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Building Permit #077-13 - 59 BONNY LANE 7/30/2012
BUILDING PERMIT "r.D Of�t�'!D TOWN OF NORTH ANDOVER2ib ``- "•_^.'a �� APPLICATION FOR PLAN EXAMINATION " H �•A S-OK 1 •� Permit NO: 072- ` Date Received 7�p�RA7EG �5 �SSACHl1`''�'C Date Issued: Z IMPORTANT:Applicant must complete all items on this page LOCATION l P(i�'� PROPERTY,OWNER Paint "MAP'NO' PARCEL,-.5 ZONING DISTRICT: Historic District yes no MacFiine.Shop Village yes- no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic W611 Floodplain - Wetlands efters-hed District " W ter/Sewer_ _ D CR � OF WORK TO BE PREFORMED: u-xif Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: �'t!- &S o�>oerr" Phone: Address; / : - ��� � � �( /1W Supervisor's Construction License:_ 3 I' .Exp: Date: zk 2,.y 3- Home Improvement License: � �?�I lJ Exp. .Date' I ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COAST BASED OWN$$12255.00 PER S.F. 9 X---A Total Project Cost: $ _ ?,., LJ FEE: $ L CJ Check No.: A Receipt No.: NOTE: Persons contractin ith u e s red contractors do not have access t gu a and Signature of Agent/Owne Signature of contractor Location No. Date Z • - TOWN OF NORTH ANDOVER • • 1 Certificate of Occupancy $ a � . Building/Frame Permit Fee $ 9'e-22— Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check#_9- 2 '^ A 25558 BLA riding Inspector ` Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature&Date DrivewaV Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE'DEPARTMENT -Temp Dumpster on site yes - no. . Located,at 124:Main`Street r Fire`Department-signature/date :. COMMENTS MILLER ENGINEERING&TESTING,INC. Manchester,NH Northboro,MA Boston,MA Compressive Strength Results of /,A4 ( 668-6016 (508)393-2607 (617)269-8829 Cylindrical Concrete Specimen ASTM C 39 Project Name: BRIGHTVIEW,NORTH ANDOVER Client: BRIGHVIEW,NORTH ANDOVER Set No.: 20 A-D Project No.: 12.064.NH Total Location: Footing Line B-2 at B-F to Line A-9 to A-B Sample Information(ASTM C31) Set No.: 20 A-D Truck No.: 249 Water Added(gals): Date Placed: 7/19/2012 Ticket No.: 1112903 Slump(in)C 143: 4_0 Date in Lab: 7/20/2012 Cubic Yards Placed: 12.0 Air Content(%)C 231: 4_1 Sampled By: T.Young Time Batched: 12:05 PM Concrete Temp.(F): 86 Time Sampled: 1:25 PM Air Temp.(F): 87 Time Finished: 1:40 PM Unit Weight(pcf)C 138: Sample Location: Footing Line B-2 at B-F to Line A-9 to A-B Mix Information Concrete Supplier: MACLELLAN Admixtures: Mix Number: Method of Placement: Direct Mix Type: 3000-3/4 Design Strength(psi): 3000 Laboratory Test Results Sample Date Age Diameter Height Area Weight Maximum Compressive %of Fracture No. Broken (days) (in) (in) (m2) (lbs) Load Strength Design Type (lbs) (psi) Strength 20 A 7/26/2012 7 6.00 12.00 28.27 27.80 56A0 1,980 66% 3 20 B 8/16/2012 28 6.00 12.00 28.27 20 C 8/16/2012 1 28 6.00 12.00 28.27 20 D Hold 6.00 1 12.00 28.27 Average 28 Day Compressive Strength(psi): Comments: TYPES OF FRACTURE N E R 19 Type 1 Type 2 Type 3 N 11 11 11 Type 4 Type 5 Type 6 Reviewed by:Donald Pollard Director Of Operations f x r -L ra m� Y � 1 . � 94 x �!L Helical foundation piles I Techno Pieux http://www.technometalpostusa.com/us/techno-metal-post-products/hel. �`.fi YauQ1 Home Products Projects Videos About us Dealers Contact Us USA»Products »Helical piles PRODUCTS Helical foundation piles 16/02/2011 Helical piles _ r— Techno Metal Post Connection system techno Metal Post helical pile Installation j The techno Metal Post quality canadian dealers i annual meeting Exclusive sleeve � � { m �Y " tea 23/ 12/2010 Techno Protection � � � s -" 4 Anew section has Geoexchan e g n y been adde tfl6 news g � r t` sigloom, te for the videos. Engineering team F � � us t#I1R PROJECTS Certifications t� [: r „ = � PROJECTS Residential Commercial & industrial ---- Support i Touristic and recreational The techno Metal Post helical pile is a giant metal screw that is installed by a certified technician using VIDEOS proprietary hydraulic machinery. The pile is screwed into the ground until the desired bearing capacity is DEALERS achieved Canada This foundation screw pile guarantees that your building USA or structure is anchored on a solid base, whether it be for something as simple as a clothesline pole or as France complex as a multiple story home. Techno Metal Posts Belgium can support up to 50,000 pounds per pile! Spain Our in-house engineering team is can determine which type of pier is appropriate for your project. The ,c( techno Metal Post » helical pile is constructed with a hollow steel tube and a thick helix made of high quality steel. i The exclusive green polyethylene sleeve protects the pier from soil movement due to frost heaving. i In an era where many companies choose to source their raw materials from Asia, our team is committed to the purchasing of North American steel and manufacturing the piles locally in Quebec. j For certain applications, our screw piles may be protected against corrosion with our exclusive "techno i all our projects of 2 4/5/2011 12:08 PM v Connection system Techno Pieux http://www.technometalpostusa.com/us/teclmo-metal-post-products/co. Home Products Projects Videos About us Dealers Contact Us USA»Products»Connection system PRODUCTS Connection system 16/02/2011 Helical piles Techno Metal Post We offer a variety of pile-to-structure connection brackets to canadian dealers Connection system make building on top of Techno Metal Posts simple. annual meeting Exclusive sleeve 23/ 12/2010 Different types of structures require Techno Protection A new section has different connection brackets. I„ been addeAMP6 news Geoexchange I i For posted structures like decks, we OUR site videos. Engineering team offer adjustable height connectors for Certifications f" standard dimensional lumber sizes (4x4, 6x6, double 2X, triple 2X) PROJECTS Techno Metal Post has also developed Residential connection systems with integrated rebar for using helical piers to pin Commercial & industrial concrete foundations to load bearing soil located deeper than Support it would be practical to excavate to in a traditional method for solid bearing. . .; Touristic and recreational We can also fabricate custom brackets for special types of ., connections on request. VIDEOS DEALERS Canada USA France Belgium Spain all our projects I of 2 4/5/2011 12:08 PM Exclusive sleeve Techno Pieux http://www.technometalpostusa.com/us/techno-metal-post-products/exc 0 Li YMM Home Products Projects Videos About us Dealers Contact Us USA n Products v Exclusive sleeve PRODUCTS Exclusive sleeve 16/02/ 2011 Helical piles Techno Metal Post The techno Metal Post's exclusive sleeve. canadian dealers Connection system This sleeve is made of heavy-duty polyethylene, and has annual meeting Exclusive sleeve been specially designed to surround the techno Metal Post 23/ 12/ 2010 Techno Protection helical piles. A new section has Geoexchange been addedq%ftA6 news Techno Metal Post designed and now manufactures this site for the videos. Engineering team proprietary sleeve in-house in a variety of sizes that OUR PROJECTS Certifications complement different post sizes. - �� The sleeve is installed around the pier while the pile is z } i PROJECTS screwed into the soil. Residential Commercial & industrial Soil moves, but a Techno Metal Post won't. The principle is simple and proven. The sleeve slides along Support the screw pile during the inevitable movement that naturally Touristic and occurs over the course of time. It allows the pile to remain recreational stable despite movement caused by periods of freeze, thaw or drought. VIDEOS Your building built on a techno Metal Post foundation will not budge. Guaranteed! DEALERS Canada USA France Belgium Spain all our projects 1 of 2 4/5/2011 12:09 PM ZN1- -�e -Comm.6v��� Office of Consumer