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HomeMy WebLinkAboutMiscellaneous - 112 LYMAN ROAD 4/30/2018 112 LYMAN ROAD 210/020.0-0034-0000.0 r' 9672 Date../Y.`"'.F./I j 1% 61 NORTl, ``° '° '"° TOWN OF NORTH ANDOVER A PERMIT FOR WIRING SS 5� ACkU This certifies that `� .:L. p '�.'� � ..................................... ......... ....... has permission to perform ...... ........ J ................. wiring in the building of..........M. ?CF ..................................... r U L.YN1.1A/......./a....................,/. 'North Andover,Mass. Fee... �F. Lic.NAZ 172.......... ELECTRICAL INSPECTOR (� 1 Check # 2012 Massachusetts Electrical Code Amendments 527 CMR 32.00§Rule 8: In accordance-with thepzovisions of M.G.L.c.143,§,3L,the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed• on the prescribed form.Atter a permit application has been accepted by an Inspector of Wiresappointed pursuant to M.G.L c. 166,§32,an electrical permit shall be issued to the person,firm or corporation stated on the permit application.Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall_be limited as to the tim)of ongcTmg construction.activity,and maybeAcemed bythe,Tn oz_of Wires abandoned_and.inyalidSf_he.—. or she has determined that the authorized worl�has not commenced or has not progressed during the preceding 12 month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the.permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections.74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote j&growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain-permits-and licenses concerning the use or development of real property.With limited exceptions,the Act automatically dxtends,for four years beyond its otherwis a applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008-and extendingthrough August 15,2012. 2Y4:1 RU le 8-Permit/Date Closed: ZZ ***Note:Reapply for new per l • ❑Permit Extension Act—Permit/Date Closed: rT Commonwealth of Massachusetts Official Use only Permit No. e V Z. k Qepartment of Fire Services „ L Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC,527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /o 77 ,Z®/,P City or Town of: llRtu Aypoye R To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street& Number) 112 1-y^4Ar ifoga Owner or Tenant ff e-26 i4 L�_ t�4A y Telephone No. 971-616-S77-00 Owner's Address .S1f 07d- Is 7EIs this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building 'Tkwdt"/W¢ Utility Authorization Noi Existing Service-61-4— Amps / Volts Overhead Q Undgrd❑ No.of Meters New Service N A Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: /NS7ACG 1,0A,&J t7mdEyGy �EjV��}Tb,� c✓�TI! tyv�I7AT/c �dNIF�2 S�w� r c H Completion of thefollowing table may be waived by the Inspector of Wires. No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA /O 6 No.of Lighting Fixtures Swimming Pool Above ❑ In- No. o mergency ig mg rnd. rnd. Batter Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.o etection and Initiating Devices No.of Ranges No.of Air Cond. Tootal n No,of Alerting Devices No.of Waste Disposers eat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection Heating Appliances Security Systems: No.of Dryers g pp KW No.of Devices or Equivalent No.of Water KW o..o o.of Data Wiring: ,. Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov rage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [ B ND ❑ OTHER ❑ (Specify:)ACE#403789 (TPA Ins.) 9/5/2010 (Expiration Date) Estimated Value of Ele trical Work: S. 90510• (When required by municipal policy.) Work to Start: )Q 7xtO Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify, under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: J.P. McCurdy Electrical Services, Inc. LIC.NO.: A20172 Licensee: )QS-0 h C.C7 - Signature LIC.NO.: -11 (If applicable,enter "exempt" in the license number line.) Bus.Tel.No.:(781) 595-7074 Address: 17 Walnut Road, Swampscott,MA 01907 Alt.Tel.No.: (781) 595-2431 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ i � `� v a ` n `d � '� •Z.i J `��L� i.i ,�f� �` a 6� , ♦'� . 