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Building Permit #427-16 - 454 STEVENS STREET 10/5/2015
O� t%ORTFH q BUILDING PERMIT t��E° '86 ti TOWN OF NORTH ANDOVER 0 • . p APPLICATION FOR PLAN EXAMINATION / V° / , ,. Permit No#: a Date Received �gSSgCHUSy Date Issued: © 7 f� MPORTANT:Applicant must complete all items on this page LOCATION LAS Q4-TA 5} Print PROPERTY OWNER Dig-l% 1 A�114%,%.c ey f Print 100 Year Structure yes no MAP 0 G PARCEL: 4:1 ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building [000ne family ❑ Addition ❑Two or more family ❑ Industrial BeAlteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ;Septic 11 W,611 ❑ Floodplain Wetlands ❑ 1Nate hed�'Drstrict ¢_ ❑,Wa_t_e�/Sewet'_ _m_a_.__ �. .-__ DESCRIPTION OF WORK TO BE PERFORMED: 1`t CO at S h:N9 �S YV%,A; ,- 11,J1-,c a. Identification- Please Type or Print Clearly OWNER: Name: y`•►CSN"C-0%+rt Phone: Address: �l S .etY Contractor Name: � w� �ty'r� Phone: Ct-J Email: 'TBS*vv442 41 Ccs^.-Cg S--:N �} Address: S \ 'rQS o- I Supervisor's Construction License: C S S41 Exp. Date: / `��a L Home Improvement License: 111' O -Exp. Date: ARCHITECT/ENGINEER 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: $ ��--�� FEE: $ Check No.: �© Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund nature: -S-kMn�iirPnfrpntrqrtr �� Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ F PE OF SEWER�,GE DISPOSAL lic Sewer ❑ Tanning/Massage/Body Art7Erg Poolsl ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING & DEVELOPMENT Reviewed On � Signature_ COMMENTS I I I CONSERVATION Reviewed on Signature I COMMENTS WEALTH Reviewed on Si nature COMMENTS I Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submittedes Y I Planning Board Decision: Comments Conservation Decision: Comments I Water& Sewer Connection/si nature ®ate Driveway Permit DPW Town]Engineer: Signature: � FIREIDEPgT11� N T p - a, f • Located 84 Osgood Street E Ternp umpster ontsi e a, es 3 . , +Loc ateat124MamStieet w r E. Y ro FTir`e�De -�,-F _pai-tment�s wa COMMENTS. ` Dimension Number of Stories: Total square feet of floor area, based on Exterior di mensions. 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.$1oo-$1000 fine NOTES and DATA-- (For department use) I ® Notified for pickup Call Email Date Time Contact Name Doe.Building Permit Revised 2014 r 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 4. Building Permit Application Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract 45 Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products OTE: 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 46 Photo Co of H.I.C. And C.S.L. Licenses 46 Copy Of Contract 4. Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) A 4 Mass check Energy Compliance Report p (if Applicable) ) Affidavits for Engineered 4; Engineering A products g OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit P p New Construction (Single and Two Family) Building Permit Application Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses 4� Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) 4. Copy of Contract 2012 IECC Energy code � Engineering Affidavits for Engineered products OTE: 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 2014 f NORTH Town Of 2 t ndover No. 2- 7- Z ti /e s- /5� zblC% h ver, Mass , COCHICHRWICK �qS aATEO ""V' V BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT 6 ' ����W 11G'Ne,00r BUILDING INSPECTOR ................................ ...........�............................................. ........................ has permission to erect buildings on ��' . . .S.�..v ��s 5-f Foundation . Rough to be occupied as ..........:5....... '::�..7.L.G .i �.a�. .. �".. �........................................................................ Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file 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. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION S SRough Service ................. . ...... .. ..... .. ........................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. I YES TA Building and Remodeling Start date 10/7/15 5 APPLETON STREET Finish date 10/15/15 NORTH ANDOVER, MA 01845 HIC Lic. 120296 Expires 11/19/15 (978) 682 2023 CSL Lic. CS 54718 Expires 6/8/16 Proposal October 4, 2015 Proposal Submitted To: Dick and Kathy Vaillancourt CELL PHONE: (978)3 76-03 86 454 Steven Street North Andover, Ma 01845 Job: re roof Obtain building permit Complete removal of all demolition and construction materials Generated by Testa Building and Remodeling and its subcontractors. Construction: Strip the roof down to the plywood deck on main house only. 6`of water and ice shield. 30 year Architectural roof shingle. Lay over the addition in the back of the house. A finance charge of U/2%per month(18%per year)will apply to all accounts over 30 days past due. In the event collection activity is required the customer shall be responsible for all costs associated with collection,including reasonable attorney's fees. I propose hereby to furnish material and labor complete in accordance with above specifications, for the sum of.- $6325.00 f:$6325.00 Six Thousand Three Hundred Twenty Five Dollars One-third to start, one-third once stripped, one- third upon completion. Authorized signature I reserve the right to cancel this contra if notaccepted ' _30_days Signature Signature DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES NOTICE:The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the contractor.The homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Homeowner's Rights A homeowner's rights under the Home Improvement 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.However, homeowners may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law. Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of the Home Improvement Contractor Law.The contractor is responsible for completing the work as described,in a timely and workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor,all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for a particular purpose.An 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. If you have questions about your consumer/homeowner rights, contact the Consumer Information Hotline(listed below). Execution of Contract The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached. Parties are also advised not to sign the document until all blank sections have been filled in or marked as void,deleted,or not applicable. One original signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor.Any modification to the original contract must be in writing and 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 rescission period has expired. Accelerated Payments A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure.However, in instances where a contractor deems him/herself to be financially insecure,the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work.Withdrawal of funds from said account would require the signatures of both parties. Additional Information If you have general questions or need additional information about the Home Improvement Contractor Law or other consumer rights,or if you wish to obtain a free copy of"A Massachusetts Consumer Guide to Home Improvement" contact: Consumer Information Hotline Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170, Boston,MA 02116 617-973-8787, 888-283-3757 or visit the OCABR website at http://NvNvw.mass.