTRICT: �02 TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building One family ❑Addition ❑Two or more family ❑Industrial Alteration No. of units: ❑Repair,replacement ❑Assessory Bldg ❑Commercial ❑Demolition ❑Moving relocation ❑Other ❑ Others: ❑Foundation only DESCRIPTION OF WORK TO BE PREFORMED iA t S+t 3,PSQ^'�IN 4- u�t�'�"h 31 4tr0 c),V^ Identification Please Type or Print Clearly) OWNER: Name: ►rf h 1-l4zyw- peen 14u r, 2L—� L--CQPhone: rt-)8 J7g a7?6 _ n Signature Address: �f�`3 �� 1�ro4�U At , lge_11"J I CAA 0 I B 3 0 CONTRACTOR Name:��fldyi P S 0 Phone.°76 Lt 79-a_06 Address: 144 1 An 44A.0- Wf p 1 kc) v Supervisor's Construction License: �.S (o�50 —Exp. Date: 1� Id co Home Improvement License: Exp. Date: X00-7 ARCHITECT/ENGINEER f-i1No S5c A $lame:Phone: q`15, b 3: ' Address: 114A Reg.No. FEE SCHEDULE:BULDING PERMIT.810.00 PER$1000.00 OF THE TOTAL BSTIMATED COST BASED ONS125.00 PER SF. � Total Project Cost:$ 1 S � OOO x10.00=FEE:$ Check No.: Receipt No.: '' 1&90 f�io3 �4ORTH 04 ��ao TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 9SSACHus Permit NO: Date Received: Date Issued: IMPORTANT: Applicant must complete all items on this page z LOCATION Print PROPERTY OWNER Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE I Residential Non-Residential ❑New Building ❑One family ❑Addition ❑Two or more family ❑Industrial ❑Alteration No. of units: ❑Repair, replacement ❑Assessory Bldg ❑Commercial ❑ Demolition ❑Moving(relocation) ❑Other ❑ Others: ❑Foundation only DESCRIPTION OF WORK TO BE PREFORMED Identification Please Type or Print Clearly) OWNER: Name: Phone: Signature Address: CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: I ARCHITECT/ENGINEER Name: Phone: Address: - Reg.No. FEE SCHEDULE:BULDING PERMIT:$10.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. 'i Total Project Cost :$ x10.00=FEE:$ Check No.: Receipt No.: Page 1 of 4 I i TYPE OF SEWARGE DISPOSAL Swimming Pools ❑ Tanning/Massage/Body Art ❑ Public Sewer Tobacco Sales ❑ Food Packaging/Sales ❑ Well ❑ ❑ Permanent Dumpster on Site ❑ Private(septic tank,etc. NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund Signature of Agent/Owner " Signature of Contractor Plans Submitted ❑ uplans Waived ❑ Certified Plot Plan ❑ tamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ i []Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED i' CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals:Variance,Petition No: Zoning Decision/receipt submitted yes Planning,Board Decision: Comments Conservation Decision: Comments Water& Sewer connection signature&date Temp Dumpster on site yesno Fire Department signature/date Building Permit Approved and Issued by: Page 2 of 4 Building Setback ( 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 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM05 Created JMC.Jaa2006 i 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 PP 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 DEPARTMENTMFORM05 Page 4 of 4 V40RTH Town of : Andover No. �. _ A dover, Mass., COCMICME wICK y�. �ADRATE D P' �y '9S BOARD OF HEALTH PERMIT Food/Kitchen Septic System r' DG INSPECTOR THISCERTIFIES THAT... +......... ........................................:.................................... . . . ................ ............. ................. ... "�' ounda ' 'fie'. haspermission to erect........................................ buildings on .... �........ ....... . .............,................... to be occupied as...— ,� .... .................. . ................................................. n C / provided that the person ac ting this permit shall in eve espect conform to the s of the application on file in this office, and to the provisions of the Codes and By-La relating to the Inspectio , Alteration and Construction of Al� i. ina Buildings in the Town of North Andover. PLUKlBiNdlrdR VIOLATION of the Zoning or Building Regulations Voids this Permit. o �/Z YX PERMIT EXPIRES IN 6 MONTHS 1 a >/L ELECTRICAL INSPE UNLESS CONSTRU N STAR ug �t� 3 z - ...... ... ................ Service UILDING INSPECTOR Occupancy Permit Required to Occupy Building GAS INSPECTOR DRough isplay in a Conspicuous -Place on the Premises — Do Not Remove F0 No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No.d )zee,-, eo SEE REVERSE SIDE Smoke''Det.�j� IAORTly Town of Andover }� . A dove , Mass., L COC L ME WICK y^tom RATED PPG —`C:) 1�7 4 BOARD OF HEALTH PERMIT - T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ...*.r%d&-rA......... �.. . has permission to erect. � 04-194.1.....�/4,�/ ,..... .... p ....................................... buildings on ... '........ p .....�. v.%A,�-Kit:.d....... .j9 .&.4 .�. to be occupied as. a ................... . . . .. . .. . ................ � y provided that the person accepting this permit shall in every respect conform to the terms of the application on file in ina P this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction ofd, Buildings in the Town of North Andover. PLUMB G INS OR VIOLATION of the Zoning or Building Regulations Voids this Permit. MONTHS s L` 5e- UNLESS PERMIT EXPIRES IN 6ELECTRICAL INSP CTO CONSTRUCTIO STARTS ou �� �._ 2 y.-_© 6 J ..... ................ ............................... Service BUILDIN Rf�CP'EC�OR Occupancy Permit Required to Omtpy Building GAS INSPECTOR D3isplay in a Conspicuous "Place on the Premises — Do Not Remove Rough i No Lathingor D Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner �l d/o Street No. SEE REVERSE SIDE Smoke DetBK ?, �� ' Town of North Andover NORTN Building Department ,%-ILD ,,, 400 Osgood Street 3�' a!:��_ ^ '6 �0� North Andover Ma 01845 p _ � 4 A (978) 688-9545 Fax (978) 688-9542 C, �A �•90gwrn SSAC HUSH APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS ( AR 13 LOT NUMBER- SUBDIVISION, —/ , y DATE REQUEST FILED 5 DATE READY FOR INSPECTION TEN(10)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE ($25.)DOLLARS WILL BE CHARGEDTHE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE U(7 tQ � �-� i Lrr . OFFICIAL USE ONLY V ROUTING D.P.W.—WATER METER 04( d DATE kOLJO(4' D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. �- �t1�.1131AM SIGNATURE/DPW AUTHORIZATION CERTIFICATE OF USE & OCCUPANCY Town of North Andover. Building Permit NumberA 1+4-79/ S79 Date THIS CERTIFIES THAT THE BUILDING LOCATED ON i i A16. 1-A o 'E— MAY BE OCCUPIED ASA 1 �'� t IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATS BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. ;T CERTIFICATE ISSUED TO �. ADDRESS 1 ''=,CMus� Building Inspector � NORTIy Town of t 4 over 0 .� - _ '�y7No. '- f dover, Mass., COCKICKEWICK V� �qs RATED Pg � �y BOARD OF HEALTH PERMIT T Food/Kitchen Septic System ;,. -- D G INSP CTOR THISCERTIFIES THAT���...................................................................................... ................. �.................:: ound6 has permission to erect....................................... buildings on Imo!`':/... �........ ....... ........:................... to be occupied as...—V-- .... ....... ...... .... . ................................................. y � c�_ Chxmne� provided that the person ac ting this permit shall in eve aspect conform to the s of the application on file in - this office, and to the provisions of the Codes and By-La relating to the Inspectio , Alteration and Construction of ina ,! Buildings in the Town of North Andover. PLUMBiNdINP R VIOLATION of the Zoning or Building Regulations Voids this Permit. o 3/Z Y/ PERMIT EXPIRES IN 6 MONTHS t a Ll ELECTRICAL INSPE UNLESS CONSTRU ...5 a-N STAR Roug � - ................ Service UILDING INSPECTOR Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough L' Display in a Conspicuous-Place on the Premises — Do Not Remove Fi is / r No Lathing or Dry wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner r/z0 Street No.6 k- SP�9 �sle'S • yj SEE REVERSE SIDE smoket.�;c NoRTH Town of 4Andover 0 No. Awl ,/ ~— _ dover, Mass., T O LA COCMICKEWICK y A0RATED FPa` Cl 7 S BOARD OF HEALTH PERMIT - T . . D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..... ....*0404CA.......... ....................................... has permission to erect......................................... buildings on...21........ .114.. ..... .................... ough C� to be occupied as.....16". 3A.s.4.........Qi t-&-t- M1 .'r................................................................... y provided that the person accepting this permit shall in every respect conform to the terms of the application on file in in 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. PLUMB G I/NS R VIOLATION of the Zoning or Building Regulations Voids this Permit. �L ��G C'y PERMIT EXPIRES IN 6 MONTHSan- UNLESS CONSTRUCTIO STcgk ARTS ELECTRICAL uvSP CTOR ................ .... .................. ..... Service BUILDINQ \R ina. ?6 Occupancy Permit Required to Ocaipy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough 3 s No -Lathin or D Wall To Be Done g FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. O/C�f'j ajzt ` s SEE REVERSE SIDE Smoke Detok ? Town of North Andover NORTH Building Department O�jtee 400 Osgood Street ' O North Andover Ma 01845 p h- 7D (978) 688-9545 Fax (978) 688-9542 10 O cx.ac^u:.aw • SSACHUS� APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS I IH IS .`I L f� LOT NUMBER SUBDIVISIONS n f s DATE REQUEST FILED DATE READY FOR INSPECTION TEN (10)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE ($25.)DOLLARS WILL BE CHARGEDTHE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE �,lQ J��-� i Gcr OFFICIAL USE ONLY ROUTING D.P.W.-WATER METER , DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. La bb SIGNATURE/DPW AUTHORIZATION CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Numberl-"3-L-S-29 Date_ THIS CERTIFIES THAT THE BUILDING LOCATED ON MAY BE OCCUPIED AS I e '' IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. 104 tot 0�0;,�.•+ ''oo� CERTIFICATE ISSUED TO ADDRESS it^• ^CNUS� Building Inspector i Gel�na5 5�r1�Gturalrr,Inrin� I,I.0 phone 978.465.6436 Daricl L. Ge,linas,p,E. Fax ;5.465.5160 579A Forth End Blvd. St6sbury, 14A 01952-1738 eraaail clanigelinas@',,adulphia.net. April 2015 Carroll Construction Jim Coll cell X78. 79.2776 163 Highland Rond fax 97$.475.4942 Andover,MA 01810 phone 978.6123,3386 RE 21 Abbey Road,North Andover.MA I)=Mr. Carroll: You have requested Gelinas Structiwal Engineering LT-C(GSE)provide observations of the frami Sat 21 Abbey Road. The following are the Tesults of our observations: Executive Strixinxarv: Tine fram.izig was observed on 4.106, satisfies the drawing requirements and the req-L:dreineatts of the 'VL lssachusetts State Building Code 6`e.Edition Chapter 36"One rind Two Family Dwellings"provided one double 2x8 header is added belom,the circular stair from t ie:first to the second f7onr. Ilmder to be: 1, located at approximately mid span 2. o aentate trans:ez-se/,cross underside of stairs and below curved plrvood beam 3. block to pick up the loading from the wall side (,,-ear) cucular double plywood cun,,ed bew-n 4. provide double stud under the header to the fmmir-g below Discussion: l Framing appears per the design drawings in general., substituted garage header framing of 4- 1 N x 11 718 LVL's spanning 12 feet satisfy code 2. Structure was constructed reversed or opposite.hand 3. (:Tara;es where constructed per option t6p left of drawing A4 Very 7'a sly fours, a. laanaeI L. Crelinas,P,E. ID)pNIELL, N GELw c K t1.30J.39 OhiervaVcln 2-06jo505927 Brnmo 972Ldo vRa}Cl nAI W I No.33994 1, _ JrC'U j �F� J"f,irvt_;(�i �.