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Miscellaneous - 106 WAVERLY ROAD 4/30/2018
I "t Location lzd No. 2 Date &O*Th TOWN OF NORTH ANDOVER 0 Certificate of Occupancy $ Building/Frame Permit Fee 3c) ,4 $ CH Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # C"2 el,.) - 17021 'A A Building Inspector • TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING P' 0.0 BUILDING PERMIT NUMBER: C� n, DATE ISSUED: c' ,_c�2 0 Q SIGNATURE: /V lit rax4;lu Building Commissioner/I for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: Historic District: Yes No 1.2 Assessors Map and Parcel I °I Map Number Number: L 6 Parcel Number r Avg 2.2 Owner of Record: Name Print Address for Service: 4 1.3 Zoning Information: Zoning Dis4rid Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Not Applicable ❑ Front Yard Side Yard 3.2 Registered Home Improvement Contractor Rear Yard R red Provide Required Provided R red Provided Address Expiration Date Signature Telephone 1.7 Water Supply M.G.L.C.40. 54) Public ❑ Private ❑ Zone 1.5. Flood Zone Information: Outside Flood Zone ❑ 1.8 Municipal Sewerage Disposal System: ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes No 2.1 Owner of Record Na&e (Print) Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: 4 Signature Tele hone ECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone nu M M z O M O O z M go M r z G) SECTION 4 - WORKERS COMPENSATION (XG.L C 152 § 2506) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑Addition ' ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: x (b std SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item 1. Building Estimated Cost (Dollar) to be Completed by pennit a licant ZOO CIAL" (a) Building Permit Fee Multiplier QjY 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) �.. 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I> as Owner/Authorized Agent of subject property Hereb au o t act on My al afters re to work authorized by building permit application - () Si ture of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TMIBERS I 2ND 3 RD SPAN DWENSIONS OF SILLS DHAENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHDANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM U - LOT RELEASE FORM 3 INSTRUCTIONS: This form is used to verify that all necessary approvals/permits frc)n Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION******'***************** APPLICANT KO V lc V l LOCATION: Assessor's Map Number SUBDIVISI PHONE I CQ�ST PARCEL LOT (S) �T. NUMBER.. lu *******y`OFFICIAL USE AGENTS: CONSERVATION ADMINI ATOR DATE APPROVED DATE REJECTED COMM 5 TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED 3UBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT IRE DEPARTMENT ECEIVED BY BUILDING INSPECTOR !wised 9197 jm TE j Q Q Q W CL za 2 A O w LO z ,ETT$ W t')O ?�.1,, W p 0 'tf+ CC, a Z O v m ��. (n Ir OD �- �- J oo r�i)M? O 40�� J �Z 2 II II No o � J �1 a oro N W p II O '�� 'V . a a o �;; o o m w D a > F- �"C14 F: U cr Q Q N Q w Q N d of O (n z af w II V) w p w Q Q� J O Z z p LL (n a LL Z O (n O � } a Q Wa w� z� LL' 4(n W W Q V Z Z Wo Z H p 0 1 v� Q 0 C� (0 Q CL 4 .. Q Z _ - �L Cl U m N O N N a o a � � � a - Q uj o o II Z o aN = o o 41 at �wU)aa 030 3< x CcQ o w°wa4ct w W� oN o� o o O ��_ x� W W W W O �Q d Q Q ¢ ¢ O Z N �c 0 o "! w a cv co o ! 102.89' M 17.7co' --7111 / 19'� Q 44.4 cfl W o w° °r° L'- W._..�� •sus. v CNt 17.9' N ~o d' 0 0 co rn N O N N a� � CL . L U) O 4-) CJ Oa :lot O ZQ O CL 179.22' uj W Q p _r- L O \ apo II Q UN ? J Q ��Q CEQ< N J 0_ Q WO O Z ck: O O U Q k1= O W � p J r- N N�l W + M � � II II N W J W 0) N LO O 00 ef' V t w � a w z 0 U W Z W CY ~ a 0 a� ch. 0 m otil z W W O c� u o w :: � chi 0a! U a � o w o a v :� U a w" v a o oG a w" a W o a :oJzma c u, a o pG c w W w�. 2 A ° cn �I CD O L O Z CD CL O y � C IO Om C yO 10 C _ M E CO m CD 0 CD = O� �3 O CD A\ CCa O �m oa CL CMQ ca O Cc� c Vca Z 0 CL C V CO) C c COD 0 U) U) Ir w w VJ CD ma :oJzma O y O O c3d : a C O O I:a Ol m a E c w z ® "w �va m c L dl y y R E IS -0. O m o ®: cm :coc `�: CA 0 m •� O m cc C d � cm C •C y O C 0 = ~ o C.:s N CA) W e0,, c0 = m '1 Z=t •tyA O C 0 �. •E F c3 � � •y Z O V ® p m _C V2 2 a W m � 0;6 .0`W•O O � g CL CD O L O Z CD CL O y � C IO Om C yO 10 C _ M E CO m CD 0 CD = O� �3 O CD A\ CCa O �m oa CL CMQ ca O Cc� c Vca Z 0 CL C V CO) C c COD 0 U) U) Ir w w VJ n �j N I 0 EZ z� U'N Q 0� fl� ,} z �z �> f z�� Q � 0 �z \Z Zl Q ;Ft F x OLU U N z� U'N Q Q N z fl� ,} z 0 �> o z�� Q � t_� V \ Lu Z Z � CV L95�O F OLU U �Z 00 Q N z w '- ,} I z� 0 o z�� Q � t_� V \ � CV � N N N n 9! f o� 'NIW V RL ILZ moa z w '- ,} I z� 0 o z�� QZ � n � N N N f o� 'NIW V