1 � t���'; e � ,M't�, �. e ' r R f 1 �' e i y �t � . A, `� ,^ r % The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): J.P. McCurdy Electrical Services, Inc. Address: 17 Walnut Road City/State/Zip: Swampscott,MA 01907 Phone#: (781) 595-7074 Are you an employer?Check the appropriate box: Type of project(required): 1.[Z I am a employer with 7 4. (1 I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. employees and have workers' insurance.t 9. ❑Building addition comp.[No workers'comp.insurance p' 10. Electrical repairs or additions required.] 5. We are a corporation and its p 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions a myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no 13.0 Other employees.[No workers' y comp.insurance required.] "Any applicant that checks box#I 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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ACE Property and Casualty Insurance Company(TPA Insurance Agency,Inc.) Policy#or Self-ins.Lic.#: 403789 ,Q Expiration Date: 9/5/2011 Job Site Address: i'/Z 4 YrtAW A ,9 4,v City/State/Zip: N&yiydit, MA 0I "V S' 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 A of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerci nder he pains a d penalties of erjury that the information provided above is true and correct Sipature: Date: 1b 20/D Phone#: (781) 5 5-7074 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 8766 Date. .� NORTH <. �° •'"o TOWN OF NORTH ANDOVER/' ' PERMIT FOR PLUMB r r SSAOMUS� This certifies that r ���+Tg!!t�! has permission to perform . . . .4. 4.5 . . . .� P- /1.%,� . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . at . . . . . . . . . . . . . ., No h ndove ss. Fee..d?g�". .Lic. No./.2$� . . . '7 PLUMBING INSPECTOR Check # _ MASSACHUSEM LNHDRXI APPLTCATON FOR PERTNUr TO DO GAS FrrrING (Type or print) Date /Q 17 lb NORTH:SNDOVER,MASSACHUSETTS / Building Locations _1` G`lwwwl Permit# Amount$ Owner's Name //,�Q� /,�G•��� New❑ Renovation ❑ Replacement ❑ Plans Submitted ❑ a p U rA zUz v� C4 F z ] O F W O e' a4 a Eq 0 � z � a � r4i �� O z Ow '.A*a ;'' a C4W �,j' J H O laza A U' 0 0 SUB -BASEMENT B A S E M ENT 1ST. FLOOR 2ND . FLOOR 3RD. FLOOR LHPL OOR OOR OOR OOR OOR (Print or type) �( / Q Check one: Certificate Installing Company Name_ Ul1i//)S�>E�iJ Q W��'ESff i1� r/� Corp. Address A .B r s jo/1 J G 4nL� ■ Partner.. Business Te ephone 097 ® Firm/Co.- Name irm/Co:Name of Licensed Plumber or Gas Fitter CA.f A C kA J' INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 1:3 No 0 If you have checked yes,please indicate the type coverage by checking the appropriate.box. Liability insurance policy © Other type of indemnity Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the :Mass. General Laws,and that my signature on this permit application waives this requirement. Check one: ' Signature of Owner or Owner's Agent Owner Agent 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 mti knowledge and that all plumbing work and'nstllations perfrn•mk:i1 under Perrnit Issued for this application will be in compliance with all pertinent provisions of the�Iasslchus is State Gas Cn e and Chapter 14"of the General Laws. B„: ignature of Lice I Plumber Or Gas Fittcr Title Itlnlbcr f 25Y7 Cityr'Town 0 Gas Fitter License;Number er ® Master .APPROVED(OFFICE USE ONLY) � Journeyman IN PLUMBERS AND GASFf'LUMB TERS LICEldSED_ A:MASTR-,PLUMBER JAMES D WERSACKAS JR ' 16 BISHOPS LYNNFIELD MA 01940-1300 .. _4_ . 'v _:,A;uN'#MCNT.PVEALTH C PASS € SE S IN PLUMBERS AND GASFITTERS LICENSED-AS A JQU�RN�YM.AN PLUMBER JAMES D WERSACKAS .JR 16 BISHOPS _LN LYNNFIELD ..