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Home My WebLink AboutMiscellaneous - 107 GRAY STREET 4/30/2018 107 GRAY STREET 210/107.D-0026-0000.0 r i I 1 IIY i i Date... . � .. .�...G... . MORTM pf 1,,1. , ,4, 0TOWN TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION �9SSACNUSEt This certifies that . . . .-� `. . . . . . has permission for gas installation� �� . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . at . .` . . . . . . . . . . . . . . . . . . . . . ., North Andover, Mass. Fee . .. . . . Lic. No... .. . . . . ! . . . . . . . . . . . ~GASINSPECTOR Check# 7) 04 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING •.., �{G (Print or Type) X` ,�Otit'� , Mass. Date f t 20 Permit# Building Location 107T C :E ) 5fy2- Owner's Name ! �' Telephone 62 q 13 � 3 flea Type of Occupancy New Renovation Replacement El Plans Submitted: Yes No[:] N d CO d C O i U m 0 Ca m y ate+ R d i� 0 O C R1 d C O Q. d (� d d = d -W ` O � d C cc W M �� = d d1 N O C O ' d w d W 2 O = li M a 0 3 U g d d a. H O SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name EnergyUSA Propane, Inc. Check one: Certificate Address 100 Myles Standish Blvd., Suite 101 X❑ Corporation 132 C Taunton,MA 02780 Partnership Business Telephone (800)822-1300 X8055 Mike Smith Cell(508)922-7891 Firm/Co. Nance of Licensed Plumber or Gasfitter William Kent Corson(800)822-1300 X8051 Cell (508) 294-6660 INSURANCE COVERAGE: EnergyUSA Propane, Inc. has a current liability insurance policy or its substantial equivalent,which meets the requirements of MGL Ch.142. Yes D No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy X❑ Other type of indemnity F1 Bond F1 OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Owner Agent Signature of Owner or Owners 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 installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Code and Chapter 142 of the General Laws. Type of License: By F-1 Plumber Title X❑Gasfitter Signature of Licensed Plumber or Gasfitter City/Town X❑Master APPROVED(OFFICE USE ONLY) Journeyman License Number 3707 V , BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING NAME & TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED ° DATE 20 ` ' GAS INSPECTOR ,AoRTil TOWN OF NORTH ANDOVER 0 4L PERMIT FOR WIRING ACHUS This certifies that .. I.......................................................................................... � has permission to perform......1� -, , ..........I...................................................... wiringin the building of................................................ .................................... at ...... . ........ .................. ........................ .North Andover,Mass. Fee.�.....�<............. Lic.No.-.....I....... ................................ ................................ ELECTRICAL INSPECTOR Check # 5L, 3 THE COMMONREALTHOFMA.S'SACHUSETI S Office Use only. DEPARTARMOFPURUCS4FL-H 00,3 Permit No. BOARD OFFMPREVEMONRF,GUL4TIONS527CMR12.W Occupancy&Fees Checked a 'APPLICATTONFOR PERMIT TO PERFORMELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical rk describebelow. Location(Street&Number) 10 fZA Owner or Tenant C 4A-1Z,LE'5 4 PV--T- Owner's QrOwner's AddressLc�=� 5� Is this permit in conjunction with a building permit: Yes® No (Check Appropriate Box) Purpose of Building N� 1-�puS� Utility Authorization No. Existing Service Amps I /Z Volts Overhead © Underground No.of Meters New Service Amps Volts Overhead ED Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Elect661 Work kxt,,�j t-IDVS�' No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Ab ve Below Generators KVA round ground No.of Receptacle Outlets �—// No.of Oil Burners No.of Emergency Lighting Battery Units � ZSCo No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons 8 No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal � Other Connections No.of Water Heaters ' KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER• irrstMr=Goverage,i'tusuanttotnetegititar tsofNiassadnlsetisCi�crailaws Iba eaambntLialnliry>iuira=Pbhgindudingcompl&l ' Covefagecritswbstan lequivalfft YES NO Ibave validpmofofsanr,tDdrOf5ice YES � IfyouhaNedrdodYES,p}�ekxicemd gWofmNaageby d�ethe ddngbox INSURANCE BOND DIRER ftawSpecafy) EViratimDale EAur*dValueofElec"Wolk$ WO&to,%-d 12-2 0- >-5 Ie Rough Final Sighed under`&Ptlallies of peijtuy. FIRMNAME licuiseNo. Iiwms -DA a i,.- ( L. C�e.k4 N Sigtt w IiMWNo I 9 5-G 2--..50 0-1 BtasUMTU NO. Aridm 11 �Jar0e.r �-� ��Jd5-oM� dl ? (4i AIL Tel No. ��t1 X113. 31(.3 O)VNER'SINSURANCEWAIVER;Iamawatethatthelice mdoesnothavethemstnanoeoDveageoritswbstatinialegLuvalentasrequiredbyMa%ad seltsCoalIaws and thatmysignatureonthispeai tapplicationwaivesthisregttim-ott (Please c eck one) Owner ® Agent n Telephone No. PERMIT FEE s signature of Owner or Agent i li MASSACHUSETTS UNIFORM APPLICATI N FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date Building Location Owners Name \rOvv permit# O Amount Type of Occupancy �� \, New Renovation Replacement E Plans Submitted Yes No ❑ FIXTURES ' z Q z � a o z w w x z zCr U 3 aCr Ste» BASITY r f M FU)CR m acm 3 M HAOCR 4M» 5M FUM Date "'V:-d y -k one: Certificate f ,AOR701 Corp. ?�,.� •,°;.'�oo� TOWN OF NORTH ANDOVER o PERMIT FOR PLUMBING j Partner. •�,, - + Firm/Co. SS US // s / 1F• ,,This certifies that . . • ?4 .,� . . .y. � . . . . . . . . . . . . . . . . W Bond Chas permission to perform .�.:� . . . ...�. . . . . . . . . . . . . . . . . . . . . . . -plumbing in the buildings of .0. . . . 1--. ! . . . . . . . . . . . . . . . . ition does not have any one of the above at . . !fl'. . . . . .. . . . . . . . . . . . . . ., North Andover, Mass. A ❑ i J y Fee. : . . . . . . .Lic. No�'1 !��O . . . . . .,.,.G . . . .4 . —PtUM�1Q SPECTOR application are true and accurate to the Check # IlYel Issued for this application will be in .pter 142 of the General Laws. 5880 r ( nyi i uwn- License ivumner iviaster Journeyman APPROVED(OFFICE USE ONLY LY.1 Location 100 Co RA � s No. 61r Date 16 _6- U3 TOWN OF NORTH ANDOVER Certificate of Occupancy $ sACMUSEt� Building/Frame Permit Fee $ R Foundation Permit Fee $ Other Permit Fee $ TOTAL $ a o Check # ' � 677 ` Building Inspector Location �9 ISP j No. Date 9 , 7 -03 NORTh TOWN OF NORTH ANDOVER i I, : . Certificate of Occupancy $ s�cMusEt� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ r- TOTAL $ 5 S Check # J Building Inspector _ f TOWN OF NORTH ANDOVER j BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING J BUII,DING PERMIT NUMBER: /� DATE ISSUED: 3 X J SIGNATURE: G 6?�� Building Commissioner for of Buildings Date Z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: O Map Number Parcel Number 1.3 Zoning 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 Reqwred Provided Required Pro ided 1.7 Water S fy M.G.L.C.4o! 