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HomeMy WebLinkAboutBuilding Permit #464 - 42 HIGH WOOD WAY 1/4/2010Permit NO: Date Issued: , _ I TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received ( 2/ r y y., /D IMPORTANT: Applicant must complete all items on this page bN, �e LOCATION � . �e j }"U. P nt ... PROPERTY4oVUNEf2�c Pant 4 isorcis#TGH�ckMPP es r n u Machnehop Village �.; yes o TYPE OF IMPROVEMENT PROPOSED USE Resi Non- Residential New Building One famil Additio Two or more family Industrial Alteration No. of units: Commercial Repair, ieplacement Assessory Bldg-_ Others:-- thers:-Demolition Demolition Other j Se tiilllell f"100 0`1 �JI/atersled District f , L'1Net)ands a ti DESCRIPTION OFJNORK TO BE PERFORMED: Please Type or Pyint Clearly) OWNER: Name: Address: ' 77 Ad r :SupervisousliC, gostrtuction'License .1=liirr�e Imirn�ini�-�nn^k;l.iv+ariceF� ARCHITECT/ENGINEER Phone: z� rS-4:2J() x T ,� �4e,m'Phone. 47, .� 7�� y G w .. `' Exp Date'µ 4 Phone: Address: Reg. No. FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ ff® FEE: $ -1' Check No.: / 7 Receipt No.: D off% 23 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund �"�..-, .TSt'TMua7"""".' `M14 (I�+g 91 a'+..'+aS•.�,�,.�'. .:"rt7,1. 9^,. ' iS gnatre of AgentfOwrner.a_u Signature of coritcactor' Plans Submitted Plans Waived Certified Plot Plan Stamped Plans D21 OF SEWERAGE DISPOSAL t - �� Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales s Food Packaging/Sales Private (septic tank, etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM filpope�TY DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS �.r )Ll e � - 1 z, e2___ CONSERVATION COMMENTS _ I r�\n Cy— HEALTH - Reviewed on Signature CO�AMENTS r" Zoning Board of Appeals: Variance, Petition No:. Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Dimension Number of Stories:_ Total square feet of floor area, based on Exterior dimensions Total land area, sq. ft.: 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.$100-$1000 fine Doc:.Building Permit Revised 2008 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding,- Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit Q Photo Copy Of H.I.C. And/Or C.S.L. Licenses - ❑ Copy of Contract o Floor Plan Or Proposed Interior Work Li 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 Li 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) o 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) o 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) o Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must -stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Doc.Building Permit Revised 2008 Location GJ li✓ l No. Date U MORTN TOWN OF NORTH ANDOVER Certificate of Occupancy $ '�b• ^° '��' Building/Frame /Frame Permit Fee $ �ss._....�E 9 Foundation Permit Fee $ Other Permit Fee $ ( TOTAL $ 1 Check # 22.723 - Buildinglnsoector , �2 �% � 2%% ■ rN, � � , 94 � C4 ro \ a� 2 k 2 2 § § © @ � � Twomey g & Legare Contracting,Inc. Professional Building/ Remodelin g P.O. Box 366 North Andover, Ma 01845 North Andover 978.685.7447 Haverhill 978.556.1547 i CONTRACT l�-Date of Contract Signing: 2. List of documents part of this agreement: A. Contract B. Proposal / Specifications C. Drawing (see Exhibit C) D. Payment Schedule (see Exhibit D) E. Limited Warranty (see Exhibit E) 3. Parties to Contract: A. Contractor: Twomey & Legare Contracting, Inc. Shaun Twomey/Doug Legare Federal ID# 20-3436110 Address: PO Box 366 No. Andover Ma 01845 Contractor Registration No: 136779 B. Homeowner: John & Fran Klashka 42 Highwood Way North Andover Ma, 01845 Ph. 978-685-0307 September 21 2009 i 4. Description of work to done and the materials to be used: See Specifications (see Exhibit B) 5. Total amount agreed to be paid for work to be performed under the contract: 6. Time schedule of payments to be made under the contract, finance charges for late fees, if any. * I See Payment Schedule (see Exhibit D) * Any deposit required to be paid in advance of the start of the work shall not exceed one- third of the total contract price or actual cost of any material or equipment of a special or custom made nature, which must be ordered in advance of the start of work to assure that the project will proceed on schedule. No final payment shall be demanded until the contract is completed to the satisfaction of all parties. 