Affairs and usiness Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Registration -_ Reqistration: 140780 1 Type: Private Corporation # Expiration: 11/20/2013 Tr# 219137 SUNSPACES, INC. JOEL SALEM ' - ~ 230 C MAIN ST MIDDLETON, M 01949 < s Update Address and return card.Mark reason for change. ---- Address ❑ Renewal ❑ Employment F� Lost Card DPS-CA1 0 50M-04/04-G101216 Ili DISPOSAL AFFIDAVIT In accordance with the provisions of NILG C40, S 54, a condition of your Building Permit is that the debris resulting from this work shall be disposed of in a properly licensed solid waste facility as defined by MGL C111, S150A. This debris will be disposed of at Viz^_..._ /)I/I At 44^.44 Name of facility Address SAMS Rq Signature of applicant 230-C South Main Street TollMiddleton,MA 01949 -------------------------------------------------------------------'se(800 424.0660jyt Address of applicant Date Nprtk!ti'ncdtti!S FYtrxt4r,rauwa7Yw MAwc�A:i'wiYy SYSTEM 8 VICTORIAN CONSERVATORIES ; ` r (45 DEGREE BULLNOSE) ENGINEERING AND STRUCTURAL #r r rf ... s(�i+ows'+tLOADING INFORMATION A N Y 1 t Y A F R A A4 R •S.e C 04M r I ,N r,/'— EFFECTIVE DATE;2.44 LD (40 TRANSOM HEMW 10"1RANSOMHEIGHT 17"71RANSOM HEIGHT SYSTEM 8 ALLOWABLE BX MODEL ST,BH MODELS BV,BG,BY MODELS VICTOR)AN TRUSS&GLAZING WOODGLA2ING ROOFLNE EXPOSURE EXPOSLRE EXPOSURE CONSERVMORY BAR O.C.S PACING BARTYPE LOAD B CD B C 0 B C D MODELS (PSI (mph) (mph) (mph) (mph) (mph) (mph) (mph) (mph) (mph) 1306 21-65W 3"BY 344 80 190 145 130 ITS 435 120 170 130 115 4309 2"-6 S18' 3'BY 3314" 50 10 140 125 175 135 120 170 130 115 1312 21-6 518" 3'BY 3314" 40 475 135 120 170 130 115 160 125 110 1314 2'-6 518" 3"BY 3314" 35 170 130 11S 160 125 110 155 120 105 1311 2'-6 5/8" 3"BY 3.414' 35 155 120 105 145 110 100 145 110 100 1319 2'-6 516" 3"SY 3314" 30 145 110 100 140 105 95 130 100 90 - < . . 7777777 .�, � ... y ..... . N ,.. 4508 3'-0 5W 3"BY 3314" 75 140 105 45 140 105 95 140 103 95 45i1 3'-0 wr 3"BY 3•,714' 35 140 105 95. 140 105 96 144 105 95 1514 T-0 518" 3"BY 3.314" 30 130 100 90 130 100 90 130 tD0 90 1517 7.05m* I 3"BY 3•.714 30 125 95 $5 125 95 85 125 95 65 1520 1-0 S18" S"BY 3.314^ 30 1.25 95 85 1 125 95 85 125 95 85 1523 3-0 SIB" 3"BY 3.314" 30 115 90 80 1 115 90 80 145 90 60 3"x 3'LAMINATED BEAMS 3'x 3 3bV LAMINATED BEAMS ALUMINUM TRUSS CHANNEL HEIGHTS TO BOTTOM OF TRUSS CHANNEL(7 IN 12 PITCH) Ptari 9'-t 3/9-SX HEIGHT MODELS EL£tA110N 9'--i1 3W ST HEIGHT MODELS 10"-6748`8V MODELS 1x-6 Am.-B-Z-F WINDOW MODELS 16-11I4"'"C T-W WINDOW MODELS ,�.+e+•r�g` ar rte. .yam � *' 7 • ei.raa�Mus r,.x�. *1 i ?37 t'lTe yA R S I"f1r 4WfRL1 � '6•' g10Ylt 't�iiq.� �, ��^¢, �� �^y'�I ALABAMA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT ELAW FLORIDA GEORGIA IDAHO KUNo3 •t.YMC"Y �. � — Y 3`rrrB �ua�C / °!6�} �Y`` 4/G,�`. 'wra.a +n,no r,<� ."✓" w_._...naw,,: S!r� a" °y....-'.. IOWA KANSAS KENTUCKY UMMAIA M.�AMJE f3 MICHIGAN MINNESOTA. MPSSISsw" MISSOURI JwT'+r . a�9��.r'.n.teiC6��S�s ` 1Fg �Mr0 [s7f5 or<�"ke+a``r ,./M"er.•yY,.- MONTANA NEBRASKA NEVADA NEWHAbWSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTHCAROUNA NORrHOAKOTA OHIO OKLAhiOMA F-.:L9 a NOTES: OREGON PENNSYLVANIA PUERTO RICO RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA i)ROOF RAFTERS AP--F SYSTEMINAT£D NORTHERN PINE 2)DEAD LOAD OF ROOF SYSTEM IS 7 PSF <.c r Ryr 3)ALL UNITS SHOWN ON THIS RAGE ARE ACCEPUABLE FOR CONSTRUCTION IN SEISMICZONE4. 4)DEFLECTION ARE BASED ON t1180 CRITERIA. S)WINDS ARE BASED ON AN ENCLOSED STRUCTURE ���er' �' .: o n„e✓ 6)THIS SUMMARY PERTAINS TO THE STRUCTURAL INTEGRITY OF OUR UNIT UP TO,BUT NOT 04CLUDING 4E CONNECTIONS TO THE EXISTING STRUCTURE TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON ANWOR ANY NEW CONS TRUCTW 4,ALLSUBSTRUCTURE DESIGN e c, REOUIREMENTS AND CONNECTIONS TO THE EXISTING STRUCTURE ARE "'”w NOT INCLUDED IN THE SCOPE OF WORK FOR THE FOUR SEASONS e,w PRODUCT.AND MUSTSE DESIGNED BY OTHERS. w<: _ 7)THE ENGINEERING DESIGN SCOPE FOR THE FOUR SEASONS PRODUCT\ DOES NOT ACCOUNT FOR SPECIAL LOAD CONDITIONS'CREOEO BY `*a.. <"' llt$ ATTACHMENTTO THE EXISTING STRUCTURE.THESE MAY INCLUDE SNOW WESTVIRGFNIA WISCONSIN WYOMING o.G. DRIFTING OR UNBALANCE SNOW LOADING.ANYSPECIAL LOADING CONDITIONS MUST SE EVALUATED BYOTHERS. 6J ENGINEERS CERTIFICATION.i LAWRENCE FISCHER CERTIFYTHAT THESE ENGINEERING SPECIFICATIONS HAVE BEEN PREPARED UNDER MY DIRECT SUPERVISION AND THAT IAM AREGISTERED PROFESSIONAL ENGINEER IN THE STATES SHOWN. REFERENCE NUMBER:3310 0 2004 Four Seasoru:sir Prodarats LLC.AD rights reserved 1f N tAtw FCH � Oe - STRUCTURAL., i � LA�I�VPaMCE N F ra "� No,. 9298 wo LP «.. *66 REFERENCE IQJ1rVE-pt 12W F .,..�MR FACES fllon- , =230-i;5ou..�i Main Street Middleton, MA 01949 Toll Free(809)4,24-0090'A"A .sunspaces.net HI l;11 i Axonometry I 1 — CD NI o. �.:e� ,� 'il a '{,G III € I �� , I I r l lion Front Elevation F ------------------------- HUI 13'-9 3/4" Left Elevation — ¢ a c) c) O cu L, iI I III I';I �•;, I '•I I I I I � CO —77 I x e., III�i ea'� III' �N �;4 � �J-� � c�'d7 I h• i I y 13'-8 3l4" II — vation Right Elevation S. O7 RightFax N1-2 3/14/2012 6: 59:22 AM PAGE 2/002 Fax Server ACORD. CERTIFICATE OF LIABILITY INSURANCE 03/14/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PHONE FAX PROVIDER INS GROUP (A/C,No,Ext): FAX (A/C,No): 160 GOULD STREET E-MAIL ADDRESS: PRODUCER NEEDHAM,MA 02494 CUSTOMER ID#: 75NPB INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: TRAVELERS INDENPMY CONIPANY INSURER B: SEVERINI&ASSOCIATES INC INSURER C: INSURER D: 80 WEST TECH DRIVE INSURER E: TYNGBORO,MA 01879 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALLTHETERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBR POLICY EFF DATE POLICY EXP DATE TYPEOFINSURANCE POLICY NUMBER (MIADDWYYY) (MKDDWYYY) LIMITS LTR INSR WVD GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED S CLAIMS MADE OCCUR. PREMISES(Ea occurrence) MED EXP(Any one person) S PERSONAL&&ADV INJURY S GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY PROJECT LOC PRODUCTS-COMP/OPAGG S AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ tN.0STATUTORY LIMITS OTHER WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY Y/N UB-4932P09A-11 12101/2011 12/01/2012 E.L.EACH ACCIDENT $ 500,000 .ANY PROPERITOR/PARTNER/EXECUTIVE N E.L.DISEASE-EA EMPLOYEE S 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-POLICY LIMIT $ 500,000 It yes,describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS!LOCATIONSiVEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COXfP COVERAGE. CERTIFICATE HOLDER CANCELLATION SUNSPACES INC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 2300 SOUTH MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE MIDDLETON,MA 01949 Charles J Clark ACORD 25(2009/09) 1988-2009 ACORD CORPORATION. All rights reserved. Date: 3/13/2012 Time: 3:48 PM To : @ 919787748422 Provider Ins. Group Page: 1 .4coRo9 DATE(MMIDD CERTIFICATE OF LIABILITY INSURANCE 3/13/2012 YYYY' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Pam Anastas NAME: Provider Insurance GroupPH° (781)444-0347 FAAX No:(781)994-8961 160 Gould Street DD Suite 130 INSURER(S)AFFORDING COVERAGE NAIC Needham MA 02494 INSURERA:Norfolk & Dedham 23965 INSURED INSURERB ACE Property & Casualty SEVERINI & ASSOCIATES, INC. INSURERC: 80 WESTECH DRIVE INSURER D: INSURER E: TYNGSBORO MA 01879 INSURERF: COVERAGES CERTIFICATE NUMBER:Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBR TYPE OF INSURANCE POLICY NUMBER MMIDDIYICY Y FF POLICY EXP LTR YY MMIDD YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMP.GE TO RENTED $ 100,000 X COMMERCIAL GENERAL LIABILITY PR EPI ISES Ea occurrence A CLAIMS-MADE a OCCUR R1055631A 2/21/2011 2/21/2012 M,ED EXP(Any one person) $ 5,000 PERSONAL&.ALV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OF'AGG $ 2,000,000 X POLICY' PRC L0� $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT' Ea arcidenti f ANY AUTO BODILY INJURY(Per person) $ ALL OWNEDSCHEDULED BODILY INJURY(Per amident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED ALTOS AUTOS Peracadent $ X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB HC1_AIIV.S4viADE AGGREGATE $ 1,000,000 DED I X I RETENTION$ 10,000 U1002943A 2/21/2011 2/21/2012 $ WORKERS COMPENSATION WC BTATU- OTH- TORY LIMY S =P AND EMPLOYERS'LIABILITY - ANY PRO PR IETORIPARTNERIEXECCTI4'F YIN TO BE ISSUED BY WC E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? NIA CARRIER 2/1/2011 2/1/2012 (Mandatory In NH) E.L.DISEASE-EA EMPLOYE Mes,describe under SCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION (978)774-8422 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Sunspaces, Inc. ACCORDANCE WITH THE POLICY PROVISIONS. Leisure Living 230C South Main Street AUTHORIZED REPRESENTATIVE Middleton, MA 01949 Glen Davis/PAM ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD 0 ��1yO o r� Lot 17 I 418 ± 200, 4 in 04 Garage Floor 189.0,* Elev.