-ov/ocabr/ If you want to verify the registration of a contractor or if you have questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law,contact: Director of Home Improvement Contractor Registration Office of Consumer Affairs and Business Regulation 10 Park Plaza,Room 5170, Boston,MA 02116 617-973-8787, 888-283-3757 or visit the HIC website at http://",ww.mass.gov/ocabr/ Go online to view the status of a Home Improvement Contractor's Registration: http://db.state.ma.us/honiciniprovement/licenseelist.as For assistance with informal mediation of disputes or to register formal complaints against a business,call: Consumer Complaint Section Office of the Attorney General 617-727-8400 AND/OR Better Business Bureau 508-6524800,508-755-2548 or 413-734-3114 version 2.1-11122/201 NOTICE OF CANCELLATION YOU MAY CANCEL THIS TRANSACTION,WITHOUT PENALTY OR OBLIGATION,WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. IF YOU CANCEL,ANY PROPERTY TRADED IN,ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE,AND ANY NEGOTIABLE INSTRUMENTS EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOU CANCELLATION NOTICE,AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELED. IF YOU CANCEL, YOU MUST MAKE AVAILABLE TO THE SELLER AT YOUR RESIDENCE, IN SUBSTANTIALLY AS GOOD CONDITION AS WHEN RECEIVED,ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OR SALE; OR YOU MAY, IF YOU WISH, COMPLY WITH THE INSTRUCTIONS OF THE SELLER REGARDING THE RETURN SHIPMENT OF THE GOODS AT THE SELLER'S EXPENSE AND RISK. IF YOU DO MAKE THE GOODS AVAILABLE TO THE SELLER AND THE SELLER DOES NOT PICK THEM UP WITHIN TWENTY DAYS OF THE DATE OF CANCELLATION, YOU MAY RETAIN OR DISPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION. IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO THE SELLER, OR IF YOU AGREE TO RETURN THE GOODS TO THE SELLER AND FAIL TO DO SO, THEN YOU REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE CONTRACT. TO CANCEL THIS TRANSACTION, MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE OR SEND A TELEGRAM TO [Name of Seller AT Address of Seller's Place of Business]NOT LATER THAN MIDNIGHT OF CJ (date). I HEREBY CANCEL THIS TRANSACTION. Date: 10 Buyer's Signature: This form satisfies all basic requirements of the state's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard language to protect homeowners.Seek legal advice if necessary.Any person planning home improvements should first obtain a copy of"A Massachusetts Consumer Guide to Home Improvement"before agreeing to any work on your residence.You may obtain a free copy by calling the Office of ConsumerAffairs and Business Regulation's Consumer Information Hotline at 617-973-8787 or 1-888-283-3757 or on our website. (Owners who secure their own permits will be Q / excluded from the Guaranty Fund provisions of 1 �l P-'�"Date when contractor will begin contracted work- MGL orkMGL chapter 142A.) Express Warranty-Is an express warranty being provided by the contractor? No Yes(all terms of the warranty must be attached to the contract) Subcontractors-The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third party/subcontractor utilized by the contractor.The contractor further agrees to be solely responsible for all payments to all subcontractors for materials and labor under this agreement. Contract Acceptance-Upon signing,this document becomes a binding contract under law.Unless otherwise noted within this document,the contract shall not imply that any lien or other security interest has been placed on the residence.Review the following cautions and notices carefully before signing this contract. •Don't be pressured into signing the contract Take time to read and fully understand it.Ask questions if something is unclear. •Make sure the contractor has a valid Home Improvement Contractor Registration.The law requires most home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration.You may inquire about contractor registration by writing to the Director at 10 Park Plaza,Room 5170,Boston,MA 02116 or by calling 617-973-8787 or 888-283-3757. •Does the contractor have insurance?Ask the Contractor for his insurance company information so that you can confirm coverage,or ask to see a copy of a"proof of insurance"document •Know your rights and responsibilities.Read the Important Information on the reverse side of this form and get a copy of the Consumer Guide to the Home Improvement Contractor Law You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business,provided you notify the contractor in writing at his/her main office or branch office by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of this agreement See the attached notice of cancellation form for an explanation of this right DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACESIII Two identical co ' f the co act must be mpleted signed.One copy should go to o eowner.The other copy should be kept by the contractor Homeowner's Signature Con tor's Signature t v0Z 5; Date Contractor Arbitration The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as an alternative to court action)if they have a dispute with a contractor.The same right is not automatically afforded to a contractor,however.The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below. This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract,the contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required to s to such arbitratio rovided In Massachusetts General Laws,chapter 142A. Homeowner's Signa re Contractor's Signature i The Commonwealth of Massachusetts Department of Industrial Accidents ,w� d X Congress Street, Suite 100 Boston,MA.02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Lelribly Nalne(Business/Organization/Individual): ,M S it iA Q%%I.!!!!n yr V d-4 Address: 'S A p 0 1 t)rM.., S }— City/State/Zip: A). A4J 6J v- M �y Phone#: Are you an employer?Check the appropriate box: Type of project(required): I❑I am.a employer with :--employees(full and/or part-time).* 7, 0 New construction 2.WI am a sole proprietor or partnership and have no employees working for me in 8. ®Remodeling any capacity.[No workers'comp.insurance required.] 3.Q I am a homeowner doing all work myself:[No workers'comp.insurance required.]t 9. F1 Demolition �4.F1 am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.Q Roof repairs These sub-contractors have employees and have workers'comp.insurance.$ 6.❑We are a corporation and its officers have exercised their right of'exemption per MGL c. 14.Q Other 152,§1(4),and we have no.employees.[No workers'comp.insurance required.] *Any applicant that checks box 41 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins,Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.