7. A. Date work is scheduled to begin: See No. 14 B. Date work is scheduled to be substantially completed: See No. 14 8. Notice: A. All home improvement contractors and subcontractors shall be registered and that any inquiries about a contractor and subcontractors shall be registered and that any inquires about acontractor or subcontractor relating to a registration should be directed to: Director, Home improvement Contractor Registration One Ashburton Place, Room 1301 Boston, Massachusetts 02108 Telephone No. (617) 727-8598 B. For contractor's registration number, see top of first page. C. Homeowners have a three-day cancellation rights under MGL c 93 § 48; MGL c 140D § 10 orMGL C 255D § 14 as may be applicable (see attached Notice of Cancellation). D. For owner's warranty rights, see 780 CMR R6 and MGL c 142A. 9. There is no lien or security interest on the residence as a consequence of this contract. 10.Permit Notice: A. The following permits will be required in connection with the work to be performed on your property: Building - Electrical - Plumbing . B. It is the obligation of the contractor to obtain these permits as the owner's agent. OPA C. Any owner who secures their own construction - related permits or deal with unregistered contractors shall be excluded from access to the Guarantee Fund. 11. Contractor reserves the right when he deems himself to be insecure to require as a prerequisite to continuing work that the balance of funds due under the contract, which are in possession of the owner, shall be placed in a joint escrow account requiring the signatures of the home improvement contractor and the owner for withdrawal. 12. The parties agree that no work shall begin prior to the signing of the contract, transmittal to the owner a copy of the contract and the expiration of any applicable rescission period. 13. Arbitration Clause: The contractor and the homeowner hereby mutually agree in advance that in the event that the contractor has a dispute concerning this contract, the contractor may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulations and the consumer shall be required to submit to such arbitration as provided in MGL c 142A. 14. Other Provisions: A. Commencement of Work/Completion - Contractor agrees to proceed diligently with the agreed upon work, commencing promptly following: • The completion of the Title V installation and certification of compliance by the town. • Issuance of a building permit by the town. • Estimated date of completion: • Completion date shall be automatically extended by the number of days equal to those on which seller shall be prevented or hindered from completion due to weather conditions, other acts of God, inability to obtain materials or schedule due to delays caused by homeowner's selection process or change of orders, and/or failure of homeowners to make timely payments as agreed. B. Final payment shall be upon the satisfaction of the homeowner. The parties agree that the issuance of a certificate of occupancy shall be the objective standard that the contract has been completed and the parties satisfied. Any punch list shall be reduced to writing, with a date for completion. The parties agree that no escrow will be held for punch list items. D. Insurance - Contractor agrees to provide evidence of liability, worker's compensation and other risk insurance. Owner agrees to provide copy of hazard insurance as is required by contractor to coordinate policies. OwnerQaA C c_ �I Contractor. Notice: The signatures of the parries above apply only to the agreement of the parties to alternate dispute resolution initiated by the contractor. The owner may initiate alternative dispute resolution even where this section is not signed separately by the parties. