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HomeMy WebLinkAboutMiscellaneous - 115 SOUTH BRADFORD STREET 4/30/2018 (3) 115 SO BRADFOF2D STREET 210/103.0-0106,0000.0 - -- - - / L 09881 Date .? `� ,l. . . . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that I. 9"�. . . . . . . . . . . . . . . . . . . has permission to perform . . . plumbing in the buildings of. C 6qr �. � . . . . . . . . . . . . . . . . . . . North Andover, Mass. Fee Lic. No. 6?l0 I . . . . . . . . . . . . . . . . . . . . . . . . . . . • PLUMBING INSPECTOR Check & PeV"' t} MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY _ _i MA DATE PERMIT# - I U JOBSITE ADDRESS S. OWNER'S NAME[ POWNER ADDRESS __ _ TELT-- FAX t TYPE OR OCCUPANCY TYPE COMMER IAL EDUCATIONAL 0 RESIDENTIAL PRINT CLEARLY NEW: ] RENOVATION: REPLACEMENT: 0 PLANS SUBMITTED: YES 0 NOD FIXTURES Z FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN ! ..._......_I FOOD DISPOSER ._..._.....I FLOOR/AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINK __...._l _.___..J LAVATORY ROOF DRAIN SHOWER STALL ,__I SERVICE/MOP SINK �_.,..f i I I __...__i .--_._ I TOILET I __. _.._I _- URINAL WASHING MACHINE CONNECTION _..___ ( f _ ._-_•` .. ! _. .; 1 _ ? i - i ! 1 . WATER HEATER ALL TYPES WATER PIPING 'OTHER _.._. ...fi ._._..I __. _ . { _._ i INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES NO DJ IF YOU CHECKED YES,PLEASE INDICATE THE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY i OTHER TYPE OF INDEMNITY Ej BOND 0 OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requl ment. HECK ONE ONL Or RA SIGNATURE OF OWNER OR AGENT f ;q hereby certify that all of the details and information I have submitted or entered regarding this applicatik are true and a ur e e tlqLst kn ledge and that all plumbing work and installations performed under the permit issued for this application will be i om liaTl a ith II in nt the 4Massachusetts State Plumbing Code and Chapter 142q,of the General Laws. PLUMBER'S NA . [ a r�r €LICENSE# 63 U SIG A URE IVIP4e JP 0 CORPORATION # PARTNERSHIP 0# LLC COMPANY NA (G., a_ — ADDRESS CITY 0 ' — _�...__.___....._......_ i STATE � ZIP I ( / TEL _.'_ _._ ._.._.__...] i FAX —k3 2j CELL 0-Wo I EMAIL ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES ;e 4-Z,3 j, The Commonwealth of Massachusetts Department ofIndustrial 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 Lelsibly Name(Business/Organization/Individual): --ti p w N Gr _T�r) Address: City/State/Zip: Phone#• `Y� ��L)�9 &-23 G i Are you employer?Check the appropriate box: Type o project(required): 1�eml,ployees m a employer with�q 4. ❑ I am a general contractor and I 6. ]jNNew construction full and/or aft-time .* have hired the sub-contractors( p ) 7. emodelin 2.❑ I am a sole proprietor or partner- listed on the attached sheet.# g ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9 E]Building addition [No workers'comp.insurance 5. El We are a corporation and its required.] officers have exercised their 10.El Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.E]Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]it employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. i 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 isproviding workers'compensation insurancefor my employees. Below is thepolicy andjob site information. Insurance Company Name:. Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: Qd I (�l ' �� •( City/State/Zip: Aid 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 00 a day aga' t the violator Be advised that a copy of this statement maybe forwarded to the Office of Inv stigations o e DIA f insurance a verification. Ido hereby c *Y i s a aloe of perjury that the information provided above is true and correct. - Si ature. Date. Zo 1 Phone#• l� I O�— I 23 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#: t \i �1 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or.written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial confirmation for conmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(ifnecessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The,Commonwealth of Massachusetts Department of Industrial.Accidents Office of Investigatlons 604 Washington Street Boston,MA.02111 Tel.#617-727-4900 ext 406 or 1-877,7MASSAFE Revised 5-26-05 Fax#617-727-7749 www.mass,govldxa Division of Professional Licensure: License Search Page 1 of 1 The Official Website of the Office of Consumer Affairs and Business Regulation(OCABR) Division of Professional Licensure Mass.Gov Mass.Gov Home State Agencies A-Z Topics Home>Division of Professional Licensure> ONLINE SERVICES ...................................................................................................................................................................................................................................................................... Check a License Check A Professional License Locate a Licensed Professional By the Division of Professional Licensure Online Address Change Contact the Agency More... LICENSEE Name:TIMOTHY A. GIARD REFERENCES& NO ANDOVER,MA RELATED INFO Disclaimer Regarding "'This Licensee has additional Licenses,click here to view them."" Website License Searches Enforcement Process Glossary Licensing Board: PLUMBERS ft GASFITTERS -- — Glossary of License Status License Type: MASTER PLUMBER Codes License Number: 10301 More... Status: CURRENT Expiration Date: 5/1/2014 Issue Date: 6/18/1986 Exam Date: School: This web site displays disciplinary actions dating back to 1993. This license has had no disciplinary actions taken during this time. The page above has been generated by the Division of Professional Licensure web server on Monday,April 08,2013 at 2:00:52 PM. ©2007-2011 Commonwealth of Massachusetts Site Policies Contact Us http://license.reg.state.ma.us/pubLic/pubLicenseQ.asp?board_code=PL&type class=_M&li... 4/8/2013 3077 Date .......... pORTN TOWN OF NORTH ANDOVER i PERMIT FOR GAS INSTALLATIO �,SSACMUSEt� p ti This certifies that . . . . . . . .. ... . . . . . . . . . . . . . . . . . has permission for gas installation . . . . :. . . . . . . . . . . . . . . . . in the .buildings of . . ..� ::L - . . . . . . . . . • • • • / r � K at ../•:- � • • '' ` . • :` ., North Andover, Miss. Fee. ?. . ' Lic. No r: :`��. . .. . . . . . .. . . .�. . .. . . aZ. GASINSPECTOR WHITE:Applicant CANARY:Building.Dept. PINK:Treasurer i c ti > MASSACHUSETTS UNWORM APPLICATON FOR PERMIT TO DO GAS FMING �k ype or print) Date .3� 19 NORTH ANDOVER, MASSACHUSETTS /) D Building Locations � ` � , �� �D C� !/�� � � Permit# Amount$ Owner's Name C e l New Renovation ❑ Replacement ❑ Plans Submitted ❑ n w :G iJ ryj UZ F n n C _ mcn — w Z F cn � m z Z C — = tSUB-BASENI ENT B A S E M EN T IST. FLOOR N D . FLO G R 3R D . FLOG R aTIt . FLOGR 45'r 11 FLOOR 6'r If FLOG R 7T If FLOOR 3T 11 . F L O G R (Print or type) Q� p� Check one: Certificate Installing Company e Name r/ /1 ❑ Corp. r ✓ Addr s K'1 ❑ Partner. Business TelephoneFirm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check 9ne: I have a current liability Insurance policy or it's substantial equivalent. Yes Nom If you have checked yes,please Indict6the 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 ❑ 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 Mass usQtts tate G de and a ter 142 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title ❑ Plumber e�)-030La City/Town ❑ Gas Fitter LicenSe Number - ❑ tilaste: APPROVED(oFr(cE USE ONLY) r-i kurrneyman 2 Date.. N2 2 U22 TOWN OF NORTH ANDOVER 0 0 PERMIT FOR WIRING This certifies that ... .......... ............................................................ has permission to perform ........................... wiring in the building of........�.,Ie .............. ............................... .... .................... at......... North Andover-M .................... 7A- Fee/.&a.......... Lic.No? !�y... ................ ....... .......... >Ei�E**C—M—I C,A—L,iN—S,P—E C T 0 R 01/12/99 14:43 100-00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer —' 0!l/c. li.e Only ,�. The Commonwealth of Massachusetts - ry— S i'i ►.r�lt 7V.. ��®CT Department of Public Safcry t_ /0—r—cy & rat 0.C&A,lde BOARD OF FIRE PREVENTION RECUL noNS ST. CMR 1_ 3/90 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK MI wrk b be petioneed In Accordance with the Ma—ch—ru Elec-l"I Code, 5Z7 CMA I2:00 (PLEASE PRINT IN Z'ZF OR TYPE ALL INFORNA=ON) Dare��3e�gg City or Town of norl\r, oy►ae �C To the Inspector of Wires: Ibe undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) Owner or Tenant 70h Y-\ CCXX nty Phone No. Owner's Address cba.rv.e_ Is this permit in conjunction with a building permits Yes ® No ❑ (Cbeck Appropriate Box) Purpose of Building S;,r.�lt �cv�.t tY Utility Authorication .40. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of heters P New Service Amps / Volts Overheadgr Uod d ❑ No. of Meters Number of Feeders and Ampacity. p Location and Nature of Proposed Electrical Stork ISr�ud�, 1' h�Shina Wir:v�4 a F1uo�' C,ck)i�:ov� No. of Lighting Outlets A5 No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above (-1 In- ❑ I g g-nd. ED fid. Generators rVA No. of Receptacle Outlets No. of Oil Burners INo. of Emergency Lighting Battery Units No. of Switch Outlets No, of Cas Bin FIRE ALARMS No. of Zones No. of Ranges No—of lir Coad. Iotal No. of Detection and ton Initiating Devices No. of Disposals No. of Pests Ion Ion No. of Sounding Devices Tans ry No. of Dishwashers Space/Area Heating 1CW No. of Self Contained Detection/Sounding Devices No. of DryersI Heating Devices RSi local❑ Municipal ❑Other Connection No. of Water Heaters Kit No, of No. of ILow Voltage Si s Ballasts Wirint No. Hydro Massage Tubs No. of Motors Iotal HP I INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current LiabiliInsurance Policy including Completed Operations Coverage or-its substantial equivalent. YES❑ NO 8 I have submitted valid proof of same to this office. YES❑ NO ❑ If you have checked TES, please indicate the type of coverage by checking the appropriate box. INSURANCE BOND ❑ OIH13t❑ (Please Specify) Estimated Value of Electrical Work S 3(Xjp (Lxpirarcion ate/ Work to Start 12491 In Inspection Date Requested: Rough W(1k C Final Signed under the ^penalties of perjury: FZRri NAtg�;c\C E l e.<_k t`i 4 G�1 COr1 cA(�tU/�1 LIC. N0. Licensee �,,r,,� Sigruture �w �- LIC. NO.E 390?