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Miscellaneous - 110 NUTMEG LANE 4/30/2018
�j✓Z�y Nutmeg Ln, 110.- 'M _ap 10.Map 38 Parcel 273 I k I Nutmeg Ln, 110. C .Map 38 Parcel 273 I Date./.Z � �%/ . . ..... . Of TOWN OF NORTH ANDOVER -.z • PERMIT FOR GAS INSTALLATION CNUSEI ; c{Uh . ?r Zvi ,$ Y This certifies that . . . . . . ` has permission for gas installation /. '!40. Al Zgrg. . . . . . . . . . . r� in the buildings of . . ���//tt.. Rr /. . . . . . . . . . . . . . . . . . . . . . . . at .19 . . . North Andover, Mass. ZS�G i Fee. . . . . . . . . Lac. No..�. . . . . . . . ��� . . . . . . . GAS INSPECTOR Check# 7965 NLA.SSAGWSETTS UNIFORM APPLICATON FOR PERNIrr TO DO GAS FITTING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS ' Building Locations © /� 1 ��,, Permit# Amount$ Owner's Name New n/ Renovation a Replacement ❑ Plans Submitted ❑ w � U l O UU H x Oz c7 w w H °i c4 Gw ¢ ce a w � w H e H Q > a �~� z o z z o x SUB -BASEMEN T > B A S E M ENT 1ST. FLOOR 2ND . FLOOR 3RD. FLOOR 4T II . F L O O R 5TH . F L O O R 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type)) �7A( J�•-� `� �L� 1 T L Check one: Certificate Installing Company Corp. Address .} 1 J U-, i Partner. ✓`� r al.c . Busmess le ephone q 0' iF rm/Co. :dame of Licensed Plumber or Gas Fitter NSURANCE COVERAGE Check one:-" I have a current liability Insurance policy or it's substantial equivalent. Yes No If you have checked�, please i dicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity 0 Bond 13 Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapterof;Mass. General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Aoent 0 ) 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"'IN knowled,e and that all plumbinLY work and installations perrornn::d under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the(jencral Laws, F Signature or Licensed Plumber Or Gas Fitter e Plumber/Town Fitter t ICCIISC NLimber Master APPROVED f OFFICE USE ONLY) Journeyman The Commonwealth of Massachusetts e Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ArLt� 1-4 -t- (, Address: ,� 1=J L r o.— 1 City/State/Zip: r`x-2 ►^\ 61';'f 'Phone #: cj -)'G M6-1 1 t� j Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.Dam a sole proprietor or partner- listed on the attached sheet. + ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition -[No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §](4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] 13.❑ Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: h`f_-c 0Ate-z Policy#or Self-ins. Lic.#: Expiration Date: ��t Job Site Address:_1 ( U ^J T r►\ e i. L 4,- City/State/Zip:!V. Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct. Signature: A__Z'V Date: I Phone#: d .-) I & Official use only. Do not write in this area, to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Date......!.!.'. .-. .. t NORTH'' TOWN OF NORTH ANDOVER PERMIT FOR WIRING SACMUS� This certifies that ! +�' `6V I LL AI� .... . .............. ................. _ ............................has permission to perform ...... fs ........ .............. wiring in the building of..........L."`.. lam............................................ t .......P'T....... .................................... No dover,Moss. Fee...Y-5- r Lic.No. l yCll9............. . . .... ... EL GTRic L I.NSPECTok' Check 'I 0498 Contanonweab#�t o��aaaacrwuaal� Of�citll Usa Odly c� Permit No, .LJaJsartmont.a��ln�arvkve Occupandy and Fee Checked BOARD OF FIRE PREVENTION REOULATIQN8 jpRov. 1/071 ltsave blank 0'R P IT TO PERFORM, SLE-T. CAL WORK All wOtk to be porfbrmod in accordonco.with the Messochusotts E)ectrical Code C); 527 CMR 12;00 (PL g4RP-FJNTJNINK OR 2"YPEALL INFORMATION) Dafiet Oty, or Town of; /V -AA /-�n�/�;�,v To zhe Inspector©f Wires. Y tI>�s a plyeo ion the umdctsigned gives n0ti0t Of his or her intention to perform the clactrical work desonbed below; :1500 t sv(S:t t:.&lYamber) �I� Nu2!222ecq "C n `f'Or'Or Taolyt Ani Me-,j4f_�"-' Telephone o 7 -.gkj�2 0E'50 f!1?151[Ct'..si''edt3re3s _/�'► e— i?N#fle erfiyit.i,l:Conjunction ith a building permit? Yes [] No (Check Approprtate.Bvz) 'P19S6- fitfldit,g-_ �s Utility Authorization NO.— Let'1061J, Amps o.ictoZOdAmps /0 oits Overfiead ❑ Uhdgrrtl No, orMe6ers.�, �„ Arps volts out how:d ❑ vvvrd-�❑ rlo;of ovi, 4#140e0ers.and Airy , on' IMd Nature or-proposed Electrical Work;. Tn Goin lellon o ille;allowt?t table M=be waived b I -(2. Moro M-W. No,.or.-Rocessed Luminaires 7 M4 Nv. orCeil,jSus , : addle Fans o"� p (P ) Tra.nsf rmers ICYA No,.orLuininaire Outlets No.of Hqt Tubs Generators KYA 1' Ne n. , a . o agency g ng i o,.of.#;umieaires SWirrrmirtg_Pboi . rnd,. © d, ❑ $a U its NO.of Receptacle OutletsNo,of O•fl$urbvrs ?Y'ICR.1>;r ALARMS' �IVo,ofZonos lYo,of witchm o,.o �,e. t.lon 10.41 No,of Gag Burners Initi No,of Ran es Total lNo, , Tn :Ae No. of Alerting Devices No,.of Waste Disposers tat u.mp u°ttr,fir ons o, o e ort.n.. t3' Totalat ;,;�..����� �..�",�., , ..�..:,. �..Detec�itrri•.A�l �b�Yi' 's. UA No,of Dishwashers Space/Area Heating KW . ( CC het �. ... No,of Dryers Heating Appiisnces Key CZ .r'C . ..' ....: s �I'�o�::v7:: e'Ylces<o:r: 'al ttt Q,v • .a r KtiY o, o o; o Data PVirJng; Heaters St ns Ballasts Np:-or A'evices or.G. :tr?volent e ervinrnu'rr oat o'ns . WWI—; No;FlydrIvmassnge.Bathtubs No. or Motors Total:HP No, of DeVioes or 9 uivolent OTHER: Alrach addillonal de'rdlf/fdexl'W,, or:as regiiirerr y llie Iti pe�7ox of i ria, 1'4d#ed'YaluIc of EfeatHcal Werk; 6z 3(20_ (When required by mawiiop., pplicy.) -work to Start; /J- .2a // Inspections to be requested in accordance with MEC Rule 10, and upon completion, �Ct itA`GE; Unless waived by the owner,,no permit for the performance of electrical.work may Isno4M.5s roto ligMve-providts proof of liability insurance including"completed operation" coverage or its substantial eq.uMlerit; `Ilhe andersi-mod cartiftes that.sucb coverage is in force, and has exhibited proof of same to the permit issuing office, CRRCi GIVE: .INSURANCE BOND (] OTHER ❑ (Specify:) 1:0410,41n,10/Ii alns and p es of perry, (hat.he lnfar I for, /is pfl t' is true and oomplere, PI1 .1Y(4 / LIC.NO.:. ��4�Y� luicertsee;.. Signature LIC, N �s (tf' PUco .>eryl t"dn he/ice a nl�ber Ilne,J Bus.Tel, NO-2, 1' Alt,Tel, No,: *p6r.- I:t3;L,c, ]47, s. 57-6J,security work requires Department of Public S8fety"S" License: Lie, No, d -+ '81N8tJRANCE WAIVER: I am aware that the Licensee does,rroc have the liability insurance coverage normally re below, f hcrcby wnivc this.mquJ crricnt,. f am the.(chm o 'e .. owner Eltltt rod:by law. By my signovmcr's 'W re S,lg It l'C Teleph.on.e No. at�t, J6ERi'k1rT FEE; S Town of North Andover & paRTH IL6*a - EO , ��. Building Department y, � L 27 Charles Street North Andover, Massachusetts 01845 * ,� (978) 688-9545 Fax(978) 688-9542 tn O y T � CO[M[w wKR 1• T Q ��SS.acHuS'���y APPLICATION FOR CERTIFICATE OF OCCUPANCY/ INSPECTION ADDRESS //0 LOT NUMBER 0`2 SUBDIVISION 14 6o7- DATE o DATE REQUEST FILED DATE READY FOR INSPECTION 7 FIVE (5) 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 S UCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE OFFICIAL USE ONLY ROUTING �/ '(� G CONSERVATIO ' DATE ,9 ; PLANNING 1 DATE 3 ( U J r D.P.W. —WATER METER DATE D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. SIGNATURE /DPW AUTHORIZATION Town of North Andover o& tAORTH q Building Department 3? h°; h.'a o 27 Charles Street to North Andover, Massachusetts 01845 , (978) 688-9545 Fax (978) 688-9542 0�4 cocwic«�w.ww�� YSSACHUS, APPLICATION FOR CERTIFICATE OF OCCUPANCY/ INSPECTION ADDRESS Z/D Af/4/y a'l4Z'S � 7 4 LOT NUMBER 0 SUBDIVISION /&6Sy7 �/ !s- DATE REQUEST FILED �7 DATE READY FOR INSPECTION `G FIVE (5) 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 CONSERVATIONDATE PLANNING (_'11x4ej1 DATE D.P.W. —WATER4 DATE 6 O D.P. ST INDICATE THAT THE WATER METER HAS BEEN INSTALLED OR O SP ION REQUEST DATE. GNATURE/ AUTHO N Date.. . . . . . ... . .. . .. . NORTH pF ,.io ,ti0 o� '` °� TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION �9SSACMUSEt This certifies that . �!.�!r,r. : �: l'1.r.:. . . . . . . . . . . . . . has permission for gas installation . . . . . . in the buildings of . .,�� .<: . . . . . . Y./ . . . . . . . . . . at �. . . . . . . ., North Andover, Mass. Fee. Z. . ". . Lic. No.. . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . GASINSPECTOR Check# V J � J J%! MASSACHUSETTS UNI TFORM APPL ICATON FOR PERMIT TO DO GAS FITTING � or print) Date's —,,p (9 p, NORTH ANDOVER, MASSACHUSETTS Building Locations WO Ny'k't+^QZ% �� Q`+J� Permit 9 Amount S 7XOwner's Name f Q>-',:-A.4-- New a Renovation ❑ Replacement ❑ Plans Submitted ❑ Cn z Cn _ In S U [3 -3.-k S E .M E V 'r — BASE .M ENT t 1 1 S T. F L O O R 2N U . F L 0 0 R 3R 1) . F L 0 0 R 1 =TIM. FL00It 5'r 11 F L 0 0 R 6T 11 F L O O R 7'r 11 FL00It 3T 11 F1, 0 O R (Print or e) + Check one: Certificate Installing Company NameE(L�C. P�11 .A• Com .eS ❑ Corp. Address ❑ Pa.rmer. Business Telephone Chsrl—r1%0 FirmiCo. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes [Vj No❑7 Ifyou have checked yes, please indicate the type coverage by checking the appropriate box. Liabiliry insurance policv © Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 1421 of the ivlass. General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ElAgent ❑ 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 ofmy knowledge and that all plumbing work and installations pertbrmed under Permit Issued for this application will be in compliance with all pertinent provisions of the:Massachusetts State Gas Code and Chapter 142-of the General Laws. _ 1 Bv: Sienature of Licensed Plumber Or Gas Fitter Title ® Plumber L135� City/Town ❑ Gas Fitter LIc--rise Numoer RDMaster APPROVED uFrir;uSF t)NI.Y, ❑ Journeyman j�/ No r: G O Date.......... ............ .......... • NOR7M 4�`" TOWN OF NORTH ANDOVER PERMIT FOR WIRING CHusf� This certifies that .......;....... ........... .................................................. has permission to performZ�lel it (A1 i%iring in the building of.........�.:.../j!/l •�1.. .............................................. at.......///� /r! Jet/� Z—/V- ........ -/V' ,North Andover,Mass. `'Fee,�s.'. ... Lic.No..�. ;..0 ............�..r �.:�.F.. � ELECTRICAL INSPBCToR Check # 1 WHITE:Applicant CANARY: Building Dept. PINK:Treasurer •� IHVWAMUIVWPALIHUPM4a4CHVMJ11), utuceuseonly DEPARTMEM OFPUBLICSAFM Permit No. BOARD OFMEPREVEWONRWUTATIOAN5270MR 12.W OAAPPUCATION Occupancy&Fees Checked FORR PERAff 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) Date3 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) //d /V U7,V -CC, Z_ i9/lJ,E Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes[ErNo (Check Appropriate Box) Purpose of Building /0 S /,0Z ACJ 7-1,49L Z— Utility Authorization No. Existing Service Amps�/� Volts Overhead M Underground No.of Meters New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work yr e�, ,O /-- Aw V No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground M zround 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 F .of Dryers Heating Devices KW LocalMunicipal r7 Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER. �t/rg /A.r Inst><a=Co RusmttDthetawtarlatsdMwmdlEettsQfUWlam IhawaomatLmbtldyhmm=Pobcym&ditgCQTI& Comageor�ssttbstarfaleWma YES NO Ihmesubrnktedvalidpvefofsm=tothe06m YESLLLar7 Ifjouha%edledWYES,p1memdc*thetypeefcc&a yd=kirlgthe INSURANCE [3— BOND MHR ( ) Dai Esftn&d Vahrecfl3eMical Woik$ 9 0 WorkoStmt 3-Z�' -G hq)ectimD.