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. C4 VLAcam-- LZ aoo er Date frac �ate Owner Date Contractor Date 4 i Job Total & pay eft schedule Total $29,400.00 1 St payment on signing 2nd start of framing 0 completion of weather tight Shell. Roof / windows and tyvek $5,000.00 $8,000.00 $10,000.00 5th completion of interior trim $4,400.00 6th and final payment Substantial completion of project $2,000.00 And final inspetion Allowance 1 - Tile and grout $900.00 material only 2 - Architect - $1,200.00 Thanks John & Fran Any questions call my cell 978-479-8174 Thanks Shaun Twomey Customer a Contractor , Balance $24,400.00 $16,400.00 $6,400.00 $2,000.00 Datej 124dUo� Date' �/ W� Twomey & Legare Contracting Inc. Building & Remodeling Office 978-685-7447 P.O. Box 366 Fax 978-685-7446 978-556-1547 No. Andover Ma, 01845 September 21, 2009 To: John & Fran Klashka 42 Highwood Way North Andover Ma. 978-685-0307 Ref: 1 story addition off the back of home. 14 x 16 Thank you for the opportunity to quote the following project. The price is based on our discussion on September 11, 2009 concerning your project at the above address. The following is a description of work as discussed. • 1 story addition to back of home 14 x 16 1. Contractor to contact Massachusetts Dig Safe prior to excavating. If needed. 2. Excavate as required for new footings if needed. 3. Height match existing floor. 4. Demo to include removal of siding on main house, and removal of roof overhang. 5. Addition to be built on top of existing deck. ' 6. Structures to be built according to plan provided by contractor, in accordance with these specs. 7. Floor joist to be 2x6 joists. 8. Floor sheathing to be %" "Advantea" plywood. 9. Walls to be 2x6 construction. 10. Wall sheathing to be %2" OSB plywood. 11. Ceiling to be clipped for cathedral. 12. Roof rafters to be 2x10 construction. 13. Roof sheathing to be 5/8" CDX plywood. 14. Install ice and water shield 3 ft up eaves. 15.:Roof addition with 30 year shingle to match existing color (ARCHITECTUAL) 16. Siding to be vinyl and match existing as close as possible 17. Eaves and rakes on addition to be #2 pine trim boards. Wrapped in coverage. 18. Insulate addition walls and ceiling to code, and floor to be a insulation foam board. 19. Wall and ceiling to be finished with a pre finished 5/8 x 41/2 bedded pine board. 20. Interior trim to be some type of pine board . 21. Flooring to be tile. See allowance page 22. Interior painting by contractor 23. All new door knobs to be Schlage brass 24. Disposal of debris by contractor 25. Stamped construction drawings by contractor 26. Additional specs. On completion of construction plans if needed 27. Any additional landscaping by owner 28. Plot plan by owner 29. If ledge is encountered removal cost is not included or damage to underground utilities. • Sprinkler system - none • No deck , • Plumbing 1. None • Electrical 1. Wiring of new addition to code. 2. 1- Center light / fan combo ----- (fixture by owner) 3. 1- Exterior side door lights -----(fixture by owner) 4. - Interior outlets, GFCI or AFCI were required by code 5. 4- recessed cans 6. - switch locations to plan 7. - Smoke/Carbon sensor combo detector to code in addition. Additional smokes in home would be an extra. 8. -1- cable 0- phone 9. Electric heat in sun room • Window specs 1. 