RL ILZ w '- I z� 0 0 z�� n N N N Location ,2 No. Date /0- 8 -Ge - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ VO Check # /B a � 15927 Building Inspector J TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING w BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/InEKtor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 AssesW Map and Parcel Number: 0/5( /(5( oto1 s/_ � , A �/t A © I �[ NAM lgl� Map Number Parcel Number 1.3 Zon`/in`�f atiion: Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R 'redProvided Required Provided 1.7 Water Supply M.G.L.C.40. y54) 1.5. Flood Zone Information: Public 0 Private ❑ k Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record �fic�b�r�- Sk.�nner O(D M� ame (P ) Address for Service Sign re Telephone 2.2 Owner of Record: Ne) I i -t 6kAr)o ,- �sc re e P t Address for Service: �S�x.rY1 e. Si ature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ S-(P-oten ?t : CJoL,J) f� C� D�� 1 I Licensed Construction Supervisor: License Number 3? �! �,l a 1 � , � ��. „�� i ` A L_.O I�� Add es � ,Q" a I cq-,) o4 Expiration Date Signatur a ephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ C nu -)\P- Cex�s� A 6 e�n. Con -t, 1 b Company Name Registration Number �3 Ad ress qli- L453- �� Expiration D to Si nafur Te phone rn SECTION 4 - WORKERS COMPENSATION (NLG.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... 0 SECTION 5 Description of Proposed Work check applicable) New Construction ❑ Existing Building Repair(s) ❑ Alterations s) ❑ Addition Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify \ Brief Description of Proposed Work: ` SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OM 1AIL, .USE=ONLY . 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) .:� 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 { 000. OD Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name t. Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS I ST 211D of Y 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS D`NiENSIONS OF GIRDERS DIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY ]S BUILDING ON SOLID OR FILLED LAND 'T,6 IS BUILDING CONNECTED TO NATURAL GAS LINE II FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT )b�(,( I and d 1' I I1C %t)014 PHONEglr- &kj-1 q6F LOCATION: Assessor's Map Number Q// PARCEL b �o SUBDIVISION LOT (S) STREETAl I o I fln4 t6 l(t ST. NUMBER_ ************************************OFFICIAL USE ONLY*********************************** RECOMMENDATIONS OF TOWN AGENTS: 'ATION ADMIN COMMENTS COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS TOR DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CON DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INS Revised 9\97 im DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED TE This is to certify that twenty (20) days have elapsed from date of decision, filed Town Of Noith Anclover without filing of an appeal.✓c'' Date-Et�'7 /y/,�,' f .. ` ,Office Of the Zoning Board Of Appeals Joyca A. Bradshaw �`:y, TgWn 0i@f. Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 D. Robert Nicetta B01,ding C017ZMi,Ui011er e10 R T{i WrIP"N."74774 "NE lilikai— Telephone (978) 688-9541 Fax (978) 688-9542 r—, Any appeal shall be filed Notice of Decision =1CD �= within (20) days after the Year 2002 _ -- :z,-, co date of filing of this notice in the office of the Town Clerk. Property at: 106 Waverly Road NAME: Robert &.Nellie Skinner DATE:August 14, 205 ADDRESS:. 106 Waverly -Road PETITION: 2002-038 0 North Andover, MA 01845 HEARING: 8/13/02 -� The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday, August 13, 2002 at 7:30 PM upon the application of Robert & Nellie Skinner, 106 Waverley Road, North Andover requesting a dimensional Variance from Section 7, Paragraphs 7.2, 7.3, and Table 2, for relief of front and left side setbacks and for a Special Permit from Section 9, Paragraph 9.2 to allow for the extension of a proposed 2 storyrear addition of a family room, Ly, bedroom, and deck on'a pre-existing, non -conforming structure and pre-existing, non-conforining 4 lot with frontage on the East side of Waverley Road within the R4 zoning district. ; The following members were present: William J. Sullivan, Walter F. Soule, John M. Pallone, Ellen P. McIntyre, George M. Earley, and Joseph D. LaGrasse. Upon a _motion made by Walter F. Soule and 2nd by John M. Pallone, the Board voted to GRANT the dimensional Variance petition for relief of the left side setback of 10', per Variance Plot Plan for Proposed Addition 106 Waverly Road, Owners: Robert & Nellie Skinner, certified by Stephen P. Des Roche, Professional Land Surveyor, #27699, Neponset