��r7 i, U , .NORTH Town of _ 4 over 0 NO. 518 �_ - -_ _= dover, Mass., •� COCMICHEWICKLA A. ADRA7ED P"' `J '9S BOARD OF HEALTH Food/Kitchen PERMIT T Septic System /� l BUILDING INSPECTOR THIS CERTIFIES THAT P.�.•.1!!..T..�....*kdo4.FA........ .�.. ... .... ....................................... Foundation has permission to erect........................................ buildings on .....'........P.1919.. ..... .. .00 C. . ................... Rough to be occupied as........ ....1r1 .. . ..d.........Rets- .w+�r..t.I I r.................................................................. 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIOSTARTS Rough Service BUILDIN R 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 Sheet No. SEE REVERSE SIDE Smoke Det. ok l 04 _ .. .. ..... .. tL rte._ 1146 opF Tq 00 t 1"OTAL 45Q FT = ( Aq 2!22x'2005 14:41 97937239E.0 CHRIS i IAIAPEr� ?. ER I � ��� PAGE 01/01 ABBY LANE 16MIM0 DWRICT R-2 L-'=jam.00' WN, AREA = 21.780 S.F. ARM WT WIVM 900' MO MWAGE = 100' ARM. FWMT SEi&4l CK a 20' ANAL SW Sf7RA0l(* _ 20" AM. REAR SETRACK = 20' i 85.3+' (* — ME 971x41 WRE MAY RE PLACED UPON A MDE LOT LiMir WTHOUT A SIDE S`EMC'K. RRt WDO TMT TME ADJACENT LOT TO WMXH THE ZERO SEMCK IS LOCAMD HAS THE RrOU M Sl" YAM SCMACK.) 42.8' �'�`--- � I c�d E,�'ISTd�C e Fd UNDATtOM L 17.x. t � FOUNDA/�k k LOCATION 4.4/�R }fes�/ 6A 0 cmmw FM7 vc pIN w SACIdICkwamcff MV-000M mom� v (M MWM4W SES,IW r 40AV=AW OUT RW CL-IEMTi WOM AMOM rB ALTY i`FM MUWM SHALL MDT W L=By MW tilt 1W ANY NAVMW e0" TMW 7Mr OMNM AMM. Ur*= JW THIS C`EiR3Il 4r M 15 MADE AND UAWrm wmm p"Umm or aommwm A sm►nrn. W, THE ADOVE CMAM � IM MA it im� trr It�XFW W- AM Mr 00*WPVMW 77A� Of Ammammiry L 1 . ARKY imp, KoRny DOVEp erg a�eAtrrraoAr�LWAA?' R- Ak61fPiV SCALE.- I DA TE.- 12,122105 WCHAEL oen spa c* ►� u.�. m9 rLa StawrywS �,,�'"' �i a��`•�` a No Arr �v g Sao At-oh / DAA dVI ld0l�. 9700601,0 i i . BOARD OF BUILDING REGULATIONS �. License: CONSTRUCTION SUPERVISOR Number: CS 063503 Birthdate: 07/19/1965 Expires: 07/19/2007 Tr.no: 14926 Restricted: 00 JAMES V CARROLL HIGHLAND RD j ANDOVER, MA 01810 1 Commissioner I 15 2006 0;-': Fl ACJORD� CERTIFICATE OF LIASiLITY INSURANCE of-'TEmvitury Yyv-, 3/:La_/22p�-,_._i I THIS CERrIFICATE ItS ISSUED AS A MA--TER OF INFOPOAA710N I-S.P.ROBERTS 7NSURANCH AGR.WcY mc. ONLY AND CONFERS NO RIGHN, UPON -fHr:t CER'IFICATF I-IOLLER. THIS CER-11FICATE DOES wT AMEND, EXTEtqo OR 1060 OSGOOD STPMT L AL.76R THE COVERAGE AFFORDED ey M0'-RTK ANDOVER MA 0JU45. q INSURERS AFFORDING COVERAGE NAIL4 NORTH ANDOWR RZAL!r-Y CORP. JIM CARROLL 459 &A.ST. IaAOAD'14Dy INZURIP C: flhVERHILL, Uh 01930 1 INOURrR E 0 VERAC TfiE POLIO-ES OF INSURANCE LISTED BEL,)W HAVE BEEN IuVJ,7D T0TKE!Iq$-JffE(.)NAMED ABOVE=.)R THE T)COC�P[P!C*JiDICATED,hjGT'vV17h51AN0iNG AN R�QUIRIZN12NT T�1�4 OR CONDITION GF ANY CONTPL(\0T OR ()I I-IER 0WVMENT W COT TO WH;CIl TH13 QaRTiFIC,'�TE MAY BE M.,RUE3 OR ANY IT.1-1 REV MAY PERTAIN:THE INSU.zLANCE AFFORDIZO 8Y THE POLICIES DESCRIBED HERr-IN:S SUBJECT TO ALL TERMS,EXC-LU-SIONSAINIQ CUNDITIgIJS OF ,H PCI.4'1'8 AGGREGAT' OMITS4SHOWNIWY HAVE BEEN REDUCEDBY FWOCLAiM$. p CTI"F. �iF;�Tl;ypiT— L)A" NM� 01)r 0171:1 .:OW 54-11 mI':: 1.11MTS IUNER�0- LIASILn' EACH L6-1=)RRE-NC-.F—'l-1 7-7 Z'0NAIERC IAL GENCRAi.LABILITY i FPEIVISES LF,eor OLAIN!�lklArlh, OCCUR I L!n�,DEXF(ArlyClorarGP) GENERAL AGCK-Wr.- OEN L Lr A7 AP?*IES F'Lpl kcG $ AC(CM0611-C LIA111IT" I WNED SIN01LE I.A'17 L W-'J'Q ALL OWNED ALT—',d iROr"I 0'1 E_W.[-:D AUTO oerqon) HIRED AUTOS 3OD'LY INJURY r'ROPERTYIDAIAAGL r3ARVE UARILITN' I fd:7C,C)N(-Y-FAACSIDSNT `NYAUrrD R'rHAH 70OWY: C ;L—LA L)-A-9 I L I—rY 1 EACH occuRwr!qrl: L -J f-lAIMS MADE I VEr,Lj CT If,L F. RFT�NlltlN $ —--------- PA" QYF.: GL I.>81 7Yri 0 500, 00 L) I.L'C:l L 5 0 -OQLQ- OTHER QF()F'FR',71GN8 I LOCATIONS'VLI-1('LE6'FlCLUeI0N:ADDED EIY 1iF-11 PRoviSi,a-4S FAX: 'ERTIFICATE HOLDER CANCELL.kTIONI TOM4 OF NORTH Al MOVER fiIHOULDAWY 0.-YI-PA130VE DESCR16CO 14F.C*,',NCfLt.fV 5ECCRt!!'I IE t:K;'1I4A I DATE TI-I::QFDF,THF.ISSUING 04SUR.Er,VALL 6610GAW)p 10'AA::.10 cAys vd41T7r-4 N' YO THE CERTIFICATE H('l nr.R NAMED TO THE 6FI-'T,EUI Fw,'DRE TO Uf-1 00 t;l,tLL 400 QSGOOD STRXET NO 08LIGA71014 OR LADUTY Gr ANY.KIN"d UKIN THE INSURER !%PIBENTS Oi NORTH A"OvER, blA 01843 REPRESFWArIVES kLITIORLZE',Rr-.PRES-..HTA71V1'. FR&�--"-4z ICORD25(200 ic4j) RE)CORPORATION 1,989 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit I Please Print Name: Location: city Phone am a homeowner performing all work myself. F7I am a sole proprietor and have no one working in any capacity r I am an employer providing workers'compensation for myployees working on this job. mpany name: A 14 I Address (— �3Ta�' �"� City: �`�� C/�kt b l 0 Phone#: 5-6 1 Insurance Co. V�err C-gu ���e !�S Jf��Q Policy# Company name: Address Cid Phone#: Insurance Co. Policv# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 andior one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature Date Print name Phone# Official use only do not write in this area to be completed by city or town official' Building Dept Check if immediate response is required Building Dept p Licensing Board Selectman's Office Contact person: Phone#: Health Department Other FORM WORKMAN'S COMPENSATION FR,731 ,F?CIEIERTS INSURANCE FAX HO, :97360-J3147 May, 10 2005 110:01AI' P1 ACORD,f CERTIFICATE OF LIABILITY INSURANCE 01T''--11'ffil;U0.;y L,L/2CU5 rKpnlrCr''a THIS CERTIFICATE I$ ISSUED AS A MATTER OF INFORMATION M. P. RQBERTB INS AGENCY INC, ONLY AND CONFERS NO RIGHTS UPON THE CERIIFICAT2 HOLDER. THIS CERTIFICATE DOE$ NOT AMEND, CXTENO OR 1060 OSGOOD STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NORTH ANDOVER, A(A 01845 - 978-683-8073 INSURERS AFFORDING COVERAGE NAIC� I NORTH ANDOVER REALTY CORP. INsuiteRA SCOTTSDALE INSURANCE _. 4 59 EAST BROADWAY ;wallRr•R n: HANOvER INSURANCE RAVERHILL, MA 01830 N>JRtl1(:: LU--T¢D BTATA,9 T,TABILT^Y -I73up-bNC2 97B-686-7724 ;INSURER r): AMLPZ(7FiN liOMS ASS'-RAKC2 !IIJSu Rr•,R I'. L—_ COVERAGES TF E POLICIES 0''ItJS''JlttN(;F.I ItirFD BELOW HAVE BEEN ISSUED TC T11E'NSURED NAfAEDA80'VC FOR TH:POLICY PERIOD INDICATED VC)TW11'HS IANDI.VG N'Y REO'Jlri Ch4EN'T TER.A CR CONDITION OF ANY CONTRACT ON 0'I Hl:'K UUCLNFNI'WITH R SPLCI '10 WI-W;rI THIS CERTIFICATE MAY BE ISSUFO f%l< MAY FERTAIV, n Ir IN,.iQNANOt ArFORDED SY THE POLICIES DE3CRISED HEREIN I3 SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONUI ION:;Or it �1' 0'.�LI IES.AGGR=a^ ,TE WlIITS,`,HOVJN MAY HAVE BEEN REDUCED BY PAID CLAIMS. "r" f•"^'' DpLILV nl1lAGER rl`Y EFf CCTI\'C r0il6r�Xfi^^,r'OI'J I "— DATOLl,'w,,DOh'- /ICP.!,. .�'IGIL:Iv C/va�OCCugqHG?lrF �( 1 ,OCG 000 DA1,9AGc10(uNTCC'!r;, 100 , 000 Xl;!`I,�NF RCIAI irNf.FAi.1.1/Ip 11.171 I vRr.bti$r5 tx:-.�;rz,nr:� y I CIrJId5A1AUr 1.1).;UG�'oK I I I i Nr,D fXF(A-y-,rn—•.i :S 5 0QQ. A CLS1133206 : 03/13/05 03/13/06 IN�k`-QNAtivAUV!NAIRY i'1 1 ,.000 , 000 i I I (ANEA!`L AGGRGATC 2 100_0000 =k../;tly Cpr;ATF WIT APPI.IG:PC2j PRQfILq;T?.f,'OrN''!�1'AGU ' 1 00.., CUO �I:Tf:N1%OI_E,'!,I]:LITY i ('UMOINfrJilNCi!.':I'.1..(I? ;I 1 000 ,000 A..r;'nrvrnr„I-a. Ff,.r;IIYINJJNY }{ 5!:•13 DlJlcD%JTU: I wirP61tw1 _- i g x;HI'Fr:,',I,:y; Location No. '1q7 V Date /2 '13"dam' �oRTM TOWN OF NORTH ANDOVER 00 a i ' Certificate of Occupancy $ v Eta Building/Frame Permit Fee $ s�cNus QZ7 Foundation Permit Fee $ lle6 ' Other Permit Fee $ TOTAL $ Check # G� 18863 �-- // `"Building 146ector i TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 1,. n X .."'..$ y..P � i'.f�W� «. 11V '> `wk �e�k#�5 4 BUQ,DING PERMIT NUMBER: /c�� DATE ISSUED: ic T SIGNATURE: Building Commissione /I for of Buildings Date SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: d Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Fromm e ft INft 1.6 BUILDING SETBACKS +` - Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided © too 00 2d ; O 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone brformation: 1.8 Sewerage Disposal System: Public K Private ❑ Zone Outside Flood Zone Municipal- `1( On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSIDP/AUTHORIZED AGENT Historic District Yes o A m 2.1 Owner of Record NO,'f-k A ,coo,4RQ- -PeA)4-1 Name(Print) -- Address for Service: ; C SigRfiture Telephone 2.2 Owner of Record: ir Name Print Address for Service: 1 ` I M Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ 11 Licensed Construction Supervisor: License Number Address (-} / t C, 7 7 G Expiration Date bSigature Telephone - 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name M Registration Number r Address Expiration Date ^� Si nature Telephone G) I i SECTION 4-WORKERS COMPENSATION(NLG.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......:14- No.......❑ SECTION 5 Description of Proposed Work check ell applicable) New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work:: Ty CnnS t UC - 7-10 Sl0� 1 ,1!'S1� ✓.,9�!r W f 611 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to.be OFFICIAL.USE t>NL.Y Completed b it a licant em 1. Building .f (fj1 (a) Building Permit Fee Multi lier 2 Electrical t r©0� (b) Estimated Total Cost of S✓� r Construction 3 Plumbing i I Uvu Building Permit fee tel X tbl 4 Mechanical HVAC ( 0 0 5 Fire Protection ('7000 6 Total ]+2+3+4+5 C2=415 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT 1OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize to act on ' My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, J!iM 0 S V J 1 A Y-(D( 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 1 n \ J f*r�k C-S V CAM) Pri Name r ,-`^� S' a e of Owner/Agent Date NO.OF STORIES SIZE BASEMENT OR SLAB nwn+$ SIZE OF FLOOR TINMERS 1 2-/(0 2 n(a 3 SPAN 0 DIMENSIONS OF SILLS r5 DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS 2-i L HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING ZV X 0 MATERIAL OF CHEVINEY 1 C It IS BUILDING ON SOLID OR FILLED LAND 0 t r IS BUILDING CONNECTED TO NATURAL GAS LINE S NORTH ToVM Of _ 4Andover O ._ M.. I. o dover, Mass., COC MICMEWICK �� W 7�S S'ATED L BOARD OF HEALTH Food/Kitchen Septic System BUILDING INSPECTOR PERMIT T D THIS CERTIFIES THAT `D.....................................................:.........:...................... ....../10� ..6406.1 Foundation has permission to erect........................................ buildings on c;;, ............�........ .... ........................I.... Rough "� • Chimney to be occupied as..... c ey provided that the person ac ting this permit shall in eve aspect conform to the sof the application on file in Final this office, and to the provisions of the Codes and By-La relating to the Inspecti , 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 CONSTRU N STARRough ........ .... .. Service UILDING IN PECTOR 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. aft js SEE REVERSE SIDE Smoke Det. i _ 5 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 IY�!-}-� -lr�( O�JQ� L6, Lc o, PHONE 918 '(71 ' a7_7'�' LOCATION: Assessor's Map Number PARCEL i�' l SUBDIVISION Q.vTj M>1 C04sP- LOT(S) 4 STREET- (,,��ye ST. NUMBER ************************************OFFICIAL USE ONLY*************************** ****** I RE OM TIO TOWN A TS: CO SERVATION ADMI R DATE APPROVED DATE REJECTED COMMENTS ca TOWN PLANNER DATE APPROVED /L 110.r DATE REJECTED COMMENTS /1/1j •<,s�+• ✓E. f� rq.�. de-a- FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS r PUBLIC WORKS -SEWER/WATER CONNECTIONS ` DRIVEW Y PERMIT FIRE DEPARTMENT � O S RECEIVED BY BUILDING INSPECTO DATE Revised 9197 jm j�iC� SAPI ?Cc 5. ' 9t , � � 10 �J COPY NOR Try p n , DECEIVED lJ €M(" C► E K'S OfFFIC 2005 NOY 16 Pl14 4. 23 S,u�S Town of North Andover To _ Office of the Planning Department Tfi Lincoln Dale nner Community Development and Services Division 400 Osgood Street North Andover,Massachusetts 0184is is to certify that twenty(20)days http://www.townofnorthandover.ceimve elapsed from date of decision,filed (978)688-9535 without filing of an peal. -aQO Date -� S Joyce A.limdshaw NOTICE OF DECISION Town 019* Any appeal shall be filed Date: November 15,2005 within twenty(20)days after Hearing Dates: October 4- the date of filing this Notice November 15,2005 in the Office of the Town Cleric. Petition of: North Andover Realty Corporation 459 East Broadway,Haverhill,MA 01830. Premises Affected: Molly Towne Road(also referred to as Autumn Chase) M Assessors Map 65,Parcels 24&33 and Map 38,Parcel 41 Off of Summer Street,North Andover. Referring to the above petition for a Modification to the Special Permit for a Planned Residential Development(PRD),known as Molly Towne Road("Autumn Chase). The application was noticed ind mviewin in accordance with procedures for approval described in Sections 8.5, 10.3,and 10.31 of theme Town of North Andover Zoning Bylaw and M.G.L.c.40,sec.9. So as to allow: Modification to the Planned Residential Development Special Permit to change/revise the architectural style,location,and footprint of the approved single-family homes,associated o grading,and landscape work. - - At the public hearing given on said date above,the Planning Board voted uninamnus(y to APPROVE the w Modification to the Planned Residential Development Special Permit for the Molly Towne Road 16 single- family residential subdivision and open space in accordance with the following editions. Signed,• - Lincoln J.Daley,Town Plan= Richard Nardella, Chairman AT VIUS4,`fi: John Simons,Vice Chairman A'Prue Copy James Phinney,Clerk 9",a 'X , . Alberto Angles Town C)erk Jack Green d L- e- . 91x 31 P% t Sr 5 e S P-ec:,,&I (?4Lr.v%.--ir- e:s:wt -adok BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 68&9535 I ` 1 Molly Towne Road"'Autumn Chase"— Map 65, Parcels 24&33 Modification-Special Permit/PRD Map 38,Parcel 41 16 Single-Family Dwelling Units November 15,2005 The Town of North Andover Planning Board hereby grants the Modification to the Special Permit for a 16 single-family lot (with associated Usable Open Space) Planned Residential Development ("PRD") known as Molly Towne Road ("Autumn Chase"). The project is located on Molly Towne Road, off of Summer Street, Assessors Map 65, Parcels 24 & 33 and Map 38, Parcel 41 and is in the Residence 2 (R-2) Zoning District. The purpose of the Modification to the Special Permit is to change/revise the architectural style, location, and footprint of the approved single-family homes, associated grading, and landscape work. The Modification to the Special Permit was requested by North Andover Realty Corporation, 459 East Broadway, Haverhill, MA 01830. This application was filed with the Planning Board on August 31, 2005. The applicant submitted a complete application which was noticed and reviewed in accordance with Sections 8.5, 10.3,and 10.31 of the Town of North Andover Zoning Bylaw and MGL c.40A, sec. 9. The Planning Board makes the following findings as required by the Bylaw, Sections 10.3 and 10.31. a. The specific site is an appropriate location for a Planned Residential Development, as the property would yield 16 homes with a conventional subdivision design vs. the 16 new homes with the PRD design. The modification to the PRD plan minimizes the amount of disturbance on the existing slopes, vegetation, wetlands and abutting properties by taking advantage of the reduced lot size. Also, this layout preserves in excess of ten(10) acres of the property through a perpetual open space restriction. This modification will not change or alter the lot layout, lot setbacks and dimensions, roadway design, area of open usable space, and general requirements previously approved in April 22, 2005 Definitive Subdivision and Planned Residential Development Planning Board decisions. The purpose of Modification is to change the architectural style, location, and footprint of the approved single-family homes. b. The use as developed will not adversely affect the neighborhood as this site is located in a residential area and there are approximately 10 acres of Usable Open Space associated with the development. The character of the project will reflect the rural aesthetic presently defined by the surrounding Summer Street and Rea Street neighborhoods. c. There will be no nuisance or serious hazard to vehicles or pedestrians. The traffic impact and access study submitted by DJK Associates, and reviewed by the town's consulting engineer, demonstrates that the development of 16 new homes will have a negligible impact on the present traffic volumes associated with Summer Street. d. Adequate and appropriate facilities will be provided for the proper operation of the proposed use. Each home will be connected to municipal sanitary sewer and water connections, minimizing the chance of unwanted pollutants entering the groundwater. 2 i Molly Towne Road ("Autumn Chase") Modification-PRD Special Permit Approval In particular, the Planning Board finds that the Modification to approved April 22, 2005 PRD Special Permit will: a. Promote the more efficient use of land in harmony with its natural features by preserving additional open space, reducing the amount of clearing and excavation normally associated with the construction of residential dwellings on a site such as this, and facilitates the economical and efficient provision of utilities; b. Protect water bodies and supplies, wetlands, floodplains, hillsides, wildlife and other natural resources due to the preservation of open space, and the project design minimizes and protects such natural resources; c. Encourage the preservation of open space. The applicant has provided approximately 10 acres of the property as Useable Open Space; d. Permit greater flexibility and more attractive and efficient design of residential development. The subdivision design both proposes and allows preservation of the existing Waal character along Summer Street, while conforming to the goals and policies of the Master Plan of the Town of North Andover; e. Meet the Town's housing needs. f. The Planning Board also finds that a base density of 16 house lots is appropriate for the PRD as a conventional subdivision design would also yield 16 new single-family homes. Finally, the Planning Board finds that the Planned Residential Development complies with the Bylaw requirements and grants a Special Permit subject to the following conditions: 1. Environmental Monitor: The developer shall designate an independent Environmental Monitor who shall be chosen in consultation with the Planning and Community Development Staff. The Environmental Monitor must be available upon four (4) hours notice to inspect the site with the Planning Board designated official. The Environmental Monitor shall make weekly inspections of the project, meet weekly with the Town Planner and file monthly written reports to the Board, detailing areas of non-compliance and with the plans and conditions of approval. 2. Construction Monitor: The applicant shall designate an independent construction monitor who shall be chosen in consultant with the Planning Department. The construction monitor must be available upon four (4) hours' notice to inspect the site with the Planning Board designated official. The Construction Monitor shall make weekly inspections of the project and file monthly reports to the Planning Board throughout the duration of the project. The monthly reports shall detail area of non-compliance, if any and actions taken to resolve these issues. The designated monitor may not be the applicant and/or developer. i I Molly Towne Road("Autumn Chase") Modification-PRD Special Permit Approval 3. Prior to the endorsement of the plans by the Planning Board, the applicant must comply with the following conditions: a. The final plan must be reviewed and approved by the DPW and the Town Planner and subsequently endorsed by the Planning Board. The final plans must be submitted for review within ninety days of filing the decision with the Town Clerk. b. The applicant shall post a Site Opening Bond in the amount of five thousand ($5,000) to be held by the Town of North Andover pursuant to the North Andover Planning Board April 22, 2005 PRD Special Permit Decision. The Guarantee shall be in the form of a check made payable to the Town of North Andover escrow account. This amount shall cover any contingencies that might affect the public welfare such as site opening, clearing, erosion control and performance of any other condition contained herein, prior to the posting of the Performance Security as described in Condition 5(c) of the Definitive Subdivision Conditional Approval. This Performance Guarantee may at the discretion of the Planning Board be rolled over to cover other bonding considerations, be released in full, or partially retained in accordance with the recommendation of the Planning Staff and as directed by the vote of the North Andover Planning Board. 4. Prior to receipt of a Certificate of Completion (Form K) for the project described in the Definitive Subdivision Decision, a perpetual restriction of the type described in M.G.L. Chapter 184, Section 31 running to or enforceable by the Town shall be recorded with respect to this land. Such restriction shall provide that the Usable Open Space shall be retained in perpetuity for one or more of the following uses: conservation, agriculture, or recreation, subject to certain easements and restrictions to be described therein. Documents to this effect shall be drafted by the applicant and reviewed by the Planning Staff prior to the release of any of the lots from the covenant described in Condition 5 of the Definitive Subdivision Conditional Approval. 