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Miscellaneous - 12 BACON AVENUE 4/30/2018
12 BACON AVENUE 210/040000.0 ------------- f i Date.12,- olt. .......... TOWN OF NORTH ANDOVER n PERMIT FOR WIRING . � ; » SACMUS This certifies that ......... ..... ..1111."".fil...............1P................................... ................................................... has permission to perform .n_... .. ,...�1.. . r ..... . ,e.. ........... wiring in the building of....,..,,�..... ........................ ................................. .. at ....................... ...... ::.�'. .....0 � . ' .,North Andover,Mass. Fee.... .............Lic.No. ., .y... . ELECTRICAL INSPECTOR Check# L e Coinmonureallh o� aelac�ueet OfQcial Use Only Ap,,&ani o�.fire�ervicee Permit No. O�I BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code QqC ,5 12.00 (PLEASE PRINT IN INK ORqgi *nce O 111 Date: City or Town of. To the Inspector of wires.- By ires: By this application the undersigof his or in on to perform the electrical work described below. Location(Street&N mbe Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Boz) Purpose of Building . .�Q_ MJ JW f' S0,_ Utility Authorization No. Existing Service! Amps VcAD /434p Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: �= Completion Of the folflow. ta5lemay be waived&ILinspertor of Wires. _ No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans o.o ota Transformers KVA �- No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ ❑ o.o Emergency g d. d. Battu Units 3 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.o 4 md 5 Initiating Devices No.of Ranges No.of Air Cond. Toons No.of Alerting Devices No.of Waste Disposers ReatFumpNumber ons o.o e - ontain (� Totals "'.. .._. ._" ` Detection/Alertin Devices No.of Dishwashersal Space/Area Heating KW Local❑ C nn hon ❑ Other No.of Dryers Heating Appliances KW Secunty S ,�ystems: No.ofDevices or Equivalent No.o star KW o.o o.o Data Wiring: Heaters Si Data No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP a eeommumcations tang: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Valu ecli ork: 1 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with NEC Rule 10,and upon completion. INSURANCE C GE: 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 covers a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEBOND F] OTHER El (Specify:) I certify,under the pains and�e�ftaaaofperjury,that the information on this application is nd complete. FIRM NAmE: vkvint SeA72 LIC.NO.,: 1-5\L41>� Licensee: CNI,10Z olm 0' Signatur LIC.NO.: 1,�J y I A- (Ifapplicabl,enter ' mpt"in the lice ,e number fine.) Bus.Tel.No—A-50 �(3. 5 _ t� .: Address: Alt.Tei.No.: -1H9 qaa *Per M.G.L.c. 147,s. 57-6 ,sec work requires Department of Public Safety"S"License: Lie.No. - - OWNER'S-lNS1(JRANCE W I a:- m-aware-that-the-l=icensee-does-not-have-the4iability-insurance•eoverage-nonnally — required by law. By my si tore low,I hereby waive this requirement. am the(check ne)0 owner ❑owner's aaent Owner/Agent Signature Telephone No. PERMIT FEE. $ i i t k� I I i 4 i I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass govIl is Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name(Business/Organization/Individuai): y p t/i n f` �y�A r t -r r- Address: -3 -301 City/State/Zip: Le,1i� ( 47(' g Yy Y 3 Phone#: TVI - 2 Z 4 - � Y S� Are you an employer?Check the appropriate bog: Type of project(required): 1.[2';'l am a employer with 4. ❑ i am a general contractor and 1 6. ❑New construction employees(full and/or part-time)." have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.x 7. ❑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. [1 We are a corporation and its to.[] Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑ Roof r irs, insurance required.]t 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. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContmctors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:__ R N r,'c,,4• / Me V-1 CAVI .i S&IKl to C� G/rwv.4&I N 1 Policy#or Self-ins. Lic.#: VV L S-0 U / O Expiration Date: ! ( I t G Job Site Address: City/State/Zip: 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. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Si.znature: Date.• 11- 7- - IS- Phone <- Z - ISPhone_#: _ YU 1 Z Z 1 - G k S Official use only. Do not write in this area,to he 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#: VIVINT SOLAR DEVELOPER LLC PHILIP F ZAMPITELLA JR (EL) 4931 N 300 W PROVO UT 84604 Roldr 71rn o.daA Abd wo viwro„eo., ' OF "M M,FORM _ ISSUES THE FOLLOWING WERSE AS SWRED MASTGR AL E CTR I C I AN VIVfMt SOLAR DEVELOPER LLC FW I L I P SAWN WLLA J(t 493 K 3"a w POW0 tW 84604 .., 07%34116t r. IO - Noun •k EcolibriumSolar Customer Info Name: Email: Phone: Project Info Identifier: 59821 Street Address Line 1: 12 Bacon Street Street Address Line 2: City: North Andover State: MA Zip: 01845 Country: United States System Info Module Manufacturer: Trina Solar Module Model: TSM 260-PD05.08 Module Quantity: 22 Array Size (DC watts): 5720.0 Mounting System Manufacturer: Ecolibrium Solar Mounting System Product: EcoX Inverter Manufacturer: SolarEdge Technologies Inverter Model: SE6000A-US (240V) Project Design Variables Module Weight: 43.0 lbs Module Length: 65.0 in Module Width: 37.0 in Basic Wind Speed: 100.0 mph Ground Snow Load: 50.0 psf Seismic: 0.0 Exposure Category: B Importance Factor: II Exposure on Roof: Partial) Exposed P Y P Topographic Factor: 1.0 Wind Directionality Factor: 0.85 Thermal Factor for Snow Load: 1.2 Lag Bolt Design Load - Upward: 820 Ibf Lag Bolt Design Load - Lateral: 288 Ibf EcoX Design Load - Downward: 722 Ibf EcoX Design Load - Upward: 765 Ibf EcoX Design Load - Downslope: 297 Ibf EcoX Design Load - Lateral: 233 Ibf Module Design Moment—Upward: 3655 in-Ib Module Design Moment—Downward: 3655 in-Ib Effective Wind Area: 20 ft2 Min Nominal Framing Depth: 2.5 in Min Top Chord Specific Gravity: 0.42 • EcolibriumSolar Plane Calculations (ASCE 7-10): 1 Roof Shape: Gable Edge and Corner Dimension: 3.0 ft Roof Type: Composition Shingle Stagger Attachments: Yes Average Roof Height: 25.0 ft Include Snow Guards: No Least Horizontal Dimension: 25.0 ft Roof Slope: 23.0 deg