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Building Permit #031-2017 - 87 FOXWOOD DRIVE 7/8/2016
?.0��� �4 BUILDING PERMIT o� NORTH �.t LEO /6Y+O TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Per No#: d3l Date Received �P A�RATeo ,PR ,�5 � Date Issued: SSACHUs�t IMP RTANT: Applicant must complete all items on this page LOCATION �`� T--0yVMC> QJye,\-Iq- Print PROPERTY OWNER JO SAhn�fc l� Print 100 Year Structure yes no MAP Gp PARCEL:-23 t ZONING DISTRICT: 2 Historic District yes no Machine 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 ❑Well ❑ Floodplain ❑ Wetlands 11 Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: SAt-v V Phone: Address: Contractor Name: ,��M VlPhone Email: I'I,•(LA-,%f C9 C)4t-4,V—f Address: I t.¢ qr� s r- 13,,,u,�►�-rro r Supervisor's Construction License: C S — C�Co� �S"� Exp. Date: `Ulu In Home Improvement License: I eW to O Exp. Date: ki 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: $ �, .3 D_` FEE: $_ 0 Check No.: Receipt No.: 7000 NOTE: Persons contrac ing with unregistered contractors do not have access to the guaranty fund of Agent/Owner Signature nf contractor-- BUILDING PERMIT of t%oRTy St LED "16 0�O TOWN OF NORTH ANDOVER 02 APPLICATION FOR PLAN EXAMINATION Permit No#: Date ReceivedD ��°°R,TEo Date Issued: IMP RTANT: Applicant must complete all items on this page LOCATION �`1 ��t c� Pyz-\- 4 Print PROPERTY OWNER WR-1-1 Print 100 Year Structure yes no MAP Gi S PARCEL: Z —ZONING DISTRICT.Y,-7- Historic District yes no' Machine 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 Bldgf ❑ Others: ❑ Demolition ❑ Other t AIRRIMEnilzip MyVena d ' e k ' DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Y Phone: (� I"1• �2�v`� 3 Address: Contractor Name: ,1 /"� '}.tom Phone: Email: v ��rt art C9 Ly,- I.a.t�T '. Address:_ I W A 2 ,�_ T- f�,,,u,�,�e ,�w� r-1-4- J Supervisor's Construction License:—C 0&(e Exp. Date: `U Ju 1!� Home Improvement License: 13�)( lo 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: $_ 3 FEE: $_ 30 Check No.: 6 Receipt No.: 3000 NOTE: Persons contrac ing with unregistered contractors do not have access to the guaranty fund .ar_.r.:�rie-.u.-aa.� ..-__'_.°. ✓, m"ri'.` .ur..£f_..�_.sext�w_+asw..-..ub...�...,�.«n� "t _ _ ..._ _ ._ Location No. � '1 � �4��� Date • - TOWN OF NORTH ANDOVER A w • '' Certificate of Occupancy $ _+ Building/Frame Permit Fee $ Foundation Permit Fee $ F Other Permit Fee $ TOTAL $ Check# �� r r ' t Building Inspector j' I Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ i TYPE OF SEWERAGE DIS POS Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF a U FORM PLANNING & DEVELOPMENT Reviewed On � �GI�P Signature_ v COMMENTS � Z 1q — rto '7Y'L2. CONSERVATION Reviewed on (o Si nature 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 Wafter& Seaver Connection/Signature & Date Driveway Permit j DPW Town Engineer: Signature: Located 384 Osgood Street F�IRE ,DEPAR tMEN TempDumpsteronisite �yes,_� �Rno �� � Q^ �t Fi`re�Department�signature%dafe_�___ - _ t Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOS L Public Sewer Tanning/MassageMody 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 PLANNING & DEVELOPMENT Reviewed On lkva Siignature_ COMMENTS � CIAZ �� Y10 TYL2 - (}0 #1 CONSERVATION Reviewed on Si nature A COMMENTS �. -s tDo` rc�r-� �e � • HEALTH Reviewed on Sianature 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 Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street 2 all FIRE DEPAFt�TMENT Temp�Dumpster on.,,site: yes,,,.,; r � ra = yneo� v � � +' r�r *' �' �3l: "Mem$ ,a 's'�i�C tit-+'eta + .�..� .-e ^r Located ate,124 Mam Street �' t c c ti 110 Fire Depargtmentsignature/date a. r� � �� F �� r 1f �� ;4 � .�;t (:nMMENTS Dimension p 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.$10041000 fine NOTES and DATA— (For department use) I ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 i Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits Building Permit Application Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior Work 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 Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/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 OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) i i� Building Permit Application Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Copy of Contract 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 I of µoeTH TOWN OF NORTH ANDOVER .o OFFICE OF BUILDING DEPARTMENT 1600 Osgood Street Building 20, Suite 2-36 North Andover,Massachusetts 01845 SACHUS Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION BUIDING PERMIT APPLICATION Please print DATE: 7 -Z�,o v JOB LOCATION: 07 G✓p 0 Number Street Address Map/Lot HOMEOWNER t- bow- cue-%j &10, 73 7 r ,� 103 Name Home Phone PRESENT MAILING ADDRESS_ 07 �x cye o? ,z/\j C /�-Do V rk 1111 O City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws,rules and regulations. 11 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 compl with said pro u sand requirements. HOMEOWNERS SIGNATURE _ _ APPROVAL OF BUILDING OFFICIAL Revised 7.2009 Form Homeowners Exemption BOARD OF APPEALS 689-9541 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 oORTH Town of ? Andover O ti No. O a * - 3 2i _ 1 soh , ver, Mass, COCNICKl WICK T� x.95 R�tED r'PP�,��(5 Ll BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT A /� 9.......... � BUILDING INSPECTOR ........ .......... . .. . ................................... � ........ Foundation has permission.to erect ...................... buildings on ..iG�4._- ......., ..x1111 ��Q.,Z?...,. i Rough to be occupied as ... : .... , , ,4z,,,,,,,,,, ........... Chimney provided that the p on accepting this permits all 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONST „ ON T Rough Service .. ...... . . ..... ... .... Final BUILDING IN OR GAS INSPECTOR Occupancy Permit Required to Occupy Buildin-e 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. r a c a ec Addendum No. America's Deck & Porch Builders"' THIS ADDENDUM, made and effective on the �5' day of VLA° , eco is attached to CONTRACT# �' , by and between Archadeck of Suburban Boston as BUILDER and 14 . & -k,r2z.c—� as PURCHASER, and is made a part of said CONTRACT. Work to be performed: ��N.Prr-1�,� S�-, 2 Leo LA'f 1�+r-4 ��-. �'�o� o� D�.►2. 'h`� Pte►—t'S� o'F ' 'Dt�—Cn�. Am N..o---) 'Fby -tG; Total cost: �� Schedule Impact: 'b'4`C S Terms: ?P,1D 1-,UC,u PUR. HA R: BUILDER: Archadeck of Suburban Boston ( g t v e) (Signature) 6 S YA&tsov V/1L.ovr�..,c�yc�4 (Print Name) (Print Name) COUNTERSIGNATURE: (Signature) (Signature) (Print Name) (Print Name) (Title) Addendum Rev White-Office Copy/Canary-Purchaser(countersigned)/Pink-Purchaser(at signing) Oct. 10 02010 Archadeck ARCHADECK of Suburban Boston Scale: 1/4" = I'-011 Deck Project Plan: New Stair Location Amy Jo Samuel 4 James Cho 81 Foxwood Drive, North Andover MA Contract" Date Client Signature ClientS-Signature— - -- Deck ends before Builder Signature downspout +-26'-0 --------- --------- Hot tub _________ on patio/ --------- �Exist(ng patio ❑ ❑ ❑ ❑ Framing flan -- Addendum *3 Amy Jo Samuel 4 James Cho 81 Foxwood Drive, North Andover MA Copyright 2016, 2x8 Blocking Mid Span Archadeck of Suburban Boston 1-July-2016 Drawn by:AC,Edited by: JRF Scale 3116" . 1, Q'1 N Stair stringers land on patio ( ) XI e ain e= _ (2) 2X12 Beam _ long - - __ __ -__ N 2x12 Stair Stringers, w/ Steel T-Braces fasten 2x6 stiffeners, per 0411 columns to beams Framing Notes: -- Deck Live Load = 60 PSF -- Deck Dead Load - 10 PSF -- Framing is "i or better PT SYP -- Beams are (2) 2x12, (3) 2x12 or --- (2) 2x8 as noted - -- Columns are 6x6, Notched and Q an in O bolted to beams `r -- Joists are 2x8, 12" o/c -- Stair Stringers are 2x12 4'-O" 4'-0" -- Decking is Fiberon 5/4x6, attached with Coated Screws 8'-O' 26'-0" Amy Jo Samuel 4 James Cho Sea 6*1 Foxwood Drive, North Andover MA I - July - 2016 Drawn by: AC, Edited by: JRF Scale 1/4" I' 333 1 2 Ledger Lo Deck Beam 4 Footing Notes: -- Deck Live Load = 60 PSF 2' -- Deck Dead Load = 10 PSF (2) 2X12 Beam 823/ 438 PLF 4 -- Beams are (2) 2x12, (3) 2x12, or (2) 2x8 as Noted 2'-0" -- Columns are 6x6, notched and bolted to beams = 5 *3949 6 *2409 -- Footing brackets are galvanized steel screwed to columns -- Footings are galvanized steel pipe with 8" Helix, over 4 ft - deep 23'-1 4 17 3 *159O 4 *2016 ' Landing o 0 cn 1 *1616 2 *161 b in 6'-O" 8'-0" - () OORTH q BUILDING PERMIT ?O'Tr�ao. 6`e�ppL TOWN OF NORTH ANDOVER �a` APPLICATION FOR PLAN EXAMINATIONIL :1 " C% Permit NO: Date Received 3 Are* Date Issued: s _ PORTANT: Applicant must complete all items on this page L'OCATIOj�I F � x , 5 nt i ERTY OWNPrini ERv SAI f �PA 11 4e5? Zt?NING DISTRICT, ���Histor c Cljstra .. Machine Shop v1II . e r �'lII§ S � g4. 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 �rSfrttC. � tVell Floodplain WetCands D-"Wateshed ltnct r%o L45)a k� s-Tl..-c[_ v ti-t f !t� 9 R.V__ M'Jl 1.h L,Aoe-(-► - r Identification Please Type or Print Clearly) OWNER: Name: ,�M�( o S„Ql,,vEL Phone �P�1 •Z��P.'1�3� Address: 4�O ITI ACT ?l bM ::� Phony: ," 1.."Z"1' � s4 I l , -0, res . F "Supervl ar's Cangtfilf �orl l icense Exp, D ate:. oche IMATO T" .tc nse Exp. Dater f! y _ ARCHITECT/ENGINEER Phone: Address: Reg. No. , FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 310,Sb2 FEE: $ ,W 1a© Check No.: ,LC9, -- Receipt No.: _ � NOTE: Persons contracting with unregistered contractors do not have access o he guar ty and �cnrsatr �r1t�33vrec x SiZznature ocdntractor s - z BUILDING PERMIT o� NORTy ,TLE� 6 q�r i TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION '- Permit No#: Date Received I ASR^TEU PPPy�y C HUS�� Date Issued: - IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine 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 0 Well ❑ Floodplain ❑Wetlands ❑ Watershed District 0 Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: _ Address: Contractor Name: Phone: Email Address: Supervisor's Construction License: Exp. Date: Home Improvement License: 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 Signature of Agent/Owner Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plai'�-❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Z � Signature_Una" COMMENTSA?&X4LPR CONSERVATION Reviewed on Si nature j COMMENTS HEALTH Reviewed on Signature COMMENTS Old L e-/ Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street *fFfRE D PAR$TMENT, Tem0Dumpster onsite; ,yeses mo{ -� k,L ated at r124MaSt[eet; _ t 4Fi eDepar�'tment�signature/date ._._. _ COMMERlTS:__ 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) i ® Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. i Roofing, Siding, Interior Rehabilitation Permits Building Permit Application Workers Comp Affidavit 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 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 Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/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 OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) Building Permit Application Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Copy of Contract 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 Location 7J No. �/ r Z tl Date f . • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $'r Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# Building inspector J � J � � � NORTIy Town of 26 - C, h ver Mass o > > A_ C0C"1CM1W$C. ._ . lies 4ATED U BOARD OF HEALTH Food/Kitchen PER LD Septic System THIS CERTIFIES THAT , , �„ BUILDING INSPECTOR .................. ........ .. i� ........... .......................... Foundation. has permission to erect ...A..................... buildings on ...' ...7... jl�urlD�J.... . ...4c........... � Rough to be occupied as . . e.,: .....�A.... .� . ... t.. 1�...V4f4.... . ..... .. Chimney provided that the person accepting this permit shall i . every respect Xn'form 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION S ARTS Rough Service ............ .... lilt 1111111011111111....... ... ........................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. archadeck America's Deck & Porch Builders"' July 20, 2016 Building Inspector Town of North Andover 1600 Osizood Street Bldg. 20, Suite 2035 North Andover, MA 01845 RE: 87 Foxwood Drive Dear Sir, Enclosed is the installation report for the footings at 87 Foxwood Drive. It shows the bearing capacity of each footing exceeds the required design load. Sincerely, ',�-_ Michael Chaisson, Sr. Construction Supervisor Enc. Archadeck of Suburban Boston • Telephone(781) 273-3500 • (800)696-DECK• FAX(781)273-3536 . 16 Adams Street • Burlington, MA 01803 nemass.archadeck.com • subboston@archadeck.net - 4 Who W , PWT of Connedicut 482 Spring St Naugatuck,Cr. 06770 WORK SITE SHEET DATE: July 112016 Archadeck of Suburban Boston Delivery Address 16 Adams Street Amy Jo Samuel &James Cho Burlington, MA x1803 87 Foxwood Drive North Andover, MA Type of project:Deck Qty Category Galy. Black Fixed H. Ad. H Ext. 8 P2-6G X 6x6 Installer: 0 Michel 0 Sylvain ❑ Dave 0 Keven S(Cody 0 Tom SKETCH OF WORKSITE i i ' to ' i 1 MAPPING OF POSTS # Torque . Depth #Type Bearing # Torque Depth #Type ; Bearing 1 11500 _ 4-4' ,9486lbs 2 1_500 4'-9" '9486lbs i 3 1500 4'-5" :9486lbs i 4 1_500 4'-6" 9486lbs 5 1500 4'-7" 9486lbs ! 6 1500 5'-0" :1 9486lbs 7 15_00 6'-6" _._.._..'19486lbs 8 1500_ 6'-8" _ 94861 b Signature of Installer. G001700'd 11=9# VL:Ro 9LH1i9 l!0 :w0%d J 1 W .. . . _.. ._ - ...,,... •= O m O Co Co (D t i a N co N O 0 -9) � Y C C O Q Building Inspector m ° Town of North Andover 1600 Osgood Street Bldg. 20, Suite 2035 E Q North Andover, MA 01845 ; Q C=1G4S•--lC-:S."' archadeckO Contract# 3 b 9 5 THIS CONTRACT is made and effective on the� day of ,20-JU in the Town of Burlington and the Commonwealth of Massachusetts,by and between `'AO S A—Pwa-I. t� N A41^'19M C-c7-0 (per �name) (PURCHASER),at � '� ✓� Q � " 1ky--f da_4 � 1 and (address a W pbune numbri) Advantage Design&Construction,Inc.dba Archadeck of Suburban Boston(BUILDER),for work to be performed at n O 4W 14 o A-r—LeR o-4 0 rz (the PREMISES)in accordance with the written terms and specifications of this CONTRACT(the WORK). THE WORK shall include the following: Deck a Porch ❑Sunroom C]patio Patio U Other'owt sn-er7 h L-tJ -, Z CNJ v;,T osTs , h IV-o5 L l�f Ate�iG1 1. BUILDER shall furnish the services and material for performance of the WORK on the PREMISES described on the Design Proposal(s)(signed by PURCHASER and BUILDER)and numbered 3695 and as specified on the Archadeck Specification Sheet(initialed by PURCHASER and BUILDER),each attached to and made a part of this CONTRACT,for and in consideration of the payment to BUILDER by the PURCHASER of $ for the WORK $ for other(describe) for a total of $ 2 (D, ��02 ("Rti gaf ---A,p 1'v�g�J�1 .-tom F1� �hw-a n S t w'r'Y Tu-&f7 dollars) together with any amounts set forth in any addenda hereto(TO'T'AL CONTRACT SUM) est.start date 1�1-5'/]._(Oest,completion date: 2. The TOTAL CONTRACT SUM shall be paid to BUILDER as follo J 2)11ff- p-E�PoS�'t' Down Payment(due at signing this CONTRACT)$A LHO Progress Payments: $ 0 due on C� p►t3-TO FSK' $ �' l K 0 due on $ 1 a due on STPr c F $ due on $ due on substantial completion of the work Down Payment by ❑Cash Check ❑Other 3. OTHER TERMS: * Rt"t 021< 5 VF" t ctk w 4. The Down Payment may be used to purchase material necessary for performance of the WORK.BUILDER shall-be entitled to final payment upon substantial completion of the WORK.The WORK is substantially complete when all items described in this CONTRACT have been constructed or installed.'Substantial completion shall not include adjustment,repair,replacement or cleaning of any.item so constructed or installed or final inspection by code official.PURCHASER shall be entitled to one punch list prior to final payment.Requests for adjustment,repair,replacement or cleaning of any constructed or installed item shall not be cause for delay of final payment,but rather shall be considered warranty items.After five business days from substantial completion or from any progress payment milestone, the unpaid balance of the TOTAL CONTRACT SUM or of the PROGRESS PAYMENT(S)will be subject to interest charges as allowed by applicable state law.PURCHASER acknowledges and agrees that this CONTRACT shall serve as the invoice for progress payments and for the TOTAL CONTRACT SUM and that no additional invoice will be provided to PURCHASER for any part thereof. 5. Modification to the WORK or CONTRACT will be made only when a written addendum describing such modification has been signed by both PURCHASER and BUILDER.There may be additional charges for any changes. 6. The WORK will be warranted by BUILDER in accordance with the terms of the Archadeck Warranty.Existing structures to which the WORK may be affixed to or interconnected are not part of the WORK and will not be covered under the Warranty.This Warranty is issued to and only applicable to the PURCHASER after payment in full of the TONAL CONTRACT SUM.A sample Archadeck Warranty form is attached to this CONTRACT. 