=131.8 t N/ \VQ' o a Lake a°i 159 t Dwellino � FOR REGISTRY OF DEEDS USE ONLY Cochichewick Edge of Water 198_5't (4/15/2012) P 1/2 2 S or 0 Water Elev.=108.5' (assumed) y a 0 15'-1 1 4" I CERTIFY THAT THIS PLAN WAS 3 / PREPARED IN COMPLIANCE WITH THE or, 13'-9 5/8" 108.7. ,�� �"�iC3� �. RULES AND REGULATIONS OF THE 1 1p8.0' F :l LOT REGISTRY F DEE 6 PROPOSED o 11 *� Q OM 65,212 S.F.f OVEREXISTING _` DAVID P. TERENZ I, P.L. . ry^� PATIO a '� f s�8/z t1 Lot 15 North Andover Board of Appeals PLOT PLAN OF LAND NORTH AND 0 VER, MA. ZONING DISTRICT PREPARED FOR: RESIDENCE 1 CAVAN A. & DONNA TAYLOR 59 BONNY LANE ` ITEM REQUIRED LOT 16 Date: SCALE:1"=50' DATE: APRIL 15, 2012 DA YID P. TERENZONI, P.L.S. STREET FRONTAGE 17755 FT *115050 FT LOT AREA 87SF *6SF 4 ALLEN ROAD, PEABODY, MA. 01960 FRONT YARD 30 FT *106.7 FT 978 807-6491 SIDE YARD 30 FT 19.5 FT Zoning District: R-1 0' 50' 100' 150' REAR YARD 30 FT *188.6 FT Deed Reference: Book 10409, Page 26 * EXISTING Assessor's Map 62, Lot 56 Proposed Lot Coverage = 4% f P12-018 1 The Commonwealth of Massachusetts Department of Industrial Accidents W Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/plumbers lease Print ibl App licant Information Name (Business/Organization/Individual):, Address: City/State/Zip: ti S U�f7 D�� Phone.#: 6/2- �0 3 Are you an employer? Check the appropriate b x: Type of project(required): 4. I am a general contractor and I 6 0 New construction 1.❑ I am a employer with have hired the sub-contractors employees(full and/or part-time).* listed on the attached sheet. 7. ❑Remodeling 2.❑ 1 am a sole proprietor or partner- These sub-contractors have 8. n Demolition ship and have no employees employees and have workers' 9 �guilding addition working for me in any capacity. comp.insurance.$ [No workers' comp.insurance 10.0 Electrical repairs cr additions 5. E] We ares-corporation and its required.] officers have exercised their 11.[]Plumbing repairs or additions 3.❑ I am a homeowner doing all work tion er MGL myself [No workers'comright of exemption p p 12.❑Roof repairs c. 152, §1(4),and we have no 13.F] Other insurance required.] t employees. [No workers' comp.insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy bmit new t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. al sheet showing the name of the sub-contractors and state whether or not those entities have $Contractors that check this box must attached an addition employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. n insurance for my employees. Below is the policy and job site. I am an employer that is providing workers'compensatio information. _ ��� ��Fa"' -77Insurance Company Name: f U yp Expiration Date: Policy#or Self-ins. Lic.#: 9 l Z /01 Job Site s:9 In City/State/Zip:*Ze— , a Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under t pains and penalties of perjury that the information provided above is true and correct. Date: Si nature: &n- 9e )1_ 063 �j Phone# eJ Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: f Lot 17 f zoo- Garage Floor Elev.=131.8 t Q' is9't Loke n aim Cochichewick o Edge of Water i98 5'� ' No.59 (4/15/2012) P 1 1 2 S r Q Water Elev.m 108.5 (assumed) �( u � Wei g X15'-1 1/4" 3 13'-9 5/8" 7' LOT 16 PROPOSED,-' 108•0' _ N yy 65,212 S.F,f OVER EXISTM ING M4j PATIO ry 018 Lot 15 Zoning District: R-1 Deed Reference: Book 10409, Page 26 Assessors Map 62, Lot 56 Proposed Lot Coverage = 4% f ZONING DISTRICT _' RESIDENCE 1 t&�` PLOT PLAN OF LAND r DA NORTH ANDOVER, MA. ITEM REQUIRED LOT 16 p PREPARED FOR: LOT AREA 87,120 SF *65,212 SF TERENZON W CAVAN A. & DONNA TAYLOR STREET FRONTAGE 175 FT *150 FT NIX BONNY LANE FRONT YARD 30 FT *106.7 FT �'++ SIDE YARD 30 FT 19.5 FT SCALE:t"-50* DATE: APRIL 15, 2012 REAR YARD 30 FT *188.6 FT -�__. DAVID P. TERENZONl, P.L.S. * EXISTING 4 ALLEN ROAD, PEABODY, MA. 01960 P12-018 tSNSR/ .. Es' To be completed when owner's agent or contractor applies for a building permit. I % as owner of the subject property located at hereby authorize Sunspaces Inc., Four Seasons Sunrooms to act on my behalf in all matters relative to work to this building permit application, and all permitted work. Signature of Owner Date Owner authorization.doc Sunspaces Leisure Living Expo 230C South Main Street, (Rt.114) Middleton, MA 01949 978-774-4999 Fax: 978-774-8422 www.sunspaces.net 0 Ncj0 0 Lot 17 418'± 001' o0o U, p0 Garage Floor Elev.=131.8 t Q 0 189.0,1 a Lake a 159 Dwelo i lln t �� � FOR REGISTRY OF DEEDS USE ONLY Cochichewick Edge of Water 198.5' (4/15/2012) t P 1/2 S or Water Elev.=108.5' (assumed) I CERTIFY THAT THIS PLAN WAS 0 15'-1 1/4" .. x, PREPARED IN COMPLIANCE WITH THE RULES AND REGULATIONS OF THE, 13'-9 5/8" 108 106 �' ; F REGISTRY F DEE i LOT 16 PROPOSED 0 f; ' ¢} N /Z 09 4) 65,212 S. OVERNROOM EXISTING `'' .'� /; DAVID P. TERENZ I, P.L. ' PATIO Lot 15 North Andover Board of Appeals PDT LOT PLAN OF LAND NORTH ANDOVER, MA. ZONING DISTRICT PREPARED FOR: RESIDENCE 1 CAVAN A. & DONNA TAYLOR 59 BONNY LANE ITEM REQUIRED LOT 16 Date: SCALE:1"=50' DATE: APRIL 15, 2012 DAVID P. TERENZONI, P.L.S. LOT AREA 87,120 SF *65,212 SF ROAD, PEABODY, MA. 01960 4 ALLEN R STREET FRONTAGE 175 FT *150 FT FRONT YARD 30 FT *106.7 FT 978 807-6491 SIDE YARD 30 FT 19.5 FT Zoning District: R-1 0' 50' 100' 150' REAR YARD 30 FT *188.6 FT Deed Reference: Book 10409, Page 26 * EXISTING Assessor's Map 62, Lot 56 Proposed Lot Coverage = 4% f P12-018 i i ,„ �i ,� !i II 't 0 Lot 17 418'± 200' oho V, �O Garage Floor Ell ev.=131.8± Q o 189 � a 159 Stucco i �� Lake f �. FOR REGISTRY OF DEEDS USE ONLY Cochichewick w Edge of Water 198.5' No.S (4/15/2012) P O 1/2 S or Water Elev.=108.5' (assumed) I CERTIFY THAT THIS PLAN WAS 0 15'-1 1/4" bm t, y PREPARED IN COMPLIANCE WITH THE r1pg ¢ . p�y{p °= RULES AND REGULATIONS OF THE o13'-9 5/8" 7' _ LOT 6 108,p' REGISTRY F DEE PROPOSED Lo s� �'P4 ��Z yv 65,212 S.F. SUNROOM N <; p ,4 ry�h OVER EXISTING ` DAVID P. TERENZ I, P.L. . Ar S�B�z Lot 15 North Andover Board of Appeals PLOT PLAN OF LAND NORTH ANDOVER, MA. ZONING DISTRICT PREPARED FOR: RESIDENCE 1 CAVAN A. & DONNA TAYLOR 59 BONNY LANE ITEM REQUIRED LOT 16 Date: SCALE:1"=50' DATE: APRIL 15, 2012 DAVID P. TERENZONI, P.L.S. STREET FRONTAGE 17755 FT *115050 FT LOT AREA 87SF *6SF 4 ALLEN ROAD, PEABODY, MA. 01960 FRONT YARD 30 FT *106.7 FT (978) 807-6491 SIDE YARD 30 FT 19.5 FT Zoning District: R-1 0' 50' 100' 150' REAR YARD 30 FT *188.6 FT Deed Reference: Book 10409, Page 26 * EXISTING Assessor's Map 62, Lot 56 Proposed Lot Coverage = 4% f P12-018 r ,. NORTH - � � ' I�. 6 ve" 'o No. y o h ver, Mass, `7ZY COC NIC MI WICK y1' �d AE0 S S U BOARD OF HEALTH PERM -IT T LD Food/Kitchen Septic System THIS CERTIFIES THAT ....... N..