Truss Spacing: 16.0 in Snow Load Calculations Description Interior Edge Corner Unit Flat Roof Snow Load 42.0 42.0 42.0 psf Slope Factor 0.86 0.86 0.86 Roof Snow Load 36.1 36.1 36.1 psf Wind Pressure Calculations Description Interior Edge Corner Unit Net Design Wind Pressure Uplift -19.4 -31.9 -47.9 psf Net Design Wind Pressure Downforce 11.4 11.4 11.4 psf Adjustment Factor for Height and Exposure Category 1.0 1.0 1.0 Design Wind Pressure Uplift -19.4 -31.9 -47.9 psf Design Wind Pressure Downforce 16.0 16.0 16.0 psf ASD Load Combinations Description Interior Edge Corner Unit Dead Load 2.6 2.6 2.6 psf Snow Load 36.1 36.1 36.1 psf Downslope: Load Combination 3 14.0 14.0 14.0 psf Down: Load Combination 3 33.0 33.0 33.0 psf Down: Load Combination 5 12.0 12.0 12.0 psf Down: Load Combination 6a 32.5 32.5 32.5 psf Up: Load Combination 7 -10.2 -17.7 -27.3 psf Down Max 33.0 33.0 33.0 psf Spacing Results(Landscape) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 58.7 58.7 58.7 in Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 48.0 48.0 48.0 in Max Cantilever from Attachment to Perimeter of PV Array 19.6 19.6 19.6 in Spacing Results(Portrait) Description Interior Edge Corner Unit Max Allowable Spacing Between Attachments 44.3 44.3 44.3 in Max Spacing Between Attachments With Rafter/Truss Spacing of 16.0 in 32.0 32.0 32.0 in Max Cantilever from Attachment to Perimeter of PV Array 14.8 14.8 14.8 in EcolibriumSolar Layout Skirt o Coupling Note: If the total width of a continuous array exceeds 35 ft, break array to allow for thermal expansion and contraction. See Installation Guide for details. etails. O Clamp Warning: PV Modules may need to be shifted with respect to roof trusses to comply with 9 Y P PY BondingJumper P maximum allowable overhang. EcolibriumSolar Roof 9Neights In Conformance with Solar ABC's Expedited Permit Process Module Quantity: 22 Weight of Modules: 946 lbs Weight of Mounting System: 94 lbs Total Plane Weight: 1040 lbs Total Plane Array Area: 367 ft2 Distributed Weight: 2.83 psf Number of Attachments: 47 Weight per Attachment Point: 22 lbs • EcolibriumSolar Bill Of Materials Part Name Quantity ECO-001_101 EcoX Clamp Assembly 47 ECO-001_102 EcoX Coupling Assembly 21 ECO-001_105B EcoX Landscape Skirt Kit 6 ECO-001-105A EcoX Portrait Skirt Kit 0 ECO-001_103 EcoX Composition Attachment Kit 47 ECO-001_116 EcoX Flat-Tile Flashing 0 ECO-001_117 EcoX S-Tile Flashing 0 ECO-001_118 EcoX W-Tile Flashing 0 ECO-001_363 EcoX Lower Support-Tile 0 ECO-001_109 EcoX Electrical Assembly(optional) 1 ECO-001_106 EcoX Bonding Jumper Assembly 6 ECO-001_104 EcoX Inverter Bracket Assembly 0 ECO-001338 EcoX Connector Bracket 0 ECO_001-359 EcoX Lower Support- Low Slope 0 i i N 12 Bacon Street, North Andover MA 01845 0 a U V INTERCONNECTION POINT, C 5'OF 1"PVC CONDUIT JUNCTION BOX ATTACHED TO v m INVERTER,ANSI METER LOCATION, LOCKABLE DISCONNECT SWITCH, FROM JUNCTION BOX TO ELEC PANEL ARRAY USING ECO HARDWARE TO o 8 UTILITY METER LOCATION KEEP JUNCTION BOX OFF ROOF .�m¢w c d� U O Z m C Z NQS I I C�r0 Cu 00 Z Q I 1 I PV SYSTEM SIZE: 5.720 kW DC I I I I I op a II 9 or--I .......... I I � I O I J m N V F- W a ~ w x > > z of Lu Z Lu w z m J J V >Z z z m — — — — — NAME: F- J UJ Z � d SHEET22)Trina Solar TSM-260 PD05.08 MODULE SHEET NUMBER: PV SYSTEM SITE PLAN o SCALE: 1/8"= 1'-0" > O m 3 �z �O o< m C 3� Z m 7 A V z m p ac Zt7 0 mN O < �. m m z Z oz 0 0 o 00 w�CCD 50 80 N U) 0--1 C7 °z D mp r v m � W (!J rn m II � o � O O m r D Z C i a= INSTALLER:VIVINTSOLAR O O Jl, Dolan Residence K m m INSTALLER NUMBER:1.877.404.4129 �����`�r O P�/ n o m m ROOF m n J O 12 Bacon Street V G MA LICENSE:MAHIC 170848 North Andover,MA 01845 PLAN DRAWN BY:JRP AR 4727631 Last Modified:12/7/2015 UTILITY ACCOUNT NUMBER:28710 87000 CLAMP MOUNTING SEALING v WASHER ASHER DETAIL m LOWER SUPPORT C/)C o z LLmcz Nal PV MODULES, TYP. MOUNT "` 00 o OF COMP SHINGLE ROOF, -� FLASHING za O � PARALLEL TO ROOF PLANE / 21/2 MIN C 5/16"0 x 4 1/2" L PV ARRAY TYP. ELEVATION S EIEL LAGTSCR WS NOT TO SCALE TORQUE= 13±2 ft-lbs 0 CLAMP ATTACHMENT (n NOT TO SCALE N n Op N CLAMP+ 9 ATTACHMENT CANTELEVER U4 OR LESS OO COUPLING L=PERMITTED CLAMP ECO SPACING SEE CODE COMPLIANT m COMPATIBLE LETTER FOR MAX ALLOWABLE N Q MODULE CLAMP SPACING. PERMITTED COUPLING a eq o v CLAMP+ CLAMP CLAMP o fj� L) < a ATTACHMENT SPACING Z m = COUPLING PHOTOVOLTAIC MODULE > 2 z w wwin > J J Z m J J V j J �> NK a Z Z m 0 SHEET NAME: L=PORTRAIT I.-: J CLAMP SPACING Z Q ECO 0 COMPATIBLE SHEET L=LANDSCAPE MODULE PV SYSTEM MOUNTING DETAIL NUMBER: CLAMP SPACING MODULES IN PORTRAIT/LANDSCAPE NOT TO SCALE M NOT TO SCALE a O Conduit and Conductor Schedule DC Safety Switch Notes: Solar PV System AC Point of Connection Tag Description Wire Gauge #of Conductors Conduit Type Conduit Size AC Output Current Rated for max operating condition of inverter Accoding to Nec 31.25 Amps 1 Solar Edge Cable 10 AWG 2(V+,V-) N/A-Free Air N/A-Free Air 690.6(B)(1) S NEC 690.35 compliant Nominal AC Voka a 24o vows 1 Bare Copper Ground(EGC/GEC) 6 AWG 1 N/A-Free Air N/A-Free Air g 2 THWN-2 10 AWG 4(2-V+,V-) PVC 1" *opens all ungrounded conductors THIS PANEL FED BY MULTIPLE SOURCES C N 2 THWN-2-Ground 8 AWG 1 PVC 1" (UTILITY AND SOLAR) N Notes: SE6000A-US-U Inverter Specs: 0_ 3 THWN-2 8 AWG 3(1-L1,1-L2,1-N) PVC 1" d e w 3 THWN-2-Ground 8 AWG 1 PVC 1" Wire size and breaker calculations dependent upon CEC Efficiency 97.5% N U Inverter Continuous Maximum Output. 4 THWN-2 8 AWG 3(1-L1,1-L2,1-N) PVC 1" Example:SE38000A-us-u Max Output=16A AC Operating Voltage 240V T 4 THWN-2-Ground 8 AWG 1 PVC 1" <20A. Therefore a 20A solar breaker will be needed for Continuous Max Output 25A m a` 5 THWN-2 6 AWG 3(1-L1,1-L2,1-N) PVC 1" each SE380OA-US-U inverter. Wire Gauge should also DC Maximum Input Current 18A C o o 5 THWN-2-Ground 8 AWG 1 PVC 1" be determined with 16A Max for each inverter. 