7. The WORK will meet or exceed the live load bearing capacity required by all applicable local codes,provided However, that installation of overweight deck accessories(such as,but not limited to,porches or spas)that are not disclosed as set forth below(1)may exceed the load bearing capacity of the WORK,(2)may lead to damage,and(3)will void the Archadeck Warranty. When overweight deck accessories are specifically identified in the CONTRACT(Disclosed Accessories),the WORK will be designed to accommodate Disclosed Accessories and the Archadeck Warranty shall be in force as to the WORK bearing such Disclosed Accessories, provided the use of the Disclosed Accessories corresponds to the part of the WORK that is designed to accommodate them. acknowledgelimitations de-Una this CONTRACT. 8. PURCHASER and:BUILDER shall each have the right to cancel.this CONTRACT without penalty or obligation prior to midnight of the third business day after the Effective Date of this CONTRACT.Upon cancellation of this CONTRACT within this three-business-day period,BUILDER shall return to PURCHASER any consideration paid to BUILDER hereunder and PURCHASER shall return any material or drawings provided by BUILDER.In order to camel this CONTRACT,PURCHASER or BUILDER shall send a written notice of cancellation to BUILDER or PURCHASER,as the case may be,at the address for BUILDER or PURCHASER set forth in this CONTRACT within such three-business-day period. 9. This CONTRACT shall not be effective and binding upon BUILDER until countersigned by a duly authorized officer of BUILDER. ADDITIONAL TERMS ON BACK DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES PURC SER B DER: AkX-.1 dvantage Design&Construction,Inc. V (S gnature) (Print ) (Print Name) (Design Consultant) COUNTERSIGNATURE: (S ) (Signature) (Print Name) (Print Name) (Authorized Corporate Officer) 16 Adams Street,Burlington,Massachusetts 01803 Fed.Tax ID; 04-3736549 Home Improvement Contractor's Registration Number 138160 GOSH(06/12) White—fro Mnv/(anary—Pnwhaepr frnnntoraianodl/Pink—Rirrhaaor lot cianinal Framing Notes: -- Deck Live Load = 60 PSF -- Deck Dead Load = 10 PSF -- Framing is 01 or better PT S`r'P Framing Plan -- Beams are (2) 2x12, (3) 2x12 or (2) 2x8 as noted Amy Jo Samuel 4 James Cho -- Columns are &x6, Notched and bolted to beams 51 Foxwood Drive, North Andover MA -- Joists are 2x8, 12" o/c 28 - June - 2016 -- Stair Stringers are 2x12 Drawn by: AC, Edited by: JRF Scale 1/4" * 1' -- Decking is Ffberon 5/4x6, attached with Coated Screws 2x8 Blocking Mid Span 2x12 Stair StringertK ." Triple Joist o r N ao (949 rl - -- -- -- __ 2) 2X e m `0 (2) 2x8 Beam __ - - =j N Steel T-Braces fasten 11'-0" columns to beams copyright 2016, 2x6 Stiffeners on 23 '�' 2 -611 Archadeck of Suburban Boston Stringers, per +411 2rb'-O" Beam 4 Footing Notes: -- Deck Live Load = 60 PSF -- Deck Dead Load = 10 PSF -- Beams are (2) 2x12, (3) 2x12, or (2) 2x8 as Noted Seam and Footing Plan -- Columns are 6x6, notched and bolted to beams Amy Jo Samuel 4 James Cho -- Footing brackets are galvanized 01 Foxulood Drive, North Andover MA steel screwed to columns -- Footings are galvanized steel 28 - June - 2016 pipe with 8" Helix, over 4 ft prawn by: AC, Edited by: JRF Scale 1/4" m V deep 333 PLF at Nouse side ,foist load 2 Ledger Lok Screws Per 12" Bay from Landing = 11200 bc� Copyright 2016, Archadeck of Suburban Boston ' 2'-3" 10'-11" 2'-3" c� O �- 5 *3912 6 *3912 1 *-(45 2 #21415 :. . . €___ -°==== _ ; 3 *2409 4 *2409 (3) 2X12 Beam 508 PLF C4 6" 6" (2) 2X12 Beam 438 PLF - 5'-O" 2'-011 -74-011 21-011 23'-6" 2'-6" (2) 2x8 Beam 298 PLF 26'-O" DECK SECTION DECK SECTION SCALE: 3/4" . I' SCALE: 3/4" - I' Copyrlght 2011, Archadeck Copyright 2011, Archadeck 2 x 8 BLOCKING 2 x 8 BLOCKING e JOIST MID-SPAN B JOIST MID-SPAN EXISTING HOUSE WALL EXISTING HOUSE WALL 2 x 8 EDGE BAND STAINLESS STEEL 2 x 8 EDGE SAND STAINLESS STEEL BITUTHANE FLASHING SITUTHANE FLASHING FLASHING ("Ice<water ehield") FLASHING ("Ice•water ehleld") 5/4 X 6 COMPOSITE 5/4 X 6 COMPOSITE DECKING JOIST HANGER DECKING JOIST HANGER r17 DECK TRIM DECK TRIM T I IN 2x8JOIST a12" OC 2x8JOIST e12" OG THROUGH THROUGH BOLTS LEDGER LOK BOLTS LEDGER LOK (2)2X12 BEAM l3)ZX12 BEAM SCREWS C." O/C EXISTING HOUSE WALL SCREWS 6"O/C EXISTING HOUSE WALL (staggered) (eteggered) 2x6 Under BEAM 6 x 6 COLUMN 6 x 6 COLUMN POST ANCHOR BASE POST ANCHOR BASE HELICAL FOOTING HELICAL FOOTING / t i 4' or Greater 4' or Greater / DECKORATOR SALUSTER RAIL *514 SCALE: 1/2" = I' Copyrfght 2012, Archadeck 5/4 X 6 RAIL CAP All ///""-2 X 4 TOP RAIL DECKORATOR BALUSTERS 0 < 4" O.G., ATTACHED TO TOP 3 BOTTOM RAILS w/ CONNECTORS 3r 2 X 4 BOTTOM RAIL (2) BAND JOIST 0 0 0 0 0 0 4 X 4 POST ATTACHED W/ (3) 1/2" X 6" THROUGH BOLTS. (POSTS SPAN 5' O.G. MAX.) 2 X 2 HAND RAIL W/ RETURNED ENDS SUPPORT BRACKET HAND RAIL HEIGHT: 34" MIN. OFF NOSE OF TREAD Deck Flan Amy Jo Samuel 4 James Cho 61 Foxwood Drive, North Andover MA 16 - June - 2016 Drawn by: AC Scale 1/4" 1' Outside of post flush with house I I I I I I I I I I I I I t Support posts- Q of ngp cen ere - c� on hot tub _.. r zwot tub Copyright 2016, on patio Archadeck of Suburban Boston J'Y 3 G d T 9 a ' 9 Allu"�D OQ 110- 0, 10r0 A �✓ S //ECEBY CE•cT/FY 7V 7We T/T(_E/A1S60C'&f 4VO /G. or /04 41 727 ^ee B-40Vr 7,W7 7;/E'G401=41AK IS LGCATEO ON T//4C 440r l,S,S,WA-oV ANO 7AMr1rOGCS- ' 441A/F25leW /V I'Y/TN T//E7V&.eA/• of Z0,0V/X6 EE6!/GATXW-T SET?.ICAX FeOW ST�PEETS�LOT ewes ' /meq SS �1'fr/.Cl7YE!' CECT/FY TAGIT T•f" 0Ai-E411W,9 /SNOT Q 4044MA0/A/ 7W4C FE4",44 FiOWP ,WZ4.40 %SyaivA!OJV AWAlet 4* zs-oo?8 oaaZ �axwrsap �'EHtry �aeo as rEa 6/Z/93 - . OF A� l A s��`' �IE.�A�/ifl.4Gt'E•vc.�c�EE,��.v6 sE.��is�-s suAv�°� 6� ��4•P� .S7.