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HomeMy WebLinkAboutMiscellaneous - 107 WAVERLY ROAD 4/30/2018 (2)/6/9 Location , No. Date At t, TOWN OF NORTH. ANDOVER 16 0 Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 17175 '-Bud0Lirjg,InspeC6/ 14 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING i,.a_ �, S }J•,',eY� ,: e., .aa`3.', ;� .. 'a. '` :+'s.,, ss'*�SS.r. 4C�`T ;Y: ..bm�eps C BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: / Building Commissioner/Ik5ector of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: (?1 W° Wgveel N,An 3 oj'r, 1.2 Assessors Map and Parcel Number: �J v Map Number Parcel Number 1.3 Zoning Information: Zoning Dis1rid Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Re red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public ❑ Private 0 Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes No 2.1 Owner of Record �Bi11 101 } I amt (Print) Address for Service: Si ture VTelephone 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 W ic --4 z 0 SECTION 4 - WORKERS COMPENSATION (M.G.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 buildina Ermit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Pro osed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify •!z e 6 k, Brief Description of Proposed Work: U N 1"JW Iti, Op �Okrmeb PorC�n Sew, +Azo SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant v OI�F"ICIAL USE I(}},y� sr ti• 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (e) X (b) e/a 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 rt -d, Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR C NTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property ereby authorize to act on My behalf, in all matters relative to wo authorized by this building permit application. Si iature of Owner 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 and belief Print Name Si afore of Ovvner/A ent Date 7� +,.._ NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 RD 3 SPAN DEVIENSIONS 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 A d z iR 1= CC LU V CIO ba - C A � c c 0 0 c ` ' O y O v Ca p, C Cc R CD C .t O O � �Ea �L r .. CD o n y O'm t Q � ts cm CL= om VW z3 c a m H cc �Em CD CLU 16: y O m w 00 Fcn ez Ci °y O C3 M NONZ CL C3 ® y CD c ® CL C 1-- y m � •� ® °C = W c m .y .E O O O cm CL ®� O� A C N.O .� *. CLZ. CC E Ir LOI vd p Go c �•v cm m O! 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CO) O C C C cc a CO2 a N m ce LLI 19 W cc Location WAL)ePt Y 1'2 No. r-2 Date /1-3-03 TOWN OF NORTH ANDOVER Check # Q c� I) 5 1-7000% 114,0 ( I' '161.1 4 0 Building Inspector Certificate of Occupancy $ Building/Frame Permit Fee $ %0 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # Q c� I) 5 1-7000% 114,0 ( I' '161.1 4 0 Building Inspector P%Itjc 4r �4 V ARII�j � Mr��o o CD o d rte t" tnw�O M.y ��C)41 ASTRONIMC BEARING (SUNSHOT) z M � cl Cv °z N � Mr��o o CD o d rte t" tnw�O M.y ��C)41 ASTRONIMC BEARING (SUNSHOT) z O � °z N o 0 0 w A O � Mr��o o CD o d rte t" tnw�O M.y ��C)41 ASTRONIMC BEARING (SUNSHOT) .......... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... L.Ua-.,a� .......................................... ................................ has permission to perform ............................................ wiring in the building of ..... .. ..... . ...................................................... .......... at ...... /..0. .... �? .... ........................ ........ _, ..................... . North,�kndover, Mass. Fee.�� Lic. N62 ... ........ ... .......................... ................ ... LEcTRICAL INSPECTOR Check # 5061 Official Use Only f Permit No. -iws eowzmEx-e-P o;7 59775 voav--t 4;D'a, Saacty Occupautcy &Fee Checked_ BOARD OF FIRE PREVENTION REGWLATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TP PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 . (Please Print in ink or type all information) Date—3 —q -0 T^v the Inspector of iiiica: Town of North Andover The undersigned applies for a permit to perform the electrical work Jdesc, bed below Location (Street & Number V 1 L IV :G Owner or Tenant Owner's Address Is this permit in conjunction with a building permit ' Yes No a (Check Appropriate Box) Purpose of Building i�e� �/ v Utility Authorization No. Existing Service Amps Volts Overhead• 0 Undgmd 0 No. of Meters New Service Amps Voits Overhead t4� Undgmd 0 No. of Meters Number of Feeders and Ampacity Location and Nature of 'Proposed Electrical Work ,�'� �n� ,x OTHER: INS RANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YEV-- NO have submitted valid proof of same to the Office YES = NO s u have Y�yES�p/�a indica �the ylup�e�of eraae by cng the box_ INSURANCE BOND a OTHER (Please Specify) ___,C r 1/f% (Expiration Date) Estimated Value of. Electrical Work$ Work to Start Inspection Date Resquested / Rough Final Signed under the Penalties of perjury ,.q / `f FIRM NAIVE �U�GG 1�,�5 C�� L� 4�% C Com/%� ��/r ' UC. NO. <7 Licensee ii, 2C% t✓� Signature 44 �'e ✓W, " /Gs LIC. NO. Address �Vr V i��p �'G L ��� �jP7(l us. Tel No. 6 .✓ ~ / ! J f! 46 Alt Tet. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as requ'sed by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE (Signature of Owner or Agent) Total N?. of Lighting Outlets No. of Hot fuse No. of Transformers KVA Above 0 In 0 No. of Lighting Fhdures Swimming Pool gmd 0 gmd 0 Generators KVA 11 No. of Emergency Lighting No. of Receptacles Outlets No. of Oil Burners Battery Units No. of Switch Outlets No of Gas Burners FIRE ALARMS No. of Zone No. of Detection and Total No. of Ranges No of Air Cond Tons Inflating Devices Heat Total TSI No. of Diposal No. Pumps Tons KW No. of Sounding Devices NoJ of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices 0 Municipal 0 O{her No. of Dryers Heating Devices KW Local Connection No. of No. of Low Voltage No. of Wager Heaters KW Signs Bailases Wm No. Hydro Massage Tuds No. of Motors Total HP ,x OTHER: INS RANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YEV-- NO have submitted valid proof of same to the Office YES = NO s u have Y�yES�p/�a indica �the ylup�e�of eraae by cng the box_ INSURANCE BOND a OTHER (Please Specify) ___,C r 1/f% (Expiration Date) Estimated Value of. Electrical Work$ Work to Start Inspection Date Resquested / Rough Final Signed under the Penalties of perjury ,.q / `f FIRM NAIVE �U�GG 1�,�5 C�� L� 4�% C Com/%� ��/r ' UC. NO. <7 Licensee ii, 2C% t✓� Signature 44 �'e ✓W, " /Gs LIC. NO. Address �Vr V i��p �'G L ��� �jP7(l us. Tel No. 6 .✓ ~ / ! J f! 46 Alt Tet. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as requ'sed by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE (Signature of Owner or Agent) Date C)-. Z:�. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING. This certifies that ... ....................... has permission to perform ........................... plumbing in the buildings of ... lit at L-,( ............... North Andover, Mass. Fee.? .... Lic. No..7.7 . c . ........ . PLU7MBING INSPEC OR Check# /)(,) / 5903 MASSACHUSETTS UNIFORM FOR PERMR TO DO PLUMBING UN. "derTyo r 7 ��� ,A) 0,e . MUL" od d� .— PrtNt a 1-5 Q( Y-" eUMN Location owners Nams— 0 � �- L LL'- J AV E Type d oxupNgr � / O plane SrtxnMW: Yes O No O New p" Rano'vation O Repscemsnt FWORES Inal1Q Company Nagle K MART11L P 1 i� �_T�.n:,�- GIO�k one:. Certificate Address 124 ABBOTT SyyT Q CorpoRtion 2135 LAWRENCE, MA 01 84� O Partnashtp Business Telephone Om Naeie at t kmwted plumber KE EY Mz RTTN INSURANCE COVERAGE I Mire s current liabiRy insurance pdq or Its subdantisl egkriwlent which means the requirements d MGL Ch. 142 Yes Q No O n you have checked yam. please indicate the type caverade by dl dit the ante boot A Ilabft NWXWM policy Q Other type of Indern * O . sand O OWNER'S INSURANCE WAIVER: I am aware the the licensee does not hexa the insumm coverage rragtrired by Chapter 142 of the Mass. General taws. and Vat my slW ature on this permit sppileation waMes this requirement Check one: owner O AW t O 1 Mnby oeAdy that a0 d go drtds and mta uhm I hm xftmVad jar wmn d) in abate gWlicatim are trw and ao imu Ie the bast a1 my pertlnent prorisiorls of 11he � SWA PMfhinp Oode and OMPW 1� tln tWrvd ha wdf h aompienoe wNh d �Y ow"d POEM— Title Type of UMM: tOW O *=711M USE ONLY) Moen,. Number 9 3 0 C9 io I 0 Q e p w M M Z M a A �1 O Z a 1 1 p s s � _ O e P 3 C 14 c D • w Z 0 C O e p w M M Z M a A �1 O Z a Date.d. -. �� .?. -. j� .' TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ... lh� . /I.-/ eey"t. ................... has permission for gas installation ... A. :� k�- ...... in the buildings of ... r5- !� :-� . .......................... at ... /. 6111-� . . k-�- . 10 �� -.-� �'� . ( ,/." ........ North Andover, Mass. Fee. . 1Q.t?. - Lic. No.. . 1-.-) 4 - N GIASINSPECTOR Check# /'�,L I 4636 MASSACHUSETTS UNIFORM AP (Print or Type) !� = �J©• � ��r�0✓'��1 . Moa , ru FOR PERMIT TO DO GASFITTING l 17 yr;lol,j. Permit it� _ f Lam —— Building Location f ff New [� Renovation p Replacement Q G6 Lr - Owners Name Type of Occupancy 1 plans Submitted: Yes❑ No ❑ . a ao: W I! 40 a W z C in W W a. W O V n z , o e u< i s= c. 0 z 2 0 0 rau C d W< i o: z~ a o c W W m o a ar =<= a a a> o p W ri 5 C. ' i 010 O: W x 2 v. z< 0 3 0: e .4 O t .+ 0 0 0 c y o O d tN 0 o sus—BSMT. BASEMENT 1sT FLOOR p� 2ND FLOOR I 3RD FLOOR _ 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name L • MARTIN P + H, INC Check one: Certificate Address 124 ABBOTT ST. 7 Corporation ,� �5. LAWRENCE, MA. 01843 Q Partnership Business Telephone q7A-hR5-521 © Firm/Co. Name of Licensed Plumber or Gas Fitter KERRY MARTIN INSURANCE COVERAGE: I have a current liability insurance policy or its substantia) equivalent which meets the requirements of MGL Ch. 142. Yes n No O It you have checked yes. please indicate the type coverage by checking the appropriate box A liability Insurance policy Q Other type of indemnity Q Bond O OWNER'S INSURANCE WAIVER: 1 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: OwnerO Agent