5. The designated Usable Open Space parcels shall be transferred in ownership to one of the following groups: a. A non-profit organization or trust whose members are all the homeowners and occupy the homes; b. Private organization including but not limited to the Trustees of Reservations, or Essex County Greenbelt Association whoseprimary function is preserving open space; C. The Town of North Andover; d. Any Group as indicated by the Planning Board, which exists or is created for the purpose of preserving open space for the owners of the homes located in the PRD. As referenced in condition #4 above, Documents to this effect shall be drafted by the applicant and reviewed by the Planning Staff prior to the release of any of the lots from the covenant described in Condition 5 of the Definitive Subdivision Conditional Approval. Final Documents must be fully executed and recorded with the Essex North Registry of Deeds prior to final release of any roadway bond or security. i Molly Towne Road("Autumn Chase") Modification-PRD Special Permit Approval 6. Prior to the start of Construction: a. Yellow Hazard tape must be placed along the no-cut line as shown on the approved plans, or as otherwise designated, and must be inspected by the Town Planner. The Town Planner must be contacted to review the marked tree line prior to any cutting on site. The applicant shall then supply a copy of a plan, prepared by a registered professional engineer,certifying that the trees have been cut in accordance with the approved plans. b. During construction,the site must be kept clean and swept regularly. c. It shall be the responsibility of the developer to assure that no erosion on the site shall occur which will cause deposition of soil or sediment upon adjacent properties or public ways, except as normally ancillary to off-site sewer or other off-site construction. Off- site erosion will be a basis for the Planning Board making a finding that the project is not in compliance with the plan; provided, however, that the Planning Board shall give the developer written notice of any such finding and ten days to cure said condition. d. The applicant shall provide the Planning Board with copies of permits, plans and decisions received from all other town boards, commissions or departments. In addition to receipt of these plans, the applicant shall supply the Town Planner with a letter outlining any and all revisions resulting from said permits, plans and decisions received from other town boards, commissions and departments that differ from the approved plans referenced in Condition#21. 7. Prior to releasing individual lots from the statutory covenants, the Planning Board must by majority vote make a specific finding that the Erosion and Siltation Control Program is being adhered to,and that any unforeseen circumstances have been adequately addressed. 8. The applicant must comply with the Phased Development Bylaw, Section 4.2 of the Town of North Andover Zoning Bylaw. 9. The Planning Board approves the Architectural Plans provided by North Andover Realty Corporation. Final elevations and footprints shall be submitted to the Planning Department . prior to the release of individual lots from the statutory covenants. Any changes deemed substantial by the Town Planner shall be presented to the Planning Board for a determination as to whether such changes should be discussed at a public meeting and/or hearing, or might otherwise require a modification to the original Special Permit approval. 10.Prior to FORM U verification (Building Permit Issuance): a. The Planning Board must endorse the final site plan mylars and three (3) copies of the signed plans must be delivered to the Planning Department. b. The applicant shall adhere to the following requirements of the Fire Department and the Building Department: All structures must contain a residential fire sprinkler system. The plans and hydraulic calculations for each residential system shall be submitted for review and approval by the North Andover Fire Department. Plans and hydraulic calculations for i Molly Towne Road("Autumn Chase") Modification-PRD Special Permit Approval each residential system must also be supplied to the Building Department when applying for a building permit. c. One certified copy of the recorded decision must be submitted to the Planning Department. 11. After the conveyance of each residential lot, the applicant must provide the Planning Department with a copy of each deed evidencing the following language: "As required by the PRD Special Permit issued by the Town of North Andover Planning Board, dated , the Buyer of Lot _ within the Molly Towne Road ("Autumn Chase") subdivision acknowledges that the Open Space Parcels, or easements, shown on the plans, which have been or will be conveyed to an appropriate homeowners association, conservation organization, agricultural trust or the Town of North Andover through its Conservation Commission, as determined by the Planning Board, for conservation, agricultural and/or recreational purposes, shall provide the Town with the right, but shall not impose any obligation on the Town, to maintain the Open Space parcels in any particular state or condition, notwithstanding the Town's acceptance of such Open Space parcels". 12. Prior to verification of a Certificate of Occupancy. a. The applicant must submit a letter from the architect and engineer of the project stating that the building, signs, landscaping, lighting and site layout substantially comply with the plans referenced at the end of this decision as endorsed by the Planning Board. i b. The Town Planner shall approve all artificial lighting used to illuminate the site. Any changes to the approved lighting plan as may be reasonably required by the Town Planner shall be made at the ownef svxpense. c. The residential fire sprinkler systems must be installed in accordance with referenced standard NFPA 13D and in accordance with 780 CMR, Chapter 9 of the Massachusetts State Building Code. Certification that the systems have been installed properly in accordance with the abovereferenced regulations must be provided from both the North Andover Fire Department and the North Andover Building Department. 13. Any stockpiling of materials(dirt, wood, construction material, etc.)must be shown on a plan and reviewed and approved by the Town Planner. Any approved piles must remain covered at all times to minimize any dust problems that may occur with adjacent properties. Any stockpiles to remain for longer than one week must be fenced off and covered. 14. In an effort to reduce noise levels, the applicant shall keep in optimum working order, through regular maintenance, any and all equipment that shall emanate sounds from the structures or site. 15. The hours for construction shall be limited to between 7:00 a.m. and 7:00 p.m. Monday through Friday and between 8:00 a.m. and 5:00 p.m. on Saturday. Molly Towne Road("Autumn Chase") Modification- PRD Special Permit Approval 16. Tree cutting shall be kept to a minimum throughout the project to minimize erosion and preserve the natural features of the site. If any tree cutting occurs outside of the no-cut line as shown on the plan, a reforestation plan must be submitted as outlined in Section 5.8(6) of the Zoning Bylaw., 17. Any plants, trees or shrubs that have been incorporated into the Landscape Plan approved in this decision that die within one year from the date of planting shall be replaced by the owner (by order of the Planning Board all plants, trees or shrubs must be maintained in perpetuity). The replacement plants shall match the size and species as indicated in the landscaping plan. 18. The contractor shall contact Dig Safe at least 72 hours prior to commencing any excavation. 19. Gas,Telephone, Cable and Electric utilities shall be installed underground as specified by the respective utility companies. 20.No open burning shall be done except as is permitted during burning season under the Fire Department regulations. 21.Any action by the applicant, current or future owner, Town Board, Commission, or Department, which requires changes in the plan or design of the buildings, utilities, landscaping, and lighting as presented to the Planning Board, may be subject to modification by the Planning Board. 22. The project will be built in accordance with the herein referenced plans and specifications and in full accordance with the design elements and features displayed and discussed during the Public Hearings and the approved April 22, 2005 Definitive Subdivision decision and April 22,2005 Planned Residential Development as amended by this decision. 23.Any revisions to the plan or design of the residential homes, utilities, landscaping, and lighting shall be submitted to the Town Planner for review in accordance with Section 8.3.8 of the Zoning Bylaw. If the Town Planner in his/her sole discretion deems these revisions to be substantial as defined in Section 8.3.8, the applicant must submit revised plans to the Planning Board for approval. 24. The provisions of the Special Permit shall apply to and be for the benefit of and binding upon the applicant, its employees, contractors and subcontractors and all successors in interest or control. 25. This Special Permit approval shall be deemed to have lapsed after November 15, 2007 (two years from the date permit granted) unless substantial use or construction has commenced. Substantial use or construction will be determined by a majority vote of the Planning Board. 26. The developer shall implement and follow all requirements set forth in this decision and the plans and report referenced below. Failure to comply with all requirements therein and the conditions of this approval, shall be the basis for the Planning Board, voting by majority Molly Towne Road("Autumn Chase") Modification- PRD Special Permit Approval li vote, to stop all site work and construction until defects on the site are corrected and the development is put back into plan compliance. Plan compliance will be solely determined by a majority vote of the Planning Board based upon the developers written comments and the conditions contained herein. 