0 z ALL CONDUCTORS Solar e Optimizer Specs: o In P300 DC Input Power 300W 0 SHALL BE COPPER DC Max Input Voltage 848V DC Max Input Current 12.5A Design Conditions: DC Max Output Current 15A ASHRAE 2013 Max String Rating 525OW Highest Monthly 2%DB Design Temp 35.6°C. Module Specs: � 22 PV MODULES PER INVERTER=5720 WATTS STC Lowest Min.Mean Extreme DB -17°C VOC Tem coefficient V/°C Trina Solar TSM-260 PD05.08 1 STRING OF 12 PV MODULES p Short Circuit Current(Iso) O 1 STRING OF 10 PV MODULES 38.2V N System Specs: Open Circuit Voltage(Voc) 38.2V � Operating Current(Imp) 8.50A + Max DC Voltage 500V Operating Voltage(Vmp) 30.6V F12-1 Nominal DC Operating Voltage 350V Max Series Fuse Rating 15A 1 Max.DC Current per String 15A STC Rating(Pmax) 260W _ g Nominal AC Current 25A Power Tolerance -0/+3% •� EXISTING m SUPPLY-SIDE L L2 N ENTRANCE SOLAR TAP CONDUCTORS M [� l� Os to it SOLAREDGE NEC 705.12(A) M RATED: 100A 1 m o a SE6000A-US-R p – Q:_ INVERTER' N M U a GG Square 0#0222NRB Z 6QA12 4°V FUSED NEMA3 7 2 K AEQUIVALENTEDGE EOU DC SAFETY 100A 0_ OfN Y 1 M` SWITCH Z Mw Z 1\\ FFj3 SOLAREOGE P300 OPTIMIZERS 36A Z Z C1 EXISTING SHEET 240V/100A AC NAME: –-–– -–- --- ----- w ---- LOAD-CENTER VISIBLE WITH 1-40A FUSED Z 0 J 0 LOCKABLE DISCONNECT C; KNIFE'A/C JUNCTION Gro. DISCONNECT 4 WITH IRREVERSIBLE GROUND SPLICE SHEET NUMBER: *CONFORMS TO ANSI C12.1-2008 LU � C D 8-0 G� C7 m C C n az (n O m rn z Mo 00 m M rn X 00 z mz D 3N O z� IM 0 O EI)� T >= ZC (n a En x x m0 A� n 0 U)m S N mm 00 *:j 10 xz 0 x 0 mC x(A P.i mm m0 0' �(n d p D J G) Z n 0 Nw� m @z rn w A O rn C z S O C A Z rn Z rn INSTALLER:VII INT SOLAR O On sola" 3m DESIGNR1m INSTALLER NUMBER:1.877.404.4129 V V LJr Dolan Residence PV 4.0 m m� MA LICENSE:MAHIC 170848 v v u ��JJ O i 12 Bacon Street LOGIC North Andover,MA 01845 DRAWN BY:JRP AR 4727631 Last Modified:12/7/2015 UTILITY ACCOUNT NUMBER:28710 87000 LocatioOC n No. Date u •g/• re e F NORTiy TOWN OF NORTH ANDOVER c � 9 i Certificate of Occupancy $ Building/Frame Permit Fee $ �cMus F Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 19539 Building Inspector TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION of No oT 61ti ? ` #6,64p, A Permit NO: 7 Date Received 4Arto e Date Issued: b J� ��SSVS���� A r �, IMPORTANT: A ` licant must complete all items on this page 7. LOCATION Bc? C 0/! �VV e. 1/0r/-A '41t c/o yC.� Print TT PROPERTY OWNER ! �/!GLM Print MAP NO../,k PARCEL:___..._L ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building 4 One family ❑Addition ❑Two or more family ❑ Industrial ❑ Alteration No. of units: yc Repair, replacement ❑Assessory Bldg ❑ Commercial ❑ Demolition ❑ Moving(relocation) ❑Other ❑ Others: ❑Foundation only DESCRIPTION OF WORK TO BE PREFORMED _ C. rool n ✓e/- e.x1.s7t7Aq 4/1#*M (fJ Identification Please Type or Print Clearly) OWNER: Name: 11 0.m 30 /CL/t Phone: 41 Address: f o2 (�d CO/t - ,V✓e- /V-14J �/ow CONTRACTOR Name: �O , / o 14 Phone: P�honie: I Address: d C104 1 JP-1'cki d i Z2 6 Supervisor's Construction License: Exp. Date: Home Improvement License: l D 5<.S� 9 Exp. Date: /�ez) ARCHITECT/ENGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERM/T.$12.00 PER$1000.00 OF THE TOTAL EST/MATED COST BA ED ON$125.00 PER S.F. Total Project Cost :$ hlDUO. y' �, x12.00=FEE:$ Check No.: / g Receipt No.: Page lof4 J - - 1 f IJ --- - — — --- - TYPE OF SEWERAGE DISPOSAL Tanning/Massage/Body Art ❑ Swimming Pools ❑ Public Sewer ❑ ❑ Tobacco Sales Food Packaging/Sales ❑ Well ❑ Permanent Dumpster on Site ❑ j Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund Signature of Agent/Owner vSignature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM _ DATE REJECTED DATE APPROVED PLANNING& DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit _❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ t COMMENTS DATE REJECTED DATE APPROVED < HEALTH, F1 - . - - — ❑ _.__ f COMMENTS Zoning Board of Appeals: Variance,Petition .No: F s Zoning Decision/re ceipt submitted yes Planning Board Decision: Comments Conservation.Decision: Continents Water&Sewer connection/Si2nature&Date - Driveway Permit Temp Dumpster on site yes—no_ Fire Department signature/datet' �+ r _ r J L_ i k t i i -- - __ NORTH Town of Andover No. C% _ o dover, Mass., COCHICHEMCK 7 �ADRATED '9S BOARD OF HEALTH Food/Kitchen Septic System PERMIT . T D BUILDING INSPECTOR THIS CERTIFIES THAT....... ..l..�..�.l. r1!�!........0.40.4.1.ft.... . .................. .. ......:...................................... ............... Foundation has permission to erect................................ ....... building on ...�.�,..........� Oh........ .�....... ............... Rough to be occupied as........ ~1.. t Chimney provided that the person acceptin this permit shall in a 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 10010 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI0 TART _ 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. �Cj� lay DAVID CASTRICONE ROOFING,SIDING&REMODELING REPLACEMENT WINDOWS HOME IMPROVEMENT CONTRACTOR REGISTRATION NUMBER 104564 200 SUTTON STREET,SUITE 226,NO.ANDOVER,MA 01845 7 HILLSIDE ROAD,BOXFORD,MA 01921 In North Andover 978-683-3420 In Boxford 978-887-6147 In Ha verh ill 9 78-3 74-7314 „Fa Uwe the owner(s)of the premises mentioned below,hereby contract with and authorize you as contractor,to furnish all necessary materials,labor and workmanship,to install,construct and place the improvements according to the following specifications,terms and conditions,on premises below described: Owner's Name...... - ..1. .l.k4rrr.:.......�..! .. ..............................................Tel one#....�°l.•S..'':.�a...��i..--;..�,1,.�/ Job Address....../ ,....f�.d ye. ...J..I.. �..+.t.................City..AZ~... .a.WeJ..............State.....6.:•IJ.I.......... Specifications: / c�a;,.......a.ua�-............�� ............................................................. ................................................................................................ v�p existing shingles. ✓Apply new drip edge to all edges. W�,i1� ................................................................................................................................................................................................................. ✓Apply _feet ice and water shield membrane to bottom edges of house. 3 feet ice and water shield membrane In valleys and bottom edges of any unheated areas of house. ....................................