*> d RaoFa,al SigrWWCkMPdUhiesoCbajW. RRM NAME SV I VA n/' AA1--,4 le AAOL. tq 112. .fv!/=Signa. 'e"I 6, � -2-2 V 7 0 BusrmTeLNa97--4 ?,2-/, Y7T Addu �2� /��/7 e/9/1/� r. L-,�9'w A%G� ! /� Alt Tel Na OWNER'SPgR RANCEWANFR;Iamawa drtdxl.ka;' doe ed�eittsuanoeeo agetrds >tialegtavalallastegtmedbyMamdasel�GalaaiIaws and thatmy seonthiSpfflnt ppkcationwaiwsftrequiffe ent. (Please check one) Owner M AgentEl Telephone No. PERMIT FEE$ N2 2 43 Date.....r/k l f pOR7M'1 +•!."aoAL TOWN OF NORTH ANDOVER PERMIT FOR WIRING �SSwcwuS� This certifies that ......... a w,P vl Pc has permission to perform / ld.... wiring in the building of.....And �p �� '? v ........................................................ at.....,/../..0.....Al u 1'-n F.. .........y/(/:........... .NBrth Andover„M sV �; ECTRI CAL INSP ECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer 1110C,UAVIMUJVWCALJ"UI'AlA]`,"Liluml1J viucc use Villy DEPARTMENTOFPUBLICS4MY Permit No. BOARD OFFMPREVEMONMGULATIOAN527CMR 12.0 Occupancy&Fees Checked OVAPPUCATIONFORPERNff 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) Date 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) //0 t_v�v.tt b�' L.. Owner or Tenant / Owner's Address `� 45C�sh, r// 6-V- l Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building 3 (i(, (d W Utility Authorization No. to 13= Existing Service Amps/ Volts Overhead Underground No.of Meters New Service '24� Amps /Z/2-"Volts Overhead Underground No_,of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work- .c n._r-eAtiA--- No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA • and 0 ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units t¢i.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. -- htsutarreCv�A.asuatYtothetagt>�rt�oflv�cla�sC>�iL�.vs IhaveaamulLiabltyhma=Pchymdu&gCaTO& m C m aWcrisaksutialegivakr# YES NO E] IhmesubtnkbdvalidpoofofsarnetotheOfoe YES � l6whawdukadYES,ple�eir�ethe WMaWbydadditgt}te CE [ BOND MER a may) Fwd VakxdE cftxal Wak$ WorkmStart :3---/— 01 hg3eWmD*Requested Rough, cti t(.\ ra.lL _ Final siglvd urdaTie amide ofpe jw r e Liar�eNa FIRM NAME t u=&e H O"A) Y-4�&-R-- Sig�,, A"_ &17 A_/1,4__ LiOmselsb // q 9 1-711 / BtsimTdNa 47 6,w,ckY6 ���`��t��' AIL Te1Na OWNER'SINSURANCEI�I WANFR;lam awaaethatthe6ansedoesnot theinstrarneoo�era�trils al a�malagastt�gt�edbylv�ad�sellsGerteralL andtkratmysigt Anoatusp�aPplirahonwanesdmWitanat (Please check one) Owner AgentED I Telephone No. PERMIT FEE$ 35-11 t � Date. . .1.� . `.! . . No lt775 "oRT: ti TOWN OF NORTH ANDOVER Y 3? ��!� •�OCL PERMIT FOR PLUMBING ,SSACMus� This certifies that . .����!�.!�./. �. f�.. . . . . e' l has permission to perform . . . . ./t < ; X . , . • „ • . . . , plumbing in the buildings of . . ., .%+. t. . . . . .t. ! . . . C.c. at. . lle('. . .I'v. /!I/ . . . . . . . . . . .... North Andover, Mass. I Fee._• . . .Lic. No..//., PLUMBING INSPECTOR r Check # r ' WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS ate Building LocaOwners Name -N Per # 77J-- Amount -3 j O, Type of Occupancy New Renovation Replacement Plans Submitted Yes No FIXTURES z Cn z Cn W HW F CnCnz a w W d cn w A w a A x A H kq a ►"�, a SLRBM ��1VII�IT 1 I i Z'n Fum ;z 4M F10CR SIS IUM 6M FLOCR 7M FLOOR gII3 FIDOR. (Print or type) Check one: Certificate Installing Company Name AerndA---,� El Corp. Address �� � ta'"'�' Partner. Business Telephone q El Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy M Other type of indemnity ❑ Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent El I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By: Signa ot Licenseaum Ser Type of Plumbing License Title k395 ' City/Town use Numoer Master El Journeyman ❑ APPROVED(OFFICE USE ONLY CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number A 0 Date— THIS ateTHIS CERTIFIES THAT THE BUILDING LOCATED ON h 0( O7 /" L) MAY BE OCCUPIED AS 31 N 1� �A"'� t*� �— IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. i ) 1 CERTIFICATE ISSUED TO ��✓' (Otis - ��`�` ` "�� ADDRESS Ajo e r • o yy � # / 1 ,SSACMUg�t LC � r� Bui ring Inspector NORTH Town ® 4Andover V" No. ~ D LA o dower, Mass., - n0 COC MIC ME WICK V ADRATED P'?��t5 S H E BOARD OF HEALTH PERMIT T D Food/Kitchen 5, K- K Septic System THIS CERTIFIES THAT....A&Jeofoft.... � CO k.1...DA.-o!.4 /�P.. BUILDING INSPECTOR � ................. ................. Foundation has permission to erect.............�........................ buildings on L ...I.lQ... w1!f.. .....�.A. �i Rough to be occupied as.I.or`o ftj d2 , Irl. ..VN .! �`...S.W. .. �............... Chimne �.... provided that the person accepting this permit shall in every respect conform to the termsT1 the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspect' n, Alteration and Construction of ✓" �" Buildings in the Town of North Andover. a a pa � 3 ' . PLUMBING INSPECTO VIOLATION of the Zoning or Building Regulations Voids this Permit. -2 2 —o PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION ST T ELECTRICAL INSPE ...... / ............ ..................................................... BUILDING INSPECTOR nal �v Occupancy Permit Required to Occupy Building GAS INSPECTOI,,,,.. 61 Display in a Conspicuous Place on the Premises — Do Not Remove �� �, L No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. j Burner a Street No. v, 01 ( SEE REVERSE SInF I Smoke Det. I - / Location No. v Date �oRT„ TOWN OF NORTH ANDOVER 0 . ' 9 ` Certificate of Occupancy $ Building/Frame Permit Fee $ �> s�CHus Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # — Building Inspectoi— v PLAN OF LAND W NO* AND 0 VER, MASS* SCALE 1. = 40' NOVEMBER 15, 2000 HAVES ENG/NEER/N9, INC. ► 603 SALEM STREET CML MG/NEMS & WAKMEL0, MASS. 01880 LAND SURVEYORS TEL. (781) 246-2800 / CERTIFY THAT THIS FOUNDAAON /S LOCATED ON THE GROUND AS SHOWN, AND THAT /T CONFORMS TO THE SET&4CK REOU/REMENTS OF THE ZONING BY—LAWS OF THE TOWN OF N0. ANDOVER. / FURTHER CERAFY THAT TH/S PROPERTY DOES NOT LIE, WITHIN A /700D HAZARD AREA (ZONE A OR V) AS SHOWN ON FLOOD INSURANCE RAX MAP COMMUN/TY PANEL NUMBER 250098 0010 B,• EFFECTIVE' DA 7E.- ✓UNE 15, 1983. jN OF Mgss,�cti O GN DATE-: NOVEMBER 16, 2000 C SIDNEY in -------------- FIELD,JR. N PROFES NAL LAND SUR No.15320 10 SURNgl 1 Y. G LANE M E v ,144.77 R V 6 -13�3I ¢j IN �� Sl--670?o p I� �l E I � o �a o is 9 7� w 0 �g4t EX/ST/NG o FOUNDATION T.F.=195.43 -014-�� \ LOT 3 s ��as LOT 2 ZONE- R-3 � 25.037 S.F. MIN/MUM SETBACKS. FRONT = 30' LOT 1 ,FIDE = 20' REAR = 30' _ MIN. LOT AREA = 25,000 S.F. 579;5 MIN. FRONTAGE = 125' i i NOTF• — LOT PER/ME7FR TAKEN FROM A PLAN SY NEW ENGLAND ENG/NEER/NG SETMES, DATED ✓UNE 12, 2000 r • Location U ti No. ?. Date " �� Li`l AORTPI TOWN OF NORTH ANDOVER F 9 " Certificate of Occupancy $ ♦ i ♦ HU s Building/Frame Permit Fee $ tC Foundation Permit Fee $ Other Permit Fee $ TOTAL $ r��a Check # 1748 Y� --Building Inspect TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING lox BUILDING PERMIT NUMBER. DATE ISSUED. ic SIGNATURE: �C --4 Building Commi sioner/I for of Buildings Date z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: mo 126 c>?/?3 I' �A,`�� n ` dlg Map Number Parcel Number Q 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 Required Provided R red Provided v 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record 114) -N- Name(Print) Address for Servi �1 Sigrtatur Telephone 0 2.21,Owner of Reco : Name Print Address for Service: z M Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable�-- Licensed Construction Supervisor: O License Number 11 Address F Expiration Date ic Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name M Registration Number r Address r z Expiration Date G) Signature Telephone YI r } SECTION 4-WORKERS COMPENSATION(NLG.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. -Signed affidavit Attached Yes.......11 No.......❑ SECTION 5 Description of Proposed Work check au applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: ie Sky(�J e SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to beOFFICLA3.�USE'ONJLY. Completed bV permit applicant 1. Building (a) Building Permit Fee lg Multiplier 2 Electrical (b) Estimated Total Cost of 0�X 0 Construction 3 Plumbing Building Permit fee(a) X(b) �01 4 Mechanical HVAC l U 5 Fire Protection 6 Total 1+2+3+4+5 p, Check Number SECTION 7a OWNER AUTHORIZAbhOP LETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. -Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of Owner/Agent Date t NO.OF STORIES SIZE BASEMENT OR SLAB 1 SIZE OF FLOOR TIMBERS 1 2 3Ku SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS: This form is used to verify that all necessary. approuaIS/ eCm- Boards and Departments having jurisdiction have been obtained. This ado P Its from e the applicant and/or.landowner from compliance with any applicable or ire U e°t relieve' q ments. *****************************APPLICANT FILLS OUT THIS SECTION APPLICANT a P PHONE 9�7J0� LOCATION: Assessor's Map Number PARCEL___ SUBDIVISIONVill LOT(S) STREET ST. NUMBER USE ONLY RE C MENDATIO TOWN AGENTS: CONSERVATION ADMINIST ATOR DATE APPROVED 7 4 AlDATE REJECTED COMMENTS 1UBk�^w,� d,� �t i .I TOWN PLANNER DATE-APPROVED DATE REJECTEQ i COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED --------------- COMMENTS PUBLIC WORKS- SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR 1. DATE , Revised 9197 jm 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 a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector %;ORT" Town of North Andover Building Department 27 Charles Street 7a gip., •. �`� -0'. North Andover MA. 01845 CWS D. Robert Nicetta Building Commissioner (978) 688-9545 (978) 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please prin DATE JOB LOCATION Number See ddress Map/lot "HOMEOWNER iW���/llr� l -SDC— 6/7- Name Home Rhone Work Phone PRESENT MAILING ADDRESS 116 U kile, A�& ,4awft A City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned"homeowner'certifies that he/she understands the Town of No. Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and re qui ents. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL t Permit Number REScheck Compliance Certificate Checked By/Date 1995 MEC REScheckSoftware Version 3.5 Release le Data filename:Untided.rck PROJECT TITLE:PLAN NO. 2865 CITY:North Andover STATE:Massachusetts HDD: 6322 CONSTRUCTION TYPE: Single Family DATE: 06/07/04 DATE OF PLANS: 6-6-04 PROJECT DESCRIPTION: ADDITION TO EXISTING HOUSE DESIGNER/CONTRACTOR: BRUNO ASSOC. 