�EET ' A.i/�OYE.f �.4S.S.4l..f/f/SETTS O/8/O dd��-- A CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 14OLDML 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: tf the certificate holder Is an ADDITIONAL INSURED,the policy(les).must be endorsed. If SUBROGATION IS WANED,subject to the terns 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 endorseme s. COMWOT PRODDER The John M.Sullivan Insurance Agen PHONE 30 F 781449-3511 P.0.Box 920047 sui{ivan.insadv@vetizon.net Needham,MA 02492 fNeu s AFFORDING COVERAGE NAIc# 1NsuRERA:ESSEX INSURANCE COMPANY INSURED INSURER B: OC EmployersMutual Advantage Design and ConstrUCtion,inC. MWMRC: dba Archadeck of Suburban Boston INSURER D: 16 Adams Street INSURERE: Burlington,MA 01803 INSURER F COVERAGES CERTIFICATE NUMBER: 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,TOM OR CONDITION OF-ANY CONTRACT OR.OTHER.DOCUMENX WITH RESPEtT'rO 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS, UMrTs h L TYPEOF INSURANCEUTY wn POLICY NUMBER 1 r�O,QOV GENERALUABI3EE1016 4/22/2016 4122/2017 EACH OCCUR RENCE $I $r 100.0w COMMERCIAL GENERAL LIABILITY 5000 CLAIMS-MADE a OCCUR MED EXP ane $ PERSONAL 8 ADV INJURY $ 1000000' GENERAL AGGREGATE $ 2 000,000 GEN'L AGGREGATE UMI*APPUES PER: PRODUCTS-COMPW AGG E Go POLICY PRO. LOC IT AUTOMOBILE LIAMUT/ BODILY INJURY(Perpefson} $ ANY AUTO BODILY INJURY(Per e001deM? $ ALL 0*NED OWULNEED AUTOS AOD 9DAMAGE $ HIRED AUTOS AUTOS $ UMBRELLA LAB OCCUR EACH OCCURRENCE S EXCESS UAB C!: (W-MADS AGGREGATE $ $ DED RETENTION STATU- I IOTH- WORICERScOMPENsaTtOtN 4/15/2016 4115/201? AND EMPLOYERS'LABILITY EL EACH ACCIDENT $ 00O ANY OFFIGRERfMEMBER�EXC UDED7 CUA MIA WCC-50EI5OO4436-20160 (FFICEW Y le ER E.L.DISEASE-EA EMPLOY $ Iles yee desCfOe under E.L DISEASE-POLICY LIMIT $ AM E Gev—Wn0 F OPERATIONS below DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(Attach ACORD 101,Additnel Ramft Schedule.I Moro a►wee Is roquh" CERTIFICATE HOLDER CANCELLATION W=LD ANY OF THE ABOVE DESCRIBED POLICIES BE CAMELL0 0 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT 61988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are raglsbered mark$of ACORD 9 ,. Massachusetts Department of Public Safety Board of Building Regulations and Standards License:CS,4XM1 JAMES R FWAY ` 2 WATERTOWN ST 1- WUNGTON MA 02421 CA, Expiration: Commissioner 08/21/2017 A r`3o" it fIR&I t&I-I ffs,I!i'` I/llserlfYlI,N �' _►' oNee of Conanaur AMtire&Bndnen Repladen s ME OMPROVEMENT CONTRACTOR Type: ,,� 138160 : 314=7 Private Corpors"t r ADVANTAGE DESIGN&CONSTRUCTION INC. ARCWADECK OF SUBURBAN BOSTON JAMES FINIAY 16 Adams Street �� _ Budington,MA 01630 Undaueretary d pORTh UAB' AaW BUILDING PERMIT 0 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO:LO Date Received 0 Date Issued: L11 L15 S CHUS IMPORTANT:Applicant must complete all items on this page 00/1' =0 MCI ... ff Aw"I" /pp"'ny .............................. 1/0, TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building El One family 11 Addition El Two or more family [I Industrial El Alteration No. of units: [I Commercial 0 Repair, replacement El Assessory Bldg D Others: 0 Demolition El Other gp 2 ftndW 'Y' SIPM/ zl� iiy/ Z ag,"""711i" Identification Please Type or Print Clearly) OWNER: Name: rV..'ez /��ka Phone: Address: -7 ai rr OF/ 5411111011111111!,111 ZZ ............ 4011? tb; .............. er A A I al ............ ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASE P ON$125.00 PER S.F. Total Project Cost: $ Z..'gon- �(D FEE: $ Check No.: . 1 /-4-A Receipt No.: JAI I= NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund NOR- e - NORTH BUILDING PERMIT 0`<zLE° TOWN OF NORTH ANDOVER 10� APPLICATION FOR PLAN EXAMINATION 1• Permit No#: Date Received �gssgcHusti��5 Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER Print 100 Year Structure yes no MAP PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family El Addition El Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other 0 Septic ❑Well ❑ Flgodplaln D Wetlands ❑ Wateshetl Distnc#=. WateF/Sewer : DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: Phone: Email: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: 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 ? Y Aunt%G��mer _ Si na ature - - - . 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 m U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ 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 Driveway Permit DPW Town Engineer: Signature: r y ,x r Located 384 Osgood Street FIRE DEPAR+TRMENT ,;�Temp PDumpster3on;site,r,yes�;.; a=� � _��;,,' �' no� 'i'-' -� -r � ;; ,+ •a +' '. J?:.!t. - NGSFes' --.• -....- - Lo�ated at"124 MamiStreet Ftre Depayrtm ��g atu e/date i .,7c! COMMENTS,, .' - •L'�.= d�"i .a.., wF.� -�-�__..��.. -,mss,.: „! 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 Call Email Date Time Contact Name Doc.Building Penuit Revised 2014 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits Building Permit Application Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior Work 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 Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/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 OTE: 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 46 Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Copy of Contract 4; 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 Location No. Dat TOWN OF NORTH ANDOVER • 5����ED I�ys ♦ • Certificate of Occupancy $ Building/Frame Permit Fee $ ' = Foundation Permit Fee $ �" t Other Permit Fee $ TOTAL $ % r Check# / r/ E r ! .-) Building Inspector E NORTH Town of E Andover 0 ver, Mass, t � o "I WICK �1 7,9 q0 ATEO 1`P��,�S s L) BOARD OF HEALTH Food/Kitchen PERMIT L D Septic System THIS CERTIFIES THAT .................... ... ' ... � BUILDING INSPECTOR .... .... ....... ...................... ... ... ... 