�i......... ...................................................................................................................................... gig= I" ''Install ridge vent to .... ............... ................. ............................................................................ ................. ✓rteroof using ,,, e err ,4 R ,r 1 shingles with a �!� year warranty. .. •...... ........................................................................................................................................ ounterflash chimney. Aew vent pipe flashing. tl�egal disposal of all debris. ilff Area(s).t. o be,worked on:. kl........... .. ...�. ................. • 1. ..014.1- st,.S'... ..�4 .j`.b.G.��.................................................................................... ..................................•...................................................................................I............ +.!<•e — .................................................................................................................................................... .................................................. ........................................ One Year Workmanship W... nsferable) Manufacturer's Warta a�sFpejlfied nufacturer Materials and Labor toc t 5. Payabi . .. ............... Payable..................... .................. Balance payable on completion of o Owner or Owners are not responsible for Property Damage or Liability while job is in operation. Contractor is not responsible for any damage to the interior of property,including pre-existing conditions(i.e.water stains,crumbling plaster,exposed nails)or conditions resulting from application of materials specified above(i.e.objects coming loose from walls,crumbling plaster,exposed nails,dust in attic or other living spaces,water stains when roofing shingles have not had adequate time to cure). Upon completion of above work,all undersigned agree to execute and deliver to contractor,their joint note in accordance with his(their)above obligation as requested by contractor. Upon refusal to do so,contractor may at its option declare the entire contract price or so much as then remains unpaid,immediately due and payable. It is agreed that,if permitted by law,contractor shall be paid by the owner(s)all reasonable costs,attorney fees and expenses,in addition to the amount due and unpaid, that shall be incurred in enforcing the terms and conditions of the contract and/or any lien in connection herewith. It is further agreed that this contract may be assigned by contractor,and also that the obligations hereof shall bind and apply to their heirs,successors or estates. The undersigned warrant(s)that he is(they are)the owners(s)of the above mentioned premises and that legal title thereto stands of record in his(their)names(s). There are no representations,guaranties or warranties,except such as may be herein incorporated,if any,nor any agreements collateral hereto,not is the contract dependent upon or subject to any conditions not herein stated.Any subsequent agreement in reference hereto shall be binding only if in writing and signed by all parties. All Home Improvement Contractors shall be registered and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director,Home Improvement Contractor Registration One Ashburton Place Room 1301,Boston,MA 02108 Tei:617-727-8598 Any and all necessary construction-related permits shall be obtained b the Contractor. An Owner who secures Y Y. res his own construction-relatedpermit or deals with unregistered contractors shall be excluded from access to the Guarantee Fund. Approximate starting date of work..................................................................... Completion date.............................................................. Receipt of a copy of this contract is hereby acknowledged,and it is further acknowledged by the undersigned that the foregoing g g provisions have been read and the contents thereof understood and that no re-presentation or agreement not herein contained shall be binding upon the attics and that all of the agreements and understandings of i P &' g said parties are contained herein. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Owner has three business days to cancel this contract and incur no penalty. IN WITNESS WHEREOF,the parties have hereunto signed their names this.......1..7.!�........day of ACJ`15:�:...............20.f1 ...... Accepted: /' �Q Signed....GIY "4' .......................................Owner rSigned.........................................................................................Owner Per ... Representative The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 - wM www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): DAV(D 0'Ak s {k 1 C-b/J r_- kD 0 Ft 1J6 + Sit I*J i _-r4 V C_ Address: Zoo S u M/rJ sr sl,ure u(o City/State/Zip:IVO , WP#Vffe /A 6/NS- phone#: M W3 Ufa z 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 employee's(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 1 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ElBuilding addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10-ElElectrical r airs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t 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.' t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContractors 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: +_ • Policy#or Self ins.Lic. Expiration Date: Job Site Address:_ X02. Co n ) ✓e 4 y c. City/State/Zip: 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 rine up to$1,500.00 and/or one-yearinprisonment, 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. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature: C Date: /.Z, 16 Phone Oficial 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#• i Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their en ployees.. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contracfof;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 rtmore. 