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal S tem: Public Private 0 Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System 1� J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record Ow NamePnnt � ) Address for Service: VIc � it Si na g Telephone 2.2 Owner of Record: ` Name Print Address for Service: O Z Si natwe Tele hone rn SECT ON 3-CONSTRUCTION SERVICES90 3.1 Licebsed Construction Supervisor: Not Applicable ❑ License Construction Superyisor: C o�sZ9 O License Number Address ��— n � �p qq— wo Expiration Date Signa Telephone r 3.2 Registered Home Improvement Contractor Not Applicable Company Name Registration Number rn r Address r Expiration Date z^ Signature Telephone V a ,1 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 Descri tion of Proposed Work check au applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition Plff Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant I. Building (a) Building Permit Fee i4W •� Multiplier 2 Electrical (b) Estimated Total Cost of f ,2 j a S 600 �O Construction d% 3 Plumbing erotJ.do Building Permit fee(a)X (b) 4 Mechanical(HVAC) O.#---P 5 Fire Protection 6 Total 1+2+3+4+5 • ./ Check Number SECTION 7a OWNER AUTHORfZ—ATIOIq 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 t, 1, as Owner/Authorized Agent of subject d 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/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS iST2ND 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CFMVWEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE As( Ad ef t c too r, ,. FORM U - LOT RELEASE FORM L 3 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 S IAMA-- PHONEJ"- 5"- 9T01 LOCATION: Assessor's Map Number (c) I PARCEL C�? w SUBDIVISIONLOT(S) STREET_0TqzA ST. NUMBER i(n ************************************OFFICIAL USE ONLY RECO MENDATIONS OF TOWN AGENTS: CONSERVATION ADMINIS BATOR DATE APPROVED DATE REJECTED COMMENTS W a+A eJG" fo the r c W 41 +a�% w� eV;de.+,+ bw{ hot, hydric sv�Is, .An P.c, ,&re. WorK 1Me TOWN PLANNE DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED — ` � DATE REJECTED _ SEPTIC INSPECT-OR-H-EALTH DATE APPROVED / DATE REJECTED COMMENTS New L2,03�fyc�() .� . Me JS atg,� a pp(aV,,1 SQ +�sts G'r7 i it 41,63 PUBLIC WORKS-SEWERANATER CONNECTIONS �/ o✓r' 3-�� DRIVEWA P RMIT FIRE DEPARTMENT �- RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm V GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVERBUELDING DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary information as requested below. Permit Applicant Propertyaddr s Map/Parc/l Applicant's Phone Number Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the Growth Management Bylaw.I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the building permit.Further I understand that my interpretation of the exemption status is subject to review by the Building Department and is only officially accepted when the building permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot,in the building_ permit application and associated attachments,complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement,restoration or reconstruction of a dwelling in existence as of a effective date ofthis bylaw,provided that no additional residential unit is created. The lot(s)was/were created prior to May 6, 1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and or moderate income families or individuals,where all of the conditions of 8.7.6 are met and or represents dwelling units for senior residents,where occupancy of the units is restricted to senior citizens through a properly executed and recorded deed restriction running with the land.For purposes of this section"senior"shall mean persons over the age of 55. This application is part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density(buildable lots)below the density permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least tan buildable saes and permanently designated as open space or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism approved by the planning board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 and shall receive a onetime exemption from the Planned Growth Rate and Development Scheduling provisions for thepurpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for a building permit(all other permits from all other boards and commissions have been received and the project is in compliance with those permits),and the Development Schedule does not accommodate issuing a building permit in that year.One building permit will be issued per year per Development until such time as the development schedule accommodates issuing building permits.Applicant must submit an approved FORM U with this EXEMPTION. PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS. BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE. FURTHER I UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE CHECKING OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY,WHETHER DONE TO MY KNOWLEDGE OR NOT IS GROUNDS FOR REFUSAL BY THE BUILDING DEPARTMENT TO ISSUE A BUILDING PERMIT. 3- I , -0 � APPLIC TURE DATE THIS FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION - ��te 'U�ar�r�+ea�u�eaur� a�✓v��ivae�4 BOARD SUPERVISOF BUILDING OR S License. CONSTRUCTION Number: CS 065298 Birthdate 01/1,411966 Tr.no: 14431 Expires: 01114!2004 Restricted': 00 CHARLES T HART.,—� 107 GRAY ST N ANDOVER, MA 01845 Administrator i North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM i In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c I11, S 150 A.. The debris will be disposed of in: J cJ"1'�'1v1.�" Mf ol... (Locatioacility) Signature of Permit Applicant 3 •� •ate Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through.the Office of the Building Inspector ector I 'I i c k Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheckSoflware Version 3.5 Release lb Data filename:Untitled.rck CITY:North Andover STATE:Massachusetts HDD:6322 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE:Other(Non-Electric Resistance) DATE:03/17/03 DATE OF PLANS:3-10-03 PROJECT INFORMATION: 107 Gray St. COMPANY INFORMATION: Capital Construction Corp. 107 Gray St. N.Andover MA 01845 COMPLIANCE:iPasses Maximum UA=5285 Your Home UA=3184 39.8%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 1330 30.0 0.0 47 Ceiling 2:Cathedral Ceiling(no attic) 867 30.0 0.0 29 Wall 1:Wood Frame, 16"o.c. 42644 19.0 0.0 2492 Window 1:Wood Frame:Double Pane with Low-E 1055 0.460 485 Window 2:Other 36 0.510 18 Door 1: Solid 20 0.500 10 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 2193 19.0 0.0 103 Boiler 1:Other(Except Gas-Fired Steam),80 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in RES checkVersion 3.5 Release lb (formerly MECchecl and to comply with the mandatory requirements listed in the RES checkInspection Checklist. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/DesignerQ f jam_ Date 3' •O 3 `REScheck Inspection Checklist p Massachusetts Energy Code REScheckSoftware Version 3.5 Release lb DATE: 03/17/03 Bldg. Dept. Use Ceilings: [ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: [ ] I 2. Ceiling 2:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] I 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Windows: [ ] I 1. Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.460 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] I 2. Window 2:Other,U-factor:0.510 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: i Doors: [ ] ( 1. Door 1: Solid,U-factor:0.500 Comments: Floors: [ ] I 1. Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: I I Heating and Cooling Equipment: [ ] I 1. Boiler 1:Other(Except Gas-Fired Steam),80 AFUE or higher Make and Model Number Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. 1 Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfin(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.571bs/ft2 pressure difference and shall be labeled. I Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented fi-amed ceilings,walls,and floors. I Materials Identification: [ ] I Materials and equipment must be identified so that compliance can be determined. I { ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] I Insulation R-values and glazing U-factors must be clearly marked on.the building plans or specifications. Duct insulation: [ ] I Ducts'shall be insulated per Table J4.4.7.1. I Duct Construction: [ ] All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] 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. Heating and Cooling Equipment Sizing: [ ] Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 120 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. I Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts l"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) lVMIL GL. IVU.UU AMBERGER 96 6" PERIMETER ' <" FOUNDATION DRAIN EROSION-CONTROL-LINE - (TYP.) o "HE CT LIMIT OF WORK FOR THIS 95 - NOTE. t<XISTING TO BE PUMPED. C !? HED / �/ \ Y; rc�0 AND BACKFILLED / <\s2 � 7o,; .R .LIMIT IS,roo� 55. 1% 4 \ Q } \ TP3A VENT FND EXTERIOR z OP. S. TA \ W / ALL PR GAL:°9, 77 / } TRl LIMIT OF / G 5' REMOVAL { #1 A. ':: 'y';':op .,• 33.8' 14. v > � GARAGE/WORK 'off10, o 1 .26.4 1 D. BOX B , TP1A 9.6' 92 ;, ,.� •.•o,Q., 1 � �� I i - TOWN OF NORTH ANDOVER .HEALTH DEPARTMENT � .. ' 9 27 CHARLES STREET x NORTH ANDOVER, MASSACHUSETTS 01845 SwcNuS Sandra Starr,R.S.,C.H.O. Telephone(978)688-9540 Public Health Director FAX(978)688-9542 i August 11, 2003 Mr. Alberto M. Gala GEO Consulting Engineers, Inc. P.O.Box 473 Winchester, MA 01890 Dear Mr. Gala: The Health Department has reviewed the revised plans dated July 2, 2003 for the proposed repair of the septic system at 107 Gray Street,North Andover. The plans are now approved. Please call me at the above number if you have any questions. Sincerely, 5e! Ofet Sandra Starr, R.S., C.H.O. - Health Director i /pfd I CC: Homeowner: Mr. Charles Hart, 107 Gray Street,North Andover, MA 01845 Fax: 978-685-9729 (Homeowner will forward to engineer) File:l Address Chrono Building ,03/10/2003 08:53 6174430689 SPAGNOLO GISNESS PAGE 04/10 M� YA Md A.f ----- ..•-E:—: fir., _— --ru----,t.e ---------------- I + -------------- � til r 1 . r1 I�ej � i I 1, I 1 I I I 1 I S I ti I I r,•1 1 !•• I wej I I d ;'i.. ^r-,f ray an,• s 1 ; I S I 1�•+e � :re 1 g I a•r r-r1 I Ra I r{ I �• I I +. � s.� � 1 �r•Q I '1 I 'I ----------- r 1 RI 1 ----^^^ _- l: I IM.I 4 �i 1 I I ;•1 ; � 1 �. I I 1 .r i Y�r +••.�' .M• 1��I -1 i i rar Ls+ ---!.•. I L----- ----:1 r_-1 ------------ J I I 1 ------------ L__- -------------- ---- r-r r•r .rte r.r roy I SIM= �QR HART RESIDENCE TIM '"""to A lwa%% ,O FOUNDATION PLAN `� f � R -- •� • rr •r ,rr•r •r E - Ilnllllll[Illllll InlfnllIM - ;iumurw ■C■w:��+r�■M �li��annn�n�uI • - ■■■r■rr■ irr ■■■• r+. 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I a HART RESIDENCE am �sr�ra�r REAR ELEVATIO N E-3 v 03/10/2003 08:53 6174430689 SPAGNOLO GISNESS PAGE 07/10 N ct 61 n L �t t� t� of 1 it, of t t a t i L rti------- Ll a HART RESIDENCE 7 omwa"wr SIDE ELEVATION E-2 w uea 03/10/2003 08:53 6174430689 SPAGNOLO GISNESS PAGE 06/10 11 n � ii s -32 I1 LLJJ ZZ 11 �� 11 n~~ 11 � P I I r-1� It -_------- L --------- ir It ra Zr 11 1! � I I 1, 11 11 nna eeae r�r tw.tw HART RESIDENCE 6 ,� SIDE ELEVATION E-4 03/10/2003 08:53 6174430669 S A N L §IS E 5 PAGE 02/10 � | ;|| ___ t ; - � ■ . �| � __ ■ � ; ' §■ � t ■ n --- ; A� 4 ; - ®00 % ---- | ' ■ � ■ | | � 2 � � ® � |§ . ■ � . � Tu - $ | ■§ � ■ � � � k � � INV L � sw I_ yr, X - __ # | QA � � ■ [ � $ $ - § i ■ | � � , ■ � § ■ . � | -----.- � ■ HART RES|DENGE DIM � im%my RFOr FLOOR PLAN � � � 03/10/2003 08:53 6174430669 SPAGNOLO GISNESS PAGE 03/10 OK i t ' +� 4 M d a.'+�� 9 Let OL K l 42 c b � aa[ on or Mme amt .v �w•..✓/ HART RESIDENCE IWNW@TRW SECOND FLOOR PLAN 02/25/2003 09:06 6174430689 5PAUNULU (i15Nt55 rtau� UJIUJ S CONT.RIDGE VENT 2 x 12 RIDGE BOARD 2 x 10 ROOF RAFTERS 916"O.C. 2 x 6 JOISTS 0 W O.C. 12 . �10 CEXING FLOOR CONSTRUCTION 4 x S'ALUM.CUTTER T.O.W. T.O.W. 1 x 10'FASCIA CONT. VENT Jr TRIM BOARD i i � e SrEXP.PTD.WOOD CLAPBOARDS` SECOND FLOOR CEILING ; FM CONSTRUCTION T.O.W. T.O.W. 0 2 x 4 STUDS®16'O.C. P.T. 2 x 10 RIM BOARD1'DETAIL TRIM BOARD FIRST FLOOR 3/4 TAG PLYWOOD----j FLOOR CONSTRUCTION -10`WATER TAKE APPROX GRADE LVL BEAM FwNDATIDN WALL P.T. 2 x 10 SILL PLATE APPROX GRADE 209 1/2'ANCHOR DOLTS 9 32' lr p 3-1/2'LALLY COL TTP. 10 ODNC.FOUNDATION WALL 4"SLAB ON GRADE W/WWF OVER VAPOR BARRIER do 4" STONE OR GRAVEL CRUSHED BASEMENT F.F. CONC.F0011NC N WALL SECTIO Cr) m m W C4 Q d Second Floor Plan Basement 2,3138 B.F.ao ouUde a SW WalD -Bea S.F.(Open to SGIOW4 2,968 S.F.(To Outelde Ct FOUW02b n Wale 1,742 S.F. N N Z N O J ZOZ t7 NQCO tD m CD First Floor Plan m Preliminary Ares Calculation 2.420S.F.(To Oud10eotSbAWOM LD 4.170+1- S.F.pmbla Spaoe First and boo0nd Fbw* LO 'IVot indudlnp gym°%Aft or open to Below Space m CT) — -- - — - — - -- - - — - - --.. CO CD N Y�.r N m� ,03/10/2003 08:53 6174430689 SPAGNOLO GISNESS PAGE 05/10 ---------------------------------------- 1 1 { I i i Abb + I l w"I -------------- ' { ' W� t .� mm PM LJI ------ ' I { 1 �R� I � 1 � I � 1 t � i _ � I 42 I � 1 1 � 1 I MLW Nm > 1 1 1 I xauTOO i I � i 1 i I i I I 1 j 3 L----- --- I 'li 1 { mue u/s { 1 rS 1 { { .d eau n/m mal � � 1 ' � ww sl/e ZI / I �----- ---int� w ema mis soma � HART RESIDENCE om � PLAN m Window Schedule Exterior Door Schedule w MODEL NUMBER DESCRIPTION QUANTITY MODEL NUMBER DESCRIPTION QUANTITY a 3052 DOUBLE HUNG WINDOW 12 FWG 506812 FRENCHw00D GLIDING PATIO DOOR 3046 * DOUBLE HUNG WINDOW 10 FWG 5068L FRENCHIVOOD GLIDING PATIO DOOR 1 3446 * DOUBLE HUNG WINDOW 2 FWG 120611-4 4 PANEL FRENCHWOOD GLIDING PATIO DOOR 1 1846 DOUBLE HUNG VANDOW 4 — ANDERSEN BRAND WINDOWS ASSUMED IN SCHEDULE 3452 + DOUBLE HUNG WINDOW 2 1852 DOUBLE HUNG WINDDW 4 — ENTRY DOOR AND SIDELIGHTS T.B.D. 8Y OWNER 3032 DOUBLE HUNG WINDOW i — 3'-0" FRENCH DOOR (IN STUDY) T.B.D. BY OWNER TV/45-3046-2-20 BAY WINDOW 2 cn TW45-34310-2-18 BAY WINDOW 1 Lo z P5055 PICTURE WINDOW 2 Ln C14 CASEMENT WINDOW 2 ED 0 SC3145 CASEMENT WINDOW 1 J Q * EXCEEDS CLEAR SASH OPENING OF Insulation Cl- 20" W x 24" H (5.7 s.q. feet) BASEMENT CEILINGS R-19 ANDERSEN BRAND- WINDOWS ASSUMED 1N SCHEDULE EXTERIOR WALLS R-19 — OWNER/CONTRACTOR TO SELECT AND DETERMINE ATTIC CEILINGS R-30 WINDOWS IN BASEMENT, NO BASEMENT WINDOWS ARE LISTED IN WINDOW SCHEDULE m m �o LD 't�3o Ib 'T�wsd�h 3 m u� m m m N m fYl m - ERFORMANCE DATA ANDERSEN" 81JILUER S SELECT"' P Technical Data/Specifications Air infiltration I/Testing and Heat Gain NwWOA Andersen"Agister AmerraeABuaAefly 1.6.2-93 the Belch"5agk Avoralea IMPORTANT'NWWDAratings for windows lraVeChanged- AAdor4eP(e4ate WlndarRa6ee pea7egRopU TedResalt The following testing information is a merger of two nationally recognized.material Casement UP40 .02 w_ .05 „-_•_ specific performance standards(ANSI/AAMA 101.93 and NWWDA I.S.2.93,I.S.3, Narrofin"`Double.