27. The following information shall be deemed part of the decision: I Plan titled: Autumn Chase A Single Family Subdivision Prepared For: North Andover Realty Corporation 459 East Broadway Haverhill,MA 01830 Prepared By: Merrimack Engineering Services 66 Park Street Andover,Massachusetts 01810 Dated: December 1,2004, Revised October 19,2005 Sheets: I through 17 Scale: V=49 i Report titled: Molly Towne Road Project Report on Drainage and Sedimentation Control Drainage Prepared for: North Andover Realty Corporation 459 East Broadway Haverhill, MA 01830 Prepared By: Hayes Engineering, Inc. Dated: August 27,2004 Report Titled: Traffic Impact& Access Study Prepared for: Chestnut Realty Development, LLC Prepared By: Dermot J. Kelly Associates, Inc. 280 Main Street,Suite 204 North Reading,MA 01864 I 1 ' . GROWTH MANAGEMENT BYLAW EXEMP i IUN 1 H 1 LIVICIN I TOWN OF NORTH AND 0VERB UELDING DEPARTMENT Tll s form shall be used to assist the Building Department in their determination of exemption under smion 7 6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessar` Intormabon as requested below. Lor Perm t Applicant Property address Map/ Parcel -�.apllcant's Phone Number Single Family Two Fumlly I the undersigned applicant for Ute above property attest that die auuulteJ buildutg pernut [or which this lurm ,:oes.omply with the E�,tviPT10N section 8.7 6 ol'the OrDwdt Nlartugement Bylaw.I also understand pruvidtng this turni dor,nut 'osols t me or any party to this permit from the requirements ol'ubwining other pe .Is reyuircd prior to the issuance ol'Ow bu idui5 perma. Further I understand that my nterpretation of the exemption slaws is subject to review by die Building Department and is on , ulhi ,ally accepted when the building permit is issued, Based un section 8.7.6 of the North Andover Growth Bylaw the above lot and die work as applied far on die above lot, n die builJ:;r; pc,Mll application and associated attachments,complies with one or more ofute following sections as lndicaied by a check mark This is an application for a building peanut for the unlargement,restoration or reconstruction of a dwelling in u.e,staicc ,s of the clTectve date ofthis bylaw,provided that no additional residential unit is created. The lot($)was I were created prior to May 6, 1996 and are exempt from Utz provisions of section 8.7 ol'the Zwiuhg B\cn, This application is for dwelling units[or low and or moderate uhcome rarnilics or individuals,where all ul the uutidl io— ut S%6 are met and or represents dwelling units far senior miidts,where occupancy ol'the units is restricted to srn:or u utuis through a properl' eseaned and recorded deed restriction running with the land. For purposes of this caution shall rile tri "senior persons Liver the age 01*55. This application is part ol'a development project which voluntarily Uyted to a minimum 40%permanent reduction un uta srty(buildable lo(s)below the density perrrtiacd under zoning and feasiblu given the crhvlronmental conditions of the tau%wtd)Inc surplus land equal to at least len buildable acres and pentanently designated as open space or farmland.The land to be preserved sliji! be pro(caed from developmem by an Aghcuhural Preservation Restrict on,Conservation Resinalon,dedication to the Tom),or ou r s nuiar mechanism approved bythe planning board stat will ensure its protealon. This application represent a tract of land existing and not held by a Developer in common ownership with an adjau Ott parcel on he cfoaive date of this Section 8.7 and shall receive a one time exemption from the Planned Growth Rate and Dcsclopma)t Scheduling provisions for the purpose of construct ng cane s ngle family dwelling unit on the par xl. J This application represents a lot which is ready for a building permit(all other per-ruts from all other boards ant vnv ss�ons have been received and the project is in compliance with chose pennrts),and the Development Scriedule does nut „xonunodate issuing a building perm(in that year.One building permit will be Issued per year per Development until such Iimr the development schedule accommodates issuing building permits. Applicant must subrrut an approved FORM U with this E.\E M PTi ON. N THAT WOULD ST THE D TER-�Z'N TIION DE THAT THIS PPALL LICOATiON IS ALLOWED UNDER OtNE OR MORE OFJTHE EABOVE EXEMFTIGN's ` By SIGMNG BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE A1"1.AC!IrLD B'1CiLDNG PERAT IS ALLOWED AN E\'Etv0MON AS CITED ABOVE. FURTHER I UNDERSTAND THAT Tlffi SUBiYOTTAL OF MISLEADING OR INACCURATE INFORMATION OR THE C'.{ECKING OFF OF A ABOVE EXEMPiiON WHICH DOES NOT COMPLY,WHETHER DONE TO MY KNOWLEDGE OR \:OT IS GROUNDS FOR RZFUSAL BY THE BUILDING DEPARTMENT TO ISSUE A BUILDING PERMIT. � DATE d ,app AMS SiGNA I UKh 'HCS FORM TO BE ATTACHED TO TIS BUIl DWG PERMIT APPLICATION Permit Number REScheck Compliance Certificate Checked By/Date 2000 IECC RES checkSoftware Version 3.6 Release 1 Data filename:C:\Program Files\Check\REScheck\PL8721.rck PROJECT TITLE:PLAN NO.8721 CITY:North Andover STATE:Massachusetts HDD:6322 CONSTRUCTION TYPE:Single Family WINDOW/WALL RATIO:0.16 DATE: 12/08/05 DATE OF PLANS:3-5-03 PROJECT DESCRIPTION: COLONIAL HOUSE DESIGNER/CONTRACTOR: BRUNO ASSOC. 28 BERKELEY ROAD N.ANDOVER,MA 01845 COMPLIANCE:Passes Maximum UA=562 Your Home UA=448 20.3%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door PerimeterY 1u._ flue U-Fact UA Ceiling 1:Flat Ceiling or Scissor Truss 2040 30.0 30.0 35 Wall 1:Wood Frame, 16"o.c. 3136 13.0 13.0 126 Window 1:Vinyl Frame:Triple Pane with Low-E 468 0.330 154 Door 1:Glass 39 0.330 13 Basement Wall 1:Solid Concrete or Masonry 2040 19.0 19.0 120 Wall height:8.0' Depth below grade:7.0' Insulation depth:4.0' COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 IECC requirements in RES checkVersion 3.6 Release 1 (formerly MECchecl and to comply with the mandatory requirements listed in the RES checklnspection Checklist. Builder/Designer Date 1 a REScheck Inspection Checklist 2000 IECC REScheckSoftware Version 3.6 Release 1 DATE: 12/08/05 PROJECT TITLE:PLAN NO.8721 Bldg. Dept. Use I Ceilings: [ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss, R-30.0 cavity+R-30.0 continuous insulation Comments: I I Above-Grade Walls: [ ] ( 1. Wall 1:Wood Frame, 16"o.c.,R-13.0 cavity+R-13.0 continuous insulation Comments: I Basement Walls: [ ] I 1. Basement Wall 1:Solid Concrete or Masonry,8.0'ht/7.0'bg/4.0'insul, R-19.0 cavity+R-19.0 continuous insulation Comments: Exterior insulation must have a rigid,opaque,weather-resistant protective covering that covers the exposed(above-grade)insulation and extends at least 6 in.below grade. I Windows: [ ] I 1. Window 1:Vinyl Frame:Triple Pane with Low-E,U-factor:0.330 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: I Doors: [ ] I 1. Door 1:Glass,U-factor:0.330 Comments: I Air Leakage: [ ] ( Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] ( Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a 3"clearance from insulation. I Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I Materials Identification:i [ ] I Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] I Materials and equipment must be identified so that compliance can be determined. o � r a [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: [ ] I Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-6.5. I Duct Construction: [ ] I All joints,seams,and connections must be securely fastened with welds,gaskets,mastics(adhesives), mastic-plus-embedded-fabric,or tapes. Tapes and mastics must be rated UL 181 A or UL 181 B. Exception:Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). [ ] The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I Service Water Heating: [ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. [ ] I Insulate circulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 105 T or chilled fluids below 55 T must be insulated to the levels in Table 2. 1 Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(Fl Up to 1" Up to 1.25" 1.5"to 2.0" Over " 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts 1"and Less 1.25"to 2" "t " Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) FP0M :PODEP T S ]f,ISURANCE FAX FJO. :97GGG33147 May. 10 2005 10:01AM F1 DAT'a InIN,UUiY`.`..: I. AGOG„ CERTIFICATE OF LIABILITY INSURANCE .r`lOUVtiF9 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ' M.P. ROSERTS INS AGENCY INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1060 OSGOOD STRUT ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NORTH ANDOVER, MA 01845 �+ 978-683-8073 INSURERS AFFORDING COVERAGE NAICI NORTH ANDOVER REALTY CORP. INSURER A: SCOTTSDALE INSURANCE 459 EAST 5ROADWAY !I w311Rr•R n: HANOV$R INSURANCE HAVEMILL, MA 01830 IN.LINER U: L"WITIELD S2ATFA :i,T.AB2LT:Y :ti3UAADICPv 978-686-7729 i INoURF.R D: ACSI,R,IrrAN [tgj:SII ASSURAFCS LN9/AIG INSURER F. COVERAGES THE POLIC!SS 0,'INSUIV N(H.1..ISTFD 8E1.OW HAVE BE;:N ISSUED TO THE MSURED NAMEDABUVE FOR TH=POLICY PERIOD INCICATED.NOTWII'H IANDING ANY REQUIrU:MF.NT, TERPA OR CONDITION OF ANY CONTRACT Ott CJ'IHLK DOCUMF,N'I'WP(•H RF'.SF9:C'I '10 WI'IICFI THIS CERTIFICATE MAY BE 1&5UF.I) !)It MAY PERTAIN,T'Ir IN;,UUANCt ArFORDED BY THE POLICIES OE3CRIBEO HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSI0N3 ANU CONIJI:IONS:)r',I,CI I f C•IIt:IES.At3GR=:oF,TELIMITS::rIQVJNMAYMAVFBEENREDUCEDBYPAiDCLAl1:A�. ,HLR r.no'; roucY Errccn\•t roLiFi€zsICIly,Irl) "'- ' =C11.IC,Y hI11.ABER DATC(bYvi'DD/Y`" 7,\TCfMht0G1Y'.1 II:dItY LTR IIPS'<D' T"F:G'''YSIJr!P NI;t_ J EACH OCCIIr FNrF Ill 1,090 ,000 ., (f(MNFRCIAI rrNCAAI.I.IAf11LITY i ��''�ATaAGC TD AeNTCC X .. . I_F_r.CMi$f5(r;t cx�.,airoproj �S 100,000 ' 5.000 . —, I cLr.irlsmnae i.K,,ui'i',aK� i i raCC)rxP(Aityclx,rnmo. ACLS1133206 03/13/05 i 03/13/06 j?` Nb,$r,INAL&AUV!NAIRY 3 1...000,000 GENE'+A.L .AGvRCGATC 2,000 000 N I.AG,0� ;:C,-:ATF:Ih"IT AIPPI..r-M,PCR:i ! I I PFIthClt)T .'vGrM'1:11'AUU i O O O..,O U O hD!.IgY j GF I t1f: .AUOMODILE,'AB:LIT'/ I GumaINCO;INC11!.41 AUT 1,000,00c � I AI �YvtvGfl At ITC I^ i ....PGOiLYINJJH'! t,4 1(Ib(1>bt1U1) Y AMN-5069646 102/06/05 02/06/06 B ' X HIHE'I.Ait�:r' hUCPLY INJURY t ! rRorcRrr DAMAGE i I i t^era(c'�u�l'.1 I AU'OON:Y CAA'CibCNT .i:1 ANYA.IT^ I EAACL' S 0THCR7hAN T I +l700NI V u AGI.13 �t _XC�:i3;!�h4bk_LLA'iA9d.ITY rlv;!'1 6GGiP.QENCE `,Y 1 000 000 }; ifCG�IR CIAlIv1;;MADE I AQQR'c GATc ; CUP1005937B 103/13/05 iO3/13/06 iJ RE'ENTIO'-, :FVW WA �---r--^ I Y ,_- ••,v.,1:,a:asra,u>c» ATIt>aAN= i i I TDr,'duMtrs I X -K ! CNIPLOYURS LIADIGG T t' I WC6643936 ! 03/13/05 03/13/06 ;r.!'.e;.HACC!G=Y! 500 ,000 D oca:cc�.NumcFcxavco IC�t.Din,r..n:C -.AFMPID`lrr�,Y 500 .000 sreaALrKL,vIsuJNaoe:o»' i HI. DISEASE•r-cuc,e;,wC 5001000 �I i Drtien I I fh:iCCFTI�N i:r Ql`ERATIDf1;:'LilCh,:)�B{VEhIULE9�tXClU91DN$ADDED BY ENDDRSFMF.N7l E�.P';IAI.PROYIgICIN3 i I FAX: 978--475-0912 CFRTIFICATE HOLDER CANCELLATION I ' SM(JlJW ANY Ot I'Ht.ABUV:U_'3C'KItlEU.^CJU(:27 CC GANCCI.I."`7'.r^R.^THF TOWN OF ANDOVER 10 36 6.ARTLETT STREET I UAiEi fHFNrCM. iH !SSVINi;!NB!IHF, V'dllLhNU2AYVR'I'O'nUiLonxr,':vrdTr;n: 1 IJ(1TICF To TAP C..rATIr^ATG li a OFR Nox r)T."TH.;: I' +:JI r4J I,IH^ III I,i) L:6HA�_L ANDOVER, MA 01810 W-PU:;t iVJ U00AIIf IN UK UAd11.liy OF ,NY CNL1 U'rUN Iht INY.Ull K C''j FEP4r9lNTATIVrr AUTItgR4-CD RCPRC.^,CNT T VC d AC0RD25(200v08) ©A �/CORD CORPORATION 1088 N. l The Commonwealth of Massachusetts > Department of Industrial Accidents Ofrke of/nvestigedons • Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Name Please Print Name: Location: Citr Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity Ef", I am an employer providing workers'compensation for my employees working on this job. Company name: W,5 CA\ AVgA0 R a!i,l Address `1 c( Eat s Cd/a- City: (JAIte k i l M A I a 3f) Phone* G l e L/ -7 i D ?-7( I :LC014 Jtrvle n nN C- Pollcv 0 U q C 6 3,736 Company name: Addrtass City: Phone# nau Go. Policy;wk FWkffo to secure coverage a.required under Section 25A or MGL 152 can lead to the i of.4 fine up to sndfcr one YOM'Imprlsommnt.as.r W-n.CbA.Pms ies In les lmn dA STOP.WDRK ORDER.and.a fins d.