`- 'HA- 01940=--,1300 ACOffl CERTIFICATE OF LIABILITY INSURANCE OP ID KBDATE(MM/DDNYYYY) WEINS-1 1 09/07/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Kilgore Insurance Agency HOLOER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 5 Centennial Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Peabody MA 01960 Phone: 978-531-6550 Fax:978-531-9442 INSURERS AFFORDING COVERAGE NAIL# INSURED INSURERA: Travelers Indemnity Co. INSURER B: Commerce Insurance Company 40274 Weinstein 6 Weinstein Plumbing INSURER C. Guard Insurance Group Jim Wersackas p 16 Bishops Lane INSURER D: LynnfielZI MA 01940 .INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 01 LTR NSRE TYPE OF INSURANCE POLICY NUMBER DATE M DATE(IAWDWM F7RA TTv.t LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 AX COM MERCIALGENERALLfORM 908OL601 IND-10 03/15/10 03/15/11 .PREMISES(Ea oc orence) $300,000 CLAIMS MADE a OCCUR MED EXP(Any one perm) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-Comp/OP AGG s2,000,000 POLICY JECT LOC AUTOMOBILE UABWTY COMBINED SINGLE LIMIT $ B ANY AUTO RVW408 07/25/10 07/25/11 (Ea accident) ALL OWNED AUTOS BODILY INJURY a 500 000 X SCHEDULED AUTOS (Per person) r X HIRED AUTOS BODILY INJURY $500,000 X NON-OWNED AUTOS (Per accident) (PerPERTY DAMAGE accident) 4100,000 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO eR ---- I OTHER THAN EA ACC $ AUTO ONLY. AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR .-.__-1.CIA1M&MADE.. AGGREGATE----- $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X TIC LTA ER C EMP LOYERANY PROPRIETORIIETORJLITYPARTNERIEXECUTNVE WEWC110636 02/10/10 02/10/11 EL.EACHACCIDENT $100000 OFFICERlMEMBEREXCLUDED? If yes,describe under EL DISEASE-EA EMPLOYE $100000 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONS N LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Evidence of Insurance CERTIFICATE HOLDER CANCELLATION TOMJACC SHOULD ANY OF THE ABOVE DESCRIBED POUCFES BE CANCELLED BEFORE THE EXPIRATION DATE THIEIREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Tom Jacobs NOTICE TO THE CERTMATE HOLDER NAMED To THE LEFT,BUT FAILURE TO 00 SO SHALL Construction 65 Garfield Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Marblehead MA 01945 REPRESENTATIVES. AUTHOREM REPRESHITATM ACORD 25(2001/08) ©AICORD CORPORATION 1988 Location /�-Z ( y/r-r t��L /`��• No. (7) q (? Date 4, TOWN OF NORTH ANDOVER p Certificate of Occupancy $ 4� Y/ Building/Frame Permit Fee $ ,S1ACHUFoundation Permit Fee $ • Other Permit Fee $ /a{ Sewer Connection Fee $ PAW BY CHLNMConnection Fee $ TOTAL $ /05�. Building Inspector nARd IF Colledoir Div. Public Works No. gORT1y TOWN OF NORTH ANDOVER O "'So yeti 3? i •" O0 Certificate of Occupancy $ � Building/Frame Permit Fee $ sFoundation Permit Fee $ sAcHus- 0 Other Permit Fee $ Sewer Connection Fee $ o t Water Connection Fee $ Te 70 ca OTAL $^ Building Inspector Div. Public Works PER 111T NO. �� ` APPLICATION FOR,PERMIT TO BUILD — NORTH ANDOVER, MASS. ' ✓ PAGE 1 MCP 4.40�ao LOT NO. f j 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE ti ZONE A!, SUB DIV. LOT NO. ' �c /� -, — LOCATION i l L4j man. Roa 4 /I PURPOSE OF BUILDING 0,61d Qfnit, room OWNER'S NAME W1 I`r�in1 L .IIS k, �1 e NO. OF STORIES© SIZE 1, OWNER'S ADDRESS��� ., MQn ,a� I ` BASEMENT OR SLAB �ngld "`eme4l ARCHITECT'S NAME lftdaer- wo1 llfl` m Mang0.IC� SIZE OF FLOOR TIMBERS 1STx/N)(tory 2ND 3RD BUILDER'S NAME (Zwt)tr-- �:i'�I`�/fGtm �n /u���l�a.