28 BERKELEY ROAD N. ANDOVER,MA COMPLIANCE:Passes Maximum UA=50 Your Home UA=49 2.0%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 196 30.0 30.0 3 Wall 1: Wood Frame, 16"o.c. 378 13.0 13.0 14 Window 1: Vinyl Frame:Triple Pane with Low-E 41 0.380 16 Door 1: Solid 42 0.380 16 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 1995 MEC requirements in REScheckVersion 3.5 Release le (formerly MECchecl and to comply with the mandatory requirements listed in the REScheckInspection Checklist. Builder/Designer REScheck Inspection Checklist ' 1995 MEC REScheckSoftware Version 3.5 Release le DATE: 06/07/04 PROJECT TITLE:PLAN NO. 2865 Bldg. Dept. Use I ( Ceilings: [ ] ( 1. Ceiling 1:Flat Ceiling or Scissor Truss, R-30.0 cavity+R-30.0 continuous insulation ( Comments: I Above-Grade Walls: [ J I 1. Wall 1: Wood Frame, 16"o.c.,R-13.0 cavity+R-13.0 continuous insulation ( Comments: I Windows: [ ] ( 1. Window 1:Vinyl Frame:Triple Pane with Low-E,U-factor: 0.380 For windows without labeled U-factors,describe features: ( #Panes Frame Type Thermal Break?[ ]Yes [ ]No ( Comments: I ( Doors: [ l I 1. Door 1: Solid,U-factor:0.380 Comments: I ( Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air ( leakage must be sealed. [ ] ( Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials. If non-IC rated,the fixture must be installed with a ( 3"clearance from insulation. I ( Vapor Retarder: [ ] ( Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I ( Materials Identification: [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] 1 Manufacturer manuals for all installed heating and cooling equipment and service water heating ( equipment must be provided. [ ] ( Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. I ( Duct Insulation: [ ] ( Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-6.5. I Duct Construction: [ ] ( All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used ( for fibrous ducts. Duct tape is not permitted. [ ] I The HVAC system must provide a means for balancing air and water systems. I 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. r I ' Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] I 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. I 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. 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 l„ 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 1"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) NORTH Town of ` Andover 0 .�. .. No. D/3 =_ - _- �,, dover, Mass., 7 " /a COCHICHEWICK �" 7�ADRATED S U BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System M04 BUILDING INSPEC'T'OR THIS CERTIFIES THAT... �. .eR. ..... ...��0AN.� .......... . ...................................... Foundation has permission to erect....1.400.1.41.'.�7. "' �D.......... v f MCG A A S p .. .. .... ildings on ....,!'... .. �.....................................................�..... Rough r f to be occupied as.Fl�l�il.0!�.....q.Mn�..��► � .?R�.y....!� t�. ......R'�.��` 0 `I� Chimney provided that the person accepting this permits all 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 theIn pection, Alteration and Construction of Buildings in the Town of North Andover. 3 8 /Of) 3 � ��� � PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION S T Rough ..........In ........................ .... .C.. ..................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. t PLAN OFLAND . /N NO. A ND 0 VER, UA 55,0 SCALE- I' = 40' NOVEMBER 15, 2000 10 YES ENG/NEER/NG INC. ► 60,3 SALEM STREET CML ENGINEERS & WAKEFIELD, MASS. 01880 LAND SURVEYORS M. (781) 246-2800 / CERTIFY THAT THIS FOUNDa4770N IS LOCATED ON THE GROUND AS SHOWN, AND THAT /T CONFORMS TO THE SETBACK R£OUIREMENT.S OF THE ZONING BY—LAWS OF THE TOWN OF N0. Alvw R / FURTHER CERTIFY THAT THIS PROPERTY DOES NOT LIE WITH/N A FLOOD HAZARD AREA (ZONE A OR V) AS SHOWN ON AZOOD INSURANCE RATE MAP COMMUNITY PANEL NUMBER 250098 0010 B,• EfFEMAE DAT- JUNE 15, 1983 liN OF MgSV��cy ____ C G � DAM- NOVEMBER 16, 2000 SIDNEY --------------------- — -- ---- --- — c. PRO NAL LAND SUR cn No 15320 A9�FES SID�P� SURV��P i G L ANE E M � � R,1 44.77 -1336 I �G sl s�6.�o20 E I 1 EXIST/NG o FOUNDATION T.F.=195.4.3 �� ` LOT 3 ��. u) LOT 2 was off' ZONE.• R-3 25,037 S.F. , UNIX& SETQACKS.- FRONT = .To' LOT 1 SIDE 20' REAR = 30' _ M/N. LOT AREA = 25,000 S.F. S7g MIN. FRONTAGE = 125' 5822E 62,p NOTE LOT PER/METER TAKEN FROM A PLAN BY NEW ENGLAND ENG/NEER/NG SERMES, DATED JUNE 12, 2000 r Date... ........... 4 HOR7M TOWN OF NORTH ANDOVER p PERMIT FOR WIRING SSAGMUSEt This certifies that ............ ........................................................ has permission to perform.-*!c �,1<:' --{ .......................................................... %-;ring in the building of.. '? .?{: -!- ................................................. att ...................................... ... ..�........ ................ ,North Andover,Mass. Feed/. .............. Lic. ./� ....,..:.................`...-:......................... ECfRICAL INSPECTOR Check # 54405 THECOMMONWEALMOFMASUCHUSETTS office Use only DFJXRT 1fiM0FPUXJCSAFEIY Permit No. BOARDOFFIREPREVE2v170NREalL�HOAN970,B?120 Occupancy&Fees Checked APPLICATTONFOR PEIlNR'l TOP ORM ELECTItICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASS CHUSSTS ELECTRICAL CODE,527 CMR 12:00 1 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) ` Date �-e Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical W rk d cribed below. Location(Street&Number) Q C) --11 P C�l N -P Owner or Tenant 14Iq 7'(j e Owner's Address Is this permit in conjunction with a building permit: Yes M No � (Check Appropriate Box) Purpose of Building I\ -5 (0 Po C e Utility Authorization No. _ Existing Service 1Amps/Volts Overhead E] Underground ® No.of Meters New Service Amps I Volts Overhead M Underground CM No.of Meters _ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 0(eC14 11 yD( 7–e 0-V No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures ` Swimming Pool Above Below Generators KVA round M Prolind No.of Receptacle Outlets I r No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets ( v No.of Gas Burners l No.of Ranges No.of Air Cond. ' Total j 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 a Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER• li>%==CaMrdr-R»antbfheregtitenaisafl >t�etlsGaraalLaws Iha�eacuaMLi*T1ylrmiato PO yirrlutbrgCorrFW 0eMM1SCDWW0rASStk9WWqift Iha,r&ftriledva1dpodofwrebthe0�YES trET hmchadWYES,pleas h dc*thetypeof�C-I 1i7; the . boot SURANCE BOND OTIIEx (P> espt y> 1� FxpraGonDate bStat 5 'L Rom dVakreofE1xWcalWak$ Wodc FIRMNAME S�s elP V LicerwNo. -Fdd 7J-1 C _ Licensee t= ? 3 Sigrmw - Lit fwm B Sk=Te1 No. �0 U Alt Tet Na OWNER'SINSLRANCEWAIVER,IarnmwdutheLioarsedomm(hanethemumxcc)NUVorilsaksWrldepvalentasmgmiedbyNtlmhmftcoxralLaws tj) ardthatmysiglkneon dtispeomapplicabm wanes ft rec}>itanerlt � (Please check one) Owner 1:3 Agent ID Telephone No. PERMIT FEE Signature ot Owner or Ageni Location t`� ��� l <i �/�1�C/ L A t f, J No. Date NORTH TOWN OF NORTH ANDOVER � 1 ` Certificate of Occupancy $ J s i 'Ss�cMus�` Building/Frame Permit Fee $ Foundation Permit Fee $ /00� Other Permit Fee $ TOTAL $ Check # 14331 / Building Inspector ti • TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING -"Set dft for+UPf`ldd-U�e Ugi BUILDING PERMIT NUMBER: /-© � DATE ISSUED. Or-10 O� /vl SIGNATURE: .� Building Commissioner/12EQEtor of Buildings Date Z SECTION 1-SITE INFORMATION z 1.1 Property Address: 1.2 Assessors Map and Parcel Number: a7,3 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: (O R 3 S,tiy/p �g ti,�,/ 9'r-p,37 _� • �,V ZoningDistrict Pr osed Use Lot�sea Frontage ft ' 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Re red Provide Required Provided Required Provided 30' 71) , a26 ' 106. v 1.7 Water Syppty M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: D Public !� Private 0 Zone ��..p Outside Flood Zone Q' Municipal r>� On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record 41"PI 9./ �JXd"a"C t Name(Pri Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O Z M Signature Telephone M SECTION 3-CONSTRUCTION SERVICES 7� 3.1 Licensed Construction Supervisor: Not Applicable ❑ ! /SZtJ/ S�- h<. /,q�/QCs c c� Licensed Construction Supervisor: 9 0-moo` O 9 G AW1yah �jr a, License Number wn Address V 76— 7 y,*-6G Expiration Date a SifnafuFe Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ sv Company Name rn Registration Number Address r z Expiration Date ^ Signature Telephone w' 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 it. Signed affidavit Attached Yes......JR' No.......0 SECTION 5 Description of Proposed Work check all applicable) New Construction fid" Existing Building 0 Repair(s) 0 Alterations(s) 0 Addition 0 Accessory Bldg. ❑ Demolition 0 Other 0 Specify Brief Description of Proposed Work: S• Jtr ��w�. /�/ � . CI. 19� 9��r,a�� SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction a�� 3 Plumbing Building Permit fee(a) X (b) 4 Mechanical(HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) 7/cw 5u Check Number SECTION 7a OWNER AUTHORIZATION tO BE COMPLETED WHEN OWNERSAGENTOR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize , a)0VV'/1 0dyy 5-'- -11 ig'ox to act on My behalf. 11 nr ers relative to work authorized by this building permit application. &0 Signature of Owier Date SECTION 7b OWNER/AUTH,O>RIZED AGENT DECLARATION I, A/ a" s� /�JB//(r ,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 Nam Si ature of Owner/A ent " Date NO. OF STORIES SIZE BASEMENT OR SLAB wry j SIZE OF FLOOR TDvIBERS 1 /d 2ND 3RD SPAN / ", DIMENSIONS OF SILLS yy L DDvIENSIONS OF POSTS 3 DDAENSIONS OF GIRDERS /U HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING v X $ MATERIAL OF CHIMNEY /$R, .R IS BUILDING ON SOLID OR FILLED LAND 55 77 IS BUILDING CONNECTED TO NATURAL GAS LINE y�S FORM - U - LOT RELEASE 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 4' 0Lia j Z 40411 PHONE 9 7 0 O ASSESSORS MAP NUMBER 3 LOT NUMBER `L`1 SUBDIVISION &f� _ ���i1�f- LOT NUMBER STREET .... .....STREET NUMBER .. ...� © ...... OFFICIAL USE ONLY RECONA4ENDATIONS OF TOWN AGENTS DATE APPROVED t 0 Z CCifqSERVATION ADMIMSTRATOR DATE REJECTED COMMENTS r3y L 0 DATE APPROVED /Z lo(2 TOWN ftAMFER DATE REJECTED IK L COMMENTS IVO (7,.6d G12 /DZ2?k( DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPiXTOR-HEALTH DATE REJECTED COMMENTS L"9,,&,1 PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVE WA PERMIT A DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE s A u/PFVW • \�� \ 001 Z.i6W w dMl' .l T r KX.I \ -F *0zINVaw 7 YS rio SZ �' l .107 MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 .01 Release 2 Checked by/Date CITY: North Andover ' STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other- (Non-Fdectric .Resistance) DATE: 6-9-2000 TITLE: ABBOTT VILLAGE SALEM ROAD TYPE L39R PROJECT INFORMATION PAUL ST HILAIRE 96 DASCOMB ROAD ANDOVER MA COMPANY INFORMATION.