+4" 0P20 _- 10 .15 and I.S.8).This Standard establishes minimum requirements for aluminum,vinyl(PVC). Narroline Double-Hing and wooli windows and glass doors.This standard defines requirements for live classes tanlioul hlon imide sill uo01 DP40 .12 ___ .15 - of windows and glass doors.The classes are:Residential(R),Light Commercial(LC), Narroline Picture t4i ndow OP40 <.oi _02 - Commercial(CL Meavy Commercial(MC).and Architectural(AW). �irck Trop OP65 <•01_ ___„ Aran y� OP65 C.01 - •• There are lour primary pe�ormance requirements:Structural(withstand wind loads). Springline' OP65 Resistance 10 Water Leakage,Resistance to Air Infiltration,and Forced Entry.There are - VWWDA also material and component requirements depending an the Class of window/door you I,S.if Pmlo boor Andersen•seat e1 Andenea ltaaderiy are trying to achieve.Performance is designated by a number which follows the type i I.s.7 rhoBatch"small; Averapil and class designation.For example,a Double-Hung Residential window may be Andefaek'Praduct window RadAr unit natAosab lost Result designated H405.The number represents the Design Pressure,in this case 15 pst. pe,ma shields Gfio n Paco Door oP25 .09 le The Design Pressure rates are the same as the old standard NWWDA LS.2'93. g Performance Data e ver formance Data - -- Andersen Guilder's select A rage U nit Pe Thermal Performance Values based on Winnows 4,1 Campulef Pr00rse NFRC Certified Inside NERC Ccrtilied Unit TTpe Total Unit Thermal % Class Relative Total Unit solar All unit specilicali0ns use NFAC Unit Performance`U'Values flelative Solace Heat Gain, Neat Gain Coefficient double-Dane irmleling,Qlass Size Dirnensloo Residential Non•Residemial Humidity, Temp' lituls-I_Jhr. Residential Nan-Residential casement AA 24'x 48' 1 0.45 0.46 41% � 45°F 191 � OSB 0.57 wiDtoutQtilles ' ' 419b 45°F NA 0.54 0.52 w/Firelight*gfilles AA 24'x 48' 0.46 D.46 a Cirde'Top wilhoul gfille9 AA of x 48' 0.47 N/A 41% 45°F 191 0.54 N/A wlFincligM'grilles AA 40'x 48- N/A N/A 41% 451 NA 0.58 WA Narraltne Picture 4VF 187 054 0.53 without grilles I AA 41r x 48' I 0.43 0.43 41% t 48'x 46' 0.43 0.44 41% 45°F NA i 0.49 0.48 w/FirleLight°grilles AA l ...........! .... Narrallnen Double-Hung ' r 058 0.57 wilhomgrilles AA 36x 60* 0.46 0.46 41% 45°F 191 wrreLior grilles AA 36'x 60' 0.47 0.47 41% ' 45°F NA D.53 0.52 � NO wiln0ulgrilles AA 46-x41l' 0.46 0.46 4191c 451 191 0.64 0.61 w/Flnelighr'grilles AA 48'x 48- 0.46 0.46 41°6 45°F NA 0.58 055 I Springllne'" 0.64 0.60 ! AA 48'x 46' 0.49 DAB 414 45°f 191 witnoul grilles 48 x48' N,A N/A a1°A. 45°F NA 0.58 0,55 w/Finkiglll`grillis AA Gliding Patio Door0,60 0.56 without grilles AA 72'x02' 0.45 0.45 429, 46°F 181 AA 72'x 82• 0.46 0.46 429, 46°F N0. 0.55 0.51 wlFifleLighl'Qriht>S I t ocwN•canelnermaroc�amcxxvar :aeaelermneo.,ngvAnaowa�WnnuierprooramCakwerionsasuRsto.following NFACIAWRAEwnr.huft •Wni4e femDauru,r.D'r •msiae RPam Taml tralure:ro'F •oNsida Wire v;qodly:l5 m.o.n. 4 N)Air MilvM411 Inside:and 0nilmm Heau q Conditions. 7 NomsaaoulCoaaensatiTn. -Thr. nvasltldnafl elanm m int ladle 3aolles my to IN arae(at Inallw Condonmian will form more auolY al the rout:Al me 41435 �a lite Ai�'n�=r4lalixe namrA4v.CatACA9entN wnl nut mer.•al(aC prnn;,a te!glass unoar tae rdfla4,Ms AMO a0tl:e.is nlmxle(t -Far mare Inlo":iff ul:ontimlion and naw to eanlfal if.Conant your Indefrktmry awriffi lad operirea Anaeman Exteilence-•owri of wnie I(:Ar*.i;;n Canaatian.002 V.Moon.MN 55003. At4uesl aaoklec510.Aq�itle:0 unaernentlin4 Cond7detion.' 9 nylon puss Bu ma Iory orate W'Ire de ermin ng i relatl"t numidiry#e fekln:nom ted u 4 y at file am a Tne Rcuilive Heal Gain vines nstea share are eased An measvMn"M laden at me conte a me glow only. 01/Z0 39Cd SS3NSIJ 010NOVdS 6890EUbLT9 0560 E00Z/TT/£0 I March 12.200 Charles Hart 107 C,ray St rc•ct North Andovcr. NIA.01845 Ref: I(wcsc `anitary System Calculations I At your request,I madc;the sanitary system calculation and found the system is capable of sairporting the[law of 4 bedroom house of 440 GPI)without garbage gdn&r. I Basis of Galculat ion. ei 1500 Clallon Septic Tank • 200 l inval foot of leaching tenches 24"wide and 12"deep crushed stone, 10 inintac-i her inch percolation(0.6 GPD/SF) C•alculat ionti i,,bused on the State Environmental Codc,Title v,12/27/96 . yRaR'•. 'xb JOSE-r; Na "It 1.3 A � � Cala. I im ph( •urgis,M. I I I I JOSEPH GEORGIS, RE 9 TAFT DRIVE,WINCHESTER, MASS 01890 - TEUFAX: (781)729-4848 s 1 1 1 r------ --J 1 �I 11 � I, II I ' I i i L - -- - ad i JOB S1-aETj Nd21'H 14 c�111QJL „-- Joseph Georgis, P.E. SHEET NO. ' of 9 Taft Drive cn�cuwTEDev J p� DATE 2 1, •3.20&3 WINCHESTER, MA 01890 TEL & FAX (781) 729-4646 CHECKED BY DATE sc =: FkM(Al 4 PUN ► 1 1 ! id s i I FTS i � ... ......L. ........�.. _ ........... .. .. R •i - i j l i 771 77_iL.—I i f R ...... ... ., i .... .. ... ...... .... �, ..... ...N Pl �!.....L. _. I _ ..!_...... ..... .. . it ! ...i . 4.... TO i .. ,.. C? , p ........ ........ �. .......I.... ! ..... . ! i !... i ..._!.. ..�. ... ...... . �.. .'.. I 3 f ! ` ! �x i .rz .I it L..... ..... ...�. .. _. . Z i , —_ -�- - . .. i 1 cr I t i87 ................_..__... ...... . .. ! Ir �q i ; _.. ................... I I !.....� ' i �. 1 ! /c i �tU � ' ! ..... ...... ' ..s..�.. . D ......'. i ..... ,. 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SHEET NO. /to OF 9 Taft Drive '1 WINCHESTER, MA 01890 CALCULATED BY u DATEjh�2 c�Z (781) 729-4646 CHECKED BY DATE SCALE 04.,uMti► D6TJ41V �I "_ a G1a�' XK rg �Ix � 8 G Cour i ol.TSo� EXP� 510►JboT S 1 It D0 N A-Tla PCL L i FM9'ICT 231f�Inpl!Sh:^,1,1205f�f'�1 T•-••,• 1 JOB 1n7 /"YO,5t r.xl0 A b0yispl Joseph Georgis, P.E. SHEET NO. A OF 9 Taft Drive 1� WINCHESTER, MA 01890 CALCULATED BY �� DATE2Z 2� TEL & FAX (781) 729.4646 CHECKED BY DATE SCALE i ; RALN.( E ...................................................................................................... .... ..........................._............................,........... .VENC ) S. ...........................>.............;.... .,............................ .,. .:.. ..,. ... ..... . .. .. ..',... . I. DCSI(,N IS MAUC IN ACCORDANCE WIT[ MASS: I3Uti�Dt1�G C1JUE; .............................................. ..:._...............IX.. H-<ED.I...I'.ION ......_.................... .,..............._ .... ...... 