O Signature of Owner or Owner's Agent I hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the treat 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 Gas Cafe and Chapter 142 of the General La By Tg of License: 7rn Q Plumber gnature of m r or rtter sr Title Mastof License Number c)-120 Glty/Town Journeyman ( 0 Z f { m 41 s ro r 0 Z 0 � a � m � O o o _ O r' � s w a Q Location R d Date No TOWN OF NORTH ANDOVER 0 Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee TOTAL -' Check # 16821 A4/V- ( Ca, -t, - Building inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVAT& OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: WVim`' SIGNATURE: Building Commissioner/I dor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1 -���,;1 1.4 Property Dimensions: ti \I,>) 33 i2�> Zoning Distnd li osed Use Lot Xrea s Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Re red Provided D i 9— 79 ,L 1 O 'F 1.7 Water Supply M.G.L.C.40. 64) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private 0 Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record [v� / j n 1\ V `�. A ?11 1 ,� 1 � �� �" Gt � e l Name (Print) Address for Service: � (-</-" 4-2�� 'jr�� p Signature 1> Telephone 2.2 Owner of Record: Narri-' w Address for Service: b Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable Licensed Construction Supervisor: License Number Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone J `7 , 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 .......0 No ....... ❑ SECTION 5 Description of Proposed Work check allapplicable) New Construction kf Existing Building Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition �` Other ❑ Specify Brief Description of Proposed Work: �St 107 VvaVerj (oAjrVJJ'1� up SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant {}FF'ICIAL USE ONLY 1. Building I J O o (a) Building Permit Fee Multiplier 2 Electrical Z o o J (b) Estimated Total Cost of Construction 3 Plumbing '). u U Building Permit fee (a) X (b) 8 �( 4 Mechanical HVAC tY J D U 5 Fire Protection i ° , OV Uv 6 Total 1+2+3+4+5) to 000 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 5 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 v SIZE BASEMENT OR SLAB A S� SIZE OF FLOOR TIMBERS (0 1 2 ND3 SPAN DIMENSIONS OF SILLS 2 -Ftp P DIMENSIONS OF POSTS DiMENSIONS OF GIRDERS 6 ;F t C IIEIGHT OF FOUNDATION THICKNESS (D SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND _fb-vLL IS BUILDING CONNECTED TO NATURAL GAS LINE tV9• p e t31 F Q0Ol \ 2, C Mir � R. • a P i,a o r C� OQ OpQ t M M Z t31 F A s*� ropy � 0 1, `} a4 2, Mir R. • a P i,a o r C� OQ M M Z �0 z ® z tT o0 b z O C c x CO) _90 M C% O p0 e n d Mc z o A U) m m Cf) Cn 0 c CA d CD C � d 'v O C2 Z y CL =• � � O C. _• y aCc -0 CD O v CDCL o rF Q %< 0) O cc CD mm C O N)� CL v y —• O co CD O I C C � 0 --1 _ O —• di O Q ao MOO V! CN r mein m C) m WCA m .0 C � W Z —?lo Vi h '-I = P -0m CL n?d 0 T =ro m H N 1 7 7 m C 40 m �0 O . O zC.) c7 . O CJ W C =r =%: CL ca CL ,w . tri 92 o W m o CD C7o C CL co O H 0o1 Hd . y • =or CA ? � O H 1 1 goh CD m w oo`�o Go CD 0 0 � • ao n�1,s CO) + � 0 IL moo: 0a' d z o , r c o. C x 1 y 40 tri M, t M I IM Location No. Date TOWN OF NORTH ANDOVER 0 JL OR Certificate Occupancy of $ CHU Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ L4 TOTAL $ Check # C 34A 16750 