- J&J NFORMATION.J&J HEATING & AIR COND DRACUT MA COMPLIANCE: PASSES Required UA = 677 Your Home = 615 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value --------------------------------------------------------------------------- CEILINGS 1899 30.0 0.0 WALLS: Wood Frame, 16" O.C. 30-23 13 .0 0.0 2 GLAZING: Windows or Doors 366 0.460 1 GLAZING: Windows or Doors 42 0.490 DOORS 39 0. 600 FLOORS: Over Unconditioned Space 1899 19.0 0.0 HVAC EQUIPMENT: Furnace, 92 .0 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 requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than__ 125$ of- the_. design_ Load_ as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date a Massabhusetts Energy Code MAScheck Software Version 2 .01.. Rel PA4a _-2-. ABBOTT VILLAGE SALEM ROAD TYPE L39R DATE: 6-9-2000 Bldg. f Dept. Use CEILINGS: [ ] 1. R-30 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C. , R-13 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.46 For windows without labeled U-values, describe features: C # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location [ ] 2 . U-value: 0.49 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location C DOORS: [ ] 1. U-value: 0.6 Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location HVAC EQUIPMENT: [ ] 1. Furnace, 92 .0 AFUE or higher Make and Model Number [ ] 2 . Air Conditioner, 10.0 SEER AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 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 cfm ( 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 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values, glazing U-values, and heating equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] i Ducts shall be insulated per Table J4.4.7 .1. 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. HVAC 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. f 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. HVAC PIPING INSULATION: [ ] iHVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in. ) : PIPE SIZES (in. ) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4 Low pressure/temp. 201-250 1.0 1.5 1.5 2 .0 Low temperature 120-200 0.5 1.0 1 .0 1 .5 Steam condensate any 1.0 1.0 1.5 2 .0 COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1. 0 refrigerant below 40 1.0 1. 0 1.5 1.5 j CIRCULATING HOT WATER SYSTEMS: [ ] l Insulate circulating hot water pipes to the following levels (in. ) : PIPE SIZES (in. ) NON-CIRCULATING CIRCULATING MAINS & RUNOUT HEATED WATER TEMP (F) : RUNOUTS 0-1" 0-1.25" 1.5-2.0" 2 .0+ 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 ----NOTES TO FIELD (Building Department Use Only)------------------------- Town of North AndoverNOR7h otist,.o 16, .i1+ gt:�, ye Q Building Department o Z. 27 Charles Street * _ North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 P �4SSgcHuS���y DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit 9 the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in/at: u Facility location Signature of Applicant z i z• Da e NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. Growth Nteneeernent Eylaw Exemption SLeternent Town of Ncr',h Ardcver Euiiding Cerar`u-nent ,lis form shad be used to assist:he 3uiidirg Ceoartiment in ;heir datermiraticn of exec;ions urcer sec:icn Tcwn ef,Ndrth.Andover Grcmh Management:ylaw. 71e 7uilcing acciicznt shad-rcvide ad of"e,ece<_,ari rfcr-anon as recuestec beicw. IVa ne cf A.pclicart cn cUlicinQ rn.^mlt teicw) ,-d'Cr'SS Cf:"CCC'?/ iCr=er7:;("eicW1 r- , Nlap and Parcel cr,;epiicaacn (cnec< below) Phcne Numltee cf Apcli=rt — Single Far,illy TwC Familia 4-1241t: -7L40 0077 _ — 1 the undersigned applicant-or the abcve procer^r attest that the atta&ed buiidirg permit'cr ,vhic^ this form is cmcleted does cmciv with the =<ENIP7CN sec:icn 3.7.6 of the Ncrzzll Andover Growth Management Eylaw. I also undemtand providing this for;does ret abscive me cr ary pari to this permit from the recuirements of obtaining other permits recuired crcr to the issuance cf;he =uiicirg For-it. Further I understand that my interpretation of the E<E IP7GN status is sut:iec;tc revie.v by the 3uiidir,c Cepartrnent and is only cfFcaily acted when the Euilding Permit irk issued. Based an section 9.7.E of the North Andover Growth Eyiaw the above let and the wcr<as at:ciied 'Cr on the above lot. in the building permit acclicaticn and assccated attachments, =rnalies wit`cne cr mora of the following sections as ineiczited by a c ec.Y mark. This is an -crli=ticn,`cr a building cermit for the enlarerrent restoration,or reccrstrucicn cf a dweilirc in existents as of the e>=ec^ve date of this by-law. ;:rcvidec;hat ne adciticnai residential unit is c.-astec. The Ict(s)wereiwas eeated prcr'c May 5, 19C-6 are exempt from the provisions of;his Sewcn 2 7 cf'he_ening Eylaw. This accllctlan is fcr dwelling units fcr!cw ander moderate inccme families or individuals.wrere all of the cnditians of 9.7.5.a are met andler recreaentz Cweiling units fc senior residents,where cc,,cane;of the units is restr cued to senior persons through a pracerty executed and rerrded deed restrictcn running with the lard. Fc, purposes of this Sewcn"senior"snarl mean persons over the age of 55. 'I This acclict!cn is a cart of a develcoment prciect which voluntarily agreed to a minimum apo;permarien; redutrcn in density,(buildable lots),below the density, (buildable lots), permitted under ening and feasible given the environmental cnditiens of the tram with the surplus land equal to at least ten buildable aces and permanently designated as open soap andler farmiand.T'ne land to be preserved shall be proteced from deve!ccment by an Agricultural Preservation Restncten,Conservation Restnc�cn, dedication to the Town,or ether similar.nec!ia n ism approved by the Planning Scarc that will ensure its protection. This apciictlort represent=a frac of!and axisting and not held by a Cevelecer in=mmen ownership wiih an adjacent parcel on the effect:ve date of this Sec�en 3.7 shall receive a ane-time exemctien frcm!t:e Planned Crcwth Rate and Cevelccment Scheduling provisions for the purpose of ca istrui�ng one sincle family dweiling unit on the pard. This application represents a lot whiCt is ready fcr building permits•(i.e.all other permits from all ether boards and c:mmissions have been received and the preiett is in c:mpiiance with those permits),and;he Ceveiccment Screc'ule does not acccmmcdate issuing a building permit in that Year, one building permit will be issued per Year per Ceveidcment until such time as the Cevelccment Sc`.eduie ac,rmmddates issuing buildirrtg pemmitr. Appliczrit must supply approved form U wrth this E<EMPTIGN. Please provide any and all information that would assist the Euiiding Cepartment in making a deterrriinaticn* that your apc!ic2ticn is allowed one or more of the above ELEMPTiGNS. Ey signing beicw I attest to the accjrsc�of the irfermatien provided and that the attacked ':;uiidirg cerrMit is allowed an E<ENlP7CN as cted abcve. Further I understand that the submittal cf misteadirc anc cr iracr:rte information, or;he&,,e_king cif of an above item whica does net ccmcly,whether dlcne 'c my knowledge or not, is grcurds fcr refusal by the Euilding Cepaitment to issue a Euiiding=errlit. V. Z& --'* __ __ -__ fid«-ate Zi4harLre a Cwner or Authcnz_c Agent•+vrc sicned the Attacned �iuddirc Permit Cate i'nis form must be at—_cned to Cue 3uilding-ermit upon aopiicaticn fcr suca permit_ BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 009802 Birthdate: 08/2411939 Expires:082412001 Tr.no: 3567 Restricted To: 00 PAUL J STHILAIRE a—..�lvr� 5 HANSON DR MERRIMAC, MA 01860 Administrator 00-35,000 d enclosed space (MGL C.112 S.60L) 1A-Masonry only 1 G-1 8 2 Family Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. ' DIG SAFE CALL CENTER: (888)344-7233 —" 7-,e COr'7mcr7weclf, of IL�cSScC ,L'Scr S _ � < C'epcfi177Enf or -cc,cE^[S fir/ G�JC� Ci If]Ve�IICCZ1Cf1S tie Eosron, IYlass. 042111 'rvcr'I(erc' C-rrrcersavcn r'nsurrce _ i,,Gc-Vli Narme Mai e' /'y'i� r Cit/ Affalvyt= 2 144 O/�—/() 97?- 7�/-?- 0 0 72 a I cmecwr:er^e.`t.mmInC ail CI am a scle +etcr d have ,.c cne rice;<lrc in ark/ ccC: b I am an _=mc-ccvnverzrcvidr.c'NCrI*kennrs' ccricer'sailcr r,:cr cTC;C`/eES'NC:XUrc Cn ih(s;CC. Ccrr'cary narre' A7iv flv L'R C'�/Y -d-' 'j-3he ya Z �d/�r 61v H, f Xd Cih---T��, �U✓ L`l( h"14 c:•cre= CT[�' '7 - OG 7� I nsumrce Ca r V 4,f no d Al Xv C 13 9 P-/I Cemcary narre ��- - -- -- Address CiN. Fhcre Irsumnce Cc. — Failure to sec_re c=dera}a rec uec urcer Se--en cr.MGL i!!_:c:i Iese:e the:r ccsmcn c-.mrm cenatties cr a.me.,c .ve:!as avil Cenaltles :Ji `.e C'a i�.='P/CRK CRCs.7 a.0 3 Ire �iCQ.^Ci a Cay Gairn:.re. I anC/Cr 3rte;re:f5'iR;C SCG:-e.^.t 35 '��"" unce—Stane'.". a Com%t -. rs ,ateme.^•t".ay ze icr.varcec is the lC^GCe ci Invesrgarcns C::.''e /cc Rerecy ca-=,/uncar.te_2!rs arc.zenaldes CT;.e.7ury!)tar.,!7e infc:7.-aCCr 0 l vlCed 9CCVe iS L'_arC C:"'G• -a— /G Feint name 174v C`:Cal use Clil J C:.'ict',vGe .n '.its area :c a__.,,c:ea__ 7C.vrt L_C`e�'S.{:T'.^.�':n'!e.__�....Se S'y'CaBL• _ -- Building Value Calculation - for Pro a at..... Room Length Width Sq.Ft. Cost per Sq.Ft. Total Cost Kitchen 28 14 392.00 Pi $ 25,480.00 Living Room 16 14 224.00 t 65:{ $ 14,560.00 Dining Room 17 14 238.00 ; $ 15,470.00 Family Room 26 16 416.00 s.,,. $5 $ 27,040.00 Study 16 14 224.005" $ 14,560.00 Laundry 15 7 105.00 65f $ 6,825.00 Garage 736.00 . $ 25,760.00 Entry 14 16 224.005 $ 14,560.00 Basement Finished - Deck - to! $ _ Screened Porch - Breakfast Nook 10 16 160.00 65 $ 10,400.00 Bedroom 1 18 16 288.00 65 $ 18,720.00 Bedroom 2 14 14 196.00 65 $ 12,740.00 Bedroom 3 14 14 196.00 S5 $ 12,740.00 Bedroom 4 15 14 210.00 6 $ 13,650.00 Bedroom 5 Bathroom 1 10 5 50.00 t 6,5 $ 3,250.00 Bathroom 2 15 6 90.00 61 5,850.00 Bathroom 3 13 15 195.00 65- $ 12,675.00 Bathroom 4 Bathroom 5 $ 234,280.00_ O-k) JP-r-- s �Iz � ��� , 5 ► X13`{1 2190 � "SO f So oP 1 S r) ORT1y Town o �� Andover o O �_ No. I- _ 7z Y. T0, * ndover, Mass. COCHIC MEWICN ADRAT D F`Qa,`�� SSA C HUsfc I T I� FOR EXCAVATION AND FOUNDATION THIS CERTIFIES THAT ., �. + ...Cal .6 �. `. ':''!. '...... vr ............................. has permission to excavate and pour foundation at .10f.A... ...'.up..... ��..�.! . ......�N for the purpose The person accepting this permit must return to the office of the Building Inspector a certd plot plan show of building thereon before Foundation will be inspected. M 3 e P413 ifie ' sol— VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS 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. BLDG. PERMIT FEE$� �' Q/T0 • LESS FDA FEE- DUE FRAME PERMIT BUILDING fNSPECTOR F NORT1y own of . .4 over No. &t913 ?- L A O dower, Mass. 2 COC MIC NEWICK � RATED P' C3 v H 4 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.... OV f�... i....�.�...�i v!--e .P!................. ................. Foundation has permission to erect............. ....................... buildings on k*t&qM...1.1 ... .. ..... .AJ* Rough to be occupied as.I.9ropm�2� so;*a.