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SHEET NO. /Z OF 9 Taft Drive ]� j Z d WINCHESTER, MA 01890 CALCULATED BY_,j /� DATE 176 TEL & FAX (781) 729-4646 CHECKED BY DATE SCALE ............_i.............l.............;..............i.....:....................b.....::......:.......... ..... ...... ... ...... ...... ..... ...... ...... ..... .... ...... ...... ...... ...... .... i i ...... ...... .............................. .. ..... ..... 6. FOOTINGSSHALL I3E PLACED IlV TME DRY ON ........................ .............<....:...............................;............;..... ...:..................:.........................._;......... ............... .................._:...........;........ ...:..............;...........................:........................;.............<......................................4.............;............. UNDiSTUR13EU SOIL!FREE FROM ORGANIC MATERIALS- ........... ......................._ ........>..... . .R... FO ,. 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SHEET NO.�- 9 Taft Drive WINCHESTER, MA 01890 CALCULATEDBY�.►L� DATE�•�•� • `�l�3 TEL & FAX (781) 729-4646 CHECKED BY DATE HART SCALE , `� �' TTic FOM � -I �o I t I I I € , ; ; i I h t I , , j ... .....................:.:... ��. _....... ..... ._ ..... i ....... ... I \� .... ' .. ..... ...... ..... .._.... ..... , I I i.. ... i...... ..... I .. .... ..... ..... : 4 } J. ..E ... i.._...{..... J. .... ....„...�.. I .... ..... ..... ..... .. l j i I I + .....i.... ! J ! ... .. ..... _.......... ............ AA ,.... . i: j :. I i. . ..I........... Q'_ !.... .. .. j , .� .. �. ................. . I ..... . r. ._...�. .. '� _.. _.. i o� J x ...J _ i....... .................... ..... j..... ` .... ..... 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I .. ..... ..... ........ ..... .... j j ........ ....... , . 11 4 4C ... ... ...... .. ..... ......... ....... -...._ i............j............. ....... _i., . j....... .. .... ... .. .,...... ... .... ........ ...... .... _ I -t it ..... . ......... ..............._.... ...... i_...-.. ...... ..... _ ....�... ... .... ....... .. .... ....�.... ....... .. ! _... ..... .... Lj nnaci te��rshresaentetc+� NORTH Town of over 0 0% ? �, 00 ,3 dover, Mass., DRATED P?F`�,�5 S H E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........ ......1!AA /10-S �d Foundation .... ............................................................................................................................... has permission to erect............/........................ buildings on /d '? 6 0AA Y S /-- g ........................ ................................................................ Rough 12 b0 VIS /e1 J C N ��t �Z Nil t L C1, l ti Chimney to be occupied as ...................... .............. ...... .................................Y......................... .y provided that the person accepting this permit shall in everyrespect 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. ' c -1 D Az 4- PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough M 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. s' SEE REVERSE SIDE smoke Det. ORTH Town o �� 4 :7 N �._. 6 ndover 0 Y._. . ..w. �. No. - LAKE O\ dover, Mass., 9 �1 o70D3 /fes COCMICHEWICK sRATED P"9 '0�� 7 ,Y CHUse FOR EXCAVATION AND FOUNDATION Char /r N THISCERTIFIES THAT ................................5...............A7..^. ................................,.................................................... has permission to excavate and pour foundation at .....� ..... ........ .^ ...` ............`5. ............................ for the purpose of.....8.R cn wl./.. .��d.. .....S.�.!`? .l.! r t.! '. ...................w� f I l ... .. . . .. .. . ...........f. The person accepting this permit must return to the office of the Building Inspector a certified plot plan show of building thereon before Foundation will be inspected. O D / a 6 VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES_.IN 6 MINT-HS - The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. S_ 14 �� DUI E I`RAME PERIMIT $ S °� BUILDING INSPECTOR �— Na j aaccrh ti e s SSHCi1Ug CERTIFICATE OF .USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number /Zo ! (g-g- Dated 6 THIS CERTIFIES THAT / THE BUILDING LOCATED ON f G /7 T MAY BE OCCUPIED AS IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. • � !Q s CERTIFICATE ISSUED TO /JA-�- 7_ - - - - L rA � . Building Inspector t Town of N�7or h._.Akadover � No. r ANor�h °Andover, Mass., �1- - a 003 BOARD OF HEALTH LD PER MIT . To U . 1Food/Kitchen Septic S / l y� / / B LDING SPECTOR THIS CERTIFIES THAT.......C.�!CAA J'�-S �`�` a -' �'` ..................................................................................................................................... Foundation has permission to erect............/........................ buildings on ../R..'02 ✓4 `� S Rough ` ^..I.. .... ...... ... to be occupied as ...2.b� �..�. 3 /a 6.A*4 4 I N t� PZ Nit t bC& 1'(A• Chimney 7............ . ......... y provided that the person accepting this permit shall in every respect conform to the terms of the application on. ..file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final Buildings in the Town of North Andover. 1 -1 Aa ./ PLUMBING INSPR VIOLATION of the Zoning or Building Regulations Voids this Permit. ��"� "'ERMrIF EV. ,S Dpi 6 N �:��,�`f IS 2� � J�.`'�.�.",__ _SS ��.��v S $ EL CTRICAL IN ECTOR .........✓.......................................................... ................. Service BUILDING INSPECTOR Fi Occupancy Permit Required to Occuppy f3uiLlinp, 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 Cx-/0 - _ Street No.4�1,/, Smoke Det„ SEE. REVERSE SIDE /I' t I Town of North Andoverf �ypRTH Building Department O 4t�eo , 400 Osgood Street °+ North Andover Ma 01845 a (978) 688-9545 1 Fax (978) 688-9542 �srilD � S�CHUSE APPLICATION FOR CERTIFICATE OF OCCUPANCY I IlNSSPECTION ADDRESS LOT NUMBER /A SUBDIVISIO(Nj DATE REQUEST FILED C3 a DATE READY FOR INSPECTION • TEN(10)DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTING D.P.W.-WATER METER De- DATE 12-- D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. SIGNATURE W AUTHORIZATION F •bow ��,.�/!00�'"ty 'DN � �,�� ` . , a�o� n�•Mryo � � � :� 4, . 010 O/ub'7 � I God M g �✓n'd1 � V1 o Q 1 G27 S U m��a�4►vi l t o ��Mr+� )o -}o O �r 0 r�/�as'" p�nn rN�jd y%At yrxa vti QJ f pin Vo Lr ��V�U� �'Ic'� SSS c.• e. G( �^ �� NOTES: 1. THIS PLAN COMPILED FROM PLANS AND DEEDS OF RECORD AND A PARTIAL FIELD SURVEY. 2. SEE PLAN RECORDED ENDRD AS PLAN 7124. r�k P'g �'e� v- � 1°^ LOT 74 �I 89.92 i LOT 26 AREA=44,403 S.F. =1 .02 AC. N N N ( N LOT 56 0 LOT 29 o o co 44.2, f 32 1 ' cRE�E. FND. G'\ANO ' 36.8 1 T FO 2 S T 1. 1ORY GA RA CE cs c9 C/4 N 82.50 81.59 GRAY STREET I HEREBY CERTIFY TO THE TOWN OF NOTH ANDOVER BUILDING DEPT. THATI THE FOUNDATIONS ARE LOCATED ON PLOT PLAN THE LOT AS SHOWN. 