Valley Survey, 95 White Street, Quincy, Massachusetts 02169, dated 7/8/02 and Plans for Mike & Laurie -Ann Messina, 106 Waverly Road, North Andover, MA Date: 6/26/02; and relief from the required two parking spae6s.to one space. The requested front setback is not necessary per footnote 8 of Table 2. This setback is within the average of front setbacks of dwelling units within 250 feet on either side of this lot. Voting in favor: William J. Sullivan, Walter F. Soule, John M. Pallone, Ellen P. McIntyre, and George M. Earley. Upon a motion made by Walter F. Soule and 2°d by John M. Pall6ne, the Board voted to GRANT the Special Permit from Section 9, Paragraph 9.2 to extend a pre-existing, non -conforming structure on a pre-existing, non -conforming lot. The Board finds that the petitioner has satisfied the provisions of Section 10, paragraph 10.4 of the Zoning Bylaw and that the granting of these variances will not adversely affect the neighborhood or derogate from the intent and purpose of the Zoning Bylaw. Voting in favor: William J. Sullivan, Walter F. Soule, John M. Pallone, Ellen P. McIntyre, and George M. Earley. EESSEX NORTH REGISTRY OF DEEDS �"�`rTEST A Tree Cop:;' LfiI�dRENCE, MASS. _ _� v�--. /%�- y, A TRUE COPY: ATTEST: Page 1 of 2 T w.. C11 f,, Board oR$"9@wilding 688-9545 Conservation 608 J53o aL': 658-9540 Pla!uiing 638-9535 Town ®f North Andover ORT Office of the Zoning Board of Appeals io 6 Comity unity Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 D. Robert Nicetta Jelephori.e (978) 688-9541 BuildingC0771177issioner Fax (978) 68--8-9542 tom; r -- - FV i :7 C:3 > CD M > Uj co Furthermore, if the rights authorized by the Variance are not exercised within one (1) year of the date of the grant, it shall lapse, and may be re-established only after notice, and a new hearing. Furthermore, if a Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two (2) year Period from the date on which the Special Permit was granted unless substantial use or construction has commenced, it shall lapse and may be re-established only after notice, and a new hearing. Town of North Andover Board of AnneI. Decision2002-039 E ID =r cr 'Z' 0 yU kn Irt. Ln ID -5 L5 M '.0 M CL 1A William J. Sullivan, Chairman. rA CA rO �0 --q r— tn Ln U1 C+ FY comm ifl 4�- tn kA 0 Ln 2 cA X rA CA rO �0 --q BUILM,,G688-9545 CONSERVATIONI:689-9530 Iii '.ATH 6'.8-9540 PLAYIN'ING 688-9535 r— Ln U1 C+ FY comm 4�- tn kA 0 Ln ID cA X ct BUILM,,G688-9545 CONSERVATIONI:689-9530 Iii '.ATH 6'.8-9540 PLAYIN'ING 688-9535 ,r.. Town of North Andover U� ttORTy Office of the Zoning Board of Appeals °``"LE�'6 °�°°�, Community Development and Services Division 27 Charles reet c 4>" North Andover, Massachusetts 018453q s" H E `y S RCUS � D. Robert Nicetta Telephone (978) 688-9541 Building Commissioner Fax (978) 688-9542 Date: — i j-0 Dear: IC 0 �l V 1 0 yi d I P l 1 -Q- J 1, ✓l ✓I e r As you know, the Zoning Board of Appeals has granted a Variance and/or Special Permit or Finding for premises located at: W& �)qt/e 31 Your 20ay appeal period will have passed on the following date: - Once the appeal period has passed, please pick up your certified copy of the Zoning Board of Appeals decision, and your signed mylar (if a mylar was required) from the Town Clerk's office located at 120 Main Street, North Andover, MA 01845 (978-688-9501) Please bring the Town Clerk certified copy of the decision & the signed mylar to the North Essex Registry of Deeds, 381 Common Street, Lawrence, MA 01840 (978-683-2745), as the decision and.mylar must be filed at the Registry of Deeds as soon as possible. Once this is completed, please bring the copy of the certified decision & the Registry of Deeds receipt to the Building Department, which is located at 27 Charles Street, North Andover, MA 01845. Failure to file the decision and mylar with the Registry of Deeds will result in your inability to exercise your variance and/or special permit and your inability to obtain a building permit with the Building Department. Furthermore, if the rights authorized by the variance are not exercised within one (1) year of the date of the grant, they shall lapse, and may be re-established only after notice, and a new hearing. Furthermore, if a Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two (2) year period from the date on which the Special Permit was granted unless substantial use or construction has commenced, they shall lapse and may be re-established only after notice and a new hearing. If you have any questions, please feel free to call (978-688-9541) or fax (978-688- 9542), Monday through Thursday, 9:00 AM to 2:00 PM. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Lo „IciTs W 00 w m o a[ O d- ..O ~ Q V) ^ til OO s` x LLaLL: a N n (n (0 I W w W I = N a ?R v F- f- N W O 07. •�h ? m W W d' n fy > J e0 O Z li p w Z!i �O W (n ^4 J 00 w co invi 1 x[105 p(tE1� ., a -1 I' U O tY z Z I II o tiL-,.� S O w N= n II O W7'v� i r J Q d! n N � o 11 p o O tr DD W Q co �� �� Y }0a� �� N a j ~ rn o W O �o We U<F_}}� n =zz z a F- z ~' z CO Z '� N °� z CY Q Z �' j Q W O ai O z0 af ?_II LLwa Q LL is V) Z) a Z O U w ^� z 1\ Q Z -J {.� Q W a W z O 4 a ON a_ j F— U z J H Q Z� 1=z W O' 30H 0 N O �� fy Z W U O Mt- ? Q cc Ii T Z Q 1 O Q � W- Vj li Vj II Z S h vi O 4 ~ F-1 CL_F � M h W O W U O m O MN N aLL0 2 0 ri j O Op II z C 14 Q z� z P-- ap v1-i� p a0 m Q Woo `" a a W° '\ I— W I— Li c� ct N �Z _NQ O 0 0 0 4L k W W 4Qj 4Qj O It v w rt A"Q: fN z /W Q ' 102.89N O '17.7' - i to I 44.4' o % X Q ^c +w N W0 , U� a IL Sys , $ V) s8 �i 17.9' i N `t r,_w W O NO O 179.22' `\ \ 0 Z Q •\ \, \�� W Z p vi m �\'O()M ODYN U C7 Op.11 aUN Z Z mQ Ct C o Q � o�j Q:Q- w x� w p Q Q w o ti o w�vcr Q Q z Q. Q o 0) c) a Y 00 jto v Q- 0 � u N _ W o MAScheck COMPLAINCE RPORT Page 1 of 3 CITY: No. Andover STATE: Massachusetts CONST. TYPE: 2 -floor addition HVAC TYPE: Non -electric — Heat changed to 90% efficiency furnace when gas is installed into home DATE: 10101/02 COMPANY: Crowley Construction & General Contracting, Inc. 138 Virginia Avenue Lowell, MA 01852 COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculation submitted with the permit application. The proposed building has been designed to meet the requirements of the Mass. 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 780 CMR 1310 and J4.4 when new furnace is installed. Builder/Designer Date OZ Area or Insul Sheath Glazing/Door Perimeter R -Value R -Value U -Value FLOOR SPACE 16"oc 325 ft. 19.0 CEILING 16"oc 325 ft. 30.0 0.0 WALL SPACE 16"oc 380 ft. 19.0 0.0 GLAZING (windows/doors) 105 ft. 0.350 COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculation submitted with the permit application. The proposed building has been designed to meet the requirements of the Mass. 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 780 CMR 1310 and J4.4 when new furnace is installed. Builder/Designer Date OZ AScheck INSPECTION CHECKLIST assachusetts Energy Code AScheck Software Version 2.0 ew Home ,ATE: 3-2=2000 CEILINGS: 1. R-30 Comments/Location WALLS: 1. Wood Frame, 16" O.C., R-19 + R-2 Comments/Location WINDOWS AND GLASS DOORS: 1. U -value: 0.35 For 1,7171r3'7)R7S T,7ithnut l ��jcl c� [3-T��l �icc �cgrr ijjc f A3tiarcc # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: 1. U -value: 0.35 Comments/Location FLOORS: 1. Over Unconditioned Space, R-19 Comments/Location HVAC EQUIPMENT EFFICIENCY: 1. Furnace, 94.0 AFUE or higher Make and Model Number THERMOSTATS: Adjustable thermostats required for each HVAC system. AIR LEAKAGE: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside ar} appropriate air -tight assembly with a 0.5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: Required on the warm, -in -winter side of all non -vented framed ceilings, walle, and floors. MATERIALS IDENTIFICATION: Materials and equipment,..must be identified so that compliance can be determined. Manufactvrer manuals for all installed heating and cooling equipment 4u4.eervice wAter heating equipment must be provided. Insulaticpn R-valiAes, gjggtTj�j U -values, and heating equipment efficiency muga be clearly marked on the building plans or specifications. TTT/"IT TVTIITTT TTT/�1.T Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. DUCT CONSTRUCTION: All ducts must be sealed with mastic and fibrous backing tape. Pressure -sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: Rated output capacity of the heating/cooling system is not greater than 1250 of the design load as specified in sections 780CMR 1310 and J4.4. MISC REQUIREMENTS: Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. --NOTES TO FIELD (Building Department Use Only) ------------------------- r �lze �a�nnnrnuuettlUr. v���,�', ' I Baard of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 114187 Expiration: 08/11/2003 Type: DBA r CROWLEY CONSTRUCTION & G. STEPHEN CROWLEY 138 VIRGINIA AVE LOWELL, MA 01852 = Administrator � ��e �am�to�uvea�� o�.�%ra�ac%ridefts BOARD OF BUILDING REGULATIONS * License: CONSTRUCTION SUPERVISOR t Number: CS 058114 # Birthdate: 02/27/1961 Expires: 02/27/2004 Tr. no: 17815 j Restricted: 00 STEPHEN CROWLEY- 138 VIRGINIA AVE LOWELL, MA 01852 Ad " I ministrator Lq s o in m O Q � o -q /v n cl m m O Z T p _ ? 