�� Chimney . .. C. provided that the person accepting this permit shall in every respect conform to the terms the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the InspecAlteration and Construction of Buildings in the Town of North Andover. M 34a P a 113 114410 am PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STAU ELECTRICAL INSPECTOR Rough ............ ..................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. . - - ar &V - I • I • I - ' House Features Living Room FaM119 Room D Inin oom K itchen i ' • • 5reakfast Sunroom Open Fo�er .rte-------------r �---------_-_a stucig 3 �_r_�_�■_r�.r_r_rr -r_�_r_--r-rte .r+r+r+r+■�.��-r-ter ��.��.r�-i����.-� • Garage 4 ,5e drooms 2" 5 aths son MEN, ONE Ion Lavatorg E Ion on son LaundN 5 asement Sol M 111 E _ _ ■�■ _ ■■■ _ : :■■■ _ ■■� __ _ 11 �■■i = ■■l _ _ ■�■ _ ■■■ _ �■■� _ ■■■ _ail ' � �_ ■■■! _ ■■■: I� Total Foot-print dimensionr; • ♦ . • • Drawn by/Dote: 40 ColonialDrafting • / I • i. 1 . 14� MA 01. 76 (978) 851-7330HRT :D4D Classic • - ' • : 12663 Colonial Drafting Services , 110 Main St., Unit #204 Tewksbury, MQ 01816 Tei: (918) 851-1330 Continuous Baffled Ridge Vent O 10,0„ Com osite Roofing r N 12 9 12 12 9� 9 Attic_— 03 C" � o ® o a ® o 0 0 0 0 0 o a o o = X = Second Egress window — Egress window 0 Egress window u "' _ _= Cedar Clapboard Siding m ON \ cz TTI First _ 4p-rrox_ 1 x 10 Watertable board Finish ' Wainscoting ' Grade g Primary egress door ao 4'0" (min) below grade ' ' r-------------�' Basement -— ---------------------- -----L `Q i ' -----'----------------------------- -------- ------------ ---------'------------------------------ i , �--------- L-38 = Front Elevation 3/16" = 110" Colonial ® P raFting Services 110 Main St,, Unit #204 Tewksbury, MA 01816 (9-18) 851- 330 r Gon oslte roofin �� iZ 9 904 'CP7 F7 Com osite roof' Composite roof Composfte roof Cedar Clapboard —6idlng Y 12 5 Cedar Clapboard slding MLLU LLU NEE Approx.Finish Grade 1 � 00 00 00 1 ------------------------------------------- ----------------- Approx.Finish Grade ,----------' 1 � 1 -------------11 ---------------------------------------------------' ------------------------------------------------- 4'0" Gntna below grade Elevation Laft E L-38 Colonial Drafting R Services r i10 Main St., Unit #204 Tewksbury, MA 01876 Tel= (1318) B51-1330 Continuous Baffled Ridge Vent 1010u 12 9 Com osite roofing 12 9 m m r Attic Egress window s LLLU LLIJ HI X Second 0 0 - - - - 1 11 1 1 1 1 1 LIA I I I I ICedar Clapboard Siding d 1 IL I mLH1 c First -- _ A,- 4�e p rox. 0 0 Finish Approx. Finish Grade Grade I I I I I I I I I I I Secondary egress door ; _5asem_ent ' _ I i _ - - L------------------------------------------- I -----------------I --------i-----------------------------------------i--------- I I I I I I -----------------! 4'0" (min) below grade 1 ear Elevation Colonial 4 Drafting Services 170 Main Sty Unit #204 Tewksbury, MA 01876 1s'3 " 268Y 21'0" (978) 851-7330 781'2" 13'0" 5'0" 11'0" 5'0" . 41 Bearn Pocket ri- --- --- -------- 3- 2 x 12 Beam Size to suit beam r________________- -, ''' ' .Shim beam with steel • ' I i shins or hard brick 's Beam Pocket (5 Req'd) 6" W x 6' Dp x 9" H 2'8� 1'31'4' Shim beam with steel - ---- ----- ------- ------ ' shims or hard brick -� --------------r LVL beam by others 6 Re I� - r--------- ----------- 6.33,4" I Cn 4" Concrete SIS 1 �6 x 6--6/6 welded wire fabric r I > n I placed at mid-depth of the slab. I o o I I o N l E 1 2,500 psi concrete ' — I 116'14' '- I 7'104" 5101'4 6'8" 4'1k2 3'6" I LVL Beam by others l 1 I 0 4' Concrete Slab I( I I ;ogC'4 Slope for drahage I I a oCD 3,500 psi concrete E I; 6 x 6--6/6 welded o:0 rn r r o I v wire fd,ru: placed at CD m w I; mud-depth of the slab. t I v T III r I r to of v.� I'o Garage Finish o TII o f I :: I N I c o 3 - 2 x 12 Center Beam I , r X For requirements E I o I;o see"General Notes" I I 31/2" Dia Ldly"Columns - i a' 'Fre Separation" >I I $� W/2'6' sq.x 1'3 dp.footing r , [3603.5 .2 ] (10 req d) I CD ---------------- --4I ---------------------- '. ^E 3- 2 x 12 Beam II o I ' E N • I 1 I 0 1 - ------------------ ' ' r--= ----I ' ' r----------- ------ CD N 1 1 CV I 1 N Foundation 10" Conc.Wall/ 8'0" Pour 3,000 psi concrete 10" dp.x 20' w.conte.ft'g. 16V 13'8yz" 3'91'1' 70" 3'W 13'8yz" MIT N lle : 1. All dmens'ions to be field verified and changes made accordingly. 2 1 2 Foundation drainage shall be provided around all concrete or masonry 1 f foundations enclosing habitable or usable spaces located below grade. 1 O39 Sq I t — Basem ent [3604.5 ., and table 3604.5 ., ] L-38: Foundation Plan •3. Foundation walls enclosing habitable or storage space shall be dompproofed from the top of the footing to fn'shed grade. 1/8" = 1'0' 819 sq. ft. — Garage [3604 .6 .1 ] Notes: Notes : 5afetuu Cs laz 13603 , 20 , , 21 t I. All notes and detafls contained within these drawings are to be used u!Be ttS U I l d In Code All doo S and fixed side panels with 24" to either side of a door. as the would apply to the house being constructed, 6th Edition M aSsac h y pp y g cessar to the house desi n, Exposed bottom edge less than 18" above floor. 2. When plans are used in conjunction with builder specifications and Notes and details apply as ne y g Individual panels that are greater than 9 sq. ft, any discrepancy occurs,the specifications will supercede the drawings. $asement Ventilation 13603 , 6 , S , 2 , 1 43 3. All substitutions are the responsibility of the Builder, C�irder Enda 13603 , 22 . � , Basements and cellars not used as habitable, occupiable space shall The ends of wood girders shall have a IIV air space on top, sides E end. 4. All dimensions are to be field verified by the Contractor and any be provided with a minimum of four sliding type, or awning type basement adjustments made accordingly, windows For every 1500 sq, ft. of floor,area. Cripple Walls E 3606 , 2 , S 4 3606 . 2 . S . 13 5. All work shall be completed in compliance with all applicable Building,Plumbing, Electrical codes, Any other local, state and/or Minimum CeilingHei ht 13603 , S , 1 3 Foundation cripple walls shall be framed of studs not less than the studs . federal codes that may apps to this project shall be consideredsupported.When exceeding four feet In.height, such walls shall be as part of the construction Icuments. Minimum ceiling height= Habitab a rooms, except kitchens, shall have a framed of studs having the size required for an additional story, 6, All waste materials and debris shall be removed and disposed ceiling height of not less than 1' 3" for at least yoga of their required areas. p Bracing Such walls having a stud height exceeding 14 inches shall be of properly. Exceptions= considered to be First storryy walls for the purpose of determining the 1. Numbers set within I I reference that section of the 6th Edition of g req y 3. Habitable basements shall have a minimum clear ceiling height of seven bracing required b 780 CMR 3606 . 2 . 9. Stud walls less than 14 inches the Massachusetts State Building Code, feet zero inches except under beams, girders and other obstructlons In height shall be sheathed with plywood of wood structural panels spaced not less than four Feet on center may project not more than attached to both the top and bottom plates in accordance with B. These drawings were prepared per guidelines set forth In the six inches below the required ceiling height. Table 3606 , 2 , 3a, or the walls shall be constructed of solid blocking, Mass. State Building Code Section 136 I for 14 2 family dwellings. ,access to Crawl Space 13603 , 9 , 13 Garage / Nouse Separate 13603 , 5 , 13 opening iS" x 24" (min.) Table 13604 , 2 , 21 Y Openings from a private garage with either solid wood doors 13/4" Access to Attic 13603 , '3 , 2 3 Minimum Specified Compressive thick (min.) or 20-minute fire-rated doors,selF closing devices and 22" x 30" (min.) for attics with a height greater than 36" Strength of Concrete fire resistive rated door frames are not req'd, All door openings between the garage and the dwelling shall be provided with a raised Sleeping Room Window Opening Type or location of Minimum Specified 1 sill with a 4 min,height, 13603 , 10 , 4 , 13 Concrete Construction Compressive Streneth Fire Separation 13603 , 5 , 2 3 33 sq, ft,,20' x 24" in either d�ecticn, Basement walls and foundations 2,500 2 The garage shall be separated from the residence and its attic area bynot exposed to the weather means of mInlmum 5/8 inch 06 mm) type X gypsum board app Iled to the Exit Doors E 3603 . 11 t 13 Basement slabs and interior slabs 2 garage side,Wherever the attic area is contlnuous between the garage . , , i - 36" wide x 6'6" high, others 2'8" wide min. . . on grade, except garage floor slabs 2,500 and the dwelling a flrestop of 5/8 inch (16 mm) type X gypsum board with a minimum of one coat compound and tape shall be used to form Interior Doors 13603 , 11 , 2 1 Basement walls,foundation walls, a barrier to separate the garage and dwelling. 30' wide x 6'6' high (min.) exterior walls and other vertical 30003 Exception= concrete work exposed to the Floor Surface 13603 , 5 , 3 ] 1. Bathrooms 28" (min) weather Garage floor surfaces shall slope to facilitate drainage toward the 2. Existing Bathrooms 24" (min,) main vehicle entry/exit doorway. Porches, car port slabs and steps 34 exposed to the weather, and 3,50Q Ventilation Required 13603 . 6 , 2 3 Neat Detectors C 3603 , 16 . 4 ] garage floor slabs Every room or space intended for human occupancy shall be provided (Reserved) with natural or mechanical ventilation. . . Smoke Detectors 13603 , 16 10 ] For 51= 1 psi = 6,895 kPa. Exception:Every bathroom and toilet room shall be equipped with a Smoke detector/heat detector locations: 1. At 28 days psi. mechanical exhaust fan, 1, in the immediate vicinity of bedrooms., 2. Concrete in these locations which may be subject to freezing and . Minimum Glazing Area 13603 , 6 , 4 , 2 ] 2. in all bedrooms. thawing during construction shall be air-entrained concrete in Exterior glazing area of not less than 8% of the area V2 of the required 3. In each story of a dwelling unit, including basements and cellars, accordance with f=ootnote 3. area of glazing shall be openable. but not including crawl spaces and uninhabitable attics: 3. Concrete shall be air-entrained. Total air content (percent by volume. 4. 1 for every 1200 sq. ft, unit, of concrete) shall not be less than 596 or more than 190. Roof and Attie Ventilation 13603 , 6 , 8 1 , 13 Ventilating area shall be 1/150 of the space. This can be reduced Legend' ® - Smoke Detector 4. See 180 CMR 3604 . 2 . 2 For minimum cement content. , 1/300 when a vapor retarder 16 installed. Colonial tDI,4. ds ® Drafting Services 2xNaier 170 Main St, Unit #204 '0• 16'312" 20'BV2• 21'0' Tewksbury, MA 01876 7'134 13'10'/4• Insulate comer (978) 851-7330 8'134' 8'134' S's' 1o'sy+" 4'8'/4" 6'10'/4• 7'0• r 2x Plate x Corner Framing Detal Ln 6'51t" X 551/4" n N N X X LO LO L N X x N — 2x6 wall 55Y4" a� air o N �v TW20-0HP31052-20 N 6'0' SLIDING C e3'S'/4X '5 6'0" _ _ - Post Post . O � � I Walk—in ,�� Bre�CfOS� Actual oobW layout 0 Pantry ��llt9 0 may wry 0 r` a r a !! r O I : M In `" i i " 2'4-" II 11 ,I X11 11 `Y " SII O " 3'6" 3'932 f 4 11 S 3T 7'7'/4" o N lr7 0 Fdml — — — — — — Archway Pq LMJ O ® Post post 1/2 wags w/cohimns Post FanLn c� �w o 10'2Y2• 3'6" .