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: C/ SIGNATURE: 1za Building Commissioner/1for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: i 0`7 W 44 e-1 c A 1.2 Assessors Map and Parcel Number: 14 9-3 Map Number Parcel Number N 0 & A i\d\ wV M k - Q c W- 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 R 'redProvided Required Provided 30 12 i 5 1 1 1",t23 `i0 ®+ 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public X Private 0 -Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record ai 11 rc �Y 6-1 Name (Print) Address for Service '� Signatuk Telephone 2.2 Owner of Record: Name Print Address for Service: ,s Signature Telephone SECWN 3 - CONSTRUCTION SERVICES 3.1 Lic sed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone Not Applicable . License Number Expiration Date 3.2 RP^' red Home Improvement Contractor Not Applicable ❑ Company�C'dame Registration Number Address Expiration Date Signature Telephone V M X ic Z O O Z M 90 O aas• r v M r r ns z 0 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 allapplicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ JAddition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Desc ron of Proposed Work: �// l A A r 1 t V C.oJJ ' /U""c.. SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to bebFF)CCIA1GvISE-t3.1�ILY Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical l/ (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (e) 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 o My behalf, in all­mqjjerative "r ork authorized by this building permit application. SO ature Cfwne 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 4ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR T ABERS I s 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS I1EIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE P: k;. NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-954 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 by MGL Chapter 111, S 150 A. The debris will be disposed of in: (Location of N Signature of Permit Applicant 1,ZO 0 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector --. —u uv v v i . 1 1\ V I I L i .,UJ IAV r -vwvCRO ( L.J 1 JJ I I V `7 7 .7' O f 0t..70 LG 1 i W l sep- X18-�03 , 02: ].5P TOWN OF ANDOVtK"--- Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 Building Demolition Affidavit DA -TEP 171a V Lcv 1 � OWNERS NAME & ADD MS _ .. ..._. ..�..-- PROPERTY LOCATION tO rl l,►�oJec% R �,.. r.�.._ DESCRIP�'iON �_ __..�• CONTRACTORS NAME & A01D S DEPART MENt SIGN -OFFS �� SEWE v r ' ,/'TELEPHONE cA Cable ✓TAXES A )<«d�C 4•l OZOL, YSb' 633-`1266` A%, ._PD a� `I s r ✓Poli E f 'a -0 g #-,1311F1 :^JFK�1_t� I r '' -' itX �:4+' l�,> t�•fir,R EXIE A $T r DTG SAFE NLTIv ER -6 l, fer","') QI-Z� ** TOTAL Pa6E.01 ** �Jr� S" `C N l�aS`°pZsS -. 9 m . 80. O b rb � N kA 0411, n kAso�rr. w�a i3 83 00, (BUN6Hpn N N O � b rb � N kA 0411, n kAso�rr. w�a i3 83 00, (BUN6Hpn f C/) DO m U) 0 CA CDZ CDCL O d Q =. o p c�D � a� ,cr d CD O no �O CD Lei y d CA � II n n O CA d CD 0 CD CD y CD CA O O CCD O CD rf O C I� C O d_ O �• y O C ymm S So y O tindn CD Cl) Z • m =r CA, =rm a =r IM O y CD O m CO) .•► O .-►'fl O m a cc 0Z Cu) 1 O H• cjC13 O m : 0, CA a �c O C s : rj C CD m N :— co CLA0 O CD m �Oh H d. d cr 46s C` W - C CCD dco ? H com °:-ocm CD to C) oo � �• �: CA most: -o er O m ^. 