5 a Q) ` C N T3 -n Na (m (DC7 C 3'ft(a o c 4 S d y 0' m p O n M CA M �_ �m O D (A (D (JO N 5.0 m m n. a 3 `'b cLn C o. �► c n D < �. o0 p= c CL TO m77 � N Oaj G aja N �m .♦ D� °� O Sr ' M 1 ( { E c� c.N ' N o E= -r 70 s t CL N ob r^ (DA o 0 z (D O vV � nZ V N ,� z Q C/) m C m C/) 0 =r CD O d O to CD Ll -I d CD 0 r* CD CD a, y CD CA O O CD 0 CD � c?�� m S O -• ca cr N dO m CA C0 CLL CD n Z• � =-0 H CD ? CD nod = y CD O CD N p O CD CD A m _ = CD a O_ C7 � O C43.�► O C H• Cl) C rVl CD dc CD CD V C `m "N 1� s d d CS a� S.m f^0 N 6m a 2� m CD cD .0�.► N �* C) A `' f 0 CD CD �.�CA CD lu 1,0 ca : 4& 0 Cn 9 O Cn i Z M O z 71 O w �o O oGc a 'r1 w CW jJ O oGa "r1 ;z O p O w n x jJ O cmc ^r' rJ O : CL r Cn n ^ n y 'rl O O_ x o x * *T as t J g 0 C CD UV U4 c(1UC rhi uciGi rll 171111 VU10 =VCHIarltm 1Y0 r1liA !IV. r U1 Aco v. CERTIFICATE OF LIABILITY INSURANC�OWCol � Fav%oa%o' RRODuCBR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION is Provenohar Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE FrancInc. HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Agency, 4 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, 530 Rogers Street Lowell MA 01852 INSURERS AFFORDING COVERAGE Phone: 978-459-8681 Fax: 978-454-9343 INSURER A: INSURER B: Crowley �OnstruCtion GOABral INSURER C: tractxng Inc. Vir inza AVG. INSURER P: Lowell RA, 01852 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSL'GO TO THE INSURED NAMED AECVE FOR THE POLICY PERIOD INDICATI ANY R89UIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE M MAY PERTAIN, TH6INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN ISsUNECT TO ALL THG TFRMS, EXCLUSIONS AND I POuCIES, AGGREGATE LIMM?SHOWN MAY MAVE BEEN REDUCED BY PAID CLAIMS, LTR TYPEOFINSURANCE POUCYNUMBOR DA7 M1DDfYY PATE MMI GENERAL LIASIMTY COMMERCIAL GENE.& LIABILITY CLAIMS MADE F7 OCCUR GEN'L AGGREGATE UMITAPPLIES PER: 17-1 POLICY JEC07 LOC AUTOMOBILE LIABILITY j ANYAUTO I ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON•OWNEO AUTOS 109 LIABILITY ANY AUTO :88 WABIUTY OCCUR CI CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND A EMPLOYERS' LIANLITY I 61KUB837X2590402 02/02/021 02/02/03 ADDITIONAL INSURED, INSURER LETTER: _ G^r4L;LLL111 IVIN SAN ow I SHOULDANYOFTHGAFOVEI DATE THEREOF, THE ISSUING NOTICE TO TME c&RTIFICATE Town of North And0Ver Attn: Building Inspector 120 Main Street N. Andover MA 01845 25-S(7197) -1 O - q 5 -7035 ;D. NOTW'ITHSTANDINO aY BE ISSUED OR CONDITIONS OF SUCH LIMITS _ ' EACH OCCuARENC6 S FIRE DAMAGEme fire) $ MED E%F (Any one person) S PERSONAL &ACV INJURY $ M&RALAGGREGATE S PRODUCTS •COMPlOFAGG $ COMBINED SINGLE LIMIT $ (Es ec"enU BODILY INJURY $ (For penin) BODILY INJURY $ (Per Eaideml) PROPERTY DAMAGE £ (Per amiaent) AUTO ONLY • EA ACCIDENT S OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE S AGGREGATE S a X TORY L111175 ER E.L. EACH ACCIDENT 1100000 ,CEL.DISEASE - EA EMPLOY $ 100000 E.L. DIS2ASE-POLICY LIMIT $ 500000 POLICIES BE CANCELLED BEFORE THE EKPIRATIO ILL INDEAVORTO MAIL 10 DAYS WRITTEN .MEA TO THE LEFT, BUT FAILURE TO DO SO SHALL. A'R"UD UPON THE INSURER, ITS AGENTS OR t\ FLM15 FR MIKF & TAUPE -ANN MF55INA 106 WAMLY WAP NOPTH ANPOM , MA, 5C&L J/4'' - I'-011 f7AS: 6 / 26 / 02 -00 I I f?AII,ING A5 p�QUIP2 p I I I I =It==-=_-_______- WEATH�f? rF-515rANr 12-2X8 .II II II I— TI?�ATF-P2X8— 3-2X8 — � AMMV707 - 1- Il--=====--=f3AM IT PACK II II- i�====-��,�#�-I-��===-moi_ 6SLIPING Poor FII?5f FLOOp PLAN CPRGi'OS�n) 18' -6' 4- / - C VIF) 0 N FAMILY BOOM o NEW N15H G;ZAPF� - Aj NrW W/N-L5 SHOWN 5HAP;P (1-YVICAL) F-XI5rIN6 NF -W Poor WINPOW'� 4 X 4 WOOF F05 -r. I'I?OVIPE: NFW 3 1/ 2'' PIA. LALLY COL' N, & CONCpr-T: FoomG513F-LOW pqr- I2rMOVE rXI511NG WALL. I'1?OVIPE� NFW 7' C.O. NSW 13E�AM A30VY: 2 -1 3/4" X71/2'' MICkOLAM LVL CL, /`j n t �12r-MOvr- WIND W. f'ArCH WALL -r(:) �L�C/ MACH CHASE MATCH F-XI511N ----NEW FI2CNCH POOPS x LIVING t?OOM [ j L- — � — - SINK 5rovr- `-CAPINI;r5 ABOVE r ANT12YJ CA3. KlfCNFN �XI511NG a WA511;/ VF -Nr FF -7 CL, /`j n t �12r-MOvr- WIND W. f'ArCH WALL -r(:) �L�C/ MACH CHASE MATCH F-XI511N ----NEW FI2CNCH POOPS x LIVING t?OOM PLAN5 FDP MIKE & APE -ANN ME551NA 106 WAMlY POAP NOP IIA ANnOVr-1? A n n 5CA&E;I/ 4" - I'-0 2A5FMFNf PLAN 6 I I I I I I I I I I I i our�iN� o� I PF -CK ABOVE I I I i r, c z-77 oo� o >>�� _ �� Boz 73 o z r, C1 Q 4 /7 ` O < Boz - 77 o � C1 Q 4 a N O 0 ►. O Qo Xs QN o yy�� OC��o BQN oz QN ; - \7 QN 11-1 C) z O 0 ►. 