� K 'm O 'n ip 373,4• 10 " U-> 2'10'/b X 554° S — u P 2'1o'/a" 5'5'4• N �w Foyer Q X11 N o O N M11 2'101fa• X 5'5'/4• Pte• ,0 ��2'101aw X 5'5'/4" 2'0 2'10x '54 5 " CI. 2'101755 4' 3'6" 7'0• 3'2'/2" 3'2Y2' 7'0" 3'6• 4'0" 8'0" 4'0" 1381'2 3'9'/2" 7'0° 3,911" 13'SV2" 16'0" 42'0° 58'0° 2 1. All dimensions to be field verified and changes made accordingly. 2. Doorways: P.E.D.— Primary egress,S.E.D.— Secondary egress 3. Wall construction: Exterior= 2 x 4® 16" D.C./ W Insulation Interior = 2x4 ® 16• D.C. L-38-, First Floor Plan Plumbing Stadc Z x 6® 16. 0.c. 1921 sq f t — Living 4. Wndow R.O.sizes are for Andersen "Builder der Select' window units. 1/80 = 1'00 5. All 4x posts are Douglas—Fr Larch No.2 grade or better SPRUCE - PiNE - FIR No, 2 Center Girder 4 Columnspacing 6th Ed , Mass, Bilad - code Modulus of Elasticity "E" = 1,400,000 p ng F b: 2 x 4 - 1 ,510 2 x 10 - 1 , 105 TRUSS 2 x 6 - 1 ,310 2 x 12 - i ,00 --w TRUSS Joist Under Bearing Partition C 3605 . 2 , 3 . 2 I 2 x 8 - 1 ,2 10 r TABLE 3605 .2 .3 . Id 7 muss ,"30 SSP-. Joists under parallel load bearing partitions shall doubled or a MAXiMUM ALLOWABLE 5PAN5 FOR Eff 30 P �. 30 Psi beam of adequate size to support the load. - J015T5/RAFTERS 4o i's>= 4o i'9F PSF Bearing C 3605 . 2 . 4 1 One Story Two Story Three Story The ends of all joists,beams or girders shall have 11/2" (mf.)of Joist bearing on wood or metal and 3" {min,)on masonry. Floor size 2 x 6 2 x 8 2 x 10 2 x 12 COLUMN SPACINGS UNDER GIRDERS . I Table 3605 . 2 . 3 .3b 1 Bridging C 3605 . 2 . 5 . 1 I 12" or-, 10 - 1 1/2 13-4 in 11 -1 in 20 -4 1/2 Girder size Joists having a depth-to-thickness ratio exceeding 6.1 based on nominal First W - 24W - 26 W - 25 W - 32 dimensions shall be supported lateral) b solid blocking,diagonal ` lb" OZ. c3 -11/2 iz- 11/2 15- 11/1 11 -5 1/2 3 - 2 x 12 'gyp y y g g bridging (wood or metal) or a continuous one-inch-by-three-inch strip �� .C. 0►��y 10'-3" 9'-10" 3'-6" S'-Ii" " 12 D11- 1 1/7 14 -9 i/2 15 - l0 1/2 22- 4 I/2 set perpendicularly across the bottom of Joists and appropriately Second Two sioN 1'-8" �'-4" -1" 6'-8" nailed. Bridging shall be installed at intervals not exceeding eight feet. 16" O.C. 10 - i V2 t3-4 U2 16 -81/2 19 -9 1/2 Thme 6'-4' 6'-i" "' ��-6" Drilling and Notches 13605 . 2 . 6 A ] A tt iC 12 O.G. 12-9 1/2 16 - 1O 1/2 21-1 in — Colunn sizes - 4" x 4' or 3 1/2" diameter steel Notches in the top or bottom of Joists shall not exceed one-sixth of No future rens 16" O C. 11 -'i 1/2 15 - 41/2 19 -1112 — Footing Size= 2'45" x 2'-6' x i'-3"d the depth of the Joist,shall not be longer than one-third the depth of A tt iC 12" OZ. Jr, - 11/2 21-3 in 21-3 in — the member and shall not be located in the middle third of the span. Notch depth at the ends of the member shall not exceed one-fourth Capes 3/12 (max) 16' OL. 14 -1 U2 19 -4 1/2 24 -8 i/2 — the Joist depth. Roof 12, oz. 12 - 1 B -3 le -s 21 -8 Holes C 3605 . 2 . 1 I Y over attic 16' O.C. 10 -5 13 -.3 V.-2 15 -13 Holes drilled, bored or cut into joists shall not be closer than two inches _ (51 mm) to the top or bottom of the ,joists,or to any other hole located R 0 0 12" O.C. 11 -0 13 - 11 11 - S 20 -6 in the Joist. Where the Joist is notched,the hole shall not be closer than Cathedral 16" O.C. 13 -9, 12 - 1 j 15- 4 11- (3 two inches to the notch. The diameter of the hole shall not exceed Notes: Minimum Uniformly Distributed one-third the depth of the ,joist, 1. All structural materials shall be void of any defects that may Live Loads {lbs. / sq, ft) diminish their capacity to function in an adequate manner. Structural Engineering or any other professional services that E Table 3603 . 1 . 3 I may be required shall be provided by others. LIVE Application and Minimum Thickness 2. Roof snow loads calculated for Snow Zone - 3. S LOAD (par) of Gypsum Wallboard Balconies and decks 60 E TABLE 3601 . 2 .3 ,4 I Maximum allowable spans for header Garages (passenger cars only) 50( 11 Thickness Plane of Long Dimension Maximum Maximum spacing supportIT006 Frame Walls Attics Goof slope 3/12or less,no storage) 10 of Gypsum Framing of Gypsum Spacing of of Fasteners E TABL 3606 .2 . 6 I Wallboard Surface Wallboard Sheets Framing (center-to-center, in inches) Attics (limited storage) 20 in Relation to Members Headers in Size Support'g Liv in s Areas (exce t slee >n rooms) 40 Direction of (center-to-center of Roof 1 Story 2 Stories Walls not 9 i' F' 9 Framing Members in inches) Nails Screws Header Only Above Above supporting Sleeping Rooms 30 floors or roofs Starers 40(2 ) Fastening required without adhesive application. 2-2x4 4' Horizontal Perpendicular 16 1 12 2-2x6 6' Guardrails and Handrails 3 / 5 4' (single concentrated load at any point along top) 200 vertical Either direction 16 8 12 2-2x8 8' 6' 10' Note Horizontal Either direction 16 -i 12 2-2x10 10' S' 6' 12' (2) Stair treads shall be designed for a single concentrated 1 / 2 Horizontal Perpendicular 24 1 12 2-2x12 12' 10' 8' 16 load of 300 lbs. over an area of four square inches. vertical Either direction 24 8 12 1. Nominal four-inch thick single headers may be Design Head Load Horizontal Either direction 16 1 12 substituted for double members. 5 / 8 Horizontal Perpendic-ular 24 1 12 2. Spans, are based on No, 2 Grade Lumber with Design Dead Load = 10 lbs. per square foot 10 tributary floor and roof loads. E Tables 3605 . 2 . 3 , la, 3605 . 2 .3 . Ib 4 3605 . 2 . 3 . lc I vertical Either dFection 24 8 12 Colonial ® Drafting ` Services 170 Main St, Unit #204 Tewksbury, MA 01876 (978) 851-7330 r 58'0" 12'13/4" 4'0" 8'5" 4'31 " 9'6' 5'91t" 13'1014" Ver"rfy clearance between '2'0",2'0', 4'2�" 4'212" 4'13/4 5414" tub and widow with purchased tub.Tempered gluing installed. 41 2'6ve' X 4 14" 11'18 X 411V210t`e" X 3'514' Wt VEl GA 5-7 e" X 4'914" Cio Walk—In `a _ _ o Closet IN N o _ %o § Bedroom #4 X o CV a) Cn N J 11 _e 'n l/-�J 1 J O r 18f lid 2`2� F N U N N a o I - - - - - Ib Post O co -----�— �2'6'� 5'9y2" -� 00 EE `6- Attic ocmw - N I I I I v ci �-___ Puldoxn Stair O o I I I I 5'0' SLIDIN Insiiated N 2 - 2'6" o I I Bloom I IN Closet Closet Post 0 Nto Pt Closet ClosetI ICoffered ceing I I 2- 2 6" 2 7'5' 6'10x - - II� rn�`° L - - - - - co Bedroom 2 Bedroom #3 N 2'1011" X 4'914' 2'10113" X 4'914 o ScD N S N I` n " X 404"> O 2'101`a"X 4'914' 21a� 2 # 2'101F" 4'914" Post 57'%' X4,914"4" Post 2'10 " X 4'914" N 3'6" 7'0' 3'21`2" 731 " 7'31/" 3'21/" 7'0" L 3-6- 410* 8'0' 4'0" 13'81 " 14'7" 13'812" 16'0' 42'0„ Notes: 1. All dimensions to be field verified and changes made accordingly. 2. # - Indicates egress window units. 3. Wall construction: Exterior= 2 x 4 0 16' O.C./ R13 Insulation Interior =2X4016' OZ. L-38 : Second Floor Plan Plumbing Stock= 2 x 6 ® 16" O.C. 1,760 sq. ft. — L iv in g 4. Window R.O.sizes are for Andersen'Builder Select' window units. 1/8" = 1'0" 5. All 4x posts are Douglas-Fir Larch No.2 grade or better Colonial ® Drafting Services 170 Main St, Unit #204 Tewksbury, MA 01876 f (978) 851-7330 58'0' 12'14'4" 4'0' 8'5" 4'3k2" SIT 5'4y2' 71 CO � - - II II II �f II II I I a 0 Attc access NI I I I --- Sta'r 1 III I I —J� --, Imo — � J o ii I I i r IF �I o I ( I I I IF 11 I l N I IL O cD L— R CV I I (V I 16'0" 13'31'/2" 147" 13'131'2" II Notes" L-38 : Attic Floor Plan 1. All dimensions to be field verified and changes made accordingly. 1/8" = 1'0" ` Colonial ® Drafting Services 170 Main St, Unit #204 Tewksbury, MA 01876 (978) 851-7330 813/4" 81/4• r 36" wide Ice& Water Shield applied I►ed to all eaves and Provide metal drip edge lull vaneY s t( YP.) at all eaves and rakes(tYP) 12 I I 12 12 1 Sl�o�e S��nI — � 4NO _ -- - — _ - — _ _ Composite Roofing (typ)-�/ C 1115 Felt underlayment(typ) TO i I I V2 1 S14ope Slope f T I1 II o l 9� Continuous Baffled Ridge Vest(typ) 12 I - 9� 12 g r = Hit 12 301 12 ' � N = �. AN Slope SAn lope I I k — — ,• _ — i i 12 12 m� 97 I I �9 t . nE Sl�o�e Sbpi 9� -�]9 7'3/2" 7'3/2' 14'134• 14'134" Notes: L-38 : Roof Plan 1. All dimensions to be field verified and changes mode accordingly. 1'0' Colonial Drafting . Services ' 110 Main St., Unit #204 Tewksbury, MA 01816 16'134" Tei= (918) 851-1330 T r s i INN 1310��4" -�� 3 - 2x12 Center beam L below Beam by others below 0 Beam by others below Account for plumbing - -- -- ---- - — — ------ -- - �' ? o drains in this area i i m ^L, W CO _ Ln cv i > O i Ca 43 I � � O ' 1 Q E -- Q.7-0 � � r 93 93 O � X �sr c O u x � Notes All dimensions to be field verified. -- --- -- --- - - --- — _-_- ._-- -------___.- _-- __.---_-__._-.- - All members are 2 x 10 6 16" O.C. (U,N.O.) 3 - 2 x 12 l ' Walls below floor level are indicated Center beam Joist hanger ___, - g Walls above floor level are indicated= o below Simpson LUS hanger _ \\-3 - 2 x 12 or equivalent Jo let hanger= 1 L � irst I" Center beam "Flush Framed Beam" - Indicates Built-up, LVL or steel below beam to be designed by others. ` colonial 16'13%a" Drafting " Services 110 Main St., Unit #204 -- --�-- ---..� -----.-°..: -��--_ „ Account for plumbing Tewksbury, MA 01816 M drains In these areas. Tel: (9'18) 851-'1330 E cV Lower Ceiling Framing �, ° 2x8a16" o.c. 2!9 r _ L - 4) X 1' L L J L J 711 L L Ij L J L J JL - — - r r r L Flush Framed Beam r t cc-r L r i i ; I _ QJ X L J N O r CIA r i t I Flush Framed Beam --_ L J L J L J L J L J L L J L J L J L L ........ ............. ..........__.... .............. ....--- ......._...... ...... ...... _ _. _ L _ _— —._..__ _—_—. � r � r -1 r r it I F. i I I I I NxIO L r d L L � r ^rr -tr -rr � r � r � r r j L r FrL,— Walls All dimensions to be field veriFied. Joist hanger All members are 2 x 10 a0 16" O.C. (U.N.O.) Simpson aleLUS hanger or equivalent Walls below floor level are indicated= r--;above Floor level are indicated= o - r Jo 15t hanger: J LSanone� Floor Pra , MIS t "Flush Framed Beam" - Indicates Built-up, LVL or steel 3/16 ° 1'O" beam to be designed by others. Colonial Drafting 5ery ices S 110 Main St., Unit #204 Tewksbury,MA 01816 Tel= (BIB) 851-1330 14'1" J L J L J L J L J L J L J L J L L J L J L J L t i cz co — X X N N -- N N 2 - 2X8 i r - - — — - -- - — - r - - - - - - - - � JL — — J L J X 2 - 2 X 8 r , 2 - 2X8 r IFlush Framed Beam = - r J IL J L .111L J L l L J L J L J L J L J J - jI I L r -ir , r sr n , r , r , r , r n ori: N I I N r J N I I N L , r = J I I L , r J I I L , r d j — — — — — — — — L 2 - 2x8 ;ter , r � r � r-11- r -rr , r � r I r Flush Framedeam B I J L J L J L J L J L J L J L l L J J L L - --- ---- -- -- ---- -_'� III i n � I All dimensions to be field verified. 