'Wim: S a W H • ' dm: CD �: C3.= C) c d cn o m OQ w cn giIx ? r w ;xj (IQ � C1 �? w n �.� A rt t cn b cn -n -, 7C tz O M-4 z IN M c h k t c 4 Town of North Andover f �iORT1H 1 Building Department O at�eDj6, q'O 400 Osgood Street North Andover Ma 01845 (978) 688-9545 R Fax (978) 688-9542 �. �o „�, •� *� APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSSPECTION ADDRESS LOT NUMBER - . ;SUBDIVISION y.r-- DATE REQUEST FILED it i aA oo DATE READY FOR INSPECTION 1 F,& 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 DATE "7 O D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. " kj4nm SIGNATURE / DPW AUTHORIZATION E EL b 9' c V Mme+ CD z 9 Al A 0 m M n W4 0 .q :6 M. 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DEI JOB NO.: 5KETCH NO.: LO 0 1 East Piver Place D I OG4 Methuen, MA 0 1844-38 15 SK- cuENr No.: 978 682 1 748 5KETGN SEQUENCE: www.ciaicjlecncjincer5.com 978 682 G42 I (fax) 51GNATURE v I I ST FL o f LANA C N.T-S PROJECT: CATHEDRAL CEILING OVER MA5TER BEDROOM STAMP: 1.07* 109 WAVERLY ROAD NORTH ANDOVER, MA Daic le Engineers, Inc. 0 1 East River Place Methuen, MAO 1844-3818 978 G82 1748 www.daic3leencjineer5.com 978.G52 G421 (fax) 51GNATURE ►°osr DRAWN BY: C DE5IGNED BY: RKD CHECKED BY: RKD DEI JOB NO.: DIOG4 CUENT NO.: DATE: 12-18-03 REV15ION DATE I: REV15ION DATE 2: SKETCH NO.: 5K- 2 5KETCH SEQUENCE: 2of(o PROJECT: CATHEDRAL CEILING OVER MASTER BEDROOM STAMP: DRAWN BY: DATE: C 12-18-03 I.07� 109 WAVERLI/ ROAD DESIGNED BY: KEV15ION DATE I: RKD NORTH ANDOVER, MA CHECKED BY: REVISION DATE 2: RKD Daic le Engineers, Inc. DEI JOB NO.: SKETCH NO.: I East River Place D I OG4 Methuen, MA 0 1844-38 15 `� 5K— 3 978 682 1 748 cuENT No.: SKETCH SEQUENCE: www.daicgleengineer5.com 975G.82 G421 (fax) 51GNATu s p; ip a�oc--- aw AT 1 K (p fL)U. r— 2-2Ktp -2X4r III 2-2c� "1-2IF I 4@ PROJECT: CATHEDRAL CEILING OVER MASTER BEDROOM STAMP: DRAWN BY: DATE: 1 / C 12-18-03 07* 109 ✓ VVAVERLI ROAD DESIGNED BY: REV15ION DATE I: RKD NORTH ANDOVER, MA CHECKED BY: PEV15ION DATE 2: RKD Daic le Englneer5, Inc. DEI JOB NO.: SKETCH NO.: 0 1 East River Place D I OG4 Methuen, MA 0 1844-38 15 SK- ¢ C.. CLIENT NO.: 978 G82 1 748 SKETCH SEQUENCE: www.claicjlcen6jlncer5.com 975 G82 G42 I (fax) SIGNATURE .= Cpn�T. �21OGE V��'T 5�✓ "CDS VoLyloced 5GA15 eALµ AAJrTE12 5ET ODPor � f- vT C ONE ^ I/Z'- MAY RE VOULLZO 0&4t -J THIl� C-WTQZ O1= r -'E) -.M _ � aF.cTl2.l FY Tt-� GEl4nX� � TY P SST. X - x PROJECT' CATHEDRAL CEILING OVER MASTER BEDROOM 5TAMP: DRAWN BY: DATE: C 12-18-03 1,07* 109 WAVERLY ROAD DE151GNED BY: REVISION DATE 1: RKD NORTH ANDOVER, MA .CHECKED BY: REVISION DATE 2: RKD Daigle Engineers, Inc. DEI JOB NO.: SKETCH NO.: A I East River Place D 1064 Methuen, MA 0 1 844-38 1 8 5K— 5 978 682 1748 CUENT NO.: SKETCH sEGUENCE: www.daigleengmeers.com 978G.82 9421 (fax) SIGNATURE rj GENE nAL N oTES 1. LAMINATED VENEER (DESIGNATED AS "LVL" ON DRAWINGS) A) ALL LAMINATED VENEER LUMBER SHALL BE MANUFACTURED BY TRUSS JOIST MACMILLAN CORPORATION INC., OR APPROVED EQUAL. B) ALL LAMINATED VENEER LUMBER SHALL HAVE THE FOLLOWING ALLOWABLE DESIGN PROPERTIES: Fb = 2,800 PSI Fv = 285 PSI E = 2,000,000 PSI C) FASTEN MULTIPLE MEMBER LAMINATED VENEER BEAMS ACCORDING TO MANUFACTURER'S SPECIFICATIONS. PROJECT: CATHEDRAL CEILING OVER MA5TER BEDROOM STAMP: DRAWN BY. 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