0 SHOWING FOUNDATIONS AS BUILT IN NORTH ANDOVER, MA a DRAWN FOR .R.,.r CHUCK HART Lo V 107 GRAY STREET N. `t j NORTH ANDOVER, MA 20 0 10 20 0 w, SCALE: 1"=20' DATE: SEPTEMBER 30, 2003 MERRIMACK ENGINEERING SERVICES 09/30/2003 166 PARK STREET STEPHEN ff S A N , R.L.S. DATE ANDOVER, MASSACHUSETTS 01810 Location C, l No. 13� Date 103 �oRT� TOWN OF NORTH ANDOVER 0 A i • Certificate of Occupancy $ Building/Frame Permit Fee $ S�►CHUSE Foundation Permit Fee $ Other Permit Fee FA2�- $ 5n TOTAL $ �7 r rr Check # '► 6 6 5 Building Inspector r TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ,BUII,DING PERMIT NUMBER. � � 7 � g �� rn DATE ISSUED: a l SIGNATURE: Building Commissioner/Ifor of Buildings Date Z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: O Map Number Parcel Number 1.31 Zoning Information: 1.4 Property Dimensions: Sia �� rb Zoning District Proposed Use L ea s T Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.I—C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: J Public V-' Private ❑ Zone Outside Flood Zone � Municipal 0 On Site Disposal System' J SECTION 2-PROPERTY OWNERSE IP/AUTHORIZED AGENT Hisbf Dlauft ym n9 -M 2.1 Owner of Record o�L r?!. Ll Name l�'7r- l,OY ST• p�� (�Pnmt) Address for Strvice 'V Signature' Telephone C 2.2 Owner of Record: Name Print Address for Service: O 4 Z M Signature Telephone SIBCTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: s «pS �ig 8 O C;1- C ton � License Number Mn Address llL, y 15 Expiration Date � Sig ut�re — Telephone r 3.2 Registered Home Improvement Contractor Not Applicable v t Company Name m Registration Number r Address r � Z Expiration Date /1 Signature Telephone G) I I r y 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 buildi rmit. Signed affidavit Attached Yes.......IV No.......❑ SECTION 5 Descri tion 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: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building c (a) Building Permit Fee J Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical(HVAC) O 5 Fire Protect'on 6 T l-L 5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all atters relative to work authorized by this building permit application. Signature of O Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, 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 1 and belief Print Name Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS x- 2ND 3RD SPAN !;-10, DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS IIEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X ; MATERIAL OF CHEvINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in properly licensed solid waste disposal facility as defined b MGL Chapter 111, S 150 A. Y The debris will be disposed of in: x%ac (Location of Facility) i Signature of Permit Applicant I Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project g ector the Buildin Ins through the Office of p li ren. uc UJ+RGUj II :4L TEL;1812451193 P. 001lOOl1� i B�.. ' CERTIFICATE of LIABI�gy. PRODUCER INSURANCE $ayside Underwriters Inc. THIS CERTIFICATE IS ISSUgp ASA MATTER OF INFOIiWOW 11 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAw 40 Salem street HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND 0 Lynufield, IgA 01940 ALTER THE COVERAGF AFFORDED By THE POLICIES BELOW, COMPANIES AFFORRING COVERAGE COMPANY INSURED A Commerce Insur$uce Company Capital Construction Inc. COMPANY 167 Gray Street 0 Travelers Insurance,Cgmpany North Andover, MA 01845 COMPANY C Liberty Mutual COMPANY THIS IS TO `1•. trw,.,,.f+'1�.Itdi..r iv'•+�!r.i1G�(: _:•'rr:jr :..:i�. , ; T+. r .�.w,.."T.+� '•.`_"'_^T�,^ CERTIFY THAT THE POI ICIE 9 OF INSURANCE LISTER BELOW HAVE SEEN ISSUER Y0 THE INSURED NAMED ABOVE FOR THE POLICY+PERIOD IC 9E NDICATED,NOT1mTH9TANRINS ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITPI gEepECT TO WHICH THIS EXCLiFlCATE MAY 86 ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I&sUe,IECT TO ALL THE TEAMS, _ EXCLUSIONS AND CONDITIONS aF SUCH POLICIES.UMITS SHOWN MAY HAVE 6EEN REDUCED BY PAIR CLAIMS. LT"q TYPBOFINBURI{NCE __ _BEEN • —--- ••— ---- _... -----POLICY NUMBER POLICYEFF!CTM POLICY EXPIRATION 96NERALUAHILRY DATE(MMMWYY) OATE(MNV Wn UMTTB A COMMERCIAL G"RAL UA81UTy DENEgAt AGOREOATE_ t 1•QQQ•QOQ JL CLAIMS MARE e l FV1OCCUR XW2306 PRODUCT&•COMPA)P ADD 8 OWNER'SILcONTAACTMISPRor 11/26/02 11/26/03 PERSONAL&ADV INJURY i•1-�QpQ�. — EACH OCCURRENCE • . _FlRE OAINAt3E qAY ma Aral ¢ ._�Q s QED_ .. H AUTOMOBILE UABIUTV MEO Exp P+nV ane PSN 6 ANYAUTO COMBINED 81N0LE LIMIT 6 AI.I.OWNEOAUTOg _ R SCHEDULEDAUTOB 1810407D3813IND-02 BODILYINruRY 12 a HIREQAurOg /30/02 12J30/03 IP rpen�n) � _ X00•,000. I NON•OWNED AUTOS BODILY IN IURY (Per .. 00.000.-- ' 4ARALiE LIABILITY PROPERTY DAMA3E 6 00 000. -- ANY AUTO ( °AUTO_ONLY•EA ACCIDENT 6 OTHGR THAN AUTO ONLY. -' - ...— ._- EACMACCIDENT 1'6�� •. lXCEBB LtA�N TTY I A13GREGATS UWBRELLA FORM EACH OCCURRENCE OTHER THAN uM6gEL FOAM AGORGGAT6 WOWAM COMPENSATION AND i C EMPLOVERs'LIABILITY 1I I .110 8_- THE PROPRIETORS - mlcL WC 131332442601'2EL EACH ACCIDENTOFFICERS ER ARE.-cxlT)VE 9/19/02 9/' 19/03 Et LASEABE•POLICY tMerr OFFICERBARE: •-•-_ OTHER EL 0N1EASE-EA E(APLOYEE t DEBCRIP110N OF OPERATIONSIL OCAT1ppBiyEMICtESBPEgAL IYEt�B .. .... ..r. ...... .!.• •mdlrea/.M(AY^�!I?t ;nH.�y..�r:..l�.r. •4 '.r. .:8.ir�i y�y� �7 l. .. ......r..... R A•:.UDI`..(l:f.:'f:�l•�SdL,p'I�...n SHOULD ANY OF THE ABOVE RE9CRIDED POUGES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISBWNG COMPANY WILL ENDEAVOR TO MAIL }_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEM BUT PAILURF TO MAIL SUCH NOTICE SHALL_IMPOST!NO OBUOATION OR UABIUTV _.2F_AWJ1QND UPON THE COMPANY, ITS AGENTS OR ROPRESINTATIVEe. AEM ENTATHVE 0 I �lai[art��i��' �.K;b,;pA;, clti�•��!�u.n�..iaa..�.nnl•fd�i^''::�1 ' r�:: .n ti .. .�p� �,1y, i -J.0 ,.n::- i !` �f!t.. rT..i" _';r-; ..'G .a+..• :Y•+':,� d. .ron .��, Town of North Andover 4 IAORTH O t�eO t I Building Department ? h�'<< '6 00 27 Charles Street 0 = North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 O .�. C(K MIt tWKR ATE Building Demolition Affidavit �9SSacHusti��y l DATE " y� OWNERS NAME&ADDRESS i PROPERTY LOCATION DES CRIPTION71e�-461 ie.\,x— CA aL ,St- CONTRACTORS t-CONTRACTORS NAME&ADDRESS OA 11�k� d.1a: 10-1- Get- 4i� drv�1av�.�.,/ DEPARTMENT SIGN-OFFS D.P.W./WATER a ' i-�SEWER GAS ��✓a.�--- r ELECTRIC _�U_6 TELEPHONE r CABLE ?/I TAXES POLICE FIRE EXTERMINATOR DUMPSTER-ON/OFF STREET <br—r- ST• DIG SAFE NUMBER BLDG. INSPECTOR DATE RECD J. V W Ll Vl vL .kLL u i%.av . %wiL o .�.. N0. 13117 o1� roc LA � dover, Mass., A°RATED PPS` �5 BOARD OF HEALTH Food/Kitchen PERMIT T E Septic System BUILDING INSPECTOR 1% �� - THIS CERTIFIES THAT..... � , ........... 9-wo ........................................................................................... Foundation has permission to cwt... . .Z.. ........ buildings on .......� 0 ..... .h �........... .....:...... Rough ..... ..... to be occupied as .� ` P IL 11 Chimney ............... ..................Co.1)........ ......... ................................ ........................ provided that the person accepting this permit shall in every respect conform to the terms of the appation 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. t o ut 1) 161 (0 6 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST TS. Rough INSPECTOR M .......... ....