(31 QWA AW and IOD understand that a copy of this statement may be forwarded to the Office of Inveatigadors of the DIA for coverage verification. I db heraby7 under Gee pales and penaMJes orpedury that the infbrmatlan provided above Is Grua and cared. Slonature fvl ( Date_t Print name f) �'t�S 1 C r% ( 2�/F Phone# 77S `f 7 Official use only do not write in this area to be completed by city or town affiolal' City or Town P ensi ng Check d immediate response b required 0 Building Dept ❑ licensing Board Contact person: Phone#: Selectman's office 0 Health Department Other I r 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 at: Cc r t umn Case_ is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 10A. The debris will be disposed of in: 3 co ni'2 6ce- r w A M nz"ka-"4, 3 (Location of Facility) Signature of Permit Applicant Fire Department Si off-. V ep � Dumpster Permit Lf 8 105 Date I I APPLICATION FOR WATER SERVICE CONNECTION North Andover, Mass. 1v Application by the undersigned is hereby made to connect with the town water main in L'�subject -- subject to the rules and regulations of the Division of Public Works. The premises are known as No. � / Street or subdivision lot no. // '`r 7 L 7 T Owner Address Contractor A ss 9 V plic nYs Signature it Loo0 PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to AzP to make a connection with the water main at Z(7 Street subject to the rules and regulations of the Division of Public Works. Boarl of P blic Works ` By / Inspected by Date See back for rules and regulations 4 ✓lze -�anvrreoaurea/� o�./�iaaczr,�u�aeCza BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR ,tea +` Number: CS 063503 Birthdate: 07/19/1965 Expires: 07/19/2007 Tr.no: 14926 Restricted: 00 JAMES V CARROLL HIGHLAND G—L —/ ANN 01 DOVER, MA 01810 Commissioner sSE- Single 11-7/8" BCI® 900s-2.0 SP Joist\J01 BC CALC®9.2 Design Report-US 1 span I No cantilevers 0/12 slope Monday, December 12, 2005 12:08 Build 141 16" OCS I Repetitive I Glued&nailed construction File Name: nar 051212.BCC Job Name: Plan#8721 Description: J01 Address: Specifier: Gregory R. Doyle City, State, Zip: North Andover, MA Designer: Gregory R. Doyle Customer: North Andover Realty Company: Code reports: ESR-1336 Misc: I 24-00-00 B0,2-1/2" B1,2-1/2" LL 640 lbs LL 640 Ibs DL 160 Ibs DL 160 Ibs i Total Horizontal Product Length=24-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% OCS 1 Standard Load Unf. Area Left 00-00-00 24-00-00 40 psf 10 psf 16" Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 4692 ft-Ibs 53.6% 100% 1 1 -Internal Completeness and accuracy of input must End Reaction 786 lbs 55.2% 100% 1 1 -Right be verified by anyone who would rely on Total Load Defl. U391 (0.729") 61.4% 1 1 output as evidence of suitability for Live Load Defl. U488(0.583") 98.3% 1 1 particular application.Output here based Max Defl. 0.729" 72.9% 1 1 on building code-accepted design properties and analysis methods. Span/Depth 24.0 n/a 1 Installation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x W) Value Support Member Material building codes.To obtain Installation Guide B0 Wall/Plate 2-1/2"x 3-1/2" 800 lbs 21.5% n/a Spruce-Pine-Fir or ask questions,please call B1 Wall/Plate 2-1/2"x 3-1/2" 800 lbs 21.5% n/a Spruce-Pine-Fir (800)232-0788 before installation. BC CALC®,BC FRAMER®,AJSTM, Notes ALLJOISTO,BC RIM BOARDTM,BCI®, Design meets Code minimum(U240)Total load deflection criteria. BOISE GLULAMT^^ SIMPLE FRAMING Design meets User specified (U480)Live load deflection criteria. SYSTEM®,VERSA-LAM®,VERSA-RIM Design meets arbitrary(1") Maximum load deflection criteria. Plus®,VERSA-RIM®, VERSA-STRAND ,VERSA-STUD®are Composite EI value based on 23/32"thick sheathing glued and nailed to joist. trademarks of Boise wood Products, L.L.C. User Notes I-Joist"A". Page 1 of 1 y y 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CODE V TABLE 3605.2.3.1a ALLOWABLE SPANS FOR FLOOR JOISTS 40 Lbs.per Sq. Ft.Live Load (All rooms except those used for sleeping areas and attic floors.) DESIGN CRITERIA: Strength-Live load of 40 lbs. per sq. ft. plus dead load of 10 lbs. per sq.ft. determines the fiber stress value shown. Deflection-For 40 lbs. per sq. ft. live load. Limited to span in inches divided by 360. HOW TO USE TABLES:Enter table with span of joists(upper figure in each square).Determine size and spacing(first column)based on stress grade(lower fi re in each square)and modulus of elasticity(top row) of lumber to be used. JOIlt Size MODUL F LASTICITY,"E,"IN 1,000,000 PSI and acin inches incfics 0.4 1 0.5 1 0.6 0.7 0.8 0.9 1.0 L 11 11 1.2 1 1.3 1 1.4 1.5 1.6' 1 1.7' 1.8 1.9 2.0 1 2.2 2.4 I2 r2 n 450,:. 520 590 660 720 :780 830 890 '940 990 1,040 '1,090 L 1401',190 t 230 1,280 1 32Q'1410 1 490 6,2.. ..6»7 7-0 7-5.' 79 .:'8-0 84. B7 $-10 9,1. 44 96 9.9 911 IO2 104 10-0 iQ10 )1.2; 1. X00'; 580. .550720 790 .860 .920 980. .1 040 1,090 1 iso'I 200 1,250 1310;1 360 t,ao F 460.a 550 t Gpii 5.4;' S 4. 5 Z 6 4' 0-9 7-0 7-3 7-6 Is7 9 7;11 8 2 848 6 8-$ 570...666. .750 830 900 `980 1,050 1,120;1,190 1,250 1,310:1,380 ],440 1500 1 550 I,&0 1,670': 1,780 1,880 8-11 9-7 10-2 10-9 11-3 11-8 12-1 12-6 12-10`19-2 13-6 13-10 14-2 14-5 14-8 15-0 15-3 15-9 16-2 12.0 - 450 520 590 660 720 780 830 890 940 990 1,040 1,090 1,140 1,190 1,230 1,280 1,320 1,410 1,490 8-1 8-9 9-3 9-9 10-2 10-7 11-011-4) 11'.8 12-0 12-3 12-7 12-10 13-1 13-4 1:3-7 13-10 14-3 14-8 2X8 16.0 I(500' 580 650 720 790 850 920 980 1,040-1,090 1,150 1,200 1,250 1,310 1,360 ,410 1,460 1,550 1,640 7-1 7-7 8-I 8-6 8-11 9.3 9-7 9-I 1 10-2 10-6 10-9 IIA l l-3 11-5 -d l-8 l i-t l 12-1 12 6 l2-IO 24 0 570 660 750 830 900 980 1050 1120 1190 1,250 1,310 1380 1440 1500 1550 1,610 1,670 1,780 1,880 11-4 ]23 134 13.8 144 .1411 IS=S "1Y5I4 165 16;10 1?3 'I78 1B0 i$5` 189 19-1 195 201 211-8. A50 .520;. 59Q :660 ?2Q 780 330 9Q `.940 .:.990 ];04a 1 090 1,1;40 1 190`1,230 1;280 1;320' 1 4111 1 490 1013 £111 tI IO C2:5 [30 ;13.6 140 �I46 1411 15.3 158; 16-0 165 164 FTa l?-4 178 4$•3I8-9 2 3C L 1G4 � 500 50 650 720 790::. $50. 920..0$0 i,040 1,09D 1,150' 1 2004 t 310 1,360 1,410 1,460 1,550 1'640 -10 11-4.'ll 10 12-3 12 8; 13 0 13 4 13-8 14-0 l4� 14 7 44-I1 15 2 15 5 15 t1` 1¢5, 24 t1 YLI s7a 660 750 83090a 980 1,050 1;120!1 190 1,250 1;3[0' L,380 1,440 1,500 1 550 1;610 1670 1,7$0 1~886 113-10 14-11 15-10 16-8 17-5 18-1� 1&9 19.4 19-11 20-6 21-0 21-6 21-11 22-5 22-10 23-3 23-7 24.5 25-1 12.0 ' 450 520 590 660 720 780 '830 890 940 990 1,040 1,090 1,140 1,190 1,230 1,280 1,320 1,410,1490Sz c' 12-7 13-6 144 15-2 15-10 16-5 17-017-7 18-1 18-7 17-1I 18-4 18-9 19-2 19-6 19-10 20=2 20=10 2 X 12 16.0 500 580 650 720 790 8601-920/ 980 1,040 1,090 1,220 1,280 1,330 1,390 1,440 1,500 1,550 1,650 1,750 11-10 11-10 12-7 13-3 113-10 14-4 14-11 15-4 15-10 16-3 16-8 17-0 17-5 17-9 18-1 18-5 I8-9 194 19-11 24.0 570 660 750 830 900 980 1,050 1,120 1,190 1,250 1,310 1,380 1.440 1,500 1,550 1,610 1,670 1,780 1,880 For SI: 1 inch=25.4 nun,I pound per square inch=6.895 kPa,l pound per square foot=0.0479 kN/m2. NOTE:The extreme fiber stress in bending,"F„"in pounds per square inch is shown below each span. •moo, �Qe 504 780 CMR-Sixth Edition 2/7/97 (Effective 2/28/97) �,� t�11� V Table 3603.1.3 MINIMUM UNIFORMLY DISTRIBUTED LIVE LOADS (POUNDS PER SQUARE FOOT) Table 3603:1.6 LIVE ALLOWABLE LIVE LOAD DEFLECTION USE LOAD(psf) OF STRUCTURAL MEMBERS Balconies and decks 60 STRUCTURAL MEMBER ALLOWABLE Garages(passenger cars only) 50 UT DEFLECTION Attics(roof slope not steeper than 3 in 12-no 10 Rafters having slopes greater than 3 in 12 U180-no finished reilina attached to rafters storage) Interior walls and partitions W180 Attics(limited storage) 20 Floors and veneer plastered ceilings U360 Living Areas(except sleeping rooms) 40 Gypsum panel ceilings and all other U240 Sleeping Rooms 30 structural members Stairs 40(�) Guardrails and Handrails(single concentrated 200 load at any point alon the to I TABLE 3605.2.3.3b ALLOWABLE SPANS FOR BUILT-UP WOOD CENTER GIRDERS AND FOOTING SIZES FOR GIRDER SUPPORT COLUMNS WIDTH OF GIRDER ONE STORY TWO STORY THREE STORY STRUCTURE (inches) Maximum Span Footing Size Maximum Span Footing Size Maximum Span Footing Size (feet-inches) (inches) (feet-inches) (inches) (feet-inches) (inches) 3-2x8 6-7 17x17* 4-11 20x20 4-1 22x22 - 4-2x8 7-8 19x19* 5-8 21x21 4-8 24x24 24 3-2x10 8-5 20x20* 6-3 23x23 5-3 25x25 4-2x10 9-9 21x21 7-3 24x24 6-1 27x27 3-2x12 10-3 22x22 7-8 25x25 6-4 27x27 4-2x12 11-10 23x23 8-10 27x27 7-4 29x29 3-2x8 6-4 17x17* 4-9 20x20 3-11 22x22 4-2x8 7-4 18x18' 5-6 22x22 4-7 24x24 26 3-2x10 8-1 19x19 6-1 23x23 5-0 25x25 4-2x10 9-4 21x21 7-0 24x24 5-10 27x27 3-2x12 9-10 21x21 7-4 25x25 6-1 28x28 4.2x12 11-5 23x23 8-6 27x27 7-1 3000 3-2x8 6-2 17x17* 4-7 21x21 3-10 23x23 4-2x8 7-1 18x18* 5-3 22x22 4-5 24x24 28 3-2x10 7-10 19x19 5-10 23x23 4-10 26x26 4-2x10 9-0 20x20 6-9 25x25 5-7 28x28 3-2x12 9-6 21x21 1 7-1 26x26 5-11 28x28 4-2x12 11-0 22x22 8-2 28x28 6-10 3000 3-2x8 5-9 16x16* 4-3 21x21 3-7 24x24 . 4-2x8 6-7 17x17 4-11 23x23 4-1 25x25 32 3-2x10 7-4 18x18 5-5 24x24 4-6 27x27 4-2x10 8-5 20x20 6-3 26x26 5-3 28x28 3-2x12 8-11 20x20 6-8 27x27 5-6 29x29 4-2x12 10-3 22x22 7-8 29x29 6-4 31x31 For SI: 1 inch=25.4 mm, 1 foot =304.8 nun, I psf=0.0479 kN/m-, I psi=6.895 kpa. I. Values shown are for a clear-span trussed roof, a load bearing center wall on the first floor in a two-story construction,and a load-bearing center wall on the first and second floors in three-story construction. 2. Spans based on allowable stress in bending Fb- 1,000 pounds per square inch(psi)for repetitive members. See Table 3605.2.3.Id 3. Footing size based on 2-000 psf soil-bearing capacity;footing thickness shall be one-half(minimim)the width of the footing,or ten inches,whichever is greater. 4. 4x4 posts may be used at these(*) locations,6x6 posts,or 4x4 posts or three-inch diameter steel columns with bearing plates or equivalent area,are acceptable in all locations. I 524 780 CMR-Sixth Edition 2/7/97 (Effective 2/28/97) BO A" Single 14" AJSTM 25 MSR JoistWo1 BC.:CALC®9.2 Design Report-US 1 span I No cantilevers 0/12 slope Monday, December 12,2005 12:08 Build 141 16"OCS Repetitive Glued & nailed construction File Name: nar 051212.BCC Job Name: elan#8721 Description: J01 Address: Specifier: Gregory R. Doyle City, State,Zip: North Andover, MA Designer: Gregory R. Doyle Customer: North Andover Realty Company: Code reports: ESR-1144 Misc: 24-00-00 BO,2-1/2" LL 640 lbs B1, DL 160 lbs LL 64400bs lbs DL 160 lbs Total Horizontal Product Length=24-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% OCS 1 Standard Load Unf. Area Left 00-00-00 24-00-00 40 psf 10 psf 16" Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 4684 ft-lbs 62.4% 100% 1 1 - Internal Completeness and accuracy of input must End Reaction 786 lbs 68.7% 100% 1 1 -Right be verified by anyone who would rely on Total Load Defl. U474 (0.601") 50.7% 1 1 output as evidence of suitability for Live Load Defl. U592 (0.481") 81.1% 1 1 particular application.Output here based Max Defl. 0.601" 60.1% 1 1 on building code-accepted design properties and analysis methods. Span/Depth 20.3 n/a 1 Installation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x W) Value Support Member Material building codes.To obtain Installation Guide BO Wall/Plate 2-1/2"x 3-1/2" 800 lbs 21.5% n/a Spruce-Pine-Fir or ask questions,please call B1 Wall/Plate 2-1/2"x 3-1/2" 800 lbs 21.5% n/a Spruce-Pine-Fir (800)232-0788 before installation. BC CALCO,BC FRAMER®,AJSTM Notes ALLJOISTO,BC RIM BOARDTm,BCI®, Design meets Code minimum(U240)Total load