6- Harvey glider windows 3-4x4 and 34x5 approximately until completion of plans. • Exterior Door Spec • 1- 3-0 x 6-8 thurma true fiberglass door. • 1- 3-0 x 6-8 storm door • Interior Door Specs. None Sign6:�. Date ��aw� Awl 4 'I Board otBuildiog Regiefati n. and Stimdards HOME iJAIPROVEMENT CONTRACTOR =_ Registration: 136779 Expiratioi):; ;W6/2010 Trw= 272934 --T Patircr3ilip 'fW3MEY + LEGAi26 CON7Rs?C NG INC: . SHAWN TtriIOMEY 61 PATRIOT ST N: ANDOVER, h91%.01d '. Administrator - Massachusetts - Department (if Public Safety Hoard of Building Reglatiuns and St:andatIAs Construction Supervisor License License: CS 55108 Restricted to: 00 DOUGLAS J LEGARE 79 GARY AVE HAVERH ILL, MA 01830 c-- i"G- Expiration: 9/2/2010 (' uiunssiuncr Tr#: 3242 CRanf8.112M TINAMFVR ACORD- CERTIFICATE OF LIABILITY INSURANCE "'""'' 07=os fR=CER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Doherty Insuranee Agency, Iran P.O. Box 1985 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 21 Elm Street POUCY NIMIBER Andover, NIA 01810 INSURERS AFFORDING COVERAGE NAIL 0 NNsuREo Twomey 8 Legere Contracting. Inc. PO Box 366 North Andover, AAA 01845 amuRERA: Arbelia Protection Ins Company +NsurtERB: INISURERC: cNsurLER D: PaumiRE: 060iV10 r_nvFRaaFc THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD mDICATEQ NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCROW HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN READ BY PAID CLAIMS mmm LTR TYPE OF M SVRANCE POUCY NIMIBER POLICY VATEUMMOM 6CR=ERWRA7WK uuws A GEPIERALUABUM 8500043255 06122109 060iV10 EACH $1,000,000 DAMAGEABRM TO RENTED5100 0 MED EXP fAar ane penin s5 000 L GENERAL U X 7aA=MADE 10 OCCUR.. PERSONAL A ADV INAW $1,000,000 GENERAIAGGREGATE GENII AGGREGATE LUNT APRIES PER: Pt1OM=S - COMPNOP AGG SZOOO,000 X POLICY PRO LOC AUTOIMBILE UABIUTY ANY AUTO CO ci eeft SOS E LDOr S (Ea ecsaonl) BODILY DUURY 01- P—) _ ALL O 04M AUTOS SCHEDULED AUTOS lP? ► Ysea deee) $ HIRED AUTOS NONOWNEDAUTOS PROPERTY DAMAGE S GARAGE UASIL" AUTOONLY - EA ACCIDENT S oi)ERT"m EA ACC S ANY AUTO AUTOONLY: AGG S EXCE88AIItA LLAe10rrY EACH OCCURRENCE S AGGREGATE S OCCUR CLAUS MADE S � S DEDUCTIBLE S RETENTION S WORKERSCOYPENSATNW AND WC SIAM GTII- ER EMPLOYERS' UlABILTORIP TY ANY PROPRPI:TONiNPA1TTNERIEXECUTIYE EL EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE S OFFICERNMEMBERE=UDED7 UYas Abaad,eu�a ELL DISEASE - POLICY LDOT S S ONS below OTHER DEUMPTIM OF OPERI17tONS f LOCATIONS f VEMp £S IEXCLU9N1N8 ADDED BYIUtDORBaIENT / 84EpAL PROYN 10NS Covering operations usual to the Insured... City of Methuen 41 Pleasant Street Methuen ,AAA 01844 LD ANY OF THE AMOYE OESCROM POLICIES SE CA ICELU D BEFORE UM EXPIRATION THEREOF. THE ISSI ENSURER MILLL ENDEAVOR TOMAIL _11L DAYS WWMN X: TO THE CENififtGllm HaLDER NAMED mim LEFT. BUT FAILURE TO 00 60 BHAL L !E UOOBUOATNON OR LMBLnY OF ANY WND UPON TBE INSURER. RS AOENTU OR ACORD 25 (2001JB8)1 of 2 6AM125234 L 0 ACORD CORPORATION 19W 1%Lr31j6j'1GLn 1YL-1 /I LV/ Cuv"7 u; La; ].t ACOR®. CERTIFICATE OF INSURANCE PRODUCER DOHF'RTY TNS AGENCY PO BOX 1985 21 ELM ANDOVER, VIA 01810 211Y VIX INSURED TWOMEY c1 LEGARE CC1R'rRAC'I1NG INC PO BOX 366 NORTH ANDOVER. MA 01845 YALi E. L: UVL rax 5i9TV8r DATE (MWDDNYY) 07-10-09 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A TRAVELER'S INDEMNITY COMPANY COMPANY 8 COMPANY C COMPANY D COVERAGE THIS 15 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW KAVE BEEN ISSUED TO THE INSURED NAMED A69V E FOR THE POLICY PERIOD INDICATED, NOTIYRHSTANDING ANY REGUIREMENT, TERM OR CONDITION OF ANY GONTP,ACT OR OrIEP DOCUMENT WITH RFb'F'Ev TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDRIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, i CO POLICY EFF POLICY EXPI LTR TYPE OF INSURANCE POLICY NUMBER DATE (MM0D,YY) DATE LIMITS i GENERAL LIABILITY GENERALAGGREGATE $ COMMERCIAL GENERAL PRODUCTS -COMP OP AGU. g CLAIFAS MADE OCCUR. PERSONAL S& ADV. INJURY S OWNEF'S && CONTRACTOR'S PROT. EACH OCCLRREN^E FIRE DAMAGE {Any cra tire: $ MED. EXPENSE ;Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT ALL OWNED AUTOS BODILY INJURY (Per Person) F SCHEDULE AUTOS P,ODILY INJURY (Per Accident; S FIRED AL70S PROPERTY DAMAGE j NON -OWNED AUTOS GARAGE LIABILITY ANY AUTOS AUTO ONLY - EA ACCIDENT OTHER. THAN AUTO ONLY: EACH AC' .IDEN7 S AGREGATE $ EXCESS LIABILITY LIM3RELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE $ WORKERS COMPENSATION AND A EMPOLYER'S LIABILITY U13-0290Ib1994-08 09-18.08 0319-09 STATUTORY LIMITS X THE PROPRIETOR EACH ACCIDENT S 500,000 PARTNERSIEXECUI-IVB INCL DISEASE • POLICY LIMIT $ 500,000 OFFICERSARE: X EXCL DISEASE - EACH EMPLOYEE $ 500.000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSrVEHICLES)RESTRICTIONSiSPECIAL ITEMS 1'HIS REPL.ACIN ANY PRIOR CFA -1 Jr C.ATIi ISSL:0) 7U'."H.E CEF.':'IFICAIE HOLDER AFFECII.VG WOkKERS CO..WCOVERAGU- CERTIFICATE HOLDER CANCELLATION CITY OF ME'fHl EN SHOCLD ANY OF THE ABOVE DESCRIWE, POLICES BE C4I4CELLED BEFORE THE EXP!P.ATICNI DATE THEP.EDF. THE'IE.SUNG COMPANY WILL ENDEAVOR TO MAIL 10 - (. PLEASA`:T STREET DAYS WRITTEN NOTICE 70 THE CEP.TJFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE S. ALL IMPOCE 140 OBUC4TIOU OR LIABILITY 01: ANY KIND JPON T! E COMPANY. IT3 AGENTS OR REPEFSENTATIVEc ME7'HVEI`, l�IA 0184-1 AUTHORIZED REPRESENTATIVE ACORD 25-5 (W93) ,.• Charles J Clark ', 3r OX6"oG Town of North Andover, ° -1 = Office of the Planning Department 0 > Community Development and Services Division �9 p�T�� <y 1600 Osgood Street SSNCHUSE - North Andover, Massachusetts 01845 NOTICE OF DECISION Watershed Special Permit - Waiver Date of Decision: November 17, 2009 Application of: John Klashka 42 Highwood Way North Andover, MA 01845 Premises Affected: 42 Highwood Way, North Andover, MA 01845, Map 103, Parcel 85, within the R4 zoning district. HISTORY AND BACKGROUND On November :11, 2009, the applicant requested a waiver of the Watershed Protection District Special Permit, in accordance with the North Andover Zoning Bylaw section 4.136.8, so as to allow the construction of a 14 X 16 ft. sunroom at the rear of the dwelling unit. The porch is to be built on the,footprint of an existing deck, .:sing 12 inch sonotubes under the deck. The new sunroom will be located approximately 47' from a delineated wetland resource area within the Non -Disturbance buffer zone of the Watershed Protection District. The applicant will be applying for a Request for Determination from the.Conservation Commission. DECISION After a Planning Board meeting on the above date, and upon a motion by M. Walsh and 2°a by T. Seibert, a vote. was taken with regard to a waiver of the Watershed Special Permit. The vote was unanimous in favor of the waiver. FINDING OF FACT The PlanningBoard has made its decision based on the following findings: • The sunroom will be located on the footprint of an existing deck; using a hand -dug concrete Sonotube foundation • The sunroom will be located 47 ft. from the existing wetlands, at the closest point. • The site plan filed with the Planning Board and with the Conservation Commission, indicates the placement of haybales backed with filter fabric. The plan was prepared by The Neve -Morin Group and is dated November 12, 2009. • There will be no disturbance of the existing lawn. The Conservation Administrator has suggested plantings to be added to the lawn area, adjacent to the wetlands. CONDITIONS The applicant has agreed to have the Town Planner perform a minimum of two inspections of the site during the construction process Proper erosion control will be constructed and will remain throughout the project. _ rth Andover P ening Board John Simons, Chairman Tim Seibert Michael Walsh Michael Colantoni 2 1 xtiw� Lei ims O oz o �O c ; U O O O L`r c ` 3 y � CS L3Cc Cc : t� o. Cc eo 0 =a ce O CL E = H Cl)Ne o O Z U 00 V �f O C m m a- O�N y cm N O H ,i ci \ \ O O o J m U CLL) o :y0W o, 32ccl W Mei cc-.X) �ZO 0c o .