&IL................... 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. I smoke Det' SEE REVERSE SIDE Date.....�..-J...?.....0..—.`. �10RTM '•�4, TOWN OF NORTH ANDOVER 3j •• OL p PERMIT FOR WIRING SACMUS� This certifies that .......I......5........ .. .4'.......................................................... has permission to perform ....... ........................................................................ wiring in the building of....C . . ....`.. .. r .. L .. �{' ................................................................. at..........�Pl..... ........ ................... .No hfAndover,Mass. Fee. ..��...5L ..... Lic.No.a. {..I�... :. 'CCv„ ELECTRICAL INSPECTOR Check # - 1 1 9 0 4. 391 �-\ ThFC0M IDNWE4LTH0FMtWCffU'�S Office Use only DEPARTMENTOFPUBLICS4FM Permit No. BOARDOFMEPREVEM ONREGULMOASS27CMR12. 0 666 UVA Occupancy&Fees Checked PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat�L_ \3 /1// Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) t-14- . Owner or Tenant ,4,lC J g,4 r f Owner's Address J9M'e-- Is this permit,in conjunction with a building permit: Yes No ED (Check Appropriate Box) Purpose of Building Utility Authorization No. 3 3 9 Existing Service a2�� Amps a1 Idq-, volts Overhead Underground a No.of Meters / New Service j 0 0 Amps/ Q /,ReVolts Overhead Underground No.of Meters �� Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work -/`�J�y <O /V IC f G o,7 7 No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA groundg1:1round No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER h�sttartoeCo�erage Pt>rsuatt>ptheregtmanatsofivtassad>t�LsGerraalLaays IhawaataatLiabtliiyhmm=Pbhyymdu&gCanpkt CovmaWQilsskslaiialegi<valert YES NO Ihawstd mftdvaWporfofsanebtlleOlftoe YES NO ffywha%ed>I **YES Pka9ee hC*t CtAXCfWVWdWbydcckigtkte o BOND 0 0THM o ftm ) /1)9 11� ¢ ,o �,.� C� EVirz6mD* WotktoSlart �� 3 , Estirt�aledvahteaE�7echic�lWak$ Flial Sig WutxleMPlMkiescfpejiay @ FIRM NAME U ' R 1�o LioatseNa Lioa>sae �'� I L I l 0 Sigt> Ine Li�seNo BtOz .2 j � messTd.Na /�. �b Sy I t'_ V t p Y-i6- 0KA0 n/`"/ D t q;"` Al 1eLNa L 7— 6 f amass., /� OWNER'SINSURANCEWAIVER;Iammvmd attheLimme etheituarxe aritss> v ifi, gtrivale��regtmadbyMar dtsel�Garaal a�dthatmyssemthspetm�appit�anvvai�sthis rac�>ir�ttart. (Please check one) Owner a Agent Telephone No. PERMIT FEE The Commonwealth of Massachusetts d Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers'compensation for my employees working on this job. Company name: Address City Phone#- Insurance..Co. Policy# Company name: Address City: Phone# Insurance Co. Policv# Failure to secure coverage as required.under Section 254 or MGL 152 can lead to the imposition of criminal penalties of.a fine up to$1,500.00 andfor one years'imprisorxrment_as-wetLas-civil,penaltiessjalhefmn-fA-STOPYAORK ORDER and_a firme-f.(,31.QDM)-ajdwagaiiwAlm 1 understated that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. Y l do hereby cert' under and /ties of perjury that the information provided above is bye and correct Signature LL Date 6 3 Print name Phone.## - a t'(,oP' { 1--6 Official use only do not write in this area to be completed by city or town dficiar r City or Town' Perrrrt/Licensirg E] Building Dept OCheck Y immediate response is required [] Licensing Board E] Selectman's Office Contact person: Phone#: E] Health Department E Other Date/�?..—............. 3 .......... N2 RT TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING ,43ACHUSEt This certifies that ......... ............. .....:...:.^.s......:............... `:............... has permission to perform .......................................... ................................ wiring in the building of............................e....................................................... at. .............................. .................................. .North Andover,Mass. Fee.../............... Lid.No.............. ................................I ..:'�.......................... ECTRICAL INSPEcrOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer THE MMMUNWPALTHUlr'MAa,4(,HU3EJIN utttce use only DEPARTME TOFPUBLICSAFM Permit No. 2�0 UVA BOAMOFFMPREVEMONRWUL4TIONS527CMR12.00Occupancy&Fees CheckedPPUCATTONFOR PERW TO PERFORM ELEOWCAL WORK I ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat 2q i Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) ! Owner or Tenant 1AW -tS Owner's Address i Is this permit in conjunction with a building permit: r / Yes[EyNo (Check Appropriate Box) Purpose of Building _- �r(,�61P Utility Authorization No. i Existing Service Amps / Volts Overhead Underground Q No.of Meters New Service Lb Amps q o Volts Overhead r7 Underground Ey No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work kS No.of L i ghting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting FixturesV7— Swimming Pool Above Below Generators KVA and ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners ' No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis Y No.Hydro Massage Tubs No.of Motors Total HP OTHER IrtstraroeCo�e.Ptasttat>tmlheregtmanalts�GatraaiLa� � LTJ IhmeaalnatLbbkhsua=Pb yitidt>*gCcrr#At Ca�orAsstzMrtiaietgmvalat YES NO Iha-,est$xn&dvdWproofofsarnetothe0@roa YES r�� IfjcutmeduiWYFS,pleaseit thetAxofmvaaebydrdmglhe IlVS[1RAN�' BOND � OTIiER (PlmseSpecify) �-�l�i`cc�v. �i�S qa Z, t5 �� I D� Eslgr&dV"of0ecftml Wolk$ 32ISb� Work>o',kd h>spe�mn RaPesW RDugtl FmA SignedtaxlaTieRndlies � . FIRM NAMEcu S C Lion= k'�t k- �17cY1 (( Siwe 3 3 ZSR BtdessTeLNa 7S-1 935 Address- Ar' �' Alt.TeLNa OWNER'SINS URANCEWANFR;I.arrtawatethatthelk wm�uott stheitistranecnyetaWoritssut bnUal 4n-Jat as reqmed by Mwmdneils Garaallam wdtut my*ahae(n is paw appfiegm wainthis ta4 minent (Please check one) Owner Agent El Telephone No. PERMIT FEE$ 7(' `� Location �d 4�slr4 z S No. Lf �� Date ` as NORTH TOWN OF NORTH ANDOVER Ori" O :',h0 3� OL 41 ' Certificate of Occupancy $ .�s'••°''<�' 9 Buildin /Frame Permit Fee $ z s•+cMust Foundation Permit Fee $ Other Permit Fee $ TOTAL $ --I C:1r Check # -� C J Building Inspector 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'1. Building Commissi er/I for of Buildings Date SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: .— Zr ¢mss -94 3'goo Zoning District Pijposed Use Lot Area'(so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided R red Provided 3D` 3d' Zr�o' 1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: _/ Public Private 11i Zone Outside Flood Zone K Municipal ❑ On Site Disposal System Vd' SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record Name(Print) Address for Service 'J�8- - v Signa re Telephone 2.2 Owner of Record: Name Print Address for Service: Z M Si nature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ C PCA7-\t7i<. 