-q Address ly,\\ Sc,\ern { MC,pe,v, 0�1�8 Bus. Iel. No. Alt OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the•insurance coverage or its suo- stantial equivalent as required by Massachusetts General taws, anc that my signature on this pe_it application waiver this requirement. Owner Agent (Please check one) Telephone No. 1FPMI= icy ..icnature of mer or . cent Form - L Departmental Referral Form To: Building Inspector Open Space Committee Director of Community Development Director, Public Works Fire Chief Health Agent Police Chief From: Town Planner and/ or Planning Secretary, Planning Office i Re: Preliminary Plan Definitive Subdivision Special Permit Site Plan Review I Date: A Public Hearing has been scheduled for C.XJ p.m. on to discuss the plans checked above. (Preliminary plans do not require public hearings.) f The Technical Review Committee Meeting is scheduled for: f Thank You. d t[ t I� f I 4 i �C CI 1 Location SO �?�`�' '� - A i;�.. Qd Date �1 i' 40RTN TOWN OF NORTH ANDOVER p Certificate of Occupancy $ s ; ; BuildinglFrame Permit Fee $ Foundation Permit Fee $ E sA�MUSE Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ ' TOTAL G` $ Cf� f Building Inspector &1/1,679&710:32 455,00 PAID Div. Public Works Location l � rya. o Date 40RTN TOWN OF NORTH ANDOVER AL Certificate of Occupancy $ 16. ♦ i # Building/Frame Permit Fee $ Foundation Permit Fee $ ss�C14 t Other Permit Fee $ Sewer Connection Fee $ k_ Water Connection Fee $ 1 e TOTAL $ / Building Inspector 'r 11116/9a lU: -i:i3-"11DivrP6bIic Works PERMIT NO. �� APPLICATION FOR PERMIT TO BUILD* ****NORTI4 ANDOVER, MA Ni.►1'NO. 103 I.OI'.NO. �"ce / 2. RECORDOFOWNERS11I1' DATE BOOK PAGE ZONE SIIB DIV. 1.01*NO. [ LO(-All()N /C1 •, S 'ei Pl1RfC>SE( BIJII.i)ING roto OWNER'SN.ahIE Vv I�' bLf d C NO.Of:SFOR IES / IZF `a OWNER'S ADDRESS V �� <50L" 'Cj BASt:MENi OR SLAB � AR('I IITECI'S NAME �A �t� +v SIZE OF FLOOR LIMBERS '� ST 2 ND 3 RD VN /�'` P! L SPAN BI III.DER'S N.ah1E DISI ANCE TO NEAREST BUILDING `fAF DIMENSIONS OF SILLS X 6 DIS FANCL I ROM SFREE F L// ! DIMENSIONS Of:POSTS DISLANCE FROM IAT LINES-SIDES [ E�R �/f ! DIMENSIONS OF GIRDERS N/ 4v flEl(iIFF(K=FNDATiON(x1I c� THICKNESS / Al AREA OF LO"T 60()_5,r ONT GE ! O IS BUILDING NEW SILLOF F(X7FING L �/ X IS BUILDING ADDITION MATERIAL OF CIIIMNEY J� IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND 6d L 0 WILL BUILDING CONFORM TO RECKIIREMENTS OF CODE es IS BUILDING CONNECTED TO TOWN WATER e S BOARD OF APPEALS ACTION. IF ANY IS BUILDING CCNJNECI ED TO TOWN SEWER �S IS BUILDING CONNECT ED TO NAl'URAL GAS LINE p S INSTtJ('TIONS 3. PROPERTY INFO RIIIA*TION LAND COST C EST. BLDG.COST p rj7ry " PAGE I FILL Ot TT SECTIONS 1-3 v v EST.BLDG.COST PER SQ.FT. EST. BLDG.COSI PER ROOM EI ECTRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. All ACLIEDGARAGESMUST CONFORM roSTATEFIRE REGULATIONS ;. APPROVED BY: C PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR BIIILDING INSPECTOR DA TE 111 ED / I �lOWNERS]EL# (gg _IJ-731 CONTR.TELH (5-23-5— CONTR.LICN (JNA I IRE OP OWNLR OR AU FI l 21Z D ADEN T / PI:RMII'GRAN 11:1) 19 9/142 1 FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. APPLICANT FILLS OUT THIS SECTION* APPLICANT avl-� Cmr?!1�4PHONE a-d 73I LOCATION: Assessor's Map Number C) PARCEL SUBDIVISI N` LOT (S) STREE J so' r ST. NUMBER '**.****'**'*****OFFICIAL USE REC ENDATIONS OF TOWN AGENTS: CONSERVATION ADMINIJTRATOR DATE APPROVE 0. 3 o DATE-REJECTED COMMENTS 00 t D`" ' TOWN PLANNER DATE APPROVED l� DATE REJECTED COMMENTS�� \��� '� � FOOD INSP TOR-HEALTH DATE APPROVED DATE REJECTED EP IC I CTOR-H �L-T-H DATE APPROVED DATE REJECTED COMMENTS S:e ms. A11'eJv 014 PUBLIC WORKS SEWER/WATER CONNECTIONS , L 141) DRIVEWAY PERMIT vv fid` FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE r ORT own of C _ Andover No.OZ,o 1 _ dover, Mass., 19 51 O s LAKE 9A_COC N ICMEWICK '9S ° BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... ...... .. ....... ... . ...A..