deflection criteria. BOISE GLULAMTM,SIMPLE FRAMING Design meets User specified (U480) Live load deflection criteria. SYSTEM®,VERSA-LAMB,VERSA-RIM Design meets arbitrary(1") Maximum load deflection criteria. Plus®,VERSA-RIM®, VERSA-STRANDT"',VERSA-STUD®are Composite EI value based on 23/32"thick sheathing glued and nailed to joist. trademarks of Boise wood Products, L.L.C. User Notes I-Joist"A". Page 1 of 1 80i$IpM Double 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP Floor BeamT1301 BC.CALC6 9.2 Design Report-US 1 span No cantilevers 0/12 slope Monday, December 12, 2005 12:10 Build 141 File Name: nar 051212.BCC Job Name: Plan#8721 Description: FB01 Address: Specifier: Gregory R. Doyle City, State,Zip: North Andover, MA Designer: Gregory R. Doyle Customer: North Andover Realty Company: Code reports: ESR-1040 Misc: I a ' 3 10-00-00 B0,3-1/2" B1,3-1/2" LL 5700 lbs LL 5700 lbs DL 2258 lbs DL 2258 lbs Total Horizontal Product Length=10-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib. 1 Standard Load Unf. Area Left 00-00-00 10-00-00 30 psf 10 psf 11-00-00 2 Unf. Lin. Left 00-00-00 10-00-00 0 plf 60 plf n/a 3 Unf. Area Left 00-00-00 10-00-00 30 psf 10 psf 11-00-00 4 Unf. Area Left 00-00-00 10-00-00 30 psf 10 psf 16-00-00 Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 18114 ft-lbs 85.1% 100% 1 1 - Internal Completeness and accuracy of input must End Shear 5919 lbs 75.0% 100% 1 1 -Left be verified by anyone who would rely on Total Load Defl. U377(0.304") 63.7% 1 1 output as evidence of suitability for Live Load Defl. L/526 (0.218") 68.4% 1 1 particular application.Output here based Max Defl. 0.304" 30.4% 1 1 on building code-accepted design properties and analysis methods. Span/Depth 9.6 n/a 1 Installation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x W) Value Support Member Material building codes.To obtain Installation Guide BO Post 3-1/2"x 3-1/2" 7958 lbs 89.6% 86.6% Spruce-Pine-Fir or ask questions,please call B1 Post 3-1/2"x 3-1/2" 7958 lbs 89.6% 86.6% Spruce-Pine-Fir (800)232-0788 before installation. BC CALCO,BC FRAMER®,AJST" Cautions ALLJOIST®,BC RIM BOARD-,BCI®, Column at Bearing BO analyzed for bearing only, column analysis has not been performed. BOISE GLULAMT" SIMPLE FRAMING Column at Bearing 61 analyzed for bearing only, column analysis has not been performed. SYSTEMS,VERSA-LAM®,VERSA-RIM PLUS®,VERSA-RIM®, VERSA-STRAND-,VERSA-STUD®are Notes trademarks of Boise Wood Products, Design meets Code minimum (U240)Total load deflection criteria. L.L.C. Design meets Code minimum (U360) Live load deflection criteria. Design meets arbitrary(1")Maximum load deflection criteria. User Notes Beam B. 10'Header(typical) Connection Diagram bd a c a minimum=2" c=7-7/8" b minimum=2-1/2"d =24" Member has no side loads. Connectors are:1/2 in.Staggered Through Bolt Page 1 of 1 BOISE' Quadruple 1-3/4" x 9-1/4" VERSA-LAM® 2.0 3100 SP Floor Beam\FB02 BC'CALC®9.2 Design Report-US 1 span No cantilevers 10/12 slope Monday, December 12,2005 12:13 Build 141 File Name: nar 051212.BCC Job Name: Plan#8721 Description: FB02 Address: Specifier: Gregory R. Doyle City, State,Zip: North Andover, MA Designer: Gregory R. Doyle Customer: North Andover Realty Company: Code reports: ESR-1040 Misc: 14-00-00 130,3-1/2" B1,3-1/2" LL 3360 lbs LL 3360 lbs DL 1247 lbs DL 1247 lbs Total Horizontal Product Length=14-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib 1 Standard Load Unf. Area Left 00-00-00 14-00-00 30 psf 10 psf 16-00-00 Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 15088 ft-lbs 56.8% 100% 1 1 - Internal Completeness and accuracy of input must End Shear 3908 lbs 31.8% 100% 1 1 - Left be verified by anyone who would rely on Total Load Defl. L/301 (0.539") 79.7% 1 1 output as evidence of suitability for Live Load Defl. L/413 (0.393") 87.1% 1 1 particular application.Output here based Max Defl. 0.539" 53.9% 1 1 on building code-accepted design properties and analysis methods. Span/Depth 17.6 n/a 1 Installation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x W) Value Support Member Material building codes.To obtain Installation Guide BO Post 3-1/2"x 3-1/2" 4607 lbs 51.9% 50.1% Spruce-Pine-Fir or ask questions,please call B1 Post 3-1/2"x 3-1/2" 4607 lbs 51.9% 50.1% Spruce-Pine-Fir (800)232-0788 before installation. BC CALCO,BC FRAMER®,AJSTM, CautionsALLJOISTO,BC RIM BOARDTM,BCI®, Member is not fully supported at post BO. A connector is required at this bearing. BOISE GLULAMT"' SIMPLE FRAMING Column at Bearing BO analyzed for bearing only, column analysis has not been performed. SYSTEM®,VERSA-LAMS,VERSA-RIM Member is not fully supported at post B1. A connector is required at this bearing. PLUS®,VERSA-RIM®, VERSA-STRAND ,VERSA-STUD®are Column at Bearing 61 analyzed for bearing only, column analysis has not been performed. trademarks of Boise wood Products, L.L.C. Notes Design meets Code minimum (L/240)Total load deflection criteria. Design meets Code minimum(L/360) Live load deflection criteria. Design meets arbitrary(1") Maximum load deflection criteria. User Notes Beam"C". Clg Joist Faming above stairwell Connection Diagram bd a C a minimum=2" c=5-1/4" b minimum=2-1/2"d =24" Member has no side loads. Connectors are:1/2 in.Staggered Through Bolt Page 1 of 1 Boise. Double 1-3/4" x 16" VERSA-LAM(g) 2.0 3100 SP Simple Hip\SH01 BGCALC®9.2 Design Report-US 2 spans Left cantilever 17.1/12 slope Monday, December 12, 2005 12:13 Build 141 01-00-00 Tributary File Name: nar 051212.BCC Job Name: Plan#8721 Description: SH01 Address: Specifier: Gregory R. Doyle City, State, Zip: North Andover, MA Designer: Gregory R. Doyle Customer: North Andover Realty Company: Code reports: ESR-1040 Misc: 12 l 1 1 r l d 02-09-15 22-07-08 B1,3-1/2" B2,3-1/2" 0 DL 1454 lbs DL 2251 lbs SL 2753 lbs SL 4714 lbs d=16-00-00 o=02-00-00 Total Horizontal Product Length=25-05-08 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib 1 Equivalent Load Trapezoidal Left 00-00-00 0 plf 0 plf nla 25-05-08 235 plf 587 plf n/a Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 30610 ft-lbs 71.2% 115% 3 2-Internal Completeness and accuracy of input must Neg. Moment -198 ft-lbs 0.5% 115% 3 1 -Right be verified by anyone who would rely on End Shear -6769 lbs 55.3% 115% 3 2-Right output as evidence of suitability for Cont. Shear 4023 lbs 32.9% 115% 3 2-Left particular application.Output here based Total Load Defl. U220 (1.419") 81.8% 3 2 on building code-accepted design Live Load Defl. U328 (0.951") 73.1% 3 2 properties and analysis methods. Installation of BOISE engineered wood Total Neg. Defl. -0.579" 77.2% 3 1 -Cantilever products must be in accordance with Span/Depth 16.8 n/a 2 current Installation Guide and applicable building codes.To obtain Installation Guide %Allow %Allow or ask questions,please call Bearing Supports Dim.(L x W) Value Support Member Material (800)232-0788 before installation. B1 Post 3-1/2"x 3-1/2" 4207 lbs 47.4% 45.8% Spruce-Pine-Fir BC CALC®,BC FRAMER®,AJSTM, B2 Post 3-1/2"x 3-1/2" 6965 lbs 78.4% 75.8% Spruce-Pine-Fir ALLJOISTO,BC RIM BOARD-,BCI®, BOISE GLULAMTMSIMPLE FRAMING Slope and Cut Length Slope Facia Depth Horiz Length Product Length SYSTEM®,VERSA-LAM®,VERSA-RIM Plumb Cut with Hanger to dbl. top plate 7.1/12 11" 25-05-08 30-00-03 PLUS®,VERSA-RIM®, VERSA-STRANDTM,VERSA-STUD®are Cautions trademarks of Boise Wood Products, Column at Bearing 81 analyzed for bearing only, column analysis has not been performed. L.L.C. Column at Bearing B2 analyzed for bearing only, column analysis has not been performed. Notes Design meets Code minimum (L/180)Total load deflection criteria. Design meets Code minimum(U240) Live load deflection criteria. Connection Diagram b d a • T• t c a minimum=2" c= 12" b minimum =2-1/2"d=24" Member has no side loads. Connectors are:1/2 in.Staggered Through Bolt Page 1 of 1 �I 1 G i 2UVJb lel'41 '3 od!',_c'yc,i_ rtr,i�i l i•iau, u�r.0 � __ ABBY LANE ZONING DISTRICT R-2 L--100,00, MIN. .AREA = 21,780 0 ti1IN. LAT *70TH � 100' MIN. FRCWTAGE = 100' WN, FRONT SETBACK - 20' i MIN. SIDE S'EMM* - 20' MIN. REAR MUCK - 20' THE STRWMRC MAY BE PLACED UPON ASIDE LOT UN6 WYTNQUT A SIDC 15.5 SEMCK. PROVIDED THAT THE ADJACENT LpOT TO WHICH THE ZERO SrMCK IS LOCA HAS THE RrQUIRED SIDE WD SMACK) N � cJ� N irXIS71 e FOUNDATiON nox. EL= 220.1' 149.0' LOT 3 �1• 06. L �o. FOUND 77ON L OCA TIOM PLAN TM7 � `� '° — __—- _-- ------- AMMARM ZOMM gr.-LAWS Nf etc. *V"ter= ---- (M lAWMMN A=Mor CONOM AMY OrKet R 11[MrS NWH AS C0WMNTS,K7XAAVgZ4SMWXW3� aaoa�s a�caaonx>t+s.Em) CUM' NOJ?Tff ANDOWR REALTY nos amwm DoiI NOT or t= or vw Mw Fie ANY Tilly CERTIFIOATlON fS MADE AND uWfk'7? �DW AU M PWOPCM ru THE AVOW CUNT. cr Is w:mss W r.wT m RM IME lA%MWWOIpM LSrt'4 t ANr+NOR-• LOC.i4TIfA�►N: ASSEY LANE, NORM ANDOVER ,anew » w SUM. ,,�� ,pay +� T�^' r�� ftQ WCHAEL . UM. I� «"". dog DA TE.- f�2210 191 CHRISTIANSEN P�,SiERGI � rao s7. ►a S AMftu,.0 amv rift OF ©loos or a907VA N&sr" / DRAWI is NO. 9706gD:1� Town of North Andover 2C36 A UG 2 4 f:Ili: I I Planning Department 1600 Osgood Street, Bldg. 20, Suite 2-36 L North Andover, Massachusetts 01845 Phone: 978-688_9535 Fax: 978.688.9542 NOTICE OF DECISION Any aPPeal shall be filed within (20)days after the date of filing this notice in the office of the Town Clerk Date: August 16,2006 Date of Hearing:May 2,&August 1,2006 Date of Decision: August 15,2006 Petition of: Denise Grasso 245 Bridle Path,North Andover,MA 01845 Premises Affected: 245 Bridle Path, North Andover,MA 01845, Map 64, parcel 74, within the R-1 zoning district. Referring to the above petition for a Watershed S Zoning Bylaw,Section 4.136,(cif),(1),(2),(5)&(6)pec�al Permit from the requirerr of the North Andover So as to allow: to construct a proposed detached 24'x 36' discharge buffer zone of a wetland of the Watershed protection District.garage and sewer extension within the non- After a public hearing given on the above date, and APPROVE a Watershed Special Permit upon a motion by John Simons, 2rd by Alberto Angles to unanimous. as d and based upon the following c ondl tions, vote was 5-0 on .