75 Boz N � N � 77 Z "Z = J 9 ,— -- — I I I i I I I M I m qtS n 77 \ O O Qo c� Q L � RC NO Location 1,06 M� &Z 12 /Y /V No. Date 17-6�,-00 / P v ((ell - 142 11 Building Inspector TOWN OF NORTH ANDOVER 0 Certificate of Occupancy $ 4F CHU Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# / P v ((ell - 142 11 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING �t BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: - Building CommissioneEinspector of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: .L Map Number Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide ReqWrcd Provided Re red Provided 1.7 Water Supp M.G.L.C.40. 54) 1.5. Flood Zone Information: Public Private ❑ Zone Outside Flood Zone 1.8 Sew t System: Municipal n er O's"osa On Site Disposal System ❑ !/ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2 O er oflecord r(t,- ' e—.� ECI 5VCSUNetf j WVocib'� cg - Name (Print) Address for Service: Signature Telephone b 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: t Licensed Construction Supervisor: ` Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone z SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 & 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work(check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: �� v 1c7i 1 ��'Cd— z rpss 2 � �,1 ae�, C"-�+ SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to bei}F'1 Completed by permit applicant CIALUSE ONLY 1. Building(a) / —`� j (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TEMBERS 1 ST 2 ND 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ' t NORTH{ Town of North Andover ��:�'�`•' z"a .a Building Department 27 Charles Street ;Y North Andover, MA. 01.845 •,TM�.:'�g S.Se D. Robert Nicetta `, Building Commissioner (978) 688-9545 .,978) 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print DATE JOB LOCATION Number Street Address Map / lot "HOMEOWNER P `e " I t, Name Home Phone TZk Ohone PRESENT MAILING ADDRESS C7 1de City Town State Zip Code The current exemption for "homeowners" was extended to include owner -occupied dwellings of 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 HOMEWOWNER: 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 dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned "homeowner" certifies that he/she understands the Town of No. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNA APPROVAL OF BUILDING SEPETMBER 28,2000 TO WHOM IT MAY CONCERN: a- AS OWNER OF THE PROPERTY AT'I06 WAVERLY ROAD , NORTH ANDOVER, MASS _ I HEREBY REQUEST FOR A PERMIT TO REPAIR AN EXISTING FRONT PORCH AT ABOVE ADRESS. SEE ATTACHED FOR DIMENSIONS. TH YOU ROBERT E SKIN CD m C C/) 0 m CO) az CD O d �I Ad Y 'O .o O C2 CD CL Q CD O CA CD 0 LwJ CA d O CA O CA l' CD O rf CD CD CA 0 0 CD 0 c CD I O C00cr H = m 0 m Cl QO T Z H =10 CA � = .0-• CD N -n �a0-0n 0 CD� =r 0 0 CO) O .-► 0 :E Erglm S O O O 4w CD A m O O Z�•C09:4 Cc Ear C= C O V_J•-COO Oft :e a O IC O .-► O m O H C O O d ISM p 0 y : H d d :cr CL CA �1 CCD y 1 y CA C ;� m O H Om 00 CS Nlot: 0 CA CD :t R � _ 0m Z '4 yCD c dd =a_ n-� 0 �O •CD ro C/ z M 171 71 °� ox o�c ] ';r7 °�'� (n 'JU �' Crl C" M ►r7 w ",Cf "ti r 71 w (� 7d ]- "r1 C/A Cn Ill 0 CL CL t7l zGo n Z z Z d M W R� d d 0 c nn f � _° "° Zoning Bylaw Denial L Y 4Town Of North Andover Building Department -� s,�' " 27 Charles St. North Andover, MA. 01845 N�SE „S Mno r.�'tt9 Phone. 978-688-9545 Fax 978-688-9542 Street: Ma /Lot: / Applicant: 1110111C.111E v/0e/%t 5 5.k,titi{ r, �i' rkp v.ZAOil/ Y /1.vNe Ines ,tib Request: Date: / �' xd D' ear. a� f�o� /�� /_.� Rah n� ��a�i ��✓ Please be advised that after review of your Application and Plans that your Application is DENIED for the following; Zoning Bylaw. reasons: Zoning /2 - Item Notes Item Notes A Lot Area F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexisting S 2 Frontage Complies 3 Lot Area Complies 3 Preexisting frontage 5 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed e S G Contiguous Building Area N q 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required e 5 3 Preexisting CBA 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 4 `1 S 2 Complies 3. Left Side Insufficient 4 S 3 Preexisting Height 4 Right Side Insufficient 4 Insufficient Information e S 5 Rear Insufficient I Building Coverage A 6 Preexisting setback(s) e 5 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies D Watershed 3 Coverage Preexisting 1 Not in Watershed 4 Insufficient Information 2 In Watershed Sign 3 Lot prior to 10/24/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District K Parking 1 In District review required 1 More Parking Required 2 Not in district K �-5 2 Parking Complies 3 Insufficient Information 3 Insufficient Information 4 Pre= ,xisting Parking eS Remedy for the above is checked below. Item # Special Permits Plannin Board Item # Variance Site Plan Review Special Permit G -;1-a Setback Variance Access other than