["cJ SPAN dA T4, DISTANCE TO NEAREST BUILDING i ��� meq_[L LQ, ,5e DIMENSIONS OF SILLS x DISTANCE FROM STREET {'/ f „WI[f/7 POSTS DISTANCE FROM LOT LINES-SIDES /f 131f REAR /f kyle GIRDERS AREA OF LOT -14fl; o �9 'f i� FRONTAGE HEIGHT OFF � y THICKNESS /of► IS BUILDING NEW k�Y� SIZE OF FOOTING apf' ' X IS BUILDING ADDITION �e'� MATERIAL OF CHIMNEY IS BUILDING ALTERATION ad.clr �'fa,--r� IS BUILDING ON SOLID OR FILLED LAND �0 ; WILL BUILDING CONFORM TOREQUIREMENTSOF CODE Ve-5 IS BUILDING CONNECTED TO TOWN WATER e BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS �( �[ 3 PROPERTY INFORMATION LAND COST a„VdALI SEE BOTH SIDES EST. BLDG. COSTQfHaO� PAGE 1 FILL OUT SECTIONS 1 - 3 /(/� T EST. BLDG. COST PER 8Q. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 ©®® SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE F LED BOARD OF HEALTH SIGNATURE OF OW OR AUTHORIZED AGENT OWNER TEL #6$6-5760 4- FEE �� s CONTR TEL # yq„y_ PLANNING BOARD PERMIT GRANTED CONTR LIC # 19 �l BOARD OF SELECTMEN n l° �/n(� _ 4 S � ` lYll'�I` �L BUILDING INSPECTOR I + t14 11' r,.. �}. ! BUILDING RECORD 1 OCCUPANCY 12 , SINGLE FAMILYSTORIES .�� 177— THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION-,,' _ 8,' INTERIOR FINISH CONCRETE _ 3 1 2 13 CONCRETE SL K.. PINE BRICK OR STONE HARDW D PIERS PLASTER DRY WALL UNFIN. 3 BASEMENT I PLAN OF PROPOSED ADDITION AREA L FIN. B'M'T;AREA _ 1, '1 ;1, ' ' FIN. ATTIC-AREA _ LOT # 11 LYMAN ROAD NO BM'T FIRE PLACES _ HEAD ROOM _ MODERN KITCHEN _ �4 NORTH ANDOVER, MA. WALLS 71 9 FLOORS CLAPBOARDS B 1 2 3 _ DROP SIDING CONCRETE __ — ESIt, �Z9• //` WOOD SHINGLEARTH _ _ 1 I p ASPHALT SIDING HARDW D ASBESTOS SIDING _ COMMON K VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ —— — — — — ~ STUCCO ON FRAME EXISTING BRICK ON MASONRY ATTIC STRS. & FLOOR M PROPOSED 1 BRICK ON FRAME STRUCTURE CONC. OR CINDER BLK. ADDITION al STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIORPOORco _ ADEQUATE I� NONE 30,9/ 1 fo '11" 5 ROOF 10 PLUMBING V) GABLE HIP BATH (3 FIX.) _ GAMBREL MANSARD TOILET RM. (2 FIX.) _ I i LOT # 11 = 7440 + SF h FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY L /JL WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL'SHOWER _ N ROLL ROOFING MODERN FIXTURES w_ 1 RoAID TILT FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. _ STEAM _ STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERSlr' ssC _ AIR CONDITIONING RADIANT H'T'G 11NIT' HEATERS GAS 7 NO. OF ROOMS OIL B'M'T 2nd _ ELECTRIC 1st .•. • I # ( 3rd I NO HEATING S: � FOEu•1 U TOWN OF NORTH ANDOVER LOT RELEASE FORkI c SUBDIVISION ASSESSORS MAP SUBDIVISION LOT(S) PERMANENT ADDRESS ASSIGNED BY U.Y.W. STREET Y AA) � APPLICANT rnC.DDA.)A PHONE DATE OF APPLICATION � f TOWN USE BELOW THIS LINE PLAN NG BOARD UA'1'L' AE'PRUVED Z- f TOWT PLANNER DATE REJECTED CONSERVATION COMMISSION j1 ( DATE APPROVED" CONSERVATION ADMIN. DATE REJECTED BOARD OF HEALTH DATE APPROVED H LTH SANITARIAN DATE REJECTED DEPARTMENT OF PUBLIC WORKS DRIVEWAY PERMIT SEWER/WATER CONNECTIONS erAq FIRE DEPT. n44, U v U l RECEIVED BY BUILDING INSPECTION �i ra n nf� ti� s ► ' DATE i MAR lga► ' _ This form shall be signed by the entsof- t`Ii�Pslannin and health Boards, -s �_ . . �.. the Conservation Commission prior to the-issuance of any building; permits for the subject lot. This form shall not releive the applicant from the compliance of any applicable Town requirement or Bylaw. Town of North Andover BUILDING DEPARTMENT Homeowner License Exemption (Please print) DATE JOB LOCATION /a Number Street Address Section of town ' ;' "HOMEOWNER" `— � Name Home Phone Work Phone ;PRESENT MAILING ADDRESS City Town Alix 8 The current exemption for "homeowners" was Sextende Zip code occupied ude owner dwellings of six units or less and to alllowosuchlhomeowners to .. engage an individual for hire who does not possess a license .:, that the owner acts as supervisor . 1Se , Provided (State Building Code , Section 109 . 1 . 