� vi �L `,� O d O Q m L O = •� = O a'="' C N 1 COD h O.O.~ _ W LLMA mom' •y O cc •" O = Z W •E V.0 v H O L) O O O:C c V� d O - O 'O ca cc h ® (Y\ H 0 co 0 IS Z C. O CO) 0 0 � c cm C -� h O O co m L O co CL .L cts O O L ® CL CL cmQ-. Cc V C L O ca Z *O.. C G) CL C.3 h O �. � C CL COD cm 0 v♦ oe W uj 19 W U) 0 a w A v0-4 w C. z 0 z a � a p F w 00 w r� a A v o w° � z cn A � co C w° U i� w A. no w � ►'� W to cr° cn w d 'foo w�' co w W W °�' . G W z cin cn xtiw� Lei ims O oz o �O c ; U O O O L`r c ` 3 y � CS L3Cc Cc : t� o. Cc eo 0 =a ce O CL E = H Cl)Ne o O Z U 00 V �f O C m m a- O�N y cm N O H ,i ci \ \ O O o J m U CLL) o :y0W o, 32ccl W Mei cc-.X) �ZO 0c o .� vi �L `,� O d O Q m L O = •� = O a'="' C N 1 COD h O.O.~ _ W LLMA mom' •y O cc •" O = Z W •E V.0 v H O L) O O O:C c V� d O - O 'O ca cc h ® (Y\ H 0 co 0 IS Z C. O CO) 0 0 � c cm C -� h O O co m L O co CL .L cts O O L ® CL CL cmQ-. Cc V C L O ca Z *O.. C G) CL C.3 h O �. � C CL COD cm 0 v♦ oe W uj 19 W U) NORTH 4,0, �4 Date... ............................ TOWN OF NORTH ANDOVER PERMIT -FOR WIRING J This certifies that .......... hx.y:�o . ..... ............... has permission to perform ........... ......................................... wiring in the building of ............. ......................................... q at .................. Z- ..... / ...... I North Andover, Mass. Fee..................... Lic. No. ........... ......... / .. .. . ..✓. ............ ELEcrRiCAL I.NS;E ,32--7a Check A --- - 9226 l.Ommonwea& o f Maddachueeffd . Ue1Jart. d o/ Jirq Serviced BOARD OF FIRE PREVENTION REGULATIONS 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 ALL INFORMATION) Date: 1121116 City or Town of: o / f4k4,o&tg--v_:1 To the Inspector of Wires: By this application the undersigned gives notice of his of her intention to perform the electrical work described below. Location (Street & Number) 2-12 // D Owner or Tenant A64-fAe,4 Telephone No. . Owner's Address Is this permit in conjunction with a building permit? Yes 9 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts 'Overhead ❑ 1 Undgrd ❑ No, of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No, of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ALJ i`247— Sci,41&1,4Dz t ,—a Com ietion o theoil ;1/ t. No. of Recessed Luminaires Ll — nx No. of Cell.-Susp. (Paddle) Fans / o a may a waived Dy the inspector ol Wires. No, o otal Transformers KVA No, of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool ove ❑ n- ❑ rnd. grnd. o, 01 EmergFn-cy Eliliting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No, of Switches L� No. of Gas Burners o if Detection et c i Devices No. of Ranges No. of Air Cond, Total Tons No. of Alerting Devices No, of Waste Disposers eatum Totals um er "'"" .ons .., , ""' o. oSelf-Contained Detection/Alerting Devices No, of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection[I Other No, of Dryers No. o Water KW Heaters Heating Appliances KW o. o o. o Signs Ballasts yonnection stems: W echo of Devi es or Equivalent Data Wiring: .—� No. of.Devices or Equivalent I No, Hydromassage Bathtubs No. of Motors Total HP a ecommunicapons irin : No. of Devices or Equivalent OTHER: Aram additional aelad ii desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy,) Work to Start: / 21 /v Inspections to be requested in accordance with'MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑,-.O.THER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: 1DAq to FLECTRI CAL C04'tkae.Ttt-JG 1,-L C LIC. NO.: l g963A Licensee: U 4Vt D NA64Ao: Signature 5 - L1C. NO.: (If applicable, enter "exempt " in the license number line.)) Bus. Tel. No.: B --(*T2-- ` Z Address: 87 6ts"t-MON?' Sr jJ p,RTH ANvOye R &A Olt All. Tel. No.: 7 3 S7 'i '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/Agent El owner's a ent. Signature Telephone No. PERMIT FEE; $ gUp- 14� 4��9 I -t j , 2- - /,C? lo -z--7 �l