�... ��r^.................................................................... BUILDING INSPECTOR ` Foundation has permission to erect .......................... buildings on ...��.. ... �` !LP. ...C? �!1 ........................... Rough to be occupied as ............���:�: .�i`.�..:���.�t�!.�!sy<���.!�.................................................. 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 re ating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. r. . Z& x _p�� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough ................................ Service .......�..... .I�c� . 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. SEE REVERSE SIDE CONSUMER INFORMATION FORM- "SUNROOMS" Massachusetts State Building Code (780 CMR, Appendix J, Section J1.1.2.3.1) The Massachusetts State Building Code (780 CMR) includes:provisions to ensure that houses and house additions meet energy efficiency standards. This supplemental CONSUMER INFORMATION FORM is to be filed as part of the building permit application when a .builder/contractor or homeowner, constructing/installing a house addition with very large percentage of glass to opaque wall, seeks to utilize a special energy conservation exemption option for "sunroom" additions to an existing house (780 CMR, Appendix J, Section J1.1.2.3.1). This FORM is not intended to prevent.a homeowner.from selecting a "sunroom" of any size, configuration, orientation, form of construction or.percent glazing, but rather.is only intended to assist homeowners in becoming aware of some of the important energy conservation and year- round comfort considerations involved in selecting and utilizing a"sunroom" addition. The connection of "sunroom" structures to residential . buildings may create comfort and energy consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In the selection and'construction/installation of"sunrooms", included below is a non-required, open-ended List of product and design considerations that a homeowner may wish to consider before actually constructing/installing a "sunroom". It is recommended that consumers carefully review these options with their designer, .builder, or contractor, in order to minimize potential energy consumption and/or house discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired are important considerations. PRODUCT AND DESIGN CONSIDERATIONS RELATED TO"SUNROOMS" • Solar Orientation and Natural Shading • Type of Glazing • Insulating value • Solar heat gain • Frame materials • Glazing to-frame sealing and gasketing materials/seal durability and/or weather,tightness of the sunroom • Adequate ventilation- Operable windows and fans • Applied Shading Systems • Insulation level in floors,walls,.and ceilings • Possible Sunroom isolation from the main house via a.wall and/or door or slider • Heating and Cooling Methods: Efficiency,Zoning and Controls . Homeowner Acknowledgment The Massachusetts.State Building Code, Section J1.1.2.3.1, requires that the.actual.property owner (not the owner's agent or representative) acknowledge receipt of this CONSUMER INFORMATION FORM prior to issuance of a Building Permit for a project that includes "sunroom" additions to an existing residential. building. In accordance with this requirement, the undersigned hereby acknowledges that she/he has read the information in this document concerning sunroomcomfort and energy conservation. S 2- Signature Signature of Actual Bu','ding Owner Date Print Name Address of Permitted Project Owner.Address (if different than project location) Owner's telephone number 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 NOTES and DATA— (For department use) ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (if Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract o 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 upqt ':um"wHIMlln tit Biu&1t�ug is �f��wi��7o Et;ra=crrt of Public *U&tg otic), BOARD OF FIRE PREVENTION REGULATIONS 527 C►1A 12.00V 3190 oft"1111" APPLICATION performed n accordance W PERMIT TO PERFORM ELECTRICAL WORK . All work to be the Massacnusetts Electrical Code, 527 CAAA 1 00 (PLEASE PRINT IN INK OA TYPE ALL INFORMATION) = or Town of NORTH ANDOVFR Cate 1 To the Inspector of Wkesi The udersiyned applies for a perms perform frac electrical work described below. Location (Street & Number) —_ �I 66�,NGP bt', Owner or Tenant U)4\u V I dy —14—bp— Owner's 4 Owner's Address Is this permit in conjunction with a mit: Yes building perNo C r -Q (Check Appropri� Box) i j Purpose of Building + Utility AuthonZation No. ExistingService Amps i p ._J Voils Overhead :_� Undgrno [I No. of Atlelers ..,.,,,� • New Service Amps _/ Votls Overnead _ Undgrno C No. of AAeters._�� l Number of Feeders and Ampacuy Location and Nature Of Proposed Electrical WOrK 21 1 � No. of L,gnttng Outlets I No. ct `tot .cs No. of Tranalorm•r• Total KVA No. of Li nttn Fixtured 1 accve.— ;n• j 0 9 I Sw�mm,ng P_Q, t- 5rro — Srna _ I Generators KVA No. of Receotacte Outlets INa. of Od curnen I No. of Emergency Lignung Battery Units No. of Swtltn Outlets I No. or Gas __rrers FIRE ALARMS No. of Zane• No. of Ranges I No. ct .t,r Czr.c. ;ota� No. of Oetecuon and cns Initialing Oevtces No. of Oisoosais I No.ol Meat -a-al 7ata, P i No. of Sounang Oevtces Na No. of Soil Contained. of Oisnwuners SoacerArea �eauco 'r.� OetecttonfSounatng Devices No, of Orye►s I Heating Cev ccs KW local 77 Muntcioel r—Other Connection No. at vv „ Low voltage ; No. of Water Heaters KW S.gns 9a tas:s Wiring No. Hydro Massage Tuoa I No. of -Motcrs I OTHER. INSURANCE COVERAGE. Pursuant :o the reouuements at .tassac-users ;cranial Laws I have a Currant L+aodlty, Insurance Policy inctuatng c,: ec Ccerauons Coverage or its suostanual equivalent. YES NO _ nave suomlRea valid proof or acme to tM Office. YES '% v0 = it you nave cnecxea YES. please sngwAm we t INSU ng the apprq Ht• 00x. type d courage 01r INSURANCE tIONO = OTHER = (Please 5_ec.`.t !7� �`_ Oates anmattta vaiue�of E!•c: cal wont s Odra t ;—M t Wont to Start J Insoec:,on Oate ;;+c"as:ec: Aau,n /D Foal j Signed under the P•nalttes of perjury• FIRM NAME STAY-L-S-c 1- 1 11C. C. NO. J/ G Licensee C r t 5 YA C)I*y 0 ' 1 V�6�'"� t CR1ZJ1 4Jey toVj� evvy -• Sus. Tel. No. -50z 47& Address All. Tat. rho. zr$a /-3,0. ) OWNER'S INSUAANCE WAIVER: 1 am aware gnat tri• L:censee Ices mot nave the insurance coverage of its suostanusl equtvelertt as quvea tty Massscnusatts General Law*. wo trial my signature an r.,s -arm'[ aopucauon waives this requuemerW, Owner Age (Pisa" cnecx ones• • l eleonone No. PERMIT Fn S • - l5-grtature m Owner or Agenn r . COMMONWEALTH OF MASSACHUSETTS I`L N S •1. Ri_:' .rl"3 , i=�! , :CHN;CIAN ISSUES . THISLICENSE TO j _ f. 75 �0Ut;i_AS MA 01516 �/� 1099 W L,f 31i 98 95333 LICENSE NO. EXPIRATION DATE SERIAL NO. COMMONWEALTH OF MASSACHUSETTS 0.1tris • • OF ELECTRICIANS REGISTERED SYSTEM CONTRACTOR ISSUES'THIS LICENSE TO EAGLESTAR SECURITY INC CHRISTOPHER V YACINO 75 NORTH STREET 1 U) E DOUGLAS MA 01516-20 1164 C 07/31/98 953535 DEPARTMENT OF PUBLIC SAFETY l • 3 SEC SYS CONTRACTOR LICENSE x�= Nu�ber Expires: Birthdate SS CO 000253 01/12/1999 01/12/1962 Restricted To 00 CHRISTOPHER Y YACINO /5 NORTH STREET E DOUGLAS, N 01516 ! 9r No �; G Date..`.?....�..................... �Or TOWN OF NORTH ANDOVER o . ' PERMIT FOR WIRING g s,CHuS � This certifies that ....... ..... has permission to perform .................... . / . ` wiring in the building of..,.,��`.�.................. . at....... Z....... >.: .../ .... '' ..;North Andover,Mass. Fee�..... Lic.No...........�`............................................................... ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer a , Office Use Only j The Commonwealth of Massachusetts Permit No. Occupancy & Fee Checked Department of Public Safety (leave blank) BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Effective 3/90 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electri al Co a 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date To the Inspector of Wires: The undersigned applies for a permit to per the electrical work described below. r Location (Street & Number) Pole No. Owner or Tenant f� T Owner's Address Is this permit in conjunction with a buildiyemit? Yes No Purpose of Building �n/ i-S /v Utility Authorization NO. Existing Servicey v o Amps Volts Overhead ❑ Undgrd[ij No. of Meters_ New Service j: Amps / Volts Overhead ❑ Undgrd❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets 3 No. of Hot Tubs No. of Transformers Total RVA No. of Lighting FixturesSwimming Pool Above In- g grnd. ❑ grnd. ❑ Generators RVA No. of Receptacle OutletsNo. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets _ No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No, of Air Cond. Total /� o. of Detection and tons initiating Devices No. of Disposals f No. of Heats Total Total No. of Sounding Devices Tons KW No. of Dishwashers Space/Area Heating KW No. of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local❑ Municipal ❑Other Connection No. of Water Heaters KW t Sisf Ballasts No. of LowWirVoltage No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a currentabilit Insurance Policy including Completed Operations Coverage or s substantial equivalent. YESWJJ NO LJ I have submitted valid p of of same to this office YESJ4 NO If you hav the YES, please indicate the type o verage by checking th ro ri box. INSURANCE BOND ❑ OTHER ❑ (Please Specify Expiration Date Estimated Value E ectrical Work $ Work to Start Inspection Date Requested: Rough Final Signed under he penalties of perjury: FIRM NAME LIC. NO. J �� Licensee �r �� Signatur LIC. NO.s!3j // ,< ,��y ��� Bus. Tel. No.1s/'OOaao Address � � ��j�,G//� GAlt. Tel.OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) q q Telephone No. PERMIT FEE $ (Signature of Owner or Agent) ' N2 i 447 Date.... ...... T 4L OWN OF NORTH ANDOVER 0 0 PERMIT FOR WIRING 41 SACHUS Thiscertifies that ................. ............. ............................................................N has permission to perform ............ .......................................................... ... ............ ............... wiring in the buildingloff .... ..t at.......................... . . ..... ....... ....... ......... .N rth Andover,Mass CM Fee...... .. ..... C.N .............. .......................................... '**"*..............cu ELEcrRicAL INsPECTOR C WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Date. .- . ._ .`. N° t, JJJ TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING • � r SSAC14US G" This certifies that . .f �. . . . .�.1.<.jr.'? . . . . . . . . . . . . . has permission to perform . . ./X f.`. . ..` . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . / . . . �.. ��. . . . . . . . . . . . . . . . . at . . . . . . . . . . . ., North Andover, Mass. Fee. 4i . ' .Lic. No.. .s . . `�? �.�. .. . . : . . . ^. . �.-� ..: . . . . PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMITO DO PLUMBING t (Plint or Type) Mass. Date -- �._ Permit Building Loudon Owner's Name/&Ji.,p Type of Occupancy S � New Renovation M Replacement O Plans Submitted: Yes O No O FIXTURES z .N N y 0 2 - Z W W t N J } u < y V Q ¢ W Y J M < �• Z O 2 a S N 2 N < C ¢ Z ¢ yka %6Z F- O W !- W N < -0dN _ N H Z ¢ f ` W N 2 C � VV1 7 4 0 o. ¢ O W Z C 7 •¢ < N ¢ n < W y ¢ J O c p LL X W S r ~ W O 2 I Y S O h3r j Cc ' Z Z < F` J u 2 _ O 6 } o W 1 Y J m N O O J 3 Z 7 < 3 u: d0 sue—asuT. BASCUENT IST FLOOR IND 1,1.00A 3R0 FLOOR 4TH FLOOR STN FLOOR 4TH FLOOR 7TH FLOOR aTHFLOOR Instailing Company Name /Ll �o u�fit u _ Check one: Certificate Address P Pl f3 e X '7 f Y O Corporation ❑ Partnership Business Telephone 9.ti` -7- /y/s` —7 >Q"Flrm/Co. Name of Licensed Plumber o f r rt a- -INSURANCE COVERAGE: I hive a current liability Insunneo policy or Its substanllal equivalent which meets the requirements of MGL Ch. 142. Yes'(5— No O, It you have checked=. please Indicate the type coverage by checking the appropriate box. A liability Iruurance policy A51, Other type of Indemnity' ❑ •Bond ❑ OWNER'S INSURANCE WAIVER:I am awara that the licensee dors not hays tho Insurance coverage required by Chapter 142 of the Mass. General taws. and )tut my signature on this permit application waNes this requirement. Check one: Owner O Agent❑ S+gnatura of Ownet of Owner's Agent 1 hereby cattily that all of the details and intotmation I have submitlod for ente(ed)in above application are true and aceutati to Iha bast of my knowledge and that ail plumbing work and installations perlotmad under the permit issued lot this application will be in compliance with all pertinent provisions of the I.tassachusalts Stela Plumbing Code d Chaplat 142 the Gen-r wa. By r/ gnatuts of U nsed Mumb4T TiUe Typo of license:taastu`sl�— Journeyman❑ Qly/Town L Uanse Number 2'/ �_ rEa.1 _' Y40 — APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MA55. MAP y-40. i L ZONE LOT NO. k� v�� 2 RECORD OF OWNERSHIP IDATE BOOK r._ ` (� I SUB DIV. L # iSBk COvTv�Y <O/�S 97 I /$SO i /Sops a�� LOCATION C01 q�Dµ��/ 1 ��- PURPOSE OF BUILDING OWNER'S NAME NO. OF STORIES Two SIZE 6 x of S"tD pej*10� OWNER'S ADDRESS �p. � a BASEMENT OR SLAB ARCHITECT'S NAME ,�./ SIZE OF FLOOR TIMBERS 1ST ZXIO 2ND Z.k.IO 3RD BUILDER'S NAME \ SPAN '/I 1 OI -- DISTANCE TO NEAREST BUILDING dOfTF-r DIMENSIONS OF 81LL5��1 - 7- DISTANCE FROM STREET 105 VT- JALL-A" 3�z " POSTS DISTANCE FROM LOT LINES-SIDES 1 ®3)W REAR 205+" Zryl2," GIRDERS AREA OF LOT /-C! Q FRONTAGE 150 Fr HEIGHT OF FOUNDATION '' ,')6 (j)5;..O THICKNESS '0 11 IS BUILDING NEW l0, 1J0 �7 SIZE OF FOOTING 70 if x '16„ % IS BUILDING ADDITION j I.5I-�n5p DOeI SR_LJ y��..�p MATER:AL OF CHIMNEY Tom. IS BUILDING ALTERATION �6sL) � ,pp,,,�,� C�,�,pF�V� IS BUILDING ON SOLID OR FILLED LANE) UI p WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER fI,ftWIlJ6t 150ACD Af fROJA_• IS BUILDING CONNECTED TO NATURAL GAS LINE t f5!aFIC..ED DfFL3 PROPERTY INFORMATION INSTRUCTIONS fN, 5S?MAM* SUILPjNs QkaR.MlT pppro SD LAND COST SEE BOTH SIDES EST. BLDG. COST 50,ooV prrnOA s PAGE I FILL OUT SECTIONS i - 3 N�C p�lbiT i+,�Q 7($�Q�Av1EST. BLDG. COST PER SQ. VT. .�/�G.,.�. PAGE 2 FILL OUT SECTIONS I - 12 �f�V�� o �VNo 41e EST. BLDG. COST PER ROOM j '004 isXeFlVA`rION F SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY /V ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FIL D ,q7 BUILDING INSP[CTOR SIGNATURE ot OWNER OR AUTHORIeb AGENT �4-YiiV T. Y,�d�P q F E E OWNER TEL.# S��-- /75� 5&60 PERMIT GRANTED CONTR.TEL# La 7 -3 41-- C "'�'•/ /3z/A 19 CONTR.LIC.K 1- H.I.C.X _ l f 1 r1ORT/y Town of over No. Q Z'-_^ - -=m'�L * dover, Mass., 19 9 w O'9 COCNICM WICK`�Y'�`, q;TED v �G BOARD OF HEALTH PERMIT T Food/Kitchen. Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......................................... r4y /.. .... ............................................ Foundation has permission to erect........................................ buildings on ...........5.9'........ ... .......... ..... trough to be occupied as.........................................R.Ew.a.be....(.....x7iut e-&-f-a.re..... ........ a 41 ,.. Chimney provided that the person accepting this permit shall in every respect conform to the terms of a 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 S Rough ........................... ......... ... ...... Service ... .. .. . . ......................................... BUILDING INSPECTOR 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 FIRE Until Inspected and Approved by the Building Inspector. DEPARTMENT Burner . Street No. Smoke Dec. YIN TOWN of NORTH ANDOVE:R AFFIDAVIT Hm bpcujaDeat Corractrr Lacs s.JTlaMnt m L Aglicaticn. HL c.. 142 A *eq nies ttst. the , caa'ecsi� Kcal dmnlitwn, of cam-t=t-im. CLF an al-Eden to any pcL— existir$ iEd bald- irg cmta ni-rg at l�-t ale� wt I I ---l'far d e11u$ �-�-••Q to stn te5 w{urh are adja:ff t to s.3J1 residare or balding"be da-p- by a=bM=t=, uidi certain exDepEa-s, alag%&h cdx?s: tr�nZffiHStS. . Ztrpe of'µWork: IN�Rlpr2, (2�m--Dom— �SNt� Do�M�}2 AAlDMOQ Est. Cyst 1�O��raO :.