�V..e... .................... ................... ............... ......... Foundation Shas permission to erect.�......�... ....�.. ...... rings on....... .. .. Rough • t0 b8 occupied as !. oo �.. VN ..... Chimney p ...... .... �... % ... . ..... ......................................................... y provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPEC.MR UNLESS CONSTRUCT S TS Sq , Rough .. .... .. .......I................... .. .................... 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 t Street No. Smoke Det. 2' feet wide (Seasonal flow) 0 s �^ moi► ° - 0 S 81010'36nF .O 253.59' 0 N/F ,y Malsh ? Assess. Map 103,Par.16 • .LOT 1 V � s0 44,00C+1- S.F. a, Parcel 108 �79� Assessors W"ap.103, ��•F _-P-LAN-OF--LAND IN Proposed NORTH ANDOVER, MA Addition ?e OWNED BY - L. `ate '`y 4�*/. ,� a L, JOHN CARNEY �° Q� o �y y N/F �r _'0 SCALE: 1"=40' DATE: 6/10/98 -Williams . '-� sr�, ti^ � 40' 8o' 120' Ass ssmap 103 Parc. 99 �8 ��.• r o ' 4, 1 0 Winter St. s8"" tip• 2� tia ' , .���� � P.L.S. � s 4 Q, SCOTT L. GILES, R. N fRANK S. GILES, CAD ,oma 50 DEER MEADOW RD. NORTH ANDOVER, MA 01845 Notes: Seeplan #5521 N.E.R.D. ojiiggM strict R-a Deed Ref: Bk. 1672 / Pg. 38 (own F�afnne_r 11 f in x in vol 0 5� • U i x I i Z I I ui . I I I s f c HttlCS WROW T BRCS 11'-D' h WINWW SEAT --_ ALMN WINDOW L FDtEPLACE—_—_—__- FACTORY F 747ML:ACE FIRST FLOOR PLAN DECK FALD =ATE RAS TREAM V= ADtS NEV r.4SEl W WDMW ALiM WWDOVS WITH NEV U" CAME! OMqAL M SET LAYCW TED) REM ABDVF1 2 - 13/4' X71/4 HICRM.AH LVL S L P SINKm EXMTING St MDIG CL, It CO nava KITCHEN -- —� -� r-> i SHVR 1 ! 1 EATING Dant I I 1 -----------_-�; i BATH 1 � 5-V i i me T FAXLAV L VANM DitC7ED4WM Df UZMR . I 1 i I NEW c . cn Exrs • 5'-D' RENaVE E=TING BASEMENT MIRVAYJFFI Yl1 EfLTSt2Nti OPEIGNO Det LIVING ROOK! EXISTM D c&-nwrIwtrQ MERRS 2X 12 AT16' O.C. RIDGE VENT 1/2' CDX PLYWOOD SHEATHING 2 X' 8 COLLAR TIES AT Yb` D.C.. EAVES DETAIL FASCIA & SOFFIT DETAILS TO MATCH EXISTING CONTINUOUS SOFFIT VENT _ METAL DRIP EDGE ICE/WATER MEMBRANE AT EAVES R-30C FIBERGLAS GUTTER AS NOTED [1N ELEVATION DRAWINGS INSULATION 2 X 10 AT 16' D.C. TYPICAL EXTERIOR- WAH SIDING TO MATCH EXISTING TYVEK OR EQUAL BUILDING WRAP 1/2' CDX PLYWOOD SHEATING 2 X 4 STUDS AT 16. O.C. 1!2' GWB ON 1 X 3 R-13 FIBERGLAS INSULATION AT 15' O.C. POLY VAPOR BARRIER z 1/2' GYPSUM WALLBOARD F F + SILL ASSEMBLY ANCHOR BOLTS/STRAPS AT 4' O.C. 2 - 2 X 6 TREATED SILL 3/4' T&G PLYWOOD n SILL SEAL INSULATION GASKET NAIL & GLUE _TO FRAMING CONTINUOUS RIBBON JOIST BOX SILL ' z DOUBLE TEMP PLATE --.--- FINISH IST FLOOR.-- -- _-- (TYPICAL) m TJI 35 X 14 AT 16' O.C. SLOPE FOLLOW MFGR. DETAILS BRIDGING 1/2' GWB [IN IX3AT16' O.C. ' FINISH GRADE PROVIDE THERMAL BREAK AT BETWEEN SLAB/FOUNDATION POURED IN PLACE CONCRETE FOUNDATION L FOOTING _-MATCH EXISTING BASEMENT FLOOR le PERIMETER FOUNDATION DRAINS 4' DIAMETER PERFORATED PVC PIPE 76, 3/4' CRUSHED STONE FINISH GRADE FILTER FABRIC ENCLOSURE DISCHARGE DRAIN TO APPROVED 'LOW POINT' 6' COMPACTEDGRANULAR 13ASE c 9 SLAB SEAT o 4' CONCRETE SLAB POLY VAPOR BARRIER CONFIRM PROPER SOIL 2' RIGID FOAM BEARING CAPACITY INSULATION TYPICAL CROSS SECTION -- -- - ----------------- ----------- --- -- --------------- ---- ------------------------------------------- - - ----------- ASPHALT SNDl6tES - ----_--_ ----- -------- - --- ---- ---- ----- - ------------------------------------------ . - CRITTER DOSTINC DVELLM AiGtID CORNER FINISH MT nJ3OR FIl+iM GRADE i RAILDM NOT SH WN TREATED W= STA= I TO FINISH GRADE TREATED I WOD I DECK FMIS'H BASEMENT FLOOR j ----------------- rj------------------------------------------------------- L------------------------------------------------------ LEFT ELEVATION ---------------------- ----- ------------- - ---------------- ------------------------------------------------------- ---------------------------------- ------- -- --- GUTTER ------------------------------------ EXISTIIM DWELLING MATCH EXISTING FLM R ELEVATM14 FINISH IST FL UP FIREPUCE 'BCIXIBIT' ANGLED CIaER FDiISJi HASEHN7 FLMR =j rl.0 t FINISH GRADE NEL! EXTERIM 3= MATCH EXISTING SIDING t t t t -------------------------------------------------- ---� L--------------------------------------------------------I RIGHT ELEVATION RIDGE 13F WV ADDrrZW •Y ALIGN W!Irl EXXITIM � DOM C FBIEPLACE 'IMUM FINIStf QMDE Al16Z® CORlER2 1 tAE M V�QD ................ ................. .... ................. ........... FIIdSkf SDESTAM WOCL STEP nP CF FIRMATIM FINM YAC,L EXPOSER M VIEW FIRMSA�ILIf_yrT F_i�bp�r ' f .•.•.•.•.•.•.•.•.•. -- _-�_ -� _ _ ---------`-FIPMRAMENEW-- rW_{ _�_—-—-- ______ _ --�------- --------_ ___-- - -- ---�--�--�- -��- _-_r- _--- MMCRETE FOUNDATICH RELISE " "°"��` "�' i ir ------- ------ i REAR ELEVATION ---- r------ L------------------------J STEP FLDTIN6 AS NECSSSl1K1� i �� � `7��� AICD or'7 � �v� s i� a in x li t n x r x x � x I CL I ZI Wp9li a I i f � BOMM7SEAT Dav T H ct u•-c� it h VINIDO --- _ ALMM VMMW L FUMPLACE_-_----- FACTORY FIREPLACE FIRST FLOOR PLAN DECK Fft.D LOCATETREA i° BALLING h F N t -V MEPM VLNDOV ALLGN WINDOWS WITH NEW! CHEM CABINET CHINA'CLOSET LAYOUT TEID REM A]lf3YE+ 2 - 131-V X7if4 HICRMAN LVL SLP SING 'O EXISTING SLUING CL, ncroR - 2•-a- KITCHEN -- -� S- r r r EATING COUNTER t 1 ----------- '' r BATH —moi t —Lf�flS— i VC ' r00 LAV L VANITY T FAti TItfL'XED%HAUS DCT'ERiQR 1 NEW EXCTS 3 CnX REMOVE EXISTING BMA6ASEMENTJ STNIRVAY FZ YNK MM EXIST2NG D[IOt LIVING ROOM WING � D 2X12AT16' O.C. RIDGE VENT 2 X 8 COLLAR TIES AT lb' O.C.. 1/2' CDX PLYWOOD SHEATHING EAVES DETAIL FASCIA & SOFFIT DETAILS TO MATCH EXISTING CONTINUOUS SOFFIT VENT R-30 FIRERriI AR TNCIll ATMN METAL DRIP EDGE ICE/WATER MEMBRANE AT EAVES R-30C FIBERGLAS GUTTER AS NOTED ON ELEVATION DRAWINGS INSULATION 2X10 AT16' Q.C. -� TYPICAL EXTERIOR- WALL SIDING TO MATCH EXISTING TYVEK OR EQUAL BUILDING WRAP 1/2' CDX PLYWOOD SHEATING 2 X 4 STUDS AT 16' Q.C. lf2' GWR ON i X 3 R-13 FIBERGLAS INSULATION AT 1b' D.C. POLY VAPOR BARRIER 1/2' GYPSUM WALLBOARD F � x + SILL ASSEMBLYi ANCHOR BOLTS/STRAPS AT 4' O.C. _ 2 - 2 X 6 TREATED SILL 3/4' TLG PLYWOOD SILL SEAL INSULATION GASKET NAIL & GLUE TO FRAMING CONTINUOUS RIBBON .FOIST ' BOX SILL ' z FINISH IST FLOOR DOUBLE TOP PLATE -_.---,____ ------__-_- S (TYPICAL) CD T R 35 X 14 AT 16' D.C. SLOPE FOLLOW MFGR. DETAILS BRIDGING 1/2' GWB ON 1 X 3 AT 16' O.C. ' FINISH GRADE PROVIDE THERMAL BREAK 0'_1p• AT BETWEEN SLAB/FOUNDATION POURED IN PLACE CONCRETE FOUNDATION >L FOOTING _- MATCH EXISTING BASEMENT FLOOPERIMETER FOUNDATION DRAIN+R 4' DIAMETER PERFORATED PVC PIPE 3/4' CRUSHED STONE FINISH GRADE FILTER FABRIC ENCLOSURE DISCHARGE DRAIN TO APPROVED 'LOW POINT' 6' COMPACTEDGRANULAR BA'-IZF c SLAB SEAT 4' CONCRETE SLAB c POLY VAPOR BARRIER CONFIRM PROPER SOIL 2' RIGID FOAM BEARING CAPACITY INSULATM N TYPICAL CROSS SECTION 1 I .. I1 ISI 111 1111 If�il f111t1 I�I�1�1 111111111 111111111 � III11 , 1111111111 � 11111111111 F- �I�I�I�I�i�l � 1111111111111 Illllt � t11111f1111111 1 1 W 1111111111111) I I Lj- TTI I 11111111111111 f � 1 1 1 1 1 1 1 11111►11111111 I I 11111111111111 1111111 11 11111111111111 aim m i I 1111111 � I I 1111111 111111 �- � � , 11111111111111 11 1 1 1 1 I I