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 the pains and penalties ofpeijury that the information provided above is true and correct. Signature: Date: Phone#: ! (045-6,% 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#: Ufee�a�zz>zza�ztuerx>/l�:r�C��r�a.rac�trlel�3, = ffice of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR gistration: 120296 Type: xpiration: 111/19/2015 DBA TESTA BUILDING&REMODELING JAMES TESTA 5 APPLETON STREET ` N.ANDOVER,MA 01845 a Undersecretary I V Massachusetts -Department of Public Safety i Board of Building Regulations and Standards` I Construction Supenisor ' License: CS-054718 JAMES M TESTA ' S APPLETON ST.: ° N ANDOVER Mk 0145 1, Expiration Commissioner _ 06/08/2016 Date. ..Zkb Z. . .. . ... AORTk Of o? ° TOWN OF NORTH ANDOVER F D ' PERMIT FOR* GAS INSTALLATION �,SSACMUSEt This certifies that . ./.7 /C. . . . . . . . . . . . . . . . . . . . . .. has permission for gas installation in the buildings of . . . . . 1.x/9. . . . . . . . . . . . . . . . . . . at . . . . . —(Ift.�. .�a.�T. . . . . North Andover,,Mass. Fee. X54?. Lic. No.�TF. .,��' .dT GAS INSOR Check# � 8047 MA * MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town: /✓ MA. Date: 7 Permit# Building Location:_•Z J g " ' V C l'js S r • Owners Name: �U�d Type of Occupancy: Commercial❑ Educational❑ Industrial❑ Institutional❑ Residential New: Alteration:❑ Renovation.❑ Replacement.❑ Pians Submitted: Yes❑ No❑ FIXTURES n: z Y = tr W a m 0 F k IX x m z - .>. a r to p 2 W a i 0 w W � � F Z W � a t- o u� W �- a `� w z to w ° z w a a `� > v w z 0 —1 r i— O z j 0 w N � w r W to z w �- N -� Q ¢ m w o z O r > 0 °G tY D a W to > O o w z z W 0 o a a 0 0 = s O a a f- 0 > S' 0 SUB BSMT. BASEMENT 1 FLOOR , -iw FLOOR 3Hu FLOOR 4 1H FLOOR _ —e"FLOOR Tff FLOOR ... 7 FLOOR ` 8 FLOOR ;/ [r 1J Check One Only Certificate# Installing Company Name: �y /" 1`� CNK E I1,� /l'�L r, n ❑Corporation Address:) � >: R1N 5.7"' CitylTown: a pi)LC7—rJ State: f{1 El Partnership Business Tel: 7 U Fax: -77 7 —.)-� p FlrmlCompany Name of Licensed Plumber/Gas Fitter: C-V1'- d py Iz-(YI f INSURANCE COVERAGE: �' I have a current Ilabitity Insurance policy or Its substantial equivalent which meets the requirements of MGL.Ch.142 Yes M No❑ If you have checked Yes,please indicate the type of coverage by checking the approprlate box b3low. A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:i am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By chocking this box ;1 hereby certify that all of the details and information i have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and Installations performed under 9'pormit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing da nd Chapter 14 ofthiiGenoral Laws_ Type of License: j ey - _. [I Plumber ❑Gas Fitter Sig ature of Licensed Plumber/Gas Fitter lilts ❑Master Citylfown []Journeyman License Number: APPROVED(OFFICE USE ONLY) ❑LP Installer Afi ESTIMATED COST OF JOB C 9 s, / © V Pl lriti Form The tr'otaattaontveaYth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street,Suite 100 Boston,MA 02114-2017 wwwanass'.govldia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leibly £5 I.l ;tLY= Naive(Business/Organization/individual): Qq G I+ I RC1 CPi�L-T-- Address: !L4 0 City/State/Zip: Mt Di`L.t. N � Are you an employer?Check the appropriate box: Type of project(required): Z 4 _ . I.am a s�eneral contractor and I 1.�' am a employer with /`" _ LF]— 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.F1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have & []Demolition working for me in any capacity. employees and have workers' g E]Building addition [No workers'comp.insurance comp.insurance.t required-] 5. ❑ We are a corporation and its 10.0.Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑Plumbing.repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs and we have no§1(4) 152 c. , , insurance required.]t employees.[No workers' comp.insurance required.] t"{ TtN - X10 *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 hue outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. I ant an employer that isproviding workers'compensation insurance far my employees. Below is thepolicy and job site information. Insurance Company Name: Ct iGLAN..D �}i kt 1/ 615 Policy#or Self-ins.Lie.#; W N Expiration Date: 0 � ! Job Site Address: �.s� � I EU�`�V� ��' City/StatelZip: �{1y Attach-n 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 i nposition of criminal pznalties ofa 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 theDLAr insurance coverage verification. F do hereby cert6 ur der 4 pains a4 Aenalti 2LEjery that the information provided abve is true and correct. t..h��✓ Date: _ . Signature] ..._._ __. E;Z�� 4_ Phone#: L "` sl 0 Official use only. Do not write in this area,to be completed by city or tottnu,offieiaL City or'rown:_ _ Permit/License Issuing Authority(circle one): 1.Board of 14calth Z.Building Department 3.Cityrrown Clerk 4.Electrical Inspector s.Plumbing Inspector 6.Other Contact Person: Phone#: • Date.... TOWN OF NORTH ANDOVER PERMIT FOR WIRING 4CHU Eb.................................... ............................ This certifies that .............. ��)6-j�'-'4/? -5,--R 4,/I c-� has permission to perform ...................................... wiring in the building of...... .......................... at.............................rc ......... North Andover,Mass. Fee... ..... Lic.No. .............. . . . ...... ELECTRICALINSPECTQR Check # lo428 Commonwealth ®f Massachusetts Official Use Only t Permit No. 1'r ev -Z_ Department of Fore Services Occupancy and Fee Checked k BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leaveblank 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 WINK OR TYPE ALL INFORMATION) Date: City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives nooffice of hi r er intention to pT.-,the electrical work described below. Location(Street&N bei) % S 7' Owner or Tenant V , Telephone No. Owner's Address 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 1 Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and.Ampacity Location and Nature of Proposed Ele trical Work: Completio of th ollowing table may be waived by the Inspector of Wires. NO:Of ReregRecessed?nmiYn»ices No.of Ceil:Susp.(!'addle) No,of Total Fans Transformers KVA No.of Luminaire Outlets No,of Hot Tubs Generators ICDA No.of Luminaires Swimming Pool Above EJ 'In- ❑ o.o mergency ig ng nd. rnd. Battery Units -- No.of Receptacle Outlets No.of Oil_B11-Merl FERE ALARMS No. of Zones No.of Switches No.of Gas Burners No..of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices ' Tons No.of Waste Disposers Heat Pump I lumber Tons KW No.of Self-Contained Totals: - Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection Heating A fiances Security Systems:* No,of Dryers g pp ICS No.of Devices or Equivalent ! No.of Water 0..o No.of Heaters KWData Wiring: Signs Ballasts. No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring. No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perju th information on this application is true and complete. FIRM NAME: 2� y J (2— 1 LIC.NO.:4 Licensee: !m Signature LIC.NO.:/ t e— (Ifapplicable,enter"exempt"in the license number line.) Bus.Tel.No.• Address: 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. nwn PrJ_A Hent * r t i t 1 i ! ! STAIRS TO DECK 1 UP POURED 12' DIA, CONC, PIERS GALV, POST ANCHORS ! TREATED 4 X 4 POSTS ! l OUTLINE 13F DECK ABOVE 22'-0' ______________..._...__.. ..________..� .__..._..