- . .Address of Work BONW` 4o",r43r ND,27,t- AV Pia V69Z MSS Owner Name: PA'J `7-A`�lsZ ; .. Date of Permit Application:. I hereby certify that: Registration is not required for the. following reason(s): Fcr office [':4'_ y Works excluded by lav I$nnt:No. Job under $1,000 - . Building not .owner--ocrl ipied er pulling o`"�n ,-rte, t Other (specify) Notice is hereby given that: �D -OwITFR.S PtlI1�G T C)W-N PERMIT OR DEALING W= IINRF�GISMU D MN-CRACTORS_ FOR APPLICABLE HOME ' WORK DO NOT HAVE ACCESS To THE ARBIT-R1, TION PRGGRAM OR GUARANTY FUND UNDER AST. c. 142A- Sia U 6-- pe'lti.es of perjury. I hereby apply for a permit as the went of the ower: Date Contractor Name Registration Luo. OR: Notwithstanding the above notice , I he- pol for a permit as the ownerf the above property : Date Ow-neL a Location No. Date ,.oRTM TOWN OF NORTH ANDOVER f � 41 ♦ i a Certificate of Occupancy $ �s scHus E4�' Building/Frame Permit Fee $ ,V Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # J /Vl L Building Inspector/ TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 77 BUILDING PERMIT NUMBER: O DATE ISSUED..3 1 � / � 0 SIGNATURE: 00001* WANNOW --- oe!�& --I Buiting Commissioner/IEEeEtor of Buildings Date if SECTION 1-SITE INFORMATION I 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: A/j- Map�NCuJC)03 C mber Parcel Number O 1.3 Zoning Information: =/:P o AtO 1.4 PropertyDimcesions: 9 Ara 3 Res,Ide'.41a� &?3Go {1 ZoningDistrict Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: . Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ '> SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT m 2.1 Owner of Record T Name(Print) Address for Service g f76-<5(6 0 8� Signature Telephone (! 2.2 Owner of Record: �+ Name Print Address for Service: O z M Signature Telephone go S9CTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ �^s.o � p Licensed Construction Supervisor: V J O License Number mn A dress vf- � g r` Exp tion Date � Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Gz 71-C �--/�SA� Company Name -7er 0z �q n__ Alf� n �� ��I /S /1�� Registration Number 1r„ Address T// erl-(Fl? `/ `S/S- Expirat on Date ^� Si nature Telephone A �i 1 Inc. CONTRACTING BUILDING T REMODELING This agreement made this�_day of F24-7:,j& , year Two Thousand by and between Cote and Foster Contracting, Inc. hereinafter calle he Contractor and Gavin and Donna Taylor, 59 Benny Lane, North Andover, MA for dormer renovations based on A-1, A-2 and A-3 Wayne Rawley plans. Now, therefore, the Contractor and the Owners, for consideration hereinafter named, agree as follows: ARTICLE 1 The Contractor agrees to provide all the labor and materials to do all things necessary for the proper construction and completion of the work shown and described on drawings. The drawings and specifications are the basis of the contract. ARTICLE 2 In consideration of the performance of the contract, the Owner agrees to pay the Contractor, in current funds as compensation for his services hereunder$121,880.00 to be paid as follows: �. 19-kms F� Payment 1: $12,000.00 at the signing contract for project ordering and mobiliation. Payment 2: $15,000.00 at the start of demolition. Payment 3: $20,000.00 at the completion of rough frame. Payment 4: $5,000.00 at the completion of roofing. Payment 5: $8,000.00 at the completion of stucco. Payment 6: $20,000.00 at the completion of rough electrical, rough plumbing and rough HVAC. Payment 7: $15,000.00 at the completion of insulation and plaster. Payment 8: $15,000.00 at the completion of wood work. Payment 9: $8,000.00 at the completion of tile. Payment 10: $3,880.00 at the completion of paint and miscellaneous work. ARTICLE 3 Final payment on contract amount as agreed above to be paid within ten (10) days of project completion or occupancy. If final payment has not been made within this time a 10% charge per month on the balance due will be charged. All minor punchlist items will be complete as part of the one year warranty on the finish product. Failure to pay balance within ninety (90) days may result in legal action. Initia ARTICLE 4 Additional work above and beyond the contract agreement. All additional work done to be quoted at the time the client requests the work. The work will be done and billable at its completion. The client has ten (10) days to pay the additional cost after he or she has been billed for it. Initials ' L 20 Aegean Drive • Unit 15 • Methuen, MA 01844 • Tel: 978-682-6518 • Fax: 978-682-1221 FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all nec=essary 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. �AFI✓LICANT FILLS OUT THIS APPLICr.�dT ! PHONE LOCATION: Assessors iV1eo Number PARCEL Gose SUBDIVISION LOT (S) STREET /'� ST. NUMEERS,9 USE ONLY************ RECOMMENDATIONS OF TOWN AGENTS: CONSE=RVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN P NNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS_ PUELIC WORKS -Si=NER/WA T ER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED EY EUILDiNG ii ISPECTCR DATE Revised 9t97 jm 77e Commonwealth of Massachusetts Department of Indusi`r;al_.�ccrcents _ , v Gf;ica cf InvestlCJafIOI]s r Eoston. Mass. 0211 11 Vllcrker;' CoR?CF_'r1Calicn InSu2irCe Flame Please- I\I am e: eleaseIIame: <_ccaticn: CI'Ll Phcne CI am a hcmecwrer perc.rminc all work yse!F. I am a sole prcprietor and have no cne ,,A✓cr<ine in any cacac; i am an =mcicver-rcvidinc workers' ccmpensaticn icr my empicvees 'jvcr:<inc cr S JcD. Ccm--anv nerre: A,— Le4 Addres ��3� �✓l� c�'7l / (� Cir/ /lE//ve-, Phcre InsLr�irce Co e'S A ', (c tJi.�fi/ 1�yJr Pchc�i w�i LOP ���C' I Comcanv name Address CiN✓ °hcnP Insurance Cc. Pclicv Failure to sec::re ccverace as recutrec urcer Sec;:cn ZGA or MC-L 15 con Ie3e 'e the.mc^s tion or cnrir3i penaities cr a rine uc to C i.5cc.co anc.'cr one rears' :mcnscnment s .ve!l as c:v;i penalties in !1-,e rcrm c a STCP INCRK CRCE?.ar.c -.ire c ;S;CC.CC) a day 3cairs me. understane that a cccy d `is staement.may ce rcr.varcee to the C m ca of Invesucaucns c;'he Clr'.icr ccverace ierir;c3ucn. I co herecy cerr✓under he tains and cera/ties of=:e,/that to inrc•-maricn crcwded accve s.,ue arc ccrrac:. Sicnature �a`y Print name P^cre C`ic:al use cniy cc not ,erre n this area to Ce ccrnvetee cly c:ty c. .c%vn r• •_ C;ty or Tcvn F=rr;vUc3^s;rc L_ 8ur�dira Ceot [C`ec.4•f rmmediare re=crse;s required LconsinC ECard salec-man's Grid C:.rrc•,:er..crr• cc;c,..e.r l--ea/th GeparimE^t C r other BUILDING DEPARTMENT DEBRIS DISPOSAL FORM In accordance with the provisions of MGL.c 40 S 54,a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in-a properly licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: Location of Facility Signature of Permit Applicant 11Z1.2Gl� /Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector t _ i '1 1 Y } BOARDT� y �all� v License: OF BUILDING REGU `CONSTRUCTIO LgT1ONS N R Number: CS SUPERVISOR "' 050494 Birthdate: 11/16/1964 Expires: 11/16/2000 STEVENOTE Restricted To; 01 Tr.no: 4061 I 20 AEGEAN Dr METH UENR#15 t , MA 01844 ` Administrator Y 7 Inc. CONTRACTING BUILDING • REMODELING Page 2 Taylor Contract In witness whereof they have executed this agreement the day and year first above written. Gav TA or Donna Taylor Steven M. Cote William T. Foster DBA Cote& Foster DBA Cote & Foster 20 Aegean Drive • Unit 15 • Methuen, MA 01844 • Tel: 978-682-6518 Fax: 978-682-1221 I I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 Release 3 I i I I I Checked by/Date I I i CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 2-15-2000 COMPLIANCE: Passes Maximum UA = 81 Your Home = 49 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 480 30.0 0.0 17 WALLS: Wood Frame, 16" O.C. 480 19.0 0.0 29 GLAZING: Windows or Doors 85 0.030 3 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer�j�� A Date 5 -07000 r Town of North Andover kpR71y OFFICE OF ?pe`tf`to 0 COMMUNITY DEVELOPMENT RIND � RECEIVED XISsHAW TOWN CLERK Y 27 Charles Street NORTH ANDOVER North Andover, Massachusetts 01845 WILLIAM J. SCOTT Director 1999 DEC 15 P 4: 22 S'aG HUsti (978)688-9531 NOTICE OF DECISION Fax (978)688-9542 Any appeal shall be filed within (20) days after the date of filing this Notice in the Office of the Town Clerk. Date De.,-_,-_rn r (�-/, l ggCl Date of Hearing r1Pcn,-n1oer -7 f 199Ci Petition of (iy, n T S o r Premises affected ri n a Lane- Referring to the above petition for a special permit from the requirements of the t-40(-+h Andover 2on'l n n gu laLl so as to allow Cpnru�.