8�.... .... � Foundation has permission to erect .......................... buildings on ... .... . ..t.... Rough to be occupied as ...�Yns,A.l..CA*0......it....w. 6'........, ..4..... 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 Mg.NTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO A Rough Service ....................... .......... ......................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. Federal ID N RISE Engineering RI contractor Registration No MA Contractor Registration No A division of Thicisch Engineering CT Contractor Registration No 60 Shawinut Unit 92,Canton,MA 02021 CONTRACT 339-SOU335 FAX 339-502-6345 Page I R I S E PROGRAM Tins COMACT to ENTERED WTOMMM WE ENGINEERING I CMA-HES EN=MMAW MCUSTOM FOR WOWC AS EC mcitimanow ........................ .................... ................. .......... PHOW DATE CUENTS VWMORM James Cho MAY 2 2 2015 (617)216-7838 05/21/2015 411297 00002 ............. —6.A.1 A.M SIRMI -—--------- ............ ............... 87 Foxwood Drive . 0 97 Foxwood Drive .............................................. ................................... ........................ SERNCE CIMSTAMW SUM CITY—VAM ZIP North Andover,MA 01845 North Andover,MA 01845 ............... —-------........... ...................................................—............... JOB DESCRIPTION AIR SEALING:Provide tabor and materials to sew arm of your home Against wasteful,excess air leakage. This work will be performed in concert with the use of special tools and diagnostic tests to assure that your home will be left With a healthful level of Air"change and indoor air quality.Materials to be used to seat your home can include caulks,foams and other products. Primary a=for scaling include air leakage to attics,basements,attached gm-ages and other unheated arm(windows are not generally addressed.) (8)working hours. At the completion or the weathcrization work,and at no additional cost to the homeowner,a final blower door and/or combustion safety Analysis will be conducted by the sub-contractor to ensure the safety of the indoor air quality. $680.00 AIR SEALING:Provide labor and materials to seat areas of your home against wasteful,excess air leakage. This work will be performed in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of air exchange And indoor air quality.Materials to be used to seat your home can include caulks,foams and other products. Primary arm for scaling include air leakage to attics,basements,attached garages and other unhealed Areas(windows Are not generally addressed.) (1)working hours. At the completion of the weatherization work,and at no additional cost to the homeowner,a final blower door and/or combustion safety analysis will be conducted by the sub-contractor to ensure the safety of the indoor air quality. $85.00 AIR SEALING ADDER: (4)working hours. $340.00 DAMMING:Provide labor and materials to install a 12"layer of R-38 unlaced fiberglass boas to(46)square fed for damming purposes. $94.30 ATTIC FLAT.Provide labor and materials to install a 60 layer of R-21 Class I Cellulose added to(1335)square feet of Open Attic space. $1,682.10 KNEEWALLS:Provide labor and materials to install 21 FSK faced semi-rigid fiberglass board insulation to(144)square feet of kneewall area. 5549.00 AMC ACCESS:Provide labor and materials to insulate the back of(1)Attic hatch with 21 rigid Thetmax board.Weatherstrip the perimeter. $60.00 ATTIC ACCESS:Provide labor And materials to insulate(3) back-of the knccwall hatch with 2"rigid Thcrmnx board,and scat the edge of the hatch with weatherstripping. $180.00 ATTIC ACCESS:Provide tabor And materials to make(1) temporary access to an attic area The opening will be closed with materials similar to those existing. Finish sanding and painting is not included. 585.00 RISE Engineering will apply all applicable,eligible incentives to this contract. You will only be bitted the Net amount. Currently, for eligible measures.Columbia Gas offers 75%incentive,not to exceed$2,000 per calendar year,and an incentive of 100%for the Air Scaling measures up to the first$690 and an additional 5340 if savings are justified by the auditor. t j Federal ID# 1j1 RISE Engineering Rl Contractor Registration No MA Contactor Regisbatton No A division of Thieisch Engineering CT Contractor Registration No 60 Shawmut Unit 42,Canton,AIA 02021 CONTRACT .,, 339-302-6335 FAX 339-502-6345 p I S E APage 2 A j; PROGRAM THIS COUTR&C1rz ENTERED am 6ETV11M RISE ENGINEERING CMA-HES FAGIR ERINDANDTHECUSTOMERI"VV Rn AS CUSTOAffiR PHON DATE Wait A WORK ORDER James Cho (617)216-7838 0512112015 411297 00002 .__........_....____.........._.._.—............µ._........................................._,_..-.......... ......__....._......._�..............._... _IMIG ......._ ......__ __._._.._.... __........... __..._ _......____.._.._,__....................___,......w....___._.__.__ SERVICE STREET � 311=1. 87 Foxwood Drive 87 Foxwood Drive _....._.._.___...___ ___.._.........._ .........__.__.._._.____..____.,...._._...._--_-..___ ...............--__..____,............___ SERVICE CITY.STATE,ZIP BR1M0 CIMSTATE,ZIP North Andover,MA 01845 North Andover,MA 01845 JOB DESCRIPTION Fur the safety and health of your home's indoor air quality,wv will be conducting a blower door diagnostic orthe available air flaw in your home both before the work is begun,and after the wemherization work is complete.We will also conduct a full assessment of the combustion safety of your heating system and water hater.This has a value of$90 and is at no cost to you. Total allowable weatherization incentive is$3,1 10. $90.00 b V- AY 2 2 2015 Total: $3,800.40 Program Incentive: $2,990.01 Customer Total: $810.39 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF `Eight Hundred Ten 81391100 Dollars $810.39 UPON FINAL INSPECTION AND APPROVAL BY RISE WO,CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF t%WILL DE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER 30 DAYS.SEE REVERSE MPORTANT INFORMATION ON GUARANTEES.RIGHTS OF RECIBKZN.ECHEOULRIG.AND CONTRACTOR REGISTRATION. DO NOT SIGN THIS CONTRACT IF THERE ARERIBILAtfPACES— ___ _.........