� Richard N � John Simons,Vice-Chairman Alberto Angles Jack Green Richard Rowcn,,Alternate cc: Town Departments Applicant Engineer Abutters Assessor 1 The public hearing on the above referenced application was opened and closed by the North Andover Planning Board on August 1, 2006. On August 15, 2006, upon a motion made by John Simons, and seconded by Alberto Angles to GRALNT a Watershed Special Permit as amended in order to construct a 24'x 36' 3-stall detached accessory garage and sewer extension to the existing single-family dwelling. The proposed 3-stall detached garage and sewer connection are located at 245 Bridle Path, North Andover. Massachusetts, 01845, Assessors Map 64, Parcel 74 and is located within the Non-Discharge Zone of the; Watershed Protection District under the requirements of Section 4.136& 10.3 of the North Andover Zoning Bylaw. This Special Permit was requested by Denise Grasso, 245 Bridle Path, North Andover, MA 01845. The applicant submitted a complete application, which was noticed on April 4, 2006, re-noticed again on August 1, 2006, and reviewed in accordance with Section 4.136 of the Town of North Andover Zoning Bylaw and MGL Chapter 40A, Section 9. The Planning Board voted on the motion unanimously in favor of the Special Permit. A special permit issued by the special permit granting authority requires a vote of at least four members of a five- member board. The applicant is hereby notified that should the applicant disagree with this decision, the applicant has the right, under MGL Chapter 40A, Section 17, to appeal to this decision within twenty days after the date this decision has been filed with the Town Clerk. In accordance with 4.136 the Planning Board makes the finding that the intent of the Bylaw, as well as its specific criteria, are met. This decision specifically stated by the Planning Board makes the following FINDINGS OF FACT: 1) That as a result of the proposed construction in conjunction with other uses nearby,there will not be any significant degradation of the quality or quantity of water in or entering Lake Cochichewick. The Planning Board bases this finding on the following facts: a) The proposed detached 3-stall garage will not require a connection to the Town sewer and water systems from Bridle Path Road; b) A deed restriction will be placed limiting the types of fertilizers that can be used on the site; c) The topography of the site will not be altered substantially. The extension of the sewer line to the existing single-family home will be constructed using Best Management and Engineering Practices and not substantially alter the topography of the site; d) The limit of clearing and impact is restricted to the minimum necessary to construct the proposed detached 3-stall garage and sewer extension; and c) The construction of the proposed detached 3-stall garage, draining infrastructure, and utility extension have been reviewed by the Town's consulting engineer. Town Planner, and Cunsm ation Department and determined that there will be no degradation to the quality or quantity of water in or entering a bordering vegetated wetland or Lake Cochichcwick. ?) There is no reasonable alternative location outside the General and 'tion-Disturbance Zones for any discharge, structure or activity. i y In accordance with Section 10.31 of the North Andover Zoning Bylaw, the Planning Board makes the following FL�iDINGS OF FACT: 1) The specific site is an appropriate location for the proposed use as all controls have been placed on the site; feasible storm water and erosion 2) The use will not adversely affect the neighborhood as the lot is located in a Residential 1 Zoning District; 3) There will be no nuisance or serious hazard to vehicles or pedestrians; 4) Adequate and appropriate facilities are provided for the proper operation of the proposed use; 5) The Planning Board also makes a specific finding that the use is in harmony with the general purpose and intent of the North Andover Zoning Bylaw; 6) On .July 18, 2006, -the Zoning Board of Appeals granted a Variance from Section 4, Paragraph 4.136(3)(c)(ii)(3) of the Zoning Bylaw for relief of 42' from the 100' buffer from borderingvegetated wetlands and within the Water Protection district's Non-disturbance Buffer Zone in order toonstruc Proposed 3-stall detached garage. 7) On August 1, 2006 the Conservation Commission issued an Order of Conditions (File No. 242-1349) with the following special conditions: a) 25' No-Disturbance Zone and a 50' No-Construction Zone shall be established from the edge of adjacent wetland resource areas except in t NACC. hose locations approved under this filing. b) Future work within 100' of existing wetland resource areas will require a separate filing with the c) The Conservation Administrator and,%or other agents of the NACC do not have the authority to waive these setbacks as established under the local Bylaw(Condition#32). d) Discharge of spillage of pollutants(Condition#73) e) Prohibition of underground fuels(Condition#74) 0 Limitations on the use of fertilizers, herbicides,and pesticides(Condition#75) Upon reaching the above findings,the Planning Board approves this Special Permit based upon the following SPECIAL CONDITIONS: n g 1) The Town Planner shall approve any changes made to these plans. Any anges deemed subsal by the Town Planner would require a public hearing and modification bylthe Planning Board. This Watershed Special Permit may only be used in conjunction with the Site Plan Special Perinit for these same premises: a) The garage will not be connected to Town water or sewer. b) The garage will not contain an established living area. c) Roof gutter drains be connected to infiltrators. 2) Prior to issuance of a building permit: a) A performance guarantee bond of five thousand dollars (SS,000.00)made out to the Town ol'North ,kndover must be posted to insure that the construction of both the garage and sewer extension to the existing single-family home, erosion control measures, and performance of any other condition contained herein will take place in accordance with the plans and the conditions of this decision and to ensure that the as-built plans will be submitted. 3 t , b) All erosion control measures as shown on the plan must be in place and reviewed by the Town Planner and Conservation Department, c) No pesticides, fertilizers or chemicals shall be used in lawn care or maintenance. The applicant shall incorporate this condition as a deed restriction and a copy of the recorded deed shall be submitted to the Town Planner and included in the file. 3) Prior to release of the Performance Bond: a) The applicant shall submit an as-built plan stamped by a Registered Professional Engineer in Massachusetts that shows all construction, including storm water management services and other pertinent site features. This as-built plan shall be submitted to the Town Planner for approval. The applicant must submit a certification from the design engineer that the site was constructed as shown on the approved plan. b) The Planning Board must by a majority vote make a finding that the site is in conformance with the approved plan. 4) No open burning shall be done except as is permitted during burning season under the Fire Department regulations. 5) The Contractor shall contact Dig Safe at least 72 hours prior to commencing excavation. 6) The provisions of this conditional approval shall apply to and be binding upon the applicant, it's employees and all successors and assigns in interest or control. 7) This special permit was issued on August 15, 2006, however, this Special Permit shall be deemed to have lapsed after a two (2) year period on August 15,2008 unless substantial use or construction has commenced. This decision must be filed with the North Essex Registry of Deeds. The following information is included as part of this decision: The following is Plan Description: Plan titled: Site Plan, 245 Bridle Path North Andover,MA 01845 Prepared for: Denise Grasso,245 Bridle Path, North Andover, MA 01845 Prepared by: New England Engineering Services, Inc. 1600 Osgood Street Building 20, Suite 2-64 North Andover,MA 01845 Scale: 1" = 30' Date: February 27,2006,revised 7,5.'06. 7 11.06: adjusted location B6-138. Sheets: 1 of 1 4 + 1 `.L1;'�191JL 14:41 ':Jicid!:C 1NNW I • 1 A101EY LANE ZO'NIN'G DrS►'TdRICT R®2 MIN. AREA = 21.760 S.l. — 1 oo.0' ON LOT W'lDTH s 100' AM FWHT SrWCK = 20' !tilt SIDE SMACK* = 20' MIN. REAR SETBACK = 20' 7HE STRUCTURE MY RE PLACED UPON A MD,E LOT LINF WITHOUT A SIDd: 1 SE7',19>'4CK. PROWDED THAT THE ADJACENT LOT TO WICH THE ZERO SEMCK IS LOWEP r" AS THE REQUIRED SIDE YARP SETRRCK.) i N EKJST!>KQ r•y FOUNDATION T.O.F EL= ?aydS.i' 149.0' LOT 3 l tom/ b0• Vv r�L/U DA 77ON LOCA W N PLAN � CK� '� ro (IM CWWAWN Sops Not CON!9 ryf ANY OrM RF flWLT.SWH AS QOYENl WZ► WV7AAMXVAWKXT,% nam or co�rax�ec.F►'�a UlEhT i41rOR]r,If' ANDOWR MLT'Y TNS 6WIYM MULL NOT OC Ude Or S7+IE MEort rUR AAS}' PUARW MMW TMW ""r OUftMV AWY&MOr WN TAW Th7S CfR77 6T19N IS AdrtOE AND LlAHtED MW AU a ri COPYWOOM FmvPMf TL) tHr' A800t GYJENT f'��ro� ANfr t.�Vltr�ff Fat /Jdr ll!%A1aJ,1ADIN2YJ!! umr OF ANY AVW- LOCATICW. ABBEY dA'JifE, MORIN ANDOVER KUM aw SCALE. I'w = 60' DATE: f21.2/LA'S W OH �1 'y91 CHRISMNVSEW &SERGI LAAW ?` UAB. � DRD Sti1111b'14 .17. hKYLRldfit,NA. 09dLSO � >o7lIP-,f7f'd3/O � +' c zeas er ckwArnA MM t Sf"00-6 IRA 6Vl NO. 9706 (A qq 10POFWA ;, i I DEP FILE#242-1296 wv+aolcN.mm \ I MATCH LINE ++, �J may, R�Rrn et 14° }i�l ,YRCPORAM SEE SHEET 2 s R a�;-aT...={y_..ee � r 1�ifaI �M�' GN�MxIQ /ar I I lI I .2a, aN 1YIx•2p,]6IC0,01 / @N,YIN•A1deICB 111 .her p °M°R,eer iA J I apt ova=.NTA1oFrox / 1{/ ,�j r urv,zour.2ouo �-1oQ__ a a lm sl 4 �0,, L0 12A EXo IE re 1, LG ry +� A --------------1---� is/ 4r�/ �h.RCLOI a I 11 w nLVlx e'WCGFAI]2^.� o LOT 11 STORAGE AREAS:DETENT ON POND*1 M C 1021 _ —w I aVm GN(Fi.)C Nu mRFACEAREA LSF)ASWILT SURFACE ARE4(sw A' % --____ d ro / Nowm - oa@iE mGEOF nT ,s,sm ,a,t m" SOLUS SAP / xP REA2nmRP. ENe*wG TOP ENO. PAVEYIENI N@ tTa �],ns t0i•, 9USW,EIOURNGU THE HIO YEAR PEAK BTOMOE ELW M]N=,]ea FT.NO LEGEND acorllROl.ite�wr� / / / //� 'r�' 14d �I I rt m'vJ1101C�1,-iaiue 27:' FOxowsaFo2NsarGF LOT 10® Ifi�i EAnx*m"F xoRrxAF�xoGaER Ir F1A LervoeEcmxawrvPwP I PFALn CORP. i�irfl I, I „m ,�ill Z LOT ♦ sa I I[�I t II ,u.l I III � wF /ILOT4 / j¢i 1 —.-rr w1ER nw ewrevuvE ] rl I4 I i PON NTION O anux TCTCN wx 1Y— ]I'1 41 11/11 UD.,#1 i li } cHwsrGPxEnxsxa BewsLMumaeeeEwPnMax ��I% —] w— EWwL86RNCEGNB I1 LOT 9 EwenNeo Deus"Fsa mmsPUG ows mvN LOT 3 P,s � 1\ 11i\ I„•e I,_Q IIS m+mmEwREeas � TOPFNo — — umEaanowoELae]we/IELr:vxorvErcwazen LmE; �� S i\3,+\ ILII mP8.1@ A01 NM�iOa]B0�1ef •333.n C6N&MENIIK RPALn1wmT ® EOSINGEOGEOFPAVEMENT Eotlmy ;',,lu\ \FGREHAr =1 "ypgAxT ;.., .�-fin SWL BEWEII --,m-- Ep@wlO F1EVATICN CONIOVR WERAN—VIDA-- v'_ m 11OROEmxo mm / - w�OTERSERVICE x�E 1a e•� ': • ��') TOPS —ro— LOMITOFIO@eUFFFILIDNE my oF�eI7/I HOUSE 1Y RCP OAAd —m_ ,. \ •GPR•,ma LOT 8 eMx —>a— uurtaF sa xoaunnmxE \�\ \ u,cPPmwN wP `_: Dose LEarroP2@xoGls,u+smNE -------- a \ mPFNw Rna-ana, ea�NG y sMN amaasTrwT,oN�oNr,Lo.awRRIeR m�-- xexRrMGexEu .ns.2r sax `- Iw -.180 CE LOT 2 E1mEW I R B \\ 1RMn•1Blb INV IXR•talBB EOOEOF �Qe .,.. 6ERNCEBNO(IYP.) � ____— LPAROF4rOR1( YeGETATm�10� I \1 NV M'IN•tAee c ";I COT PAVEMEM(IYP.7 CyARQ JE I_ WETVNO �, I U—RKOF I IM/2a•WF•,laee RIM•30,.1T IRNVM YOu,',avaa 'V� e,e IN!2 O)Srraa•me.,a LOT 7 Na RNir IN•1aa.mM.)O �,z w.,wwelGan / / I NIF IOPFNO. ,z IFa.10 sM, 9 20NE.d/ i aCORLaNOFAe •2oaa, m1 / ® NOOI9IMB / 6AT1010IPB'CMNO 'YpgRpaC? 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Ixv,rm•,xaw NMx IT �i�o�.RI-al wR rtry 1mN•lmx mto,n „ /p vwmrvM,r,W•'xa,ae I i — -------- ORVN wvlraR•,anaa mwoe '' '^ RsEoxFGsro L "AUTUMN CHASE” w=!$1351 ---------CROG-0URYGRAIN'O' NFCPPw—SRCP--- 01d4 r wA ORA01wOE W a j I rrreRANr `� ,a' :],saute I �s ;°�'an,ffi P"3°A°� ,@oPPaRAa',, ®!M—E7 NORTH ANDOVER,MASS. 181 —_— G1N`'N•p m2Ta NT NORTH ANDOVER REALTY CORPORATION BMx 1@�P ORIJN �yOgyOO —'' wV1Y0,R•1a09a NSPRING HILL.ROAO,NORTx ANOOIEIf,N O,Ns x aA01 SUMMER-1—r-1.00STREET P VOFESSIONALENOINESE eURVEYORS CHRISTIANSEN&SERGEI,INC. �'YM•1m.Be IC6 1 (oe�LmRATPJ ILI.1A @OUT•1afl]4 -1—r-1.00RIM i 1 r