4A►2\ Licensed Construction Supervisor: C S OCAS 2g t3 o License Number Address —T Expiration Date Z©�L Signa re Telephone J� '1 3.2 Registered Home Improvement Contractor Not Applicable ❑ v CG—panName m n Registration Number r Address z — —� Expiration Date ^ Si na ure Telephone V, 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. %P"' Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant I. Building ao (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of f25,S�C--4f-X'>'�= 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, C kA A 1r-, isrw¢ 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 0 n - Si ature o Owner/A ent Date NO. OF STORIES SIZE 2r' BASEMENT OR SLAB SIZE OF FLOOR T ABERS iST ' 2ND3RD SPAN DIMENSIONS OF SELLS DMIENSIONS OF POSTS e;:. DIMENSIONS OF GIRDERS S L HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING 214k X t'L" MATERIAL OF CHININEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE N a xAORTH Town of over I%&an. -moo C dover, Mass. O C 19K f COCHIEwICK � ADRATED S H E BOARD OF HEALTH I PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT .0 Ar► VIA.. "4'.... ;...... 1 Foundation has permission to erect..CR.5.1*34...*�u'lldings ...�.� ...N�.. r g on ............. Rough tobe occupied as...... ..sp*%. . ...r................G. ..r .. ............................................................... Chimney provided that the person accepting this permit shall in every respect con�rm 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. M 1 V 1) D P PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR A.A.-c Rom Service .......... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT _ Until Inspected and Approved- by the Building Inspector. Burner Street No. z SEE REVERSE SIDE smoke Det. Location Q No. Date ( dca- TOWN OF NORTH ANDOVER Oit„ ° ,�,•yC 0 p Certificate of Occupancy $ } : Building/Frame Permit Fee $ Foundation Permit Fee $ s�cHust Other Permit Fee%g> $ __ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ J� M Building Inspector � r 8538 Div. Public Works c PER111T NO. 2 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 4d0. LOT NO. 2 RECORD OF OWNERSHIP :DATE BOOK :PAGE -ZONE SUB DIV. LOT NO..j. I OCATION 107 /'re. C �� l RPOSE OF BUILDING r,��ge== o�WNER'S NAME rD `(c}O f I(�CrNee NO. OF STORIES J J SIZE aOWNER'S ADDRESS lop? Grr�.si BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS 1S3.xe/ 2ND 3RD BUILDER'S NAME SPAN 10 (11 DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET tn04- '" "' POSTS DISTANCE FROM LOT LINES -I((S II��D//E��S REAR zoa GIRDERS AREA OF LOT + J•� FRONTAGE HEIGHT OF FOUNDATION THICKNESS �IS BUILDING NEW SIZE OF FOOTING CII K O /a IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION sLAND COST 10 SEE BOTH SIDES �- C `/ ` I.W�.L�EST. BLDG. COST 21GQa "�_ \�-C'C 2�— EST. BLDG. COST PER SQ. FT. PAGE 1 FILL OUT SECTIONS 1 - 3 1 PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED A s BUILDING INGPKCTOR I�IfIGNATURE OF OWNEFt OR AUTHORIZED AGENT F E E L OWNER TEL.# PERMIT GRANTED CONTR.TEL.# 19 CONTR.LIC.# H.I.C.k a BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY 11STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- 1 APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T AREA _ '/. 1/2 FIN. ATTIC AREA _ N_O B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW D ASBESTOS SIDING COMf.ACN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS. & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR _ ADEQUATE NONE 5 ROOF 11 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBRELMANSARD TOILET RM. (2 FIX.) FLAT I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS L OI B'M'T 2nd _ ELECTRIC 1st 13rd 11 NO HEATING No ToVM Of � � � , 4 over � Wort," dover, Mass-,L t Z. 19 COCHICHEWICK AORATED PPS\ H E BOARD OF HEALTH PERMIT T Food/Kitchen Septic System �� BUILDING INSPECTOR THIS CERTIFIES THAT.......... ........................ .................................................................................................. Foundation has permission to erect...TkirEl>..................... buildings on ...W"l......ro. Rough to be occupied as... b. �c...... l .....'FtY�L S'TaQl�6� ........................................................... Chimney ......... ............................................... provided that the person accepting this permit shall In every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final • PERMIT EXPNku'! MONTHS ELECTRICAL INSPECTOR UNLESS CONT Rough .... .......,Q� .................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR - - - Display in a Conspicuous Place on the Premises — Do Not Remove RouFinagh No Lathing or-Dry- Wall-To Be.Done - - - - - Until Inspected and Approved by the Building Inspector. - -FIRE DEPARTMENT - - - Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT Is L o T G t.o f > ' X* * . L0 AcRe.s 1 ,. 1 LQT ,M + - t 0 a L Q T Q c.a$ s ` - � z � r Ka o� A iS 3 w r+o / r'• c, • � ` iR` w VkhY .rte �� • .K� N ` •f'Vq t.:�,'.`.�l:.Ai .•��3,�. . .•Y; � ��.. .. �.i:�>•.,. 1}aim.- t i TOWN of NORTH ANDOVER AFFIDAVIT Hone mit Qrt=t w Law Sinlajait to Pbuit tgAiradm KL c. 142 A re#rm that d e 'isoastr�, altamtim, rmxetim, rep3ir, I irataum, armWAM, igxmumnt, rel, dmnliti,m, or cmmt nrt kn of m adii im to any per' edstirg acrr-acn#ed bdL]d- irg cmtaarnrg at least are tn but mt xe dm far X11 i g unts...cr to sty,rfi* s 4d�h are adjam t to adi Tg7fErEe or h ldirg"be dare by registered a nbmt xs, Guth certain ect1Q1S. ALn inth odIEr tl�n--rn�ffiHItS• 1 r / -_*pe of Work: 91 �� s /0 X Est. Cost' 2,606) dress of Work /0 Cryo y SLe`__ -- �er Name: Sc o Gc/q✓V P kA Date of Permit Application: / I hereby certify that: ill__46iistration is not required for the following reason(s): Fbr of Eine Use Chly Work excluded by law Rpt ND. Job under $1,000 Date Building not owner-occupied Owner pulling own permit Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WM UNREGISTERED OONM=- RS_-- FOR APPLICABLE HOME DIPROVH,"T WORK DO NOT HAVE ACCESS TO THE ARBITRA- TION PROGRAM OR GUARANIY FUND UNDER MGL c. 142A. Signed urler panalties of perjury: I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the .owner of the above property: Dat Owner Name ` t7 i I U .. L� s -- Ltol T�N� ► , y 'f q �C)I-o C e5 p !� I Ho vsK i NoT TU Sc" P R' r FORM - U LCA; LEASE FORM INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT (11 4A;Uys k4AV_-r' PHONE 9-i r—&'95'—j Sol ASSESSORS MAP NUMBER LOTNUMBER 0� 4P SUBDIVISION LOT NUMBER STREET C�iZ,✓�y �,T • STREET NUMBER i...R's.....■ ■..■ ■.................■....................................... OFFICIAL USE ONLY RECOMA ENDATIONS OF TOWN AGENTS .... ............................................................./..........a DATE APPROVED / CONSERVATION ADMINISTRATOR DATE REJECTED COMMENTS M k - ;�;AtA LAJQw gl&shed ; �� u *ArA DATE APPROVED T01YI I PLANNER DATE REJECTED i %UNii�i�i 1 J J DATE APPROVED FOOD INSPECT -HEAL114 DATE REJECTED DATE APPROVED �� a D SPE -HEALTH DATE REJECTED COMMENTS PUBLIC WORKS-SEWER 1 WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE-REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE t f