141 Joist hanger Simpbon LUS hanger All members are 2 x 10 0 16" O.C. (U.N.0) or equivalent Walls below floor level are indicated= r::- Walls _Walls above floor level are indicated Joist hanger= J LAttic - Ploor Praming " "Flush Framed Beam" - indicates Built-up, LVL or steel beam to be designed by others, 3/16" = 1�0�� Colonial Lower Roof Framing Drafting 2 x 8 ae 16O,C, ° 5eN iGeS i10 Main 5t., Unit 0204 ng Tewksbury, MA 01816 Lower Roof IFrami j S Tel= (918) 851-7330 2xe 16 OZ, � Ca o mNip Rafter Truss = Nip Rafter Truss See detail sheet _ = See detail sheet x = N 414 LALAK ip E i I' S 1 I 2 x 12 Ridge Board 2 x 12 Ridge Board w Ca 0 m = g tY -_ n r-\r it , r Flush Framed Beam, same as All dimensions to be field verified, shown on Attic Floor Framing All members are 2 x 10 Q16" O.G. (U,N,0,) Walls below Floor level are indicated= Walls above floor level are indicated= RooF Framina o , "Flush Framed Beam" - Indicates Built-up, LVL or steel beam to be designed by others, i b IIIIIN4 - eta - / fin 2x8 1X8 t 2 x 6 aQ 16" O.C, 2 x 8 Qa 16" O,C, 2 x 6 ae ib" O,C, 2 - 2x Ring Joist 2 - 2x Ring Joist a� 2x Ceiling ,Joist 12 2x Ceiling ,joist , � - - - - - - - - - - - - - - - - - � 2'0' 2Ou Room width ';action - � A 2x8QQ16' 0.C, 2 x (v 16" x 2 - 2x Ring Joist 2 - 2x Ring Joist E:117111 11 11 TIN 2x Cetling joist - 2x Ceiling joist �� I � - - - - - - - - - - - - - - - - - - - - �- 21011 21011 Room Length Section - Colonial LLED Drafting Services Stair [) Stalls - stairway Width 110 Main St,, Unit X204 th E d f t io n Mass, 5 (d g, Code C 3603 .13 .1 I Width=Statways shalt rot be less than 36' In clear width.. Tewksbury, MA 0187 (9-f 8) 851-7330 Treads and Risers C 3603.13 .2 I Treads and risers=The maximum Aer height shall be 8 1/4" and the minimum tread depth shall be 9' Tolerance between adjacent risers:3/16" + ' Total riser dimension tolerance=3/8' Hosing Profile: C 3603.13 .2 .1 I Nosing proFQe=A nosing shall not extend pore than 11/2" beyond the Face of the riser below. Headroom: C 3603 .13 .3 I Headroom=The minimum headroom in all parts of the +� statwN shall not be less than Firestopping= ' spaces between stat eppIng l tr geem at the tl be op and bottomrovided to or t off lconcealed or therum Guardrail Details= 3603,X .2 ,i I Csuardrail details=Porches,balconies,decks or raised Floor surfaces located more than 30" above the Floor or grade below shall have guardrails not less than 36" in height,Open sides of stairs wfth a total rise of none than 30" above the Floor or grade below shall have guardrail,which shall also serve as handrails, not less than 34" in height measured vertically from the nosing -� of the treads. Guardrail Opening Limitations= t 3603.14 .2 .2 4 Exc.I: Required guardrails on open side of statuaye, balconies,porches,decks and raised floor areas,shall have intermediate rade balusters or ornamental closures which prevent the passage of an object --- 5" or more in diameter. Exception=Triangular spaces Formed bg the riser,tread and botton rail of ------------------- a guard at the open side of a stairway may be or size to prevent the passage of a sphere b" in diameter. tread Finish Floor �landrails= ( min.) Subfloor 13603 . 14 . I . I I Handrails having 30' min,and 35" max, heights 30" - 38" high = �,------ ------- 2 - - respectively,measured vertically from the nosing of the treads, handrail (typ, ) , ' shall be provided on at least one side of stahuays of 3 or more risers. Header Exceptions: Finish floor ; 1. Handrails shall be permitted to be interrupted by a newel ---; post at a turn. Joist hanger x 4 Ledger 2. the use of a volute,turnout or starting eosin shall be allowed supports central g 9 ' 36" high (min.) stringer ' over the lowest tread. 34' high (min.) I 5ubfloor g I Stair stringer • Stair Guardrail Horizontal Header Locate floor header Guardrail to intersect with Handrail Grip Size: bottom of stringer Stairway circular handrail cross section: 11/4" min. and 2" max. Other shapes,perimeter 4" min.and 6 1/4' max. Handrail/Guardrail 5 Detail Top Detail Cross-sectional dimension of 2 5/d3" max, t 3603 . 14 . 1 ,2 1 f 12 X 14 Wood Deck -- -------------- --- C4 N t 1 Colonial Drafting Services r t , 110 Main 5t,, Unit #204 110" Dia.concrete Pier o , 2 x 8 (P.T.) 6 16" O.G. Tewksbury, MA 0187(0 - rn Number of risers and t treads may vary due (978) 851-1330 tY1 -- -- -- -- -- -- -- -- -- -- to site conditions m t , O m ' v Jobt Hanger (typ.) 2 x 8 (P.T.) Ledger Lag bolted 6 16' O.C. Deck Fra Foundat!on 1/4' - 1'O" mine Maximum Allowable Spans For 1/4" = 1'O" Joists in Decks and Balconies I TA5Lr= 3(o05 . 2 . 3 . lc 4 3605 .2 . 3 . ld 7 Southern Pine No. 2 Non - dense Modulus of Elasticity 'E" = 1,400,000 R): 2 x 6 - 1325 2 x 10 - 1,095 2 x 8 - 1;65 2 x 12 - 1,035 �� Joist 2x6 2 x 6 2x10 2x12 5 Clear (Max.) Size P.T. Rail Joist 12' O.c_ B - 11 11 - 10 14 -8 TI-5 Spacing I 1 16" O.C. 8 - z 10 -5 12 - 8 14 - 11 f=lashing O P.T. Post1. Deck design loads 60 lbs psf- Live Load, 10 lbs psf Dead Load. Lag bolts 6 Yo" O.C. 3 - 2 x 10 (P.T.) 2. Bridging requirements apply when live load exceeds 40 lbs. / sq, ft. Decking One line of bridging for each 8 feet of span. C 2305 , 14 . 2 I WHO 6 x 6 (P.T.)Post Grade Post Anchors 3. Final deck location to be determined by builder and site conditions. 2x Deck framing (P.T.) 4. Deck finish materials to be determined by builder. u ( Decking,Posts, Railings, 5alusters ) �' ' Joist Hanger 5. Bottom of footing to be 4'0" (min.) below Finish grade. a 6. See Stair Framing Section Detail drawing for additional information regarding= Stairway Width,Treads and Risers,Guardrail Details, Concrete Foundation Guardrail Opening Limitations, Handrails 4 Handrail Grip Size. Section D o*-ck / Douse Connection 1/4" = 1'O" 1/2" = 1'O" Colonial 1L5 _ ONE , L STA IRB Drafting Services FRAMING Sr=CTION IDET AIL 170 Main St., Unit #204 Stairway Width Tewksbury, MA 018-16 O th Edition M a S S. E3I d g. C D d e t 3603.13.1 I widths Statways shall rot be lees than 36" in clear width.. (1378) 851-1330 Treads and Risers 13603. 13.2 7 Treads and risers;The maximu0ber height shall be 8 1/4' and the minleum tread depth shall be 5" Tolerance between adjacent riem:3/16' r Total riser dimension tolerance 3/8' Nosing Profile: 2x Neader L 3603.13.2.1 I Nosing profile=A nosing shall not extend more than 11/2" beyond the face of the riser below. 2x Header --------- —2x f=loor joist Headroom= - I ( o Center seam is 3603.13 .3 7 Headroom:The mininum headroom in all parts or the v statwN shall not be less than 6'49". Firestopp ing= 4 r -C ` v e 13606 .2.1 I Ftestopping shall be provided to cut orf all concealed cv ( ( E , , I spaces between stat stringers at the top and bottom of the run. c� r Lally column (beyond) Guardrail Details= 2 x 12 5trin � - gers 13603.14 .2 .l 7 Csuarcirail details:Porches,balconies,decks or raised Floor eurfaces located more than 30" above the floor or grade below shall have guardrails not less than 36" In height.Open sides or state with a total rise of more than 30" above the floor or grade below shall have guardrail,which shall also serve as handrails, not less than 34" in height measured vertically from the nosing j, Minimum tread = 9' �, or the treads. Guardrail Opening Limitations: t 3603.14 .2 .2 E Exc.]s Required guardrails on open side or stat wage, balconies,porches,decks and raised Floor areas,shall have intermediate rale balusters or ornamental closures which prevent the passage or an object 5" or more in diiweter. f=inish floor Exceptions Triangular spaces Formed by the riser,tread and bottom rail of a guard at the open side or a eta"may be or size to prevent X 7-1:. Subf loon the passage or a sphere 6" in dlarreter. 30" - .38, high Handrails= handrail ( typ. ) ___' Neader �� � r_,--- 13603 . 14 . 1 , i 1 Handrails having 30 min, and 38 max, heights respectively,measured vertically from the nosing or the treads, shall be provided on at least one side of stalnuays of 3 or more risers. 2 x 4 Ledger Exceptions= I. Handrails shall be permitted to be interrupted by a newel r 36" high (min.) stair stringer post at a turn. 34" high min. ( Horizontal 2. The use of a volute,turnout or starting easing shall be allowed 5tac Guardrail Guardrail over the lowest tread. Handrail Grip Size= Handrsafl/G card ra i l Top Detail Stalrway circular handrail cross section: 1 U4" min, and 2" :rax. Other shapes,perimeter- 4' min. and 6 1/4' max. Cross-sectional dimension of 2 $/S" max.13603 . 14 . 1 .2 I Colonial HIP . Rafter Truss / 5race Details p raft ins Services � Continuous Baffled Ridge vent Nip Rafter Truss option 110 Main St,, unit #204 I Tewksbury, MA 015-16 Ridge Board - - - - - - - - - oil,Tel: (9-18) 851-1330 1 x 8 Collar tier, a 4'0" OC. 12 slope -' Composite RoofingBuilding Paper Sheathing Roof Rafter I i One hurricane anchor I per connection each side ��6�� 1�6�� (Simpson +42 . 5 or equal ) ' Nall connection between roof rafter Colled Strap stock x 3'0' long and telling ,Joist with 8 - 16d nails One each side of ceiling foist � (typ. each end) use 8 - hanger nails per side (typ) Simpson 'C " or equal I HipRafter Truss Detail I Vertical Brace I 1 Continuous Baffled Ridge vent below option i 2x Ridge Board I I I x 8 Collar ties Q 4'0" O.C. i I � I Composite Roofing I Building Paper ( — 12 I Slope Sheathing ' Roof Rafter Vertical post 4x4of3 - 2x4 – I -- -- Partial H Roof Framing Plan Bearing partition Hip and Valley Rafters l i2 a f t�r � ra c� p �to i l >: 3608 . 2 . 3 1 Pram Ing details= . . , 14]p and valley rafters shall be supported at the ridge by a brace to a bearing partition or be designed to carry and distribute the specific load at that point. - - - Continuous Baffled Ridge Vent • 2 x 12 Ridge Board L�3S . Section 1 1 x 8 Collar Ties 6 4'0" OL, 1/4" = i'O' -- -- located in the upper third of the -- -- height of the roof,measured from the sill plate to the ridge. L? r . 9D Composite oofing 15 lb,Building Paper 15'O" 15'O" 1/2' PI wood 2x10616" O.C. f Attic -- Fascia Board �p� m 22 x " O,C, Soffit R30 Insulation o Vapor Barrier with venting _ o 0 1/2' Blueboard 4 plaster O M� m m %D 07 -CP Rooflno � � 0 Floor Composite oofing CL °0 3/4" T 4 G Plywood 15 lb. Building Paper Second 2 X 1D a� 16" O.C. 1/2' Plywood 4 - - - 2x10016" O.C. LVL beam by others Joist hangers WAU Cedar clapboard aiding C4 � 2 xGe�'I O.C. Tyvek Air IBarr(er ? 1/2' Plywood R30 Insulation Z x 4 a6 16 O.C. Floor R13 Insulation 3/4" TECs Piywood 1/2' 5l aboard t plaster VBarrier apor barrier 2 X 10 Q16 OL, 1/2 Blueboard 4 plaster First R19 Insulation 1 - 2x6P.T., i - 2x6 <D. - Continuous 5111 Gasket _A OX. - Mudaill anchors Q3'6" O.C.(max.) Finish 3 - 2 x 12 Center Beam beyond Grade FQundatlon 10 Concrete Wall / 8'O" Pour 3 1/2„ Dla,Lally Columns (typ.) 3,000 psi concrete ccs 10” dp, x 20' w, Contin, ft'g, +- Dampproof exterior surface . Basement 4' concrete Slab Perimeter drain (tie,) 411 perforated PVC pipe - - - - Crushed stone Fnter membrane cover 13604 . 5 f=oundation Drainage I I Table 3605 . 5 . 