__-- _ 1 r-- .._____________ 1 ---__----__.r..._,___ .. � I I I 1 I I l I I MAIN BEAM 1 1 2 - 1 3/4' X 9 1/2' I I I MICRO-LAM LVL i I OVERHEAD DOOR 9' WIDE X 6'- 6' HT I I I I 1 TYPICAL I 1 4' CONCRETE SLAB 1 TYP, EXTERIOR I I ON 8' COMPACTED WALL I 1 GRAVEL. BASE, 1 I I I I SLOPE TO DRAIN I I 1 I I i -------- _ _4I _—_—_—_.._,.__,.-___,_� L J_ I cu 1 I 1 j I 30' SO. X 12' DP, I t CL i POURED CONCRETE FOOTINGS I I i 3 1/2 CONC, FILLED POURED t I STEEL. POST I �' Wa I I 1 CONC, WALL 1 1 a o► 1 I j I i---------- i ► 1 t I i i i I I I I I I I i I I 2'-0' 1 STEP 1I I 1 I MIN, 4' :PRESS TOP CONC. WALL j 3'-6' MIN. AT PASS DOOR ! ! 1 ! OUTLINE OF _-- STAIRS ABOVE EXISTING BASEMENT BASEMENT PLAN , 144- 10`J t-t�=1 3/o �v tS7S r Ir 7r I r t L t tJ� tJ `t-0 'tacx S t d C.Fav-r ��vovS /A.A.i KJ 2— 1-s/4- yx �C cs-c t tJ A �c�Q o t�wti L-VL_ I L \N+8►l.L- t3eL.ow 67 I VA- ew STAIRS TO DECK UP ' POURED 122' DIA. CONC. PIERS GALV, POST ANCHORS TREATED 4 X 4 POSTS OUTLINE OF DECK ABOVE ---------------------- ---- --------------- r------------------ --------------r-------------------J--------------------- MAIN ---_-__ ___-__--__MAIN BEAM I I I 1 2 - 1 3/4' X 9 1/22' 4 { 1 I MICRO-LAM LVL t OVERHEAD DOOR I I 1 I 9' WIDE X6'- 6' HT I ! I 1 TYPICAL I 1 4' CONCRETE SLAB TYP. EXTERIOR 1 I I I ON 8' COMPACTED ( WALI 1 GRAVEL BASE. I I SLOPE TO DRAIN !L t I I { I ! I 1 I i z I I li I 1 D ,�. { 30" SO, X 12' DP. { I { I POURED CONCRETE FOOTINGS , m i t °a z 1 I 3 1/2' CONC, FILLED f POURED 1 y 2 i STEEL POST CONC. WALL I 1 y � I 1 I f ! I I I I f t I 1 I i 2'-0' 2'-o' o ` 1 { 1 { STEP t 1 I MIN, 4' DEPRESS TOP CONC. WALL AT PASS DOOR OUTLINE OF STAIRS ABOVE EXISTING BASEMENT BASEMENT PLAN t . DOWN TO FIN, GR. DECK 4 II 11 0 tl a 11 II rI 1 1 Ir II tl it tl RIDGE BEAM ABOVE I r II c 11 ' II � II ll FAMILY; RDDM ` i t I t i { i I I r 6'-la�• i t I (VIF) II SOFFIT ABOVE tl 4► I f � J 3-2 X 12 j } DOWN TD BEAM C FIN. GR. L9 I 1 REROUTE EXISTING S LI ABOVE OVEN EXHAUST AT SOFFIT AREA NEW _ SOLID 4 X 6 W HID G.Ci. ® : POST T13 BASEM T F'13UNDATI13N 'REATED WOOD FRAMING EXTG DECKING 6 RAILING STOVE SINK MATERIALS PER OWNER MIN, SELECTION B A I H EXTERIOR FACE OF WALL REMOVE EXISTING WINDOW CEXTG AT SECI3ND FLUOR LEVEL PROVIDE GWB C,O. EXISTING WINDOW7 6 PLAM COUNTERTOP REFI TO REMAIN 1 KITCHEN REINSTALL EXISTING KITCHEN CABINETS THIS AREA 9 NEW C,fl. `3 DELETE EXISTN LIVING ROOM C.U. & PA WALL TO MATCH DINING ROOM II a . h 1N, tak. DECK a 0 22'-fJ' II I t II II 11 II 11 I I 1 II RIDGE BEAM ABOVE I t If b II � II II t I II EAMILL ROOM ff � If 11 I I 6'-it1�i' 11 I 11 I I (VIF) SOFFIT ABOVE i { C3 tf w II 3-2X12 DOWN TO BEAM I I r2 - CL FIN, GR, ?34 " — EXISTING V T I N EXHAUST 11 — IFFIT AREA NEW SOLID 4 X 6 W D C.O. : -'- -� POST TO BASEM T I FOUNDATION FRAMING EXTG RAILING STOVE R Oou SINKWNER MIN. I ELECTIONCA1- I B A T H EXTERIOR FACE OF WALL REMOVE EXISTING WINDOW (EXTG) AT SECOND FLOOR LEVEL PROVIDE GWB GO. EXISTING WINDOW & PLAM COUNTERTOP REFI TO REMAIN _/ I KITCHEN REINSTALL EXISTING KITCHEN CABINETS THIS AREA NEW C.O. C DELETE EXISTING LIVING ROOM C.O. & PATCH WALL TO MATCH DINING ROOM 32'-q' RIGHT ELEVATION RIDGE VENT ASPHALT SHINGLES IE 5100JI TZI HZIMIl FINISH IST FLOOR ASJUST TOP OF CONCRETE WALL ELEVATION AS RE8'D FINISH GRADE PROPOSED ADDITION EXISTING RIDGE VENT GUTTER . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ASPHALT SHINGLES GUTTER ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. CODE RAILING TREATED WOOD STEPS FINISH IST FLE FINISH IST FLOOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . d FINISH GRADE iHl H ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . 9' WIDE X 6'-6' HT. OVERHEAD DOORS LEFT ELEVATION REINSTALL KITCHEN WINDOW AT BEDROOM REAR WALL - T REMOVE EXISTING BEDROOM WINDOW REUSE AT NEW ADDITION I PATCH WALL TO MATCH L _ —J GUTTER b D.H. WINDOWS Wo m 70 MATCH EXISTING 'CODE` WOOD RAILING FINISH IST FLOOR C TREATED 4 X4 BRACE TO WALL TREATED WOOD FRAME T DECKING & RAILING CANTLEVER TREATED REAR Y A ION .N MATERIALS PER OWNER WOOD J13ISTS SELECTION AT STAIR LANDING FIN BMT FLOOR CEXTG> FINISH GRADE CONTINUOUS POURED CONCRETE FOOTING RIDGE BEAM RIDGE VENT 3 - 13/4' X18' MICROLAM LVL , SECURE RAFTERS/RIDGE BM. USING BIRDSMOUTH & FRAMING 2X4AT16' Q.C. CONNECTORS 12 1/2' CDX PLYWOOD SHEATHING 1/2' GWR ON 1 X 3 8 16' Q.C. 16 R-30 INSULATION DOUBLE 2 X 4 TOP PLATE II t EAVES DETAILi TYPICAL EXTERIOR WALL, 2 - 2 X 12 I 1 CONTINUOUS MATCH EXISTING SOF ITFASCIA/SOFFIT DETAIL VENT SIDING TO MATCH EXISTING tt METAL DRIP EDGE TYVEK OR EQUAL BUILDING WRAP 4 X 6 SOLID ; ICE/WATER MEMBRANE AT EAVES 1/2' CDX PLYWOOD SHEATING WOOD POSTS GUTTER AS NOTED ON ELEVATION DRAWINGS 2 X 4 STUDS AT 16' Q.C. TO CONCRETE " R-13 FIBERGLAS INSULATION FOUNDATION POLY VAPOR BARRIER { 1/2' GYPSUM WALLBOARD I � NAIL T&GLPLYWUE FRAMING 2 X 10 AT 16' O.G. FLOOR JOISTS SILL ASSEMBLY, BEAM (FULL HT. 8' FOUNDATION WALL) 2 - 1 3/4' X 9 1/2' � ANCHOR BOLTS/STRAPS AT 4' Q.C, MICROLAM LVL 2 - 2 X 6 SILL (BOTTOM TREATED) SILL SEAL INSULATION GASKET CONTINUOUS RIBBON JOIST BOX SILL E' _ FINISH 1ST FLOOR 1 HEADERt 2 - 2 X 10 ALTERNATES USE IN LINE FRAMING 2 X 4 WOOD STUDS AT 16' O,C, NRIDGING I PROVIDE JOIST HANGERS 1/2' CDX PLYWOOD SIDING TO MATCH EXISTING j 5/8' TYPE X GWB I i CONFIRM WALL TYPE WITH FINISH GRADE AT ALL CLG & WALLS OVERHEAD DOOR TRACK t ABUTTING LIVING 4REAS f z L CONFIRM REQUIRED MINIMUM CLEARANCE 0'-IO' 111 SLOPE FINISH GRADE ' DAMPROOFING .._—.�_—_��--_�—.— _ �- -------------_-----FINISH BMT, FLOOR (EXTG) POURED IN PLACE CONCRETE FOUNDATION & FOOTING EXISTING BASEMENT ENTRY cs 4 T ICK CONCRETE SLAB n POLY VAPOR BARRIER 8' GRANULAR BASE PERIMETER FOUNDATION DRAINi CONFIRM PROPER SOIL 3 1/2' CONCRETE FILLED STEEL COLUMN 4' DIAMETER PERFORATED PVC PIPE BEARING CAPACITY 30' X 30' X 12' THICK 3/4' CRUSHED STONE POURED CONCRETE FOOTING FILTER FABRIC ENCLOSURE DISCHARGE DRAIN TO APPROVED 'LOW POINT' INSTALL AS DETERMINED BY FIELD CONDITIONS TYPICAL CROSS SECTIO! I Z Location G� I a o 7 No It Date !►01tTM TOWN OF NORTH ANDOVER C?O:•,.•o .•,ti0 R � p Certificate of Occupancy $ a r, Building/Frame Permit Fee $ Z--60 �'�b'•••°'' c'' Foundation Permit Fee $ Ss�CHU Other Permit Fee $ Sewer Connection Fee $ • Water Connection Fee $ o' TOTAL $ Building Inspector 2 `r U 9 J Div. Public Works � _ a Lopation ' No, .• Date NQRTpl TOWN OF NORTH ANDOVER 3? � �L . p Certificate of Occupancy $ Building/Frame Permit Fee $ �r sACMUs��' Foundation Permit Fee $ ru Other Permit Fee $ Sewer Connection Fee $ •' Water Connection Fee $ TOTAL $ 1.T7 M, t' Building Inspector Div. Public Works PERMIT NO. �-���APPLICATION FOR PERMIT TO BUILD*** ***NORTH ANDOVER, MA S� 1 MAP NO. LOT.NO. 2. RECORD OF O%VNERSIIIP DATE BOOK PAGE ZONE SUBDIV. LOTNO. 