Frontage Special Permit Parking Variance Fronta a Exception Lot Special Permit Lot Area Variance Common Driveway Special Permit -------- H e i g ht Variance Congregate Housing Special Permit Variance for Si -n Continuing Care Retirement Special Permit special Permits Zoning Board independent Elderly Housing Special Permit Lar e Estate Condo Special Permit S ecial Permit Non-Conformin Use ZBA Planned Development District S ecial Permit Earth Removal Special Permit ZBA S ecial Permit Use not Listed but Similar Planned Residential Special Permit S ecial Permit for Sign R-6 Density Special Permit Watershed Special Permit - S ecial Permit preexisting nonconformin The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. Any inaccuracies, misleading information, or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided. at the discretion pf the Building Department. The attached document titled "Plan Review Narrative" shall be attached herieto and incorporated herein by reference. The building -department will retain all plans and documentation for the above file. You must file a new building permit application /form and begin the permitting process. Building Department Official Si nature 9 Application Received Application Denied Denial Sent : If Faxed Phone Number/Date: Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the application/ permit for the property indicated on the reverse side: Referred To: Fire Police Conservation Planning Other Health Zoning Board Department of Public Works Historical Commission BUILDING DEPT co 0 0 LL, . Q W CL s a Q 2 O LL � �o om W Z Q ZLO r Q N w W I J 00 J O W Z Z ^ Q 00 3� F 00 m O Z 0 Z W Z Z _O (n 0 ~ w a- < W OJ O H CN cS N 17.7' 17.9' N N I M 0 d' N Q L� W 4: Vi LL N � 11 W Q to LO CL zO O 00 O Lo C\j to Q N k W n N N a- � = C9 V.- + Q , LOO a W O 2 o a Q w co o u o O m N U) U I co °atv� Ir �Ljj N I M d' co Q L� W 4: Vi LL N � 11 W Vj to LO (n zO O 00 O Lo C\j 1= O Q N k W n N N a- � = C9 V.- + Q , a W O 2 o Q ° 11 Z Q o o OEs 0 o o T) �t MLO to x vi p (_n CN O a O � no 1'1 11 J O o O it U W p V) Y Q QmLQ a j L, Q N W Q } Of Q (V C o N F- ZQ II-' Z O } H V) W 0p`tQ a2 j p lei En W cn n 0 a L;jJ w Z ,�L Q U 0 ? WO D V) N U _O w co o u o O m N U) U I co °atv� Ir �Ljj /i,: ui Li LO O ►- ►U) Cr Q aQ� Q Q rV) 04 aYN CrraQ Q- Q O Z N I M d' co Q L� L 4: Vi LL N /i,: ui Li LO O ►- ►U) Cr Q aQ� Q Q rV) 04 aYN CrraQ Q- Q O Z co Q L� L 4: Vi LL N � 11 W Vj Vj LO (n LtN(0 O 00 O Lo C\j 1= O Q N k W n N N a- � + V.- + a 0 o Q ° 11 Z Q o _u aN Cl o x �W m (_n O o O a O � no X W� k W a Q (Y a W p O O p a j Q W W Q O U J N Ki 44.4' +o to (n Q S,s4P O rn J to Q 179.22' .O C N O O co d- I af ui (n a to w Q Z 0 LO m O U W Z J C'! ~ L o (�� o Q Z O 1= O Q k W QN Il I JIN^� L + V.- + .O C N O O co d- I af ui (n a to w Q Z 0 LO m O U W Z J C'! ~ • ' TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Co ssioner/Inspector of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number / V 0 (1 I /1 ®n ( J 1.3 Zoning Information: ZoningDislrid Proposed Use t s: � > l i Frontage ft 4A, 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard ReqWred Provide Required Provided Reclaired Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public ❑ Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name (Print) Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone, SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone 00 M Z O O Z M 90 O Mn a_ r v M r r Z 0 A. SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 & 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. -Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Workcheck all a ficable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition ❑ Accessory Bldg. 0 Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: Lo r, w� ® FQ �� m� a tiok . __t . J t SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item '; Estimated Cost (Dollar) to be Completed by permit applicant tiFFCIAL gE O,y I. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 PlumbinE Building Permit fee (a) X (b) 4 Mechanical (HVAC) 5 Fire Protection 6 Total (1+2+3+4+52 LCheck Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Si ature of Owner/A ent Date NO. OF STORIES SIZE BASEWNT OR SLAB SIZE OF FLOOR TMERS 1 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUR i)ING CONNECTED TO NATURAL GAS LINE It w Z 0 ��SRtIS 210,1' W v d US aol P4 U Waw N v1 O00 o 7- 6 cn 4) Z Vit I 44 oII � Li rmp 0 Z III o o o =o O Nwzow WZ vLO cr z LL _ U w _Z _I Q J z * LL 2 O Of O Q U p Z W o - Q4 00 N w w p. U- O Q Q 6 li CL OV) 0o co � d II II n N04 0) W w LO ir 0 Oe O p II D OLO ir w w O m 4tzry � Ir Or `t w L W z ~ Z a wvi Z w X' ir X Q w V. w 2 Lfi A o 102.8:9' M w Ac) Li j LLC 00, L2 LL to 0 v-�1171 � 44�1, F .. opo 179.22' 0 0 a m5ojobd VI151Xa iLl r 0�p� flNZ� O�Ou� v x2-.,0 �m0IL 0� z o zo 11 Oz r 0�p� flNZ� O�Ou� v x2-.,0 �m0IL 0� .