�-inn d� �O �' ��ec-�'�oC1 I �'lou5� After a public hearing given on the above date, the Planning Board voted to_ A PP'IZ0\1 E the based upon the following conditions: Signed CC: Director of Public Works Alison Lescarbeau,Chairman Building Inspector Natural Resource/Land Use Planner John Simons, Vice Chairman Health Sanitarian Assessors Alberto Angles, Clerk Police Chief Fire Chief Richard Nardella Applicant Engineer Richard S.Rowen Towns Outside Consultant File William Cunningham Interested Parties Planning Board BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 59 Bonny Lane Special Permit-Watershed Protection District The Planning Board makes the following findings regarding the application of Gavin Taylor, 59 Bonny Lane, North Andover,MA 01845,dated October 29, 1999,requesting a Special Permit under Section 4.136 of the Zoning by-law to allow surface and sub-surface discharge of storm water within the Non-Disturbance Zone of the Watershed Protection District in conjunction with the construction of a 500 square foot vertical house addition. FINDINGS OF FACT: In accordance with 4.136(4)the Planning Board makes the finding that the intent of the Bylaw, as well as its specific criteria,are met. Specifically the Planning Board finds: 1) That as a result of the proposed construction in conjunction with other uses nearby,there will not be any significant degradation of the quality or quantity of water in or entering Lake Cochichewick. The Planning Board bases its findings on the following facts: a) The proposed project is located on town sewer; b) The proposed project will not change the roof line of the existing house and will not cause any additional roof runoff as the line will not change; c) No decrease or increase in impervious area is proposed. 2) That there is no reasonable alternative location outside the Non-Disturbance Zone for any discharge, structure or activity,associated with the proposed project as the access to the lot is located within the Non- Discharge Zone. In accordance with Section 10.31 of the North Andover Zoning Bylaw, the Planning Board makes the following findings: A. The specific site is an appropriate location for the proposed use as all feasible storm water and erosion controls have been placed on the site; B. The use will not adversely affect the neighborhood as the lot is located in a residential zone; C. There will be no nuisance or serious hazard to vehicles or pedestrians; D. Adequate and appropriate facilities are provided for the proper operation of the proposed use; E. The Planning Board also makes a specific finding that the use is in harmony with the general purpose and intent of the North Andover Zoning Bylaw. Upon reaching the above findings,the Planning Board approves this Special Permit based upon the following conditions: SPECIAL CONDITIONS: 1) This decision must be filed with the North Essex Registry of Deeds. The following information is included as part of this decision: Plan titled: Plan of Land in North Andover,MA Location : . 59 Bonny Lane,North Andover,MA Owned by: Gavin Taylor Scale: 1"=40' Date: 12/2/99 xAORTH '9 Town of 6Andover No. p ` 3 11 = _ _ 0- dover, Mass., COCHICKEWICK �DRATED p`?� � S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT... .V�N. ... ONAja.......7a..... ... .d r...................................... Foundation has permission to erect..p7. ...Ph........ buildings on ..... .�r�........ ON�V�j/.......1.AA�� ................ Rough to be occupied as..A�.4 IMiV.....r+r......a.... r .... .... .... 11`h.................................. Chimney �.... . provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover.skp. I%ry PlAWN06 �� w�����h�� O� ilk*Rough UMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTI N S T Rough ' ................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT • Until Inspected and Approved by the Building Inspector. Burner ~ Street No. SEE REVERSE SIDE Smoke Det. Prepared by: Merrimack Engineering Services 66 Park Street Andover,MA 01810 The Town Planner shall approve any changes made to these plans. Any changes deemed substantial by the Town Planner would require a public hearing and modification by the Planning Board. 2) Prior to any work on site: a) A performance guarantee of one thousand($1000)dollars in the form of a check made out to the Town of North Andover must be posted to insure that construction will take place in accordance with the plans and the conditions of this decision and to ensure that the as-built plans will be submitted. b) Erosion control measures as required must be in place and reviewed by the Town Planner.. c) The site shall have received all necessary permits and approvals from the North Andover Conservation Commission, Board of Health, and the Department of Public Works and be in compliance with the above permits and approvals. d) A revised plan which includes a locus plan must be submitted to the Town Planner prior to any work being conducted on the site. 3) Prior to release of the Performance Bond: a) The applicant shall submit an as-built plan that shows all construction, including sewer lines, storm water mitigation trenches and other pertinent site features as shown on the approved plan. This as- built plan shall be submitted to the Town Planner for approval. The applicant must submit a certification from the design engineer that the site was constructed as shown on the approved plan. b) The Planning Board must by a majority vote make a finding that the site is in conformance with the approved plan. 4) In no instance shall the applicant's proposed construction be allowed to further impact the site than as proposed on the plan referenced in Condition# 1. 5) No open burning shall be done except as is permitted during burning season under the Fire Department regulations. 6) The Contractor shall contact Dig Safe at least 72 hours prior to commencing excavation. 7) The provisions of this conditional approval shall apply to and be binding upon the applicant,it's employees and all successors and assigns in interest or control. 8) This permit shall be deemed to have lapsed after a two- (2) year period from the date 1 20gn which the Special Permit was granted unless substantial use or construction has commenced. F-7-- cc. Director of Public Works Building Inspector Health Agent Assessor Conservation Administrator Police Officer Fire Chief Applicant MASSACHUSETTS UNIFORM APPLICATION FOR PE MIT•'I'O-DO'pLgMgIgQ ♦ (Type or Print) S • NORTH ANDOVER ,Mass. -4: Oate: Building Location /1� ZN Permit "6-W,. 1 Owners Name OI ti► New Renovation Replacement 0 Plans SVbmitted FIXTURF 'i. ' z H ir7 O P. W le J a.