'pe, -- coH 4 ? LOCATION S `�CL/ 4l S S `�' PURPOSEOFBUILDING �� G W iTtL OWNER'S NAME R p ,/e� c� co NO.OF STORIES SIZE a S IC�� d`h� � � 2 LeG Vtr �- OWNER'S ADDRESS q{3-Ll Seve k S BASEMENT OR SLAB ARCHITECT'S NAME e V 2 Q S�� SIZE OF FLOOR TIMBERS �6 I ST 2 ND 3 FM BUILDER'S NAME ( `( G s(e Cl:( =e(,- v SPAN // DISTANCE TO NEAREST BUILDING ZC DIMENSIQNS OF SILLS . C4 � 4 DISTANCE FROM STREET X DIMENSIONS OF POSTS 4 fir/ Cots-_ DISTANCE FROM LOT LINES-SIDES 9 REAR�s 1 _ j-G`f DIMENSIONS OF GIRDERS Q G AREA OF LOT /f O Q 5-/L^RONTAGE 7 f IEIGf fT OF FOUNDATION G « 7 F I ICKNESS Aj IS BUILDING NEW O C SIZE OF FO(7iING io C! X 1 G ct IS BUILDING ADDITION MATERIAL OF CHIMNEY r� IS BUILDING ALTERATION IS BUILDINGON SOLIDOR FILLEDLAND CS WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WAFER 5 B(O D OF APPEALS ACTION, IF ANYr e V C may- IS BUILDING CONNECTED TOTOWN SEWER CS 4 -. .A- ,i7G V K /G6 Y IS BUILDING CONNECTED fO NATURAL GAS LINE �, S INSTUCTIONS 3. PROPERTY INFORMATION LAND COST EST. BLDG.COST PAGE I FILL OUT SEC]IONS 1-3 EST.BLDG.COST PER SQ. FT. EST.BLDG.COST PER ROOM ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED BY: s PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR BUI 1.I)1N I QQlrOR ,DATE FILED I 9 OWNERS TELT► -r CONTR.TELN SIGNATURE OF OWNER OR AUTFIORI ZED AGENT CONTR.LIC# CF C3 r FEE $ PERMIT GRANTED 19 G-'�o sTe v ' FORM U - LOT RELEASE FOR z7a-6 , Y7 7 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* PLICANT R c c z,, �/z c 1 C z C a c, t PHONE c,/LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) STREET FIs S 7-e ue ct T S(" ST. NUMBER *,►*******''*********,►*********************OFFICIAL USE ONLY RECOMMENDATION f WN AGENTS: ,�' 7, t, /,-" SRV ION ADMINI$TRA OR DATE APPROVED DATE REJECTED r COMMENTS A,- ( C)t TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE " r r� PRt�'tR` VZ`PR �lC R'``naate '� °Ep �R UFER 1� ' a1�a11971 C°RSR°�jln S �,tiQ QS�g90 'L • \i�mbe�• aa�a�l as RQS���C��a 10'• \ F°�tER LoT T5 1 1 1�iJt l.t.lrl�a OP 'I5 MORTGAGE INWE( LOCATED MASSACHI TO THE[' �}J (���� �a :'�,' 20 j7 AND ITi TITLE INyURER1 --I HEREBY CERTIFY THAT S HAVE EXAMINED THE PREMISEI AND ALL EASEMENTS, ENCROACHMENTil AND OUILDINGS ARE LOCATED ON TN[ OROUNO AS SHOWN. I FURTHER CERTIFY THAT THE DUILDING 6NOWN DOI I CONFORM to THE``II,� ZONING LAWS AND AMENDMENTS, I.A. (FRONT,310E O REAR YARD SET BACK ONLY) WmLN CONSTRUCTED, I FURTHER CERTIFY THAT THIS PROPERTY IS LOCATCO IN THE E,TABLICHED FLOOD HAZARD AREA. DEED DOTE ; THIS CERTIFICATION IS BASED ON THE LOCATION OF SURVEY MARKER$ OF OTHERS, AND ROOK DOES NOT REPRESENT A PROPERTY SURVEY. PAGE EXAMINATION of THE RECORD$ IS MADE ONLY SUBSEQUENT TO THE RECORDED DATE OF THE LATE9T DEED AND DOES NOT INCLUDE VERIPYIN6 THE .ACCURACY OF TIIF :DE 0 DESCRIPtION PHEVIDU$ TO ITS DATE OF RECORD. ,� PLAN THIS COMPANY IS NOT RESPONSIOLL ,FOR ANY INDINTUHHS "MADE 91,181EQUENT TO THE. NO nECOAPEO DATE OF THE LATEST OLEO OI' RECORD, WII6NEVEfl OVILDIN08 4RE 3HO7WN L[G8 THAN ONE FOOT FROM THE PROPERTY LINE,IT 18k 4•'bOOKsy; ADY16CO THAT A MORE PRSGISE SUHVCr BE MAuE T',""F'Y T""MESURrMF,NTS: r t�� 0^0 %enaT( rr,V P1IPPOSFS pNIY CERT. N0. r1ORTy Town of over No.,,,1 t 19 �8 * s dover, Mass., 0 LAKE yy� '9 COCHICHEWICK E D► S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System r BUILDING INSPECTOR THIS CERTIFIES THAT..........................R...........................�..�!..�iJ.......A..�t..f�- .............................................. Foundation buildings ........q..�'.le ............ ?has permission to erect......... ...1At............ ' Rou gh c 1`-1 o Pi �' 4� -40 ..................................................... chimney to be occupied as........................................ �............................ ........................ 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 CONSTRUCTION ST TS Rough ........ ........................... Service .. .. .. ... .... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. LocationS4 Date �- ' ^T� TOWN OF NORTH ANDOVER Y p Certificate of Occupancy $ > , : Building/Frame Permit Fee $ � Foundation Permit Fee $ Ss�CHuse Other Permit Fee $ p Sewer Connection Fee $ Water Connection Fee $ a TOTAL $ �Q Building Inspector 7723 7r ? ` 7 2 3 Div. Public Works E PERMIT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAG>; 1 MAP 4-40. I LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK 'PAGE — ZONE SUB DIV. LOT NO. rflUn / A F /657 I�� / LOCATION /.{ PURPOSE OF BUILDING �Fci4 ra-�JDens ,y.]S-I"rr.�-i-�� legis)jerx'�. �_xp�nsio•r� ! OWNER'S NAME RIckos i5l G�1 N'��1� VGkilja11CeXLf� NO. OF STORIES SIZE -OWNER'S ADDRESS -I BASEMENT OR SLAB (,GASP ►'a^.P>1� 1 Off. 4S4 si veo s 5i'. &b- AYC7.. 1�r:�. ( _ ARCHITECT'S NAME s-kueV'1 tb. er SIZE OF FLOOR TIMBERS IST ��/ f,"/ ND '1\� J1 3RD ' BUILDER'S NAME J-�wTIM�PS ©GrIY'2Y> 019��� �C�Y�_ � SPAN DISTANCE p�1` l•/ r ^DISTANCE TO NEAREST BUILDING 35 / DIMENSIONS OF SILLS rT_!T_ --_ J C In j DISTANCE FROM STREET � .� POSTS /xl S1'Yi DISTANCE FROM LOT LINES-SIDESas I 1 REAR 3]C GIRDERS (�`�I 111' AREA OF LOT � Q[-/'� �},JJ FRONTAGE JJf/ HEIGHT OF FOUNDATION Cx IS 1S`TN� THICKNESS oxIst IS BUILDING NEW �."ll/" 1 J SIZE OF FOOTING !+Cx *TIS X (- IS BUILDING ADDITION 1, - MATERIAL OF CHIMNEY /DTIC I`:BUILDING ALTERATION J 10 IS BUILDING ON SOLID OR FILLED LAND so 11"8 WILL BUILDING CONFORM TO REQUIREMENTS OF CODE (,JP f^ IS BUILDING CONNECTED TO TOWN WATER Dyes y BOARD OF APPEALS ACTION. IF ANY soce.IG,' r.„�j f' IS BUILDING CONNECTED TO TOWN SEWER will Je I IS BUILDING CONNECTED TO NATURAL GAS LINE rleg INSTRUCTIONS 3 PROPERTY INFORMATION tAo LAND COST tJ2 S vi^l SEE BOTH SIDES �i� �r G `' EST. BLDG. COST �y,�'V�/��('� G1�1� �Ot�C0,5 �+� lT -EST. BLDG. COST PER SQ. FT. PAGE 1 FILL OUT SECTIONS 1 - 3 s5 ? EST. BLDG. COST PER ROOM O^�� AGE 2 FILL OUT SECTIONS i - 12 Q,.l�✓ SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY - ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED NUILDING INSPCCTOR A.- SIGNATURE OF OWNER OR AUTHORIZED AGENT 32� �n F E E OWNER TEL.# (9spl a (6o3)07y -41 - PERMIT GRANTED S CONTR.TEL.# ` 19 CONTR. i 1 y H.I.C.# NOV 141994 . °fa£; Tow. n of Andlab No. 551 �` i - b over, Mass., �eya� t-1 1994 o r j Y.1•^ _ �A COCHICMEWICK\ t DRAT E D � c=. H BOARD OF HEALTH Food/Kitchen 'PERM Septic System BUILDING INSPECTOR `. ►THIS CERTIFIES THAT.TtT'!. ... 14., W ' ' ...... N!!^!lCd .............................................................. Foundation { lira`s permission to aFeet°..A'AQeO ........:....... buildings o Rough s-.j SiM� Ste'........ , . . �o 6 Occupied as.004A�....�i K..4a ......i� ol* !?...�...�1�...� �%.......... Vow... Chimney Chim JtoVided that the person accepting this permit shall in every respect conform to the terms of the app 'cation 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 _.o1�.4 Final ZEA PERMIT EXPIRES IN 6 MONTHS 10-Z l-`�l�- UNLESS CON ST ELECTRICAL INSPECTOR Rough .. .......... .. Service . ....... } {_ BUILDINGK-i&OR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final { No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING JINAL CONSERVATION FINAL Street No. Smoke Det. SEWER WATER FINAL DRIVEWAY ENTRY PERMIT t' T.7�!:�kJi _ .'�•' .'_,�l..iC&'F 'N.r�GA:r'�'-.», e+::;":�'.s. r._.-e„`'...""'..•...4:a".;•az.w.a:.•. �.:;'. ....:',,,.aC.,�:' _ .. _._,._.e..... . ....d.. _-•_ CERTIFICATE OF USE & OCCUPANCY Town Of Norte Andevc ' £ Building Permit Number Q4 - 'SS 1 Date VEM IggS 101Z.t`9� THIS CERTIFIES THAT { THE BUILDING LOCATED ON 4'sA S`treneett g !ciaee - MAY BE OCCUPIED AS 2y4p rlm2 A-wrhorc Tby- EXPA%810A- IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSLTTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. t ",o RT",ti CERTIFICATE ISSUED TO�kc!A� •orf ? o �4 !&4vvo��S ir Y M17. ADD t 1 f ur ding nspe 11 or '� ✓sir ` .. G � 4 i Town of North Andover ` A BUILDING DEPARTMENT Homeowner License Exemption (Please print ) DATE JOB LOCATION I S 'S vfr\5 Number Street Address Section of town "HOMEOWNER" �ichw-� /�, c�+t//alCc�,7 g?