� 11zV I I �s1:�12Ji1 I�IIIII11111�1�1111 1111111111�1�111111 i z 0 �� z000 N��IIe �2-S 0 � � i z 0 7 Oz Date. /p2 2 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that -J. P .............. has permission to perform A7.k., P.-� .......................... plumbing in the buildings of !�.P. ................... at. . .................. North Andover, Mass. Fee. 7. Lic. No../6-.. . ...... .......... /PLUMBING INSP'ECTOR Check# 5471 MASSACHUSETTS UNIFORM APPLICATIO F N OR PERMIT TO DO PLUMBING (Type or print) ) NORTH ANDOVER, MASSACHUSETTS 6 Date i2'11 -OL Building Location \0 W e e -y -,,r Owners Name Permit '#S- Amount TypeofOccupancy New Renovation Replacement Plans Submitted Yes No ❑ FIXTURES (Print or type) Installing Company Name Address 'V•6. 0 g Y,- I -43 viA A a it 3 Check one: Certificate 13 -Corp. / rlPartner. E]Firm/Co. Name of Licensed Plumber: 94"i. S (f Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy�_ Other type of indemnity El ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above threeinsurance Signature Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installation perfo ed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachuse t tubing Code Chapter 142 of the General Laws. - BY: SignaLUM2717censeau er Type of Plumbin License Title V .�,/ City/Town License um t�j er Master I Journeyman ❑ APPROVED (OFFICE USE ONLY 4273 *40 Date.... TOWN OF NORTH ANDOVER PERMIT FOR WIRING .0 1 1:-7 .-5w " // le-,� - This certifies that ... ......................... ............ . . 7 ............................ has permission to perform ....... .......... wiring in the building of ...... hl 4 ... C 'h at .... .............................................. / ..................... rthtmdover, MXS. 12d '() Lic. No,.4'?I..�U ........ Z ............ Fee., ... ;� ............... ....... / I Check #-7-7jal—C) 5 4crRICAL IiNSPECrOK COr�LA30RfYQG L1R OfQ,:IGGJLiL�QL�7 . I For Office Use Only c� cc77 (Rev. Num J 1JsPmfmsrr� 01 in Siwica� I Pernik Number.- / _ V—VBOARD OF FIRE PREVENTION REGULATIONS oeeupaneyBFee . i APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK (ALL WORK TO BE PERFORMED WrrH THE MASSACHUSETTS ELSC nucAL CODE 521 CMR 12:00) Date: f City or Town of:_ To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location: (Street & Number) v r Owner or Tenpnt:�� Owner's Address: Is this permit in conjunction with a Building Permit? Yes (Check Appropriate Box) Purpose of Building: �y c ;,: — µ ,//.� tility Authorization #:/ZG - d � v •� Existing Service: LAmps / Volts Overhead ❑ Underground.0 # of Meters / New Service: G� Amps �'' I z `�G Volts Overhead Underground. # of Meters:_ .dumber of Feeders and Ampacity: Location and Nature of Proposed Electrical Work: r >_Amell X g ' - No. of Recessed Fixtures 6 No. of Cell: Susp. (Paddle) Fans No. of Transformers Total KVA No. Of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool: Above ground ❑ In Ground ❑ # of Emergency Lighting Battery Units No. of Receptacle Outlets 2 / No. of OP Burners Fire Alarms # of Zones # of Detection 8 Initiating Devices # of Sounding Devices: # of Self Contained Detection/Sounding Devices Local a Municioal Connection a Other 0 No. of Switches iv No. of Gas Bursters No. of Ranges No. of Air Conditioners TOTAL TONS: No. of Waste Disposals Heat Pump Totals: Number: TONS: . KW: Security Systems: No. of Devices or Equivalent .... . No. of Dishwashers Space !Area Heating: KW Data Wiring, No. of Devices or Equivalent No. of Dryers ... Heating Appliances KW Telecommunications Wiring: No of Devices or Equivalent: No. of Water Heaters KW No. of Signs: # of Ballasts: OTHER; L# of Hydro Massage Tubs No. of Motors Total HP INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including 'completed operation' coverage or Its substantial equivalent ��a undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE l4� IBOND OTHER O Please specify: Estimated Value of Electrical Work (When required by municipal policy) Work to Start:—,/ R — G T G t Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties of perjury, that the Information on this application is true and complete. Finn Name: Licensee: LIC. LIC. #�y s.p4dmber line) Bus. e� i��_7 — SOS/ Alt. Tel. # OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below. I hereby waive this requirement. I am the (check one) Owner ❑ OR Agent ❑ Signature of Owner/Agent: Telephone # PFAMTT 1'FF• t /'J�� ��