• Q U r ca _3o .. W .1c • . N Z 4n a = O Z 0. O W f W el l. V X t d! M• = a = N W sh K p a: ca a a=i ;i s- a t- m X n a a� a<c 4 li. O 7 < Q W O1 st J = p Q J oc w ►- r W rno tt Y. oc •i t— •: FV O O Qo1Y O W O V i X O < t- _ SUB-,BSMT. . • BASEMENT IST FLOOR .91 2NO FLOOR 1 3RD FLOOR A 4TH FLOOR 6TH FLOOR BTHFLOOR 7TH FLOOR 8TH FLOOR (Print or Type) n� ^ lQ Check one: Certificate Installing Company Name t-tT ��" t.ttT& Corp. Address 10 DAOVti ' Z�% Partner. OI - 011"? Firm/Co.`_� . Business Telephone Q751 '(oc � Name of Licensed Plumber: ZLCU - Insurance Coverage: Indicate the type of insurance coverage by checking the i . appropriate box: Liability insurance policy Other type .of indemnity [:] Bond Insurance Waiver: I, the undersigned, have been made aware- that the licensee of l this application does not have any one of the above three insurance coverages. .. . Signature of ownerlagent of property Owner 0 Agent % 0 •r . • � I baeby ccelify pint all of Uta dclails and information 1 la•c subtakicd lot entered)in sbu.c spplicalion ise Ilse astd ltsals to dw 6411 Of 1111 I ...- Mowkdge and lbat all plumbing work and installations lice(of mcd under reemit issued fat this appliCalioa)will be in csntpliallpa atilk W ratio"pe,jo I ttiliolta of lbs Maslat ttuetlt sate 1'lutnbiui Code and aaptet l ws. I • � ' I By • � ' Title . Signature of' Licensed Plumber I i I City/Town: l ,�O 7 pe of Plumbing License •, a s Date' l Zy 3624 i TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING g ,SSACMUSS 6� This certifies that - �� '�. . . . . . . . . . . . . has permission to perform plumbing in the buildings of , � . . . . . . . . . . . . . . . . at. .� 7 . . . . . . . . . . . . . . . ., North Andover, Mass. o, Fee,e!4'. Lic. No. c;._... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR c WHITE: Applicant CANARY: Building Dept. PINK:Treasurer 1WBuilding '"-- Locallon 99 Rog E Lpi Permit # Owner's Name r New Renovallon p Replacement p Plant Submitted: Yet Q No ElN ic E W y M K O K H K O r �My W o V a 1~, = t i 44 r w 1- x9 i :x It o a 0 tI-F w 0 0 o s W K M s U Id = » K r A K o ~ J r s r ' • 1 .ar > K O = 4 z i al * O y 0 IL 0 Y 1 s o a 1 e. ° ° ° 1� O O u ac > o .► O (L ' I 4U4-11eMT. f eAGNIAX T 1eT FLOOR { I NO FLOOR i • sAOFLOOR } 4TH FLOOR ( 4TH FLOOR j ' ! '11TH FLOOR I ?TH FLOOR eTH FLOOR l f Ins4taAl ' . rap Company Name F��RO �Q �;�.� Check one: Cedulcate a Ikcldret4 IO Corp. d Partnership 8lulness Telephone1 (Q ' Flrm/Co. Nome of Lkensed Plumber or Gas Fitter L INSURANCE COVERAGE: I have • current IlabNlty Insurance poll' cy or Ma eubslenllal a uI utvalent 'Check one It YOU have checked yes, please Indicate the type coverage check) Yea 0 NO 0 ng the appropriate box A QabllOy Insurance policy Other type of Indemnity Q Bond O OWNER'S INSURANCE WAIVER: i am aware that the Iicenaee does not f�;�• Chapter 112 Of the Mass. General Lawa,•and Ihat my slgrwture on I the Insurance coverage requl►ed b • Permit application waives this requirement. Y . SIMM tpa a OMmet w Check one: Owner's ant Owner O Agent O 1 busby cullty that aq of the de(alls a r and d ln3l aUon I have /ubmNlad(or snle►ed)In above eppllgilon are(rue and aoctrralo to . lnowled4e end Ilial an pplumbiny work and Installations performed under the palhnnt provlslone of the Massachusetts$tate Das(bol pe e end Chapter 1�2 of jhe r or a applicallon wIq be ywe. r oomppy p 421 of my With aN T TNIa u �Se' 1W On o noad Pfu ar or 611yTgMm a�ler a OJoumeyman Ucen1e Number A1'1'WVEo(OrrICE USE ONLII) � r C, . ! Date ......� ...... NORTH TOWN OF NORTH ANDOVER pF ��ao ,s,ti0 (L 3? '� PERMIT FOR GAS INSTALLATION K. � a �9SSACHUSES This certifies that ..I. . * : i. .'.'.: . . . .�. . . . . . . . . �• T has permission for gas'installation , . . . . . . . . . . in the buildings of . 1. . :-v'. . . . . . . . . . . . . . . . . . . . . . . . . . . at .`.� J. . . . North Andover, Mass. Fee:4* i. . Lic. No . . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer J U v J Date./Z. ........ f � o M Q NORTH TOWN OF NORTH ANDOVER a pF 4��ao ,e,1�p0 PERMIT FOR GAS INSTALLATION f 9 ~ 'rf �•no ,SSACMUSES .r M This certifies that . . . . . . . . . . . . . . . v c has permission for gas installation . . .l: . l. . . . . . . . . . . . . . . . . .... in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . , , , , . „ , North Andover, Mass. Fee. . 1.2,. :-� . Lic. Nola:=./ . . . . . . . . . . . . . . . . . . . . . .. . . .. . . . GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer A4f•' 4'V: `' MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING r (Print or Type) ---- pJ��tti Clr1dC���ll M;-, fl:tltr �1�� _ -- 19 — a City, Town +. Permit #�DU Building Owner's AT: Location i_t �'�-- Name— GG 1/a 1n �_Q��_ 3° •� r1, / Type of Occupancy: UJOCA Res,aotnlal ua. New Renovation ❑ Replacement ❑ ''"'l Plans Submitted Yes No ac 5) N W N Z CC y N to to U H cc N cc W ¢ O ] to x W J to W O U m ♦- x to C7 a m cr W Q ¢ ore O t p 2 I.W., r w-tTw a ¢ W N t- p N C7 x Z O > W = W W (AlW. z Q Y m cc W C W F- O H x *;.. w x 0 z w w v to m t7 f Z - H Z F, w O > w r w F- W z a w 4 x H r to m z o z WW o to x a W > cC w ::) z a rr Q a o o W _ o w I_ tx x O 0 Y W 7 3 O Ch J U It > O n. 1-- O SUB—BSMT. BASEMENT: 1ST FLOOR' 2ND FLOOR' 3R.) F(OOR . 4TH FLOOR 6TH FLOOR 6TH FLOOR 7TH FLOOR wf. STH FLOOR (Print or Type) Check One: Certificate Installing Company Name /ff Corp. 457 Address O Q /?4x ��� _ ❑ Partnership ❑ Firm/Company ?Business Telephone ?,L���� J�y Name of Licensed Plumber or Gasfitter 'b I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. Itu.r'. Signature of Owner/Agent I have a current liability insurance policy to include completed operations coverage. BY TYPE LICENSE: T } Title Signature i nsed ❑ Plumber Plumber or Gasfitter' City/Town _ _ ❑ Gasfitter APPROVED (OFFICE USE ONLY) ❑ master �aQ '''?' ❑ Journeyman License Number ` "%''"`• FORM 1243 Homs&WARREN,INC.1989 f, i' 7 U Date—?...7...I4...... i of No o'a,ti TOWN OF NORTH ANDOVER CL PERMIT FOR GAS INSTALLATION ,SSACHUSEt This certifies that . .1. f t�!.'.: . . . . . . . .. . ..Y. . . . . �. T has permission for gals'installation . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . ... ` 7 , c '. �` . . . . ., North Andover, Mass. FeeeZ. . . . . . Lic. No.. . . :/. . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer J U J Date.l�Z � ca a HORTM TOWN OF NORTH ANDOVER a 141 O PERMIT FOR GAS INSTALLATION f 9 .�i ♦ off. .� i SSACHUSEt� M This certifies that . :7. <'t .t:�-I�. . . . ./ }. ., v � o has permission for gas installation . . ./. . . . . . . . . . . . . . . . . . . in the buildings of .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . i at . ... �7. . A .-r:. .% !. . . . . . . . . . . . .. North Andover, Mass. Fee. . L. ,. n . Lic. NoA'-./ s( . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer Code End Pu3 apo Code Start :P84S epoo Stap e oldelS �IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII / 66 BONNY LANE 210/062.0-0044-0000.0 i 1 "0�V t'j CZ.� NO ;"i? ANDOVER, MA`«S S . YZ 1 19� %A a-zo Gig A L..•T\-k BOARD OF HEALTH t, ,N`q5 FROId• ��� G � � � DESIGN ENGINEER Re: Soil Absorption Sewage Disposal 5,6 L - 1"N(. System This is to certify that I have inspected the construction materials of said disposal system at ,1� T �+— D t-i t*-)-i t N e�-- Site Location North Andover, MA. The grades and construction materials are as • specified in my i. plansand - . specifications dated �\I(.�`� 2 � 190 and r� � Reg. Prof. Engineer/Reg. Sanitarian 1 / to k Dry 2" 11 S� b �h 6 3 rze' E'�1s�-, FUD• N J � 0 4 S o Cie 'S 1 i V `� L=`13.3 0' a-• Z 24•A�, � j1, � 0 �. r-k( � L eVAT I 40N5. tl�pov�I' awe INV, PIPE OUT OF H5E. U ' L 1 k, - I PIPE INTO-Ut04y , I SO,`yO tk,AV_ PIPEOUTOFTANIL IE)o.0 Lp cJ VU;z� E. DISPOSAL-. I W V Ell VE IUTO D,150 i So , 4--1 INV. 91 PE nUT 0-P50X 1ST•�3 :5Yd5-r em CNV. t=m o op, P1 PE 14 I. 6 to 1 ►J 'ld t=r2aN� GC��.r_.Ir.1n.S � Assvcto."T"ES IZ I1 �B� E�C�INE.EQS�. A41L.4-IITEGTS 4 4 St .4h.1 o.Alert