-2 30 /%0:37.5 Name Home Phone Work Phone PRESENT MAILING ADDRESS `�5� S p�p,.,,� S _ Xjo r L "V--, C5 City Town State `Lip code The current exemption for "homeowners" was extended to include owner -occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license , provided that the owner acts as supervisor . (State Building Code, Section 109 . 1 . 1 ) DEFINITION OF HOMEOWNER: Person(s ) who owns a parcel of land on which he/she resides or intends to reside , on which there is , or is intended to be , a one to six family dwell- ing , attached or detached structures accessory to such use and/or farm structures . A person who constructs more than one home in a two-year period shall not be considered a homeowner . Such "homeowner" shall submit to the Building Official on a form acceptable to the Buldin Official i g � P g that he/she shall be responsible for all such work performed under the P building permit . (Section 109 . 1 . 1 ) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes , by-laws , rules and regulations . The undersigned "homeowner" certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements . HOMEOWNER' S SIGNATURE ) .,PPROVAL OF BUILDING OFFICIAL Note : Three family dwellings 35 ,000 cubic feet , or larger , will be required to comply with State Building Code Section 127 .0 , Construction Control . � c I FORM U - IAT 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 local or state law, regulations or requirements. ****************Applicant fills out this s__l]ection***************** APPLICANT: �rC�,.rc� 9 /5•c�JkJeen �e�r��cinco 1 �T Phone 3 30 e LOCATION: Assessor' s Map Number !-b Parcel Subdivision !OrA1, �,"} q Lots) Street SIfizenS St. Number �s `1 ************************Official Use Only************************ RECOMMEN TIONS OF TOWN AGENTS: Date Approved 1- - ? o ervation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected . ; n Comments Date Approved Food Inspector-Health Date Rejected _� A Date Approved Septic Inspector-Health Date Rejected Comments s rix Public Works - sewer/water connections zr olm�� z.) - driveway pe it �!k Z, J 11-ib-04 Fire Department ` . Received by Building Inspector Date y✓jM�r:`r� t Jr I r 1 UCE ir COMMONWEALTH �_r' DEPARTMENT OF PUBLIC SAFETY OF ONE ASHBORTON PLACE Fail uro to"7111 i MASSACHUSETTS BOSTON,MA 02108 ��s�8os • • ,r r4rocation t A 0 l.✓' of hSet G 1_ 10EtV5!= tlois33uas•-�• - EXPIRATION DATE CAUTION 12/ 17/ 1995 f"C?r11=,T(3, c;IJl,f_�;!• f r_;Ia!' EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST ;. RESTRICTIONS y/, ;•<'. : ,.� . r.._ THEFT, PUT RIGHT THUMB ,..� •_) 6 r,;r;/;-•,;? l ,a , l li�;,7 f-� ,:3 6 PRINT IN APPROPRIATE NONE BOX ON LICENSE. = 0 0 1 t.:!*;!_ ; f i i`�,i I F BLASTING OPERATORS - SS ft 02B 4= 1049 z m ,: . t *rl T I<1 C 1 r-1 OR m MUST INCLUDE PHOTO. PHOTO(BLAST (!tINGOPR ONLY) FEE: NOT VALID UNTIL SIGNED BV LICENSEE AND OFFICIALLY - HEIGHT: STAMPED_ OR-SIGNATURE OF THE COMMISSIONER ' DOB: 12/ 17/ 1951 •"" -r I l�'•. THIS DOCUMENT MUST BE ' '?✓ "�- :ak �\ CARRIEDON THE OF « SIGN NAME IN FULL ABOVE SIGNATURE LINE ' SIGNATURE OF LICENSEE THE HOLDER WHEN EN- PRINT GAGEDINTHISOCCUPATION. COMMISSIONER - - - ! A h _ JOYC *** 7 SIN AMENDMENT TO BOARD OF o �. ter+• Tv� � ��;� •: :, APPEALS NOTICE OF DECISION �s,• 1<aas .�,.� TIME STAMPED OCT 19 ,�•. ..'�, 11:08 AM '94 IN THE TOWN CLERK'S �'►;;;�u,,.�' OFFICE, to exclude OCT Z, 3 41 PP. '34 William J. Sullivan, TOWN OF NORTH ANDOVER Chairman from the vote ,arid MASSACHUSETTS include Raymond Vivenzio, Arlvs+rr, Clerk in the vote. *** BOARD QF APPEALS ATrae Copy NOTICE OF DECISION Town Clerk to certify that twent (20)days ::ava elapsed from data of decision filed '.![gout filing of in aappppa�l Date1�E�irlldF!? f I99y Date . . . . . 10-21-94 Joyce A.Bradshaw Town Clerk 054-94 Petition No.. . . . . . . . . . . . . . . . . . . . . . 10-11-94 Date of Hearing. . . . . . . . . . . . . . Richard and Kathleen Vaillancourt te Petitionof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Premises affected 454 Stevens Street Referring to the above petition for a v h=thumtwe&thw. . SPECIAL.PERMIT under .Sect:ion. .9., .Paragraph. 9.2. .(.1) .of. the .Zoning. Bylaw. . . . . . . . . . . . . . . . . . . . . . . . . . . so as to permit the .expansion.of. a .non-conf.orming. s.tmucture. on .the.premises. . . . . . . o locatedat 454 Stevens Street. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ._ After a public hearing given on the above date, the Board of Appeals voted to . .GST. . . . . the C__ Y SPECIAL PERMIT AS REQUESTED and hereby authorize the Building Inspector to issue a permit to Richard and Kathleen Vaillancourt c` . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . � for the construction of the above work, based upon the following conditions: The Board finds that the applicant satisfied the provisions of Section 10, Paragraph 10.3 of the Zoning Bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing non-conforming use to the neighborhood. Signed Wal er �Iieir Raymond Vivenzio,. Clerk Robert Ford John Pallone Scott Karpinski . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .B . . . . . . . . . . . . Board otAppeals ***AMENDMENT TO BOARD OF APPEALS t10RTIy, DECISION TIME STAMPED IN THE ,,� ''• oma01 ` TOWN CLERK'S OFFICE ° a OCT 18 ..11:26 AM '94 A, * OCT �� 41 � to exclude William J. Sullivan, **r�'`�A;;'�o:a �c`o Chairman from the vote.*** HU TOWN TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS * Richard Vaillancourt Kathleen Vaillancourt * DECISIONS 287 Waverly Road North Andover, MA 01845 * Petition #054-94 * The Board of Appeals held a regular meeting on Tuesday evening _ October 11, 1994 the application of Richard and Kathleen Vaillancourt requesting a Special Permit under Section 9, Paragraph 9. 2 (1) of the Zoning ByLaw so as to permit the. expansion of a non-conforming structure on the premises located at 454 Stevens Street. The following members were present and voting: Walter Soule, Vice Chairman; Raymond Vivenzio, Clerk; Robert Ford; John Pallone and Scott Karpinski. The hearing was advertised in the North Andover Citizen' on September 21 and 28, 1994 and all abutters were., notified by regular mail. —_ Upon a motion by Mr. Vivenzio and seconded by Mr. Pallone, the . i Board voted unanimously to GRANT the Special Permit as requested. The Board finds that the applicant has satisfied the provisions of Section 10, Paragraph 10. 3 of the Zoning Bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing non-conforming use to the neighborhood. Dated this 21st day of October, 1994 BOARD OF APPEALS Walter So e Vice-Chairman AUG 11 '94 12:31PM USCG AIR STA SITKA F.2 LOT x, I�r WCOV I MORTGAGE INSPECTION PIAN ' puyA LOCATED 1M MASSACHUSETTS TO THE[ CIS.F■!t\I�`�.G+•v„r 1 ,,..�hJ[ 4 y ' AND ITS TITLE INSURERS --1 HEREBY CERTIFY THAT I HAVE EXAMINED THE PREMISES AND ALL EA99M9NTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE $ROUND its SHOWN. (1 I FURTHER CERTIFY THAT THE BUILDING SHOWN DD( )CONFORM TO THE````,,,, .,.�Z 20NING LAWS AND AMENDMENTS, L@, (FRONT,SIDE 6 REAR YARD SET BACK ONLY)OFN 1. 7P % WHEN CONSTRUCTED. T FURTHER CERTIFY THAT THIS PROPERTY 19 NG4 _- LOCATED IN THE CSTABLISHEO FLOOD HAZARD AREA. NOTE ; THIS CERTIFICATION 19 BASED ON THE LOCATION OR SURVEY MARKtAS OF OTHERS, AND DEED ``//_C+� DOES NOT REPRESENT A PROPERTY BURVtY. 