fillI I ! ! i I7 r -- - --------------- -- ----------- ------------- ---------------- --------------- ------------ - ------------- ---------------- -------------------------------------------------------- -------------------------- ---- -------------------------- ----------------------------------------------- ------ -- --------------------- --- ------ ------------------- -- ---_ ------ --— ----— _----------------_— GITTTER -------------------------------------- --- ----- ----------- -------------------------------- ------------------------------------ - - -- HATM DMIM F LMR E"ATM FTNISM IST FL.= FIREPf.AEE &FA3) I' ANGLED MWER Uu FMM BASE MMT FLIER E F'MM MAX NEW EXTERM DEM t�1TI ! EXISTING SIDII�a t -------------------------------------------------------� L--------------------------------------------------------A RIGHT ELEVATION RMGE UF NEW ADMTMIN M ALIGN WITH EXXsiuda EXLVtM se_rnaaa Daae GUTTER NEW tQTQ EN CA'EIT Wntll W ��„„�� . �fffY..iR��l 'BOXMff' r uY.lfl ZT FX FNM MUC ANGLU CORNERS 1 .............. ........... 1 � TOP OF TMV WALL fl�l�TEM _mm mm /M PPpR�aVME NDIMJiI app FO¢S!i r/r RE I L � M � f{3i� - ------ F2NISlf 8+! lT ��-- --------- --- —__ _--------- ----------------- ------ ---------- 1 i �-------� �--- –L---------------------------—--------------------------- CaNCRE7t= ---=------- REi1SE t7f2STlilrr VHIHOW 1 t F UNMTION r---�1 AT REAR WALL FANFLY RN. 1 1 r-------� -----� REAR ELEVATION rL----'------� r------� �-----------------------� STEP FII3TTING AS NECESSARY ��s- s�. .�d � ,� c,�n��,��` 2998 c�� Date...f.�. .. ': .'.•... F oGM 1 N OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION ,SSACHUsf't This certifies that . . . `. .. ... .. . . . !. `. . . . .. ...:. . . .:.:f ... . . has permission for gas installation . ... .. . :. . . . . . . . . . . . . . . . . . in the buildings of . . . . ... .I. . .' . . . . . . . . . . . . . . at . . �!t.-. .` �. . ? /`�':P �. -`.`. . , North Andover, Mass. FeW4.. ' . . . Lic. No..'!.-T :.�. . . . . . . . . . . . . . . . . . . . . . . .. . . . GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer s > MASSACHUSETTS UNWORM APPLICATON FOR PERMIT TO DO GAS FITTING ype or print) Date ! ` 19 NORTH ANDOVER, MASSACHUSETTS �,,, ` Building Locations J C7 z /0 � d �� y /_ Permit# 6779� Amount Owner's Name , � NewLu Renovation ❑ Replacement ❑ Plans Submitted ❑ >, Z c Zr.' C y "� C Z C ZrA r Ci Z Z Z sus-BA SEMI ENT BASEMENT 1ST. FLOG R 2ND. FLOUR 3RD . FLOUR 4'rN . FLOG R sTn . F1. 00R 6T It . FLUOR 7'r 11 FLOG R 118'r H . FLOOR (Print or type) Jc Check one: Certificate Installing Company Name //l L�G�/7n� ��l ) ❑ Corp. Address Partner. r U,- 121 Ar Business Te ep one ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter �f G INSURANCE COVERAGE Check one: 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 ❑ Owner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the ivitiss.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature 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 of the ivlassaand ter 142 of the General Laws. Bv: Signature of Licensed Plumber Or Gas Fitter Tide ❑ Plumber J3 CityiTown ❑ Gas Fitter L Icense N umoer ❑ Ivlaster Journeyman APPROVED wFi:ici-USE ONLY) Locgtion d No. -� Date l� 40PTN TOWN OF NORTH ANDOVER 3? ' 0 f 9 s ; ; Certificate of Occupancy $ �'�s'•�°•E<�' Building/Frame Permit Fee $ s�cMus Foundation Permit Fee $ Other Permit Fee $ � w TOTAL $ Check #��G / n r ` Building Inspev6r TOWN OF NORTH ANI)OV-JER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING WAT... 777777 v. BUILDING PERMIT NUMBER. DATE ISSUED �® low ic SIGNATURE: ic Building Commissioner/2%Tfor of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: f Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: ' (111000 +/ i ? >- Zonin 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 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 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record Cjq 7]Y6+*J/�) ,"-e- C�j 0— 5d, Name(Print) Address for Service: e Signature Telephone-Z:::;*=:��— i::i--� - � d 73 2.2 Owner o ec rd: Name Print Address for Service: z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable Licensed Construction Supervisor: License Number Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable Company Name M Registration Number r Addressgem z Expiration Date Signature Telephone I SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other Specify bd'u'L a a j Brief Description of Proposed lWork: -16 -a vied a SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAI:USE ONLY Completed by penrdt applicant 1. BuildingP6 r - go (a) Building Permit Fee �( Multiplier 2 Electrical Csa (b) Estimated Total Cost of a Construction 3 Plumbing Building Permit fee(a)X (b) / �A 4 Mechanical HVAC � (�, 5 Fire Protection 6 Total 1+2+3+4+5 j0 0 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief ^ / Print Name Si ahue ofwn /A ent Date NO. OF STORIES SIZE ' BASEMENT OR SLAB SIZE OF FLOOR TMIBERS iST 2ND 3RD SPAN DIWNSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIlvINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE . I FORM U - LOT RELEASE FORM . H I INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. **** ******APPLICANT FILLS OUT THIS SECTION � APPLICANT " J G� � n cn-rAtY PHONE �t7 6 /'5 LOCATION: Assessor's Map Number (' 3 PARCEL l SUBDIVISION LOT (S) STREET C—Jc XO+x �I � � -�1 ST. NUMBER OFFICIAL USE ONLY REC9MMENDATIONS OF TOWN AGENTS. 0 N CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED - n COMMENTS �� �' t�""�'� I A�� I VL I oo l /_",— CSS[ 1 � TOWN'PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS'�11 PUBLIC WORKS -SEWERIWATER CONNECTIONS l _ DRIVEWAY PERMIT T.St FIRE DEPARTMENT 1 RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm i SCOTT L. GILES, R.P.L.S. 50 Deer Meadow Road _ o North Andover, MA 01845 683-2645 March 10,_2000 COM VfUNITY DEVELOPMENT C/O HEIDI GRIFFIN CHARLES STREET NORTH ANDOVER, MA 01845 In regards to property of John Carney, 115 South Bradford Street in North Andover and having a prior existing Special Permit(1 year+-)in Watershed District for a then proposed addition. The Carneys intend on installing an above ground pool of 52 inch height;diameter of 24 feet to be 12 feet from the existing addition structure. It is my opinion that this event shall not have any cause and or affect on the Watershed. A small stream is 260+- feet from the proposed pool(see plan) Thank You. d Sincerely, Scott L. Giles,P.L.S. GLi o No 1 72 G/STER�4�R�`yy. ��c `ate AORTH Town of . ^.. Andover TO No. 19'3 * - "-`-37A-, dower, Mass., 3 gm, oo= COCWCKEWICK ADRATED PV"pL S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....... Q.. .. ....*V.............CAAM.0 .......:........................... .. .. . . Foundation of has permission to erect.��.....y.oz.4....... buildings o ......//I�0...�� �r�.......... ...... Rough to be occupied as.........R.10.44.....AlV g..... P r w d r........ Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Aft ration and Costruction of Buildings in the Town of North Andover. �n3 �r 3 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARS 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.