__.__....AUTNgt dn® ........ C T .� NOTE:THAI CONTRACT MAY BEVATHDRAWN BY US IF NOT SUCUTED VMWN DATEOFACCEPTIWCE .................. ACCEPTANCE OF CONTRACT-THE ABOVE PRICES.SPECIRCATKZNS AHD CONDITION.R ARE 30 DAYS. SATISFACTORYTO US AND ARE REMY ACCEPTED.YOU ARE AUTHORIZED TO GD THE WORK AS SPECIFIED.PAYMENT WILLBE MADE AS OUTLINED ABOVE i THIS CERTIFICATE IS ISSUED AS A MATTER OF IfJFORF<AT1ON GIJLY AN-' C011FERS NO RIGHTS UPON THE CER?IFICA.?E r�iLD R THiS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVEPAGE AFFORDED' BY THE POLICIES SELOVd_ THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A. CONTRACT BEPAIEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDEFL IMPORTANT: If ti:e certificate holder is an ADDITIONAL INSURED,the poiicy(!es)mus; bE endcrsed.It SiUBROG,;TION 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 c Certificate holder in lieu of such endorsement(s). c C+ PRODUCER !aA.•sE I Aon Risk Services Centra!, InC. tEc•c: 7">- •. ?;' !,vC.!ic. '�, SGUt hrT(10 il,i C;if iCC• -- JGGCi Town Cen:e,' E-M44 Susie 30,0.. DGR.E South ±e G ! 4S0%i USA. 1 r A IfJSJi`Rri.,j k�r'DRt3PWG%V'Jcklr_ NAIC i,�' R.S01-ED Iras:;+"ccF:< Gild Repubii[ :nsurar.Ce Company builder Ser:lceS Group, 1ric. USURER E iy' 1r,SurerlCc CO Of :.OrL.^. t:P..;eriC[: L57> CJUaliry: lnsulatiOn q,rr r INSU4ERC ARiPr-s Can Irl S'JranCe ([int any iiGG! , t; K35Co Corporation company 11U Rrr'imet k[,ail II UP,ERD ACL :ire iJiderr.'rltef5 nSu ani CO. Hash: :•i G:,i6:, 1?G LISA ! A LIRER E ' usur<Ea E. I a ! COVERAGES CERTIFICATE NUMiIBER.J?G(,54G332 . REVISION NUMBER: THIS iS iG CERTIFY TnLT THE POLICIES O__INSURANCE LISTED S=LG`7J HAVE FEET;ISS UE i7 i;.'T rE I! SURER 14AIOEE SC'JE FOP Tr,_--PG1ICY"rE i0G r INDIC;, ED.h",TVATHSTA.N=HNG FF"REO'JIREMENT,TERM OR.. COr:D! ON 0=A^. 'CGI:TR.C'GR GTr-.ER DOCu'lElvT V r _S?ECS C JJr'I��;THIS F S� i;•_. v c: F n[.S r: -FF F,' r S'!•IH= ?U ICES E'ESCFI°ED HEREN IS QJCJcC'TO r ;r.c !�F'IJ,' 1 CER tl, Y E iSSUEll OF tor. -F.TiXi THE I Jt r,N _ . G - - E .CLUSz1 NS AND C-DNDITj0!!S OF SJ':H POLICIES.LIMI S SHOWN P1 '. ;-•.E PEDUCED 5�PA!_C L;-!M,S tJ ni sho-:r are as requestedll POLICY N TYPE Or INSURANCE I IJMSER i TR :irsDi v;v�; A ! z i !{'.�Y�. -r ' r. l LOL:AiEi'CiA!v,E7:L rtAL LlABiilTY I :J,'t6 lU .. ,000,GivUl onEt _nen;�V _ ~RSOia-.t Lr.D Ir—;P 12,DOC),G'(iri� �. PER TnER 1JT CIAOBILE LIAM:iTY _JAS.,-. ,.v._� Jf•� ';i --..,__a!rv:�._[i;1:: I _ (l .. :,r..�.u:, I I cODfY,Ir(_ Pe!pc,-.,, I - r-� Pa+,...ripe.- ., �f�',OS• u': ..,�__ I PRvPEP.�'':Air: _. I I U F tiIRC F i tt^_N-�; I � JTG., j U 'eRE_LA LIAc, I I 2 EXCESS LIA i Z N7vrRXE RS COMPENSATION jANC-1 w,RCi 7ME.4.4 ..,_ <.. [:.�,,;<,._ y. __r jai✓.i EMPLOYERS'Lt=:WLT'r i tw. De�u- _ rr_RC"S 8 SC C? 7 u_ a Yc_ S ,OGE.3Gv' t 11 yts cPr::oe` I I - DiFEAS=.aO = LI!d!T S".Goo'GOG= C I cY.C2. e;o i?iCUC BrSEti3:• 1Gciw![JIJ`iJ __ '32CUCtl�.i( ° UIJJ UilUq,- 1 i i �Se I'C-InSured _:ales _'L:L 7 I51F. applies per .0 _ rpr L cone ;iO-.} I DESCRJ-T!•JN GP OPERATIONS i LOCATIONS i VEHICLES(ACOID 7G;,A6d,dona7 P.r.-xi;;S.hrcvi["—y z yaz tred A more sp:;=e n rrGwrec; Bence O' ;nsurance. r CERTIFICATE HOLDER CANCELLATION SHOULD AT0, THE ABC•VE OESMEH; POLIC!Ee: eE CANCELLED BEFORE TH t E):PaHA'IO!J DATE ;KRE DF NCTIC= l'JLL BE DELIVERED IN ACCOR04N+: VfTH THE PG!)CY PRO+;153�'r••S. ES:i'I icer Seryces Group. in('. j;tn HOPl?EO P,E PRE SzNTA TIVE Lf Si r: Q'u i�i7iV 1n5UlaT.i(in r, t�esc.o (.ortrorzti on Comrar.> ;](; a(rm i et ; R.Oad t-�<d!r'7.% > c./03/L4'G".✓ 7 ci'97,G. tion U2 'vri GiGE.- I USA C1,1988-2014 ACORD CORPORATION.All rights reserve, ACOF:i)25(2014101) The ACORD name and logo are registered marks of ACORD „GttiC”C,'uS Gl -:R iI;: 57:3000027887 L � ADDITIONAL REMIARKS S�.OHEDULLE Pace Aon R i Si: Ser,,iceS Cen;rnl, Inc. ` TJ�.i N::.r Ser':, c. 'r5 �rC�C Triir. I r� See Certi4f-Ce;e raurrber: 5700S4 ��; l ! G03_6_ See Cer;ificat:e N�u.mber: ADDI-Ft 0NAL REIVARKS THIS ,ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FO? rV.,.. JJ NUtti9ER: r,"'ORD 25 FDRM TITLE: CerllficEie of Licbili'y!nsurancr ! IhSJRER(S)AFFORDING COVERAGE t NAIC# � I ! I I I �1)tli E'l I'�3l.1< li�S P �i _ i C li �;cIO'•:dO:Sni,ilr.ciu I1i1!1: fife,rat ',;n. r,i I! JJ i ccaificzic f;irrr iirr roLc�" !inti i.T4; T1 P rfr I'i�i.l(i-�'1'�7'p?:.is rFF i.C"i ili L-\�ih.Tlf�� J !� 1 LJATL I7a7.1. 71J t..i',117 i 4'i I lj .FC47US44 ?,j/A j'%111 ROC.478S847c 34 S? i'26i 1 + 3 7I III I ' ! � 3 3 a I � � I I3 I 3 ACC)Rv'1 D 1 1200?,�D1 j C;200E ACORD CORAORATIOIN.All rights reserved. The ACORD name and logo are registered marks o:ACORD Ofice of Consumer Aiffiirs 4nd Bus ness Reguiatior --- - '10 Pari; laza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contravetor Registration Regisiraticn: 179141 Type: Supplement Card BUILDER SERVICES GROUP, INC. Expiration 6/2512016 RICHARD SCHWARTZ 110 PERIMETER RD NASHUA. NH 03063 Uixiate Addres%and return card. Mark reason for Chang;'. jddrest Rens aI Einployfrieiit :_osi Card C),'fice is i.onsi tnrr.A('fx i:;dL_nsr Si sinrss Rr ulz iioii 1 e c. _., or registration 1"L1iU for inaivadul use unix ffrOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: 1 ...:,; O fce of onsurner.A fairs and Business Regulation RegistC. ration: ,7�1�1 Type Expiration. 6,25:2616 Supplement --'a d Boston. 