4.01CIW7l EXAMINATION OF THE RECORDS I9 MADE ONLY SUBSEQUENT TO THE RECORDED DATE OF THE PAGE je)l LAT9ST DEED AND DOES NOT INCLUDE VERIFYING THE ,ACCURACY OF TH9 DEED DESCRIPTION PREVIOUS TO ITS DATE OF RECORD. PLAN THIS COMPANY IS NOT RESPONSIBLE .POR ANY INDENTURES MADE 9UB.1EOUENT TO THE NO. -. RECORDED DATE OF THE LATEST DECO OF RECORD, L — WHENEVER BUILDINGS ARE SHOWN LEGS THAN ONE FOOT FROM THE PROPERTY LINE IT IB •"SObN ADVISED THAT A MORE PRECISE SURVEY BE MADE TO VERIFY THESE MElzUREMENT9. PAGE THIS CERTIFICATION .TQ B.9-, CERT F_QE�t�ORL�rA�iE PURPO;ZF$ ONLY CERT, NO,O, �!... ., �:��. ��:�46186•�,...., t (t BRADFORD ENGINEERING CO. SCALE; 1" 40' P.O. BOX 1244 Haverhill !MOSS 01831 James W BOUGIOUKAS RLSu�1oL��as ' 4529 TCL.. 373 01186 - ty,�frlst�•9����A Received by Town Clerk: ( lZenATOWN OF NORTH ANDOVER, MASSA S BOARD OF APPEALS APPLICATION FOR RELIEF FROM THE ZONING ORDINANCE Applicant A c1 "-A �1�;1��r �4'� ���r+ .,r�T-,� Address % '- F,-rbc.•r-�r . Tel. No. 6t-T- -7Z6 1. Application is hereby made: a) For a variance from the requirements of Section, Paragraph and Table of the ZoninglBylaws. b) For a special Permit under Section Paragraph !. d,, (i.) of the Zoning Bylaws. C) As a Party Aggrieved, for review of a decision made by the Building Inspector or other authority. 2 . a) Premises affected are land % and building (s) numbered F:1-4rt. ..?P r">' CT. Street. b) Premises affected are pr perty with frontage on the North ( ) South ( ) East (�C) West ( ) side of 51C'--'i :s Street. Street, and known as No. Street. C) Premises affected are in Zoning District r, , and the premises affected • have an area of a.5j'RS70 square feet and frontage of -,s'' feet. 3 . Ownership: a) Name and address of owner (if joint ownership, give all names) : Date of Purchase Previous)Owner :Tok, b) 1. If applicant is not owner, check his/her interest in the premises: Prospective Purchaser Lessee Other 2 . Letter of authorization for Variance/Special Permit required. 4 . Size of proposed building: -:3�L— front; a6 feet deep; Height � stories ; 13 feet. a) Approximate date of erection: rVoy 1; lV el 7 b) Occupancy or use of each floor: C) Type of construction: ' 1 L 5 . Has there been a previous appeal, under zoning, on these premises? k)0 If so, when? 6. Description of relief sought on this petition( ✓�r'C!�'\� N-2..1 Y'rl ' �' � C7 P�"�^viii h G:V1 �"'r 1-c' ( r .�� �.r'' t�vl, �i-nq ��:[ 9-7- . 7 . Deed recorded in the Registry of Deeds in Book Page Land Court Certificate No. Book Page %. The principal points upon which I base my application are as follows: (must be stated in detail) / (tjLff " 6:j4 r /� T . f 7 Ci-.✓.rt � IF-Q�� v I agree to pay the filing fee, advertising in newspaper, and incidental expe es* Signature of Pe itioner(s) Every application for action by the Board shall be made on a form approved by the Board. These forms shall be furnished by the Clerk upon request. Any communication purporting to be an application shall be treated as mere notice of intention to seek relief until such time as it is made on the official application form. All information called for by the form shall be furnished by the applicant in the manner therein prescribed. Every application shall be submitted with a list of "Parties of Interest" which list shall include the petitioner, abutters, owners of land directly opposite on any public or private street or way, and abutters to the abutters within three hundred feet (3001 ) of the property line of the petitioner as they appear on the most recent applicable tax list, notwithstanding that the land of any such owner is located in another city or town, the Planning Board of the city or town, and the Planning Board of every abutting city or town. *Every application shall be submitted with an application charge cost in the amount of $25 . 00. In addition, the petitioner shall be responsible for any and all costs involved in bringing the petition before the Board. Such costs shall include mailing and publication, but are not necessarily limited to these. Every application shall be submitted with a plan of land approved by the Board. No petition will be brought before the Board unless said plan has been submitted. Copies of the Board ' s requirements regarding plans are attached hereto or are available from the Board of Appeals upon request. Rev. 4/93 • c , • LIST OF PARTIES OF INTEREST SUBJECT PROPERTY 1iAP PARCEL LOT ':NAME ADDRESS �� rb p.� r>~let zl c6ht, -, - y54 SfiPvev,s Sfi. ABUTTERS II,'AP ?AnC__ LOT NAME ADDRESS k,14,\" Y , t4f j Ice/1 417-14 �f Sc�.vv,�-- uS p"3 F�I�,r..� /3. �fi � rcn r stc i si &.�. S f' ,„1<►,, R -irvcvl -r,.s+ fir, rc.n kl;r; �-fi r3a-,4 T Ma.- ncvlzI) c, S uv� ) OZr/O ter ,n i i t 4 �► 16A Margate Rd. . 508-686-41747 i August 18, 1994 Richard $allaincourt 11 Lincoln Rd. Newton, H.H. Re: Inspection of Dwelling at 454 Stevens St. North Andovell, MA The house is a 241x32 ' one-story ranch, having four rooms on the Main floor and an additional room in the walk- out basement. Built in 1555, the house appears to be very sound structurally. the oversized ;"I 8'' ) f122i JS s Zla`re not deflect--icor has the Sx8 main. bean. No cracks are visible in the plaster ( 3/4" thick 2 coat p aster on rocklath) and the concrete block foundation is still straight and firm with- out any loose blocks or deterioration of mortar; this troves that there has not been any settlement or lateral movement of the foundation. The roof and eaves are still straight with no discernable rafter deflect-ion and the exterior walls are straight and do not show any bulges or bowing. There was no visible evidence of insect infestation, but it is strongly recommen6ed that an examination be done by a reputable ex- terminator. No sign of any tater damage or leakage. The plumbing is in coot: condition - no leaks or: broken pipes. Coot: water pressure. Fixtures in good working order. Copper piping and traps with cast iron stack and underground piping . Pao determination can be made regarding the septic tank and leaching; area, except that the grass is green and tall over the system, an indication that the waste is properly reaching the leac}iing area. 4 Re: 454 Stevens St. The beating is forced, hot water by gas . Tice boiler is old and has been converted from oil to cas. Baseboard radi- ation is cast iron, an expensive but top ca*uality feature not found in many homes. Both the firtt floor and basement room are heated. The electric service is minimal but is adequate for this size house. The interior shows lack of T.L.C. and needs a thorough cleaning, painting, sanding and finishing the oals floor, decorating, etc. The exterior of the house also needs attention. The side porch and steps need repairing. The windows also need painting as does the siding. However, there are tuo new aluminum cowt- bination doors and the roof has been recently reshingled. In summation; a good sound house with excellent plaster, no water problems, a solid foundation, a good roof, but in need of cleaning and 0ain-ting, inside and out. If the .house is to be enlarged by an addition or second floor', several improvements should be made, including: A nev, larger boilder, a larger electrical service, additional 11ALij columns with proper footings in support of the�center bei-, a conTie-c`t-i—cm- c the municipal sewer instead U,lan enlarge- atent of the septic system. Res-ectfully submitted, CHARLES H. FOSTER CHF:af Enc. TS r-F1�-1- n .r i_ar r!;...,1i,• Pay'C' 1 rj } ;vL Chit V41 vi.i�3 an 1. b'A i, .t LLLL GJne: � r UCr- ::LHZii.F 4 _ ti ------------------------------- i �Lit�tp LUMBER r:l.r.; } TC,!C C ^T r.p�!