1 I �—Center Beam Lally column cap Simpson LCC or equal — 2x Bottom Plata 2x Bottom Plate Lally column Lally bottom E base 2x Band Joist 2x Fire Blocking yt plate embedded Insulation Insulation in concrete slab 2x Floor Joist 2x Floor Joist `' I - 2x6 P,t, Center Beam I - 2x6 K.D. Sill Lally Column Cap Plate Concrete footing w/601 Sealer fasten to Center Beam 9 Mudsill Anchor Straps Lall� Column Detail � ' _ Concrete f=oundation Lally Column - dill Center Seam Colonial L ® p ra Ft ing 5ery ices - - - - - - - 4 110 Dain St., Unit #204 41-011 41-0" 1 I -2x6 P.T. I - 2x6 K.D. Sill T e w k 6b U r�-, MA O 1816 0 1 w/sill Sealer Tel : (9-18) 851-1330 CIA O I A Mudsill anchor straps - - Concrete Foundation 3,-b„ Cara sill (max) (max) StepFootine� z (1 X 7 � 1 = E 1 Simpson Mudsill - Anchors "MA&" 1 4 See note 'Sill Anchorage" t 3604 . 10 ] m fn. 4 " Slab 5tepdown Mudsill ,anchor 6pacine colonial L-28= Pouse Section - 2 " Drafting Services Continuous Baffled Ridge Vent 1/4" = 1'0" 110 Main St., Unit #204 2 x 12 Ridge Board Tewksbur 1"l A O 1516 1 x 8 Collar Tire 6 4,0 O.C. �� located in the upper third of the Tel= (918) 851-1330 height of the roof,measured from -- -- the sill plate to the ridge. t 12 -- -- 9 Composite-lRoof ing No. 15 Building Paper -d- 1/2" Plywood 2x10616" OL, � Attic -— Fascia Board Soffit with venting 2 x 8 aQ 16' O.C. �v R30 Insulation Vapor Barrier 1/2' Blueboard d plaster Floor r 3/4" T 4 G Plywood Second 2 x 10 a 16" O.C. wall- - -- Cedar clapboard siding Tyvek Air Barrier 0', Plywood 2 x 4 aQ 16" OL, 7-3 R13 Insulation CD vapor barrier - 1/2' Blueboard 4 plaster Floor 3/4" T 4 G Plywood 2x10Q16" OL, sill _ 1=irSt Rn Insuiation _ — 1 -2x6P.T., I - 2x6KD. ' Continuous Sill Gasket - — Mudsill am ore 9 3`6' O.C. (max) \-D A rox, p - Garaae Finish LVL Beam by others Foundation F For requirements ^ 10 Concrete Wall / 8`O' Pour Grade see "General Notes" 3p00 psi concrete p �� 10 d ,x 20 w.contin. ft Fire Separation 1' 9 C 3603 15 , 23 Dampproof exterior surface • T— Perimeter drain (tu , Basement 4' Concrete Slab 4' perforated PVC pipe Crushed stone -_ - - -- - filter membrane cover WE C 3604 .5 Foundation Drainage I C Table 3604 . 5 . 1 I c, Ceiling Joist Roof Rafter Insulatio Maintain 1" min, clear, air space .� Continuous BaFfled Ridge Vent s Rid Joist Hanger typ,a Boal Fascia Board J I x 8 Collar Ties 6OFfit Q4�0" O.C. with venting Floor ,Joist e o Roof Rafters Floor Joist ______ 6tandard Goff it LVL Beam' ----- - _ _ _ _ _ _ _ -- Flush Framed LVL Beam R id � hoard Colonial g 0 Services Jill 110 main 5t,, Unit #204 10'0" Tewksbury, MA Olalra Tel : (91,5) a51-1330 2 x 4 Bottom Plate Floor Sheathing 2x Bottom Plate 2x Floor Joist 2x Band Joist Floor Sheathing 2x Fire Blocking Chimneys shall extend at least 2' higher than any portion of the 2 - 2 x 4 Top Plate building within 10' but shall not be less than 3' above the E ' 2x Floor Joist _ point where the chimney passes through the roof. C 3610 .2 , 51 Chimney clearances2 - 2x Top Plate internal Intermediate Floor Exterior Interm, FIr,. AFUE rating with Multiple Systema6th Ed . Mass, 151do _ At2t2andix J M' .ASCheck Software User's Guide • Chapter 11, 3rd paragraph Notes and details apply as necessary to the house design. . . . . When Installing more than one piece of equipment, National Fenestration Ratine Council Minimum Duct Insulation I Table J4 , 4 , 1 , 1 1 you must use the efficiency of the equipment with the lowest rating. ( NFRC Label ) I J1 J' , 33 Inside building envelope or in unconditioned spaces, ,fir leakage t J4 . 3 , 1 Windows,Doors and Skylights shall have (NFRC) labeling. Tp is less than or equal to 15 Not required Use default values from tables Jl , 5 . 3a, 4 b when U value Window and Door ,assemblies is not available. TD is less than or equal to 40 and greater than 15 R - 3 . 3 Manufactured doors and windows,maxhnum allowable infiltration Vapor Retarder Z J4 , 2 A 3 TD is greater than 40 R = 5 . O see note I rates in per table J4 ,3 , 2 Required on winter warm side of exterior walla floors and q - Tp is defined as the temperature difference at design conditions Frame Type Windows Doors unvented ceilings. between the space within which the duct is located and the (cfm per ft of (cfm per ft2 of door area) design air temperature in the duct. operable sash ,access openings: t J4 , 2 , 5 I crack) Note - 1: Insulation resistance for runouts to terminal devices less than Openings through insulated envelope `such as hatches, 10 feet in length is not required to exceed an R-value of 3 . 3 . Wood 0 , 34 O , 35 0 ,5 scuttles, pull-down stairs, etc. shall be insulated to the Aluminum 0 , 31 O , 3l 0 , 5 same level as surrounding area. Minimum Pipe insulation t Table J4 . 4 . 9 3 PVC 0 . 31 0 . 31 O . 5 System capacitytJ4 , 4 , 2 , 1 , 14Exc. 1I Rated output capacity of the system at design conditions System up to 2° diameter shall not be greater than 12590 of the calculated design load, Low pressure/temperature system �� Table J1 . 5 , 3a if the rated output capacity of available equipment options 201 - 250 degrees I i/2 thick exceeds IB% of the design load, then equipment with the Low pressure systems: U-value Default Table for Windows, Glazed Doors and Skylights smallest output capacity above 125% of the load shall be used, 120 200 degrees I/2 thick Single Double glazed g 4 Single glazed Glazed with storm Air Leakage t J4 , 3 . 3 3 Metal-Glad WoodJoints, seams or penetrations in the building 45°bevel 45' bevel Operable O ,98 O . 60 O OFixed 0 ,13 O , 58 envelope that are sources of air leakage shall be Protective membrane Door 0 . 135 0 , 5� sealed. . . examples= b s a o Skylight 1 . 50 O , 88 d a 6 0 �, ; Joints between framing 4 window/door frames, `A ;a h Wood / vinyl Wall assemblies or their sills 4 plates, •,° �Q d B Operable 0 , 134 O . 56 Walls 4 roof/ceiling, Rigid i Fixed 1 , 04 O , 5l _ nsulation A a + B = 48" (min,) Door 0 . 138 O . 56 Separate wall assemblies, t> a° (see MAScheckEi L , Skylight 1 . 41 O • 85 Walls 4 floor assemblies, � v � • print out for min. a � Rigid insulat(on R value req d) (see MAScheck print out Glass Block Assemblies O , 60Pene{rix{ions of utility services, for minimum R value required) n - a Table J1 , 5 , 3b Penetrations thru wall cavity top 4 bottom plates, o D U-value Default Table for Non-glazed Doors Sealing around tubs and showers, a d a Steel Doors (1-3/4" thick) With Foam Core Without Foam Core Attic and crawl space access panels, a A A ' • ° " 0 . 60 Recessed lights, 0 .35 Plumbing, electrical and HVAC penetrations, Option - i Option - 1 Without Storm Door With Storm Door and all other openings in the bldg envelope, Wood Doors (1-3/4" thick) These are openings located in the building 518b On Grade Panel with 1/16 Inch panels 0 , 54 O ' 36 envelope between conditioned space and Hollow core flush 0 . 46 O . 32 unconditioned space or between the conditioned Fxterior Perimeter insulation Details Panel with 1-1/8 inch panels O .39 O . 2a space and the outside. '211 = 11011 solid core flush 0 , 30 0 , 26 NORT, �� �,E D mom Town odoveT No.4 ogP. * -_ - ___ 20 SA nor,;-2Q y dover, Mass �{ SDRATED P ,�5 47*41 H � BOARD OF HEALTH Food/Kitchen Septic System BUILDING INSPECTOR .................. ..................................... THIS CERTIFIES THAT.......................................................... Foundation has permission to erect........�............................ buildings o _....... .�,�0.......,. .. Rough to be occupied ar*#AAIlr!! ..*& .. .... e-&, �r�i/�14r.. ms o ..� . ..................... Chimney ' e provided that the person accepting this permit shall�in every respect conform to the terms of t e application on file in Final this office, and to the provisions of the Codes and By-La relatin to the Ins ection, Alteration and Construction of Buildings in the Town of North Andover.00W il? 3 4 /W PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PED M1 T- EXP]RES IN 6 MONS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough .. .... . . ....................................... Service LDING INSPECTOR Final Occupancy. Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Date.e - 1,-)� MOR7q 3?a.<� •�-;..��oo� TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING �,SSAC14 jj l This certifies that . . . . ���C�"f-! ' �? . . . . . . . . . . has permission to perform . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . !/t. . . . . . . . . . . . . . . . . . . . . . . . . . . North Andover, Mass. Fee. c'S. . . .Lic. No.... . . /� : . . . . . . . PLUMBING, 1 ECTOR Check It 5277 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date - Z -zoo Building Locationy A)UTvyl I /' Permit# 7371 Y Amount Owner 1NA7-7"l9— New Renovation Replacement Plans Submitted Yes 1-3 No ❑ FIXTURES d W Wz Z*"Cnv x A StREM &ASAI' Er HJOC 2 M HJOCR 3M11fM 4IH Hfm SM FIDM 6TH HDM M HDM SIH RDM (Print or type) r ' r Check one: Certificate Installing Company Name C Iz�/fir - lVal VA *-9C2A71A6 Corp. 09 Address & Partner. El Business Te ep one /lq Firm/Co. Name of Licensed Plumber: !{,rt�j� Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy lFM Other type of indemnity Bond E] Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachuse t ePlu bin�C _e and a r 142 of the General Laws. . By: Signa urea icense um er Type of Plumbing License Titles or"� City/Town icense Mumoer Master Journeyman ❑ APPROVED(OMCE USE ONLY Date. . . . ...... . . . . . .... . . . . t Of Np DTiy TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION h �9SSACHUSE�S This certifies that . . . . . . . . . .'. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . :has permission for gas installation . . . . . .�.. . . . . . . . . . . . . . . . . . in the buildings of . . . . ... . . . . . . . .. . . . . �/. . . . . . . . . . . . . . . . . . . . . . 'at . . . . . . . . . . . . . . ... . . . . .�... . . . , North Andover, Mass. Fee! :. .v. . . Lic. Nol. .! `.sr. . . . . . . . . . . GAS INSPLECTOR Check# t- i MASSACHUSETTS UNIFORM APPLICATON FOR PERAHr TO DO GAS HrrING (Type or print) Date ZV rtJV,— Li NORTH ANDOVER,MASSACHUSETTS Building Locations � ti� �£7 �� Permit# L b Amount$ Owner's Name Tarr New❑ Renovation ❑ Replacement ❑ Plans Submitted ❑ � a o w H a p 94 0 o a a 0 00 °o w 1 � 3 a 0 SUB-BASEMENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type) C one: Certifi In lling Company Name IZ� L �t t.ILlsln.K, ,R- ri5, Corp- i Address P0 Partner. D, til.. Business Telephone — 20 10 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check I have a current liability Insurance policy or it's substantial equivalent. Yes No❑ If you have checked yes,please indicate the type coverage by checking the appropriate box. Liability insurance policy ( Other type of indemnity ❑ Bond ❑ r T Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the f Mass.General Laws,and that my signature on this permit application waives this requirement. " Check one: ❑ -1Signature of Owner or Owner's Agent Owner Agent i hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions ofthe Massachusetts&3te„Gas Code and Chapter 14 a General Laws. a By: Signature of Licensed Plumber Or Gas Fitter Title Plumber tc3S-O/7 City/Town Gas Fitter License Number Master APPROVED(OFFICE USE ONLY) Journeyman