01A 02116 JILDER SERVICES GROUP, !NC- CHARD SCH"AARTZ -•YTONA SE 1,CH. 32114- Not valid;% I i •�t,.lt U.I;�,n ',tt l`V I'%ti.: Y III C HARD SCI INA/ARl7 (tg.nncttR`ttcr NII 031f12 I 09/26/2016 Restricted To. C NISI..•IC-Insulation Contractor Failure to posses%a current edition of the. Massachrusc.tts Stator building Code is cause for revocation of this license. ORT!{N BUILDING PERMIT o �o gtio TOWN OF NORTH ANDOVER c� yam - 0. APPLICATION FOR PLAN EXAMINATION " Permit NO: Date Received o Date Issued: 2� a- �gSSACHUs���� IMPORTANT: Applicant must complete all items on this page p . z ink N ;PROPERTY OUVNERa n - 15r "MA'P 2�1C) PARC€L ZON=ING 'b1STRICT Historic District yes no Fop Village ti , Machine S .__ .. yes: n TYPE OF IMPROVEMENT PROPOSED USE Resid Non- Residential New Building One famil Ad n Two or more family Industrial Alterati No. of units: Commercial replacement Assessory Bldg Others: Demolitio Other Septic° Floodplain 's 06 y rs-✓ i ?ESCRIPTION OF WORK TO E PREFORMED:/� N 2�y Ul)CZ U P-il 5( �7 ! LJ +� ,Q ►f-�"I a� Identification lease Type Print Clearly) OWNER: Name:�j r t- Tkr14l 72&AF6 � Phone: (a/0 -7 /0,3 Address: (Ajo()) 3 C D.NTRACTOR Name _ fPh.one . �LL� r f •Address: m71 - pate - Supervlsor's Construcoon License _ - ttExp - _. _ Hom'e,Improvement License _ :Exp: Date._ ARCHITECT/ENGINEER �` Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $_ FEE: $ 11 Check No.: Receipt No.: — NOTE: Persons contracts g wi h unregistered contractors do not have access to the guaranty fund S�gnatureeofrAgent/Owner��: ' ',.:� �.� �: Signature of contractor._ Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/MassageBody 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 Driveway Permit DPW Town Engineer: Signature: _ Located 384 Osgood Street FIRE DEPRTMENT - Temp:=_Dumpster onsite^Ayes no fL'oca-ted,a`t�1�4,1VIbi&� treet Fire Department signature/date r COMMENTS_ - M 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 a s Doc.Building Permit Revised 2010 v0 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C.'And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ 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 K.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.G..And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2008 Location_ x `��• // Date ' No. l �oRT� TOWN OF NORTH ANDOVER F S Certificate of Occupancy $ Building/Frame Permit Fee $ 1/L Foundation Permit Fee $ Other Permit Fee $ TOTAL $ I Checkoopd-� i 231LJ Building Inspector The Commonwealth of Alassachusetts Department o f rndustr ial Accidents Office of.Fn vesticratcons - Wavizi Beton Street Boston, AL4 02111 Workers' Com ensa>Qon insurance Affidavit:gs�b ov/r}ia P Btuilders/Con4a actors/Electricians/Plumbers Applicant Information Please Print Lembi Name (Business/Organiza6on/lndividuat): llvu-r,(5 Address: � 0& . City/state/Zip: �)/KN� )GDl711f /V Calf y�� Phone#: 00 -737 4 A0),0),re you an employer? Check the appropriate box: 1.❑ I am a employer with 4. ❑ I am a=eneral contractor and I Type of project(required): 2.❑ employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction I am a sole proprietor or partner- listed on the attached sheet X 7• ❑Remodeling ship and have no employees These sub-contractors have Working for me in any capacity. workers com . ' g' ❑Demolition [No workers' comp. insurance 5. P insurance. 9, Buil ' ❑ We are a corporation and its ❑ �addition required.] officers have exercised their 10 ❑Electrical repairs or additions 3. ( I am a homeowner doing all work right of„ myself exemption Per MGL 11.❑Plumbing repairs or motions Y [No workers'comp. c. 152,§I(q)�and we have no insurance required.] t employees. [No workers' 12.❑Roof repairs comp.insurance required.] I3.❑ O� .A a�' a?ic�a±tit box 1 M.,;s,also uu cec%e sec s_ce _ Homeowners who s �'2nov comp---an ubmit fists affidavit indi sting the•,z�doing " ori;and hm werkas' 'Contractors that check this box must a ached air adaitioaai sheet showing inea hireoutride eoatracto s ::«. wine the lame of the sub Mbmit a new amdavit indicating such. contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance or Information. f my employees. Below is the policy and,job site Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Sob Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration P c3 .page(showing the policy number-and expiration date). Failure to secure coverage as required unclor Section 25A ofMGL c. 152 can lead to the imposition of fine up to$1,500.00 and/or one-year imprisonment,as well as civil �P criminal Penalties of a Of up to $250.00 a day against the violator. Be advised that a co penalties m the form of a STOP WOE O��and a one Investigations of the DIA for insurance coverage verification. PY of this statement may be forwarded to the Office of I do hereby certify er the pains penalties o cr' th .fP !�J' at the information provided above is a and correct Sismature: Phone#: t/r rQ -7)-7 Official use only. Do not write in this area, to be completed bJ'ctij,or town official City or Town: PermitUcense# Issuing Authority(circle one): --------------- L Board of Healtb 2.Building Department 3. City/Town p 6. Other Clerk 4.Electrical Inspector 5.Plumuine Inspector Contact Person: Phone N: ORTH ® of _� OAndover 0 No. - 70 CAKE O over, Mass., Z . COCMICKE WICK 7q ADRATED `S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT......... ... . ... _ Foundation has permission to erect.................................... .. buildings on .... ....... ...... . A .�.W.r. ........ �.�...,. Rough 49 Ch' e to be occupied as.......M..#L.......8 � .. ... .�. .... ...... ................................................................. imn y 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 6gMOTHUNLESS CONSTR CTIR S ELECTRICAL INSPECTOR 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.