^:!�Q Tj,tc. �Vai;ie. iv;l,LHA LUMBER i v�ect Name. 4441 . ._rL,ry S , N. r::�DIu,ER Fct4e cL Based 4R ALL OWI ;:i__ STRESS DESIGN 4 ASD % �fii building code *4r TrJM `s4L'uLr U !Z available thlro; 4h1 Distribution ion ----------------------------------------------------------------------------------------------------------------------- ` AppliCati4Fi........ Floor Res, Deflection 4C,riteria ('MR! "'let's!QeF Use................. Peas; k tv fi ti L4adla5:i?'iCat Classification F44F L. up-fl TL Defl 1;eituh eF 1 T 4}# ; 14ci1i/tt+1 L:... •V L43"u UUFat_4Fi l aCL49...v.., 1. !tl 'J'a, 1 LI IQ71 V Lt.^'.40 `'.44i S1opeiiri/eft ....... A VA Lille LUad SSS`'%:a aaa a.e.aa.a s1taJ ilU4F ` ..aaa.a..a v..a 4!fO Dead LCH-1psf!....-........ iLail Repetitive Member Use..._.a. /A ReinforcedOverhangs........ iii�1 I 'itionl �4au441fi.-,aaaaaa !1 Reinforced a Tributary °' T ------------------------------------------ n T , C A a' A ; i C _ C r ~" ------------------------- --- ---- ------------ 1 _ , .d - Y ---------------- ,+ v J , J L- - TiMDsiCi4T,ANT1 Th;e aia1 . ca 4} ?rlc u lct c.1a_Ri'tlycis rere�Lad ue4v is 4utp+ L�on 54tware dp e4r. Ll.iaan(TvSM)a 7SlF ga•Fan} 5 }L,1 _L :Lr A!,r+r h:, +n -r+_„rn ft n �_ t,;_, : n 'i.h .r ,:.._} design r r.-;Ln•-;] ryrr r♦n L!ie _aai UU tJi i.L7 l.!r 4ddL L] bt t,:i- so twEre wi_i 4c accoRcli---Ileo lni accordanr s%1Lii 1U.: 4r 4UuL.t ve5io ii _r:I. 13 ati! 1..4410 + .( sign n Thr L: n r? , ln �,? .S e. ,j _,?nn n r h-.,,n h.� :a ..jj at.LeLlie Uc vibil Ye lUe3. :1:C iUeLii 3C Dr 4oirLi a�Eiicat iiiiy ii�)idt tde.rLUr 14a4�, aFIiS 7L-u LC L1 Uli�eti il4ltii 110.50 t}LeFI ft oY` eb tLtr T Lp ' _ ° 1 Taa rt _ i 4`E r �4tt6 a`•e ..ae . i'sii5 i3utFi:s Fta':- .li '','te Fi r:'.'icaei; iiy a itiM r`.rKC a; T fie ,:ia rY 4117tHSii unbraceU iengtF115i shown are 4b2seu on lFle Contralling CompressiYe fortes on either the top 4r not LL'ri e44es 4i tF:C iiTieniuneF: Lafeal itraCila needs to 4e 4r-4 ei _ I. Itc4 aniu N4a1Lit:te4 L4 acrlieGe StaGiilt;i. Note! Cen •.ir ?;,1 i�r`r Re t•nnnr� F.�; .I r 4 t ?- lil!:: J_t i.e7ibikiLL.�..a „Uduct3 R ,e,ence Jt,sbe `or i.'Ultiple -pI ConjeCt1U!ia r':t ti r ' 44 n L IIM Imum Design; RLiowaLilar 4o:rElrol ,1ieaFli4 _ Ju220 v uaJ. '79” LT, end cpani > •Fide, 144, i4adin1 M41en1 itt-iuni uculi �� D 1t JV{ it!ie: �iD vFianl 1 under F144r i4a4ii14 Defl,iiFl0.ITU '. L!,Z'i Lfltbi stili Span! 11 under Floor• 'Loading Total cs"_.tit'r% �.. P] 0 4753 �i4r''v illi Jj;aF{ i L(i4er F1,, iia4lFil --------__---•--- A \ apani 1 L_X nr_ y ;r _5 F 7 n ''a X. 1ITZ ivF! Jtai i1Jr LGJQ ..vas, ,th1 tQcn ncn Li4. NAUJ iuJi. 1vJL Lirt'u Gr 4: LeFiL(15iS1% i.tiiri isi?Stii t Max. �Fiur aCc4 Lc P4tFt{inil v,,,•Lent _ r, 110193 byir:,_ J4i st ilacMi'a in, a Ii;�ite partnlership P4 isee, lua 4. Ii ITTIFICATE OF USE & OCCUPANCY Building Permit Number cA Date 'Fet3 c( ,% IgQS 'Z'lAd' oS4- dt4 td�zt\gA THIS CERTIFIES THAT THE BUILDING LOCATED ON 4'5A SSE g CN� MAY BE OCCUPIED AS ZSO Cow- Ah01'I'iAAS1t8 IN ACCORDANCE Car— StK6LP— 1FA M\ 'DwF-W%4,6 . WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. tt\ CERTIFICATE ISSUED TO p AD0 D • i # �sACHU ui ding nspe or ISNO ID IT I 1. , , I _ , M° - -1.3-1 <s 4* �.7'�'?1 Q` '"7,�•!�f—^ • • + • I I t A • e i I l 125 oId tj,: Dl-E. �n/ ►,.��o v J Tb � 000 IX,�cam, :c�-�. tt�,r-30�;�; ► - - t �„�o` �X�r aqC►"� UL - 00 Gj,�tZ.D.C�� + ( _LF ` •JOT � G'.re�. f.., - ` ala JG tilA Ltj-r .. I I I i- G�'�'t�, � - ":.l' - ' ' •. t /C� `c�Q C�7/ b G� Ll.✓ iY�i I � "" t' �.� �,' � ick R ;._ ��SrtNc�• Z- � 3/�V � 1= av L . UV- 114 no I ' rc067 J LS !�I � N rte✓ �v�iY 0- - . 1 1 �-..t . �Xt�"rt�6yl --•- ; ! _' \?� I I ! I ,N� �-c0 .E , f 11,1FF _ S;D `. :�;._ .:. A!, �� iT�S�[(���•1�/ �1 rpt,, �o ��� •`„ + Y I j F s 1 r I V 1 i ,. Qr 21 : f � Q N n S � C ;a.6 V"\� OXY _ :, �1 '�•'�N� ?� g00M , IT 21nYe- Tr Gj r- l �tp 1+) r4 Ual i tet' i - i - i --- - ........ -- - - - f--ILU--1. YVAN , - - -- - - - - _ 46 ..f _ Date........ .,�c ...... .... .,. No t NORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACMUS� Qd. This certifies that Qf.! �0......�R��A....... .................................................... has permission to perform ........�!/.F......� .y�eA.1...................� wiringin the building of..... Q :f..�!a R..........................................� 8 at...... ..5....l...... ff��Q.�........ �................. .North Andover,Mass -cd �. !�. Lic.No.r..'./. � Fee..... ... ............................................................... ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Office Use Only Permit Na- C�o r'G� (�0�1ljfLt'y/l�IJ�L��rrl tr /TIONS Occupancl&Fee Chec+<eo BOARD OF FIRE PREVENTION REGUCMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) Date / - Z 2- To To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number Y,5- ,-/ ,5- [6 C. S ��1'1116k cS s�' ,>^ I y�� Owner or Tenant I\ /C !�ae CT, V/4 / ! L 6,'I a f e' A Own�er''s Address S ? y (/L S S 7 JA�An,)permit in in conjunc ion with as�building permit YesK No ❑ (Check Appropriate Box) Pun"c"le of BuildingySe i Utility Authorization No. Existing Service �^0 Amps Z Veils Ovemeed� Undgmd C1 No.of Meters New Service Amps Volts Oiemesd ❑ Undgmd ❑ No.of Meters Number of Feeders and Ampac:ty r� � V/q /✓l�/ l ocadon and Nature of Proposed E3ectrica7 rk l Wo �' f /' Y I (� Q�r ( 1 1 Total No.of Lightang Outlets No.of Hot fuse No.of Transformers KVA Above ❑ In C No.of Ugnunq Fixtures Swimmino Pool qmd ❑ qmd C Generators KVA No.of Emergency Ugnbng No.of Receotecles Outlets No.of Oil Burners Battery Units r No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.',%Ranoes No of Air Conti Tons Inidaung Devices Heat Total Total No.of 0ioosal No. Pumas Tons KW Na.of Sounding Devices No./of Self Contained No.of Dishwashers SoaceiArea Heatina KW DetecioniSounding Devices C Municcpal C Other No.of Dryers Heabn Devices KW Local Connection No.at No.of Low Voltage No.of Water Heaters KW Signs Baiiases Winna No.HWro Massage Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the regwremen6ts of Massachusetts General Laws I have a current Llabdity Insurance Policy rttdudcn oleted Operations Caverage or its substantial equivalen YE = NO = ha valid proof of same to me Otfl NO = If you hive checked YES please indicate the type coverage by c.'tecking the appropriate box SU ti BOND = OTHER = (Please�Soeccfy) Estimated Value of Electrical Works �✓y 62 " (Expiration Date) Work to Start Inspection Date Resquested Rough Final Signed under the naM a of Pe ury FIRM NAME L/ C LIC.NO. — � Licansee r � Signature LIC.NO.A c��°LL ___ 7Z ��` Bus.Tel No. (U )=2�(n O Address �-Lt19C'!yM-'/ r � Alt Tel.Na. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by M achusetm General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) 1 Telephone No. PERMIT FEE (Signature of Owner or Agent)