1) ,. .. .'DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resid reside, on which there is , or is intended to be es or intends to a one dwell- ing, ix attached or detached structures accessory to such usesand/ooria,'' structures . A person who constructs more than one home in arid/or period shall not be considered a homeowner . Such "homeowner"a two-year to the Building Official , on a form acceptable to the Buldinshall submit :. that he/she shall be responsible for all such work performed buildingpermit .P (Section 109 . 1 . 1.) the The undersigned "homeowner" assumes responsibility for . : State Building Code and other applicable codes , by-laws with the regulations . , les and The undersigned "homeowner" certifies that he/she understands tt1 North Andover Building Department minimum inspection proceduresa Town of requirements and that he/she will comply with said proc duresanl�d . ' mp •requirements . d . .HOMEOWNER ' S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note : Three family dwellings 35 , 000 cubic feet , or larger, wi 0 ll be required to comply with State Building Code Section 127 . , �Constructio Control . n [LIEUTEa oriMUSO UL WOOD i1V" STRUCTURES DATE JOS NO. INC. Box 347, Alfred Road Business Park, Biddeford, ME 04005 Dery L1b Tel: 207-282-7556 FAX: 207-282-2423 ATTENTION y ME WATS: 800-482-0716 Out-Of-State: 800-341-9612 41 t • A -214sz:-ni O1" 4r, iCU(jL-SL- _ RE: TO �`Jll�(� l� � //V S f�CC.�"4/Z /20 4144/A) I Z L-YmA A) r2� O`J fU D vL(L r1-)k- �o )C L v»n/SL "e- WE ARE SENDING YOUAttached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ SamplesSpecifications ❑ Copy of letter ❑ Change order ❑ Binder ❑ Literature COPIES DATE NO. DESCRIPTION e LS THESE ARE TRANSMITTED as checked below: or approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution Jp—A- re'"�quested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS �� //A/,b 1127,01 CH L 5-`> GOBI L` S 0/7— :00 /7—:00 I LZ L 0/+14 6,"C /50r, -7-h/E' fav&C-TAOAJA-� 7-30.&. 4a4ST/vim s RG 6 s e- Coni 7-4-S-1 U LPI COPY TO 0 SIGNED: v" 011 �I APR01941 ' i EATO V08.39 IJDE: D0 'fLE 12 REQ D WoO� ' Tir_ 799 4/ 1/91 414 ISI 1 of 1 STRUCTURES INC. Biddeford, ME 12 ME WATS: 800-482-0716 6.00 12'4 �� Out-Of-State: 800-341-9612 This truss is designed in ----� �� accordance with the latest y`�. f ° k �.z revisions of TPI and/or PCT, and "`� will be sealed by a professional engineer in the state or states 13'e Ji ,�, C` ,t�< required (upon request) after 4,6 '�{4,'a 4�y �a� ;y"' ` } ` ' approval of this plotted elevation to assure compliance with design concept and actual jobsite ,5 �,` '. 1 "taw• 3.8 = � ���4.;,`z�:'> .•°Z.fr' \[,.� conditions. 4x 4 3x 4= = a� fC 1, "z` \� J1 ,tY•i3�� J°C�T� T 12 6-03-04 5-08-12 10 8-02-03 7-G7-11 U 6� INSPECTED PLANT NO 82 24-00-00 TOLL= 35.0 PSF SPACING = 2-00-00 REACTIONS MIN L/DEF= 241/0.15"= 999, CAMB= 0 1/8" 75-uss Man:�facturer—hlem ber of TPI TCDL= 7.0 PSF INCR:P=1.15 L=1.15 (LBS) BRG(IN) 20 GA. PTX PLATES 199 PSI GRS (MAX) - BCLL 0.0 PSF BUTT CUT= 0 1/4" J 1= -1408 3.5 BCDL= 10.0 PSF J 5= -1408 3.5 HYDRO-AIR. ENGINEERING INC DO'iLE CONFORMS TO TPI R£PETITZVE ZNCR _ -jFIELD VERIFICATION ----- TOP CHORD - CSR= 0.733---=- --- BOTTOM CHORD - CSR= 0.711--- ------- WEBS - CSR= 0.541------- . 1 � 2X 3 NO 2 DN KD15 SYP 2X 4 NO 2 DN KD15 SYP 2X 4 STD SPF - - 0.APPROVED - C 1= -2189 C 2= -1926 C 6= 1327 C 7= 1958 W 1= -452 W 2= 736 n APPROVED AS NOTED 1. ADDITIONAL UNIFORM LOADS: C 6= 10.0 PSF. NOT APPROVED Approvalyof this drawing verifies that dimensions and quantities indicated; conform to actual job site requirements. Signed Date ,.ATo05;5-i Company PLAN OF PROPOSED ADDITION LOT # 11 LYMAN ROAD NORTH ANDOVER, MA. o EXISTING ` m PROPOSED STRUCTURE ADDITION w f� ,30,9 yon s _ zy' 3/3 _ LOT # 11 = 7440 * SF %�p L-'f N oaC) PREPARED FOR WIL & MARY McDONALD Scale 1" = 20' Date January 30, 1991 Engineers: Henry R. Himber Dante Bartolomeo OF kAx`r�c' DANTE tiG s E. BARTOLOMEO H 4 No.15309 0 9p�� �ECISTE � S"� I U N�SJQ r 7YVv I � FEB 4