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 of 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-contractor(s)name(s), address(es)and phone numbers)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 carry 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 Accidents for confirmation 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(if necessary)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 maybe 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. r The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax#617-727-7749 www.mass.gov/dia Town of North Andover 0* tAORT Building Department a°- c �: 27 Charles Street North Andover, Massachusetts 01845 0yti (978) 688-9545 Fax(978) 688-9542Argo - �9SSAcwns���y DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of. Building permit # the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s15Oa. The debris will be disposed of in/at: Facility location Signature of Applicant 00 Date NOTE: A demolition permit from the Town of North Andover must be obtained for this projeet through the Office of the Building Inspector. T1 Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 104569 Expiration:-7114/2008 :Type: Private Corporation ,7 DAVID CASTRICONE ROOFING;SIDING& David Castricone 200 SUTTON ST SUITE 226. NORTH,ANDOVER, MA'01845 Deputy Administrator 6' Building Setback Front Yard Side Yard Rear Yard Re uired Provided Required Provides Required Provided Dimension Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area,sq. ft.: NOTES and DATA—(For department use) it t 1 Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARIM ENT:BIIFORM05 Created.IMC..Ian.=006 I - - - _ -� _� ii �1 Building Department - The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits - ❑ Building Permit Application o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work Addition Or Decks ❑ Building Permit Application ❑ Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract-- • ontract❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) 'New Construction (Single and Two Family) o Building Permit Application _ ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses_ ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One-To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract o Mass check Energy Compliance Report In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. .One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMEN'r:BPFORb105 i L Noe 4 of 4 I f �' f - � Location / 73wolL,1y� No. .,575Date NORTq TOWN OF NORTH ANDOVER f 9 # Certificate of Occupancy $ _ cMus Eta Building/Frame Permit Fee $ S s� Foundation Permit Fee $ Other Permit Fee $ _ TOTAL $ Check # � i 14 2 3 5 /"B, Inspector i TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING �q BUILDING PERMIT NUMBER: � DATE ISSUED: / ` _ � SIGNATURE: Z"ff M Building CommissionedI for of Buildings Date SECTION 1-SITE INFORMATION 0 1f.1 Property Address: �p 1.2 Assessors Map and Parcel Number: O q 5 0004, CN Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: ( _ l(-z— A �'SI) Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R 'red Provided Required 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 ❑ On Site Disposal System ❑ J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record LName(Print) Address for Service 66i/-S3 3!L mob -91 —0L.. G- Sig re Telephone 2.2 Owner of Record: .S A O Name Print Address for Service: z M Signature Tele hone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ c. Licensed Construction Supervisor: �. �s 3 0"t, O nn License Number Address II LL b `Z� ( 0 Z_ Expiration Date Si lure Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name ' p 1 e 1 7 M Sk Registration Numbdr r Addrero ss �� o ( ^ � Si nExpiration Date ature Telephone G) 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. Si ned affidavit Attached Yes...... _No.......❑ SECTION 5 Descri tion of Pro osed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) Alterations(s) ❑ Addition 0 Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: -to S L 1O e Kr-C_ S l >1 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFIfCIAL:USE ONLY `_ A Completed byperinit applicant „ 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC �-- 5 Fire Protection 6 Total 1+2+3+4+5 p T] Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize to act on be f,in al s relativeAo work authoriz&by 's building permit application. 100 2-3 1y1� Si nature of Owner Date SECTION 7b OW E UTHO ZED AGENT DECLARATION h as Owner/Authorized Agent of subject prope Hereby declare that the statements and in ation on the foregoing application are true and accurate,to the best of my knowledge and belief Lz� z�1v� Sign e of Owner/A ent Date z NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINIBERS 1 2ND ; 3 RD SPAN DIN ENSIGNS OF SILLS 1 41 DIMENSIONS OF POSTS 1 DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X ! MATERIAL OF CHDI NEY IS BUILDING ON SOLID OR FILLED LAND I IS BUILDING CONNECTED TO NATURAL GAS 1,114V- NORTH Town of An t o No. 1L �O ��- CA O dover, Mass., COC MIC MEWICK ORATED P"' C) 1� G G BOARD OF HEALTH PERMIT . T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... . . �� ..1*4 has permission to erect.... . .... .. buildings on .. ...Q?........ � �,.. �i� Rough to be occupied as �...� ' ............ ....... '... .... ................ Chimney provided that the person accepting this p it 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, After t' n and Construction of Buildings in the Town of North Andover. A? qw '0 & 4000ow- PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS C ONSTRUC TI S ELECTRICAL INSPECTOR Rough 12 .......... ........................ ....... ................... Service ... ............ . ........ ..... ........ BUILDING INSPECTOR Final Occupancy Peat Required t® Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Dec 28 99 10: 23a` p. 2 Pagel or i All Seasons Dame Remodeling Gary Merew/Mass License 6 070629 Tel:(el 7)628-2376 369 Somerville Ave., Fax:(617)628.5105 Somervi8e,VA 02143 wAwaliseasonchomerennodel.com Document# c1478 Date: 12/28/1999 Att: Matt Caffrey Project-Address: 06/106A Beverly St., (, North Andover,MA-01845 Scope of work: Second level addition. Description of work: Remove the existing roofs from 106 and 106A Beverly St.. Frame the second floor deck using 2" x 10" construction(approx 2,216 sq, fi).Install R-30 insulation in the new deck. Install 3/4"fir tongue and groove plywood to the second floor decks. Frame all the exterior walls using 2"x 4" construction.Frame for 27 windows. Install 112" OSB plywood to all the exterior walls. Frame custom dormers and roofs using 2"x 10" construction, Frame for 4 skylights. Install 518" CDX plywood to the dormers and roofs. Install ice and water shield to the perimeter of roofs and dormers. Install new drip edge to roofs and dormers.Install#15 felt paper. Install 30yr architectural roof shingles to the roofs and dormers. Install 27 new double hung vinyl window units. Install Tyvek house- wrap to the exterior of the second floor additions. Install new double 4"vinyl siding to the exterior of the second floor additions. Install vinyl soffit and aluminum trim to all rakes and overhangs. Frame all interior partitions and closets using 2"x 4" construction. Install all rough wiring for the second floor additions to meet Local and State Codes. $216,060.00 Continued :- WIL 379 I• ' PER511T NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. � PAGE MAP x-40. LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK ;PAGE ' ZONE I SUB DIV. LST NO. �) � . LOCATION �`�2 PURPOSE OF BUILDING} Q / • - .. . - v iV !(/-t,Com' - OWNER'S NAME I G( NO. OF STORIES SIZE OWNER'S ADDRESS ..5 L, ST- 77"L.e�ll!'O� BASEMENT OR SLAB ARCHITECT'S NAME / 1c�r I� C SIZE OF FLOOR TIMBERS IST 2ND 3RD l BUILDER'S NAME -j -� O—J Ae SPAN • DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET "'� Q,L.�__ s '" POSTS DISTANCE FROM LOT LINES — SIDES ! REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW A}O SIZE OF FOOTING X IS BUILDING ADDITION 'v�/,p� MATERIAL OF CHIMNEY IS BUILDING ALTERATION �A0 IS BUILDING ON SOLID OR FILLED LAND l WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER � S BOARD OF APPEALS ACTION. IF ANY P IS BUILDING CONNECTED TO TOWN SEWER Y('2 / r; IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST .. PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PERS . FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOWI SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED t 4 j ®UIL.DING INtMGTop SIGN RE OWN k 7 IZE GENT - FIE E (/ OWNER TEL X PERMIT GRANTED 'CONTR.TEL# 6?L' v^ CONTR.LIC.11 H.I.C.n j16 3 , • C' c ,mayI/I.p t dOlvlilSlN�_ ^. ry� 6ZIZO tlW NMO1S312 6150 V ti !,v is Nlvw SOV . � SWtl1llIM ONtlHOia 96/90/90 uot3E)idx3 uot3E13st6??3 8Z£9[[ nlMIN00 1N3W3A08dWl 3410W COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY OF ONE ASHBORTON PLACE MASSACHUSETTS BOSTON, ps�stay"x s uurrar+t IBOSTON,MA 02108 'waspteohnseNsstale IfMlld►n[ LIC:E=�.I'.:E= Corle is essse for rerooat011 EXPIRATION DATE I - of this 1100004. RESTRICTIONS EFFECTIVE DATE LIC-NO. �I: FOR PROTECTION AGAINST THEFT, PUT RIGHT THUMB (_)%./_?t_)/1 9;>I.]. 1 7 PRINT IN APPROPRIATE BOX ON LICENSE. Fi I I::HAI'ila 4J Z L_I_:I: BLASTING OPERATORS PHOTO(BLASTING OPR ONLY) MAIN FEE: f NOT VALID UNTIL SIGNED DY LICENSEE AND OTFICIALLY �►°� HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER DOES: JUN 1994 THIS DOCUMENT MUST BE - CARRIED ONTHE PERSON OF IIISI THE HOLDER WHEN FN- 1 SI TUBE OF LICENSEE - NATURE LINE OTHERS-RIGHT THUMP PRINT GAGEDIN THIS OCCUPATION. --'f'If _ „ e I do V lz;r ov M. %it _ '0 °�- -"a C' Mass., 1:S - 36 _ 10C COC HIC HE KICK AD/?ATED viz C� 1 5� BOARD OF HEAL'T'H {. E.. RMIT TU Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT..................................................... . ' .......................................................................... Foundation Q has permission to erect...( .'''--. ... buildings on .....fid. .......�. .U.rp..�.. ...........'I� `e Rough to be occupied as.......................... j ... ..........................................................,................................. Chimney P provided that the person accepting this permit shall in ever aspect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Law relaying to the Inspection, Alteration and Construction of Buildings in the Town of Noith Andover. PLUMBING INSPEC'T'OR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTIONS ART 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 Mall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Page No. I o1 1 Pages DENIS Le CORMIER ELECTRICAL CONTRACTOR MAN HOURS 80 Sunray Street Lawrence, Mass. 01840 FREQ NO. Telephone 688-6125 PROPOSAL BMIT7 TO -- PHONE DATE X",(� S7ttEE �'-- O C Joa CITY, 5 T AHO TIP JOB LOCATION AR wTECT OATF, OF,PLANS JOB PHONE W e hereby submit'speclhcation5 5W estim,�t:s for or FrinTO hereby to furnish material and labor — coni tete in accordance with above,specifications, for the sum of: dollars "P3yrilent ttfbe made as ollows: All material Is guaranteed to be as specified.All work to be Completed i—,workmanlike manner according to alert dard practices.Any alteration or deviation from above 10041f;ca, Authorized tions involving extra coats will be executed only upon written orders,and will become an SlQnytUra aMtre charge over and above the estimate.All agreernrnts contingent upon strikes,accidents or dolayf beyond our control.Owner to carry(tire,loenado and other necessary insurance. Note:This proposal may a j� withdrawn by us if not accepted within_ t✓ days. >/ A. aptaurr of proposal—The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified.Payment will be made as outlined above. Date of Acceptance: Signature De:c 28 :99 10: 24a` P. 3 P�eZd2 All Seasons Home Remodeling Cory Mercer f Mass License 9 070629 Tel:(W)828-2376 369 Somerville Ave.. Fax:(817)6283106 Somerville,MA02143 w Ka0aeasonshomerMl Lcaa To complete project from current state. Install rough plumbing for 2 fill bathrooms and heat on all the exterior walls to meet Local and State Codes. Insulate all exterior walls. Insulate all ceilings. Install 1/2" blueboard to all walls and ceilings in the second floor additions. Install a new boiler in each basement for heat(Burnham Boners). Install a toilet,tub, shower,vanity and sink in each bathroom.Prime and paint the interior ofthe second floor additions. Install carpet throughout the second floor additions. Install new ceramic tile floors to each bathroom in the new additions. Install new luanne doors to all the closets and bedrooms. Install new baseboard moldings. Install new baseboard heat to all the exterior walls. $72,000.00 Total: $288,060.00 Total work completed to date: $216,060.00 Rates: Gary Mercer(President) $100.00 per hour Rate per square foot $1004115 per square foot. Custom cut out work 5120-5130 per square foot. ,Price includes all material and labor Ga .Mercer President All Seasons Home Remodeling WIL 380 Location No. Q/ r Date 21_ qZ 04 TOWN OF NORTH ANDOVER A Certificate of Occupancy $ * _ Building/Frame Permit Fee $ /Q ,SSACMUSEt Foundation Permit Fee $ _ ether Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ RECEIVED PAYMEWTOTAL $ JAN 2102 CC /Building Inspector No.Mdove(Collector Div. Public Works PERMIT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. V/ PAGE 1 • MAP iJO. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK !PAGE ZONE I SUB DIV. LOT NO. I LOCATION '13^ con AVO O PURPOSE OF BUILDING F� 6C ,��a �4d t� �A(&Aei''L7L0CW OWNER'S NAME W, ��I�n� �/ •;Do'Wt Al NO. OF STORIES I,O.^SaIZE � X/O �f' ^� OWNER'S ADDRESS 2' ✓� BASEMENT OR SLAB AA) ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR "' GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION 'r o MATERIAL OF CHIMNEY IS BUILDING ALTERATION AIN IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST g o o J PAGE 1 FILL OUT SECTIONS t - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BEFILED AND APPROVED BY BUILDING INSPECTOR 112-11f DATE FILED c.� BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT OWNER TEL.# F E E CONTR.TEL.#_..__....� CONTR.LIC.# PLANNING BOARD PERMIT GR ED 19 BOARD OF SELECTMEN BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 , SINGLE FAMILY STORIES 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 I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE d 1 2 13 CONCRETE BL K. PIN BRICK OR STONE WAR PIERS PLASTER _ _ DRY WALL – UNFIN. _ 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ '/. 1/1 '/ FIN. ATTIC AREA _ NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW D _ ASBESTOS SIDING _ COMMON VERT. SIDING ASPH. TILE —{I_ STUCCO ON MASONRY �— STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.( _ GAMBRELMANSARD TOILET RM. (2 FIX.( FLAT I I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN. TIMBER BMS. &COLS. _ STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'iT 2nd _ ELECTRIC 1st j 13rd NO HEATING E W E R W n Y L�_`1, FIM AL CUNISLtA_ NORTH 6 Town of 0 Andover Al, 02T F';�rIWEWAY ENTRY PERMIT K er, Mass 10 21 - 19672 C HEWICK WON"" b SSR V P m I BOARD OF HEALTH st ER T L 0 THIS CERTIFIES THAT..... ;U& . . .. ..... BUILDING INSPECTOR has permission to erect . ..... buildinl;i� ... ....... AM 0 i • Rough to be occupied as.............. J.0. ...........I... Chimney Final provided that the person accepting this permit shall in every respect conform to the 'terms of the application on rile in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough Service As A& Final WWWO10MOS .j.0 ILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises Do Not Remove Burner FIRE DEPT. No Lathing to Be Done Until Inspected and Approved by SMEET NO. 1 Smoke Dot. Building Inspector Location No. /n Date /" Z2 --1-7 Z i NORTH TOWN OF NORTH ANDOVER S Certificate of Occupancy $ �, .�; • Building/Frame Permit Fee $ .C7 e h Foundation Permit Fee $ sAMust i Other Permit Fee $ RECEIVE" fMTtion Fee $ \ __ Water Connection Fee $ JAN 271+ /to �-- Building inspector C0��8CtOP Div. Public Works PER311T NO.. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. / PAGE 1 MAP d40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK !PAGE ZONE I SUB DIV. LOT NO. � I LOCATION PURPOSE OF BUILDING OWNER'S NAMENO. OF STORIES SIZE OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET '" POSTS DISTANCE FROM LOT LINES—SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES•i EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. n^ 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 ANDAAPP/pRO�JVED BY BUILDING INSPECTOR DATE FILED ./ROVE BOARD OF HEALTH SIG TORE OF 01jVNER AUT OR D AGENT �Q I OWNER TEL.# ON R.TEL.#_ F E E �� 07,/ CONTR.LIC.# PLANNING BOARD PERMIT 19 _ BOARD OF SELECTMEN BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY S'ORIES 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 _ d t 2 13 CONCRETE 31.K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ '/ 1/2 '/ FIN. ATTIC AREA _ NO B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARD\f✓'D _ ASBESTOS SIDING _ COMMON VERT. SIDING ASPH.TILE STUCCO ON MASONRY �— STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I-[ POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH 13 FIX.) — GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN. TIMBER BMS. &COLS. _ STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING y Q I=- UV V-1 11-a I 19V&v U Win® _�ns��..�®A 11JVP%L. Nola�`���®, 181AL. r L 14 IV N I N G If Town of . 0 Andover �tr FMTP.,Y PEW41T C n er, Mass..0luoto 070, _19f BOARD OF HEALTH PER T L0. THIS CERTIFIES THAT.... . .. o �� i . . ...... ,.. d0ow BUILDING INSPECTOR has permission to ereC400111poNwIlar .....o 0... buildings 0 o o 0 ...... . ow... Rough A" Chimney to I be occupied as........ ... ..................... ............... ..... Final provided that the person accepting this permit shall in every respect co orm to the terms of the application on rile in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUJTIONRough. STARTS Service Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises Do Not Remove Burner FIRE DEPT. No Lathing to Be Done Until Inspected and Approved by SMEET NO-, Smoke Det. Building Inspector -*ocation No. L= t Date 9 pCRTh TOWN OF NORTH ANDOVER • • 0 F . „ Certificate of Occupancy $ Burame Permit Fee $ f �Q?hundation Permit Fee $ SACH Permit Fee $ �— OGZ Sewer i"Iction Fee $ do 911 r Connection Fee $ �0•�� TOTAL / f Building Inspector � f Div. Public Works PEWHIT NO. ��? f E\1 —�, APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. /PAGE 1 MAP 4.40. . I LOT NO. (A) 2 RECORD OF OWNERSHIP iDATE BOOK PAGE — ZONE SUB DIV. LOT NO. LOCATION 1-2 Bacon Ave. No. Andover, Ma: 01845 PURPOSE OF BUILDING 3 Season room -,'01 r� OWNER'S NAME William & Colleen Dolan NO. OF STORIES 2 SIZE 10 X12 ft. OWNER'S ADDRESS 12 Bacon Ave. No. Andover, Ma. 01845 BASEMENT OR SLAB Slab ARCHITECT'S NAME None SIZE OF FLOOR TIMBERS IST 211 x1011 2ND N/A 3RD N/A BUILDER'S NAME Bonenfant Construction SPAN 10 ft. DISTANCE TO NEAREST BUILDING 35 feet DIMENSIONS OF SILLS 2-2' x6' - DISTANCE FROM STREET 35 feet f •• POSTS None DISTANCE FROM LOT LINES—SIDES 22 feet& 17 REAR approx 3O ft. •• GIRDERS None AREA OF LOT 8,500 Sq. Ft. FRONTAGE 85 ft. HEIGHT OF FOUNDATION Approx 5'6" THICKNESS 1011 IS BUILDING NEW No SIZE OF FOOTING 10° x 22° x IS BUILDING ADDITION Yes MATERIAL OF CHIMNEY None IS BUILDING ALTERATION No IS BUILDING ON SOLID OR FILLED LAND Solid WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Yes IS BUILDING CONNECTED TO TOWN WATER Yes BOARD OF APPEALS ACTION. IF ANY None taken IS BUILDING CONNECTED TO TOWN SEWER yi S. r IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST $ 159303.00 PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. $ 72.00 PAGE 2 FILL OUT SECTIONS 1 - 12 y EST. BLDG. COST PER ROOM $14,000.00 SEPTIC PERMIT NO. .� ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 6 PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E OWNER TEL # (508) 686-8154 PLANNING BOARD PERMIT GRANT D CONTR.TEL.# (508T 689-2066 CONTR.LIC.# 042212 BOARD OF SELECTMEN �" BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 , is SINGLE FAMILYSrORIEs 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 I ES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE d 1 2 13 CONCRETE BUK. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL X X X _ UNFIN. 3 BASEMENT 11 AREA FULL X FIN. B'M'TAREA x V, 1/2 1/. FIN. ATTIC AREA _ NO BMT FIRE PLACES HEAD ROOM MODERN KITCHEN X 4 WALLS I 9 FLOORS CLAPBOARDS X B 1 2J 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARDW'D _ ASBESTOS SIDING _ COMMCN X VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER ELK. STONE ON MASONRY I WIRING STONE ON FRAME _ SUPERIOR I.X_I POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) X GAMBREL MANSARD TOILET RM. (2 FIX.( X. FLAT SHED WATER CLOSET _ ASPHALT SHINGLES X LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST X PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING r t FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary f 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 local or state law, regulations or requirements. **** *********Applicant fills out this section****************** APP19/LICANT: qL Phone ?a - LOCATION: Assessor' s Map Number Parcel �I Subd'vision Lot(s) h� Street �??Ccc) St. Number ************************Official Use Only************************ RECOM14ENDATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Health Agent Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department `!✓ �'`' //�/��. Received by Building Inspector Date MORT6A6E INSPECTION PLAN +� City/Town:Na__ Ar-- y_ �i_ State:----- ---------------------- Da'tes_� ,_)lr.l_-'�9 z __ Scale:---� -------------- tK 3 Owner: L� v ►A N Buyer: A hri IS* E Deed Ref.26 5_� - z---- Plan No._ -� --- Drawn per City/Town of ___ Tax Assessors Map. 1'1/ 6. —T`R t—AwR��►C-t- r 4-. o 'T wo ZZ ; SPS% —�r17 �O T -.f'! C>C;' D '.Iii 0 1 / II I �- To: L P►N/ TZ L N CCE S 14� ! N LG j l ►moi ►� -----•--------------------------------------------------- --------------------------------- I hereby certify that the .above Mortgage Inspection Alar+ uas prepartd for use in conntction with a Btu Mortgagt and is not { intended or represented to bt a property line or land survey. it cancut be used for tstablishing ftmct, htdge , walla or building lines. No responsibility is extended herein to the land ovier or occupant, Tht lecatioa of W. original buildings) as shown herein was in compliance with the local applicable zoning bylsus in tff�ct Uhtn convtructtd, with resptct to horizontal dioensional requirements, to lot lines or is exeept from violation tnfurctment action uodtr Flaw 6,L, Title VII, Chap. 40A, 8tc. / 1, unless otherwise shown here�Ubjectbuildin©) lies in a flood zone dtsirnated Zone; Cr add shown on F IRK map Communi ty-Panel 1 O oJ_ �'�-�� Datsd:_ _� _ £3_ --_-----•-- Job No. 9 Z-/`3 G JCD, INCORPORATED, [ANO USE L DEVELOPMENT CONSULTANTS 4 AUTUMN LANE, METHUEN, MA 01844 506-683-9931 { i I Q t oPC N Cl ic'- K 3 SEA��-ON POOH doe�� t R 401.- EI f f� 26- C)" t r ; 1 AV rr E7PT ter 412. f �y • � � + • , • ' iI V`ffr f I Y l 4 I 4 � 7 I I t �.2•zx a' Past � s iY r 4K4, fWlW foo cvoei n ' r• �2.2a�4` TRS SOFFIT- OVER HANGS �2. / 1 1 51 Pr i'hisf it t # 4X8 Pr W^C4 s NAS - — 3''2l L1t _ .._ r V CH # o 4 1-L i 5VA A azo t 0 .RED AR��i o\ D.!8 �F�J 1 0 ° 4153 1 !y GAJ r - __ ^'�` _u - � �� � � -- 1 � \ l f 1 f i f 'f E `M 1 io R t 4 %2 Pi�YwO�)d OvErRoo ! 06 6 'r +Iru `dnm 7X G3`x LAE 6556 A+4Q Nt41. j �c�.i►�G -� ST�sc�ureG f - f we OL14LOIPI Pr�►�2 � � �7t�i►..�L�`. gac�t!•sC1 � � � i r� Roo R.,a Ocjj� i. -T� �-._ ��..�'�rr �- -�`� vc k HARTi 1X3 STrPI�r r-r ci f,�15S 2'Z+cEo he"" + Si Os NG i1 Z � it1SCaV�A"T ;d� � 2X4 STUD5 { ' I 2x� P' ILL mATc 9 71 ST i t4 {f I G � E ' i l ' ,r { 0 i1 (-4 CaHE. �jL�4�i i n ° No. 4153 9 MET U 1% R1 A OF DAP G r �' �' I � , C CERTIFICATE OF USE & OCCUPANCY Town of North Andover ' Building Permit Number 501 (1992) Date SEPTEMBER 8, 1993 THIS CERTIFIES THAT THE BUILDING LOCATED ON 12 BACON AVENUE MAY BE OCCUPIED AS 3 SEASON ROOM AND DECK IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. 01 "r;.1 CERTIFICATE ISSUED TO William & Colleen Dolan F? ' " °p 12 Bacon Ave. ADDRESS North Andover MA s3""""5� Building Inspector lFINAL SrfWI fW TE nz._.._.... ._FIN PLANNING_ - 6TFI�I � . IV��°I�f own of � - : �. ° .,Andover ,. 4,rt 0 r °- DRIVEWAY ENTRY PERMIT � n A _ A � r�do�, er, Mass.,0-Ar-9 1 9�.� ' 0"PERMIT T 10 L 0 BOARD OF HEALTH THIS CERTIFIES THAT 404 . .0M .. ... ...L, ............... iiS0� BUIL ING INSPECTOR has permission to erect 4. ss ^ ....�� ..... buildings on ...l.�.. 1B...... Rough .� Chimneyi", to be occupied as...5"Ale 4i .0A.Pit 0-try... 3�v Final 6r4 provided that the person accepting this permit shall in every respect conform to the terms of the application on file in r J PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELEc�cAllP TOR . Rough UNLESS CONSTRUCTION STAR? TAR S Service _ _ _ Final d1 1(J f *A6A%L &4P BUILDING 1 PECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner o Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector